Therapists in Baltimore, MD

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Photo of Xiomara Arrieta, Clinical Social Work/Therapist in Baltimore, MD
Xiomara Arrieta
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21201  (Online Only)
Mara is a Clinical Social Worker who works with individuals, families, and couples. She specializes in anxiety, depression, trauma, substance abuse, cultural assimilation issues, symptom management, women’s issues, and couples counseling. She has worked in several settings including both outpatient and inpatient mental health clinics. Mara graduated from Russell Sage College in 2005 with a Bachelor’s in Psychology and a minor in Sociology and Women’s Studies. She then went on to receive her Master's in Social Work from Fordham University in NYC.
Mara is a Clinical Social Worker who works with individuals, families, and couples. She specializes in anxiety, depression, trauma, substance abuse, cultural assimilation issues, symptom management, women’s issues, and couples counseling. She has worked in several settings including both outpatient and inpatient mental health clinics. Mara graduated from Russell Sage College in 2005 with a Bachelor’s in Psychology and a minor in Sociology and Women’s Studies. She then went on to receive her Master's in Social Work from Fordham University in NYC.
(667) 291-8925 View (667) 291-8925
Photo of J.Pope & Associates, LLC, Clinical Social Work/Therapist in Baltimore, MD
J.Pope & Associates, LLC
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21202
J. Pope & Associates, LLC was created to contribute to the betterment of mental health & wellness while improving the functioning of children, youth, adults and families. In addition, our services are tools used to effectively decrease the prevalence and incidence of mental illness, emotional disturbance, and social dysfunction. We strive to provide compassionate solution focused treatment to the inner city and surrounding areas by strengthening communities, building positive relationships, and promoting emotional wellness.
J. Pope & Associates, LLC was created to contribute to the betterment of mental health & wellness while improving the functioning of children, youth, adults and families. In addition, our services are tools used to effectively decrease the prevalence and incidence of mental illness, emotional disturbance, and social dysfunction. We strive to provide compassionate solution focused treatment to the inner city and surrounding areas by strengthening communities, building positive relationships, and promoting emotional wellness.
(667) 288-0237 View (667) 288-0237
Photo of Peggy Mcnally, Licensed Clinical Professional Counselor in Baltimore, MD
Peggy Mcnally
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Baltimore, MD 21210
I have been a therapist for many years, ( ~ 38-man I sound old) and have studied many theories and learned many therapeutic techniques, some more valuable than others. However, what's most important is the therapeutic relationship between client and therapist. A client must come to trust their therapist, feel accepted and have faith that their therapist knows what they are doing clinically. That being said, I have found Cognitive Behavioral techniques,, EMDR for trauma, Acceptance and Commitment therapy and others effective.
I have been a therapist for many years, ( ~ 38-man I sound old) and have studied many theories and learned many therapeutic techniques, some more valuable than others. However, what's most important is the therapeutic relationship between client and therapist. A client must come to trust their therapist, feel accepted and have faith that their therapist knows what they are doing clinically. That being said, I have found Cognitive Behavioral techniques,, EMDR for trauma, Acceptance and Commitment therapy and others effective.
(443) 227-5644 View (443) 227-5644
Photo of Lauren C Going, Clinical Social Work/Therapist in Baltimore, MD
Lauren C Going
Clinical Social Work/Therapist, LCSW-C, RYT
Verified Verified
4 Endorsed
Baltimore, MD 21209
Are you searching for a more holistic orientation that considers the mind, body, and spirit? Are you looking for alternative treatments such as psychedelic assisted therapy (ketamine), microdosing, and somatic therapy for example? Then look no further! I am the co-founder and primary therapist at Inner Path Wellness, Baltimore's first psychedelic assisted therapy and wellness center. We specialize in working with clients that are looking for something more than traditional talk therapy.
Are you searching for a more holistic orientation that considers the mind, body, and spirit? Are you looking for alternative treatments such as psychedelic assisted therapy (ketamine), microdosing, and somatic therapy for example? Then look no further! I am the co-founder and primary therapist at Inner Path Wellness, Baltimore's first psychedelic assisted therapy and wellness center. We specialize in working with clients that are looking for something more than traditional talk therapy.
