Therapists in Sykesville, MD
![Photo of Stephen Fareed Harrison, LGPC, MS, Counselor](https://photos.psychologytoday.com/6f64a111-332f-46e4-b51c-b0482c4cd62d/2/320x400.jpeg)
I offer help by fostering a therapeutic relationship that promotes vulnerability and trust between the client and myself. I believe the most important aspect of therapy is to cultivate a nonjudgmental environment in which both parties can feel safe to be completely honest to solve the issue at hand. I offer experience in CBT, ACT, and mindfulness.
I offer help by fostering a therapeutic relationship that promotes vulnerability and trust between the client and myself. I believe the most important aspect of therapy is to cultivate a nonjudgmental environment in which both parties can feel safe to be completely honest to solve the issue at hand. I offer experience in CBT, ACT, and mindfulness.
![Photo of Caroline Cinquino Miller, MEd, LCPC, Counselor](https://photos.psychologytoday.com/3fe123e9-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Please note: morning & midday availability only .......... Change is not easy. Whether you're needing to experience relief from anxiety, depression, past trauma, or a current difficult situation, counseling can help bring us out of stagnation and onto the path of change in a compassionate and non-judgmental atmosphere. I enjoy helping people identify what thoughts and behaviors are helpful in building satisfying lives and which may have once proved useful, but no longer work for them. Taking small steps, while being kind to ourselves when we make mistakes, can create the kind of change that we want to see in our lives.
Please note: morning & midday availability only .......... Change is not easy. Whether you're needing to experience relief from anxiety, depression, past trauma, or a current difficult situation, counseling can help bring us out of stagnation and onto the path of change in a compassionate and non-judgmental atmosphere. I enjoy helping people identify what thoughts and behaviors are helpful in building satisfying lives and which may have once proved useful, but no longer work for them. Taking small steps, while being kind to ourselves when we make mistakes, can create the kind of change that we want to see in our lives.
![Photo of Denise Adams, MS, NCC, LCPC, Counselor](https://photos.psychologytoday.com/589a1c99-9083-422e-9790-3a112656cf4a/3/320x400.jpeg)
Imagine waking up every morning feeling ready to take on the world. How great does that feel? Since 2017, I've been guiding patients through life's challenges with a wide range of counseling services. With experience as a special education teacher, middle school counselor, and clinical therapist, I bring a diverse background to our sessions. Life can be tough, but a little help from a professional can make a big difference. I care deeply about your well-being and will provide you with the tools to live your best life.
Imagine waking up every morning feeling ready to take on the world. How great does that feel? Since 2017, I've been guiding patients through life's challenges with a wide range of counseling services. With experience as a special education teacher, middle school counselor, and clinical therapist, I bring a diverse background to our sessions. Life can be tough, but a little help from a professional can make a big difference. I care deeply about your well-being and will provide you with the tools to live your best life.
![Photo of Melissa Mullineaux - Melissa Mullineaux, LCPC, LLC, MA, LCPC, Counselor](https://photos.psychologytoday.com/f1522d56-3fc1-4d53-ba3e-321f6c491df4/1/320x400.jpeg)
Accepting new patients for day time availability! Are you tired of stressing out over calories, berating yourself every time you mess up, or feeling like you’re about to crumble at any second? Do you feel guilty after eating? At this point, maybe it’s hard to even remember a time you didn’t feel like this. But one thing is for sure: you’re ready for some relief. You’re ready to eat out without shaming yourself. You’re ready to find joy in the day-to-day again. Most of all, you’re ready to heal your relationship with your body and yourself. You’re ready for a new “normal,” and I can help you get there.
Accepting new patients for day time availability! Are you tired of stressing out over calories, berating yourself every time you mess up, or feeling like you’re about to crumble at any second? Do you feel guilty after eating? At this point, maybe it’s hard to even remember a time you didn’t feel like this. But one thing is for sure: you’re ready for some relief. You’re ready to eat out without shaming yourself. You’re ready to find joy in the day-to-day again. Most of all, you’re ready to heal your relationship with your body and yourself. You’re ready for a new “normal,” and I can help you get there.
