Therapists in 22046
![Photo of Marissa Gilbert, Pre-Licensed Professional](https://photos.psychologytoday.com/2ad435d7-74c7-4840-a8aa-1a6e0e1a95f5/2/320x400.jpeg)
I support clients on your journey of mind-body connection by helping you develop accessible tools to navigate life’s stressors with the focus being day-to-day progress rather than absolute perfection.
I support clients on your journey of mind-body connection by helping you develop accessible tools to navigate life’s stressors with the focus being day-to-day progress rather than absolute perfection.
![Photo of Luciana C Oliveira, LMSW](https://photos.psychologytoday.com/98cbb39f-5e16-4316-9316-fba3d10a187c/1/320x400.jpeg)
Luciana C Oliveira
Licensed Master Social Worker, LMSW
Verified Verified
Falls Church, VA 22046
Not accepting new clients
Luciana offers culturally sensitive psychotherapy to children who may struggle with anxiety, behavioral issues, learning and intellectual disabilities, and school challenges. She utilizes an emotionally focused strength-based approach to help children understand the connection between their thoughts, emotions, behaviors, and their body’s physical reactions. Children can develop and strengthen their self-confidence, impulse control, and coping skills through this holistic process. Luciana incorporates strategies from various therapy modalities to encourage emotional awareness, regulation, and expression.
Luciana offers culturally sensitive psychotherapy to children who may struggle with anxiety, behavioral issues, learning and intellectual disabilities, and school challenges. She utilizes an emotionally focused strength-based approach to help children understand the connection between their thoughts, emotions, behaviors, and their body’s physical reactions. Children can develop and strengthen their self-confidence, impulse control, and coping skills through this holistic process. Luciana incorporates strategies from various therapy modalities to encourage emotional awareness, regulation, and expression.
![Photo of Olga A Haines, MA, CCATP](https://photos.psychologytoday.com/edcf8cca-2d46-4725-8c09-1d16cd09ca75/2/320x400.jpeg)
I provide my clients with a safe, judgement-free environment so they feel supported from the first point of contact throughout our therapeutic relationship. I value individual differences in each of my clients and provide space for them to be who they are. Being unedited and open with oneself is essential for understanding the sources of anxiety, depression, relationship issues and many other concerns. I have a wide array of clinical experience as I work with adolescents and adults. Some of specialties are: depression, relationship issues, women issues, narcissistic abuse, crisis, grief, trauma, life transitions.
I provide my clients with a safe, judgement-free environment so they feel supported from the first point of contact throughout our therapeutic relationship. I value individual differences in each of my clients and provide space for them to be who they are. Being unedited and open with oneself is essential for understanding the sources of anxiety, depression, relationship issues and many other concerns. I have a wide array of clinical experience as I work with adolescents and adults. Some of specialties are: depression, relationship issues, women issues, narcissistic abuse, crisis, grief, trauma, life transitions.
![Photo of Ashley Fischer, MS, Pre-Licensed Professional](https://photos.psychologytoday.com/28a88934-04ce-4b14-8bf2-a577a164fa6b/2/320x400.jpeg)
You’ve made it this far, now what? Starting your counseling journey can be overwhelming and confusing at times. The most important things to remember are that you are worth the effort, to always be curious, and that I am here to help support you through your process. It has always been clear to me that it takes a community to support an individual. We often turn to our families, friends, educators, and leaders for guidance in challenging situations. My role as a counselor is to help guide you through the challenges you might be facing in a confidential, empathetic, and supportive environment.
You’ve made it this far, now what? Starting your counseling journey can be overwhelming and confusing at times. The most important things to remember are that you are worth the effort, to always be curious, and that I am here to help support you through your process. It has always been clear to me that it takes a community to support an individual. We often turn to our families, friends, educators, and leaders for guidance in challenging situations. My role as a counselor is to help guide you through the challenges you might be facing in a confidential, empathetic, and supportive environment.
