Therapists in Penn Hills, PA

Photo of Dominique J Stevens-Young, MSW, LCSW, CCATP, CTMH, C-DBT, Clinical Social Work/Therapist
Dominique J Stevens-Young
Clinical Social Work/Therapist, MSW, LCSW, CCATP, CTMH, C-DBT
Verified Verified
Penn Hills, PA 15235  (Online Only)
New clients being accepted in 2024 so if you are struggling with life's challenges, go to my confidential website and complete the online registration process today. I have operated my holistic, private counseling practice since 2007 and love helping my clients. I provide professional support and teach helpful ways to cope with difficult situations using a culturally sensitive, compassionate, personalized style.
New clients being accepted in 2024 so if you are struggling with life's challenges, go to my confidential website and complete the online registration process today. I have operated my holistic, private counseling practice since 2007 and love helping my clients. I provide professional support and teach helpful ways to cope with difficult situations using a culturally sensitive, compassionate, personalized style.
(412) 525-7392 View (412) 525-7392
Photo of Akira Kirkpatrick, MS, Pre-Licensed Professional
Akira Kirkpatrick
Pre-Licensed Professional, MS
Verified Verified
Penn Hills, PA 15235  (Online Only)
Hello and welcome! My name is Akira and I am a pre-licensed counselor. I received my BS in Psychology from the University of Pittsburgh in 2020 and my MS in Counseling Psychology from Robert Morris University in 2024. I worked as an intern throughout my master’s program in a private practice setting providing outpatient care to teenage and adult individuals struggling with ADHD, anxiety, depression, and adjustment disorder. I also work with Reimagine Reentry, a nonprofit organization dedicated to helping individuals recently released from local, state, and federal jails/prisons get re-adjusted to life after incarceration.
Hello and welcome! My name is Akira and I am a pre-licensed counselor. I received my BS in Psychology from the University of Pittsburgh in 2020 and my MS in Counseling Psychology from Robert Morris University in 2024. I worked as an intern throughout my master’s program in a private practice setting providing outpatient care to teenage and adult individuals struggling with ADHD, anxiety, depression, and adjustment disorder. I also work with Reimagine Reentry, a nonprofit organization dedicated to helping individuals recently released from local, state, and federal jails/prisons get re-adjusted to life after incarceration.
(412) 896-7703 View (412) 896-7703
Photo of Melissa Oliver, LPC, CST, Licensed Professional Counselor
Melissa Oliver
Licensed Professional Counselor, LPC, CST
Verified Verified
1 Endorsed
Penn Hills, PA 15235
Not accepting new clients
Have you been feeling stressed, anxious or unbalanced? I provide therapy to individuals ages 18 and older. I provide individual and couple's therapy. I am committed to providing a non-judgmental space to services clients. I provide services for individuals dealing with grief, relationship issues, adjustment issues, life changes, divorce and separation, nontraditional relationships, marital therapy, sexual identity, women's sexual health, general anxiety and depression.
Have you been feeling stressed, anxious or unbalanced? I provide therapy to individuals ages 18 and older. I provide individual and couple's therapy. I am committed to providing a non-judgmental space to services clients. I provide services for individuals dealing with grief, relationship issues, adjustment issues, life changes, divorce and separation, nontraditional relationships, marital therapy, sexual identity, women's sexual health, general anxiety and depression.
(412) 253-4568 View (412) 253-4568
Photo of Sheryl Schoenfeld - Fortress Counseling, MA, LPC, Licensed Professional Counselor
Fortress Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Penn Hills, PA 15235
Life is not easy. At Fortress Counseling I provide individual counseling in a supportive, non-judgmental, and confidential environment. I am committed to working with adolescents, adults, and families to assist them during their current life situation. I believe everyone has the power to make positive changes within their life that can enhance their lifestyle, improve their mood, and encourage happiness.
Life is not easy. At Fortress Counseling I provide individual counseling in a supportive, non-judgmental, and confidential environment. I am committed to working with adolescents, adults, and families to assist them during their current life situation. I believe everyone has the power to make positive changes within their life that can enhance their lifestyle, improve their mood, and encourage happiness.
(724) 740-4610 View (724) 740-4610
Photo of Monté Robinson, LPC, NCC, Licensed Professional Counselor
Monté Robinson
Licensed Professional Counselor, LPC, NCC
Verified Verified
Penn Hills, PA 15235
Are you having difficulties managing your stress and mood due to family, relationships, work, school or the daily grind of life?
