Therapists in Raleigh, NC

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Photo of Lisa Valerie Wachter, Licensed Clinical Mental Health Counselor in Raleigh, NC
Lisa Valerie Wachter
Licensed Clinical Mental Health Counselor, NCC, LCAS, LCMHC
Verified Verified
Raleigh, NC 27609
There are times in life that unexpected obstacles appear. There are also times when, in an effort to deal with problems, a person may have developed unhealthy methods of coping with expected, and unexpected, life transitions. During these times one can benefit from having an impartial, nonjudgmental, therapist to talk to with. I specialize in working with addiction, families who are affected by addiction, those experiencing depression, and anxiety,
There are times in life that unexpected obstacles appear. There are also times when, in an effort to deal with problems, a person may have developed unhealthy methods of coping with expected, and unexpected, life transitions. During these times one can benefit from having an impartial, nonjudgmental, therapist to talk to with. I specialize in working with addiction, families who are affected by addiction, those experiencing depression, and anxiety,
(984) 217-2854 View (984) 217-2854
Photo of Teoletta | Introspection Counseling Center LLC, Clinical Social Work/Therapist in Raleigh, NC
Teoletta | Introspection Counseling Center LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27609  (Online Only)
If you're a woman seeking a significant transformation while navigating stress, anxiety, and the relentless inner critic, your therapeutic journey with me is a safe haven. I'm a Licensed Clinical Social Worker specializing in guiding adult women, aged 18 and older, towards mental wellness. My practice is built on empathy, compassion, and a sincere dedication to your overall healing. I recognize the complexity of life's stressors, and my approach is customized to support individuals facing various challenges.
If you're a woman seeking a significant transformation while navigating stress, anxiety, and the relentless inner critic, your therapeutic journey with me is a safe haven. I'm a Licensed Clinical Social Worker specializing in guiding adult women, aged 18 and older, towards mental wellness. My practice is built on empathy, compassion, and a sincere dedication to your overall healing. I recognize the complexity of life's stressors, and my approach is customized to support individuals facing various challenges.
(919) 214-5285 View (919) 214-5285
Photo of Siyara Dobbs, Clinical Social Work/Therapist in Raleigh, NC
Siyara Dobbs
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27615  (Online Only)
If you are an adult struggling with life transitions and it has lead to symptoms of depression or anxiety; I am here to assist you. I will help you identify any barriers preventing you from living the life you desire. Identifying those things will allow us to create a plan specific to you. I believe partners share power, this will be a collaborative effort! Some of my therapeutic approaches used are cognitive behavioral, solution focused, and motivational interviewing. Together, we will build on your strengths and identify areas of improvement to produce positive outcomes.
If you are an adult struggling with life transitions and it has lead to symptoms of depression or anxiety; I am here to assist you. I will help you identify any barriers preventing you from living the life you desire. Identifying those things will allow us to create a plan specific to you. I believe partners share power, this will be a collaborative effort! Some of my therapeutic approaches used are cognitive behavioral, solution focused, and motivational interviewing. Together, we will build on your strengths and identify areas of improvement to produce positive outcomes.
(919) 887-8685 View (919) 887-8685
Photo of Denise S Dawson, Clinical Social Work/Therapist in Raleigh, NC
Denise S Dawson
Clinical Social Work/Therapist, LCSW, LCAS
Verified Verified
Raleigh, NC 27606  (Online Only)
I am a licensed therapist and certified health coach. I've had the fortunate opportunity of working with many different types of people throughout my career. Working on social work and public health research projects helped me realize I enjoy working with patients who struggle with mental health and chronic disease diagnoses. I obtained my Master's in Social Work degree from East Carolina University in 2011 and began practicing psychotherapy. Taking the first step toward treatment isn't easy. But since you are already here, take the second step to schedule an appointment...you'll be glad you did!
