Therapists in Berwyn Heights, MD

Photo of Dione L Finney, MS, NCC, LCPC, Pastoral Counselor
Dione L Finney
Pastoral Counselor, MS, NCC, LCPC
Verified Verified
1 Endorsed
Berwyn Heights, MD 20740  (Online Only)
Have you come to the place where life is overwhelming and repeated destructive behaviors, or worry, is chiseling away at your sense of quiet confidence? No matter what has brought you to this moment, you do not have to go it alone. You have found an objective, confidential and experienced source of help and I applaud your bravery to talk with someone. My clinical work includes, but is not limited to issues of grief, relationships, depression, self-esteem, anxiety and more, among women, adults, and seniors. I provide premarital and marital counseling utilizing the Prepare/Enrich assessment program.
Have you come to the place where life is overwhelming and repeated destructive behaviors, or worry, is chiseling away at your sense of quiet confidence? No matter what has brought you to this moment, you do not have to go it alone. You have found an objective, confidential and experienced source of help and I applaud your bravery to talk with someone. My clinical work includes, but is not limited to issues of grief, relationships, depression, self-esteem, anxiety and more, among women, adults, and seniors. I provide premarital and marital counseling utilizing the Prepare/Enrich assessment program.
(240) 772-5553 View (240) 772-5553
Photo of Gillian Andrea Blackman-Diarra, LCSW-C, Clinical Social Work/Therapist
Gillian Andrea Blackman-Diarra
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Berwyn Heights, MD 20740
I am a Licensed Clinical Social Worker in private practice, licensed in the state of Maryland. My goal is to teach and enpower individuals/couples to cope with their feelings by building a safe and collaborative relationship in which they feel comfortable exploring their thoughts and experiences.
I am a Licensed Clinical Social Worker in private practice, licensed in the state of Maryland. My goal is to teach and enpower individuals/couples to cope with their feelings by building a safe and collaborative relationship in which they feel comfortable exploring their thoughts and experiences.
(240) 348-5108 View (240) 348-5108
Photo of Sheila Osbourne - S.AF.E. Counseling Services, LLC, PhD, LCPC, NCC
S.AF.E. Counseling Services, LLC
Licensed Clinical Professional Counselor, PhD, LCPC, NCC
Verified Verified
Berwyn Heights, MD 20740
Feeling like you are not living a life that is authentic to your sense of Self can leave you feeling like you are not living a life of purpose. "Who am I, or I am more than this, or I don't know who I am suppose to be" are words that can leave you feeling lost, empty, and full of fear. That fear can manifest in anger, abuse, violence and self-loathing. Through working with me, I can help you learn to love yourself, surrender negative thoughts and teach you how to get to your best Self.
Feeling like you are not living a life that is authentic to your sense of Self can leave you feeling like you are not living a life of purpose. "Who am I, or I am more than this, or I don't know who I am suppose to be" are words that can leave you feeling lost, empty, and full of fear. That fear can manifest in anger, abuse, violence and self-loathing. Through working with me, I can help you learn to love yourself, surrender negative thoughts and teach you how to get to your best Self.
(301) 691-4658 View (301) 691-4658

