Therapists in Charlotte, NC
![Photo of Zoë Gray Abernethy, LMFT, LCAS, Marriage & Family Therapist](https://photos.psychologytoday.com/d7a1a849-d00a-4392-92aa-fe2645878685/2/320x400.jpeg)
I have trained extensively as a relational and systemic therapist. I use evidence-based techniques to help clients heal from grief/loss, trauma, anxiety, depression, addiction and codependency.
I have trained extensively as a relational and systemic therapist. I use evidence-based techniques to help clients heal from grief/loss, trauma, anxiety, depression, addiction and codependency.
![Photo of Sean Dawson, LPA, LCAS, Psychological Associate](https://photos.psychologytoday.com/c095fec2-eebb-4f27-964e-022601bafa46/2/320x400.jpeg)
Sean Dawson, LPA, LCAS is a Licensed Psychological Associate and Licensed Clinical Addiction Specialist now serving patients at Avance Care SouthPark in Charlotte, NC. He obtained a Master of Arts degree in Psychology with a concentration in Substance Abuse Treatment Psychology from the University of North Carolina Wilmington. He has experience working with a wide range of mental health needs in both individual and group settings including depression, anxiety, trauma, and substance use. He specializes in working with individuals experiencing chronic pain and chronic conditions.
Sean Dawson, LPA, LCAS is a Licensed Psychological Associate and Licensed Clinical Addiction Specialist now serving patients at Avance Care SouthPark in Charlotte, NC. He obtained a Master of Arts degree in Psychology with a concentration in Substance Abuse Treatment Psychology from the University of North Carolina Wilmington. He has experience working with a wide range of mental health needs in both individual and group settings including depression, anxiety, trauma, and substance use. He specializes in working with individuals experiencing chronic pain and chronic conditions.
![Photo of Lindsey M McIntyre, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/51c6a419-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Lindsey M McIntyre
Licensed Professional Counselor, MA, LPC
Verified Verified
Charlotte, NC 28210 (Online Only)
I spent the first part of my career in non-profit and private practice settings in a rural area. These experiences provided a wide range of clinical growth and led to specializations in complex trauma, anxiety, depression, and eating disorders. I quickly build rapport with clients and am particularly passionate about working with those who are apprehensive about the therapeutic process. In addition, I have an extensive background working with the LGBTQ+ community, from individual and group counseling to training clinicians in LGBTQ+ inclusivity.
I spent the first part of my career in non-profit and private practice settings in a rural area. These experiences provided a wide range of clinical growth and led to specializations in complex trauma, anxiety, depression, and eating disorders. I quickly build rapport with clients and am particularly passionate about working with those who are apprehensive about the therapeutic process. In addition, I have an extensive background working with the LGBTQ+ community, from individual and group counseling to training clinicians in LGBTQ+ inclusivity.
![Photo of Thomasina Burrows, MA, LPC, LPCS, LCMHCS, Counselor](https://photos.psychologytoday.com/0c9acdce-9aeb-494a-8db0-f78bab406c28/1/320x400.jpeg)
I have extensive experience providing therapeutic service to families, children, and couples experiencing mental health issues. I provide clinical assessments and recommend a course of treatment. I am a licensed school counselor in NC. I help students with special needs navigate the educational system. I look forward to working with you to help you identify the issues that impact your life. I practice a holistic approach, which incorporates wellness within the mind, body, and being. Our collaboration will occur in a safe and caring environment, designed to help you reach the goals that will empower you, and enhance your life.
I have extensive experience providing therapeutic service to families, children, and couples experiencing mental health issues. I provide clinical assessments and recommend a course of treatment. I am a licensed school counselor in NC. I help students with special needs navigate the educational system. I look forward to working with you to help you identify the issues that impact your life. I practice a holistic approach, which incorporates wellness within the mind, body, and being. Our collaboration will occur in a safe and caring environment, designed to help you reach the goals that will empower you, and enhance your life.
