Therapists in 05254

Photo of Deanna S. Baasch, Clinical Social Work/Therapist in 05254, VT
Deanna S. Baasch
Clinical Social Work/Therapist, LICSW
Verified
Manchester, VT 05254
As a Licensed Independent Clinical Social Worker (LICSW) I specialize in the treatment of trauma and practice in a manner that provides a supportive environment that encourages and guides clients to expand their capacities and improve their quality of living.  My practice philosophy is rooted in the evidence-based practices of Cognitive Behavioral Therapy (CBT) and Acceptance & Commitment Therapy (ACT).
As a Licensed Independent Clinical Social Worker (LICSW) I specialize in the treatment of trauma and practice in a manner that provides a supportive environment that encourages and guides clients to expand their capacities and improve their quality of living.  My practice philosophy is rooted in the evidence-based practices of Cognitive Behavioral Therapy (CBT) and Acceptance & Commitment Therapy (ACT).
(802) 255-8162 View (802) 255-8162
Photo of Elizabeth T. Barclay, Counselor in 05254, VT
Elizabeth T. Barclay
Counselor, MA, NCC, LCMHC
Verified
1 Endorsed
Manchester, VT 05254
Asking for help shows courage and opens us up to connection and hope. Looking at what is working in your life, while setting specific goals for what you would like to improve upon are the main areas that I focus on with individuals and families. We all have strengths but sometimes day to day life events, worries and stress bury these personal strengths so deep we struggle to access them. Together, using positive psychology and strength based strategies, we will work to uncover the innate qualities that will move you toward a more hopeful and balanced life.
Asking for help shows courage and opens us up to connection and hope. Looking at what is working in your life, while setting specific goals for what you would like to improve upon are the main areas that I focus on with individuals and families. We all have strengths but sometimes day to day life events, worries and stress bury these personal strengths so deep we struggle to access them. Together, using positive psychology and strength based strategies, we will work to uncover the innate qualities that will move you toward a more hopeful and balanced life.
(802) 348-2215 View (802) 348-2215
Photo of Francis X Moriarty, Psychologist in 05254, VT
Francis X Moriarty
Psychologist, EdD
Verified
Manchester, VT 05254
Not accepting new clients
I have been a licensed psychologist for over 20 years, providing therapy on an individualized, personal basis to people seeking help for many different reasons and circumstances. I have expertise in evidence-based treatment of trauma, anxiety and mood disorders across the life-span. I will respond to all calls directly. Your needs will be addressed confidentially and personally. From the time of the initial inquiry throughout the therapy process, your privacy, comfort and confidentiality is assured.
I have been a licensed psychologist for over 20 years, providing therapy on an individualized, personal basis to people seeking help for many different reasons and circumstances. I have expertise in evidence-based treatment of trauma, anxiety and mood disorders across the life-span. I will respond to all calls directly. Your needs will be addressed confidentially and personally. From the time of the initial inquiry throughout the therapy process, your privacy, comfort and confidentiality is assured.
(413) 258-7010 View (413) 258-7010
Photo of Peggy S Gregory, Clinical Social Work/Therapist in 05254, VT
Peggy S Gregory
Clinical Social Work/Therapist, MSW, LICSW
Verified
1 Endorsed
Manchester, VT 05254
Waitlist for new clients
Are you looking to find effective ways to manage emotional and behavioral challenges that have been limiting your ability to lead a flourishing life? I would like to help you identify and develop skills while building on existing strengths to help you cope more effectively with situational stress and emotional challenges. I specialize in helping adults and older adolescents who struggle with anxiety, depression, stress related challenges, relationship issues and life transitions.
Are you looking to find effective ways to manage emotional and behavioral challenges that have been limiting your ability to lead a flourishing life? I would like to help you identify and develop skills while building on existing strengths to help you cope more effectively with situational stress and emotional challenges. I specialize in helping adults and older adolescents who struggle with anxiety, depression, stress related challenges, relationship issues and life transitions.
(802) 688-1144 View (802) 688-1144
Photo of Danielle Goldstein in 05254, VT
Danielle Goldstein
MA
Manchester, VT 05254
As Certified Yoga Therapist with The International Association of Yoga Therapists, an Ayurvedic Health Counselor and a Master’s Degree in Counseling from CW Post University. I combine the timeless teachings of Ayurveda and Yoga Therapy with my western training to support clients social, emotionally and spiritually. I will help you to understand your unique constitution and support you with developing your self care and self empowerment.
