Therapists in Paulding County, OH

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Photo of Amy Brown, SEP, MS, OD-MRO, ISP, RCST
Amy Brown
SEP, MS, OD-MRO, ISP, RCST
Verified Verified
Oakwood, OH 45873
You're wanting to feel alive and comfortable in your own skin, but you find yourself freezing up or overwhelmed with images from the past or stuck in ways you can't explain. While talking about it can be helpful, if you're dealing with a trauma or ingrained stress response, it gets stuck in the body and talking alone doesn't unlock the trauma patterns in the body. Body-based modalities combined with talking really help to unwind trauma patterns. If you come see me, we won't only sit in chairs talking.
You're wanting to feel alive and comfortable in your own skin, but you find yourself freezing up or overwhelmed with images from the past or stuck in ways you can't explain. While talking about it can be helpful, if you're dealing with a trauma or ingrained stress response, it gets stuck in the body and talking alone doesn't unlock the trauma patterns in the body. Body-based modalities combined with talking really help to unwind trauma patterns. If you come see me, we won't only sit in chairs talking.
(513) 995-7020 View (513) 995-7020
Photo of Frances M Duncan, MSSW, LISW, Clinical Social Work/Therapist
Frances M Duncan
Clinical Social Work/Therapist, MSSW, LISW
Verified Verified
1 Endorsed
Oakwood, OH 45873
I feel it is important to offer expert quality care that is compassionate, and tailored to each person's uniqueness as an individual. I have 33 years of clinical experience working with children, teens, families, and adults facing various life challenges. Time passes quickly. We often spend our days unhappy, and stressed. Sometimes it can be difficult to see beyond the hardships, and realize what matters most to us. If you can't change a situation, change your perspective.
I feel it is important to offer expert quality care that is compassionate, and tailored to each person's uniqueness as an individual. I have 33 years of clinical experience working with children, teens, families, and adults facing various life challenges. Time passes quickly. We often spend our days unhappy, and stressed. Sometimes it can be difficult to see beyond the hardships, and realize what matters most to us. If you can't change a situation, change your perspective.
(937) 210-4625 View (937) 210-4625
Photo of Amy Freede, LISW, Clinical Social Work/Therapist
Amy Freede
Clinical Social Work/Therapist, LISW
Verified Verified
Antwerp, OH 45813
Hello and welcome! My name is Amy Freede, and I am a Licensed Independent Social Worker with over 11 years of clinical experience. In my practice, I draw from a range of therapy approaches depending on your specific circumstances and symptoms, such as Anxiety, Life Transitions, Obsessive-Compulsive (OCD), Pregnancy/Prenatal/Postpartum, and Women's Issues. While working with various individuals, I technically use a mix of Cognitive Behavioral (CBT), Dialectical (DBT), Exposure Response Prevention, Interpersonal, Person-Centered, and Supportive therapies during treatment. I believe we are all trying our best.
Hello and welcome! My name is Amy Freede, and I am a Licensed Independent Social Worker with over 11 years of clinical experience. In my practice, I draw from a range of therapy approaches depending on your specific circumstances and symptoms, such as Anxiety, Life Transitions, Obsessive-Compulsive (OCD), Pregnancy/Prenatal/Postpartum, and Women's Issues. While working with various individuals, I technically use a mix of Cognitive Behavioral (CBT), Dialectical (DBT), Exposure Response Prevention, Interpersonal, Person-Centered, and Supportive therapies during treatment. I believe we are all trying our best.
(614) 350-6188 View (614) 350-6188
Photo of Brenna Hilkey, Clinical Social Work/Therapist
Brenna Hilkey
Clinical Social Work/Therapist
Verified Verified
Paulding, OH 45879
Hi! I'm Brenna, a Licensed Social Worker dedicated to a holistic and strengths-based approach to healing. When those lows start to overshadow the highs, and stress, anxiety, depression or feeling overwhelmed become constant companions, know it's okay to seek support. Navigating relationships, school and work pressures, and finding your place in the world can be daunting. There is a path forward filled with support, understanding, and empowerment. Therapy isn't about fixing what's "wrong" with you; it's about embracing who you are and empowering you to become who you want to be.