Are you having difficulties managing your stress and mood due to family, relationships, work, school or the daily grind of life?
(412) 275-4692 View (412) 275-4692
Photo of Diana Charlton, MS, LPC, Licensed Professional Counselor
Diana Charlton
Licensed Professional Counselor, MS, LPC
Verified Verified
Penn Hills, PA 15235
Do you find yourself struggling with feelings of sadness, nervousness, worry or anger? Are you having trouble in your relationships, feeling powerless or frustrated. I can help. Are you someone in early recovery who has stopped using substances, but feels their life isn't improving? I can help.
Do you find yourself struggling with feelings of sadness, nervousness, worry or anger? Are you having trouble in your relationships, feeling powerless or frustrated. I can help. Are you someone in early recovery who has stopped using substances, but feels their life isn't improving? I can help.
(724) 726-4080 View (724) 726-4080
Photo of Betsy A DeChant, LCSW, LISW-S, BCD, FAGPA, Clinical Social Work/Therapist
Betsy A DeChant
Clinical Social Work/Therapist, LCSW, LISW-S, BCD, FAGPA
Verified Verified
Penn Hills, PA 15235
I have been in full-time practice as a clinical social worker/psychotherapist since 1969, and practiced in both hospital and agency psychiatric settings for over 15 years, in addition to maintaining a private practice. Throughout my career, I have provided numerous national and regional training seminars and workshops for MH professionals on women's issues; the chronically mentally ill; dual-diagnosed populations; and group psychotherapy modalities, and have also published in these areas. I have an eclectic style that encourages a flexible and collaborative working partnership which reflects the needs, goals, and personal context of the individual person.
I have been in full-time practice as a clinical social worker/psychotherapist since 1969, and practiced in both hospital and agency psychiatric settings for over 15 years, in addition to maintaining a private practice. Throughout my career, I have provided numerous national and regional training seminars and workshops for MH professionals on women's issues; the chronically mentally ill; dual-diagnosed populations; and group psychotherapy modalities, and have also published in these areas. I have an eclectic style that encourages a flexible and collaborative working partnership which reflects the needs, goals, and personal context of the individual person.
(724) 907-1668 View (724) 907-1668
Photo of Tiffany Leonard, PsyD, Psychologist
Tiffany Leonard
Psychologist, PsyD
Verified Verified
1 Endorsed
Penn Hills, PA 15235  (Online Only)
Not accepting new clients
Life is constantly changing. Transitions are often rewarding, yet change can create distress, upsetting your closest relationships, turn daily functioning into a struggle, or have you feeling physically ill. I specialize in working with adults & young adults managing life transitions & interpersonal conflicts (partner, coworker, peer). I would like to join with you on your journey to regaining a sense of control over your life. Other special interests include issues related to: young adulthood, college, career change or conflict, family of origin conflict/(how growing up impacted your choices today), & codependency.
Life is constantly changing. Transitions are often rewarding, yet change can create distress, upsetting your closest relationships, turn daily functioning into a struggle, or have you feeling physically ill. I specialize in working with adults & young adults managing life transitions & interpersonal conflicts (partner, coworker, peer). I would like to join with you on your journey to regaining a sense of control over your life. Other special interests include issues related to: young adulthood, college, career change or conflict, family of origin conflict/(how growing up impacted your choices today), & codependency.
(412) 407-4182 View (412) 407-4182
Photo of Jodi Lynn Buzzell, LPC, Licensed Professional Counselor
Jodi Lynn Buzzell
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Penn Hills, PA 15235
Life has its challenges can be overwhelming and stressful. Individuals, families and couples can be effected by these issues . If you are feeling anxious, depressed or suffering from emotional or substance uses issues, experiencing family or relationship conflicts, let my 12 years of experience working with children, adults, families and couples, assist. My approach for families and couples, is exploring patterns in relationship dynamics, providing insight and improving communication . I have worked with adults and children to develop coping skills to manage emotional issues. Therapy is client centered, strength based and the goal is to empower and reach full potential.
Life has its challenges can be overwhelming and stressful. Individuals, families and couples can be effected by these issues . If you are feeling anxious, depressed or suffering from emotional or substance uses issues, experiencing family or relationship conflicts, let my 12 years of experience working with children, adults, families and couples, assist. My approach for families and couples, is exploring patterns in relationship dynamics, providing insight and improving communication . I have worked with adults and children to develop coping skills to manage emotional issues. Therapy is client centered, strength based and the goal is to empower and reach full potential.
