Therapists in Westerville, OH
![Photo of Alaina Deighan, PC, Counselor](https://photos.psychologytoday.com/93de8c23-af82-4be0-81c1-23098e48df1e/2/320x400.jpeg)
Alaina "Ally" Deighan (she/her) was born and raised in Columbus, Ohio. She graduated with a Bachelor of Arts in Sociology and Criminology from Otterbein University. She is currently enrolled in the Clinical Mental Health Counseling Master's program at the University of Dayton and is practicing as a Licensed Counselor Trainee through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. Ally has over ten years' experience working in the behavioral health field.
Alaina "Ally" Deighan (she/her) was born and raised in Columbus, Ohio. She graduated with a Bachelor of Arts in Sociology and Criminology from Otterbein University. She is currently enrolled in the Clinical Mental Health Counseling Master's program at the University of Dayton and is practicing as a Licensed Counselor Trainee through the State of Ohio Counselor, Social Worker, and Marriage and Family Therapist Board. Ally has over ten years' experience working in the behavioral health field.
![Photo of Belinda Hildebrandt, LISW , PMH-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c5d90cc9-f3b8-4a49-9fb7-a8bac3275e85/3/320x400.jpeg)
Belinda Hildebrandt
Clinical Social Work/Therapist, LISW , PMH-C
Verified Verified
Westerville, OH 43082
I am a Licensed Independent Social Worker and a Certified Perinatal Mental Health Provider. I am committed to working with you on overcoming and coping with the unique challenges in your life. I work primarily with adults who are dealing with perinatal mood disorders, generalized anxiety, life-transitions, family conflict, and grief. I employ therapeutic models that are strength-based, solution focused and person-centered. My approaches to therapy are positive and practical. If you are looking for a safe and welcoming environment where you can feel comfortable and motivated to do your best work, I would love to collaborate with you!
I am a Licensed Independent Social Worker and a Certified Perinatal Mental Health Provider. I am committed to working with you on overcoming and coping with the unique challenges in your life. I work primarily with adults who are dealing with perinatal mood disorders, generalized anxiety, life-transitions, family conflict, and grief. I employ therapeutic models that are strength-based, solution focused and person-centered. My approaches to therapy are positive and practical. If you are looking for a safe and welcoming environment where you can feel comfortable and motivated to do your best work, I would love to collaborate with you!
![Photo of Kimberly Foreman, LISWS, Clinical Social Work/Therapist](https://photos.psychologytoday.com/1eacdd13-6246-43c0-8015-0e7b475d07d5/1/320x400.png)
My ideal client is ready to do the hard work of making real change in their life. Sometimes, people think change has to be big to start therapeutic services; it doesn’t. Sometimes, learning to breathe, decrease anxiety, and be more mindful of your strengths can become a great asset. Therapy doesn’t have to be forever; sometimes, you just need help getting through the now. I help individuals & families dealing with chronic illnesses and end of life. At times like those, crises often happen: medical conflict, spiritual conflict, familial conflict, financial concerns, housing and food insecurity.
My ideal client is ready to do the hard work of making real change in their life. Sometimes, people think change has to be big to start therapeutic services; it doesn’t. Sometimes, learning to breathe, decrease anxiety, and be more mindful of your strengths can become a great asset. Therapy doesn’t have to be forever; sometimes, you just need help getting through the now. I help individuals & families dealing with chronic illnesses and end of life. At times like those, crises often happen: medical conflict, spiritual conflict, familial conflict, financial concerns, housing and food insecurity.
![Photo of Zach Efaw, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/9b160a6c-d82e-4abc-aa94-a59ee5b4ce36/2/320x400.jpeg)
Zach Efaw
Licensed Professional Counselor, MA, LPC
Verified Verified
Westerville, OH 43081 (Online Only)
Your situation and circumstance is unique and I am passionate about collaboratively working with individuals who are struggling and enjoy helping people navigate the challenges of life. I have experience working with both adolescents and adults.
