Therapists in Lewisburg, WV

Photo of Andrew Moeller - Andrew Moeller - NOCD, LMHC, Counselor
Andrew Moeller - NOCD
Counselor, LMHC
Verified Verified
Lewisburg, WV 24901  (Online Only)
I strive to make therapy a collaborative process, focusing on creating a safe space and normalizing experiences that often go undiscussed. I'm in the passenger seat with you, not steering the car. My interest in psychology began in college, and it just clicked for me. I've always been fascinated by the mind and motivated to help people. I love helping people with anxiety and seeing them make positive changes. Working with OCD aligned well with my focus on anxiety and felt like a natural progression in my career. At NOCD, my team and I specialize in providing evidence-based treatment for OCD.
I strive to make therapy a collaborative process, focusing on creating a safe space and normalizing experiences that often go undiscussed. I'm in the passenger seat with you, not steering the car. My interest in psychology began in college, and it just clicked for me. I've always been fascinated by the mind and motivated to help people. I love helping people with anxiety and seeing them make positive changes. Working with OCD aligned well with my focus on anxiety and felt like a natural progression in my career. At NOCD, my team and I specialize in providing evidence-based treatment for OCD.
(304) 944-5923 View (304) 944-5923
Photo of Tammy Showell, MSW, LICSW, LCSW, Clinical Social Work/Therapist
Tammy Showell
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
Lewisburg, WV 24901  (Online Only)
Now Accepting NEW Clients! - I am a clinical psychotherapist with 17+ years' treatment experience in various settings. Please visit my website at www.tammyshowell.com for deeper insight about who I am and what I do. Thank you for trusting me with your care.
Now Accepting NEW Clients! - I am a clinical psychotherapist with 17+ years' treatment experience in various settings. Please visit my website at www.tammyshowell.com for deeper insight about who I am and what I do. Thank you for trusting me with your care.
(304) 745-2049 View (304) 745-2049
Photo of Laura Eagle, MSW, LICSW, AADC, Clinical Social Work/Therapist
Laura Eagle
Clinical Social Work/Therapist, MSW, LICSW, AADC
Verified Verified
2 Endorsed
Lewisburg, WV 24901
Hello! Whether you are interested in online tele-therapy or face to face sessions, I offer a warm, accepting, and confidential space to explore your problems and concerns, and a partnership where we can work together to address them whether you are here for yourself, your child, or your family, I approach therapy and counseling as a collaborative and relational endeavor where we put together my expertise with the strengths and the strivings that have gotten you (or your child) this far.
Hello! Whether you are interested in online tele-therapy or face to face sessions, I offer a warm, accepting, and confidential space to explore your problems and concerns, and a partnership where we can work together to address them whether you are here for yourself, your child, or your family, I approach therapy and counseling as a collaborative and relational endeavor where we put together my expertise with the strengths and the strivings that have gotten you (or your child) this far.
(304) 244-4742 View (304) 244-4742
Photo of Mike Allen Beswick, LICSW, BCD, Clinical Social Work/Therapist
Mike Allen Beswick
Clinical Social Work/Therapist, LICSW, BCD
Verified Verified
1 Endorsed
Lewisburg, WV 24901  (Online Only)
The decision to seek therapy is a first step in changing your life and I'm aware that you want to find the best possible match. My whole career has been defined by constantly seeking the most effective and efficient was to help you get the answers and the relief that you're looking for. I've learned that regardless of the techniques it is important that you absolutely trust your therapist and feel a strong connection. Having established that foundational relationship, I have been trained in many things, including EMDR, hypnosis, addictions, and I've developed ways to stop the past from negatively influencing your present
