Therapists in Patterson Park East, Baltimore, MD

Photo of Thomas D Prude, LCPC, LPC, Counselor
Thomas D Prude
Counselor, LCPC, LPC
Verified Verified
2 Endorsed
Patterson Park East, Baltimore, MD 21224
I believe in inalienable human rights to happiness, to love, and to freedom. I approach therapy with an inquisitive outlook and seek to make my practice welcoming. I'm trained in CBT, DBT, mindfulness, crisis response, and trauma-focused care. I specialize in anxiety, depression, mood disorders, severe and persistent disorders, assessment, lifestyle & adjustment disorders, borderline personality disorder and bipolar depression disorders. I have significant experience providing therapy for individuals, families, psychoeducational groups, and couples.
I believe in inalienable human rights to happiness, to love, and to freedom. I approach therapy with an inquisitive outlook and seek to make my practice welcoming. I'm trained in CBT, DBT, mindfulness, crisis response, and trauma-focused care. I specialize in anxiety, depression, mood disorders, severe and persistent disorders, assessment, lifestyle & adjustment disorders, borderline personality disorder and bipolar depression disorders. I have significant experience providing therapy for individuals, families, psychoeducational groups, and couples.
(410) 657-6231 View (410) 657-6231
Photo of Rajni Sharma, PhD, Psychological Associate
Rajni Sharma
Psychological Associate, PhD
Verified Verified
Patterson Park East, Baltimore, MD 21224
I use warmth, non-judgmental curiosity, and authenticity to cultivate a nurturing collaborative space where we can understand how your familial, relational, and cultural experiences shape your lived experience. With this insight, we can help you develop greater confidence in making the changes you’d like to live an intentional and meaningful life. I integrate attachment theory, trauma-informed interventions, mindfulness techniques, and multicultural/systems perspectives in therapy.
I use warmth, non-judgmental curiosity, and authenticity to cultivate a nurturing collaborative space where we can understand how your familial, relational, and cultural experiences shape your lived experience. With this insight, we can help you develop greater confidence in making the changes you’d like to live an intentional and meaningful life. I integrate attachment theory, trauma-informed interventions, mindfulness techniques, and multicultural/systems perspectives in therapy.
(410) 883-7034 View (410) 883-7034
Photo of Dr. Michael Marquez, PsyD, Psychologist
Dr. Michael Marquez
Psychologist, PsyD
Verified Verified
7 Endorsed
Patterson Park East, Baltimore, MD 21224
As a queer, Latinx cisgender man, it is my passion to support my LGBTQIA+ and POC community in our own collective liberation. Too often counseling can feel like a non-inclusive space, and my work has focused on providing a healing space where clients feel comfortable being their genuine selves, free from judgment and guilt. Sometimes it feels like many of us move through our day wearing a mask to “fit in,” which is a heavy burden to bear. Together we can work towards removing this mask by helping you tap into what already lies within you - a bit of authenticity, a splash of self-compassion, and a healthy dose of empowerment.
As a queer, Latinx cisgender man, it is my passion to support my LGBTQIA+ and POC community in our own collective liberation. Too often counseling can feel like a non-inclusive space, and my work has focused on providing a healing space where clients feel comfortable being their genuine selves, free from judgment and guilt. Sometimes it feels like many of us move through our day wearing a mask to “fit in,” which is a heavy burden to bear. Together we can work towards removing this mask by helping you tap into what already lies within you - a bit of authenticity, a splash of self-compassion, and a healthy dose of empowerment.
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Photo of Shalisa Partee, LCSW-C, Clinical Social Work/Therapist
Shalisa Partee
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Patterson Park East, Baltimore, MD 21224  (Online Only)
Hello. A better tomorrow, starts today! My name is Shalisa. I am a Licensed Clinical Social Worker. My goal is to help you move forward, towards becoming the best version of yourself. Clients value my genuine and caring approach. They find our interactions engaging and appreciate my warmth and empathy. I am a solutions-focused therapist who utilizes evidence-based interventions to empower clients and achieve lasting results.
Hello. A better tomorrow, starts today! My name is Shalisa. I am a Licensed Clinical Social Worker. My goal is to help you move forward, towards becoming the best version of yourself. Clients value my genuine and caring approach. They find our interactions engaging and appreciate my warmth and empathy. I am a solutions-focused therapist who utilizes evidence-based interventions to empower clients and achieve lasting results.
(667) 249-7370 View (667) 249-7370
