Therapists in Portsmouth City County, VA

Photo of Breezi Sharpe-Justice, MA , LPC, CCTP, PMH-C, Licensed Professional Counselor
Breezi Sharpe-Justice
Licensed Professional Counselor, MA , LPC, CCTP, PMH-C
Verified Verified
Portsmouth, VA 23704
At Bella Mente Mental Health, we are passionate about "Nurturing the Beauty of Your Mind and Spirit" with a commitment to guiding individuals through their unique journeys toward healing and self-discovery. I specialize in trauma recovery, perinatal mental health, substance abuse, and navigating life transitions, and I believe that each person’s story deserves to be heard and understood. Therapy takes courage, and I honor that bravery by fostering a safe, collaborative environment where you can explore your thoughts and feelings without judgment.
At Bella Mente Mental Health, we are passionate about "Nurturing the Beauty of Your Mind and Spirit" with a commitment to guiding individuals through their unique journeys toward healing and self-discovery. I specialize in trauma recovery, perinatal mental health, substance abuse, and navigating life transitions, and I believe that each person’s story deserves to be heard and understood. Therapy takes courage, and I honor that bravery by fostering a safe, collaborative environment where you can explore your thoughts and feelings without judgment.
(757) 703-3613 View (757) 703-3613
Photo of Stacy Coward - UOM Counseling Center, LPC, Licensed Professional Counselor
UOM Counseling Center
Licensed Professional Counselor, LPC
Verified Verified
Portsmouth, VA 23707
Join our Preceptorship and Internship programs and benefit from our mental health wellness programs. We support individuals seeking tools for recovery and personal growth. Our team is committed to providing tailored resources, guidance, and support to help you achieve your goals. Take the first step towards a brighter future and let us help you take many more. At times, we may feel stuck in life and unsure of how to progress towards the person we want to become. We understand that change, growth, development, and stability are crucial for achieving our goals. However, it's not always easy to know where to start or how to get there.
Join our Preceptorship and Internship programs and benefit from our mental health wellness programs. We support individuals seeking tools for recovery and personal growth. Our team is committed to providing tailored resources, guidance, and support to help you achieve your goals. Take the first step towards a brighter future and let us help you take many more. At times, we may feel stuck in life and unsure of how to progress towards the person we want to become. We understand that change, growth, development, and stability are crucial for achieving our goals. However, it's not always easy to know where to start or how to get there.
(757) 516-0214 View (757) 516-0214
Photo of Jordan O'Donnell, LSATP
Jordan O'Donnell
Resident in Counseling, LSATP
Verified Verified
Portsmouth, VA 23704
Throughout my career in mental health, I have worked with adults and transitional age youth from a variety of backgrounds and assisted them with issues including substance abuse, emotional struggles, life transitions, and behavioral concerns. I bolster individuals through the change process by providing an open, safe space to explore past experience and learn new coping strategies for the present. Through counseling, it is my goal to support individuals in better understanding themselves and building on existing strengths to reach their own personal goals.
Throughout my career in mental health, I have worked with adults and transitional age youth from a variety of backgrounds and assisted them with issues including substance abuse, emotional struggles, life transitions, and behavioral concerns. I bolster individuals through the change process by providing an open, safe space to explore past experience and learn new coping strategies for the present. Through counseling, it is my goal to support individuals in better understanding themselves and building on existing strengths to reach their own personal goals.
(757) 919-9110 View (757) 919-9110
Photo of Pamela L Collins, MS, Licensed Professional Counselor
Pamela L Collins
Licensed Professional Counselor, MS
Verified Verified
1 Endorsed
Portsmouth, VA 23703  (Online Only)
Are you trusting God with all your heart while still dealing with everyday life? This is an aspect of life many individuals of faith experience when they are striving to rely fully on their beliefs while grappling with anxiety, fear, or uncertainty. If you find yourself in this delicate balance, Balanced Life Therapy Center is tailored to help you integrate your faith with emotional wellness. As a therapist who understands the power of deliverance, I also understand the need for guidance as you create a new normal and find freedom in the life you are destined to live.
