Therapists in Glasgow, VA
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![Photo of Christina Urcinas, PsyD, PhD, Psychologist](https://photos.psychologytoday.com/f1f831ee-1388-4ea6-9783-de68ccd04047/1/320x400.png)
I am a licensed Clinical Psychologist with over a decade of work in national and regional hospital systems, multi-disciplinary long-term care and rehabilitation facilities, and community clinics. I collaborate with adults experiencing a variety of mental health concerns including symptoms of depression, panic disorder, generalized and social anxiety, grief and loss, trauma, adjustment and self-esteem issues, and caregiver stress. I provide individual teletherapy services only at this time with a clinical foundation primarily consisting of cognitive-behavioral interventions.
I am a licensed Clinical Psychologist with over a decade of work in national and regional hospital systems, multi-disciplinary long-term care and rehabilitation facilities, and community clinics. I collaborate with adults experiencing a variety of mental health concerns including symptoms of depression, panic disorder, generalized and social anxiety, grief and loss, trauma, adjustment and self-esteem issues, and caregiver stress. I provide individual teletherapy services only at this time with a clinical foundation primarily consisting of cognitive-behavioral interventions.
![Photo of Paul A Bello - Bello Counseling, LLC, LPC, CCEP, Counselor](https://photos.psychologytoday.com/44ef42e4-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
As a solution-focused therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life today. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
As a solution-focused therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life today. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
![Photo of April Dalby, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/1fd2786a-cfdd-4a22-a42a-6445bc2e9af7/1/320x400.png)
There is no greater joy than assisting clients in finding their strengths and ways to use their strengths to overcome life obstacles by creating a new narrative.
There is no greater joy than assisting clients in finding their strengths and ways to use their strengths to overcome life obstacles by creating a new narrative.
![Photo of Yozaira Leon-Santiago, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/e71372c5-acc7-4115-89ea-ab26bace62d8/1/320x400.png)
Yozaira Leon-Santiago, Virginia License 0701008987. I am a Licensed Professional Counselor (LPC) with 10 years of experience in the behavioral healthcare field. Currently I am a Bilingual (Spanish) mental health clinician in a detention center working with young immigrants. Before that, I served as MST (Multisystemic) therapist in the community that dealt with juveniles with serious criminal offenses and are possibly abusing substances. I am experienced with the emotional problems that occur in adults, adolescents and children. I have specialized training with family therapy, trauma depression and anxiety.
Yozaira Leon-Santiago, Virginia License 0701008987. I am a Licensed Professional Counselor (LPC) with 10 years of experience in the behavioral healthcare field. Currently I am a Bilingual (Spanish) mental health clinician in a detention center working with young immigrants. Before that, I served as MST (Multisystemic) therapist in the community that dealt with juveniles with serious criminal offenses and are possibly abusing substances. I am experienced with the emotional problems that occur in adults, adolescents and children. I have specialized training with family therapy, trauma depression and anxiety.
![Photo of Deja Gordon, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9dedb164-0b37-4dc7-8629-f7783eb7297c/1/320x400.png)
I first want to say congratulations on taking a big step towards your mental health and putting what you need to heal first. In a safe and supportive atmosphere I strive to listen to the needs of each of my clients. I use a variety of methods and techniques to meet the needs of each client. My purpose is to help clients achieve success in their lives by providing tools for coping with their current situations. My goal is to provide you with the best mental health care possible in a courteous and efficient manner. I understand your need for confidentiality, trust and respect.
I first want to say congratulations on taking a big step towards your mental health and putting what you need to heal first. In a safe and supportive atmosphere I strive to listen to the needs of each of my clients. I use a variety of methods and techniques to meet the needs of each client. My purpose is to help clients achieve success in their lives by providing tools for coping with their current situations. My goal is to provide you with the best mental health care possible in a courteous and efficient manner. I understand your need for confidentiality, trust and respect.
![Photo of Melissa Futreal, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/802cae27-aeb8-4cd3-978c-b96e3aa3656e/1/320x400.png)
I began helping others in 1990 as a Peer Counselor (Drug Exemption NCO) while on active duty in the Marine Corps. After earning degrees in Psychology and Social Work at UNCW/ECU, I obtained licensure to practice independently with the Virginia Board of Health Professionals in 2004. I am originally from the Hampton Roads area but have worked internationally with people from many different backgrounds. I have continued to support the military, as well as the community at large, for over 3 decades with evidence-based treatments for trauma (PTSD).
I began helping others in 1990 as a Peer Counselor (Drug Exemption NCO) while on active duty in the Marine Corps. After earning degrees in Psychology and Social Work at UNCW/ECU, I obtained licensure to practice independently with the Virginia Board of Health Professionals in 2004. I am originally from the Hampton Roads area but have worked internationally with people from many different backgrounds. I have continued to support the military, as well as the community at large, for over 3 decades with evidence-based treatments for trauma (PTSD).
