Photo of Dr. Marisol Westberg, PhD, LMFT, Marriage & Family Therapist
Dr. Marisol Westberg
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Serves Area
I am a board certified sexologist and a licensed couples therapist. I maintain a private practice with a focus on sex therapy. I have been a couple's therapist for 20 years. I am sex-positive and specialize in sex therapy that is inclusive of alternative relationships and erotic minorities. My areas of expertise are intimate relationships, pleasure, infidelity, sexual desire discrepancies, lack of desire, difficulties with orgasm, difficulties with erections and orgasm, pain and discomfort in sex, alternative sexualities and lifestyles, sexual abuse and violence. My approach in therapy is one that is positive, validating,
I am a board certified sexologist and a licensed couples therapist. I maintain a private practice with a focus on sex therapy. I have been a couple's therapist for 20 years. I am sex-positive and specialize in sex therapy that is inclusive of alternative relationships and erotic minorities. My areas of expertise are intimate relationships, pleasure, infidelity, sexual desire discrepancies, lack of desire, difficulties with orgasm, difficulties with erections and orgasm, pain and discomfort in sex, alternative sexualities and lifestyles, sexual abuse and violence. My approach in therapy is one that is positive, validating,
(475) 275-9719 View (475) 275-9719
Photo of Timothy Rowe, LCSW, Clinical Social Work/Therapist
Timothy Rowe
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I use a client-centered approach and focus on developing a meaningful therapeutic relationship with individuals to support them in achieving their goals. I'm eclectic in my approach, utilizing CBT and DBT skills based treatment modalities as well as integrating psycho-dynamic concepts to help individuals gain insight about how previous life experiences have shaped their understanding of themselves and the world.
I use a client-centered approach and focus on developing a meaningful therapeutic relationship with individuals to support them in achieving their goals. I'm eclectic in my approach, utilizing CBT and DBT skills based treatment modalities as well as integrating psycho-dynamic concepts to help individuals gain insight about how previous life experiences have shaped their understanding of themselves and the world.
(475) 265-5704 View (475) 265-5704
Photo of Allegra Hachey, LCSW, Clinical Social Work/Therapist
Allegra Hachey
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Not accepting new clients
I have developed a particular niche for treating adolescents, teens, young adults, and families. My experience in the mental health field has included treatment of addiction, PTSD, eating disorders, depression, anxiety, mood disorders, and personality disorders. I aim to guide and encourage my clients to learn how to advocate for themselves in order to get their needs met, regardless of where they are in their lives. When working with a younger population, I believe family integration is an invaluable part of the work. Therefore, I encourage families to be part of the therapeutic process at an appropriate capacity, case by case.
I have developed a particular niche for treating adolescents, teens, young adults, and families. My experience in the mental health field has included treatment of addiction, PTSD, eating disorders, depression, anxiety, mood disorders, and personality disorders. I aim to guide and encourage my clients to learn how to advocate for themselves in order to get their needs met, regardless of where they are in their lives. When working with a younger population, I believe family integration is an invaluable part of the work. Therefore, I encourage families to be part of the therapeutic process at an appropriate capacity, case by case.
(203) 614-1944 View (203) 614-1944
Photo of Lila Sussman Bepko - Lila Sussman Therapy LLC, MA, LPC, Licensed Professional Counselor
Lila Sussman Therapy LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Serves Area
I am passionate about helping others heal. From a young age, I have always felt compelled to help people and was always interested in how the mind, emotions, and body worked together. I love to help people heal from whatever emotional challenges and struggles life may bring in order to be the best version of themselves.    I specialize in the treatment of anxiety, depression, domestic violence, substance abuse, low self-esteem, and eating disorders.  I am a certified Eidetic Image practitioner— a methodology that helps clients free up their deepest positive potential.
I am passionate about helping others heal. From a young age, I have always felt compelled to help people and was always interested in how the mind, emotions, and body worked together. I love to help people heal from whatever emotional challenges and struggles life may bring in order to be the best version of themselves.    I specialize in the treatment of anxiety, depression, domestic violence, substance abuse, low self-esteem, and eating disorders.  I am a certified Eidetic Image practitioner— a methodology that helps clients free up their deepest positive potential.
