Therapists in 03868

Photo of Kali Van Der Veer, Pre-Licensed Professional, MSW
Kali Van Der Veer
Pre-Licensed Professional, MSW
1 Endorsed
Serves Area
I’m a pre-licensed clinical therapist with a Master’s degree in Social Work within a collaborative group practice. My passion is working with children, adolescents, and young adults as they navigate life’s challenges. I know that growing up today can feel overwhelming at times, whether it’s anxiety, school stress, family changes, or just figuring out how to manage big feelings, and my goal is to create a safe, supportive space where kids and teens can feel truly seen and understood. In my work, I use a variety of approaches including Cognitive Behavioral Therapy (CBT), interactive play, and art-based techniques.
I’m a pre-licensed clinical therapist with a Master’s degree in Social Work within a collaborative group practice. My passion is working with children, adolescents, and young adults as they navigate life’s challenges. I know that growing up today can feel overwhelming at times, whether it’s anxiety, school stress, family changes, or just figuring out how to manage big feelings, and my goal is to create a safe, supportive space where kids and teens can feel truly seen and understood. In my work, I use a variety of approaches including Cognitive Behavioral Therapy (CBT), interactive play, and art-based techniques.
(603) 819-5331 View (603) 819-5331
Photo of Joan Hart, Counselor, LCMHC
Joan Hart
Counselor, LCMHC
3 Endorsed
Serves Area
I’m Joan Hart, a Licensed Clinical Mental Health Counselor (LCMHC) with over 20 years of experience treating severe mental illness in various settings, including inpatient care and community programs. I hold a Master’s in Counseling Psychology from Antioch New England Graduate School. My experience includes employee assistance programs, a secure psychiatric unit in New Hampshire, and transitional housing, as well as coordinating care for vulnerable populations. I’m passionate about fostering personal growth and problem-solving through diverse therapeutic techniques and advocate for neurodiversity and LGBTQIA+ inclusivity.
I’m Joan Hart, a Licensed Clinical Mental Health Counselor (LCMHC) with over 20 years of experience treating severe mental illness in various settings, including inpatient care and community programs. I hold a Master’s in Counseling Psychology from Antioch New England Graduate School. My experience includes employee assistance programs, a secure psychiatric unit in New Hampshire, and transitional housing, as well as coordinating care for vulnerable populations. I’m passionate about fostering personal growth and problem-solving through diverse therapeutic techniques and advocate for neurodiversity and LGBTQIA+ inclusivity.
(603) 606-9357 View (603) 606-9357
Photo of Kerri Morton, Pre-Licensed Professional, MEd
Kerri Morton
Pre-Licensed Professional, MEd
Serves Area
My commitment is to helping individuals, couples, and families overcome life's challenges. With a compassionate and supportive approach, my goal is to create a nurturing environment for my clients to explore their emotions, develop healthy coping mechanisms and feel better!
My commitment is to helping individuals, couples, and families overcome life's challenges. With a compassionate and supportive approach, my goal is to create a nurturing environment for my clients to explore their emotions, develop healthy coping mechanisms and feel better!
(844) 717-6702 View (844) 717-6702
Photo of Vanessa Levin, Counselor, LCMHC, LMT, CYT, LCPC
Vanessa Levin
Counselor, LCMHC, LMT, CYT, LCPC
2 Endorsed
Online Only
Immediate openings for new clients via Enso Counseling Group. Think globally, act locally. This statement can apply not just to our environment, but also within our own frame of reference to self. I am here of service to be present for the discomfort, for the transformations, for the pain, for your healing, for finding your courage and vulnerability. Let’s become present together to all the dimensions of the human experience. I am HAES (Health At Every Size) accepting/welcoming and certified in Intuitive Eating. I am also Brainspotting Certified
Immediate openings for new clients via Enso Counseling Group. Think globally, act locally. This statement can apply not just to our environment, but also within our own frame of reference to self. I am here of service to be present for the discomfort, for the transformations, for the pain, for your healing, for finding your courage and vulnerability. Let’s become present together to all the dimensions of the human experience. I am HAES (Health At Every Size) accepting/welcoming and certified in Intuitive Eating. I am also Brainspotting Certified
(603) 712-5383 View (603) 712-5383
Photo of Michelle Houle, Counselor, LMHC
Michelle Houle
Counselor, LMHC
Online Only