![Photo of Suzie Long, PhD, Psychologist](https://photos.psychologytoday.com/0c420d97-6371-43b8-87fb-acf368b7c8bd/2/320x400.jpeg)
I specialize in Rumination-Focused ERP (RF-ERP) for OCD. This approach to ERP focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. I recognize the value of integrating psychoanalytic treatment with ERP to provide a comprehensive therapeutic approach that goes beyond symptom management.
I specialize in Rumination-Focused ERP (RF-ERP) for OCD. This approach to ERP focuses on treating compulsive rumination, and provides a highly systematic yet gentler approach to exposure therapy. I recognize the value of integrating psychoanalytic treatment with ERP to provide a comprehensive therapeutic approach that goes beyond symptom management.
![Photo of Bethany M Vanderbilt, LCSW, PMH-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/46fb0399-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Bethany M Vanderbilt
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Falls Church, VA 22046
I am an LCSW with extensive experience in trauma and attachment work and have a significant history working with children and their caregivers. I have taken a particular interest in working with caregivers who are experiencing perinatal mental health challenges. I believe in the power of connection: connection to one's own inner sense of self, connection between caregivers and their infants/children to build healthy attachment patterns, connection between couples in the midst of parenting, and the healing connection that can occur through therapy.
I am an LCSW with extensive experience in trauma and attachment work and have a significant history working with children and their caregivers. I have taken a particular interest in working with caregivers who are experiencing perinatal mental health challenges. I believe in the power of connection: connection to one's own inner sense of self, connection between caregivers and their infants/children to build healthy attachment patterns, connection between couples in the midst of parenting, and the healing connection that can occur through therapy.
![Photo of Susan Bender, Pre-Licensed Professional](https://photos.psychologytoday.com/448fb46a-e1fb-4017-bfda-a1577adb3471/1/320x400.jpeg)
I currently provide individual psychotherapy to children (ages 5 and over), adolescents, and young adults. I use a holistic approach in working with individuals who may struggle with anxiety, depression, social skills, relationships, low self-esteem, emotional regulation, ADHD, executive functioning difficulties, life transitions, and related issues. I also specialize in administering psychological evaluations.
I currently provide individual psychotherapy to children (ages 5 and over), adolescents, and young adults. I use a holistic approach in working with individuals who may struggle with anxiety, depression, social skills, relationships, low self-esteem, emotional regulation, ADHD, executive functioning difficulties, life transitions, and related issues. I also specialize in administering psychological evaluations.
![Photo of Thomas F Lamp, LPC, CADC, SAP, CSAT, Counselor](https://photos.psychologytoday.com/3ce3887e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I believe that for every person is unique and treatment solutions should be tailored to meet these individual needs.I stress creating a comfortable-judgement free environment to maximize trust and comfort in the therapeutic relationship. Within the safety of a trusting and respectful therapeutic relationship lies the power to overcome the most seemingly overwhelming obstacles.
I believe that for every person is unique and treatment solutions should be tailored to meet these individual needs.I stress creating a comfortable-judgement free environment to maximize trust and comfort in the therapeutic relationship. Within the safety of a trusting and respectful therapeutic relationship lies the power to overcome the most seemingly overwhelming obstacles.
![Photo of Bridget Kraft, NCC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/43c8e6ce-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Bridget Kraft
Licensed Professional Counselor, NCC, LPC
Verified Verified
2 Endorsed
Falls Church, VA 22046
Waitlist for new clients
Counseling is amazing. Whether your problem seems simple or more complex, it is a privilege to partner with you through the process. I am 7 years into my private practice working with adults, teens and kids, and I have 13 years experience as an elementary school counselor working with children ages 4-12. The focus of my training and work with clients has included: anger, anxiety, autism spectrum disorder, depression, divorce, emotional difficulties, learning disabilities, foster care, grief/loss, OCD, trauma/abuse and more. My clients can expect a safe space to be reflective, vulnerable, heard and appreciated.
