Therapists in Nashville, TN
![Photo of Rhonda Scarlata, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/43da6c9e-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
My approach is strengths oriented and utilizes Cognitive Behavioral Therapy (CBT) and Psychodynamic principals.
An area of emphasis with respect to my practice is working with people who are interested in changing habits. Most "bad" habits start out as understandable responses to stress in our environment. With time, the consequences of our habits may cause us more stress than they alleviate.
My approach is strengths oriented and utilizes Cognitive Behavioral Therapy (CBT) and Psychodynamic principals.
An area of emphasis with respect to my practice is working with people who are interested in changing habits. Most "bad" habits start out as understandable responses to stress in our environment. With time, the consequences of our habits may cause us more stress than they alleviate.
![Photo of Keri Seay, LPC, MHSP, Licensed Professional Counselor](https://photos.psychologytoday.com/311014e8-a99e-4b52-be8b-579b71d89e2d/3/320x400.jpeg)
I have always been aware of my undeniable passion for individual counseling, which is why I began my private practice in 2016. I want to offer people a way to live their lives effectively in the present. What does that mean? It means making wise decisions that help us feel a sense of congruence about the life we are living.
I have always been aware of my undeniable passion for individual counseling, which is why I began my private practice in 2016. I want to offer people a way to live their lives effectively in the present. What does that mean? It means making wise decisions that help us feel a sense of congruence about the life we are living.
![Photo of Jessica Mitznahuatl, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/659f229d-0ed5-44d8-bff9-650ea13aeff9/2/320x400.jpeg)
I help people who dream about achieving a balance in life, who seek to be their true authentic selves but hold themselves back because of fear, uncertainty or trauma they've experienced. If you are living with this dream, but are currently experiencing depression, anxiety, imposter syndrome or feel as if you lack the ability to cope- I would love to work with you. It is my pleasure to serve individuals of different ethnic backgrounds that may speak English or Spanish.
I help people who dream about achieving a balance in life, who seek to be their true authentic selves but hold themselves back because of fear, uncertainty or trauma they've experienced. If you are living with this dream, but are currently experiencing depression, anxiety, imposter syndrome or feel as if you lack the ability to cope- I would love to work with you. It is my pleasure to serve individuals of different ethnic backgrounds that may speak English or Spanish.
![Photo of Kate Martin, MEd, LPC, MHSP, Licensed Professional Counselor](https://photos.psychologytoday.com/88305592-dec5-414b-82a6-5342a0b8fd11/1/320x400.jpeg)
Hi there. I’m Kate Martin, a licensed professional counselor, an artist, and a mom. In my more than fifteen years of experience in this field, I have been blown away by the beautiful variety of ways that human beings can heal. A vital part of my practice is seeing my clients as the infinitely complex and unique individuals that they are. My goal is to help you meet your true self, and to develop a deep sense of self-worth that will carry you through the rest of your life.
Hi there. I’m Kate Martin, a licensed professional counselor, an artist, and a mom. In my more than fifteen years of experience in this field, I have been blown away by the beautiful variety of ways that human beings can heal. A vital part of my practice is seeing my clients as the infinitely complex and unique individuals that they are. My goal is to help you meet your true self, and to develop a deep sense of self-worth that will carry you through the rest of your life.
![Photo of Rachel Epifanio - Rachel Epifanio Counseling, Clinical Social Work/Therapist](https://photos.psychologytoday.com/754e05eb-da95-42b5-9e71-728258558b79/1/320x400.png)
Rachel Epifanio Counseling
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
Nashville, TN 37215
Life is a journey filled with ups and downs, and sometimes, we all need a helping hand to navigate through the challenges that come our way. We are a group of clinicians all specializing in various issues and offering in-person and virtual therapy. We are here to facilitate your journey towards healing and self-awareness using a client-centered approach, where you are the expert of your life. We utilize evidence-based therapeutic techniques combined with a holistic perspective to address your mental, emotional, and relational well-being.
