Therapists in 01776

Photo of Maura Matarese, Counselor, MA, LMHC, RYT
Maura Matarese
Counselor, MA, LMHC, RYT
Sudbury, MA 01776
With over twenty five years of clinical experience, I help people who struggle with their relationships. Weather you are involved with a complicated parter, struggling in your marriage, dealing with infidelity, co-dependency, or addiction; considering uncoupling, starting over, or grieving the loss of the one you love, I will help you get to the heart of the matter. Then you can heal what you need to heal and make loving and authentic choices for yourself. It IS possible to have happy, healthy, fun, playful and passionate relationships in your life. If that is what your heart desires.I very much look forward to working with you.
With over twenty five years of clinical experience, I help people who struggle with their relationships. Weather you are involved with a complicated parter, struggling in your marriage, dealing with infidelity, co-dependency, or addiction; considering uncoupling, starting over, or grieving the loss of the one you love, I will help you get to the heart of the matter. Then you can heal what you need to heal and make loving and authentic choices for yourself. It IS possible to have happy, healthy, fun, playful and passionate relationships in your life. If that is what your heart desires.I very much look forward to working with you.
(978) 264-8438 View (978) 264-8438
Photo of Andrew J DeBenedictis, Pre-Licensed Professional
Andrew J DeBenedictis
Pre-Licensed Professional
1 Endorsed
Sudbury, MA 01776
Experiencing anxiety, OCD, and intrusive thoughts can feel like your world has turned upside down overnight, leaving you feeling scared, overwhelmed, and isolated. You don’t have to navigate this alone. I take a warm, directive approach to therapy, helping you build the strength and confidence to face your anxious and obsessive thoughts while learning how to respond to them differently. My specialty is treating OCD, with a particular focus on contamination fears, relationship-related obsessions, and the relentless need for things to feel “just right".
Experiencing anxiety, OCD, and intrusive thoughts can feel like your world has turned upside down overnight, leaving you feeling scared, overwhelmed, and isolated. You don’t have to navigate this alone. I take a warm, directive approach to therapy, helping you build the strength and confidence to face your anxious and obsessive thoughts while learning how to respond to them differently. My specialty is treating OCD, with a particular focus on contamination fears, relationship-related obsessions, and the relentless need for things to feel “just right".
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Photo of Jayme M Valdez, Counselor, MA, LMHC
Jayme M Valdez
Counselor, MA, LMHC
3 Endorsed
Sudbury, MA 01776
Are you struggling with chronic anxiety, unwanted and intrusive thoughts, phobias, or OCD? We are here to help. Clearview OCD Counseling, LLC employs experienced specialists who use the latest evidence-based techniques for the treatment of anxiety, phobias, and OCD. We arm clients with information that makes sense of their symptoms and aim to get quick relief from intrusive and anxious thoughts by using a fluid combination of ERP, ACT, and CBT. Let us help you live a valued life where avoidance and fear are things of the past.
Are you struggling with chronic anxiety, unwanted and intrusive thoughts, phobias, or OCD? We are here to help. Clearview OCD Counseling, LLC employs experienced specialists who use the latest evidence-based techniques for the treatment of anxiety, phobias, and OCD. We arm clients with information that makes sense of their symptoms and aim to get quick relief from intrusive and anxious thoughts by using a fluid combination of ERP, ACT, and CBT. Let us help you live a valued life where avoidance and fear are things of the past.
(917) 924-9541 View (917) 924-9541
Photo of Jesse Verhoeven, Pre-Licensed Professional, MA
Jesse Verhoeven
Pre-Licensed Professional, MA
1 Endorsed
Sudbury, MA 01776
Living with intrusive thoughts, urges, images, or other related mental health stressors each day can feel exhausting and debilitating. In sessions, we will explore the nature of your symptoms, learn tools you can use to manage these symptoms and aim to reach a point where you can live the life you value and desire! I primarily work with adults and adolescents struggling with OCD, anxiety disorders, and PTSD.
Living with intrusive thoughts, urges, images, or other related mental health stressors each day can feel exhausting and debilitating. In sessions, we will explore the nature of your symptoms, learn tools you can use to manage these symptoms and aim to reach a point where you can live the life you value and desire! I primarily work with adults and adolescents struggling with OCD, anxiety disorders, and PTSD.
(857) 688-5508 View (857) 688-5508
Photo of Christy A Clark, Psychologist, PhD
Christy A Clark
Psychologist, PhD
5 Endorsed
