Photo of Donna Wittrig - Serenity's Journey, MA, LPC, Licensed Professional Counselor
Serenity's Journey
Licensed Professional Counselor, MA, LPC
Verified Verified
Tucson, AZ 85704
Are you experiencing stress, depression, anxiety, panic, worry, fear or ruminating thoughts? Sometimes balancing life, school, work, family commitments, relationships, even our own expectations just push us to a point where we feel out of control or overwhelmed. Do you have a desire or need to make lasting changes for yourself, to improve your relationships and make positive changes?
Are you experiencing stress, depression, anxiety, panic, worry, fear or ruminating thoughts? Sometimes balancing life, school, work, family commitments, relationships, even our own expectations just push us to a point where we feel out of control or overwhelmed. Do you have a desire or need to make lasting changes for yourself, to improve your relationships and make positive changes?
(520) 213-9398 View (520) 213-9398
Photo of Nicole Linn, MEd, MC, LPC, Counselor
Nicole Linn
Counselor, MEd, MC, LPC
Verified Verified
3 Endorsed
Tucson, AZ 85704
Does your child have big emotions, anger, worries, or behaviors that you are struggling to understand? Has your child been through something difficult or just isn’t acting like themselves? If your child is expressing symptoms of anxiety, depression, or unexplained difficulties, a play-based model allows a safe environment to explore their feelings and needs affecting healthy functioning. I specialize in using a genuine, non-judgmental, supportive approach to helping children and families develop new ways of thinking and feeling, as well as learning new sets of skills for making choices and having healthier relationships.
Does your child have big emotions, anger, worries, or behaviors that you are struggling to understand? Has your child been through something difficult or just isn’t acting like themselves? If your child is expressing symptoms of anxiety, depression, or unexplained difficulties, a play-based model allows a safe environment to explore their feelings and needs affecting healthy functioning. I specialize in using a genuine, non-judgmental, supportive approach to helping children and families develop new ways of thinking and feeling, as well as learning new sets of skills for making choices and having healthier relationships.
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Photo of Sultana Graham - Flourish Counseling & Consultation , LCSW, LISAC, Clinical Social Work/Therapist
Flourish Counseling & Consultation
Clinical Social Work/Therapist, LCSW, LISAC
Verified Verified
2 Endorsed
Tucson, AZ 85704
With over 13 years of experience, I remain passionate and dedicated to serving individuals navigating trauma, anxiety, grief, and issues related to eating and addiction. In counseling sessions, you can expect unconditional kindness and acceptance with a focus on personal and cultural strengths.
With over 13 years of experience, I remain passionate and dedicated to serving individuals navigating trauma, anxiety, grief, and issues related to eating and addiction. In counseling sessions, you can expect unconditional kindness and acceptance with a focus on personal and cultural strengths.
(520) 317-6966 View (520) 317-6966
Photo of Gabriel Lobato - Present Hope Therapy, MA, LAC, Counselor
Present Hope Therapy
Counselor, MA, LAC
Verified Verified
1 Endorsed
Tucson, AZ 85704
There are times in life when additional support is necessary to ensure our success at effectively meeting and overcoming challenges. Therapy provides us with a safe space to explore our needs, fears, and desires and an opportunity to grow, learn, and experience a more fulfilling, productive, and balanced life. Psychotherapy does not offer solutions or take sides. Instead, you will be supported in working out solutions according to your own personal values and lifestyle. Seeking professional support shows courage and willingness to deal with many changes.
There are times in life when additional support is necessary to ensure our success at effectively meeting and overcoming challenges. Therapy provides us with a safe space to explore our needs, fears, and desires and an opportunity to grow, learn, and experience a more fulfilling, productive, and balanced life. Psychotherapy does not offer solutions or take sides. Instead, you will be supported in working out solutions according to your own personal values and lifestyle. Seeking professional support shows courage and willingness to deal with many changes.
(520) 666-8139 View (520) 666-8139
Photo of Bill Couthran - William Couthran PsyD PLLC, PsyD, Psychologist
William Couthran PsyD PLLC
Psychologist, PsyD
Verified Verified
2 Endorsed
Tucson, AZ 85704  (Online Only)
Hurting? Worried? Anxious? Sad? Are you in trouble? How about your child, family, marriage, or loved one? Life can be tough, it is much harder when you are hurting. Have you checked out of life, your friendships, work, or school? Life at times will slap even the most determined person around. You are reading this because some aspect of your life is no longer working like you want it too. It happens to the best of us. You want answers, you are ready to do something.
