Therapists in Alexandria, VA
Are you tired of repeating the same patterns over and over again? Are you ready to make changes in your life? I can help you develop new healthy coping tools and gain power over your life. If you are experiencing difficulty with anxiety, depression, trauma, self-esteem, life transitions, communication, relationships, or just feel "stuck " I can help provide some relief and guidance. I use a warm, collaborate and evidence-based approach to help you utilize better coping strategies, gain support, understand your emotions, challenge your negative thought patterns, find and develop your strengths, and set your own personal goals.
Are you tired of repeating the same patterns over and over again? Are you ready to make changes in your life? I can help you develop new healthy coping tools and gain power over your life. If you are experiencing difficulty with anxiety, depression, trauma, self-esteem, life transitions, communication, relationships, or just feel "stuck " I can help provide some relief and guidance. I use a warm, collaborate and evidence-based approach to help you utilize better coping strategies, gain support, understand your emotions, challenge your negative thought patterns, find and develop your strengths, and set your own personal goals.
I am certified in Emotionally-Focused Couples Therapy (EFCT). EFCT is an approach to couples therapy that has been empirically validated by randomized controlled trials. I have been providing EFCT for over ten years and I am continuously touched by the transformations that I witness in my office. I will work with you to help you identify the patterns that leave you feeling disconnected from your partner. Next, we will explore the emotions and attachment styles that drive your patterns. Finally, I will gently guide you in experimenting with new ways to express yourself so that both you and your partner feel understood.
I am certified in Emotionally-Focused Couples Therapy (EFCT). EFCT is an approach to couples therapy that has been empirically validated by randomized controlled trials. I have been providing EFCT for over ten years and I am continuously touched by the transformations that I witness in my office. I will work with you to help you identify the patterns that leave you feeling disconnected from your partner. Next, we will explore the emotions and attachment styles that drive your patterns. Finally, I will gently guide you in experimenting with new ways to express yourself so that both you and your partner feel understood.
Kristin Nygaard-Daugherty
Pre-Licensed Professional, MA , LPC-R
Verified Verified
1 Endorsed
Alexandria, VA 22314
Taking the leap to find a therapist can feel overwhelming. The thought of talking to a complete stranger about the deepest darkest parts of your mind may feel frightening, but seeking help is something to celebrate. If you are searching for someone to help lighten the load of the weight of the world or even just the thoughts swirling around in your mind, I am here to help.
Taking the leap to find a therapist can feel overwhelming. The thought of talking to a complete stranger about the deepest darkest parts of your mind may feel frightening, but seeking help is something to celebrate. If you are searching for someone to help lighten the load of the weight of the world or even just the thoughts swirling around in your mind, I am here to help.
Amanda Carrington Emdr And Ketamine-Assisted Psychotherapy
Licensed Professional Counselor, MA, LPC
Verified Verified
7 Endorsed
Alexandria, VA 22314
If you are seeking a more authentic life and want more enjoyment in your daily routines, therapy can help. I am passionate about helping individuals who are motivated to make a change their lives or relationships. Together, we work to break unhealthy patterns, alleviate emotional pain, and heal from significant events that influence the way you view yourself and the world. With respect, positive regard, and healthy sense of humor, I work to draw on your strengths, foster emotional resilience, deepen your self-awareness, feel unconditionally accepted, and help you to develop the skills and motivation to live the life you deserve.
If you are seeking a more authentic life and want more enjoyment in your daily routines, therapy can help. I am passionate about helping individuals who are motivated to make a change their lives or relationships. Together, we work to break unhealthy patterns, alleviate emotional pain, and heal from significant events that influence the way you view yourself and the world. With respect, positive regard, and healthy sense of humor, I work to draw on your strengths, foster emotional resilience, deepen your self-awareness, feel unconditionally accepted, and help you to develop the skills and motivation to live the life you deserve.
With over 17 years of clinical social work under her belt, Anna is adept at tackling a range of issues including abuse, neglect, trauma, grief, terminal illness, chronic mental illness, family dynamics, medical conditions, and mood disorders. Her expertise shines in treating anxiety and panic disorder in both adolescents and adults. Anna's extensive background encompasses guiding individuals through grief and loss, managing chronic medical conditions, and supporting those facing terminal illness. She's passionate about aiding adults in overcoming anxiety & mood disorders, addressing women's issues, and serving the LGBTQI community.