Sudbury, MA 01776
I am a licensed psychologist in practice for over 20 years. I offer a warm, direct and interactive style and appreciate the value of the therapeutic relationship in bringing about change. Using a variety of therapeutic approaches that are tailored to your needs, I will help you identify and accept your thoughts and feelings and change behavior patterns that may be holding you back from experiencing a more fulfilling and meaningful life. In addition to my psychotherapy practice, I am faculty at Harvard and teach and supervise other psychologists and Interns in evidence-based approaches.
I am a licensed psychologist in practice for over 20 years. I offer a warm, direct and interactive style and appreciate the value of the therapeutic relationship in bringing about change. Using a variety of therapeutic approaches that are tailored to your needs, I will help you identify and accept your thoughts and feelings and change behavior patterns that may be holding you back from experiencing a more fulfilling and meaningful life. In addition to my psychotherapy practice, I am faculty at Harvard and teach and supervise other psychologists and Interns in evidence-based approaches.
(978) 481-4250 View (978) 481-4250
Photo of Lori D. Fishman, Psychologist, PsyD
Lori D. Fishman
Psychologist, PsyD
Sudbury, MA 01776
I primarily work with tween and teen girls ages in 6th grade and up. I also provide parenting consultation and support. I see kids typically experiencing anxiety, stress, peer difficulties, family complexities, and/or low self-esteem. My style is based on being an approachable, funny, and down-to-earth adult who your child can trust. My job is not to solve their problems but to help them develop the tools to do so themselves without experiencing high-stress levels. I have a specialty in the behavioral approaches to child and teen weight loss for kids struggling with overweight or obesity.
I primarily work with tween and teen girls ages in 6th grade and up. I also provide parenting consultation and support. I see kids typically experiencing anxiety, stress, peer difficulties, family complexities, and/or low self-esteem. My style is based on being an approachable, funny, and down-to-earth adult who your child can trust. My job is not to solve their problems but to help them develop the tools to do so themselves without experiencing high-stress levels. I have a specialty in the behavioral approaches to child and teen weight loss for kids struggling with overweight or obesity.
(978) 300-8832 View (978) 300-8832
Stephen DeFilippo
Pre-Licensed Professional, PsyD
2 Endorsed
Sudbury, MA 01776
I am a client-focused clinician with over a decade of experience working with individuals, children, adolescents, and families in a variety of mental health settings. My clinical interests include working with transitional aged adolescents and young adults and supporting them on their journey to living a more gratifying and fulfilling life through self-actualization.
I am a client-focused clinician with over a decade of experience working with individuals, children, adolescents, and families in a variety of mental health settings. My clinical interests include working with transitional aged adolescents and young adults and supporting them on their journey to living a more gratifying and fulfilling life through self-actualization.
(978) 672-4714 View (978) 672-4714
Photo of Rachel Carroll - Northeast Health Services - Sudbury, Counselor, LMHC
Northeast Health Services - Sudbury
Counselor, LMHC
Sudbury, MA 01776
Northeast Health Services is an outpatient mental health care provider dedicated to serving Massachusetts and the local Sudbury area. At our Sudbury clinic we provide a broad array of services including psychotherapy, group therapy, child & adolescent therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
Northeast Health Services is an outpatient mental health care provider dedicated to serving Massachusetts and the local Sudbury area. At our Sudbury clinic we provide a broad array of services including psychotherapy, group therapy, child & adolescent therapy, child & adolescent psychiatry, adult psychiatry, medication management, and TMS therapy. TMS therapy, also known as Transcranial Magnetic Stimulation, is an effective, non-invasive, low-risk treatment that has shown success in treating major depressive disorder and other forms of treatment resistant depression.
(978) 541-3637 View (978) 541-3637
Photo of Courtney Bleicher, Clinical Social Work/Therapist, LICSW
Courtney Bleicher
Clinical Social Work/Therapist, LICSW
Sudbury, MA 01776
I work with children, adolescents, and adults to address common challenges relating to depression, anxiety, relationship issues, life transitions, and family conflict. I approach treatment collaboratively and will work with you to develop a plan to help you and/or your child meet your goals. My approach is integrative, and draws on effective evidence-based treatments - including insight oriented approaches (psychodynamic), skill building approaches (cognitive-behavioral), and other collaborative and developmental interventions. Calm attention, compassion, energy, and creativity are important components of my approach; I recognize that therapy is a considerable commitment, and I am dedicated to creating a safe, supportive environment for our work.