![Photo of Daniel De La Cruz, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4ce01c52-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Daniel De La Cruz
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
3 Endorsed
Charlotte, NC 28204
I am a bilingual social worker and clinician specializing in individual outpatient therapy. Among my areas of expertise are individuals who are struggling with issues of functionality, relationships, identity, self-esteem and other manifestations of life challenges. I have a focus on multicultural populations and individuals who are seeking a space to integrate their psychedelic experiences. Many people are exploring their internal landscapes with the use of psychedelics and these experiences can be intense and challenging to integrate into the psyche without consciously doing so.
I am a bilingual social worker and clinician specializing in individual outpatient therapy. Among my areas of expertise are individuals who are struggling with issues of functionality, relationships, identity, self-esteem and other manifestations of life challenges. I have a focus on multicultural populations and individuals who are seeking a space to integrate their psychedelic experiences. Many people are exploring their internal landscapes with the use of psychedelics and these experiences can be intense and challenging to integrate into the psyche without consciously doing so.
![Photo of Dina Gambella, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/7e393292-9de5-42f7-be48-b6c6bb714f6a/1/320x400.jpeg)
I believe that you are the expert of your own life & my role as your therapist is to be a fellow companion on your journey towards emotional growth. Your desired outcomes will be achieved by creating long term solutions that uniquely fit your needs within the safety and trust of our therapeutic relationship. By creating a safe and trusting environment, I welcome the opportunity to support your treatment needs.
I believe that you are the expert of your own life & my role as your therapist is to be a fellow companion on your journey towards emotional growth. Your desired outcomes will be achieved by creating long term solutions that uniquely fit your needs within the safety and trust of our therapeutic relationship. By creating a safe and trusting environment, I welcome the opportunity to support your treatment needs.
![Photo of Francesca Lux, LCMHCS, LPC-TX, LCAS, CCS](https://photos.psychologytoday.com/54ed72cb-dcde-40c5-8745-56f66fccef32/2/320x400.jpeg)
Francesca Lux
Licensed Clinical Mental Health Counselor, LCMHCS, LPC-TX, LCAS, CCS
Verified Verified
Charlotte, NC 28269 (Online Only)
Not accepting new clients
I feel it is an honor and privilege to serve as a therapist. I believe that every person deserves a supportive space to reflect and to process without judgement. I utilize an integrative model of treatment, tailoring treatment to individual needs and preferences. This often entails exploring the past and enhancing self-awareness, while building coping strategies and setting goals in the present. I strive to create a partnership with clients and I work to create a safe, warm, nurturing and empathic space, from within great change is possible!
I feel it is an honor and privilege to serve as a therapist. I believe that every person deserves a supportive space to reflect and to process without judgement. I utilize an integrative model of treatment, tailoring treatment to individual needs and preferences. This often entails exploring the past and enhancing self-awareness, while building coping strategies and setting goals in the present. I strive to create a partnership with clients and I work to create a safe, warm, nurturing and empathic space, from within great change is possible!
![Photo of Brian Purnell, MEd, LCMHCS, ACS, EAS-C, BC-TMH, Counselor](https://photos.psychologytoday.com/3bf6b6ff-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Brian Purnell
Counselor, MEd, LCMHCS, ACS, EAS-C, BC-TMH
Verified Verified
3 Endorsed
Charlotte, NC 28277
Journey Through Life, PLLC sees all kinds of families that maybe hurting from divorce, grief, blended families and broken relationships. In addition, the practice specializes in significant and marital relationships. The ideal is for a family that may not have the skills to see past the forest, but will be open to the infinite possibilities. Individual, Group Clinical Supervision, and Parenting Workshops are offered at the practice as well.
Journey Through Life, PLLC sees all kinds of families that maybe hurting from divorce, grief, blended families and broken relationships. In addition, the practice specializes in significant and marital relationships. The ideal is for a family that may not have the skills to see past the forest, but will be open to the infinite possibilities. Individual, Group Clinical Supervision, and Parenting Workshops are offered at the practice as well.
