Therapists in Richmond, VA

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Photo of Alimatu Mustapha-Palmer, Licensed Professional Counselor in Richmond, VA
Alimatu Mustapha-Palmer
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23234
I am Alimatu Mustapha- Palmer (nee Alima Palmer),PhD., NCC, LPC, MAC, CSAC, BCC. I have been in the world of behavioral health and services for the past 25 years. I am experienced and well-credentialed including several board certifications, awards, and recognitions. My experience includes conducting trainings, workshops, and assessments and working with individuals, families, groups, non-profits, local and international government agencies including DSS- CPS, law enforcement, minority populations, specific women and children’s issues, spirituality, cultural dynamics, marriage, divorce, life transitions, coaching and more.
I am Alimatu Mustapha- Palmer (nee Alima Palmer),PhD., NCC, LPC, MAC, CSAC, BCC. I have been in the world of behavioral health and services for the past 25 years. I am experienced and well-credentialed including several board certifications, awards, and recognitions. My experience includes conducting trainings, workshops, and assessments and working with individuals, families, groups, non-profits, local and international government agencies including DSS- CPS, law enforcement, minority populations, specific women and children’s issues, spirituality, cultural dynamics, marriage, divorce, life transitions, coaching and more.
(804) 626-5653 View (804) 626-5653
Photo of Cassandra Simpson, Licensed Professional Counselor in Richmond, VA
Cassandra Simpson
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hello! My name is Cassandra Simpson, I am a Licensed Professional Counselor (LPC) based in Virginia. I received my master's degree in professional counseling from Ottawa University and I have been practicing for close to 8 years. I help adults who are struggling with anxiety, depression, and trauma. I enjoy helping these individuals overcome their symptoms and return to a normal level of daily functioning.
Hello! My name is Cassandra Simpson, I am a Licensed Professional Counselor (LPC) based in Virginia. I received my master's degree in professional counseling from Ottawa University and I have been practicing for close to 8 years. I help adults who are struggling with anxiety, depression, and trauma. I enjoy helping these individuals overcome their symptoms and return to a normal level of daily functioning.
(804) 567-8613 View (804) 567-8613
Photo of Paul Stolzenbach, Clinical Social Work/Therapist in Richmond, VA
Paul Stolzenbach
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Are you looking to reset a relationship to resolve conflict or gain satisfaction? Do you need to get a handle on your stress level, feel more grounded or less anxious? Or are you suffering from depression or other mental illness? I am an experienced clinician who has worked with individuals and couples to help them achieve better mental health and emotional balance. I use traditional psychotherapeutic techniques of CBT, Behavior Modification, or Cognitive therapy to relieve symptoms and help clients reset a positive path forward.
Are you looking to reset a relationship to resolve conflict or gain satisfaction? Do you need to get a handle on your stress level, feel more grounded or less anxious? Or are you suffering from depression or other mental illness? I am an experienced clinician who has worked with individuals and couples to help them achieve better mental health and emotional balance. I use traditional psychotherapeutic techniques of CBT, Behavior Modification, or Cognitive therapy to relieve symptoms and help clients reset a positive path forward.
(804) 294-2759 View (804) 294-2759
Photo of Michael Ingram, Licensed Professional Counselor in Richmond, VA
Michael Ingram
Licensed Professional Counselor, MA, LPC
Verified Verified
Richmond, VA 23230
Sometimes life can feel overwhelming and frustrating. Stress in our lives can come from many different sources: communication difficulties, parenting children, unrealistic expectations at work, academic struggles. These challenges can become confusing and depressing if left in isolation. By addressing these issues in a safe, trusting counseling environment many of these stressors can be reduced.
Sometimes life can feel overwhelming and frustrating. Stress in our lives can come from many different sources: communication difficulties, parenting children, unrealistic expectations at work, academic struggles. These challenges can become confusing and depressing if left in isolation. By addressing these issues in a safe, trusting counseling environment many of these stressors can be reduced.
(804) 616-3120 View (804) 616-3120
Photo of Amy Thomas, Clinical Social Work/Therapist in Richmond, VA
Amy Thomas
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Richmond, VA 23231
Waitlist for new clients
