Therapists in Richmond, VA

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Photo of Milo S Wilson, Psychologist in Richmond, VA
Milo S Wilson
Psychologist, PhD
Verified Verified
Richmond, VA 23219
As a psychologist there is nothing I love more than helping people who are ready to learn new ways of coping to make meaningful changes in their lives! I have three areas of expertise. I provide private, specialized, and personalized Cognitive-Behavioral and Mindfulness-Based therapies for anxiety and depression. I am passionate about working with LGBTQ+ adults in therapy to create an affirming, therapeutic space for working on LGBTQ+ specific or general mental health concerns, such as anxiety or depression. I love helping transgender adults develop a healthy, positive identity as a trans person and navigate transition.
As a psychologist there is nothing I love more than helping people who are ready to learn new ways of coping to make meaningful changes in their lives! I have three areas of expertise. I provide private, specialized, and personalized Cognitive-Behavioral and Mindfulness-Based therapies for anxiety and depression. I am passionate about working with LGBTQ+ adults in therapy to create an affirming, therapeutic space for working on LGBTQ+ specific or general mental health concerns, such as anxiety or depression. I love helping transgender adults develop a healthy, positive identity as a trans person and navigate transition.
(804) 207-5477 View (804) 207-5477
Photo of Rhianna Beasley, Psychologist in Richmond, VA
Rhianna Beasley
Psychologist, PsyD
Verified Verified
Richmond, VA 23235
I believe that recovery is possible for everyone and healing occurs best in the context of an authentic, trusting relationship. Many of my clients come to me after other short-term therapy approaches have not worked for them. We work not only to manage distressing symptoms, but also to break enduring patterns related to identity, relationships, emotional expression, and safety that often stem from earlier experiences where we felt unsafe, out of control, or invalidated. In therapy we work to make meaning out of past experiences, break those patterns, learn more about ourselves, and move towards the life we want.
I believe that recovery is possible for everyone and healing occurs best in the context of an authentic, trusting relationship. Many of my clients come to me after other short-term therapy approaches have not worked for them. We work not only to manage distressing symptoms, but also to break enduring patterns related to identity, relationships, emotional expression, and safety that often stem from earlier experiences where we felt unsafe, out of control, or invalidated. In therapy we work to make meaning out of past experiences, break those patterns, learn more about ourselves, and move towards the life we want.
(804) 676-6429 View (804) 676-6429
Photo of Erin Delp, Clinical Social Work/Therapist in Richmond, VA
Erin Delp
Clinical Social Work/Therapist, LCSW, CSOTP-R
Verified Verified
Richmond, VA 23225  (Online Only)
Recovering from trauma is the most inspiring and difficult things one can do in their lifetime. I am a believer that post traumatic growth is possible in all people. I utilize an eclectic approach pulling from a base of radical feminism utilizing approaches from DBT, somatic experiencing, and mindfulness and acceptance based approaches. I firmly believe that everyone has the tools within them to heal and grow and my primary job as therapist is to provide a safe non-judgmental setting for you to discover your healed self.
Recovering from trauma is the most inspiring and difficult things one can do in their lifetime. I am a believer that post traumatic growth is possible in all people. I utilize an eclectic approach pulling from a base of radical feminism utilizing approaches from DBT, somatic experiencing, and mindfulness and acceptance based approaches. I firmly believe that everyone has the tools within them to heal and grow and my primary job as therapist is to provide a safe non-judgmental setting for you to discover your healed self.
(804) 979-2958 View (804) 979-2958
Photo of Lucy Williams, Clinical Social Work/Therapist in Richmond, VA
Lucy Williams
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Hi. My name is Lucy. Does there seem to be a challenge everywhere you look? Are you struggling with stressors at work, at home, or within your extended relationships? Are you dealing with feelings of overwhelm or having intrusive, worrying thoughts? Do you find it challenging to simply be kind to yourself? Regardless of your situation, I am so glad you are taking the steps to find support, and I hope that, together, we can discover what’s not working and get you back to balance.