(443) 594-7703 View (443) 594-7703
Photo of Tyrone Obaseki, Licensed Clinical Professional Counselor in Baltimore, MD
Tyrone Obaseki
Licensed Clinical Professional Counselor, MDiv, LPC, LCDC
Verified Verified
Baltimore, MD 21214
Welcome to Transformative Counseling & Wellness Solutions! We believe in renewing the mind and dealing with the total person! Healing starts with being transparent, and opening up about your life’s journey to your therapist, who responds with compassion, empathy, and wisdom. Our therapeutic relationship can be the building block and the catalyst towards your new life! We provide affordable counseling, traditional & wellness services. If you want to journey beyond life's obstacles, don't hesitate to call. Together we will navigate your path towards freedom, success, and happiness.
Welcome to Transformative Counseling & Wellness Solutions! We believe in renewing the mind and dealing with the total person! Healing starts with being transparent, and opening up about your life’s journey to your therapist, who responds with compassion, empathy, and wisdom. Our therapeutic relationship can be the building block and the catalyst towards your new life! We provide affordable counseling, traditional & wellness services. If you want to journey beyond life's obstacles, don't hesitate to call. Together we will navigate your path towards freedom, success, and happiness.
(410) 896-1453 View (410) 896-1453
Photo of Chelsea Moreau, Counselor in Baltimore, MD
Chelsea Moreau
Counselor, LCPC, NCC
Verified Verified
3 Endorsed
Baltimore, MD 21214  (Online Only)
Not accepting new clients
Whether you’re coming to therapy for the first time or returning for one of life’s many reasons, my goal for each client is to gain a better sense of themselves so that they can meaningfully engage in their lives. I believe that the best predictor of successful outcomes is an environment that fosters growth through inclusivity, support, and openness.
Whether you’re coming to therapy for the first time or returning for one of life’s many reasons, my goal for each client is to gain a better sense of themselves so that they can meaningfully engage in their lives. I believe that the best predictor of successful outcomes is an environment that fosters growth through inclusivity, support, and openness.
(410) 346-9400 View (410) 346-9400
Photo of Lara Chase Wrigley in Baltimore, MD
Lara Chase Wrigley
PsyD, MS
Verified Verified
1 Endorsed
Baltimore, MD 21209
After working for over 30 years with individuals across all stages of the life span, I have come to believe that we are all wired for health in our relationships with self and others. In keeping with this premise, I employ a collaborative therapeutic style marked by warmth, empathy and respect. My therapeutic approach draws heavily from attachment theory, interpersonal neurobiology, emotion focused therapy, somatic work and mindfulness. This integration combines current psychological knowledge and techniques with ancient wisdom in order to support clients as they move more fully into health.
After working for over 30 years with individuals across all stages of the life span, I have come to believe that we are all wired for health in our relationships with self and others. In keeping with this premise, I employ a collaborative therapeutic style marked by warmth, empathy and respect. My therapeutic approach draws heavily from attachment theory, interpersonal neurobiology, emotion focused therapy, somatic work and mindfulness. This integration combines current psychological knowledge and techniques with ancient wisdom in order to support clients as they move more fully into health.
(410) 305-9483 View (410) 305-9483
Photo of Empowerment Behavioral Health, LLC, Clinical Social Work/Therapist in Baltimore, MD
Empowerment Behavioral Health, LLC
Clinical Social Work/Therapist
Verified Verified
Baltimore, MD 21214  (Online Only)
My name is Ephraim, I am a good listener, empathic, and facilitator of socio-emotional change for individual with anxiety, depression, and addiction. I provide facilitative factors addressing mind, body, and spirit from a holistic framework with the goal of enhancing psycho-emotional balance. I see adolescence to adults.
My name is Ephraim, I am a good listener, empathic, and facilitator of socio-emotional change for individual with anxiety, depression, and addiction. I provide facilitative factors addressing mind, body, and spirit from a holistic framework with the goal of enhancing psycho-emotional balance. I see adolescence to adults.
(410) 210-4529 View (410) 210-4529
Photo of Brenna Neimanis, Clinical Social Work/Therapist in Baltimore, MD
Brenna Neimanis
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Baltimore, MD 21218  (Online Only)
Waitlist for new clients