The decision to seek therapy is a first step in changing your life and I'm aware that you want to find the best possible match. My whole career has been defined by constantly seeking the most effective and efficient was to help you get the answers and the relief that you're looking for. I've learned that regardless of the techniques it is important that you absolutely trust your therapist and feel a strong connection. Having established that foundational relationship, I have been trained in many things, including EMDR, hypnosis, addictions, and I've developed ways to stop the past from negatively influencing your present
(304) 884-4295 View (304) 884-4295
Photo of Ginger Conley, LPC , ALPS, Licensed Professional Counselor
Ginger Conley
Licensed Professional Counselor, LPC , ALPS
Verified Verified
1 Endorsed
Lewisburg, WV 24901  (Online Only)
I have special passion and interest in supporting others to find authenticity and empowerment.
I have special passion and interest in supporting others to find authenticity and empowerment.
(304) 486-3368 View (304) 486-3368
Effective Outcomes Counseling Services
Licensed Professional Counselor, MA, LPC, NCC, MAC, ICGC-
Verified Verified
Lewisburg, WV 24901
I strive to be the most effective counselor possible in helping people with their mental health needs or issues.
I strive to be the most effective counselor possible in helping people with their mental health needs or issues.
(304) 250-1606 View (304) 250-1606
Photo of Suzanne Fry, MEd, NCC, BC-TMH, Licensed Professional Counselor
Suzanne Fry
Licensed Professional Counselor, MEd, NCC, BC-TMH
Verified Verified
Lewisburg, WV 24901  (Online Only)
When choosing a counselor, you'll want the person to be trained and competent. You'll want them to "get" you and be able to help you skillfully and effectively. So, look over my credentials, and if you have questions, ask. And if you're ready, let's meet and go from there.
When choosing a counselor, you'll want the person to be trained and competent. You'll want them to "get" you and be able to help you skillfully and effectively. So, look over my credentials, and if you have questions, ask. And if you're ready, let's meet and go from there.
(304) 337-5744 View (304) 337-5744
Photo of Kristen Copenhaver, LGSW, Clinical Social Work/Therapist
Kristen Copenhaver
Clinical Social Work/Therapist, LGSW
Verified Verified
Lewisburg, WV 24901
Life's challenges can feel overwhelming. When even getting out of bed feels like a struggle and it seems like nobody truly understands your struggles, it can be isolating. However, I'm here to assure you that you're not alone. I will partner with you to help restore your capacity to thrive by engaging your strengths, processing difficult emotions, and fostering a supportive environment for your personal growth and well-being. Together, we'll navigate challenges and celebrate successes, paving the way for a more fulfilling life.
Life's challenges can feel overwhelming. When even getting out of bed feels like a struggle and it seems like nobody truly understands your struggles, it can be isolating. However, I'm here to assure you that you're not alone. I will partner with you to help restore your capacity to thrive by engaging your strengths, processing difficult emotions, and fostering a supportive environment for your personal growth and well-being. Together, we'll navigate challenges and celebrate successes, paving the way for a more fulfilling life.
(304) 316-6612 View (304) 316-6612
Photo of Tyra R Cochran, MSW, LCSW, Clinical Social Work/Therapist
Tyra R Cochran
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Lewisburg, WV 24901
Whether we meet in person or via telehealth you will be given my utmost attention and consideration in a safe and non-judgmental space. Life is a journey that sometimes throws us a difficult curve. I am here to work with you on finding out how to navigate a rewarding and peaceful path to where you want to be. We will work together and address the topics you chose in a calm, serene manner.
Whether we meet in person or via telehealth you will be given my utmost attention and consideration in a safe and non-judgmental space. Life is a journey that sometimes throws us a difficult curve. I am here to work with you on finding out how to navigate a rewarding and peaceful path to where you want to be. We will work together and address the topics you chose in a calm, serene manner.
(304) 742-2627 View (304) 742-2627
Photo of Terry Lusher - Encouraging Words Counseling Center, LPC, Counselor
Encouraging Words Counseling Center
Counselor, LPC
Verified Verified
Lewisburg, WV 24901
