Therapists in Blacksburg, VA

Photo of Anne Jacobsen - Anne Jacobsen, LCSW, LCSW, Clinical Social Work/Therapist
Anne Jacobsen, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Blacksburg, VA 24060
Are you feeling stuck? Anxious? Struggling with relationships? Welcome! I am ready to support you on your journey to wellness. My aim is to create a safe space for you to explore, grow, learn, and move toward healing and the life you want. My approach is collaborative, compassionate, inclusive, and trauma-informed. I am passionate about working with adults to address concerns and symptoms, such as, anxiety, attachment/relationship issues, trauma, life transitions, depression, women’s issues/health, identity and life choice exploration.
Are you feeling stuck? Anxious? Struggling with relationships? Welcome! I am ready to support you on your journey to wellness. My aim is to create a safe space for you to explore, grow, learn, and move toward healing and the life you want. My approach is collaborative, compassionate, inclusive, and trauma-informed. I am passionate about working with adults to address concerns and symptoms, such as, anxiety, attachment/relationship issues, trauma, life transitions, depression, women’s issues/health, identity and life choice exploration.
(540) 306-5212 View (540) 306-5212
Photo of Susan Mitchell, LCSW, MSW, Clinical Social Work/Therapist
Susan Mitchell
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
1 Endorsed
Blacksburg, VA 24063  (Online Only)
Life is hard! So much is beyond our control and just trying to survive can be exhausting. If you are struggling mentally and emotionally, feel overwhelmed or alone, please know - you don’t have to continue feeling this way. With more than 25 years in practice, I've helped many clients navigate the way through their dark and emotionally difficult times. Through an interactive therapy style, I offer insight, supportive (yet honest) feedback, effective tools for coping, and HOPE for a brighter future. Together, we will share in the responsibility of getting you to a happier, more peaceful place in your life. The TRUTH is .....
Life is hard! So much is beyond our control and just trying to survive can be exhausting. If you are struggling mentally and emotionally, feel overwhelmed or alone, please know - you don’t have to continue feeling this way. With more than 25 years in practice, I've helped many clients navigate the way through their dark and emotionally difficult times. Through an interactive therapy style, I offer insight, supportive (yet honest) feedback, effective tools for coping, and HOPE for a brighter future. Together, we will share in the responsibility of getting you to a happier, more peaceful place in your life. The TRUTH is .....
(910) 601-9685 View (910) 601-9685
Photo of Christine Cooper Duma, PhD, LCP, Psychologist
Christine Cooper Duma
Psychologist, PhD, LCP
Verified Verified
Blacksburg, VA 24060
I have experience working with young adults and adults in both inpatient and outpatient settings. I work with individuals 18 years and older. My clinical specialities include anxiety, depression, issues related to divorce, adjustment disorder, and behavioral disorders. My therapeutic interventions include cognitive behavioral therapy and dialectical behavior therapy.
I have experience working with young adults and adults in both inpatient and outpatient settings. I work with individuals 18 years and older. My clinical specialities include anxiety, depression, issues related to divorce, adjustment disorder, and behavioral disorders. My therapeutic interventions include cognitive behavioral therapy and dialectical behavior therapy.
(540) 401-8020 View (540) 401-8020
Photo of Darian Phillips Fawbush, LPC, Licensed Professional Counselor
Darian Phillips Fawbush
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060
Darian Phillips Fawbush is a Licensed Professional Counselor (LPC) with over 4 years of experience in the mental health field. Darian specializes in depression, anxiety, trauma, relationship issues, women's issues, rural mental health, and the intersectionality of familial, social, and cultural dynamics that can bring a diverse range of challenges. Darian identifies as an ally of the LGBTQIA+ community and affirms all spiritual or religious beliefs. Darian completed her Bachelor's degree in Psychology from the University of Virginia's College-Wise, and her Master's degree in Counseling Education from Virginia Tech.
Darian Phillips Fawbush is a Licensed Professional Counselor (LPC) with over 4 years of experience in the mental health field. Darian specializes in depression, anxiety, trauma, relationship issues, women's issues, rural mental health, and the intersectionality of familial, social, and cultural dynamics that can bring a diverse range of challenges. Darian identifies as an ally of the LGBTQIA+ community and affirms all spiritual or religious beliefs. Darian completed her Bachelor's degree in Psychology from the University of Virginia's College-Wise, and her Master's degree in Counseling Education from Virginia Tech.
