Photo of Kathleen Hubbs Ulman, PhD, Psychologist
Kathleen Hubbs Ulman
Psychologist, PhD
Verified Verified
Boxford, MA 01921
I am an individual, couple and group psychotherapist with over thirty years of experience. I work well with individuals experiencing distress related to anxiety, depression, grief, stress, trauma, interpersonal difficulties and the impact of health issues on mental health. My goal is to establish a warm, collaborative and safe therapeutic relationship within which clients can address their distress and develop an understanding of the roots of this distress. My focus is to help individuals and couples build on their strengths and address their vulnerabilities to achieve their personal and professional goals while developing a sense of peace and enjoyment in their lives.
I am an individual, couple and group psychotherapist with over thirty years of experience. I work well with individuals experiencing distress related to anxiety, depression, grief, stress, trauma, interpersonal difficulties and the impact of health issues on mental health. My goal is to establish a warm, collaborative and safe therapeutic relationship within which clients can address their distress and develop an understanding of the roots of this distress. My focus is to help individuals and couples build on their strengths and address their vulnerabilities to achieve their personal and professional goals while developing a sense of peace and enjoyment in their lives.
(978) 306-4044 View (978) 306-4044
Photo of Melanie Johnson French, PhD, BC-DMT, RYT-200, CMA
Melanie Johnson French
PhD, BC-DMT, RYT-200, CMA
Verified Verified
Boxford, MA 01921  (Online Only)
Overwhelmed? Panicked? Frustrated? Trying to hold it all together? What if freedom from pain was possible, and readily available? What if you could navigate the intensity with authentic confidence, empowerment, and inner peace? My role is to be a compassionate, nonjudgmental presence for you to imagine and create the missing ingredients to your well-being. If you are motivated to try new approaches to life challenges and seeking someone to "coach" you along, working together could be a good fit.
Overwhelmed? Panicked? Frustrated? Trying to hold it all together? What if freedom from pain was possible, and readily available? What if you could navigate the intensity with authentic confidence, empowerment, and inner peace? My role is to be a compassionate, nonjudgmental presence for you to imagine and create the missing ingredients to your well-being. If you are motivated to try new approaches to life challenges and seeking someone to "coach" you along, working together could be a good fit.
(913) 359-9132 View (913) 359-9132
Photo of Constance P Glore, LMHC, C-IAYT, Counselor
Constance P Glore
Counselor, LMHC, C-IAYT
Verified Verified
Boxford, MA 01921  (Online Only)
Not accepting new clients
Openness, resilience and courage are possible at all stages of life. Intuitively, we know that there is a place of stillness and strength at the center. Therapy is a mind, body, and philosophical/spiritual journey to the authentic self. It is an adventure that requires effort and brings indestructible peace.
Openness, resilience and courage are possible at all stages of life. Intuitively, we know that there is a place of stillness and strength at the center. Therapy is a mind, body, and philosophical/spiritual journey to the authentic self. It is an adventure that requires effort and brings indestructible peace.
(508) 893-4447 View (508) 893-4447
Photo of Elizabeth Planje, LMHC, Counselor
Elizabeth Planje
Counselor, LMHC
Verified Verified
2 Endorsed
Boxford, MA 01921
Not accepting new clients
I am passionate about supporting children and adults to heal from past hurt, whether it be from an event they might name as "trauma" or from a series of challenges. I work to support the whole person- mind, body, and spirit- and I integrate different techniques (including expressive therapy). I also invite individuals to bring spiritual parts of themselves to the work, e.g., their passions, beliefs, values and meaning-making systems. I work from a self-as-instrument model and also am interested in supporting providers and caregivers so they can be their best for the people they support.
I am passionate about supporting children and adults to heal from past hurt, whether it be from an event they might name as "trauma" or from a series of challenges. I work to support the whole person- mind, body, and spirit- and I integrate different techniques (including expressive therapy). I also invite individuals to bring spiritual parts of themselves to the work, e.g., their passions, beliefs, values and meaning-making systems. I work from a self-as-instrument model and also am interested in supporting providers and caregivers so they can be their best for the people they support.
(617) 431-6773 View (617) 431-6773
Kathleen Gear
Psychologist, PhD
Verified Verified
Boxford, MA 01921
When children experience challenges learning, paying attention, interacting socially, or struggling emotionally, parents often need support to better understand these challenges. Neuropsychological testing provides information about how a child is growing, identifying areas of strength and possible challenge so that parents are in a better position to support their child's development. I work collaboratively with parents to tailor an assessment to understand the nuances and unique context of each child's experience. From the assessment, recommendations are offered to develop a specific plan to address the child's particular needs.
