Therapists in Silver Spring, MD

Photo of Ondrej Sroba, MS, LCPC
Ondrej Sroba
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
Silver Spring, MD 20901  (Online Only)
If you are someone who experiences depression, anxiety, psychosis, addiction, relationship conflict, personal, spiritual or other problems, I am a great choice for you!
If you are someone who experiences depression, anxiety, psychosis, addiction, relationship conflict, personal, spiritual or other problems, I am a great choice for you!
(240) 622-3808 View (240) 622-3808
Photo of Yarrisa Reid- Comprehensive Clinical Solutions, MC
Yarrisa Reid- Comprehensive Clinical Solutions
MC
Verified Verified
Silver Spring, MD 20906  (Online Only)
My name is Yarrisa Reid, I'm a Mastered Level Counselor. I want to help you live your Best Life! I enjoy working with young adults and the older adult population. I specialize in individual and couples therapy. I want to to help you tackle issues such as, but not limited to mood disorders (depression/anxiety), trauma, relationships/family conflicts. One size does not fit all, therefore techniques utilized are used and adjusted based upon the client's needs. I focus heavily on one's thoughts, feelings, emotions and response to internal/external stimuli.
My name is Yarrisa Reid, I'm a Mastered Level Counselor. I want to help you live your Best Life! I enjoy working with young adults and the older adult population. I specialize in individual and couples therapy. I want to to help you tackle issues such as, but not limited to mood disorders (depression/anxiety), trauma, relationships/family conflicts. One size does not fit all, therefore techniques utilized are used and adjusted based upon the client's needs. I focus heavily on one's thoughts, feelings, emotions and response to internal/external stimuli.
(240) 679-5674 View (240) 679-5674
Photo of Stacey Thompson Somatic Psychotherapy, LICSW, LCSW-C, LCSW, SEP, Clinical Social Work/Therapist
Stacey Thompson Somatic Psychotherapy
Clinical Social Work/Therapist, LICSW, LCSW-C, LCSW, SEP
Verified Verified
Silver Spring, MD 20910
If you aren't in your body, someone else is. The systems of this world have everything to gain from your disembodiment. Stay near to yourself. Remember your body. - Cole Arthur Riley. Stressful life experiences have left you feeling disconnected from your body. You find yourself struggling with thoughts such as, " I'm not good enough", "I'm a failure", or "something is wrong with me". Living this way is exhausting, and you want something different. Talk therapy can be helpful, but sometimes it's just not enough.
If you aren't in your body, someone else is. The systems of this world have everything to gain from your disembodiment. Stay near to yourself. Remember your body. - Cole Arthur Riley. Stressful life experiences have left you feeling disconnected from your body. You find yourself struggling with thoughts such as, " I'm not good enough", "I'm a failure", or "something is wrong with me". Living this way is exhausting, and you want something different. Talk therapy can be helpful, but sometimes it's just not enough.
(240) 219-8690 View (240) 219-8690
Photo of Arega Gera, LCSW, Clinical Social Work/Therapist
Arega Gera
Clinical Social Work/Therapist, LCSW
Verified Verified
Silver Spring, MD 20910  (Online Only)
My clients often face challenges like anger, depression, guilt, and stress, stemming from work pressures, unresolved trauma, and relationship difficulties. These emotions lead to frustration and strained interactions. They need better communication, emotional regulation, and self-awareness, seeking strategies to manage stress and support for personal growth. Understanding their behaviors is crucial. Their goals include building healthier relationships, finding emotional peace, and gaining control over their lives. They aim to heal from past traumas and develop a positive outlook to thrive mentally and emotionally.
My clients often face challenges like anger, depression, guilt, and stress, stemming from work pressures, unresolved trauma, and relationship difficulties. These emotions lead to frustration and strained interactions. They need better communication, emotional regulation, and self-awareness, seeking strategies to manage stress and support for personal growth. Understanding their behaviors is crucial. Their goals include building healthier relationships, finding emotional peace, and gaining control over their lives. They aim to heal from past traumas and develop a positive outlook to thrive mentally and emotionally.
(240) 290-4520 View (240) 290-4520
Photo of Talya Van Den Berg, Clinical Social Work/Therapist
Talya Van Den Berg
Clinical Social Work/Therapist
Verified Verified
Silver Spring, MD 20910  (Online Only)
