Photo of Jessika Rutledge, LMHC, NCC, Counselor
Jessika Rutledge
Counselor, LMHC, NCC
Verified Verified
2 Endorsed
Gainesville, FL 32609  (Online Only)
Waitlist for new clients
I help individuals, families, and couples who want to feel satisfied in their connection with their partner, mediate thoughts and identify thinking errors, and help manage anxiety and sadness to perform better in their lives. I strive to serve as a guide while supporting you with healing from past hurts, inter-generational trauma, and systematic pressures by getting to the root of your restrictive core beliefs that guide your behavior, how you see yourself, and perceive life and relationships. I provide a safe and judgment free atmosphere which allows for transparency, empowerment, cultural appreciation, and validation.
I help individuals, families, and couples who want to feel satisfied in their connection with their partner, mediate thoughts and identify thinking errors, and help manage anxiety and sadness to perform better in their lives. I strive to serve as a guide while supporting you with healing from past hurts, inter-generational trauma, and systematic pressures by getting to the root of your restrictive core beliefs that guide your behavior, how you see yourself, and perceive life and relationships. I provide a safe and judgment free atmosphere which allows for transparency, empowerment, cultural appreciation, and validation.
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Photo of Linda Cook Allen, LMHC, Counselor
Linda Cook Allen
Counselor, LMHC
Verified Verified
Gainesville, FL 32609  (Online Only)
Hi! I'm Linda Allen a LMHC who has been in the Counseling Field for 30yrs. I love helping people and supporting their vision or creating a vision for Personal Success, Family Success and Relationship Success in all areas. I have worked with all parts of the family diagnamics: children, teenagers, young adults, parents and all issues that present. I have worked in schools, jails, prisons, DJJ, residential programs, hospice, nursing homes, disabilities, etc. I'm here to listen and support you with whatever the concerns are. Life can be hard, bu we can work together to create your Vision For Success. Blessings To You and Yours! :)
Hi! I'm Linda Allen a LMHC who has been in the Counseling Field for 30yrs. I love helping people and supporting their vision or creating a vision for Personal Success, Family Success and Relationship Success in all areas. I have worked with all parts of the family diagnamics: children, teenagers, young adults, parents and all issues that present. I have worked in schools, jails, prisons, DJJ, residential programs, hospice, nursing homes, disabilities, etc. I'm here to listen and support you with whatever the concerns are. Life can be hard, bu we can work together to create your Vision For Success. Blessings To You and Yours! :)
(352) 290-2411 View (352) 290-2411
Photo of Carmen Ines Tozzo, PhD, Psychologist
Carmen Ines Tozzo
Psychologist, PhD
Verified Verified
Gainesville, FL 32609
Stress and the way one copes can make us stronger or make us feel helpless. Stressors in our environment can also contribute to anxiety and depression. All of us have strengths and weaknesses. If we are not aware of these strengths, we may not be able to excel or reach our potential in the workplace, school or college.
Stress and the way one copes can make us stronger or make us feel helpless. Stressors in our environment can also contribute to anxiety and depression. All of us have strengths and weaknesses. If we are not aware of these strengths, we may not be able to excel or reach our potential in the workplace, school or college.
(352) 441-2820 View (352) 441-2820
Photo of Daniela Childers, MEd, EdS, RMHCI
Daniela Childers
Registered Mental Health Counselor Intern, MEd, EdS, RMHCI
Verified Verified
1 Endorsed
Gainesville, FL 32609
I am accepting new clients! Do you feel overwhelmed by the demands of life? Do you struggle with fatigue, exhaustion, and often feel irritated? Maybe life has felt like an unending wave of stress and you long to come up for air. You long for things to calm down, so you can get back on top of it. Therapy with me will be a place to slow down, take a moment, and share your story with someone who cares. I strive to understand the context of your struggles first, so that we can unravel the deeper meaning of what’s been going on. I can help you untangle what it is that YOU want and stand up to the outside pressures.
I am accepting new clients! Do you feel overwhelmed by the demands of life? Do you struggle with fatigue, exhaustion, and often feel irritated? Maybe life has felt like an unending wave of stress and you long to come up for air. You long for things to calm down, so you can get back on top of it. Therapy with me will be a place to slow down, take a moment, and share your story with someone who cares. I strive to understand the context of your struggles first, so that we can unravel the deeper meaning of what’s been going on. I can help you untangle what it is that YOU want and stand up to the outside pressures.