(540) 274-2627 View (540) 274-2627
Photo of Maria Flaccavento, MEd, MFA, LPC, CYT, Licensed Professional Counselor
Maria Flaccavento
Licensed Professional Counselor, MEd, MFA, LPC, CYT
Verified Verified
2 Endorsed
Blacksburg, VA 24060
I am a certified yoga teacher, trauma informed yoga instructor, and an EMDRIA certified EMDR practitioner. I love learning new things and working with clients to explore the most effective and engaging tools for their journey. I am especially interested in the ways that language shapes cognition. I'm interested in helping you to access your inner resources and live your life the way you want to live it. Healing is bold and unpredictable. It's a privilege to accompany you through the process.
I am a certified yoga teacher, trauma informed yoga instructor, and an EMDRIA certified EMDR practitioner. I love learning new things and working with clients to explore the most effective and engaging tools for their journey. I am especially interested in the ways that language shapes cognition. I'm interested in helping you to access your inner resources and live your life the way you want to live it. Healing is bold and unpredictable. It's a privilege to accompany you through the process.
(540) 616-2108 View (540) 616-2108
Photo of Jennie Brogan, LPC, Licensed Professional Counselor
Jennie Brogan
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060
Jennie Brogan (pronouns she/her/they) is a Licensed Professional Counselor with over 8 years of experience working with individuals in various counseling arenas. Jennie specializes in topics related to sex and sexuality, sex therapy, couples/relationship therapy, LGBTQ+ issues, "alternative lifestyles," religion & faith, and the intersection of sex and faith. She has been successful in treating clients with depression, anxiety disorders, trauma, grief and loss, adjustment disorders, and self-esteem issues. She has helped individuals develop healthy relationships, confidence, assertiveness, and communication skills.
Jennie Brogan (pronouns she/her/they) is a Licensed Professional Counselor with over 8 years of experience working with individuals in various counseling arenas. Jennie specializes in topics related to sex and sexuality, sex therapy, couples/relationship therapy, LGBTQ+ issues, "alternative lifestyles," religion & faith, and the intersection of sex and faith. She has been successful in treating clients with depression, anxiety disorders, trauma, grief and loss, adjustment disorders, and self-esteem issues. She has helped individuals develop healthy relationships, confidence, assertiveness, and communication skills.
(540) 210-1550 View (540) 210-1550
Photo of Arielle Emmett, MS, Licensed Professional Counselor
Arielle Emmett
Licensed Professional Counselor, MS
Verified Verified
1 Endorsed
Blacksburg, VA 24060
I support children, adolescents, and young adults experiencing anxiety, self-esteem struggles, and difficulty coping with life transitions. I specialize in work with middle school age children navigating mental health challenges. My approach focuses on creating a safe environment to facilitate change and growth- helping you or your child develop emotional awareness, self-regulation, and skills to thrive even within challenges.
I support children, adolescents, and young adults experiencing anxiety, self-esteem struggles, and difficulty coping with life transitions. I specialize in work with middle school age children navigating mental health challenges. My approach focuses on creating a safe environment to facilitate change and growth- helping you or your child develop emotional awareness, self-regulation, and skills to thrive even within challenges.
(540) 502-3070 View (540) 502-3070
Photo of Nathan S Cooke, LCSW, Clinical Social Work/Therapist
Nathan S Cooke
Clinical Social Work/Therapist, LCSW
Verified Verified
Blacksburg, VA 24060  (Online Only)
Greetings! I'm Nathan, and I'm genuinely excited about the opportunity to meet with you. With a Masters of Social Work from West Virginia University and additional post-graduate work in Special Education from Radford University, I bring a solid educational foundation to my practice. Over the past 20 years, I have been dedicated to assisting individuals of all ages—children, families, and adults—through various challenges such as depression, anxiety, ADHD, relationship struggles, and trauma. My experience has honed my skills and deepened my understanding of the complexities people face in their lives.