I've worked in California and Maryland, and in many settings including school, medical/hospitals and grief/end of life care. I also grew up overseas and have a keen awareness in culture, and cultural effects on mental health. I have helped clients explore issues with grief, adjustment to life changes, immigration issues, caregiving issues, parenting, adjustment to parenting, especially new mothers, as well as anxiety and distorted thinking around anxiety. My counseling style is warm, supportive and I believe in helping my clients find their strengths, and their solutions through a supportive alliance.
I've worked in California and Maryland, and in many settings including school, medical/hospitals and grief/end of life care. I also grew up overseas and have a keen awareness in culture, and cultural effects on mental health. I have helped clients explore issues with grief, adjustment to life changes, immigration issues, caregiving issues, parenting, adjustment to parenting, especially new mothers, as well as anxiety and distorted thinking around anxiety. My counseling style is warm, supportive and I believe in helping my clients find their strengths, and their solutions through a supportive alliance.
(240) 363-2007 View (240) 363-2007
Photo of Alexandra Zellner, MS, LCPC, Counselor
Alexandra Zellner
Counselor, MS, LCPC
Verified Verified
Silver Spring, MD 20910  (Online Only)
I am a compassionate and experienced Licensed Therapist dedicated to helping individuals navigate life's challenges. I believe in a client-centered approach, tailoring therapy to your unique needs and goals. Together, we'll explore the depths of your thoughts and emotions, uncovering the patterns that may be holding you back. I blend evidence-based techniques with a holistic perspective to help you achieve lasting change.
I am a compassionate and experienced Licensed Therapist dedicated to helping individuals navigate life's challenges. I believe in a client-centered approach, tailoring therapy to your unique needs and goals. Together, we'll explore the depths of your thoughts and emotions, uncovering the patterns that may be holding you back. I blend evidence-based techniques with a holistic perspective to help you achieve lasting change.
(240) 949-6924 View (240) 949-6924
Photo of Steve Wechsler, LCSW-C, Clinical Social Work/Therapist
Steve Wechsler
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Silver Spring, MD 20910
My practice is a mixture of traditional counseling, coaching, and social work case management. Many people come to me because of a specific issue like job stress which is causing anxiety and disrupting family life. Or maybe you are just looking to find sustained and meaningful employment in a challenging economy. Or perhaps you have been affected by our current political climate and need someone to help process your feelings.Whether you fit into these catagories or related mental health issues, I would like to hear from you.
My practice is a mixture of traditional counseling, coaching, and social work case management. Many people come to me because of a specific issue like job stress which is causing anxiety and disrupting family life. Or maybe you are just looking to find sustained and meaningful employment in a challenging economy. Or perhaps you have been affected by our current political climate and need someone to help process your feelings.Whether you fit into these catagories or related mental health issues, I would like to hear from you.
(301) 747-3920 View (301) 747-3920
Photo of Rosemary Moulton, MSW, LCSW, Clinical Social Work/Therapist
Rosemary Moulton
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Silver Spring, MD 20904  (Online Only)
Have you felt misunderstood because of your sexual orientation, lifestyle, age, disability, or nonconforming body? Have you tried traditional psychotherapy and been disappointed with results? Since 2006, I have provided services to adults and seniors dealing with a wide array of issues. I help people arrive at their own answers and live their most authentic lives using the power of a therapeutic, healing relationship. I help lead people through difficult territory and highlight their successes as they align their lives with their truths. Do you want to change your life but don't know where to start?
Have you felt misunderstood because of your sexual orientation, lifestyle, age, disability, or nonconforming body? Have you tried traditional psychotherapy and been disappointed with results? Since 2006, I have provided services to adults and seniors dealing with a wide array of issues. I help people arrive at their own answers and live their most authentic lives using the power of a therapeutic, healing relationship. I help lead people through difficult territory and highlight their successes as they align their lives with their truths. Do you want to change your life but don't know where to start?
(703) 991-1034 View (703) 991-1034
Photo of Patricia Ortez Aparicio, Licensed Professional Counselor
Patricia Ortez Aparicio
Licensed Professional Counselor
Verified Verified
Silver Spring, MD 20904  (Online Only)