![Photo of Jennifer Keith, PhD, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/43e7a668-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jennifer Keith
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
1 Endorsed
Lexington, VA 24450
Waitlist for new clients
Currently only accepting clients for extended session/intensive trauma work. As a therapist, I believe everyone is capable of fulfilling their true authentic self and realizing their maximum potential. The therapeutic relationship can serve as a catalyst for this change and my role as a therapist is to partner with you on this journey and to offer support and guidance. My experience is in working with adults with complex trauma. I believe the core condition of being human is forming relationships and we experience dysfunction and unhappiness when we experience disconnection.
Currently only accepting clients for extended session/intensive trauma work. As a therapist, I believe everyone is capable of fulfilling their true authentic self and realizing their maximum potential. The therapeutic relationship can serve as a catalyst for this change and my role as a therapist is to partner with you on this journey and to offer support and guidance. My experience is in working with adults with complex trauma. I believe the core condition of being human is forming relationships and we experience dysfunction and unhappiness when we experience disconnection.
![Photo of Eric Hales, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b2b214f2-e418-45f4-8635-c6028b50a713/1/320x400.jpeg)
As a gay man, I validate and support clients’ identities, sexuality, and spiritual beliefs. I was raised LDS and understand the cultural, familial, social, and spiritual complexities that can arise from growing up in that environment. I focus on helping clients heal from shame-based trauma, improve their relationship skills, and build a life that is consistent with their sexuality, gender identity, goals, and values.
As a gay man, I validate and support clients’ identities, sexuality, and spiritual beliefs. I was raised LDS and understand the cultural, familial, social, and spiritual complexities that can arise from growing up in that environment. I focus on helping clients heal from shame-based trauma, improve their relationship skills, and build a life that is consistent with their sexuality, gender identity, goals, and values.
![Photo of Karen M Lindsay, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3d033a3d-4478-461a-80e7-926c4dbc2e0d/2/320x400.jpeg)
We live in a world in which we must rely on relationships. The most common need I hear from clients is the desire to improve their personal and professional relationships. Improving these relationships goes a long way toward improving our own mental health. I have been helping individuals and families navigate important relationships and transitional times in their lives, by helping them find strengths within themselves to solve their problems. With a strong background in Organizational Development, I have worked with a variety of clients: from executives needing help organizationally to individuals finding their path in life.
We live in a world in which we must rely on relationships. The most common need I hear from clients is the desire to improve their personal and professional relationships. Improving these relationships goes a long way toward improving our own mental health. I have been helping individuals and families navigate important relationships and transitional times in their lives, by helping them find strengths within themselves to solve their problems. With a strong background in Organizational Development, I have worked with a variety of clients: from executives needing help organizationally to individuals finding their path in life.
![Photo of Chad J Kelland, PsyD, MA, LCP, Psychologist](https://photos.psychologytoday.com/46f381ff-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
It is important to provide a supportive, attuned presence to help my patients work through the struggles, problems, and difficulties that have brought them into treatment. I build a relationship of trust with my patients in order to help them feel the support and care I have for them. I believe that diligent exploration of a patient's negative emotions and problematic relationships leads to healing. Through the use of simple challenges, highlighting of interpersonal and emotional patterns, encouragement, and honest feedback, my objective is to help the patient feel the love and support needed to heal and change.
It is important to provide a supportive, attuned presence to help my patients work through the struggles, problems, and difficulties that have brought them into treatment. I build a relationship of trust with my patients in order to help them feel the support and care I have for them. I believe that diligent exploration of a patient's negative emotions and problematic relationships leads to healing. Through the use of simple challenges, highlighting of interpersonal and emotional patterns, encouragement, and honest feedback, my objective is to help the patient feel the love and support needed to heal and change.
![Photo of Sarah Hagenbuch - Sarah Hagenbuch Well+Being Counseling, LLC., MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/2bb133ba-d413-4f31-9ffe-916a14d91cec/2/320x400.jpeg)
Sarah Hagenbuch Well+Being Counseling, LLC.
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Lexington, VA 24450
Not accepting new clients
Many of my clients struggle with symptoms of depression and anxiety. Often, they have a core negative belief of not being "good enough" and have a critical inner voice. Many have experienced trauma, relational brokenness and loss. Are hope, healing, and healthy relationships something you are longing for? I believe I can help. I offer a safe space to share your struggles and pain. I am a fellow human on my own journey and I offer the presence of someone who has experienced both difficulties in life and healing. My counseling approach is tailored to meet your needs and your unique experiences.