Greetings! I'm Nathan, and I'm genuinely excited about the opportunity to meet with you. With a Masters of Social Work from West Virginia University and additional post-graduate work in Special Education from Radford University, I bring a solid educational foundation to my practice. Over the past 20 years, I have been dedicated to assisting individuals of all ages—children, families, and adults—through various challenges such as depression, anxiety, ADHD, relationship struggles, and trauma. My experience has honed my skills and deepened my understanding of the complexities people face in their lives.
(540) 315-4886 View (540) 315-4886
Photo of Michael M Love, PsyD, LCP, Psychologist
Michael M Love
Psychologist, PsyD, LCP
Verified Verified
Blacksburg, VA 24060  (Online Only)
Accepting clients to start in May 2024! I believe that psychotherapy is a tool for transforming our effort into meaningful change in our lives. We can do this through seeking insight into understanding ourselves as well as making practical changes in our day-to-day habits. In addition to psychotherapy services, I provide psychological testing and assessment, as well as consultation to healthcare providers and others.
Accepting clients to start in May 2024! I believe that psychotherapy is a tool for transforming our effort into meaningful change in our lives. We can do this through seeking insight into understanding ourselves as well as making practical changes in our day-to-day habits. In addition to psychotherapy services, I provide psychological testing and assessment, as well as consultation to healthcare providers and others.
(540) 277-9172 View (540) 277-9172
Photo of E. Hope Bradbury, LCSW, Clinical Social Work/Therapist
E. Hope Bradbury
Clinical Social Work/Therapist, LCSW
Verified Verified
Blacksburg, VA 24060  (Online Only)
Feeling upside down? Hopeless? Like you’re a hamster on a spinning wheel, out in the middle of the ocean? Well, that’s okay and I’d love to help you work through these challenges. My goal is to create a space where you feel comfortable and unconditionally supported as we work together towards solutions. You are in control, you are the expert in your life and I am here to help provide guidance in an unbiased atmosphere, while we work collaboratively to find the balance that brings you peace.
Feeling upside down? Hopeless? Like you’re a hamster on a spinning wheel, out in the middle of the ocean? Well, that’s okay and I’d love to help you work through these challenges. My goal is to create a space where you feel comfortable and unconditionally supported as we work together towards solutions. You are in control, you are the expert in your life and I am here to help provide guidance in an unbiased atmosphere, while we work collaboratively to find the balance that brings you peace.
(540) 781-0026 View (540) 781-0026
Photo of Patty Jean Albert, LPC, LTT, Pastoral Counselor
Patty Jean Albert
Pastoral Counselor, LPC, LTT
Verified Verified
Blacksburg, VA 24060
Some clients are specifically looking for a faith-based therapy. Our services offer individualized temperament therapeutic care based on the Word of God. Our mission is to offer affordable Biblical counseling that equips clients with tools for success and healing. Our goal is to bring women to a better understanding of themselves and their Creator. We achieve this by the temperament profile method, providing a neutral safe space, listening to your concerns, and giving seed (God’s Word) to form a plan of wisdom and direction, with hope and compassion.
Some clients are specifically looking for a faith-based therapy. Our services offer individualized temperament therapeutic care based on the Word of God. Our mission is to offer affordable Biblical counseling that equips clients with tools for success and healing. Our goal is to bring women to a better understanding of themselves and their Creator. We achieve this by the temperament profile method, providing a neutral safe space, listening to your concerns, and giving seed (God’s Word) to form a plan of wisdom and direction, with hope and compassion.
(540) 410-1829 View (540) 410-1829
Photo of Sivonna Stringham, Pre-Licensed Professional
Sivonna Stringham
Pre-Licensed Professional
Verified Verified
Blacksburg, VA 24060  (Online Only)
Sivonna Stringham is a Resident in Counseling (RIC) in the state of Virginia who has over 2 years of experience. Sivonna works with teens, adults, and seniors who are struggling with self-esteem issues, anxiety, depression, ADHD, life transitions, relationship issues, eating disorders, OCD, gender and sexual identity issues, as well as undeveloped coping skills.
Sivonna Stringham is a Resident in Counseling (RIC) in the state of Virginia who has over 2 years of experience. Sivonna works with teens, adults, and seniors who are struggling with self-esteem issues, anxiety, depression, ADHD, life transitions, relationship issues, eating disorders, OCD, gender and sexual identity issues, as well as undeveloped coping skills.
(540) 534-0188 View (540) 534-0188
Photo of Ashley Watson, Pre-Licensed Professional
Ashley Watson
Pre-Licensed Professional
Verified Verified
Blacksburg, VA 24060  (Online Only)