Dr. Terry Lusher, Psy. D., L. P. C., is a Licensed Professional Counselor in the state of West Virginia. He started Encouraging Words, Inc. along with his wife Deborah in 1996. As a Vietnam veteran, he is able to relate to survivor and trauma recovery issues. Terry brings a wealth of professional skills and personal experiences to his therapeutic relationships. He spent about twenty years working with emotionally and behaviorally disturbed adolescents in treatment programs in Texas, Oklahoma, North Carolina, and West Virginia.
Dr. Terry Lusher, Psy. D., L. P. C., is a Licensed Professional Counselor in the state of West Virginia. He started Encouraging Words, Inc. along with his wife Deborah in 1996. As a Vietnam veteran, he is able to relate to survivor and trauma recovery issues. Terry brings a wealth of professional skills and personal experiences to his therapeutic relationships. He spent about twenty years working with emotionally and behaviorally disturbed adolescents in treatment programs in Texas, Oklahoma, North Carolina, and West Virginia.
(304) 645-5355 View (304) 645-5355
Photo of Adrienne Boland - Adrienne Boland, MA, LPCC, Licensed Professional Counselor
Adrienne Boland
Licensed Professional Counselor, MA, LPCC
Verified Verified
Lewisburg, WV 24901  (Online Only)
First and foremost, it's important to me that you feel heard. Feeling heard is the cornerstone of building a trusting therapeutic relationship, and I believe that healing happens when a person feels like someone really 'gets it'. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of these conditions enables us to diagnose and treat them properly. We have training in evidence-based treatments, including Exposure Response and Prevention (ERP) therapy—the gold standard treatment for OCD.
First and foremost, it's important to me that you feel heard. Feeling heard is the cornerstone of building a trusting therapeutic relationship, and I believe that healing happens when a person feels like someone really 'gets it'. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of these conditions enables us to diagnose and treat them properly. We have training in evidence-based treatments, including Exposure Response and Prevention (ERP) therapy—the gold standard treatment for OCD.
(502) 401-1223 View (502) 401-1223
Photo of Andrew Latoszewski - Andrew Latoszewski - NOCD, MSW, LCSW, Clinical Social Work/Therapist
Andrew Latoszewski - NOCD
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lewisburg, WV 24901  (Online Only)
I'm here to provide you with a safe space to explore your feelings and face your discomfort. ​There's no better feeling than seeing people take control of their lives in ways they never would've imagined. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of the nuances of OCD and related conditions enables us to treat them properly. We have received training in evidence-based treatments, including Exposure Response and Prevention (ERP) therapy—the gold standard treatment for OCD.
I'm here to provide you with a safe space to explore your feelings and face your discomfort. ​There's no better feeling than seeing people take control of their lives in ways they never would've imagined. At NOCD, my team and I provide personalized and effective specialized treatment for OCD and related conditions, such as BFRBs (including skin-picking, nail-biting, and hair-pulling). Our understanding of the nuances of OCD and related conditions enables us to treat them properly. We have received training in evidence-based treatments, including Exposure Response and Prevention (ERP) therapy—the gold standard treatment for OCD.
(708) 726-3126 View (708) 726-3126
Photo of Kay R McCoy, MSW, WVLICSW, WVAADC, NYLCSW, Clinical Social Work/Therapist
Kay R McCoy
Clinical Social Work/Therapist, MSW, WVLICSW, WVAADC, NYLCSW
Verified Verified
1 Endorsed
Lewisburg, WV 24901  (Online Only)
Telehealth mental health therapy sessions with me provide a safe place, from the comfort of your own home, to share your your thoughts, feelings, fears, and as much of your personal story as you choose. You are always the center of my attention, and therapy is based on what you want to change about your behaviors, thoughts or feelings. I listen to what you have to say, and help you identify solutions to problems you may identify. I provide crisis counseling, brief therapy, and long term psychotherapy based on your needs.
