Therapists in Baltimore, MD

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Photo of Joseph Raymond Schap, Counselor in Baltimore, MD
Joseph Raymond Schap
Counselor, MS, LCPC, NCC, FIPA
Verified Verified
6 Endorsed
Baltimore, MD 21210
Not accepting new clients
Thanks for looking at my profile. I'll try to be clear and direct to help you decide if you believe we'd work well together. I am a down-to-earth counselor with a sincere desire to help, but I'm not for everyone. If you're looking for someone to tell you how to live or give you a shoddy, quick-fix for your problems, I'm not for you. On the other hand, if you are looking for someone to build a trusting relationship with and explore hard to break habits, difficult patterns in relationships, seemingly endless struggles with anxiety or depression, or insecurities that have been plaguing you for years, I'd be a better fit.
Thanks for looking at my profile. I'll try to be clear and direct to help you decide if you believe we'd work well together. I am a down-to-earth counselor with a sincere desire to help, but I'm not for everyone. If you're looking for someone to tell you how to live or give you a shoddy, quick-fix for your problems, I'm not for you. On the other hand, if you are looking for someone to build a trusting relationship with and explore hard to break habits, difficult patterns in relationships, seemingly endless struggles with anxiety or depression, or insecurities that have been plaguing you for years, I'd be a better fit.
(443) 380-4587 View (443) 380-4587
Photo of Kelly Burke, Counselor in Baltimore, MD
Kelly Burke
Counselor, LCPC, ACS, ADS
Verified Verified
Baltimore, MD 21223  (Online Only)
Integrative psychotherapist with 10+ years of clinical counseling experience in public and private practice.
Integrative psychotherapist with 10+ years of clinical counseling experience in public and private practice.
(410) 376-5126 View (410) 376-5126
Photo of Dr. Mitch and Lisa Marriages/Couples Workshops in Baltimore, MD
Dr. Mitch and Lisa Marriages/Couples Workshops
PsyD, MSW, Life, Coach
Verified Verified
Baltimore, MD 21202
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
(240) 202-3948 View (240) 202-3948
Photo of Jennifer Blue, Clinical Social Work/Therapist in Baltimore, MD
Jennifer Blue
Clinical Social Work/Therapist, LMSW
Verified Verified
Baltimore, MD 21211
Searching for a therapist who gets the experiences of transgender, kinky, polyamorous, queer communities? I believe that we heal the world by healing each other and heal each other by healing the world. You can get through this, whatever it may be. You can even grow through it. I can support you in times of crisis, growth, and giving so that you can show up fully for yourself and your relationships. Whether you're struggling or disappointed in your sexual or romantic relationships, you're dealing with trauma, or transition, I'll be on your team. Therapy is a tool you can use to build on the strength and resilience you already have.
Searching for a therapist who gets the experiences of transgender, kinky, polyamorous, queer communities? I believe that we heal the world by healing each other and heal each other by healing the world. You can get through this, whatever it may be. You can even grow through it. I can support you in times of crisis, growth, and giving so that you can show up fully for yourself and your relationships. Whether you're struggling or disappointed in your sexual or romantic relationships, you're dealing with trauma, or transition, I'll be on your team. Therapy is a tool you can use to build on the strength and resilience you already have.
(410) 498-8804 View (410) 498-8804
Photo of Jennifer Reed, Clinical Social Work/Therapist in Baltimore, MD
Jennifer Reed
Clinical Social Work/Therapist, LCSW
Verified Verified
Baltimore, MD 21206  (Online Only)
Life can be full of challenges and making the decision to seek help is a big first step on your journey to wellness. Wellness is not an absence of problems, but it is a process that helps us become more aware and make choices for a healthy fulfilling life.
Life can be full of challenges and making the decision to seek help is a big first step on your journey to wellness. Wellness is not an absence of problems, but it is a process that helps us become more aware and make choices for a healthy fulfilling life.
(410) 888-0762 View (410) 888-0762
Photo of Therapy For Black Women - Jessica V. Taylor, Clinical Social Work/Therapist in Baltimore, MD
Therapy For Black Women - Jessica V. Taylor
Clinical Social Work/Therapist, MSW, LICSW, LCSW-C
Verified Verified
3 Endorsed
Baltimore, MD 21211  (Online Only)
Struggling with anxiety and/or ADHD, overthinking, focusing on the "wrong" things/procrastinating, feeling dysregulated, having difficulty communicating and making progress towards your goals? Need to dive deeper to get to the bottom of your behaviors and thoughts? Let's make progress towards improving in all areas and finding more fulfillment in your day to day life.