My name is Patricia Ortez Aparicio, a bilingual (Spanish/English) therapist at Hola Counseling Services, LLC. I have my master's degree in Mental Health Counseling. I'm currently a Licensed Clinical Professional Counselor in Maryland, a Licensed Professional Counselor in Washington DC, and a Mental Health Counselor in Hawaii. I have experience in providing counseling for areas such as grief, loss, anxiety, trauma, family dynamics, and relationship issues, with a focus on increasing self-esteem and building onto current resiliency.
My name is Patricia Ortez Aparicio, a bilingual (Spanish/English) therapist at Hola Counseling Services, LLC. I have my master's degree in Mental Health Counseling. I'm currently a Licensed Clinical Professional Counselor in Maryland, a Licensed Professional Counselor in Washington DC, and a Mental Health Counselor in Hawaii. I have experience in providing counseling for areas such as grief, loss, anxiety, trauma, family dynamics, and relationship issues, with a focus on increasing self-esteem and building onto current resiliency.
(866) 738-3081 View (866) 738-3081
Photo of Jasmine B., MA, LGPC, Counselor
Jasmine B.
Counselor, MA, LGPC
Verified Verified
Silver Spring, MD 20910
I am a Licensed Graduate Professional Counselor (LGPC) and have experience supporting individuals who experience affective disorders, anxiety, depression, intellectual and developmental disabilities, trauma, and recovering from substance use. I utilize person-centered therapy, cognitive behavioral therapy, dialectical behavioral therapy, and motivational interviewing to support clients in obtaining their goals. I have experience in supporting clients and facilitating groups focusing on anger management, women’s trauma, mood regulation, and mindfulness.
I am a Licensed Graduate Professional Counselor (LGPC) and have experience supporting individuals who experience affective disorders, anxiety, depression, intellectual and developmental disabilities, trauma, and recovering from substance use. I utilize person-centered therapy, cognitive behavioral therapy, dialectical behavioral therapy, and motivational interviewing to support clients in obtaining their goals. I have experience in supporting clients and facilitating groups focusing on anger management, women’s trauma, mood regulation, and mindfulness.
(240) 332-5116 View (240) 332-5116
Photo of Jason Johnson, MA, LCPC, LMHC
Jason Johnson
Licensed Clinical Professional Counselor, MA, LCPC, LMHC
Verified Verified
1 Endorsed
Silver Spring, MD 20905  (Online Only)
Hi! My name is Jason. My ideal client is one that has simply recognized that they are dealing with an issue in life, big or small, and think that it would be helpful to have a third party that is not directly involved in those issues, but might be able to offer different a different perspective. The ideal client is also one that is ready to work. Focusing on coping skills to more healthily deal with life stressors and increasing self-awareness to understand what they bring to every interaction and decision.
Hi! My name is Jason. My ideal client is one that has simply recognized that they are dealing with an issue in life, big or small, and think that it would be helpful to have a third party that is not directly involved in those issues, but might be able to offer different a different perspective. The ideal client is also one that is ready to work. Focusing on coping skills to more healthily deal with life stressors and increasing self-awareness to understand what they bring to every interaction and decision.
(240) 257-7461 View (240) 257-7461
Shalom Shapiro
Psychologist, PsyD
Verified Verified
Silver Spring, MD 20904  (Online Only)
I am a licensed psychologist in Maryland and have broad experience helping individuals with both cognitive- and emotional concerns. At GY Counseling, I am prepared to help patients address a range of issues, including anxiety, depression, stress, ADHD, relationships, feelings of ineffectiveness and underachievement, and sleep. The treatment process begins with an initial session that focuses on clarifying the patient's goals and establishing a treatment plan. Throughout the process, I emphasize the client-therapist relationship, a goal-oriented approach, listening and respect, and collaboration.
I am a licensed psychologist in Maryland and have broad experience helping individuals with both cognitive- and emotional concerns. At GY Counseling, I am prepared to help patients address a range of issues, including anxiety, depression, stress, ADHD, relationships, feelings of ineffectiveness and underachievement, and sleep. The treatment process begins with an initial session that focuses on clarifying the patient's goals and establishing a treatment plan. Throughout the process, I emphasize the client-therapist relationship, a goal-oriented approach, listening and respect, and collaboration.
(301) 281-4697 View (301) 281-4697
Photo of Jennifer Purnell-Joe, LCSW-C, Clinical Social Work/Therapist
Jennifer Purnell-Joe
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Silver Spring, MD 20910  (Online Only)
