Therapists in Raleigh, NC

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Photo of Gabriella Johr, Psychologist in Raleigh, NC
Gabriella Johr
Psychologist, PsyD
Verified Verified
2 Endorsed
Raleigh, NC 27615
I'm a clinical psychologist who is located in North Carolina, but also doing teleheatlh in New York and Florida. I enjoy working with adults to solve life's challenges in individual and couples therapy. My clients mostly struggle with anxiety, depression, relationship issues, and difficulties adjusting to life changes. I also work with couples to gain a more satisfying relationship based on friendship and intimacy. While therapy can seem like an uncertain journey, it often leads to remarkable growth and self-discovery with the right professional support.
I'm a clinical psychologist who is located in North Carolina, but also doing teleheatlh in New York and Florida. I enjoy working with adults to solve life's challenges in individual and couples therapy. My clients mostly struggle with anxiety, depression, relationship issues, and difficulties adjusting to life changes. I also work with couples to gain a more satisfying relationship based on friendship and intimacy. While therapy can seem like an uncertain journey, it often leads to remarkable growth and self-discovery with the right professional support.
(919) 582-7343 View (919) 582-7343
Photo of Melanie McCabe, Psychologist in Raleigh, NC
Melanie McCabe
Psychologist, PhD, LP, HSP
Verified Verified
Raleigh, NC 27613  (Online Only)
Hi, I am Dr. Melanie McCabe. Please call me Melanie, some clients prefer to call me Dr. Mel. I am a real human, mom, wife, and a slow runner trying to get faster and a psychologist. I like to use a real, kind, yet direct and sometimes humorous approach with clients. I like to build partnerships with clients. Some want to fine tuning their lives and some need to create lives worth living. I see children as young as 6, their parents, young adults and mature adults. My clients have often seen several other providers before meeting me. I do not accept insurance so I can dedicate clinical time to caring for patients.
Hi, I am Dr. Melanie McCabe. Please call me Melanie, some clients prefer to call me Dr. Mel. I am a real human, mom, wife, and a slow runner trying to get faster and a psychologist. I like to use a real, kind, yet direct and sometimes humorous approach with clients. I like to build partnerships with clients. Some want to fine tuning their lives and some need to create lives worth living. I see children as young as 6, their parents, young adults and mature adults. My clients have often seen several other providers before meeting me. I do not accept insurance so I can dedicate clinical time to caring for patients.
(919) 887-9549 View (919) 887-9549
Photo of Deeariah King, Clinical Social Work/Therapist in Raleigh, NC
Deeariah King
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27609
Are you having difficulty managing anxiety and intrusive thoughts? Do you feel stressed while trying to balance work and relationships? Maybe you're wanting to learn how to establish boundaries with loved ones. Or perhaps you're struggling with low self-esteem. Whatever your situation may be, my goal is to help you become the best version of you.
Are you having difficulty managing anxiety and intrusive thoughts? Do you feel stressed while trying to balance work and relationships? Maybe you're wanting to learn how to establish boundaries with loved ones. Or perhaps you're struggling with low self-esteem. Whatever your situation may be, my goal is to help you become the best version of you.
(919) 899-4814 View (919) 899-4814
Photo of Sasha Bouldin, Clinical Social Work/Therapist in Raleigh, NC
Sasha Bouldin
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27617  (Online Only)
Not accepting new clients
Sasha Bouldin, LCSW provides holistic treatment and believes that therapy assists individuals in creating a personalized “user guide” to assist in becoming their most authentic selves.
Sasha Bouldin, LCSW provides holistic treatment and believes that therapy assists individuals in creating a personalized “user guide” to assist in becoming their most authentic selves.
(984) 265-8004 x4 View (984) 265-8004 x4
Photo of Tammy Blackard Cook Online Counseling, Clinical Social Work/Therapist in Raleigh, NC
Tammy Blackard Cook Online Counseling
Clinical Social Work/Therapist, LCSW, CDWF
Verified Verified
7 Endorsed
Raleigh, NC 27605
For more than 25 years, I have worked as a Licensed Clinical Social Worker (LCSW) specializing in therapy with adults. I hold a Master's Degree in social work from the University of Chicago. Throughout my career, I have successfully helped clients struggling with a wide range of issues, though I have a particular interest and expertise in working with trauma and anxiety.