(352) 604-4398 View (352) 604-4398
Photo of Sasha Larson, LMHC, EdS, MEd
Sasha Larson
LMHC, EdS, MEd
Verified Verified
3 Endorsed
Gainesville, FL 32609
Are you tired of constantly feeling overwhelmed and anxious? Your mind is racing with a million thoughts, and you never have a chance to just relax and be present. You feel like no matter what you do, you’re still not good enough. You find it difficult balancing your workload, hobbies, and social life, while also making time for yourself. You have really high standards for yourself, and you have a tough inner critic that never stops. Now is the time to change these patterns, take care of yourself, and get the support you've always deserved.
Are you tired of constantly feeling overwhelmed and anxious? Your mind is racing with a million thoughts, and you never have a chance to just relax and be present. You feel like no matter what you do, you’re still not good enough. You find it difficult balancing your workload, hobbies, and social life, while also making time for yourself. You have really high standards for yourself, and you have a tough inner critic that never stops. Now is the time to change these patterns, take care of yourself, and get the support you've always deserved.
(352) 436-6034 View (352) 436-6034
Photo of Jim Porter - Dr. Jim Porter, PhD Counseling, PhD, LMHC, LicSprv, Counselor
Dr. Jim Porter, PhD Counseling
Counselor, PhD, LMHC, LicSprv
Verified Verified
Gainesville, FL 32609
Trauma, anxiety-related disorders, OCD, phobia, anger, couples therapy, and parenting of teens. Cognitive Behavioral Therapy (CBT) is the gold standard treatment for many, many disorders. Learn to feel, think, and engage life in ways you've always wanted. I use research-tested methods and my 18 years' experience as a professional counselor to guide you in building yourself up, breaking free, and finding freedom from limiting beliefs, feelings, and behaviors. You are capable of making the changes you want to see in your life, but everyone needs help sometimes. I'm professionally trained and here to help you now.
Trauma, anxiety-related disorders, OCD, phobia, anger, couples therapy, and parenting of teens. Cognitive Behavioral Therapy (CBT) is the gold standard treatment for many, many disorders. Learn to feel, think, and engage life in ways you've always wanted. I use research-tested methods and my 18 years' experience as a professional counselor to guide you in building yourself up, breaking free, and finding freedom from limiting beliefs, feelings, and behaviors. You are capable of making the changes you want to see in your life, but everyone needs help sometimes. I'm professionally trained and here to help you now.
(352) 507-4789 View (352) 507-4789
Photo of Myesha Suckra-Dorbu, MS, LMHC, Counselor
Myesha Suckra-Dorbu
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Gainesville, FL 32609
Not accepting new clients
Life can be challenging and leave you feeling alone and stuck in a pattern of unhealthy and unhelpful thoughts. It can be discouraging to feel stuck and unsure of your next step, but you are not alone. I specialize in helping people going through difficult life transitions, anxiety, stress, depression, or low self-esteem. Therapy is a dedicated space to understand and improve your life. Together we can work through your life challenges, build confidence, and increase awareness and understanding of your situation.
Life can be challenging and leave you feeling alone and stuck in a pattern of unhealthy and unhelpful thoughts. It can be discouraging to feel stuck and unsure of your next step, but you are not alone. I specialize in helping people going through difficult life transitions, anxiety, stress, depression, or low self-esteem. Therapy is a dedicated space to understand and improve your life. Together we can work through your life challenges, build confidence, and increase awareness and understanding of your situation.
(352) 290-6254 View (352) 290-6254
Photo of Paige Dyer, LMFT, Marriage & Family Therapist
Paige Dyer
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Gainesville, FL 32609
Being stuck in your problems can feel overwhelming and it becomes difficult to overcome these problems and feelings associated with them on your own. As Albert Einstein once said, “No problem can be solved from the same level of consciousness that created it.“ Allow me to help you navigate your personal and relational struggles through my collaborative therapeutic approach that is tailor made to your personal goals because everyone has a different perspective and past experiences.
Being stuck in your problems can feel overwhelming and it becomes difficult to overcome these problems and feelings associated with them on your own. As Albert Einstein once said, “No problem can be solved from the same level of consciousness that created it.“ Allow me to help you navigate your personal and relational struggles through my collaborative therapeutic approach that is tailor made to your personal goals because everyone has a different perspective and past experiences.
(352) 280-3714 View (352) 280-3714
Photo of Watson Louidor, LMHC, LPC, MAC, Counselor
