Therapists in New York, NY

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Photo of Emilia Wojcik in New York, NY
Emilia Wojcik
MHC-LP
Verified Verified
New York, NY 10001  (Online Only)
I have worked with people across different age ranges who experience anxiety, relationship difficulties, depression, borderline personality disorder, substance abuse disorder, schizophrenia, bipolar disorder, and obsessive compulsive disorder.
I have worked with people across different age ranges who experience anxiety, relationship difficulties, depression, borderline personality disorder, substance abuse disorder, schizophrenia, bipolar disorder, and obsessive compulsive disorder.
(929) 335-2139 View (929) 335-2139
Photo of Jill A. Zalayet, Clinical Social Work/Therapist in New York, NY
Jill A. Zalayet
Clinical Social Work/Therapist, DSW, LCSW-R
Verified Verified
New York, NY 10017
I am a Licensed Clinical Social Worker and certified psychoanalyst in New York City. I have been practicing for over 25 years and have advanced training in psychotherapy and psychoanalysis from the American Institute for Psychoanalysis. I see individuals across the lifespan and believe that psychotherapy can provide a rich opportunity for personal growth and healing. My approach is relational and collaborative, focusing on your unique needs. My goal is to provide a safe and comfortable environment, helping you develop a greater capacity for enjoying life and living well.
I am a Licensed Clinical Social Worker and certified psychoanalyst in New York City. I have been practicing for over 25 years and have advanced training in psychotherapy and psychoanalysis from the American Institute for Psychoanalysis. I see individuals across the lifespan and believe that psychotherapy can provide a rich opportunity for personal growth and healing. My approach is relational and collaborative, focusing on your unique needs. My goal is to provide a safe and comfortable environment, helping you develop a greater capacity for enjoying life and living well.
(917) 597-7120 View (917) 597-7120
Photo of Martina De Giorgis, Clinical Social Work/Therapist in New York, NY
Martina De Giorgis
Clinical Social Work/Therapist, JD, LCSW-R
Verified Verified
New York, NY 10028
I work with Adults, Teens and Couples, mostly in Psychotherapy and CBT treatment forms. I specialize in the treatment of Depression, Anxiety, and Relationship issues. In our work clients will identify blocks and beliefs that inhibit their taking charge of their life. I take a collaborative and active role in helping clients develop the skills for making desired changes. The goal is for the patient to develop a more deliberate approach to reaching personal and professional goals, greater vitality and fulfillment. Office hours: M-F 8-8 pm, Sat 9-1pm. Video and phone sessions.
I work with Adults, Teens and Couples, mostly in Psychotherapy and CBT treatment forms. I specialize in the treatment of Depression, Anxiety, and Relationship issues. In our work clients will identify blocks and beliefs that inhibit their taking charge of their life. I take a collaborative and active role in helping clients develop the skills for making desired changes. The goal is for the patient to develop a more deliberate approach to reaching personal and professional goals, greater vitality and fulfillment. Office hours: M-F 8-8 pm, Sat 9-1pm. Video and phone sessions.
(917) 727-7948 View (917) 727-7948
Photo of Tima Hambleton, Clinical Social Work/Therapist in New York, NY
Tima Hambleton
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
New York, NY 10001  (Online Only)
Tima is intensively trained in Dialectical Behavioral Therapy and incorporates the core components of DBT and DBT Skills into her practice. Tima has worked with people of all ages, with a specialty working with incarcerated populations and individuals involved in the criminal justice system. Tima’s previous experience includes working at inpatient psychiatric hospitals, outpatient treatment clinics, jails and prisons, and NYC Criminal Courts.
Tima is intensively trained in Dialectical Behavioral Therapy and incorporates the core components of DBT and DBT Skills into her practice. Tima has worked with people of all ages, with a specialty working with incarcerated populations and individuals involved in the criminal justice system. Tima’s previous experience includes working at inpatient psychiatric hospitals, outpatient treatment clinics, jails and prisons, and NYC Criminal Courts.