As Certified Yoga Therapist with The International Association of Yoga Therapists, an Ayurvedic Health Counselor and a Master’s Degree in Counseling from CW Post University. I combine the timeless teachings of Ayurveda and Yoga Therapy with my western training to support clients social, emotionally and spiritually. I will help you to understand your unique constitution and support you with developing your self care and self empowerment.
(802) 523-2243 View (802) 523-2243
Photo of Milestones Counseling Behavioral Health Private Practice, Counselor in 05254, VT
Milestones Counseling Behavioral Health Private Practice
Counselor, LPC, LC, LMHC
Verified
1 Endorsed
Manchester, VT 05254
Our practice specializes in CBT, DBT, & ERP therapy for adolescents, young adults, and mentoring for at-risk youth populations. We provide integrated, individual and private therapy services specific to mood, anxiety & trauma disorders. In addition to our counseling services, our therapists and peer specialist offer comprehensive diagnosis & the treatment of addiction disorders, focusing on outpatient levels of care and resources for the family.
Our practice specializes in CBT, DBT, & ERP therapy for adolescents, young adults, and mentoring for at-risk youth populations. We provide integrated, individual and private therapy services specific to mood, anxiety & trauma disorders. In addition to our counseling services, our therapists and peer specialist offer comprehensive diagnosis & the treatment of addiction disorders, focusing on outpatient levels of care and resources for the family.
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Photo of Kara Dibble, Clinical Social Work/Therapist in 05254, VT
Kara Dibble
Clinical Social Work/Therapist, MSW, LCSW
Verified
Manchester, VT 05254  (Online Only)
I received my Master’s degree in Social Work from the University of Pennsylvania and have since been practicing as a Clinical Social Worker in Vermont, New Hampshire, and New Jersey. My experience includes working with individuals of all ages and backgrounds, presenting with a need for support in areas including anxiety, depression, posttraumatic stress, and navigating various life transitions. Through a client-centered, relationship-based, and trauma informed approach, I aim address all components that could be leading to discomfort, dysfunction, or need for additional support. Feel free to reach out with any questions!
I received my Master’s degree in Social Work from the University of Pennsylvania and have since been practicing as a Clinical Social Worker in Vermont, New Hampshire, and New Jersey. My experience includes working with individuals of all ages and backgrounds, presenting with a need for support in areas including anxiety, depression, posttraumatic stress, and navigating various life transitions. Through a client-centered, relationship-based, and trauma informed approach, I aim address all components that could be leading to discomfort, dysfunction, or need for additional support. Feel free to reach out with any questions!
(732) 361-4332 View (732) 361-4332
Photo of Alexandra Migani, Clinical Social Work/Therapist in 05254, VT
Alexandra Migani
Clinical Social Work/Therapist, LCSW, LADC
Verified
3 Endorsed
Manchester, VT 05254  (Online Only)
Are you feeling overwhelmed, anxious, uninspired? I am here to assure you that our purpose is to live with ease and in alignment with who we really are. Counseling can get you out of living in survival mode. I specialize in anxiety, self-image/self-esteem, depression, life transitions, school/job stressors, relationship demands and other mental health concerns. Health and wellness encompasses mental, physical, and emotional well-being. I am here to help you with personal discovery and growth, exploring your emotions, navigating and coping with personal struggles and strong emotions to improve your quality of life.
Are you feeling overwhelmed, anxious, uninspired? I am here to assure you that our purpose is to live with ease and in alignment with who we really are. Counseling can get you out of living in survival mode. I specialize in anxiety, self-image/self-esteem, depression, life transitions, school/job stressors, relationship demands and other mental health concerns. Health and wellness encompasses mental, physical, and emotional well-being. I am here to help you with personal discovery and growth, exploring your emotions, navigating and coping with personal struggles and strong emotions to improve your quality of life.
(203) 617-0933 View (203) 617-0933
Photo of Building Insight Counseling, Licensed Professional Counselor in 05254, VT
Building Insight Counseling
Licensed Professional Counselor, MS, LPC, NCC
Verified
Manchester, VT 05254
People seek therapy for a host of reasons, but the goals of counseling tend to be fairly universal: change, growth, acceptance, and understanding. You may be considering therapy because you feel overwhelmed or dissatisfied about some part(s) of your life. It could be that you are navigating anxiety, grief, a cancer diagnosis, or caretaking for an ill family member. Life challenges, including parenting, career, and/or interpersonal relationships may be impinging on your happiness and well-being. If you are seeking a place to talk about your experiences, you've taken the first step in the process of change: acknowledging an issue.