Watson Louidor
Counselor, LMHC, LPC, MAC
Verified Verified
Gainesville, FL 32609
I've been a therapist in the State of Florida and state of Georgia since 2006. I have been licensed as a Mental Health Counselor in the State of Florida since 2011 and as a Licensed Professional Counselor in the State of Georgia since 2017.
I've been a therapist in the State of Florida and state of Georgia since 2006. I have been licensed as a Mental Health Counselor in the State of Florida since 2011 and as a Licensed Professional Counselor in the State of Georgia since 2017.
(352) 780-1524 View (352) 780-1524
Photo of Tinsley Chalfant, LCSW, Clinical Social Work/Therapist
Tinsley Chalfant
Clinical Social Work/Therapist, LCSW
Verified Verified
Gainesville, FL 32609  (Online Only)
I have experience in helping individuals work through varied challenges, to include limited motivation, self-esteem struggles, depression, anxiety and more. I believe that you are the expert of your story...you have many strengths that will assist you in overcoming the aspects that challenge you. I am available for scheduling on the following platforms: BetterHelp, Grow Therapy, TalkSpace and Headway (different platforms are available depending on insurance or self-pay needs). Please do not hesitate to reach out with any questions. I look forward to working together.
I have experience in helping individuals work through varied challenges, to include limited motivation, self-esteem struggles, depression, anxiety and more. I believe that you are the expert of your story...you have many strengths that will assist you in overcoming the aspects that challenge you. I am available for scheduling on the following platforms: BetterHelp, Grow Therapy, TalkSpace and Headway (different platforms are available depending on insurance or self-pay needs). Please do not hesitate to reach out with any questions. I look forward to working together.
(352) 605-2493 View (352) 605-2493
Photo of Silvia Echevarria-Doan, PhD, LMFT, LCSW, Marriage & Family Therapist
Silvia Echevarria-Doan
Marriage & Family Therapist, PhD, LMFT, LCSW
Verified Verified
1 Endorsed
Gainesville, FL 32609
Not accepting new clients
Thank you for taking a look at my profile in your search for a therapist. I value my relationship with clients highly. I pay careful attention to their internal struggles and relational needs, while also tapping into their resilience and sources of hope for lasting change and improvement. I take note of the impact that identified issues have on my clients and their loved ones, and attend to the constraints that keep them from resolving challenges that lead toward more adaptive outcomes. I see individuals, couples, and families seeking assistance with personal, relational, and trauma-based issues and strive to provide the best care.
Thank you for taking a look at my profile in your search for a therapist. I value my relationship with clients highly. I pay careful attention to their internal struggles and relational needs, while also tapping into their resilience and sources of hope for lasting change and improvement. I take note of the impact that identified issues have on my clients and their loved ones, and attend to the constraints that keep them from resolving challenges that lead toward more adaptive outcomes. I see individuals, couples, and families seeking assistance with personal, relational, and trauma-based issues and strive to provide the best care.
(352) 792-1340 View (352) 792-1340
Photo of Theresa Rodriguez, EdS, LMFT, Marriage & Family Therapist
Theresa Rodriguez
Marriage & Family Therapist, EdS, LMFT
Verified Verified
Gainesville, FL 32609
Are you tired of falling into the same patterns over and over? Then you are ready to do some deeper work and I can guide or coach you to make the inner changes you need or to heal wounds that are now affecting you. With over twenty years of counseling experience, I draw on my skills and compassion to guide my clients to reach their goals. I have many great ideas and areas of expertise to help you. Schedule your in-person or telehealth counseling session today! You deserve a skilled and compassionate therapist.
Are you tired of falling into the same patterns over and over? Then you are ready to do some deeper work and I can guide or coach you to make the inner changes you need or to heal wounds that are now affecting you. With over twenty years of counseling experience, I draw on my skills and compassion to guide my clients to reach their goals. I have many great ideas and areas of expertise to help you. Schedule your in-person or telehealth counseling session today! You deserve a skilled and compassionate therapist.
(352) 292-1991 View (352) 292-1991
Photo of Jennifer P Taylor, MEd, EdS, LMHC, Counselor
Jennifer P Taylor
Counselor, MEd, EdS, LMHC
Verified Verified
3 Endorsed
Gainesville, FL 32609
