Therapists in Pittsburgh, PA

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Photo of Tori Cicconi, Pre-Licensed Professional in Pittsburgh, PA
Tori Cicconi
Pre-Licensed Professional
Verified Verified
Pittsburgh, PA 15241
I am a recent graduate of The Chicago School and received my Master's Degree in Clinical Mental Health Counseling. I also have a Master's Degree in education that I received from Slippery Rock University.
I am a recent graduate of The Chicago School and received my Master's Degree in Clinical Mental Health Counseling. I also have a Master's Degree in education that I received from Slippery Rock University.
(412) 618-2087 View (412) 618-2087
Photo of Lea Tambellini, Clinical Social Work/Therapist in Pittsburgh, PA
Lea Tambellini
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsburgh, PA 15211
Not accepting new clients
Understanding our life experiences and how they shape our views can be difficult to do alone. Traumatic events or troubling times, no matter how long ago, can bring up harmful thoughts and complicated feelings. Anxiety and self-doubt may be holding us back. Fortunately, it doesn’t always have to be this way. We will work to understand what you need for your own therapy journey. Building a trusting relationship is important to me, and I will be your support as you process what you have been through. Together, we can find balance in your life and bring hope and healing.
Understanding our life experiences and how they shape our views can be difficult to do alone. Traumatic events or troubling times, no matter how long ago, can bring up harmful thoughts and complicated feelings. Anxiety and self-doubt may be holding us back. Fortunately, it doesn’t always have to be this way. We will work to understand what you need for your own therapy journey. Building a trusting relationship is important to me, and I will be your support as you process what you have been through. Together, we can find balance in your life and bring hope and healing.
(412) 900-5158 View (412) 900-5158
Photo of Kristie Manandhar, Licensed Professional Counselor in Pittsburgh, PA
Kristie Manandhar
Licensed Professional Counselor, MS, LPC
Verified Verified
5 Endorsed
Pittsburgh, PA 15205
Do you desire a change in your life, but feel unsure where to begin? Are you looking for guidance in an environment where you can begin to unpack your thoughts, emotions and pain in a safe and caring way? Are you ready to take the first steps in creating lasting change? Let’s facilitate those changes of healing together.
Do you desire a change in your life, but feel unsure where to begin? Are you looking for guidance in an environment where you can begin to unpack your thoughts, emotions and pain in a safe and caring way? Are you ready to take the first steps in creating lasting change? Let’s facilitate those changes of healing together.
(412) 520-7734 View (412) 520-7734
Photo of Brandi Caldwell, Clinical Social Work/Therapist in Pittsburgh, PA
Brandi Caldwell
Clinical Social Work/Therapist, LCSW , MBA
Verified Verified
Pittsburgh, PA 15203
Do you desire treatment for mental health diagnoses, grief/loss, disabilities, or stress/anger management? Do you want or need guidance and are willing to explore yourselves more deeply? My ideal client would be motivated for change and open to new perspectives to create healthy progress in their lives. They would feel comfortable in their rapport with me and supported in their treatment. My diverse experience in healthcare has allowed me to develop strong therapeutic skills using various strategies fitting the client's needs.
Do you desire treatment for mental health diagnoses, grief/loss, disabilities, or stress/anger management? Do you want or need guidance and are willing to explore yourselves more deeply? My ideal client would be motivated for change and open to new perspectives to create healthy progress in their lives. They would feel comfortable in their rapport with me and supported in their treatment. My diverse experience in healthcare has allowed me to develop strong therapeutic skills using various strategies fitting the client's needs.
(412) 538-6536 View (412) 538-6536
Photo of Sarah Caligiuri, Licensed Professional Counselor in Pittsburgh, PA
Sarah Caligiuri
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
Pittsburgh, PA 15238
I am Licensed Professional Counselor with 15 years of experience working with adults, adolescents, and children with depression, anxiety, and trying to navigate life transitions. I believe to move forward in life, especially through difficult times, one has to find the balance between acceptance and change. My goal in therapy is to aid you through your journey and help you to remove the feeling of being "stuck". My aims is to work with you in a collaborative and genuine manner. My approach is influenced by being trained in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Mindfulness Based Stress Reduction.
