Photo of Dr. Jennifer D Brown, Psychologist in 02453, MA
Dr. Jennifer D Brown
Psychologist, ATR-BC, PsyD
Verified Verified
1 Endorsed
Waltham, MA 02453
I am a licensed clinical psychologist in private practice and in the Waltham area. As a psychologist, art therapist, and an educator, I have devoted myself to helping others create meaningful, fulfilling lives. My approach is relational, psychodynamic, mindfulness-based and research informed. I am astute in understanding the clinical process that underly change and therapeutic components that promote healing. I believe in a collaborative therapeutic relationship, while supporting individual strengths and meeting specific needs of the person. I welcome clients from all backgrounds, cultures, ethnicities and sexual orientations.
I am a licensed clinical psychologist in private practice and in the Waltham area. As a psychologist, art therapist, and an educator, I have devoted myself to helping others create meaningful, fulfilling lives. My approach is relational, psychodynamic, mindfulness-based and research informed. I am astute in understanding the clinical process that underly change and therapeutic components that promote healing. I believe in a collaborative therapeutic relationship, while supporting individual strengths and meeting specific needs of the person. I welcome clients from all backgrounds, cultures, ethnicities and sexual orientations.
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Photo of Kristen Gaherty, Clinical Social Work/Therapist in 02453, MA
Kristen Gaherty
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Waltham, MA 02453  (Online Only)
My approach to therapy comes from a person centered lens and systems approach. In short, this means I approach every person that I have the honor to work with as the experts on their own lives and the many factors that effect their overall well-being. I approach every client with curiosity and unconditional positive regard and will hopeful help them to see themselves through this view as well. In session, patients can expect typical talk therapy with principles of behavior change techniques weaved in to provide some tools to meet their personal goals.
My approach to therapy comes from a person centered lens and systems approach. In short, this means I approach every person that I have the honor to work with as the experts on their own lives and the many factors that effect their overall well-being. I approach every client with curiosity and unconditional positive regard and will hopeful help them to see themselves through this view as well. In session, patients can expect typical talk therapy with principles of behavior change techniques weaved in to provide some tools to meet their personal goals.
(617) 380-6019 View (617) 380-6019
Photo of Erika Stewart Wheelhouse, Counselor in 02453, MA
Erika Stewart Wheelhouse
Counselor, MA, LMHC
Verified Verified
Waltham, MA 02453  (Online Only)
Everyone struggles, but you don't have to struggle alone. Offering compassionate, strength-based therapy for adolescents, adults, and their families struggling with trauma and PTSD, anxiety, or depression. Gain a deeper understanding of yourself while learning effective coping and life skills can help you better navigate these challenges. Dedicated to serving and supporting my LGBTQ+ clients with inclusive, compassionate treatment and gender-affirming care. All sessions via telehealth/video. Superbills available for out of network.
Everyone struggles, but you don't have to struggle alone. Offering compassionate, strength-based therapy for adolescents, adults, and their families struggling with trauma and PTSD, anxiety, or depression. Gain a deeper understanding of yourself while learning effective coping and life skills can help you better navigate these challenges. Dedicated to serving and supporting my LGBTQ+ clients with inclusive, compassionate treatment and gender-affirming care. All sessions via telehealth/video. Superbills available for out of network.
(857) 971-8844 View (857) 971-8844
Photo of John T. Chirban, Psychologist in 02453, MA
John T. Chirban
Psychologist, PhD, ThD
Verified Verified
Waltham, MA 02453
I work with individuals, couples, and families to address concerns with relationships, identity, intimacy and sexuality, and spirituality, in addition to general psychological problems. My approach to therapy is active, relational, and result-oriented, encouraging clients take hold of their life and find the meaning that life holds for them. I have served as an instructor at Harvard Medical School and Psychologist at the Cambridge Health Alliance for more than 25 years. And have been serving on the Advisory Board of the Dr. Phil Show, since its inception. (See drchirban.com and swampscottpsychologicalassociates.com)
I work with individuals, couples, and families to address concerns with relationships, identity, intimacy and sexuality, and spirituality, in addition to general psychological problems. My approach to therapy is active, relational, and result-oriented, encouraging clients take hold of their life and find the meaning that life holds for them. I have served as an instructor at Harvard Medical School and Psychologist at the Cambridge Health Alliance for more than 25 years. And have been serving on the Advisory Board of the Dr. Phil Show, since its inception. (See drchirban.com and swampscottpsychologicalassociates.com)
