Therapists in Nashville, TN

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Photo of Trey M French, Drug & Alcohol Counselor in Nashville, TN
Trey M French
Drug & Alcohol Counselor, LADACII
Verified Verified
Nashville, TN 37216  (Online Only)
Have you or someone you love been impacted by substance use in a negative way? Are you curious about what changes you can make to understand and address Substance Use Disorder? Are you unsure of what to do next or where to begin? I’m Trey, a Licensed Alcohol and Drug Abuse Counselor, and I am here to help. The decision to engage in therapy is a difficult and commendable choice. I’m committed to providing a safe and validating atmosphere to honor this sacred journey. My practice is a space for individuals who are in early or ongoing recovery and those that love them.
Have you or someone you love been impacted by substance use in a negative way? Are you curious about what changes you can make to understand and address Substance Use Disorder? Are you unsure of what to do next or where to begin? I’m Trey, a Licensed Alcohol and Drug Abuse Counselor, and I am here to help. The decision to engage in therapy is a difficult and commendable choice. I’m committed to providing a safe and validating atmosphere to honor this sacred journey. My practice is a space for individuals who are in early or ongoing recovery and those that love them.
(615) 392-4686 View (615) 392-4686
Photo of Christi Sidwell, Clinical Social Work/Therapist in Nashville, TN
Christi Sidwell
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Nashville, TN 37204
I believe that we all deserve support and at the core of personal transformation is a duality of self-compassion and desire for change. As humans we are intrinsically wired for connection, resiliency and healing. However, sometimes there are things from the past or other life stressors that cause us to feel stuck and that healing is out of our reach. I am deeply interested in the mind-body connection and believe reconnecting to our bodies can be incredibly transformational. I work with folks in adolescence and adulthood who are desiring to address trauma, optimal performance, depression, anxiety and life transitions.
I believe that we all deserve support and at the core of personal transformation is a duality of self-compassion and desire for change. As humans we are intrinsically wired for connection, resiliency and healing. However, sometimes there are things from the past or other life stressors that cause us to feel stuck and that healing is out of our reach. I am deeply interested in the mind-body connection and believe reconnecting to our bodies can be incredibly transformational. I work with folks in adolescence and adulthood who are desiring to address trauma, optimal performance, depression, anxiety and life transitions.
(615) 637-3637 View (615) 637-3637
Photo of Kendra K Allen, Counselor in Nashville, TN
Kendra K Allen
Counselor, LPC, MHSP
Verified Verified
1 Endorsed
Nashville, TN 37204
Waitlist for new clients
The decision to engage yourself in a therapeutic relationship is a courageous choice that can yield rewarding and profound insights and changes in your life. I find it a great privilege to partner with my clients as we explore and discover the complexities and challenges of their unique story. Our work will be collaborative as I assist you in finding wholeness, balance, a greater acceptance of yourself and relational and spiritual health. My goal is to listen well and offer a respectful, empathic, and honest environment to help you grow, heal and rediscover your truest, most congruent self.
The decision to engage yourself in a therapeutic relationship is a courageous choice that can yield rewarding and profound insights and changes in your life. I find it a great privilege to partner with my clients as we explore and discover the complexities and challenges of their unique story. Our work will be collaborative as I assist you in finding wholeness, balance, a greater acceptance of yourself and relational and spiritual health. My goal is to listen well and offer a respectful, empathic, and honest environment to help you grow, heal and rediscover your truest, most congruent self.
(615) 465-0490 View (615) 465-0490
Photo of Emily Hoskins, Licensed Professional Counselor in Nashville, TN
Emily Hoskins
Licensed Professional Counselor, LPC, MHSP
Verified Verified
1 Endorsed
Nashville, TN 37216
Is your child struggling with something and you're unsure of how to best help? Maybe your young child is struggling to manage their big feelings in healthy ways. Maybe your preteen is struggling with perfectionism or friendships. Maybe your teen is struggling with anxiety about the future. Maybe your family is facing some problems that are causing conflict. Whatever the problem, I want to help your child be the best possible versions of themselves.
Is your child struggling with something and you're unsure of how to best help? Maybe your young child is struggling to manage their big feelings in healthy ways. Maybe your preteen is struggling with perfectionism or friendships. Maybe your teen is struggling with anxiety about the future. Maybe your family is facing some problems that are causing conflict. Whatever the problem, I want to help your child be the best possible versions of themselves.
