Therapists in Downtown, Nashville, TN

Photo of Staci Buford, LMFT, Marriage & Family Therapist
Staci Buford
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Downtown, Nashville, TN 37203
My work is shaped by the belief that human connection is biologically imperative. My goal is to help you connect with yourself so you can build deep, fulfilling, lasting relationships with others. I have a holistic approach to healing, advocating that mental, physical, spiritual, and relational health are the keys to optimal well-being.
My work is shaped by the belief that human connection is biologically imperative. My goal is to help you connect with yourself so you can build deep, fulfilling, lasting relationships with others. I have a holistic approach to healing, advocating that mental, physical, spiritual, and relational health are the keys to optimal well-being.
(615) 819-4571 View (615) 819-4571
Photo of undefined - Allied Behavioral Health Solutions, LPCMHSP, Licensed Professional Counselor
Allied Behavioral Health Solutions
Licensed Professional Counselor, LPCMHSP
Verified Verified
Downtown, Nashville, TN 37203
We are glad you are here. Allied Behavioral Health Solutions is a provider-owned behavioral health practice based out of Nashville. We are dedicated to providing high-quality services that result in better outcomes for all. Our clinicians are trained in a variety of methodologies to be able to meet the needs of each client and family we serve.
We are glad you are here. Allied Behavioral Health Solutions is a provider-owned behavioral health practice based out of Nashville. We are dedicated to providing high-quality services that result in better outcomes for all. Our clinicians are trained in a variety of methodologies to be able to meet the needs of each client and family we serve.
(615) 619-1795 View (615) 619-1795
Photo of Josie Oldham, LMSW, Clinical Social Work/Therapist
Josie Oldham
Clinical Social Work/Therapist, LMSW
Verified Verified
5 Endorsed
Downtown, Nashville, TN 37203
Welcome! I am with a small practice on music row. We have a cozy office with plenty of plants, candles, and pillows. My areas of expertise include disordered eating patterns, body image issues, anxiety, depression, obsessive-compulsive disorder, and trauma. I see both adolescents and adults throughout their journey of life, which I think is always better when you have a compassionate therapist at your side. We will do the hard stuff but also have a lot of laughs along the way!
Welcome! I am with a small practice on music row. We have a cozy office with plenty of plants, candles, and pillows. My areas of expertise include disordered eating patterns, body image issues, anxiety, depression, obsessive-compulsive disorder, and trauma. I see both adolescents and adults throughout their journey of life, which I think is always better when you have a compassionate therapist at your side. We will do the hard stuff but also have a lot of laughs along the way!
(615) 829-6367 View (615) 829-6367
Photo of Gin Cooley, MSEd, BS, LPC, Licensed Professional Counselor
Gin Cooley
Licensed Professional Counselor, MSEd, BS, LPC
Verified Verified
Downtown, Nashville, TN 37243  (Online Only)
Individual Psychotherapy (TN residents as well as international clients, including but not limited to residents and citizens of Saudi Arabia, Jordan, United Arab Emirates, Pakistan, Lebanon, Japan, Thailand, South Korea, Philippines, Switzerland, Serbia, Ukraine, Albania, Canada, Bahamas, Australia) Cross-cultural Communication Skills, Cultural Awareness. Areas of Interest- Trauma, Depressive Disorders, Self-esteem, Adjustment Disorders, Addiction
Individual Psychotherapy (TN residents as well as international clients, including but not limited to residents and citizens of Saudi Arabia, Jordan, United Arab Emirates, Pakistan, Lebanon, Japan, Thailand, South Korea, Philippines, Switzerland, Serbia, Ukraine, Albania, Canada, Bahamas, Australia) Cross-cultural Communication Skills, Cultural Awareness. Areas of Interest- Trauma, Depressive Disorders, Self-esteem, Adjustment Disorders, Addiction
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Photo of undefined - Nashville Sex Therapy, LPCMHSP, JD, Licensed Professional Counselor
Nashville Sex Therapy
Licensed Professional Counselor, LPCMHSP, JD
Verified Verified
Downtown, Nashville, TN 37219  (Online Only)
Not accepting new clients