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Photo of Michael Cowan, LCSW, Clinical Social Work/Therapist
Michael Cowan
Clinical Social Work/Therapist, LCSW
Verified Verified
Serves Area
Michael Cowan is a Licensed Clinical Social Worker with experience helping clients who struggle with anxiety, depression, OCD, PTSD, addiction, as well as a variety of other issues. He has a kind, friendly, and welcoming persona, and he is known for making his clients feel comfortable. He provides a non-judgmental, safe environment and helps his clients recognize their own strengths.
Michael Cowan is a Licensed Clinical Social Worker with experience helping clients who struggle with anxiety, depression, OCD, PTSD, addiction, as well as a variety of other issues. He has a kind, friendly, and welcoming persona, and he is known for making his clients feel comfortable. He provides a non-judgmental, safe environment and helps his clients recognize their own strengths.
(475) 256-6966 View (475) 256-6966
Photo of Ilene Ann Robbins, LPC, NCC, MS, Licensed Professional Counselor
Ilene Ann Robbins
Licensed Professional Counselor, LPC, NCC, MS
Verified Verified
1 Endorsed
Serves Area
Is anxiety, OCD, depression, or everyday stress affecting you, your child, or your teen? Are you or your loved ones struggling with constant worry, obsessive thoughts, compulsive behaviors, difficulty concentrating, irritability, or trouble sleeping? Is school or work becoming overwhelming, or are relationships with friends, peers, or colleagues becoming strained? Many adults, children, and teens are dealing with these challenges, which can leave them feeling anxious, stuck, or disconnected. When one family member is struggling, whether with anxiety, OCD, or depression, it can disrupt the entire family dynamic.
Is anxiety, OCD, depression, or everyday stress affecting you, your child, or your teen? Are you or your loved ones struggling with constant worry, obsessive thoughts, compulsive behaviors, difficulty concentrating, irritability, or trouble sleeping? Is school or work becoming overwhelming, or are relationships with friends, peers, or colleagues becoming strained? Many adults, children, and teens are dealing with these challenges, which can leave them feeling anxious, stuck, or disconnected. When one family member is struggling, whether with anxiety, OCD, or depression, it can disrupt the entire family dynamic.
(475) 897-5157 View (475) 897-5157
Photo of Laurie Pittman - Adult & Pediatric Counseling Specialists PLLC, LMFT, LCSW, LADC, LPC, Marriage & Family Therapist
Adult & Pediatric Counseling Specialists PLLC
Marriage & Family Therapist, LMFT, LCSW, LADC, LPC
Verified Verified
Serves Area
Have a particular life obstacle you’re trying to overcome? Sometimes, seeking help from a certified expert is the best way to put things into perspective. As committed, professional psychotherapists, we implement effective counseling methods to instill self-understanding among patients and encourage them to adopt new attitudes and feelings towards life situations. APCS is a private mental health practice made up of licensed therapists who provide counseling services to adults, children, couples, and families. Morning, evening, and weekend appointments are available and we accept major insurances. Call us to learn more about how we can help you and/or your family.
Have a particular life obstacle you’re trying to overcome? Sometimes, seeking help from a certified expert is the best way to put things into perspective. As committed, professional psychotherapists, we implement effective counseling methods to instill self-understanding among patients and encourage them to adopt new attitudes and feelings towards life situations. APCS is a private mental health practice made up of licensed therapists who provide counseling services to adults, children, couples, and families. Morning, evening, and weekend appointments are available and we accept major insurances. Call us to learn more about how we can help you and/or your family.
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Photo of Elizabeth Maharaj - Elizabeth Maharaj | Child & Anxiety Therapist, LPCA, MA, Pre-Licensed Professional
Elizabeth Maharaj | Child & Anxiety Therapist
Pre-Licensed Professional, LPCA, MA
Verified Verified
1 Endorsed
Serves Area
Life can be overwhelming, and finding a space to truly feel heard and understood is essential for growth. As a Licensed Professional Counselor Associate (LPCA), I am dedicated to supporting clients of all ages through life’s challenges. Whether you're navigating anxiety, facing significant life transitions, preparing for college, or seeking clarity in your decisions, I am here to help. My approach is warm, empathetic, and nonjudgmental, creating a safe space for you to express yourself, away from societal expectations and pressures. I aim to help you uncover your strengths and build resilience as we work together toward your goals.