(646) 832-4413 View (646) 832-4413
Photo of Anushka Talpur, Counselor in New York, NY
Anushka Talpur
Counselor, LMHC, MSc
Verified Verified
1 Endorsed
New York, NY 10023  (Online Only)
I am a dedicated and highly skilled therapist with over ten years of experience in the field of mental health. I am passionate about helping individuals achieve lasting positive change in their lives. I create a warm, non-judgmental, and empathetic space to explore challenges, uncover strengths, and create a brighter future for my clients. I work with individuals who are experiencing life transitions including parenthood, relationship issues, depression, anxiety, trauma and work/life stress. I also work with couples going through communication, transitions and other issues.
I am a dedicated and highly skilled therapist with over ten years of experience in the field of mental health. I am passionate about helping individuals achieve lasting positive change in their lives. I create a warm, non-judgmental, and empathetic space to explore challenges, uncover strengths, and create a brighter future for my clients. I work with individuals who are experiencing life transitions including parenthood, relationship issues, depression, anxiety, trauma and work/life stress. I also work with couples going through communication, transitions and other issues.
(646) 825-6633 View (646) 825-6633
Photo of Jeremey Chase, Counselor in New York, NY
Jeremey Chase
Counselor, LMHC, LPC, NCC
Verified Verified
4 Endorsed
New York, NY 10001  (Online Only)
Not accepting new clients
Therapy is an experience that can benefit everyone. It allows us to take the time to mindfully look closely at ourselves. It can help us reflect on how to manage difficult life changes, loneliness and challenging relationships. Everyone experiences stress and worry, and speaking with a therapist who is nonjudgmental and accepting can help us understand how to meet our professional, personal, and relationship needs. I am a psychotherapist with 8+ years experience. I use a practical and flexible approach to treat problems such as anxiety, depression, substance misuse and LGBTQ+ concerns.
Therapy is an experience that can benefit everyone. It allows us to take the time to mindfully look closely at ourselves. It can help us reflect on how to manage difficult life changes, loneliness and challenging relationships. Everyone experiences stress and worry, and speaking with a therapist who is nonjudgmental and accepting can help us understand how to meet our professional, personal, and relationship needs. I am a psychotherapist with 8+ years experience. I use a practical and flexible approach to treat problems such as anxiety, depression, substance misuse and LGBTQ+ concerns.
(646) 374-2581 View (646) 374-2581
Photo of Chloe Friedman, Clinical Social Work/Therapist in New York, NY
Chloe Friedman
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10010
I am passionate about providing quality, personalized mental health care to her clients. I use an integrative and psychodynamic approach, using techniques and interventions from several different modalities including trauma-informed therapy and mindfulness. I am an expert in helping others build healthier relationships, navigating my clients through conflict and assisting them in fostering fulfilling relationships. My experience and training allows me to deeply understand the human condition and guide individuals towards building deeper connections with others and most importantly, with themselves.
I am passionate about providing quality, personalized mental health care to her clients. I use an integrative and psychodynamic approach, using techniques and interventions from several different modalities including trauma-informed therapy and mindfulness. I am an expert in helping others build healthier relationships, navigating my clients through conflict and assisting them in fostering fulfilling relationships. My experience and training allows me to deeply understand the human condition and guide individuals towards building deeper connections with others and most importantly, with themselves.
(347) 745-7678 View (347) 745-7678
Photo of Karina Eugenio Vargas, Counselor in New York, NY
Karina Eugenio Vargas
Counselor, LMHC
Verified Verified
New York, NY 10005
Karina Eugenio Vargas, LMHC, LP received a Master of Science in Education and Clinical Mental Health Counseling from St. John’s University of New York. She has completed training at Yale’s Child Study Center specializing in Child and Adult abuse and has worked in community mental health and outpatient based settings. For the past 5 years, Karina has dedicated her career to trauma-informed care, specifically using CBT. She has experience working with children, adolescents and adults treating anxiety, depression, family and relationship issues and other mental health issues.
Karina Eugenio Vargas, LMHC, LP received a Master of Science in Education and Clinical Mental Health Counseling from St. John’s University of New York. She has completed training at Yale’s Child Study Center specializing in Child and Adult abuse and has worked in community mental health and outpatient based settings. For the past 5 years, Karina has dedicated her career to trauma-informed care, specifically using CBT. She has experience working with children, adolescents and adults treating anxiety, depression, family and relationship issues and other mental health issues.
