Photo of Janine O'Brien, MA, PsyD, Psychologist
Janine O'Brien
Psychologist, MA, PsyD
Verified Verified
1 Endorsed
New Hyde Park, NY 11040
Are you a millennial struggling with people-pleasing tendencies, anxiety, overwhelm, perfectionism or unresolved trauma? Do you find it challenging to set healthy boundaries and build fulfilling relationships? At my practice, I'm here to help you navigate these challenges, move away from patterns that are no longer serving you, and empower you to live a more confident, authentic life.
Are you a millennial struggling with people-pleasing tendencies, anxiety, overwhelm, perfectionism or unresolved trauma? Do you find it challenging to set healthy boundaries and build fulfilling relationships? At my practice, I'm here to help you navigate these challenges, move away from patterns that are no longer serving you, and empower you to live a more confident, authentic life.
(516) 689-9091 View (516) 689-9091
Photo of Serop Jay Terterian, MA, MSEd, LMHC, Counselor
Serop Jay Terterian
Counselor, MA, MSEd, LMHC
Verified Verified
2 Endorsed
New Hyde Park, NY 11040
- Couples' Counseling - Are you tired of having the same arguments with your spouse or your partner? Do you feel more like roommates than lovers? What if working on your challenges can bring you closer together? No matter how difficult things are, there could be a way back to love and mutual respect! Most couples get into trouble because they never learned the skills necessary for making the relationship successful. If you are looking at this page, chances are that it's time for you to take action. At SJT you will experience a significant positive change in your relationship in a short period of time.
- Couples' Counseling - Are you tired of having the same arguments with your spouse or your partner? Do you feel more like roommates than lovers? What if working on your challenges can bring you closer together? No matter how difficult things are, there could be a way back to love and mutual respect! Most couples get into trouble because they never learned the skills necessary for making the relationship successful. If you are looking at this page, chances are that it's time for you to take action. At SJT you will experience a significant positive change in your relationship in a short period of time.
(646) 846-9342 View (646) 846-9342
Photo of Victoria Anderson - VRA Mental Health Counseling PLLC, MSEd, LMHC, CASAC
VRA Mental Health Counseling PLLC
Mental Health Counselor, MSEd, LMHC, CASAC
Verified Verified
2 Endorsed
New Hyde Park, NY 11040
I work with individuals coping with various concerns such as depression, anxiety, addiction, trauma, stress management, phase of life changes, and more. I believe that all individuals, with the right tools, can grow to become more self-aware and make decisions that support continued wellness.
I work with individuals coping with various concerns such as depression, anxiety, addiction, trauma, stress management, phase of life changes, and more. I believe that all individuals, with the right tools, can grow to become more self-aware and make decisions that support continued wellness.
(516) 210-0652 View (516) 210-0652
Photo of Maha Akhtar, Clinical Social Work/Therapist
Maha Akhtar
Clinical Social Work/Therapist
Verified Verified
1 Endorsed
New Hyde Park, NY 11040  (Online Only)
New parenthood can be one of the most fulfilling and challenging life changes one will ever face. If you are currently pregnant, up to two years postpartum, or a new parent that's struggling, you've come to the right place. Maha's practice focuses on treating the unique needs of the perinatal population. With nearly 8 years of experience in the helping profession as an experienced social worker, Maha has worked with a variety of populations in the hospital setting. She has extensive experience working with individuals facing issues with work/life balance, relationships, chronic illness, and more.
New parenthood can be one of the most fulfilling and challenging life changes one will ever face. If you are currently pregnant, up to two years postpartum, or a new parent that's struggling, you've come to the right place. Maha's practice focuses on treating the unique needs of the perinatal population. With nearly 8 years of experience in the helping profession as an experienced social worker, Maha has worked with a variety of populations in the hospital setting. She has extensive experience working with individuals facing issues with work/life balance, relationships, chronic illness, and more.
(516) 928-4897 View (516) 928-4897
Photo of Dolly Thomas, LCSW , MPH, Clinical Social Work/Therapist
Dolly Thomas
Clinical Social Work/Therapist, LCSW , MPH
Verified Verified
1 Endorsed
New Hyde Park, NY 11040  (Online Only)
People seek therapy when they feel overwhelmed and my goal is to making them feel welcome by creating a safe space to share their struggles/challenges. I am a Licensed Clinical Social Worker specializing in Pregnancy, Postpartum and Perinatal Loss. I have also completed Advanced Training in Perinatal Mental Health and Psychotherapy. My primary focus areas include: Depression, Anxiety, Relationships, Self-esteem, Grief, and Bereavement. My sessions are client-centered and use various modalities including CBT, Motivational Interviewing, and Mindfulness.
People seek therapy when they feel overwhelmed and my goal is to making them feel welcome by creating a safe space to share their struggles/challenges. I am a Licensed Clinical Social Worker specializing in Pregnancy, Postpartum and Perinatal Loss. I have also completed Advanced Training in Perinatal Mental Health and Psychotherapy. My primary focus areas include: Depression, Anxiety, Relationships, Self-esteem, Grief, and Bereavement. My sessions are client-centered and use various modalities including CBT, Motivational Interviewing, and Mindfulness.