Your situation and circumstance is unique and I am passionate about collaboratively working with individuals who are struggling and enjoy helping people navigate the challenges of life. I have experience working with both adolescents and adults.
![Photo of Nicole Lawson, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e2f32e8f-d803-463b-8ce0-6909faa67b36/1/320x400.jpeg)
Hello and welcome! Do you ever find yourself feeling depressed or anxious and wondering how to navigate life in a healthier way? When you are struggling, do you ever wonder about how there has to be a better way? Whether you're facing anxiety, depression, relationship issues, or seeking personal growth, we'll work collaboratively to explore your thoughts, feelings, and goals.
Hello and welcome! Do you ever find yourself feeling depressed or anxious and wondering how to navigate life in a healthier way? When you are struggling, do you ever wonder about how there has to be a better way? Whether you're facing anxiety, depression, relationship issues, or seeking personal growth, we'll work collaboratively to explore your thoughts, feelings, and goals.
![Photo of Holly Graham, LPCC, LSW, Counselor](https://photos.psychologytoday.com/0da06725-686d-4cb3-9ef0-cc2931d15b29/1/320x400.jpeg)
For over 10 years, I have worked alongside individuals encountering issues with substance abuse, depression, anxiety, bipolar disorder, trauma, self-esteem, life adjustments, and stress. Working in collaboration with clients, I seek to empower them to work through uncomfortable experiences and achieve their goals. I strive to help individuals find, develop, and utilize their strengths in order to face the issues of their lives directly, with compassion, and without self-judgement.
For over 10 years, I have worked alongside individuals encountering issues with substance abuse, depression, anxiety, bipolar disorder, trauma, self-esteem, life adjustments, and stress. Working in collaboration with clients, I seek to empower them to work through uncomfortable experiences and achieve their goals. I strive to help individuals find, develop, and utilize their strengths in order to face the issues of their lives directly, with compassion, and without self-judgement.
![Photo of Amy Weller, MA , LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4cdb527f-88ed-481a-a044-1eb94fb84e8b/1/320x400.png)
I am passionate about trauma, depression, anxiety, LGBQT concerns, personality disorders, and neurodivergence. An ideal client is an individual who has a growth mindset and explores their thoughts and feelings and how they impact their behavior. They may not understand how those thoughts derived from past experiences, but they are willing to open old wounds given the right tools. They feel safe and secure and want to heal through hard work and determination.
I am passionate about trauma, depression, anxiety, LGBQT concerns, personality disorders, and neurodivergence. An ideal client is an individual who has a growth mindset and explores their thoughts and feelings and how they impact their behavior. They may not understand how those thoughts derived from past experiences, but they are willing to open old wounds given the right tools. They feel safe and secure and want to heal through hard work and determination.
![Photo of Roy McClelland Jr, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/626222c2-2fe5-4e55-b79a-e5204d282810/2/320x400.jpeg)
Roy McClelland Jr
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Westerville, OH 43081
Do you find it difficult to deal with life transitions and change? Life has its unique challenges as we navigate through the different stages. Sometimes, we need support through these stages while dealing with the ongoing changes in our personal universe. Although change is difficult to handle at times, I feel that change promotes personal growth, perseverance, and inner strength. When dealt with appropriately, change can be a healthy part of life.
Do you find it difficult to deal with life transitions and change? Life has its unique challenges as we navigate through the different stages. Sometimes, we need support through these stages while dealing with the ongoing changes in our personal universe. Although change is difficult to handle at times, I feel that change promotes personal growth, perseverance, and inner strength. When dealt with appropriately, change can be a healthy part of life.
![Photo of Stacey Foster, MSW, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e6ea53a9-773c-46c2-80b8-a7b679c4e2f9/3/320x400.jpeg)
Stacey Foster
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Westerville, OH 43081
Waitlist for new clients
I have more than 12 years experience helping people process through and adjust to difficult and sometimes scary life experiences. My clinical work has focused on treating individuals who have experienced intimate partner violence, sexual violence and other traumas, as well as those struggling with perinatal mood and anxiety disorders.