(857) 203-0549 View (857) 203-0549
Photo of Sarah Duggan, Clinical Social Work/Therapist in 02453, MA
Sarah Duggan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Waltham, MA 02453  (Online Only)
Hello! If you are reading this then you have decided that a part of your life has become unmanageable and the need for professional support is important for your wellbeing. You don’t have to feel confused and alone in the whirlwind of daily life. I am here to listen and support you as you navigate these challenges in a safe and confidential space. I believe that self-growth and healing is a journey and I feel honored to be part of it. As chaotic as the world around you may seem, I am here and ready to join you as you process your thoughts, feelings, and come up with tangible goals.
Hello! If you are reading this then you have decided that a part of your life has become unmanageable and the need for professional support is important for your wellbeing. You don’t have to feel confused and alone in the whirlwind of daily life. I am here to listen and support you as you navigate these challenges in a safe and confidential space. I believe that self-growth and healing is a journey and I feel honored to be part of it. As chaotic as the world around you may seem, I am here and ready to join you as you process your thoughts, feelings, and come up with tangible goals.
(781) 243-5358 View (781) 243-5358
Photo of Medie Tonda, Drug & Alcohol Counselor in 02453, MA
Medie Tonda
Drug & Alcohol Counselor, MEd , , LADCI, MLADC
Verified Verified
1 Endorsed
Waltham, MA 02453
I am aware of the challenges that come with seeking therapy and want to be a support to those who are hesitant with the process.
I am aware of the challenges that come with seeking therapy and want to be a support to those who are hesitant with the process.
(617) 609-1891 View (617) 609-1891
Photo of Nick Forti, Psychologist in 02453, MA
Nick Forti
Psychologist, PsyD
Verified Verified
Waltham, MA 02453  (Online Only)
Through the course of a day, we all play multiple roles. Sometimes those roles can become restrictive and rigid, even inauthentic, as anxiety, depression, or shame cause us to feel less and less able to share ourselves honestly with those around us. For some, the trusting relationship created in therapy offers one of the few places where hiding is no longer necessary and one's whole self can be acknowledged without judgment, without shame. Together, we will create an environment conducive to the exploration of thoughts, feelings, and behaviors that lends to greater self-understanding, new perspectives, and lasting change.
Through the course of a day, we all play multiple roles. Sometimes those roles can become restrictive and rigid, even inauthentic, as anxiety, depression, or shame cause us to feel less and less able to share ourselves honestly with those around us. For some, the trusting relationship created in therapy offers one of the few places where hiding is no longer necessary and one's whole self can be acknowledged without judgment, without shame. Together, we will create an environment conducive to the exploration of thoughts, feelings, and behaviors that lends to greater self-understanding, new perspectives, and lasting change.
(781) 333-5038 View (781) 333-5038
Photo of Rebecca Finer, Clinical Social Work/Therapist in 02453, MA
Rebecca Finer
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Waltham, MA 02453  (Online Only)
Waitlist for new clients
I work with teens and adults using a variety of theoretical models and evidence-based interventions. My therapeutic approach is collaborative, active and non-judgmental, and my style is warm, direct and authentic. My clients experience a range of distressing mental health issues including anxiety, depression, PTSD/trauma, psychotic disorders, personality disorders, issues related to GLBTQIA identity, and substance abuse/addiction. My goal is to reduce distress and assist people in the development of an enriching life.
I work with teens and adults using a variety of theoretical models and evidence-based interventions. My therapeutic approach is collaborative, active and non-judgmental, and my style is warm, direct and authentic. My clients experience a range of distressing mental health issues including anxiety, depression, PTSD/trauma, psychotic disorders, personality disorders, issues related to GLBTQIA identity, and substance abuse/addiction. My goal is to reduce distress and assist people in the development of an enriching life.
(508) 433-3825 View (508) 433-3825
Photo of Kelly Lewis, Clinical Social Work/Therapist in 02453, MA
Kelly Lewis
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Waltham, MA 02453