![Photo of Devin Clarkson, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/68bae006-349c-4623-9edb-179ee70ec8b6/2/320x400.jpeg)
Devin Clarkson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Charlotte, NC 28209 (Online Only)
Healing is possible. Every one of us has the capacity to heal that lies within us. Due to our childhood and life experiences, our minds sometimes start telling us that we are less than worthy of love. But we are worthy; our healing journey rests in finding that self love and fountain of being. Habit patterns inside of our minds can become challenges to our well-being. We tend to look at sources outside of ourselves for the answers, but they already lie within. “You are the architect of your life.” -Swami Rama
Healing is possible. Every one of us has the capacity to heal that lies within us. Due to our childhood and life experiences, our minds sometimes start telling us that we are less than worthy of love. But we are worthy; our healing journey rests in finding that self love and fountain of being. Habit patterns inside of our minds can become challenges to our well-being. We tend to look at sources outside of ourselves for the answers, but they already lie within. “You are the architect of your life.” -Swami Rama
![Photo of James C Winnek, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/4fb04834-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
James C Winnek
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Charlotte, NC 28203
My ideal client is open to change and is committed to the process of the client/counselor relationship.
My ideal client is open to change and is committed to the process of the client/counselor relationship.
![Photo of Dominique Squire, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/68c5d6d1-6af1-47a1-bf9f-b200314e4a40/1/320x400.jpeg)
As a young girl, I've always had the passion to help others. I recall stating in high school that I would be a social worker or psychologist and here I am, Ms. LCSW! I'm a very warm, caring, and nurturing individual who creates a safe, non-judgment space for people to be open and honest with themselves as they continue to grow and thrive in the desired areas of life. Early on I had the opportunity to connect with positive people who influenced healing, growth, inner peace, and many great things in my life so it's a part of my life purpose to do the same for others.
As a young girl, I've always had the passion to help others. I recall stating in high school that I would be a social worker or psychologist and here I am, Ms. LCSW! I'm a very warm, caring, and nurturing individual who creates a safe, non-judgment space for people to be open and honest with themselves as they continue to grow and thrive in the desired areas of life. Early on I had the opportunity to connect with positive people who influenced healing, growth, inner peace, and many great things in my life so it's a part of my life purpose to do the same for others.
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![Photo of Taylor Torres, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7da17a55-60fd-4ead-a310-d91e31feab97/1/320x400.jpeg)
Taylor Torres
Clinical Social Work/Therapist, LCSW
Verified Verified
Charlotte, NC 28202 (Online Only)
Hi! I’m a Licensed Clinical Social Worker. I am independently licensed in NC, SC, and GA. I enjoy working with children, adolescents, and adults striving to better cope with and manage daily challenges. I have 17 years of experience in outpatient therapy, medical social work; as well as hospice social work. I enjoy working with and learning about others. My personal goal is to learn something new every day.
Hi! I’m a Licensed Clinical Social Worker. I am independently licensed in NC, SC, and GA. I enjoy working with children, adolescents, and adults striving to better cope with and manage daily challenges. I have 17 years of experience in outpatient therapy, medical social work; as well as hospice social work. I enjoy working with and learning about others. My personal goal is to learn something new every day.
![Photo of Sara Skiles, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7b020d08-6dbc-4af5-8916-f8980e38d868/1/320x400.png)
Hello! I'm Sara Skiles, LCSW, BCD, CCTP. I had the opportunity to undergo extensive training in many modalities such as EMDR, CPT, CBT, IFS, MI, CAMS, etc. That gives you so much room to maneuver and discover the right fit for you. As a veteran who has deployed, I understand how life can be a bit hectic, to say the least. Therapy is a moment in your day to slow down, gain insight, and consider the changes in your life. You matter and are worthy of this investment. Being a LCSW in the U.S. Army, I also supported our combat veterans and emergency responders.