More Therapists Nearby

Photo of Kytana Priebe, MA, LCPAT, ATR-BC, Art Therapist
Kytana Priebe
Art Therapist, MA, LCPAT, ATR-BC
Verified Verified
2 Endorsed
Riverdale, MD 20737  (Online Only)
Welcome, just as you are! I'm a licensed and trauma-informed art psychotherapist in Maryland with more than 8 years of experience supporting teens and young adults in the healing of complex trauma. As a member myself, I am passionate about working with the LGBTQIA2s+ and chronic illness communities; and those experiencing the wide spectrum of dissociation and plurality. I draw from and integrate my own experiences as a wounded healer and the wealth of wisdom I've learned from each of my courageous clients. In our sessions, I strive to give all parts of you "permission to be" with the belief that there are "no bad parts."
Welcome, just as you are! I'm a licensed and trauma-informed art psychotherapist in Maryland with more than 8 years of experience supporting teens and young adults in the healing of complex trauma. As a member myself, I am passionate about working with the LGBTQIA2s+ and chronic illness communities; and those experiencing the wide spectrum of dissociation and plurality. I draw from and integrate my own experiences as a wounded healer and the wealth of wisdom I've learned from each of my courageous clients. In our sessions, I strive to give all parts of you "permission to be" with the belief that there are "no bad parts."
(240) 301-3832 View (240) 301-3832
Photo of Beatrice Aina, LMSW, Clinical Social Work/Therapist
Beatrice Aina
Clinical Social Work/Therapist, LMSW
Verified Verified
College Park, MD 20742  (Online Only)
“Mental health is not a destination, but a process. It’s about how you drive, not where you’re going” – Noam Shpancer, PHD. Sometimes in life we reach a point where we lose focus on the things critical to improving/maintaining our mental health and overall quality of life. I myself have once reached that point and it was then I realized the importance of having a strong network of support, including a therapist. I have come to learn that a tremendous amount of people feel alone, left out, or unheard; and so, I strive to create a safe space for people to be seen, heard, understood, and valued.
“Mental health is not a destination, but a process. It’s about how you drive, not where you’re going” – Noam Shpancer, PHD. Sometimes in life we reach a point where we lose focus on the things critical to improving/maintaining our mental health and overall quality of life. I myself have once reached that point and it was then I realized the importance of having a strong network of support, including a therapist. I have come to learn that a tremendous amount of people feel alone, left out, or unheard; and so, I strive to create a safe space for people to be seen, heard, understood, and valued.
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Photo of Hannah E Gould, LCSW-C, Clinical Social Work/Therapist
Hannah E Gould
Clinical Social Work/Therapist, LCSW-C
Verified Verified
Greenbelt, MD 20770
Whether you are making life changes, have depression or anxiety, changing moods, low self esteem, are in recovery from alcoholism/addiction or co-dependence, have a chronic/disabling physical illness or are exploring your spirituality, we will together develop achievable goals to change your outlook and enrich your life.
Whether you are making life changes, have depression or anxiety, changing moods, low self esteem, are in recovery from alcoholism/addiction or co-dependence, have a chronic/disabling physical illness or are exploring your spirituality, we will together develop achievable goals to change your outlook and enrich your life.
(240) 895-9479 View (240) 895-9479
Photo of Maya Foster - Washington Area Clinical Center, MS, LCMFT, Marriage & Family Therapist
Washington Area Clinical Center
Marriage & Family Therapist, MS, LCMFT
Verified Verified
4 Endorsed
College Park, MD 20741
When we avoid dealing with painful emotions and experiences, we allow emotional wounds to develop. Emotional wounds are just as serious as physical wounds, and need just as much attention and care. When we neglect emotional injuries, we allow the wounds to fester and infect other areas of our life. Our therapeutic style focuses on confronting painful emotions and understanding their role in interpersonal emotional reactivity. For this reason, therapy is intense and emotionally heightened. It brings out individuals' most vulnerable emotions and promotes the expression of the true self.
When we avoid dealing with painful emotions and experiences, we allow emotional wounds to develop. Emotional wounds are just as serious as physical wounds, and need just as much attention and care. When we neglect emotional injuries, we allow the wounds to fester and infect other areas of our life. Our therapeutic style focuses on confronting painful emotions and understanding their role in interpersonal emotional reactivity. For this reason, therapy is intense and emotionally heightened. It brings out individuals' most vulnerable emotions and promotes the expression of the true self.
(240) 767-4240 View (240) 767-4240
Photo of Yetta Lyle, LCPC, Counselor
Yetta Lyle
Counselor, LCPC
Verified Verified
Greenbelt, MD 20770