I am Licensed Professional Counselor with 15 years of experience working with adults, adolescents, and children with depression, anxiety, and trying to navigate life transitions. I believe to move forward in life, especially through difficult times, one has to find the balance between acceptance and change. My goal in therapy is to aid you through your journey and help you to remove the feeling of being "stuck". My aims is to work with you in a collaborative and genuine manner. My approach is influenced by being trained in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Mindfulness Based Stress Reduction.
(412) 564-4445 View (412) 564-4445
Photo of Cheryl Lewis, Pre-Licensed Professional in Pittsburgh, PA
Cheryl Lewis
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Pittsburgh, PA 15219
I want to help you become the version of yourself you want to see. Sometimes we all need assistance or guidance to reach the next chapter in life. I would like to help you achieve and thrive in that next chapter. I have experiencing supporting individuals and couples navigating through life transitions. Teens and young adults who are facing anxiety and depression. I also support athletes and non-sport performers with overcoming mental health challenges and mental blocks they are facing. I offer a personalized approach to help you overcome barriers you are facing and regain control of your life.
I want to help you become the version of yourself you want to see. Sometimes we all need assistance or guidance to reach the next chapter in life. I would like to help you achieve and thrive in that next chapter. I have experiencing supporting individuals and couples navigating through life transitions. Teens and young adults who are facing anxiety and depression. I also support athletes and non-sport performers with overcoming mental health challenges and mental blocks they are facing. I offer a personalized approach to help you overcome barriers you are facing and regain control of your life.
(724) 604-5608 View (724) 604-5608
Photo of Rachael French, Licensed Professional Counselor in Pittsburgh, PA
Rachael French
Licensed Professional Counselor, LPC, MSCP
Verified Verified
3 Endorsed
Pittsburgh, PA 15228
Many of my clients are making exciting but often daunting transitions - from Jr High to High School or High School to College, ending or beginning new relationships and careers. Change is so often viewed with anxiety and negativity. Yet, change is happening all around us every day. How can we make change a positive experience in our lives? How can we choose to change something that is not working? How can we learn and grow from a challenging experience? As a counselor, I believe my job is to create a space where clients can explore these and other topics, in a way that ultimately positively impacts their day to day lives.
Many of my clients are making exciting but often daunting transitions - from Jr High to High School or High School to College, ending or beginning new relationships and careers. Change is so often viewed with anxiety and negativity. Yet, change is happening all around us every day. How can we make change a positive experience in our lives? How can we choose to change something that is not working? How can we learn and grow from a challenging experience? As a counselor, I believe my job is to create a space where clients can explore these and other topics, in a way that ultimately positively impacts their day to day lives.
(878) 313-2170 View (878) 313-2170
Photo of Patricia Hanson, Licensed Professional Counselor in Pittsburgh, PA
Patricia Hanson
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Pittsburgh, PA 15221
You can schedule on my Website if you like. What you can expect from our first session • A Safe and Nurturing Environment • Enhanced Self-awareness • Practical Coping Strategies • Holistic Well-being • Empowerment • A Deepened Connection • Transformational Conversations In essence, sessions with me are a blend of empathy, expertise, and empowerment. Whether in a crisis, seeking strategies for specific challenges, or yearning for personal growth, our collaborative journey is designed to illuminate paths forward and cultivate enduring mental and emotional strength.
You can schedule on my Website if you like. What you can expect from our first session • A Safe and Nurturing Environment • Enhanced Self-awareness • Practical Coping Strategies • Holistic Well-being • Empowerment • A Deepened Connection • Transformational Conversations In essence, sessions with me are a blend of empathy, expertise, and empowerment. Whether in a crisis, seeking strategies for specific challenges, or yearning for personal growth, our collaborative journey is designed to illuminate paths forward and cultivate enduring mental and emotional strength.
(878) 313-6450 View (878) 313-6450
Photo of Lauren Heaton, Licensed Professional Counselor in Pittsburgh, PA
Lauren Heaton
Licensed Professional Counselor, MS, ICAADC, CMHIMP, LPC, CCTP
Verified Verified
Pittsburgh, PA 15237
Have you ever felt like there was something missing in your life? Have you ever had an obstacle that you felt so overwhelmed with that it exhausted you to even consider overcoming it? Have you hit the point in your life where you are not sure which direction to head, next? I believe that I can help. Join me on a journey of creating your best life, because I am firm in my beliefs that we truly become our strongest, most complete selves, in the wake of our greatest storms.