I work with clients who struggle with anxiety, depression, grief, trauma, relationship issues, etc. Learning distress tolerance skills is a way to improve the quality of life and allows for a person to be empowered.
I work with clients who struggle with anxiety, depression, grief, trauma, relationship issues, etc. Learning distress tolerance skills is a way to improve the quality of life and allows for a person to be empowered.
(240) 384-5875 View (240) 384-5875
Photo of Sharon F Ballard, LCSW-C, LICSW, Clinical Social Work/Therapist
Sharon F Ballard
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
Silver Spring, MD 20901
Waitlist for new clients
For over 30 years, I've worked with a wide range of clients to help them identify, understand and address the causes of their distress. Together, we explore the themes and patterns in your life, past and present, that may be interfering with your personal satisfaction and growth. We work to expand your perspective, increase understanding of yourself and your relationships, enhance and develop more effective coping strategies and communication skills. I believe that therapy is most effective in an atmosphere of safety, empathy and collaboration and I strive to foster that through active engagement, openness and flexibility.
For over 30 years, I've worked with a wide range of clients to help them identify, understand and address the causes of their distress. Together, we explore the themes and patterns in your life, past and present, that may be interfering with your personal satisfaction and growth. We work to expand your perspective, increase understanding of yourself and your relationships, enhance and develop more effective coping strategies and communication skills. I believe that therapy is most effective in an atmosphere of safety, empathy and collaboration and I strive to foster that through active engagement, openness and flexibility.
(301) 265-2273 View (301) 265-2273
Photo of Stephanie Spicer Parkhurst, PhD, LLC, Psychologist
Stephanie Spicer Parkhurst
Psychologist, PhD, LLC
Verified Verified
Silver Spring, MD 20905
Living with purpose, meaning and happiness calls for self-compassion as you work to heal and grow. I believe we each have the innate ability for personal development that is enhanced when we are in a safe and supportive relationship. It can be hard to ask for help so I work to establish a strong, trusting relationship where needs, experiences and goals can be explored and worked on without fear of being judged. I work with adults experiencing a broad range of concerns including anxiety, depression, stress, trauma, relationship issues, attention/concentration issues, and changing life circumstances.
Living with purpose, meaning and happiness calls for self-compassion as you work to heal and grow. I believe we each have the innate ability for personal development that is enhanced when we are in a safe and supportive relationship. It can be hard to ask for help so I work to establish a strong, trusting relationship where needs, experiences and goals can be explored and worked on without fear of being judged. I work with adults experiencing a broad range of concerns including anxiety, depression, stress, trauma, relationship issues, attention/concentration issues, and changing life circumstances.
(240) 801-6998 View (240) 801-6998
Photo of James Chia, LGPC, Counselor
James Chia
Counselor, LGPC
Verified Verified
2 Endorsed
Silver Spring, MD 20910
Are you ready to find joy and connection? Are you struggling to tap into your resilience? Then you've come to the right place! My passion lies in helping individuals from diverse backgrounds. I specialize in assisting adults facing mood and anxiety disorders, grief, relationship struggles, and exploring identity. Originally from Singapore, I offer a safe, collaborative space, using trauma-informed approaches tailored to your cultural needs. Let's embark on a journey together as you navigate life's challenges.
Are you ready to find joy and connection? Are you struggling to tap into your resilience? Then you've come to the right place! My passion lies in helping individuals from diverse backgrounds. I specialize in assisting adults facing mood and anxiety disorders, grief, relationship struggles, and exploring identity. Originally from Singapore, I offer a safe, collaborative space, using trauma-informed approaches tailored to your cultural needs. Let's embark on a journey together as you navigate life's challenges.
(240) 887-1909 View (240) 887-1909
Photo of Courtney S., MEd, LGPC, Counselor
Courtney S.
Counselor, MEd, LGPC
Verified Verified
Silver Spring, MD 20910  (Online Only)
Waitlist for new clients
Hello, my name is Courtney and I am a daughter, a mother, and a therapist! I am a believer in all things mental health and wellness! I decided to pursue a career in counseling because I have a great passion for supporting individuals in a nonjudgmental, safe, and inviting space. My goal in our therapeutic relationship is to help guide you in making positive choices, while also maintaining a healthy lifestyle that helps you become your whole self. Let us take this journey together and find your healing for the next step of your life.
