Therapists in Hendersonville, NC

Photo of Hunter Waldrop, MSW, LCSW, Clinical Social Work/Therapist
Hunter Waldrop
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Hendersonville, NC 28791
Change can be difficult. Therapy provides support as you adapt to life's countless changes and curveballs. As a clinical social worker, I have spent time working alongside teens, young adults, and adults as they work through issues varying from hospitalization to exploring substance use and its effects on daily life, behavioral issues, and family conflict. I draw extensively from Maslow's hierarchy of needs and help clients explore their immediate basic needs and safety while addressing love and belonging, self-esteem, and spiritual aspects of daily life.
Change can be difficult. Therapy provides support as you adapt to life's countless changes and curveballs. As a clinical social worker, I have spent time working alongside teens, young adults, and adults as they work through issues varying from hospitalization to exploring substance use and its effects on daily life, behavioral issues, and family conflict. I draw extensively from Maslow's hierarchy of needs and help clients explore their immediate basic needs and safety while addressing love and belonging, self-esteem, and spiritual aspects of daily life.
(828) 622-4797 View (828) 622-4797
Photo of Kristin Elliott, MA, LCMHC-A, NCC, Counselor
Kristin Elliott
Counselor, MA, LCMHC-A, NCC
Verified Verified
Hendersonville, NC 28792
Counseling offers a unique opportunity to look inside ourselves and to look around us. Through counseling we can further consider what it would mean to have greater personal understanding, to heal from past or current wounds, and/or to transform into the person we feel we have yet to become. The counseling relationship offers a space of non-judgment where we get to explore any part of what it means to be a human living in this complex, painful, and beautiful world.
Counseling offers a unique opportunity to look inside ourselves and to look around us. Through counseling we can further consider what it would mean to have greater personal understanding, to heal from past or current wounds, and/or to transform into the person we feel we have yet to become. The counseling relationship offers a space of non-judgment where we get to explore any part of what it means to be a human living in this complex, painful, and beautiful world.
(828) 520-2525 View (828) 520-2525
Photo of Stephanie Smith, LCSW, Clinical Social Work/Therapist
Stephanie Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
Hendersonville, NC 28792  (Online Only)
My clients can expect to feel guided and supported in the processes of change, healing, understanding, and empowerment.
My clients can expect to feel guided and supported in the processes of change, healing, understanding, and empowerment.
(828) 662-3383 View (828) 662-3383
Photo of Ron Whicker, LCSW, LCAS, Clinical Social Work/Therapist
Ron Whicker
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
1 Endorsed
Hendersonville, NC 28792
In my experience, I find that I am a good fit for clients who are interested in exploring their own internal processes, are at least mildly self-driven, and are into exploring existential truths. I've been helpful to those who deal with depression, anxiety, self-image issues/negative self beliefs, trauma, grief, and other needs.
In my experience, I find that I am a good fit for clients who are interested in exploring their own internal processes, are at least mildly self-driven, and are into exploring existential truths. I've been helpful to those who deal with depression, anxiety, self-image issues/negative self beliefs, trauma, grief, and other needs.
(828) 373-2680 View (828) 373-2680
Photo of Valerie Giberman, MSW, LCSW, Clinical Social Work/Therapist
Valerie Giberman
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Hendersonville, NC 28792
My aspiration is to attract the couples that I can help the most to my practice of Imago Relationship Therapy. These may be couples who are in a basically sound relationship that they would like to deepen and invigorate, couples who are stuck in unfulfilling patterns that they would like to transform, and couples who are wondering whether it is too late to recover the feelings of closeness and vitality that they once had. What all of these couples share is a mutual willingness and perseverance to do the work required, and to put in the time needed, to discover the full potential in their relationships.
My aspiration is to attract the couples that I can help the most to my practice of Imago Relationship Therapy. These may be couples who are in a basically sound relationship that they would like to deepen and invigorate, couples who are stuck in unfulfilling patterns that they would like to transform, and couples who are wondering whether it is too late to recover the feelings of closeness and vitality that they once had. What all of these couples share is a mutual willingness and perseverance to do the work required, and to put in the time needed, to discover the full potential in their relationships.
