Therapists in 08528

Photo of Cliff Koblin, Licensed Professional Counselor, MA, LPC, LCADC, CIP
Cliff Koblin
Licensed Professional Counselor, MA, LPC, LCADC, CIP
2 Endorsed
Kingston, NJ 08528
I have many years of successful counseling experience working with adolescent and adult clients in the areas of: Alcohol and Substance Abuse, Dual Diagnosis, Depression and Anxiety, Stress and Transition, Impulse Control Disorders and Domestic Violence which includes working with individuals that struggle with Anger and Rage Issues. I work with individuals who often have additional, legal, occupational or school related involvement. I am both a Licensed Professional Counselor and a Licensed Clinical Alcohol and Drug Counselor.
I have many years of successful counseling experience working with adolescent and adult clients in the areas of: Alcohol and Substance Abuse, Dual Diagnosis, Depression and Anxiety, Stress and Transition, Impulse Control Disorders and Domestic Violence which includes working with individuals that struggle with Anger and Rage Issues. I work with individuals who often have additional, legal, occupational or school related involvement. I am both a Licensed Professional Counselor and a Licensed Clinical Alcohol and Drug Counselor.
(609) 318-3176 View (609) 318-3176
Photo of Jim Mastrich, Psychologist, EdD, LCADC
Jim Mastrich
Psychologist, EdD, LCADC
Kingston, NJ 08528
I take a down-to-earth, respectful approach to my work with individuals and couples. My purpose is to help people get out of their own way and move towards making their personal goals and dreams a reality. I specialize in a broad range of clinical and performance issues including sport psychology, relationship and communication skills, anxiety and depression, and substance abuse problems. The topics of my books range from addressing codependency and parenting issues to making a case for using sports as a medium for developing character and integrity in boys.
I take a down-to-earth, respectful approach to my work with individuals and couples. My purpose is to help people get out of their own way and move towards making their personal goals and dreams a reality. I specialize in a broad range of clinical and performance issues including sport psychology, relationship and communication skills, anxiety and depression, and substance abuse problems. The topics of my books range from addressing codependency and parenting issues to making a case for using sports as a medium for developing character and integrity in boys.
(609) 921-3665 View (609) 921-3665
Photo of Yvonne Amalina DeCarolis, Clinical Social Work/Therapist, MSW, LCSW
Yvonne Amalina DeCarolis
Clinical Social Work/Therapist, MSW, LCSW
Kingston, NJ 08528
I consider myself a compassionate, skilled and intuitive therapist with 20+ year's experience in clinical and educational settings. My approach to therapy blends traditional methods (Cognitive/Behavioral, Family Therapy) with alternative methodologies (Psychodrama, Gestalt, Humanistic, Creative Arts Therapies and Advanced Integrative Therapy-a transpersonal energy psychology particularly beneficial for clients with trauma induced issues). I also bring a life-long appreciation of Eastern Philosophies to my practice. As an extension to working with couples in crisis, I am a member of the Mid-Jersey Collaborative Law Alliance (www.mjcla.org). In this capacity, I function as a Certified Divorce Coach/Child Specialist.
I consider myself a compassionate, skilled and intuitive therapist with 20+ year's experience in clinical and educational settings. My approach to therapy blends traditional methods (Cognitive/Behavioral, Family Therapy) with alternative methodologies (Psychodrama, Gestalt, Humanistic, Creative Arts Therapies and Advanced Integrative Therapy-a transpersonal energy psychology particularly beneficial for clients with trauma induced issues). I also bring a life-long appreciation of Eastern Philosophies to my practice. As an extension to working with couples in crisis, I am a member of the Mid-Jersey Collaborative Law Alliance (www.mjcla.org). In this capacity, I function as a Certified Divorce Coach/Child Specialist.
(609) 375-8188 View (609) 375-8188
Photo of Kelly McGlynn, Clinical Social Work/Therapist, MSW, LCSW
Kelly McGlynn
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Kingston, NJ 08528