(724) 216-6773 View (724) 216-6773
Photo of Dana Nicholson Psy.d. - Inspire Psychological Services, LLC, PsyD, Psychologist
Inspire Psychological Services, LLC
Psychologist, PsyD
Verified Verified
1 Endorsed
Penn Hills, PA 15235
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. Dr. Nicholson provides counseling services to those in need of hope, encouragement and support. Christian counseling, rooted in Biblical truth, is available upon request and offered when desired. My goal is to enable families, adults and adolescents to know true peace and freedom from psychological pain through the utilization of professional psychotherapy.
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. Dr. Nicholson provides counseling services to those in need of hope, encouragement and support. Christian counseling, rooted in Biblical truth, is available upon request and offered when desired. My goal is to enable families, adults and adolescents to know true peace and freedom from psychological pain through the utilization of professional psychotherapy.
(843) 594-2632 View (843) 594-2632
Photo of Heidi McKenzie, PsyD, LMFT, CHT, Psychologist
Heidi McKenzie
Psychologist, PsyD, LMFT, CHT
Verified Verified
Penn Hills, PA 15235
I'm an experienced, licensed psychologist who helps people get "unstuck" from unhelpful behavior patterns. Whether you're facing a temporary, difficult life situation or struggling with more long-standing problems like depression or anxiety, I can help. My style is direct and active - I don't simply nod my head while you talk. I'll listen closely, we'll work together on the problem and I'll offer you supportive, non-judgmental and practical feedback that will help you to navigate through the issue as quickly and effectively as possible.
I'm an experienced, licensed psychologist who helps people get "unstuck" from unhelpful behavior patterns. Whether you're facing a temporary, difficult life situation or struggling with more long-standing problems like depression or anxiety, I can help. My style is direct and active - I don't simply nod my head while you talk. I'll listen closely, we'll work together on the problem and I'll offer you supportive, non-judgmental and practical feedback that will help you to navigate through the issue as quickly and effectively as possible.
(412) 567-8902 View (412) 567-8902
Photo of Timothy Gonzalez - A Wellness Place, LLC., LCSW, Clinical Social Work/Therapist
A Wellness Place, LLC.
Clinical Social Work/Therapist, LCSW
Verified Verified
Penn Hills, PA 15235
A Wellness Place (AWP) is a mental health outpatient group practice which provides individual, family, and group therapy. We are dedicated to the growth and development of our clients within themselves, their families, their relationships and their futures. We pride ourselves on providing service from an authentic and genuine posture as foundational to true connection and care. Only through true connection and care will the journey to Wellness be achieved.
A Wellness Place (AWP) is a mental health outpatient group practice which provides individual, family, and group therapy. We are dedicated to the growth and development of our clients within themselves, their families, their relationships and their futures. We pride ourselves on providing service from an authentic and genuine posture as foundational to true connection and care. Only through true connection and care will the journey to Wellness be achieved.
(412) 436-5256 View (412) 436-5256
Photo of David Bajada, PhD, Psychologist
David Bajada
Psychologist, PhD
Verified Verified
Penn Hills, PA 15235  (Online Only)
Not accepting new clients
I am doing Telehealth which I find to be effective. I have a great passion for working with my clients. Much of my current focus is working with individuals who have concerns related to: 1. building and sustaining stronger relationships (partner, work, family, etc.) 2. issues of anxiety, panic, and depression - including loss/grief. 3. Work and career challenges, including the high stress of balancing work and personal life. I've also been successful with clients who not only want to get out of the "rut" of the their lives, but who also want to explore their desire for genuine happiness, contentment, and peace of mind.
I am doing Telehealth which I find to be effective. I have a great passion for working with my clients. Much of my current focus is working with individuals who have concerns related to: 1. building and sustaining stronger relationships (partner, work, family, etc.) 2. issues of anxiety, panic, and depression - including loss/grief. 3. Work and career challenges, including the high stress of balancing work and personal life. I've also been successful with clients who not only want to get out of the "rut" of the their lives, but who also want to explore their desire for genuine happiness, contentment, and peace of mind.
