Therapists in Northampton, MA

Photo of Tarn C Martin, Clinical Social Work/Therapist in Northampton, MA
Tarn C Martin
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Northampton, MA 01060
Tarn was adopted and raised in Southern Vermont on a farm. She has always loved helping others so the decision to become a therapist came easy. She first attended Community College in Vermont before continuing on to earn a BA in Sociology from Smith College in Northampton, MA. Tarn then attended the Smith College School for Social Work where she earned a Masters in Social Work (MSW). She has since worked in a variety of positions throughout her career which have assisted her in becoming an eclectic therapist with a wealth of knowledge in several facets of social work and life.
Tarn was adopted and raised in Southern Vermont on a farm. She has always loved helping others so the decision to become a therapist came easy. She first attended Community College in Vermont before continuing on to earn a BA in Sociology from Smith College in Northampton, MA. Tarn then attended the Smith College School for Social Work where she earned a Masters in Social Work (MSW). She has since worked in a variety of positions throughout her career which have assisted her in becoming an eclectic therapist with a wealth of knowledge in several facets of social work and life.
(413) 384-5362 View (413) 384-5362
Photo of Amanda Costin, Counselor in Northampton, MA
Amanda Costin
Counselor, PhD, LMHC, ACS
Verified Verified
Northampton, MA 01060  (Online Only)
I approach each client by trying to determine what is unique about you as a result of your life story. I place paramount value in our counseling sessions on your strengths and courage to discover a positive path to growth and well-being. My practice focuses on counseling individuals who want to work on: personal relationships; overcoming depression and/or anxiety; grief and loss issues; life transitions; and/or personal growth. I have a particular interest in perinatal and postpartum mental health with a focus on: pregnancy loss; pregnancy termination; depression and anxiety during pregnancy; and postpartum depression and anxiety.
I approach each client by trying to determine what is unique about you as a result of your life story. I place paramount value in our counseling sessions on your strengths and courage to discover a positive path to growth and well-being. My practice focuses on counseling individuals who want to work on: personal relationships; overcoming depression and/or anxiety; grief and loss issues; life transitions; and/or personal growth. I have a particular interest in perinatal and postpartum mental health with a focus on: pregnancy loss; pregnancy termination; depression and anxiety during pregnancy; and postpartum depression and anxiety.
(413) 650-6973 View (413) 650-6973
Photo of Elizabeth Donahue, Clinical Social Work/Therapist in Northampton, MA
Elizabeth Donahue
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Northampton, MA 01060
Waitlist for new clients
I know that seeking out a new therapist or starting therapy can be an overwhelming and scary process, and my goal is to offer a compassionate and thoughtful space for you to engage in this important work. I have experience working with people who are experiencing depression, anxiety, trauma, body image and food-related issues, grief, sexual trauma, issues around identity development, big life transitions, and the general overwhelm that comes with existing as a human at this moment in time! I also have many years of experience working specifically with college students.
I know that seeking out a new therapist or starting therapy can be an overwhelming and scary process, and my goal is to offer a compassionate and thoughtful space for you to engage in this important work. I have experience working with people who are experiencing depression, anxiety, trauma, body image and food-related issues, grief, sexual trauma, issues around identity development, big life transitions, and the general overwhelm that comes with existing as a human at this moment in time! I also have many years of experience working specifically with college students.
(413) 216-4553 View (413) 216-4553
Photo of Wellness Within, Emma Basile, Pre-Licensed Professional in Northampton, MA
Wellness Within, Emma Basile
Pre-Licensed Professional, MSW, LCSW
Verified Verified
Northampton, MA 01060
Are you ready to embark on a journey of self-discovery and healing, guided by a therapist who truly values what matters most to you? At Wellness Within, we are committed to honoring your unique healing journey and providing a creative, empathetic approach to therapy. Meet Emma Basile, a dedicated therapist with a passion for helping clients find their voices and stand tall in their truth. Drawing from her own experiences of feeling unseen and unheard, Emma is deeply committed to supporting others in learning effective communication skills and advocating for themselves.