Have you ever felt like there was something missing in your life? Have you ever had an obstacle that you felt so overwhelmed with that it exhausted you to even consider overcoming it? Have you hit the point in your life where you are not sure which direction to head, next? I believe that I can help. Join me on a journey of creating your best life, because I am firm in my beliefs that we truly become our strongest, most complete selves, in the wake of our greatest storms.
(724) 618-3808 View (724) 618-3808
Photo of Candice Kroemelbein, Licensed Professional Counselor in Pittsburgh, PA
Candice Kroemelbein
Licensed Professional Counselor, MS , LPC
Verified Verified
Pittsburgh, PA 15203
My ideal client would be someone motivated to do the work on themselves, open to feedback, and doesn't mind being open with me. I do not have a preference; as far as diagnosis, I have a preference for clients who know what they want and are willing to let me help them to get there.
My ideal client would be someone motivated to do the work on themselves, open to feedback, and doesn't mind being open with me. I do not have a preference; as far as diagnosis, I have a preference for clients who know what they want and are willing to let me help them to get there.
(412) 725-0250 View (412) 725-0250
Photo of Michael D Bates, Psychologist in Pittsburgh, PA
Michael D Bates
Psychologist, PsyD
Verified Verified
Pittsburgh, PA 15218  (Online Only)
Not accepting new clients
I specialize in the treatment of depression and anxiety, including general anxiety, social anxiety, career- and performance-related anxiety, and phobias. My practice also includes marriage and parenting counseling. Using well-known and evidence-based strategies, we focus on basic and uncomplicated aspects of how we think, feel, and act to understand and change our patterns leading to clarity and control in one's life, in our families, and relationships. If you are ready to restore self-confidence, motivation, and resilience, or build these qualities for the first time, I am privileged to provide a skilled hand to help you get there.
I specialize in the treatment of depression and anxiety, including general anxiety, social anxiety, career- and performance-related anxiety, and phobias. My practice also includes marriage and parenting counseling. Using well-known and evidence-based strategies, we focus on basic and uncomplicated aspects of how we think, feel, and act to understand and change our patterns leading to clarity and control in one's life, in our families, and relationships. If you are ready to restore self-confidence, motivation, and resilience, or build these qualities for the first time, I am privileged to provide a skilled hand to help you get there.
(412) 285-1534 View (412) 285-1534
Photo of Angela Mills, Licensed Professional Counselor in Pittsburgh, PA
Angela Mills
Licensed Professional Counselor, LPC
Verified Verified
Pittsburgh, PA 15217
Angela Mills is a Licensed Professional Counselor in Pennsylvania who has been practicing since 2010. She has a Bachelor's of Science from Penn State University and a Master's of Science in Counseling Psychology from Chatham University. Angela started in the mental health field 16 years ago. She decided she wanted to be a therapist in high school, when she experienced the loss of someone very close to her that changed how she looked at the world. Angela had a therapist at the time that helped her through that loss and had a huge impact on her life. That is when Angela knew she wanted to be a therapist.
Angela Mills is a Licensed Professional Counselor in Pennsylvania who has been practicing since 2010. She has a Bachelor's of Science from Penn State University and a Master's of Science in Counseling Psychology from Chatham University. Angela started in the mental health field 16 years ago. She decided she wanted to be a therapist in high school, when she experienced the loss of someone very close to her that changed how she looked at the world. Angela had a therapist at the time that helped her through that loss and had a huge impact on her life. That is when Angela knew she wanted to be a therapist.
(844) 264-6945 View (844) 264-6945
Photo of Katie Robb Sewall, Licensed Professional Counselor in Pittsburgh, PA
Katie Robb Sewall
Licensed Professional Counselor, LPC, NCC
Verified Verified
Pittsburgh, PA 15206
Waitlist for new clients
Unfortunately, I am not accepting new clients at this time. I work primarily with adults experiencing emotional challenges. This often looks like depression, anxiety, or grief. I also work with individuals going through a transition in life, relationships, career, or health status. During a difficult season in life we are more open to learning new skills and perspectives.
Unfortunately, I am not accepting new clients at this time. I work primarily with adults experiencing emotional challenges. This often looks like depression, anxiety, or grief. I also work with individuals going through a transition in life, relationships, career, or health status. During a difficult season in life we are more open to learning new skills and perspectives.