As a therapist specializing in working with both adults and adolescents, I provide a supportive and compassionate environment to help you navigate life's challenges. My approach is grounded in a combination of Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR), two powerful therapeutic modalities that allow us to work together in a way that is both practical and transformative.
As a therapist specializing in working with both adults and adolescents, I provide a supportive and compassionate environment to help you navigate life's challenges. My approach is grounded in a combination of Dialectical Behavior Therapy (DBT) and Eye Movement Desensitization and Reprocessing (EMDR), two powerful therapeutic modalities that allow us to work together in a way that is both practical and transformative.
(609) 997-6103 View (609) 997-6103
Photo of Clare G Vierbuchen, Psychologist, PhD
Clare G Vierbuchen
Psychologist, PhD
Kingston, NJ 08528
Being a parent is tough! You love your children and want them to succeed, but there are so many challenges along the way. You may feel tired of arguing and repeating yourself or wish you had more connection and support. You may be carrying experiences from your own childhood that impact you as a parent. You may worry about the choices you are making and feel uncertain how best to handle difficult situations. The exhaustion and emotional strain can spill over into other areas of your life. Finding balance is not easy.
Being a parent is tough! You love your children and want them to succeed, but there are so many challenges along the way. You may feel tired of arguing and repeating yourself or wish you had more connection and support. You may be carrying experiences from your own childhood that impact you as a parent. You may worry about the choices you are making and feel uncertain how best to handle difficult situations. The exhaustion and emotional strain can spill over into other areas of your life. Finding balance is not easy.
(732) 334-3746 View (732) 334-3746
Photo of Laurie Stern, Clinical Social Work/Therapist, LCSW
Laurie Stern
Clinical Social Work/Therapist, LCSW
Online Only
So many issues and roadblocks are too hard to face alone. Some can feel overwhelming. My role is to partner with you to help you find solutions and peace of mind. I have 20 years of experience as a therapist, helping people with anxiety, depression, trauma (past and present), relationship difficulties, grief and loss, cancer treatment, cancer survivorship, recovery from addiction, and more.
So many issues and roadblocks are too hard to face alone. Some can feel overwhelming. My role is to partner with you to help you find solutions and peace of mind. I have 20 years of experience as a therapist, helping people with anxiety, depression, trauma (past and present), relationship difficulties, grief and loss, cancer treatment, cancer survivorship, recovery from addiction, and more.
(908) 989-0930 View (908) 989-0930
Photo of Brianna P Brunner, Clinical Social Work/Therapist, LCSW
Brianna P Brunner
Clinical Social Work/Therapist, LCSW
3 Endorsed
Serves Area
Are you struggling with relationship issues, intimacy, or the painful aftermath of infidelity? These challenges can feel overwhelming, sometimes leading to a divorce, but you don't have to face them alone. In moments of despair & betrayal, there's always a path to healing & hope. It begins with taking the first step towards a brighter, more fulfilling future. When you book a couples counseling session with me, we'll explore the depths of your emotions, rebuild trust, & renew your connection. Let's work together to turn your pain into a catalyst for positive change & deep, lasting intimacy.
Are you struggling with relationship issues, intimacy, or the painful aftermath of infidelity? These challenges can feel overwhelming, sometimes leading to a divorce, but you don't have to face them alone. In moments of despair & betrayal, there's always a path to healing & hope. It begins with taking the first step towards a brighter, more fulfilling future. When you book a couples counseling session with me, we'll explore the depths of your emotions, rebuild trust, & renew your connection. Let's work together to turn your pain into a catalyst for positive change & deep, lasting intimacy.
(732) 624-6398 View (732) 624-6398