Many of my clients struggle with symptoms of depression and anxiety. Often, they have a core negative belief of not being "good enough" and have a critical inner voice. Many have experienced trauma, relational brokenness and loss. Are hope, healing, and healthy relationships something you are longing for? I believe I can help. I offer a safe space to share your struggles and pain. I am a fellow human on my own journey and I offer the presence of someone who has experienced both difficulties in life and healing. My counseling approach is tailored to meet your needs and your unique experiences.
![Photo of Molly Adams, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/db526783-6ac6-40b4-b86a-828968149c84/2/320x400.jpeg)
Molly Adams
Licensed Professional Counselor, LPC
Verified Verified
Lexington, VA 24450
Not accepting new clients
I believe we all have inner strengths, innate self-worth, and intuition that guides us. Through the ebbs and flows of life, it's common to feel disconnected from our authentic selves. This disconnect can cause us to feel like we're running on auto-pilot, feeling detached and stuck, or experiencing the flames of burnout, where we feel overwhelmed and dysregulated. Both of these responses result in us feeling doubtful and unsatisfied in life. I take a holistic approach to therapy focusing on mind & body aspects to help you restore a sense of harmony & connection and live a more full and satisfying life.
I believe we all have inner strengths, innate self-worth, and intuition that guides us. Through the ebbs and flows of life, it's common to feel disconnected from our authentic selves. This disconnect can cause us to feel like we're running on auto-pilot, feeling detached and stuck, or experiencing the flames of burnout, where we feel overwhelmed and dysregulated. Both of these responses result in us feeling doubtful and unsatisfied in life. I take a holistic approach to therapy focusing on mind & body aspects to help you restore a sense of harmony & connection and live a more full and satisfying life.
![Photo of Jessica R Dugan - Dugan Psychotherapy, PLLC, MA, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/fc3011c4-063b-4378-a4f7-f04d8755642a/1/320x400.jpeg)
Dugan Psychotherapy, PLLC
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Lexington, VA 24450
I aim at supporting individuals and couples who want to learn about themselves, build healthier relationships, be more emotionally present, and cope more successfully. I believe that through self- exploration and learning about our relationships, we promote growth, peace, and healing in our lives, thus building more fulfilling connections with others. I aim to help you find ways to improve your life and your relationships. If you are dealing with issues related to family conflict, relationships, GLBTQ issues, spirituality, or anxiety; I believe I would be a good fit for you.
I aim at supporting individuals and couples who want to learn about themselves, build healthier relationships, be more emotionally present, and cope more successfully. I believe that through self- exploration and learning about our relationships, we promote growth, peace, and healing in our lives, thus building more fulfilling connections with others. I aim to help you find ways to improve your life and your relationships. If you are dealing with issues related to family conflict, relationships, GLBTQ issues, spirituality, or anxiety; I believe I would be a good fit for you.
![Photo of Alison Caldwell-Andrews, PhD, Psychologist](https://photos.psychologytoday.com/477a0d22-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
You've probably already tried to figure out how to feel better. Sick of being told that you're "too sensitive" or "overreacting," you're exhausted by how emotions and memories reach out and grab you, ripping you from your best efforts at stability. The effects of trauma, including high levels of anxiety, may make you wish you could simply just get rid of your emotions. It doesn't seem to matter how smart you are or how great a problem-solver you are in other areas of your life. The end result is that you're discouraged. I offer a collaborative approach with interventions that work. Come work with me and find hope and change.
You've probably already tried to figure out how to feel better. Sick of being told that you're "too sensitive" or "overreacting," you're exhausted by how emotions and memories reach out and grab you, ripping you from your best efforts at stability. The effects of trauma, including high levels of anxiety, may make you wish you could simply just get rid of your emotions. It doesn't seem to matter how smart you are or how great a problem-solver you are in other areas of your life. The end result is that you're discouraged. I offer a collaborative approach with interventions that work. Come work with me and find hope and change.
Online Therapists
![Photo of Emma Greenberg, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/44073f8b-006f-434f-a76a-ee6ee80a9f77/2/320x400.jpeg)
Emma Greenberg
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Midlothian, VA 23112 (Online Only)
Therapy can be an important step in the healing journey and an opportunity to reflect on how your experiences have shaped the person you are. I am passionate about my role to assist you in identifying your strengths. My therapeutic approach is person-centered, holistic, and draws on motivational interviewing techniques. I strive to foster a therapeutic alliance built on trust and collaboration with clients to develop effective coping strategies and facilitate positive change.
Therapy can be an important step in the healing journey and an opportunity to reflect on how your experiences have shaped the person you are. I am passionate about my role to assist you in identifying your strengths. My therapeutic approach is person-centered, holistic, and draws on motivational interviewing techniques. I strive to foster a therapeutic alliance built on trust and collaboration with clients to develop effective coping strategies and facilitate positive change.