(412) 566-7674 View (412) 566-7674
Photo of Danny Churchill, Clinical Social Work/Therapist in Pittsburgh, PA
Danny Churchill
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pittsburgh, PA 15241
I am a licensed clinical social worker with my master’s degree in social work from the University of Pittsburgh. I have several years of experience working with teens and adults in both private practice and community settings addressing concerns such as anxiety, depression, trauma, grief and loss, addiction, and relationship issues. I use an eclectic approach with a blend of techniques from cognitive-behavioral therapy, motivational interviewing, and acceptance and commitment therapy. I am also an EMDR-trained provider.
I am a licensed clinical social worker with my master’s degree in social work from the University of Pittsburgh. I have several years of experience working with teens and adults in both private practice and community settings addressing concerns such as anxiety, depression, trauma, grief and loss, addiction, and relationship issues. I use an eclectic approach with a blend of techniques from cognitive-behavioral therapy, motivational interviewing, and acceptance and commitment therapy. I am also an EMDR-trained provider.
(412) 501-4973 View (412) 501-4973
Photo of Katie Hido, Licensed Professional Counselor in Pittsburgh, PA
Katie Hido
Licensed Professional Counselor, LPC, MSEd, MA, NCC
Verified Verified
2 Endorsed
Pittsburgh, PA 15238  (Online Only)
I'm glad you've found my page! If you're looking to develop tools to regulate your emotions, communicate more effectively, and improve your connections with the people in your life, you've come to the right place. Maybe you'd like to navigate complex poly dynamics through setting healthier boundaries or work through jealousy, fear, or insecurity. Maybe you'd like to have your partners understand you better or set different expectations within your sexual or romantic relationships (poly, open, or mono). If you want to shake things up and start changing your life, check out my website to learn more about how I can help.
I'm glad you've found my page! If you're looking to develop tools to regulate your emotions, communicate more effectively, and improve your connections with the people in your life, you've come to the right place. Maybe you'd like to navigate complex poly dynamics through setting healthier boundaries or work through jealousy, fear, or insecurity. Maybe you'd like to have your partners understand you better or set different expectations within your sexual or romantic relationships (poly, open, or mono). If you want to shake things up and start changing your life, check out my website to learn more about how I can help.
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Photo of Haley Faragher, Licensed Professional Counselor in Pittsburgh, PA
Haley Faragher
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15206  (Online Only)
You may have come across my bio as you are considering therapy. It can feel scary and out of our comfort zones to ask for help, but I commend you for doing so. I strive to make therapy a safe space where you feel supported to learn about yourself and grow/heal in any way you find necessary. I like to approach the counseling relationship from a warm, empathetic, non-judgmental, and understanding viewpoint. I understand that trauma impacts us all differently, thus I strive to keep things relaxed and I am mindful to operate through a trauma-informed lens as we all come from different walks of life with various life experiences.
You may have come across my bio as you are considering therapy. It can feel scary and out of our comfort zones to ask for help, but I commend you for doing so. I strive to make therapy a safe space where you feel supported to learn about yourself and grow/heal in any way you find necessary. I like to approach the counseling relationship from a warm, empathetic, non-judgmental, and understanding viewpoint. I understand that trauma impacts us all differently, thus I strive to keep things relaxed and I am mindful to operate through a trauma-informed lens as we all come from different walks of life with various life experiences.
(412) 819-1797 View (412) 819-1797
Photo of Jena Meneo, Licensed Professional Counselor in Pittsburgh, PA
Jena Meneo
Licensed Professional Counselor, MA, LPC, CCTP
Verified Verified
Pittsburgh, PA 15206
Waitlist for new clients
Are you having difficulty making decisions, expressing your emotions, or struggling to improve your personal relationship(s)? Admitting we have a problem and working to change our behaviors can be a challenge. I use cognitive behavioral, humanist, and mindfulness-based approaches to help clients focus in the here and now while gaining insight into themselves. I am a Licensed Professional Counselor who offers therapy designed to help you learn healthy coping skills and improve your well being. I do not offer evening or weekend hours.
