Therapists in Downtown, Dayton, OH

Photo of Shanae Batty, MS, LPC, Licensed Professional Counselor
Shanae Batty
Licensed Professional Counselor, MS, LPC
Verified Verified
Downtown, Dayton, OH 45402
Now Booking In Person Sessions! Hello, my name is Shanae. I primarily work with children and families who are looking for help with their children. I found my passion in working with families coming from hard places. I focus on family dynamics, generational patterns, and helping you choose the best steps to take moving forward. I can help support you in building boundaries, work on relationships, and learn how to deal with anxiety & stress.
Now Booking In Person Sessions! Hello, my name is Shanae. I primarily work with children and families who are looking for help with their children. I found my passion in working with families coming from hard places. I focus on family dynamics, generational patterns, and helping you choose the best steps to take moving forward. I can help support you in building boundaries, work on relationships, and learn how to deal with anxiety & stress.
(937) 400-1647 View (937) 400-1647
Photo of Larry D Stephens, PhD, LPCC-S, LICD-CS, Counselor
Larry D Stephens
Counselor, PhD, LPCC-S, LICD-CS
Verified Verified
Downtown, Dayton, OH 45402
Dr. Larry Stephens is a professional counselor working in private practice in Dayton, Ohio. He specializes in clinical mental health and substance abuse counseling. With over 29 years of combined counseling and clinical/administrative supervisory experience in the Behavioral Healthcare field, and he is currently serving as a private practitioner working with a broad spectrum of adult clients. Among his areas of expertise are substance abuse/dependence, spiritual issues, depression/anxiety, marriage/other relationship issues, social skills development, anger management, sexual compulsivity, grief and loss, stage of life transition/adjustment issues. .
Dr. Larry Stephens is a professional counselor working in private practice in Dayton, Ohio. He specializes in clinical mental health and substance abuse counseling. With over 29 years of combined counseling and clinical/administrative supervisory experience in the Behavioral Healthcare field, and he is currently serving as a private practitioner working with a broad spectrum of adult clients. Among his areas of expertise are substance abuse/dependence, spiritual issues, depression/anxiety, marriage/other relationship issues, social skills development, anger management, sexual compulsivity, grief and loss, stage of life transition/adjustment issues. .
(937) 203-2697 View (937) 203-2697
Photo of Kelley Summers, LISW, MSW, Clinical Social Work/Therapist
Kelley Summers
Clinical Social Work/Therapist, LISW, MSW
Verified Verified
2 Endorsed
Downtown, Dayton, OH 45459
I am a queer, affirming therapist. I am non-denominational, but am spiritual in realms of Pagan and Astrology with a splash of Buddhist practices. I am what you get and know my style isn’t for everyone. I believe I can provide a safe, inclusive, and inviting energy and space whether online or in person.
I am a queer, affirming therapist. I am non-denominational, but am spiritual in realms of Pagan and Astrology with a splash of Buddhist practices. I am what you get and know my style isn’t for everyone. I believe I can provide a safe, inclusive, and inviting energy and space whether online or in person.
(937) 954-2834 View (937) 954-2834
Photo of Holly D. Karban, MS, LPC, CCTS, Counselor
Holly D. Karban
Counselor, MS, LPC, CCTS
Verified Verified
Downtown, Dayton, OH 45402
Hello! Congratulations on taking the first step towards positive change. Please know that I appreciate & respect clients from all walks of life, regardless of age, race, sexuality, socioeconomic background, ethnicity, & religion. I welcome children, adolescents, adults, traditional & modern families/couples. I have a passion for uplifting & empowering women through enhancing life skills, coping skills, and positive self image to truly maximize full potential. Because therapy is not a "one size fits all" deal, I utilize more of an eclectic approach to the process, and treat every client as the unique individual that YOU are.
Hello! Congratulations on taking the first step towards positive change. Please know that I appreciate & respect clients from all walks of life, regardless of age, race, sexuality, socioeconomic background, ethnicity, & religion. I welcome children, adolescents, adults, traditional & modern families/couples. I have a passion for uplifting & empowering women through enhancing life skills, coping skills, and positive self image to truly maximize full potential. Because therapy is not a "one size fits all" deal, I utilize more of an eclectic approach to the process, and treat every client as the unique individual that YOU are.
(937) 410-0519 View (937) 410-0519
Photo of Devonna Rogers-Seger, LPC, Licensed Professional Counselor
Devonna Rogers-Seger
Licensed Professional Counselor, LPC
Verified Verified
Downtown, Dayton, OH 45402