Hi. My name is Lucy. Does there seem to be a challenge everywhere you look? Are you struggling with stressors at work, at home, or within your extended relationships? Are you dealing with feelings of overwhelm or having intrusive, worrying thoughts? Do you find it challenging to simply be kind to yourself? Regardless of your situation, I am so glad you are taking the steps to find support, and I hope that, together, we can discover what’s not working and get you back to balance.
(804) 589-5282 View (804) 589-5282
Photo of Paul Stolzenbach, Clinical Social Work/Therapist in Richmond, VA
Paul Stolzenbach
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Are you looking to reset a relationship to resolve conflict or gain satisfaction? Do you need to get a handle on your stress level, feel more grounded or less anxious? Or are you suffering from depression or other mental illness? I am an experienced clinician who has worked with individuals and couples to help them achieve better mental health and emotional balance. I use traditional psychotherapeutic techniques of CBT, Behavior Modification, or Cognitive therapy to relieve symptoms and help clients reset a positive path forward.
Are you looking to reset a relationship to resolve conflict or gain satisfaction? Do you need to get a handle on your stress level, feel more grounded or less anxious? Or are you suffering from depression or other mental illness? I am an experienced clinician who has worked with individuals and couples to help them achieve better mental health and emotional balance. I use traditional psychotherapeutic techniques of CBT, Behavior Modification, or Cognitive therapy to relieve symptoms and help clients reset a positive path forward.
(804) 294-2759 View (804) 294-2759
Photo of Tom Magri, Licensed Professional Counselor in Richmond, VA
Tom Magri
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hi! I am a Licensed Professional Counselor for the Commonwealth of Virginia. I have been practicing for 23 years with a wide range of experience.
Hi! I am a Licensed Professional Counselor for the Commonwealth of Virginia. I have been practicing for 23 years with a wide range of experience.
(804) 391-7570 View (804) 391-7570
Photo of Roderick A. Hampton II, Licensed Professional Counselor in Richmond, VA
Roderick A. Hampton II
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Richmond, VA 23230  (Online Only)
Wellness has been defined as a way of life oriented toward optimal health and well-being in which body, mind, and spirit are integrated to live more fully within the human and natural community. Ideally, it is the optimum state of health and well-being that each individual is capable of achieving. When working together in counseling, I perceive one’s thoughts are related to their feelings and reactions to events, not the events themselves. Counseling sessions are individualized to meet the unique needs of each client.
Wellness has been defined as a way of life oriented toward optimal health and well-being in which body, mind, and spirit are integrated to live more fully within the human and natural community. Ideally, it is the optimum state of health and well-being that each individual is capable of achieving. When working together in counseling, I perceive one’s thoughts are related to their feelings and reactions to events, not the events themselves. Counseling sessions are individualized to meet the unique needs of each client.
(804) 258-6027 View (804) 258-6027
Photo of Rachael Scholl, Clinical Social Work/Therapist in Richmond, VA
Rachael Scholl
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Richmond, VA 23235
In my practice, I work with clients to explore past experiences and how they might be influencing current thoughts, feelings, and behaviors — nurturing insight and awareness to elicit growth and desired change. I view therapy as a collaborative process that can assist in identifying and working through challenges so that life can be lived with greater balance and self-compassion. I strive to create a safe space for individuals to freely express their authentic selves, while working together to set and progress toward therapeutic goals.
In my practice, I work with clients to explore past experiences and how they might be influencing current thoughts, feelings, and behaviors — nurturing insight and awareness to elicit growth and desired change. I view therapy as a collaborative process that can assist in identifying and working through challenges so that life can be lived with greater balance and self-compassion. I strive to create a safe space for individuals to freely express their authentic selves, while working together to set and progress toward therapeutic goals.
(804) 376-9410 View (804) 376-9410
Photo of Alan Kleinkopf, Psychologist in Richmond, VA
Alan Kleinkopf
Psychologist, PsyD
Verified Verified
Richmond, VA 23226