As a sex therapist, I specialize in treating sexual issues. These often include relationship challenges and sexual problems such as lack of desire/low libido, difficulty with arousal, premature ejaculation and trouble reaching orgasm. Anxiety about sexual performance, lost intimacy, sexual abuse, infidelity, menopause, illness and aging can also interfere with sexual satisfaction. Sex therapy addresses problematic or illegal sexual behaviors, sexual compulsivity, paraphilias and fetishes. Clients benefit from exploring issues surrounding sexual orientation, gender identity, asexuality, polyamory and kink. I am passionate about helping clients overcome the issues that affect their sexuality so that they more fully enjoy life.
As a sex therapist, I specialize in treating sexual issues. These often include relationship challenges and sexual problems such as lack of desire/low libido, difficulty with arousal, premature ejaculation and trouble reaching orgasm. Anxiety about sexual performance, lost intimacy, sexual abuse, infidelity, menopause, illness and aging can also interfere with sexual satisfaction. Sex therapy addresses problematic or illegal sexual behaviors, sexual compulsivity, paraphilias and fetishes. Clients benefit from exploring issues surrounding sexual orientation, gender identity, asexuality, polyamory and kink. I am passionate about helping clients overcome the issues that affect their sexuality so that they more fully enjoy life.
(615) 651-6590 View (615) 651-6590
Photo of Bre’Onna Joyce Logothetis
Bre’Onna Joyce Logothetis
Verified Verified
1 Endorsed
Downtown, Nashville, TN 37208
There is a stigma that seeking counseling is weak or only for those who are going through “really hard things” - both of those statements are simply not true. Taking time to focus on who you are and pouring into your mental health is a great way to love yourself. With that being said, it takes a great amount of vulnerability, humility, courage, and hope to open up to someone about things you may have never talked to anyone about before. My desire as a counselor is to build trust and help you feel safe and comfortable as we work together.
There is a stigma that seeking counseling is weak or only for those who are going through “really hard things” - both of those statements are simply not true. Taking time to focus on who you are and pouring into your mental health is a great way to love yourself. With that being said, it takes a great amount of vulnerability, humility, courage, and hope to open up to someone about things you may have never talked to anyone about before. My desire as a counselor is to build trust and help you feel safe and comfortable as we work together.
(615) 905-1344 View (615) 905-1344
Photo of Dr. Dwight A. Hughes, DMin, MDiv, LMFT, Marriage & Family Therapist
Dr. Dwight A. Hughes
Marriage & Family Therapist, DMin, MDiv, LMFT
Verified Verified
Downtown, Nashville, TN 37203  (Online Only)
Couples, have you grown apart, longing for a deeper connection that's not in sight? Do you occasionally question if your partner really is there for you? Are you feeling controlled and unappreciated despite all you do? If so, there is hope.The gift of therapy coupled with your unique way of caring for yourself, (mind, body, spirit) can radically shift your dynamic. Those planning to marry can explore hot topics and hone tools to avoid common intimacy pitfalls before the marital journey begins.
Couples, have you grown apart, longing for a deeper connection that's not in sight? Do you occasionally question if your partner really is there for you? Are you feeling controlled and unappreciated despite all you do? If so, there is hope.The gift of therapy coupled with your unique way of caring for yourself, (mind, body, spirit) can radically shift your dynamic. Those planning to marry can explore hot topics and hone tools to avoid common intimacy pitfalls before the marital journey begins.
(615) 716-0379 View (615) 716-0379
Photo of Allan Rowe - Geriatric And Dementia Counseling, LCSW, Clinical Social Work/Therapist
Allan Rowe - Geriatric And Dementia Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Downtown, Nashville, TN 37201
Are you struggling with dementia or taking care of a loved one who is? Do you feel uncertain about how to take care of them? Many issues faced by the aging population and their loved ones can often leave them feeling insecure and unsure about what to do. If this is happening to you, its normal to feel what you are feeling, but let me help you along the way. We can discuss dementia, housing, power of attorney, caregiver stress, and so much more.
Are you struggling with dementia or taking care of a loved one who is? Do you feel uncertain about how to take care of them? Many issues faced by the aging population and their loved ones can often leave them feeling insecure and unsure about what to do. If this is happening to you, its normal to feel what you are feeling, but let me help you along the way. We can discuss dementia, housing, power of attorney, caregiver stress, and so much more.
(629) 299-1302 View (629) 299-1302