For more than 25 years, I have worked as a Licensed Clinical Social Worker (LCSW) specializing in therapy with adults. I hold a Master's Degree in social work from the University of Chicago. Throughout my career, I have successfully helped clients struggling with a wide range of issues, though I have a particular interest and expertise in working with trauma and anxiety.
(919) 299-0027 View (919) 299-0027
Photo of Ori L Chandler, Clinical Social Work/Therapist in Raleigh, NC
Ori L Chandler
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27607  (Online Only)
If you or a loved one is living with a mental health condition or struggling with life stress or relationship difficulties, you may feel stuck or confused about what to do to help. If you are looking for a therapist who will work creatively and as a team with you to meet your mental health goals, this may be the right time to begin treatment. I am a non-binary person and have particular experience working with transgender and non-binary people, women, older adolescents, and other LGBQIA+ individuals. I am happy to work in a sensitive and affirming way with people from all walks of life.
If you or a loved one is living with a mental health condition or struggling with life stress or relationship difficulties, you may feel stuck or confused about what to do to help. If you are looking for a therapist who will work creatively and as a team with you to meet your mental health goals, this may be the right time to begin treatment. I am a non-binary person and have particular experience working with transgender and non-binary people, women, older adolescents, and other LGBQIA+ individuals. I am happy to work in a sensitive and affirming way with people from all walks of life.
(984) 464-8149 View (984) 464-8149
Photo of Jason Robert Cole, Counselor in Raleigh, NC
Jason Robert Cole
Counselor, MA, LCMHC, CAMS-II
Verified Verified
6 Endorsed
Raleigh, NC 27615
Jason Cole is a mental health counselor with experience working with children, adolescents and adults using a variety of theoretical perspectives in individual, group, couples and family therapy sessions. His area of expertise is in working with children, adolescents, young adults, and adults with a diverse range of needs and difficulties in traditional talk therapy. Jason enjoys working with clients to create and meet life goals through times of difficulty or uncertainty, and has worked extensively in the areas of life changes, anger management, anxiety disorders, mood disorders, behavioral issues, and depression.
Jason Cole is a mental health counselor with experience working with children, adolescents and adults using a variety of theoretical perspectives in individual, group, couples and family therapy sessions. His area of expertise is in working with children, adolescents, young adults, and adults with a diverse range of needs and difficulties in traditional talk therapy. Jason enjoys working with clients to create and meet life goals through times of difficulty or uncertainty, and has worked extensively in the areas of life changes, anger management, anxiety disorders, mood disorders, behavioral issues, and depression.
(919) 289-8053 View (919) 289-8053
Photo of Judith Grich, Clinical Social Work/Therapist in Raleigh, NC
Judith Grich
Clinical Social Work/Therapist, MSW, LCSW, C-ATOD
Verified Verified
Raleigh, NC 27604
This I know to be true: Your future, how you perceive the world, how you feel about yourself and your behavior toward your family and friends is very much up to YOU. With courage, honesty, some hard work and a bit of help you can: Change Your Thoughts, Change Your Feelings, Change Your Life.
This I know to be true: Your future, how you perceive the world, how you feel about yourself and your behavior toward your family and friends is very much up to YOU. With courage, honesty, some hard work and a bit of help you can: Change Your Thoughts, Change Your Feelings, Change Your Life.
(631) 813-4580 View (631) 813-4580
Photo of Sara E. Crow, Licensed Clinical Mental Health Counselor in Raleigh, NC
Sara E. Crow
Licensed Clinical Mental Health Counselor, MEd, LCMHC, NCC
Verified Verified
13 Endorsed
Raleigh, NC 27609
Not accepting new clients
Welcome, I am so glad you’re here! If you are hesitating about reaching out, that is natural & I can make the process easier. I have experience with children, teens, adults, families, and college students. I became inspired to work with women in the prenatal/pregnancy/postpartum periods after the birth of my son. I specialize in this unique area of transition into & through parenthood that can include (but are not limited to) issues related to severe stress, trauma, anxiety, mood changes, parenting, identity, sexuality, relationships, body image, self-esteem, self-awareness, & life balance. I offer a culturally sensitive approach.