People seek therapy for a host of reasons, but the goals of counseling tend to be fairly universal: change, growth, acceptance, and understanding. You may be considering therapy because you feel overwhelmed or dissatisfied about some part(s) of your life. It could be that you are navigating anxiety, grief, a cancer diagnosis, or caretaking for an ill family member. Life challenges, including parenting, career, and/or interpersonal relationships may be impinging on your happiness and well-being. If you are seeking a place to talk about your experiences, you've taken the first step in the process of change: acknowledging an issue.
(732) 402-0382 View (732) 402-0382
Photo of Lisa J Carton, Clinical Social Work/Therapist in 05254, VT
Lisa J Carton
Clinical Social Work/Therapist, LICSW
Verified
Manchester, VT 05254
I embrace a very holistic approach to working with people, which encompasses exploring all aspects of our selves. Emotional, behavioral, biological/physical/medical, social, and spiritual factors all shape our experiences, and each provide opportunities and avenues for change when we desire that to happen.
I embrace a very holistic approach to working with people, which encompasses exploring all aspects of our selves. Emotional, behavioral, biological/physical/medical, social, and spiritual factors all shape our experiences, and each provide opportunities and avenues for change when we desire that to happen.
(802) 521-2766 View (802) 521-2766
Photo of Katie Clover, Clinical Social Work/Therapist in 05254, VT
Katie Clover
Clinical Social Work/Therapist, LICSW
Verified
Manchester, VT 05254
Not accepting new clients
Reaching out for support can be a scary thing and I applaud you for taking the first step. Whether you are struggling with anxiety, worry, low self-esteem, depression, or an eating disorder, I am eager to become a support to you. I will work with you to better understand and manage your emotions, become more aware of your thought patterns, and learn more effective coping skills to improve your life. I want to empower you to make the desired changes to begin living the life you want to live.
Reaching out for support can be a scary thing and I applaud you for taking the first step. Whether you are struggling with anxiety, worry, low self-esteem, depression, or an eating disorder, I am eager to become a support to you. I will work with you to better understand and manage your emotions, become more aware of your thought patterns, and learn more effective coping skills to improve your life. I want to empower you to make the desired changes to begin living the life you want to live.
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Photo of Nancy A Field, Psychologist in 05254, VT
Nancy A Field
Psychologist, PhD
Verified
Manchester, VT 05254  (Online Only)
Please contact me if you are seeking a therapist who uses scientifically proven, evidence-based treatments. For example, I have successfully used cognitive-behavioral therapy to treat depression and exposure therapy to treat anxiety. I have a general practice working with adults presenting with a variety of emotional issues. I believe in the importance of good self-care, including regular exercise and a healthy diet, for optimum physical and mental health. My therapy style is direct and collaborative. I have experience working with both men and women of all faiths and orientations.
Please contact me if you are seeking a therapist who uses scientifically proven, evidence-based treatments. For example, I have successfully used cognitive-behavioral therapy to treat depression and exposure therapy to treat anxiety. I have a general practice working with adults presenting with a variety of emotional issues. I believe in the importance of good self-care, including regular exercise and a healthy diet, for optimum physical and mental health. My therapy style is direct and collaborative. I have experience working with both men and women of all faiths and orientations.
(802) 747-3480 View (802) 747-3480
Photo of Beth Newman, Marriage & Family Therapist in 05254, VT
Beth Newman
Marriage & Family Therapist, LMFT, ATR-BC
Verified
Manchester, VT 05254
To be a compassionate companion in the process of healing is an honor I hold as sacred. Wherever you may find yourself on your journey, I will witness, listen, ask deep questions, and offer support without judgement. My goal is to provide a safe space that allows you to remember and know who you are. I will support you to learn to understand your lived and embodied experience with a spacious sense of connectedness. Combining expressive and creative techniques with mindfulness-based practices, we will work together towards integration and wholeness based on your chosen goals.
To be a compassionate companion in the process of healing is an honor I hold as sacred. Wherever you may find yourself on your journey, I will witness, listen, ask deep questions, and offer support without judgement. My goal is to provide a safe space that allows you to remember and know who you are. I will support you to learn to understand your lived and embodied experience with a spacious sense of connectedness. Combining expressive and creative techniques with mindfulness-based practices, we will work together towards integration and wholeness based on your chosen goals.
