Photo of Alexis Chirban, Psychologist, PsyD
Alexis Chirban
Psychologist, PsyD
2 Endorsed
Online Only
Welcome! I'm Dr. Alexis Chirban. I am a passionate clinical psychologist and mental performance consultant who works with athletes, performers, and high achievers to help them optimize their mindset, build resilience, and achieve peak performance. As a lifelong athlete, I bring a firsthand understanding of the mental and physical demands of high performance. My approach combines clinical expertise with mental skills training to support individuals in strengthening their inner game while embracing growth, vulnerability, and continuous improvement.
Welcome! I'm Dr. Alexis Chirban. I am a passionate clinical psychologist and mental performance consultant who works with athletes, performers, and high achievers to help them optimize their mindset, build resilience, and achieve peak performance. As a lifelong athlete, I bring a firsthand understanding of the mental and physical demands of high performance. My approach combines clinical expertise with mental skills training to support individuals in strengthening their inner game while embracing growth, vulnerability, and continuous improvement.
(508) 500-8591 View (508) 500-8591
Photo of Rita Vatcher, Counselor, LMHC, MCCS, CAGS, RPT-S
Rita Vatcher
Counselor, LMHC, MCCS, CAGS, RPT-S
1 Endorsed
Serves Area
I love to work with kids and adolescents and their families. I believe people don't have "problems" but rather "challenges" they learn to move through or re-frame. Together we learn new ways of doing things; new ways of looking at things; find a new path of our own choosing that feels better than the one we were on; relate to ourselves and others in a healthier way; learn to smile and laugh more; find the things we are good at doing; make a contribution; stress less; be who we are meant to be, and love who we are as a person!
I love to work with kids and adolescents and their families. I believe people don't have "problems" but rather "challenges" they learn to move through or re-frame. Together we learn new ways of doing things; new ways of looking at things; find a new path of our own choosing that feels better than the one we were on; relate to ourselves and others in a healthier way; learn to smile and laugh more; find the things we are good at doing; make a contribution; stress less; be who we are meant to be, and love who we are as a person!
(508) 471-3442 View (508) 471-3442
Photo of Dr. Mitch Abblett, Psychologist, PhD
Dr. Mitch Abblett
Psychologist, PhD
2 Endorsed
Serves Area
As a Boston-area psychologist for over 15 years, I focus on mindfulness-based work with teens, parents, families with whom I facilitate healthy change and growth. I have clinical experience from various settings (hospitals, outpatient clinics, residential facilities & therapeutic schools). For over a decade, I served as the Clinical Director of the Manville School at Judge Baker Children's Center in Boston - a Harvard-affiliated therapeutic school program for kids with emotional, behavioral and learning difficulties. I also recently served as the Executive Director of the Institute for Meditation and Psychotherapy (IMP) in Boston.
As a Boston-area psychologist for over 15 years, I focus on mindfulness-based work with teens, parents, families with whom I facilitate healthy change and growth. I have clinical experience from various settings (hospitals, outpatient clinics, residential facilities & therapeutic schools). For over a decade, I served as the Clinical Director of the Manville School at Judge Baker Children's Center in Boston - a Harvard-affiliated therapeutic school program for kids with emotional, behavioral and learning difficulties. I also recently served as the Executive Director of the Institute for Meditation and Psychotherapy (IMP) in Boston.
(774) 237-2098 View (774) 237-2098
Photo of Rachel Spring, Clinical Social Work/Therapist, LICSW
Rachel Spring
Clinical Social Work/Therapist, LICSW
1 Endorsed
Online Only
I am a Licensed Independent Clinical Social Worker (LICSW) offering virtual therapy for adults and older teens in Massachusetts. Whether you are new to therapy or have been in therapy for years, I'm here to assist you with navigating life's challenges. My areas of expertise include depression, anxiety, Obsessive Compulsive Disorder, sleep and insomnia, work-related issues, and life transitions. My therapeutic approach is evidence-based, drawing from Cognitive Behavioral Therapy (CBT), Exposure Response Prevention (ERP), CBT-I for insomnia, Acceptance & Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT).
