Therapists in Richmond, VA

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Photo of Lotus Counseling & Consulting Services, Clinical Social Work/Therapist in Richmond, VA
Lotus Counseling & Consulting Services
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Richmond, VA 23223  (Online Only)
I'm Brittney Hill, a Licensed Clinical Social Worker in Virginia. I offer individual therapy focused on addressing the individual needs of adolescents and adults. My experiences range from community-based services, school- based services, residential treatment and acute-inpatient treatment. My ideal clients are motivated for change and open to exploring and improving self-awareness.
I'm Brittney Hill, a Licensed Clinical Social Worker in Virginia. I offer individual therapy focused on addressing the individual needs of adolescents and adults. My experiences range from community-based services, school- based services, residential treatment and acute-inpatient treatment. My ideal clients are motivated for change and open to exploring and improving self-awareness.
(804) 538-3154 View (804) 538-3154
Photo of Deborah Sabatino, Licensed Professional Counselor in Richmond, VA
Deborah Sabatino
Licensed Professional Counselor, LPC
Not Verified Not Verified
Richmond, VA 23235
My name is Deb Sabatino and I am and Licensed Professional Counselor in Virginia. I use a gentle wholistic approach which is trauma-informed when working with clients. My speciality is working with young adults ages 18-30 who are experiencing anxiety due to life transitions. I also specialize in relationship trauma and helping clients restore themselves back to health after they have experienced abuse of any kind. I have experience working with Military, Law Enforcement and their families.
My name is Deb Sabatino and I am and Licensed Professional Counselor in Virginia. I use a gentle wholistic approach which is trauma-informed when working with clients. My speciality is working with young adults ages 18-30 who are experiencing anxiety due to life transitions. I also specialize in relationship trauma and helping clients restore themselves back to health after they have experienced abuse of any kind. I have experience working with Military, Law Enforcement and their families.
(804) 492-8383 View (804) 492-8383
Photo of Midway Career Consulting LLC, Psychologist in Richmond, VA
Midway Career Consulting LLC
Psychologist, PhD, LCP
Verified Verified
1 Endorsed
Richmond, VA 23220
Coping with changes at work? I'm a career counselor and licensed psychologist specializing in the work, educational, and career concerns of individuals and organizations. Issues like choosing or changing careers, deciding on a college major or schools, job loss, or reentering work after time away, can feel overwhelming-- especially when special needs or circumstances are involved. Burnout and work stress, as well, are painful problems, but can be solved. Career counseling and testing help get to the heart of the matter in focused, timely, and goal-oriented ways. Let's combine efforts, make a plan, and get you moving forward!
Coping with changes at work? I'm a career counselor and licensed psychologist specializing in the work, educational, and career concerns of individuals and organizations. Issues like choosing or changing careers, deciding on a college major or schools, job loss, or reentering work after time away, can feel overwhelming-- especially when special needs or circumstances are involved. Burnout and work stress, as well, are painful problems, but can be solved. Career counseling and testing help get to the heart of the matter in focused, timely, and goal-oriented ways. Let's combine efforts, make a plan, and get you moving forward!
(804) 601-8941 View (804) 601-8941
Photo of Gabrielle Crowe, LPC Intern in Richmond, VA
Gabrielle Crowe
LPC Intern
Verified Verified
Richmond, VA 23230
I welcome you just as you are, wherever you find yourself in life's journey, and I am honored to stand beside you as we work together to navigate life’s challenges. I strive to cultivate a therapeutic environment grounded in safety, trust, and unconditional positive regard for clients of all identities. Here, your voice, your values, your joy, and your rest are important.
I welcome you just as you are, wherever you find yourself in life's journey, and I am honored to stand beside you as we work together to navigate life’s challenges. I strive to cultivate a therapeutic environment grounded in safety, trust, and unconditional positive regard for clients of all identities. Here, your voice, your values, your joy, and your rest are important.