Michelle Houle, MS, MLADC, LCMHC Licensed Professional Forensic Psychotherapist Eclectic: Cognitive Behavior Therapy, Dialectical Behavior Therapy, Solution-Focused Brief Therapy, Person-Centered Therapy. I have a vast array of experience, including Brain injury, severe and persistent mental illness, personality disorder, intellectually disabled, forensic clients, alcohol and substance abuse, and LGBTQ. Following a brief housekeeping first several minutes to review Patient Bill of Rights, Informed Consent and Duty to Warn - it is merely a comfortable conversation and building rapport.
Michelle Houle, MS, MLADC, LCMHC Licensed Professional Forensic Psychotherapist Eclectic: Cognitive Behavior Therapy, Dialectical Behavior Therapy, Solution-Focused Brief Therapy, Person-Centered Therapy. I have a vast array of experience, including Brain injury, severe and persistent mental illness, personality disorder, intellectually disabled, forensic clients, alcohol and substance abuse, and LGBTQ. Following a brief housekeeping first several minutes to review Patient Bill of Rights, Informed Consent and Duty to Warn - it is merely a comfortable conversation and building rapport.
(866) 940-5843 View (866) 940-5843
Photo of Elissa Elliott, Counselor, MS, LCMHC
Elissa Elliott
Counselor, MS, LCMHC
1 Endorsed
Serves Area
Not accepting new clients
Ready to make change and work towards your goals? This may come in the form of supporting how to develop the vision, as well as learning to validate and advocate for oneself, promoting healthy boundaries, and challenging outdated ideas of self. The clients I prefer to work with are ready to do the work, as hard as it may be at some points, and make change for themselves to support their vision for a better life. Kinky and ENM/CNM clients are welcome here!
Ready to make change and work towards your goals? This may come in the form of supporting how to develop the vision, as well as learning to validate and advocate for oneself, promoting healthy boundaries, and challenging outdated ideas of self. The clients I prefer to work with are ready to do the work, as hard as it may be at some points, and make change for themselves to support their vision for a better life. Kinky and ENM/CNM clients are welcome here!
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Photo of Chad O'Brien, Clinical Social Work/Therapist, LICSW
Chad O'Brien
Clinical Social Work/Therapist, LICSW
Online Only
Life can be complex, and even the strongest relationships can feel strained during times of change. I’m Chad O’Brien, a psychotherapist with 17 years of experience helping individuals and couples understand themselves and one another more deeply. My work focuses on relationship and marital therapy as well as supporting people through major life transitions—those moments when old patterns no longer serve and something new is trying to take shape. Therapy with me is collaborative, compassionate, and focused on helping you find clarity, resilience, and renewed connection. I offer telehealth sessions for accessible, confidential care.
Life can be complex, and even the strongest relationships can feel strained during times of change. I’m Chad O’Brien, a psychotherapist with 17 years of experience helping individuals and couples understand themselves and one another more deeply. My work focuses on relationship and marital therapy as well as supporting people through major life transitions—those moments when old patterns no longer serve and something new is trying to take shape. Therapy with me is collaborative, compassionate, and focused on helping you find clarity, resilience, and renewed connection. I offer telehealth sessions for accessible, confidential care.
(844) 548-7584 View (844) 548-7584
Photo of Alexis Roberson, Marriage & Family Therapist, LMFT
Alexis Roberson
Marriage & Family Therapist, LMFT
6 Endorsed
Online Only
Immediate Openings! Does your child dance to the beat of a different drum? Maybe you’ve watched them struggle to “find their people,” gain acceptance, and hit their stride. They’re sensitive, easily overwhelmed, and anxious. Or maybe YOU identify with this description. Burned out, tired, and confused? You try so hard to understand yourself or your child, but you’re hitting a wall and feeling frustrated. Why does life feel so complicated? Is it your fault? Are you missing something? You're tired of searching online for answers. You know it's time to reach out for help!
Immediate Openings! Does your child dance to the beat of a different drum? Maybe you’ve watched them struggle to “find their people,” gain acceptance, and hit their stride. They’re sensitive, easily overwhelmed, and anxious. Or maybe YOU identify with this description. Burned out, tired, and confused? You try so hard to understand yourself or your child, but you’re hitting a wall and feeling frustrated. Why does life feel so complicated? Is it your fault? Are you missing something? You're tired of searching online for answers. You know it's time to reach out for help!
(603) 605-1246 View (603) 605-1246