Hi! I'm Brenna, a Licensed Social Worker dedicated to a holistic and strengths-based approach to healing. When those lows start to overshadow the highs, and stress, anxiety, depression or feeling overwhelmed become constant companions, know it's okay to seek support. Navigating relationships, school and work pressures, and finding your place in the world can be daunting. There is a path forward filled with support, understanding, and empowerment. Therapy isn't about fixing what's "wrong" with you; it's about embracing who you are and empowering you to become who you want to be.
(419) 484-4061 View (419) 484-4061
Photo of Frankie Bowen, MA, LPC, NCC, Licensed Professional Counselor
Frankie Bowen
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Paulding, OH 45879
Welcome to Your Journey of Healing and Growth! Hello, I'm Frankie Bowen- a Licensed Professional Counselor dedicated to guiding individuals towards holistic well-being and personal transformation. Discover Your Potential: Together, we'll embark on a journey of self-discovery, helping you unlock your full potential and find the inner strength to overcome life's obstacles. Mindfulness and Well-being: I integrate mindfulness practices into our sessions, empowering you with tools to manage stress, anxiety, and cultivate inner peace. Couples Counseling is always available at my practice.
Welcome to Your Journey of Healing and Growth! Hello, I'm Frankie Bowen- a Licensed Professional Counselor dedicated to guiding individuals towards holistic well-being and personal transformation. Discover Your Potential: Together, we'll embark on a journey of self-discovery, helping you unlock your full potential and find the inner strength to overcome life's obstacles. Mindfulness and Well-being: I integrate mindfulness practices into our sessions, empowering you with tools to manage stress, anxiety, and cultivate inner peace. Couples Counseling is always available at my practice.
(419) 670-6374 View (419) 670-6374
Photo of Ryan R Taylor, MRC, CRC, LPCC-S, Counselor
Ryan R Taylor
Counselor, MRC, CRC, LPCC-S
Verified Verified
3 Endorsed
Oakwood, OH 45873
Coping with stress, low self-esteem, navigating a life transition, or anxiety and depression? Perhaps a trusted person in your life told you it was time to try therapy. We can explore your communication, expectations, and own boundaries for a healthy relationship with yourself and others. Choose to work on yourself in a safe environment with no judgment. I'll walk next to you on your journey helping you to find what works for you, so you can pursue your pathway to healing and growth. I operate a private pay office. We accept HSA, FSA, and credit cards. I do not work directly with insurance.
Coping with stress, low self-esteem, navigating a life transition, or anxiety and depression? Perhaps a trusted person in your life told you it was time to try therapy. We can explore your communication, expectations, and own boundaries for a healthy relationship with yourself and others. Choose to work on yourself in a safe environment with no judgment. I'll walk next to you on your journey helping you to find what works for you, so you can pursue your pathway to healing and growth. I operate a private pay office. We accept HSA, FSA, and credit cards. I do not work directly with insurance.
(937) 595-0078 View (937) 595-0078
Photo of April McKenzie, LISW, Clinical Social Work/Therapist
April McKenzie
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Paulding, OH 45879
I join with individuals, couples, and families collaboratively to explore ways to live healthier, more balanced lives. I understand that things such as anxiety, depression, or trauma history can be overwhelming for the individual and family members leading to a variety of symptoms and situational difficulties. I am comfortable working with a variety of difficult topics such as suicidal ideation or self harm and enjoy working with family systems to improve communication patterns and increase positive behaviors and connection in the home.