(757) 720-7754 View (757) 720-7754
Photo of Hoang Oanh Rodgers, Licensed Professional Counselor in Richmond, VA
Hoang Oanh Rodgers
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23222
Hello, I am thrilled you are “visiting with me” today. It is an understatement to say, “I love being a therapist.” It took ten years of education to earn the privilege of sitting before my clients. Being a therapist is my life's work and my passion. I am very aware of my great responsibility as a therapist for my clients. Over the years, I am always awed and inspired by the resilience of those who have shared their story with me. My path to becoming a therapist many years ago fulfills me every day. I can't describe with words the feeling of pride that I feel when it's the last day of a successful treatment, ending with my client(s).
Hello, I am thrilled you are “visiting with me” today. It is an understatement to say, “I love being a therapist.” It took ten years of education to earn the privilege of sitting before my clients. Being a therapist is my life's work and my passion. I am very aware of my great responsibility as a therapist for my clients. Over the years, I am always awed and inspired by the resilience of those who have shared their story with me. My path to becoming a therapist many years ago fulfills me every day. I can't describe with words the feeling of pride that I feel when it's the last day of a successful treatment, ending with my client(s).
(804) 626-5728 View (804) 626-5728
Photo of Kristel Byrd, Clinical Social Work/Therapist in Richmond, VA
Kristel Byrd
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Hi, My name is Kristel. I am an LCSW who provides talk therapy via Telehealth. I am a multifaceted individual with a deep well of life experiences that inform my perspective. As a former military brat and spouse, I've intimately understood the complexities of life's transitions. My journey has taken me from being a stay-at-home mom to transitioning back into the workforce, granting me a unique appreciation for both roles.
Hi, My name is Kristel. I am an LCSW who provides talk therapy via Telehealth. I am a multifaceted individual with a deep well of life experiences that inform my perspective. As a former military brat and spouse, I've intimately understood the complexities of life's transitions. My journey has taken me from being a stay-at-home mom to transitioning back into the workforce, granting me a unique appreciation for both roles.
(804) 373-7631 View (804) 373-7631
Photo of Hope Porter, Clinical Social Work/Therapist in Richmond, VA
Hope Porter
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23226
I am passionate about working with college-aged folks and twentysomethings. As a twentysomething, you may be struggling with emerging adulthood life transitions and turning points, anxiety, anger, depression, low self-esteem and confidence, family stress, romantic relationship stress, trauma, grief and loss, and or career challenges. In our work together, I will seek to create a safe space for you to explore and understand these stressful challenges and turning points in order to build stronger self-esteem, greater self-awareness, healthier relationships, supportive tools, and balanced ways of living.
I am passionate about working with college-aged folks and twentysomethings. As a twentysomething, you may be struggling with emerging adulthood life transitions and turning points, anxiety, anger, depression, low self-esteem and confidence, family stress, romantic relationship stress, trauma, grief and loss, and or career challenges. In our work together, I will seek to create a safe space for you to explore and understand these stressful challenges and turning points in order to build stronger self-esteem, greater self-awareness, healthier relationships, supportive tools, and balanced ways of living.
(804) 894-9164 View (804) 894-9164
Photo of Sofia Anna Crowe, Clinical Social Work/Therapist in Richmond, VA
Sofia Anna Crowe
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Richmond, VA 23230
I have been a clinician for 23 years. I have a Master's from the U of MD Social Work program. I have enjoyed wide-ranging training and employment in many settings, including supervising a county-wide suicide hotline, in an adolescent residential facility, intensive outpatient and in-home therapy. I have worked in diverse settings, such as Johns Hopkins Methadone/Suboxone program and for an AZ Native Tribal Nation. I am experienced in diverse treatment modalities, including DBT (couples and family) dual-diagnosis treatment, Imago and in Imago/communication focused couples therapy, and multi-systemic or strategic family therapy.
I have been a clinician for 23 years. I have a Master's from the U of MD Social Work program. I have enjoyed wide-ranging training and employment in many settings, including supervising a county-wide suicide hotline, in an adolescent residential facility, intensive outpatient and in-home therapy. I have worked in diverse settings, such as Johns Hopkins Methadone/Suboxone program and for an AZ Native Tribal Nation. I am experienced in diverse treatment modalities, including DBT (couples and family) dual-diagnosis treatment, Imago and in Imago/communication focused couples therapy, and multi-systemic or strategic family therapy.