Struggling with anxiety and/or ADHD, overthinking, focusing on the "wrong" things/procrastinating, feeling dysregulated, having difficulty communicating and making progress towards your goals? Need to dive deeper to get to the bottom of your behaviors and thoughts? Let's make progress towards improving in all areas and finding more fulfillment in your day to day life.
(410) 453-8389 View (410) 453-8389
Photo of Bayside Psychological Services, Psychologist in Baltimore, MD
Bayside Psychological Services
Psychologist, PsyD
Verified Verified
Baltimore, MD 21224  (Online Only)
Bayside Psychological Services, LLC is a private practice providing one on one personalized services. Services are provided through telehealth and are delivered in an authentic, genuine and caring way.
Bayside Psychological Services, LLC is a private practice providing one on one personalized services. Services are provided through telehealth and are delivered in an authentic, genuine and caring way.
(410) 413-3574 View (410) 413-3574
Photo of Jamie Hickman, Licensed Professional Counselor in Baltimore, MD
Jamie Hickman
Licensed Professional Counselor, MA, LCPC, NCC
Verified Verified
Baltimore, MD 21215  (Online Only)
Jamie received her Bachelor of Arts degree in Psychology from Towson University and her Master of Arts degree in Clinical Mental Health Counseling from the Chicago School of Professional Psychology. Jamie is a Licensed Clinical Professional Counselor and a National Certified Counselor. She incorporates a number of modalities into her therapy sessions such as: Narrative, Solution-focused, Cognitive Behavioral Therapy, and other evidenced-based modalities. As a clinician, Jamie is passionate about helping clients foster self-awareness and gain insight into their thoughts, feelings, and behaviors.
Jamie received her Bachelor of Arts degree in Psychology from Towson University and her Master of Arts degree in Clinical Mental Health Counseling from the Chicago School of Professional Psychology. Jamie is a Licensed Clinical Professional Counselor and a National Certified Counselor. She incorporates a number of modalities into her therapy sessions such as: Narrative, Solution-focused, Cognitive Behavioral Therapy, and other evidenced-based modalities. As a clinician, Jamie is passionate about helping clients foster self-awareness and gain insight into their thoughts, feelings, and behaviors.
(301) 571-7200 View (301) 571-7200
Photo of Sara Kuperman, Clinical Social Work/Therapist in Baltimore, MD
Sara Kuperman
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21211
“The most important step a person can take. It’s not the first one, is it? It’s the next one. Always the next step.” – Brandon Sanderson. There's no question that first step can be a difficult one, and by looking at my profile you're already taking it, but the first step won't get your far unless you take the next one. Many of us are ready for the next step, but find ourselves with obstacles, either inside or outside of ourselves, that get in the way. Whatever your struggles or the path behind you, if you're ready to find the route ahead and put one foot in front of the other, I'm ready to support you along the way.
“The most important step a person can take. It’s not the first one, is it? It’s the next one. Always the next step.” – Brandon Sanderson. There's no question that first step can be a difficult one, and by looking at my profile you're already taking it, but the first step won't get your far unless you take the next one. Many of us are ready for the next step, but find ourselves with obstacles, either inside or outside of ourselves, that get in the way. Whatever your struggles or the path behind you, if you're ready to find the route ahead and put one foot in front of the other, I'm ready to support you along the way.
(410) 429-1030 View (410) 429-1030
Photo of J Holistic Care Center, Clinical Social Work/Therapist in Baltimore, MD
J Holistic Care Center
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21202  (Online Only)
Jessica Adams is licensed in Maryland with several years of work experience. She has experience in helping clients with stress, anxiety, relationship issues, family conflicts, trauma, and abuse. She works with clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out help; helping is her role.
Jessica Adams is licensed in Maryland with several years of work experience. She has experience in helping clients with stress, anxiety, relationship issues, family conflicts, trauma, and abuse. She works with clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out help; helping is her role.
(443) 201-7135 View (443) 201-7135
Photo of Taylor Ivana Seaton, Clinical Social Work/Therapist in Baltimore, MD
Taylor Ivana Seaton
Clinical Social Work/Therapist, LMSW
Verified Verified
Baltimore, MD 21201
As a therapist, I strive to provide a safe and thriving environment that aids individuals and families in the ability to navigate through life’s stressors. My goal as a therapist is to assist the consumers in exploring their own thoughts, feelings and emotions— while considering their own interactions with people, places and things. As a therapist I aim to assist the consumers in discovering something new about themselves; while developing a new sense of awareness pertaining to self and/or possible disruptive behavioral patterns.
