Therapists in Virginia

View cities and counties in Virginia
Photo of Dawn Peterson-Lewis, Licensed Professional Counselor
Dawn Peterson-Lewis
Licensed Professional Counselor
Verified Verified
Lynchburg, VA 24502  (Online Only)
Dawn Peterson-Lewis, is a licensed professional counselor with over 16 years of experience in consulting, coaching, and mental health. Dawn is passionate about empowering women and teens to begin their healing process through counseling services that prioritize trauma-informed care and evidence-based theories.
Dawn Peterson-Lewis, is a licensed professional counselor with over 16 years of experience in consulting, coaching, and mental health. Dawn is passionate about empowering women and teens to begin their healing process through counseling services that prioritize trauma-informed care and evidence-based theories.
(434) 623-9860 View (434) 623-9860
Photo of Julie Smead, MA, LRIC, Pre-Licensed Professional
Julie Smead
Pre-Licensed Professional, MA, LRIC
Verified Verified
Virginia Beach, VA 23456  (Online Only)
Trauma-informed, Somatic and Attachment Focused EMDR therapy for teens and adults from the comfort of your own home.
Trauma-informed, Somatic and Attachment Focused EMDR therapy for teens and adults from the comfort of your own home.
(757) 767-4314 View (757) 767-4314
Photo of Judy Valeski - Judy Valeski, LLC, LPC, Pre-Licensed Professional
Judy Valeski, LLC
Pre-Licensed Professional, LPC
Verified Verified
1 Endorsed
Chantilly, VA 20151
I specialize in depression and anxiety, communication skills, couples counseling, grief and loss, single parenting, career counseling, and chronic illness. As a Resident in Counseling, I tend to use aspects of Cognitive Behavioral Therapy as we work together to help clients see immediate connections between their thoughts and their current actions. This often allows for acknowledgement and change to occur sooner, and clients can experience the satisfaction from the results of their hard work.
I specialize in depression and anxiety, communication skills, couples counseling, grief and loss, single parenting, career counseling, and chronic illness. As a Resident in Counseling, I tend to use aspects of Cognitive Behavioral Therapy as we work together to help clients see immediate connections between their thoughts and their current actions. This often allows for acknowledgement and change to occur sooner, and clients can experience the satisfaction from the results of their hard work.
(703) 291-0721 View (703) 291-0721
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 Andrea Levy, MSW, LCSW, Clinical Social Work/Therapist
Andrea Levy
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Fairfax, VA 22030
Waitlist for new clients
I am a Licensed Clinical Social Worker and have been working in the mental health field for over 20 years. I view therapy as a collaborative process that enables clients to gain perspective on their emotions, beliefs, relationships and behaviors. My approach is empathic, authentic and warm. I work from a strengths based perspective and assist clients in facing life challenges in realistic ways through a combination of cognitive behavioral and psychodynamic therapies. I provide a confidential, safe environment for exploration and change.
I am a Licensed Clinical Social Worker and have been working in the mental health field for over 20 years. I view therapy as a collaborative process that enables clients to gain perspective on their emotions, beliefs, relationships and behaviors. My approach is empathic, authentic and warm. I work from a strengths based perspective and assist clients in facing life challenges in realistic ways through a combination of cognitive behavioral and psychodynamic therapies. I provide a confidential, safe environment for exploration and change.
(703) 634-4782 View (703) 634-4782
Photo of Julia Humbarger, MS, LMFT, Marriage & Family Therapist
Julia Humbarger
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Alexandria, VA 22315  (Online Only)
Not accepting new clients
Hello! I believe individuals have the ability to heal emotional wounds, repair relationships and create a fulfilling life. Together we will work to identify why you feel stuck in order to create new and healthy patterns within your life. I am committed to helping you experience positive change and have a greater sense of personal strength. My goal is to offer ideas for immediate symptom relief as well as life long coping skills to better manage emotions and improve relationships with others. Overall, I will help you find a better balance of mental, physical and emotional health.