Counseling is amazing. Whether your problem seems simple or more complex, it is a privilege to partner with you through the process. I am 7 years into my private practice working with adults, teens and kids, and I have 13 years experience as an elementary school counselor working with children ages 4-12. The focus of my training and work with clients has included: anger, anxiety, autism spectrum disorder, depression, divorce, emotional difficulties, learning disabilities, foster care, grief/loss, OCD, trauma/abuse and more. My clients can expect a safe space to be reflective, vulnerable, heard and appreciated.
![Photo of Jordi Izzard, MA, NCC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/3bedc7cb-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jordi Izzard
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Falls Church, VA 22046
Jordi Izzard, NCC, LPC, grew up an American in South East Asia, received her undergraduate education at Duke University, worked in Corporate America for a decade, all prior to obtaining her Master's degree in Community Counseling (her true passion) from Marymount University. As a Licensed Counselor at Sunstone Counseling, Jordi works collaboratively with clients, helping them to reflect on experiences and to face life's challenges in ways that bring them to greater self-awareness and deserved contentment.
Jordi Izzard, NCC, LPC, grew up an American in South East Asia, received her undergraduate education at Duke University, worked in Corporate America for a decade, all prior to obtaining her Master's degree in Community Counseling (her true passion) from Marymount University. As a Licensed Counselor at Sunstone Counseling, Jordi works collaboratively with clients, helping them to reflect on experiences and to face life's challenges in ways that bring them to greater self-awareness and deserved contentment.
![Photo of Angelique Bush, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1c1f6284-0b60-4cb0-b9c2-093f868ada0d/2/320x400.jpeg)
Angelique Bush
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Falls Church, VA 22046
Being a therapist is a great privilege and honor. I am deeply passionate about working with older teens, college students, and young adults as they navigate the unique challenges life throws at them. I specialize in working with people who are struggling with anxiety and depression, as well as times of stress, adjustment, transitioning and changing identity to help reach a sense of authenticity, fulfillment, and well being again.
Being a therapist is a great privilege and honor. I am deeply passionate about working with older teens, college students, and young adults as they navigate the unique challenges life throws at them. I specialize in working with people who are struggling with anxiety and depression, as well as times of stress, adjustment, transitioning and changing identity to help reach a sense of authenticity, fulfillment, and well being again.
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![Photo of Rachel Stewart, MA, NCC, Pre-Licensed Professional](https://photos.psychologytoday.com/133200a3-c5f3-46d2-a6ef-121be2d8c5ea/1/320x400.jpeg)
I am passionate about helping adolescents, adults and families who are experiencing issues such as anxiety, depression, life transitions, self esteem issues, stress, interpersonal issues such as family and relationship conflict, and more. In addition to this, I am also passionate about working with military families.
I am passionate about helping adolescents, adults and families who are experiencing issues such as anxiety, depression, life transitions, self esteem issues, stress, interpersonal issues such as family and relationship conflict, and more. In addition to this, I am also passionate about working with military families.
![Photo of Danille S. Drake, PhD, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d11b2ec0-18f4-4bd7-b9df-11a8b58ca895/3/320x400.jpeg)
Stress and related symptoms can to be best addressed for the purpose strengthening coping skills, gaining relief from painful emotional symptoms, improving personal relationships and work productivity. I provide a safe, private environment to talk things over and feel understood as a unique individual, in order to change ways of coping that haven't been working. I help gain insight into feelings and behaviors that get in your way, preventing the past from interfering in the present and replacing self-destructive patterns of behavior with opportunity for a more satisfying life. I offer ketamine assisted therapy as well.
Stress and related symptoms can to be best addressed for the purpose strengthening coping skills, gaining relief from painful emotional symptoms, improving personal relationships and work productivity. I provide a safe, private environment to talk things over and feel understood as a unique individual, in order to change ways of coping that haven't been working. I help gain insight into feelings and behaviors that get in your way, preventing the past from interfering in the present and replacing self-destructive patterns of behavior with opportunity for a more satisfying life. I offer ketamine assisted therapy as well.