As a therapist, I strive to provide a safe and thriving environment that aids individuals and families in the ability to navigate through life’s stressors. My goal as a therapist is to assist the consumers in exploring their own thoughts, feelings and emotions— while considering their own interactions with people, places and things. As a therapist I aim to assist the consumers in discovering something new about themselves; while developing a new sense of awareness pertaining to self and/or possible disruptive behavioral patterns.
(667) 222-2931 View (667) 222-2931
Photo of Magical Black Womxn Thrive LLC, Clinical Social Work/Therapist in Baltimore, MD
Magical Black Womxn Thrive LLC
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
Baltimore, MD 21212  (Online Only)
Hi, I'm Mercedes! I am a Black Queer Fat Womxn who works daily to take responsibility for the cisgendered, able-bodied and other forms of privilege I benefit from. I am a lifetime Baltimorean (Proud Western Dove!) who is a Licensed Clinical Social Worker-Certified (Board Approved Supervisor). I am an anti-racist who believes the dismantling of white supremacy is central to reaching equity for all. I am dedicated to supporting every womxn to make the choices that are right for them and their bodies. In my practice the goal is to help every client define what thriving means to them.
Hi, I'm Mercedes! I am a Black Queer Fat Womxn who works daily to take responsibility for the cisgendered, able-bodied and other forms of privilege I benefit from. I am a lifetime Baltimorean (Proud Western Dove!) who is a Licensed Clinical Social Worker-Certified (Board Approved Supervisor). I am an anti-racist who believes the dismantling of white supremacy is central to reaching equity for all. I am dedicated to supporting every womxn to make the choices that are right for them and their bodies. In my practice the goal is to help every client define what thriving means to them.
(443) 508-7978 View (443) 508-7978
Photo of Gregory Cecil Wright in Baltimore, MD
Gregory Cecil Wright
LCPC, NCC
Verified Verified
3 Endorsed
Baltimore, MD 21218
If you are ready for change in your life and are willing to do the work, then there is hope. I offer a safe, judgment-free environment, where you can feel comfortable to be yourself.
If you are ready for change in your life and are willing to do the work, then there is hope. I offer a safe, judgment-free environment, where you can feel comfortable to be yourself.
(410) 989-4859 View (410) 989-4859
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 Michael Freedman, Clinical Social Work/Therapist in Baltimore, MD
Michael Freedman
Clinical Social Work/Therapist, PhD, MSW, MEd, LCSW-C
Verified Verified
3 Endorsed
Baltimore, MD 21208
Recovery Counseling Center, LLC has a caring staff of professional and prompt clinicians who work to give you the care that you need without delay. Simply give us a call and you will be in touch with a therapist within one business day or sooner, guaranteed. We work with clients of all ages and each of our therapists has a particular client and issue speciality to best meet your needs. You don't have to wait any longer to get the help that you deserve. We are dedicated to helping you reach recovery and success.
Recovery Counseling Center, LLC has a caring staff of professional and prompt clinicians who work to give you the care that you need without delay. Simply give us a call and you will be in touch with a therapist within one business day or sooner, guaranteed. We work with clients of all ages and each of our therapists has a particular client and issue speciality to best meet your needs. You don't have to wait any longer to get the help that you deserve. We are dedicated to helping you reach recovery and success.
(443) 616-2842 View (443) 616-2842
Bridging Gaps Through Positive Solutions
Clinical Social Work/Therapist, LMSW, LCSW-C, CRNP-PM, PhD
Verified Verified
1 Endorsed
Baltimore, MD 21213
**ACCEPTING NEW CLIENTS** Congratulations on taking steps toward establishing a more fulfilling, healthy, and successful life! BGTPS is a community-based Outpatient Mental Health Clinic that provides integrated behavioral health services utilizing a person-centered approach to children, adolescents, and adults. We provide individual, family, and group therapy, medication management, therapeutic mentorship, and behavioral consultation. In therapy, we work collaboratively with you to enhance your understanding of the internal and environmental factors that impact life, emerge as relational patterns, and potentially impede success.
**ACCEPTING NEW CLIENTS** Congratulations on taking steps toward establishing a more fulfilling, healthy, and successful life! BGTPS is a community-based Outpatient Mental Health Clinic that provides integrated behavioral health services utilizing a person-centered approach to children, adolescents, and adults. We provide individual, family, and group therapy, medication management, therapeutic mentorship, and behavioral consultation. In therapy, we work collaboratively with you to enhance your understanding of the internal and environmental factors that impact life, emerge as relational patterns, and potentially impede success.
