Therapists in Highland County, VA

View cities in Highland County
Photo of Angela White, LPC, CACII, Licensed Professional Counselor
Angela White
Licensed Professional Counselor, LPC, CACII
Verified Verified
2 Endorsed
Monterey, VA 24465  (Online Only)
Teletherapy appts available within one week! Winston Churchill once said, "If you're going through hell, keep going." Well, that's easier said than done, right? I want to help you "keep going" through whatever hell you feel like you might be in and after you get past it (whatever that looks like for you), help you to learn skills to make it easier next time life comes at you full force. I've been working with adults for the last 12 years and truly cannot imagine doing anything else with my life! I seek to develop authentic, unique, connected relationships with all my clients.
Teletherapy appts available within one week! Winston Churchill once said, "If you're going through hell, keep going." Well, that's easier said than done, right? I want to help you "keep going" through whatever hell you feel like you might be in and after you get past it (whatever that looks like for you), help you to learn skills to make it easier next time life comes at you full force. I've been working with adults for the last 12 years and truly cannot imagine doing anything else with my life! I seek to develop authentic, unique, connected relationships with all my clients.
(540) 516-4071 View (540) 516-4071
Photo of Melissa Addessi, LPC, Licensed Professional Counselor
Melissa Addessi
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Head Waters, VA 24442  (Online Only)
Seeking a compassionate guide for your journey? Look no further. I offer empathetic, judgment-free support to help you navigate challenges and embark on transformation. My person-centered approach ensures a tailored experience. By actively listening and asking thoughtful questions, I empower you to discover solutions that resonate with your unique needs, fostering autonomy. Using cognitive-behavioral therapy, I assist in gaining control over thoughts and behaviors. Together, we reshape negative patterns, cultivating a positive mindset. Mindfulness enhances self-awareness, providing tools for stress management.
Seeking a compassionate guide for your journey? Look no further. I offer empathetic, judgment-free support to help you navigate challenges and embark on transformation. My person-centered approach ensures a tailored experience. By actively listening and asking thoughtful questions, I empower you to discover solutions that resonate with your unique needs, fostering autonomy. Using cognitive-behavioral therapy, I assist in gaining control over thoughts and behaviors. Together, we reshape negative patterns, cultivating a positive mindset. Mindfulness enhances self-awareness, providing tools for stress management.
(571) 777-0233 View (571) 777-0233
Photo of Melissa Douglas, LPC, Licensed Professional Counselor
Melissa Douglas
Licensed Professional Counselor, LPC
Verified Verified
Monterey, VA 24465
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.
(571) 554-2394 View (571) 554-2394
Photo of Megan Wills, LCSW, Clinical Social Work/Therapist
Megan Wills
Clinical Social Work/Therapist, LCSW
Verified Verified
McDowell, VA 24458
My name is Megan Wills and I am a Licensed Clinical Social Worker (LSCW) and certified trauma therapist working with clients statewide via telehealth. I primarily work with young adults and specialize in clients with anxiety, trauma responses, depression, and life transitions. I am certified in Trauma-Focused Cognitive Behavioral Therapy and also use Acceptance and Commitment Therapy, as well as Dialectical Behavioral Therapy to help clients gain specific skills and make tangible progress.
My name is Megan Wills and I am a Licensed Clinical Social Worker (LSCW) and certified trauma therapist working with clients statewide via telehealth. I primarily work with young adults and specialize in clients with anxiety, trauma responses, depression, and life transitions. I am certified in Trauma-Focused Cognitive Behavioral Therapy and also use Acceptance and Commitment Therapy, as well as Dialectical Behavioral Therapy to help clients gain specific skills and make tangible progress.
(703) 782-4637 View (703) 782-4637
Photo of Dawn Atkinson, LCSW, Clinical Social Work/Therapist
Dawn Atkinson
Clinical Social Work/Therapist, LCSW
Verified Verified
Head Waters, VA 24442
Hi there, I'm Dawn! I have been a Licensed Clinical Social worker for over 25 years and have been working as a Behavioral Health Clinician providing individual, couples, and family therapy since then. I focus in areas such as anxiety, coping skills, depression, stress, life transitions, and self esteem, amongst others. I have extensive knowledge and experience in providing trauma focused therapeutic work, and work towards my client's treatment goals while building on my client's strengths and abilities.
Hi there, I'm Dawn! I have been a Licensed Clinical Social worker for over 25 years and have been working as a Behavioral Health Clinician providing individual, couples, and family therapy since then. I focus in areas such as anxiety, coping skills, depression, stress, life transitions, and self esteem, amongst others. I have extensive knowledge and experience in providing trauma focused therapeutic work, and work towards my client's treatment goals while building on my client's strengths and abilities.
(757) 781-2263 View (757) 781-2263
Photo of Debbie Anderson, LCSW, Clinical Social Work/Therapist
Debbie Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
Blue Grass, VA 24413
Hi! My name is Debbie and I am a Licensed Clinical Social Worker who has been practicing in the field for over 13 years. I specialize primarily in the treatment of trauma, depression, and anxiety, but have also helped individuals diagnosed with Bipolar Disorder, Schizoaffective Disorder, and Schizophrenia. I am trained in CBT, DBT, Cognitive Processing Therapy, and EMDR, and have spent the majority of my adult life developing and authenticating my skills to help those in need. I am very passionate about the work I do, and believe that all have the power within them to heal and recover, whatever that might look like.
Hi! My name is Debbie and I am a Licensed Clinical Social Worker who has been practicing in the field for over 13 years. I specialize primarily in the treatment of trauma, depression, and anxiety, but have also helped individuals diagnosed with Bipolar Disorder, Schizoaffective Disorder, and Schizophrenia. I am trained in CBT, DBT, Cognitive Processing Therapy, and EMDR, and have spent the majority of my adult life developing and authenticating my skills to help those in need. I am very passionate about the work I do, and believe that all have the power within them to heal and recover, whatever that might look like.
(540) 616-2876 View (540) 616-2876

