Therapists in Maryland
![Photo of Nekia Jones, LCSW-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0da20504-e5c7-4068-9b36-c23e14a6b780/1/320x400.jpeg)
There are times when we encounter challenges that greatly impact our ability to live a healthy, productive life. Times when it becomes hard to engage in relationships, work, and/or activities that we enjoy. Have you found yourself increasingly overwhelmed, stressed, or worried? Do you have difficulty overcoming past traumatic events? Do you struggle with adjusting to major life changes? Do these circumstances affect your sense of self-worth, create unhealthy boundaries, or impact your ability to show up for yourself? Having the right tools to cope can be invaluable in changing the landscape of your mental health.
There are times when we encounter challenges that greatly impact our ability to live a healthy, productive life. Times when it becomes hard to engage in relationships, work, and/or activities that we enjoy. Have you found yourself increasingly overwhelmed, stressed, or worried? Do you have difficulty overcoming past traumatic events? Do you struggle with adjusting to major life changes? Do these circumstances affect your sense of self-worth, create unhealthy boundaries, or impact your ability to show up for yourself? Having the right tools to cope can be invaluable in changing the landscape of your mental health.
![Photo of Jacquelyn Wilson, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/12c601b4-b200-49ff-b0ab-aecbe6d4f154/2/320x400.jpeg)
I am Jacquelyn Wilson, a Licensed Clinical Therapist (LCT) with a passion for helping individuals, couples, families, and children navigate the complexities of behavioral health issues. I am dedicated to providing a compassionate and supportive environment where you can explore your unique journey towards healing and growth. As an experienced Licensed Master Social Worker, I bring a wealth of knowledge and expertise to the therapeutic process. My therapeutic approach is inclusive and sensitive to diverse backgrounds, including race, gender, class, religion, sexual orientation, and relationship status.
I am Jacquelyn Wilson, a Licensed Clinical Therapist (LCT) with a passion for helping individuals, couples, families, and children navigate the complexities of behavioral health issues. I am dedicated to providing a compassionate and supportive environment where you can explore your unique journey towards healing and growth. As an experienced Licensed Master Social Worker, I bring a wealth of knowledge and expertise to the therapeutic process. My therapeutic approach is inclusive and sensitive to diverse backgrounds, including race, gender, class, religion, sexual orientation, and relationship status.
![Photo of Myrja Paul - Sol Counseling & Consulting, LCPC, ACS, Counselor](https://photos.psychologytoday.com/c78a1ac2-039f-4124-9eef-0af238e5c1cb/2/320x400.jpeg)
Congratulations! You just took the first step. Welcome to Sol Counseling & Consulting! Sol is a group practice of passionate and competent therapists and we provide therapeutic services to adults, children, teens and couples. At Sol we believe, like the sun, each day is a new opportunity to rise, to shine, to get a new chance and to be in the light instead of the darkness.
Congratulations! You just took the first step. Welcome to Sol Counseling & Consulting! Sol is a group practice of passionate and competent therapists and we provide therapeutic services to adults, children, teens and couples. At Sol we believe, like the sun, each day is a new opportunity to rise, to shine, to get a new chance and to be in the light instead of the darkness.
![Photo of Julie Bindeman - Integrative Therapy of Greater Washington, Psy-D, Psychologist](https://photos.psychologytoday.com/3ec74e12-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
ITGW works with children, adolescents, and adults of all ages and stages in the lifespan. We believe that people can learn from what their bodies (and not just their thoughts) might be trying to communicate in order to be their best selves. We see our clients in individual therapy, couples counseling, group therapy, and family therapy. Additionally, we offer psychoeducational, neuropsychological and psychological assessments as well as CogMed.
ITGW works with children, adolescents, and adults of all ages and stages in the lifespan. We believe that people can learn from what their bodies (and not just their thoughts) might be trying to communicate in order to be their best selves. We see our clients in individual therapy, couples counseling, group therapy, and family therapy. Additionally, we offer psychoeducational, neuropsychological and psychological assessments as well as CogMed.