Hello! I'm Sara Skiles, LCSW, BCD, CCTP. I had the opportunity to undergo extensive training in many modalities such as EMDR, CPT, CBT, IFS, MI, CAMS, etc. That gives you so much room to maneuver and discover the right fit for you. As a veteran who has deployed, I understand how life can be a bit hectic, to say the least. Therapy is a moment in your day to slow down, gain insight, and consider the changes in your life. You matter and are worthy of this investment. Being a LCSW in the U.S. Army, I also supported our combat veterans and emergency responders.
![Photo of Christian Calo, LCMHCA, Counselor](https://photos.psychologytoday.com/0c7b5ba8-3daf-4f9b-b15f-31bcd2efeb0c/2/320x400.jpeg)
My goal as a therapist is to provide a safe space for clients to feel heard and valued. I desire to meet clients where they are and guide them towards positive growth and healing.
My goal as a therapist is to provide a safe space for clients to feel heard and valued. I desire to meet clients where they are and guide them towards positive growth and healing.
![Photo of Jasmine Johnson, MA , LCMHCA, NCC, Counselor](https://photos.psychologytoday.com/7af4163d-e843-4758-bfa2-6ab3439406a8/5/320x400.jpeg)
Jasmine Johnson
Counselor, MA , LCMHCA, NCC
Verified Verified
2 Endorsed
Charlotte, NC 28262 (Online Only)
My name is Jasmine Johnson, Owner of In Tune Creative Counseling, PLLC, where we specialize in creating safe spaces just for you. I help clients overcome emotional and mental challenges, while feeling supported and accepted right where they are . Whether you feel stuck in a never-ending cycle, not quite sure of the reasons behind your responses, or you are experiencing unpleasant emotions and thoughts, I am here to tell you that you don’t have to do this alone. I enjoy helping clients gain insights into themselves, tackle unhelpful thoughts, heal from trauma, learn new coping skills and create a safe space for self-expression.
My name is Jasmine Johnson, Owner of In Tune Creative Counseling, PLLC, where we specialize in creating safe spaces just for you. I help clients overcome emotional and mental challenges, while feeling supported and accepted right where they are . Whether you feel stuck in a never-ending cycle, not quite sure of the reasons behind your responses, or you are experiencing unpleasant emotions and thoughts, I am here to tell you that you don’t have to do this alone. I enjoy helping clients gain insights into themselves, tackle unhelpful thoughts, heal from trauma, learn new coping skills and create a safe space for self-expression.
![Photo of Stephanie Davis, MEd, LCMHC, NCC](https://photos.psychologytoday.com/98e822e7-d0fd-42c5-98e0-3209bc35d02a/6/320x400.jpeg)
Stephanie Davis
Licensed Clinical Mental Health Counselor, MEd, LCMHC, NCC
Verified Verified
Charlotte, NC 28211
As a counselor, I am passionate about creating a non-judgmental space for children and teens to identify healthy ways to manage and express their emotions. I utilize child-centered play therapy techniques, creative therapy techniques, and CBT techniques to help young people explore and utilize healthy coping skills. I believe in the power of strong family relationships whether it is the “biological” family or the “family” one has created through strong bonds. I am originally from Nebraska, am a novice hiker and enjoy exploring nature trails across North Carolina.
As a counselor, I am passionate about creating a non-judgmental space for children and teens to identify healthy ways to manage and express their emotions. I utilize child-centered play therapy techniques, creative therapy techniques, and CBT techniques to help young people explore and utilize healthy coping skills. I believe in the power of strong family relationships whether it is the “biological” family or the “family” one has created through strong bonds. I am originally from Nebraska, am a novice hiker and enjoy exploring nature trails across North Carolina.
![Photo of Anthony Hines, LCMHC, Counselor](https://photos.psychologytoday.com/4e3675bf-ea40-451b-8ab8-cb49fb8665af/1/320x400.png)
My name is Anthony Hines and I am a Licensed Clinical Mental Health Counselor (LCMHC) and National Certified Counselor (NCC). I have a vast amount of life experience, a wide range of social perspectives, an emphatic ear to hear, and a natural motivator, With over 25 years of government experience, 10 years of corporate, 10 years non-profit, and over 20 years of counseling experience, I am equipped to help you walk through almost any scenario.