Life is a journey filled with ups and downs, and sometimes, we all need a helping hand to navigate through the challenges that come our way. We are a group of clinicians all specializing in various issues and offering in-person and virtual therapy. We are here to facilitate your journey towards healing and self-awareness using a client-centered approach, where you are the expert of your life. We utilize evidence-based therapeutic techniques combined with a holistic perspective to address your mental, emotional, and relational well-being.
![Photo of Jazzmin Cohen Psyd, MA, PsyD, Marriage & Family Therapist Intern](https://photos.psychologytoday.com/c3858f6f-190d-4c9b-9392-ad853fe6ea0d/2/320x400.jpeg)
Jazzmin Cohen Psyd
Marriage & Family Therapist Intern, MA, PsyD
Verified Verified
1 Endorsed
Nashville, TN 37212
I work with adults, adolescents, and couples on various issues. Some of the specific areas I excel at are with clients looking to conquer life's obstacles caused by trauma, anxiety, depression, eating disorders, and post-traumatic stress disorder. During our time together, I will create a supportive environment and assist you in establishing goals and skills needed to achieve your desired lifestyle.
I work with adults, adolescents, and couples on various issues. Some of the specific areas I excel at are with clients looking to conquer life's obstacles caused by trauma, anxiety, depression, eating disorders, and post-traumatic stress disorder. During our time together, I will create a supportive environment and assist you in establishing goals and skills needed to achieve your desired lifestyle.
![Photo of Alexandra Vasilyuk - Kelly, MA, MMFT, Pre-Licensed Professional](https://photos.psychologytoday.com/024dbe97-7ec3-4b89-bc89-7915c07a1f2b/2/320x400.jpeg)
Alexandra Vasilyuk - Kelly
Pre-Licensed Professional, MA, MMFT
Verified Verified
Nashville, TN 37216
Therapy is about connection. I provide a holistic, client-centered, relational approach. There comes a time when help is needed from a professional to cope with life’s ups and downs and ongoing challenges. Good therapy supports integrating your life experiences. It can help you to make sense of the world again after traumatic or stressful events and gives you the skills to move forward in a healthier and happier way. Therapy is different than other relationships you may have in your life because it is completely focused on You. The ultimate purpose of psychotherapy is to help an individual find a life with purpose and meaning.
Therapy is about connection. I provide a holistic, client-centered, relational approach. There comes a time when help is needed from a professional to cope with life’s ups and downs and ongoing challenges. Good therapy supports integrating your life experiences. It can help you to make sense of the world again after traumatic or stressful events and gives you the skills to move forward in a healthier and happier way. Therapy is different than other relationships you may have in your life because it is completely focused on You. The ultimate purpose of psychotherapy is to help an individual find a life with purpose and meaning.
![Photo of Alyssa Walden Durdunji, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/d40fb239-cb1a-44ee-9d88-e98cad8be37a/3/320x400.jpeg)
Alyssa Walden Durdunji
Marriage & Family Therapist, LMFT
Verified Verified
13 Endorsed
Nashville, TN 37212 (Online Only)
I am passionate about seeing lives and relationships restored. I recognize the courage it takes to come to therapy and believe that transformation happens in the context of relationships when people feel heard and understood. My hope is to invite clients into a safe space where we have the opportunity to honestly confront painful and uncomfortable issues.
I am passionate about seeing lives and relationships restored. I recognize the courage it takes to come to therapy and believe that transformation happens in the context of relationships when people feel heard and understood. My hope is to invite clients into a safe space where we have the opportunity to honestly confront painful and uncomfortable issues.
![Photo of Dezerae Nash-Spacek, LPC, MHSP, NCC, Counselor](https://photos.psychologytoday.com/dc5c3ba7-3e77-4041-b796-cf0f3a094c07/3/320x400.jpeg)
Feeling stressed? Anxious? Not quite yourself? Wondering how to get back to normal? Want a new normal? A better normal? Counseling and psychotherapy can help give people the opportunity to make significant changes in their lives, attitudes, behaviors, and relationships. I work to create an emotionally safe, nonjudgmental place for individuals to explore what is bothering them. I work collaboratively with people using various techniques to help them learn about, and ultimately help themselves.
