Therapists in 07458

Photo of Nouriman Ghahary, Psychologist, PhD, LPC
Nouriman Ghahary
Psychologist, PhD, LPC
Saddle River, NJ 07458
I have been a therapist for more than 30 years. I assist adult clients and families and couples in working through underlying reasons for their pain, problems and conflicts, and help them learn skills to manage their emotions and behavior to solve problems and form healthier relationships. I help children, adolescents and their parents manage phase of life challenges, and the struggles posed by conditions like ADHD, anxiety, depression, OCD, mood dysregulation, trauma and behavioral difficulties.
I have been a therapist for more than 30 years. I assist adult clients and families and couples in working through underlying reasons for their pain, problems and conflicts, and help them learn skills to manage their emotions and behavior to solve problems and form healthier relationships. I help children, adolescents and their parents manage phase of life challenges, and the struggles posed by conditions like ADHD, anxiety, depression, OCD, mood dysregulation, trauma and behavioral difficulties.
(551) 209-0918 View (551) 209-0918
Photo of Dr. Jen Altman, Psychologist, PsyD
Dr. Jen Altman
Psychologist, PsyD
People come to treatment with overwhelming feelings. Whether it's teens dealing with the pressures of identity formation, school achievement, and family conflict; college students adapting to their new normal and the joys and challenges of independence; young adults trying to figure out their place in the world; or adults managing the demands of everyday life (parenting, being in the sandwich generation, dealing with health and wellness challenges of getting older) - I am someone who can help quiet the noise and make what seems impossible more manageable.
People come to treatment with overwhelming feelings. Whether it's teens dealing with the pressures of identity formation, school achievement, and family conflict; college students adapting to their new normal and the joys and challenges of independence; young adults trying to figure out their place in the world; or adults managing the demands of everyday life (parenting, being in the sandwich generation, dealing with health and wellness challenges of getting older) - I am someone who can help quiet the noise and make what seems impossible more manageable.
(201) 987-9861 View (201) 987-9861
Photo of Julia Tsakalis, Clinical Social Work/Therapist, LCSW
Julia Tsakalis
Clinical Social Work/Therapist, LCSW
1 Endorsed
Saddle River, NJ 07458
Imagine your life as a bookshelf: It may feel like the “TRAUMA” book is the only one on your shelf. It’s big and heavy and it hurts to think about opening it. In our work together you will learn how to build a library full of rich life experiences around what you’ve already survived. You won’t have to numb the pain. You won’t have to minimize what you feel to make others comfortable. You will get to process your traumas and feel present for the first time in a long time, or maybe in your life.
Imagine your life as a bookshelf: It may feel like the “TRAUMA” book is the only one on your shelf. It’s big and heavy and it hurts to think about opening it. In our work together you will learn how to build a library full of rich life experiences around what you’ve already survived. You won’t have to numb the pain. You won’t have to minimize what you feel to make others comfortable. You will get to process your traumas and feel present for the first time in a long time, or maybe in your life.
(201) 540-8826 View (201) 540-8826
Photo of Katherine Sutton, Clinical Social Work/Therapist, LCSW
Katherine Sutton
Clinical Social Work/Therapist, LCSW
Saddle River, NJ 07458
I work with teens, young adults, and individuals going through tough life transitions. Whether you’re feeling overwhelmed by stress or anxiety, struggling with identity, or dealing with family or relationship challenges, I offer a supportive space to talk things through. Together, we can build coping skills, improve communication, and work toward healthier, more fulfilling relationships.
I work with teens, young adults, and individuals going through tough life transitions. Whether you’re feeling overwhelmed by stress or anxiety, struggling with identity, or dealing with family or relationship challenges, I offer a supportive space to talk things through. Together, we can build coping skills, improve communication, and work toward healthier, more fulfilling relationships.
(551) 373-5294 View (551) 373-5294
Photo of Ilana Schlein Rosenberg, Psychologist, PhD
Ilana Schlein Rosenberg
Psychologist, PhD
Saddle River, NJ 07458
Life is about transition. And with each transition comes challenges. Some are easy and some more difficult to manage. Sometimes the challenge comes in the form of a failed relationship, sometimes we lose a loved one and feel the desolation and loneliness of dealing with life's challenges alone, sometimes anxiety takes over and renders us less capable of managing our daily responsibilities. Sometimes we act in ways that even we do not fully understand or that moves us further and further away from success, happiness and serenity.