Online Therapists

Photo of Donna Simons - Donna Simons - NOCD, MSW, LCSW, Clinical Social Work/Therapist
Donna Simons - NOCD
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Charlottesville, VA 22902  (Online Only)
Inspired by my own experiences, I pursued higher education and embarked on a career in psychology, fulfilling my dream of becoming a therapist. Treating OCD can be particularly challenging as it impacts vocational plans, relationships, and confidence. However, it's incredibly rewarding to help individuals show the courage and determination to face their demons—clinically known as obsessive thoughts and compulsive behaviors—and reclaim their lives. At NOCD, my team and I specialize in providing evidence-based treatment for OCD. Our deep understanding of its nuances allows us to properly diagnose and treat it.
Inspired by my own experiences, I pursued higher education and embarked on a career in psychology, fulfilling my dream of becoming a therapist. Treating OCD can be particularly challenging as it impacts vocational plans, relationships, and confidence. However, it's incredibly rewarding to help individuals show the courage and determination to face their demons—clinically known as obsessive thoughts and compulsive behaviors—and reclaim their lives. At NOCD, my team and I specialize in providing evidence-based treatment for OCD. Our deep understanding of its nuances allows us to properly diagnose and treat it.
(929) 415-9531 View (929) 415-9531
Photo of Sunday Rae Towles, LPC, S, Licensed Professional Counselor
Sunday Rae Towles
Licensed Professional Counselor, LPC, S
Verified Verified
Lynchburg, VA 24502
Waitlist for new clients
My experiences ranges from working with married couples, single adults, and adolescents. My particular training has focused on women who have experienced sexual trauma, with adjacent issues of depression, body image, self worth, and healthy relationships.
My experiences ranges from working with married couples, single adults, and adolescents. My particular training has focused on women who have experienced sexual trauma, with adjacent issues of depression, body image, self worth, and healthy relationships.
(434) 595-3752 View (434) 595-3752
Photo of Andriana Hench, LPC, Licensed Professional Counselor
Andriana Hench
Licensed Professional Counselor, LPC
Verified Verified
I operate from an attachment perspective, and I believe that we must establish safety in order to change, heal, and grow. I aim to help clients heal past traumas, work through difficult emotions, and find their inner strength and core self. I help clients build and strengthen relationships with themselves and others for transformation and healing.
I operate from an attachment perspective, and I believe that we must establish safety in order to change, heal, and grow. I aim to help clients heal past traumas, work through difficult emotions, and find their inner strength and core self. I help clients build and strengthen relationships with themselves and others for transformation and healing.
(434) 771-1630 View (434) 771-1630
Photo of Ashlee Cox, MS
Ashlee Cox
Resident in Counseling, MS
Verified Verified
Winchester, VA 22601
Finding a therapist who you can connect with can be challenging. So, why choose me? I am a biracial (black and white) female, who brings over 2 years’ experience using Applied Behavioral Analysis (ABA) therapy to children with autism and other developmental disabilities. I have worked with ages ranging from 2 years old to 16 years old, however am open to working with all age groups. Although I have worked with clients with disabilities, I also work with individuals without them.
Finding a therapist who you can connect with can be challenging. So, why choose me? I am a biracial (black and white) female, who brings over 2 years’ experience using Applied Behavioral Analysis (ABA) therapy to children with autism and other developmental disabilities. I have worked with ages ranging from 2 years old to 16 years old, however am open to working with all age groups. Although I have worked with clients with disabilities, I also work with individuals without them.
(540) 738-7455 View (540) 738-7455
Photo of Sierra Klotz, LPC, Licensed Professional Counselor
Sierra Klotz
Licensed Professional Counselor, LPC
Verified Verified
Lynchburg, VA 24504
