Therapists in Raleigh, NC

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Photo of Pippa Humphrey, MSW, LCSW, Clinical Social Work/Therapist
Pippa Humphrey
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Raleigh, NC 27612
I am dedicated to helping people cope with life's changes. Whether it's divorce, going to college, the death of a person in your life, a marriage, a recent diagnosis of serious illness, or moving, all of these changes, good and bad, come with the loss of the old way of life. It can be difficult at times to cope with the intense emotions that may accompany these changes. My goal is to work together with you to help you find your footing, and regain a passion and zest for life.
I am dedicated to helping people cope with life's changes. Whether it's divorce, going to college, the death of a person in your life, a marriage, a recent diagnosis of serious illness, or moving, all of these changes, good and bad, come with the loss of the old way of life. It can be difficult at times to cope with the intense emotions that may accompany these changes. My goal is to work together with you to help you find your footing, and regain a passion and zest for life.
(984) 209-1243 View (984) 209-1243
Photo of Molly Martucci, LCSW, Clinical Social Work/Therapist
Molly Martucci
Clinical Social Work/Therapist, LCSW
Verified Verified
Raleigh, NC 27615
Molly has experience working with individuals of all ages around issues such as depression, anxiety, stress, self-esteem, life-transitions, parenting challenges, behavior-problems, and more. She has worked in private practice, agency and home settings to provide services to clients.
Molly has experience working with individuals of all ages around issues such as depression, anxiety, stress, self-esteem, life-transitions, parenting challenges, behavior-problems, and more. She has worked in private practice, agency and home settings to provide services to clients.
(984) 237-3374 View (984) 237-3374
Photo of Janet Heuring Larsen, MA, LCAS, LPA, HSP-PA, CTP, Psychologist
Janet Heuring Larsen
Psychologist, MA, LCAS, LPA, HSP-PA, CTP
Verified Verified
1 Endorsed
Raleigh, NC 27615
PRACTICE MAY HAVE A WAITLIST, PLEASE EMAIL YOUR INQUIRIES: My psychology practice is committed to delivering highly effective treatment and outstanding client care. I've helped individuals navigate challenges and improve their lives for over 10 years. I treat clients with an array of issues including relationship struggles, anxiety, trauma, panic attacks, PTSD, depression, anger, insomnia, ADD/ADHD, chronic pain, substance use/addiction and grief. I serve many clients with co-occurring disorders and have trained other therapists. I specialize in treating clients with anxiety and trauma using EMDR and also offer ADHD/ADD counseling.
PRACTICE MAY HAVE A WAITLIST, PLEASE EMAIL YOUR INQUIRIES: My psychology practice is committed to delivering highly effective treatment and outstanding client care. I've helped individuals navigate challenges and improve their lives for over 10 years. I treat clients with an array of issues including relationship struggles, anxiety, trauma, panic attacks, PTSD, depression, anger, insomnia, ADD/ADHD, chronic pain, substance use/addiction and grief. I serve many clients with co-occurring disorders and have trained other therapists. I specialize in treating clients with anxiety and trauma using EMDR and also offer ADHD/ADD counseling.
(919) 948-3053 View (919) 948-3053
Photo of Jason Robert Cole, MA, LCMHC, CAMS-II, Counselor
Jason Robert Cole
Counselor, MA, LCMHC, CAMS-II
Verified Verified
6 Endorsed
Raleigh, NC 27615
Jason Cole is a mental health counselor with experience working with children, adolescents and adults using a variety of theoretical perspectives in individual, group, couples and family therapy sessions. His area of expertise is in working with children, adolescents, young adults, and adults with a diverse range of needs and difficulties in traditional talk therapy. Jason enjoys working with clients to create and meet life goals through times of difficulty or uncertainty, and has worked extensively in the areas of life changes, anger management, anxiety disorders, mood disorders, behavioral issues, and depression.
Jason Cole is a mental health counselor with experience working with children, adolescents and adults using a variety of theoretical perspectives in individual, group, couples and family therapy sessions. His area of expertise is in working with children, adolescents, young adults, and adults with a diverse range of needs and difficulties in traditional talk therapy. Jason enjoys working with clients to create and meet life goals through times of difficulty or uncertainty, and has worked extensively in the areas of life changes, anger management, anxiety disorders, mood disorders, behavioral issues, and depression.