**Currently have a waitlist** We all reach points in our lives where things feel challenging or even completely overwhelming. Beginning therapy may seem intimidating making it extremely important to find someone who helps you to feel safe and comfortable. My style is warm, collaborative, and flexible. Therapy can be a safe place where you can let your guard down and explore your feelings at your pace. I am here to support you in reaching your goals by being both completely non-judgmental and supportive and also challenging you at times in the process of self exploration.
**Currently have a waitlist** We all reach points in our lives where things feel challenging or even completely overwhelming. Beginning therapy may seem intimidating making it extremely important to find someone who helps you to feel safe and comfortable. My style is warm, collaborative, and flexible. Therapy can be a safe place where you can let your guard down and explore your feelings at your pace. I am here to support you in reaching your goals by being both completely non-judgmental and supportive and also challenging you at times in the process of self exploration.
(339) 215-8780 View (339) 215-8780
Photo of Christine Robitaille, Mental Health Counselor in 02453, MA
Christine Robitaille
Mental Health Counselor, LMHC
Verified Verified
1 Endorsed
Waltham, MA 02453
After twelve years and five colleges and universities, I earned a Bachelor of Science in Mathematics from Bridgewater State College. I began to teach science to adolescent males who were committed to the Department of Youth Services and residing in a residential program. During a monthly staff meeting, I observed people meeting with the youth privately and I noticed a difference in the attitudes and behaviors in the youth after these sessions. Most of the youth appeared more relaxed and receptive to life demands and for the first time in my life I thought “Wow, I would like to do that.”
After twelve years and five colleges and universities, I earned a Bachelor of Science in Mathematics from Bridgewater State College. I began to teach science to adolescent males who were committed to the Department of Youth Services and residing in a residential program. During a monthly staff meeting, I observed people meeting with the youth privately and I noticed a difference in the attitudes and behaviors in the youth after these sessions. Most of the youth appeared more relaxed and receptive to life demands and for the first time in my life I thought “Wow, I would like to do that.”
(857) 382-5933 View (857) 382-5933
Photo of Alicia Marie Couture, Counselor in 02453, MA
Alicia Marie Couture
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Waltham, MA 02453
Not accepting new clients
“Healing takes time, and asking for help is a courageous step.” You can learn to embody the qualities that make you brave in therapy and in life. I am here to help you confront what is keeping you from a whole-hearted, purpose-filled life. I am here to help guide you through any situation you have faced either in the past or currently. I earned a bachelor’s of arts in Psychology and a bachelor’s of science in Biology from the University of Rhode Island. I then received my master’s in Clinical Mental Health Counseling from William James College. Currently, I am a Licensed Mental Health Counselor from Massachusetts.
“Healing takes time, and asking for help is a courageous step.” You can learn to embody the qualities that make you brave in therapy and in life. I am here to help you confront what is keeping you from a whole-hearted, purpose-filled life. I am here to help guide you through any situation you have faced either in the past or currently. I earned a bachelor’s of arts in Psychology and a bachelor’s of science in Biology from the University of Rhode Island. I then received my master’s in Clinical Mental Health Counseling from William James College. Currently, I am a Licensed Mental Health Counselor from Massachusetts.
(617) 936-0539 View (617) 936-0539
Photo of Connie Ahlstrom, Clinical Social Work/Therapist in 02453, MA
Connie Ahlstrom
Clinical Social Work/Therapist, LICSW
Verified Verified
Waltham, MA 02453
Finding the right therapist can be difficult, but once we get started you will see changes in your life as you learn new tools and perspectives to manage anxiety and increase self esteem. I have many years of experience resolving long-term depression, anxiety, social isolation, phobias, intrusive thoughts, low confidence and difficulty with decision making. I help couples who have issues with trust, communication & conflict resolution. My clients are people who have reached high levels of success in many areas of their life, but still feel that something is holding them back from living their best life.
Finding the right therapist can be difficult, but once we get started you will see changes in your life as you learn new tools and perspectives to manage anxiety and increase self esteem. I have many years of experience resolving long-term depression, anxiety, social isolation, phobias, intrusive thoughts, low confidence and difficulty with decision making. I help couples who have issues with trust, communication & conflict resolution. My clients are people who have reached high levels of success in many areas of their life, but still feel that something is holding them back from living their best life.