Welcome, I am so glad you’re here! If you are hesitating about reaching out, that is natural & I can make the process easier. I have experience with children, teens, adults, families, and college students. I became inspired to work with women in the prenatal/pregnancy/postpartum periods after the birth of my son. I specialize in this unique area of transition into & through parenthood that can include (but are not limited to) issues related to severe stress, trauma, anxiety, mood changes, parenting, identity, sexuality, relationships, body image, self-esteem, self-awareness, & life balance. I offer a culturally sensitive approach.
(984) 237-3261 View (984) 237-3261
Photo of Angeline Walker, Licensed Clinical Mental Health Counselor in Raleigh, NC
Angeline Walker
Licensed Clinical Mental Health Counselor, MS, LCMHC, QS
Verified Verified
1 Endorsed
Raleigh, NC 27606  (Online Only)
For over 20 years, I have helped children, adolescents, and adults discover new and healthy ways to manage stress, anxiety, and depression. My counseling style is warm and interactive. My ability to listen actively, treat others with respect, compassion, and dignity, and offer new perspectives, provides clients with a safe place to address concerns. I applaud the courage it takes you to change your current course and pursue a more fulfilling and healthier pathway.
For over 20 years, I have helped children, adolescents, and adults discover new and healthy ways to manage stress, anxiety, and depression. My counseling style is warm and interactive. My ability to listen actively, treat others with respect, compassion, and dignity, and offer new perspectives, provides clients with a safe place to address concerns. I applaud the courage it takes you to change your current course and pursue a more fulfilling and healthier pathway.
(704) 610-0745 View (704) 610-0745
Photo of Lassandra Purnell, Clinical Social Work/Therapist in Raleigh, NC
Lassandra Purnell
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27603  (Online Only)
On a "good day," do you feel exhausted? Perhaps you feel like your past is interfering with your present life. Perhaps you are juggling everything and everyone else while barely making time for yourself. If that's the case, let's see if we can get you out of your funk. Life's difficulties are not always predictable. As your therapist, I will guide you through these difficulties in order to improve your ability to live a happier and more emotionally stable life.
On a "good day," do you feel exhausted? Perhaps you feel like your past is interfering with your present life. Perhaps you are juggling everything and everyone else while barely making time for yourself. If that's the case, let's see if we can get you out of your funk. Life's difficulties are not always predictable. As your therapist, I will guide you through these difficulties in order to improve your ability to live a happier and more emotionally stable life.
(919) 372-3956 View (919) 372-3956
Photo of Julie Gillen, Clinical Social Work/Therapist in Raleigh, NC
Julie Gillen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27605
If you are experiencing a difficult transition, relationship issues, work/life balance concerns, low self-esteem or, if you are in pain, feeling stuck, or simply want to move in a new direction with your life, I would like to help. I began working as a therapist in 1995 and currently work with individuals who struggle with all sorts of issues that hinder one's ability to feel balanced, connected or fulfilled. In this work, I especially enjoy the exploration and collaboration that occurs in a safe, nonjudgmental setting as we work toward resolution and healing.
If you are experiencing a difficult transition, relationship issues, work/life balance concerns, low self-esteem or, if you are in pain, feeling stuck, or simply want to move in a new direction with your life, I would like to help. I began working as a therapist in 1995 and currently work with individuals who struggle with all sorts of issues that hinder one's ability to feel balanced, connected or fulfilled. In this work, I especially enjoy the exploration and collaboration that occurs in a safe, nonjudgmental setting as we work toward resolution and healing.
(919) 794-5057 View (919) 794-5057
Photo of GordonWay Solutions, Clinical Social Work/Therapist in Raleigh, NC
GordonWay Solutions
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27616
I believe in meeting people where they are. I strive to build a therapeutic relationship with my clients while earning their trust along the way. I have a very non-traditional approach and offer a non-judgmental stance. My goal of therapy is to help you get to what you deem an ideal life. I use a multitude of theories and evidence-based practices, but my specialties are, Person Centered, CBT and Motivational Interviewing. I come to you to offer a safe space to express yourself, process your feelings, identify triggers and appropriate coping skills/techniques to help you navigate through this thing called “Life”.