As a school counselor for 20+ years, I know the challenges of childhood/adolescence. Children are survivors of grief and trauma. They experience family changes and friendship worries. They may learn or socialize differently. Children sometimes feel anxious or depressed and their emotions may significantly impact behaviors. Often these challenges interfere with children's school success and stability at home. Through intentional care and child friendly therapeutic strategies, my goal is to help children thrive through it all. Utilizing play, art, games, and bibliotherapy, children can learn to feel safe sharing their thoughts, understanding their emotions and regulating their behaviors.
As a school counselor for 20+ years, I know the challenges of childhood/adolescence. Children are survivors of grief and trauma. They experience family changes and friendship worries. They may learn or socialize differently. Children sometimes feel anxious or depressed and their emotions may significantly impact behaviors. Often these challenges interfere with children's school success and stability at home. Through intentional care and child friendly therapeutic strategies, my goal is to help children thrive through it all. Utilizing play, art, games, and bibliotherapy, children can learn to feel safe sharing their thoughts, understanding their emotions and regulating their behaviors.
(352) 872-7100 View (352) 872-7100
Photo of Emily K Gray, MS, LMFT, Marriage & Family Therapist
Emily K Gray
Marriage & Family Therapist, MS, LMFT
Verified Verified
Gainesville, FL 32609
I realize that choosing a therapist is a very important decision, which is influenced by many factors. For this reason, I offer a free, fifteen-minute consultation to all potential clients. My goal is to support the people in my community with getting the services they need so, I am always happy to provide referrals based on individual needs. I enjoy working with all types of clients and have specialized training in Trauma, Depression, and Anxiety. I also specialize in Child Development and working with Families and teens who have experienced Trauma.
I realize that choosing a therapist is a very important decision, which is influenced by many factors. For this reason, I offer a free, fifteen-minute consultation to all potential clients. My goal is to support the people in my community with getting the services they need so, I am always happy to provide referrals based on individual needs. I enjoy working with all types of clients and have specialized training in Trauma, Depression, and Anxiety. I also specialize in Child Development and working with Families and teens who have experienced Trauma.
(352) 329-8799 View (352) 329-8799
Photo of Arzella Hawthorne-Louidor, LMHC, MAC, LPC, Counselor
Arzella Hawthorne-Louidor
Counselor, LMHC, MAC, LPC
Verified Verified
Gainesville, FL 32609
Hello there! I'm a passionate mental health counselor dedicated to helping individuals navigate the intricate landscape of their emotions and experiences. With 17 years of experience in the field, I specialize in treating anxiety, depression, ADHD, and fostering self-development. My journey in mental health care has equipped me with the skills and insights to assist you in overcoming the challenges that anxiety, depression, and ADHD can pose. I am committed to creating a safe, non-judgmental space where we can collaboratively explore strategies to manage symptoms, develop coping mechanisms, and pave the way for positive change.
Hello there! I'm a passionate mental health counselor dedicated to helping individuals navigate the intricate landscape of their emotions and experiences. With 17 years of experience in the field, I specialize in treating anxiety, depression, ADHD, and fostering self-development. My journey in mental health care has equipped me with the skills and insights to assist you in overcoming the challenges that anxiety, depression, and ADHD can pose. I am committed to creating a safe, non-judgmental space where we can collaboratively explore strategies to manage symptoms, develop coping mechanisms, and pave the way for positive change.
(352) 618-6317 View (352) 618-6317
Photo of Kalen DeGroat, LCSW, Clinical Social Work/Therapist
Kalen DeGroat
Clinical Social Work/Therapist, LCSW
Verified Verified
Gainesville, FL 32609
Are you a high achieving woman who feels like she’s lost herself in all the other demands of life? You might feel unmotivated where you used to feel driven, worried or stressed where you used to feel in control. It feels like someone is always needing something from you, and you’re realizing that your to-do list is coming at the expense of your own wellbeing. You’re ready to DO something about this—not just sit and talk, but learn some practical ways to start changing your life and how you feel about it. You’re ready to stop second-guessing yourself, feeling disconnected in your relationships, and missing out on life.
Are you a high achieving woman who feels like she’s lost herself in all the other demands of life? You might feel unmotivated where you used to feel driven, worried or stressed where you used to feel in control. It feels like someone is always needing something from you, and you’re realizing that your to-do list is coming at the expense of your own wellbeing. You’re ready to DO something about this—not just sit and talk, but learn some practical ways to start changing your life and how you feel about it. You’re ready to stop second-guessing yourself, feeling disconnected in your relationships, and missing out on life.