More Therapists Nearby

Photo of Vaswati Mallik, Clinical Social Work/Therapist, LCSW
Vaswati Mallik
Clinical Social Work/Therapist, LCSW
Online Only
My therapy style is integrative, empowering, and relational. I do not believe in a "one-size-fits-all" treatment approach. I primarily work with individual adults (18+) navigating burnout, life transitions, emotional overwhelm, and interpersonal stress. While individual therapy is my main focus, I also offer sessions for couples and small family pairings (such as siblings or parents-adult child relationships) on a case-by-case basis, depending on fit and availability. I do not offer therapy for children or teens.
My therapy style is integrative, empowering, and relational. I do not believe in a "one-size-fits-all" treatment approach. I primarily work with individual adults (18+) navigating burnout, life transitions, emotional overwhelm, and interpersonal stress. While individual therapy is my main focus, I also offer sessions for couples and small family pairings (such as siblings or parents-adult child relationships) on a case-by-case basis, depending on fit and availability. I do not offer therapy for children or teens.
(646) 859-1434 View (646) 859-1434
Photo of Trent Codd, Licensed Professional Counselor, EdS, LCMHC, BCBA
Trent Codd
Licensed Professional Counselor, EdS, LCMHC, BCBA
Serves Area
Trent is a distinguished clinician specializing in psychological evaluations and evidence-based interventions for individuals, couples, and families across the lifespan. He has expertise in treating anxiety, depression, OCD, panic, trauma/PTSD, insomnia, Tourette syndrome, and work/school-related challenges. With children, he also addresses behavior issues, defiance, and school refusal. Beyond clinical practice, Trent is a well accomplished researcher, author, and educator, with numerous peer-reviewed publications and influential books. He is a Certified Trainer in CBT, dedicated to advancing the quality of care in the field.
Trent is a distinguished clinician specializing in psychological evaluations and evidence-based interventions for individuals, couples, and families across the lifespan. He has expertise in treating anxiety, depression, OCD, panic, trauma/PTSD, insomnia, Tourette syndrome, and work/school-related challenges. With children, he also addresses behavior issues, defiance, and school refusal. Beyond clinical practice, Trent is a well accomplished researcher, author, and educator, with numerous peer-reviewed publications and influential books. He is a Certified Trainer in CBT, dedicated to advancing the quality of care in the field.
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Photo of Anne-Marie Spricigo - Active Mind Synergy, Clinical Social Work/Therapist, LCSW
Active Mind Synergy
Clinical Social Work/Therapist, LCSW
Online Only
Have you ever had thoughts that are diminishing or depleting and struggle to get out of that mindset? Is it difficult to set boundaries? Maybe you made a mistake and think people are going to judge or talk about you. Perhaps you feel alone or confused about the next step to take in life. We will actively collaborate to reform these struggles. Together I'll help you develop resilience and confidence that can lead to self love, belonging, and happiness-which you deserve. The process will take time and will be challenging, but if you're willing to put in the effort I am here for the journey. Let's do this together!
Have you ever had thoughts that are diminishing or depleting and struggle to get out of that mindset? Is it difficult to set boundaries? Maybe you made a mistake and think people are going to judge or talk about you. Perhaps you feel alone or confused about the next step to take in life. We will actively collaborate to reform these struggles. Together I'll help you develop resilience and confidence that can lead to self love, belonging, and happiness-which you deserve. The process will take time and will be challenging, but if you're willing to put in the effort I am here for the journey. Let's do this together!
(732) 707-7609 View (732) 707-7609
Photo of Michelle Barber, Clinical Social Work/Therapist, MSW, LSW
Michelle Barber
Clinical Social Work/Therapist, MSW, LSW
Westfield, NJ 07090
I believe strongly that clients come in all different shapes and sizes and from different walks of life. Therefore, I do not have an ideal client, as my wish is to help anyone who needs it regardless of their experiences, needs, and goals. I welcome the experiences I will gain from having diverse clients.
I believe strongly that clients come in all different shapes and sizes and from different walks of life. Therefore, I do not have an ideal client, as my wish is to help anyone who needs it regardless of their experiences, needs, and goals. I welcome the experiences I will gain from having diverse clients.
(908) 923-3257 View (908) 923-3257
Photo of Melanie Pacheco, Clinical Social Work/Therapist, LSW
Melanie Pacheco
Clinical Social Work/Therapist, LSW
Monroe Township, NJ 08831
I love working with all different types of clients, and I find that I learn from those that I work with. I love working with anyone who wants to make a change or achieve a goal.
I love working with all different types of clients, and I find that I learn from those that I work with. I love working with anyone who wants to make a change or achieve a goal.
(732) 537-8352 View (732) 537-8352
Photo of Cassandra Hutchins, Psychologist, PsyD