Hurting? Worried? Anxious? Sad? Are you in trouble? How about your child, family, marriage, or loved one? Life can be tough, it is much harder when you are hurting. Have you checked out of life, your friendships, work, or school? Life at times will slap even the most determined person around. You are reading this because some aspect of your life is no longer working like you want it too. It happens to the best of us. You want answers, you are ready to do something.
(520) 214-8676 View (520) 214-8676
Photo of Adrienne Horne, MSc, NCC, LPC, Licensed Professional Counselor
Adrienne Horne
Licensed Professional Counselor, MSc, NCC, LPC
Verified Verified
Tucson, AZ 85704  (Online Only)
Not accepting new clients
I enjoy helping my clients grow, heal, and thrive! My counseling approach is positive, strengths-based, and built on a foundation of active listening, respect, kindness, and encouragement. I provide a safe, supportive, nonjudgmental space for you to express and explore your thoughts, feelings, and experiences. I consider counseling a collaborative process with the purpose of helping you achieve your goals for positive change, healing, and personal growth. You can expect me to be a skillful helper, a knowledgeable guide, and a compassionate presence with you on your journey.
I enjoy helping my clients grow, heal, and thrive! My counseling approach is positive, strengths-based, and built on a foundation of active listening, respect, kindness, and encouragement. I provide a safe, supportive, nonjudgmental space for you to express and explore your thoughts, feelings, and experiences. I consider counseling a collaborative process with the purpose of helping you achieve your goals for positive change, healing, and personal growth. You can expect me to be a skillful helper, a knowledgeable guide, and a compassionate presence with you on your journey.
(520) 348-2118 View (520) 348-2118
Photo of Aurora Thrush, LPC, TF-CBT, Licensed Professional Counselor
Aurora Thrush
Licensed Professional Counselor, LPC, TF-CBT
Verified Verified
1 Endorsed
Tucson, AZ 85704
Desert Life Psychotherapy provides a space to explore emotional and relational difficulties related to depression, anxiety, family conflict, and interpersonal struggles in day to day life. I provide counseling to teens and adults who are ready to begin understanding themselves in order to create a brighter and more productive future. I am most effective at treating individuals and families who are ready to understand the underlying issues leading to current symptoms through self-exploration, and are looking for insight to create lasting change in their lives.
Desert Life Psychotherapy provides a space to explore emotional and relational difficulties related to depression, anxiety, family conflict, and interpersonal struggles in day to day life. I provide counseling to teens and adults who are ready to begin understanding themselves in order to create a brighter and more productive future. I am most effective at treating individuals and families who are ready to understand the underlying issues leading to current symptoms through self-exploration, and are looking for insight to create lasting change in their lives.
(520) 277-3222 View (520) 277-3222
Photo of Sherrill Koogler, LCSW, RPT-S, Clinical Social Work/Therapist
Sherrill Koogler
Clinical Social Work/Therapist, LCSW, RPT-S
Verified Verified
Tucson, AZ 85704
Are you frustrated with your child’s behavior? Are you receiving phone calls from your child’s school? Is your child having difficulty regulating emotions and following directions? Both parents and children become frustrated and their relationship suffers. I use the language of play to connect with children and help them learn to express their needs in a safe manner. I specialize in working with children who have difficulty managing emotions and behavior at home and at school.
Are you frustrated with your child’s behavior? Are you receiving phone calls from your child’s school? Is your child having difficulty regulating emotions and following directions? Both parents and children become frustrated and their relationship suffers. I use the language of play to connect with children and help them learn to express their needs in a safe manner. I specialize in working with children who have difficulty managing emotions and behavior at home and at school.
(520) 462-8867 View (520) 462-8867
Photo of Elahe Toutaiolepo-Bellinger, LCSW, Clinical Social Work/Therapist
Elahe Toutaiolepo-Bellinger
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tucson, AZ 85704  (Online Only)