![Photo of Nicole Campbell, LSP, MA](https://photos.psychologytoday.com/107878d2-10ef-4380-b686-5b7e46bf6c7f/1/320x400.jpeg)
At Think Happy Live Healthy, I provide individual psychotherapy to children (ages 7 and over), adolescents, and young adults who may struggle with anxiety, depression, low self-esteem, emotional regulation, ADHD, executive functioning difficulties, and life transitions. I also specialize in administering psychological evaluations and leading psychoeducational groups. I utilize a strength-based and holistic approach when working with my clients. I incorporate elements of Cognitive Behavioral Therapy (CBT), Mindfulness, and Motivational Interviewing into sessions.
At Think Happy Live Healthy, I provide individual psychotherapy to children (ages 7 and over), adolescents, and young adults who may struggle with anxiety, depression, low self-esteem, emotional regulation, ADHD, executive functioning difficulties, and life transitions. I also specialize in administering psychological evaluations and leading psychoeducational groups. I utilize a strength-based and holistic approach when working with my clients. I incorporate elements of Cognitive Behavioral Therapy (CBT), Mindfulness, and Motivational Interviewing into sessions.
![Photo of Denisha Hagan](https://photos.psychologytoday.com/8f4b5ccb-7baa-481b-b4e5-12c773cc6900/2/320x400.jpeg)
There are experiences we can have at any stage or age that can leave us feeling overwhelmed, anxious, depressed or out-of-sync with ourselves. I believe that therapy can help facilitate growth and restore balance and purpose! I am committed to getting down in the trenches with clients and supporting a client through their journey! I focus on developing one’s confidence to establish and expand coping mechanisms to confront a situation, take steps, and utilize resilience and perseverance in solving problems in your life.
There are experiences we can have at any stage or age that can leave us feeling overwhelmed, anxious, depressed or out-of-sync with ourselves. I believe that therapy can help facilitate growth and restore balance and purpose! I am committed to getting down in the trenches with clients and supporting a client through their journey! I focus on developing one’s confidence to establish and expand coping mechanisms to confront a situation, take steps, and utilize resilience and perseverance in solving problems in your life.
![Photo of David Flohr, PhD, CGP, Psychologist](https://photos.psychologytoday.com/3c5fc13c-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
I currently specialize in helping children and families address and resolve the various issues which interfere with a satisfying personal and family life. I welcome adults who are struggling with the challenges of parenting and have developed innovative and effective methods to assist in the ongoing self development of the parent. My practice includes an explicit commitment to under served populations especially BIPOC youth and families. Sliding scale fees are available and extensive specialized trainings in anti-racism, diversity, equity and cultural sensitivity reflect my commitment to conscious, competent and welcoming services.
I currently specialize in helping children and families address and resolve the various issues which interfere with a satisfying personal and family life. I welcome adults who are struggling with the challenges of parenting and have developed innovative and effective methods to assist in the ongoing self development of the parent. My practice includes an explicit commitment to under served populations especially BIPOC youth and families. Sliding scale fees are available and extensive specialized trainings in anti-racism, diversity, equity and cultural sensitivity reflect my commitment to conscious, competent and welcoming services.
![Photo of Durrell Fisher, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/fede0ad7-6940-44e9-8238-ef6ecd1b6277/2/320x400.jpeg)
Welcome! I'm Durrell Fisher, a pre-licensed Resident in Counseling dedicated to guiding individuals, couples, and families on their journey towards holistic well-being. Whether you're facing relationship issues, anxiety, depression, or life transitions, I'm here to listen, challenge you, and give you the tools to overcome these hurdles.
Welcome! I'm Durrell Fisher, a pre-licensed Resident in Counseling dedicated to guiding individuals, couples, and families on their journey towards holistic well-being. Whether you're facing relationship issues, anxiety, depression, or life transitions, I'm here to listen, challenge you, and give you the tools to overcome these hurdles.