Are you trusting God with all your heart while still dealing with everyday life? This is an aspect of life many individuals of faith experience when they are striving to rely fully on their beliefs while grappling with anxiety, fear, or uncertainty. If you find yourself in this delicate balance, Balanced Life Therapy Center is tailored to help you integrate your faith with emotional wellness. As a therapist who understands the power of deliverance, I also understand the need for guidance as you create a new normal and find freedom in the life you are destined to live.
(757) 699-5144 View (757) 699-5144
Photo of Chanté D. Cross, MA, LPC, CLC, Licensed Professional Counselor
Chanté D. Cross
Licensed Professional Counselor, MA, LPC, CLC
Verified Verified
1 Endorsed
Portsmouth, VA 23707  (Online Only)
I specialize in Anxiety, Depression, Stress Management, and Relationships. I help clients manage and alleviate symptoms of Anxiety and Depression. Those managing issues in their relationships can expect to improve communication, boundary-setting, and improving emotional intimacy. I am also a Certified Life Coach. I have created programs to help Single Parents thrive and improve co-parenting relationships as well as helping individuals manage stress and create a life that includes, peace, relaxation, and joy (Living Life on Vacation; LOV).
I specialize in Anxiety, Depression, Stress Management, and Relationships. I help clients manage and alleviate symptoms of Anxiety and Depression. Those managing issues in their relationships can expect to improve communication, boundary-setting, and improving emotional intimacy. I am also a Certified Life Coach. I have created programs to help Single Parents thrive and improve co-parenting relationships as well as helping individuals manage stress and create a life that includes, peace, relaxation, and joy (Living Life on Vacation; LOV).
(757) 347-8554 View (757) 347-8554
Photo of Tirzah C Brown, MA, LPC, Licensed Professional Counselor
Tirzah C Brown
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portsmouth, VA 23702
The therapeutic journey is a delicate one and should be handled with intentional care. I am invested in collaborating with individuals to promote lasting change. As a clinician, I enjoy helping in processing trauma, developing effective coping strategies, and increasing self-awareness. I enjoy assisting clients to build stronger relationships by developing healthy boundaries and increased communication.
The therapeutic journey is a delicate one and should be handled with intentional care. I am invested in collaborating with individuals to promote lasting change. As a clinician, I enjoy helping in processing trauma, developing effective coping strategies, and increasing self-awareness. I enjoy assisting clients to build stronger relationships by developing healthy boundaries and increased communication.
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Photo of Bethany Gravely - Lifebulb Counseling & Therapy, LCSW, Clinical Social Work/Therapist
Lifebulb Counseling & Therapy
Clinical Social Work/Therapist, LCSW
Verified Verified
Portsmouth, VA 23708
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
Working with us you'll get results. Because we believe you're best served by a clinician who's passionate about not only their work, but who they work with as well. That's why we started Lifebulb - We're committed to building an organization that truly allows therapists to get back to enjoying their work, so you, our client, can receive the highest quality therapy services, whether in person at one of our locations or online through telehealth. We hire only highly trained and educated, licensed clinicians dedicated to the therapy process. We're confident we can help you achieve your therapy goals.
(757) 919-1467 View (757) 919-1467
Photo of Diana Hughes Luce, LPC, Licensed Professional Counselor
Diana Hughes Luce
Licensed Professional Counselor, LPC
Verified Verified
Portsmouth, VA 23701  (Online Only)
I am a licensed professional counselor in Virginia with over 5 years experience assisting individuals in need. Today's modern world has revved up our need to feel as if someone is hearing our concerns and helping us to make sense of things occurring in our society. I have worked with clients who have a wide range of concerns including depression, anxiety, relationship issues, parenting concerns, adjustment issues, anger management, OCD, and ADHD. I also help people who have experienced physical, emotional, and sexual abuse.
I am a licensed professional counselor in Virginia with over 5 years experience assisting individuals in need. Today's modern world has revved up our need to feel as if someone is hearing our concerns and helping us to make sense of things occurring in our society. I have worked with clients who have a wide range of concerns including depression, anxiety, relationship issues, parenting concerns, adjustment issues, anger management, OCD, and ADHD. I also help people who have experienced physical, emotional, and sexual abuse.