(804) 596-4564 View (804) 596-4564
Photo of Michael Keaveny, Psychologist in Richmond, VA
Michael Keaveny
Psychologist, PsyD
Verified Verified
Richmond, VA 23219
I am a Licensed Clinical Psychologist who specializes in mindfulness and acceptance based therapies. I help my clients become more aware of their thoughts and emotions and to learn how to manage them in a way that creates a sense of peace and freedom. I try to balance processed based therapy with skills training in order to give space for insight development but also to teach practical tools for managing distress. With a strong emphasis on values clarification, I help clients discover what is truly meaningful in their lives and work together to find ways to make active, long lasting change.
I am a Licensed Clinical Psychologist who specializes in mindfulness and acceptance based therapies. I help my clients become more aware of their thoughts and emotions and to learn how to manage them in a way that creates a sense of peace and freedom. I try to balance processed based therapy with skills training in order to give space for insight development but also to teach practical tools for managing distress. With a strong emphasis on values clarification, I help clients discover what is truly meaningful in their lives and work together to find ways to make active, long lasting change.
(804) 587-8109 View (804) 587-8109
Photo of Cynthia Repanshek, Psychologist in Richmond, VA
Cynthia Repanshek
Psychologist, LCP
Verified Verified
Richmond, VA 23235
My name is Cynthia (Cyndi) Repanshek, and I am a Licensed Clinical Psychologist. I am located in Fredericksburg, VA, but I see patients throughout Virginia via telehealth. I work with adults and specialize in anxiety, stress, depression, and OCD. I see therapy as a collaborative process. I am not dedicated to a sole modality, and I would like to work with you to determine what type of therapy is the best fit. I work with adults of all ages. I have treated a wide range of diagnoses, including adult ADHD, anxiety, depression, and OCD.
My name is Cynthia (Cyndi) Repanshek, and I am a Licensed Clinical Psychologist. I am located in Fredericksburg, VA, but I see patients throughout Virginia via telehealth. I work with adults and specialize in anxiety, stress, depression, and OCD. I see therapy as a collaborative process. I am not dedicated to a sole modality, and I would like to work with you to determine what type of therapy is the best fit. I work with adults of all ages. I have treated a wide range of diagnoses, including adult ADHD, anxiety, depression, and OCD.
(804) 567-7441 View (804) 567-7441
Photo of Julie E Ebersole, Resident in Counseling in Richmond, VA
Julie E Ebersole
Resident in Counseling, MA
Verified Verified
1 Endorsed
Richmond, VA 23226  (Online Only)
I believe, within each of us, lay the resources & strengths to tackle life's challenges. I am here to support you on your path of transformation, recognize you are the expert on your own life, & facilitate a deep dive into your capacity for change. I am genuinely committed to working by your side as we learn from one another! I will not pass judgment based on where you have been, currently are, or may be going. Practicing from a trauma-informed perspective challenges shame & guilt as they raise their ugly head along your journey of change. No matter what you choose to reveal to me, I will hold you in high regard – truly, I will.
I believe, within each of us, lay the resources & strengths to tackle life's challenges. I am here to support you on your path of transformation, recognize you are the expert on your own life, & facilitate a deep dive into your capacity for change. I am genuinely committed to working by your side as we learn from one another! I will not pass judgment based on where you have been, currently are, or may be going. Practicing from a trauma-informed perspective challenges shame & guilt as they raise their ugly head along your journey of change. No matter what you choose to reveal to me, I will hold you in high regard – truly, I will.
(540) 701-5084 View (540) 701-5084
Photo of Simone Hunt, Clinical Social Work/Therapist in Richmond, VA
Simone Hunt
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23222  (Online Only)
Hi, I am Simone. I know life can become difficult as we go through transitions. In these transitions comes changes in self-esteem and often times negative thoughts about ourselves. I work with preteens and women to improve self-esteem, self-confidence, and having a difficult time dealing with a new life transitions. We will support your wellness and emotional needs by utilizing coping strategies and having an open space to express vulnerable feelings.