I work with a variety of clients, all having one thing in common: They are unhappy with the direction their life has taken and seek insight so that their lives can change. Whether they are wanting to process a life event and only want to come one or two sessions, or whether they want to make a long-term connection with a counselor, I tailor my therapy to my clients' needs. My approach is interactive, engaging my clients in conversations that help them process past or present events, so that they can find their own path to healing.
I work with a variety of clients, all having one thing in common: They are unhappy with the direction their life has taken and seek insight so that their lives can change. Whether they are wanting to process a life event and only want to come one or two sessions, or whether they want to make a long-term connection with a counselor, I tailor my therapy to my clients' needs. My approach is interactive, engaging my clients in conversations that help them process past or present events, so that they can find their own path to healing.
(937) 421-8449 View (937) 421-8449
Photo of Angie Kaskocsak, LPC, Licensed Professional Counselor
Angie Kaskocsak
Licensed Professional Counselor, LPC
Verified Verified
Downtown, Dayton, OH 45402
Finding the right therapist can be frustrating and challenging! Hopefully, I can make your search a little easier. With a warm and empathetic approach, I provide the judgment-free, trusting environment necessary to explore vulnerabilities and foster healing. I work with a diverse client base including people of various ages, backgrounds, and mental health diagnoses. I have advanced training in CBT, DBT and and I’m also well-versed in cognitive, mindfulness.
Finding the right therapist can be frustrating and challenging! Hopefully, I can make your search a little easier. With a warm and empathetic approach, I provide the judgment-free, trusting environment necessary to explore vulnerabilities and foster healing. I work with a diverse client base including people of various ages, backgrounds, and mental health diagnoses. I have advanced training in CBT, DBT and and I’m also well-versed in cognitive, mindfulness.
(937) 897-9583 View (937) 897-9583
Photo of Katherine Reeves, LPCC, Counselor
Katherine Reeves
Counselor, LPCC
Verified Verified
Downtown, Dayton, OH 45402
Welcome! Imagine being able to talk with someone about your concerns, worries and needs openly and without judgement. I can be that person for you. I'm dedicated to providing a non-judgmental and safe space for you to address life stressors, such as, challenges with your body image, worry, feeling stuck in your relationship(s), feeling disconnected from others, experiencing stress and anxiety, feeling sad, struggling with parenting, past traumas, job stress and other issues of life. I believe that therapy is not a one-size-fits-all approach, and together, we will discover the best path that suits you.
Welcome! Imagine being able to talk with someone about your concerns, worries and needs openly and without judgement. I can be that person for you. I'm dedicated to providing a non-judgmental and safe space for you to address life stressors, such as, challenges with your body image, worry, feeling stuck in your relationship(s), feeling disconnected from others, experiencing stress and anxiety, feeling sad, struggling with parenting, past traumas, job stress and other issues of life. I believe that therapy is not a one-size-fits-all approach, and together, we will discover the best path that suits you.
(937) 507-3866 View (937) 507-3866
Photo of Devin Sonner, MA, LPC, Licensed Professional Counselor
Devin Sonner
Licensed Professional Counselor, MA, LPC
Verified Verified
Downtown, Dayton, OH 45402
You are not your problems, the problem is the problem! Together we can begin to discern the difference and take action toward change. I am a white, genderqueer therapist dedicated to facilitating personal, interpersonal and collective healing through relationships and organizing. I specialize in supporting people experiencing issues related to boundaries, self-respect, burnout, anger, social/racial justice, healing trauma, identity development, existential questions, sexuality, gender identity, and life transitions. LGBTQ, poly, and kink identities welcome. More at: www.riverscapecounseling.com
You are not your problems, the problem is the problem! Together we can begin to discern the difference and take action toward change. I am a white, genderqueer therapist dedicated to facilitating personal, interpersonal and collective healing through relationships and organizing. I specialize in supporting people experiencing issues related to boundaries, self-respect, burnout, anger, social/racial justice, healing trauma, identity development, existential questions, sexuality, gender identity, and life transitions. LGBTQ, poly, and kink identities welcome. More at: www.riverscapecounseling.com
(937) 821-5584 View (937) 821-5584
Photo of Curt Harris, MS, LPC, CST, Licensed Professional Counselor
Curt Harris
Licensed Professional Counselor, MS, LPC, CST
Verified Verified
Downtown, Dayton, OH 45402