I work with children, adolescents, and adults to address common challenges relating to depression, anxiety, relationship issues, life transitions, and family conflict. I approach treatment collaboratively and will work with you to develop a plan to help you and/or your child meet your goals. My approach is integrative, and draws on effective evidence-based treatments - including insight oriented approaches (psychodynamic), skill building approaches (cognitive-behavioral), and other collaborative and developmental interventions. Calm attention, compassion, energy, and creativity are important components of my approach; I recognize that therapy is a considerable commitment, and I am dedicated to creating a safe, supportive environment for our work.
(857) 366-4326 View (857) 366-4326
Photo of Nancy Seldin, Clinical Social Work/Therapist, MA, LICSW
Nancy Seldin
Clinical Social Work/Therapist, MA, LICSW
Sudbury, MA 01776
Life can feel overwhelming at times, but you don't have to navigate it alone. I work with my clients to develop new coping strategies, break old patterns and find healthier ways to move forward. You will find that I am more than just a warm and supportive person. My clients tell me that I am refreshingly direct, curious and honest. I have received feedback that my clients appreciate how "in there" I am with them. We're in dialogue: I'm conversational, candid and caring. Your growth and healing are important to me, and you will feel that from me during every session.
Life can feel overwhelming at times, but you don't have to navigate it alone. I work with my clients to develop new coping strategies, break old patterns and find healthier ways to move forward. You will find that I am more than just a warm and supportive person. My clients tell me that I am refreshingly direct, curious and honest. I have received feedback that my clients appreciate how "in there" I am with them. We're in dialogue: I'm conversational, candid and caring. Your growth and healing are important to me, and you will feel that from me during every session.
(978) 637-5940 View (978) 637-5940
Photo of Erika L Francis-Raniere, Psychologist, PhD
Erika L Francis-Raniere
Psychologist, PhD
Sudbury, MA 01776
Life can be difficult, and we all get stuck at times. I have helped many individuals and couples to face these moments in their lives and open up to the growth and healing that is possible for all of us. I believe that healing happens when we find words where before there were none, when we find hope in places within ourselves we had long ago forsaken, when we allow compassion and connection to touch us when we are feeling most alone and unseen.
Life can be difficult, and we all get stuck at times. I have helped many individuals and couples to face these moments in their lives and open up to the growth and healing that is possible for all of us. I believe that healing happens when we find words where before there were none, when we find hope in places within ourselves we had long ago forsaken, when we allow compassion and connection to touch us when we are feeling most alone and unseen.
(617) 612-5972 View (617) 612-5972
Photo of Patty Rocklage, Marriage & Family Therapist
Patty Rocklage
Marriage & Family Therapist
Sudbury, MA 01776
I am an experienced, accomplished professional with a warm communication style who feels privileged to assist individuals, couples and families in working through and overcoming their life's struggles.
I am an experienced, accomplished professional with a warm communication style who feels privileged to assist individuals, couples and families in working through and overcoming their life's struggles.
(781) 803-7783 View (781) 803-7783
Photo of Sandee Tisdale - Cove Wellness Center, Licensed Social Worker, PhD
Cove Wellness Center
Licensed Social Worker, PhD
Sudbury, MA 01776
Our ideal clients are individuals and families seeking meaningful support and growth. Whether you're navigating life transitions, managing stress, overcoming trauma, or simply striving for greater emotional balance, we welcome clients who are open to exploring their inner world and building healthy coping strategies. At Cove, we specialize in working with teens, adults, and families who are ready to invest in their well-being and commit to a collaborative, personalized therapeutic process. If you're looking for a safe, compassionate space to explore, heal, and thrive, we’re here to guide you every step of the way.