(516) 715-5291 View (516) 715-5291
Photo of Erica Lebowitz, LCSW, Clinical Social Work/Therapist
Erica Lebowitz
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Hyde Park, NY 11040  (Online Only)
Often people look into therapy when feeling consumed with overwhelming thoughts, worries, and transitions. In difficult moments, taking the next step to begin therapy can feel like the most overwhelming part of it all. My role as a therapist is to create a safe space for you to sort through emotions, struggles, and experiences in a manner that you feel comfortable with. I truly believe that each person is the expert of their own lives. I aim to instill hope and teach strategies to help those in need understand that change and growth towards a more meaningful life is possible.
Often people look into therapy when feeling consumed with overwhelming thoughts, worries, and transitions. In difficult moments, taking the next step to begin therapy can feel like the most overwhelming part of it all. My role as a therapist is to create a safe space for you to sort through emotions, struggles, and experiences in a manner that you feel comfortable with. I truly believe that each person is the expert of their own lives. I aim to instill hope and teach strategies to help those in need understand that change and growth towards a more meaningful life is possible.
(516) 518-3894 View (516) 518-3894
Photo of Dr. Ami Shah, MA, PsyD, Psychologist
Dr. Ami Shah
Psychologist, MA, PsyD
Verified Verified
1 Endorsed
New Hyde Park, NY 11040  (Online Only)
Waitlist for new clients
The goal in therapy is to become the best version of yourself. My clinical specialties include working with adult and older adult clients with anxiety, depression, intergenerational trauma, grief and loss, anger and stress management, relationship stress, and support for caregivers of loved ones with dementia. Our mind and body have a fascinating connection, and we would explore methods of healing from a number of techniques that pull from Western and Eastern medicine. Additionally, I am passionate about exploring and treating unique stressors associated with late-life to promote positive aging in our community.
The goal in therapy is to become the best version of yourself. My clinical specialties include working with adult and older adult clients with anxiety, depression, intergenerational trauma, grief and loss, anger and stress management, relationship stress, and support for caregivers of loved ones with dementia. Our mind and body have a fascinating connection, and we would explore methods of healing from a number of techniques that pull from Western and Eastern medicine. Additionally, I am passionate about exploring and treating unique stressors associated with late-life to promote positive aging in our community.
(646) 586-3733 View (646) 586-3733
Zunaira Mian
Counselor, MA, LMHC, CASAC-M, LPC
Verified Verified
New Hyde Park, NY 11040
Whether you are feeling uncertain how to move forward in life, or struggling with addiction, anger management, depression, anxiety, or relationship issues. I will collaborate with you in a safe and judgment-free space. Through our work together, I can assist you in building coping strategies, gaining insight, and building confidence through a strength prospective lens. Uncertain about therapy….that’s okay. Entering therapy can feel overwhelming, but I am here to help walk you through the process at whatever pace seems best for your personal growth.
Whether you are feeling uncertain how to move forward in life, or struggling with addiction, anger management, depression, anxiety, or relationship issues. I will collaborate with you in a safe and judgment-free space. Through our work together, I can assist you in building coping strategies, gaining insight, and building confidence through a strength prospective lens. Uncertain about therapy….that’s okay. Entering therapy can feel overwhelming, but I am here to help walk you through the process at whatever pace seems best for your personal growth.
(516) 368-9138 View (516) 368-9138
Photo of Alba Ardila, LCSW-R, Clinical Social Work/Therapist
Alba Ardila
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Garden City Park, NY 11040  (Online Only)
Alba Ardila is a bilingual Spanish-bicultural psychotherapist who obtained her Master's degree at Fordham University and has postgraduate training in psychodynamic psychotherapy from MITPP. She offers individual and family therapy for adults, children, and adolescents. She uses a Psychodynamic approach and is experienced in working with individuals and families struggling with depression, anxiety, trauma, and relational conflicts. She believes in the healing power of relationships and each individual's unique capacity to overcome emotional challenges and continue toward self-knowledge and fulfillment.
Alba Ardila is a bilingual Spanish-bicultural psychotherapist who obtained her Master's degree at Fordham University and has postgraduate training in psychodynamic psychotherapy from MITPP. She offers individual and family therapy for adults, children, and adolescents. She uses a Psychodynamic approach and is experienced in working with individuals and families struggling with depression, anxiety, trauma, and relational conflicts. She believes in the healing power of relationships and each individual's unique capacity to overcome emotional challenges and continue toward self-knowledge and fulfillment.
(516) 518-5082 View (516) 518-5082
Photo of Gabrielle Masih, LCSW, Clinical Social Work/Therapist
Gabrielle Masih
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Hyde Park, NY 11040  (Online Only)
Are you feeling overwhelmed by anxiety, depression, or struggling with your identity? Perhaps you’re navigating grief, infertility, or the complexities of motherhood. I’m here to help you make sense of these challenges and find your way forward. My practice focuses on helping individuals who are seeking growth, healing, and a deeper connection with themselves during life’s most difficult transitions.