![Photo of Sarah Raihl, LCSW - , Clinical Social Work/Therapist](https://photos.psychologytoday.com/c6967616-84e9-499b-83a3-d4a2beaba638/1/320x400.jpeg)
Sarah Raihl
Clinical Social Work/Therapist, LCSW -
Verified Verified
Sykesville, MD 21784 (Online Only)
Hello. I'm a Licensed Clinical Social Worker in the state of Maryland. I have been practicing Social Work for over 29 years now and have worked in many settings including hospitals, foster care, schools and community agencies. I have spent many years working as a Medical Case Manager working with individuals living with HIV. Over the past few years I have developed a Wellness Program focusing on using coping skills to increase overall health and wellness.
Hello. I'm a Licensed Clinical Social Worker in the state of Maryland. I have been practicing Social Work for over 29 years now and have worked in many settings including hospitals, foster care, schools and community agencies. I have spent many years working as a Medical Case Manager working with individuals living with HIV. Over the past few years I have developed a Wellness Program focusing on using coping skills to increase overall health and wellness.
![Photo of Jessie Lewis Bettendorf, MA, LGPC, NCC, Counselor](https://photos.psychologytoday.com/b7f44a25-0e56-47ef-929c-3af73aca1308/3/320x400.jpeg)
Jessie Lewis Bettendorf
Counselor, MA, LGPC, NCC
Verified Verified
Sykesville, MD 21784 (Online Only)
Life can be challenging! This sometimes leads to feelings of stress, sadness, loss, loneliness, and dissatisfaction. I strive to empower my clients to reach their personal goals. As a therapist, it's important to me to provide a safe environment with support, validation, and empathy.
Life can be challenging! This sometimes leads to feelings of stress, sadness, loss, loneliness, and dissatisfaction. I strive to empower my clients to reach their personal goals. As a therapist, it's important to me to provide a safe environment with support, validation, and empathy.
![Photo of Natalie Szumel, Counselor](https://photos.psychologytoday.com/15e7071f-3ae1-446f-be1f-9a9136d55b8a/1/320x400.jpeg)
Do you find yourself feeling forced to walk the path societal standards dictate for us? Career development, dating and marriage, kids–along the path we follow no matter how we feel. But do we have to? If you were to veer off society's path, what would it look like? More importantly, would you feel differently? I enjoy helping my clients explore how they can lead a more fulfilling life by their own standards–not by the path society has laid out for us.
Do you find yourself feeling forced to walk the path societal standards dictate for us? Career development, dating and marriage, kids–along the path we follow no matter how we feel. But do we have to? If you were to veer off society's path, what would it look like? More importantly, would you feel differently? I enjoy helping my clients explore how they can lead a more fulfilling life by their own standards–not by the path society has laid out for us.
![Photo of Whitney Thompson - Anchor Counseling Centers](https://photos.psychologytoday.com/e724a1ed-e4e3-4e09-9e77-6e8d4763773e/3/320x400.jpeg)
Anchor Counseling Centers
Licensed Clinical Professional Counselor
Verified Verified
4 Endorsed
Sykesville, MD 21784
Our professional, experienced counselors work with children, adolescents and adults in individual sessions as well as family or couples counseling. The counselors have a variety of backgrounds ranging from substance abuse, foster care, case management, Employee Assistance Programs, and school counseling. We are happy to discuss your needs and match you with the most appropriate counselor in the practice. We have locations in Columbia, Cumberland, Eldersburg, Sykesville & Westminster.
Our professional, experienced counselors work with children, adolescents and adults in individual sessions as well as family or couples counseling. The counselors have a variety of backgrounds ranging from substance abuse, foster care, case management, Employee Assistance Programs, and school counseling. We are happy to discuss your needs and match you with the most appropriate counselor in the practice. We have locations in Columbia, Cumberland, Eldersburg, Sykesville & Westminster.
![Photo of Hannah Snyder, LCPAT, LCPC, Art Therapist](https://photos.psychologytoday.com/59476582-2917-4a71-84b8-d679a608f18f/2/320x400.jpeg)
I am an art therapist who integrates Cognitive Behavioral Therapy and Positive Psychology in my work to treat Anxiety and ADHD in teens and adults. Although this is my specialization, I also have experience working with clients struggling with identity, depression, bipolar disorder, and relationship struggles. I provide individual and group services to her clients, in addition to family and parent coaching.