(615) 703-4105 View (615) 703-4105
Photo of Lauren Kelly, Counselor in Nashville, TN
Lauren Kelly
Counselor, LPC, MHSP, NCC
Verified Verified
Nashville, TN 37214
By creating a safe, inclusive and judgment free environment, I strive to provide a space that fosters connection and understanding. I am passionate about working with individuals who struggle with complex trauma, eating disorders/disordered eating, weight and body image concerns, and anxiety
By creating a safe, inclusive and judgment free environment, I strive to provide a space that fosters connection and understanding. I am passionate about working with individuals who struggle with complex trauma, eating disorders/disordered eating, weight and body image concerns, and anxiety
(615) 905-1442 View (615) 905-1442
Photo of Megan Barbee, Licensed Professional Counselor in Nashville, TN
Megan Barbee
Licensed Professional Counselor, LPC, MHSP
Verified Verified
3 Endorsed
Nashville, TN 37207
I work with kids, adolescents, and adults who feel stuck; they are experiencing symptoms such as anxiety, depression, relationship problems, and disordered eating. Many have carried the weight of traumatic experiences for as long as they can remember. Many feel that they spend excess time worrying about food and their bodies and find it hard to engage fully in their lives. They continue to feel out of control of their relationships, their bodies, and their emotions. They feel numb and isolated on the surface, and deep down feel hurt and helpless.
I work with kids, adolescents, and adults who feel stuck; they are experiencing symptoms such as anxiety, depression, relationship problems, and disordered eating. Many have carried the weight of traumatic experiences for as long as they can remember. Many feel that they spend excess time worrying about food and their bodies and find it hard to engage fully in their lives. They continue to feel out of control of their relationships, their bodies, and their emotions. They feel numb and isolated on the surface, and deep down feel hurt and helpless.
(615) 326-6352 View (615) 326-6352
Photo of Julia Hoge, Licensed Professional Counselor in Nashville, TN
Julia Hoge
Licensed Professional Counselor, EdS, NCC, LPCtemp
Verified Verified
Nashville, TN 37216
Waitlist for new clients
I believe in the counseling process; the space it opens internally and the shifting it can provide for clients and families on their life's journey. With over a decade of counseling children and adolescents in Metro Nashville Public Schools, I have a unique and expansive experience working with children, adolescents, and their families as they find togetherness, and themselves.
I believe in the counseling process; the space it opens internally and the shifting it can provide for clients and families on their life's journey. With over a decade of counseling children and adolescents in Metro Nashville Public Schools, I have a unique and expansive experience working with children, adolescents, and their families as they find togetherness, and themselves.
(615) 985-6821 View (615) 985-6821
Photo of Jason Daniels Therapy, Clinical Social Work/Therapist in Nashville, TN
Jason Daniels Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Nashville, TN 37203
I'm Jason Daniels, a licensed psychotherapist with a private practice in Nashville, Tennessee. I provide psychotherapy for individuals and couples, coping with a wide variety of life challenges. I have two decades of experience partnering with clients to collaborate, and thus find solutions to help them live their lives more successfully and meaningfully. I create a safe and supportive environment in which you can talk about your situation comfortably and confidentially. Through the therapy process, we can learn to manage stress, cultivate mindfulness, and move towards living a more fulfilling life.
I'm Jason Daniels, a licensed psychotherapist with a private practice in Nashville, Tennessee. I provide psychotherapy for individuals and couples, coping with a wide variety of life challenges. I have two decades of experience partnering with clients to collaborate, and thus find solutions to help them live their lives more successfully and meaningfully. I create a safe and supportive environment in which you can talk about your situation comfortably and confidentially. Through the therapy process, we can learn to manage stress, cultivate mindfulness, and move towards living a more fulfilling life.
(615) 930-3587 View (615) 930-3587
Photo of Elaine Willis, Licensed Professional Counselor in Nashville, TN
Elaine Willis
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
Nashville, TN 37214
Do you struggle with anxiety, depression, grief, a challenging relationship, loss of a sense of self that affects your day-to-day life? Do you feel exhausted, overwhelmed and/or stuck in areas of your life? We all have times in our lives when we want things to be different, but we are just not sure how to make that change or what is holding us back. I believe that together we can figure out a plan that will move you forward in the change that you desire.