Feeling stressed? Anxious? Not quite yourself? Wondering how to get back to normal? Want a new normal? A better normal? Counseling and psychotherapy can help give people the opportunity to make significant changes in their lives, attitudes, behaviors, and relationships. I work to create an emotionally safe, nonjudgmental place for individuals to explore what is bothering them. I work collaboratively with people using various techniques to help them learn about, and ultimately help themselves.
![Photo of Blakely Patterson, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3c756b71-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Are you feeling lonely and disconnected in your relationship? Maybe struggling with whether or not to fix it or release it? It is a decision that can leave you paralyzed. Let me help you find clarity. Assessing where you are and what you want for your life is an important time to get some guidance. I enjoy working with clients who are navigating this decision as well as other major transitions; Healing a marriage, divorce adjustment, a new empty nest, blending a step-family, recovering from infidelity, or any other family issue. Let's work together to develop a plan to improve the areas of your life that are making you feel stuck.
Are you feeling lonely and disconnected in your relationship? Maybe struggling with whether or not to fix it or release it? It is a decision that can leave you paralyzed. Let me help you find clarity. Assessing where you are and what you want for your life is an important time to get some guidance. I enjoy working with clients who are navigating this decision as well as other major transitions; Healing a marriage, divorce adjustment, a new empty nest, blending a step-family, recovering from infidelity, or any other family issue. Let's work together to develop a plan to improve the areas of your life that are making you feel stuck.
![Photo of Arden Lynde, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/a61ba4c5-9117-44ae-abb4-71a1d70b12e8/2/320x400.jpeg)
Arden Lynde
Licensed Professional Counselor, LPC, NCC
Verified Verified
3 Endorsed
Nashville, TN 37206
I see therapy as the process of realizing that we have more choices than we thought we did. I am guided by the belief that every human being is worthy and capable of change, and that connection is the epicenter of human healing. As such, I strive to create a strong therapeutic relationship based on trust, support and acceptance. It takes bravery to seek help, and I feel honored to walk alongside my clients. I recognize the validity of all gender identities and expressions, sexual orientations, races and religions and aim to create relationships/spaces with my clients in which they feel free and safe to be themselves.
I see therapy as the process of realizing that we have more choices than we thought we did. I am guided by the belief that every human being is worthy and capable of change, and that connection is the epicenter of human healing. As such, I strive to create a strong therapeutic relationship based on trust, support and acceptance. It takes bravery to seek help, and I feel honored to walk alongside my clients. I recognize the validity of all gender identities and expressions, sexual orientations, races and religions and aim to create relationships/spaces with my clients in which they feel free and safe to be themselves.
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![Photo of Claire Emerick, MAMFT, LPC, MHSP, Counselor](https://photos.psychologytoday.com/54da3919-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Having been in the field for a decade, I enjoy working with a wide variety of clients and have a passion for people in the midst of life transitions such as shifting relationships, career change, and health issues. Most importantly, I desire to walk with my clients into the depths of their hearts and to help awaken them to their inherent worth. I believe the counseling process is an art and I consider it a privilege to walk with my clients toward healing.
Having been in the field for a decade, I enjoy working with a wide variety of clients and have a passion for people in the midst of life transitions such as shifting relationships, career change, and health issues. Most importantly, I desire to walk with my clients into the depths of their hearts and to help awaken them to their inherent worth. I believe the counseling process is an art and I consider it a privilege to walk with my clients toward healing.
![Photo of Maria Miller, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/88b7620c-2761-4ea8-acd2-f5d1f32fda62/2/320x400.jpeg)
I know that life can be overwhelming and it can be hard to know what to do when all the things start to pile up. I strive to bring relief and a clear outside perspective to navigate difficult situations and gain tools to work through them effectively. I am here to support you in finding ways that improve your quality of life and relationships. I am a seasoned therapist and have experience working with complex and challenging situations.