Life is about transition. And with each transition comes challenges. Some are easy and some more difficult to manage. Sometimes the challenge comes in the form of a failed relationship, sometimes we lose a loved one and feel the desolation and loneliness of dealing with life's challenges alone, sometimes anxiety takes over and renders us less capable of managing our daily responsibilities. Sometimes we act in ways that even we do not fully understand or that moves us further and further away from success, happiness and serenity.
(201) 283-8273 View (201) 283-8273
Photo of Dana Romano, Clinical Social Work/Therapist, LSW, LCADC
Dana Romano
Clinical Social Work/Therapist, LSW, LCADC
Saddle River, NJ 07458
Welcome to Hopeful Heart Counseling! We are a Northern NJ specialized private therapy practice. As founder of Hopeful Heart Counseling, it is my privilege and passion to help you restore balance in your life. I specialize in working with individuals and families impacted by substance abuse and co-occurring disorders. I utilize empirically based practices when working with mental health issues affecting adolescents and adults. I use an eclectic approach that is solution focused. When combined with transparency and authenticity, it helps put clients at ease and allows them to openly express themselves and their feelings.
Welcome to Hopeful Heart Counseling! We are a Northern NJ specialized private therapy practice. As founder of Hopeful Heart Counseling, it is my privilege and passion to help you restore balance in your life. I specialize in working with individuals and families impacted by substance abuse and co-occurring disorders. I utilize empirically based practices when working with mental health issues affecting adolescents and adults. I use an eclectic approach that is solution focused. When combined with transparency and authenticity, it helps put clients at ease and allows them to openly express themselves and their feelings.
(201) 903-4540 View (201) 903-4540
Photo of Gina DiNiro, Clinical Social Work/Therapist, LCSW
Gina DiNiro
Clinical Social Work/Therapist, LCSW
Saddle River, NJ 07458
Gina has been successful in helping individuals and families meet their desired goals in therapy through an empathetic and strengths-based approach. She strives to meet clients where they are at and strengthen their innate abilities to lead happier and healthier lives. Her style evolves with their needs and up-to-date modalities to make therapy effective.
Gina has been successful in helping individuals and families meet their desired goals in therapy through an empathetic and strengths-based approach. She strives to meet clients where they are at and strengthen their innate abilities to lead happier and healthier lives. Her style evolves with their needs and up-to-date modalities to make therapy effective.
(201) 720-6601 View (201) 720-6601
Photo of Lori Tseytin, Pre-Licensed Professional, MSW, HHC
Lori Tseytin
Pre-Licensed Professional, MSW, HHC
Saddle River, NJ 07458
I believe true healing integrates the mind, body, and spirit. As a wellness coach, holistic nutritionist, and therapist, I specialize in helping individuals overcome anxiety, trauma, chronic pain, and emotional dysregulation. My compassionate and personalized approach combines psychology, nutrition, and meditation to support deep healing and transformation. Whether you’re struggling with past wounds, experiencing burnout, or seeking guidance, I provide a safe, nurturing space for self-exploration and empowerment. We will work on setting healthy boundaries, restoring balance, and aligning with your most authentic self.
I believe true healing integrates the mind, body, and spirit. As a wellness coach, holistic nutritionist, and therapist, I specialize in helping individuals overcome anxiety, trauma, chronic pain, and emotional dysregulation. My compassionate and personalized approach combines psychology, nutrition, and meditation to support deep healing and transformation. Whether you’re struggling with past wounds, experiencing burnout, or seeking guidance, I provide a safe, nurturing space for self-exploration and empowerment. We will work on setting healthy boundaries, restoring balance, and aligning with your most authentic self.
(551) 386-4189 View (551) 386-4189
Photo of Debra D Castaldo, Marriage & Family Therapist, PhD, LCSW, MS
Debra D Castaldo
Marriage & Family Therapist, PhD, LCSW, MS
Have you fallen out of love & don't know whether to stay or go? Or are you struggling with depression or anxiety? Dr. Castaldo is a nationally recognized relationship expert who has been featured as an expert guest on ABC, NBC, CBS, CNN, FOX & has authored 4 books, her latest: The Return to Love Playbook. She is the host of Love Notes with Dr. Deb Podcast. She uses a unique solution focused, brief approach to help clients build solutions quickly, & has special expertise in Couples, Sexuality, Divorce Prevention, Remarriage, Step Parenting, Child Management, Family Conflict, Depression, Anxiety, Women's Issues, and Adoption