Do you struggle with anxiety, depression, grief, a challenging relationship, loss of a sense of self that affects your day-to-day life? Do you feel exhausted, overwhelmed and/or stuck in areas of your life? We all have times in our lives when we want things to be different, but we are just not sure how to make that change or what is holding us back. I believe that together we can figure out a plan that will move you forward in the change that you desire.
(615) 965-5119 View (615) 965-5119
Photo of Will Radford Counseling, Clinical Social Work/Therapist in Nashville, TN
Will Radford Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Nashville, TN 37212
I am a Licensed Clinical Social Worker who has been practicing in the field of behavioral health for many years. My formal education is a bachelor’s degree in Psychology and a master’s in Clinical Social Work. I am trained in CRM, EMDR, DBT, CBT (described in services and website) and have worked in the addictions field for over 25 years. My experience includes working with adolescents, couples, families and individuals dealing with issues from addiction to anxiety and depression. I normally work with people 18 and older but in the right circumstance will see younger. I see families and couples. I also offer Recovery Coaching.
I am a Licensed Clinical Social Worker who has been practicing in the field of behavioral health for many years. My formal education is a bachelor’s degree in Psychology and a master’s in Clinical Social Work. I am trained in CRM, EMDR, DBT, CBT (described in services and website) and have worked in the addictions field for over 25 years. My experience includes working with adolescents, couples, families and individuals dealing with issues from addiction to anxiety and depression. I normally work with people 18 and older but in the right circumstance will see younger. I see families and couples. I also offer Recovery Coaching.
(615) 398-4523 View (615) 398-4523
Photo of Marie Rutherford, Pre-Licensed Professional in Nashville, TN
Marie Rutherford
Pre-Licensed Professional, MS
Verified Verified
Nashville, TN 37214
A U.S. Army Veteran who has passion to helps others and their families. For the past two years I have provided counseling to those with substance abuse disorder and additional mental health disorders from all walks of life.
A U.S. Army Veteran who has passion to helps others and their families. For the past two years I have provided counseling to those with substance abuse disorder and additional mental health disorders from all walks of life.
(615) 697-6501 View (615) 697-6501
Photo of Dr. Heather Joppich, Psychologist in Nashville, TN
Dr. Heather Joppich
Psychologist, PhD
Verified Verified
1 Endorsed
Nashville, TN 37212
I specialize in neurodiversity-affirming assessments for autism, ADHD and mental health for children and adults. Clients often come to me seeking testing for the first time or as a second opinion after feeling misunderstood by other clinicians. My goal is to understand more about your unique lived experience and neurodivergence, get you the right diagnosis, and help you get connected with the resources that you need.
I specialize in neurodiversity-affirming assessments for autism, ADHD and mental health for children and adults. Clients often come to me seeking testing for the first time or as a second opinion after feeling misunderstood by other clinicians. My goal is to understand more about your unique lived experience and neurodivergence, get you the right diagnosis, and help you get connected with the resources that you need.
(615) 632-6752 View (615) 632-6752
Photo of Laura M. Jones, Clinical Social Work/Therapist in Nashville, TN
Laura M. Jones
Clinical Social Work/Therapist, LMSW, MSW
Verified Verified
Nashville, TN 37206
Hello and welcome! I am so glad you’re here. I recognize that finding a new therapist takes courage. My primarily goal is to create a calm, safe, non-judgmental space where every part of you feels welcomed. I empower individuals by being curious about their experiences, understanding their goals, and celebrating all the victories - big or small. As a trauma therapist, I know how easy it is to feel disconnected, fragmented, or isolated. Therapy is an incredible tool for restoring your sense of self and healing the parts of you that experience pain.
Hello and welcome! I am so glad you’re here. I recognize that finding a new therapist takes courage. My primarily goal is to create a calm, safe, non-judgmental space where every part of you feels welcomed. I empower individuals by being curious about their experiences, understanding their goals, and celebrating all the victories - big or small. As a trauma therapist, I know how easy it is to feel disconnected, fragmented, or isolated. Therapy is an incredible tool for restoring your sense of self and healing the parts of you that experience pain.
(615) 379-9470 View (615) 379-9470
Photo of Rachel Gunn, Licensed Professional Counselor in Nashville, TN
