Therapists in Little Rock, AR

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Photo of David Bond-Martin, Drug & Alcohol Counselor in Little Rock, AR
David Bond-Martin
Drug & Alcohol Counselor, MS, LADAC, ICAADC, SAP
Verified Verified
Little Rock, AR 72205
Barriers can be overcome, sometimes we just need help to conquer them!
Barriers can be overcome, sometimes we just need help to conquer them!
(501) 458-4997 View (501) 458-4997
Photo of Community Counseling Clinic JBU, Counselor in Little Rock, AR
Community Counseling Clinic JBU
Counselor
Verified Verified
1 Endorsed
Little Rock, AR 72211
Welcome to our Community Counseling Clinic, where compassionate care meets affordability with sessions priced at only $35. At our clinic, we believe that everyone deserves access to high-quality mental health services without financial barriers. That's why we are proud to ensure that cost is never a deterrent to getting the help you need. Our mission is to provide accessible and effective counseling to support the well-being of our community members.
Welcome to our Community Counseling Clinic, where compassionate care meets affordability with sessions priced at only $35. At our clinic, we believe that everyone deserves access to high-quality mental health services without financial barriers. That's why we are proud to ensure that cost is never a deterrent to getting the help you need. Our mission is to provide accessible and effective counseling to support the well-being of our community members.
(501) 300-8469 View (501) 300-8469
Photo of Serenity Health & Wellness, LLC, Clinical Social Work/Therapist in Little Rock, AR
Serenity Health & Wellness, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Little Rock, AR 72211
Marsha Sproling is a Licensed Clinical Social Worker who provides therapy to adolescents and adults using a client- centered, eclectic approach tailored to the unique needs of each client. Preferred treatment approaches include Cognitive Behavioral Therapy, Supportive therapy, EMDR, Integrative Sandtray Therapy, and Dialectical Behavioral Therapy. I believes that change happens when people are given the support needed to draw on their own strengths and realize their potential to live a fulfilling, happy life. I have over 13 years experience in a variety of settings with diverse clients providing both long term and brief treatment.
Marsha Sproling is a Licensed Clinical Social Worker who provides therapy to adolescents and adults using a client- centered, eclectic approach tailored to the unique needs of each client. Preferred treatment approaches include Cognitive Behavioral Therapy, Supportive therapy, EMDR, Integrative Sandtray Therapy, and Dialectical Behavioral Therapy. I believes that change happens when people are given the support needed to draw on their own strengths and realize their potential to live a fulfilling, happy life. I have over 13 years experience in a variety of settings with diverse clients providing both long term and brief treatment.
(501) 271-3655 View (501) 271-3655
Photo of Central Arkansas Psychological Services, Psychologist in Little Rock, AR
Central Arkansas Psychological Services
Psychologist, PhD
Verified Verified
Little Rock, AR 72205
Understanding yourself, your personality structure, and the world around you is a great asset. It allows you to clearly articulate your values and to set a life-course oriented toward what brings you meaning and fulfillment. Often, clinical symptoms such as anxiety, depression, and personality difficulties can obscure a clear vision of our ideal path. Clinical psychology uses the scientific understanding of behavior and mental health difficulties as the basis for strategic guidance in helping you overcome clinical and life issues.
Understanding yourself, your personality structure, and the world around you is a great asset. It allows you to clearly articulate your values and to set a life-course oriented toward what brings you meaning and fulfillment. Often, clinical symptoms such as anxiety, depression, and personality difficulties can obscure a clear vision of our ideal path. Clinical psychology uses the scientific understanding of behavior and mental health difficulties as the basis for strategic guidance in helping you overcome clinical and life issues.
(501) 712-5642 View (501) 712-5642
Photo of Kelly Brown, Licensed Professional Counselor in Little Rock, AR
Kelly Brown
Licensed Professional Counselor, MS, LPC-TA, MBA, CEDS
Verified Verified
4 Endorsed
Little Rock, AR 72223
Not accepting new clients
Sometimes looking in the mirror is hard when the image looking back at you is not what you pictured. Our past hurts and traumas, broken relationships, unhealthy relationship with food, and painful relationship with our bodies leave us broken and weary. I believe that digging into those painful places brings healing, as well as learning how to move into the present.
Sometimes looking in the mirror is hard when the image looking back at you is not what you pictured. Our past hurts and traumas, broken relationships, unhealthy relationship with food, and painful relationship with our bodies leave us broken and weary. I believe that digging into those painful places brings healing, as well as learning how to move into the present.