![Photo of Sam Savage - Nerd Somatics @Cardinal Catalysts, MSW, SEP](https://photos.psychologytoday.com/faa6d689-1712-4bf4-af3f-52c4ee04ec9b/1/320x400.jpeg)
I'm an artist, game designer, educator, and all around nerd. My practice focuses on students, helping/health professionals, and artists/creatives. Together we build resources around safety, joy, and ease to support the work.
I'm an artist, game designer, educator, and all around nerd. My practice focuses on students, helping/health professionals, and artists/creatives. Together we build resources around safety, joy, and ease to support the work.
![Photo of Natalie Edwards, MEd, LPC, LCPC, QMHP, Counselor](https://photos.psychologytoday.com/5a0fdf4e-669b-47f8-ae64-876d628d2c0e/1/320x400.jpeg)
Natalie Edwards
Counselor, MEd, LPC, LCPC, QMHP
Verified Verified
Germantown, MD 20876 (Online Only)
Welcome and congrats to taking the first step in becoming the best version of yourself. We all know that life can be difficult but what better way to address life issues than to have someone with you on this journey who is understanding, non-judgmental, and compassionate.
Welcome and congrats to taking the first step in becoming the best version of yourself. We all know that life can be difficult but what better way to address life issues than to have someone with you on this journey who is understanding, non-judgmental, and compassionate.
![Photo of Franklin Lartey - Accepting Clients! Children, Adults, Psych Meds!, LCPC, Counselor](https://photos.psychologytoday.com/53e6531f-6f1d-40fc-a2f9-6f1cfa7b9854/2/320x400.png)
Accepting Clients! Children, Adults, Psych Meds!
Counselor, LCPC
Verified Verified
Baltimore, MD 21202 (Online Only)
Do you find yourself struggling with anxious thoughts? Are the trials of everyday life trapping you in a cycle of depression? Maybe you are having a hard time processing a traumatic event that has happened to you? You are not alone, and you do not have to continue struggling. I will provide a safe, non-judgmental, and supportive atmosphere that allows you to express yourself openly and freely. As a client of mine, I will help you work through whatever it is you are currently experiencing and help you work towards a happier tomorrow
Do you find yourself struggling with anxious thoughts? Are the trials of everyday life trapping you in a cycle of depression? Maybe you are having a hard time processing a traumatic event that has happened to you? You are not alone, and you do not have to continue struggling. I will provide a safe, non-judgmental, and supportive atmosphere that allows you to express yourself openly and freely. As a client of mine, I will help you work through whatever it is you are currently experiencing and help you work towards a happier tomorrow
![Photo of India Michelle Bell - My Best Self Therapeutic Services-India Bell, LCSW-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/95244784-c5c5-413b-a1bf-a4cc06f9c751/3/320x400.jpeg)
My Best Self Therapeutic Services-India Bell
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21230
Has life or family stressors been weighing heavy on you? Have you been trying to independently cope with trauma, depression and/or anxiety but things appear to remain the same? Maybe you are searching for your best self but struggling to navigate the journey of finding you? “I know the life I want for myself and/or my child, but where do I start”? If you can relate to that statement, you’ve come to the right place. My Best Self Therapeutic Services is here to help, specifically if you are looking for a culturally competent, empathetic clinician that can cater to the specific needs of you and/or your family.
Has life or family stressors been weighing heavy on you? Have you been trying to independently cope with trauma, depression and/or anxiety but things appear to remain the same? Maybe you are searching for your best self but struggling to navigate the journey of finding you? “I know the life I want for myself and/or my child, but where do I start”? If you can relate to that statement, you’ve come to the right place. My Best Self Therapeutic Services is here to help, specifically if you are looking for a culturally competent, empathetic clinician that can cater to the specific needs of you and/or your family.