(919) 289-8053 View (919) 289-8053
Photo of Brooke Kearney, LCMHCA, Counselor
Brooke Kearney
Counselor, LCMHCA
Verified Verified
Raleigh, NC 27609
Not accepting new clients
Do you ever feel stuck in life and unsure how to create the relationships and life you desire? I work with adolescents, adults, and couples to address concerns of depression, anxiety, grief, self-esteem, anger management, academic concerns, life transitions, communication issues, and marriage or relationship counseling.
Do you ever feel stuck in life and unsure how to create the relationships and life you desire? I work with adolescents, adults, and couples to address concerns of depression, anxiety, grief, self-esteem, anger management, academic concerns, life transitions, communication issues, and marriage or relationship counseling.
(919) 739-3502 x731 View (919) 739-3502 x731
Photo of Romayne Mappes, MA, LCPC-S, LCMHC, Counselor
Romayne Mappes
Counselor, MA, LCPC-S, LCMHC
Verified Verified
Raleigh, NC 27614
I provide services for clients who I believe have the capacity to resolve their own problems with my assistance. I offer a professional relationship with my clients to assist them in exploring and resolving difficult issues. I believe that as people become more accepting of themselves, they are more capable of finding happiness and contentment in their lives. Self-awareness and self-acceptance are goals that sometimes take a long time to achieve. While some clients may need only a few counseling sessions to feel complete, others may require months. I offer a caring, empathic space to explore, heal and to try new ways of being.
I provide services for clients who I believe have the capacity to resolve their own problems with my assistance. I offer a professional relationship with my clients to assist them in exploring and resolving difficult issues. I believe that as people become more accepting of themselves, they are more capable of finding happiness and contentment in their lives. Self-awareness and self-acceptance are goals that sometimes take a long time to achieve. While some clients may need only a few counseling sessions to feel complete, others may require months. I offer a caring, empathic space to explore, heal and to try new ways of being.
(240) 270-2640 View (240) 270-2640
Photo of Iris Drakeford, MS, Marriage & Family Therapist
Iris Drakeford
Marriage & Family Therapist, MS
Verified Verified
Raleigh, NC 27617
Waitlist for new clients
Do you feel like you need coping skills to deal with mental health challenges? Are you wondering how you can make your relationships stronger ? Do you feel like you need motivation to reach your purpose in life ? My therapeutic approach is strengths based and solution focused. My name is Iris and I have a Master's in Marriage & Family Therapy from Capella University. I have over 20 years of experience providing a diverse array of mental health services to individuals and families. I am here to listen, laugh and provide a safe space for you to share your feelings. I look forward to the opportunity to collaborate.
Do you feel like you need coping skills to deal with mental health challenges? Are you wondering how you can make your relationships stronger ? Do you feel like you need motivation to reach your purpose in life ? My therapeutic approach is strengths based and solution focused. My name is Iris and I have a Master's in Marriage & Family Therapy from Capella University. I have over 20 years of experience providing a diverse array of mental health services to individuals and families. I am here to listen, laugh and provide a safe space for you to share your feelings. I look forward to the opportunity to collaborate.
(984) 409-7250 View (984) 409-7250
Photo of Natalie Borto, LCMHC, MA
Natalie Borto
Licensed Clinical Mental Health Counselor, LCMHC, MA
Verified Verified
Raleigh, NC 27615  (Online Only)
Not accepting new clients
I am passionate about working with children ages 8+, adolescents, young adults and adults. I also love utilizing art therapy and use evidenced based art therapy activities in addition to evidenced based therapeutic models (CBT, DBT, etc.). I specialize in helping client's with anything from transitional periods to clinical mental health problems. Are you looking for a professional to help you through a tough period in life? I would love to help!
I am passionate about working with children ages 8+, adolescents, young adults and adults. I also love utilizing art therapy and use evidenced based art therapy activities in addition to evidenced based therapeutic models (CBT, DBT, etc.). I specialize in helping client's with anything from transitional periods to clinical mental health problems. Are you looking for a professional to help you through a tough period in life? I would love to help!