When children experience challenges learning, paying attention, interacting socially, or struggling emotionally, parents often need support to better understand these challenges. Neuropsychological testing provides information about how a child is growing, identifying areas of strength and possible challenge so that parents are in a better position to support their child's development. I work collaboratively with parents to tailor an assessment to understand the nuances and unique context of each child's experience. From the assessment, recommendations are offered to develop a specific plan to address the child's particular needs.
(339) 338-6925 View (339) 338-6925
Photo of William Ventimiglia, DMin, IAAP
William Ventimiglia
DMin, IAAP
Verified Verified
Boxford, MA 01921  (Online Only)
Not accepting new clients
I am an experienced, licensed clinician in private practice, and faculty member of the C.G. Jung Institute of Boston. I specialize in working with adults who are dealing with depression, anxiety, emotional and sexual trauma, and relationship issues. My approach is to listen carefully to your concerns, support areas of strength and resilience while discovering new inner resources and understandings that are often transformative. Patients and couples find me to be caring, non-judgmental, and pragmatic. I value the relief of suffering while working together to shift longer-term impediments to your quality of life and successful living.
I am an experienced, licensed clinician in private practice, and faculty member of the C.G. Jung Institute of Boston. I specialize in working with adults who are dealing with depression, anxiety, emotional and sexual trauma, and relationship issues. My approach is to listen carefully to your concerns, support areas of strength and resilience while discovering new inner resources and understandings that are often transformative. Patients and couples find me to be caring, non-judgmental, and pragmatic. I value the relief of suffering while working together to shift longer-term impediments to your quality of life and successful living.
(978) 528-4551 View (978) 528-4551
Photo of Diane C Dubin, LICSW, Clinical Social Work/Therapist
Diane C Dubin
Clinical Social Work/Therapist, LICSW
Verified Verified
Boxford, MA 01921
I have been in the mental health field for over 30 years practicing in a variety of settings. My current interests have evolved after years of working with adolescent females and adult women, followed by years of working with troubled families where I became aware of the prevalence of and impact from various kinds of trauma. Depression, anxiety, grief and loss, relational issues and living with and healing from trauma are areas of my expertise.
I have been in the mental health field for over 30 years practicing in a variety of settings. My current interests have evolved after years of working with adolescent females and adult women, followed by years of working with troubled families where I became aware of the prevalence of and impact from various kinds of trauma. Depression, anxiety, grief and loss, relational issues and living with and healing from trauma are areas of my expertise.
(978) 716-2814 View (978) 716-2814
Photo of Emily R Kirsch, MS, LMHC, Counselor
Emily R Kirsch
Counselor, MS, LMHC
Verified Verified
Boxford, MA 01921  (Online Only)
I am a seasoned clinician with an eclectic, positive and holistic approach. My focus is on people's strengths and resiliency. We will work together in a team approach to help you meet your goals. Comments I have heard consistently through the years are that people find me kind , compassionate and direct and that I provide a calming, comfortable and safe environment. One 8th grader told me recently she liked coming to see me because she learned so many new interesting things here.
I am a seasoned clinician with an eclectic, positive and holistic approach. My focus is on people's strengths and resiliency. We will work together in a team approach to help you meet your goals. Comments I have heard consistently through the years are that people find me kind , compassionate and direct and that I provide a calming, comfortable and safe environment. One 8th grader told me recently she liked coming to see me because she learned so many new interesting things here.
(978) 558-4898 View (978) 558-4898
Photo of Sarah Drew Mckenzie, LMHC, Counselor
Sarah Drew Mckenzie
Counselor, LMHC
Verified Verified
Boxford, MA 01921
Not accepting new clients
Specializing in treating substance abuse, low self esteem, grief and loss, anxiety, depression, and postpartum depression/anxiety. I would love to support you through life transitions including getting married and having children (times that are happy but complicated and confusing as well) I treat teens and adults and have a special interest in couples, first responders and postpartum care.