Welcome! As a licensed clinical psychologist, I have been helping individuals and couples overcome obstacles to achieving happiness and contentment for over 30 years. Sometimes the issues can seem insurmountable when it's really the way one is trying to cope with them that is the problem. That way of thinking can often be adjusted and can make all the difference! Whether you're experiencing a situational adjustment related issue or a more longstanding one as an individual or couple with depression, excessive stress, anxiety or anger, help yourself by making an appointment and get started.
Welcome! As a licensed clinical psychologist, I have been helping individuals and couples overcome obstacles to achieving happiness and contentment for over 30 years. Sometimes the issues can seem insurmountable when it's really the way one is trying to cope with them that is the problem. That way of thinking can often be adjusted and can make all the difference! Whether you're experiencing a situational adjustment related issue or a more longstanding one as an individual or couple with depression, excessive stress, anxiety or anger, help yourself by making an appointment and get started.
(804) 424-5526 View (804) 424-5526
Photo of Taylor Hayden, Licensed Professional Counselor in Richmond, VA
Taylor Hayden
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Does the thought of therapy feel boring and pointless to you? Need someone who can help explain what is going on in your brain (or spouse or adolescent's brain), how it impacts you, and practical ways to help deal with your challenges (anxiety, depression, OCD, ADHD, conflict, anger, addiction, men's issues, etc)? Let's meet to figure out how to get you to the place where you are becoming the person you want to be. I work with people from all backgrounds, but primarily work with adult and adolescent males.
Does the thought of therapy feel boring and pointless to you? Need someone who can help explain what is going on in your brain (or spouse or adolescent's brain), how it impacts you, and practical ways to help deal with your challenges (anxiety, depression, OCD, ADHD, conflict, anger, addiction, men's issues, etc)? Let's meet to figure out how to get you to the place where you are becoming the person you want to be. I work with people from all backgrounds, but primarily work with adult and adolescent males.
(804) 552-6045 View (804) 552-6045
Photo of Megan Chenoweth, Pre-Licensed Professional in Richmond, VA
Megan Chenoweth
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Richmond, VA 23226
Anxiety, depression, trauma, addiction, and other mental health struggles can at times prevent us from living the life we deserve. I believe by working in collaboration with clients, we can create a plan of care catered to your specific needs. I aim to teach clients how to become more self-aware and explore their thoughts, feelings, goals, and dreams to find what’s important to them—allowing for growth, healing, and a higher quality of life.
Anxiety, depression, trauma, addiction, and other mental health struggles can at times prevent us from living the life we deserve. I believe by working in collaboration with clients, we can create a plan of care catered to your specific needs. I aim to teach clients how to become more self-aware and explore their thoughts, feelings, goals, and dreams to find what’s important to them—allowing for growth, healing, and a higher quality of life.
(804) 494-5774 View (804) 494-5774
Photo of Jaclyn Boykin, Licensed Professional Counselor in Richmond, VA
Jaclyn Boykin
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23220
Jaclyn Boykin is a Licensed Professional Counselor (LPC) who has 5 years of experience working with adults, children, families, couples, and the military who are seeking help with depression, anxiety, life transitions, relationship issues, parenting, and serious mental illness. Jaclyn completed her Bachelor of Science (BS) in Psychology at Troy University and her Master of Science (MS) in Clinical Psychology at Walden University. She is currently working towards her Doctor of Philosophy (PhD) in Counseling Education and Supervision at Walden University.
Jaclyn Boykin is a Licensed Professional Counselor (LPC) who has 5 years of experience working with adults, children, families, couples, and the military who are seeking help with depression, anxiety, life transitions, relationship issues, parenting, and serious mental illness. Jaclyn completed her Bachelor of Science (BS) in Psychology at Troy University and her Master of Science (MS) in Clinical Psychology at Walden University. She is currently working towards her Doctor of Philosophy (PhD) in Counseling Education and Supervision at Walden University.
(804) 373-7605 View (804) 373-7605
Photo of Deborah Sabatino, Licensed Professional Counselor in Richmond, VA
Deborah Sabatino
Licensed Professional Counselor, LPC
Not Verified Not Verified
Richmond, VA 23235