Are you ready to embark on a journey of self-discovery and healing, guided by a therapist who truly values what matters most to you? At Wellness Within, we are committed to honoring your unique healing journey and providing a creative, empathetic approach to therapy. Meet Emma Basile, a dedicated therapist with a passion for helping clients find their voices and stand tall in their truth. Drawing from her own experiences of feeling unseen and unheard, Emma is deeply committed to supporting others in learning effective communication skills and advocating for themselves.
(413) 307-3497 View (413) 307-3497
Photo of Erin Tottenham, Counselor in Northampton, MA
Erin Tottenham
Counselor, LMHC
Verified Verified
Northampton, MA 01060
Welcome! How can I help you? Let’s work on your relationship with yourself and the challenges you are facing. While you might not have created all of them, I would like to help you manage your reactions, inner critic, core vulnerabilities, sadness/loss, and unhelpful habits. You are deserving of less burden. In therapy, people are often able to develop insights and action plans that transform their capacity to manage the ups and downs of this difficult life. I work within a relational, collaborative framework informed by CBT, DBT, & am strength based. I invite you to come sit on my couch (or meet with me virtually) so we can begin.
Welcome! How can I help you? Let’s work on your relationship with yourself and the challenges you are facing. While you might not have created all of them, I would like to help you manage your reactions, inner critic, core vulnerabilities, sadness/loss, and unhelpful habits. You are deserving of less burden. In therapy, people are often able to develop insights and action plans that transform their capacity to manage the ups and downs of this difficult life. I work within a relational, collaborative framework informed by CBT, DBT, & am strength based. I invite you to come sit on my couch (or meet with me virtually) so we can begin.
(413) 347-4910 View (413) 347-4910
Photo of Donna L Rowe, Counselor in Northampton, MA
Donna L Rowe
Counselor, PhD, LMHC
Verified Verified
Northampton, MA 01060
Not accepting new clients
My approach to therapy is to provide support and practical feedback to help you effectively address personal life challenges. As a person-centered therapist, I have worked in the fields of mental health and substance use disorders for over 20 years, in both outpatient settings and in crisis services. My interests are working with women, non-traditional aged students, trauma and PTSD survivors, and veterans. My goals are to create a safe space for you to work on your mental health goals and to provide you with skills to manage everyday challenges. Let's discuss how we can work together. Email me or give me a call.
My approach to therapy is to provide support and practical feedback to help you effectively address personal life challenges. As a person-centered therapist, I have worked in the fields of mental health and substance use disorders for over 20 years, in both outpatient settings and in crisis services. My interests are working with women, non-traditional aged students, trauma and PTSD survivors, and veterans. My goals are to create a safe space for you to work on your mental health goals and to provide you with skills to manage everyday challenges. Let's discuss how we can work together. Email me or give me a call.
(413) 299-2592 View (413) 299-2592
Photo of Rachel Marston, Clinical Social Work/Therapist in Northampton, MA
Rachel Marston
Clinical Social Work/Therapist, LICSW, SEP
Verified Verified
Northampton, MA 01060  (Online Only)
With empathy, deep listening and grounded humor, I help many people to overcome the difficulties they face. I begin with profound respect for how people have learned to cope. I work with people to continue their healing path in a way that makes sense for them by pulling on my understanding of Somatic Experiencing, trauma, psychodynamic, spirituality and play therapy frameworks. We will work together to understand the roots of your difficulties and your strengths, so we can know how to release you from what blocks you.
With empathy, deep listening and grounded humor, I help many people to overcome the difficulties they face. I begin with profound respect for how people have learned to cope. I work with people to continue their healing path in a way that makes sense for them by pulling on my understanding of Somatic Experiencing, trauma, psychodynamic, spirituality and play therapy frameworks. We will work together to understand the roots of your difficulties and your strengths, so we can know how to release you from what blocks you.
(413) 314-3819 View (413) 314-3819
Photo of Frank Shea, Counselor in Northampton, MA
Frank Shea
Counselor, MA, LMHC
Verified Verified
Northampton, MA 01060
Do you suffer from anxiety? Depression? Do you want to feel better? Do you want to make changes in your life? As a result of my training and experience, I have been fortunate to see people change and grow while in therapy. I facilitate the collaborative process that enables individuals to learn how to handle life's challenges and overcome whatever made them initiate therapy. I watch people become more aware of who they are and how they operate in the world. With that knowledge and self-awareness, people can make different decisions.