I join with individuals, couples, and families collaboratively to explore ways to live healthier, more balanced lives. I understand that things such as anxiety, depression, or trauma history can be overwhelming for the individual and family members leading to a variety of symptoms and situational difficulties. I am comfortable working with a variety of difficult topics such as suicidal ideation or self harm and enjoy working with family systems to improve communication patterns and increase positive behaviors and connection in the home.
(419) 597-5296 View (419) 597-5296
Photo of Ruth Zuber, LIMFT, Marriage & Family Therapist
Ruth Zuber
Marriage & Family Therapist, LIMFT
Verified Verified
Paulding, OH 45879  (Online Only)
Imagine a place where you are free to be your true self, a place where you can share your thoughts and be vulnerable without the fear of judgement. How would it feel to be seen, heard and understood? Hello, I am Ruth and as a therapist I strive to create a space like this because this is where true healing and growth happen. We all have different life experiences and sometimes figuring out how to handle and cope with those experiences is challenging. You don't have to do it alone! Whether you are struggling with anxiety, depression, low self-esteem, grief, chronic stress, trauma, relationships or life transition change is possible.
Imagine a place where you are free to be your true self, a place where you can share your thoughts and be vulnerable without the fear of judgement. How would it feel to be seen, heard and understood? Hello, I am Ruth and as a therapist I strive to create a space like this because this is where true healing and growth happen. We all have different life experiences and sometimes figuring out how to handle and cope with those experiences is challenging. You don't have to do it alone! Whether you are struggling with anxiety, depression, low self-esteem, grief, chronic stress, trauma, relationships or life transition change is possible.
(216) 340-9789 View (216) 340-9789
Photo of Elizabeth M Wilde, LISW, Clinical Social Work/Therapist
Elizabeth M Wilde
Clinical Social Work/Therapist, LISW
Verified Verified
1 Endorsed
Paulding, OH 45879
Have a seat on my couch (or yours if you are wanting Telehealth services) and let's talk about what you need to feel better about your life. I offer techniques to help reduce symptoms of stress, anxiety, depression, trauma responses, and life transitions. I work with people in developing skills to cope with negative belief and daily challenges. I provide a space for people to feel safe and work towards goals that are specific to their needs. I also want to help you improve any areas of your life that you want to focus on - relationships, work stress, home life, communication, healthy coping skills, etc.
Have a seat on my couch (or yours if you are wanting Telehealth services) and let's talk about what you need to feel better about your life. I offer techniques to help reduce symptoms of stress, anxiety, depression, trauma responses, and life transitions. I work with people in developing skills to cope with negative belief and daily challenges. I provide a space for people to feel safe and work towards goals that are specific to their needs. I also want to help you improve any areas of your life that you want to focus on - relationships, work stress, home life, communication, healthy coping skills, etc.
(419) 601-6464 View (419) 601-6464
Photo of Hannah Castillo, MS, LPCC
Hannah Castillo
Licensed Professional Clinical Counselor, MS, LPCC
Verified Verified
Oakwood, OH 45873  (Online Only)
Finding balance can sometimes seem impossible. Often anxiety or sadness take over at the worst times and leave you feeling scared and alone. Finding a counselor you connect with can be one step toward reclaiming the life you deserve. Starting counseling can be exciting and undoubtedly a little scary, but I try to make that process as easy as possible.
Finding balance can sometimes seem impossible. Often anxiety or sadness take over at the worst times and leave you feeling scared and alone. Finding a counselor you connect with can be one step toward reclaiming the life you deserve. Starting counseling can be exciting and undoubtedly a little scary, but I try to make that process as easy as possible.
(937) 403-9980 View (937) 403-9980