Life can be overwhelming, and finding a space to truly feel heard and understood is essential for growth. As a Licensed Professional Counselor Associate (LPCA), I am dedicated to supporting clients of all ages through life’s challenges. Whether you're navigating anxiety, facing significant life transitions, preparing for college, or seeking clarity in your decisions, I am here to help. My approach is warm, empathetic, and nonjudgmental, creating a safe space for you to express yourself, away from societal expectations and pressures. I aim to help you uncover your strengths and build resilience as we work together toward your goals.
(475) 405-1974 View (475) 405-1974
Photo of Frank Basler, MDiv, MBA, NPsyA
Frank Basler
MDiv, MBA, NPsyA
Verified Verified
Serves Area
Trained as a psychotherapist, I am a resource to older persons who are approaching retirement or looking for more meaning during retirement, I can also help you approach the end of life with less anxiety.
Trained as a psychotherapist, I am a resource to older persons who are approaching retirement or looking for more meaning during retirement, I can also help you approach the end of life with less anxiety.
(475) 244-6489 View (475) 244-6489
Photo of Timothy M Aquino, Marriage & Family Therapist
Timothy M Aquino
Marriage & Family Therapist
Verified Verified
2 Endorsed
Serves Area
Life can be difficult but you don't have to go it alone. I am here. I want to hear what you are going through and I want to know how you are feeling. Give me a call. We will walk through this journey together.
Life can be difficult but you don't have to go it alone. I am here. I want to hear what you are going through and I want to know how you are feeling. Give me a call. We will walk through this journey together.
(475) 241-7144 View (475) 241-7144
Photo of Sarah Gomez, PsyD, BCB, Psychologist
Sarah Gomez
Psychologist, PsyD, BCB
Verified Verified
Serves Area
The natural evolution of life brings many stressors and transitions our way. We may be faced with relationship problems, choosing a life path, challenges at work/school, family upsets and more. Experiencing confusion, grief, anxiety, depression and other tricky emotions can be difficult to manage. I help people work through these feelings and increase self knowledge. Helping clients to find greater internal understanding often brings about insight and the opportunity for change, moving us toward a more healthy and fulfilled experience.
The natural evolution of life brings many stressors and transitions our way. We may be faced with relationship problems, choosing a life path, challenges at work/school, family upsets and more. Experiencing confusion, grief, anxiety, depression and other tricky emotions can be difficult to manage. I help people work through these feelings and increase self knowledge. Helping clients to find greater internal understanding often brings about insight and the opportunity for change, moving us toward a more healthy and fulfilled experience.
(203) 635-8683 View (203) 635-8683
Photo of Christine Porto, LCSW, Clinical Social Work/Therapist
Christine Porto
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Not accepting new clients
Experienced psychotherapist with a passionate inclination to assist others in the delicate navigation of their human experience. Trained in both traditional and non-traditional therapeutic modalities, I help orient clients to a more supportive and personal relationship with themselves. I specialize in existential crisis and transpersonal therapy while being mindful of the very real stressors of everyday life, including desiring deeper intimacy with loved ones. I have worked with most diagnostic presentations of mental health and substance abuse in both inpatient and outpatient settings at variable degrees of acuity and chronicity.
Experienced psychotherapist with a passionate inclination to assist others in the delicate navigation of their human experience. Trained in both traditional and non-traditional therapeutic modalities, I help orient clients to a more supportive and personal relationship with themselves. I specialize in existential crisis and transpersonal therapy while being mindful of the very real stressors of everyday life, including desiring deeper intimacy with loved ones. I have worked with most diagnostic presentations of mental health and substance abuse in both inpatient and outpatient settings at variable degrees of acuity and chronicity.
(475) 242-8586 View (475) 242-8586
Photo of Nadja Streiter, LMSW, Clinical Social Work/Therapist
Nadja Streiter
Clinical Social Work/Therapist, LMSW
Verified Verified
Serves Area
Hello and thank you for looking at my profile. I believe therapy isn’t about digging up negative experiences from the past and dwelling on them, it is about seeing the ways the past is controlling your present. When our past interferes with our present we can find ourselves feeling stuck and dissatisfied. We are perhaps surviving but not thriving. Therapy can also be about recognizing behavior patterns and/or learning better coping skills. Anxiety, trauma, life-stressors, digital addiction, ADHD,OCD, teen, young adult and men’s issues as well as parenting in the Digital age are a few of my specialties.