![Photo of Andrew Dauler, LCMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4b9c8e49-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Andrew Dauler
Marriage & Family Therapist, LCMFT
Verified Verified
1 Endorsed
Silver Spring, MD 20904
Whether you're currently feeling overwhelmed or striving to reach your full potential, I help guide people on their path to feeling truly satisfied. I help clarify the patterns that leave people feeling "stuck" and help to illuminate the way towards resolution. I work on empowering people with the knowledge, skills and confidence to become their best selves.
Whether you're currently feeling overwhelmed or striving to reach your full potential, I help guide people on their path to feeling truly satisfied. I help clarify the patterns that leave people feeling "stuck" and help to illuminate the way towards resolution. I work on empowering people with the knowledge, skills and confidence to become their best selves.
![Photo of Vanessa Fogler, LGPC, Counselor](https://photos.psychologytoday.com/8504f5c8-9f58-49c0-a27d-4f3e6217acf5/1/320x400.jpeg)
You've already taken the first step by looking for help so please give yourself a pat on the back. When you feel alone, stuck, miserable and unworthy it can spiral into many aspects of your life. How you interact with your friends, your partner and children, work performance and your self image are all impacted. There is nothing worse than feeling like your own worst enemy. Pouring from an empty cup can only last so long. Time is precious and you deserve a life worth living, a life where you feel like you can get out of bed and walk down the street with a genuine smile on your face. Together, we will get through this difficult time.
You've already taken the first step by looking for help so please give yourself a pat on the back. When you feel alone, stuck, miserable and unworthy it can spiral into many aspects of your life. How you interact with your friends, your partner and children, work performance and your self image are all impacted. There is nothing worse than feeling like your own worst enemy. Pouring from an empty cup can only last so long. Time is precious and you deserve a life worth living, a life where you feel like you can get out of bed and walk down the street with a genuine smile on your face. Together, we will get through this difficult time.
![Photo of Danielle Flores, LCPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4ab6b0fe-78e6-4e0d-b37d-d5acc99e21bd/1/320x400.jpeg)
Danielle Flores
Licensed Professional Counselor, LCPC
Verified Verified
1 Endorsed
Elkridge, MD 21075 (Online Only)
I enjoy working with adolescents, women and families. Most of my experience has been with Women’s Issues, Sexual Abuse Survivors, Trauma, Anxiety and Domestic Violence utilizing primarily a trauma-informed and solution-focused clinical perspective. I believe it is important for me to have a collaborative professional relationship with each client so that we can collectively meet the client's needs.
I enjoy working with adolescents, women and families. Most of my experience has been with Women’s Issues, Sexual Abuse Survivors, Trauma, Anxiety and Domestic Violence utilizing primarily a trauma-informed and solution-focused clinical perspective. I believe it is important for me to have a collaborative professional relationship with each client so that we can collectively meet the client's needs.
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Thank you for your interest. I am presently accepting forensic (court-related) evaluation cases exclusively, through referral by attorney. I am not currently accepting new patients for psychotherapy or evaluation through health insurance.
Thank you for your interest. I am presently accepting forensic (court-related) evaluation cases exclusively, through referral by attorney. I am not currently accepting new patients for psychotherapy or evaluation through health insurance.
![Photo of Nicole DiCarlo, LCPC](https://photos.psychologytoday.com/d1949f37-cce4-4f72-9da5-83bc57125a31/2/320x400.jpeg)
Nicole DiCarlo
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Towson, MD 21204
Not accepting new clients
Are you struggling with anxiety? Are you finding yourself distracted by your thoughts throughout the day? You are not alone. I often meet people who can "get by" with their day-to-day, but struggle to live in the moment and feel a real sense of joy and purpose in their lives. I'd like to help you find a way to continue to write your story, but with fulfillment and intuitive direction!
Are you struggling with anxiety? Are you finding yourself distracted by your thoughts throughout the day? You are not alone. I often meet people who can "get by" with their day-to-day, but struggle to live in the moment and feel a real sense of joy and purpose in their lives. I'd like to help you find a way to continue to write your story, but with fulfillment and intuitive direction!