I am a Licensed Independent Clinical Social Worker (LICSW) offering virtual therapy for adults and older teens in Massachusetts. Whether you are new to therapy or have been in therapy for years, I'm here to assist you with navigating life's challenges. My areas of expertise include depression, anxiety, Obsessive Compulsive Disorder, sleep and insomnia, work-related issues, and life transitions. My therapeutic approach is evidence-based, drawing from Cognitive Behavioral Therapy (CBT), Exposure Response Prevention (ERP), CBT-I for insomnia, Acceptance & Commitment Therapy (ACT), and Dialectical Behavior Therapy (DBT).
(508) 978-5064 View (508) 978-5064
Photo of Helena Greaney, MS, PCNS, RN
Helena Greaney
Verified Verified
Online Only
Not accepting new clients
Not currently accepting new Clients for telehealth psychotherapy in Massachusetts. It takes courage to seek out a therapist to find the help you long for. It is my practice to meet you with compassion exactly where you are and together we will work to relieve your distress. You will no longer be alone. I will help you find your way to purpose, meaning and connections with others and with Self. Whatever your struggles in life are, we will work to overcome them so that you can become the version of yourself that you wish to be. Our work together is collaborative. We will form a partnership to help you meet your goals.
Not currently accepting new Clients for telehealth psychotherapy in Massachusetts. It takes courage to seek out a therapist to find the help you long for. It is my practice to meet you with compassion exactly where you are and together we will work to relieve your distress. You will no longer be alone. I will help you find your way to purpose, meaning and connections with others and with Self. Whatever your struggles in life are, we will work to overcome them so that you can become the version of yourself that you wish to be. Our work together is collaborative. We will form a partnership to help you meet your goals.
(339) 220-4912 View (339) 220-4912
Photo of Madeleine Karpel, Psychologist, PhD
Madeleine Karpel
Psychologist, PhD
4 Endorsed
Serves Area
Not accepting new clients
Please note, I am not currently able to accept new clients. I am a licensed clinical psychologist, providing individual therapy to adults (21 and older). I specialize in the treatment of trauma (PTSD, complex trauma), and also work with stress, burnout, depression, and life transitions, such as divorce, or retirement. I offer executive functioning-focused skills and strategies for clients living with ADHD/neurodivergence. I also provide therapy to LGBTQ+ and Gender-Diverse individuals navigating their intersecting identities, and/or gender identity and expression. My interpersonal style is warm, respectful, empathic, and practical.
Please note, I am not currently able to accept new clients. I am a licensed clinical psychologist, providing individual therapy to adults (21 and older). I specialize in the treatment of trauma (PTSD, complex trauma), and also work with stress, burnout, depression, and life transitions, such as divorce, or retirement. I offer executive functioning-focused skills and strategies for clients living with ADHD/neurodivergence. I also provide therapy to LGBTQ+ and Gender-Diverse individuals navigating their intersecting identities, and/or gender identity and expression. My interpersonal style is warm, respectful, empathic, and practical.
(857) 663-7734 View (857) 663-7734
Photo of Ben Krasnick - Ben Krasnick Counseling, Inc., Clinical Social Work/Therapist, LICSW
Ben Krasnick Counseling, Inc.
Clinical Social Work/Therapist, LICSW
1 Endorsed
Online Only
Are you struggling to cope with a variety of life's problems including challenges at home, school, relationships, family and work? Have these struggles brought around depression, anxiety, stress, anger, or trauma? Are you looking for more happiness, peace, contentment, and strength? I specialize in the treatment of adults working to change their relationships to problems by developing tools to make lasting change.
Are you struggling to cope with a variety of life's problems including challenges at home, school, relationships, family and work? Have these struggles brought around depression, anxiety, stress, anger, or trauma? Are you looking for more happiness, peace, contentment, and strength? I specialize in the treatment of adults working to change their relationships to problems by developing tools to make lasting change.
(978) 801-2188 View (978) 801-2188
Photo of Lauren Gentile, Psychologist, PhD
Lauren Gentile
Psychologist, PhD
Serves Area