Photo of undefined - Silver Lake Psychology, PsyD, Psychologist
Silver Lake Psychology
Psychologist, PsyD
Verified Verified
Downtown, Nashville, TN 37201
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(629) 276-9962 View (629) 276-9962
Photo of Tyson Marlow, LPC Intern
Tyson Marlow
LPC Intern
Verified Verified
Downtown, Nashville, TN 37208
Hello! I am greatly invested in social justice in all facets, particularly through therapeutic practice and healing, where my interests include exploring and understanding internalized oppression and it’s affects on marginalized communities, mental health counseling outcomes for men, and dismantling harmful stigmas in marginalized communities surrounding mental health. I am incredibly excited to be working under exceptional supervisors and clinicians who will help me begin this journey into the mental health field.
Hello! I am greatly invested in social justice in all facets, particularly through therapeutic practice and healing, where my interests include exploring and understanding internalized oppression and it’s affects on marginalized communities, mental health counseling outcomes for men, and dismantling harmful stigmas in marginalized communities surrounding mental health. I am incredibly excited to be working under exceptional supervisors and clinicians who will help me begin this journey into the mental health field.
(629) 263-7851 View (629) 263-7851
Photo of Alisha Irby, LPC, MHSP, Licensed Professional Counselor
Alisha Irby
Licensed Professional Counselor, LPC, MHSP
Verified Verified
Downtown, Nashville, TN 37208
Asking for help is sometimes difficult, and also powerful. Daily struggles with anxiety, depression, low self-esteem, intrusive thoughts can become overwhelming. Complex trauma, substance use, eating disorders, unhealthy relationships, are among a few that can also keep us from our authentic self. In order to survive through all of this and keep going, it is common to adapt in ways that end up no longer working. We need help. That help comes from recognizing the gifts we have in ourselves and getting the gifts of others. My gift is to help others with aligning the head and the heart while healing to recognize authentic self.
Asking for help is sometimes difficult, and also powerful. Daily struggles with anxiety, depression, low self-esteem, intrusive thoughts can become overwhelming. Complex trauma, substance use, eating disorders, unhealthy relationships, are among a few that can also keep us from our authentic self. In order to survive through all of this and keep going, it is common to adapt in ways that end up no longer working. We need help. That help comes from recognizing the gifts we have in ourselves and getting the gifts of others. My gift is to help others with aligning the head and the heart while healing to recognize authentic self.
(615) 265-6750 View (615) 265-6750
Photo of Hansell Holt, MS, LPC, MHSP, (t), Pre-Licensed Professional
Hansell Holt
Pre-Licensed Professional, MS, LPC, MHSP, (t)
Verified Verified
1 Endorsed
Downtown, Nashville, TN 37208
Being human. Along with the beautiful parts of life comes pain, struggle, and trauma. Everyone deserves a safe person with whom they can address these things and achieve real healing. Real relief. My first goal when beginning work with clients is to create that place where they can be their authentic selves...and feel accepted. To give them unconditional support without judgement. With this relationship formed, the deeper and holistic work can begin. Healing can happen. If you're struggling with self-esteem, trauma, mood disorders, substance use...or just struggling at all, we can work together to help you find peace.
Being human. Along with the beautiful parts of life comes pain, struggle, and trauma. Everyone deserves a safe person with whom they can address these things and achieve real healing. Real relief. My first goal when beginning work with clients is to create that place where they can be their authentic selves...and feel accepted. To give them unconditional support without judgement. With this relationship formed, the deeper and holistic work can begin. Healing can happen. If you're struggling with self-esteem, trauma, mood disorders, substance use...or just struggling at all, we can work together to help you find peace.
(615) 282-5351 View (615) 282-5351
Photo of Ariel Lowe, LPCMHSP, Licensed Professional Counselor
Ariel Lowe
Licensed Professional Counselor, LPCMHSP
Verified Verified
4 Endorsed
Downtown, Nashville, TN 37208