Have you fallen out of love & don't know whether to stay or go? Or are you struggling with depression or anxiety? Dr. Castaldo is a nationally recognized relationship expert who has been featured as an expert guest on ABC, NBC, CBS, CNN, FOX & has authored 4 books, her latest: The Return to Love Playbook. She is the host of Love Notes with Dr. Deb Podcast. She uses a unique solution focused, brief approach to help clients build solutions quickly, & has special expertise in Couples, Sexuality, Divorce Prevention, Remarriage, Step Parenting, Child Management, Family Conflict, Depression, Anxiety, Women's Issues, and Adoption
(201) 494-2580 View (201) 494-2580
Photo of Dr. Aryeh Berlin, Psychologist, PsyD
Dr. Aryeh Berlin
Psychologist, PsyD
If you or your child struggles with anxiety, depression, obsessions, or school-based behavior difficulties you've seen these challenges & intense emotions disturb the most well-meaning, capable individuals. Life doesn't always go as planned but you're determined to heal, restore joy, and find relief from these symptoms. Seeking help is the first step. You can feel confident that the therapeutic approaches being used will help, because they're backed by science and delivered by a licensed clinical psychologist who is a proven expert in treating emotional and behavioral difficulties in children, teens, and adults.
If you or your child struggles with anxiety, depression, obsessions, or school-based behavior difficulties you've seen these challenges & intense emotions disturb the most well-meaning, capable individuals. Life doesn't always go as planned but you're determined to heal, restore joy, and find relief from these symptoms. Seeking help is the first step. You can feel confident that the therapeutic approaches being used will help, because they're backed by science and delivered by a licensed clinical psychologist who is a proven expert in treating emotional and behavioral difficulties in children, teens, and adults.
(201) 890-4464 View (201) 890-4464
Photo of Eliyahu Serkez - The Anxiety & OCD Therapy Practice, Licensed Professional Counselor, LMHC, LPC
The Anxiety & OCD Therapy Practice
Licensed Professional Counselor, LMHC, LPC
1 Endorsed
Are you tired of avoiding? Do you feel the need to perform frustrating rituals in an endless cycle to get rid of anxiety, uncertainty and even sensitivities to sounds? Are you stuck with unwanted thoughts and physical sensations? Do you feel like your world is getting smaller as your emotions take over? I'm Eliyahu Serkez, and throughout my career, I have specialized and dedicated myself to treating those who are trapped by anxiety, OCD and Misophonia. I did this because I understand the profound impact these conditions can have on ones life, so welcome - and know that one of the bravest things you can do is begin this journey.
Are you tired of avoiding? Do you feel the need to perform frustrating rituals in an endless cycle to get rid of anxiety, uncertainty and even sensitivities to sounds? Are you stuck with unwanted thoughts and physical sensations? Do you feel like your world is getting smaller as your emotions take over? I'm Eliyahu Serkez, and throughout my career, I have specialized and dedicated myself to treating those who are trapped by anxiety, OCD and Misophonia. I did this because I understand the profound impact these conditions can have on ones life, so welcome - and know that one of the bravest things you can do is begin this journey.
(845) 288-3139 View (845) 288-3139
Photo of Lance Eric Stern - Lance Stern LCSW, BCD, Clinical Social Work/Therapist, LCSW, BCD
Lance Stern LCSW, BCD
Clinical Social Work/Therapist, LCSW, BCD
I am a licensed Board Certified psychotherapist, regarded as intuitive, patient and kind. My diverse professional background in combination with my lifelong dedication to guiding others through emotional challenges has informed my unique empathetic approach to psychotherapy. I understand that most issues lie deep and it takes time for clients to work them through to find lasting relief. However, others might only need short term treatment, then I will address presenting problems to offer more immediate relief. My goal is to assist each client in finding comfort, perspective, stability and strategies to resolve inner conflicts.
I am a licensed Board Certified psychotherapist, regarded as intuitive, patient and kind. My diverse professional background in combination with my lifelong dedication to guiding others through emotional challenges has informed my unique empathetic approach to psychotherapy. I understand that most issues lie deep and it takes time for clients to work them through to find lasting relief. However, others might only need short term treatment, then I will address presenting problems to offer more immediate relief. My goal is to assist each client in finding comfort, perspective, stability and strategies to resolve inner conflicts.
