Therapists in Asheville, NC

Photo of Susan J Foster, Psychologist in Asheville, NC
Susan J Foster
Psychologist, PhD
Verified Verified
Asheville, NC 28801
Do you want to change something in your life that isn't working for you? Perhaps you've been struggling with anxiety or depression, a relationship that isn't fulfilling, or a lack of purpose for your life. You may have gotten help before but found that it didn't last, or merely removed the symptoms. I will help you get relief by working to resolve your problem at its root cause.
Do you want to change something in your life that isn't working for you? Perhaps you've been struggling with anxiety or depression, a relationship that isn't fulfilling, or a lack of purpose for your life. You may have gotten help before but found that it didn't last, or merely removed the symptoms. I will help you get relief by working to resolve your problem at its root cause.
(978) 386-3052 View (978) 386-3052
Photo of Jamie Rischitelli, Clinical Social Work/Therapist in Asheville, NC
Jamie Rischitelli
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Asheville, NC 28801
I have been providing counseling services in the Asheville area since 2005. I offer a safe, gentle, strengths based approach in working with children and families. I primarily use a cognitive-behavioral approach with a strong emphasis on expressive arts and play as tools for self expression. I find this approach works well in helping children improve emotional regulation, verbalization of thoughts/feelings and helps them identify strengths/skills.
I have been providing counseling services in the Asheville area since 2005. I offer a safe, gentle, strengths based approach in working with children and families. I primarily use a cognitive-behavioral approach with a strong emphasis on expressive arts and play as tools for self expression. I find this approach works well in helping children improve emotional regulation, verbalization of thoughts/feelings and helps them identify strengths/skills.
(828) 827-5432 View (828) 827-5432
Photo of Andrea Siegel, Clinical Social Work/Therapist in Asheville, NC
Andrea Siegel
Clinical Social Work/Therapist, LCSWA
Verified Verified
Asheville, NC 28801
Are you wrestling with big questions? I will support you to cultivate hope and to act on what is in your power to change. If you have let yourself down, hurt others, or been hurt by others: I can help you to examine your wounded moral compass, to discern how it points you toward your true north. If you have cultural and spiritual traditions to include, we can lean into them –or not, according to your preference; I have trained in integrative health, chaplaincy, clinical social work, and the humanities. If you want a therapist who understands the stresses of university, healthcare, nonprofit, and religious institutions, I do!
Are you wrestling with big questions? I will support you to cultivate hope and to act on what is in your power to change. If you have let yourself down, hurt others, or been hurt by others: I can help you to examine your wounded moral compass, to discern how it points you toward your true north. If you have cultural and spiritual traditions to include, we can lean into them –or not, according to your preference; I have trained in integrative health, chaplaincy, clinical social work, and the humanities. If you want a therapist who understands the stresses of university, healthcare, nonprofit, and religious institutions, I do!
(828) 520-2957 View (828) 520-2957
Photo of Deidre Daly, Licensed Clinical Mental Health Counselor in Asheville, NC
Deidre Daly
Licensed Clinical Mental Health Counselor, MS, LCMHC, LPC
Verified Verified
2 Endorsed
Asheville, NC 28806  (Online Only)
I am a seasoned, virtual, private pay, pay what you can therapist. I graduated from the MFT program at Portland State University where I was trained in strategies and interventions that focus on you and the systems around you. I believe we develop our relationship strategies and our sense of self at a young age in ways that are adaptive to the world, and people, around us. Often times, we bring these old adaptive patterns to our adult relationships even when they are no longer serving us. I can help you to recognize and change these old relationship patterns, including your relationship with yourself, that no longer serve you.
I am a seasoned, virtual, private pay, pay what you can therapist. I graduated from the MFT program at Portland State University where I was trained in strategies and interventions that focus on you and the systems around you. I believe we develop our relationship strategies and our sense of self at a young age in ways that are adaptive to the world, and people, around us. Often times, we bring these old adaptive patterns to our adult relationships even when they are no longer serving us. I can help you to recognize and change these old relationship patterns, including your relationship with yourself, that no longer serve you.
(828) 845-8129 View (828) 845-8129