I am a licensed therapist and certified health coach. I've had the fortunate opportunity of working with many different types of people throughout my career. Working on social work and public health research projects helped me realize I enjoy working with patients who struggle with mental health and chronic disease diagnoses. I obtained my Master's in Social Work degree from East Carolina University in 2011 and began practicing psychotherapy. Taking the first step toward treatment isn't easy. But since you are already here, take the second step to schedule an appointment...you'll be glad you did!
(919) 551-3412 View (919) 551-3412
Photo of Pressley Cox, Licensed Clinical Mental Health Counselor in Raleigh, NC
Pressley Cox
Licensed Clinical Mental Health Counselor, LCMHC, LCAS
Verified Verified
3 Endorsed
Raleigh, NC 27609
You may be seeking therapy because you've noticed something's not working. Your actions aren't aligning with the person you know you are, and you're constantly feeling overwhelmed and stuck in place. My focus is on helping you get "unstuck" and improving the quality of your life. I will gently and actively guide you towards a better relationship with your thoughts, feelings, and behaviors so that you are more capable to take action, achieve your goals, and live the life you desire.
You may be seeking therapy because you've noticed something's not working. Your actions aren't aligning with the person you know you are, and you're constantly feeling overwhelmed and stuck in place. My focus is on helping you get "unstuck" and improving the quality of your life. I will gently and actively guide you towards a better relationship with your thoughts, feelings, and behaviors so that you are more capable to take action, achieve your goals, and live the life you desire.
(984) 217-1774 View (984) 217-1774
Photo of Julio Steven Villacis, Licensed Clinical Mental Health Counselor in Raleigh, NC
Julio Steven Villacis
Licensed Clinical Mental Health Counselor, LCMHC, NCC
Verified Verified
Raleigh, NC 27604
Julio Villacis is a Licensed Clinical Mental Health Counselor (LCMHC) with 7 years of experience working with children, adolescents, and adults in community, school, and hospital settings to address mental health and psychosocial needs. He works with clients experiencing depression, anxiety, trauma, behavioral issues, challenges with life transitions, grief and loss, stress at work or at home, and challenges with relationships. He completed his Bachelor of Arts (BA) in Psychology at Rutgers University and his Master of Education (MEd) in Mental Health Counseling at North Carolina State University.
Julio Villacis is a Licensed Clinical Mental Health Counselor (LCMHC) with 7 years of experience working with children, adolescents, and adults in community, school, and hospital settings to address mental health and psychosocial needs. He works with clients experiencing depression, anxiety, trauma, behavioral issues, challenges with life transitions, grief and loss, stress at work or at home, and challenges with relationships. He completed his Bachelor of Arts (BA) in Psychology at Rutgers University and his Master of Education (MEd) in Mental Health Counseling at North Carolina State University.
(984) 201-7864 View (984) 201-7864
Photo of Sierra Scott, Clinical Social Work/Therapist in Raleigh, NC
Sierra Scott
Clinical Social Work/Therapist, LCSWA, LCAS-R
Verified Verified
1 Endorsed
Raleigh, NC 27615
Life is a journey. There are hills and valleys and sometimes it’s necessary to go through the valley to get to the mountaintop. I’ve always had a passion for helping people reach their goals and I look forward to providing a safe space in partnering with you on your journey to healing, reaching your goals, and self-discovery. I am a Licensed Clinical Social Worker Associate and Licensed Clinical Addiction Specialist registered in NC. I earned my Bachelor of Science degree in Journalism and Mass Communications at North Carolina Agricultural & Technical State University and my Master of Social Work degree in Clinical Social Work.
Life is a journey. There are hills and valleys and sometimes it’s necessary to go through the valley to get to the mountaintop. I’ve always had a passion for helping people reach their goals and I look forward to providing a safe space in partnering with you on your journey to healing, reaching your goals, and self-discovery. I am a Licensed Clinical Social Worker Associate and Licensed Clinical Addiction Specialist registered in NC. I earned my Bachelor of Science degree in Journalism and Mass Communications at North Carolina Agricultural & Technical State University and my Master of Social Work degree in Clinical Social Work.
(919) 642-1070 View (919) 642-1070
Photo of Vivian Hurlston Gonzalez, Clinical Social Work/Therapist in Raleigh, NC
Vivian Hurlston Gonzalez
Clinical Social Work/Therapist, LCSW, LCAS-A, PMH-C
Verified Verified
1 Endorsed
Raleigh, NC 27610  (Online Only)
Hi, I'm Vivian. I specialize in supporting individuals who are experiencing Perinatal Mood and Anxiety disorders, Perinatal loss and grief, and challenges related to having a baby in the NICU. My approach is compassionate and evidence-based, and I am committed to helping you navigate these difficult experiences. ​