I currently have a waitlist - Welcome to therapy, I’m so happy you are here! My practice is focused on feeling at home within yourself & providing a safe place to explore your whole self through individual, partnered, and/or family therapy. I use an inclusive, holistic approach & understand that each client is a unique individual & is impacted by their experiences, as well as societal structures & norms. I work with clients experiencing anxiety, depression, burn-out, disordered eating, body dysmorphia, mood disorders, difficulty coping, family/partner conflict, concerns with self-worth, & those who have experienced trauma.
I currently have a waitlist - Welcome to therapy, I’m so happy you are here! My practice is focused on feeling at home within yourself & providing a safe place to explore your whole self through individual, partnered, and/or family therapy. I use an inclusive, holistic approach & understand that each client is a unique individual & is impacted by their experiences, as well as societal structures & norms. I work with clients experiencing anxiety, depression, burn-out, disordered eating, body dysmorphia, mood disorders, difficulty coping, family/partner conflict, concerns with self-worth, & those who have experienced trauma.
(443) 457-9293 View (443) 457-9293
Photo of Julia Rainer, Clinical Social Work/Therapist in Baltimore, MD
Julia Rainer
Clinical Social Work/Therapist, MSS, LSW, LMSW
Verified Verified
1 Endorsed
Baltimore, MD 21211  (Online Only)
Waitlist for new clients
Julia is a Licensed Social Worker with 15 years of experience working with children, teens, young adults, families, caregivers, and groups. She uses empathy and open communication to collaborate with clients and identify their goals for therapy. Julia believes therapy can help build and strengthen the relationship with oneself and others, promote healing, increase confidence, and allow a person to experience more peace and joy in life.
Julia is a Licensed Social Worker with 15 years of experience working with children, teens, young adults, families, caregivers, and groups. She uses empathy and open communication to collaborate with clients and identify their goals for therapy. Julia believes therapy can help build and strengthen the relationship with oneself and others, promote healing, increase confidence, and allow a person to experience more peace and joy in life.
(240) 410-6379 View (240) 410-6379
Photo of Equifinality, Clinical Social Work/Therapist in Baltimore, MD
Equifinality
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21239  (Online Only)
My ideal client is a person over the age of 10, who is open to sharing and learning, and is ready, willing, and able to do the hard work of looking inside themselves and using their inner strength to make positive change.
My ideal client is a person over the age of 10, who is open to sharing and learning, and is ready, willing, and able to do the hard work of looking inside themselves and using their inner strength to make positive change.
(410) 892-1854 View (410) 892-1854
Photo of Sarah Webber, Clinical Social Work/Therapist in Baltimore, MD
Sarah Webber
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21201  (Online Only)
I am here to create a safe and trusting environment that allows clients to unload their thoughts and emotions. Empowering them in a genuine, straightforward, and relaxed atmosphere to step into the brave space where they are able to find their truth, speak it, and live it. My integrative approach is tailored to each client. During this process the client learns how to accept where they are in this moment. Then identifying and making changes to get to where they want to be. This allows them to free themselves from the persistent negative thoughts and societal pressures holding them back from living the life they have always wanted.
I am here to create a safe and trusting environment that allows clients to unload their thoughts and emotions. Empowering them in a genuine, straightforward, and relaxed atmosphere to step into the brave space where they are able to find their truth, speak it, and live it. My integrative approach is tailored to each client. During this process the client learns how to accept where they are in this moment. Then identifying and making changes to get to where they want to be. This allows them to free themselves from the persistent negative thoughts and societal pressures holding them back from living the life they have always wanted.
(240) 213-9338 View (240) 213-9338
Photo of Andrea Sweet, Clinical Social Work/Therapist in Baltimore, MD
Andrea Sweet
Clinical Social Work/Therapist, LCSW-C, CAC-AD
Verified Verified
1 Endorsed
Baltimore, MD 21210
We all have challenges; sometimes our attempts to solve them on our own aren’t getting the results we’d hoped for. At times like these, it can seem as if we’ve lost our way, and we feel stuck, stressed and alone. You aren't alone – a supportive counseling relationship is powerful and life-changing when you are heard, understood, and accepted. Coming from a strengths-based, client-centered perspective, I use a variety of techniques including cognitive behavioral therapy, mindfulness, and coaching. We can work together to discover your strengths, learn new coping skills and find ways to bring meaning and direction to your life.