You do not have to live the way you’ve always lived. The suffering does not have to persist. You can choose yourself. This thing called life offers unexpected obstacles that cause a course change. Therapy enables us to feel empowered to overcome our barriers. We must self-search and manage internal issues to obtain that empowered position. There is no point to a bandaid approach, so we would work on the deeper issues that cause presenting problems, like unhealthy attachments and trauma. These are the source of anxious thinking, depression, and addictions. I am EMDR trained, which helps us to address the original issues.
You do not have to live the way you’ve always lived. The suffering does not have to persist. You can choose yourself. This thing called life offers unexpected obstacles that cause a course change. Therapy enables us to feel empowered to overcome our barriers. We must self-search and manage internal issues to obtain that empowered position. There is no point to a bandaid approach, so we would work on the deeper issues that cause presenting problems, like unhealthy attachments and trauma. These are the source of anxious thinking, depression, and addictions. I am EMDR trained, which helps us to address the original issues.
(615) 461-4636 View (615) 461-4636
Photo of Anne Peyton Baker, NCC, Pre-Licensed Professional
Anne Peyton Baker
Pre-Licensed Professional, NCC
Verified Verified
Downtown, Nashville, TN 37203  (Online Only)
I am thrilled to work with clients of any age and background, and I especially love getting to work with individuals who no longer want to live with their past defining their present. Let's work together to help you reach your goals and live the life you were created to live!
I am thrilled to work with clients of any age and background, and I especially love getting to work with individuals who no longer want to live with their past defining their present. Let's work together to help you reach your goals and live the life you were created to live!
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Photo of Emma Peebles, CFLE-P, MFT, Marriage & Family Therapist Intern
Emma Peebles
Marriage & Family Therapist Intern, CFLE-P, MFT
Verified Verified
Downtown, Nashville, TN 37208
Hello there! My name is Emma Peebles, and I'm passionate about creating a safe, warm therapy space that feels entirely your own. Here, you can explore and embrace your most authentic, empowered self. I'm a therapist-in-training with a bachelors in Human Development and Family Studies (including aging) and a Communication Studies minor. I'm also a certified Family Life Educator. My approach combines evidence-based methods like Bowenian Family Therapy, Emotionally Focused Therapy, The Gottman Method, and Satir's Transformational Systemic Therapy.
Hello there! My name is Emma Peebles, and I'm passionate about creating a safe, warm therapy space that feels entirely your own. Here, you can explore and embrace your most authentic, empowered self. I'm a therapist-in-training with a bachelors in Human Development and Family Studies (including aging) and a Communication Studies minor. I'm also a certified Family Life Educator. My approach combines evidence-based methods like Bowenian Family Therapy, Emotionally Focused Therapy, The Gottman Method, and Satir's Transformational Systemic Therapy.
(629) 529-5587 View (629) 529-5587
Photo of undefined - Silver Lake Psychology, Clinical Social Work/Therapist
Silver Lake Psychology
Clinical Social Work/Therapist
Verified Verified
Downtown, Nashville, TN 37219
We build relationships that heal. We are a collective of therapists with a diverse range of specialties. We believe that good therapy is compassionate yet challenging. Our experienced therapists are results-oriented and will tailor therapy to your unique needs. We make appointments easy by offering affordable rates and evening appointments.
We build relationships that heal. We are a collective of therapists with a diverse range of specialties. We believe that good therapy is compassionate yet challenging. Our experienced therapists are results-oriented and will tailor therapy to your unique needs. We make appointments easy by offering affordable rates and evening appointments.
(629) 206-2858 View (629) 206-2858
Photo of Kati Laidig, LCSW, Clinical Social Work/Therapist
Kati Laidig
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Downtown, Nashville, TN 37203
In my role as a therapist, I have dedicated myself to providing support and guidance to motivated individuals navigating the complexities of anxiety, depression, life transitions, stressors, relationship challenges, and self-esteem issues. Specializing in working with children, teenagers, and young adults, I am committed to fostering a safe and empathetic space where clients can explore their emotions and develop coping strategies. I have experience working with individuals, families, and couples.