Sierra Klotz is a Licensed Professional Counselor with 5 years of experience working with children, adolescents, adults, and families in the community and office setting. Sierra has worked with clients through life transitions, anxiety, depression, and managing stress. She provides an accepting environment for clients to feel safe within the therapeutic relationship and utilizes an eclectic approach to therapy, understanding that each client is different in their needs and goals.
Sierra Klotz is a Licensed Professional Counselor with 5 years of experience working with children, adolescents, adults, and families in the community and office setting. Sierra has worked with clients through life transitions, anxiety, depression, and managing stress. She provides an accepting environment for clients to feel safe within the therapeutic relationship and utilizes an eclectic approach to therapy, understanding that each client is different in their needs and goals.
(434) 602-6239 View (434) 602-6239
Photo of Dr. Gerry Eitner
Dr. Gerry Eitner
Verified Verified
Warrenton, VA 20186
Are you sensing that there is another level of you, wanting to emerge and be Present, and you don't know what it is? This happens to people when they're ready to go to their next evolutionary step. Old negative emotional patterns that are holding you back need to be identified/seen by you, and changed by you so that more of You can be more fully Present, here and now.
Are you sensing that there is another level of you, wanting to emerge and be Present, and you don't know what it is? This happens to people when they're ready to go to their next evolutionary step. Old negative emotional patterns that are holding you back need to be identified/seen by you, and changed by you so that more of You can be more fully Present, here and now.
(540) 351-9501 View (540) 351-9501
Photo of Stacie Kruzinski, LCSW, Clinical Social Work/Therapist
Stacie Kruzinski
Clinical Social Work/Therapist, LCSW
Verified Verified
Hello, I'm Stacie. As a licensed clinical social worker, I bring extensive experience across various healthcare settings, including inpatient psychiatric facilities and outpatient psychiatric/substance use treatment centers. My focus lies in empowering individuals to discover their inner drive for transformation, fostering stress management techniques, and nurturing self-assurance. My counseling approach is characterized by authenticity, support, genuineness, kindness, compassion, and responsiveness.
Hello, I'm Stacie. As a licensed clinical social worker, I bring extensive experience across various healthcare settings, including inpatient psychiatric facilities and outpatient psychiatric/substance use treatment centers. My focus lies in empowering individuals to discover their inner drive for transformation, fostering stress management techniques, and nurturing self-assurance. My counseling approach is characterized by authenticity, support, genuineness, kindness, compassion, and responsiveness.
(856) 788-7288 View (856) 788-7288
Photo of Teresa Lyons, MEd, BCBA, LBA
Teresa Lyons
MEd, BCBA, LBA
Verified Verified
Roanoke, VA 24018
I’ve lived with the challenges faced by those with severe learning disabilities within my own family. This isn’t a business for me. It’s a passion spanning decades of searching for a better answer for struggling learners—the solution - Precision Teaching. Effective learning requires a program customized to your child’s needs with high rates of deliberate practice, expert feedback, and reinforcement guided by ongoing data analysis. It’s breaking complex skills into its core parts to build stronger skills. It’s discovering your child can learn and become a more agile and cognitively fit learner.
I’ve lived with the challenges faced by those with severe learning disabilities within my own family. This isn’t a business for me. It’s a passion spanning decades of searching for a better answer for struggling learners—the solution - Precision Teaching. Effective learning requires a program customized to your child’s needs with high rates of deliberate practice, expert feedback, and reinforcement guided by ongoing data analysis. It’s breaking complex skills into its core parts to build stronger skills. It’s discovering your child can learn and become a more agile and cognitively fit learner.
(540) 264-3561 View (540) 264-3561