I am a Licensed Clinical Social Worker who has specialized in working with children, adolescents, adults, and families for over 9 years. My background and experiences include work in the public school systems, child welfare systems (child protective services, adoptions, and foster care), private counseling center for adolescents and families, therapeutic recreational services, intensive in-home counseling, and an emergency diagnostic residential facility. I have experience working with individuals and families who have experienced trauma, grief & loss, divorce, single parenting, job loss, family conflict, stress, domestic violence, substance abuse, and crisis situations. If you are currently in crisis call 911.
I am a Licensed Clinical Social Worker who has specialized in working with children, adolescents, adults, and families for over 9 years. My background and experiences include work in the public school systems, child welfare systems (child protective services, adoptions, and foster care), private counseling center for adolescents and families, therapeutic recreational services, intensive in-home counseling, and an emergency diagnostic residential facility. I have experience working with individuals and families who have experienced trauma, grief & loss, divorce, single parenting, job loss, family conflict, stress, domestic violence, substance abuse, and crisis situations. If you are currently in crisis call 911.
(804) 419-4014 View (804) 419-4014
Photo of Rachel Baylor, Counselor in Richmond, VA
Rachel Baylor
Counselor, LPC
Verified Verified
Richmond, VA 23230
Rachel Baylor is a Licensed Professional Counselor in Virginia who has been practicing since 2023. She received her M. A. in Clinical Mental Health Counseling from the Chicago School of Professional Psychology and her B.A. in Psychology from Hampton University with a minor in Children and Family studies. Rachel is a 200-hour Registered Yoga Teacher, and her approach is person-centered and strength based. Perhaps you are single, feeling alone in your relationships, struggling to connect with your partner. Maybe you are a parent struggling to bond with your child or looking for ways to best support your child(ren).
Rachel Baylor is a Licensed Professional Counselor in Virginia who has been practicing since 2023. She received her M. A. in Clinical Mental Health Counseling from the Chicago School of Professional Psychology and her B.A. in Psychology from Hampton University with a minor in Children and Family studies. Rachel is a 200-hour Registered Yoga Teacher, and her approach is person-centered and strength based. Perhaps you are single, feeling alone in your relationships, struggling to connect with your partner. Maybe you are a parent struggling to bond with your child or looking for ways to best support your child(ren).
(804) 352-6259 View (804) 352-6259
Photo of Inner Zones Coaching & Consulting in Richmond, VA
Inner Zones Coaching & Consulting
CSAC, CRC, MAC, SAP
Verified Verified
Richmond, VA 23219
I work with clients from all walks of life who may be struggling with drug addiction, life transitions, self-confidence and other issues that affect your well-being. During our initial session, we will collaborate to create a plan designed to get your life back on track. My approach to helping others is very practical and casual.
I work with clients from all walks of life who may be struggling with drug addiction, life transitions, self-confidence and other issues that affect your well-being. During our initial session, we will collaborate to create a plan designed to get your life back on track. My approach to helping others is very practical and casual.
(804) 348-1988 View (804) 348-1988
Photo of Debbie Anderson, Clinical Social Work/Therapist in Richmond, VA
Debbie Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23235
Hi! My name is Debbie and I am a Licensed Clinical Social Worker who has been practicing in the field for over 13 years. I specialize primarily in the treatment of trauma, depression, and anxiety, but have also helped individuals diagnosed with Bipolar Disorder, Schizoaffective Disorder, and Schizophrenia. I am trained in CBT, DBT, Cognitive Processing Therapy, and EMDR, and have spent the majority of my adult life developing and authenticating my skills to help those in need. I am very passionate about the work I do, and believe that all have the power within them to heal and recover, whatever that might look like.
Hi! My name is Debbie and I am a Licensed Clinical Social Worker who has been practicing in the field for over 13 years. I specialize primarily in the treatment of trauma, depression, and anxiety, but have also helped individuals diagnosed with Bipolar Disorder, Schizoaffective Disorder, and Schizophrenia. I am trained in CBT, DBT, Cognitive Processing Therapy, and EMDR, and have spent the majority of my adult life developing and authenticating my skills to help those in need. I am very passionate about the work I do, and believe that all have the power within them to heal and recover, whatever that might look like.
(804) 593-0535 View (804) 593-0535