I believe in meeting people where they are. I strive to build a therapeutic relationship with my clients while earning their trust along the way. I have a very non-traditional approach and offer a non-judgmental stance. My goal of therapy is to help you get to what you deem an ideal life. I use a multitude of theories and evidence-based practices, but my specialties are, Person Centered, CBT and Motivational Interviewing. I come to you to offer a safe space to express yourself, process your feelings, identify triggers and appropriate coping skills/techniques to help you navigate through this thing called “Life”.
(984) 600-7234 View (984) 600-7234
Photo of Amanda Clerkin, Clinical Social Work/Therapist in Raleigh, NC
Amanda Clerkin
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27616
I specialize in providing treatment for couples, families, adults and teens. Many clients I work with are looking for help with a mental health issue like addiction, anxiety, ADHD or depression. Some may also need help adjusting to life transitions whether it's a teenager trying to gain self confidence, or an older adult who has experienced loss. I have over twenty years of professional experience helping a diverse range of people get people on a better path to wellness!
I specialize in providing treatment for couples, families, adults and teens. Many clients I work with are looking for help with a mental health issue like addiction, anxiety, ADHD or depression. Some may also need help adjusting to life transitions whether it's a teenager trying to gain self confidence, or an older adult who has experienced loss. I have over twenty years of professional experience helping a diverse range of people get people on a better path to wellness!
(984) 223-6284 View (984) 223-6284
Photo of Bailey Meyne, LCSW Associate in Raleigh, NC
Bailey Meyne
LCSW Associate, LCSWA, JD, LMSW
Verified Verified
1 Endorsed
Raleigh, NC 27615
Waitlist for new clients
Welcome to my provider profile! I am currently accepting new clients who seek counseling for: anxiety, depression, trauma, relationship issues, life transitions, self-esteem/body image, grief and loss, and pre-marital counseling. I also have extensive experience working with women and the unique issues that they face at every stage of life. Please note that this list is not exhaustive and I am happy to answer any issue-specific questions!
Welcome to my provider profile! I am currently accepting new clients who seek counseling for: anxiety, depression, trauma, relationship issues, life transitions, self-esteem/body image, grief and loss, and pre-marital counseling. I also have extensive experience working with women and the unique issues that they face at every stage of life. Please note that this list is not exhaustive and I am happy to answer any issue-specific questions!
(919) 891-6537 View (919) 891-6537
Photo of Kimberley Cochran PsyD PLLC, Psychologist in Raleigh, NC
Kimberley Cochran PsyD PLLC
Psychologist, PsyD
Verified Verified
Raleigh, NC 27617  (Online Only)
I have over 24 years of experience in one-on-one and couples therapy, successfully treating adults and adolescents, many of whom are going through transitions in their lives. I have extensive experience in relationship issues, divorce, blended families, military issues, parenting, job and academic stress, sexual identity issues, anxiety, depression, trauma and grief. During a comprehensive assessment, I help my clients identify areas of satisfaction as well as areas they would like to change.
I have over 24 years of experience in one-on-one and couples therapy, successfully treating adults and adolescents, many of whom are going through transitions in their lives. I have extensive experience in relationship issues, divorce, blended families, military issues, parenting, job and academic stress, sexual identity issues, anxiety, depression, trauma and grief. During a comprehensive assessment, I help my clients identify areas of satisfaction as well as areas they would like to change.
(919) 710-8847 View (919) 710-8847
Photo of Dan Chartier, Psychologist in Raleigh, NC
Dan Chartier
Psychologist
Verified Verified
2 Endorsed
Raleigh, NC 27612
Dan Chartier, Ph.D., Licensed Psychologist- Health Service Provider, Raleigh, NC has been in private practice since 1983. As a psychotherapist, in addition to "talk therapy", Dr. Chartier uses psychophysiological methods of biofeedback and neurofeedback to facilitate mind-body healing. In his work, deepening awareness and release of non-productive behaviors is a primary process. By learning to enter neutral emotional space clients come to more clearly recognize options and choices that result in improved health. In addition to treating clients with psychological and emotional distress, Dr. Chartier works with patients coping with chronic pain or recovering from brain injury.