I am an art therapist who integrates Cognitive Behavioral Therapy and Positive Psychology in my work to treat Anxiety and ADHD in teens and adults. Although this is my specialization, I also have experience working with clients struggling with identity, depression, bipolar disorder, and relationship struggles. I provide individual and group services to her clients, in addition to family and parent coaching.
![Photo of Lydia Heimlich, LMSW](https://photos.psychologytoday.com/6fd56a03-e315-412c-a10b-385c2aeba972/3/320x400.png)
If you’re struggling with the emotional challenges of pregnancy, motherhood, or loss, I’m here to offer a compassionate and understanding space. My aim is to help you navigate these profound transitions, providing support as you explore your feelings and work toward healing. Together, we can build resilience and find a renewed sense of balance and well-being on your journey.
If you’re struggling with the emotional challenges of pregnancy, motherhood, or loss, I’m here to offer a compassionate and understanding space. My aim is to help you navigate these profound transitions, providing support as you explore your feelings and work toward healing. Together, we can build resilience and find a renewed sense of balance and well-being on your journey.
![Photo of Rachel Cochran, LCSW-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4015b489-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Rachel Cochran
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Sykesville, MD 21784
If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals. I work with individuals, couples and families in multiple areas including trauma, anxiety, mood disorders, relationship/family conflict, self-esteem issues, grief, eating disorder and food addiction, learning disorders, anger management, self-harm, LGBT issues, reaction to divorce, mediation, and forensic evaluation. I am more than happy to consult with you to see if we are a good fit to work together!
If you're looking for extra support and guidance through a challenging situation or you're just ready to move in a new direction in your life, I look forward to working with you to achieve your goals. I work with individuals, couples and families in multiple areas including trauma, anxiety, mood disorders, relationship/family conflict, self-esteem issues, grief, eating disorder and food addiction, learning disorders, anger management, self-harm, LGBT issues, reaction to divorce, mediation, and forensic evaluation. I am more than happy to consult with you to see if we are a good fit to work together!
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![Photo of Brenda Lee von Rautenkranz, MS, LCPC, NCC](https://photos.psychologytoday.com/3e6af913-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Brenda Lee von Rautenkranz
Licensed Clinical Professional Counselor, MS, LCPC, NCC
Verified Verified
1 Endorsed
Sykesville, MD 21784
Thank you for visiting my profile. I am passionate about helping children and adults find and maintain balance in their lives. I use a whole body system approach that incorporates nutrition, vitamins and exercise, the mind, and spirit. . As a psychotherapist and with my background as a fitness trainer, I have found the importance of a healthy body gives a healthy mind. My practice is about enabling individuals to recognize and address the obstacles that are keeping them from finding that balance. I work with children (3-12), adolescents and adults. But wait there is more....
Thank you for visiting my profile. I am passionate about helping children and adults find and maintain balance in their lives. I use a whole body system approach that incorporates nutrition, vitamins and exercise, the mind, and spirit. . As a psychotherapist and with my background as a fitness trainer, I have found the importance of a healthy body gives a healthy mind. My practice is about enabling individuals to recognize and address the obstacles that are keeping them from finding that balance. I work with children (3-12), adolescents and adults. But wait there is more....
![Photo of Madison Elie-Thompson, LCPC, NCC, C-DBT, CCTP](https://photos.psychologytoday.com/649c7cb3-821c-4f50-ba5d-d04c4cc227ae/1/320x400.jpeg)
Madison Elie-Thompson
Licensed Clinical Professional Counselor, LCPC, NCC, C-DBT, CCTP
Verified Verified
Sykesville, MD 21784 (Online Only)
Not accepting new clients
Madison Elie-Thompson specializes in trauma informed care for first responders, veterans, health care professionals and adults (18+). Madison focuses on creating a safe space for you to grow, learn new skills, process trauma, and reach your goals. While trauma is Madison’s specialty, she is also well versed in a variety of mental health concerns including depression, anxiety and substance use. She is passionate about her work and values growth in all areas of her practice.