(802) 779-0371 View (802) 779-0371
Photo of Patricia Williams, Clinical Social Work/Therapist in 05254, VT
Patricia Williams
Clinical Social Work/Therapist, LCSW
Verified
Manchester, VT 05254  (Online Only)
Are you unhappy in your closest relationship? Are you stuck in a pattern of disconnection? Has one of you had an affair? These are the signs of distress in a relationship: poor communication, distance and/or withdrawing, critcizing/blaming, lack of intimacy or sexual contact, inability to resolve conflict. If you are experiencing any of these - its important to get help asap. I help people create intimate, secure, lasting relationships . Other specialties also include working with those who suffer from the after effects of abuse and trauma, and those who are experiencing depression, anxiety or stressful changes in their lives.
Are you unhappy in your closest relationship? Are you stuck in a pattern of disconnection? Has one of you had an affair? These are the signs of distress in a relationship: poor communication, distance and/or withdrawing, critcizing/blaming, lack of intimacy or sexual contact, inability to resolve conflict. If you are experiencing any of these - its important to get help asap. I help people create intimate, secure, lasting relationships . Other specialties also include working with those who suffer from the after effects of abuse and trauma, and those who are experiencing depression, anxiety or stressful changes in their lives.
(914) 297-8969 View (914) 297-8969
Photo of Patricia A. McCullagh, Psychologist in 05254, VT
Patricia A. McCullagh
Psychologist, PsyD
Verified
1 Endorsed
Manchester, VT 05254  (Online Only)
In spite of the myriad of mental health diagnoses used today, the core underlying issues that people struggle with are often more alike than not. They simply manifest in different ways for different people. As a general practitioner for over 20 years, I draw upon information from many areas of psychology, as well as allied spiritual and physical fields, to broaden my understanding of the problems being presented. I feel privileged to work as a therapist, and believe compassion, respect, flexible thinking, and a comprehensive knowledge base, are the keys to any good therapy.
In spite of the myriad of mental health diagnoses used today, the core underlying issues that people struggle with are often more alike than not. They simply manifest in different ways for different people. As a general practitioner for over 20 years, I draw upon information from many areas of psychology, as well as allied spiritual and physical fields, to broaden my understanding of the problems being presented. I feel privileged to work as a therapist, and believe compassion, respect, flexible thinking, and a comprehensive knowledge base, are the keys to any good therapy.
(802) 230-0119 View (802) 230-0119
Photo of Kristen Munson, Psychologist in 05254, VT
Kristen Munson
Psychologist, PsyD
Verified
Manchester, VT 05254
Waitlist for new clients
Hello! Thank you for considering me. I understand the importance of finding the right psychologist to foster the kind of growth and healing that allows individuals to live more authentically and freely. I support adult clients experiencing anxiety, depression, life changes and trauma by utilizing deep listening, collaboration, insight building, vulnerability, and focusing on strengthening and supporting the self. I provide a climate of non-judgment and safety for my clients so that they feel cared for, can self-explore at a deep level, and can become aware of blocks to growth.
Hello! Thank you for considering me. I understand the importance of finding the right psychologist to foster the kind of growth and healing that allows individuals to live more authentically and freely. I support adult clients experiencing anxiety, depression, life changes and trauma by utilizing deep listening, collaboration, insight building, vulnerability, and focusing on strengthening and supporting the self. I provide a climate of non-judgment and safety for my clients so that they feel cared for, can self-explore at a deep level, and can become aware of blocks to growth.
(802) 810-8496 View (802) 810-8496
Photo of Emily Brooks, LMFT, LLC, Marriage & Family Therapist in 05254, VT
Emily Brooks, LMFT, LLC
Marriage & Family Therapist, MA, LMFT
Verified
1 Endorsed
Manchester, VT 05254
Today's crazy pace of life as well as the stresses of family, money, school, employment, not to mention COVID-19 and politics, it is no wonder more and more people are looking for therapeutic support to find balance in their lives. I will strive to help you find that balance, working with and building on your strengths, already present within you, but lost in the chaos of present day life in a safe, supportive environment. We will work to build coping skills to deal with every day life, when things get tough. Life is full of ups and downs. You can learn new ways to shift your perception, to build on the strengths and positives.