Cassandra Hutchins
Psychologist, PsyD
2 Endorsed
Online Only
I am a young and vibrant Psychologist who can relate to individuals ranging from adolescence to older adults. Based on my own cultural and diversity experiences, I understand that treatment should be tailored to fit the unique backgrounds of my clients, regardless of age, ethnicity, spiritual preference. I also understand that clients will present with a range of difficulties and I always strive to understand underlying needs to ensure that treatment is effective. I have an extensive background in treating individuals who are experiencing depression, anxiety, relationship difficulty, OCD, and symptoms as a result of TBI.
I am a young and vibrant Psychologist who can relate to individuals ranging from adolescence to older adults. Based on my own cultural and diversity experiences, I understand that treatment should be tailored to fit the unique backgrounds of my clients, regardless of age, ethnicity, spiritual preference. I also understand that clients will present with a range of difficulties and I always strive to understand underlying needs to ensure that treatment is effective. I have an extensive background in treating individuals who are experiencing depression, anxiety, relationship difficulty, OCD, and symptoms as a result of TBI.
(973) 905-4364 View (973) 905-4364
Photo of Margaret Nichols, Psychologist, PhD
Margaret Nichols
Psychologist, PhD
2 Endorsed
Online Only
I love being a therapist because it allows me to connect with diverse people in a deep, meaningful way and to have the privilege of helping them on their unique journeys. I'm a diplomate in sex therapy as well as a licensed psychologist, and I have over forty years of experience. In my part-time practice, I specialize in working with people with sexual issues, members of the LGBTQ+ community, and those practicing ethical nonmonogamy or involved in the kink community. I am well known for my work in these specialties and have published a book for psychotherapists, "The Modern Therapist's Guide to Working With LGBTQ+ Clients."
I love being a therapist because it allows me to connect with diverse people in a deep, meaningful way and to have the privilege of helping them on their unique journeys. I'm a diplomate in sex therapy as well as a licensed psychologist, and I have over forty years of experience. In my part-time practice, I specialize in working with people with sexual issues, members of the LGBTQ+ community, and those practicing ethical nonmonogamy or involved in the kink community. I am well known for my work in these specialties and have published a book for psychotherapists, "The Modern Therapist's Guide to Working With LGBTQ+ Clients."
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We are a multidisciplinary group practice providing comprehensive mental health services to children, adolescents, adults and their families. We offer a wide range of psychiatric,psychotherapeutic and specialized services including: Psychological, psychiatric and neuropsychological evaluations Individual psychotherapy for children, adolescents and adults Group therapy for adolescents and adults Child Management Training Psychiatric medication monitoring We also run KIDSGROUPS which is a comprehensive social skills group program designed for children from preschool through middle school. The primary goal of KIDSGROUPS is to develop children's self confidence in the areas of decision making, communication, social skills and emotional problem solving.
We are a multidisciplinary group practice providing comprehensive mental health services to children, adolescents, adults and their families. We offer a wide range of psychiatric,psychotherapeutic and specialized services including: Psychological, psychiatric and neuropsychological evaluations Individual psychotherapy for children, adolescents and adults Group therapy for adolescents and adults Child Management Training Psychiatric medication monitoring We also run KIDSGROUPS which is a comprehensive social skills group program designed for children from preschool through middle school. The primary goal of KIDSGROUPS is to develop children's self confidence in the areas of decision making, communication, social skills and emotional problem solving.
(973) 671-1547 View (973) 671-1547
Photo of Wilfred Asamoah, Clinical Social Work/Therapist, MSW, LSW
Wilfred Asamoah
Clinical Social Work/Therapist, MSW, LSW
New Brunswick, NJ 08901
Accepting new clients - Are you feeling depressed and anxious? Are you struggling with addiction? If so don't hesitate to call. I am both a licensed clinical social worker and a licensed clinical drug and alcohol counselor in the state of NJ. My experience is primarily focused on treating individuals and families struggling with mental health issues (depression, anxiety, etc.) and or addiction. I provide clients a safe and intimate atmosphere for their emotional well-being and recovery from addiction. From working with adults that struggle with addiction, substance use and life issues, adolescents seeking to find their identity
Accepting new clients - Are you feeling depressed and anxious? Are you struggling with addiction? If so don't hesitate to call. I am both a licensed clinical social worker and a licensed clinical drug and alcohol counselor in the state of NJ. My experience is primarily focused on treating individuals and families struggling with mental health issues (depression, anxiety, etc.) and or addiction. I provide clients a safe and intimate atmosphere for their emotional well-being and recovery from addiction. From working with adults that struggle with addiction, substance use and life issues, adolescents seeking to find their identity