Photo of Mary Flora, Lic Clinical Mental Health Counselor Supervisor in Asheville, NC
Mary Flora
Lic Clinical Mental Health Counselor Supervisor, PhD, LCMHC, LCMHCS, LCAS, CCS
Verified Verified
1 Endorsed
Asheville, NC 28804
Adolescents, Adults, & Seniors are invited to explore relationship patterns that have contributed to psychological distress and gain awareness of how to positively contribute to interpersonal effectiveness, establish meaningful connections, and set appropriate boundaries. Self concept, unmet needs, and self defeating patterns are explored while establishing goals to reach your full potential. Healthy communication strategies and relationship principles are shared to promote prosocial engagement. Trauma focused, Jungian psychodynamic Theory & Community Resiliency Model Trained. Equine & Canine Assisted Service Provider.
Adolescents, Adults, & Seniors are invited to explore relationship patterns that have contributed to psychological distress and gain awareness of how to positively contribute to interpersonal effectiveness, establish meaningful connections, and set appropriate boundaries. Self concept, unmet needs, and self defeating patterns are explored while establishing goals to reach your full potential. Healthy communication strategies and relationship principles are shared to promote prosocial engagement. Trauma focused, Jungian psychodynamic Theory & Community Resiliency Model Trained. Equine & Canine Assisted Service Provider.
(828) 360-8153 View (828) 360-8153
Photo of Athena Dacanay, Psychologist in Asheville, NC
Athena Dacanay
Psychologist, PhD
Verified Verified
Asheville, NC 28803
Dr. Dacanay provides psychological treatment for children, adults, couples, and families who are adjusting to life changes, struggling to cope with anxiety and depression, needing of behavioral planning, or seeking couples/ family therapy. She helps individuals to be aware of, identify, and change debilitating thought patterns -- and to consistently choose to act effectively in the presence of difficult life events. She also promotes understanding and collaboration among family members in order to solve the problems of one or more individuals, especially with children and adolescents.
Dr. Dacanay provides psychological treatment for children, adults, couples, and families who are adjusting to life changes, struggling to cope with anxiety and depression, needing of behavioral planning, or seeking couples/ family therapy. She helps individuals to be aware of, identify, and change debilitating thought patterns -- and to consistently choose to act effectively in the presence of difficult life events. She also promotes understanding and collaboration among family members in order to solve the problems of one or more individuals, especially with children and adolescents.
(828) 382-8692 View (828) 382-8692
Photo of Holly Henry, Lic Clinical Mental Health Counselor Associate in Asheville, NC
Holly Henry
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Verified Verified
3 Endorsed
Asheville, NC 28801
Whether you're a couple or individual, I offer support to those seeking assistance in addressing relationship wounds, navigating harmful relationship dynamics, and tackling the intricate aspects of complex trauma. I also work with individuals who are grappling with the effects of anxiety, depression, grief, or emotional regulation, healing from religious or spiritual trauma, seeking to cultivate an embodied sense of self, or looking for support in navigating experiences of abuse.
Whether you're a couple or individual, I offer support to those seeking assistance in addressing relationship wounds, navigating harmful relationship dynamics, and tackling the intricate aspects of complex trauma. I also work with individuals who are grappling with the effects of anxiety, depression, grief, or emotional regulation, healing from religious or spiritual trauma, seeking to cultivate an embodied sense of self, or looking for support in navigating experiences of abuse.
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Photo of Hannah Fraser, Clinical Social Work/Therapist in Asheville, NC
Hannah Fraser
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28801
If you're seeking support during a period of significant life changes, interpersonal distress, grief/loss, anxiety, depression, or feeling lost without a sense of purpose, you've come to the right place. I specialize in empowering individuals like you with the skills to navigate these complexities and uncover your inner strength. I believe that the battles we face in life can become the catalysts for transformative growth and heightened happiness. By reframing our perspectives and utilizing the right tools, we can embark on a profound journey of self-discovery leading to a deeper understanding of ourselves and what truly matters.