I have more than 12 years experience helping people process through and adjust to difficult and sometimes scary life experiences. My clinical work has focused on treating individuals who have experienced intimate partner violence, sexual violence and other traumas, as well as those struggling with perinatal mood and anxiety disorders.
![Photo of Kevin Jaworski, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/8b22ca69-eb6a-4b85-8543-980307971787/3/320x400.jpeg)
Kevin Jaworski
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Westerville, OH 43081 (Online Only)
As a therapist specializing in OCD, I understand the pain and futility that accompanies chronic overthinking and the difficulty of being mired in the same unhelpful behaviors and emotions. I understand the bewilderment of not knowing what could help, as well as the frustration of knowing, yet still feeling unable to move forward. We want agency over ourselves and our lives, but we also want to be able to let go of the things that are out of our control. While I put no timetable on recovery, my hope for my clients is that they come to a place where they feel like they no longer need my services.
As a therapist specializing in OCD, I understand the pain and futility that accompanies chronic overthinking and the difficulty of being mired in the same unhelpful behaviors and emotions. I understand the bewilderment of not knowing what could help, as well as the frustration of knowing, yet still feeling unable to move forward. We want agency over ourselves and our lives, but we also want to be able to let go of the things that are out of our control. While I put no timetable on recovery, my hope for my clients is that they come to a place where they feel like they no longer need my services.
![Photo of Jack Hambrick, MFT-T, Marriage & Family Therapist Intern](https://photos.psychologytoday.com/0b66d69f-f2a3-48d6-ab5f-93bd99b2e26c/1/320x400.jpeg)
Immediate openings available for in-person and telehealth. Jack provides couples counseling for spouses/partners/co-parents who are struggling to communicate; adjusting to marriage, cohabitation, or the demands of parenting; dealing with ADHD, addiction, infidelity, or trauma; and/or considering marriage, cohabitation, separation, or divorce. Jack also works with individuals (ages 15+) who are coping with the impact of ADHD, anxiety, depressive symptoms, trauma, and/or relationship challenges.
Immediate openings available for in-person and telehealth. Jack provides couples counseling for spouses/partners/co-parents who are struggling to communicate; adjusting to marriage, cohabitation, or the demands of parenting; dealing with ADHD, addiction, infidelity, or trauma; and/or considering marriage, cohabitation, separation, or divorce. Jack also works with individuals (ages 15+) who are coping with the impact of ADHD, anxiety, depressive symptoms, trauma, and/or relationship challenges.
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![Photo of Kasey Cliffton, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/550d9328-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
Kasey Cliffton
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Westerville, OH 43081
"It is never too late to be what you might have been." George Eliot
"It is never too late to be what you might have been." George Eliot
![Photo of Angela T. Horton, MACMHC, LPCC-S, NCC, CCMHC, CDCA, Counselor](https://photos.psychologytoday.com/41871381-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Angela T. Horton
Counselor, MACMHC, LPCC-S, NCC, CCMHC, CDCA
Verified Verified
3 Endorsed
Westerville, OH 43082
Waitlist for new clients
Helping adults, couples, adolescents, and families have more fulfilling lives is a joy and passion. It is important to show people you care by treating them with kindness and respect. I work with people who are struggling with depression, anxiety, and survivors of stress-related trauma including emotional and sexual abuse, and neglect. As a therapist at a mental health hospital, I facilitated psychotherapy groups and counseled patients struggling with severe depression, severe anxiety, substance use disorder, and stress-related and psychotic disorders. I am also passionate about marriage and enjoy helping couples work through challenges in their relationships.