![Photo of Erica Sari Gants, PhD, Psychologist](https://photos.psychologytoday.com/44979902-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
As a clinical/developmental psychologist I see myself as a facilitator of your natural tendency toward growth and healing. When life's stresses challenge your resources you may feel overwhelmed and stuck, repeating ineffective patterns. I will help you use your existing strengths to develop new skills. Therapy is most successful as a collaborative effort: You bring your own unique blend of skills and life experience; I contribute expertise in psychodynamic, cognitive/ behavioral, internal family systems, and trauma-based techniques. Together we have the tools to clarify problems, find new perspectives and reach solutions.
As a clinical/developmental psychologist I see myself as a facilitator of your natural tendency toward growth and healing. When life's stresses challenge your resources you may feel overwhelmed and stuck, repeating ineffective patterns. I will help you use your existing strengths to develop new skills. Therapy is most successful as a collaborative effort: You bring your own unique blend of skills and life experience; I contribute expertise in psychodynamic, cognitive/ behavioral, internal family systems, and trauma-based techniques. Together we have the tools to clarify problems, find new perspectives and reach solutions.
Paul Hart
Clinical Social Work/Therapist, LCSW
Verified Verified
Falls Church, VA 22046 (Online Only)
I believe that everyone can benefit from psychotherapy. Utilizing this process can help you to identify, develop, and implement behavioral, emotional, and cognitive change that can allow you to feel more centered and self-confident, and can provide an increased sense of empowerment to address future challenges. I view seeking help through psychotherapy as a sign of strength rather than of weakness. Taking this step often makes one feel anxious, but my experience is that once taken, people usually feel a sense of relief, combined with an increase in hopefulness. In a way, seeking help is the first step on the path to healing.
I believe that everyone can benefit from psychotherapy. Utilizing this process can help you to identify, develop, and implement behavioral, emotional, and cognitive change that can allow you to feel more centered and self-confident, and can provide an increased sense of empowerment to address future challenges. I view seeking help through psychotherapy as a sign of strength rather than of weakness. Taking this step often makes one feel anxious, but my experience is that once taken, people usually feel a sense of relief, combined with an increase in hopefulness. In a way, seeking help is the first step on the path to healing.
![Photo of Dianne B Modell, LCSW, CIRT, CMT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/518dc0e8-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Dianne B Modell
Clinical Social Work/Therapist, LCSW, CIRT, CMT
Verified Verified
Falls Church, VA 22046
You will feel deeply listened to in safety. I use an Integrative, collaborative approach to meet you where you. are I work with, depression, inner conflict, grief, loss, anxiety, finding Advanced certificates, ie, Somatic healing, Certified Imago Relationship training: teaching individuals/couples trust-building, communication, conflict tools,re-romanticizing, enhancing sexuality, "pleasure bonding" to fuel the hard work. I work with Cancer Recovery. My Groups: focus on support, empowerment, self actualization, relationship challenges; emotionally corrective experience. In all my work, I emphasize inner guidance, authenticity.
You will feel deeply listened to in safety. I use an Integrative, collaborative approach to meet you where you. are I work with, depression, inner conflict, grief, loss, anxiety, finding Advanced certificates, ie, Somatic healing, Certified Imago Relationship training: teaching individuals/couples trust-building, communication, conflict tools,re-romanticizing, enhancing sexuality, "pleasure bonding" to fuel the hard work. I work with Cancer Recovery. My Groups: focus on support, empowerment, self actualization, relationship challenges; emotionally corrective experience. In all my work, I emphasize inner guidance, authenticity.
See more therapy options for 22046
How does your Therapist compare?
Number of Therapists in 22046
200+
Average cost per session
$180
Therapists in 22046 who prioritize treating:
90% | Anxiety |
85% | Depression |
77% | Relationship Issues |
72% | Self Esteem |
70% | Stress |
67% | Coping Skills |
63% | Life Transitions |
Average years in practice
12 Years
Top 3 insurances accepted
79% | BlueCross and BlueShield |
68% | CareFirst |
54% | Anthem | Elevance |
How Therapists in 22046 see their clients
80% | In Person and Online | |
20% | Online Only |
Gender breakdown
81% | Female | |
18% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in 22046?
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
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.
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.
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.