If you're seeking support during a period of significant life changes, interpersonal distress, grief/loss, anxiety, depression, or feeling lost without a sense of purpose, you've come to the right place. I specialize in empowering individuals like you with the skills to navigate these complexities and uncover your inner strength. I believe that the battles we face in life can become the catalysts for transformative growth and heightened happiness. By reframing our perspectives and utilizing the right tools, we can embark on a profound journey of self-discovery leading to a deeper understanding of ourselves and what truly matters.
(828) 537-8353 View (828) 537-8353
Photo of Josh Stone, Counselor in Asheville, NC
Josh Stone
Counselor, MEd , LCMHC-A, NCC
Verified Verified
1 Endorsed
Asheville, NC 28803
There is no need to struggle alone, and yet we often do. Our suffering may appear in many different forms, from depression and anxiety, to relationship issues, substance use and more. It’s time to shed this idea that “we have to have it all together” and allow ourselves be human for a moment. In this honest space, my clients tend to become more in touch with their authentic selves and establish beliefs, values, narratives and take steps towards a more fulfilling and meaningful life.
There is no need to struggle alone, and yet we often do. Our suffering may appear in many different forms, from depression and anxiety, to relationship issues, substance use and more. It’s time to shed this idea that “we have to have it all together” and allow ourselves be human for a moment. In this honest space, my clients tend to become more in touch with their authentic selves and establish beliefs, values, narratives and take steps towards a more fulfilling and meaningful life.
(828) 800-9401 View (828) 800-9401
Photo of Martina Williams (Formerly Barnes), Licensed Professional Counselor in Asheville, NC
Martina Williams (Formerly Barnes)
Licensed Professional Counselor, MS, LCMHC, BCC
Verified Verified
Asheville, NC 28803
Waitlist for new clients
Are you an introvert and/or Highly Sensitive Person (HSP)? If so, there’s nothing wrong with you. In fact, you have super powers that the world needs! But you may feel, at times, that someone has hijacked your Spiritual Life Bus & thrown you out of the driver’s seat. It’s confusing to be so competent & high performing in some areas but not in others. The truth is, we all have areas where we struggle. Even the most successful of us. We all have parts that use outdated coping strategies. I can help you update these strategies so you can stay in the driver's seat & enjoy living life as the best version of you.
Are you an introvert and/or Highly Sensitive Person (HSP)? If so, there’s nothing wrong with you. In fact, you have super powers that the world needs! But you may feel, at times, that someone has hijacked your Spiritual Life Bus & thrown you out of the driver’s seat. It’s confusing to be so competent & high performing in some areas but not in others. The truth is, we all have areas where we struggle. Even the most successful of us. We all have parts that use outdated coping strategies. I can help you update these strategies so you can stay in the driver's seat & enjoy living life as the best version of you.
(828) 564-1073 View (828) 564-1073
Photo of Kristin Gonitzke, Marriage & Family Therapist Associate in Asheville, NC
Kristin Gonitzke
Marriage & Family Therapist Associate, MMFT, LMFTA
Verified Verified
1 Endorsed
Asheville, NC 28801
You’ve tried everything to reconnect with your partner, save your relationship, or remind yourself of why you fell in love way back when. You’re feeling resentful, the emotional labor feels one sided, and it feels impossible to find each other through the chaos of work, kids, life. It’s terrifying and overwhelming to be fighting all the time, and you’re confused about how it all fell apart. You want to understand the recurring argument and the missed connections that you're having, and start to rebuild the love that you’re afraid to lose.
You’ve tried everything to reconnect with your partner, save your relationship, or remind yourself of why you fell in love way back when. You’re feeling resentful, the emotional labor feels one sided, and it feels impossible to find each other through the chaos of work, kids, life. It’s terrifying and overwhelming to be fighting all the time, and you’re confused about how it all fell apart. You want to understand the recurring argument and the missed connections that you're having, and start to rebuild the love that you’re afraid to lose.
(828) 761-3975 View (828) 761-3975
Photo of Katie Ford, Licensed Professional Counselor in Asheville, NC
Katie Ford
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Asheville, NC 28801
Life can be tough. You had expectations of what you thought life would be. What you thought it would be like to perhaps be a mother, to raise a child, and to connect with your family. You imagined it, maybe even dreamed about it. However now you find that living it is not what you expected. Or perhaps not as fulfilling as you had imagined and hoped for. You feel disconnected, and maybe even guilty or frustrated.