(501) 232-2142 View (501) 232-2142
Photo of Devon Davasher, Clinical Social Work/Therapist in Little Rock, AR
Devon Davasher
Clinical Social Work/Therapist, LCSW, CCM, CFSW
Verified Verified
2 Endorsed
Little Rock, AR 72207  (Online Only)
We all struggle with something. Taking the first step toward living a more meaningful, fulfilling life is a big leap for some. I know what it feels like to sit in the client's chair and how scary it can be to get started in therapy. When I was younger, I found myself burdened by debilitating anxiety, depression, and a lot of unhelpful coping mechanisms which resulted in feeling stuck, loneliness, and relational problems with family, friends, and romantic partners alike. Does this sound familiar? If so, you may be the perfect client for me. I can't wait to meet you. Call or email to request an appointment today!
We all struggle with something. Taking the first step toward living a more meaningful, fulfilling life is a big leap for some. I know what it feels like to sit in the client's chair and how scary it can be to get started in therapy. When I was younger, I found myself burdened by debilitating anxiety, depression, and a lot of unhelpful coping mechanisms which resulted in feeling stuck, loneliness, and relational problems with family, friends, and romantic partners alike. Does this sound familiar? If so, you may be the perfect client for me. I can't wait to meet you. Call or email to request an appointment today!
(501) 271-3380 View (501) 271-3380
Photo of Hannah Tilley, Clinical Social Work/Therapist in Little Rock, AR
Hannah Tilley
Clinical Social Work/Therapist, LCSW
Verified Verified
Little Rock, AR 72211
I am adamantly committed to helping my clients overcome barriers and achieve personal goals, whatever that may look like. I believe that change is possible and most often occurs when the approach is personalized to you, your needs and your life. My goal in working with clients is to empower them to be the best versions of themselves, whether that is recovering from an eating disorder, improving relationships or better managing the stress and anxiety that comes with day to day life. Personal resiliency is in all of us – I am here to help you connect with yours!
I am adamantly committed to helping my clients overcome barriers and achieve personal goals, whatever that may look like. I believe that change is possible and most often occurs when the approach is personalized to you, your needs and your life. My goal in working with clients is to empower them to be the best versions of themselves, whether that is recovering from an eating disorder, improving relationships or better managing the stress and anxiety that comes with day to day life. Personal resiliency is in all of us – I am here to help you connect with yours!
(501) 550-8894 View (501) 550-8894
Photo of Britta Barlogie, Counselor in Little Rock, AR
Britta Barlogie
Counselor, LMHC, LPC, NCC
Verified Verified
1 Endorsed
Little Rock, AR 72202  (Online Only)
Relational healing therapy harnesses authenticity, humor, curiosity, and acceptance to support you through your transitions and move you to a place where you love yourself (and maybe others) as you are. We will work together to find your happy(er) space and because your healing process is unique, we’ll discover the interventions that fit you best. Whether you’re struggling with anxiety, depression, relationships, body issues, or some combination of them all, it is my commitment to wade through the muck and activate change.
Relational healing therapy harnesses authenticity, humor, curiosity, and acceptance to support you through your transitions and move you to a place where you love yourself (and maybe others) as you are. We will work together to find your happy(er) space and because your healing process is unique, we’ll discover the interventions that fit you best. Whether you’re struggling with anxiety, depression, relationships, body issues, or some combination of them all, it is my commitment to wade through the muck and activate change.
(501) 298-1246 View (501) 298-1246
Photo of Ben Register, Licensed Professional Counselor in Little Rock, AR
Ben Register
Licensed Professional Counselor, LPC
Verified Verified
Little Rock, AR 72205
First off, I think it's funny that I'm even a "psychotherapist". I reluctantly started going to counseling myself in college. Surprisingly, it changed my life for the better. I never would have guessed it! It was so beneficial, I ended up getting a master's degree in Marriage and Family Therapy...not necessarily as a career choice, but simply to continue my personal learning and growth. I've worked in several other career fields, but no other job has even come close to matching the satisfaction I get from helping people find freedom after experiencing some of their darkest times. Now it has become my passion!