We all have challenges; sometimes our attempts to solve them on our own aren’t getting the results we’d hoped for. At times like these, it can seem as if we’ve lost our way, and we feel stuck, stressed and alone. You aren't alone – a supportive counseling relationship is powerful and life-changing when you are heard, understood, and accepted. Coming from a strengths-based, client-centered perspective, I use a variety of techniques including cognitive behavioral therapy, mindfulness, and coaching. We can work together to discover your strengths, learn new coping skills and find ways to bring meaning and direction to your life.
(410) 324-6245 View (410) 324-6245
Photo of Solomon Plonka, Psychologist in Baltimore, MD
Solomon Plonka
Psychologist, PhD
Verified Verified
3 Endorsed
Baltimore, MD 21209  (Online Only)
You might be someone who is plagued by doubts. You fear that something awful will happen and feel the need to protect yourself or others from the threat. Your family and friends might try to reassure you, but you just keep imagining worst case scenarios. Perhaps you find yourself engaging in unhelpful behaviors that get in the way of the things that are important to you. Nobody can understand why you keep making these choices, despite their negative consequences. I hope to navigate these challenges with you in a safe and affirming space, where you feel accepted and understood.
You might be someone who is plagued by doubts. You fear that something awful will happen and feel the need to protect yourself or others from the threat. Your family and friends might try to reassure you, but you just keep imagining worst case scenarios. Perhaps you find yourself engaging in unhelpful behaviors that get in the way of the things that are important to you. Nobody can understand why you keep making these choices, despite their negative consequences. I hope to navigate these challenges with you in a safe and affirming space, where you feel accepted and understood.
(410) 883-5456 View (410) 883-5456
Photo of Dara Gervais, Licensed Clinical Professional Counselor in Baltimore, MD
Dara Gervais
Licensed Clinical Professional Counselor, LCPAT, LCPC
Verified Verified
4 Endorsed
Baltimore, MD 21213  (Online Only)
NOW OFFERING TELETHERAPY. Therapeutic art making, facilitated by a licensed art therapist (me!), can help you to explore feelings, resolve conflicts, work through difficult behaviors and addictions, reduce anxiety, improve mood, and increase self-esteem. Art therapy is a treatment of choice for individuals who have experienced trauma. I am a licensed art therapist and counselor, as well as a sand tray therapist, who works with adolescents and adults who are experiencing the effects of trauma and many other emotional difficulties. In addition, I am now incorporating EMDR into my practice.
NOW OFFERING TELETHERAPY. Therapeutic art making, facilitated by a licensed art therapist (me!), can help you to explore feelings, resolve conflicts, work through difficult behaviors and addictions, reduce anxiety, improve mood, and increase self-esteem. Art therapy is a treatment of choice for individuals who have experienced trauma. I am a licensed art therapist and counselor, as well as a sand tray therapist, who works with adolescents and adults who are experiencing the effects of trauma and many other emotional difficulties. In addition, I am now incorporating EMDR into my practice.
(410) 734-3707 View (410) 734-3707
Photo of Kamika Pope, Clinical Social Work/Therapist in Baltimore, MD
Kamika Pope
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21211  (Online Only)
Through clinical experience, compassion, and empathy I support and assist those willing to make a positive difference in their lives. I pride myself in providing a safe and supportive space, to work side by side to overcome traumas, and barriers. I specialize in addressing Depression, Anxiety and Personality Disorders. I am fully committed to listen and offer my best professional practices to help you.I am Fun, Energetic, Caring and Direct.
Through clinical experience, compassion, and empathy I support and assist those willing to make a positive difference in their lives. I pride myself in providing a safe and supportive space, to work side by side to overcome traumas, and barriers. I specialize in addressing Depression, Anxiety and Personality Disorders. I am fully committed to listen and offer my best professional practices to help you.I am Fun, Energetic, Caring and Direct.
(410) 892-1362 View (410) 892-1362
Photo of Cheryl Caplan-Zalis, Clinical Social Work/Therapist in Baltimore, MD
Cheryl Caplan-Zalis
Clinical Social Work/Therapist, LCSW-C, LCADC
Verified Verified
2 Endorsed
Baltimore, MD 21208