Hello and thank you for looking at my profile. I believe therapy isn’t about digging up negative experiences from the past and dwelling on them, it is about seeing the ways the past is controlling your present. When our past interferes with our present we can find ourselves feeling stuck and dissatisfied. We are perhaps surviving but not thriving. Therapy can also be about recognizing behavior patterns and/or learning better coping skills. Anxiety, trauma, life-stressors, digital addiction, ADHD,OCD, teen, young adult and men’s issues as well as parenting in the Digital age are a few of my specialties.
(203) 717-4465 View (203) 717-4465
Photo of Patty Schein - Patty Schein, M.Ed., LMFT, LPC, MEd, LMFT, LPC, Marriage & Family Therapist
Patty Schein, M.Ed., LMFT, LPC
Marriage & Family Therapist, MEd, LMFT, LPC
Verified Verified
Online Only
I will support and guide you through a transformation of your pain, worry and concerns. You will benefit from interactive and integrative services developed over my 30 years in practice. You and I will work in partnership to create and implement relevant and empowering treatment. My services include holistic psychotherapy, marital therapy; lifestyle assessment and planning; stress management coaching; energy healing and balancing; breath work; meditation and spirituality. These services are provided in individual, couple and group sessions. Relax and enjoy more.
I will support and guide you through a transformation of your pain, worry and concerns. You will benefit from interactive and integrative services developed over my 30 years in practice. You and I will work in partnership to create and implement relevant and empowering treatment. My services include holistic psychotherapy, marital therapy; lifestyle assessment and planning; stress management coaching; energy healing and balancing; breath work; meditation and spirituality. These services are provided in individual, couple and group sessions. Relax and enjoy more.
(860) 308-1264 View (860) 308-1264
Photo of Samantha Novack, LCSW, Clinical Social Work/Therapist
Samantha Novack
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Serves Area
My primary therapeutic goal is to comprehensively assess an individual’s needs and their areas of concerns and to render compassionate care to alleviate emotional discomfort and distress. I have experience working with people with a broad range of presenting concerns including: anxiety, depression, chronic medical conditions, trauma, life transitions, grief, and persistent/severe mental health.
My primary therapeutic goal is to comprehensively assess an individual’s needs and their areas of concerns and to render compassionate care to alleviate emotional discomfort and distress. I have experience working with people with a broad range of presenting concerns including: anxiety, depression, chronic medical conditions, trauma, life transitions, grief, and persistent/severe mental health.
(475) 290-6302 View (475) 290-6302
Photo of Jake Zoubek, LMFT, Marriage & Family Therapist
Jake Zoubek
Marriage & Family Therapist, LMFT
Verified Verified
Serves Area
Jake works with a wide range of ages, including adolescents and their families. Jake has experience in helping adolescents navigate struggles within school, community, family and judicial settings and provides supervision and consultation for associate licensed clinicians. Jake has experience working directly with a wide range of behavioral health needs, from autism spectrum disorder to anxiety and substance use disorders. Jake spent time as a milieu therapist at a residential substance program, and has provided services to adolescents and young adults struggling with substance use and co-occurring mental health disorders.
Jake works with a wide range of ages, including adolescents and their families. Jake has experience in helping adolescents navigate struggles within school, community, family and judicial settings and provides supervision and consultation for associate licensed clinicians. Jake has experience working directly with a wide range of behavioral health needs, from autism spectrum disorder to anxiety and substance use disorders. Jake spent time as a milieu therapist at a residential substance program, and has provided services to adolescents and young adults struggling with substance use and co-occurring mental health disorders.
(203) 453-2999 View (203) 453-2999
Photo of Randi Roth, PhD, Psychologist
Randi Roth
Psychologist, PhD
Verified Verified
Serves Area
I believe that the power for change resides in each individual and that therapy can promote and facilitate desired changes through the collaborative therapeutic relationship. I strive to create a safe environment and relationship within which each individual can explore old patterns of relating and create new relational capacities. I have 23 years of experience and expertise treating depression, anxiety disorders, eating disorders, substance abuse, divorce adjustment, parenting as well as couples therapy. I have post-doctoral training and teach new therapists at the post-doc level. In addition to psychotherapy.