Hello! I believe individuals have the ability to heal emotional wounds, repair relationships and create a fulfilling life. Together we will work to identify why you feel stuck in order to create new and healthy patterns within your life. I am committed to helping you experience positive change and have a greater sense of personal strength. My goal is to offer ideas for immediate symptom relief as well as life long coping skills to better manage emotions and improve relationships with others. Overall, I will help you find a better balance of mental, physical and emotional health.
(571) 257-0203 View (571) 257-0203
Deitra Chisley-Fant
Licensed Clinical Professional Counselor, MA, NCC, LCPC-S, LPC-AS
Verified Verified
Alexandria, VA 22314
Are you tired of feeling overwhelmed by stress, neglecting your own well-being, dealing with work issues, navigating toxic relationships, managing the chaos of parenting, grieving loss, and facing challenges related to gender identity, social class, and race? Look no further than Connect to Care Counseling Services, offers a safe and supportive environment for our clients to explore their concerns and work towards personal growth through psychotherapy.Our approach is focused on empowerment and self-discovery, helping individuals emerge. We service Virginia, Louisiana, DC, and Maryland clients. At this time, there is no waitlist.
Are you tired of feeling overwhelmed by stress, neglecting your own well-being, dealing with work issues, navigating toxic relationships, managing the chaos of parenting, grieving loss, and facing challenges related to gender identity, social class, and race? Look no further than Connect to Care Counseling Services, offers a safe and supportive environment for our clients to explore their concerns and work towards personal growth through psychotherapy.Our approach is focused on empowerment and self-discovery, helping individuals emerge. We service Virginia, Louisiana, DC, and Maryland clients. At this time, there is no waitlist.
(571) 380-7811 x1 View (571) 380-7811 x1
Photo of Roshonda Poole
Roshonda Poole
Supervisee in Clinical Social Work
Verified Verified
1 Endorsed
Norfolk, VA 23502
Roshonda Poole is a master’s level social worker who has been in the human service field for over 10 years. Ms. Poole is a skilled and experienced crisis and mental health counselor that uses cognitive behavioral therapy and motivational interviewing. She has worked in the healthcare system for over 16 years which has gave her firsthand knowledge on health disparities and impact of chronic illness. Roshonda overall has a passion for helping individuals manage life stressor and challenges.
Roshonda Poole is a master’s level social worker who has been in the human service field for over 10 years. Ms. Poole is a skilled and experienced crisis and mental health counselor that uses cognitive behavioral therapy and motivational interviewing. She has worked in the healthcare system for over 16 years which has gave her firsthand knowledge on health disparities and impact of chronic illness. Roshonda overall has a passion for helping individuals manage life stressor and challenges.
(757) 290-6375 View (757) 290-6375
Photo of Sharon Toliver-Hardy, Clinical Social Work/Therapist
Sharon Toliver-Hardy
Clinical Social Work/Therapist
Verified Verified
Fairfax, VA 22030  (Online Only)
Experienced, dedicated and empathetic LCSW, CSAC with 25+ years in behavioral health/social work experience to include youth and adults, groups, couples and family counseling. Extensive history in addiction, trauma, bipolar and mood diagnosis and treatment for diverse populations. Additionally, trained in Eye Movement Desensitization and Reprocessing (EMDR/Trauma). "I believe as human beings we know not the immediate path we travel but hope for a path known yet unknown in search of who we are and or who we may become".
Experienced, dedicated and empathetic LCSW, CSAC with 25+ years in behavioral health/social work experience to include youth and adults, groups, couples and family counseling. Extensive history in addiction, trauma, bipolar and mood diagnosis and treatment for diverse populations. Additionally, trained in Eye Movement Desensitization and Reprocessing (EMDR/Trauma). "I believe as human beings we know not the immediate path we travel but hope for a path known yet unknown in search of who we are and or who we may become".
(571) 556-3377 View (571) 556-3377
Photo of Angelique Epps - Mental Health Resolutions, LLC, LPC, Licensed Professional Counselor
Mental Health Resolutions, LLC
Licensed Professional Counselor, LPC
Verified Verified
Newport News, VA 23606
Angelique (Angel) Epps is the CEO of Mental Health Resolutions, LLC. Angel was born and raised in Newport News, Virginia. She is a Licensed Professional Counselor and a Virginia Board Supervisor for LPC and LMFT. Mental Health Resolutions, LLC therapists specializes in self-esteem building, mindfulness practices, grief and loss, trauma informed care, self-compassion as well as individual, group, and family therapy. We have a host of therapists that will meet all your needs as well as providing a safe secured space for you and your love ones to discuss their Mental health needs. We specialize in EMDR, CBT and DBT therapy.