Hi, I'm Vivian. I specialize in supporting individuals who are experiencing Perinatal Mood and Anxiety disorders, Perinatal loss and grief, and challenges related to having a baby in the NICU. My approach is compassionate and evidence-based, and I am committed to helping you navigate these difficult experiences. ​
(919) 200-0663 View (919) 200-0663
Photo of Maggie L. M. (Counselor For Pre-Teens), Counselor in Raleigh, NC
Maggie L. M. (Counselor For Pre-Teens)
Counselor, LCMHCA
Verified Verified
1 Endorsed
Raleigh, NC 27609
I help kids dealing with ADHD, emotional issues, divorces and school issues. I teach kids emotional regulation skills as well as helping them learn the words needed to express whats truly happening to them. Kids need someone who can get on their level, I find this is the best approach when treating children. When working with me kids learn how to express what they are experiencing as well as using coping skills that help them feel better. Kids and parents begin to see a decrease in symptoms, and families often get a relief from the stress they've been feeling.
I help kids dealing with ADHD, emotional issues, divorces and school issues. I teach kids emotional regulation skills as well as helping them learn the words needed to express whats truly happening to them. Kids need someone who can get on their level, I find this is the best approach when treating children. When working with me kids learn how to express what they are experiencing as well as using coping skills that help them feel better. Kids and parents begin to see a decrease in symptoms, and families often get a relief from the stress they've been feeling.
(984) 230-4059 View (984) 230-4059
Photo of Heather Rothrock, Psychological Associate in Raleigh, NC
Heather Rothrock
Psychological Associate, LPA, LCAS
Verified Verified
Raleigh, NC 27606
If you are struggling with issues of mood, substance use, trauma, or sexual or gender identity, I have almost 2 decades of clinical experience helping people cope and transform their lives.
If you are struggling with issues of mood, substance use, trauma, or sexual or gender identity, I have almost 2 decades of clinical experience helping people cope and transform their lives.
(919) 504-9502 View (919) 504-9502
Photo of Kim Pavlak, Licensed Clinical Mental Health Counselor in Raleigh, NC
Kim Pavlak
Licensed Clinical Mental Health Counselor, LCMHC, LCAS, CCTP-II
Verified Verified
1 Endorsed
Raleigh, NC 27615
Not accepting new clients
Is it hard just to make it through each day? Like everything is a struggle, and you’re not sure how much longer you can keep pretending it’s all fine? You don’t have the lust for life that you used to, and everything feels a bit “blah”. You can't talk about it with your family or friends without worrying them or being dismissed. You're noticing these things are negatively impacting your life, relationships, or performance at work. You feel unhappy, angry, or disconnected to people in your life and the world around you. Maybe you know what changes you want to see, but you don't even know where to start. It all feels so daunting.
Is it hard just to make it through each day? Like everything is a struggle, and you’re not sure how much longer you can keep pretending it’s all fine? You don’t have the lust for life that you used to, and everything feels a bit “blah”. You can't talk about it with your family or friends without worrying them or being dismissed. You're noticing these things are negatively impacting your life, relationships, or performance at work. You feel unhappy, angry, or disconnected to people in your life and the world around you. Maybe you know what changes you want to see, but you don't even know where to start. It all feels so daunting.
(919) 925-4653 View (919) 925-4653
Photo of Brooke James, Marriage & Family Therapist in Raleigh, NC
Brooke James
Marriage & Family Therapist, LCAS, LMFT
Verified Verified
Raleigh, NC 27605
Stress often shows up when we are out of alignment with our values. Through therapy, I help clients re-align with their values. In my work, I utilize value exploration, boundary setting, and acceptance. My goal is to advocate for increased quality of life, managed mental health, and increase healthy relationships. I tend to be a more direct and structured therapist. If this sounds like a fit, reach out to talk further.
Stress often shows up when we are out of alignment with our values. Through therapy, I help clients re-align with their values. In my work, I utilize value exploration, boundary setting, and acceptance. My goal is to advocate for increased quality of life, managed mental health, and increase healthy relationships. I tend to be a more direct and structured therapist. If this sounds like a fit, reach out to talk further.
(984) 213-5791 View (984) 213-5791
Photo of Greta Martin, Clinical Social Work/Therapist in Raleigh, NC