Today's crazy pace of life as well as the stresses of family, money, school, employment, not to mention COVID-19 and politics, it is no wonder more and more people are looking for therapeutic support to find balance in their lives. I will strive to help you find that balance, working with and building on your strengths, already present within you, but lost in the chaos of present day life in a safe, supportive environment. We will work to build coping skills to deal with every day life, when things get tough. Life is full of ups and downs. You can learn new ways to shift your perception, to build on the strengths and positives.
(802) 327-7802 View (802) 327-7802
Photo of Thomas Kauffmann, Clinical Social Work/Therapist in 05254, VT
Thomas Kauffmann
Clinical Social Work/Therapist, LICSW, FSW
Verified
Manchester, VT 05254
Are you finding yourself "sort of stuck" in your life? Maybe feeling unfulfilled in your endeavors or finding yourself anxious or saddened for apparently no reason at all? Sometimes, discussing your concerns with a non-judgmental, objective therapist can help a person break up logjams in their lives and refocus us on what we believe is important or what we hope to achieve. Or have you been afflicted with depression, anxiety or substance use issues in the past and feel the need to take a fresh look at what is happening now? If so, perhaps I can help you. And I am available to work with you on weekends and holidays, too.
Are you finding yourself "sort of stuck" in your life? Maybe feeling unfulfilled in your endeavors or finding yourself anxious or saddened for apparently no reason at all? Sometimes, discussing your concerns with a non-judgmental, objective therapist can help a person break up logjams in their lives and refocus us on what we believe is important or what we hope to achieve. Or have you been afflicted with depression, anxiety or substance use issues in the past and feel the need to take a fresh look at what is happening now? If so, perhaps I can help you. And I am available to work with you on weekends and holidays, too.
(802) 441-6677 View (802) 441-6677
Photo of Monica Bolio, Counselor in 05254, VT
Monica Bolio
Counselor, MA, LCMHC
Verified
Manchester, VT 05254  (Online Only)
One of life’s greatest challenges can be beginning the healing journey. Whether you're feeling stuck, depressed, uncertain, anxious, unfulfilled, lost, or broken, I am here to support you. Bringing awareness and/or identifying the root causes of behaviors and emotional experiences can be both challenging and rewarding. My hope for you is that we can work together to identify and progress toward goals to alleviate your suffering and increase your ability to cope, make healthy decisions, and regain direction within your journey.
One of life’s greatest challenges can be beginning the healing journey. Whether you're feeling stuck, depressed, uncertain, anxious, unfulfilled, lost, or broken, I am here to support you. Bringing awareness and/or identifying the root causes of behaviors and emotional experiences can be both challenging and rewarding. My hope for you is that we can work together to identify and progress toward goals to alleviate your suffering and increase your ability to cope, make healthy decisions, and regain direction within your journey.
(802) 500-7788 View (802) 500-7788
Photo of Paula Rasanen, Registered Psychotherapist in 05254, VT
Paula Rasanen
Registered Psychotherapist, MA CFT
Verified
Manchester, VT 05254
Not accepting new clients
We all need security, acceptance, safety and understanding in our close relationships. Developing insight into our patterns, exploring our core values, and defining what we want and need in relationships can be overwhelming, especially when we don't know how to begin this process. I love meeting clients right where they are, and supporting them through the process of rising to life's challenges, defining and achieving their personal goals within the context of their close relationships. I am especially passionate about supporting neurodivergent individuals and families.
We all need security, acceptance, safety and understanding in our close relationships. Developing insight into our patterns, exploring our core values, and defining what we want and need in relationships can be overwhelming, especially when we don't know how to begin this process. I love meeting clients right where they are, and supporting them through the process of rising to life's challenges, defining and achieving their personal goals within the context of their close relationships. I am especially passionate about supporting neurodivergent individuals and families.
(802) 659-2907 View (802) 659-2907

See more therapy options for 05254

How does your Therapist compare?

Number of Therapists in 05254

30+

Average cost per session

$140

Therapists in 05254 who prioritize treating:

92% Anxiety
86% Relationship Issues
86% Depression
84% Self Esteem
76% Coping Skills
73% Grief
73% Stress

Average years in practice

15 Years

Top 3 insurances accepted

92% BlueCross and BlueShield
68% Medicaid
48% MVP Health Care

How Therapists in 05254 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

79% Female
21% Male

FAQs - About Therapy and Counseling

How can I find a therapist in 05254?

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.