(410) 324-6172 View (410) 324-6172
Photo of Karen Mandwelle Caplan, Clinical Social Work/Therapist in Baltimore, MD
Karen Mandwelle Caplan
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21215
I believe that a trusting therapeutic relationship is the foundation of a successful outcome, whether healing from trauma or loss or working on issues of depression, anxiety, bereavement, or family conflict. My aim is to help people become their authentic selves, improve problem solving abilities, and achieve their goals. My approach is individualized, informed by one's particular needs and strengths. I integrate techniques from cognitive behavioral and solution focused therapies, mindfulness training, and psychodynamic therapy.
I believe that a trusting therapeutic relationship is the foundation of a successful outcome, whether healing from trauma or loss or working on issues of depression, anxiety, bereavement, or family conflict. My aim is to help people become their authentic selves, improve problem solving abilities, and achieve their goals. My approach is individualized, informed by one's particular needs and strengths. I integrate techniques from cognitive behavioral and solution focused therapies, mindfulness training, and psychodynamic therapy.
(443) 847-1866 View (443) 847-1866
Photo of Julie A Stukey, Clinical Social Work/Therapist in Baltimore, MD
Julie A Stukey
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Baltimore, MD 21230  (Online Only)
I aim to work supportively and collaboratively with my clients to create a warm, inviting atmosphere that allows us to work towards your goals together. I work with adolescents, young adults, and adults who may be struggling with depression, anxiety, trauma, oppositional defiant disorder, attention deficit hyperactivity disorder, school challenges, family conflict, life transitions, disordered eating, grief and loss, substance abuse, sports performance concerns, personality disorders, and severe mental illness.
I aim to work supportively and collaboratively with my clients to create a warm, inviting atmosphere that allows us to work towards your goals together. I work with adolescents, young adults, and adults who may be struggling with depression, anxiety, trauma, oppositional defiant disorder, attention deficit hyperactivity disorder, school challenges, family conflict, life transitions, disordered eating, grief and loss, substance abuse, sports performance concerns, personality disorders, and severe mental illness.
(443) 251-3992 View (443) 251-3992
Photo of Rebecca Wenstrom, Clinical Social Work/Therapist in Baltimore, MD
Rebecca Wenstrom
Clinical Social Work/Therapist, LCSW-C, MST
Verified Verified
1 Endorsed
Baltimore, MD 21211
I practice from a stance of radical inclusion, meaning I seek to welcome all parts of your experience and identity, even those that may feel shameful. I provide a warm and steady space to explore and uncover what feels true and we move at your pace. I have worked effectively with adults and adolescents who are healing from traumatic experiences, including interpersonal violence and abuse, sexual violence, adverse childhood experiences, and the impact of identity-based oppressions. I value the innate wisdom that clients bring to their own healing journeys and see you as the most important expert on your own experiences and desires.
I practice from a stance of radical inclusion, meaning I seek to welcome all parts of your experience and identity, even those that may feel shameful. I provide a warm and steady space to explore and uncover what feels true and we move at your pace. I have worked effectively with adults and adolescents who are healing from traumatic experiences, including interpersonal violence and abuse, sexual violence, adverse childhood experiences, and the impact of identity-based oppressions. I value the innate wisdom that clients bring to their own healing journeys and see you as the most important expert on your own experiences and desires.
(410) 421-7225 View (410) 421-7225
Photo of Donald Dolan, Licensed Clinical Professional Counselor in Baltimore, MD
Donald Dolan
Licensed Clinical Professional Counselor, MS, LCPC, CGCS, NCC
Verified Verified
6 Endorsed
Baltimore, MD 21211  (Online Only)
Each person faces issues unique to their life and while my training and education are integrative and rooted in specific evidence-based practices I understand that each client is unique and requires a tailored approach. I have my Master of Science in Clinical Mental Health Counseling from Johns Hopkins University and am a nationally certified counselor. I have experience and knowledge in issues ranging from trauma, anxiety disorders, depression, and grief. I help clients develop strategies to encourage emotional well-being, explore attachment, and break old patterns of behavior that cause impairment in their daily functioning.
Each person faces issues unique to their life and while my training and education are integrative and rooted in specific evidence-based practices I understand that each client is unique and requires a tailored approach. I have my Master of Science in Clinical Mental Health Counseling from Johns Hopkins University and am a nationally certified counselor. I have experience and knowledge in issues ranging from trauma, anxiety disorders, depression, and grief. I help clients develop strategies to encourage emotional well-being, explore attachment, and break old patterns of behavior that cause impairment in their daily functioning.
(410) 657-5884 View (410) 657-5884

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.