Hi, I am Simone. I know life can become difficult as we go through transitions. In these transitions comes changes in self-esteem and often times negative thoughts about ourselves. I work with preteens and women to improve self-esteem, self-confidence, and having a difficult time dealing with a new life transitions. We will support your wellness and emotional needs by utilizing coping strategies and having an open space to express vulnerable feelings.
(804) 409-4297 View (804) 409-4297
Photo of Rachael Scholl, Clinical Social Work/Therapist in Richmond, VA
Rachael Scholl
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Richmond, VA 23235
In my practice, I work with clients to explore past experiences and how they might be influencing current thoughts, feelings, and behaviors — nurturing insight and awareness to elicit growth and desired change. I view therapy as a collaborative process that can assist in identifying and working through challenges so that life can be lived with greater balance and self-compassion. I strive to create a safe space for individuals to freely express their authentic selves, while working together to set and progress toward therapeutic goals.
In my practice, I work with clients to explore past experiences and how they might be influencing current thoughts, feelings, and behaviors — nurturing insight and awareness to elicit growth and desired change. I view therapy as a collaborative process that can assist in identifying and working through challenges so that life can be lived with greater balance and self-compassion. I strive to create a safe space for individuals to freely express their authentic selves, while working together to set and progress toward therapeutic goals.
(804) 376-9410 View (804) 376-9410
Photo of Christine Buzitsky, Clinical Social Work/Therapist in Richmond, VA
Christine Buzitsky
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Welcome, and thank you for considering me as a therapist to partner with you on your therapy journey! Taking the first steps to change your life can be challenging and, at times, a bit scary. I can relate to and understand how taking those initial steps to start a new journey can be uncomfortable. I can relate to and understand how taking those initial steps to start a new journey can be uncomfortable.
Welcome, and thank you for considering me as a therapist to partner with you on your therapy journey! Taking the first steps to change your life can be challenging and, at times, a bit scary. I can relate to and understand how taking those initial steps to start a new journey can be uncomfortable. I can relate to and understand how taking those initial steps to start a new journey can be uncomfortable.
(804) 203-9146 View (804) 203-9146
Photo of Adam Seehaver, Clinical Social Work/Therapist in Richmond, VA
Adam Seehaver
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23225  (Online Only)
Hi, I'm Adam and I'm looking forward to meeting and seeing if we are a good therapeutic match. In my career I've worked with a broad spectrum of clients hailing from many different ethnicities, age groups, genders, levels of education, socio-economic status, sexualities and personal histories. I recognize that behavior and mental health occur in a context.
Hi, I'm Adam and I'm looking forward to meeting and seeing if we are a good therapeutic match. In my career I've worked with a broad spectrum of clients hailing from many different ethnicities, age groups, genders, levels of education, socio-economic status, sexualities and personal histories. I recognize that behavior and mental health occur in a context.
(804) 596-4768 View (804) 596-4768
Photo of Allie Longworth in Richmond, VA
Allie Longworth
MS, MT-BC
Verified Verified
2 Endorsed
Richmond, VA 23230
Music takes the healing process deeper. It doesn't matter if you have never played music before. The music is my job - you just show up an open yourself up to the experience. Together we'll figure out your goals, such as learning how to deal with difficult emotions, overcome difficult struggles, enjoy healthier relationships, or live a more fulfilling life. Talking is important in music therapy, but music allows us to go deeper.
Music takes the healing process deeper. It doesn't matter if you have never played music before. The music is my job - you just show up an open yourself up to the experience. Together we'll figure out your goals, such as learning how to deal with difficult emotions, overcome difficult struggles, enjoy healthier relationships, or live a more fulfilling life. Talking is important in music therapy, but music allows us to go deeper.
(804) 238-7178 x101 View (804) 238-7178 x101
Photo of Lisa McIntosh, Licensed Professional Counselor in Richmond, VA
Lisa McIntosh
Licensed Professional Counselor, LPC
Verified Verified
Richmond, VA 23234
My name is Lisa McIntosh, LPC License 0701008421. I have more than 20 years of experience working with children, adolescents, and adults. My holistic approach focuses on the individual's emotional, psychological, and social well-being. I also focus on rapport building, goal setting, and implementing evidence-based treatment to help individuals and families identify and change their troubling emotions, thoughts, and behaviors.