Rachel Gunn
Licensed Professional Counselor, MA, LPC
Verified Verified
Nashville, TN 37212
I am dedicated to creating a warm, supportive, non-judgmental space for personal growth and healing, where your full authentic self is welcomed. I believe that one of the most important parts of healing in therapy is developing a compassionate therapeutic relationship, built upon respect, trust, curiosity, and thoughtfulness. I work primarily with teens and adults who may be struggling with life transitions, anxiety, OCD, depression, trauma, relationship issues, and more.
I am dedicated to creating a warm, supportive, non-judgmental space for personal growth and healing, where your full authentic self is welcomed. I believe that one of the most important parts of healing in therapy is developing a compassionate therapeutic relationship, built upon respect, trust, curiosity, and thoughtfulness. I work primarily with teens and adults who may be struggling with life transitions, anxiety, OCD, depression, trauma, relationship issues, and more.
(615) 398-4525 View (615) 398-4525
Photo of Ira Helderman, Counselor in Nashville, TN
Ira Helderman
Counselor, PhD, LPC
Verified Verified
Nashville, TN 37212
Together we will find the right path, and right set of practical tools, to help you overcome obstacles and become your best self. After over a decade-and-a-half working in mental health, I am skilled in the latest, evidence-based therapies available (e.g., Relational Mindfulness and Acceptance & Commitment Therapy). But no single approach works for all people at all times and, remaining flexible, we will create a safe therapeutic environment with the best combination of techniques that works for you. So many different psychotherapies exist today because there is no one approach that works at all times.
Together we will find the right path, and right set of practical tools, to help you overcome obstacles and become your best self. After over a decade-and-a-half working in mental health, I am skilled in the latest, evidence-based therapies available (e.g., Relational Mindfulness and Acceptance & Commitment Therapy). But no single approach works for all people at all times and, remaining flexible, we will create a safe therapeutic environment with the best combination of techniques that works for you. So many different psychotherapies exist today because there is no one approach that works at all times.
(615) 763-3960 View (615) 763-3960
Photo of Andrew Chapman, Clinical Social Work/Therapist in Nashville, TN
Andrew Chapman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Nashville, TN 37207
Honest self-reflection is the answer to so many of our problems. At many points throughout our lives, we learn to ease life’s burdens by shutting down, acting out, or running away in attempts to find relief. Even our most destructive coping strategies were often the best answers we could find at the time to manage our anxieties, our desires, and our pain. When we allow ourselves the opportunity to slow down and reflect on our lives, both past and present, we deepen our understanding and insight. And, as we explore our lives without moralizing and harshness, we develop genuine compassion and greater trust in ourselves.
Honest self-reflection is the answer to so many of our problems. At many points throughout our lives, we learn to ease life’s burdens by shutting down, acting out, or running away in attempts to find relief. Even our most destructive coping strategies were often the best answers we could find at the time to manage our anxieties, our desires, and our pain. When we allow ourselves the opportunity to slow down and reflect on our lives, both past and present, we deepen our understanding and insight. And, as we explore our lives without moralizing and harshness, we develop genuine compassion and greater trust in ourselves.
(615) 258-6995 View (615) 258-6995
Photo of Emily Duncan, Clinical Social Work/Therapist in Nashville, TN
Emily Duncan
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Nashville, TN 37221  (Online Only)
Do you ever feel like maybe you should talk to someone but don’t feel like things are “bad enough” yet? Do you feel like “other people have it worse” and “I should be thankful” instead of asking for help? Maybe you don’t feel like adding one more thing to your already hectic schedule. You also probably just don’t feel like fighting traffic in what little free time you do have. Did you know your life doesn’t have to be completely falling apart in order to seek therapy services? What if I told you that you could cut the travel and maximize your precious free time by attending teletherapy services from the comfort of your own space?
Do you ever feel like maybe you should talk to someone but don’t feel like things are “bad enough” yet? Do you feel like “other people have it worse” and “I should be thankful” instead of asking for help? Maybe you don’t feel like adding one more thing to your already hectic schedule. You also probably just don’t feel like fighting traffic in what little free time you do have. Did you know your life doesn’t have to be completely falling apart in order to seek therapy services? What if I told you that you could cut the travel and maximize your precious free time by attending teletherapy services from the comfort of your own space?