Photo of Yi Q Chen, LMSW, Clinical Social Work/Therapist
Yi Q Chen
Clinical Social Work/Therapist, LMSW
Verified Verified
Patterson Park East, Baltimore, MD 21224
As a queer, Chinese, eldest daughter of immigrants, I believe that it is important to hold space for all parts of you, no matter how much hate those parts have internalized, no matter how much love those parts have been denied. I believe that your personal and ancestral pasts inform your present, and that you also have the power to functionally rewrite and close the chapters that are rooted in powerlessness, guilt, fear, and shame. Together, we can collaboratively and creatively tap into your strengths, values, inner wisdom, and identities in service of freeing up the space and energy to curate the meaningful life you deserve.
As a queer, Chinese, eldest daughter of immigrants, I believe that it is important to hold space for all parts of you, no matter how much hate those parts have internalized, no matter how much love those parts have been denied. I believe that your personal and ancestral pasts inform your present, and that you also have the power to functionally rewrite and close the chapters that are rooted in powerlessness, guilt, fear, and shame. Together, we can collaboratively and creatively tap into your strengths, values, inner wisdom, and identities in service of freeing up the space and energy to curate the meaningful life you deserve.
(410) 941-6576 View (410) 941-6576
Photo of Jacqueline Hyman, PhD, CMPC, Psychologist
Jacqueline Hyman
Psychologist, PhD, CMPC
Verified Verified
Patterson Park East, Baltimore, MD 21224
While therapy is meant to foster growth and personal reflection, I strongly believe that therapy should also cultivate exploration, creativity, curiosity and a sense of empowerment. As a queer woman of color, I cherish environments that affirm and celebrate who I am in all of my complexities. I treasure relationships where I do not have to explain myself or my experiences. Unfortunately, these environments and these relationships can be hard to find, making us feel a pressure to deny parts of ourselves in order to be accepted or seen by others.
While therapy is meant to foster growth and personal reflection, I strongly believe that therapy should also cultivate exploration, creativity, curiosity and a sense of empowerment. As a queer woman of color, I cherish environments that affirm and celebrate who I am in all of my complexities. I treasure relationships where I do not have to explain myself or my experiences. Unfortunately, these environments and these relationships can be hard to find, making us feel a pressure to deny parts of ourselves in order to be accepted or seen by others.
(410) 401-0827 View (410) 401-0827
Photo of Octavia Baryayebwa, MS, LGPC, Counselor
Octavia Baryayebwa
Counselor, MS, LGPC
Verified Verified
1 Endorsed
Patterson Park East, Baltimore, MD 21224
Update: Accepting new clients in network with Cigna, EHP, and Aetna currently. OON accepted for UHR. Please reach out for current availability. Octavia has been a resident of Baltimore for over 24 years and recently obtained her master’s degree in clinical professional counseling. She identifies as a black, queer/bisexual woman who enjoys experiencing new adventures through hobbies such as international travel and immersion in nature. She takes pride in her familial and social relationships with her community of people and the development of those relationships over her life.
Update: Accepting new clients in network with Cigna, EHP, and Aetna currently. OON accepted for UHR. Please reach out for current availability. Octavia has been a resident of Baltimore for over 24 years and recently obtained her master’s degree in clinical professional counseling. She identifies as a black, queer/bisexual woman who enjoys experiencing new adventures through hobbies such as international travel and immersion in nature. She takes pride in her familial and social relationships with her community of people and the development of those relationships over her life.
(443) 232-0434 View (443) 232-0434
Photo of Jessica Mercier, LPC, LCPC
Jessica Mercier
Licensed Clinical Professional Counselor, LPC, LCPC
Verified Verified
Patterson Park East, Baltimore, MD 21224  (Online Only)
Are you seeking therapy for the first time or looking for a fresh start with counseling? You may be dealing with depression, anxiety, relationship issues, addiction, trauma, or other mental health challenges. You want to feel empowered, discover your purpose, and find a sense of belonging and love. Your goal is to find a therapist who listens, understands, and guides you through your journey towards healing and personal growth.
Are you seeking therapy for the first time or looking for a fresh start with counseling? You may be dealing with depression, anxiety, relationship issues, addiction, trauma, or other mental health challenges. You want to feel empowered, discover your purpose, and find a sense of belonging and love. Your goal is to find a therapist who listens, understands, and guides you through your journey towards healing and personal growth.