Do you suffer from anxiety? Depression? Do you want to feel better? Do you want to make changes in your life? As a result of my training and experience, I have been fortunate to see people change and grow while in therapy. I facilitate the collaborative process that enables individuals to learn how to handle life's challenges and overcome whatever made them initiate therapy. I watch people become more aware of who they are and how they operate in the world. With that knowledge and self-awareness, people can make different decisions.
(413) 650-5504 View (413) 650-5504
Photo of Nedra Shield, Clinical Social Work/Therapist in Northampton, MA
Nedra Shield
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Northampton, MA 01060  (Online Only)
Waitlist for new clients
I am a licensed clinical social worker and former Yale University faculty member. I have almost 20 years of experience working with a variety of ages: children and families, adolescents, adults and couples. I believe that my clients are the experts on their own lives and that my role as a therapist is to facilitate and empower personal growth. In therapy sessions I combine active listening and empathy with teaching clients new skills they can use to better regulate their emotions and change their behavior. I also help clients to develop greater self-awareness and insight so they can better understand themselves.
I am a licensed clinical social worker and former Yale University faculty member. I have almost 20 years of experience working with a variety of ages: children and families, adolescents, adults and couples. I believe that my clients are the experts on their own lives and that my role as a therapist is to facilitate and empower personal growth. In therapy sessions I combine active listening and empathy with teaching clients new skills they can use to better regulate their emotions and change their behavior. I also help clients to develop greater self-awareness and insight so they can better understand themselves.
(413) 923-6396 View (413) 923-6396
Photo of Pamela Torre, Clinical Social Work/Therapist in Northampton, MA
Pamela Torre
Clinical Social Work/Therapist, LICSW
Verified Verified
Northampton, MA 01060
Not accepting new clients
Do you find yourself feeling anxious, depressed or stuck? These are all areas I have extensive experience in and have been successful at helping clients work through. My approach to facilitating psychotherapy is to tune in to what has motivated a person (or couple) to seek help. I am a psychodynamic, relational thinker and apply that to the work I do. I draw from my 30 years experience helping people better understand themselves and the patterns they tend to engage in. The tools I use will depend on who you are and why you are seeking help.
Do you find yourself feeling anxious, depressed or stuck? These are all areas I have extensive experience in and have been successful at helping clients work through. My approach to facilitating psychotherapy is to tune in to what has motivated a person (or couple) to seek help. I am a psychodynamic, relational thinker and apply that to the work I do. I draw from my 30 years experience helping people better understand themselves and the patterns they tend to engage in. The tools I use will depend on who you are and why you are seeking help.
(413) 655-1053 View (413) 655-1053
Photo of Brenda Martin-Tousignant, Psychologist in Northampton, MA
Brenda Martin-Tousignant
Psychologist, PsyD
Verified Verified
Northampton, MA 01060
I’m a licensed psychologist who specializes in women’s and parental mental health. Juggling all the needs of self, children, partners, work, & daily life demands can result in an overwhelming loss of control and losing one’s “self,” which takes a toll on social, physical, & emotional wellbeing. Whether you’re trying to find your new normal after the newest addition to your family, dealing with relationship challenges, experiencing postpartum depression or anxiety, trying to process a traumatic birth or NICU experience, or struggling with grief or family trauma, I’m here to help.
I’m a licensed psychologist who specializes in women’s and parental mental health. Juggling all the needs of self, children, partners, work, & daily life demands can result in an overwhelming loss of control and losing one’s “self,” which takes a toll on social, physical, & emotional wellbeing. Whether you’re trying to find your new normal after the newest addition to your family, dealing with relationship challenges, experiencing postpartum depression or anxiety, trying to process a traumatic birth or NICU experience, or struggling with grief or family trauma, I’m here to help.
(413) 287-1782 View (413) 287-1782
Photo of Marlo C. Henderson, LMHC, Counselor in Northampton, MA
Marlo C. Henderson, LMHC
Counselor, MS, LMHC
Verified Verified
Northampton, MA 01060  (Online Only)
Not accepting new clients
UNFORTUNATELY I HAVE NO OPENINGS AT THIS TIME. Whatever your difficulties, you need a therapist you feel comfortable with--someone who sees you and really "gets" you. I strive to create a safe space in which my patients feel secure and accepted so that they can begin to grapple with the issues that brought them to therapy. My approach is collaborative. This is your therapy, and you are the expert on your experience. My job is to use my clinical expertise to facilitate your journey and help you get to where you want to be.