In my role as a therapist, I have dedicated myself to providing support and guidance to motivated individuals navigating the complexities of anxiety, depression, life transitions, stressors, relationship challenges, and self-esteem issues. Specializing in working with children, teenagers, and young adults, I am committed to fostering a safe and empathetic space where clients can explore their emotions and develop coping strategies. I have experience working with individuals, families, and couples.
(262) 204-5447 View (262) 204-5447
Photo of Anna Hawkins, LMFT , Marriage & Family Therapist
Anna Hawkins
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Downtown, Nashville, TN 37208
Welcome to Anna Hawkins Counseling! I specialize in supporting women who are seeking to strengthen their relationships and build insight into unhealthy patterns and behaviors of codependency and enmeshment. Do you struggle with creating and maintaining healthy boundaries, or find yourself grappling with intimacy issues and patterns of codependency? If so, you’ve come to the right place. At Anna Hawkins Counseling, I assist in providing compassionate support and guidance to women navigating these complex and deeply personal challenges.
Welcome to Anna Hawkins Counseling! I specialize in supporting women who are seeking to strengthen their relationships and build insight into unhealthy patterns and behaviors of codependency and enmeshment. Do you struggle with creating and maintaining healthy boundaries, or find yourself grappling with intimacy issues and patterns of codependency? If so, you’ve come to the right place. At Anna Hawkins Counseling, I assist in providing compassionate support and guidance to women navigating these complex and deeply personal challenges.
(615) 703-4251 View (615) 703-4251
Photo of undefined - Sacred Lotus Journey, LLC, MS, Temp, LPC-MHS, Pre-Licensed Professional
Sacred Lotus Journey, LLC
Pre-Licensed Professional, MS, Temp, LPC-MHS
Verified Verified
Downtown, Nashville, TN 37219
As a therapist, I love to walk alongside you during your self discovery journey of becoming your true authentic self. And on this journey of well being, one will learn the importance of self love, self care, boundary setting, effective communication, problem solving, emotional regulation, and displaying your true authentic self. And first things first, you MUST start with your mind, body, and spirit and I will like to assist you in every goal you set for yourself in a holistic way.
As a therapist, I love to walk alongside you during your self discovery journey of becoming your true authentic self. And on this journey of well being, one will learn the importance of self love, self care, boundary setting, effective communication, problem solving, emotional regulation, and displaying your true authentic self. And first things first, you MUST start with your mind, body, and spirit and I will like to assist you in every goal you set for yourself in a holistic way.
(615) 257-9289 View (615) 257-9289
Photo of Jillian Locke, MS, LPCMHSP, (T), Pre-Licensed Professional
Jillian Locke
Pre-Licensed Professional, MS, LPCMHSP, (T)
Verified Verified
5 Endorsed
Downtown, Nashville, TN 37208
Growth, depth, and hope can come when others walk alongside you- we are not meant to do this alone. My desire is to create this experience for those who are needing help because I know how valuable and necessary it is to have someone supporting you along the way. Through an intentional & collaborative relationship, I aim to be a tool and resource to help shine light where you are experiencing darkness by tailoring to your specific needs and goals.
Growth, depth, and hope can come when others walk alongside you- we are not meant to do this alone. My desire is to create this experience for those who are needing help because I know how valuable and necessary it is to have someone supporting you along the way. Through an intentional & collaborative relationship, I aim to be a tool and resource to help shine light where you are experiencing darkness by tailoring to your specific needs and goals.
(615) 219-5226 View (615) 219-5226

See more therapy options for Downtown, Nashville

How does your Therapist compare?

Number of Therapists in Downtown, Nashville, TN

400+

Average cost per session

$130

Therapists in Downtown, Nashville, TN who prioritize treating:

93% Anxiety
84% Depression
74% Self Esteem
73% Trauma and PTSD
71% Relationship Issues
69% Coping Skills
65% Stress

Average years in practice

9 Years

Top 3 insurances accepted

78% Aetna
76% Cigna and Evernorth
74% UnitedHealthcare UHC | UBH

How Therapists in Downtown, Nashville, TN see their clients

62% In Person and Online
38% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Downtown, Nashville?

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.