Welcome! I believe that the heart of therapy lies in the relationship between client and therapist. My approach is built on trust, empathy, and open communication, creating a safe space where you can share your thoughts and feelings without judgment. With 15 years of experience in psychology, I work with individuals struggling to navigate a range of everyday stressors, including setting boundaries in their personal relationships, working through difficult life transitions, increasing their self-knowledge and confidence, improving communication, reducing anxiety, and managing the stress of modern parenting .
Welcome! I believe that the heart of therapy lies in the relationship between client and therapist. My approach is built on trust, empathy, and open communication, creating a safe space where you can share your thoughts and feelings without judgment. With 15 years of experience in psychology, I work with individuals struggling to navigate a range of everyday stressors, including setting boundaries in their personal relationships, working through difficult life transitions, increasing their self-knowledge and confidence, improving communication, reducing anxiety, and managing the stress of modern parenting .
(781) 312-6095 View (781) 312-6095
Photo of Robert R Tella, Psychologist, EdD
Robert R Tella
Psychologist, EdD
Serves Area
Dr. Robert Tella is a Clinical Licensed Psychologist and Certified Massachusetts Health Service Provider. He has worked in the field of mental health for over thirty years, twenty-four of which have been in his private practice of clinical and consulting psychology in Wellesley, Massachusetts. His background experience is extensive, encompassing inpatient and outpatient work at various Boston-area hospitals, serving children and adults, in addition to supervising and training of graduate students and interns.
Dr. Robert Tella is a Clinical Licensed Psychologist and Certified Massachusetts Health Service Provider. He has worked in the field of mental health for over thirty years, twenty-four of which have been in his private practice of clinical and consulting psychology in Wellesley, Massachusetts. His background experience is extensive, encompassing inpatient and outpatient work at various Boston-area hospitals, serving children and adults, in addition to supervising and training of graduate students and interns.
(781) 328-2938 View (781) 328-2938
Photo of Cybill S Goldberg, Clinical Social Work/Therapist, LICSW
Cybill S Goldberg
Clinical Social Work/Therapist, LICSW
Serves Area
Over the years as a therapist, I have found that the common theme amongst my clients is not their diagnosis or their problems but their deep desire for Calmness, Clarity & Connection. They seek therapy because something is not right in their lives and they want to find a better way. The ingredients to healing are found in these three elements. Whether it is through individual therapy, teen support/skill building, The c3 Method or even within the audience of my public speaking events, my clients engage in a process that leads them away from their struggles to a place of Calmness, Clarity and Connection. ​
Over the years as a therapist, I have found that the common theme amongst my clients is not their diagnosis or their problems but their deep desire for Calmness, Clarity & Connection. They seek therapy because something is not right in their lives and they want to find a better way. The ingredients to healing are found in these three elements. Whether it is through individual therapy, teen support/skill building, The c3 Method or even within the audience of my public speaking events, my clients engage in a process that leads them away from their struggles to a place of Calmness, Clarity and Connection. ​
(617) 307-7290 View (617) 307-7290
Photo of Disha Joshi, Counselor, LMHC
Disha Joshi
Counselor, LMHC
Online Only
Are you feeling stuck, disconnected, or misunderstood? Life can feel overwhelming, especially when you’re moving through transitions, grappling with past trauma, or navigating patterns that no longer serve you. If you’re ready to clear out the cobwebs and reconnect with yourself and the world around you, I’m here to help. My goal is to provide a warm, nonjudgmental space where you can explore your thoughts and feelings, feel truly seen, and develop a deeper sense of connection to yourself and others. As a first-generation Indian American, I also deeply value the role that culture and identity play in our experiences.
