Therapists in Durham, NC

Photo of Rebecca Haas, Counselor in Durham, NC
Rebecca Haas
Counselor, MA, NCC, LCMHCA
Verified Verified
2 Endorsed
Durham, NC 27713
Not accepting new clients
I believe that each person is unique and that their story is their own. I do not know what you are experiencing at this time, however, it is my goal to understand what you are experiencing by listening to and learning from you. I believe that we can work together to establish a working relationship that feels safe while promoting healing and growth for you.
I believe that each person is unique and that their story is their own. I do not know what you are experiencing at this time, however, it is my goal to understand what you are experiencing by listening to and learning from you. I believe that we can work together to establish a working relationship that feels safe while promoting healing and growth for you.
(984) 422-3862 View (984) 422-3862
Photo of Yvonne Addison, Licensed Clinical Mental Health Counselor in Durham, NC
Yvonne Addison
Licensed Clinical Mental Health Counselor, LCMHC, CBLC
Verified Verified
1 Endorsed
Durham, NC 27722  (Online Only)
Perhaps you are experiencing a significant life change or trying to manage life itself and need additional assistance and support. Restoring hope with compassion, patience and providing a listening ear for adults is of utmost importance to me. I provide Christian counseling for individuals in the areas of women's issues, stress management, relationship healing, and grief and loss. My objective is to help adults eliminate barriers that impede the healing process, successful social interaction and developing problem solving skills that foster good decision making skills.
Perhaps you are experiencing a significant life change or trying to manage life itself and need additional assistance and support. Restoring hope with compassion, patience and providing a listening ear for adults is of utmost importance to me. I provide Christian counseling for individuals in the areas of women's issues, stress management, relationship healing, and grief and loss. My objective is to help adults eliminate barriers that impede the healing process, successful social interaction and developing problem solving skills that foster good decision making skills.
(919) 759-6983 View (919) 759-6983
Photo of Semra Zamurad, Counselor in Durham, NC
Semra Zamurad
Counselor, LCMHCA
Verified Verified
Durham, NC 27713
I know firsthand how scary it can be trying to navigate tumultuous thoughts and feelings on your own, and then trying to trust someone else to help you make sense of them! My own experience in mental health is what inspired me to become a therapist that can offer clients assistance in times of distress as a partner that will walk alongside them to support them at their pace. I approach therapy from a holistic lens to explore and address all aspects of health that the client wants to bring into the session, including but not limited to the implications of physical health, spiritual health, social health, and intellectual health.
I know firsthand how scary it can be trying to navigate tumultuous thoughts and feelings on your own, and then trying to trust someone else to help you make sense of them! My own experience in mental health is what inspired me to become a therapist that can offer clients assistance in times of distress as a partner that will walk alongside them to support them at their pace. I approach therapy from a holistic lens to explore and address all aspects of health that the client wants to bring into the session, including but not limited to the implications of physical health, spiritual health, social health, and intellectual health.
(984) 689-1695 View (984) 689-1695
Photo of Courtney Evans, Counselor in Durham, NC
Courtney Evans
Counselor, LMHC, LCASA
Verified Verified
Durham, NC 27713
Courtney Evans is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2018. She graduated from North Carolina A&T State University with a Master in Science Mental Health Degree with a certificate in Rehabilitation Counseling and Behavioral Addictions. Courtney has worked with clients ranging from anxiety, depression, self-esteem issues, relationship issues, family dynamic distresses, poor communication styles, women's trauma, substance abuse, and shame/guilt. Her counseling style is warm, vibrant, and interactive.
Courtney Evans is a Licensed Mental Health Counselor in North Carolina who has been practicing since 2018. She graduated from North Carolina A&T State University with a Master in Science Mental Health Degree with a certificate in Rehabilitation Counseling and Behavioral Addictions. Courtney has worked with clients ranging from anxiety, depression, self-esteem issues, relationship issues, family dynamic distresses, poor communication styles, women's trauma, substance abuse, and shame/guilt. Her counseling style is warm, vibrant, and interactive.
(919) 335-4875 View (919) 335-4875
Photo of Andrea Miesmer, Clinical Social Work/Therapist in Durham, NC
Andrea Miesmer