![Photo of Dr. Sonja Varner-Alston - 1 Serving Others, LLC, DMFT, LCMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3ed6da18-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
1 Serving Others, LLC
Marriage & Family Therapist, DMFT, LCMFT
Verified Verified
4 Endorsed
White Plains, MD 20695
Welcome to the rest of your life! Now allow me to help you get to the place you want to be. As the seasons of life change matters can become overwhelming. If you need to strengthen your marriage, improve family relationships, or enhance communication with your teens or co-workers; I can help! Using a Person-centered approach to therapy, we will work together to restructure and work through problem areas. You deserve a healthy and happy life! It all begins with a positive mental state and good communication skills.
Welcome to the rest of your life! Now allow me to help you get to the place you want to be. As the seasons of life change matters can become overwhelming. If you need to strengthen your marriage, improve family relationships, or enhance communication with your teens or co-workers; I can help! Using a Person-centered approach to therapy, we will work together to restructure and work through problem areas. You deserve a healthy and happy life! It all begins with a positive mental state and good communication skills.
![Photo of Jennifer R. Schwartz, LCSW-C, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5446879e-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Jennifer R. Schwartz
Clinical Social Work/Therapist, LCSW-C, MSW
Verified Verified
Bethesda, MD 20814
My passion is working with people who are confronted with challenges at home, school, or the workplace; or are having difficulty maintaining or creating meaningful relationships. I will offer you a safe, judgment free, and accepting environment. No two people experience hardship the same way. Together, we can find the solution that works best for you. I have many years of experience working with individuals in schools, parents and children with child welfare involvement, and families dealing with separation and divorce.
My passion is working with people who are confronted with challenges at home, school, or the workplace; or are having difficulty maintaining or creating meaningful relationships. I will offer you a safe, judgment free, and accepting environment. No two people experience hardship the same way. Together, we can find the solution that works best for you. I have many years of experience working with individuals in schools, parents and children with child welfare involvement, and families dealing with separation and divorce.
![Photo of Briana Rahming, LCSW-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4b4ea7a4-aefa-4f18-98f7-179b1f95c7de/2/320x400.png)
My ideal client is motivated for therapy. Their issues can include spiritual confusion, perinatal struggles, relationship concerns, family conflict, boundary needs, and/or a desire for greater self-awareness. They desire true change, which comes with a combination of empathy, education, and constructive feedback, if necessary, from the clinician.
My ideal client is motivated for therapy. Their issues can include spiritual confusion, perinatal struggles, relationship concerns, family conflict, boundary needs, and/or a desire for greater self-awareness. They desire true change, which comes with a combination of empathy, education, and constructive feedback, if necessary, from the clinician.
![Photo of Jeff Sheggrud - Psychology Consultants Associated, PsyD, Psychologist](https://photos.psychologytoday.com/43ce9fea-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
PCA is a group practice that has been providing mental health treatment in the Baltimore area for over 40 years. Our staff of psychologists and counselors can work with a very wide range of disorders and demographics while providing exceptional therapy, testing/assessment, or evaluations that you or your family may need. We have male and female providers and accept almost all insurance plans. **WE ARE ACCEPTING NEW PATIENTS FOR IN-PERSON AND TELETHERAPY APPOINTMENTS. ALL OF OUR STAFF ARE FULLY VACCINATED.**
PCA is a group practice that has been providing mental health treatment in the Baltimore area for over 40 years. Our staff of psychologists and counselors can work with a very wide range of disorders and demographics while providing exceptional therapy, testing/assessment, or evaluations that you or your family may need. We have male and female providers and accept almost all insurance plans. **WE ARE ACCEPTING NEW PATIENTS FOR IN-PERSON AND TELETHERAPY APPOINTMENTS. ALL OF OUR STAFF ARE FULLY VACCINATED.**
![Photo of Darrell Jamison, LCSW-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/179bd9ee-5693-4d55-a7dc-0e90e8e3a0dc/2/320x400.jpeg)
Darrell Jamison
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Gaithersburg, MD 20877
Do you feel life is spiraling out of control? Or you have to be everything to everyone else but feel alone when you’re in need? Are you having trouble meeting expectations? Or saying “No" then resenting saying yes? Do you put everyone before you and then don't have enough time for you or your dreams? Are you feeling “stuck” after giving so much, then to realize you’re not making progress in your life? More often than we realize, we tend to lose ourselves giving what we don’t have while trying to manage it all; parenthood, relationships, careers, and life situations. We then become overwhelmed, anxious, depressed or stuck.