(757) 801-5312 View (757) 801-5312
Photo of Shawnette Reid, MS, LPC-R, CSAC-S, Pre-Licensed Professional
Shawnette Reid
Pre-Licensed Professional, MS, LPC-R, CSAC-S
Verified Verified
1 Endorsed
Portsmouth, VA 23703
Are you feeling constantly drained, overwhelmed by life’s demands, and unsure of where to turn? Do you find yourself lying awake at night, consumed by worry, and wondering how much longer you can keep going like this? The weight of depression and anxiety can feel suffocating, making even the simplest tasks seem impossible and leaving you emotionally and physically exhausted. You might feel as though you’re stuck in a never-ending cycle of fatigue, stress, and frustration. Maybe you’re questioning why it’s so hard to keep up with everything when everyone else seems to be managing. You don’t have to face this struggle alone.
Are you feeling constantly drained, overwhelmed by life’s demands, and unsure of where to turn? Do you find yourself lying awake at night, consumed by worry, and wondering how much longer you can keep going like this? The weight of depression and anxiety can feel suffocating, making even the simplest tasks seem impossible and leaving you emotionally and physically exhausted. You might feel as though you’re stuck in a never-ending cycle of fatigue, stress, and frustration. Maybe you’re questioning why it’s so hard to keep up with everything when everyone else seems to be managing. You don’t have to face this struggle alone.
(757) 210-3264 View (757) 210-3264
Photo of Laura Fultz Fales, LPC, Licensed Professional Counselor
Laura Fultz Fales
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Portsmouth, VA 23704
Life can be challenging and at times we all need support for ourselves, our families, and our loved ones. For many of us, the hardest part is making the first phone call to ask for help. If you are feeling overwhelmed with stress, anxiety, depression or struggling with other difficult emotions that are hindering your personal growth or interfering with your relationships then take the first step to change.
Life can be challenging and at times we all need support for ourselves, our families, and our loved ones. For many of us, the hardest part is making the first phone call to ask for help. If you are feeling overwhelmed with stress, anxiety, depression or struggling with other difficult emotions that are hindering your personal growth or interfering with your relationships then take the first step to change.
(757) 350-8938 View (757) 350-8938
Photo of Laurinda Cameron - Cameron & Company, Inc, MSW, LCSW, Clinical Social Work/Therapist
Cameron & Company, Inc
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Portsmouth, VA 23707
I work with families, individuals, couples, groups around the following issues: Stage of Life Adjustments; Depression; Anxiety; Elder Care Management; Military Family Life; Active Duty Issues;PTSD;Traumatic Brain Issues;Employee Assistance;Child and Family Issues; Family Conflicts;Adolescent Adjustments as well as Veteran and Retirement Concerns.
I work with families, individuals, couples, groups around the following issues: Stage of Life Adjustments; Depression; Anxiety; Elder Care Management; Military Family Life; Active Duty Issues;PTSD;Traumatic Brain Issues;Employee Assistance;Child and Family Issues; Family Conflicts;Adolescent Adjustments as well as Veteran and Retirement Concerns.
(757) 353-4117 x1 View (757) 353-4117 x1
Photo of Laura A Ponds, MS, LPC, ACS, Licensed Professional Counselor
Laura A Ponds
Licensed Professional Counselor, MS, LPC, ACS
Verified Verified
1 Endorsed
Portsmouth, VA 23703
I have ove 20 years experience working with adults, children, adolescents and parents who present with a myriad of disorders. I provide individual/group outpatient psychotherapy services in the Tidewater area using a client centered perspective that focuses on my clients' strengths and goals. One of several specialties include anger management therapy for those who are court ordered and/or wish to learn ways to manage their anger. I am currently adding to my client base. I offer flexibility in scheduling sessions. I am an experienced and approved clinical supervisor seeking to add residents in counseling to my caseload as well.
I have ove 20 years experience working with adults, children, adolescents and parents who present with a myriad of disorders. I provide individual/group outpatient psychotherapy services in the Tidewater area using a client centered perspective that focuses on my clients' strengths and goals. One of several specialties include anger management therapy for those who are court ordered and/or wish to learn ways to manage their anger. I am currently adding to my client base. I offer flexibility in scheduling sessions. I am an experienced and approved clinical supervisor seeking to add residents in counseling to my caseload as well.
(757) 828-0573 View (757) 828-0573