Helping adults, couples, adolescents, and families have more fulfilling lives is a joy and passion. It is important to show people you care by treating them with kindness and respect. I work with people who are struggling with depression, anxiety, and survivors of stress-related trauma including emotional and sexual abuse, and neglect. As a therapist at a mental health hospital, I facilitated psychotherapy groups and counseled patients struggling with severe depression, severe anxiety, substance use disorder, and stress-related and psychotic disorders. I am also passionate about marriage and enjoy helping couples work through challenges in their relationships.
![Photo of Rebecca Owens, MA, LPCC](https://photos.psychologytoday.com/40024193-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Sometimes life presents challenges and circumstances that leave us feeling lost, hurt, frustrated, or overwhelmed. I would be privileged to walk alongside you and provide support as you navigate through the journey of recovering from your circumstances. We will work together to implement helpful coping skills to provide what you need to move forward with strength and confidence.
Sometimes life presents challenges and circumstances that leave us feeling lost, hurt, frustrated, or overwhelmed. I would be privileged to walk alongside you and provide support as you navigate through the journey of recovering from your circumstances. We will work together to implement helpful coping skills to provide what you need to move forward with strength and confidence.
![Photo of Connor Fais, PhD, Psychologist](https://photos.psychologytoday.com/08b87b23-dc63-4833-92ca-c5b2a51f91fe/1/320x400.jpeg)
I have been providing clinical services since 2016. I enjoy working primarily as a youth and family clinician, but I have also worked with adults, and served as a clinical supervisor. I treat a range of presenting issues including disruptive/oppositional behavior, depression, anger issues, behavioral issues, anxiety, parent-child conflict, and emotional dysregulation.
I have been providing clinical services since 2016. I enjoy working primarily as a youth and family clinician, but I have also worked with adults, and served as a clinical supervisor. I treat a range of presenting issues including disruptive/oppositional behavior, depression, anger issues, behavioral issues, anxiety, parent-child conflict, and emotional dysregulation.
![Photo of Harrison Steedman, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/36e663ef-5c02-41a5-84fb-ee36a990ab74/1/320x400.jpeg)
Harrison Steedman is a Licensed Professional Counselor in Ohio who has been practicing since 2023. He has a Master of Science in Education, Clinical Mental Health Counseling from University of Dayton. Matthew is passionate about instilling hope through equipping people with a sense of identity, purpose, and practical coping skills and applications. Moreover, he aims to prioritize listening to and understanding of client's stories as well as creating a safe relationship with the client. Matthew's theoretical framework is Existential Therapy, Cognitive Behavioral Therapy, and Rogerian Therapy.
Harrison Steedman is a Licensed Professional Counselor in Ohio who has been practicing since 2023. He has a Master of Science in Education, Clinical Mental Health Counseling from University of Dayton. Matthew is passionate about instilling hope through equipping people with a sense of identity, purpose, and practical coping skills and applications. Moreover, he aims to prioritize listening to and understanding of client's stories as well as creating a safe relationship with the client. Matthew's theoretical framework is Existential Therapy, Cognitive Behavioral Therapy, and Rogerian Therapy.
![Photo of Diana Lippencott, MA, LSW, LICDC-S](https://photos.psychologytoday.com/ad242f7d-d9e2-4d57-a19a-f16a87d5d9e9/1/320x400.png)
Diana Lippencott
Licensed Social Worker, MA, LSW, LICDC-S
Verified Verified
1 Endorsed
Westerville, OH 43082
Now Accepting New Clients! My hope for you is that you can experience Grace, Joy, Comfort and Acceptance. I provide a judgement free safe space to explore and discover your inner strengths. My therapy is client driven and I act as the guide coming along side you in your journey. My passion is supporting teens, adults and older adults towards growth and a path to wellness.
Now Accepting New Clients! My hope for you is that you can experience Grace, Joy, Comfort and Acceptance. I provide a judgement free safe space to explore and discover your inner strengths. My therapy is client driven and I act as the guide coming along side you in your journey. My passion is supporting teens, adults and older adults towards growth and a path to wellness.