I am a licensed, clinical social worker with an abundance of experience in working with various challenges one may face across a lifespan but a particular interest in working with adolescents and women. When working with teens, whether for addictions, adjustment problems or to ease transitioning from high school or college, family dynamics are considered and provide a valuable platform for successful intervention. Cognitive/behavioral or psychodynamic approaches are used to provide a successful outcome.
I am a licensed, clinical social worker with an abundance of experience in working with various challenges one may face across a lifespan but a particular interest in working with adolescents and women. When working with teens, whether for addictions, adjustment problems or to ease transitioning from high school or college, family dynamics are considered and provide a valuable platform for successful intervention. Cognitive/behavioral or psychodynamic approaches are used to provide a successful outcome.
(410) 635-1501 View (410) 635-1501
Photo of Réné Pallace in Baltimore, MD
Réné Pallace
CPCC
Verified Verified
Baltimore, MD 21209
People who love grieve. I am a credentialed counselor with years of experience and training and plenty of personal experience with grief and loss. I do not diagnose or prescribe. I coach through the experience of grief: holding space for you; witnessing your love; acknowledging your despair; working with you to reframe your hopes and fears. Grief coaching is mindful mindwork. You are naturally creative, resourceful and whole. Changing your thinking changes your life and enhances your well being. Count on my support to navigate your grief so you are more response-able and grounded.
People who love grieve. I am a credentialed counselor with years of experience and training and plenty of personal experience with grief and loss. I do not diagnose or prescribe. I coach through the experience of grief: holding space for you; witnessing your love; acknowledging your despair; working with you to reframe your hopes and fears. Grief coaching is mindful mindwork. You are naturally creative, resourceful and whole. Changing your thinking changes your life and enhances your well being. Count on my support to navigate your grief so you are more response-able and grounded.
(667) 206-3710 View (667) 206-3710
Photo of Logan Connor, Clinical Social Work/Therapist in Baltimore, MD
Logan Connor
Clinical Social Work/Therapist, LMSW
Verified Verified
Baltimore, MD 21211
I'm currently accepting clients! A little about myself: I'm a trauma-informed clinician that helps clients develop coping strategies for stressors, work through any issues from their past and create actionable plans to help deal with mental health concerns. My primary therapy modality is Humanistic Therapy. In therapy, we'll look at the thoughts and emotions that come up when you're feeling anxious or depressed, and we'll see what drives those emotions, be it past trauma, current worries or something else.
I'm currently accepting clients! A little about myself: I'm a trauma-informed clinician that helps clients develop coping strategies for stressors, work through any issues from their past and create actionable plans to help deal with mental health concerns. My primary therapy modality is Humanistic Therapy. In therapy, we'll look at the thoughts and emotions that come up when you're feeling anxious or depressed, and we'll see what drives those emotions, be it past trauma, current worries or something else.
(410) 324-6294 View (410) 324-6294
Photo of Jelisa Glanton, Clinical Social Work/Therapist in Baltimore, MD
Jelisa Glanton
Clinical Social Work/Therapist, LMSW, CTP
Verified Verified
2 Endorsed
Baltimore, MD 21201  (Online Only)
Not accepting new clients
Intentional Healing Space LLC is a wellness program focused on empowering individuals along the journey of restorative living. Intentional Healing Space, LLC specializes in helping individuals to align mind, body, heart, and spirit through a holistic approach that utilizes psychotherapy, reiki, yoga, aromatherapy, and counseling.
Intentional Healing Space LLC is a wellness program focused on empowering individuals along the journey of restorative living. Intentional Healing Space, LLC specializes in helping individuals to align mind, body, heart, and spirit through a holistic approach that utilizes psychotherapy, reiki, yoga, aromatherapy, and counseling.
(667) 200-1918 View (667) 200-1918

How does your Therapist compare?

Number of Therapists in Baltimore, MD

1,000+

Average cost per session

$150

Therapists in Baltimore, MD who prioritize treating:

92% Anxiety
88% Depression
75% Self Esteem
73% Relationship Issues
69% Coping Skills
67% Stress
66% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

70% BlueCross and BlueShield
68% Cigna and Evernorth
68% CareFirst

How Therapists in Baltimore, MD see their clients

51% Online Only
49% In Person and Online

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Baltimore?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.