![Photo of Marsha Divers-Wiggs, MEd, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/ce6b12d5-0f10-4696-81a0-76114682644e/1/320x400.jpeg)
I feel clients grow through challenges best in a non-judgmental, nurturing atmosphere. This quote is so true: "To the world you may be one person, but to one person, you may be the world." You matter. Your feelings matter. If you feel you need someone to talk to, don't hesitate to call me...
I feel clients grow through challenges best in a non-judgmental, nurturing atmosphere. This quote is so true: "To the world you may be one person, but to one person, you may be the world." You matter. Your feelings matter. If you feel you need someone to talk to, don't hesitate to call me...
![Photo of Victoria Ipsen, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7007713f-3760-4113-9472-bd43f8476187/1/320x400.jpeg)
Victoria Ipsen
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Charlottesville, VA 22902
Therapy is a process that begins with building a healthy therapeutic relationship. I offer my clients warmth,respect,compassion,honesty and humor so they can work to resolve trauma and painful experiences,develop new and healthier patterns in relationships,increase their understanding of themselves,or find ways to cope with and overcome obstacles like depression,anxiety,substance abuse,and low self esteem. I work with adults,families and couples. I also have a special interest in helping adolescents and their families manage the challenges of the teen years.
Therapy is a process that begins with building a healthy therapeutic relationship. I offer my clients warmth,respect,compassion,honesty and humor so they can work to resolve trauma and painful experiences,develop new and healthier patterns in relationships,increase their understanding of themselves,or find ways to cope with and overcome obstacles like depression,anxiety,substance abuse,and low self esteem. I work with adults,families and couples. I also have a special interest in helping adolescents and their families manage the challenges of the teen years.
![Photo of Amanda Smith, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/fd95e221-01bb-4984-8fb4-416094388bbb/3/320x400.jpeg)
Deployment, divorce, abuse, depression, anxiety, and domestic violence can have a huge impact on you and your family. Are you or your child having difficulty managing feelings, adjusting to change, or coping with something traumatic? Are you struggling through this challenging time and feel exhausted doing it on your own? If so, you are in the right place! Don't continue to face these difficult experiences alone. Let me help by offering outlets for you or your child to express what is on your minds and learn how to deal with feelings in a healthy way.
Deployment, divorce, abuse, depression, anxiety, and domestic violence can have a huge impact on you and your family. Are you or your child having difficulty managing feelings, adjusting to change, or coping with something traumatic? Are you struggling through this challenging time and feel exhausted doing it on your own? If so, you are in the right place! Don't continue to face these difficult experiences alone. Let me help by offering outlets for you or your child to express what is on your minds and learn how to deal with feelings in a healthy way.
![Photo of Marjorie Barbour, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f836bc04-e914-4286-81ce-6ea84d49ac18/1/320x400.jpeg)
Marjorie Barbour
Clinical Social Work/Therapist, LCSW
Verified Verified
Midlothian, VA 23114 (Online Only)
I have 15+ years of experience in various populations including teens/adolescents, geriatrics, the foster care system and working with MCOs.
I have 15+ years of experience in various populations including teens/adolescents, geriatrics, the foster care system and working with MCOs.
![Photo of Dawn Atkinson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b5a1f90d-a2eb-4433-b027-13e09c52eafc/1/320x400.jpeg)
Dawn Atkinson
Clinical Social Work/Therapist, LCSW
Verified Verified
Fishersville, VA 22939 (Online Only)
Hello, I am Dawn and wonder if you often feel over-whelmed, multiple stressors in your life, feel like your only caring for others and not finding time for self-care, or feeling unmotivated? Or having little energy or feeling weighed down with anxious thoughts or finding yourself experiencing loneliness, life transitions, difficult decisions or feeling that making friends is difficult? then make an appointment with me to begin to explore strategies and make obtainable goals towards a healthier, and happier you.
Hello, I am Dawn and wonder if you often feel over-whelmed, multiple stressors in your life, feel like your only caring for others and not finding time for self-care, or feeling unmotivated? Or having little energy or feeling weighed down with anxious thoughts or finding yourself experiencing loneliness, life transitions, difficult decisions or feeling that making friends is difficult? then make an appointment with me to begin to explore strategies and make obtainable goals towards a healthier, and happier you.
How does your Therapist compare?
Number of Therapists in Glasgow, VA
< 10
Therapists in Glasgow, VA who prioritize treating:
How Therapists in Glasgow, VA see their clients
2% | Online Only | |
1% | In Person and Online |
FAQs - About Therapy and Counseling
How can I find a therapist in Glasgow?
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.