(828) 368-9910 View (828) 368-9910
Photo of Michelle Geiser, NBCC, LCMHC, LCAS, CSI, Counselor
Michelle Geiser
Counselor, NBCC, LCMHC, LCAS, CSI
Verified Verified
Hendersonville, NC 28792
Each person's therapeutic journey is unique. The biggest step is the willingness and desire to seek help, especially when things are difficult. Openness and engagement are the pillars of a strong therapeutic relationship. My clinical practice focuses on the needs of the client. Allowing your needs to guide the treatment process. Determining which pathways work best for your needs.
Each person's therapeutic journey is unique. The biggest step is the willingness and desire to seek help, especially when things are difficult. Openness and engagement are the pillars of a strong therapeutic relationship. My clinical practice focuses on the needs of the client. Allowing your needs to guide the treatment process. Determining which pathways work best for your needs.
(828) 330-9255 View (828) 330-9255
Photo of Rachyl Nyoka, MA, CPT, LMFTA, Marriage & Family Therapist Associate
Rachyl Nyoka
Marriage & Family Therapist Associate, MA, CPT, LMFTA
Verified Verified
1 Endorsed
Hendersonville, NC 28792  (Online Only)
Healing is not linear. And sometimes we need to give ourselves permission to heal from the same things more than once. Since we're always learning and growing, it's necessary to stop and ask ourselves at times if we agree with what we've learned and carried. Whether struggling to cope with a changing world, finding difficulty navigating your relationships, or specific concerns like anxiety, depression, or unresolved traumas, I'll encourage and support you as you commit to exploring and challenging your own attitudes, ideas, stories, and beliefs.
Healing is not linear. And sometimes we need to give ourselves permission to heal from the same things more than once. Since we're always learning and growing, it's necessary to stop and ask ourselves at times if we agree with what we've learned and carried. Whether struggling to cope with a changing world, finding difficulty navigating your relationships, or specific concerns like anxiety, depression, or unresolved traumas, I'll encourage and support you as you commit to exploring and challenging your own attitudes, ideas, stories, and beliefs.
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Photo of Dr. Andrea Dughoff, PhD, Psychologist
Dr. Andrea Dughoff
Psychologist, PhD
Verified Verified
Hendersonville, NC 28792
My calling and expertise is to help women better manage anxiety, worry, and stress in order to cultivate and connect with their inner peace and joy. The pace of life seems to quicken with time, along with the multiple demands to be a good mom, wife, woman, and professional. It can seem impossible to find moments of rest and happiness while balancing “all of the things”. I have found that when women try to "do it all" it can lead to burnout, resentment, depression, and chronic illness. Are your nerves shot? Are you tired but wired? Are you struggling to reign-in unhealthy habits? You've come to the right place!
My calling and expertise is to help women better manage anxiety, worry, and stress in order to cultivate and connect with their inner peace and joy. The pace of life seems to quicken with time, along with the multiple demands to be a good mom, wife, woman, and professional. It can seem impossible to find moments of rest and happiness while balancing “all of the things”. I have found that when women try to "do it all" it can lead to burnout, resentment, depression, and chronic illness. Are your nerves shot? Are you tired but wired? Are you struggling to reign-in unhealthy habits? You've come to the right place!
(828) 415-5304 View (828) 415-5304
Photo of Maria S White, MSW, LCSW, LCAS, RYT500, Clinical Social Work/Therapist
Maria S White
Clinical Social Work/Therapist, MSW, LCSW, LCAS, RYT500
Verified Verified
Hendersonville, NC 28739
Not accepting new clients
Therapy can be a powerful way to make changes in your life. Having a therapist that you can rely on, should offer consistent support for those changes. My approach is compassionate and motivational to help you identify ways to positively meet your needs by processing emotional wounds, shifting your thoughts and behaviors, and unblocking your own answers to your growth. I often include a somatic approach to connect sensations in the body to the mind for healing. I see myself as a guide to support your readiness to explore areas of resiliency.
Therapy can be a powerful way to make changes in your life. Having a therapist that you can rely on, should offer consistent support for those changes. My approach is compassionate and motivational to help you identify ways to positively meet your needs by processing emotional wounds, shifting your thoughts and behaviors, and unblocking your own answers to your growth. I often include a somatic approach to connect sensations in the body to the mind for healing. I see myself as a guide to support your readiness to explore areas of resiliency.