More Therapists Nearby

Photo of William R. Newman, Psychologist, MDiv, LCSW, DMin, psychol
William R. Newman
Psychologist, MDiv, LCSW, DMin, psychol
Serves Area
Dr. William R. Newman, licensed psychologist for years, specializes in the treatment of complex developmental trauma with dissociation. Dr. Newman's treatment of anxiety, depression, and trauma, will help you alleviate your symptoms and causes of your distress. Couples and families will improve their relationships by effectively communicating and increasing their understanding of each other's needs. You will learn to communicate from your true/highest/spirit/soul SELF with LOVE, and compassion. Dr. Newman helps you help yourself with self-leadership to increase your consciousness/awareness to make the best and healthiest choices for all parts of you and your relationships.
Dr. William R. Newman, licensed psychologist for years, specializes in the treatment of complex developmental trauma with dissociation. Dr. Newman's treatment of anxiety, depression, and trauma, will help you alleviate your symptoms and causes of your distress. Couples and families will improve their relationships by effectively communicating and increasing their understanding of each other's needs. You will learn to communicate from your true/highest/spirit/soul SELF with LOVE, and compassion. Dr. Newman helps you help yourself with self-leadership to increase your consciousness/awareness to make the best and healthiest choices for all parts of you and your relationships.
(978) 391-9987 View (978) 391-9987
Photo of Gianna Cormier, Pre-Licensed Professional, MA, CMHC
Gianna Cormier
Pre-Licensed Professional, MA, CMHC
3 Endorsed
Portsmouth, NH 03801
Healing and growth often begin in a space where you feel heard, respected, and understood. As humans, we carry many layers, some visible and others more hidden. I strive to create a supportive, nonjudgmental environment where you can explore those parts of yourself and gain a deeper understanding of your inner world. Beginning therapy can feel vulnerable, having a safe and compassionate space can make all the difference.
Healing and growth often begin in a space where you feel heard, respected, and understood. As humans, we carry many layers, some visible and others more hidden. I strive to create a supportive, nonjudgmental environment where you can explore those parts of yourself and gain a deeper understanding of your inner world. Beginning therapy can feel vulnerable, having a safe and compassionate space can make all the difference.
(603) 429-1999 x720 View (603) 429-1999 x720
Photo of Julie Kelbert, BSN, CRNA
Julie Kelbert
Verified Verified
Serves Area
Our ideal client is someone who is seeking a transformative approach to mental health care. Whether you're struggling with treatment-resistant depression, anxiety, PTSD, or other mood disorders, we are here to offer you a personalized, evidence-based solution. If you’ve found traditional treatments insufficient and are ready to explore innovative therapies like IV ketamine infusions, TMS, or Spravato, you are in the right place. We’re dedicated to helping you achieve lasting relief and a better quality of life. We collaborate with other providers offer fully integrated treatment through med management, group and individual therapy.
Our ideal client is someone who is seeking a transformative approach to mental health care. Whether you're struggling with treatment-resistant depression, anxiety, PTSD, or other mood disorders, we are here to offer you a personalized, evidence-based solution. If you’ve found traditional treatments insufficient and are ready to explore innovative therapies like IV ketamine infusions, TMS, or Spravato, you are in the right place. We’re dedicated to helping you achieve lasting relief and a better quality of life. We collaborate with other providers offer fully integrated treatment through med management, group and individual therapy.
(207) 477-5855 View (207) 477-5855
Photo of Katherine (Ferullo) Coyne- Martinez, Pre-Licensed Professional, MSW
Katherine (Ferullo) Coyne- Martinez
Pre-Licensed Professional, MSW
2 Endorsed
Hampton, NH 03842
I work with adults who experience anxiety, panic disorder, and OCD. These concerns can show up as constant worry, intrusive thoughts, or sudden surges of fear that interfere with daily life and overall well-being. My approach is supportive, collaborative, and practical. I focus on helping individuals better understand their anxiety, regulate their nervous system, and build skills to respond to anxious thoughts and sensations with greater confidence and flexibility. I believe therapy should feel safe, compassionate, and empowering. I strive to create a warm, grounded space where people can feel understood and supported as they work