Life can be tough. You had expectations of what you thought life would be. What you thought it would be like to perhaps be a mother, to raise a child, and to connect with your family. You imagined it, maybe even dreamed about it. However now you find that living it is not what you expected. Or perhaps not as fulfilling as you had imagined and hoped for. You feel disconnected, and maybe even guilty or frustrated.
(828) 528-4240 View (828) 528-4240
Photo of Becca Odom, Clinical Social Work/Therapist in Asheville, NC
Becca Odom
Clinical Social Work/Therapist, LCSW, E-RYT
Verified Verified
Asheville, NC 28801  (Online Only)
My style with clients is warm, compassionate, heart-centered, solution-focused & collaborative. As a clinical therapist & yoga teacher, my approach is rooted in somatic therapy, using the body to help us regulate & manage our emotions, symptoms and triggers more effectively in our daily life. I use embodiment practices combined with EMDR to help people heal from past experiences & live a life we love. My goal in working with clients is to help them cultivate a greater sense of compassion, connection, & mindful awareness with themselves & others.
My style with clients is warm, compassionate, heart-centered, solution-focused & collaborative. As a clinical therapist & yoga teacher, my approach is rooted in somatic therapy, using the body to help us regulate & manage our emotions, symptoms and triggers more effectively in our daily life. I use embodiment practices combined with EMDR to help people heal from past experiences & live a life we love. My goal in working with clients is to help them cultivate a greater sense of compassion, connection, & mindful awareness with themselves & others.
(828) 575-0152 View (828) 575-0152
Photo of Erika Greiner, Counselor in Asheville, NC
Erika Greiner
Counselor, MS, LCMHCA
Verified Verified
Asheville, NC 28806
If chronic stress and trauma is leaving you feeling disconnected and unsafe, I'd be honored to guide you on a journey of self-discovery and healing. My approach emphasizes recognizing and appreciating your strengths while empowering you to change patterns and move towards your desired outcomes.
If chronic stress and trauma is leaving you feeling disconnected and unsafe, I'd be honored to guide you on a journey of self-discovery and healing. My approach emphasizes recognizing and appreciating your strengths while empowering you to change patterns and move towards your desired outcomes.
(828) 528-7065 View (828) 528-7065
Photo of Rebecca Butler, Licensed Professional Counselor in Asheville, NC
Rebecca Butler
Licensed Professional Counselor, MS, LCMHC, SEP
Verified Verified
Asheville, NC 28801
Do you feel stuck, overwhelmed and disconnected from both, yourself and others? Do you often feel alone, worried, and ache to feel a deeper sense of belonging? I empower individuals like you to reclaim your inner voice and assert your boundaries and authenticity. Through somatic psychotherapy, a holistic approach that creates a stronger mind-body connection, I can help you embrace your entire being - mind, body, and soul - and confidently express yourself in the world. By healing your body and mind, you can live a more balanced and fulfilling life.
Do you feel stuck, overwhelmed and disconnected from both, yourself and others? Do you often feel alone, worried, and ache to feel a deeper sense of belonging? I empower individuals like you to reclaim your inner voice and assert your boundaries and authenticity. Through somatic psychotherapy, a holistic approach that creates a stronger mind-body connection, I can help you embrace your entire being - mind, body, and soul - and confidently express yourself in the world. By healing your body and mind, you can live a more balanced and fulfilling life.
(828) 484-0371 View (828) 484-0371
Photo of Georgia DeFrancia, Clinical Social Work/Therapist in Asheville, NC
Georgia DeFrancia
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Asheville, NC 28806
Welcome! It takes courage to enter into counseling and I am so glad you are here! I believe that your unique life experiences guide how you build relationships with yourself, others and the world around you. Therapy gives you an opportunity to more deeply understand these relationships as well as your feelings, behaviors, and thoughts. As a clinician I believe that you possess the innate wisdom, strengths and skills that you need. My role is to help guide you back to this wisdom to help you create the life you want.
Welcome! It takes courage to enter into counseling and I am so glad you are here! I believe that your unique life experiences guide how you build relationships with yourself, others and the world around you. Therapy gives you an opportunity to more deeply understand these relationships as well as your feelings, behaviors, and thoughts. As a clinician I believe that you possess the innate wisdom, strengths and skills that you need. My role is to help guide you back to this wisdom to help you create the life you want.
(828) 332-5678 View (828) 332-5678