With over 17 years of clinical social work under her belt, Anna is adept at tackling a range of issues including abuse, neglect, trauma, grief, terminal illness, chronic mental illness, family dynamics, medical conditions, and mood disorders. Her expertise shines in treating anxiety and panic disorder in both adolescents and adults. Anna's extensive background encompasses guiding individuals through grief and loss, managing chronic medical conditions, and supporting those facing terminal illness. She's passionate about aiding adults in overcoming anxiety & mood disorders, addressing women's issues, and serving the LGBTQI community.
Higher Life Pathways Counseling Services
Counselor, Dr, Dinelly, Holder, LPC, LMHC
Verified Verified
Alexandria, VA 22314 (Online Only)
Feeling stressed? Experiencing high anxiety or tired of stress? Sometimes it can be difficult to overcome stressors and anxieties on our own. If you are having difficulties handling life stressors, there are ways to overcome and alleviate what you are going through. We will begin with the problem, then strategies to resolve your issue, then you will learn how to solve a variety of stressful issues in your life. If you are committed to lowering stress and anxiety levels in your life, CLICK on our website to request an appointment. Additionally, you can contact us thru text/phone at 571.946.8115 or info@higherlifepathways.com
Feeling stressed? Experiencing high anxiety or tired of stress? Sometimes it can be difficult to overcome stressors and anxieties on our own. If you are having difficulties handling life stressors, there are ways to overcome and alleviate what you are going through. We will begin with the problem, then strategies to resolve your issue, then you will learn how to solve a variety of stressful issues in your life. If you are committed to lowering stress and anxiety levels in your life, CLICK on our website to request an appointment. Additionally, you can contact us thru text/phone at 571.946.8115 or info@higherlifepathways.com
Salus Vita, LLC
Clinical Social Work/Therapist, LCSW-C, LICSW, LCSW, LCSWC
Verified Verified
1 Endorsed
Alexandria, VA 22314
Licensed in Va, DC, MD and Ill. "Our wounds are often the openings into the best and most beautiful part of us" (David Richo). 70% of us lay claim to at least one traumatic event in our lifetime. Trauma creates change in you that you don't choose. Healing is about creating change you do choose. My vision is to empower you on your healing journey toward to a greater sense of Self-Worth, Awesomeness, Learning, Understanding, Synergy, Veraciousness, Inspiration to Triumph so you can live out you life with dignity and peace. I see individuals and Couples. Se habla Espanol
Licensed in Va, DC, MD and Ill. "Our wounds are often the openings into the best and most beautiful part of us" (David Richo). 70% of us lay claim to at least one traumatic event in our lifetime. Trauma creates change in you that you don't choose. Healing is about creating change you do choose. My vision is to empower you on your healing journey toward to a greater sense of Self-Worth, Awesomeness, Learning, Understanding, Synergy, Veraciousness, Inspiration to Triumph so you can live out you life with dignity and peace. I see individuals and Couples. Se habla Espanol
Bianca Quiles
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Alexandria, VA 22304 (Online Only)
“You gain strength, courage and confidence by every experience in which you really stop to look fear in the face… You must do the thing you think you cannot do.” - Eleanor Roosevelt. As a dedicated Licensed Professional Counselor with over 8 years of experience, my primary goal is to provide individuals with an environment that nurtures authenticity and personal growth. Clients seeking my guidance desire to be challenged and to actively work towards tangible, transformative goals. I aim to address the potential challenges of therapy with transparency and safety essential for self-exploration.
“You gain strength, courage and confidence by every experience in which you really stop to look fear in the face… You must do the thing you think you cannot do.” - Eleanor Roosevelt. As a dedicated Licensed Professional Counselor with over 8 years of experience, my primary goal is to provide individuals with an environment that nurtures authenticity and personal growth. Clients seeking my guidance desire to be challenged and to actively work towards tangible, transformative goals. I aim to address the potential challenges of therapy with transparency and safety essential for self-exploration.