First off, I think it's funny that I'm even a "psychotherapist". I reluctantly started going to counseling myself in college. Surprisingly, it changed my life for the better. I never would have guessed it! It was so beneficial, I ended up getting a master's degree in Marriage and Family Therapy...not necessarily as a career choice, but simply to continue my personal learning and growth. I've worked in several other career fields, but no other job has even come close to matching the satisfaction I get from helping people find freedom after experiencing some of their darkest times. Now it has become my passion!
(501) 361-3545 View (501) 361-3545
Photo of Shanita Lashae Gibson, Licensed Professional Counselor in Little Rock, AR
Shanita Lashae Gibson
Licensed Professional Counselor, MS, LPC
Verified Verified
Little Rock, AR 72205
Throughout life’s journey it is inevitable to experience difficult roads that are too tough to endure alone. I provide a safe space and utilize a direct, yet empathetic approach to help you discover strengths, learn healthy coping skills that promote inner peace, and healing. I aim to help you figure out which direction to turn next, and can guide you through a more peaceful life. It is my belief that the essence of health and wellness is based upon balance. It is my goal to support and meet you at every corner of your mental health needs.
Throughout life’s journey it is inevitable to experience difficult roads that are too tough to endure alone. I provide a safe space and utilize a direct, yet empathetic approach to help you discover strengths, learn healthy coping skills that promote inner peace, and healing. I aim to help you figure out which direction to turn next, and can guide you through a more peaceful life. It is my belief that the essence of health and wellness is based upon balance. It is my goal to support and meet you at every corner of your mental health needs.
(501) 381-3843 View (501) 381-3843
Photo of Mariah Brown, Licensed Professional Counselor in Little Rock, AR
Mariah Brown
Licensed Professional Counselor, MS, LPC
Verified Verified
Little Rock, AR 72201
Not accepting new clients
Mental Health is Real. I believe in the importance of creating a safe space that empower clients to cultivate a new normal. Choosing the right therapist can be difficult, yet it makes a big difference in treatment. For 5 years, I have been a counseling in mental health field treating a variety of issues. In my practice, I believe every person is unique despite their sexuality, race, gender, or economic background. I am a holistic, LGBTQIA+ affirming therapist who uses an integrative approach to help my clients achieve long-term success.
Mental Health is Real. I believe in the importance of creating a safe space that empower clients to cultivate a new normal. Choosing the right therapist can be difficult, yet it makes a big difference in treatment. For 5 years, I have been a counseling in mental health field treating a variety of issues. In my practice, I believe every person is unique despite their sexuality, race, gender, or economic background. I am a holistic, LGBTQIA+ affirming therapist who uses an integrative approach to help my clients achieve long-term success.
(501) 300-9713 View (501) 300-9713
Photo of Jordan Chase Williams, Psychologist in Little Rock, AR
Jordan Chase Williams
Psychologist, PhD
Verified Verified
2 Endorsed
Little Rock, AR 72207
As a psychologist, I work with people with real-life concerns like depression, anxiety, relationship issues, LGBTQ+ issues, and trauma. Within these areas, I have a particular focus on helping women, people of color, and LGBTQ populations. With over eight years of experience, I work on developing insight, improving self-esteem, and building resiliency practices that you can implement into your daily life.
As a psychologist, I work with people with real-life concerns like depression, anxiety, relationship issues, LGBTQ+ issues, and trauma. Within these areas, I have a particular focus on helping women, people of color, and LGBTQ populations. With over eight years of experience, I work on developing insight, improving self-esteem, and building resiliency practices that you can implement into your daily life.
(501) 295-0146 View (501) 295-0146
Photo of Vickie Covington, Licensed Professional Counselor in Little Rock, AR
Vickie Covington
Licensed Professional Counselor, MS, ILP, EMDR, LPC
Verified Verified
Little Rock, AR 72211  (Online Only)
Life isn't always easy, and our expectations often differ from those we imagine. I help couples, pre-marital couples & individuals in many of these life circumstances, such as infidelity, trauma, depression, anxiety, and feeling like you are not good enough or not worthy. How you overcome these obstacles should define you, not the hurt. If you would like to live in the future, not in the past, then I am the right therapist for you; I am specially trained to work with couples and trauma. your goals are my goals. I work at your pace and within the comfort of your environment via telehealth.
Life isn't always easy, and our expectations often differ from those we imagine. I help couples, pre-marital couples & individuals in many of these life circumstances, such as infidelity, trauma, depression, anxiety, and feeling like you are not good enough or not worthy. How you overcome these obstacles should define you, not the hurt. If you would like to live in the future, not in the past, then I am the right therapist for you; I am specially trained to work with couples and trauma. your goals are my goals. I work at your pace and within the comfort of your environment via telehealth.