Photo of JoDee Liebman, Clinical Social Work/Therapist in Asheville, NC
JoDee Liebman
Clinical Social Work/Therapist, LCSW, MSW, CEMDR
Verified Verified
Asheville, NC 28804  (Online Only)
Not accepting new clients
I approach therapy from a trauma perspective because regardless if you’re experiencing depression, poor self esteem, relationship problems, divorce, abuse, anxiety/panic, addiction, self-harm, or simply procrastination — there’s likely something from your past that’s playing havoc with your life today. Whatever holds you captive will also reveal the key for your more positive future. That’s why it’s imperative we start there. Left to yourself, it might just get more muddy and feel overwhelming. But, I’ve witnessed clients transform a negative self concept and painful past into strength, resilience, and healthy living.
I approach therapy from a trauma perspective because regardless if you’re experiencing depression, poor self esteem, relationship problems, divorce, abuse, anxiety/panic, addiction, self-harm, or simply procrastination — there’s likely something from your past that’s playing havoc with your life today. Whatever holds you captive will also reveal the key for your more positive future. That’s why it’s imperative we start there. Left to yourself, it might just get more muddy and feel overwhelming. But, I’ve witnessed clients transform a negative self concept and painful past into strength, resilience, and healthy living.
(828) 548-1408 View (828) 548-1408
Photo of Kristin Mamrack, Counselor in Asheville, NC
Kristin Mamrack
Counselor, MA, LCMHCA, NCC
Verified Verified
Asheville, NC 28803
You're worried and irritable, thinking of worst-case scenarios for everything. Are you constantly questioning yourself? Or afraid if you drop your guard, you'll lose control of yourself? You're probably exhausted and worry it will always be like this. You need a change. Constant stress and fear is so overwhelming and can have a chilling effect both on your relationship with others and with yourself. You want to be able to enjoy your life, without worrying about what comes next. You want to let go of the struggle for perfection. You deserve some peace. I can help you get there.
You're worried and irritable, thinking of worst-case scenarios for everything. Are you constantly questioning yourself? Or afraid if you drop your guard, you'll lose control of yourself? You're probably exhausted and worry it will always be like this. You need a change. Constant stress and fear is so overwhelming and can have a chilling effect both on your relationship with others and with yourself. You want to be able to enjoy your life, without worrying about what comes next. You want to let go of the struggle for perfection. You deserve some peace. I can help you get there.
(828) 301-4110 View (828) 301-4110
Photo of Elena Lange, Clinical Social Work/Therapist in Asheville, NC
Elena Lange
Clinical Social Work/Therapist, LCSW
Verified Verified
Asheville, NC 28801
Sometimes in life, we just feel overwhelmed. Anxious, depressed, scared. Old behavior patterns can often cause us to feel "stuck". Having a trained, experienced, and supportive professional to guide you through these frustrating, and often painful experiences, can be the key to making the change you want in your life.
Sometimes in life, we just feel overwhelmed. Anxious, depressed, scared. Old behavior patterns can often cause us to feel "stuck". Having a trained, experienced, and supportive professional to guide you through these frustrating, and often painful experiences, can be the key to making the change you want in your life.
(828) 552-5683 View (828) 552-5683
Photo of Brit Klepac, Licensed Clinical Mental Health Counselor in Asheville, NC
Brit Klepac
Licensed Clinical Mental Health Counselor, MA, LCMHC, REAT
Verified Verified
11 Endorsed
Asheville, NC 28806
Waitlist for new clients
Hi, I'm Brit. I'm a neurodivergent and highly sensitive expressive arts therapist. I support folks in Asheville and virtually throughout NC. I focus on working with folks across the lifespan who are navigating anxiety, life transitions, low self-worth, sensory sensitivities, grief or loss.
Hi, I'm Brit. I'm a neurodivergent and highly sensitive expressive arts therapist. I support folks in Asheville and virtually throughout NC. I focus on working with folks across the lifespan who are navigating anxiety, life transitions, low self-worth, sensory sensitivities, grief or loss.
(828) 761-3948 View (828) 761-3948

How does your Therapist compare?

Number of Therapists in Asheville, NC

1,000+

Average cost per session

$140

Therapists in Asheville, NC who prioritize treating:

92% Anxiety
85% Depression
78% Relationship Issues
77% Self Esteem
75% Trauma and PTSD
69% Stress
68% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
70% Aetna
50% UnitedHealthcare UHC | UBH

How Therapists in Asheville, NC see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in Asheville?

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.