Online Therapists

Photo of Kathryn L Streiff, MSW, LISW-S, Clinical Social Work/Therapist
Kathryn L Streiff
Clinical Social Work/Therapist, MSW, LISW-S
Verified Verified
Dayton, OH 45414  (Online Only)
I work with individuals to help them overcome issues such as depression, anxiety, grief, and trauma. I utilize a variety of therapeutic approaches, including EMDR Eye Movement Desensitization and Reprocessing, DBT Dialectical Behavior Therapy, CBT Cognitive Behavioral Therapy, Motivational Interviewing, and Problem Solving Therapy.
I work with individuals to help them overcome issues such as depression, anxiety, grief, and trauma. I utilize a variety of therapeutic approaches, including EMDR Eye Movement Desensitization and Reprocessing, DBT Dialectical Behavior Therapy, CBT Cognitive Behavioral Therapy, Motivational Interviewing, and Problem Solving Therapy.
(513) 854-0370 View (513) 854-0370
Photo of Brian Ayer, Clinical Social Work/Therapist
Brian Ayer
Clinical Social Work/Therapist
Verified Verified
Perrysburg, OH 43551  (Online Only)
He has worked as a clinical counselor for over 19 years in a variety of professional settings. These include outpatient community mental health, crisis services, corporate/workplace settings, and owning and operating a private Christian counseling practice. He also has experience in educating law enforcement on how to better assist individuals in a mental health crisis. He has counseled children, adolescents, and adults with diverse backgrounds and ranges of concerns and diagnoses'.
He has worked as a clinical counselor for over 19 years in a variety of professional settings. These include outpatient community mental health, crisis services, corporate/workplace settings, and owning and operating a private Christian counseling practice. He also has experience in educating law enforcement on how to better assist individuals in a mental health crisis. He has counseled children, adolescents, and adults with diverse backgrounds and ranges of concerns and diagnoses'.
(419) 548-8595 View (419) 548-8595
Photo of Kelly Sierra, MS, LPCC, CCTP, Counselor
Kelly Sierra
Counselor, MS, LPCC, CCTP
Verified Verified
2 Endorsed
Kettering, OH 45429
Waitlist for new clients
My counseling approach is centered on collaboration and empowerment, helping you identify and work through patterns that are negatively impacting your daily life. I specialize in using proven methods to uncover the root causes of these challenges. As we address and resolve these underlying issues, you’ll experience a decrease in emotional and psychological upsets and a growing ability to tap into your strengths, guiding you toward greater balance and resilience.
My counseling approach is centered on collaboration and empowerment, helping you identify and work through patterns that are negatively impacting your daily life. I specialize in using proven methods to uncover the root causes of these challenges. As we address and resolve these underlying issues, you’ll experience a decrease in emotional and psychological upsets and a growing ability to tap into your strengths, guiding you toward greater balance and resilience.
(937) 387-7324 View (937) 387-7324
Photo of Sherri Ray, LPCC
Sherri Ray
Licensed Professional Clinical Counselor, LPCC
Verified Verified
1 Endorsed
Holland, OH 43528
We have the capacity to heal, change, and grow. One of my favorite quotes is, "Although the world is full of suffering, it is full also of the overcoming of it." (Helen Keller) I strive to create strong therapeutic relationships in a supportive, empathetic, and confidential space where positive change is promoted. With a deep respect for the unique stories, strengths and needs of each person I see, I tailor my approach to the individual. Our work together is collaborative.
We have the capacity to heal, change, and grow. One of my favorite quotes is, "Although the world is full of suffering, it is full also of the overcoming of it." (Helen Keller) I strive to create strong therapeutic relationships in a supportive, empathetic, and confidential space where positive change is promoted. With a deep respect for the unique stories, strengths and needs of each person I see, I tailor my approach to the individual. Our work together is collaborative.
(419) 504-6030 View (419) 504-6030
Photo of Todd Crandell, LPCC, LICDC, Counselor
Todd Crandell
Counselor, LPCC, LICDC
Verified Verified
Holland, OH 43528
My ideal client is dealing with substance abuse and they along with their family have suffered tremendously. They can be in any of the 4 stages of change. I approach helping my clients heal in a empathetic and compassionate way which introduces a holistic approach to living. I do not see my clients as "addicts" but rather people who are hurting on an variety of levels and are worth saving. My experience, knowledge and licensure enable me to aid people who are battling weight, sexual and relationship issues as well.
My ideal client is dealing with substance abuse and they along with their family have suffered tremendously. They can be in any of the 4 stages of change. I approach helping my clients heal in a empathetic and compassionate way which introduces a holistic approach to living. I do not see my clients as "addicts" but rather people who are hurting on an variety of levels and are worth saving. My experience, knowledge and licensure enable me to aid people who are battling weight, sexual and relationship issues as well.
(419) 482-1329 View (419) 482-1329
Photo of Lori Mccready
Lori Mccready
Licensed Professional Clinical Counselor
Verified Verified
Sandusky, OH 44870  (Online Only)
Hi there! I am a Licensed Professional Clinical Counselor (LPCC) in the State of Ohio. I received my Master's Degree in Mental Health Counseling from Franciscan University of Steubenville in 1998. I have 23 years of experience working in both inpatient and outpatient settings, serving a multitude of clients with moderate to severe mental health diagnoses. I will use my experience and bring compassion to help my clients who may be struggling with issues such as depression, anxiety, anger, PTSD, grief and loss, and stress management just to name a few. Once you decide to begin counseling, we will schedule your initial assessment.