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Photo of Sharon L Bradley - Bradley Behavioral Health, PLLC, LCSW, MPA, Clinical Social Work/Therapist
Bradley Behavioral Health, PLLC
Clinical Social Work/Therapist, LCSW, MPA
Verified Verified
Raleigh, NC 27614
Hello. My name is Sharon Bradley. I graduated from North Carolina State University in 2016 with a Masters Degree in Social Work, and I am a Licensed Clinical Social Worker and mental health therapist. I have worked in a variety of clinical settings, to include Employee Assistance Programs, inpatient psychiatric unit, community homebased mental health, and the VA. My approach to treatment, is that I only use evidenced based psychotherapies (EBP) in my practice, as EBPs are designed to be goal oriented, time limited, structured and with evidence to support their effectiveness in reducing the impact of the problem area.
Hello. My name is Sharon Bradley. I graduated from North Carolina State University in 2016 with a Masters Degree in Social Work, and I am a Licensed Clinical Social Worker and mental health therapist. I have worked in a variety of clinical settings, to include Employee Assistance Programs, inpatient psychiatric unit, community homebased mental health, and the VA. My approach to treatment, is that I only use evidenced based psychotherapies (EBP) in my practice, as EBPs are designed to be goal oriented, time limited, structured and with evidence to support their effectiveness in reducing the impact of the problem area.
(984) 247-9774 View (984) 247-9774
Photo of Lassandra Purnell, MSW, LCSW, Clinical Social Work/Therapist
Lassandra Purnell
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Raleigh, NC 27603  (Online Only)
On a "good day," do you feel exhausted? Perhaps you feel like your past is interfering with your present life. Perhaps you are juggling everything and everyone else while barely making time for yourself. If that's the case, let's see if we can get you out of your funk. Life's difficulties are not always predictable. As your therapist, I will guide you through these difficulties in order to improve your ability to live a happier and more emotionally stable life.
On a "good day," do you feel exhausted? Perhaps you feel like your past is interfering with your present life. Perhaps you are juggling everything and everyone else while barely making time for yourself. If that's the case, let's see if we can get you out of your funk. Life's difficulties are not always predictable. As your therapist, I will guide you through these difficulties in order to improve your ability to live a happier and more emotionally stable life.
(919) 372-3956 View (919) 372-3956
Photo of Latoya Nelson Mason, MA, LCMHC, LPC, Licensed Professional Counselor
Latoya Nelson Mason
Licensed Professional Counselor, MA, LCMHC, LPC
Verified Verified
1 Endorsed
Raleigh, NC 27616  (Online Only)
Waitlist for new clients
Become the architect of your future! You're not quite sure how your life got to this point and the fear of what lies ahead causes you to second guess your decisions. Your confidence has taken a hit but you are ready to find your happy place again, sleep easy at night and find the place of peace you crave. You are ready to find you again! I help women who are stressed and overwhelmed find their inner peace and calm. I work with you to discover what you want your life to look like and support you in developing that. I offer a safe place for you to vent, move past your fears and just BE.
Become the architect of your future! You're not quite sure how your life got to this point and the fear of what lies ahead causes you to second guess your decisions. Your confidence has taken a hit but you are ready to find your happy place again, sleep easy at night and find the place of peace you crave. You are ready to find you again! I help women who are stressed and overwhelmed find their inner peace and calm. I work with you to discover what you want your life to look like and support you in developing that. I offer a safe place for you to vent, move past your fears and just BE.
(984) 313-9806 View (984) 313-9806
Photo of Tanya St. Julien Denson - Hidden Stream Counseling, MA, LCMHC, NCC
Hidden Stream Counseling
Licensed Clinical Mental Health Counselor, MA, LCMHC, NCC
Verified Verified
Raleigh, NC 27605
Waitlist for new clients
I am a Licensed Clinical Mental Health Counselor Supervisor and National Certified Counselor located in Raleigh, NC with experience in working with adults, adolescents, couples, and families within individual and group settings . I also have experience in working with individuals diagnosed with mental illnesses and substance abuse and those without. I work with a variety of populations and client demographics. My desire is to help you face your challenges and succeed regardless of the circumstance(s).
I am a Licensed Clinical Mental Health Counselor Supervisor and National Certified Counselor located in Raleigh, NC with experience in working with adults, adolescents, couples, and families within individual and group settings . I also have experience in working with individuals diagnosed with mental illnesses and substance abuse and those without. I work with a variety of populations and client demographics. My desire is to help you face your challenges and succeed regardless of the circumstance(s).