(410) 639-3401 View (410) 639-3401
Photo of Nicole Martyn, LCSW-C, Clinical Social Work/Therapist
Nicole Martyn
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Patterson Park East, Baltimore, MD 21224  (Online Only)
Waitlist for new clients
I believe the first and most sacred job of a therapist is to create a safe, nurturing space where you are fully seen and heard. From that space, I will walk with you along your path of growth and healing, helping to guide you on your journey.
I believe the first and most sacred job of a therapist is to create a safe, nurturing space where you are fully seen and heard. From that space, I will walk with you along your path of growth and healing, helping to guide you on your journey.
(443) 991-8192 View (443) 991-8192
Photo of Joe Hodge, LPC, CAIMHP, Licensed Professional Counselor
Joe Hodge
Licensed Professional Counselor, LPC, CAIMHP
Verified Verified
1 Endorsed
Patterson Park East, Baltimore, MD 21201  (Online Only)
Are you currently struggling with depression, anxiety, stress, unresolved trauma, or relationship issues? We all face challenges in our journey through life that may feel too heavy to manage on our own. My primary goal is to provide a safe, non-judgmental space for a client to feel supported and empowered in navigating each individual journey and experience. I am passionate about helping clients from all backgrounds identify their strengths, explore opportunities for growth, and reach their desired goals at a comfortable pace.
Are you currently struggling with depression, anxiety, stress, unresolved trauma, or relationship issues? We all face challenges in our journey through life that may feel too heavy to manage on our own. My primary goal is to provide a safe, non-judgmental space for a client to feel supported and empowered in navigating each individual journey and experience. I am passionate about helping clients from all backgrounds identify their strengths, explore opportunities for growth, and reach their desired goals at a comfortable pace.
(240) 808-6736 View (240) 808-6736
Photo of Nicholas A. L. Etheridge, LCPC, NCC, Counselor
Nicholas A. L. Etheridge
Counselor, LCPC, NCC
Verified Verified
8 Endorsed
Patterson Park East, Baltimore, MD 21224
Waitlist for new clients
I do therapy backwards. I help people first find acceptance of what's challenging them, and focus on making that feeling of discomfort feel safe. I believe that allowing the experience of the full range of human emotions is key to reclaiming and strengthening our emotional resiliency. We can accept the presence of discomfort and feel joy, while identifying and making changes based on who we want to be or know we are. My therapy practice is based in an understanding of the nervous system, mindfulness, and the ways we all experience and react to trauma and distress.
I do therapy backwards. I help people first find acceptance of what's challenging them, and focus on making that feeling of discomfort feel safe. I believe that allowing the experience of the full range of human emotions is key to reclaiming and strengthening our emotional resiliency. We can accept the presence of discomfort and feel joy, while identifying and making changes based on who we want to be or know we are. My therapy practice is based in an understanding of the nervous system, mindfulness, and the ways we all experience and react to trauma and distress.
(443) 665-0577 View (443) 665-0577
Photo of Nina Arroyo - Nina Arroyo, LCPC -Specializing in ADHD and Autism, LCPC
Nina Arroyo, LCPC -Specializing in ADHD and Autism
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Patterson Park East, Baltimore, MD 21224  (Online Only)
Are you living in Maryland and facing challenges with ADHD, autism, or other neurodivergent conditions? Struggling with focus, anxiety, or social skills? As someone with ADHD, I understand these unique struggles. My ideal client seeks specialized support to manage symptoms, enhance relationships, and achieve personal growth. I offer a compassionate, judgment-free space for exploring your neurodivergent journey. Whether you need help with daily functioning, reducing stress, or building a fulfilling life, I provide tailored strategies to meet your needs. Let’s work together to empower your true potential.
Are you living in Maryland and facing challenges with ADHD, autism, or other neurodivergent conditions? Struggling with focus, anxiety, or social skills? As someone with ADHD, I understand these unique struggles. My ideal client seeks specialized support to manage symptoms, enhance relationships, and achieve personal growth. I offer a compassionate, judgment-free space for exploring your neurodivergent journey. Whether you need help with daily functioning, reducing stress, or building a fulfilling life, I provide tailored strategies to meet your needs. Let’s work together to empower your true potential.
(410) 709-8315 View (410) 709-8315