(828) 479-0912 View (828) 479-0912
Photo of Jordan Stevenot, MA, LCMHC, LCAS-A, EMDR-II
Jordan Stevenot
Licensed Clinical Mental Health Counselor, MA, LCMHC, LCAS-A, EMDR-II
Verified Verified
3 Endorsed
Hendersonville, NC 28739
I have worked with many cultures and views from all over the country. I hope to take my years of experience and apply it to those seeking help. To be a support and empathetic resource to help empower you into self discovery. The path of healing is often complicated and painful at times. Let us begin your journey into a clear mind, body, and spirit as each is needed for a healthy life.
I have worked with many cultures and views from all over the country. I hope to take my years of experience and apply it to those seeking help. To be a support and empathetic resource to help empower you into self discovery. The path of healing is often complicated and painful at times. Let us begin your journey into a clear mind, body, and spirit as each is needed for a healthy life.
(828) 547-3641 View (828) 547-3641
Photo of Gordon W Meredith, MA, MSS, LMFT, Marriage & Family Therapist
Gordon W Meredith
Marriage & Family Therapist, MA, MSS, LMFT
Verified Verified
Hendersonville, NC 28739  (Online Only)
People often enter therapy during times of emotional pain, uncertainty or at a time when they are seeking more meaning in their lives. Each person has within them a powerful impulse toward growth and healing. I trust that impulse and trust the therapeutic relationship to reveal your strengths, wisdom, and the next steps to your growth and healing. There is something of value in even the most difficult circumstances. When these circumstances are approached with an openness to learning, major transformations can take place. I find that the willingness to look inside yourself is a key factor in your healing.
People often enter therapy during times of emotional pain, uncertainty or at a time when they are seeking more meaning in their lives. Each person has within them a powerful impulse toward growth and healing. I trust that impulse and trust the therapeutic relationship to reveal your strengths, wisdom, and the next steps to your growth and healing. There is something of value in even the most difficult circumstances. When these circumstances are approached with an openness to learning, major transformations can take place. I find that the willingness to look inside yourself is a key factor in your healing.
(828) 548-1530 View (828) 548-1530
Photo of Michael James Tui- II, MSCP, NCC, LCMHC, Counselor
Michael James Tui- II
Counselor, MSCP, NCC, LCMHC
Verified Verified
4 Endorsed
Hendersonville, NC 28791
Waitlist for new clients
Life can be such a challenge especially if we find ourselves walking our path alone. On this journey, my hope is to help guide and provide skill training that will help you increase confidence, self-worth, and self-empowerment. I serve all ages and have specialized training to address disorders and challenges in ages 3 years old - 100+ My love and passion is supporting the health of our families. I passionately that by healing our families we heal the world.
Life can be such a challenge especially if we find ourselves walking our path alone. On this journey, my hope is to help guide and provide skill training that will help you increase confidence, self-worth, and self-empowerment. I serve all ages and have specialized training to address disorders and challenges in ages 3 years old - 100+ My love and passion is supporting the health of our families. I passionately that by healing our families we heal the world.
(828) 523-8936 View (828) 523-8936
Photo of Karen S. Cottingham, MSW, ACSW, LCSW, Clinical Social Work/Therapist
Karen S. Cottingham
Clinical Social Work/Therapist, MSW, ACSW, LCSW
Verified Verified
Hendersonville, NC 28791  (Online Only)
Sometimes it's hard to relax when you feel tired, stuck and overwhelmed. It's your turn to feel better. I can help you learn the tools to manage anxiety so you can relax, feel less stress and increase your energy. Give yourself the opportunity to discover new ways to overcome the difficult challenges. I look forward to hearing from you.
Sometimes it's hard to relax when you feel tired, stuck and overwhelmed. It's your turn to feel better. I can help you learn the tools to manage anxiety so you can relax, feel less stress and increase your energy. Give yourself the opportunity to discover new ways to overcome the difficult challenges. I look forward to hearing from you.
(828) 826-1546 View (828) 826-1546
Photo of Damaris Cortes-Figueroa - DC Wellness, LCMHC, MS/P, NCC, Licensed Professional Counselor
DC Wellness
Licensed Professional Counselor, LCMHC, MS/P, NCC
Verified Verified
Hendersonville, NC 28791
Waitlist for new clients