Are you experiencing patterns of behaviors that you find difficult to change? Do you feel stuck and frustrated by repeated failures to improve certain aspects of yourself? Are you struggling with negative self-talk and conflicting internal dialogue? If so, therapy may be a helpful option for you. As a human being, we all have an innate ability to heal and often our minds and bodies automatically stretch towards this healing. The challenge is that often times we are engaged in old healing/adaptive patterns that no longer serve us and therapy can help with the creation and revising of these patterns for a healthier way of life.
Are you experiencing patterns of behaviors that you find difficult to change? Do you feel stuck and frustrated by repeated failures to improve certain aspects of yourself? Are you struggling with negative self-talk and conflicting internal dialogue? If so, therapy may be a helpful option for you. As a human being, we all have an innate ability to heal and often our minds and bodies automatically stretch towards this healing. The challenge is that often times we are engaged in old healing/adaptive patterns that no longer serve us and therapy can help with the creation and revising of these patterns for a healthier way of life.
(623) 246-4609 View (623) 246-4609
Photo of Celeste Oros McBirnie, LPC, MC, BHP, Counselor
Celeste Oros McBirnie
Counselor, LPC, MC, BHP
Verified Verified
1 Endorsed
Tucson, AZ 85704
I have had the pleasure of working as a therapist for over 10 years and look forward to discussing ways to support you.
I have had the pleasure of working as a therapist for over 10 years and look forward to discussing ways to support you.
(928) 212-5615 View (928) 212-5615
Photo of Margie Williams, MC, NCC-BC, CADCIII, LISAC, LPC, Licensed Professional Counselor
Margie Williams
Licensed Professional Counselor, MC, NCC-BC, CADCIII, LISAC, LPC
Verified Verified
1 Endorsed
Tucson, AZ 85704
Waitlist for new clients
It's hard to be happy when your life is out of balance: You feel down or sad. The activities you used to enjoy are no longer fun. You have no energy. Everything stresses you out. You feel like crying. You want to crawl into a hole and pull the hole in with you. Maybe you're hurt and angry over a relationship. Maybe you're a teenager whose parents don't understand you or you're the parent of a kid who's making dangerous choices. Maybe you're a young adult who has discovered that "adulting" is a lot harder than you thought.
It's hard to be happy when your life is out of balance: You feel down or sad. The activities you used to enjoy are no longer fun. You have no energy. Everything stresses you out. You feel like crying. You want to crawl into a hole and pull the hole in with you. Maybe you're hurt and angry over a relationship. Maybe you're a teenager whose parents don't understand you or you're the parent of a kid who's making dangerous choices. Maybe you're a young adult who has discovered that "adulting" is a lot harder than you thought.
(520) 955-5111 View (520) 955-5111
Photo of Debra Urken, LCSW, Clinical Social Work/Therapist
Debra Urken
Clinical Social Work/Therapist, LCSW
Verified Verified
Tucson, AZ 85704
Is your child or teen feeling stressed, anxious, and/or depressed? Does he/she need ways to cope with difficult thoughts, strong emotions, a life transition, and/or stressful social situations? Does he/she want to learn not only how to cope, but how to thrive? Or are you a young adult (18-25 years old) struggling with depression or anxiety? Do you need support as you work toward building a rich, meaningful life? Would you like help processing traumatic experiences? Expressive arts therapy and body-oriented therapy are especially useful when "words are not enough".
Is your child or teen feeling stressed, anxious, and/or depressed? Does he/she need ways to cope with difficult thoughts, strong emotions, a life transition, and/or stressful social situations? Does he/she want to learn not only how to cope, but how to thrive? Or are you a young adult (18-25 years old) struggling with depression or anxiety? Do you need support as you work toward building a rich, meaningful life? Would you like help processing traumatic experiences? Expressive arts therapy and body-oriented therapy are especially useful when "words are not enough".
(520) 447-1335 View (520) 447-1335
Photo of Michelle Caldwell, LAC, MS, Counselor
Michelle Caldwell
Counselor, LAC, MS
Verified Verified
Tucson, AZ 85704
If you find yourself today experiencing feelings of anxiety, depression, struggling with loneliness, finances, or relational or physical boundaries. I believe these emotions can be your body sounding off the alarm bells, letting you know that something, someone, or some circumstance does not feel safe. The goal is not just about coping with life challenges; it’s about increasing awareness of circumstances causing discomfort or pain and developing new patterns to replace non-serving ones.
If you find yourself today experiencing feelings of anxiety, depression, struggling with loneliness, finances, or relational or physical boundaries. I believe these emotions can be your body sounding off the alarm bells, letting you know that something, someone, or some circumstance does not feel safe. The goal is not just about coping with life challenges; it’s about increasing awareness of circumstances causing discomfort or pain and developing new patterns to replace non-serving ones.