(929) 297-8284 View (929) 297-8284
Photo of Chandler French, Creative Arts Therapist in New York, NY
Chandler French
Creative Arts Therapist, LCAT, ATR-BC
Verified Verified
New York, NY 10022
I work with high-functioning children and adults who struggle with depression, anxiety, panic attacks, self-harm, OCD, and social anxiety. I have specialized training in dialectical behavioral therapy, trauma-focused therapy, and expressive art therapy to effectively regulate emotions, reduce problematic behavior, and enhance interpersonal effectiveness skills. I provide time-limited, goal-directed treatment to help you work through their challenges and learn to become your own therapists. Clients often see a reduction of symptoms early on in treatment.
I work with high-functioning children and adults who struggle with depression, anxiety, panic attacks, self-harm, OCD, and social anxiety. I have specialized training in dialectical behavioral therapy, trauma-focused therapy, and expressive art therapy to effectively regulate emotions, reduce problematic behavior, and enhance interpersonal effectiveness skills. I provide time-limited, goal-directed treatment to help you work through their challenges and learn to become your own therapists. Clients often see a reduction of symptoms early on in treatment.
(646) 956-2883 View (646) 956-2883
Photo of Tracey Ellis, Counselor in New York, NY
Tracey Ellis
Counselor, LMHC, EdM, MA
Verified Verified
New York, NY 10018  (Online Only)
Not accepting new clients
Are you experiencing ongoing feelings of anxiety, panic, and stress? Are life’s daily struggles becoming harder for you to cope with? I promise, you are not alone! Today you are one step closer to a new you. Imagine waking up and having the support and tools to finally overcome your fears and self-doubt. With therapy, it is possible. My training is in Psychological Counseling and Clinical Psychology, coupled with over a decade of experience. I will provide you with a safe and nonjudgmental space to engage in self-discovery. You are worthy of feeling empowered. You deserve the feelings of mental clarity. You CAN get there!
Are you experiencing ongoing feelings of anxiety, panic, and stress? Are life’s daily struggles becoming harder for you to cope with? I promise, you are not alone! Today you are one step closer to a new you. Imagine waking up and having the support and tools to finally overcome your fears and self-doubt. With therapy, it is possible. My training is in Psychological Counseling and Clinical Psychology, coupled with over a decade of experience. I will provide you with a safe and nonjudgmental space to engage in self-discovery. You are worthy of feeling empowered. You deserve the feelings of mental clarity. You CAN get there!
(929) 552-2948 View (929) 552-2948
Photo of Anna Pirveli, Counselor in New York, NY
Anna Pirveli
Counselor, LMHC, MS
Verified Verified
New York, NY 10001  (Online Only)
Do you feel depressed or anxious? Do you feel like you got caught up being who others expect you to be, instead of being who you really are? Have you been struggling with isolation, sadness and confusion that came with Covid-19? Do you have trouble maneuvering through your relationships? If so, I would love to talk with you. I believe in change, and that it can happen when you least expect it. Therapy is a great way to understand yourself, see what’s been holding you back, identify your barriers, and make that needed change to live a happy and meaningful life.
Do you feel depressed or anxious? Do you feel like you got caught up being who others expect you to be, instead of being who you really are? Have you been struggling with isolation, sadness and confusion that came with Covid-19? Do you have trouble maneuvering through your relationships? If so, I would love to talk with you. I believe in change, and that it can happen when you least expect it. Therapy is a great way to understand yourself, see what’s been holding you back, identify your barriers, and make that needed change to live a happy and meaningful life.
(631) 430-4232 View (631) 430-4232
Photo of Mina L. Metreaud in New York, NY
Mina L. Metreaud
MHC, LP
Verified Verified
New York, NY 10024  (Online Only)
I am a trauma-informed EMDR therapist. I work with children, adolescents and adults, specializing in anxiety, depression, life transitions, family dynamics and identity and purpose realization. I believe that each of us is worthy of giving and receiving love and acceptance. It is my hope to foster a safe and welcoming space for you to feel encouraged to participate with me here to accompany you!
I am a trauma-informed EMDR therapist. I work with children, adolescents and adults, specializing in anxiety, depression, life transitions, family dynamics and identity and purpose realization. I believe that each of us is worthy of giving and receiving love and acceptance. It is my hope to foster a safe and welcoming space for you to feel encouraged to participate with me here to accompany you!