Dan Chartier, Ph.D., Licensed Psychologist- Health Service Provider, Raleigh, NC has been in private practice since 1983. As a psychotherapist, in addition to "talk therapy", Dr. Chartier uses psychophysiological methods of biofeedback and neurofeedback to facilitate mind-body healing. In his work, deepening awareness and release of non-productive behaviors is a primary process. By learning to enter neutral emotional space clients come to more clearly recognize options and choices that result in improved health. In addition to treating clients with psychological and emotional distress, Dr. Chartier works with patients coping with chronic pain or recovering from brain injury.
(252) 349-0938 View (252) 349-0938
Photo of Parr Therapeutic Solutions, Clinical Social Work/Therapist in Raleigh, NC
Parr Therapeutic Solutions
Clinical Social Work/Therapist, LCSWA, LCASA
Verified Verified
1 Endorsed
Raleigh, NC 27615  (Online Only)
I enjoy assisting clients who are struggling with life transitions, low self-esteem, or developing healthy relationships. As a result they may be experiencing anxiety, depression, or substance use issues. They are motivated and wanting to improve their mood and live a healthier and more fulfilling life. They are tired of feeling stuck and engaging in unhealthy and unhelpful habits.
I enjoy assisting clients who are struggling with life transitions, low self-esteem, or developing healthy relationships. As a result they may be experiencing anxiety, depression, or substance use issues. They are motivated and wanting to improve their mood and live a healthier and more fulfilling life. They are tired of feeling stuck and engaging in unhealthy and unhelpful habits.
(919) 276-8628 View (919) 276-8628
Photo of Elizabeth Hoose, Psychologist in Raleigh, NC
Elizabeth Hoose
Psychologist, PsyD
Verified Verified
Raleigh, NC 27615
Elizabeth Hoose, PsyD. is a licensed clinical psychologist in North Carolina and Utah who specializes in working with adults and couples who have experienced complex trauma, relationship difficulties, or who have undergone significant life changes. She also excels at therapeutic assessment, providing diagnostic clarification to patients who are unsure of their diagnosis. Dr. Hoose has been trained to work with a large variety of presenting problems including mood disorders, anxiety, LGBTQ issues, burnout and chronic stress, family of origin issues, identity issues, complex trauma and PTSD, ADHD, and adjustment concerns.
Elizabeth Hoose, PsyD. is a licensed clinical psychologist in North Carolina and Utah who specializes in working with adults and couples who have experienced complex trauma, relationship difficulties, or who have undergone significant life changes. She also excels at therapeutic assessment, providing diagnostic clarification to patients who are unsure of their diagnosis. Dr. Hoose has been trained to work with a large variety of presenting problems including mood disorders, anxiety, LGBTQ issues, burnout and chronic stress, family of origin issues, identity issues, complex trauma and PTSD, ADHD, and adjustment concerns.
(919) 261-7079 x5 View (919) 261-7079 x5
Photo of Nicole Davis, Licensed Clinical Mental Health Counselor in Raleigh, NC
Nicole Davis
Licensed Clinical Mental Health Counselor, MA, LCMHCS
Verified Verified
Raleigh, NC 27615
Feeling stuck, overwhelmed, stressed, or hopeless? You are not alone. We are living in challenging times. Reaching out for support is a brave and courageous response to the difficulties in life. I believe that a strong therapeutic relationship is one of the most valuable aspects of the counseling experience. I work with my clients to build a safe and trusting space for meaningful change. Let's work together to identify your strengths, build skills, find healing, and discover the life you desire.
Feeling stuck, overwhelmed, stressed, or hopeless? You are not alone. We are living in challenging times. Reaching out for support is a brave and courageous response to the difficulties in life. I believe that a strong therapeutic relationship is one of the most valuable aspects of the counseling experience. I work with my clients to build a safe and trusting space for meaningful change. Let's work together to identify your strengths, build skills, find healing, and discover the life you desire.
(919) 849-5747 View (919) 849-5747

How does your Therapist compare?

Number of Therapists in Raleigh, NC

2,000+

Average cost per session

$140

Therapists in Raleigh, NC who prioritize treating:

93% Anxiety
88% Depression
78% Self Esteem
76% Relationship Issues
74% Coping Skills
73% Stress
66% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
73% Aetna
56% Cigna and Evernorth

How Therapists in Raleigh, NC see their clients

59% In Person and Online
41% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Raleigh?

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.