Our ideal clients are individuals and families seeking meaningful support and growth. Whether you're navigating life transitions, managing stress, overcoming trauma, or simply striving for greater emotional balance, we welcome clients who are open to exploring their inner world and building healthy coping strategies. At Cove, we specialize in working with teens, adults, and families who are ready to invest in their well-being and commit to a collaborative, personalized therapeutic process. If you're looking for a safe, compassionate space to explore, heal, and thrive, we’re here to guide you every step of the way.
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Photo of Carla Chalah, BA, CCHT, CI, HBCE, CILC
Carla Chalah
Not Verified Not Verified
1 Endorsed
Sudbury, MA 01776
Embarking on self-discovery takes courage, offering significant rewards. Many feel an inherent push towards growth; when blocked, it can lead to feeling stuck and a loss of self-confidence. As a hypnotherapist and life coach, I'm dedicated to helping you overcome these obstacles. We'll tackle fears, avoidance behaviors, self-sabotage, and negative subconscious patterns that hinder your progress. My aim is to empower you to surpass your goals, fostering a journey of success and fulfillment. Together, we'll unlock your full potential, guiding you towards the life you deserve.
Embarking on self-discovery takes courage, offering significant rewards. Many feel an inherent push towards growth; when blocked, it can lead to feeling stuck and a loss of self-confidence. As a hypnotherapist and life coach, I'm dedicated to helping you overcome these obstacles. We'll tackle fears, avoidance behaviors, self-sabotage, and negative subconscious patterns that hinder your progress. My aim is to empower you to surpass your goals, fostering a journey of success and fulfillment. Together, we'll unlock your full potential, guiding you towards the life you deserve.
(617) 300-0558 View (617) 300-0558
Photo of Mary P. Cunningham, Clinical Social Work/Therapist, LICSW
Mary P. Cunningham
Clinical Social Work/Therapist, LICSW
Sudbury, MA 01776
Does your teen have worries and negative thoughts or feelings related to school, home or peers? I can help. With over 30 years of experience working with pre-teens, adolescents, college students and adults, I have worked extensively with several schools in the Boston Metrowest area. I understand the intricacies of the home/school connection and am adept at partnering with parents to facilitate collaboration with all providers in the child’s environment. I have successfully worked with adolescents and families to address a wide range of issues including depression, anxiety, grief, low self-esteem, and ADD/ADHD.
Does your teen have worries and negative thoughts or feelings related to school, home or peers? I can help. With over 30 years of experience working with pre-teens, adolescents, college students and adults, I have worked extensively with several schools in the Boston Metrowest area. I understand the intricacies of the home/school connection and am adept at partnering with parents to facilitate collaboration with all providers in the child’s environment. I have successfully worked with adolescents and families to address a wide range of issues including depression, anxiety, grief, low self-esteem, and ADD/ADHD.
(978) 307-1367 View (978) 307-1367
Photo of Dr. Rupal Bhatt - Dr. Rupal Bhatt @ Walking Together Therapy LLC, Counselor, PsyD, LMHC
Dr. Rupal Bhatt @ Walking Together Therapy LLC
Counselor, PsyD, LMHC
2 Endorsed
Sudbury, MA 01776
Thank you for being here, and for considering me as part of your journey toward clarity and healing. Choosing therapy takes courage—it’s a meaningful step toward allowing all parts of yourself to be seen, heard, and supported. Are you exploring questions about your identity—whether cultural, gender-related, or around sexuality? Navigating a major life transition like taking a gap year or feeling lost in college? Or feeling stuck due to anxiety, depression, or past trauma? I offer a collaborative, respectful, and goal-oriented approach to therapy. It would be a privilege to walk alongside you on your path.
Thank you for being here, and for considering me as part of your journey toward clarity and healing. Choosing therapy takes courage—it’s a meaningful step toward allowing all parts of yourself to be seen, heard, and supported. Are you exploring questions about your identity—whether cultural, gender-related, or around sexuality? Navigating a major life transition like taking a gap year or feeling lost in college? Or feeling stuck due to anxiety, depression, or past trauma? I offer a collaborative, respectful, and goal-oriented approach to therapy. It would be a privilege to walk alongside you on your path.
(978) 678-8228 View (978) 678-8228
Photo of Lawrence Haydu, Clinical Social Work/Therapist, LICSW
Lawrence Haydu
Clinical Social Work/Therapist, LICSW
Sudbury, MA 01776