Madison Elie-Thompson specializes in trauma informed care for first responders, veterans, health care professionals and adults (18+). Madison focuses on creating a safe space for you to grow, learn new skills, process trauma, and reach your goals. While trauma is Madison’s specialty, she is also well versed in a variety of mental health concerns including depression, anxiety and substance use. She is passionate about her work and values growth in all areas of her practice.
![Photo of Ashley V Lucas - PEM Wellness, CRNP](https://photos.psychologytoday.com/36d2a0de-8864-4705-9c6a-076c0b25c282/1/320x400.png)
Medication Assisted Treatment, including: Suboxone, Zubsolv, and more. Medical Cannabis for individuals who qualify.
Medication Assisted Treatment, including: Suboxone, Zubsolv, and more. Medical Cannabis for individuals who qualify.
![Photo of Gina M Rassa - The Counseling Renaissance, LCPC](https://photos.psychologytoday.com/40f74a07-d21f-4835-91a8-d5cc0c9c1584/2/320x400.jpeg)
The Counseling Renaissance
Licensed Clinical Professional Counselor, LCPC
Verified Verified
1 Endorsed
Sykesville, MD 21784
Immediate Openings! Christlyn McCaskill, ATR-BC, LCPAT, LCPC, Sheena Anthony, LCPC, and Kristen Killebrew, LGPC are available to work with teens and adults struggling with mood, anxiety, relationship issues, self-esteem, and more, both in-person and virtually. We offer a safe space to discover, explore, and process. Christlyn has special skills with trauma work and art therapy. Sheena uses Dialectical-Behavioral Therapy, Cognitive Behavior Therapy, and Solution-Focused Therapy. Kristen works with children, teens and adults using Cognitive and Dialectical Behavioral Techniques, and Polyvagal Theory for a variety of needs.
Immediate Openings! Christlyn McCaskill, ATR-BC, LCPAT, LCPC, Sheena Anthony, LCPC, and Kristen Killebrew, LGPC are available to work with teens and adults struggling with mood, anxiety, relationship issues, self-esteem, and more, both in-person and virtually. We offer a safe space to discover, explore, and process. Christlyn has special skills with trauma work and art therapy. Sheena uses Dialectical-Behavioral Therapy, Cognitive Behavior Therapy, and Solution-Focused Therapy. Kristen works with children, teens and adults using Cognitive and Dialectical Behavioral Techniques, and Polyvagal Theory for a variety of needs.
![Photo of Barbara Kass, MS, LCPC, NCC, Counselor](https://photos.psychologytoday.com/3d2b6889-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
One Spirit Counseling is founded on my belief that everyone has the power to heal themselves. My goal in counseling is to help people find their power and connect with their ability to heal and become whole. In addition to my Pastoral Counseling degree from Loyola University, I have a Master of Public Health and am a Certified Health Education Specialist. My public health and education background speak to the physical, behavioral, and environmental health that each of us require to survive while my mental health and spiritual training help bring healing to emotional wounds.
One Spirit Counseling is founded on my belief that everyone has the power to heal themselves. My goal in counseling is to help people find their power and connect with their ability to heal and become whole. In addition to my Pastoral Counseling degree from Loyola University, I have a Master of Public Health and am a Certified Health Education Specialist. My public health and education background speak to the physical, behavioral, and environmental health that each of us require to survive while my mental health and spiritual training help bring healing to emotional wounds.
![Photo of Lisa Barnes Lcsw-C Tidewater Counseling Services, MSW, LCSW-C, LISW-CP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9fe72933-bd0c-40e2-8690-d2e323094650/1/320x400.jpeg)
Lisa Barnes Lcsw-C Tidewater Counseling Services
Clinical Social Work/Therapist, MSW, LCSW-C, LISW-CP
Verified Verified
2 Endorsed
Sykesville, MD 21784 (Online Only)
It really takes courage to seek a more fulfilling and happier life and I congratulate you on taking this first step! Tidewater Counseling Services offers individual counseling services to clients 16 years of age and older. I am interested in learning about your mental health concerns and will tailor sessions to meet your unique and specific needs. I meet you where you are and work collaboratively to assist you in achieving your goals.
