Therapists in Decatur, GA

Photo of Sue Maschinot, LCSW, LLC, Clinical Social Work/Therapist
Sue Maschinot
Clinical Social Work/Therapist, LCSW, LLC
Verified Verified
Decatur, GA 30030
I am a licensed clinical social worker with extensive experience working with adolescents, young adults and adults who are struggling with depression, anxiety, addiction, parenting issues, developmental trauma, and/or relationship issues. I have experience not only working with individuals but also families as they navigate a wide variety of issues.
I am a licensed clinical social worker with extensive experience working with adolescents, young adults and adults who are struggling with depression, anxiety, addiction, parenting issues, developmental trauma, and/or relationship issues. I have experience not only working with individuals but also families as they navigate a wide variety of issues.
(404) 586-4034 View (404) 586-4034
Photo of Jessica Pentsil, MA, LAPC, Counselor
Jessica Pentsil
Counselor, MA, LAPC
Verified Verified
3 Endorsed
Decatur, GA 30030  (Online Only)
Starting your mental health journey may feel overwhelming and intimidating, but you don't have to do it all on your own. You might find yourself overwhelmed with anxiety, or fatigued with making decisions during a life transition. If you’ve been diagnosed with ADHD, or struggle to keep up with your responsibilities, you could feel discouraged about how to show up in the world around you. You may even find yourself in a role experiencing stress, burnout, and uncertainty about your future. I'm here to walk with you in a safe and supportive therapeutic environment as you navigate the challenges you're facing.
Starting your mental health journey may feel overwhelming and intimidating, but you don't have to do it all on your own. You might find yourself overwhelmed with anxiety, or fatigued with making decisions during a life transition. If you’ve been diagnosed with ADHD, or struggle to keep up with your responsibilities, you could feel discouraged about how to show up in the world around you. You may even find yourself in a role experiencing stress, burnout, and uncertainty about your future. I'm here to walk with you in a safe and supportive therapeutic environment as you navigate the challenges you're facing.
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Photo of Dr. T.M. Robinson-Mosley, PhD, LPC, Licensed Professional Counselor
Dr. T.M. Robinson-Mosley
Licensed Professional Counselor, PhD, LPC
Verified Verified
Decatur, GA 30030
Life is full of constant change and challenges. Sometimes it is best to talk to someone who can provide you with a confidential, non-judgmental perspective in a supportive environment. I view therapy as a partnership. I am committed to working with you through stressful times. Together, we will tackle your concerns and address behavior patterns and negative perceptions that may be holding you back from a more fulfilling life. Although we can't change the past, we can work together to better understand your experiences and resolve challenges. By applying therapeutic techniques and approaches, we will focus on your growth and well-being.
Life is full of constant change and challenges. Sometimes it is best to talk to someone who can provide you with a confidential, non-judgmental perspective in a supportive environment. I view therapy as a partnership. I am committed to working with you through stressful times. Together, we will tackle your concerns and address behavior patterns and negative perceptions that may be holding you back from a more fulfilling life. Although we can't change the past, we can work together to better understand your experiences and resolve challenges. By applying therapeutic techniques and approaches, we will focus on your growth and well-being.
(470) 309-0206 View (470) 309-0206
Photo of Rachelle Edwards, PhD, Psychologist
Rachelle Edwards
Psychologist, PhD
Verified Verified
Decatur, GA 30032
Are you ready to live a healthier life, emotionally? Today can be the beginning of a new tomorrow. I enjoy working with individuals (olders adolescents and adults) that have challenges with depression, anxiety, interpersonal relationships/personality challenges, as well as serious mental illness. The client is the focus of therapy and we will work together to develop a personalized treatment for you. I use an eclectic mix of treatment approaches that vary based on the challenge of the client. I enjoy helping individuals reach their full potential.
Are you ready to live a healthier life, emotionally? Today can be the beginning of a new tomorrow. I enjoy working with individuals (olders adolescents and adults) that have challenges with depression, anxiety, interpersonal relationships/personality challenges, as well as serious mental illness. The client is the focus of therapy and we will work together to develop a personalized treatment for you. I use an eclectic mix of treatment approaches that vary based on the challenge of the client. I enjoy helping individuals reach their full potential.