Photo of Letitia D Brown, Clinical Social Work/Therapist in Richmond, VA
Letitia D Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23226  (Online Only)
Lets talk! The practice focus is person centered, strengths based, and focuses on personal growth and working together in a supportive setting to facilitate a patient’s journey towards empowerment evolution of self and living their best version of their life.
Lets talk! The practice focus is person centered, strengths based, and focuses on personal growth and working together in a supportive setting to facilitate a patient’s journey towards empowerment evolution of self and living their best version of their life.
(804) 269-8390 View (804) 269-8390
Photo of Blair S Caldwell, Clinical Social Work/Therapist in Richmond, VA
Blair S Caldwell
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Richmond, VA 23238
Are you feeling overwhelmed by anxiety and/or depression? Do feel like your life is out of control due to obsessions with food, alcohol or drugs? Do you have unwanted behaviors that you cannot seem to change? I believe that we all have the ability to heal from emotional pain and suffering and that we sometimes need a little help to do so. Through a variety of techniques, I can help you can adjust thought processes, decrease the intensity of emotions, change behaviors, learn new skills and begin to experience a sense of peace and balance in your life.
Are you feeling overwhelmed by anxiety and/or depression? Do feel like your life is out of control due to obsessions with food, alcohol or drugs? Do you have unwanted behaviors that you cannot seem to change? I believe that we all have the ability to heal from emotional pain and suffering and that we sometimes need a little help to do so. Through a variety of techniques, I can help you can adjust thought processes, decrease the intensity of emotions, change behaviors, learn new skills and begin to experience a sense of peace and balance in your life.
(804) 681-2317 View (804) 681-2317
Photo of Robin Fore-Martin, Licensed Professional Counselor in Richmond, VA
Robin Fore-Martin
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hello! Thank you for taking the time to read about me :) I am a Licensed Professional Counselor, with supervision abilities and certification in TF-CBT, in the state of Virginia. I have been a therapist for many years and I have had the pleasure of working with a variety of ages, ethnicities, orientations and personalities. I have worked in teletherapy, in an office setting, on a college campus, in the Emergency Room, in people's homes, in a middle school and in a correctional facility. I consider myself to be an eclectic holistic therapist, who works to help others discover balance between the mind, body and spirit.
Hello! Thank you for taking the time to read about me :) I am a Licensed Professional Counselor, with supervision abilities and certification in TF-CBT, in the state of Virginia. I have been a therapist for many years and I have had the pleasure of working with a variety of ages, ethnicities, orientations and personalities. I have worked in teletherapy, in an office setting, on a college campus, in the Emergency Room, in people's homes, in a middle school and in a correctional facility. I consider myself to be an eclectic holistic therapist, who works to help others discover balance between the mind, body and spirit.
(804) 609-2218 View (804) 609-2218
Photo of Rahikya Wilson, Clinical Social Work/Therapist in Richmond, VA
Rahikya Wilson
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
Richmond, VA 23224  (Online Only)
Not accepting new clients
I am a Licensed Clinical Social Worker with over 25 years experience in the Mental health field. I wholeheartedly believe in people's capacity for change. I bring this belief and enthusiasm to my practice. As a foundation, I work with my clients looking at their early relationships, and how it impacts current relationships. In reviewing relationship patterns we come to understand information below the surface of consciousness. We work together toward awareness, insight and behavioral change."
I am a Licensed Clinical Social Worker with over 25 years experience in the Mental health field. I wholeheartedly believe in people's capacity for change. I bring this belief and enthusiasm to my practice. As a foundation, I work with my clients looking at their early relationships, and how it impacts current relationships. In reviewing relationship patterns we come to understand information below the surface of consciousness. We work together toward awareness, insight and behavioral change."
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Photo of Megan Paul, Clinical Social Work/Therapist in Richmond, VA
Megan Paul
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225