I believe that the power for change resides in each individual and that therapy can promote and facilitate desired changes through the collaborative therapeutic relationship. I strive to create a safe environment and relationship within which each individual can explore old patterns of relating and create new relational capacities. I have 23 years of experience and expertise treating depression, anxiety disorders, eating disorders, substance abuse, divorce adjustment, parenting as well as couples therapy. I have post-doctoral training and teach new therapists at the post-doc level. In addition to psychotherapy.
(646) 904-5637 View (646) 904-5637
Photo of Zoe Cohen, LCSW, Clinical Social Work/Therapist
Zoe Cohen
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My practice is dedicated to providing evidence-based, change-oriented, and present-focused therapy to individuals and families seeking support, while fostering a safe, comforting, and collaborative environment. I have advanced training in a range of therapeutic approaches, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Radically Open Dialectical Behavior Therapy (RO-DBT), Family-Based Treatment (FBT), and Enhanced Cognitive Behavioral Therapy (CBT-E), allowing me to offer tailored care that meets each client's unique needs.
My practice is dedicated to providing evidence-based, change-oriented, and present-focused therapy to individuals and families seeking support, while fostering a safe, comforting, and collaborative environment. I have advanced training in a range of therapeutic approaches, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Radically Open Dialectical Behavior Therapy (RO-DBT), Family-Based Treatment (FBT), and Enhanced Cognitive Behavioral Therapy (CBT-E), allowing me to offer tailored care that meets each client's unique needs.
(203) 318-4803 View (203) 318-4803
Photo of Anna Imperiale, LMSW, MSSW, Clinical Social Work/Therapist
Anna Imperiale
Clinical Social Work/Therapist, LMSW, MSSW
Verified Verified
2 Endorsed
Online Only
Deciding to start counseling is a big decision. I understand that success in therapy depends on finding a competent clinician who will provide a safe and affirming environment where you are able to explore yourself openly and meet your treatment goals. My approach is warm, interactive, and non-judgmental. I help people develop their personal insight, self-esteem, motivation, and identify coping skills that meet their specific needs. I specialize in working with couples and individuals, including children and adolescents, who are navigating depression, anxiety, trauma, transitions, and relationship difficulties.
Deciding to start counseling is a big decision. I understand that success in therapy depends on finding a competent clinician who will provide a safe and affirming environment where you are able to explore yourself openly and meet your treatment goals. My approach is warm, interactive, and non-judgmental. I help people develop their personal insight, self-esteem, motivation, and identify coping skills that meet their specific needs. I specialize in working with couples and individuals, including children and adolescents, who are navigating depression, anxiety, trauma, transitions, and relationship difficulties.
(203) 987-4159 View (203) 987-4159
Photo of Ana Taveras, MA, LPC, Licensed Professional Counselor
Ana Taveras
Licensed Professional Counselor, MA, LPC
Verified Verified
Serves Area
Identifying and expressing our emotions or feelings can be challenging at times. Children utilize forms of play to express and communicate their feelings. It is my passion to help children and adolescents find their voice, communicate their feelings and build relationships with others. As a professional counselor, I am given the opportunity to help children and families come together despite the challenges that arise.
Identifying and expressing our emotions or feelings can be challenging at times. Children utilize forms of play to express and communicate their feelings. It is my passion to help children and adolescents find their voice, communicate their feelings and build relationships with others. As a professional counselor, I am given the opportunity to help children and families come together despite the challenges that arise.
(203) 286-5229 View (203) 286-5229
1

See more therapy options for 06430

How does your Therapist compare?

Number of Therapists in 06430

100+

Average cost per session

$175

Therapists in 06430 who prioritize treating:

94% Anxiety
83% Depression
79% Self Esteem
75% Relationship Issues
75% Stress
73% Coping Skills
73% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

68% Aetna
62% Cigna and Evernorth
58% UnitedHealthcare UHC | UBH

How Therapists in 06430 see their clients

67% In Person and Online
33% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 06430?

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.