(404) 531-7962 View (404) 531-7962
Photo of Princess Thorpe, LMFT, Marriage & Family Therapist
Princess Thorpe
Marriage & Family Therapist, LMFT
Verified Verified
Decatur, GA 30031  (Online Only)
Hello my name is Princess Thorpe and I am a licensed Marriage and Family therapist practicing in the metro area of Atlanta. During this time it has been very difficult for our friends, families and ourselves as individuals to cope with all of the changes that have occurred recently in our lives. My focus is to help people discover and develop practical yet evidence based ways to cope with the "New Normal." Reaching out to a therapist can be scary, but also one of the best ways to take care of yourself and support your family.
Hello my name is Princess Thorpe and I am a licensed Marriage and Family therapist practicing in the metro area of Atlanta. During this time it has been very difficult for our friends, families and ourselves as individuals to cope with all of the changes that have occurred recently in our lives. My focus is to help people discover and develop practical yet evidence based ways to cope with the "New Normal." Reaching out to a therapist can be scary, but also one of the best ways to take care of yourself and support your family.
(470) 942-5520 View (470) 942-5520
Photo of Leslie Perez - Lifebulb Counseling & Therapy, LCSW, Clinical Social Work/Therapist
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Decatur, GA 30030
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
(404) 620-3219 x1 View (404) 620-3219 x1
Photo of Jill Locklear, MA , LPC, Licensed Professional Counselor
Jill Locklear
Licensed Professional Counselor, MA , LPC
Verified Verified
Decatur, GA 30032  (Online Only)
Hope is the key to healing, emotional wellbeing, and the high-quality life that you desire. Whether you are a mom who needs support, are living with depression or anxiety, or someone who wants to work thru past trauma, I have hope for you! Hope that you will have healing, reach your goals and live a high-quality life. I have 19 years of experiencing empowering individuals to overcome their most challenging issues and I would be honored to walk with you on your path to healing!
Hope is the key to healing, emotional wellbeing, and the high-quality life that you desire. Whether you are a mom who needs support, are living with depression or anxiety, or someone who wants to work thru past trauma, I have hope for you! Hope that you will have healing, reach your goals and live a high-quality life. I have 19 years of experiencing empowering individuals to overcome their most challenging issues and I would be honored to walk with you on your path to healing!
(404) 574-1195 View (404) 574-1195
Photo of Mark Navarre-Jones, MDiv, LCSW, Clinical Social Work/Therapist
Mark Navarre-Jones
Clinical Social Work/Therapist, MDiv, LCSW
Verified Verified
1 Endorsed
Decatur, GA 30030
Hello! Thank you for taking the time to read my profile. I am a psychotherapist practicing in the city of Decatur. I frequently see clients who feel they need some help with their emotions, or wish to have a better understanding of themselves. My place is to journey alongside you as a companion, offering guidance and perspective to empower you towards healthy choices and lifestyles. I believe everyone has their own strengths, values, and virtues that can be used to help guide the therapeutic process.
Hello! Thank you for taking the time to read my profile. I am a psychotherapist practicing in the city of Decatur. I frequently see clients who feel they need some help with their emotions, or wish to have a better understanding of themselves. My place is to journey alongside you as a companion, offering guidance and perspective to empower you towards healthy choices and lifestyles. I believe everyone has their own strengths, values, and virtues that can be used to help guide the therapeutic process.
(404) 637-0133 View (404) 637-0133
Photo of Antionette Tate, MS,  ST, CAMSI, Pre-Licensed Professional
Antionette Tate
Pre-Licensed Professional, MS, ST, CAMSI
Verified Verified
1 Endorsed
Decatur, GA 30030
With a master's degree in clinical mental health counseling, I have embarked on a journey fueled by compassion, empathy, and a fervent dedication to supporting individuals in their pursuit of psychological well-being. Central to my professional ethos is the belief in the transformative power of education, particularly through psychoeducational groups. Throughout my career, I have found immense fulfillment in facilitating psychoeducational groups, focusing on topics such as anger management and parenting. These groups serve as platforms for fostering resilience, enhancing coping skills, and nurturing healthy relationships.