I know that life can be overwhelming and it can be hard to know what to do when all the things start to pile up. I strive to bring relief and a clear outside perspective to navigate difficult situations and gain tools to work through them effectively. I am here to support you in finding ways that improve your quality of life and relationships. I am a seasoned therapist and have experience working with complex and challenging situations.
![Photo of Madison Holladay, TLMFT, MEd, Pre-Licensed Professional](https://photos.psychologytoday.com/01b278ea-e2f5-4c4f-8e20-2308aae370da/3/320x400.jpeg)
Madison Holladay
Pre-Licensed Professional, TLMFT, MEd
Verified Verified
2 Endorsed
Nashville, TN 37203
Prior to beginning clinical practice, I taught high school students in Metro Nashville where I was fortunate to learn from the resiliency of young people. This invaluable time eventually lead me to pursuing counseling. My clinical experience has primarily been within community centers serving diverse populations, which has informed my perspective as a culturally-competent, dynamic practitioner. Areas of clinical focus are academic issues, addiction, anxiety, codependency, depression, LGBTQ+ identities, life transitions, PTSD, and trauma.
Prior to beginning clinical practice, I taught high school students in Metro Nashville where I was fortunate to learn from the resiliency of young people. This invaluable time eventually lead me to pursuing counseling. My clinical experience has primarily been within community centers serving diverse populations, which has informed my perspective as a culturally-competent, dynamic practitioner. Areas of clinical focus are academic issues, addiction, anxiety, codependency, depression, LGBTQ+ identities, life transitions, PTSD, and trauma.
![Photo of Natalie Durda, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/c8823bb9-71ae-48f7-9a73-97fe9753181b/2/320x400.jpeg)
Let's talk about your journey to motherhood and how it looks different than you expected. Infertility and postpartum struggles are boulders we carry around in plain sight, but rarely can other people see them. Caring for your children while you manage their growth spurts and regressions is quite taxing, let alone when their big emotions start showing up! I'm here to help support you while you navigate these new phases of life. My office is in East Nashville and I'm available in-person or telehealth to help fit your schedule. Let's work together to help make your days manageable and enjoyable through this difficult season!
Let's talk about your journey to motherhood and how it looks different than you expected. Infertility and postpartum struggles are boulders we carry around in plain sight, but rarely can other people see them. Caring for your children while you manage their growth spurts and regressions is quite taxing, let alone when their big emotions start showing up! I'm here to help support you while you navigate these new phases of life. My office is in East Nashville and I'm available in-person or telehealth to help fit your schedule. Let's work together to help make your days manageable and enjoyable through this difficult season!
![Photo of Paul Morris, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6d244743-d14c-446a-9858-eaa47ccde87b/2/320x400.jpeg)
If you feel you are standing in the way of your own progress in life, or find you are repeating patterns that are not effective, despite your efforts to change, I may be able to help. I offer a setting in which to discover your unique set of concerns and I try to help you to discover a plan that works best for you.
If you feel you are standing in the way of your own progress in life, or find you are repeating patterns that are not effective, despite your efforts to change, I may be able to help. I offer a setting in which to discover your unique set of concerns and I try to help you to discover a plan that works best for you.
![Photo of Karen Moran, LADC II, NCAC II, QCS, Drug & Alcohol Counselor](https://photos.psychologytoday.com/e9df0d39-2ad3-453f-8f71-27e77be61b80/2/320x400.jpeg)
Karen Moran
Drug & Alcohol Counselor, LADC II, NCAC II, QCS
Verified Verified
2 Endorsed
Nashville, TN 37210
Change is hard. It's particularly challenging when a lifestyle is built around behaviors that used to work. Fear, guilt, embarrassment, and anger often are a normal part of the process of becoming aware of the need for change. Sometimes these feelings create a barrier to the necessary change that brings relief. If you struggle with problematic substance use, either your own or someone else's, you know these statements are true. You just want reassurance that it is possible for life to be different...easier. It can be. Once a decision is made to take action...any new action...hope begins to come into focus.