Photo of Hannah A Hayden - Sapphire Counseling , LCSW, Clinical Social Work/Therapist
Sapphire Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Portsmouth, VA 23704
Currently accepting new clients! Sapphire Counseling has counselors that work with individuals between the ages of 5- to 64-years old. I, personally, enjoy working with teenagers and young adults as these stages of life are filled with change, stress, and typically, lots of questions. Ultimately though, I enjoy working with any individual that is ready to make positive changes for themselves. I am here to support those struggling with anxiety, stress, depression, and low self-esteem to empower them to have the insight and skills to manage whatever comes their way.
Currently accepting new clients! Sapphire Counseling has counselors that work with individuals between the ages of 5- to 64-years old. I, personally, enjoy working with teenagers and young adults as these stages of life are filled with change, stress, and typically, lots of questions. Ultimately though, I enjoy working with any individual that is ready to make positive changes for themselves. I am here to support those struggling with anxiety, stress, depression, and low self-esteem to empower them to have the insight and skills to manage whatever comes their way.
(757) 960-7814 View (757) 960-7814
Photo of Karen Denise Pender, MS, LPC, CCTP-II, Licensed Professional Counselor
Karen Denise Pender
Licensed Professional Counselor, MS, LPC, CCTP-II
Verified Verified
Portsmouth, VA 23703  (Online Only)
Inspired Counseling offers a safe and respectful environment where clients can openly share their deepest thoughts, emotions, and feelings without fear of judgment or blame. Through evidence-based and culturally appropriate interventions, clients are empowered to manage stress, build resilience, and reclaim their agency and dignity. Our approach addresses the root causes of trauma, promoting healing and wellness. Inspired Counseling provides psychotherapeutic services to adults, including individuals, couples, and groups. We specialize in supporting BIPOC women who struggle with anxiety, and depression, due to unresolved trauma.
Inspired Counseling offers a safe and respectful environment where clients can openly share their deepest thoughts, emotions, and feelings without fear of judgment or blame. Through evidence-based and culturally appropriate interventions, clients are empowered to manage stress, build resilience, and reclaim their agency and dignity. Our approach addresses the root causes of trauma, promoting healing and wellness. Inspired Counseling provides psychotherapeutic services to adults, including individuals, couples, and groups. We specialize in supporting BIPOC women who struggle with anxiety, and depression, due to unresolved trauma.
(757) 231-9830 View (757) 231-9830
Photo of Jennifer Morgan, MA, LPC, Licensed Professional Counselor
Jennifer Morgan
Licensed Professional Counselor, MA, LPC
Verified Verified
Portsmouth, VA 23704
Life presents all of us with challenges, both big and small, and sometimes those challenges can be overwhelming and difficult to manage. I believe that every person has the power to overcome these challenges. I provide a safe and non-judgmental environment to help guide, support, and empower clients in making changes to live the life that best meets their needs. My approaches include psychodynamic, cognitive behavioral therapy, dialectical behavioral therapy, positive psychology, and mindfulness. However, I can cater treatment to meet each individual's needs.
Life presents all of us with challenges, both big and small, and sometimes those challenges can be overwhelming and difficult to manage. I believe that every person has the power to overcome these challenges. I provide a safe and non-judgmental environment to help guide, support, and empower clients in making changes to live the life that best meets their needs. My approaches include psychodynamic, cognitive behavioral therapy, dialectical behavioral therapy, positive psychology, and mindfulness. However, I can cater treatment to meet each individual's needs.
(757) 740-0406 View (757) 740-0406
Photo of LaTasha M Anderson - Alabaster Counseling, LPC, Licensed Professional Counselor
Alabaster Counseling
Licensed Professional Counselor, LPC
Verified Verified
Portsmouth, VA 23704
You're looking for a female therapist in Virginia who's safe. Where you won't be judged, ridiculed, or gossiped about. You've had enough of hiding behind your pain... Ready to stop hurting? Visit us at www.alabastercounseling.com to schedule an appointment today!
You're looking for a female therapist in Virginia who's safe. Where you won't be judged, ridiculed, or gossiped about. You've had enough of hiding behind your pain... Ready to stop hurting? Visit us at www.alabastercounseling.com to schedule an appointment today!
(757) 505-7148 View (757) 505-7148
Photo of Angela Callahan, LPC, NCC, Licensed Professional Counselor
Angela Callahan