Greta Martin
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27603
As a therapist I have a deep commitment to inclusive, social justice-oriented, and trauma-informed work, I am dedicated to providing you with the support and care you need to thrive. In today's diverse world, I recognize the importance of creating an inclusive and affirming therapeutic environment. I am dedicated to fostering a space where all individuals can feel seen, heard, and respected. My commitment to social justice informs my practice, and I am here to advocate for your needs and rights.
As a therapist I have a deep commitment to inclusive, social justice-oriented, and trauma-informed work, I am dedicated to providing you with the support and care you need to thrive. In today's diverse world, I recognize the importance of creating an inclusive and affirming therapeutic environment. I am dedicated to fostering a space where all individuals can feel seen, heard, and respected. My commitment to social justice informs my practice, and I am here to advocate for your needs and rights.
(984) 217-3063 View (984) 217-3063
Photo of Ginger Newman Gialanella, Marriage & Family Therapist in Raleigh, NC
Ginger Newman Gialanella
Marriage & Family Therapist, MS, LMFT
Verified Verified
Raleigh, NC 27613  (Online Only)
Are you struggling with how to move forward after a major change in your life? Are you feeling alone, scared, or overwhelmed? Are you feeling stuck or disconnected in your relationships, unsure of how to feel connected again? I enjoy supporting individuals and couples navigate the expected and unexpected changes and transitions that inevitably come up in life, including healing from betrayal or infidelity, navigating divorce/relationship transitions, and coping with a diagnosis of cancer. Adjusting to uncertainties and changes in life can feel isolating and unsettling, but you do not have to do it alone, having support can help.
Are you struggling with how to move forward after a major change in your life? Are you feeling alone, scared, or overwhelmed? Are you feeling stuck or disconnected in your relationships, unsure of how to feel connected again? I enjoy supporting individuals and couples navigate the expected and unexpected changes and transitions that inevitably come up in life, including healing from betrayal or infidelity, navigating divorce/relationship transitions, and coping with a diagnosis of cancer. Adjusting to uncertainties and changes in life can feel isolating and unsettling, but you do not have to do it alone, having support can help.
(919) 587-8792 View (919) 587-8792
Photo of Dr. Tauchiana Williams, Clinical Social Work/Therapist in Raleigh, NC
Dr. Tauchiana Williams
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Raleigh, NC 27676  (Online Only)
Some seasons in life can be very difficult and everyone can use some support coping at some point. It’s time for you to thrive and cultivate the life you desire by working through the depression, anxiety, and other relationship issues. With over 18 years of experience, I would like to help you live a happier and fulfilled life.
Some seasons in life can be very difficult and everyone can use some support coping at some point. It’s time for you to thrive and cultivate the life you desire by working through the depression, anxiety, and other relationship issues. With over 18 years of experience, I would like to help you live a happier and fulfilled life.
(984) 305-3804 View (984) 305-3804
Photo of Denise F Robertson, Clinical Social Work/Therapist in Raleigh, NC
Denise F Robertson
Clinical Social Work/Therapist, MSW, LCSW, QDDP, QMHP
Verified Verified
1 Endorsed
Raleigh, NC 27609
I offer counseling, coaching, and a holistic approach. We will have a therapeutic alliance: empathy, acceptance, and compassion. Life will become less stressful, more manageable, healthier, and happier! There are solutions that will improve coping skills, communication, stress management, relational problems, and any obstacle you may be encountering.
I offer counseling, coaching, and a holistic approach. We will have a therapeutic alliance: empathy, acceptance, and compassion. Life will become less stressful, more manageable, healthier, and happier! There are solutions that will improve coping skills, communication, stress management, relational problems, and any obstacle you may be encountering.
(919) 520-3646 View (919) 520-3646
Photo of Richard Sladich, Licensed Clinical Mental Health Counselor in Raleigh, NC
Richard Sladich
Licensed Clinical Mental Health Counselor, MS, LCMHC, ASDCS
Verified Verified
Raleigh, NC 27605
Waitlist for new clients