I work with adults who experience anxiety, panic disorder, and OCD. These concerns can show up as constant worry, intrusive thoughts, or sudden surges of fear that interfere with daily life and overall well-being. My approach is supportive, collaborative, and practical. I focus on helping individuals better understand their anxiety, regulate their nervous system, and build skills to respond to anxious thoughts and sensations with greater confidence and flexibility. I believe therapy should feel safe, compassionate, and empowering. I strive to create a warm, grounded space where people can feel understood and supported as they work
(844) 601-0688 View (844) 601-0688
Photo of Rachel Armstrong, Psychologist, PsyD
Rachel Armstrong
Psychologist, PsyD
2 Endorsed
Exeter, NH 03833
As a clinical psychologist, I help adults make meaningful changes in their life and address roadblocks that lie in their way. Whether you are struggling with issues related to relationships, illness, family, work, stress, or other life changes, I can help you find your way.
As a clinical psychologist, I help adults make meaningful changes in their life and address roadblocks that lie in their way. Whether you are struggling with issues related to relationships, illness, family, work, stress, or other life changes, I can help you find your way.
(603) 505-8270 View (603) 505-8270
Photo of Annmarie Karayianes - Karayianes Counseling, Counselor, LCMHC
Karayianes Counseling
Counselor, LCMHC
Laconia, NH 03246
Accepting New Patients! I am Offering telehealth only sessions for New Hampshire patients and IN-PERSON and telehealth sessions For FLORIDA patients. My life’s work has been focused on helping people to live their best lives through understanding, perseverance, and empowerment. I have over 18 years of experience assisting and helping people in the mental health and substance use fields. I am a Licensed Clinical Mental Health Counselor (LCMHC) in the state of New Hampshire and in Florida. I work with people on issues of life transitions, anxiety , depression, workplace issues, and specialize in issues of trauma and grief and loss.
Accepting New Patients! I am Offering telehealth only sessions for New Hampshire patients and IN-PERSON and telehealth sessions For FLORIDA patients. My life’s work has been focused on helping people to live their best lives through understanding, perseverance, and empowerment. I have over 18 years of experience assisting and helping people in the mental health and substance use fields. I am a Licensed Clinical Mental Health Counselor (LCMHC) in the state of New Hampshire and in Florida. I work with people on issues of life transitions, anxiety , depression, workplace issues, and specialize in issues of trauma and grief and loss.
(603) 707-8769 View (603) 707-8769
Photo of Linda MacDow, Counselor, MA, LCMHC
Linda MacDow
Counselor, MA, LCMHC
Concord, NH 03301
Linda MacDow, LCMHC, offers compassionate and effective mental health support to individuals across New Hampshire. With over two decades of experience, Linda is dedicated to helping clients navigate through a range of mental health challenges. Her approach is deeply rooted in meeting each individual where they are and fostering a supportive, empathetic therapeutic relationship.
Linda MacDow, LCMHC, offers compassionate and effective mental health support to individuals across New Hampshire. With over two decades of experience, Linda is dedicated to helping clients navigate through a range of mental health challenges. Her approach is deeply rooted in meeting each individual where they are and fostering a supportive, empathetic therapeutic relationship.
(866) 526-1332 View (866) 526-1332
Photo of Erica Polonsky, Clinical Social Work/Therapist, LICSW
Erica Polonsky
Clinical Social Work/Therapist, LICSW
Exeter, NH 03833
Erica Polonsky, LICSW, supports individuals in New Hampshire navigating life’s challenges with compassion, insight, and evidence-based care. She works with children, adolescents, and adults, offering a safe, inclusive space to explore thoughts, emotions, and behaviors. Whether a client is facing anxiety, depression, or navigating life transitions, Erica tailors therapy to meet each person’s unique needs, helping them gain clarity, build coping skills, and move toward meaningful change.Erica Polonsky, LICSW, supports individuals in New Hampshire navigating life’s challenges with compassion, insight, and evidence-based care. She works
Erica Polonsky, LICSW, supports individuals in New Hampshire navigating life’s challenges with compassion, insight, and evidence-based care. She works with children, adolescents, and adults, offering a safe, inclusive space to explore thoughts, emotions, and behaviors. Whether a client is facing anxiety, depression, or navigating life transitions, Erica tailors therapy to meet each person’s unique needs, helping them gain clarity, build coping skills, and move toward meaningful change.Erica Polonsky, LICSW, supports individuals in New Hampshire navigating life’s challenges with compassion, insight, and evidence-based care. She works
(603) 825-4870 View (603) 825-4870
Photo of Catherine Shamshak, Licensed Clinical Mental Health Counselor, MA, LCMHC
Catherine Shamshak
Licensed Clinical Mental Health Counselor, MA, LCMHC
1 Endorsed