Ashley, a Licensed Resident in Counseling, focuses on helping adults rewrite narratives they've accumulated in life. With 9 years of diverse mental health experience, Ashley specializes in anxiety, depression, trauma, couples, and attachment-related issues. Beyond her professional role, she's a devoted mother and wife intimately acquainted with life's curveballs. She offers a supportive environment to foster self-understanding, guiding clients toward deeper insights and growth. Whether it's addressing individual or relational challenges, Ashley is dedicated to walking with clients on their journey toward healing and transformation.
Ashley, a Licensed Resident in Counseling, focuses on helping adults rewrite narratives they've accumulated in life. With 9 years of diverse mental health experience, Ashley specializes in anxiety, depression, trauma, couples, and attachment-related issues. Beyond her professional role, she's a devoted mother and wife intimately acquainted with life's curveballs. She offers a supportive environment to foster self-understanding, guiding clients toward deeper insights and growth. Whether it's addressing individual or relational challenges, Ashley is dedicated to walking with clients on their journey toward healing and transformation.
(540) 530-3428 View (540) 530-3428
Photo of Elizabeth Fariello, LCSW, Clinical Social Work/Therapist
Elizabeth Fariello
Clinical Social Work/Therapist, LCSW
Verified Verified
Blacksburg, VA 24060
Are you a woman struggling with anxiety? Do you find yourself having a difficult time coping with everyday life? If so, I get it. Anxiety, and all of its related issues, can be paralyzing. And it can manifest in many forms. For women, we struggle with so many things: comparing ourselves to others, an unhealthy focus on our bodies, striving for perfection(even when we don't expect it in others), and just plain old burn out when it all becomes too much. Alot of us also struggle with past experiences that may have left deep wounds. It can be overwhelming!
Are you a woman struggling with anxiety? Do you find yourself having a difficult time coping with everyday life? If so, I get it. Anxiety, and all of its related issues, can be paralyzing. And it can manifest in many forms. For women, we struggle with so many things: comparing ourselves to others, an unhealthy focus on our bodies, striving for perfection(even when we don't expect it in others), and just plain old burn out when it all becomes too much. Alot of us also struggle with past experiences that may have left deep wounds. It can be overwhelming!
(540) 695-0250 View (540) 695-0250
Photo of Hope Davis, Pre-Licensed Professional
Hope Davis
Pre-Licensed Professional
Verified Verified
Blacksburg, VA 24060  (Online Only)
Hope Davis is a Supervisee in Social Work with 3 years of professional experience within outpatient and inpatient settings. She works with adults who are struggling with depression, anxiety, addiction, trauma, grief and loss, mood regulation, stress, and more.
Hope Davis is a Supervisee in Social Work with 3 years of professional experience within outpatient and inpatient settings. She works with adults who are struggling with depression, anxiety, addiction, trauma, grief and loss, mood regulation, stress, and more.
(540) 516-3308 View (540) 516-3308
Photo of Mikayla A. Tittsworth, MS, LRC
Mikayla A. Tittsworth
MS, LRC
Verified Verified
1 Endorsed
Blacksburg, VA 24060
Not accepting new clients
I believe the root of the therapeutic process lies within the relationship not only between the client and their counselor, but the relationship to one's self. One of my favorite quotes by Yogi Bhajan reads "You are very powerful, provided you know how powerful you are." It is also a passion of mine to guide clients to create meaning.
I believe the root of the therapeutic process lies within the relationship not only between the client and their counselor, but the relationship to one's self. One of my favorite quotes by Yogi Bhajan reads "You are very powerful, provided you know how powerful you are." It is also a passion of mine to guide clients to create meaning.
(540) 315-7032 View (540) 315-7032
Photo of Shameka Bolden - Bolden Therapy & Wellness, LLC, LPC, Licensed Professional Counselor
Bolden Therapy & Wellness, LLC
Licensed Professional Counselor, LPC
Verified Verified
5 Endorsed
Blacksburg, VA 24060
We are Antonio and Shameka Bolden! We established Bolden Therapy & Wellness, LLC in 2022, following our dream of creating a therapy experience as unique as we are. As Christian therapists we believe in expanding grace, hope, and acceptance. We provide grace for clients and are willing to meet them where they are without judgment. Our mission is to establish a therapeutic experience where we value and affirm individuals and families that feel unseen. We are committed to creating access for marginalized and disenfranchised groups within our community and beyond to foster healing and wellness.