Photo of Elizabeth B. Farnsworth, LPC, LMFT, FT, PhD, CCTMH, Licensed Professional Counselor
Elizabeth B. Farnsworth
Licensed Professional Counselor, LPC, LMFT, FT, PhD, CCTMH
Verified Verified
Lynchburg, VA 24504
I have over 25 years' experience working with individuals adjusting to major life transitions and grief issues, depression, and anxiety. I have particular interest in helping individuals adjust to the illness and death of a child, parent, sibling, friend, or other family member. I received my doctoral education in Family Studies which integrated counseling, sociology, and psychology in understanding and treating major life transitions and family changes. I am also interested in working with caregivers and individuals dealing with career concerns. I will be very pleased to offer services to you!
I have over 25 years' experience working with individuals adjusting to major life transitions and grief issues, depression, and anxiety. I have particular interest in helping individuals adjust to the illness and death of a child, parent, sibling, friend, or other family member. I received my doctoral education in Family Studies which integrated counseling, sociology, and psychology in understanding and treating major life transitions and family changes. I am also interested in working with caregivers and individuals dealing with career concerns. I will be very pleased to offer services to you!
(434) 260-5010 View (434) 260-5010
Photo of Sara Elisabeth Frost, MA, LPC-ALP, LCMHC, NCC, ADC, Licensed Professional Counselor
Sara Elisabeth Frost
Licensed Professional Counselor, MA, LPC-ALP, LCMHC, NCC, ADC
Verified Verified
1 Endorsed
Even resilient and strong people need support for the challenges that life can send their way! During times of challenge and growth, I am here to support you as you rediscover what allows you to have a fulfilling life. My clients describe me as compassionate, authentic and kind. They also say that I gently challenge them to meet their goals and celebrate with them when they do! You don't have to live with depression, anxiety or self doubt. You can thrive and grow, even through the most challenging times in life; you don't have to go through things alone. You are taking the first step to reach the peace and happiness you deserve!
Even resilient and strong people need support for the challenges that life can send their way! During times of challenge and growth, I am here to support you as you rediscover what allows you to have a fulfilling life. My clients describe me as compassionate, authentic and kind. They also say that I gently challenge them to meet their goals and celebrate with them when they do! You don't have to live with depression, anxiety or self doubt. You can thrive and grow, even through the most challenging times in life; you don't have to go through things alone. You are taking the first step to reach the peace and happiness you deserve!
(304) 318-4959 View (304) 318-4959
Photo of Nathalie G Perkins, ASN, BSN, MA, Pre-Licensed Professional
Nathalie G Perkins
Pre-Licensed Professional, ASN, BSN, MA
Verified Verified
Blue Ridge, VA 24064
Has your life become difficult to manage? Do you feel powerless to make the necessary changes to enjoy it again? I am glad you stopped by, and I can help! I would love to get to know you and help you find hope in the process! I can assist you regain control of your life and find new meaning and purpose in your circumstances. I will provide you with a safe place to share your struggles and to see your unique worth and value. Whether you are dealing with grief, anxiety and depression, relationship issues, or a traumatic past, I can help you learn new and healthy life-skills. You can do this, and I look forward to meeting you!
Has your life become difficult to manage? Do you feel powerless to make the necessary changes to enjoy it again? I am glad you stopped by, and I can help! I would love to get to know you and help you find hope in the process! I can assist you regain control of your life and find new meaning and purpose in your circumstances. I will provide you with a safe place to share your struggles and to see your unique worth and value. Whether you are dealing with grief, anxiety and depression, relationship issues, or a traumatic past, I can help you learn new and healthy life-skills. You can do this, and I look forward to meeting you!