(551) 224-0526 View (551) 224-0526
Photo of Inna Matov Gluhovsky - Dr. Inna Matov, Psychologist, PsyD
Dr. Inna Matov
Psychologist, PsyD
As a psychologist, I assist people in acquiring greater creative and emotional competencies, reconnecting with themselves and significant others, and removing obstacles to personal happiness and joy. Psychotherapy is about personal growth, healing after emotional trauma and grief, and realizing one's fullest potential. In therapy sessions we examine meaningful relationships, communication styles, and barriers to success with a goal of restoring a sense of balance to your life and, by extension, to the lives of others who care deeply about you. For those who wish to deepen their self-understanding, we explore the unconscious by analyzing dreams, memories, and fantasies.
As a psychologist, I assist people in acquiring greater creative and emotional competencies, reconnecting with themselves and significant others, and removing obstacles to personal happiness and joy. Psychotherapy is about personal growth, healing after emotional trauma and grief, and realizing one's fullest potential. In therapy sessions we examine meaningful relationships, communication styles, and barriers to success with a goal of restoring a sense of balance to your life and, by extension, to the lives of others who care deeply about you. For those who wish to deepen their self-understanding, we explore the unconscious by analyzing dreams, memories, and fantasies.
(650) 516-6741 View (650) 516-6741
Photo of Dr. Max Craig Kusovitsky, Clinical Social Work/Therapist, DSW, LSCW, CASAC
Dr. Max Craig Kusovitsky
Clinical Social Work/Therapist, DSW, LSCW, CASAC
1 Endorsed
I am a psychoanalyst specializing in the (dis)connection to meaning and fulfillment in one's own life. Patients are often referred to my practice after previous efforts have felt unhelpful, limited or kept one "stuck" in and out of therapy. My focus is both on the material functioning within awareness, and dynamics operating underneath our wish-and fears-to change. This substance generates felt and unfelt strife within all individuals, regardless of symptoms, situation or diagnosis. That is to say, there is invaluable meaning and function to all thought, feelings and behaviors. Pain does not operate separately from our selves.
I am a psychoanalyst specializing in the (dis)connection to meaning and fulfillment in one's own life. Patients are often referred to my practice after previous efforts have felt unhelpful, limited or kept one "stuck" in and out of therapy. My focus is both on the material functioning within awareness, and dynamics operating underneath our wish-and fears-to change. This substance generates felt and unfelt strife within all individuals, regardless of symptoms, situation or diagnosis. That is to say, there is invaluable meaning and function to all thought, feelings and behaviors. Pain does not operate separately from our selves.
(646) 693-9226 View (646) 693-9226
Photo of Sonia M. Alves, Clinical Social Work/Therapist, LCSW
Sonia M. Alves
Clinical Social Work/Therapist, LCSW
1 Endorsed
Sonia is a compassionate and experienced professional who uses EMDR, DBT, CBT, and emotion-focused therapies to help individuals that are facing difficulties in their personal relationships, are suffering from anxiety, depression, effects of trauma, low self-esteem, or other mood/personality disorders.
Sonia is a compassionate and experienced professional who uses EMDR, DBT, CBT, and emotion-focused therapies to help individuals that are facing difficulties in their personal relationships, are suffering from anxiety, depression, effects of trauma, low self-esteem, or other mood/personality disorders.
(201) 885-6519 View (201) 885-6519
Photo of Dr. Jennifer Politis, Licensed Professional Counselor, PhD, LPC, SchPsy, ACS
Dr. Jennifer Politis
Licensed Professional Counselor, PhD, LPC, SchPsy, ACS
4 Endorsed
Life can feel overwhelming with anxiety, burnout, family stress, relationship challenges, or feeling like you have lost yourself while trying to manage everything. I’m Dr. Jennifer Politis, a PhD level clinician and founder of Wellness Counseling of Bergen County. For more than 20 years, I have supported individuals, parents, young adults, and professionals in identifying unhelpful patterns, strengthening self worth, and creating meaningful, lasting change. My approach is warm, direct, and supportive, helping you move forward with greater clarity, emotional balance, and confidence.
Life can feel overwhelming with anxiety, burnout, family stress, relationship challenges, or feeling like you have lost yourself while trying to manage everything. I’m Dr. Jennifer Politis, a PhD level clinician and founder of Wellness Counseling of Bergen County. For more than 20 years, I have supported individuals, parents, young adults, and professionals in identifying unhelpful patterns, strengthening self worth, and creating meaningful, lasting change. My approach is warm, direct, and supportive, helping you move forward with greater clarity, emotional balance, and confidence.