(732) 372-0912 View (732) 372-0912
Princeton Detox & Recovery Center
Associate Counselor, LAC, NCC
At our comprehensive substance use treatment center, we specialize in holistic substance use disorder and addiction treatment which includes medical detox and residential inpatient care. Our expert team provides tailored care for chronic relapse, codependency, dual diagnosis, and medication management. We also offer support for mental health disorders and ongoing support after treatment.
At our comprehensive substance use treatment center, we specialize in holistic substance use disorder and addiction treatment which includes medical detox and residential inpatient care. Our expert team provides tailored care for chronic relapse, codependency, dual diagnosis, and medication management. We also offer support for mental health disorders and ongoing support after treatment.
(848) 354-0091 View (848) 354-0091
Photo of Maddy Free, Psychologist, PhD, MSE, MS
Maddy Free
Psychologist, PhD, MSE, MS
2 Endorsed
Madison, NJ 07940
Hi, I’m Dr. Maddy Free! I’m a licensed psychologist with expertise in evidenced-based cognitive behavioral therapies to treat Anxiety Related Disorders for children, adolescents and adults. Additionally, I specialize in treating OCD using Exposure Response Prevention (ERP). While working with families, I lead with a warm collaborative approach including parents in psycho-education, reward systems, and determining and achieving goals.
Hi, I’m Dr. Maddy Free! I’m a licensed psychologist with expertise in evidenced-based cognitive behavioral therapies to treat Anxiety Related Disorders for children, adolescents and adults. Additionally, I specialize in treating OCD using Exposure Response Prevention (ERP). While working with families, I lead with a warm collaborative approach including parents in psycho-education, reward systems, and determining and achieving goals.
(862) 366-4479 View (862) 366-4479
Photo of Jamie Santopietro - Jamie Santopietro: Vets/Responders, Women, LGBTQ, Clinical Social Work/Therapist, MSW , LSW
Jamie Santopietro: Vets/Responders, Women, LGBTQ
Clinical Social Work/Therapist, MSW , LSW
Serves Area
As a veteran, a mom, and a member of the LGBTQIA+ community, I bring valuable lived experience to my work, particularly in supporting veterans and first responders in trauma recovery and providing affirming therapy for LGBTQIA+ individuals. I support women through relationship challenges, anxiety, depression, and intimacy / sexual concerns. In sessions, I use mindfulness, art therapy, and Gottman Method techniques, among other things. I believe in creating a therapeutic space where you'll feel truly seen, heard, and understood. Ready to start? Click my website button to book online.
As a veteran, a mom, and a member of the LGBTQIA+ community, I bring valuable lived experience to my work, particularly in supporting veterans and first responders in trauma recovery and providing affirming therapy for LGBTQIA+ individuals. I support women through relationship challenges, anxiety, depression, and intimacy / sexual concerns. In sessions, I use mindfulness, art therapy, and Gottman Method techniques, among other things. I believe in creating a therapeutic space where you'll feel truly seen, heard, and understood. Ready to start? Click my website button to book online.
(973) 314-2478 View (973) 314-2478
Photo of Dara Rose Fucci, Clinical Social Work/Therapist, MSW, LCSW, LCADC
Dara Rose Fucci
Clinical Social Work/Therapist, MSW, LCSW, LCADC
1 Endorsed
Online Only
Managing stress can feel overwhelming at times. Whether you're dealing with reoccurring stress from day-to-day responsibilities or feeling the weight of the world on your shoulders and not knowing where to turn. Whether you are still processing unaddressed traumatic experiences or you are merely trying to deal with each day as it comes, stress can feel overwhelming, overpowering and controlling. However, through self-empowerment, mindfulness and behavioral modification skills, you will learn to manage your stress better.
Managing stress can feel overwhelming at times. Whether you're dealing with reoccurring stress from day-to-day responsibilities or feeling the weight of the world on your shoulders and not knowing where to turn. Whether you are still processing unaddressed traumatic experiences or you are merely trying to deal with each day as it comes, stress can feel overwhelming, overpowering and controlling. However, through self-empowerment, mindfulness and behavioral modification skills, you will learn to manage your stress better.
(551) 244-7893 View (551) 244-7893

See more therapy options for 08528

How does your Therapist compare?

Number of Therapists in 08528

< 10

Therapists in 08528 who prioritize treating:

100% Depression
100% Anxiety
86% Parenting
86% Family Conflict
86% Self Esteem
71% Relationship Issues
71% Other

Average years in practice

14 Years

Top 3 insurances accepted

50% Aetna
50% BlueCross and BlueShield
50% Dayforce

How Therapists in 08528 see their clients

86% In Person and Online
14% Online Only

Gender breakdown

71% Female
29% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 08528?

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.