Yvonne Williams
Pre-Licensed Professional, MA, QMHP-A, QMHP-C
Verified Verified
Alexandria, VA 22314
I have been working in the counseling and substance use field for over 25+ years working in the areas of mental health, substance abuse , corrections and leadership. I serve various individuals who seek assistance in working through life issues and moving forward. I offer Counseling and Psychotherapy Services to address: Relationship Issues, Anger, Depression, Anxiety, Work/Home Stress, Life Transitions, Grief and Loss, Healing from Current and Past Trauma, Interpersonal Relations, Parenting, Self-Esteem, Sexuality, Gender Identification and other impasses.
I have been working in the counseling and substance use field for over 25+ years working in the areas of mental health, substance abuse , corrections and leadership. I serve various individuals who seek assistance in working through life issues and moving forward. I offer Counseling and Psychotherapy Services to address: Relationship Issues, Anger, Depression, Anxiety, Work/Home Stress, Life Transitions, Grief and Loss, Healing from Current and Past Trauma, Interpersonal Relations, Parenting, Self-Esteem, Sexuality, Gender Identification and other impasses.
Danielle J King
Licensed Professional Counselor, LPC
Verified Verified
Alexandria, VA 22314 (Online Only)
Waitlist for new clients
Life circumstances can sometimes leave you feeling overwhelmed, frustrated, unheard, and disconnected. As difficult as seeking help may be, it is the first step to moving towards healing and healthier relationship with self and others. My clients are seeking a safe, non-judgmental, and culturally sensitive space that leaves them feeling heard, validated, and connected. My specialties include relationship and familial issues, mood and anxiety disorders, children of divorce, trauma, women dealing with divorce, and couples. I am extensively trained in attachment and systems modalities, trauma-informed interventions, and mindfulness.
Life circumstances can sometimes leave you feeling overwhelmed, frustrated, unheard, and disconnected. As difficult as seeking help may be, it is the first step to moving towards healing and healthier relationship with self and others. My clients are seeking a safe, non-judgmental, and culturally sensitive space that leaves them feeling heard, validated, and connected. My specialties include relationship and familial issues, mood and anxiety disorders, children of divorce, trauma, women dealing with divorce, and couples. I am extensively trained in attachment and systems modalities, trauma-informed interventions, and mindfulness.
I am a clinical psychologist in private practice formerly (pre-covid) in Old Town, Alexandria, VA; all sessions are now via secure telehealth. I provide consultation and supervision to other mental health professionals; and I consult to healthcare facilities. I have taught courses in trauma therapy, family therapy, and substance abuse counseling to graduate students in psychology and counseling. Although I specialize in helping people with issues of trauma, substance use, and relationship, people bring a wide range of concerns from personal growth to serious mental illness. I help people understand and change their life stories.
I am a clinical psychologist in private practice formerly (pre-covid) in Old Town, Alexandria, VA; all sessions are now via secure telehealth. I provide consultation and supervision to other mental health professionals; and I consult to healthcare facilities. I have taught courses in trauma therapy, family therapy, and substance abuse counseling to graduate students in psychology and counseling. Although I specialize in helping people with issues of trauma, substance use, and relationship, people bring a wide range of concerns from personal growth to serious mental illness. I help people understand and change their life stories.
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Licensed Professional Counselor, ATR, DC-LPC, VA-LPCR
Verified Verified
Alexandria, VA 22314
I am a Registered Art Therapist (ATR), Licensed Professional Counselor in D.C, and Resident in Counseling in Virginia. I currently participates with Cigna/Evernorth and Aetna.
I am a Registered Art Therapist (ATR), Licensed Professional Counselor in D.C, and Resident in Counseling in Virginia. I currently participates with Cigna/Evernorth and Aetna.
Catherine Peterson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Alexandria, VA 22305
Not accepting new clients
We all face challenges in life where we need more support and understanding. Therapy can be the key to help identify problems, offer solutions, and lead to the changes you are seeking. Acceptance and compassion are the foundation of my work. I help individuals, couples, and families deal with stress related to trauma, addiction, anxiety, depression, grief and loss, life transitions, maternal mental health, complicated relationships, infidelity, parenting, and self-esteem. I have also worked extensively with Veterans and family members and understand the stressors unique to the military community.