Licensed Professional Counselor, LPC, NCC
Verified Verified
5 Endorsed
Portsmouth, VA 23704
Not accepting new clients
My experience lies in working with clients on issues of gender identity, depression, anxiety, trauma/abuse, OCD using ERP, difficulties with adjusting, and LGBTQ relationship issues. I also provide support to parents navigating their child's gender journey and working towards balancing home and work. My passion lies in creating a safe space for you to find your best life, and I would love to work with you as you seek out healing and wellness, and know that with support, many things are possible.
My experience lies in working with clients on issues of gender identity, depression, anxiety, trauma/abuse, OCD using ERP, difficulties with adjusting, and LGBTQ relationship issues. I also provide support to parents navigating their child's gender journey and working towards balancing home and work. My passion lies in creating a safe space for you to find your best life, and I would love to work with you as you seek out healing and wellness, and know that with support, many things are possible.
(757) 351-4882 View (757) 351-4882
Photo of Alicia Cave, CCTP-II, Clinical Social Work/Therapist
Alicia Cave
Clinical Social Work/Therapist, CCTP-II
Verified Verified
1 Endorsed
Portsmouth, VA 23703  (Online Only)
Waitlist for new clients
Welcome! I am so grateful to be considered as a resource for you on your Journey toward mental health and wellbeing!
Welcome! I am so grateful to be considered as a resource for you on your Journey toward mental health and wellbeing!
(757) 993-7459 View (757) 993-7459
Photo of Antoine L. Nichols, LPC, Licensed Professional Counselor
Antoine L. Nichols
Licensed Professional Counselor, LPC
Verified Verified
Portsmouth, VA 23704
Waitlist for new clients
I have worked with adults, adolescents, and families from various cultures and orientations over the past decade. I've assisted clients with issues such as depression, anxiety, maladaptive behaviors, family conflict, conflict resolutions, teaching appropriate social skills, and gender affirming care. My goal with every client is to help them better understand themselves and their strengths, then help them apply it to the obstacles they are currently facing.
I have worked with adults, adolescents, and families from various cultures and orientations over the past decade. I've assisted clients with issues such as depression, anxiety, maladaptive behaviors, family conflict, conflict resolutions, teaching appropriate social skills, and gender affirming care. My goal with every client is to help them better understand themselves and their strengths, then help them apply it to the obstacles they are currently facing.
(757) 330-3895 View (757) 330-3895
Photo of Pamela Whiteside, LPC, Licensed Professional Counselor
Pamela Whiteside
Licensed Professional Counselor, LPC
Verified Verified
Portsmouth, VA 23704  (Online Only)
Not accepting new clients
Sometimes life challenges can leave us feeling overwhelmed, disconnected, unmotivated and not knowing how to move forward and at other times we may just feel stuck. It can be during these times we feel the need to talk to a trained professional. One of the most important steps in counseling is finding someone you can connect with and trust. As a therapist, I strive to create a safe, supportive and therapeutic environment where clients can explore deep personal issues and feel empowered to move in the direction of meaningful change. I collaborate with each individual and tailor sessions to meet the needs of the client where they are.
Sometimes life challenges can leave us feeling overwhelmed, disconnected, unmotivated and not knowing how to move forward and at other times we may just feel stuck. It can be during these times we feel the need to talk to a trained professional. One of the most important steps in counseling is finding someone you can connect with and trust. As a therapist, I strive to create a safe, supportive and therapeutic environment where clients can explore deep personal issues and feel empowered to move in the direction of meaningful change. I collaborate with each individual and tailor sessions to meet the needs of the client where they are.
(757) 895-7599 View (757) 895-7599
1

See more therapy options for Portsmouth City County

How does your Therapist compare?

Number of Therapists in Portsmouth City County, VA

100+

Average cost per session

$120

Therapists in Portsmouth City County, VA who prioritize treating:

90% Anxiety
89% Depression
71% Trauma and PTSD
69% Coping Skills
68% Stress
64% Grief
63% Self Esteem

Average years in practice

10 Years

Top 3 insurances accepted

85% Anthem
82% Cigna and Evernorth
79% Aetna

How Therapists in Portsmouth City County, VA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

88% Female
11% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portsmouth City 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.