Angelique (Angel) Epps is the CEO of Mental Health Resolutions, LLC. Angel was born and raised in Newport News, Virginia. She is a Licensed Professional Counselor and a Virginia Board Supervisor for LPC and LMFT. Mental Health Resolutions, LLC therapists specializes in self-esteem building, mindfulness practices, grief and loss, trauma informed care, self-compassion as well as individual, group, and family therapy. We have a host of therapists that will meet all your needs as well as providing a safe secured space for you and your love ones to discuss their Mental health needs. We specialize in EMDR, CBT and DBT therapy.
(757) 280-2898 View (757) 280-2898
Photo of Denisha Hagan
Denisha Hagan
Resident in Counseling
Verified Verified
1 Endorsed
Falls Church, VA 22046
There are experiences we can have at any stage or age that can leave us feeling overwhelmed, anxious, depressed or out-of-sync with ourselves. I believe that therapy can help facilitate growth and restore balance and purpose! I am committed to getting down in the trenches with clients and supporting a client through their journey! I focus on developing one’s confidence to establish and expand coping mechanisms to confront a situation, take steps, and utilize resilience and perseverance in solving problems in your life.
There are experiences we can have at any stage or age that can leave us feeling overwhelmed, anxious, depressed or out-of-sync with ourselves. I believe that therapy can help facilitate growth and restore balance and purpose! I am committed to getting down in the trenches with clients and supporting a client through their journey! I focus on developing one’s confidence to establish and expand coping mechanisms to confront a situation, take steps, and utilize resilience and perseverance in solving problems in your life.
(571) 982-8362 View (571) 982-8362
Photo of Bryan John Prinzivalli, MA, LPC, ACS, LMFT, Licensed Professional Counselor
Bryan John Prinzivalli
Licensed Professional Counselor, MA, LPC, ACS, LMFT
Verified Verified
2 Endorsed
Lynchburg, VA 24504
Having worked extensively with children, adolescents and their families, I would say my ideal client is pre-teen to adult working through behavioral struggles including impulse control, defiance, hyperactivity, etc. I work closely with and honor the family unit and also work with couples, relationship and marriage counseling for the betterment of that unit. I also have worked with and specialize in treatment of dual diagnosis, particularly when addictive behaviors are a primary concern. Being trained in ASAM criteria I also work with additive behaviors in both adolescent and adults.
Having worked extensively with children, adolescents and their families, I would say my ideal client is pre-teen to adult working through behavioral struggles including impulse control, defiance, hyperactivity, etc. I work closely with and honor the family unit and also work with couples, relationship and marriage counseling for the betterment of that unit. I also have worked with and specialize in treatment of dual diagnosis, particularly when addictive behaviors are a primary concern. Being trained in ASAM criteria I also work with additive behaviors in both adolescent and adults.
(434) 478-1721 View (434) 478-1721
Photo of Katie Schumaker, LPC-R, Pre-Licensed Professional
Katie Schumaker
Pre-Licensed Professional, LPC-R
Verified Verified
3 Endorsed
Alexandria, VA 22314
I am Katie, a dedicated therapist who believes in the power of building trust and meaningful connections with my clients. My approach revolves around recognizing and nurturing the strengths of individuals, fostering collaboration, and practicing inclusion-based therapy to create a safe and supportive environment for all. In my practice, I prioritize establishing trust with my clients by creating a space where they feel heard, respected, and valued. By focusing on strengths and empowering individuals to recognize their capabilities, I aim to guide them towards personal growth and resilience.
I am Katie, a dedicated therapist who believes in the power of building trust and meaningful connections with my clients. My approach revolves around recognizing and nurturing the strengths of individuals, fostering collaboration, and practicing inclusion-based therapy to create a safe and supportive environment for all. In my practice, I prioritize establishing trust with my clients by creating a space where they feel heard, respected, and valued. By focusing on strengths and empowering individuals to recognize their capabilities, I aim to guide them towards personal growth and resilience.