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
1 Endorsed
Durham, NC 27713
Waitlist for new clients
Are you overwhelmed with anxiety, have fear about significant life changes, or struggle in relationships or socially? I can assist you with gaining confidence in connecting with yourself and others, discovering more ease in decision making and with exploring life's possibilities. My counseling focuses on guiding you through the process of re-working your brain's negative feedback loops to ultimately reshape your life. The goal of my work is for you to feel relief and confidence in your resilience.
Are you overwhelmed with anxiety, have fear about significant life changes, or struggle in relationships or socially? I can assist you with gaining confidence in connecting with yourself and others, discovering more ease in decision making and with exploring life's possibilities. My counseling focuses on guiding you through the process of re-working your brain's negative feedback loops to ultimately reshape your life. The goal of my work is for you to feel relief and confidence in your resilience.
(919) 705-0948 View (919) 705-0948
Photo of Meagan Shirlen, LCSW Associate in Durham, NC
Meagan Shirlen
LCSW Associate , MSW, LCSWA
Verified Verified
Durham, NC 27707
Are you aged 13 to 30 and struggling with anxiety, grief, or self-doubt? Do you want to explore what's most important to you, your strengths, and what's keeping you stuck? I provide a safe, nonjudgmental space where we'll work together to help you envision a fulfilling life and create pathways to your goals. My approach is validating, holistic, and down-to-earth. All kinds of teens and young adults will find a caring environment here, whether you're on the autism spectrum, living with ADHD, part of the diverse LGBTQ+ community, or none of the above at all. Your unique experiences are valid; I'm here to listen and support you.
Are you aged 13 to 30 and struggling with anxiety, grief, or self-doubt? Do you want to explore what's most important to you, your strengths, and what's keeping you stuck? I provide a safe, nonjudgmental space where we'll work together to help you envision a fulfilling life and create pathways to your goals. My approach is validating, holistic, and down-to-earth. All kinds of teens and young adults will find a caring environment here, whether you're on the autism spectrum, living with ADHD, part of the diverse LGBTQ+ community, or none of the above at all. Your unique experiences are valid; I'm here to listen and support you.
(984) 400-4162 View (984) 400-4162
Photo of As One Wellness PLLC Raleigh-Durham-Charlotte , Clinical Social Work/Therapist in Durham, NC
As One Wellness PLLC Raleigh-Durham-Charlotte
Clinical Social Work/Therapist, LCSW, MSS, MBA, E-RYT
Verified Verified
1 Endorsed
Durham, NC 27703
Black Marriage Therapist. African-American Couples Counselor at As One helps disconnected couples who want to rekindle their relationship and experience heightened pleasure and intimacy. This makes everything in your life better, increases wealth and wellness. Like my clients, you deserve to experience fulfilling mind-body connection everyday. Let's bring fun and pleasure back to your relationship with the person you have committed to for life.
Black Marriage Therapist. African-American Couples Counselor at As One helps disconnected couples who want to rekindle their relationship and experience heightened pleasure and intimacy. This makes everything in your life better, increases wealth and wellness. Like my clients, you deserve to experience fulfilling mind-body connection everyday. Let's bring fun and pleasure back to your relationship with the person you have committed to for life.
(215) 532-1548 View (215) 532-1548
Photo of Bull City Psychotherapy, PLLC, Licensed Professional Counselor in Durham, NC
Bull City Psychotherapy, PLLC
Licensed Professional Counselor, PhD, LPC-S, LCSW, LCAS, CSAT-S
Verified Verified
Durham, NC 27705
Welcome to Bull City Psychotherapy. We are a caring group of psychotherapists who are passionate about helping others improve their moods, improve relationships, and recover from addictions. We offer a private and comfortable environment for our work with you, so you can feel safe and at ease. We are all highly trained in our areas of expertise, and we value our clients achieving their goals and moving forward. We believe in effective therapy that works.
Welcome to Bull City Psychotherapy. We are a caring group of psychotherapists who are passionate about helping others improve their moods, improve relationships, and recover from addictions. We offer a private and comfortable environment for our work with you, so you can feel safe and at ease. We are all highly trained in our areas of expertise, and we value our clients achieving their goals and moving forward. We believe in effective therapy that works.
(984) 228-2152 View (984) 228-2152
Photo of Rick Rothman, Clinical Social Work/Therapist in Durham, NC
Rick Rothman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Durham, NC 27712  (Online Only)