With a master's degree in clinical mental health counseling, I have embarked on a journey fueled by compassion, empathy, and a fervent dedication to supporting individuals in their pursuit of psychological well-being. Central to my professional ethos is the belief in the transformative power of education, particularly through psychoeducational groups. Throughout my career, I have found immense fulfillment in facilitating psychoeducational groups, focusing on topics such as anger management and parenting. These groups serve as platforms for fostering resilience, enhancing coping skills, and nurturing healthy relationships.
(470) 517-8024 View (470) 517-8024
Photo of Pamala Love, LCSW, Clinical Social Work/Therapist
Pamala Love
Clinical Social Work/Therapist, LCSW
Verified Verified
Decatur, GA 30030
I can often participate in behavioral health symposiums throughout the country and advocate for supporting marriage, strengthening single-parent homes, and military and veteran families, educating young parents, and promoting collectivism for the community’s wellbeing.
I can often participate in behavioral health symposiums throughout the country and advocate for supporting marriage, strengthening single-parent homes, and military and veteran families, educating young parents, and promoting collectivism for the community’s wellbeing.
(678) 203-9342 View (678) 203-9342
Photo of Beth Krakow, PhD, Psychologist
Beth Krakow
Psychologist, PhD
Verified Verified
2 Endorsed
Decatur, GA 30030
Do you struggle with feeling anxious and overwhelmed more often than you’d like? Is it affecting your ability to connect in relationships and work effectively? Maybe you feel frazzled and out-of-control, have experienced a significant loss or entered into a life change that feels challenging. Managing relationships, work, and life transitions (including adjustment to college, parenthood, menopause, divorce, etc), particularly in an ever-changing, often overstimulating world, might feel impossible but there are ways to work through these experiences and even use them to your advantage!
Do you struggle with feeling anxious and overwhelmed more often than you’d like? Is it affecting your ability to connect in relationships and work effectively? Maybe you feel frazzled and out-of-control, have experienced a significant loss or entered into a life change that feels challenging. Managing relationships, work, and life transitions (including adjustment to college, parenthood, menopause, divorce, etc), particularly in an ever-changing, often overstimulating world, might feel impossible but there are ways to work through these experiences and even use them to your advantage!
(404) 882-7706 View (404) 882-7706
Photo of Ryan Allen, LPCC-S, LPC, Counselor
Ryan Allen
Counselor, LPCC-S, LPC
Verified Verified
Decatur, GA 30030
Helping Little Kids With Big Feelings. Therapy for 2-6 year olds. Your kids is on the brink of being kicked out of daycare or preschool. The tantrums are out of control and nothing you have tried seems to help or, if it does help, it only helps for a day or two. Parenting shouldn't be this hard and you feel at a loss and frustrated. You may have reached out to therapists before but they are either full or won't work with kids that young. I can help. I have helped many families find calm and connection and have prevented many young kids from being kicked out of school.
Helping Little Kids With Big Feelings. Therapy for 2-6 year olds. Your kids is on the brink of being kicked out of daycare or preschool. The tantrums are out of control and nothing you have tried seems to help or, if it does help, it only helps for a day or two. Parenting shouldn't be this hard and you feel at a loss and frustrated. You may have reached out to therapists before but they are either full or won't work with kids that young. I can help. I have helped many families find calm and connection and have prevented many young kids from being kicked out of school.
(470) 748-4142 View (470) 748-4142
Photo of Karissa Williams, MA, CCH, LPC, Licensed Professional Counselor
Karissa Williams
Licensed Professional Counselor, MA, CCH, LPC
Verified Verified
Decatur, GA 30030  (Online Only)
So, I heard you’re ready to change this year! I heard you’re ready to set boundaries and stop letting things slide! I heard you’re tired of feeling raggedy, disconnected, and not like yourself just to make others feel comfortable! You know there has to be another way! Let’s work together to figure out the old patterns of behaviors that keep you stuck and feeling like everyone is playing with your emotions. We can figure out what you need to stop pretending like you are okay and can just simply push through. Everyone has a breaking point! Let’s figure out how to live the life your desire! Let's get to work! You got this!