(501) 434-4184 View (501) 434-4184
Photo of Jackson Lake, Counselor in Little Rock, AR
Jackson Lake
Counselor
Verified Verified
2 Endorsed
Little Rock, AR 72227
No one comes out of childhood without bumps and bruises. Regardless of how loved you were, no one's caregivers can be perfect in every moment. Even though you've grown and have come a long way, you still feel a sense of unease with the way things are. Your wounds affect the way you see the world and how you show up in your relationships. You find yourself both sensitive and numb. You may not always be able to access your emotions, even with the people who care about you. You've done your best to adjust with the things that you've been given, but you feel like you can't move on until you gain clarity about what you've been through.
No one comes out of childhood without bumps and bruises. Regardless of how loved you were, no one's caregivers can be perfect in every moment. Even though you've grown and have come a long way, you still feel a sense of unease with the way things are. Your wounds affect the way you see the world and how you show up in your relationships. You find yourself both sensitive and numb. You may not always be able to access your emotions, even with the people who care about you. You've done your best to adjust with the things that you've been given, but you feel like you can't move on until you gain clarity about what you've been through.
(501) 285-9240 View (501) 285-9240
Photo of Kathy James, Clinical Social Work/Therapist in Little Rock, AR
Kathy James
Clinical Social Work/Therapist, LCSW, MSW, BA
Verified Verified
3 Endorsed
Little Rock, AR 72211
Do you struggle to find happiness and peace on a daily basis? Does depression, anxiety, or grief rule your day. The struggle is real. We all develop stress, anxiety, grief, trauma, and other issues when our lives are turned upside down by events that we cannot control. I am here to help and have professional training and education to do so. The key is to identify the source of the struggle and how to navigate and develop coping skills to manage it effectively. I utilize several approaches including CBT, DBT, faith based, person centered, strengths based, and mindfulness based therapy modalities for you to reach your goals.
Do you struggle to find happiness and peace on a daily basis? Does depression, anxiety, or grief rule your day. The struggle is real. We all develop stress, anxiety, grief, trauma, and other issues when our lives are turned upside down by events that we cannot control. I am here to help and have professional training and education to do so. The key is to identify the source of the struggle and how to navigate and develop coping skills to manage it effectively. I utilize several approaches including CBT, DBT, faith based, person centered, strengths based, and mindfulness based therapy modalities for you to reach your goals.
(501) 382-1056 View (501) 382-1056
Photo of Carrie Calhoon, Clinical Social Work/Therapist in Little Rock, AR
Carrie Calhoon
Clinical Social Work/Therapist, MSW, LCSW, APHSW-C, OSW-C
Verified Verified
1 Endorsed
Little Rock, AR 72202
Waitlist for new clients
Whether you are struggling with a life change (life-limiting diagnosis, divorce, a new phase of life), a loss (death, a relationship, job, sense of your own independence), feeling stuck (life isn't moving in the direction you had hoped, you want to feel different but just don't know where to start), or you are in pain (physical or emotional), I can be a non-biased sounding board and guide. I like to meet my clients "right where they are" and help you with tools to move in the direction you wish to be. I'm easy to talk to, not afraid to talk about hard things, and mix in my own "humanness" with a dose of humor in our sessions.
Whether you are struggling with a life change (life-limiting diagnosis, divorce, a new phase of life), a loss (death, a relationship, job, sense of your own independence), feeling stuck (life isn't moving in the direction you had hoped, you want to feel different but just don't know where to start), or you are in pain (physical or emotional), I can be a non-biased sounding board and guide. I like to meet my clients "right where they are" and help you with tools to move in the direction you wish to be. I'm easy to talk to, not afraid to talk about hard things, and mix in my own "humanness" with a dose of humor in our sessions.
(501) 456-4754 View (501) 456-4754
Photo of Tenethrea Williams, Licensed Professional Counselor in Little Rock, AR
Tenethrea Williams
Licensed Professional Counselor, LPC
Verified Verified
Little Rock, AR 72204  (Online Only)