My speciality is helping people reach their GOALS . Talking to me is as comfortable as talking to your BEST friend. I meet each client were they are and help them get to were they want to be. I have 8 years of professional and hands-on experience working with clients who have Mental Health DX, trying to find their way in life and couples who are looking to enrich their relationship.
My speciality is helping people reach their GOALS . Talking to me is as comfortable as talking to your BEST friend. I meet each client were they are and help them get to were they want to be. I have 8 years of professional and hands-on experience working with clients who have Mental Health DX, trying to find their way in life and couples who are looking to enrich their relationship.
(301) 804-6116 View (301) 804-6116
Photo of Briana Rahming,  LCSW-C, Clinical Social Work/Therapist
Briana Rahming
Clinical Social Work/Therapist, LCSW-C
Verified Verified
College Park, MD 20740
My ideal client is motivated for therapy. Their issues can include spiritual confusion, perinatal struggles, relationship concerns, family conflict, boundary needs, and/or a desire for greater self-awareness. They desire true change, which comes with a combination of empathy, education, and constructive feedback, if necessary, from the clinician.
My ideal client is motivated for therapy. Their issues can include spiritual confusion, perinatal struggles, relationship concerns, family conflict, boundary needs, and/or a desire for greater self-awareness. They desire true change, which comes with a combination of empathy, education, and constructive feedback, if necessary, from the clinician.
(240) 916-2148 View (240) 916-2148
Photo of Victoria Rogers - Waves of Wellness Studio, LCPC, C-DBT, Counselor
Waves of Wellness Studio
Counselor, LCPC, C-DBT
Verified Verified
3 Endorsed
College Park, MD 20742
Here at Waves of Wellness Studio, our number one goal is to help you create a balanced and fulfilling life that you want to live. As a trauma-informed practice, we provide a safe, non-judgmental, and collaborative atmosphere as we support clients dealing with a variety of symptoms and experiences that are impacting you from living the life you want to live. We are passionate about making wellness a down-to-earth practice while helping individuals heal from past experiences, as well as current stressors and obstacles.
Here at Waves of Wellness Studio, our number one goal is to help you create a balanced and fulfilling life that you want to live. As a trauma-informed practice, we provide a safe, non-judgmental, and collaborative atmosphere as we support clients dealing with a variety of symptoms and experiences that are impacting you from living the life you want to live. We are passionate about making wellness a down-to-earth practice while helping individuals heal from past experiences, as well as current stressors and obstacles.
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Photo of Delicia Williams, CAC-AD, MACP, MACMHC, Drug & Alcohol Counselor
Delicia Williams
Drug & Alcohol Counselor, CAC-AD, MACP, MACMHC
Verified Verified
Riverdale, MD 20737  (Online Only)
Licensed Drug & Alcohol Counselor and Pre-LCPC in MD; Intern with C & A Behavioral Healthcare Services. Supporting adults, adolescents, and children to cope with substance use disorder and all its challenges is a proud arena I have served for over 23 years. Utilizing various counseling techniques to support treatment is standard. Treating clients with respect, empathy, and positive regard is priority. Providing Behavioral Health Crisis Management, Suicide Prevention, Trauma-Focused care wrapped in the elements of substance use with DBT and CBT engagements aligned with management care across the lifespan.
Licensed Drug & Alcohol Counselor and Pre-LCPC in MD; Intern with C & A Behavioral Healthcare Services. Supporting adults, adolescents, and children to cope with substance use disorder and all its challenges is a proud arena I have served for over 23 years. Utilizing various counseling techniques to support treatment is standard. Treating clients with respect, empathy, and positive regard is priority. Providing Behavioral Health Crisis Management, Suicide Prevention, Trauma-Focused care wrapped in the elements of substance use with DBT and CBT engagements aligned with management care across the lifespan.
(240) 474-0780 View (240) 474-0780
Photo of Jeffrey Crouch, LCSW, Clinical Social Work/Therapist
Jeffrey Crouch
Clinical Social Work/Therapist, LCSW
Verified Verified
Hyattsville, MD 20783  (Online Only)
Working with adults, children and couples I use a variety of modalities including mindfullness, cognitive, DBT & exposure therapy. In working with couples I focus on improving their communication skills & their emotional closeness. I also specialize in treating PTSD, OCD, phobias and GAD using exposure therapy.
Working with adults, children and couples I use a variety of modalities including mindfullness, cognitive, DBT & exposure therapy. In working with couples I focus on improving their communication skills & their emotional closeness. I also specialize in treating PTSD, OCD, phobias and GAD using exposure therapy.
(240) 209-9945 View (240) 209-9945
Photo of Stacy Saunders, PsyD, Psychologist
Stacy Saunders
Psychologist, PsyD
Verified Verified
1 Endorsed
College Park, MD 20740  (Online Only)