We are Antonio and Shameka Bolden! We established Bolden Therapy & Wellness, LLC in 2022, following our dream of creating a therapy experience as unique as we are. As Christian therapists we believe in expanding grace, hope, and acceptance. We provide grace for clients and are willing to meet them where they are without judgment. Our mission is to establish a therapeutic experience where we value and affirm individuals and families that feel unseen. We are committed to creating access for marginalized and disenfranchised groups within our community and beyond to foster healing and wellness.
(276) 383-2513 View (276) 383-2513
Photo of Anne Giles, MA, MS, LPC, Licensed Professional Counselor
Anne Giles
Licensed Professional Counselor, MA, MS, LPC
Verified Verified
1 Endorsed
Blacksburg, VA 24060
I specialize in assisting adults, 18 to 100+, who are experiencing distress from life situations, transitions, stressors and losses, anxiety, trauma, and depression. I welcome clients who have received mental illness diagnoses. I've been a counselor for almost 10 years, use many therapies, and have specialized training in cognitive theory-based protocols - CBT, DBT, and cognitive processing therapy for PTSD (CPT) - substance overuse, and grief. I welcome clients with specific challenges they hope might be addressed in a few sessions.
I specialize in assisting adults, 18 to 100+, who are experiencing distress from life situations, transitions, stressors and losses, anxiety, trauma, and depression. I welcome clients who have received mental illness diagnoses. I've been a counselor for almost 10 years, use many therapies, and have specialized training in cognitive theory-based protocols - CBT, DBT, and cognitive processing therapy for PTSD (CPT) - substance overuse, and grief. I welcome clients with specific challenges they hope might be addressed in a few sessions.
(540) 750-4811 View (540) 750-4811
Photo of Melissa Douglas, LPC, Licensed Professional Counselor
Melissa Douglas
Licensed Professional Counselor, LPC
Verified Verified
Blacksburg, VA 24060
Everyone needs a place for space. A space to be heard. A space to share whatever you want. A space to process feelings, try out new perspectives, laugh, cry, grieve, be angry, talk about betrayal, to fight inner demons, to be brave, to be nervous, to simply BE whoever you are. I am a licensed professional counselor with over 20 years of experience providing space for people to process whatever they are dealing with. People come to me with a wide range of different issues. I am an eclectic therapist but tend to focus on using cognitive behavioral therapy. I love to meet new people, and I would love to work with you.
Everyone needs a place for space. A space to be heard. A space to share whatever you want. A space to process feelings, try out new perspectives, laugh, cry, grieve, be angry, talk about betrayal, to fight inner demons, to be brave, to be nervous, to simply BE whoever you are. I am a licensed professional counselor with over 20 years of experience providing space for people to process whatever they are dealing with. People come to me with a wide range of different issues. I am an eclectic therapist but tend to focus on using cognitive behavioral therapy. I love to meet new people, and I would love to work with you.
(540) 274-4495 View (540) 274-4495
Photo of Kristin Rasmussen, LCSW, Clinical Social Work/Therapist
Kristin Rasmussen
Clinical Social Work/Therapist, LCSW
Verified Verified
Blacksburg, VA 24060  (Online Only)
Kristin Rasmussen is a Licensed Clinical Social Worker (LCSW) with more than 5 years of professional experience working with adults who are struggling with anxiety, depression, life transitional issues, chronic stress, and more. Kristin earned her Master's degree in Social Work from Radford University and employs a range of therapeutic approaches, which are used as appropriate for the best care of her clients.
Kristin Rasmussen is a Licensed Clinical Social Worker (LCSW) with more than 5 years of professional experience working with adults who are struggling with anxiety, depression, life transitional issues, chronic stress, and more. Kristin earned her Master's degree in Social Work from Radford University and employs a range of therapeutic approaches, which are used as appropriate for the best care of her clients.
(540) 787-2249 View (540) 787-2249

How does your Therapist compare?

Number of Therapists in Blacksburg, VA

100+

Average cost per session

$140

Therapists in Blacksburg, VA who prioritize treating:

94% Anxiety
88% Depression
71% Self Esteem
67% Relationship Issues
67% Stress
66% Trauma and PTSD
63% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

82% Anthem | Elevance
75% Aetna
68% Cigna and Evernorth

How Therapists in Blacksburg, VA see their clients

63% In Person and Online
37% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Blacksburg?

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.