(551) 310-3020 View (551) 310-3020
Photo of Una Semar, Clinical Social Work/Therapist, LCSW
Una Semar
Clinical Social Work/Therapist, LCSW
Saddle River, NJ 07458
Hi! I'm Una. I specialize in working with children, adolescents, and adults who are diagnosed with ADHD/Autism or are exploring diagnosis. I use a strengths-based, solution-focused approach that is built upon a foundation of connection. We’ll work on building practical tools for executive functioning, rebuilding self-esteem, and managing the anxiety and depression that often come with being neurodivergent in a neurotypical world. Schedule a consultation call with me today to discuss a targeted path forward.
Hi! I'm Una. I specialize in working with children, adolescents, and adults who are diagnosed with ADHD/Autism or are exploring diagnosis. I use a strengths-based, solution-focused approach that is built upon a foundation of connection. We’ll work on building practical tools for executive functioning, rebuilding self-esteem, and managing the anxiety and depression that often come with being neurodivergent in a neurotypical world. Schedule a consultation call with me today to discuss a targeted path forward.
(718) 865-3672 View (718) 865-3672
Family Psychiatry and Therapy
Pre-Licensed Professional, PMHNP
Online Only
We pride ourselves in providing a nurturing, clean and confidential atmosphere for our patients. We treat all ages and stages of development. We have emergency and same-day appointments. Confidentiality and privacy are maintained to the strictest of standards. We have modern electronic medical records and electronic prescribing.
We pride ourselves in providing a nurturing, clean and confidential atmosphere for our patients. We treat all ages and stages of development. We have emergency and same-day appointments. Confidentiality and privacy are maintained to the strictest of standards. We have modern electronic medical records and electronic prescribing.
(973) 221-8926 View (973) 221-8926
Photo of Lisa Medico, Clinical Social Work/Therapist, LCSW
Lisa Medico
Clinical Social Work/Therapist, LCSW
5 Endorsed
Do you feel overwhelmed trying to juggle work-life demands before your feet even hit the ground? Overanalyzing everything, questioning yourself, missing out on life's joys? You want to feel confident and calm - not stuck and second guessing. Many ambitious individuals I work with spend a ton of time caring for others (or about others) that their own needs come last- a recipe for resentment. Sometimes this manifests in the same fight over and over with your partner or family member. It makes them feel overwhelmed, emotionally exhausted, or disconnected from the joy they once had— if this sounds like you, it's time for a change.
Do you feel overwhelmed trying to juggle work-life demands before your feet even hit the ground? Overanalyzing everything, questioning yourself, missing out on life's joys? You want to feel confident and calm - not stuck and second guessing. Many ambitious individuals I work with spend a ton of time caring for others (or about others) that their own needs come last- a recipe for resentment. Sometimes this manifests in the same fight over and over with your partner or family member. It makes them feel overwhelmed, emotionally exhausted, or disconnected from the joy they once had— if this sounds like you, it's time for a change.
(551) 348-7098 View (551) 348-7098
Photo of Isabel De Master, Clinical Social Work/Therapist, LCSW
Isabel De Master
Clinical Social Work/Therapist, LCSW
Serves Area
It is often quite difficult to make that first phone call requesting therapy. Usually that call is precipitated by the realization that possibly, " I don't have to face my difficulties alone" and "just maybe, I can feel better sooner with some help". I always make an effort to help clients feel at ease and to clarify their needs. I work towards enabling clients to experience their strengths as they address their difficulties.
It is often quite difficult to make that first phone call requesting therapy. Usually that call is precipitated by the realization that possibly, " I don't have to face my difficulties alone" and "just maybe, I can feel better sooner with some help". I always make an effort to help clients feel at ease and to clarify their needs. I work towards enabling clients to experience their strengths as they address their difficulties.
(201) 627-9147 View (201) 627-9147

See more therapy options for 07458

How does your Therapist compare?

Number of Therapists in 07458

100+

Average cost per session

$188

Therapists in 07458 who prioritize treating:

97% Anxiety
87% Depression
85% Relationship Issues
80% Self Esteem
72% Stress
67% Family Conflict
57% Grief

Average years in practice

15 Years

Top 3 insurances accepted

83% Aetna
60% UnitedHealthcare UHC | UBH
56% Cigna and Evernorth

How Therapists in 07458 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 07458?

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.