(646) 437-8425 View (646) 437-8425
Photo of Samantha Mittman, Clinical Social Work/Therapist in New York, NY
Samantha Mittman
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10019
Waitlist for new clients
Samantha Mittman is a licensed social worker who obtained her master’s degree from Fordham University’s Graduate School of Social Service. Her experience in the field includes inpatient mental health, emergency room psychiatric services as well as private practice. She has received training in cognitive behavioral therapy and has extensive experience working with adolescents, parents and young adults. Samantha’s areas of practice include psychotherapy with individuals navigating life transitions, romantic / platonic relationship challenges, family-based conflict, those with anxiety, depression, OCD and PTSD.
Samantha Mittman is a licensed social worker who obtained her master’s degree from Fordham University’s Graduate School of Social Service. Her experience in the field includes inpatient mental health, emergency room psychiatric services as well as private practice. She has received training in cognitive behavioral therapy and has extensive experience working with adolescents, parents and young adults. Samantha’s areas of practice include psychotherapy with individuals navigating life transitions, romantic / platonic relationship challenges, family-based conflict, those with anxiety, depression, OCD and PTSD.
(347) 997-9125 View (347) 997-9125
Photo of Citron Hennessey Therapy, Counselor in New York, NY
Citron Hennessey Therapy
Counselor, MA, MEd, LMHC
Verified Verified
New York, NY 10016  (Online Only)
Therapy is a space to process feelings and learn coping strategies to help face life’s challenges and stressors. In a collaborative fashion, I will support you on your journey towards connection and meaning. Using evidence-based practices, I will collaborate with you to develop distinct and effective strategies to help you reach your life goals. You are your agent of change and you are not alone.
Therapy is a space to process feelings and learn coping strategies to help face life’s challenges and stressors. In a collaborative fashion, I will support you on your journey towards connection and meaning. Using evidence-based practices, I will collaborate with you to develop distinct and effective strategies to help you reach your life goals. You are your agent of change and you are not alone.
(929) 590-9610 x1 View (929) 590-9610 x1
Photo of Jenny Barshay, Clinical Social Work/Therapist in New York, NY
Jenny Barshay
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10016
No matter who you are, where you are, or what stage you’re in, life can be so challenging. You don’t have to go through it alone. My aim as a therapist is to work together with you to create a validating and nonjudgmental space where you can process any emotions, feelings, fantasies, or the daily happenings of your life. I know self-exploration can feel overwhelming and scary, especially when discussing it out loud to someone else. I believe that the most impactful therapeutic relationships involve client self-determination and agency, where we collaborate as a team ensure you feel comfortable and safe every step of the way.
No matter who you are, where you are, or what stage you’re in, life can be so challenging. You don’t have to go through it alone. My aim as a therapist is to work together with you to create a validating and nonjudgmental space where you can process any emotions, feelings, fantasies, or the daily happenings of your life. I know self-exploration can feel overwhelming and scary, especially when discussing it out loud to someone else. I believe that the most impactful therapeutic relationships involve client self-determination and agency, where we collaborate as a team ensure you feel comfortable and safe every step of the way.
(718) 568-5859 View (718) 568-5859
Photo of Geraldine Salazar, Pre-Licensed Professional in New York, NY
Geraldine Salazar
Pre-Licensed Professional
Verified Verified
New York, NY 10016
At the core of my therapeutic approach lies a profound respect and curiosity for the various layers that compose our experience as humans. Through a culturally sensitive and integrative approach, utilizing psychodynamic, cognitive-behavioral, humanistic, and trauma-informed interventions, I aim to provide an individualized treatment tailored to each client.
At the core of my therapeutic approach lies a profound respect and curiosity for the various layers that compose our experience as humans. Through a culturally sensitive and integrative approach, utilizing psychodynamic, cognitive-behavioral, humanistic, and trauma-informed interventions, I aim to provide an individualized treatment tailored to each client.
(646) 718-5914 View (646) 718-5914
Photo of Laura Berssenbrugge, Psychologist in New York, NY
Laura Berssenbrugge
Psychologist, PsyD
Verified Verified
1 Endorsed
New York, NY 10022
Whether you’re considering therapy for the first time or looking for a new clinician, you've already taken a step towards creating positive change. I provide an inviting, safe space for you to discuss your family, relationship, or personal concerns. No matter what is on your mind, I will listen with acceptance. Using cognitive behavioral therapy (CBT) and other evidence-based practices, we will develop insight and recognize patterns in your thoughts, behaviors, and emotions. My goal is to teach you skills that create sustainable change and help you cope more effectively with life's stressors.