My name is Lisa McIntosh, LPC License 0701008421. I have more than 20 years of experience working with children, adolescents, and adults. My holistic approach focuses on the individual's emotional, psychological, and social well-being. I also focus on rapport building, goal setting, and implementing evidence-based treatment to help individuals and families identify and change their troubling emotions, thoughts, and behaviors.
(804) 805-4859 View (804) 805-4859
Photo of Susan Ennis, Clinical Social Work/Therapist in Richmond, VA
Susan Ennis
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23222
Hello, I'm a Licensed Clinical Social Worker who works with adults, couples, and children experiencing grief, chronic illness, weight loss, and substance abuse issues. I am also a Certified Parent Coach with experience working with parents, foster parents, grandparents and teachers that may be struggling with children who have some behavioral issues. My goal is to provide an outlet for you to have emotional safety and help you identify your emotions. My approach utilizes CBT as well as Mindfulness techniques to provide you with adaptive coping strategies that allow you to slow down, and work to heal negative thinking.
Hello, I'm a Licensed Clinical Social Worker who works with adults, couples, and children experiencing grief, chronic illness, weight loss, and substance abuse issues. I am also a Certified Parent Coach with experience working with parents, foster parents, grandparents and teachers that may be struggling with children who have some behavioral issues. My goal is to provide an outlet for you to have emotional safety and help you identify your emotions. My approach utilizes CBT as well as Mindfulness techniques to provide you with adaptive coping strategies that allow you to slow down, and work to heal negative thinking.
(757) 997-7059 View (757) 997-7059
Photo of Sandra Bandas, Licensed Professional Counselor in Richmond, VA
Sandra Bandas
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
Richmond, VA 23230  (Online Only)
Not accepting new clients
Are you going through a difficult time at work, home or in relationships? Are you feeling over-whelmed, nervous and anxious? I'd like to help you identify the hidden meaning behind these feelings by providing you with a nurturing and supportive environment. We will work together to develop helpful tools to foster improvement in your daily life. I know how hard it is to ask for help. It may feel risky and uncomfortable. I respect that and will meet you where you are throughout the counseling process.
Are you going through a difficult time at work, home or in relationships? Are you feeling over-whelmed, nervous and anxious? I'd like to help you identify the hidden meaning behind these feelings by providing you with a nurturing and supportive environment. We will work together to develop helpful tools to foster improvement in your daily life. I know how hard it is to ask for help. It may feel risky and uncomfortable. I respect that and will meet you where you are throughout the counseling process.
(804) 451-4768 View (804) 451-4768
Photo of Kimberly Mcgrady, Clinical Social Work/Therapist in Richmond, VA
Kimberly Mcgrady
Clinical Social Work/Therapist, LCSW
Verified Verified
Richmond, VA 23220
Welcome! My name is Kimberly McGrady (VA license 0904015173). Right now it doesn't feel like it, but you can create change in your life! It is hard work to get your mind to stop doing all that unhealthy stuff like keeping you stuck, unmotivated, ruminating, anxious, fearful, insecure, depressed, being self-critical, and repeating negative patterns. Let's dive in, see where your head is, set some goals, create some new thought patterns, learn self-compassion, and get you back to living your best life. My ideal client wants to actively engage in therapy and learn effective mind skills to evolve and thrive.
Welcome! My name is Kimberly McGrady (VA license 0904015173). Right now it doesn't feel like it, but you can create change in your life! It is hard work to get your mind to stop doing all that unhealthy stuff like keeping you stuck, unmotivated, ruminating, anxious, fearful, insecure, depressed, being self-critical, and repeating negative patterns. Let's dive in, see where your head is, set some goals, create some new thought patterns, learn self-compassion, and get you back to living your best life. My ideal client wants to actively engage in therapy and learn effective mind skills to evolve and thrive.
(804) 429-1344 View (804) 429-1344

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
89% 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

79% 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.