Telehealth mental health therapy sessions with me provide a safe place, from the comfort of your own home, to share your your thoughts, feelings, fears, and as much of your personal story as you choose. You are always the center of my attention, and therapy is based on what you want to change about your behaviors, thoughts or feelings. I listen to what you have to say, and help you identify solutions to problems you may identify. I provide crisis counseling, brief therapy, and long term psychotherapy based on your needs.
(844) 204-9946 View (844) 204-9946
Photo of Beth Holt Wright Lcsw Emdr Certified, Clinical Social Work/Therapist
Beth Holt Wright Lcsw Emdr Certified
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Lewisburg, WV 24901  (Online Only)
Waitlist for new clients
I am a licensed psychotherapist for 25 years in VA and West VA. I obtained my BA in Psychology from the University of Richmond in 1994 and my Masters in Social Work from the University of Georgia in 1997. I am certified in Eye Movement Desensitization Reprocessing, Integrative Behavioral Couples Therapy and have been trained in Internal Family Systems (IFS) for Complex Trauma (parts work), Brainspotting, Hakomi, Exposure, Core Energetics, dream work, mindfulness, and Cognitive Behavioral Therapy, Humanistic, and Psychodynamic. 2x winner of top Bedside Manner Award in Our Health Magazine for counselors in the Roanoke Valley.
I am a licensed psychotherapist for 25 years in VA and West VA. I obtained my BA in Psychology from the University of Richmond in 1994 and my Masters in Social Work from the University of Georgia in 1997. I am certified in Eye Movement Desensitization Reprocessing, Integrative Behavioral Couples Therapy and have been trained in Internal Family Systems (IFS) for Complex Trauma (parts work), Brainspotting, Hakomi, Exposure, Core Energetics, dream work, mindfulness, and Cognitive Behavioral Therapy, Humanistic, and Psychodynamic. 2x winner of top Bedside Manner Award in Our Health Magazine for counselors in the Roanoke Valley.
(540) 492-4057 View (540) 492-4057
Photo of Ruth Riffe, MSW, LICSW, ADC, Clinical Social Work/Therapist
Ruth Riffe
Clinical Social Work/Therapist, MSW, LICSW, ADC
Verified Verified
1 Endorsed
Lewisburg, WV 24901
I am committed to providing the support and tools you need to begin the healing process. I have over twenty years of experience in the behavioral health field and consider it an honor to be part of your healing journey of self-discovery. Sometimes life situations cause feelings of hopelessness and despair. I am here to tell you that there is HOPE and we will find the tools together to work through whatever issues you may be facing. My goal is to create a safe, supportive, environment that promotes healing and empowerment. As partners we will work towards nurturing the strength, confidence and skills you need to succeed.
I am committed to providing the support and tools you need to begin the healing process. I have over twenty years of experience in the behavioral health field and consider it an honor to be part of your healing journey of self-discovery. Sometimes life situations cause feelings of hopelessness and despair. I am here to tell you that there is HOPE and we will find the tools together to work through whatever issues you may be facing. My goal is to create a safe, supportive, environment that promotes healing and empowerment. As partners we will work towards nurturing the strength, confidence and skills you need to succeed.
(304) 427-6167 View (304) 427-6167
Photo of Dwayne Franklin Masters, MA, LPC, AADC-S, SAP, ALPS, Licensed Professional Counselor
Dwayne Franklin Masters
Licensed Professional Counselor, MA, LPC, AADC-S, SAP, ALPS
Verified Verified
Lewisburg, WV 24901
Pyramid Counseling LLC has been providing services to southern WV since 1997. We have 3 locations: Lewisburg, Beckley and Saint Albans. Providing the following services: Individual group, and family/marriage counseling, DOT/SAP Evaluation, MAT services, psychiatric evaluation and medication management, DUI safety/treatment, drug/alcohol testing and EAP services. See our website for full line of services.
Pyramid Counseling LLC has been providing services to southern WV since 1997. We have 3 locations: Lewisburg, Beckley and Saint Albans. Providing the following services: Individual group, and family/marriage counseling, DOT/SAP Evaluation, MAT services, psychiatric evaluation and medication management, DUI safety/treatment, drug/alcohol testing and EAP services. See our website for full line of services.
(681) 201-4986 View (681) 201-4986