(703) 783-3970 x1 View (703) 783-3970 x1
Photo of Stacy Freilich, LCSW, Clinical Social Work/Therapist
Stacy Freilich
Clinical Social Work/Therapist, LCSW
Verified Verified
Gainesville, VA 20155
I am in private practice and provide outpatient therapy services to children, adolescents and adults. I use a Cognitive Behavioral Approach as well as a solution focused approach to treatment. I am trained and experienced in treating depression, anxiety, ADHD, OCD, school refusal, family issues, addiction, PTSD, behavioral issues, impusivity, self-esteem, sucidal thoughts and self harm.
I am in private practice and provide outpatient therapy services to children, adolescents and adults. I use a Cognitive Behavioral Approach as well as a solution focused approach to treatment. I am trained and experienced in treating depression, anxiety, ADHD, OCD, school refusal, family issues, addiction, PTSD, behavioral issues, impusivity, self-esteem, sucidal thoughts and self harm.
(571) 248-3959 View (571) 248-3959
Photo of Ryan Weatherford - Transforming Fear into Love: 8 Week MBSR Workshop, PhD, Psychologist
Transforming Fear into Love: 8 Week MBSR Workshop
Psychologist, PhD
Verified Verified
Salem, VA 24153
This 8-week Mindfulness Based Stress Reduction Workshop applies to various mental health concerns including anxiety, depression, interpersonal difficulties, and trauma. The workshop offers instruction in the practice and application of mindfulness for a variety of therapeutic goals and stress management programs.
This 8-week Mindfulness Based Stress Reduction Workshop applies to various mental health concerns including anxiety, depression, interpersonal difficulties, and trauma. The workshop offers instruction in the practice and application of mindfulness for a variety of therapeutic goals and stress management programs.
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Photo of Olya Walker, LMFT, IFS CER, IFIO, Marriage & Family Therapist
Olya Walker
Marriage & Family Therapist, LMFT, IFS CER, IFIO
Verified Verified
Falls Church, VA 22046
Parenting, being a teenager, and being in a relationship can be some of the most fulfilling and challenging parts of life! I specialize in helping people, who are in strained relationships or struggling with trauma and other things that are private, find a new path. Life is full of difficulties, but often underneath it all is a lack of connection and belonging. I make it safe for teens and parents, adults and couples to get unstuck and talk about the real stuff that makes it difficult to live a satisfied life and thrive.
Parenting, being a teenager, and being in a relationship can be some of the most fulfilling and challenging parts of life! I specialize in helping people, who are in strained relationships or struggling with trauma and other things that are private, find a new path. Life is full of difficulties, but often underneath it all is a lack of connection and belonging. I make it safe for teens and parents, adults and couples to get unstuck and talk about the real stuff that makes it difficult to live a satisfied life and thrive.
(703) 215-3890 View (703) 215-3890
Photo of Catherine (Catie) Cotter, LCSW, Clinical Social Work/Therapist
Catherine (Catie) Cotter
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Abingdon, VA 24210
Catie Cotter holds a license in clinical social work in the state of Virginia. She received her Master of Social Work from Radford University, and Bachelor of Social Work from King University. Catie enjoys working with children, adolescents, and adults. Catie has experience working with clients experiencing depression, anxiety, ADHD, trauma, and grief, as well as substance abuse issues (both individually and in group setting). Catie has a special interest in working with trauma related issues and often utilizes EMDR (eye movement desensitization and reprocessing) to assist with this. Catie uses an integrative therapeutic approach
Catie Cotter holds a license in clinical social work in the state of Virginia. She received her Master of Social Work from Radford University, and Bachelor of Social Work from King University. Catie enjoys working with children, adolescents, and adults. Catie has experience working with clients experiencing depression, anxiety, ADHD, trauma, and grief, as well as substance abuse issues (both individually and in group setting). Catie has a special interest in working with trauma related issues and often utilizes EMDR (eye movement desensitization and reprocessing) to assist with this. Catie uses an integrative therapeutic approach
(855) 296-4378 View (855) 296-4378
Photo of Holly Willard, LCSW, Clinical Social Work/Therapist
Holly Willard
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Arlington, VA 22207