(615) 236-6433 View (615) 236-6433
Photo of Leslie Ann Binch, Licensed Professional Counselor in Nashville, TN
Leslie Ann Binch
Licensed Professional Counselor, LPC, MHSP
Verified Verified
3 Endorsed
Nashville, TN 37206
Talk therapy is not enough. My approach to therapy focuses on combining cognitive and somatic therapies to strengthen connection to self, and reduce the blocks to healing. The goal is to connect to your authenticity, and have the freedom to find positive and affirming ways to enjoy relationships with self and others. The goal is to experience life without shutting down or disconnecting, and/or using destructive behaviors to reduce pain and distress. Attaining the freedom to choose what you want for yourself, begins with taking the first step.
Talk therapy is not enough. My approach to therapy focuses on combining cognitive and somatic therapies to strengthen connection to self, and reduce the blocks to healing. The goal is to connect to your authenticity, and have the freedom to find positive and affirming ways to enjoy relationships with self and others. The goal is to experience life without shutting down or disconnecting, and/or using destructive behaviors to reduce pain and distress. Attaining the freedom to choose what you want for yourself, begins with taking the first step.
(615) 274-4233 View (615) 274-4233
Photo of Cameron Mashburn, Clinical Social Work/Therapist in Nashville, TN
Cameron Mashburn
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Nashville, TN 37215
Welcome! Whether you are looking to begin therapy after a life change or traumatic experience, or are just hoping to find a space where you can fully be yourself, I am so glad you are here. Being allowed to come alongside someone as they face deep hurt and vulnerability, to challenge and celebrate them, to laugh and cry with them, is such an honor for me. I specialize in working with adolescents and adults who are experiencing life transitions, trauma, grief, anxiety, OCD, or depression. I specifically enjoy working with women in the postpartum period and those looking to increase their ability to connect with others.
Welcome! Whether you are looking to begin therapy after a life change or traumatic experience, or are just hoping to find a space where you can fully be yourself, I am so glad you are here. Being allowed to come alongside someone as they face deep hurt and vulnerability, to challenge and celebrate them, to laugh and cry with them, is such an honor for me. I specialize in working with adolescents and adults who are experiencing life transitions, trauma, grief, anxiety, OCD, or depression. I specifically enjoy working with women in the postpartum period and those looking to increase their ability to connect with others.
(423) 561-9288 View (423) 561-9288
Photo of Laura Fritzsche, Licensed Professional Counselor in Nashville, TN
Laura Fritzsche
Licensed Professional Counselor, LPC, MHSP
Verified Verified
15 Endorsed
Nashville, TN 37212
Waitlist for new clients
You may be experiencing "stuckness" in your life, feeling caught in thought loops that have left you overwhelmed, anxious, in pain, hopeless. Yet, something brought you here – somewhere within you is an action tendency to move toward healing, growth, and connection. Whether you are dealing with anxiety, OCD, trauma, or existential struggles over identity, relationships, loss, or life transitions, together through therapy, we can tap into that healing energy already within you, reframe and make space for painful experiences, reconstruct ways of moving through the world, and create space for movement toward what matters most to you.
You may be experiencing "stuckness" in your life, feeling caught in thought loops that have left you overwhelmed, anxious, in pain, hopeless. Yet, something brought you here – somewhere within you is an action tendency to move toward healing, growth, and connection. Whether you are dealing with anxiety, OCD, trauma, or existential struggles over identity, relationships, loss, or life transitions, together through therapy, we can tap into that healing energy already within you, reframe and make space for painful experiences, reconstruct ways of moving through the world, and create space for movement toward what matters most to you.
(615) 645-2688 View (615) 645-2688

How does your Therapist compare?

Number of Therapists in Nashville, TN

1,000+

Average cost per session

$140

Therapists in Nashville, TN who prioritize treating:

92% Anxiety
85% Depression
78% Relationship Issues
77% Self Esteem
71% Trauma and PTSD
69% Coping Skills
69% Stress

Average years in practice

9 Years

Top 3 insurances accepted

74% Cigna and Evernorth
73% Aetna
65% UnitedHealthcare UHC | UBH

How Therapists in Nashville, TN see their clients

76% In Person and Online
24% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Nashville?

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.