(617) 870-6238 View (617) 870-6238
Photo of Linda Sacks, Clinical Social Work/Therapist in 02453, MA
Linda Sacks
Clinical Social Work/Therapist, LICSW, MS
Verified Verified
Waltham, MA 02453  (Online Only)
I have been successful in helping people to improve the quality of their lives for 30 years. Clients come to me for help with difficult and stuck parts of their lives be that challenging relationships, dissatisfying work life, family conflict, self-doubt or indecisiveness. I treat anxiety, depression, hopelessness, loss and grief. A sub specialty of mine is helping families who have a severely mentally ill member. Loving and caring for someone with psychosis, bi-polar disorder and other conditions takes a large toll on the entire family system.
I have been successful in helping people to improve the quality of their lives for 30 years. Clients come to me for help with difficult and stuck parts of their lives be that challenging relationships, dissatisfying work life, family conflict, self-doubt or indecisiveness. I treat anxiety, depression, hopelessness, loss and grief. A sub specialty of mine is helping families who have a severely mentally ill member. Loving and caring for someone with psychosis, bi-polar disorder and other conditions takes a large toll on the entire family system.
(617) 841-3175 View (617) 841-3175
Photo of Christine Wolff, Psychologist in 02453, MA
Christine Wolff
Psychologist, PhD
Verified Verified
Waltham, MA 02453  (Online Only)
Not accepting new clients
I like to work holistically and to integrate the worlds of psychotherapy and spirituality, so if you view your life as a spiritual journey and are encountering some psychological obstacles on that journey, I might be the right therapist for you. I work with people who have an already established meditation practice or I can help you find one that is a good fit. Issues that sometimes come up are old traumas, repeating relational patterns, and fear/doubt.
I like to work holistically and to integrate the worlds of psychotherapy and spirituality, so if you view your life as a spiritual journey and are encountering some psychological obstacles on that journey, I might be the right therapist for you. I work with people who have an already established meditation practice or I can help you find one that is a good fit. Issues that sometimes come up are old traumas, repeating relational patterns, and fear/doubt.
(781) 708-0391 View (781) 708-0391
Photo of Erin Kent, Psychologist in 02453, MA
Erin Kent
Psychologist, PsyD
Verified Verified
Waltham, MA 02453
Some things cannot be done alone. Managing grief, living with debilitating anxiety, tolerating resentment that will not relent - all are life challenges that require the presence of a patient listener who can bring words to pain where previously there were none. Our therapeutic relationship will create a safe space to share troubling feelings, thoughts, and behaviors that have been experienced as shameful, embarrassing, or isolating. I offer individuals an opportunity to examine past choices, current patterns of behavior, and impending decisions in a curious manner that promotes self-reflection and increases self-awareness.
Some things cannot be done alone. Managing grief, living with debilitating anxiety, tolerating resentment that will not relent - all are life challenges that require the presence of a patient listener who can bring words to pain where previously there were none. Our therapeutic relationship will create a safe space to share troubling feelings, thoughts, and behaviors that have been experienced as shameful, embarrassing, or isolating. I offer individuals an opportunity to examine past choices, current patterns of behavior, and impending decisions in a curious manner that promotes self-reflection and increases self-awareness.
(617) 934-2316 View (617) 934-2316
Photo of Martha Lamb, Psychologist in 02453, MA
Martha Lamb
Psychologist, EdM
Verified Verified
Waltham, MA 02453
Are things in your life different from what you expected or planned? Are you feeling worried, stressed and “locked in”? Need some place to share/discuss those feelings and make a better/different plan for yourself. Call and make an appointment. I’m thoughtful and listen well, and will help you cope and deal with today’s challenges.
Are things in your life different from what you expected or planned? Are you feeling worried, stressed and “locked in”? Need some place to share/discuss those feelings and make a better/different plan for yourself. Call and make an appointment. I’m thoughtful and listen well, and will help you cope and deal with today’s challenges.
(781) 381-4971 View (781) 381-4971
Photo of Kaleigh Tierney, Drug & Alcohol Counselor in 02453, MA
Kaleigh Tierney
Drug & Alcohol Counselor, LADC 1
Verified Verified
1 Endorsed
Waltham, MA 02453  (Online Only)
Helping individuals overcome difficult challenges in their lives and create meaning from those experiences has been my mission for the last decade. I strive to create a warm and safe space that fosters a strong, genuine, working therapeutic relationship. My clinical style is an integrative, collaborative, and strength-based approach to therapy. Some areas of expertise include, but are not limited to, addiction/recovery, trauma, life transitions, interpersonal relationship/romantic relationship problems, grief, coping skills, anxiety, and older adult mental health.