Are you feeling stuck, disconnected, or misunderstood? Life can feel overwhelming, especially when you’re moving through transitions, grappling with past trauma, or navigating patterns that no longer serve you. If you’re ready to clear out the cobwebs and reconnect with yourself and the world around you, I’m here to help. My goal is to provide a warm, nonjudgmental space where you can explore your thoughts and feelings, feel truly seen, and develop a deeper sense of connection to yourself and others. As a first-generation Indian American, I also deeply value the role that culture and identity play in our experiences.
(857) 420-5684 View (857) 420-5684
Photo of Julia Trumble, Clinical Social Work/Therapist, LICSW
Julia Trumble
Clinical Social Work/Therapist, LICSW
1 Endorsed
Online Only
It’s Important to acknowledge that many people feel depressed or anxious at times. You may be exploring or questioning your relationship with alcohol or other substances. You may be feeling stagnant with your goals and not seeing the progress you would like. You may be struggling with a relationship or with self-esteem issues. You might be trying to be supportive of a loved one who is struggling. At times, people feel they are having trouble managing these stressful issues on their own, and this is where the support of a therapist can be helpful.
It’s Important to acknowledge that many people feel depressed or anxious at times. You may be exploring or questioning your relationship with alcohol or other substances. You may be feeling stagnant with your goals and not seeing the progress you would like. You may be struggling with a relationship or with self-esteem issues. You might be trying to be supportive of a loved one who is struggling. At times, people feel they are having trouble managing these stressful issues on their own, and this is where the support of a therapist can be helpful.
(508) 715-3794 View (508) 715-3794
Photo of Lori D. Fishman, Psychologist, PsyD
Lori D. Fishman
Psychologist, PsyD
Serves Area
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
Photo of Dr. Brittany Mathes Winnicki, Psychologist, PhD
Dr. Brittany Mathes Winnicki
Psychologist, PhD
2 Endorsed
Online Only
Asking for help is hard and takes courage. Kudos to you for taking the first step. I am a clinical psychologist with over 10 years of experience working with individuals with anxiety, OCD, and trauma-related disorders (eg, PTSD). My clients often come to me feeling stuck in repetitive or intrusive thoughts, uncomfortable emotions, and unhelpful patterns of behavior. I flexibly integrate techniques from evidence-based psychotherapies, including cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and exposure-based therapies, to meet my clients' unique needs.
Asking for help is hard and takes courage. Kudos to you for taking the first step. I am a clinical psychologist with over 10 years of experience working with individuals with anxiety, OCD, and trauma-related disorders (eg, PTSD). My clients often come to me feeling stuck in repetitive or intrusive thoughts, uncomfortable emotions, and unhelpful patterns of behavior. I flexibly integrate techniques from evidence-based psychotherapies, including cognitive behavioral therapy (CBT), acceptance and commitment therapy (ACT), and exposure-based therapies, to meet my clients' unique needs.
(617) 671-0839 View (617) 671-0839
Photo of Lacey Rose Alvarez, Clinical Social Work/Therapist, LICSW, RYT-200
Lacey Rose Alvarez
Clinical Social Work/Therapist, LICSW, RYT-200
Online Only
I specialize in treating people who have experienced trauma, mood disorders, eating disorders, and psychosis. My expertise includes working with adults, youth, and families. I am passionate about working with adolescents and young adults on identity formation. Most youth I have worked with have identified as part of the LGBTQ+ community, with particular focus on gender identity and affirmation. As a holistic practitioner, I give consideration for intersectional factors of race, ability, culture, and other dimensions of identity as well.
I specialize in treating people who have experienced trauma, mood disorders, eating disorders, and psychosis. My expertise includes working with adults, youth, and families. I am passionate about working with adolescents and young adults on identity formation. Most youth I have worked with have identified as part of the LGBTQ+ community, with particular focus on gender identity and affirmation. As a holistic practitioner, I give consideration for intersectional factors of race, ability, culture, and other dimensions of identity as well.
(617) 249-6748 View (617) 249-6748
Photo of Mary P. Cunningham, Clinical Social Work/Therapist, LICSW
Mary P. Cunningham
Clinical Social Work/Therapist, LICSW
Serves Area
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 Será Godfrey-Kaplan, Clinical Social Work/Therapist, LICSW