So, I heard you’re ready to change this year! I heard you’re ready to set boundaries and stop letting things slide! I heard you’re tired of feeling raggedy, disconnected, and not like yourself just to make others feel comfortable! You know there has to be another way! Let’s work together to figure out the old patterns of behaviors that keep you stuck and feeling like everyone is playing with your emotions. We can figure out what you need to stop pretending like you are okay and can just simply push through. Everyone has a breaking point! Let’s figure out how to live the life your desire! Let's get to work! You got this!
(470) 275-1776 View (470) 275-1776
Photo of Alicia Philipp, MS, LPC, Licensed Professional Counselor
Alicia Philipp
Licensed Professional Counselor, MS, LPC
Verified Verified
Decatur, GA 30033
Does the thought of continuing along the same path you are currently on seem exhausting? Are you feeling down, find yourself anxious, stressed about life, struggling with relationships, and maybe not even sure why? While we can’t go back and change the past, we can start today and make a new ending. Whether you are struggling with aspects of your personal life, or your career, we can work together to help you gain understanding, implement strategies & make better choices that impact your work & personal life.
Does the thought of continuing along the same path you are currently on seem exhausting? Are you feeling down, find yourself anxious, stressed about life, struggling with relationships, and maybe not even sure why? While we can’t go back and change the past, we can start today and make a new ending. Whether you are struggling with aspects of your personal life, or your career, we can work together to help you gain understanding, implement strategies & make better choices that impact your work & personal life.
(770) 823-2563 View (770) 823-2563
Photo of Samantha Merrill, MA, LAPC, NCC, Counselor
Samantha Merrill
Counselor, MA, LAPC, NCC
Verified Verified
6 Endorsed
Decatur, GA 30030
When you feel like you are white-knuckling it through life, it can be hard to imagine operating any other way. Maybe you’re a new mom who feels overwhelmed at the mental load you're carrying. Maybe you are walking through a loss or life transition that leaves you feeling stuck or unable to cope. Or maybe you continue to find yourself caught in painful and self-limiting reactions, patterns, and beliefs. I can help you slow down, acknowledge, and find compassionate support for your very real needs. Our work together will address both the present circumstances and past experiences that shape your current reality.
When you feel like you are white-knuckling it through life, it can be hard to imagine operating any other way. Maybe you’re a new mom who feels overwhelmed at the mental load you're carrying. Maybe you are walking through a loss or life transition that leaves you feeling stuck or unable to cope. Or maybe you continue to find yourself caught in painful and self-limiting reactions, patterns, and beliefs. I can help you slow down, acknowledge, and find compassionate support for your very real needs. Our work together will address both the present circumstances and past experiences that shape your current reality.
(470) 928-6031 View (470) 928-6031
Photo of Betsy Frasier, LCSW, Clinical Social Work/Therapist
Betsy Frasier
Clinical Social Work/Therapist, LCSW
Verified Verified
Decatur, GA 30030
I am a licensed clinical social worker with over 20 years experience in the area of adult mental health. My approach to therapy emphasizes a genuine presence and warmth. I believe deep listening and presence establish a bond between client and therapist that must be present before theory or technique can be effective. I believe that bearing compassionate witness to others stories can lessen despair, increase trust, and create a safe place for the healing process to begin. I have interest and experience in grief work, persistent anxiety/depression, problems that follow traumatic events or abuse, and helping with life transitions.
I am a licensed clinical social worker with over 20 years experience in the area of adult mental health. My approach to therapy emphasizes a genuine presence and warmth. I believe deep listening and presence establish a bond between client and therapist that must be present before theory or technique can be effective. I believe that bearing compassionate witness to others stories can lessen despair, increase trust, and create a safe place for the healing process to begin. I have interest and experience in grief work, persistent anxiety/depression, problems that follow traumatic events or abuse, and helping with life transitions.
(404) 369-2111 View (404) 369-2111
Photo of Aleksandr M Zverinskiy - Brave Health, MSW, LMHC, MD
Brave Health
Doctor of Medicine, MSW, LMHC, MD
Verified Verified
Decatur, GA 30030