Specializing in treating substance abuse, low self esteem, grief and loss, anxiety, depression, and postpartum depression/anxiety. I would love to support you through life transitions including getting married and having children (times that are happy but complicated and confusing as well) I treat teens and adults and have a special interest in couples, first responders and postpartum care.
(978) 778-3543 View (978) 778-3543
Photo of Susan Benson - Susan Benson, Psya.D. LICSW, PsyaD, LICSW, CertPsy, Clinical Social Work/Therapist
Susan Benson, Psya.D. LICSW
Clinical Social Work/Therapist, PsyaD, LICSW, CertPsy
Verified Verified
Boxford, MA 01921
Not accepting new clients
The desire for a healthy relationship with oneself and others and having satisfying work or other pursuits of happiness are part of the human condition. Despite the "want" for this, achieving successful outcomes can be elusive. I am eager to work with you in helping to understand the problematic patterns of thinking, feeling, and doing that can keep you from getting what you desire. I practice a psychoanalytic approach and provide a therapeutic presence to explore your unique experience of being you. Together we can work toward a deeper knowledge of yourself which will lead to more emotional freedom and better choices for life satisfaction.
The desire for a healthy relationship with oneself and others and having satisfying work or other pursuits of happiness are part of the human condition. Despite the "want" for this, achieving successful outcomes can be elusive. I am eager to work with you in helping to understand the problematic patterns of thinking, feeling, and doing that can keep you from getting what you desire. I practice a psychoanalytic approach and provide a therapeutic presence to explore your unique experience of being you. Together we can work toward a deeper knowledge of yourself which will lead to more emotional freedom and better choices for life satisfaction.
(978) 548-4634 View (978) 548-4634
Photo of Henry Zapata, MS, LMHC, Counselor
Henry Zapata
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Boxford, MA 01921
Hello and welcome. Collaborative therapies approach the therapeutic process from a place of open-minded curiosity. These methods are powerful techniques that explore alternatives to conventional treatment; working side by side we overcome the barriers that keep a person stuck. As a practitioner my intention is to facilitate a setting that empowers individuals and families in promoting healing and finding new meaning in life. This setting allows for deep exploration that can bring balance and integration to your physical, mental, emotional and transcendent selves. It is holistic health as an outlook to creating health and wellness.
Hello and welcome. Collaborative therapies approach the therapeutic process from a place of open-minded curiosity. These methods are powerful techniques that explore alternatives to conventional treatment; working side by side we overcome the barriers that keep a person stuck. As a practitioner my intention is to facilitate a setting that empowers individuals and families in promoting healing and finding new meaning in life. This setting allows for deep exploration that can bring balance and integration to your physical, mental, emotional and transcendent selves. It is holistic health as an outlook to creating health and wellness.
(978) 233-1543 View (978) 233-1543
Photo of Courtney Pelletier, LICSW, Clinical Social Work/Therapist
Courtney Pelletier
Clinical Social Work/Therapist, LICSW
Verified Verified
Boxford, MA 01921
I enjoy helping people work on achieving a balance between self acceptance and striving to incorporate positive changes into their lives. I "meet people where they are at" and encourage self exploration with gentle guidance. I often work with adults who identify as 'highly sensitive' or possess introverted qualities. I work with individuals who want to learn how to slow down and enjoy life while also finding a way to thrive in our fast paced, extroverted society. I often work with individuals with anxiety, depression, and relationship struggles.
I enjoy helping people work on achieving a balance between self acceptance and striving to incorporate positive changes into their lives. I "meet people where they are at" and encourage self exploration with gentle guidance. I often work with adults who identify as 'highly sensitive' or possess introverted qualities. I work with individuals who want to learn how to slow down and enjoy life while also finding a way to thrive in our fast paced, extroverted society. I often work with individuals with anxiety, depression, and relationship struggles.
(978) 234-2239 View (978) 234-2239
Photo of Robert Johnston, LICSW, Clinical Social Work/Therapist
Robert Johnston
Clinical Social Work/Therapist, LICSW
Verified Verified
Boxford, MA 01921  (Online Only)
I am deeply curious about human relationships; the conditions that make them mutually satisfying and joyful as well as how they can go wrong leaving people feeling in pain, lonely or unworthy. My practice consists of couples and adults whose relationships with themselves and/or others are in disrepair. We all have many relationships. Yet, the more personal and intimate they are, the more distressing and challenging they can be at one time or another. I encourage individuals and couples looking to discover greater relational joy and willing to look both inward and outward for more satisfying life solutions to contact me.