I strongly believe in treating the person as a unique person given their individual needs. I primarily practice cognitive-behavior therapy utilizing an eclectic style and often use anecdotes, paradoxes, and especially humor in order to enhance, educate, and assist in reaching each person's goals. I have a specialty in treating Obsessive-Compulsive Disorder, Panic Disorders, and Anxiety. While I specialize in treating those suffering OCD, Panic, and Anxiety, I am equally proud of the successes I've had in helping those with Adjustment Disorders, Stress Management, Depression, Relationship Difficulties, and Family Concerns.
I strongly believe in treating the person as a unique person given their individual needs. I primarily practice cognitive-behavior therapy utilizing an eclectic style and often use anecdotes, paradoxes, and especially humor in order to enhance, educate, and assist in reaching each person's goals. I have a specialty in treating Obsessive-Compulsive Disorder, Panic Disorders, and Anxiety. While I specialize in treating those suffering OCD, Panic, and Anxiety, I am equally proud of the successes I've had in helping those with Adjustment Disorders, Stress Management, Depression, Relationship Difficulties, and Family Concerns.
(973) 536-0902 View (973) 536-0902
Photo of Ben Shechet, Counselor in Durham, NC
Ben Shechet
Counselor, MS, LCMHCA
Verified Verified
2 Endorsed
Durham, NC 27707  (Online Only)
My approach to therapy is rooted in the view that we are all, at the deepest level, whole and complete; we all have wisdom, love, compassion, and the capacity for connection within us. My job as a therapist is not to fix or to change anyone—it is to help and support you in connecting with your own knowing, power, and ability to grow and meet your goals. I work with adults and older teens seeking assistance with a wide range of concerns, including depression, anxiety, trauma, grief and loss, life transitions, and identity development and change.
My approach to therapy is rooted in the view that we are all, at the deepest level, whole and complete; we all have wisdom, love, compassion, and the capacity for connection within us. My job as a therapist is not to fix or to change anyone—it is to help and support you in connecting with your own knowing, power, and ability to grow and meet your goals. I work with adults and older teens seeking assistance with a wide range of concerns, including depression, anxiety, trauma, grief and loss, life transitions, and identity development and change.
(919) 635-1751 View (919) 635-1751
Photo of Carey Downey, Clinical Social Work/Therapist in Durham, NC
Carey Downey
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Durham, NC 27707
Not accepting new clients
If you’re feeling overwhelmed or stuck in a stress cycle of worry, sadness, or loneliness, you are not alone! These emotions can be natural responses to life circumstances. Sometimes it seems as though you can’t find your way out of these feelings. As a licensed clinical social worker, I am ready to join with you and offer support. Together we can identify your personal challenges, build upon your unique strengths, and develop healthier life patterns.
If you’re feeling overwhelmed or stuck in a stress cycle of worry, sadness, or loneliness, you are not alone! These emotions can be natural responses to life circumstances. Sometimes it seems as though you can’t find your way out of these feelings. As a licensed clinical social worker, I am ready to join with you and offer support. Together we can identify your personal challenges, build upon your unique strengths, and develop healthier life patterns.
(919) 849-8588 View (919) 849-8588
Photo of Hannah N Daulton, Licensed Professional Counselor in Durham, NC
Hannah N Daulton
Licensed Professional Counselor, LCMHC, MA
Verified Verified
2 Endorsed
Durham, NC 27705
Are you ready to shift your life, but feel pulled back into the same dysfunctional cycles every time you try to make a change? I enjoy supporting individuals who want to pursue freedom from limbo, the "catch-22," and live a confident, self-directed, and value-aligned life. I work specifically with PTSD, anxiety, relationship and boundary issues, and adults with ADHD. I provide support that allows you to build your awareness and process concrete coping skills in order to gain resilience, strength, and power that extends past the counseling session.
Are you ready to shift your life, but feel pulled back into the same dysfunctional cycles every time you try to make a change? I enjoy supporting individuals who want to pursue freedom from limbo, the "catch-22," and live a confident, self-directed, and value-aligned life. I work specifically with PTSD, anxiety, relationship and boundary issues, and adults with ADHD. I provide support that allows you to build your awareness and process concrete coping skills in order to gain resilience, strength, and power that extends past the counseling session.
(919) 629-1656 View (919) 629-1656