We are a virtual mental health provider dedicated to helping people thrive through high-quality, affordable, and easily accessible mental health care. At Brave Health, your well-being is our priority. Our comprehensive mental health treatment and programs are easy-to-access, affordable and clinically effective. Whether you’re managing conditions like schizophrenia, bipolar disorder, or severe depression, or dealing with challenges such as anxiety, grief, addiction, anger, or life transitions, we’ll work closely with you to create a personalized treatment plan that fits your unique needs and goals.
We are a virtual mental health provider dedicated to helping people thrive through high-quality, affordable, and easily accessible mental health care. At Brave Health, your well-being is our priority. Our comprehensive mental health treatment and programs are easy-to-access, affordable and clinically effective. Whether you’re managing conditions like schizophrenia, bipolar disorder, or severe depression, or dealing with challenges such as anxiety, grief, addiction, anger, or life transitions, we’ll work closely with you to create a personalized treatment plan that fits your unique needs and goals.
(786) 705-8636 View (786) 705-8636
Photo of Ebony Mavins, LPC, MEd, Licensed Professional Counselor
Ebony Mavins
Licensed Professional Counselor, LPC, MEd
Verified Verified
1 Endorsed
Decatur, GA 30034  (Online Only)
Are you needing a space to process emotions and gain clarity in your life? Do you want to experience healing and unsure where or how to start? Maybe you're suffering from anxiety or life transitions and not sure what to do or where to go with unexpected emotions. I create a space just for you to process and understand how to heal and manage along the way.
Are you needing a space to process emotions and gain clarity in your life? Do you want to experience healing and unsure where or how to start? Maybe you're suffering from anxiety or life transitions and not sure what to do or where to go with unexpected emotions. I create a space just for you to process and understand how to heal and manage along the way.
(470) 798-1330 View (470) 798-1330
Photo of Destini Turner, MS, APC, CHC, CLC
Destini Turner
MS, APC, CHC, CLC
Verified Verified
Decatur, GA 30032  (Online Only)
Sometimes, life gets in the way. Whether it be relationships, career, money, or just personal, it happens! We all want to feel balanced and not like the world is going to come crashing down on us. But sometimes, we all need that extra push and feel that we are being supported along the way.
Sometimes, life gets in the way. Whether it be relationships, career, money, or just personal, it happens! We all want to feel balanced and not like the world is going to come crashing down on us. But sometimes, we all need that extra push and feel that we are being supported along the way.
(478) 209-2751 View (478) 209-2751
Photo of Dr. Makoto Ikegami, DSW, LCSW, Clinical Social Work/Therapist
Dr. Makoto Ikegami
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Decatur, GA 30032  (Online Only)
I am a psychotherapist providing services to individuals who are deaf, hard of hearing, deaf-blind, late deafened, and cochlear implant users across several states, including Pennsylvania, Florida, Georgia, New York, Maine, Texas, and Maryland. My therapeutic approach is systemic, collaborative, and strength-based while mindful of cultural, ethnic, and economic concerns. I utilize an eclectic approach that combines psychodynamic and cognitive-behavioral techniques to help individuals leverage their support system, community resources, mindfulness, and newly acquired skills to achieve the life they envision.
I am a psychotherapist providing services to individuals who are deaf, hard of hearing, deaf-blind, late deafened, and cochlear implant users across several states, including Pennsylvania, Florida, Georgia, New York, Maine, Texas, and Maryland. My therapeutic approach is systemic, collaborative, and strength-based while mindful of cultural, ethnic, and economic concerns. I utilize an eclectic approach that combines psychodynamic and cognitive-behavioral techniques to help individuals leverage their support system, community resources, mindfulness, and newly acquired skills to achieve the life they envision.
(678) 343-2502 View (678) 343-2502
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How does your Therapist compare?

Number of Therapists in Decatur, GA

800+

Average cost per session

$150

Therapists in Decatur, GA who prioritize treating:

89% Anxiety
85% Depression
74% Relationship Issues
74% Self Esteem
65% Trauma and PTSD
65% Stress
64% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

86% Aetna
65% Cigna and Evernorth
60% BlueCross and BlueShield

How Therapists in Decatur, GA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

83% Female
15% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Decatur?

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.