Hello, my name is Courtney and I am a daughter, a mother, and a therapist! I am a believer in all things mental health and wellness! I decided to pursue a career in counseling because I have a great passion for supporting individuals in a nonjudgmental, safe, and inviting space. My goal in our therapeutic relationship is to help guide you in making positive choices, while also maintaining a healthy lifestyle that helps you become your whole self. Let us take this journey together and find your healing for the next step of your life.
(240) 883-7150 View (240) 883-7150
Photo of Kells Cronin, LCSW-C, Clinical Social Work/Therapist
Kells Cronin
Clinical Social Work/Therapist, LCSW-C
Verified Verified
7 Endorsed
Silver Spring, MD 20910  (Online Only)
My intention is for you to feel safe bringing all parts of yourself into our sessions. All of you - all feelings, all identities - are welcome. Only in a relationship of relative safety & non-judgement can growth happen. I maintain that YOU are the expert on you and as such I take a client-centered, collaborative, and relational approach to therapy. I will use our relationship, my experience, and YOUR insight & self-knowing, as well as appropriate tools & techniques. I will ask about your goals, challenges, strengths, and what has worked for you in the past. Your care will be as individual as you are.
My intention is for you to feel safe bringing all parts of yourself into our sessions. All of you - all feelings, all identities - are welcome. Only in a relationship of relative safety & non-judgement can growth happen. I maintain that YOU are the expert on you and as such I take a client-centered, collaborative, and relational approach to therapy. I will use our relationship, my experience, and YOUR insight & self-knowing, as well as appropriate tools & techniques. I will ask about your goals, challenges, strengths, and what has worked for you in the past. Your care will be as individual as you are.
(301) 835-1089 View (301) 835-1089
Photo of Chris Haugen, LCSW-C, EdM, Clinical Social Work/Therapist
Chris Haugen
Clinical Social Work/Therapist, LCSW-C, EdM
Verified Verified
Silver Spring, MD 20905
It's hard to know how to choose a counselor. I'm happy to meet for an hour or two at no charge to help you find someone. I believe that one's thinking and beliefs are important, but certainly there is an emotional component that is key as well. I find that people feel a lot better when they feel their lives are moving forward. I am best at trauma, anxiety, and panic. I enjoy working with couples, singles who are dating, and people struggling with fatigue. I have much experience with fire service personnel, and some experience with military. I am best with traumas that occurred as an adult.
It's hard to know how to choose a counselor. I'm happy to meet for an hour or two at no charge to help you find someone. I believe that one's thinking and beliefs are important, but certainly there is an emotional component that is key as well. I find that people feel a lot better when they feel their lives are moving forward. I am best at trauma, anxiety, and panic. I enjoy working with couples, singles who are dating, and people struggling with fatigue. I have much experience with fire service personnel, and some experience with military. I am best with traumas that occurred as an adult.
(301) 591-6512 View (301) 591-6512
Photo of Ozzie R Elie - O.R.E And Associates, LLC , MBA, MHA, LCSW-C, Clinical Social Work/Therapist
O.R.E And Associates, LLC
Clinical Social Work/Therapist, MBA, MHA, LCSW-C
Verified Verified
Silver Spring, MD 20903
O.R.E.A, LLC is a Maryland State Licensed and ACHC Accredited Early Intervention Education, Counseling and Treatment program. We offer both individual and group therapy sessions. Our counselors are fully licensed and professional therapists that work to support and provide you with the best therapeutic experience.
O.R.E.A, LLC is a Maryland State Licensed and ACHC Accredited Early Intervention Education, Counseling and Treatment program. We offer both individual and group therapy sessions. Our counselors are fully licensed and professional therapists that work to support and provide you with the best therapeutic experience.
(301) 284-3310 View (301) 284-3310
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How does your Therapist compare?

Number of Therapists in Silver Spring, MD

1,000+

Average cost per session

$158

Therapists in Silver Spring, MD who prioritize treating:

93% Anxiety
89% Depression
72% Relationship Issues
70% Self Esteem
66% Stress
65% Trauma and PTSD
64% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

70% Cigna and Evernorth
66% CareFirst
63% BlueCross and BlueShield

How Therapists in Silver Spring, MD see their clients

52% Online Only
48% In Person and Online

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Silver Spring?

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.