(412) 536-5337 View (412) 536-5337
Photo of Dante Mancini, PhD, Psychologist
Dante Mancini
Psychologist, PhD
Verified Verified
3 Endorsed
Penn Hills, PA 15235
I am a Pennsylvania and New York licensed clinical psychologist. I believe that every person is different, bringing with him or her a unique set of difficulties, backgrounds, and strengths to my office. Therefore, I like to take an eclectic approach, meaning that I tailor the treatment specifically to the individual patient's needs. There is no "one size fits all" therapy. Of course this is done collaboratively; anything that is done in therapy is at first discussed, and I never proceed unless the patient agrees with the treatment plan.
I am a Pennsylvania and New York licensed clinical psychologist. I believe that every person is different, bringing with him or her a unique set of difficulties, backgrounds, and strengths to my office. Therefore, I like to take an eclectic approach, meaning that I tailor the treatment specifically to the individual patient's needs. There is no "one size fits all" therapy. Of course this is done collaboratively; anything that is done in therapy is at first discussed, and I never proceed unless the patient agrees with the treatment plan.
(412) 265-1314 View (412) 265-1314
Photo of Ellen Freise-March, MSCP, LPC, NCC, CCTP, Licensed Professional Counselor
Ellen Freise-March
Licensed Professional Counselor, MSCP, LPC, NCC, CCTP
Verified Verified
3 Endorsed
Penn Hills, PA 15235
Not accepting new clients
The focus of my counseling is to provide support and help for individuals of all ages to discover their strengths as they work through life's challenges. My clinical experience and training enable me to provide palliative and hospice support counseling to individuals who are currently aggressively treating their life-threatening illness or those individuals who have transitioned to hospice care.
The focus of my counseling is to provide support and help for individuals of all ages to discover their strengths as they work through life's challenges. My clinical experience and training enable me to provide palliative and hospice support counseling to individuals who are currently aggressively treating their life-threatening illness or those individuals who have transitioned to hospice care.
(412) 847-5007 View (412) 847-5007
Photo of Lais Alexander, MA, Pre-Licensed Professional
Lais Alexander
Pre-Licensed Professional, MA
Verified Verified
Penn Hills, PA 15235
Self-exploration can be challenging yet liberating. Learning who we are and who we are meant to become is rewarding for ourselves and others. Mental health needs to be a priority. I will help you begin self-examination by creating a safe space and strong therapeutic relationship. I can help you access feelings and thoughts so you can rediscover the joy and learn the benefits of healthy communication and boundaries. You will know your rhythm and feel more confident applying the developed tools.
Self-exploration can be challenging yet liberating. Learning who we are and who we are meant to become is rewarding for ourselves and others. Mental health needs to be a priority. I will help you begin self-examination by creating a safe space and strong therapeutic relationship. I can help you access feelings and thoughts so you can rediscover the joy and learn the benefits of healthy communication and boundaries. You will know your rhythm and feel more confident applying the developed tools.
(412) 504-7487 View (412) 504-7487
Photo of Kionna Howell - Peace of Mind Therapy and Wellness, LPC, Licensed Professional Counselor
Peace of Mind Therapy and Wellness
Licensed Professional Counselor, LPC
Verified Verified
Penn Hills, PA 15235  (Online Only)
Kionna has observed that over time, trauma impacts both the mind and body. She strongly believes that addressing the healing of both aspects simultaneously leads to lasting recovery. While many clients intellectually grasp their truth, the emotional aspect often hinders complete release and healing from past events. This can occasionally lead to feelings of being trapped and uncertain.Her main goal is teaching clients about the central nervous system and how it responds to trauma. By understanding how trauma impacts the mind and body, Kionna empowers her clients to work towards holistic healing.
Kionna has observed that over time, trauma impacts both the mind and body. She strongly believes that addressing the healing of both aspects simultaneously leads to lasting recovery. While many clients intellectually grasp their truth, the emotional aspect often hinders complete release and healing from past events. This can occasionally lead to feelings of being trapped and uncertain.Her main goal is teaching clients about the central nervous system and how it responds to trauma. By understanding how trauma impacts the mind and body, Kionna empowers her clients to work towards holistic healing.
(412) 561-9449 View (412) 561-9449
Photo of Brynne Simmons, LCSW, Clinical Social Work/Therapist
Brynne Simmons
Clinical Social Work/Therapist, LCSW