My goal is to meet people where they’re at along their journey with understanding and acceptance. Practicing independently since 2009, I have had the pleasure of working with people from all walks of life, backgrounds, and cultures. I believe therapy is a tool to cultivate meaningful change that allows us to live more fully in the present. I consider it a privilege to help others gain insight, find acceptance, and change unhelpful thinking patterns so they can feel more satisfied with life. In my approach, all personal goals are respected and valued. I believe everyone can be successful in their personal growth with the right tools.
My goal is to meet people where they’re at along their journey with understanding and acceptance. Practicing independently since 2009, I have had the pleasure of working with people from all walks of life, backgrounds, and cultures. I believe therapy is a tool to cultivate meaningful change that allows us to live more fully in the present. I consider it a privilege to help others gain insight, find acceptance, and change unhelpful thinking patterns so they can feel more satisfied with life. In my approach, all personal goals are respected and valued. I believe everyone can be successful in their personal growth with the right tools.
(703) 686-5457 View (703) 686-5457
Photo of Shendi Ramli-Hernandez
Shendi Ramli-Hernandez
Licensed Clinical Professional Counselor
Verified Verified
Hyattsville, MD 20783  (Online Only)
Hi, I am a psychotherapist with 20+ years of experience in the mental health field. For the past 10+ years, I have specialized in working with trauma survivors with diverse backgrounds, including gender identity, age, racial/ethnicity, and sexual orientation. I have been trained in various treatment modalities, including CBT, DBT, Sandtray therapy modality, play therapy, EMDR, Crisis Intervention, and recently Somatic Experiencing. As a Somatic Experiencing Practitioner, my works focus on helping clients overcome past trauma by establishing a sense of safety within the body, emotional regulation, and nervous system stabilization.
Hi, I am a psychotherapist with 20+ years of experience in the mental health field. For the past 10+ years, I have specialized in working with trauma survivors with diverse backgrounds, including gender identity, age, racial/ethnicity, and sexual orientation. I have been trained in various treatment modalities, including CBT, DBT, Sandtray therapy modality, play therapy, EMDR, Crisis Intervention, and recently Somatic Experiencing. As a Somatic Experiencing Practitioner, my works focus on helping clients overcome past trauma by establishing a sense of safety within the body, emotional regulation, and nervous system stabilization.
(240) 363-5618 View (240) 363-5618
Photo of Katrina Carter - Be Still and Know Counseling and Consulting, LLC, LICSW, LCSW-C, MDiv, Clinical Social Work/Therapist
Be Still and Know Counseling and Consulting, LLC
Clinical Social Work/Therapist, LICSW, LCSW-C, MDiv
Verified Verified
1 Endorsed
Adelphi, MD 20783  (Online Only)
Be Still and Know... speaks to each of us as individuals and groups as we move along life's journey. We are so used to constantly moving that we don't take the time to be still; -to think, feel, or discern what we are experiencing in life. This constant moving causes us to miss out on the opportunity to understand and resolve what we are going through. Therapy can be a supportive and meaningful way to understand and resolve the concerns and issues that occur. I seek to help all individuals who want to learn how to deal with life's challenges in an inclusive, affirming, and supportive environment.
Be Still and Know... speaks to each of us as individuals and groups as we move along life's journey. We are so used to constantly moving that we don't take the time to be still; -to think, feel, or discern what we are experiencing in life. This constant moving causes us to miss out on the opportunity to understand and resolve what we are going through. Therapy can be a supportive and meaningful way to understand and resolve the concerns and issues that occur. I seek to help all individuals who want to learn how to deal with life's challenges in an inclusive, affirming, and supportive environment.
(301) 781-6174 View (301) 781-6174
Photo of Robin B Newell, LCSW-C, Clinical Social Work/Therapist
Robin B Newell
Clinical Social Work/Therapist, LCSW-C
Verified Verified
1 Endorsed
Hyattsville, MD 20783  (Online Only)
Are you struggling with feelings of being stuck or overwhelmed? My approach is rooted in empathy, active listening, and collaboration, fostering a trusting therapeutic relationship. Whether addressing anxiety, depression, trauma, or relationship issues, I am dedicated to guiding my clients toward healing and personal growth. My mission is to facilitate positive change, resilience, and emotional well-being in the lives of those I serve.
Are you struggling with feelings of being stuck or overwhelmed? My approach is rooted in empathy, active listening, and collaboration, fostering a trusting therapeutic relationship. Whether addressing anxiety, depression, trauma, or relationship issues, I am dedicated to guiding my clients toward healing and personal growth. My mission is to facilitate positive change, resilience, and emotional well-being in the lives of those I serve.