UNFORTUNATELY I HAVE NO OPENINGS AT THIS TIME. Whatever your difficulties, you need a therapist you feel comfortable with--someone who sees you and really "gets" you. I strive to create a safe space in which my patients feel secure and accepted so that they can begin to grapple with the issues that brought them to therapy. My approach is collaborative. This is your therapy, and you are the expert on your experience. My job is to use my clinical expertise to facilitate your journey and help you get to where you want to be.
(413) 241-8434 View (413) 241-8434
Photo of Kimberly Jeffers/Wellness Within, LLC, Counselor in Northampton, MA
Kimberly Jeffers/Wellness Within, LLC
Counselor, MA
Verified Verified
Northampton, MA 01060
Whether you're facing big life decisions, healing from complex trauma, navigating difficult relationships, or looking for healthier ways to cope with life’s daily stressors, you do not have to continue this journey alone. Are you looking for support with balancing the many roles that are so important to you? With navigating work, motherhood, family responsibilities and relationships? The day to day is overwhelming enough, when something unexpected comes up it's even harder. Everyone has to deal with stressors and unpleasant happenings, and no one should have to just push through it and figure it out alone.
Whether you're facing big life decisions, healing from complex trauma, navigating difficult relationships, or looking for healthier ways to cope with life’s daily stressors, you do not have to continue this journey alone. Are you looking for support with balancing the many roles that are so important to you? With navigating work, motherhood, family responsibilities and relationships? The day to day is overwhelming enough, when something unexpected comes up it's even harder. Everyone has to deal with stressors and unpleasant happenings, and no one should have to just push through it and figure it out alone.
(413) 384-3638 View (413) 384-3638
Photo of Melissa Garcia, Pre-Licensed Professional in Northampton, MA
Melissa Garcia
Pre-Licensed Professional, PhD
Verified Verified
Northampton, MA 01060
I strive to join you in examining your inner world with curiosity and compassion. My approach is integrative, collaborative, and tailored to your personal goals and current struggles. I especially love to work with young adults, college/graduate students, and adults with social anxiety, stress, mood disorders, life transition concerns, perfectionism, low self-esteem, and relationship issues. As a Bilingual Latina woman, I’m passionate about and committed to meeting the mental health needs of the Latinx community. Fluent in both Spanish and English, I embrace my bilingualism as a means of fostering connection and understanding.
I strive to join you in examining your inner world with curiosity and compassion. My approach is integrative, collaborative, and tailored to your personal goals and current struggles. I especially love to work with young adults, college/graduate students, and adults with social anxiety, stress, mood disorders, life transition concerns, perfectionism, low self-esteem, and relationship issues. As a Bilingual Latina woman, I’m passionate about and committed to meeting the mental health needs of the Latinx community. Fluent in both Spanish and English, I embrace my bilingualism as a means of fostering connection and understanding.
(413) 200-3660 View (413) 200-3660
Photo of Patricia McGuinness, Clinical Social Work/Therapist in Northampton, MA
Patricia McGuinness
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Northampton, MA 01060  (Online Only)
For the past 30 years, I have been providing mental health services to adolescents, college students, adults, and families. My approach would be to work collaboratively with you focusing on your strengths and your capacity for resilience.
For the past 30 years, I have been providing mental health services to adolescents, college students, adults, and families. My approach would be to work collaboratively with you focusing on your strengths and your capacity for resilience.
(413) 485-7444 View (413) 485-7444
Photo of Kristin Woods, Clinical Social Work/Therapist in Northampton, MA
Kristin Woods
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Northampton, MA 01060
Trauma is often narrowly associated with experiences of overt violence; I work with a much broader understanding. Trauma can emerge from experiences that negatively impact and interfere with daily functioning, and I believe everyone deserves opportunities to heal from visible and invisible wounds. Utilizing an intensive trauma therapy model, I help clients rebuild from life’s most vulnerable moments. I center and honor my clients’ experiential knowledge and, as a mixed-race therapist, recognize the value of creating a safe, non-judgmental space for people who carry intersecting marginalized identities.