When I decided to pursue a career as a therapist I did so because I wanted to make the world a better place, and decided to do that by helping one person at a time . My primary approach to mental health counseling is the Person -Centered approach . This means I believe that no one knows you better than you know yourself. It is my job to help you identify goals , improve communication , strengthen self-esteem and develop solutions and coping skills. During the counseling process you are in the driver's seat, I am just a GPS to help you on the road to better mental health. However, I'm not closed to other counseling approaches.
When I decided to pursue a career as a therapist I did so because I wanted to make the world a better place, and decided to do that by helping one person at a time . My primary approach to mental health counseling is the Person -Centered approach . This means I believe that no one knows you better than you know yourself. It is my job to help you identify goals , improve communication , strengthen self-esteem and develop solutions and coping skills. During the counseling process you are in the driver's seat, I am just a GPS to help you on the road to better mental health. However, I'm not closed to other counseling approaches.
(937) 442-8825 View (937) 442-8825
Photo of Amie M Quimby - WeCare Health Clinic Group, Drug & Alcohol Counselor
WeCare Health Clinic Group
Drug & Alcohol Counselor
Verified Verified
Downtown, Dayton, OH 45459
I am deeply committed to helping individuals on their journey towards recovery and healing. My passion for becoming a drug and addiction counselor is rooted in my belief in the transformative power of compassion, empathy, and non-judgmental support. I understand that addiction is a complex and challenging struggle, and I am dedicated to providing a safe and nurturing environment for my clients. I will listen with an open heart, offering empathy and understanding, while also utilizing evidence-based techniques to guide them towards a healthier and happier life.
I am deeply committed to helping individuals on their journey towards recovery and healing. My passion for becoming a drug and addiction counselor is rooted in my belief in the transformative power of compassion, empathy, and non-judgmental support. I understand that addiction is a complex and challenging struggle, and I am dedicated to providing a safe and nurturing environment for my clients. I will listen with an open heart, offering empathy and understanding, while also utilizing evidence-based techniques to guide them towards a healthier and happier life.
(937) 770-8962 View (937) 770-8962
Photo of Santosh Kamealoha, MSW, LSW, Clinical Social Work/Therapist
Santosh Kamealoha
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Downtown, Dayton, OH 45402  (Online Only)
I specialize in treatment of anxiety, depression, chemical dependency, ADHD, trauma, and adjustment disorders for children, adolescents, and adults alike. I utilize a holistic approach to therapy with the goal of treating each person as an individual with their own unique needs.
I specialize in treatment of anxiety, depression, chemical dependency, ADHD, trauma, and adjustment disorders for children, adolescents, and adults alike. I utilize a holistic approach to therapy with the goal of treating each person as an individual with their own unique needs.
(937) 588-6516 View (937) 588-6516
Photo of Katherine Pixley, LPCC, Counselor
Katherine Pixley
Counselor, LPCC
Verified Verified
Downtown, Dayton, OH 45458  (Online Only)
Hello! I am a board-certified Dance/Movement Therapist and Licensed Professional Clinical Counselor. I strive to assist my clients to move through challenging experiences by helping them with understanding the power of the mind/body connection. The hope is that once this connection is better understood, an individual can reconnect to their life fully. I have had the privilege to work in community, school, and hospital environments as well as private practice settings with children to adults.
Hello! I am a board-certified Dance/Movement Therapist and Licensed Professional Clinical Counselor. I strive to assist my clients to move through challenging experiences by helping them with understanding the power of the mind/body connection. The hope is that once this connection is better understood, an individual can reconnect to their life fully. I have had the privilege to work in community, school, and hospital environments as well as private practice settings with children to adults.
(937) 507-6340 View (937) 507-6340
Photo of Ryan Andrews, CT, Licensed Professional Counselor
Ryan Andrews
Licensed Professional Counselor, CT
Verified Verified
Downtown, Dayton, OH 45409
I believe that mental health issues arise when we are faced with overwhelming emotions in isolation. Without the necessary support, emotions get so big and daunting that we defend ourselves against them, leading to numbness, anxiety, and depression. My goal is to invite intense emotions into the room so that we can learn to regulate them together and they can be reincorporated into the psyche, leading to a fuller and healthier life.