Será Godfrey-Kaplan
Clinical Social Work/Therapist, LICSW
Serves Area
I work with adults, college and graduate students, adolescents, families, couples, social workers and groups. I believe that therapy is a collaborative journey. My style includes creating a warm space for my clients to work through difficulties. You can expect a responsive experience where you can explore and find new ways to improve your quality of life.
I work with adults, college and graduate students, adolescents, families, couples, social workers and groups. I believe that therapy is a collaborative journey. My style includes creating a warm space for my clients to work through difficulties. You can expect a responsive experience where you can explore and find new ways to improve your quality of life.
(857) 763-3753 View (857) 763-3753
Photo of Melinda Trollope - Concord Wellness Counseling, Counselor, MS, LMHC
Concord Wellness Counseling
Counselor, MS, LMHC
Online Only
Do you feel like something is off or missing from your life? Do you feel overwhelmed? Do you feel stuck? Have you been feeling tired, frustrated, anxious, worried, and/or sad? If you are searching on here you are seeking help and in the right place. If you are looking for a therapist you are most likely seeking change and relief. Life is short and you should enjoy it but stress can interfere with this, so let me help you. I can help.
Do you feel like something is off or missing from your life? Do you feel overwhelmed? Do you feel stuck? Have you been feeling tired, frustrated, anxious, worried, and/or sad? If you are searching on here you are seeking help and in the right place. If you are looking for a therapist you are most likely seeking change and relief. Life is short and you should enjoy it but stress can interfere with this, so let me help you. I can help.
(978) 226-4317 View (978) 226-4317
Photo of David Rosmarin, Psychologist, PhD
David Rosmarin
Psychologist, PhD
Serves Area
Dr. Rosmarin has developed an expertise in evidence-based approaches for treating mental health and has a passion for helping others understand the reason for their struggle. Using this evidence-based approach, he has helped many clients work through their anxiety-related issues and find meaning in their life.
Dr. Rosmarin has developed an expertise in evidence-based approaches for treating mental health and has a passion for helping others understand the reason for their struggle. Using this evidence-based approach, he has helped many clients work through their anxiety-related issues and find meaning in their life.
(508) 709-1557 View (508) 709-1557
Photo of Anthony Annunziata, Psychologist, PhD
Anthony Annunziata
Psychologist, PhD
14 Endorsed
Serves Area
There are many reasons to speak with a psychologist. Do you feel very stressed out? Do you feel like you are losing control, or falling apart? Are you very hard on yourself? Do you get carried away with anger? Do you lack meaning or direction in your life? Do you avoid doing more and more out of fear? Loneliness, worthlessness, dread, helplessness, grief, self-doubt, and hopelessness: These are some of the difficult internal experiences that people may suffer and struggle against. They may overwhelm and negatively impact all parts of life, including relationships with family, friends, or employers, and undermine personal goals.
There are many reasons to speak with a psychologist. Do you feel very stressed out? Do you feel like you are losing control, or falling apart? Are you very hard on yourself? Do you get carried away with anger? Do you lack meaning or direction in your life? Do you avoid doing more and more out of fear? Loneliness, worthlessness, dread, helplessness, grief, self-doubt, and hopelessness: These are some of the difficult internal experiences that people may suffer and struggle against. They may overwhelm and negatively impact all parts of life, including relationships with family, friends, or employers, and undermine personal goals.
(781) 954-5239 View (781) 954-5239
1

See more therapy options for 02193

How does your Therapist compare?

Number of Therapists in 02193

30+

Average cost per session

$182

Therapists in 02193 who prioritize treating:

97% Anxiety
92% Depression
82% Relationship Issues
79% Self Esteem
77% Coping Skills
72% Stress
69% Life Transitions

Average years in practice

16 Years

Top 3 insurances accepted

84% Aetna
84% BlueCross and BlueShield
68% Harvard Pilgrim

How Therapists in 02193 see their clients

58% Online Only
42% In Person and Online

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 02193?

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.