Verified Verified
Penn Hills, PA 15235
I am a Licensed Clinical Social Worker who has a history of working with children, adolescents, college students, adults and the elderly population. I have worked with children who have had significant trauma histories, dealing with anxiety, depression, ADHD, ASD, mood disorders, developmental disorders, children in foster care, children coping with adoption, and other diagnoses. I have a history of working with adults and the elderly population who have been struggling with adjusting to changes in their lives and those diagnosed with schizophrenia, bipolar d/o, depression, anxiety, schizoaffective d/o and many other diagnoses.
I am a Licensed Clinical Social Worker who has a history of working with children, adolescents, college students, adults and the elderly population. I have worked with children who have had significant trauma histories, dealing with anxiety, depression, ADHD, ASD, mood disorders, developmental disorders, children in foster care, children coping with adoption, and other diagnoses. I have a history of working with adults and the elderly population who have been struggling with adjusting to changes in their lives and those diagnosed with schizophrenia, bipolar d/o, depression, anxiety, schizoaffective d/o and many other diagnoses.
(412) 790-2242 View (412) 790-2242
Photo of Eric L Tillman, MS, LPC, Licensed Professional Counselor
Eric L Tillman
Licensed Professional Counselor, MS, LPC
Verified Verified
Penn Hills, PA 15235
You may be feeling anxious, sad, depressed, overwhelmed, misunderstood, and lonely right now. It takes a lot of courage to ask for help, and I applaud you for reaching out. I am passionate about bringing healing to those who have been through traumatic and stressful experiences. I provide psychotherapy and counseling to individuals dealing with issues related to anxiety, depression, stress, personality disorders, substance abuse, trauma, panic disorder, life transitions, etc. I will provide a thorough assessment to aid in identifying specific concerns and will modify my therapeutic approaches to match your individualized needs.
You may be feeling anxious, sad, depressed, overwhelmed, misunderstood, and lonely right now. It takes a lot of courage to ask for help, and I applaud you for reaching out. I am passionate about bringing healing to those who have been through traumatic and stressful experiences. I provide psychotherapy and counseling to individuals dealing with issues related to anxiety, depression, stress, personality disorders, substance abuse, trauma, panic disorder, life transitions, etc. I will provide a thorough assessment to aid in identifying specific concerns and will modify my therapeutic approaches to match your individualized needs.
(412) 226-9993 View (412) 226-9993
Photo of Brittany Littlejohn Maxshure - Littlejohn Counseling & Consulting, LLC, MSW, MPH, LCSW, Clinical Social Work/Therapist
Littlejohn Counseling & Consulting, LLC
Clinical Social Work/Therapist, MSW, MPH, LCSW
Verified Verified
Penn Hills, PA 15235
Brittany Littlejohn Maxshure is a Licensed Clinical Social Worker in the state of Pennsylvania. She's spent much of her career working with individuals with chronic health conditions. Her experience with and understanding of the concerns and stressors of individuals among this population has equipped her with a unique skillset. She has an overall focus on supporting clients as they navigate through life’s transitions and challenges; whether it be in their personal or professional lives. Brittany strongly believes that everyone has the ability to reach their full potential and she has a desire to assist them in achieving their goals.
Brittany Littlejohn Maxshure is a Licensed Clinical Social Worker in the state of Pennsylvania. She's spent much of her career working with individuals with chronic health conditions. Her experience with and understanding of the concerns and stressors of individuals among this population has equipped her with a unique skillset. She has an overall focus on supporting clients as they navigate through life’s transitions and challenges; whether it be in their personal or professional lives. Brittany strongly believes that everyone has the ability to reach their full potential and she has a desire to assist them in achieving their goals.
(412) 407-8630 View (412) 407-8630
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How does your Therapist compare?

Number of Therapists in Penn Hills, PA

30+

Average cost per session

$125

Therapists in Penn Hills, PA who prioritize treating:

97% Anxiety
90% Depression
83% Relationship Issues
83% Coping Skills
77% Self Esteem
73% Trauma and PTSD
70% Grief

Average years in practice

10 Years

Top 3 insurances accepted

100% Highmark
85% University of Pittsburgh Medical Center (UPMC) Hea
78% BlueCross and BlueShield

How Therapists in Penn Hills, PA see their clients

77% In Person and Online
23% Online Only

Gender breakdown

73% Female
27% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Penn Hills?

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.