I am deeply curious about human relationships; the conditions that make them mutually satisfying and joyful as well as how they can go wrong leaving people feeling in pain, lonely or unworthy. My practice consists of couples and adults whose relationships with themselves and/or others are in disrepair. We all have many relationships. Yet, the more personal and intimate they are, the more distressing and challenging they can be at one time or another. I encourage individuals and couples looking to discover greater relational joy and willing to look both inward and outward for more satisfying life solutions to contact me.
(978) 289-4840 View (978) 289-4840
Photo of Marla Ohanesian, LICSW, Clinical Social Work/Therapist
Marla Ohanesian
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Boxford, MA 01921
I am a Licensed Independent Clinical Social Worker with over 15 years experience providing therapy in schools, hospitals and outpatient clinics. I have worked with clients experiencing anxiety, depression, ADHD, life transitions, and behavioral challenges. My approach to therapy is built on empathy, trust, and collaboration. I strive to create a safe and non-judgmental space for my clients. Together, we'll work towards identifying strengths, overcoming obstacles, and fostering personal growth. My clients are the experts in their life, and my role is to provide guidance, support, and strategies to help.
I am a Licensed Independent Clinical Social Worker with over 15 years experience providing therapy in schools, hospitals and outpatient clinics. I have worked with clients experiencing anxiety, depression, ADHD, life transitions, and behavioral challenges. My approach to therapy is built on empathy, trust, and collaboration. I strive to create a safe and non-judgmental space for my clients. Together, we'll work towards identifying strengths, overcoming obstacles, and fostering personal growth. My clients are the experts in their life, and my role is to provide guidance, support, and strategies to help.
(508) 978-1493 View (508) 978-1493
Photo of Vanessa Wells, MA, LMHC, Counselor
Vanessa Wells
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Boxford, MA 01921
It’s essential clients are seen for who they are and given tools that resonate with them to do the work that therapy requires. This means merging our body and mind, our values and actions, and our personhood with our community. I support clients with these meaningful tools and empower them through life's transitions by increasing insight and skill building. One such tool is using Tarot, which can provide perspective or be used as a powerful projective tool regardless of spiritual affiliation. My ultimate goal is to integrate Eastern and Western ideologies into my practice to provide effective personalized mental health care for all.
It’s essential clients are seen for who they are and given tools that resonate with them to do the work that therapy requires. This means merging our body and mind, our values and actions, and our personhood with our community. I support clients with these meaningful tools and empower them through life's transitions by increasing insight and skill building. One such tool is using Tarot, which can provide perspective or be used as a powerful projective tool regardless of spiritual affiliation. My ultimate goal is to integrate Eastern and Western ideologies into my practice to provide effective personalized mental health care for all.
(978) 296-3998 View (978) 296-3998
Photo of Sarah Mitchell - Sarah Mitchell, Inward Bound Therapy, MSW, LICSW, Clinical Social Work/Therapist
Sarah Mitchell, Inward Bound Therapy
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Boxford, MA 01921
I am a clinical social worker (LICSW) with over 25 years of experience working with youth, adults and families across a variety of settings. My areas of expertise include anxiety, depression, parental guidance, attachment, family systems and relationship issues. I deeply value authenticity and strive to create a trusting relationship with my clients. My approach is grounded in family system theory but draws on a variety of methods including Internal Family Systems (IFS), Cognitive Behavioral Therapy (CBT) and Narrative Therapy to create a tailored approach for each individual person.
I am a clinical social worker (LICSW) with over 25 years of experience working with youth, adults and families across a variety of settings. My areas of expertise include anxiety, depression, parental guidance, attachment, family systems and relationship issues. I deeply value authenticity and strive to create a trusting relationship with my clients. My approach is grounded in family system theory but draws on a variety of methods including Internal Family Systems (IFS), Cognitive Behavioral Therapy (CBT) and Narrative Therapy to create a tailored approach for each individual person.
(978) 755-1845 View (978) 755-1845
Photo of Hannah M Watkins, PsyD, Psychologist
Hannah M Watkins
Psychologist, PsyD
Verified Verified
Boxford, MA 01921  (Online Only)