Hello, I am accepting new clients, and also have a waitlist. Need help with Social Anxiety, generalized anxiety, Autism spectrum, ADHD, or Depression? I specialize in those issues, but I also focus on the issues of panic attacks, phobias, agoraphobia, and Obsessive-Compulsive Disorder (OCD). I also help with relationship issues, learning to advocate for yourself, and setting boundaries. I am available for in person or virtual sessions. I am a Certified TEAM-CBT Therapist with the Feeling Good Institute, and a certified Autism Spectrum Disorder Clinical Specialist (ASDCS).
Hello, I am accepting new clients, and also have a waitlist. Need help with Social Anxiety, generalized anxiety, Autism spectrum, ADHD, or Depression? I specialize in those issues, but I also focus on the issues of panic attacks, phobias, agoraphobia, and Obsessive-Compulsive Disorder (OCD). I also help with relationship issues, learning to advocate for yourself, and setting boundaries. I am available for in person or virtual sessions. I am a Certified TEAM-CBT Therapist with the Feeling Good Institute, and a certified Autism Spectrum Disorder Clinical Specialist (ASDCS).
(919) 648-4037 View (919) 648-4037
Photo of Michele Crenshaw, Clinical Social Work/Therapist in Raleigh, NC
Michele Crenshaw
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Raleigh, NC 27603  (Online Only)
My style is casual, warm, empathetic, accepting and genuine. My job as a therapist is to understand client needs; offer new perspectives, share therapeutic skills based on well researched treatment modalities and help clients reach goals they create. Problems I can help with are depression, anxiety, panic attacks, substance use, low self esteem, grief, life transitions, dissatisfaction with life, social anxiety, relationship issues (individual), suicide ideations, and the impact of traumatic events.
My style is casual, warm, empathetic, accepting and genuine. My job as a therapist is to understand client needs; offer new perspectives, share therapeutic skills based on well researched treatment modalities and help clients reach goals they create. Problems I can help with are depression, anxiety, panic attacks, substance use, low self esteem, grief, life transitions, dissatisfaction with life, social anxiety, relationship issues (individual), suicide ideations, and the impact of traumatic events.
(984) 217-2136 View (984) 217-2136
Photo of Rachel McLean, Clinical Social Work/Therapist in Raleigh, NC
Rachel McLean
Clinical Social Work/Therapist, LCSW, LCAS, MAC
Verified Verified
Raleigh, NC 27614  (Online Only)
I believe in the healing potential of therapy. I respect the sanctity of the therapeutic partnership and find it an extraordinary privilege to play a collaborative role in the healing process. I work with adults and adolescents to develop skills and strategies to live out their full potential in their daily lives. Life transitions can be challenging. My goal is to connect with my clients, alleviate symptoms and offer tailored recommendations that nurture individual strengths while targeting challenges and needs.
I believe in the healing potential of therapy. I respect the sanctity of the therapeutic partnership and find it an extraordinary privilege to play a collaborative role in the healing process. I work with adults and adolescents to develop skills and strategies to live out their full potential in their daily lives. Life transitions can be challenging. My goal is to connect with my clients, alleviate symptoms and offer tailored recommendations that nurture individual strengths while targeting challenges and needs.
(919) 893-0667 View (919) 893-0667
Photo of Shauna Campbell, Clinical Social Work/Therapist in Raleigh, NC
Shauna Campbell
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Raleigh, NC 27609  (Online Only)
Welcome! I wholeheartedly believe in the transformative power of this process and I applaud you for taking a step toward your healing. I strive to create a safe space in which you can fully explore and process your concerns, feel empowered to create your needed changes, and feel supported through it all. I consider it a privilege to be able to do this work with you.
Welcome! I wholeheartedly believe in the transformative power of this process and I applaud you for taking a step toward your healing. I strive to create a safe space in which you can fully explore and process your concerns, feel empowered to create your needed changes, and feel supported through it all. I consider it a privilege to be able to do this work with you.
(919) 689-4493 View (919) 689-4493

How does your Therapist compare?

Number of Therapists in Raleigh, NC

2,000+

Average cost per session

$140

Therapists in Raleigh, NC who prioritize treating:

93% Anxiety
88% Depression
78% Self Esteem
76% Relationship Issues
74% Coping Skills
73% Stress
66% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
73% Aetna
55% Cigna and Evernorth

How Therapists in Raleigh, NC see their clients

60% In Person and Online
40% Online Only

Gender breakdown

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

How can I find a therapist in Raleigh?

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.