(520) 523-5519 View (520) 523-5519
Photo of James Anthony Casadia, MSW, MDiv, LCSW, LCADC, Clinical Social Work/Therapist
James Anthony Casadia
Clinical Social Work/Therapist, MSW, MDiv, LCSW, LCADC
Verified Verified
Tucson, AZ 85704
Helping people reach their personal goals is one of the most rewarding parts of my work as a therapist. I believe that we carry the means of healing and growth within us. Therefore, you as the client will choose the direction of therapy. Many times, we just need some help listening to ourselves, clarifying our goals, and choosing the means to reach them. I see myself as a guide and resource on your journey; you decide where we are going and I do everything I can to help you get there. The sessions and course of treatment will be as structured or free-flowing as you decide.
Helping people reach their personal goals is one of the most rewarding parts of my work as a therapist. I believe that we carry the means of healing and growth within us. Therefore, you as the client will choose the direction of therapy. Many times, we just need some help listening to ourselves, clarifying our goals, and choosing the means to reach them. I see myself as a guide and resource on your journey; you decide where we are going and I do everything I can to help you get there. The sessions and course of treatment will be as structured or free-flowing as you decide.
(520) 302-5077 View (520) 302-5077
Photo of Tristan Mitchell-Shannon - Gender Identity Center, LAC, Counselor
Tristan Mitchell-Shannon - Gender Identity Center
Counselor, LAC
Verified Verified
9 Endorsed
Tucson, AZ 85704
I am a Licensed Associate Counselor, holding a Master’s degree in Community and Trauma Counseling. In 2016 I received my Bachelor’s degree in Women’s, Gender, and Sexuality studies and I could not be more excited to walk alongside you in your identity journey! No matter what part of it you are in, everyone deserves a kind person to lean on for support. I value autonomy and your ability to make decisions that feel best for you, even if it takes some time to figure out what those are. Therapy, inherently, is a very vulnerable process but seeking it out when life has been challenging is a brave decision.
I am a Licensed Associate Counselor, holding a Master’s degree in Community and Trauma Counseling. In 2016 I received my Bachelor’s degree in Women’s, Gender, and Sexuality studies and I could not be more excited to walk alongside you in your identity journey! No matter what part of it you are in, everyone deserves a kind person to lean on for support. I value autonomy and your ability to make decisions that feel best for you, even if it takes some time to figure out what those are. Therapy, inherently, is a very vulnerable process but seeking it out when life has been challenging is a brave decision.
(520) 391-6435 View (520) 391-6435
Photo of Audrey Schackart, LCSW, Clinical Social Work/Therapist
Audrey Schackart
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Tucson, AZ 85704
Current Immediate Availability. It starts so small. Some frustration here, some outbursts there, avoiding situations that trigger uncomfortable emotions, occasional episodes of sadness or anxiety. Gradually it gets worse. Suddenly you find little joy in life, you don’t recognize yourself in the mirror, and you are spending the days feeling stuck in the intensity of these emotions and thoughts that control your life. Maybe you are watching your child experience these things and are feeling helpless seeing them struggle. It is time for change, time for healing, but you just are not sure how or where to start.
Current Immediate Availability. It starts so small. Some frustration here, some outbursts there, avoiding situations that trigger uncomfortable emotions, occasional episodes of sadness or anxiety. Gradually it gets worse. Suddenly you find little joy in life, you don’t recognize yourself in the mirror, and you are spending the days feeling stuck in the intensity of these emotions and thoughts that control your life. Maybe you are watching your child experience these things and are feeling helpless seeing them struggle. It is time for change, time for healing, but you just are not sure how or where to start.
(520) 597-7687 View (520) 597-7687
Photo of Jerimya Fox, DBH, MA, NCC, LPC, Licensed Professional Counselor
Jerimya Fox
Licensed Professional Counselor, DBH, MA, NCC, LPC
Verified Verified
Tucson, AZ 85704
Dr. Jerimya Fox is a Doctor of Behavioral Health, meaning his focus is on helping you identify and change behaviors that are causing problems in your life. He is focused on providing evidenced based brief-behavioral treatment. He is an expert on brief- behavioral treatment for ADHD. Once you identify the root of the problem, and stop just treating symptoms, you will achieve control over the choices in your life. Once you have achieved that control, these choices will create healthy changes and outcomes.