We are broken within relationships, and it's in relationships that we can also heal. If you want to feel happier in your marriage or with your partner but feel stuck fighting and disconnected, I invite you to come explore a new way to love yourself and each other. We all yearn to be seen, heard and understood. This often manifests itself in defensiveness and arguing with the people we care about most. My goal is to gently guide you and your partner to more friendship, empathy and love so you can experience the joy of deep connection. I work with couples and individuals. I look forward to hearing from you!
We are broken within relationships, and it's in relationships that we can also heal. If you want to feel happier in your marriage or with your partner but feel stuck fighting and disconnected, I invite you to come explore a new way to love yourself and each other. We all yearn to be seen, heard and understood. This often manifests itself in defensiveness and arguing with the people we care about most. My goal is to gently guide you and your partner to more friendship, empathy and love so you can experience the joy of deep connection. I work with couples and individuals. I look forward to hearing from you!
(571) 200-2412 View (571) 200-2412
Photo of Madeline Garrett, LCSW, Clinical Social Work/Therapist
Madeline Garrett
Clinical Social Work/Therapist, LCSW
Verified Verified
Chesapeake, VA 23321  (Online Only)
Madeline Garrett is a Licensed Clinical Social Worker in the states of Virginia and Florida who has over 9 years of experience providing clinical assessments and therapeutic care to teens and adults seeking help with anxiety, depression, trauma, bipolar disorder, addiction, co-dependency, grief and loss, parenting assistance, and sexuality issues. She identifies as an ally of the LGBTQIA+ community and affirms all spiritual beliefs. Madeline completed her Bachelor of Psychology from Florida State University, Master of Social Work from the University of Southern California, and her Master of Leadership from Grand Canyon University.
Madeline Garrett is a Licensed Clinical Social Worker in the states of Virginia and Florida who has over 9 years of experience providing clinical assessments and therapeutic care to teens and adults seeking help with anxiety, depression, trauma, bipolar disorder, addiction, co-dependency, grief and loss, parenting assistance, and sexuality issues. She identifies as an ally of the LGBTQIA+ community and affirms all spiritual beliefs. Madeline completed her Bachelor of Psychology from Florida State University, Master of Social Work from the University of Southern California, and her Master of Leadership from Grand Canyon University.
(757) 993-4369 View (757) 993-4369
Photo of Bren Boseman Seed, LPC, Licensed Professional Counselor
Bren Boseman Seed
Licensed Professional Counselor, LPC
Verified Verified
Lovingston, VA 22949  (Online Only)
It is my great honor to support those who are anticipating a great loss or actively grieving one. The loss might be a loved one or it could be a job, a relationship, a home, etc. I also work with clients who are facing terminal illness and their own death and want to do so with compassion and intention. I deeply trust our innate drive to grieve and heal. I do not see people through a diagnosis or pathology lens. I believe that even symptoms of illness are our unconscious attempts to cope, protect, adapt and heal. My job is to deeply listen in order to understand and help clients to discover and trust their own inherent wisdom.
It is my great honor to support those who are anticipating a great loss or actively grieving one. The loss might be a loved one or it could be a job, a relationship, a home, etc. I also work with clients who are facing terminal illness and their own death and want to do so with compassion and intention. I deeply trust our innate drive to grieve and heal. I do not see people through a diagnosis or pathology lens. I believe that even symptoms of illness are our unconscious attempts to cope, protect, adapt and heal. My job is to deeply listen in order to understand and help clients to discover and trust their own inherent wisdom.
(757) 530-5686 View (757) 530-5686
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How does your Therapist compare?

Average cost per session

$150

Therapists in Virginia who prioritize treating:

92% Anxiety
88% Depression
70% Relationship Issues
70% Self Esteem
68% Trauma and PTSD
68% Stress
67% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

72% Aetna
70% BlueCross and BlueShield
69% Cigna and Evernorth

How Therapists in Virginia see their clients

63% In Person and Online
37% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Virginia?

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.