Whether you’re considering therapy for the first time or looking for a new clinician, you've already taken a step towards creating positive change. I provide an inviting, safe space for you to discuss your family, relationship, or personal concerns. No matter what is on your mind, I will listen with acceptance. Using cognitive behavioral therapy (CBT) and other evidence-based practices, we will develop insight and recognize patterns in your thoughts, behaviors, and emotions. My goal is to teach you skills that create sustainable change and help you cope more effectively with life's stressors.
(646) 766-8220 x102 View (646) 766-8220 x102
Photo of Brianna Makówka | Sex Therapist And Relationship Expert, Pre-Licensed Professional in New York, NY
Brianna Makówka | Sex Therapist And Relationship Expert
Pre-Licensed Professional, MSEd, MHC-LP
Verified Verified
18 Endorsed
New York, NY 10282  (Online Only)
Reclaim joy and intimacy in the hustle of NYC. Are you grappling with prolonged life imbalance, leading to increased anger, resentment, and isolation? As a dynamic individual or power couple navigating high-powered careers, you might find yourself dismissing needs and neglecting relationships. The toll on your physical, emotional, mental, and sexual well-being can be overwhelming. It's time to break free from the city grind, foster deeper connections, and embrace transformative intimacy. If you're seeking a solution tailored to your fast-paced New York life, sex-positive and kink-affirming therapy with me could be the key.
Reclaim joy and intimacy in the hustle of NYC. Are you grappling with prolonged life imbalance, leading to increased anger, resentment, and isolation? As a dynamic individual or power couple navigating high-powered careers, you might find yourself dismissing needs and neglecting relationships. The toll on your physical, emotional, mental, and sexual well-being can be overwhelming. It's time to break free from the city grind, foster deeper connections, and embrace transformative intimacy. If you're seeking a solution tailored to your fast-paced New York life, sex-positive and kink-affirming therapy with me could be the key.
(646) 846-2095 View (646) 846-2095
Photo of Sharon Chung, Art Therapist in New York, NY
Sharon Chung
Art Therapist, MA, ATR-BC, LCAT
Verified Verified
1 Endorsed
New York, NY 10016
My client-centered approach is rooted in Art Therapy and Evidence-Based modalities. I specialize in helping children, teens, and young adults, ages 4-40, feel more confident and connected. My work is centered around the belief that people are fully deserving of respect, dignity, and a space where they can deeply feel heard. I facilitate a safe environment where feelings and experiences can be validated, and people can establish a sense of security and self-worth. I partner with children (and parents) to help them navigate their identity and sense of belonging in this world!
My client-centered approach is rooted in Art Therapy and Evidence-Based modalities. I specialize in helping children, teens, and young adults, ages 4-40, feel more confident and connected. My work is centered around the belief that people are fully deserving of respect, dignity, and a space where they can deeply feel heard. I facilitate a safe environment where feelings and experiences can be validated, and people can establish a sense of security and self-worth. I partner with children (and parents) to help them navigate their identity and sense of belonging in this world!
(929) 325-1291 View (929) 325-1291
Photo of Tanya Siff, Psychologist in New York, NY
Tanya Siff
Psychologist, PhD
Not Verified Not Verified
New York, NY 10119  (Online Only)
Overcome your personal obstacles and maximize your potential. I can help you gain awareness and control of your emotions, build improved relationships with others, and effect positive practical changes in your life. Treatment can be brief or long-term. Both in-person or video therapy is available from the comfort of your home.
Overcome your personal obstacles and maximize your potential. I can help you gain awareness and control of your emotions, build improved relationships with others, and effect positive practical changes in your life. Treatment can be brief or long-term. Both in-person or video therapy is available from the comfort of your home.
(347) 289-7904 View (347) 289-7904

How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

94% Anxiety
89% Depression
85% Relationship Issues
78% Self Esteem
67% Trauma and PTSD
66% Stress
63% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

79% Aetna
62% UnitedHealthcare UHC | UBH
60% Cigna and Evernorth

How Therapists in New York, NY see their clients

58% In Person and Online
42% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New York?

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.