(540) 977-6300 View (540) 977-6300
Photo of Genevieve Whittemore, MA, LPC, Licensed Professional Counselor
Genevieve Whittemore
Licensed Professional Counselor, MA, LPC
Verified Verified
Lynchburg, VA 24503
Genevieve is a Licensed Professional Counselor specializing in the treatment of symptoms of developmental trauma disorders, PTSD, ADD & ADHD, anxiety & mood disorders, and addiction using neurofeedback and psychotherapy along with other biofeedback modalities that can help a person achieve emotional regulation. Additionally, she works with individuals seeking peak performance and students experiencing test anxiety. She specializes in Motivational Interviewing, Mindfulness, and Positive Psychology.
Genevieve is a Licensed Professional Counselor specializing in the treatment of symptoms of developmental trauma disorders, PTSD, ADD & ADHD, anxiety & mood disorders, and addiction using neurofeedback and psychotherapy along with other biofeedback modalities that can help a person achieve emotional regulation. Additionally, she works with individuals seeking peak performance and students experiencing test anxiety. She specializes in Motivational Interviewing, Mindfulness, and Positive Psychology.
(434) 595-3706 View (434) 595-3706
Photo of Nicole Smith, LPC, Licensed Professional Counselor
Nicole Smith
Licensed Professional Counselor, LPC
Verified Verified
With a profound commitment to promoting healing and growth, I am Nikki Smith, a Licensed Professional Counselor with over 16 years of experience in the mental health field. My journey began with a decade dedicated to working with children, adolescents, and families who have experienced trauma in foster care and adoption settings at my local social services agency. This foundational experience gave me a deep understanding of the complexities of trauma and its impact on individuals and families.
With a profound commitment to promoting healing and growth, I am Nikki Smith, a Licensed Professional Counselor with over 16 years of experience in the mental health field. My journey began with a decade dedicated to working with children, adolescents, and families who have experienced trauma in foster care and adoption settings at my local social services agency. This foundational experience gave me a deep understanding of the complexities of trauma and its impact on individuals and families.
(434) 361-4889 View (434) 361-4889
Photo of Amy Nash, LCSW, Clinical Social Work/Therapist
Amy Nash
Clinical Social Work/Therapist, LCSW
Verified Verified
I’m a licensed clinical social worker (LCSW) with a passion for helping people heal from pain and find peace and joy in their lives.  I’ve worked for twenty five years with diverse families, children, teens, and adults around a variety of issues including adoption, foster care, grief and loss, recovering from trauma, depression, anxiety, self-harm, life transitions, gender issues, ADHD, and more. I earned my Bachelor of Science in Psychology from James Madison University in 1992, and my Master of Social Work from Virginia Commonwealth University in 1995, with a concentration in clinical mental health.
I’m a licensed clinical social worker (LCSW) with a passion for helping people heal from pain and find peace and joy in their lives.  I’ve worked for twenty five years with diverse families, children, teens, and adults around a variety of issues including adoption, foster care, grief and loss, recovering from trauma, depression, anxiety, self-harm, life transitions, gender issues, ADHD, and more. I earned my Bachelor of Science in Psychology from James Madison University in 1992, and my Master of Social Work from Virginia Commonwealth University in 1995, with a concentration in clinical mental health.
(434) 602-6146 View (434) 602-6146

See more therapy options for Highland County

How does your Therapist compare?

Number of Therapists in Highland County, VA

< 10

Therapists in Highland County, VA who prioritize treating:

100% Depression
100% Anxiety
83% Grief
83% Trauma and PTSD
83% Family Conflict
83% Coping Skills
83% Self Esteem

Average years in practice

14 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
83% UnitedHealthcare UHC | UBH
83% Anthem | Elevance

How Therapists in Highland County, VA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Highland County?

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.