Damaris works as an outpatient/school-based counselor providing services to both children and adults in English, Spanish, and American Sign Language (ASL). Damaris loves to listen to people and guide them to identify and build their strengths on what they truly love. Some of the issues she currently addresses include understanding and managing anxiety, defiant behaviors, bipolar disorder, Autism Spectrum Disorder (ASD), Attention-deficit hyperactivity disorder (ADHD), as well as navigating new mental health and physical health diagnosis, grief or divorce.
Damaris works as an outpatient/school-based counselor providing services to both children and adults in English, Spanish, and American Sign Language (ASL). Damaris loves to listen to people and guide them to identify and build their strengths on what they truly love. Some of the issues she currently addresses include understanding and managing anxiety, defiant behaviors, bipolar disorder, Autism Spectrum Disorder (ASD), Attention-deficit hyperactivity disorder (ADHD), as well as navigating new mental health and physical health diagnosis, grief or divorce.
(828) 385-5535 View (828) 385-5535
Photo of Kara Ashley-Gilmore, LCMHC, ATR-BC, SEP
Kara Ashley-Gilmore
Licensed Clinical Mental Health Counselor, LCMHC, ATR-BC, SEP
Verified Verified
2 Endorsed
Hendersonville, NC 28792  (Online Only)
It's time to get up, but the day ahead feels too overwhelming. You've missed out on so much, and you worry what will happen next and what everyone will think. You feel powerless to change, and you’re so tired of trying things that don’t work. No one understands why you can’t just move forward, and you may feel completely alone. I want you to know that you’re not crazy, and things don't have to be like this forever. My clients report a deeper level of healing as they feel more connected to their bodies, experience more ease in their daily lives, and re-discover their strength and resilience.
It's time to get up, but the day ahead feels too overwhelming. You've missed out on so much, and you worry what will happen next and what everyone will think. You feel powerless to change, and you’re so tired of trying things that don’t work. No one understands why you can’t just move forward, and you may feel completely alone. I want you to know that you’re not crazy, and things don't have to be like this forever. My clients report a deeper level of healing as they feel more connected to their bodies, experience more ease in their daily lives, and re-discover their strength and resilience.
(828) 592-3327 View (828) 592-3327
Photo of Alice Perez Blackburn, MA, LCMHC
Alice Perez Blackburn
Licensed Clinical Mental Health Counselor, MA, LCMHC
Verified Verified
Hendersonville, NC 28791  (Online Only)
Many of my clients find that people pleasing and trying to be perfect all the time are no longer working for them. They struggle to set boundaries, communicate assertively and get in touch with how they feel and what they need. Maybe you're tired and confused by conflicting mental health tips on social media? You need a safe and compassionate environment to dig into some of the trauma you've experienced without being overwhelmed by it. Or maybe you're a millennial parent navigating reparenting yourself while parenting your children and you need some support. My clients prefer a therapist who is warm, real and uses humor in session.
Many of my clients find that people pleasing and trying to be perfect all the time are no longer working for them. They struggle to set boundaries, communicate assertively and get in touch with how they feel and what they need. Maybe you're tired and confused by conflicting mental health tips on social media? You need a safe and compassionate environment to dig into some of the trauma you've experienced without being overwhelmed by it. Or maybe you're a millennial parent navigating reparenting yourself while parenting your children and you need some support. My clients prefer a therapist who is warm, real and uses humor in session.
(828) 407-0184 View (828) 407-0184
Photo of Baylor Brown, MS, LCMHCS, LCAS, CSI, Licensed Professional Counselor
Baylor Brown
Licensed Professional Counselor, MS, LCMHCS, LCAS, CSI
Verified Verified
Hendersonville, NC 28792
Counseling is such meaningful and rewarding work and I am so grateful that I get to do it. My goal is to always be growing as a person right alongside you and to always approach my work with a sense of openness and curiosity rather than judgment. After all, we’re just two humans talking about being human. My hope is that you can learn to further embrace your humanness and leave behind your shame in the process. While talk therapy can be extremely valuable, I recognize that there are some problems that conventional talk therapy can’t quite reach, which is why I typically use a more experiential, trauma-focused approach to counseling.