I believe that mental health issues arise when we are faced with overwhelming emotions in isolation. Without the necessary support, emotions get so big and daunting that we defend ourselves against them, leading to numbness, anxiety, and depression. My goal is to invite intense emotions into the room so that we can learn to regulate them together and they can be reincorporated into the psyche, leading to a fuller and healthier life.
(937) 507-3839 View (937) 507-3839
Photo of Charles A Roberts, LPCC-S, CSAT, RAE, BSP, Counselor
Charles A Roberts
Counselor, LPCC-S, CSAT, RAE, BSP
Verified Verified
5 Endorsed
Downtown, Dayton, OH 45459
Groups Enrolling Now: Healing Trauma Therapy Group and Sex Addiction Therapy Group. Anxiety, shame, depression, and relationship stress are some of the most common impacts of trauma. Whether you have experienced trauma from childhood abuse or neglect, interpersonal violence, combat, infidelity or from your calling as a first responder or mental health professional, you deserve liberation. If you are stuck, overwhelmed or hopeless, I would be honored to sit with you, hear your story and help you find or restore joy and peace in your life.
Groups Enrolling Now: Healing Trauma Therapy Group and Sex Addiction Therapy Group. Anxiety, shame, depression, and relationship stress are some of the most common impacts of trauma. Whether you have experienced trauma from childhood abuse or neglect, interpersonal violence, combat, infidelity or from your calling as a first responder or mental health professional, you deserve liberation. If you are stuck, overwhelmed or hopeless, I would be honored to sit with you, hear your story and help you find or restore joy and peace in your life.
(937) 982-4538 View (937) 982-4538
Photo of Angela M Lowe - Battle For Your Life Christian Counseling Service, LPC, Licensed Professional Counselor
Battle For Your Life Christian Counseling Service
Licensed Professional Counselor, LPC
Verified Verified
Downtown, Dayton, OH 45406
As a Christian, deciding to pursue counseling can be a difficult step. Many judge themselves, or fear judgment from others, for not “having enough faith” or “praying enough” to resolve the situation themselves. Others have sought counseling in the past without success, and worry that trying again will only disappoint. At Battle for Your Life Christian Counseling & Training Services (BFYL), we know that all believers –Yes, ALL believers – have seasons of struggle in their life when they need others to come alongside them. Whether you are struggling with marital problems, battling anxiety or depression, are a wounded believer, or are simply in need of fresh guidance and counsel for the direction of your life, we are here to help you. If you are tired of counsel that relies on the limited wisdom, knowledge and experience of yet another person, and if you do not simply want to learn “how to deal” but how to have victory in your life, we exist to help you.
As a Christian, deciding to pursue counseling can be a difficult step. Many judge themselves, or fear judgment from others, for not “having enough faith” or “praying enough” to resolve the situation themselves. Others have sought counseling in the past without success, and worry that trying again will only disappoint. At Battle for Your Life Christian Counseling & Training Services (BFYL), we know that all believers –Yes, ALL believers – have seasons of struggle in their life when they need others to come alongside them. Whether you are struggling with marital problems, battling anxiety or depression, are a wounded believer, or are simply in need of fresh guidance and counsel for the direction of your life, we are here to help you. If you are tired of counsel that relies on the limited wisdom, knowledge and experience of yet another person, and if you do not simply want to learn “how to deal” but how to have victory in your life, we exist to help you.
(937) 669-7912 View (937) 669-7912
Photo of Sheri Schmitt, LISW-S, Clinical Social Work/Therapist
Sheri Schmitt
Clinical Social Work/Therapist, LISW-S
Verified Verified
Downtown, Dayton, OH 45459  (Online Only)
Welcome! Are you looking for Christian counseling integrated with evidence-based counseling approaches? Do you desire to learn, receive and gain everything you can from your situation? Do you need help, direction, healing from past or present emotional wounds, a deeper connection with a loved one, freedom from shame or confidence in your self worth? Whatever your struggle, it is my joy and honor to join God’s work in your life and collaborate with you in meeting your goals.
Welcome! Are you looking for Christian counseling integrated with evidence-based counseling approaches? Do you desire to learn, receive and gain everything you can from your situation? Do you need help, direction, healing from past or present emotional wounds, a deeper connection with a loved one, freedom from shame or confidence in your self worth? Whatever your struggle, it is my joy and honor to join God’s work in your life and collaborate with you in meeting your goals.
(614) 918-4978 View (614) 918-4978
Photo of Aliyah Allen, LPC, Licensed Professional Counselor