My name is Anthony Hines and I am a Licensed Clinical Mental Health Counselor (LCMHC) and National Certified Counselor (NCC). I have a vast amount of life experience, a wide range of social perspectives, an emphatic ear to hear, and a natural motivator, With over 25 years of government experience, 10 years of corporate, 10 years non-profit, and over 20 years of counseling experience, I am equipped to help you walk through almost any scenario.
![Photo of Leslie K. Maitri Canniff, LCMHC , LCAS , CHT](https://photos.psychologytoday.com/e41563f3-3a5b-4a38-85ee-ab12e3d332ad/2/320x400.jpeg)
Leslie K. Maitri Canniff
Licensed Clinical Mental Health Counselor, LCMHC , LCAS , CHT
Verified Verified
Charlotte, NC 28210
Leslie is skilled in creating a safe space for her clients to compassionately connect with themselves. Her methods are Neuro-affirming and Strengths-based. She is a holistic psychotherapist with over 25 years of experience working with adults in both clinical hospital settings and private psychotherapy practice. Clients describe Leslie as deeply empathic, intuitive, and non-judgmental. Therapy with Leslie can be healing as the client is offered a safe space to be with challenging experiences so what hurts is heard, validated, and transformed...including complex grief. Whatever the client’s goals are for therapy is Leslie’s focus.
Leslie is skilled in creating a safe space for her clients to compassionately connect with themselves. Her methods are Neuro-affirming and Strengths-based. She is a holistic psychotherapist with over 25 years of experience working with adults in both clinical hospital settings and private psychotherapy practice. Clients describe Leslie as deeply empathic, intuitive, and non-judgmental. Therapy with Leslie can be healing as the client is offered a safe space to be with challenging experiences so what hurts is heard, validated, and transformed...including complex grief. Whatever the client’s goals are for therapy is Leslie’s focus.
![Photo of Angela Chop, PsyD, Psychologist](https://photos.psychologytoday.com/4610b138-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
You may feel like something is missing or unfulfilled in your relationships or career. Fatigue and feelings of burnout become a daily struggle. Maybe your mind is racing and you worry all the time. You feel alone and wonder why you have difficulty connecting with others. How you think about your challenges, self, and others has a direct impact on how well you are coping and healing.
You may feel like something is missing or unfulfilled in your relationships or career. Fatigue and feelings of burnout become a daily struggle. Maybe your mind is racing and you worry all the time. You feel alone and wonder why you have difficulty connecting with others. How you think about your challenges, self, and others has a direct impact on how well you are coping and healing.
![Photo of Allison Todd, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/440d99f0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I believe the therapeutic relationship between a client and therapist is paramount in to healing, and I strive to make every client feel safe, secure, heard, and seen. I honor each person’s individual journey and always meet them where they are in the process. My therapeutic approach is one of openness, collaboration, and trust. I consider myself to be a compassionate, empathetic, and caring person and clinician.
I believe the therapeutic relationship between a client and therapist is paramount in to healing, and I strive to make every client feel safe, secure, heard, and seen. I honor each person’s individual journey and always meet them where they are in the process. My therapeutic approach is one of openness, collaboration, and trust. I consider myself to be a compassionate, empathetic, and caring person and clinician.
See more therapy options for Charlotte
How does your Therapist compare?
Number of Therapists in Charlotte, NC
3,000+
Average cost per session
$135
Therapists in Charlotte, NC who prioritize treating:
93% | Anxiety |
86% | Depression |
75% | Self Esteem |
72% | Coping Skills |
70% | Relationship Issues |
68% | Stress |
65% | Trauma and PTSD |
Average years in practice
10 Years
Top 3 insurances accepted
81% | Aetna |
80% | BlueCross and BlueShield |
63% | Cigna and Evernorth |
How Therapists in Charlotte, NC see their clients
58% | In Person and Online | |
42% | Online Only |
Gender breakdown
83% | Female | |
16% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Charlotte?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.