Dr. Jerimya Fox is a Doctor of Behavioral Health, meaning his focus is on helping you identify and change behaviors that are causing problems in your life. He is focused on providing evidenced based brief-behavioral treatment. He is an expert on brief- behavioral treatment for ADHD. Once you identify the root of the problem, and stop just treating symptoms, you will achieve control over the choices in your life. Once you have achieved that control, these choices will create healthy changes and outcomes.
(520) 447-4953 View (520) 447-4953
Photo of Brittany Cabezas, LCSW, Clinical Social Work/Therapist
Brittany Cabezas
Clinical Social Work/Therapist, LCSW
Verified Verified
Tucson, AZ 85704  (Online Only)
Humans are resilient and have an innate ability to heal. My goal is to meet you where you are currently at and build the therapeutic rapport necessary to assist you in your process of learning, growing and changing your circumstances by challenging things that no longer serve you. I provide a safe space, free of judgement, so you can show up authentically. We will work together to achieve your therapeutic goals by utilizing a variety of modalities, customized to your individual needs, with a strengths-based approach.
Humans are resilient and have an innate ability to heal. My goal is to meet you where you are currently at and build the therapeutic rapport necessary to assist you in your process of learning, growing and changing your circumstances by challenging things that no longer serve you. I provide a safe space, free of judgement, so you can show up authentically. We will work together to achieve your therapeutic goals by utilizing a variety of modalities, customized to your individual needs, with a strengths-based approach.
(520) 386-0286 View (520) 386-0286
Photo of Angela Daniels-Valenzuela, ATR-BC, LISAC, Art Therapist
Angela Daniels-Valenzuela
Art Therapist, ATR-BC, LISAC
Verified Verified
1 Endorsed
Tucson, AZ 85704
Art Therapy is a therapeutic technique which allows you to explore various issues through art-making that can sometimes be difficult to express through traditional talk therapy. ​ The process of creating art can foster healing, increase self-awareness, and provide personal empowerment. Art Therapy is a unique form of therapy that allows you to take an active and creative role in the treatment process. ​ No previous art experience is needed, as you don’t have to be good at art to benefit from art therapy. The focus is on the process of creating the art rather than the final image.
Art Therapy is a therapeutic technique which allows you to explore various issues through art-making that can sometimes be difficult to express through traditional talk therapy. ​ The process of creating art can foster healing, increase self-awareness, and provide personal empowerment. Art Therapy is a unique form of therapy that allows you to take an active and creative role in the treatment process. ​ No previous art experience is needed, as you don’t have to be good at art to benefit from art therapy. The focus is on the process of creating the art rather than the final image.
(520) 231-7148 View (520) 231-7148
Photo of Dr. Diane Fairhurst Ryan, DBH, LPC, Licensed Professional Counselor
Dr. Diane Fairhurst Ryan
Licensed Professional Counselor, DBH, LPC
Verified Verified
Tucson, AZ 85704
Clients seek counseling for a wide and very personal variety of reasons They may be dealing with issues in their relationships or career; they may be facing life transitions or the demands of a new role, or be faced with life-impacting decisions. Alcohol, drugs, eating disorders, and ADHD may present obstacles for individuals, their partners and their friends and families, impairing connection and threatening stability. Trauma, anxiety, insomnia and physical challenges may create additional barriers.
Clients seek counseling for a wide and very personal variety of reasons They may be dealing with issues in their relationships or career; they may be facing life transitions or the demands of a new role, or be faced with life-impacting decisions. Alcohol, drugs, eating disorders, and ADHD may present obstacles for individuals, their partners and their friends and families, impairing connection and threatening stability. Trauma, anxiety, insomnia and physical challenges may create additional barriers.
(520) 214-5490 View (520) 214-5490
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How does your Therapist compare?

Number of Therapists in 85704

100+

Average cost per session

$135

Therapists in 85704 who prioritize treating:

91% Anxiety
87% Depression
80% Relationship Issues
78% Self Esteem
72% Trauma and PTSD
70% Grief
64% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

80% Aetna
73% BlueCross and BlueShield
65% UnitedHealthcare UHC | UBH

How Therapists in 85704 see their clients

80% In Person and Online
20% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 85704?

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.