(919) 346-0115 View (919) 346-0115
Photo of Traci Johnson - Parr Therapeutic Solutions, MA, LCMHCA
Parr Therapeutic Solutions
Lic Clinical Mental Health Counselor Associate, MA, LCMHCA
Verified Verified
1 Endorsed
Raleigh, NC 27615
My ideal client would be a teen or young adult trying to navigate life. They may bring to our sessions their need for acceptance and belonging, needing positive peer interactions, anxieties, and career exploration. We would develop goals together and establish what they want to get out of their therapy sessions. They come with a "want to change" attitude and are willing to put in the work. The goal is for my client to get a better understand of themselves and what is in their control and work on a better them.
My ideal client would be a teen or young adult trying to navigate life. They may bring to our sessions their need for acceptance and belonging, needing positive peer interactions, anxieties, and career exploration. We would develop goals together and establish what they want to get out of their therapy sessions. They come with a "want to change" attitude and are willing to put in the work. The goal is for my client to get a better understand of themselves and what is in their control and work on a better them.
(984) 833-2457 View (984) 833-2457
Photo of Miyesha Swayne, LCSWA, Clinical Social Work/Therapist
Miyesha Swayne
Clinical Social Work/Therapist, LCSWA
Verified Verified
2 Endorsed
Raleigh, NC 27615
Adulting isn’t easy. At times it can be a lonely and difficult journey faced with many challenges. There is no book for getting it right, and many of us feel like we’re just winging it day to day. As a therapist, I have a passion for working with women who often feel unseen and unheard, and school aged children who may be experiencing feelings of anxiousness and/or sadness.
Adulting isn’t easy. At times it can be a lonely and difficult journey faced with many challenges. There is no book for getting it right, and many of us feel like we’re just winging it day to day. As a therapist, I have a passion for working with women who often feel unseen and unheard, and school aged children who may be experiencing feelings of anxiousness and/or sadness.
(919) 759-6187 View (919) 759-6187
Photo of Stephanie J Jones, LCSW, MSW, Clinical Social Work/Therapist
Stephanie J Jones
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Raleigh, NC 27617
Not accepting new clients
I enjoy counseling individuals with a focus on personal growth, social connections, and wellness action planning. I typically work with children, youth, families, and adults at better managing symptoms of anxiety, depression, ADHD, low self-esteem, and family conflict. I utilize eclectic approaches to play therapy, mindfulness, self-esteem enhancement, and cognitive behavioral therapy.
I enjoy counseling individuals with a focus on personal growth, social connections, and wellness action planning. I typically work with children, youth, families, and adults at better managing symptoms of anxiety, depression, ADHD, low self-esteem, and family conflict. I utilize eclectic approaches to play therapy, mindfulness, self-esteem enhancement, and cognitive behavioral therapy.
(919) 289-8121 View (919) 289-8121
Photo of Danielle Hood, LCMHC, LCAS, Counselor
Danielle Hood
Counselor, LCMHC, LCAS
Verified Verified
Raleigh, NC 27609
When you make the decision to take charge of your mental health and venture into therapy, you want to find a therapist who makes you feel comfortable and encouraged. Someone who will listen, understand, and most importantly - care about your therapeutic growth. People seek therapy for numerous reasons, like depression, trauma, anxiety, life transitions, etc. No matter what brings you to therapy, I would love to assist you throughout the process, to reach your goals. "We don't have to do all of it alone. We were never meant to.” -Dr. Brené Brown
When you make the decision to take charge of your mental health and venture into therapy, you want to find a therapist who makes you feel comfortable and encouraged. Someone who will listen, understand, and most importantly - care about your therapeutic growth. People seek therapy for numerous reasons, like depression, trauma, anxiety, life transitions, etc. No matter what brings you to therapy, I would love to assist you throughout the process, to reach your goals. "We don't have to do all of it alone. We were never meant to.” -Dr. Brené Brown
(919) 343-9315 View (919) 343-9315
Photo of Dr. Joi L Johnson, PhD, MA, CCC
Dr. Joi L Johnson
PhD, MA, CCC
Verified Verified
Raleigh, NC 27603
Suicidal thoughts, Hurt, Depression, Anxiety, Stress, Loneliness, Abuse, Domestic Violence, Divorce, Marriage Issues, Broken Relationships…. Shepherd for the Shattered provides confidential counseling to help you cope and overcome.