Are you having difficulty making decisions, expressing your emotions, or struggling to improve your personal relationship(s)? Admitting we have a problem and working to change our behaviors can be a challenge. I use cognitive behavioral, humanist, and mindfulness-based approaches to help clients focus in the here and now while gaining insight into themselves. I am a Licensed Professional Counselor who offers therapy designed to help you learn healthy coping skills and improve your well being. I do not offer evening or weekend hours.
(412) 387-5170 View (412) 387-5170
Photo of Jessica Steely, Pre-Licensed Professional in Pittsburgh, PA
Jessica Steely
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
Pittsburgh, PA 15235
Life can be stressful, hectic, and overwhelming at times. It is not an easy thing to seek real and lasting change in yourself, your life, or your relationships. I believe in meeting an individual where they are in their own journey and that they already have everything they need within them to make the positive changes they want in their life. Working from a person-centered and mindfulness approach; my goal is to help support and empower you to find those inner strengths and personal solutions so you can meet your goals. Using a collaborative approach, we will work together to find what works for you and your goals.
Life can be stressful, hectic, and overwhelming at times. It is not an easy thing to seek real and lasting change in yourself, your life, or your relationships. I believe in meeting an individual where they are in their own journey and that they already have everything they need within them to make the positive changes they want in their life. Working from a person-centered and mindfulness approach; my goal is to help support and empower you to find those inner strengths and personal solutions so you can meet your goals. Using a collaborative approach, we will work together to find what works for you and your goals.
(412) 844-2657 View (412) 844-2657
Photo of Gregory Dinger, Licensed Professional Counselor in Pittsburgh, PA
Gregory Dinger
Licensed Professional Counselor, MMT, MT-BC, LPC
Verified Verified
1 Endorsed
Pittsburgh, PA 15232
Accepting new clients! You often feel like you are navigating a world that was not meant for you. You have spent years trying to find "your place" in the chaos but continue to struggle with where that is and how to even begin exploring that in a way that feels safe and supportive. Honestly, you have a hard time envisioning what it would even feel like to have found "your place". You often feel "other" and "on the outside", which makes social and romantic relationships difficult and only exacerbates the feelings and experiences you already struggle with on a daily basis. Anxiety, grief and loss, depression, neurodiversity, stress...
Accepting new clients! You often feel like you are navigating a world that was not meant for you. You have spent years trying to find "your place" in the chaos but continue to struggle with where that is and how to even begin exploring that in a way that feels safe and supportive. Honestly, you have a hard time envisioning what it would even feel like to have found "your place". You often feel "other" and "on the outside", which makes social and romantic relationships difficult and only exacerbates the feelings and experiences you already struggle with on a daily basis. Anxiety, grief and loss, depression, neurodiversity, stress...
(412) 528-6583 View (412) 528-6583
Photo of Alexandra Mattina, Clinical Social Work/Therapist in Pittsburgh, PA
Alexandra Mattina
Clinical Social Work/Therapist, MSW, LCSW, RYT
Verified Verified
Pittsburgh, PA 15203
Throughout my 10 years working in mental health, I have learned how important it is to our healing to be connected in heart and body. I believe building a better understanding of this mind-body connection and the impact it can have on both our physical and mental health is critical in symptom management, emotional regulation, stress management, overall health and wellness, and navigating our everyday life in this world.
Throughout my 10 years working in mental health, I have learned how important it is to our healing to be connected in heart and body. I believe building a better understanding of this mind-body connection and the impact it can have on both our physical and mental health is critical in symptom management, emotional regulation, stress management, overall health and wellness, and navigating our everyday life in this world.
(878) 309-6884 View (878) 309-6884

How does your Therapist compare?

Number of Therapists in Pittsburgh, PA

1,000+

Average cost per session

$125

Therapists in Pittsburgh, PA who prioritize treating:

93% Anxiety
88% Depression
77% Self Esteem
71% Relationship Issues
70% Coping Skills
69% Trauma and PTSD
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

81% Highmark
74% Aetna
68% UnitedHealthcare UHC | UBH

How Therapists in Pittsburgh, PA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

78% Female
19% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pittsburgh?

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.