Do you ever just feel stuck? You know you want change but anxiety, depression or life struggles and transitions weigh you down. Do you struggle with imposter syndrome which causes you to not go after your goals. Maybe your relationship is the issue, and you or your partner are having a hard time communicating and getting on the same page. You need a skilled professional to provide a safe environment for you to work through your thoughts and feelings and provide a different perspective as you navigate through these struggles. You want and need psychological and practical skills to help you address these issues .
Do you ever just feel stuck? You know you want change but anxiety, depression or life struggles and transitions weigh you down. Do you struggle with imposter syndrome which causes you to not go after your goals. Maybe your relationship is the issue, and you or your partner are having a hard time communicating and getting on the same page. You need a skilled professional to provide a safe environment for you to work through your thoughts and feelings and provide a different perspective as you navigate through these struggles. You want and need psychological and practical skills to help you address these issues .
(501) 430-4769 View (501) 430-4769
Photo of Kelsey L Allen, Licensed Professional Counselor in Little Rock, AR
Kelsey L Allen
Licensed Professional Counselor, LPC
Verified Verified
Little Rock, AR 72207
The journey to healing and fulfillment is not always easy but with commitment, it is always worthwhile. It is my belief that with the right therapeutic alliance and the right environment, everyone can unpack their own emotional "bag." I seek to meet clients were they are emotionally and assist them in finding the core of their problems to move forward. I use a humanistic approach to assist clients to increase their awareness and to understand, express, and regulate their emotions. I come from a place of non-judgment, compassion, empathy, and honesty to provide observation, healthy coping skills, and a listening ear.
The journey to healing and fulfillment is not always easy but with commitment, it is always worthwhile. It is my belief that with the right therapeutic alliance and the right environment, everyone can unpack their own emotional "bag." I seek to meet clients were they are emotionally and assist them in finding the core of their problems to move forward. I use a humanistic approach to assist clients to increase their awareness and to understand, express, and regulate their emotions. I come from a place of non-judgment, compassion, empathy, and honesty to provide observation, healthy coping skills, and a listening ear.
(501) 222-3582 View (501) 222-3582
Photo of Lee Ellis, Clinical Social Work/Therapist in Little Rock, AR
Lee Ellis
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Little Rock, AR 72205
Are you ready to let go of fear, anger, hopelessness, and all the things that are holding you back in life? Are you ready to know that you are worthy of everything you desire? I’m taking participants for energy healing groups that will teach you the skills to heal yourself and live your best life. Call or email me today if you are interested.
Are you ready to let go of fear, anger, hopelessness, and all the things that are holding you back in life? Are you ready to know that you are worthy of everything you desire? I’m taking participants for energy healing groups that will teach you the skills to heal yourself and live your best life. Call or email me today if you are interested.
(501) 229-7153 View (501) 229-7153
Photo of Charlie Simpson, Marriage & Family Therapist in Little Rock, AR
Charlie Simpson
Marriage & Family Therapist, LMFT, LPC
Verified Verified
4 Endorsed
Little Rock, AR 72211
Are you tired of going through the motions in life or your relationship? Feeling STUCK or simply worried? My approach has helped hundreds couples and individuals overcome strenuous challenges and master the skills to maintain healthy relationships and lifestyles. My approach is simple, I use evidence-based tools and models to help couples and individuals target personal growth. I'm currently completing supervision for Gottman Method Couples Therapy and Emotionally Focused couples therapy which is greatly utilized during sessions.
Are you tired of going through the motions in life or your relationship? Feeling STUCK or simply worried? My approach has helped hundreds couples and individuals overcome strenuous challenges and master the skills to maintain healthy relationships and lifestyles. My approach is simple, I use evidence-based tools and models to help couples and individuals target personal growth. I'm currently completing supervision for Gottman Method Couples Therapy and Emotionally Focused couples therapy which is greatly utilized during sessions.
(501) 235-8736 View (501) 235-8736

How does your Therapist compare?

Number of Therapists in Little Rock, AR

400+

Average cost per session

$151

Therapists in Little Rock, AR who prioritize treating:

92% Depression
92% Anxiety
75% Relationship Issues
73% Trauma and PTSD
73% Coping Skills
73% Self Esteem
70% Stress

Average years in practice

12 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
70% Ambetter
56% QualChoice

How Therapists in Little Rock, AR see their clients

77% In Person and Online
23% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Little Rock?

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.