Whether you're dealing with childhood trauma, relationship difficulties, or struggling with anxiety and depression, my goal is to help you heal, grow, and thrive. Together, we will navigate the complexities of your experiences, strengthen your sense of self, and empower you to create meaningful connections in your life. Drawing on the principles of attachment theory and trauma-informed care, I recognize the fundamental significance of secure relationships and their role in shaping our well-being.
Whether you're dealing with childhood trauma, relationship difficulties, or struggling with anxiety and depression, my goal is to help you heal, grow, and thrive. Together, we will navigate the complexities of your experiences, strengthen your sense of self, and empower you to create meaningful connections in your life. Drawing on the principles of attachment theory and trauma-informed care, I recognize the fundamental significance of secure relationships and their role in shaping our well-being.
(804) 581-8663 View (804) 581-8663
Photo of Aspire Counseling Services, LLC, Licensed Professional Counselor in Richmond, VA
Aspire Counseling Services, LLC
Licensed Professional Counselor, LPC , CSOTP, CSAC
Verified Verified
Richmond, VA 23219
I am a psychotherapist who enjoy lighting the path for others. I believe you are the authority over your own life but sometimes you need someone objective to help you look from the outside in. Coupled with my clinical expertise, I am emotionally attuned to others. I often recognize others’ feelings and intuitively understand where these sentiments come from. As a result, I often know what to say to help find solutions that address the individuals’ concerns.
I am a psychotherapist who enjoy lighting the path for others. I believe you are the authority over your own life but sometimes you need someone objective to help you look from the outside in. Coupled with my clinical expertise, I am emotionally attuned to others. I often recognize others’ feelings and intuitively understand where these sentiments come from. As a result, I often know what to say to help find solutions that address the individuals’ concerns.
(804) 532-4625 View (804) 532-4625
Latoya Renea Smith
Licensed Professional Counselor
Verified Verified
Richmond, VA 23220
Renea Smith is a Resident in Counseling (RIC) with over a year of supervised clinical counseling experience, working with seniors, adults, adolescents, families, and couples in private practice settings. Renea also has over 14 years of experience in school counseling. Having grown up in a multi-generational home during her adolescent years and having served both the comprehensive and exceptional education school settings, she has a deep-rooted admiration and respect for the older population, parents, educators, caregivers of children with unique needs and abilities.
Renea Smith is a Resident in Counseling (RIC) with over a year of supervised clinical counseling experience, working with seniors, adults, adolescents, families, and couples in private practice settings. Renea also has over 14 years of experience in school counseling. Having grown up in a multi-generational home during her adolescent years and having served both the comprehensive and exceptional education school settings, she has a deep-rooted admiration and respect for the older population, parents, educators, caregivers of children with unique needs and abilities.
(804) 575-5607 View (804) 575-5607
Photo of Sydney Villeneuve, Licensed Professional Counselor in Richmond, VA
Sydney Villeneuve
Licensed Professional Counselor, MS, LPC
Verified Verified
Richmond, VA 23229  (Online Only)
I believe that healing is ongoing, met by exploring our inner most thoughts and feelings. I have experience supporting adolescents & adults who are dealing with depression, anxiety, trauma symptoms, and relationship challenges. I help my clients work through issues that are impacting their life and relationships. I serve as a guide as people work on shifting their view of themselves and the world through improving self-esteem, self-worth, and interpersonal dynamics. I value processing how life experiences have shaped who we are and who we are becoming. My approach is depth-based, with a focus on attachment theory.
I believe that healing is ongoing, met by exploring our inner most thoughts and feelings. I have experience supporting adolescents & adults who are dealing with depression, anxiety, trauma symptoms, and relationship challenges. I help my clients work through issues that are impacting their life and relationships. I serve as a guide as people work on shifting their view of themselves and the world through improving self-esteem, self-worth, and interpersonal dynamics. I value processing how life experiences have shaped who we are and who we are becoming. My approach is depth-based, with a focus on attachment theory.
(804) 322-9955 View (804) 322-9955
Photo of Mikayla Baugh, Licensed Professional Counselor in Richmond, VA
Mikayla Baugh
Licensed Professional Counselor, MAEd, LPC, NCC
Verified Verified
1 Endorsed
Richmond, VA 23226  (Online Only)
Waitlist for new clients