Counseling is such meaningful and rewarding work and I am so grateful that I get to do it. My goal is to always be growing as a person right alongside you and to always approach my work with a sense of openness and curiosity rather than judgment. After all, we’re just two humans talking about being human. My hope is that you can learn to further embrace your humanness and leave behind your shame in the process. While talk therapy can be extremely valuable, I recognize that there are some problems that conventional talk therapy can’t quite reach, which is why I typically use a more experiential, trauma-focused approach to counseling.
(828) 471-6845 View (828) 471-6845
Photo of Jeremy T. Cochran - Cochran Christian Counseling, MS, LMFT, Marriage & Family Therapist
Jeremy T. Cochran - Cochran Christian Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
Hendersonville, NC 28792
For any relationship to work you must be able to communicate. Marriage can be tough. I help people communicate and manage their conflict. I am a Licensed Marriage and Family Therapist, serving North Carolina since 2003. I provide marriage, premarital, individual counseling for adults. I see people with a variety of therapeutic concerns including, but not limited to, trauma, depression, anxiety, & non-supportive spouse.
For any relationship to work you must be able to communicate. Marriage can be tough. I help people communicate and manage their conflict. I am a Licensed Marriage and Family Therapist, serving North Carolina since 2003. I provide marriage, premarital, individual counseling for adults. I see people with a variety of therapeutic concerns including, but not limited to, trauma, depression, anxiety, & non-supportive spouse.
(828) 479-0284 View (828) 479-0284
Photo of Ryan T Bell, LCMHC
Ryan T Bell
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
1 Endorsed
Hendersonville, NC 28792
I believe in the power of connection. To self, to others, to the world around us. The stories we tell ourselves and the experiences we have do a great job of interfering with those connections. I work to support people by defining the values, relationships, and expectations that drive us. I enjoy working with young adults, adolescents and their families to explore the beliefs, fears, and anxieties that derail us from making those connections that give our lives purpose. I also love getting outside while we do it. Virtual sessions in the back yard or a walk and talk at the park? Frisbee gulf? Putt Putt? Paddleboard?
I believe in the power of connection. To self, to others, to the world around us. The stories we tell ourselves and the experiences we have do a great job of interfering with those connections. I work to support people by defining the values, relationships, and expectations that drive us. I enjoy working with young adults, adolescents and their families to explore the beliefs, fears, and anxieties that derail us from making those connections that give our lives purpose. I also love getting outside while we do it. Virtual sessions in the back yard or a walk and talk at the park? Frisbee gulf? Putt Putt? Paddleboard?
(828) 293-4948 View (828) 293-4948
Photo of Candace A Champagne, LCSW, LISW-CP, LCAS, MAC, Clinical Social Work/Therapist
Candace A Champagne
Clinical Social Work/Therapist, LCSW, LISW-CP, LCAS, MAC
Verified Verified
Hendersonville, NC 28792  (Online Only)
As a therapist with over 20 years experience, I believe in straight forward, compassionate, nonjudgemental therapy. I am currently licensed in three states (NC, SC, MI) and trained in a variety of treatment modalities. My history includes working with individuals who struggle with addictive behaviors, mood shifts, grief & loss, trauma, substance use disorders (SUD) and mental health (MH) challenges - both in residential programs and private practice. I also work with professional monitoring agencies. If you would like more details, please visit my website at 'champagnecounseling.com'
As a therapist with over 20 years experience, I believe in straight forward, compassionate, nonjudgemental therapy. I am currently licensed in three states (NC, SC, MI) and trained in a variety of treatment modalities. My history includes working with individuals who struggle with addictive behaviors, mood shifts, grief & loss, trauma, substance use disorders (SUD) and mental health (MH) challenges - both in residential programs and private practice. I also work with professional monitoring agencies. If you would like more details, please visit my website at 'champagnecounseling.com'
(828) 949-1328 View (828) 949-1328
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How does your Therapist compare?

Number of Therapists in Hendersonville, NC

200+

Average cost per session

$150

Therapists in Hendersonville, NC who prioritize treating:

96% Anxiety
84% Depression
78% Relationship Issues
78% Self Esteem
75% Trauma and PTSD
71% Coping Skills
69% Grief

Average years in practice

10 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
74% Aetna
57% UnitedHealthcare UHC | UBH

How Therapists in Hendersonville, NC see their clients

78% In Person and Online
22% Online Only

Gender breakdown

74% Female
25% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Hendersonville?

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.