Online Therapists

Photo of Karen M Hillman, LCSW-C, Clinical Social Work/Therapist
Karen M Hillman
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21210  (Online Only)
Feeling “stuck,” is often the reason for seeking therapy: feeling stuck in relationships or relational patterns, in grief, anxiety, depression, trauma, life transitions and more. You may be feeling overwhelmed, misunderstood or unseen. My goal as a therapist is to create a safe, compassionate, and affirming space for individuals who are looking to create change or find a sense of peace in their lives.
Feeling “stuck,” is often the reason for seeking therapy: feeling stuck in relationships or relational patterns, in grief, anxiety, depression, trauma, life transitions and more. You may be feeling overwhelmed, misunderstood or unseen. My goal as a therapist is to create a safe, compassionate, and affirming space for individuals who are looking to create change or find a sense of peace in their lives.
(443) 730-5940 View (443) 730-5940
Photo of Tracy Davis - STEP One,LLC, LCPC
STEP One,LLC
LCPC
Verified Verified
Baltimore, MD 21213
Step One takes a holistic approach to therapy, which allows clients to understand healthy life balance in the areas of self, family, relationships, work/school, & spirituality. We are not determined by our experiences, but are self-determined by the meaning we give to them. We all have the ability to improve our quality of life by identifying our strengths and where we fit in the world.
Step One takes a holistic approach to therapy, which allows clients to understand healthy life balance in the areas of self, family, relationships, work/school, & spirituality. We are not determined by our experiences, but are self-determined by the meaning we give to them. We all have the ability to improve our quality of life by identifying our strengths and where we fit in the world.
(410) 883-9145 View (410) 883-9145
Photo of Ann Ritz, LCSWC, Clinical Social Work/Therapist
Ann Ritz
Clinical Social Work/Therapist, LCSWC
Verified Verified
Baltimore, MD 21212
Welcome- I’m glad you have arrived. My dream for creating this practice was to offer you a unique and warm experience where you can relax into their therapy process. Unlike traditional therapy spaces, I utilize my home as a temenos- an enclosed, sacred space, where you belong and are welcomed. I am experienced in working with adults and children, though my areas of clinical interest are in addressing trauma, attachment, and creative/artistic blocks, and life transitions.
Welcome- I’m glad you have arrived. My dream for creating this practice was to offer you a unique and warm experience where you can relax into their therapy process. Unlike traditional therapy spaces, I utilize my home as a temenos- an enclosed, sacred space, where you belong and are welcomed. I am experienced in working with adults and children, though my areas of clinical interest are in addressing trauma, attachment, and creative/artistic blocks, and life transitions.
(443) 241-7248 View (443) 241-7248
Photo of Alli Clayton, LCSW-C, Clinical Social Work/Therapist
Alli Clayton
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Baltimore, MD 21210
Are you wanting to heal from your past but feeling frozen by hurt and shame? Perhaps you keep trying to change but feel trapped by beliefs that you are not good enough, not loved. You’re trying to be a better partner, parent, and friend, and you keep giving to others, but get nothing in return. You feel alone, exhausted, and both desperate and terrified for someone to actually see you. A part of you wants to give up and shut yourself away, but another part keeps going each day. A part of you knows that there is more to life than this. A part of you has hope that things can be different, that you can be different.
Are you wanting to heal from your past but feeling frozen by hurt and shame? Perhaps you keep trying to change but feel trapped by beliefs that you are not good enough, not loved. You’re trying to be a better partner, parent, and friend, and you keep giving to others, but get nothing in return. You feel alone, exhausted, and both desperate and terrified for someone to actually see you. A part of you wants to give up and shut yourself away, but another part keeps going each day. A part of you knows that there is more to life than this. A part of you has hope that things can be different, that you can be different.
(443) 419-7494 View (443) 419-7494
Photo of William Nation, PhD, Psychologist
William Nation
Psychologist, PhD
Verified Verified
1 Endorsed
Baltimore, MD 21207  (Online Only)
My ideal client seeks a unique path to recovery, traditional but new. They grapple with the weight of mental health challenges and desire not just relief but a journey towards self-discovery. Their issues are nuanced, requiring a therapist who understands the complexities of mental health but also recognizes the healing potential in unconventional avenues. They aim to intertwine their passions with therapy, using the familiar landscapes of virtual realms and beloved narratives to fuel meaningful change. In this fusion, they see not only a therapeutic process but a transformative adventure tailored to their needs and aspirations.