We all face challenges in life where we need more support and understanding. Therapy can be the key to help identify problems, offer solutions, and lead to the changes you are seeking. Acceptance and compassion are the foundation of my work. I help individuals, couples, and families deal with stress related to trauma, addiction, anxiety, depression, grief and loss, life transitions, maternal mental health, complicated relationships, infidelity, parenting, and self-esteem. I have also worked extensively with Veterans and family members and understand the stressors unique to the military community.
Elizabeth Moyer
Licensed Professional Counselor, LPC, NCC
Verified Verified
3 Endorsed
Alexandria, VA 22314 (Online Only)
Misunderstood, ashamed, angry, confused, sad, anxious, apathetic, lost - these are a few common emotions that can often feel overwhelming and isolating. My goal is to help clients overcome their obstacles, uncover their own strengths, accompany them on their healing journey, and empower them with the tools they need to navigate life’s challenges. I work with adolescents and adults experiencing a variety of issues, including depression, anxiety, self-harm, women's issues, interpersonal conflict and relationship challenges, anger, emotional dysregulation, low self-esteem, life transitions, behavioral problems, and more.
Misunderstood, ashamed, angry, confused, sad, anxious, apathetic, lost - these are a few common emotions that can often feel overwhelming and isolating. My goal is to help clients overcome their obstacles, uncover their own strengths, accompany them on their healing journey, and empower them with the tools they need to navigate life’s challenges. I work with adolescents and adults experiencing a variety of issues, including depression, anxiety, self-harm, women's issues, interpersonal conflict and relationship challenges, anger, emotional dysregulation, low self-esteem, life transitions, behavioral problems, and more.
Dee Jacobi-Edwards
Clinical Social Work/Therapist, LCSW
Verified Verified
Alexandria, VA 22310 (Online Only)
Dee Jacobi-Edwards is a Licensed Clinical Social Worker (LCSW) in Virginia and a Licensed Independent Social Worker-Clinical Practice (LISW-CP) in South Carolina who has helped individuals, couples, and families for over 20 years. Dee works with clients 18 to 99 years old. Her clients have presented with issues including anxiety, depression, panic attacks, and relationship difficulties. Dee has also helped clients who have experienced fear or isolation caused by COVID-19. She understands that grief, loss, and bereavement do not only occur when someone dies, but also when a job is lost, or poor health occurs.
Dee Jacobi-Edwards is a Licensed Clinical Social Worker (LCSW) in Virginia and a Licensed Independent Social Worker-Clinical Practice (LISW-CP) in South Carolina who has helped individuals, couples, and families for over 20 years. Dee works with clients 18 to 99 years old. Her clients have presented with issues including anxiety, depression, panic attacks, and relationship difficulties. Dee has also helped clients who have experienced fear or isolation caused by COVID-19. She understands that grief, loss, and bereavement do not only occur when someone dies, but also when a job is lost, or poor health occurs.
Jorge Wallace is a Certified Clinical Trauma Professional (CCTP) and a Licensed Professional Counselor (LPC) in Virginia and Missouri who has over 15 years of experience in the mental health and social service fields. Jorge has taught and counseled adolescents, teens, and young adults throughout his career. He has vast experience in the areas of substance abuse, post-traumatic stress disorder (PTSD), trauma, and veterans' issues. Jorge completed his undergraduate degree in Social Work at the University of Missouri-St. Louis and his master’s degree in Rehabilitation Counseling at Maryville University.
Jorge Wallace is a Certified Clinical Trauma Professional (CCTP) and a Licensed Professional Counselor (LPC) in Virginia and Missouri who has over 15 years of experience in the mental health and social service fields. Jorge has taught and counseled adolescents, teens, and young adults throughout his career. He has vast experience in the areas of substance abuse, post-traumatic stress disorder (PTSD), trauma, and veterans' issues. Jorge completed his undergraduate degree in Social Work at the University of Missouri-St. Louis and his master’s degree in Rehabilitation Counseling at Maryville University.
Yolanda Wood
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
1 Endorsed
Alexandria, VA 22314 (Online Only)
Finding the right therapist can be just as complicated as what brings you to therapy. So many questions. Will I be judged? Will I feel understood? Will they be a good fit? Trust and building a healthy therapeutic relationship is an essential part of this journey. Whether you are feeling overwhelmed, would like to explore relationship patterns, or develop coping skills to better address your problems, it begins with the decision to make you a priority. The heart of my work begins with creating a safe space that allows you to feel heard and understood, without judgment, while being transformed into a better version of yourself.