It really takes courage to seek a more fulfilling and happier life and I congratulate you on taking this first step! Tidewater Counseling Services offers individual counseling services to clients 16 years of age and older. I am interested in learning about your mental health concerns and will tailor sessions to meet your unique and specific needs. I meet you where you are and work collaboratively to assist you in achieving your goals.
![Photo of Angela Keck, LCPC, LPC, MS, Counselor](https://photos.psychologytoday.com/c366eb2c-3f20-4fc7-add2-bbae9684933c/1/320x400.jpeg)
Angela Keck
Counselor, LCPC, LPC, MS
Verified Verified
1 Endorsed
Sykesville, MD 21784 (Online Only)
Not accepting new clients
My goal is to help people lead happier more content lives. Counseling is just like life in that you get out of it what you put into it. Counseling requires courage. In going through the difficult parts though, you will come out stronger and more capable of living the life you desire. I can’t “fix” you (you’re not broken even if it feels that way). What I’ll do is work along with you to get through those tough things that are going on inside or around you.
My goal is to help people lead happier more content lives. Counseling is just like life in that you get out of it what you put into it. Counseling requires courage. In going through the difficult parts though, you will come out stronger and more capable of living the life you desire. I can’t “fix” you (you’re not broken even if it feels that way). What I’ll do is work along with you to get through those tough things that are going on inside or around you.
![Photo of Martha Smith, LCPC, NCC](https://photos.psychologytoday.com/45e98b9f-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Martha Smith
Licensed Clinical Professional Counselor, LCPC, NCC
Verified Verified
Sykesville, MD 21784
My approach to counseling is a strengths based one. I specialize in treating children, teenagers and adults. I have advanced training in play therapy, ABA therapy, Motivational Interviewing, Cognitive Behavioral Therapy, Mindfulness, and trauma. I believe that when people are going through serious life events they can change for the better with active listening, empathy, unconditional acceptance and the use of an eclectic approach to meet the patients individual needs.
My approach to counseling is a strengths based one. I specialize in treating children, teenagers and adults. I have advanced training in play therapy, ABA therapy, Motivational Interviewing, Cognitive Behavioral Therapy, Mindfulness, and trauma. I believe that when people are going through serious life events they can change for the better with active listening, empathy, unconditional acceptance and the use of an eclectic approach to meet the patients individual needs.
![Photo of Michael Reeder, MS, LCPC](https://photos.psychologytoday.com/40cfd0ad-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Michael Reeder
Licensed Clinical Professional Counselor, MS, LCPC
Verified Verified
1 Endorsed
Sykesville, MD 21784
I take a holistic approach that incorporates mind, body, and spirit. I believe it's important to integrate life meaning into counseling.
I'll work with you to set goals and the proper pacing of therapy. Therapy is a collaboration, as ultimately the power to change rests within you. I emphasize unconditional positive regard, respect, a safe and caring therapeutic relationship, individual strengths, and taking control over choices.
I take a holistic approach that incorporates mind, body, and spirit. I believe it's important to integrate life meaning into counseling.
I'll work with you to set goals and the proper pacing of therapy. Therapy is a collaboration, as ultimately the power to change rests within you. I emphasize unconditional positive regard, respect, a safe and caring therapeutic relationship, individual strengths, and taking control over choices.
See more therapy options for Sykesville
How does your Therapist compare?
Number of Therapists in Sykesville, MD
50+
Average cost per session
$140
Therapists in Sykesville, MD who prioritize treating:
94% | Anxiety |
91% | Depression |
85% | Self Esteem |
83% | Coping Skills |
76% | Stress |
74% | Relationship Issues |
72% | Trauma and PTSD |
Average years in practice
10 Years
Top 3 insurances accepted
82% | Cigna and Evernorth |
74% | BlueCross and BlueShield |
71% | CareFirst |
How Therapists in Sykesville, MD see their clients
62% | In Person and Online | |
38% | Online Only |
Gender breakdown
93% | Female | |
7% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Sykesville?
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.