Helping individuals overcome difficult challenges in their lives and create meaning from those experiences has been my mission for the last decade. I strive to create a warm and safe space that fosters a strong, genuine, working therapeutic relationship. My clinical style is an integrative, collaborative, and strength-based approach to therapy. Some areas of expertise include, but are not limited to, addiction/recovery, trauma, life transitions, interpersonal relationship/romantic relationship problems, grief, coping skills, anxiety, and older adult mental health.
(617) 609-1786 View (617) 609-1786
Photo of Silke Plesch - Mind-Body Counseling, Counselor in 02453, MA
Silke Plesch - Mind-Body Counseling
Counselor, LMHC, MA
Not Verified Not Verified
Waltham, MA 02453  (Online Only)
Waitlist for new clients
Do you sometimes feel overwhelmed and stressed? Want to find out what your body has to tell you? Sometimes our past experiences might get in the way to develop our full potential. Together we will focus on the whole person using mind and body interventions to relieve tension and stress. I am inviting you to relate to your mind/body in more beneficial ways.
Do you sometimes feel overwhelmed and stressed? Want to find out what your body has to tell you? Sometimes our past experiences might get in the way to develop our full potential. Together we will focus on the whole person using mind and body interventions to relieve tension and stress. I am inviting you to relate to your mind/body in more beneficial ways.
(617) 379-2106 View (617) 379-2106
Photo of Jennifer M McLean, Drug & Alcohol Counselor in 02453, MA
Jennifer M McLean
Drug & Alcohol Counselor, LADC I
Verified Verified
Waltham, MA 02453  (Online Only)
Life's journey can feel like a wild ride, especially when facing the challenges of addiction. If addiction were a carnival game, consider me your expert guide, helping you navigate the twists and turns with skill and compassion. As your LADC I therapist, my primary focus is supporting individuals wrestling with the complexities of addiction. I understand that addiction is not just about substances; it's about untangling the threads of your unique story and finding new paths toward a healthier, happier life. Think of our sessions as a blend of understanding and encouragement.
Life's journey can feel like a wild ride, especially when facing the challenges of addiction. If addiction were a carnival game, consider me your expert guide, helping you navigate the twists and turns with skill and compassion. As your LADC I therapist, my primary focus is supporting individuals wrestling with the complexities of addiction. I understand that addiction is not just about substances; it's about untangling the threads of your unique story and finding new paths toward a healthier, happier life. Think of our sessions as a blend of understanding and encouragement.
(617) 841-2976 View (617) 841-2976
Photo of Nathan Mark Laprade, Counselor in 02453, MA
Nathan Mark Laprade
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Waltham, MA 02453
Helping clients navigate the spaces from where they have been, where they are, and where they are going is essential to my work as a licensed mental health counselor. I have taken this approach in my work with clients across a wide range of ages and backgrounds and a variety of settings, including veteran residential facilities and partial hospitalization group therapy programs. Drawing from my own experiences as a veteran, my goal is to help others transition from one stage of life to the next while making meaning of the whole of their lives, and have made that a primary focus to the work I do today.
Helping clients navigate the spaces from where they have been, where they are, and where they are going is essential to my work as a licensed mental health counselor. I have taken this approach in my work with clients across a wide range of ages and backgrounds and a variety of settings, including veteran residential facilities and partial hospitalization group therapy programs. Drawing from my own experiences as a veteran, my goal is to help others transition from one stage of life to the next while making meaning of the whole of their lives, and have made that a primary focus to the work I do today.
(617) 958-8697 View (617) 958-8697

How does your Therapist compare?

Number of Therapists in 02453

100+

Average cost per session

$175

Therapists in 02453 who prioritize treating:

91% Anxiety
88% Depression
73% Coping Skills
72% Relationship Issues
70% Trauma and PTSD
68% Self Esteem
63% Stress

Average years in practice

7 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
78% UnitedHealthcare UHC | UBH
78% Optum

How Therapists in 02453 see their clients

74% In Person and Online
26% Online Only

Gender breakdown

86% Female
13% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 02453?

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.