As inherently social beings, I believe that we learn to love and accept ourselves, gain self awareness, and form a strong self-concept through our connections with others. As such, I consider the psychotherapeutic relationship and process to be of vital importance in working through any barrier that holds us back from enjoying a meaningful and fulfilling life. True healing happens in connection with others through trust, vulnerability and being seen and accepted for who we are at our core. It’s not about changing who we are but about learning how to use our inherent strengths to care for ourselves and reach our full potential.
As inherently social beings, I believe that we learn to love and accept ourselves, gain self awareness, and form a strong self-concept through our connections with others. As such, I consider the psychotherapeutic relationship and process to be of vital importance in working through any barrier that holds us back from enjoying a meaningful and fulfilling life. True healing happens in connection with others through trust, vulnerability and being seen and accepted for who we are at our core. It’s not about changing who we are but about learning how to use our inherent strengths to care for ourselves and reach our full potential.
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Photo of Nena St Jean, LMHC, Counselor
Nena St Jean
Counselor, LMHC
Verified Verified
Boxford, MA 01921  (Online Only)
The search for a therapist is the first BIG step to getting on a more healthy and balanced path that you envision for your life! I would like to explain more about myself and how I help my clients. I have been a therapist for over 14 years! I enjoy working with adults from all diverse backgrounds. In individual sessions I help those presenting with depression, anxiety, OCD, personality disorders, trauma, substance abuse, ADHD/ADD, issues with sexuality, LGBTQ, grief and loss, parenting issues, women's issues, and challenges involving interpersonal relationships
The search for a therapist is the first BIG step to getting on a more healthy and balanced path that you envision for your life! I would like to explain more about myself and how I help my clients. I have been a therapist for over 14 years! I enjoy working with adults from all diverse backgrounds. In individual sessions I help those presenting with depression, anxiety, OCD, personality disorders, trauma, substance abuse, ADHD/ADD, issues with sexuality, LGBTQ, grief and loss, parenting issues, women's issues, and challenges involving interpersonal relationships
(978) 637-5892 View (978) 637-5892
Photo of Chris Warner, MEd, CYT, ISTT
Chris Warner
MEd, CYT, ISTT
Verified Verified
Boxford, MA 01921  (Online Only)
Many clients come to me with suffering around patterns of anxiety, depression, and addiction, as well as dissatisfaction in their interpersonal relationships and work life. Many clients have never 'been heard' before. Many clients have lost touch with themselves, and doubt their own capacity to be well, and to thrive in their lives. Some clients come with severe trauma, and have difficulty being 'in' their own bodies. Some clients say 'I don't do emotions,' and yet are suffering from the results of suppression.
Many clients come to me with suffering around patterns of anxiety, depression, and addiction, as well as dissatisfaction in their interpersonal relationships and work life. Many clients have never 'been heard' before. Many clients have lost touch with themselves, and doubt their own capacity to be well, and to thrive in their lives. Some clients come with severe trauma, and have difficulty being 'in' their own bodies. Some clients say 'I don't do emotions,' and yet are suffering from the results of suppression.
(978) 759-7138 View (978) 759-7138
Photo of Danielle Meyers, LMHC, MS, Counselor
Danielle Meyers
Counselor, LMHC, MS
Verified Verified
1 Endorsed
Boxford, MA 01921
Many of us experience stress and anxiety on a daily basis. While sometimes we feel in control of these emotions, other times it can feel like they are controlling us. Whether you are dealing with day-to-day stressors, or those brought on by major life transitions, learning how to identify and manage the feelings you experience can be vital to having happy, healthy relationships with others and with yourself.
Many of us experience stress and anxiety on a daily basis. While sometimes we feel in control of these emotions, other times it can feel like they are controlling us. Whether you are dealing with day-to-day stressors, or those brought on by major life transitions, learning how to identify and manage the feelings you experience can be vital to having happy, healthy relationships with others and with yourself.
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1

How does your Therapist compare?

Number of Therapists in 01921

20+

Average cost per session

$150

Therapists in 01921 who prioritize treating:

96% Anxiety
87% Depression
83% Relationship Issues
78% Self Esteem
74% Coping Skills
74% Stress
61% Family Conflict

Average years in practice

16 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
56% Harvard Pilgrim
56% Tufts

How Therapists in 01921 see their clients

66% In Person and Online
34% Online Only

Gender breakdown

80% Female
15% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 01921?

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.