Finding the right therapist can be just as complicated as what brings you to therapy. So many questions. Will I be judged? Will I feel understood? Will they be a good fit? Trust and building a healthy therapeutic relationship is an essential part of this journey. Whether you are feeling overwhelmed, would like to explore relationship patterns, or develop coping skills to better address your problems, it begins with the decision to make you a priority. The heart of my work begins with creating a safe space that allows you to feel heard and understood, without judgment, while being transformed into a better version of yourself.
Congratulations on taking the first step to building a better life. As an Internal Family Systems (IFS) trained licensed clinician from the IFS institute, I compassionately counsel adults to help them lead a more engaged and meaningful life. I work with clients struggling with depression, anxiety, relationship issues, behavioral concerns, life transitions and productivity issues. Utilizing a very collaborative and interactive style, I empower my clients to uncover their authenticity while building new strengths and skills. I can help you make space in your life for more enjoyment, and meaning.
Congratulations on taking the first step to building a better life. As an Internal Family Systems (IFS) trained licensed clinician from the IFS institute, I compassionately counsel adults to help them lead a more engaged and meaningful life. I work with clients struggling with depression, anxiety, relationship issues, behavioral concerns, life transitions and productivity issues. Utilizing a very collaborative and interactive style, I empower my clients to uncover their authenticity while building new strengths and skills. I can help you make space in your life for more enjoyment, and meaning.
Adam C. Prestegord
Clinical Social Work/Therapist, LCSW, LICSW, LCSW-C, CST
Verified Verified
2 Endorsed
Alexandria, VA 22305
Sex, identity, and relationships can be integral parts of our lives. However, shame, miscommunication, and other life stress might prevent us from having the connections we want. Although these frustrations may seem insurmountable at times, change is possible. Looking for a therapist is a positive first step. Whether you are looking to gain personal insight, develop coping strategies, or improve your relationships and sexual functioning, we can work together to achieve your goals. I work with individuals and couples. I am licensed in VA, DC, and MD and certified as a sex therapist by AASECT.
Sex, identity, and relationships can be integral parts of our lives. However, shame, miscommunication, and other life stress might prevent us from having the connections we want. Although these frustrations may seem insurmountable at times, change is possible. Looking for a therapist is a positive first step. Whether you are looking to gain personal insight, develop coping strategies, or improve your relationships and sexual functioning, we can work together to achieve your goals. I work with individuals and couples. I am licensed in VA, DC, and MD and certified as a sex therapist by AASECT.
Maxine Iida
Resident in Counseling, BS, MA, LPC-R
Verified Verified
1 Endorsed
Alexandria, VA 22314 (Online Only)
You want to start living your life but feel weighed down with shame and preoccupation with food and your body. You've felt symptoms of anxiety or depression and wonder if there is any way out of the negative thought patterns that feel like a record on repeat. You're looking for a compassionate space to identify your core values and learn coping skills to begin to find peace with your body and yourself. You don't have to go it alone, and together we can work towards healing and recovery.
You want to start living your life but feel weighed down with shame and preoccupation with food and your body. You've felt symptoms of anxiety or depression and wonder if there is any way out of the negative thought patterns that feel like a record on repeat. You're looking for a compassionate space to identify your core values and learn coping skills to begin to find peace with your body and yourself. You don't have to go it alone, and together we can work towards healing and recovery.
See more therapy options for Alexandria
How does your Therapist compare?
Number of Therapists in Alexandria, VA
1,000+
Average cost per session
$160
Therapists in Alexandria, VA who prioritize treating:
94% | Anxiety |
91% | Depression |
77% | Stress |
76% | Self Esteem |
73% | Relationship Issues |
71% | Coping Skills |
70% | Trauma and PTSD |
Average years in practice
11 Years
Top 3 insurances accepted
74% | BlueCross and BlueShield |
72% | Cigna and Evernorth |
67% | Aetna |
How Therapists in Alexandria, VA see their clients
54% | In Person and Online | |
46% | Online Only |
Gender breakdown
86% | Female | |
13% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Alexandria?
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.