My ideal client seeks a unique path to recovery, traditional but new. They grapple with the weight of mental health challenges and desire not just relief but a journey towards self-discovery. Their issues are nuanced, requiring a therapist who understands the complexities of mental health but also recognizes the healing potential in unconventional avenues. They aim to intertwine their passions with therapy, using the familiar landscapes of virtual realms and beloved narratives to fuel meaningful change. In this fusion, they see not only a therapeutic process but a transformative adventure tailored to their needs and aspirations.
(410) 888-0798 View (410) 888-0798
Photo of Rachel Harman, LCSW-C, Clinical Social Work/Therapist
Rachel Harman
Clinical Social Work/Therapist, LCSW-C
Verified Verified
2 Endorsed
Baltimore, MD 21210  (Online Only)
It can be difficult to ask for support, so I commend you for taking this first step. We are living in challenging, uncertain times and it can be overwhelming to know where to start. In fact it can feel impossible to just take care of yourself. We will take care of you, meet your problems head-on with curiosity and strength, and create positive changes that fit you and your life. My goal is to provide a non-judgmental, safe place for us to collaboratively work towards you being the healthiest, happiest version of yourself. Together, we can improve your quality of life, resilience, and sense of empowerment.
It can be difficult to ask for support, so I commend you for taking this first step. We are living in challenging, uncertain times and it can be overwhelming to know where to start. In fact it can feel impossible to just take care of yourself. We will take care of you, meet your problems head-on with curiosity and strength, and create positive changes that fit you and your life. My goal is to provide a non-judgmental, safe place for us to collaboratively work towards you being the healthiest, happiest version of yourself. Together, we can improve your quality of life, resilience, and sense of empowerment.
(410) 216-0750 View (410) 216-0750
Photo of Shanice Daniels, LCSW-C, Clinical Social Work/Therapist
Shanice Daniels
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Baltimore, MD 21201  (Online Only)
Greetings! My name is Shanice, and I am a licensed clinical social worker (LCSW-C) with over 8 years of experience in the field of mental health. I hold a Master of Social Work (MSW) degree from the University of Maryland, Baltimore, and have provided therapy services in outpatient, hospital, and school settings.
Greetings! My name is Shanice, and I am a licensed clinical social worker (LCSW-C) with over 8 years of experience in the field of mental health. I hold a Master of Social Work (MSW) degree from the University of Maryland, Baltimore, and have provided therapy services in outpatient, hospital, and school settings.
(866) 738-3081 View (866) 738-3081
Photo of Mari Medeiros, LMSW, Clinical Social Work/Therapist
Mari Medeiros
Clinical Social Work/Therapist, LMSW
Verified Verified
Baltimore, MD 21211
Whether you are looking to make changes in your life, working on self-discovery, or processing challenging life events, you deserve to feel connected and supported. As a therapist I strive to create a safe space to unpack the past, understand the present and, create goals that support your vision of the future. I use a trauma focused, strengths-based approach to support you in building skills and empower you toward healing.
Whether you are looking to make changes in your life, working on self-discovery, or processing challenging life events, you deserve to feel connected and supported. As a therapist I strive to create a safe space to unpack the past, understand the present and, create goals that support your vision of the future. I use a trauma focused, strengths-based approach to support you in building skills and empower you toward healing.
(443) 977-8280 View (443) 977-8280

How does your Therapist compare?

Number of Therapists in Patterson Park East, Baltimore, MD

10+

Average cost per session

$145

Therapists in Patterson Park East, Baltimore, MD who prioritize treating:

92% Relationship Issues
92% Anxiety
83% Depression
83% Trauma and PTSD
75% Stress
67% Coping Skills
67% Open Relationships Non-Monogamy

Average years in practice

8 Years

Top 3 insurances accepted

86% Cigna and Evernorth
71% Aetna
57% BlueCross and BlueShield

How Therapists in Patterson Park East, Baltimore, MD see their clients

59% In Person and Online
41% Online Only

Gender breakdown

64% Female
36% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Patterson Park East, Baltimore?

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.