![Photo of Sam Smartnick, LPC, Pre-Licensed Professional](https://photos.psychologytoday.com/becd3867-655b-4cbd-95d9-a24374d7bf44/1/320x400.jpeg)
Helps individuals aged 15 and older overcome a range of mental health challenges and life issues, promoting growth, self-understanding, and enhanced well-being. Through personalized treatment plans and evidence-based therapies, Sam supports clients in achieving their goals for a healthier, more fulfilling life. With a focus on anxiety, depression, and bipolar disorder, Sam is passionate about guiding clients through these conditions. He uses Cognitive Behavioral Therapy (CBT) as a foundational approach, helping clients recognize and modify negative thought patterns to improve their emotional and psychological well-being.
Helps individuals aged 15 and older overcome a range of mental health challenges and life issues, promoting growth, self-understanding, and enhanced well-being. Through personalized treatment plans and evidence-based therapies, Sam supports clients in achieving their goals for a healthier, more fulfilling life. With a focus on anxiety, depression, and bipolar disorder, Sam is passionate about guiding clients through these conditions. He uses Cognitive Behavioral Therapy (CBT) as a foundational approach, helping clients recognize and modify negative thought patterns to improve their emotional and psychological well-being.
![Photo of Lara K Palay, MSW, LISW-S, Clinical Social Work/Therapist](https://photos.psychologytoday.com/d9d85748-8f3e-46e1-9885-29d5b6f5a265/1/320x400.jpeg)
I am an experienced clinician, with 20 years in private practice. My work is an essential way for me to experience meaning and connection. I am honored to do it. My mode of practice is psychodynamic with eclectic influences including integrating eastern and western thought, mindfulness, compassion, and meaning. My personal style is warm, clear, and straightforward. I consider therapy to be a partnership with the client. My goal is to provide a safe space for you to gain insight, to create mindfulness and calm in you life, to build coping skills, and to make practical, manageable changes as needed.
I am an experienced clinician, with 20 years in private practice. My work is an essential way for me to experience meaning and connection. I am honored to do it. My mode of practice is psychodynamic with eclectic influences including integrating eastern and western thought, mindfulness, compassion, and meaning. My personal style is warm, clear, and straightforward. I consider therapy to be a partnership with the client. My goal is to provide a safe space for you to gain insight, to create mindfulness and calm in you life, to build coping skills, and to make practical, manageable changes as needed.
![Photo of Jennifer Eller, MSW, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c93e1bec-ce69-4b99-89d0-f352d2e6dc09/1/320x400.jpeg)
Jennifer Eller
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Westerville, OH 43081
Hi, I'm Jenny, a compassionate master’s level licensed social worker specializing in cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and strengths-based therapy. I help older adults who experience grief, anxiety, trauma, or depression and have concerns related to aging. My mission is to create a safe, supportive, and non-judgmental environment where you can freely express yourself and work towards meaningful change.
Hi, I'm Jenny, a compassionate master’s level licensed social worker specializing in cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), and strengths-based therapy. I help older adults who experience grief, anxiety, trauma, or depression and have concerns related to aging. My mission is to create a safe, supportive, and non-judgmental environment where you can freely express yourself and work towards meaningful change.
See more therapy options for Westerville
Nearby Searches for Westerville
- Bexley
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- Gahanna
- Galena
- Lewis Center
- New Albany
- Powell
- Upper Arlington
- Whitehall
- Worthington
How does your Therapist compare?
Number of Therapists in Westerville, OH
300+
Average cost per session
$125
Therapists in Westerville, OH who prioritize treating:
92% | Anxiety |
91% | Depression |
71% | Relationship Issues |
71% | Trauma and PTSD |
70% | Self Esteem |
67% | Stress |
66% | Coping Skills |
Average years in practice
9 Years
Top 3 insurances accepted
84% | Aetna |
73% | Optum |
71% | Anthem | Elevance |
How Therapists in Westerville, OH see their clients
82% | In Person and Online | |
18% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Westerville?
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.