Do you feel life is spiraling out of control? Or you have to be everything to everyone else but feel alone when you’re in need? Are you having trouble meeting expectations? Or saying “No" then resenting saying yes? Do you put everyone before you and then don't have enough time for you or your dreams? Are you feeling “stuck” after giving so much, then to realize you’re not making progress in your life? More often than we realize, we tend to lose ourselves giving what we don’t have while trying to manage it all; parenthood, relationships, careers, and life situations. We then become overwhelmed, anxious, depressed or stuck.
![Photo of Alyson St Amand, LCSW-C, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/db154d19-6567-41da-8833-b71b71428fe6/1/320x400.jpeg)
Alyson St Amand
Clinical Social Work/Therapist, LCSW-C, LICSW
Verified Verified
1 Endorsed
Columbia, MD 21046
I provide a safe, warm, and welcoming environment for individuals to do difficult therapeutic work. I specialize in treating anxiety disorders, depression, trauma, grief and loss, perinatal mental health disorders and women's issues, boundary and relationship issues, self-esteem issues, and supporting individuals through life transitions. My clients have benefited from my individualized and integrated treatment approaches. I have been successful in utilizing a combination of CBT (cognitive behavioral therapy), psychodynamic approaches, play therapy, trauma-informed and other mindfulness-based approaches to address difficult issues.
I provide a safe, warm, and welcoming environment for individuals to do difficult therapeutic work. I specialize in treating anxiety disorders, depression, trauma, grief and loss, perinatal mental health disorders and women's issues, boundary and relationship issues, self-esteem issues, and supporting individuals through life transitions. My clients have benefited from my individualized and integrated treatment approaches. I have been successful in utilizing a combination of CBT (cognitive behavioral therapy), psychodynamic approaches, play therapy, trauma-informed and other mindfulness-based approaches to address difficult issues.
![Photo of Alexa Rich, LCPC, LCADC, MAC](https://photos.psychologytoday.com/eec0071d-a704-4791-b9a9-86b3a48c7789/2/320x400.jpeg)
Alexa Rich
Licensed Clinical Professional Counselor, LCPC, LCADC, MAC
Verified Verified
1 Endorsed
Baltimore, MD 21204
I have extensive experience in the treatment of mental health and substance use disorders. I specialize in treating folks with co-occurring challenges, which is the experience of multiple disorders simultaneously. I enjoy working with adolescents, young adults, and adults. I rely heavily on motivational interviewing and meet people where they are with unconditional positive regard. My approach is trauma-informed, and my style is to be genuine and transparent, placing a strong emphasis on creative solutions.
I have extensive experience in the treatment of mental health and substance use disorders. I specialize in treating folks with co-occurring challenges, which is the experience of multiple disorders simultaneously. I enjoy working with adolescents, young adults, and adults. I rely heavily on motivational interviewing and meet people where they are with unconditional positive regard. My approach is trauma-informed, and my style is to be genuine and transparent, placing a strong emphasis on creative solutions.
See more therapy options for Maryland
How does your Therapist compare?
Average cost per session
$150
Therapists in Maryland who prioritize treating:
92% | Anxiety |
88% | Depression |
74% | Relationship Issues |
74% | Self Esteem |
68% | Coping Skills |
67% | Stress |
64% | Trauma and PTSD |
Average years in practice
12 Years
Top 3 insurances accepted
74% | BlueCross and BlueShield |
70% | CareFirst |
69% | Cigna and Evernorth |
How Therapists in Maryland see their clients
59% | In Person and Online | |
41% | Online Only |
Gender breakdown
82% | Female | |
17% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Maryland?
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.