My name is Deb Sabatino and I am and Licensed Professional Counselor in Virginia. I use a gentle wholistic approach which is trauma-informed when working with clients. My speciality is working with young adults ages 18-30 who are experiencing anxiety due to life transitions. I also specialize in relationship trauma and helping clients restore themselves back to health after they have experienced abuse of any kind. I have experience working with Military, Law Enforcement and their families.
My name is Deb Sabatino and I am and Licensed Professional Counselor in Virginia. I use a gentle wholistic approach which is trauma-informed when working with clients. My speciality is working with young adults ages 18-30 who are experiencing anxiety due to life transitions. I also specialize in relationship trauma and helping clients restore themselves back to health after they have experienced abuse of any kind. I have experience working with Military, Law Enforcement and their families.
(804) 492-8383 View (804) 492-8383
Photo of Adrien Steele, Clinical Social Work/Therapist in Richmond, VA
Adrien Steele
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225
Waitlist for new clients
I'm ready to work if you are! I am willing to commit to your therapeutic process and be a supportive sounding board. I believe in providing a safe and compassionate environment where you can be free to explore your thoughts, feelings, and behaviors to combat ongoing suffering. The goal is for you to become confident in yourself and your decision making skills, while developing balance and the ability to manage life stressors.
I'm ready to work if you are! I am willing to commit to your therapeutic process and be a supportive sounding board. I believe in providing a safe and compassionate environment where you can be free to explore your thoughts, feelings, and behaviors to combat ongoing suffering. The goal is for you to become confident in yourself and your decision making skills, while developing balance and the ability to manage life stressors.
(804) 376-8536 View (804) 376-8536
Photo of Dr. Darlene S Anderson, Licensed Professional Counselor in Richmond, VA
Dr. Darlene S Anderson
Licensed Professional Counselor, PhD, LPC, LCMHC, NCC
Verified Verified
1 Endorsed
Richmond, VA 23219  (Online Only)
Not accepting new clients
Specialties include depression, anxiety, self esteem, anxiety, relationship issues, family conflict, codependency issues, trauma, and stress related issues. My clinical approaches include Client-Centered Therapy, CBT, DBT, Existential Therapy, EFT, Mindfulness Therapy, Motivational Interviewing, Narrative Therapy, and Solution Focused Therapy.
Specialties include depression, anxiety, self esteem, anxiety, relationship issues, family conflict, codependency issues, trauma, and stress related issues. My clinical approaches include Client-Centered Therapy, CBT, DBT, Existential Therapy, EFT, Mindfulness Therapy, Motivational Interviewing, Narrative Therapy, and Solution Focused Therapy.
(804) 825-2801 View (804) 825-2801
Photo of Constance L Parker, Clinical Social Work/Therapist in Richmond, VA
Constance L Parker
Clinical Social Work/Therapist, MBA, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23222  (Online Only)
Not accepting new clients
I am a Licensed Clinical Social Worker (LCSW) and DONA-trained Birth Doula, who has worked in maternal mental health, veteran health, and healthcare for unhoused individuals. I have experience working with those who are struggling with anxiety, depression, and the effects of sexual and race-based traumas.
I am a Licensed Clinical Social Worker (LCSW) and DONA-trained Birth Doula, who has worked in maternal mental health, veteran health, and healthcare for unhoused individuals. I have experience working with those who are struggling with anxiety, depression, and the effects of sexual and race-based traumas.
(804) 567-8658 View (804) 567-8658
Photo of George Koussoglou, Clinical Social Work/Therapist in Richmond, VA
George Koussoglou
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23219
I am a Licensed Clinical Social Worker with over 20 years of experience providing psychotherapy to children, families, and adults. I have extensive in patient and outpatient clinical experience working with adolescents and adults who have significant trauma histories. In addition, I have worked in Emergency Services for over a decade, helping clients navigate life threatening crisis situations. I am a level 2 trained Internal Family Systems (IFS) therapist. I use this strengths based approach to help my clients reconnect to/ nurture disowned parts of themselves that cary emotional pain.
I am a Licensed Clinical Social Worker with over 20 years of experience providing psychotherapy to children, families, and adults. I have extensive in patient and outpatient clinical experience working with adolescents and adults who have significant trauma histories. In addition, I have worked in Emergency Services for over a decade, helping clients navigate life threatening crisis situations. I am a level 2 trained Internal Family Systems (IFS) therapist. I use this strengths based approach to help my clients reconnect to/ nurture disowned parts of themselves that cary emotional pain.