(352) 254-3753 View (352) 254-3753
Photo of Lora Coleman, LCSW, DNH, CHT, Clinical Social Work/Therapist
Lora Coleman
Clinical Social Work/Therapist, LCSW, DNH, CHT
Verified Verified
Gainesville, FL 32609
I have been in the field of counseling for more than 30 years, With a strong emphasis on spiritual counseling and natural healing. I enjoy working with individuals and couples, and currently work heavily with college students. I have a strong history of working with trauma, anxiety, depression and life changes as well as spiritual matters.
I have been in the field of counseling for more than 30 years, With a strong emphasis on spiritual counseling and natural healing. I enjoy working with individuals and couples, and currently work heavily with college students. I have a strong history of working with trauma, anxiety, depression and life changes as well as spiritual matters.
(352) 604-3311 View (352) 604-3311
Jenny Land
Psychologist, PhD
Verified Verified
Gainesville, FL 32609
Congratulations on taking the first courageous step towards improving things in your life. I have been providing psychotherapy services to people for over three decades as a Licensed Psychologist. In that time, I have learned that each person is unique; with their own combination of strengths, struggles and histories. We start with getting to know each other and then focus on what you want to change/improve. We work together to set goals and then to achieve those goals. I view this process as a collaborative process.
Congratulations on taking the first courageous step towards improving things in your life. I have been providing psychotherapy services to people for over three decades as a Licensed Psychologist. In that time, I have learned that each person is unique; with their own combination of strengths, struggles and histories. We start with getting to know each other and then focus on what you want to change/improve. We work together to set goals and then to achieve those goals. I view this process as a collaborative process.
(352) 633-4069 View (352) 633-4069
Photo of Kimberly T Brown, LCSW, Clinical Social Work/Therapist
Kimberly T Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Gainesville, FL 32609  (Online Only)
Not accepting new clients
I get it. At this point, you may be exhausted with the feelings and/or issue at hand and need a space to feel heard. I commend you for finding the courage to seek out assistance in a therapist that you can trust. Whether it's depression, anxiety, stress or trauma, I am here to help.
I get it. At this point, you may be exhausted with the feelings and/or issue at hand and need a space to feel heard. I commend you for finding the courage to seek out assistance in a therapist that you can trust. Whether it's depression, anxiety, stress or trauma, I am here to help.
(352) 261-6425 View (352) 261-6425
Photo of Monica Kypreos, LMFT, Marriage & Family Therapist
Monica Kypreos
Marriage & Family Therapist, LMFT
Verified Verified
Gainesville, FL 32609  (Online Only)
Clients contact me when they are frustrated and dissatisfied with their personal or professional lives. I work with each individual or couple to find clarity for what is possible and then help them change the patterns that control them. I use multiple therapeutic modalities, from teaching self regulation techniques to Emotionally Focused Therapy. My goal is to deescalate conflict, address emotional pain and trauma, and set a course for healing. I encourage clients to take an active role in therapy while providing gentle, steady challenge. My approach to therapy has been deeply influenced by what my clients have taught me.
Clients contact me when they are frustrated and dissatisfied with their personal or professional lives. I work with each individual or couple to find clarity for what is possible and then help them change the patterns that control them. I use multiple therapeutic modalities, from teaching self regulation techniques to Emotionally Focused Therapy. My goal is to deescalate conflict, address emotional pain and trauma, and set a course for healing. I encourage clients to take an active role in therapy while providing gentle, steady challenge. My approach to therapy has been deeply influenced by what my clients have taught me.
(352) 642-8264 View (352) 642-8264
1

How does your Therapist compare?

Number of Therapists in 32609

20+

Average cost per session

$135

Therapists in 32609 who prioritize treating:

93% Anxiety
93% Self Esteem
90% Depression
86% Trauma and PTSD
76% Coping Skills
76% Stress
72% Relationship Issues

Average years in practice

12 Years

Top 3 insurances accepted

85% UnitedHealthcare UHC | UBH
80% Aetna
65% Optum

How Therapists in 32609 see their clients

76% In Person and Online
24% Online Only

Gender breakdown

85% Female
8% Male
7% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 32609?

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.