Trauma is often narrowly associated with experiences of overt violence; I work with a much broader understanding. Trauma can emerge from experiences that negatively impact and interfere with daily functioning, and I believe everyone deserves opportunities to heal from visible and invisible wounds. Utilizing an intensive trauma therapy model, I help clients rebuild from life’s most vulnerable moments. I center and honor my clients’ experiential knowledge and, as a mixed-race therapist, recognize the value of creating a safe, non-judgmental space for people who carry intersecting marginalized identities.
(413) 339-3798 View (413) 339-3798
Photo of Gabriel Peeples, Clinical Social Work/Therapist in Northampton, MA
Gabriel Peeples
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Northampton, MA 01060  (Online Only)
Many of the day-to-day difficulties that people struggle with can be attributed to past traumas big and small. My goal is to meet people where they are, help them figure out where they want to be, and work with them to get there. I approach therapeutic work from a client-centered, strength-based, solution-focused perspective. I am happy to help folks navigate identity exploration, situational stressors, ongoing mental health challenges, grief and loss, sudden life changes, or past traumas. I am a queer and genderqueer practitioner and am willing to write letters in support of medical transition as needed.
Many of the day-to-day difficulties that people struggle with can be attributed to past traumas big and small. My goal is to meet people where they are, help them figure out where they want to be, and work with them to get there. I approach therapeutic work from a client-centered, strength-based, solution-focused perspective. I am happy to help folks navigate identity exploration, situational stressors, ongoing mental health challenges, grief and loss, sudden life changes, or past traumas. I am a queer and genderqueer practitioner and am willing to write letters in support of medical transition as needed.
(413) 216-6194 View (413) 216-6194
Photo of Carrie Hennessy, Psychologist in Northampton, MA
Carrie Hennessy
Psychologist, PsyD
Verified Verified
Northampton, MA 01060
Welcome! I provide psychological services to adults with wide-ranging hopes and intentions. My approach is trauma-informed and emphasizes the Internal Family Systems (IFS) model of therapy. Through exploring present moment thoughts, feelings and sensation, you will gain access to meaningful and often neglected parts of yourself creating a pathway to deeper self-connection and greater overall well-being.
Welcome! I provide psychological services to adults with wide-ranging hopes and intentions. My approach is trauma-informed and emphasizes the Internal Family Systems (IFS) model of therapy. Through exploring present moment thoughts, feelings and sensation, you will gain access to meaningful and often neglected parts of yourself creating a pathway to deeper self-connection and greater overall well-being.
(413) 269-8689 View (413) 269-8689
Photo of Gary Blaser, Counselor in Northampton, MA
Gary Blaser
Counselor, LMHC
Verified Verified
Northampton, MA 01060
By listening with deep compassion and acceptance, I collaborate with people as they expand their ability to belong to themselves. Through our time together we will affirm your inherent goodness during troubling life events. Our feelings and sensations are a natural and organic response to life. Our bodies, being the center of human experience, are the greatest sources of guidance through feelings, sensations, and reactions. When our natural response to life is shamed or rejected we cease belonging to life and to ourselves. When we are able to allow these feelings to flow through us, our whole selves become a part of life.
By listening with deep compassion and acceptance, I collaborate with people as they expand their ability to belong to themselves. Through our time together we will affirm your inherent goodness during troubling life events. Our feelings and sensations are a natural and organic response to life. Our bodies, being the center of human experience, are the greatest sources of guidance through feelings, sensations, and reactions. When our natural response to life is shamed or rejected we cease belonging to life and to ourselves. When we are able to allow these feelings to flow through us, our whole selves become a part of life.
(413) 314-2523 View (413) 314-2523
Photo of Tara Goldberg, Counselor in Northampton, MA
Tara Goldberg
Counselor, PsyaD
Verified Verified
Northampton, MA 01060
"It is a joy to be hidden, but a disaster not to be found". Donald W. Winnicott
"It is a joy to be hidden, but a disaster not to be found". Donald W. Winnicott
(413) 923-6129 View (413) 923-6129

How does your Therapist compare?

Number of Therapists in Northampton, MA

500+

Average cost per session

$150

Therapists in Northampton, MA who prioritize treating:

91% Anxiety
87% Depression
81% Relationship Issues
73% Trauma and PTSD
73% Self Esteem
66% Grief
65% Life Transitions

Average years in practice

14 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
47% Optum
45% UnitedHealthcare UHC | UBH

How Therapists in Northampton, MA see their clients

61% In Person and Online
39% Online Only

Gender breakdown

72% Female
23% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Northampton?

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.