Change is hard. It's particularly challenging when a lifestyle is built around behaviors that used to work. Fear, guilt, embarrassment, and anger often are a normal part of the process of becoming aware of the need for change. Sometimes these feelings create a barrier to the necessary change that brings relief. If you struggle with problematic substance use, either your own or someone else's, you know these statements are true. You just want reassurance that it is possible for life to be different...easier. It can be. Once a decision is made to take action...any new action...hope begins to come into focus.
![Photo of Cory Bishop, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/4455b595-424a-40b8-868a-f688a1746219/2/320x400.jpeg)
Through an integrative, person-centered, and holistic counseling approach, Cory equips and empowers his clients to confidently move toward their own goals. His endless curiosity and desire to learn from and connect with others drives him to take clients from all walks of life: children, teenagers, individuals, and couples. From relationship issues, family dysfunction, difficult transitions and symptoms of anxiety or depression; to emotional literacy, relational tune-ups, spirituality, and exploring the problems you can’t quite put your finger on, Cory genuinely desires to walk alongside you in your healing journey.
Through an integrative, person-centered, and holistic counseling approach, Cory equips and empowers his clients to confidently move toward their own goals. His endless curiosity and desire to learn from and connect with others drives him to take clients from all walks of life: children, teenagers, individuals, and couples. From relationship issues, family dysfunction, difficult transitions and symptoms of anxiety or depression; to emotional literacy, relational tune-ups, spirituality, and exploring the problems you can’t quite put your finger on, Cory genuinely desires to walk alongside you in your healing journey.
![Photo of Emily Carroll, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4bbc07a9-09c9-47e5-8380-83cd83fb7a04/2/320x400.jpeg)
Life is so hard some times. My guess is that you are here because you either are in the middle of the hard or you are no longer willing or able to avoid it. I wish it were easy. I wish our experience wasn't that of hurt, sadness, loss, or any of the other hard things we face. As much as I wish life did not involve this level of pain, I know there is another side to it. I know that love, celebration, joy, peace, and healing exist.
Life is so hard some times. My guess is that you are here because you either are in the middle of the hard or you are no longer willing or able to avoid it. I wish it were easy. I wish our experience wasn't that of hurt, sadness, loss, or any of the other hard things we face. As much as I wish life did not involve this level of pain, I know there is another side to it. I know that love, celebration, joy, peace, and healing exist.
![Photo of Kirbie L Anderson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/102aee1b-c514-4057-8a4e-a62e5c819a39/1/320x400.jpeg)
Kirbie L Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Nashville, TN 37215 (Online Only)
Congratulations on surviving the worst days of your life, now let me help you process them and move forward. I feel that everyone no matter, age, race, or sexual orientation deserves quality services. My job is to empower you to process, heal, and move forward with living your best life. As a social worker, I have a holistic approach to engaging my clients and an understanding how psychosocial stressors affects the process of healing. As a trained therapist in evidenced based practices, I have the ability to provide array of treatment models that are most effective in promoting change and reaching your desired outcome.
Congratulations on surviving the worst days of your life, now let me help you process them and move forward. I feel that everyone no matter, age, race, or sexual orientation deserves quality services. My job is to empower you to process, heal, and move forward with living your best life. As a social worker, I have a holistic approach to engaging my clients and an understanding how psychosocial stressors affects the process of healing. As a trained therapist in evidenced based practices, I have the ability to provide array of treatment models that are most effective in promoting change and reaching your desired outcome.
See more therapy options for Nashville
How does your Therapist compare?
Number of Therapists in Nashville, TN
1,000+
Average cost per session
$140
Therapists in Nashville, TN who prioritize treating:
92% | Anxiety |
84% | Depression |
77% | Relationship Issues |
77% | Self Esteem |
71% | Trauma and PTSD |
68% | Coping Skills |
68% | Stress |
Average years in practice
9 Years
Top 3 insurances accepted
77% | Aetna |
76% | Cigna and Evernorth |
65% | UnitedHealthcare UHC | UBH |
How Therapists in Nashville, TN see their clients
75% | In Person and Online | |
25% | Online Only |
Gender breakdown
79% | Female | |
20% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Nashville?
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.