Photo of Lisa Timberlake, Clinical Social Work/Therapist in Durham, NC
Lisa Timberlake
Clinical Social Work/Therapist, MSW, LCSWA
Verified Verified
Durham, NC 27707
I am accepting individual clients! There is no wrong way to begin the therapeutic process, but it usually starts with. a question or two. Why is this happening again and again? Why do I make these choices? How do I change? My role as a therapist is to help you face these questions and use the strengths you have to begin the healing process. This may include revisiting the past, finding mindfulness in the present and looking forward to a better future. I am an affirming CNM and kink practitioner. I am a couples therapist and have completed the first level of the Gottman Method couples therapy.
I am accepting individual clients! There is no wrong way to begin the therapeutic process, but it usually starts with. a question or two. Why is this happening again and again? Why do I make these choices? How do I change? My role as a therapist is to help you face these questions and use the strengths you have to begin the healing process. This may include revisiting the past, finding mindfulness in the present and looking forward to a better future. I am an affirming CNM and kink practitioner. I am a couples therapist and have completed the first level of the Gottman Method couples therapy.
(919) 568-5008 View (919) 568-5008
Photo of Melissa Sheri Rakowitz, Counselor in Durham, NC
Melissa Sheri Rakowitz
Counselor, MA, LCMHCA
Verified Verified
2 Endorsed
Durham, NC 27707
Waitlist for new clients
As a therapist, I approach my work with a reverence for the uniqueness of each individual’s experience. It is my hope to create a therapeutic relationship based on compassion, trust, and respect while providing a warm, non-judgmental space for clients. My style is patient, grounding, and contemplative. I draw from various approaches to meet each client's needs. As a yoga teacher, I additionally enjoy integrating elements of mindfulness and somatic work into my practice. I am invested in helping clients live in a way that is aligned with their values and aspirations.
As a therapist, I approach my work with a reverence for the uniqueness of each individual’s experience. It is my hope to create a therapeutic relationship based on compassion, trust, and respect while providing a warm, non-judgmental space for clients. My style is patient, grounding, and contemplative. I draw from various approaches to meet each client's needs. As a yoga teacher, I additionally enjoy integrating elements of mindfulness and somatic work into my practice. I am invested in helping clients live in a way that is aligned with their values and aspirations.
(919) 372-0413 View (919) 372-0413
Photo of Guy Cecelski, Clinical Social Work/Therapist in Durham, NC
Guy Cecelski
Clinical Social Work/Therapist, LCSW
Verified Verified
Durham, NC 27707
I work with individuals and families (age 14+) and welcome anyone looking for help regardless of personal identity, background, culture, or belief system. I try to provide a safe space for anyone to come and work towards being a happier and healthier version of themselves.
I work with individuals and families (age 14+) and welcome anyone looking for help regardless of personal identity, background, culture, or belief system. I try to provide a safe space for anyone to come and work towards being a happier and healthier version of themselves.
(984) 409-9579 View (984) 409-9579
Photo of Tasha Cadet, Marriage & Family Therapist in Durham, NC
Tasha Cadet
Marriage & Family Therapist, MA, LMFT
Verified Verified
Durham, NC 27713  (Online Only)
Do you ever feel like you're losing yourself amidst the seasons of life, such as new parenthood, changing careers, or adjusting to college? Perhaps you're feeling stuck and overwhelmed with daily tasks or struggling to cope with a recent loss. Whatever your reason for being here, I'm glad that you're taking the first step towards finding support and regaining your confidence. My expertise lies in assisting motivated adults and couples navigate significant life changes by empowering them to be more attuned to their emotions and develop supportive skills towards self-acceptance and "wholeness".
Do you ever feel like you're losing yourself amidst the seasons of life, such as new parenthood, changing careers, or adjusting to college? Perhaps you're feeling stuck and overwhelmed with daily tasks or struggling to cope with a recent loss. Whatever your reason for being here, I'm glad that you're taking the first step towards finding support and regaining your confidence. My expertise lies in assisting motivated adults and couples navigate significant life changes by empowering them to be more attuned to their emotions and develop supportive skills towards self-acceptance and "wholeness".
(984) 646-5642 View (984) 646-5642
Photo of Casey Okoniewski, Psychologist in Durham, NC
Casey Okoniewski
Psychologist, PhD
Verified Verified
Durham, NC 27713