People come to therapy with strengths and skills that have helped them to survive up until meeting me, and I find that it is often better to work with existing tools rather than tearing down entire foundations. As a clinician, I can help you to decide what stays, what goes, what skills should be emphasized, and what skills should be learned. I have supported others to solve relationship problems, establish effective coping systems, with adjusting to difficult life experiences and spaces. We are both experts in the room and I will use my understandings of integrative practices to help build the dream that you imagine for yourself.
People come to therapy with strengths and skills that have helped them to survive up until meeting me, and I find that it is often better to work with existing tools rather than tearing down entire foundations. As a clinician, I can help you to decide what stays, what goes, what skills should be emphasized, and what skills should be learned. I have supported others to solve relationship problems, establish effective coping systems, with adjusting to difficult life experiences and spaces. We are both experts in the room and I will use my understandings of integrative practices to help build the dream that you imagine for yourself.
(804) 369-9829 View (804) 369-9829
Photo of Daniela Morillo, Pre-Licensed Professional in Richmond, VA
Daniela Morillo
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Richmond, VA 23219  (Online Only)
I specialize in therapy for children and teens dealing with behavioral and emotional challenges, and I'm here to support their parents too. If you're feeling overwhelmed by your child's intense emotions or behaviors, or if your teen is struggling with defiance, social challenges, or managing their feelings, just know that you're not alone. My approach focuses on helping your child or teen express and regulate their emotions positively, while also giving you as a parent effective strategies for support. Together, we'll work on building stronger family dynamics and individual emotional resilience.
I specialize in therapy for children and teens dealing with behavioral and emotional challenges, and I'm here to support their parents too. If you're feeling overwhelmed by your child's intense emotions or behaviors, or if your teen is struggling with defiance, social challenges, or managing their feelings, just know that you're not alone. My approach focuses on helping your child or teen express and regulate their emotions positively, while also giving you as a parent effective strategies for support. Together, we'll work on building stronger family dynamics and individual emotional resilience.
(804) 491-6421 View (804) 491-6421
Photo of Jeannette Sedor, Licensed Professional Counselor in Richmond, VA
Jeannette Sedor
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23225  (Online Only)
Hi! I am a Licensed Professional Counselor (LPC) based in Virginia. I work with adults 18+. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self esteem and confidence, trauma, and depression.
Hi! I am a Licensed Professional Counselor (LPC) based in Virginia. I work with adults 18+. I have experience in helping clients with stress and anxiety, relationship issues, motivation, self esteem and confidence, trauma, and depression.
(804) 352-2387 View (804) 352-2387
Photo of Alex Orton, Clinical Social Work/Therapist in Richmond, VA
Alex Orton
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23225
In the hustle and bustle of today's world, achieving balance can often feel like an elusive goal. My philosophy revolves around the belief that a balanced life is not about perfection, but rather about finding harmony amidst the various dimensions of your life – be it work or school, relationships, self-care, or personal growth. Together, we'll explore the root causes of any imbalances and unearth your strengths to foster resilience. Whether you're navigating stress, seeking purpose, or aiming to improve your relationships, I'm here to provide unwavering support.
In the hustle and bustle of today's world, achieving balance can often feel like an elusive goal. My philosophy revolves around the belief that a balanced life is not about perfection, but rather about finding harmony amidst the various dimensions of your life – be it work or school, relationships, self-care, or personal growth. Together, we'll explore the root causes of any imbalances and unearth your strengths to foster resilience. Whether you're navigating stress, seeking purpose, or aiming to improve your relationships, I'm here to provide unwavering support.
(804) 902-2288 View (804) 902-2288

How does your Therapist compare?

Number of Therapists in Richmond, VA

1,000+

Average cost per session

$135

Therapists in Richmond, VA who prioritize treating:

93% Anxiety
88% Depression
75% Self Esteem
74% Coping Skills
70% Trauma and PTSD
68% Relationship Issues
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

78% Aetna
77% UnitedHealthcare UHC | UBH
76% Cigna and Evernorth

How Therapists in Richmond, VA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in Richmond?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.