More Therapists Nearby

Photo of Victoria Carovillano - The Willow Tree And me, Licensed Professional Counselor
The Willow Tree And me
Licensed Professional Counselor
Verified Verified
1 Endorsed
Maxwelton, WV 24957
We specialize in providing personalized holistic approaches to therapy to address challenges such as anxiety, trauma, heightened sensitivity, stress, and/or depression. Dr. Melisa combines mind-body medicine with modern therapeutic techniques. We understand the unique needs and experiences of those who navigate the world with heightened sensitivity. Our empathetic and holistic approach is transformative, supporting your journey toward fulfillment and ease in your daily life. Let's work together to help you make positive changes.
We specialize in providing personalized holistic approaches to therapy to address challenges such as anxiety, trauma, heightened sensitivity, stress, and/or depression. Dr. Melisa combines mind-body medicine with modern therapeutic techniques. We understand the unique needs and experiences of those who navigate the world with heightened sensitivity. Our empathetic and holistic approach is transformative, supporting your journey toward fulfillment and ease in your daily life. Let's work together to help you make positive changes.
(304) 301-5043 View (304) 301-5043

Online Therapists

Photo of Angguna R. Rowe - HomeTown Professional Counseling , M Ed, NCC, LPC, Licensed Professional Counselor
HomeTown Professional Counseling
Licensed Professional Counselor, M Ed, NCC, LPC
Verified Verified
Bradshaw, WV 24817  (Online Only)
Hello, my name is Angguna Rowe. I am a Licensed Professional Counselor located in West Virginia. I work with individuals and couples on life transitions, challenges at work or school, grief, identity, and more. I particularly enjoy working with working professionals, college students, women, and men who struggle with infidelity, midlife crisis, and empty nesters. I help clients adjust to entering new stages in life and navigate life stressors that come with life transitions, whether dealing with a new work environment or a marital crisis due to changes in expectations that lead to unhappiness, leaving the nest, etc.
Hello, my name is Angguna Rowe. I am a Licensed Professional Counselor located in West Virginia. I work with individuals and couples on life transitions, challenges at work or school, grief, identity, and more. I particularly enjoy working with working professionals, college students, women, and men who struggle with infidelity, midlife crisis, and empty nesters. I help clients adjust to entering new stages in life and navigate life stressors that come with life transitions, whether dealing with a new work environment or a marital crisis due to changes in expectations that lead to unhappiness, leaving the nest, etc.
(304) 396-0302 View (304) 396-0302
Photo of Monica Co Hoyer, MSW, LICSW, MBA, Clinical Social Work/Therapist
Monica Co Hoyer
Clinical Social Work/Therapist, MSW, LICSW, MBA
Verified Verified
Cross Lanes, WV 25313  (Online Only)
What would "Happier" look like? - It sounds good... but where to start? It can feel so overwhelming, but we can work on that together. Let's create a vision. Let's figure out what's getting in the way. Let's then build the plan to empower YOU to (1) use the strengths you already have as the foundation to (2) build whatever else you need, to (3) make the changes to reach this goal.
What would "Happier" look like? - It sounds good... but where to start? It can feel so overwhelming, but we can work on that together. Let's create a vision. Let's figure out what's getting in the way. Let's then build the plan to empower YOU to (1) use the strengths you already have as the foundation to (2) build whatever else you need, to (3) make the changes to reach this goal.
(304) 801-2323 View (304) 801-2323
Photo of Jody M Hensley - Peace Valley Counseling Center, LLC, MA, LPC, EMDR, Licensed Professional Counselor
Peace Valley Counseling Center, LLC
Licensed Professional Counselor, MA, LPC, EMDR
Verified Verified
South Charleston, WV 25303  (Online Only)
I am a WV native and have been working with children/adolescents/adults for over 17 years. Helping others is my passion. I am an advocate for the families receiving my services. I am a graduate of West Virginia State University with a B.A. in Psychology and Liberty University with an M.A. Professional Counseling. I am trained in EMDR therapy, which is a model of therapy used to treat trauma and other disorders. I am currently taking courses in American Sign Language and hope to eventually offer services to the deaf community. If I may leave one thought with you it is that what I do is a PASSION and not a POSITION. Take care
I am a WV native and have been working with children/adolescents/adults for over 17 years. Helping others is my passion. I am an advocate for the families receiving my services. I am a graduate of West Virginia State University with a B.A. in Psychology and Liberty University with an M.A. Professional Counseling. I am trained in EMDR therapy, which is a model of therapy used to treat trauma and other disorders. I am currently taking courses in American Sign Language and hope to eventually offer services to the deaf community. If I may leave one thought with you it is that what I do is a PASSION and not a POSITION. Take care
(681) 201-0215 View (681) 201-0215

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How does your Therapist compare?

Number of Therapists in Lewisburg, WV

10+

Average cost per session

$100

Therapists in Lewisburg, WV who prioritize treating:

87% Depression
87% Anxiety
87% Coping Skills
80% Relationship Issues
73% Self Esteem
67% Grief
67% Trauma and PTSD

Average years in practice

18 Years

Top 3 insurances accepted

93% Cigna and Evernorth
86% Aetna
86% BlueCross and BlueShield

How Therapists in Lewisburg, WV see their clients

53% Online Only
47% In Person and Online

Gender breakdown

70% Female
30% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lewisburg?

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.