Providing psychological, educational, and behavioral assessment, intervention, and consultative services for children and young adults, their families, and support networks. Specializing in diagnostic services for neurodevelopmental disabilities like autism spectrum, attention-deficit/hyperactive, and learning disorders.
Providing psychological, educational, and behavioral assessment, intervention, and consultative services for children and young adults, their families, and support networks. Specializing in diagnostic services for neurodevelopmental disabilities like autism spectrum, attention-deficit/hyperactive, and learning disorders.
(919) 893-0193 View (919) 893-0193
Photo of Janice L Bryant, Licensed Professional Counselor in Durham, NC
Janice L Bryant
Licensed Professional Counselor, MS, LCMHC-S, LCAS
Verified Verified
1 Endorsed
Durham, NC 27713
I am a Licensed Clinical Mental Health Counselor Supervisor (LCMHC-S) and a Licensed Clinical Addiction Specialist (LCAS). I specialize in populations dually diagnosed with Mental Health and Substance Abuse Disorders. I am trained in Multi-Systemic Therapy; a family focused evidenced based model. Other training include Acceptance and Commitment Therapy, Trauma Focused Therapy and Motivational Interviewing which is primarily used with populations battling chemical addiction.
I am a Licensed Clinical Mental Health Counselor Supervisor (LCMHC-S) and a Licensed Clinical Addiction Specialist (LCAS). I specialize in populations dually diagnosed with Mental Health and Substance Abuse Disorders. I am trained in Multi-Systemic Therapy; a family focused evidenced based model. Other training include Acceptance and Commitment Therapy, Trauma Focused Therapy and Motivational Interviewing which is primarily used with populations battling chemical addiction.
(919) 647-9914 View (919) 647-9914
Photo of Blair Somerville, Licensed Clinical Mental Health Counselor in Durham, NC
Blair Somerville
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
22 Endorsed
Durham, NC 27705
Not accepting new clients
Sometimes life creates change when we aren't ready. You may find that life transitions have left you feeling differently than you expected, or you're discovering things about yourself that you aren't sure what to do with. Sometimes loved ones change in ways that challenge us, and sometimes we grow and hope our loved ones will grow with us. Sometimes LGBTQIA+ identities have specific needs, particularly for couples and families adjusting to newly expressed identities and searching for a healthy, supportive dynamic. Unfortunately, coping with these unexpected changes usually isn't a smooth, easy, or pretty process.
Sometimes life creates change when we aren't ready. You may find that life transitions have left you feeling differently than you expected, or you're discovering things about yourself that you aren't sure what to do with. Sometimes loved ones change in ways that challenge us, and sometimes we grow and hope our loved ones will grow with us. Sometimes LGBTQIA+ identities have specific needs, particularly for couples and families adjusting to newly expressed identities and searching for a healthy, supportive dynamic. Unfortunately, coping with these unexpected changes usually isn't a smooth, easy, or pretty process.
(984) 205-9001 View (984) 205-9001
Photo of Constance Simmons, Counselor in Durham, NC
Constance Simmons
Counselor, MA, LCMHCA, NCC
Verified Verified
Durham, NC 27707
Sex is often a difficult subject for people to discuss, especially when it concerns one’s own sex life and sexuality. However, I am here to create a positive space for you where there is no judgement, shame, or embarrassment. Sexual wellness is an integral aspect of an individual’s well-being. I believe in the importance of a positive and collaborative therapeutic relationship with clients and I am here to help my clients discuss this topic so they can feel more comfortable and free to express themselves.
Sex is often a difficult subject for people to discuss, especially when it concerns one’s own sex life and sexuality. However, I am here to create a positive space for you where there is no judgement, shame, or embarrassment. Sexual wellness is an integral aspect of an individual’s well-being. I believe in the importance of a positive and collaborative therapeutic relationship with clients and I am here to help my clients discuss this topic so they can feel more comfortable and free to express themselves.
(919) 926-0313 View (919) 926-0313

How does your Therapist compare?

Number of Therapists in Durham, NC

1,000+

Average cost per session

$150

Therapists in Durham, NC who prioritize treating:

92% Anxiety
86% Depression
78% Relationship Issues
77% Self Esteem
70% Coping Skills
70% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

82% BlueCross and BlueShield
70% Aetna
51% Cigna and Evernorth

How Therapists in Durham, NC see their clients

65% In Person and Online
35% Online Only

Gender breakdown

80% Female
17% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Durham?

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.