(804) 552-3035 View (804) 552-3035
Photo of Sarah Earp, Clinical Social Work/Therapist in Richmond, VA
Sarah Earp
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23219  (Online Only)
Welcome! Embarking on your therapeutic journey is a big step; this pivotal choice marks a significant stride towards healing, and I am genuinely eager to join you as we set forth together. Sarah is a Licensed Clinical Social Worker (LCSW) with experience in a hospital setting where she specialized in emergency department (ED) and trauma care. With a compassionate and inclusive approach, Sarah firmly believes in acknowledging systemic barriers within society while working to effect positive change within our sphere of influence.
Welcome! Embarking on your therapeutic journey is a big step; this pivotal choice marks a significant stride towards healing, and I am genuinely eager to join you as we set forth together. Sarah is a Licensed Clinical Social Worker (LCSW) with experience in a hospital setting where she specialized in emergency department (ED) and trauma care. With a compassionate and inclusive approach, Sarah firmly believes in acknowledging systemic barriers within society while working to effect positive change within our sphere of influence.
(804) 587-7384 View (804) 587-7384
Photo of Kathryn Wilder Schaaf, Psychologist in Richmond, VA
Kathryn Wilder Schaaf
Psychologist, PhD, LCP, ABPP
Verified Verified
1 Endorsed
Richmond, VA 23229
As a Board Certified Clinical Psychologist, I work to develop collaborative, supportive relationships that facilitate the change process. It is an honor to be invited into the lives of people during vulnerable difficult times. I seek to help my clients with what matters most - living in the present, engaging in activities and relationships of value, and minimizing all that distracts. I work with individuals, couples and families and treat a wide range of presenting issues including: Relationship and Family Concerns; Stress and Life Dissatisfaction; Anxiety; Depression;Trauma; Recovery after Neurological Disorders
As a Board Certified Clinical Psychologist, I work to develop collaborative, supportive relationships that facilitate the change process. It is an honor to be invited into the lives of people during vulnerable difficult times. I seek to help my clients with what matters most - living in the present, engaging in activities and relationships of value, and minimizing all that distracts. I work with individuals, couples and families and treat a wide range of presenting issues including: Relationship and Family Concerns; Stress and Life Dissatisfaction; Anxiety; Depression;Trauma; Recovery after Neurological Disorders
(804) 375-5861 View (804) 375-5861
Photo of Christin Collier, Clinical Social Work/Therapist in Richmond, VA
Christin Collier
Clinical Social Work/Therapist, LICSW
Verified Verified
Richmond, VA 23230  (Online Only)
Christin A. Collier is a Licensed Clinical Social Worker (LCSW) who specializes in supporting individuals with dual diagnoses or co-occurring disorders, addiction issues, grief and loss, anxiety, depression, childhood trauma, career issues, and adjustment concerns. Christin has over 7 years of experience in the mental health field, counseling individuals who have experienced trauma, depression, family concerns, anxiety, bipolar disorder, and adjustment concerns. She has provided counseling in a variety of settings including inpatient detoxification, intensive outpatient, outpatient group therapy, family, and individual therapy.
Christin A. Collier is a Licensed Clinical Social Worker (LCSW) who specializes in supporting individuals with dual diagnoses or co-occurring disorders, addiction issues, grief and loss, anxiety, depression, childhood trauma, career issues, and adjustment concerns. Christin has over 7 years of experience in the mental health field, counseling individuals who have experienced trauma, depression, family concerns, anxiety, bipolar disorder, and adjustment concerns. She has provided counseling in a variety of settings including inpatient detoxification, intensive outpatient, outpatient group therapy, family, and individual therapy.
(804) 587-7378 View (804) 587-7378

How does your Therapist compare?

Number of Therapists in Richmond, VA

1,000+

Average cost per session

$135

Therapists in Richmond, VA who prioritize treating:

93% Anxiety
89% Depression
75% Self Esteem
74% Coping Skills
70% Trauma and PTSD
68% Relationship Issues
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

79% Aetna
77% UnitedHealthcare UHC | UBH
76% Cigna and Evernorth

How Therapists in Richmond, VA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Richmond?

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.