I am accepting, interactive, and easygoing. I believe in focusing on the current situation in peoples' lives, and explore the past as long as it has a demonstrable benefit for a client's present day functioning. I believe it is important to customize my approach to a client's style, situation, and needs. As much as possible, I draw on a person's emotional and physical "intelligence" to complement his or her cognitive understanding. It is essential that my clients feel in charge of their direction and pacing, and safe enough to take the necessary risks.
I am accepting, interactive, and easygoing. I believe in focusing on the current situation in peoples' lives, and explore the past as long as it has a demonstrable benefit for a client's present day functioning. I believe it is important to customize my approach to a client's style, situation, and needs. As much as possible, I draw on a person's emotional and physical "intelligence" to complement his or her cognitive understanding. It is essential that my clients feel in charge of their direction and pacing, and safe enough to take the necessary risks.
(617) 863-0941 View (617) 863-0941
Photo of Michelle Jarrett Worth, Clinical Social Work/Therapist, MSW, LICSW
Michelle Jarrett Worth
Clinical Social Work/Therapist, MSW, LICSW
Sudbury, MA 01776
Change can be really tough. Chances are, you’re probably repeating similar patterns over and over. We all do this. It can really help us at times—if something goes well, let’s keep doing it, right? But then what do we do when it doesn’t go well or when it's no longer working for us? What do we do when it seems like each time we’re doing the same thing and getting the same response, and it’s not what we want? These patterns can go on for so long and when we finally want to do something about it—well, it can be super daunting to untangle what feels like a giant, complex, layered knot.
Change can be really tough. Chances are, you’re probably repeating similar patterns over and over. We all do this. It can really help us at times—if something goes well, let’s keep doing it, right? But then what do we do when it doesn’t go well or when it's no longer working for us? What do we do when it seems like each time we’re doing the same thing and getting the same response, and it’s not what we want? These patterns can go on for so long and when we finally want to do something about it—well, it can be super daunting to untangle what feels like a giant, complex, layered knot.
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Photo of Bruce Sabian - Academy MetroWest, Counselor, MA, LMHC
Academy MetroWest
Counselor, MA, LMHC
Sudbury, MA 01776
Academy MetroWest provides weekly group therapy sessions that meet in a gymnasium setting. Groups use cooperative, non-competitive physical activity as a means of helping children enhance social skills and self-image. Owing to the social skills focus of the program, our most commonly encountered presenting problems are ADHD, Asperger's Disorder, NvLD, and other issues in which social skills delays figure prominently. We work with children aged 6 - 15.
Academy MetroWest provides weekly group therapy sessions that meet in a gymnasium setting. Groups use cooperative, non-competitive physical activity as a means of helping children enhance social skills and self-image. Owing to the social skills focus of the program, our most commonly encountered presenting problems are ADHD, Asperger's Disorder, NvLD, and other issues in which social skills delays figure prominently. We work with children aged 6 - 15.
(508) 784-1506 View (508) 784-1506
Photo of Lisa A Taylor, Psychologist, PsyD
Lisa A Taylor
Psychologist, PsyD
5 Endorsed
Sudbury, MA 01776
I’m Dr. Lisa A. Taylor, a clinical psychologist specializing in anxiety, perfectionism, health challenges, grief/loss, and caregiving stress. I also work with couples who are looking to strengthen communication. My approach combines expertise, compassion, and evidence-based therapy to help you reduce distress, regain balance, and build resilience. Whether you’re feeling stuck, overwhelmed, or simply ready for change, together we’ll create a path toward healing, clarity, and meaningful progress.
I’m Dr. Lisa A. Taylor, a clinical psychologist specializing in anxiety, perfectionism, health challenges, grief/loss, and caregiving stress. I also work with couples who are looking to strengthen communication. My approach combines expertise, compassion, and evidence-based therapy to help you reduce distress, regain balance, and build resilience. Whether you’re feeling stuck, overwhelmed, or simply ready for change, together we’ll create a path toward healing, clarity, and meaningful progress.
(978) 404-5482 View (978) 404-5482

See more therapy options for 01776

How does your Therapist compare?

Number of Therapists in 01776

100+

Average cost per session

$185

Therapists in 01776 who prioritize treating:

92% Anxiety
85% Depression
76% Relationship Issues
75% Self Esteem
73% Coping Skills
68% Stress
67% Life Transitions

Average years in practice

16 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
51% Optum
50% Harvard Pilgrim

How Therapists in 01776 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 01776?

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.