Aliyah Allen
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Downtown, Dayton, OH 45402
I have a Masters Degree in Mental Health Counseling and I am under the supervision of MeLisa Andrews . I serve as a private practitioner working with a broad spectrum of clients. I provide support and practical feedback to help clients effectively address personal life challenges. With compassion and understanding I work with you to help build on your strengths and uncover your true potential
I have a Masters Degree in Mental Health Counseling and I am under the supervision of MeLisa Andrews . I serve as a private practitioner working with a broad spectrum of clients. I provide support and practical feedback to help clients effectively address personal life challenges. With compassion and understanding I work with you to help build on your strengths and uncover your true potential
(937) 675-0990 View (937) 675-0990
Photo of Jackia Freeman, CT, Marriage & Family Therapist Intern
Jackia Freeman
Marriage & Family Therapist Intern, CT
Verified Verified
Downtown, Dayton, OH 45402  (Online Only)
I am a Marriage and Family Therapy Intern, who specializes in working with individuals and families from various backgrounds with an array of issues. Whether you are a couple who needs help reconnecting, a parent and child who needs help with communication, an adolescent who needs guidance dealing with life’s stressors, someone needing a listening ear, we can work diligently to reach your desired goals.
I am a Marriage and Family Therapy Intern, who specializes in working with individuals and families from various backgrounds with an array of issues. Whether you are a couple who needs help reconnecting, a parent and child who needs help with communication, an adolescent who needs guidance dealing with life’s stressors, someone needing a listening ear, we can work diligently to reach your desired goals.
(937) 744-7573 View (937) 744-7573
Photo of John Wheeler, LPCC, Counselor
John Wheeler
Counselor, LPCC
Verified Verified
Downtown, Dayton, OH 45402
Every person's journey through life is unique and will inevitably bring about challenging situations, particularly when we feel unable to handle the challenges we are facing. As your therapist, my goal is to provide you with a trusting and warm environment, to allow you to explore and gain understanding of the challenges you face, as well as the possibilities that may create a positive change. I utilize person-centered and integrated approaches in therapy to address the dynamics of your inner life and commit to supporting your emotional growth, which allows me to create a therapeutic experience that's unique to each client.
Every person's journey through life is unique and will inevitably bring about challenging situations, particularly when we feel unable to handle the challenges we are facing. As your therapist, my goal is to provide you with a trusting and warm environment, to allow you to explore and gain understanding of the challenges you face, as well as the possibilities that may create a positive change. I utilize person-centered and integrated approaches in therapy to address the dynamics of your inner life and commit to supporting your emotional growth, which allows me to create a therapeutic experience that's unique to each client.
(937) 887-3950 View (937) 887-3950
Photo of Kyle Zink, MS, LPC, LICDCS
Kyle Zink
MS, LPC, LICDCS
Verified Verified
Downtown, Dayton, OH 45402
I help people become more successful and content in all areas of life; to identify and/or surpass their goals, overcome obstacles, meet challenges and feel more alive. I work to support addiction recovery, changing negative habits, improving relationships, overcoming life and professional challenges, in addition to coping with medical and mental health issues. Let me assist you discover and overcome your roadblocks, establish good life habits, as well as actualizing your potential.
I help people become more successful and content in all areas of life; to identify and/or surpass their goals, overcome obstacles, meet challenges and feel more alive. I work to support addiction recovery, changing negative habits, improving relationships, overcoming life and professional challenges, in addition to coping with medical and mental health issues. Let me assist you discover and overcome your roadblocks, establish good life habits, as well as actualizing your potential.
(937) 688-2331 View (937) 688-2331
1

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How does your Therapist compare?

Number of Therapists in Downtown, Dayton, OH

40+

Average cost per session

$140

Therapists in Downtown, Dayton, OH who prioritize treating:

90% Anxiety
85% Depression
78% Coping Skills
78% Self Esteem
76% Relationship Issues
76% Stress
73% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

86% Aetna
66% Cigna and Evernorth
62% BlueCross and BlueShield

How Therapists in Downtown, Dayton, OH see their clients

79% In Person and Online
21% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Downtown, Dayton?

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.