Suicidal thoughts, Hurt, Depression, Anxiety, Stress, Loneliness, Abuse, Domestic Violence, Divorce, Marriage Issues, Broken Relationships…. Shepherd for the Shattered provides confidential counseling to help you cope and overcome.
(646) 603-1857 View (646) 603-1857
Photo of Shannon R Brennan, MS, LCMHC, NCC
Shannon R Brennan
Licensed Clinical Mental Health Counselor, MS, LCMHC, NCC
Verified Verified
1 Endorsed
Raleigh, NC 27607
Accepting New Clients - I believe life brings varying degrees of struggle and pain, and we can all benefit from help to move through it. I also recognize the bravery it takes to reach out for help, and my goal is to establish an environment where individuals feel comfortable not only reaching out but also in the journey that follows. In my work with adults (18+), I employ client-centered and collaborative methods, meeting individuals where they are and creating a supportive atmosphere to explore their concerns.
Accepting New Clients - I believe life brings varying degrees of struggle and pain, and we can all benefit from help to move through it. I also recognize the bravery it takes to reach out for help, and my goal is to establish an environment where individuals feel comfortable not only reaching out but also in the journey that follows. In my work with adults (18+), I employ client-centered and collaborative methods, meeting individuals where they are and creating a supportive atmosphere to explore their concerns.
(984) 273-2984 View (984) 273-2984
Photo of Kimberly LaPorte - Triangle Healing Center, PLLC: Kimberly LaPorte, MSW, LCSW, Clinical Social Work/Therapist
Triangle Healing Center, PLLC: Kimberly LaPorte
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
5 Endorsed
Raleigh, NC 27615
Are you surviving instead of thriving? Do you feel overwhelmed or anxious? Do you struggle with meaningful connection to yourself or within your relationships? I’m here to help you break free from the patterns that are holding you back & feel empowered to live your best life. I work with adults needing to heal from shock trauma, childhood/attachment wounds, or physical/sexual/emotional abuse. I help to deepen their healing, improve their connection to themselves, expand their capacity & strengthen their relationships through integrating a connection between the mind, the body & building awareness of unhelpful patterns.
Are you surviving instead of thriving? Do you feel overwhelmed or anxious? Do you struggle with meaningful connection to yourself or within your relationships? I’m here to help you break free from the patterns that are holding you back & feel empowered to live your best life. I work with adults needing to heal from shock trauma, childhood/attachment wounds, or physical/sexual/emotional abuse. I help to deepen their healing, improve their connection to themselves, expand their capacity & strengthen their relationships through integrating a connection between the mind, the body & building awareness of unhelpful patterns.
(919) 343-0134 View (919) 343-0134
Photo of Madison Veasey, LCMHC, LCAS, Counselor
Madison Veasey
Counselor, LCMHC, LCAS
Verified Verified
2 Endorsed
Raleigh, NC 27609  (Online Only)
Our mental health is a process, not a destination. And healing does not have to be linear. Whether it be processing trauma, figuring out a life transition, or needing a safe place to express your feelings, our time together is meant to help you find the most effective way to move forward for you. By building a relationship centered on safety, authenticity, and collaboration, I help to foster an environment where you can begin to explore, heal, and grow. You will also occasionally see my dog, Delaney, stop by to make sure we are staying on track!
Our mental health is a process, not a destination. And healing does not have to be linear. Whether it be processing trauma, figuring out a life transition, or needing a safe place to express your feelings, our time together is meant to help you find the most effective way to move forward for you. By building a relationship centered on safety, authenticity, and collaboration, I help to foster an environment where you can begin to explore, heal, and grow. You will also occasionally see my dog, Delaney, stop by to make sure we are staying on track!
(984) 207-3193 View (984) 207-3193
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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
87% Depression
77% Self Esteem
74% Relationship Issues
73% Coping Skills
72% Stress
66% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

85% BlueCross and BlueShield
78% Aetna
58% Cigna and Evernorth

How Therapists in Raleigh, NC see their clients

58% In Person and Online
42% 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.