Portsmouth, NH 03801
Using CBT and DBT, I help clients understand the "why" behind their symptoms and take action toward real, measurable progress. Whether you're managing ADHD, navigating anxiety or depression, or working through trauma or PTSD, our work will focus on building insight, teaching practical skills and creating lasting change.
Using CBT and DBT, I help clients understand the "why" behind their symptoms and take action toward real, measurable progress. Whether you're managing ADHD, navigating anxiety or depression, or working through trauma or PTSD, our work will focus on building insight, teaching practical skills and creating lasting change.
(833) 721-1863 View (833) 721-1863
Photo of Gretchen L Estes, Counselor, MEd, LCMHC
Gretchen L Estes
Counselor, MEd, LCMHC
Portsmouth, NH 03801
Welcome to my practice. With over 18 years as a practitioner in the mental health field, I have learned that at the heart of every successful clinical relationship is a strong therapeutic connection between the therapist and client. I consider it my responsibility to create a safe and nonjudgmental space that allows you to openly explore your thoughts and feelings. My approach is collaborative, present-focused, and solution-oriented. I also believe strongly in the connection between the mind and body and support a holistic approach to emotional health and wellness.
Welcome to my practice. With over 18 years as a practitioner in the mental health field, I have learned that at the heart of every successful clinical relationship is a strong therapeutic connection between the therapist and client. I consider it my responsibility to create a safe and nonjudgmental space that allows you to openly explore your thoughts and feelings. My approach is collaborative, present-focused, and solution-oriented. I also believe strongly in the connection between the mind and body and support a holistic approach to emotional health and wellness.
(603) 760-7464 View (603) 760-7464
Photo of Sharyn Drew, PhD
Sharyn Drew
Verified Verified
2 Endorsed
Rye, NH 03870
I specialize psychological and psychoeducational evaluations across the lifespan. I help clarify diagnoses and other issues impacting an individual's optimal functioning an provide tangible recommendations. My evaluations include the assessment of learning disorders, intellectual disabilities, attentional and executive function disorders, behavioral disorders, anxiety and depressive disorders, and autism spectrum disorders. I graduated with a dual PhD in Educational Psychology and Counseling Psychology from Northeastern University and completed my post-doctoral fellowship in Child and Adolescent Neuropsychology at Mass General.
I specialize psychological and psychoeducational evaluations across the lifespan. I help clarify diagnoses and other issues impacting an individual's optimal functioning an provide tangible recommendations. My evaluations include the assessment of learning disorders, intellectual disabilities, attentional and executive function disorders, behavioral disorders, anxiety and depressive disorders, and autism spectrum disorders. I graduated with a dual PhD in Educational Psychology and Counseling Psychology from Northeastern University and completed my post-doctoral fellowship in Child and Adolescent Neuropsychology at Mass General.
(866) 430-5213 View (866) 430-5213
Photo of Nikki D Hipps - Nikki D. Hipps Counseling, LLC, Marriage & Family Therapist, LMFT
Nikki D. Hipps Counseling, LLC
Marriage & Family Therapist, LMFT
Concord, NH 03301
Nikki approaches therapy from a wellness perspective and views the client as the expert of his/her own life. She believes in the importance of relationship with self and others in healing emotional wounds and acknowledges the interconnectedness of body, heart, and mind. Nikki provides therapy for marital and relational problems, life cycle challenges and transitions, familial issues, grief and loss, and trauma. She also offers Christian counseling.
Nikki approaches therapy from a wellness perspective and views the client as the expert of his/her own life. She believes in the importance of relationship with self and others in healing emotional wounds and acknowledges the interconnectedness of body, heart, and mind. Nikki provides therapy for marital and relational problems, life cycle challenges and transitions, familial issues, grief and loss, and trauma. She also offers Christian counseling.
(833) 658-7019 View (833) 658-7019

See more therapy options for 03868

How does your Therapist compare?

Number of Therapists in 03868

< 10

Therapists in 03868 who prioritize treating:

100% Depression
88% Anxiety
88% Social Anxiety
88% Health Anxiety
88% Driving Anxiety
63% Relationship Issues
63% Self Esteem

Average years in practice

18 Years

Top 3 insurances accepted

100% Anthem
100% Optum
86% BlueCross and BlueShield

How Therapists in 03868 see their clients

50% In Person and Online
50% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 03868?

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.