(240) 594-8172 View (240) 594-8172
Photo of Tiffany Jerinsky, MS, LGPC, CTP, Counselor
Tiffany Jerinsky
Counselor, MS, LGPC, CTP
Verified Verified
1 Endorsed
College Park, MD 20742  (Online Only)
I am a counselor with years of experience working with clients who are managing depression, anxiety, and chronic illnesses. I have specialized training in working with those who experience interpersonal violence and sexual assault/abuse. When an individual survives a trauma or hardship it can be extremely difficult to cope and obtain fulfillment. Whatever the struggle is I believe in helping clients identify their strengths in order to overcome the obstacle.
I am a counselor with years of experience working with clients who are managing depression, anxiety, and chronic illnesses. I have specialized training in working with those who experience interpersonal violence and sexual assault/abuse. When an individual survives a trauma or hardship it can be extremely difficult to cope and obtain fulfillment. Whatever the struggle is I believe in helping clients identify their strengths in order to overcome the obstacle.
(202) 301-8321 View (202) 301-8321
Photo of Taelon Um, LMSW, Clinical Social Work/Therapist
Taelon Um
Clinical Social Work/Therapist, LMSW
Verified Verified
College Park, MD 20740
My ideal client may need help with confidence, relationships, or learning who they are. They aim to reduce symptoms of clinical diagnoses and work with me to see progress in their lives. This client would want to learn more about themselves and improve their relationships with others and with themselves. They would be a motivated and insightful client who attends sessions regularly and comes prepared with topics to discuss. I would help this client by listening to them and their thoughts, offering support, and building a rapport with them.
My ideal client may need help with confidence, relationships, or learning who they are. They aim to reduce symptoms of clinical diagnoses and work with me to see progress in their lives. This client would want to learn more about themselves and improve their relationships with others and with themselves. They would be a motivated and insightful client who attends sessions regularly and comes prepared with topics to discuss. I would help this client by listening to them and their thoughts, offering support, and building a rapport with them.
(667) 802-2445 View (667) 802-2445
Photo of Medpoint Behavioral Health Services - Medpoint Behavioral Health Services, Dr, DNP, CRNP, PMHNP
Medpoint Behavioral Health Services
Dr, DNP, CRNP, PMHNP
Verified Verified
Greenbelt, MD 20770
We provide comprehensive evaluation, treatments, and medication management through a multidisciplinary team of Psychiatrists, Psychiatric Nurse Practitioners and Therapist. Our clinicians provide consistent, quality, and patient-centered mental health services, We ensure to make a difference in the lives of the clients we serve. Together, we work with our clients to improve their quality of life.
We provide comprehensive evaluation, treatments, and medication management through a multidisciplinary team of Psychiatrists, Psychiatric Nurse Practitioners and Therapist. Our clinicians provide consistent, quality, and patient-centered mental health services, We ensure to make a difference in the lives of the clients we serve. Together, we work with our clients to improve their quality of life.
(240) 743-2790 View (240) 743-2790
Photo of Dorthea Lynn Crenshaw, MSW, LCSW-C, Clinical Social Work/Therapist
Dorthea Lynn Crenshaw
Clinical Social Work/Therapist, MSW, LCSW-C
Verified Verified
1 Endorsed
Greenbelt, MD 20770  (Online Only)
I specialize in helping individuals who are facing complex situations to build resilience. I empower them to pursue their life goals, and to navigate adverse life events such as the death of a loved one, or having lost a job, a home or a relationship. You can change the course of your life and I am here to support you. During the COVID-19 pandemic, I am providing telehealth services to clients. I am here to support you and your family during this difficult time.
I specialize in helping individuals who are facing complex situations to build resilience. I empower them to pursue their life goals, and to navigate adverse life events such as the death of a loved one, or having lost a job, a home or a relationship. You can change the course of your life and I am here to support you. During the COVID-19 pandemic, I am providing telehealth services to clients. I am here to support you and your family during this difficult time.
(301) 284-3182 View (301) 284-3182

See more therapy options for Berwyn Heights

How does your Therapist compare?

Number of Therapists in Berwyn Heights, MD

< 10

Therapists in Berwyn Heights, MD who prioritize treating:

100% Depression
100% Anxiety
100% Behavioral Issues
100% Coping Skills
100% Self Esteem
67% Relationship Issues
67% Life Coaching

Average years in practice

4 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% CareFirst

How Therapists in Berwyn Heights, MD see their clients

67% In Person and Online
33% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Berwyn Heights?

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.

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