Hi there! I am a Licensed Professional Clinical Counselor (LPCC) in the State of Ohio. I received my Master's Degree in Mental Health Counseling from Franciscan University of Steubenville in 1998. I have 23 years of experience working in both inpatient and outpatient settings, serving a multitude of clients with moderate to severe mental health diagnoses. I will use my experience and bring compassion to help my clients who may be struggling with issues such as depression, anxiety, anger, PTSD, grief and loss, and stress management just to name a few. Once you decide to begin counseling, we will schedule your initial assessment.
(220) 234-1753 View (220) 234-1753
Photo of Katherine Wirth, Clinical Social Work/Therapist
Katherine Wirth
Clinical Social Work/Therapist
Verified Verified
Perrysburg, OH 43551  (Online Only)
Hello! I have been helping people through tough life moments for the past 20 years. Whether you are struggling with ongoing mental health issues, dealing with a difficult transition, or just need a little extra support right now, I look forward to working through it together! I use a variety of evidence-based approaches to increase your coping skills, improve your relationships, and increase your overall functioning. I look forward to meeting you and getting started! Best, Katie
Hello! I have been helping people through tough life moments for the past 20 years. Whether you are struggling with ongoing mental health issues, dealing with a difficult transition, or just need a little extra support right now, I look forward to working through it together! I use a variety of evidence-based approaches to increase your coping skills, improve your relationships, and increase your overall functioning. I look forward to meeting you and getting started! Best, Katie
(234) 299-1265 View (234) 299-1265
Photo of Bradford Meyers, PsyD, Psychologist
Bradford Meyers
Psychologist, PsyD
Verified Verified
Dayton, OH 45439
Building a trusting, collaborative relationship is at the forefront of my work, though I’m aware this looks differently with each of my clients. I see the process of change as occurring in the context of relationships and through exploration of patterns that may be preventing one from living a fulfilling life. Through the discovery of these patterns, we can begin to understand how to live life more genuinely. I am a relational and psychodynamic therapist who incorporates various therapeutic approaches and interventions, including cognitive-behavioral and mindfulness techniques.
Building a trusting, collaborative relationship is at the forefront of my work, though I’m aware this looks differently with each of my clients. I see the process of change as occurring in the context of relationships and through exploration of patterns that may be preventing one from living a fulfilling life. Through the discovery of these patterns, we can begin to understand how to live life more genuinely. I am a relational and psychodynamic therapist who incorporates various therapeutic approaches and interventions, including cognitive-behavioral and mindfulness techniques.
(937) 707-6093 View (937) 707-6093
Photo of Kesha Jackson, LISW-S, Clinical Social Work/Therapist
Kesha Jackson
Clinical Social Work/Therapist, LISW-S
Verified Verified
1 Endorsed
Toledo, OH 43623
For many of us, it is difficult to reach out for help. Feeling overwhelmed or trapped? Struggling with personal or family conflict? Or simply feeling like you’ve lost your way? Give me a call today, and let’s begin your journey to healing. I will provide a warm and therapeutic environment that will allow you to regain balance and develop a healthy sense of self and purpose.
For many of us, it is difficult to reach out for help. Feeling overwhelmed or trapped? Struggling with personal or family conflict? Or simply feeling like you’ve lost your way? Give me a call today, and let’s begin your journey to healing. I will provide a warm and therapeutic environment that will allow you to regain balance and develop a healthy sense of self and purpose.
(567) 212-2578 View (567) 212-2578
Photo of Juliana Tafamombe, Licensed Professional Counselor
Juliana Tafamombe
Licensed Professional Counselor
Verified Verified
Delaware, OH 43015  (Online Only)
Hello, My name is Juliana Tafamombe (LPCC-S) and I am a licensed therapist in the state of Ohio with over10 years of professional work experience. I have experience working with adults and teens and am competent in helping clients with stress and anxiety, depression, trauma, relationship issues, family conflicts, motivation, self esteem/confidence. I am also a culturally competent therapist, especially seeing that I am originally from Zimbabwe.
Hello, My name is Juliana Tafamombe (LPCC-S) and I am a licensed therapist in the state of Ohio with over10 years of professional work experience. I have experience working with adults and teens and am competent in helping clients with stress and anxiety, depression, trauma, relationship issues, family conflicts, motivation, self esteem/confidence. I am also a culturally competent therapist, especially seeing that I am originally from Zimbabwe.
(740) 276-3217 View (740) 276-3217

See more therapy options for Paulding County

How does your Therapist compare?

Number of Therapists in Paulding County, OH

10+

Average cost per session

$105

Therapists in Paulding County, OH who prioritize treating:

100% Depression
100% Anxiety
90% Coping Skills
90% Self Esteem
80% Relationship Issues
70% Trauma and PTSD
70% Peer Relationships

Average years in practice

7 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% UnitedHealthcare UHC | UBH

How Therapists in Paulding County, OH see their clients

80% In Person and Online
20% Online Only

Gender breakdown

90% Female
10% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Paulding County?

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.