Are you feeling overwhelmed by anxiety, depression, or struggling with your identity? Perhaps you’re navigating grief, infertility, or the complexities of motherhood. I’m here to help you make sense of these challenges and find your way forward. My practice focuses on helping individuals who are seeking growth, healing, and a deeper connection with themselves during life’s most difficult transitions.
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Photo of Ruth Laurie Lax, PhD, Psychologist
Ruth Laurie Lax
Psychologist, PhD
Verified Verified
New Hyde Park, NY 11040
Waitlist for new clients
I work with both children and adults to treat problematic areas, such as anxiety, relationship issues, or behavioral concerns. I establish, together with the patient, unique goals to assist them in their quest toward a more comfortable life, in whatever way they desire. Treatment can be short term or long term, depending upon the patient's needs and desires.
I work with both children and adults to treat problematic areas, such as anxiety, relationship issues, or behavioral concerns. I establish, together with the patient, unique goals to assist them in their quest toward a more comfortable life, in whatever way they desire. Treatment can be short term or long term, depending upon the patient's needs and desires.
(516) 259-3820 View (516) 259-3820
Photo of Amy Alexandra Brachfeld, LCSW-R, Clinical Social Work/Therapist
Amy Alexandra Brachfeld
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Life is filled with difficult challenges and changes and there are times when we all need a little help coping with worry, sadness and the stresses of life. I am Licensed Clinical Social Worker/Therapist and have for years worked extensively with individuals, couples and families through both the typical struggles of life as well as serious life crises. I have a specific interest in working with people struggling with depression, anxiety, loss, relationship issues and illness. I also work with women with postpartum depression and parenting issues. My style is interactive, supportive and collaborative.
Life is filled with difficult challenges and changes and there are times when we all need a little help coping with worry, sadness and the stresses of life. I am Licensed Clinical Social Worker/Therapist and have for years worked extensively with individuals, couples and families through both the typical struggles of life as well as serious life crises. I have a specific interest in working with people struggling with depression, anxiety, loss, relationship issues and illness. I also work with women with postpartum depression and parenting issues. My style is interactive, supportive and collaborative.
(516) 360-2564 View (516) 360-2564
Photo of Scott Morgano, LCSW, Clinical Social Work/Therapist
Scott Morgano
Clinical Social Work/Therapist, LCSW
Verified Verified
New Hyde Park, NY 11040  (Online Only)
I'm Scott Morgano, an LCSW with 20 years of experience working with adults, children, and adolescents with various needs and eight years of experience working with adolescents and adults who have been the perpetrators and/or victims of sexual abuse. I take an analytical and supportive approach to working with all of my clients to help them fulfill their treatment goals. The clients I typically work with are children ranging from 5-18 years old. I have had over twenty years of experience working with children of various ages, as well as children and adults on the autism spectrum.
I'm Scott Morgano, an LCSW with 20 years of experience working with adults, children, and adolescents with various needs and eight years of experience working with adolescents and adults who have been the perpetrators and/or victims of sexual abuse. I take an analytical and supportive approach to working with all of my clients to help them fulfill their treatment goals. The clients I typically work with are children ranging from 5-18 years old. I have had over twenty years of experience working with children of various ages, as well as children and adults on the autism spectrum.
(646) 762-9303 View (646) 762-9303
Photo of Jason Duncan, PhD, Psychologist
Jason Duncan
Psychologist, PhD
Verified Verified
New Hyde Park, NY 11040
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
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Photo of John Kukor, EdD, LMHC, DCMHS, Counselor
John Kukor
Counselor, EdD, LMHC, DCMHS
Verified Verified
New Hyde Park, NY 11040
People come to me because of some degree of dissatisfaction or unhappiness in their lives. They may have any number of concerns including: irritibility, frustration, worry, or depression, or physical symptoms such as restlessness, difficulty sleeping, pain or discomfort. They may know pretty well why they feel the way they do, or they may feel thoroughly confused. My focus is not limited only to treating symptoms, but also to making one's life and relationships really work. I am unwavering in my commitment to facilitating an authentic and lasting satisfaction in the lives of my patients and clients.
People come to me because of some degree of dissatisfaction or unhappiness in their lives. They may have any number of concerns including: irritibility, frustration, worry, or depression, or physical symptoms such as restlessness, difficulty sleeping, pain or discomfort. They may know pretty well why they feel the way they do, or they may feel thoroughly confused. My focus is not limited only to treating symptoms, but also to making one's life and relationships really work. I am unwavering in my commitment to facilitating an authentic and lasting satisfaction in the lives of my patients and clients.
(516) 360-2211 View (516) 360-2211
Photo of Leslie Aragon, LCSW, LICSWA, Clinical Social Work/Therapist
Leslie Aragon
Clinical Social Work/Therapist, LCSW, LICSWA
Verified Verified
New Hyde Park, NY 11040  (Online Only)
My primary therapeutic goal is to support individuals in their journey towards healthy and sustainable growth, including resolution of any past trauma. Often when faced with change or difficulty, people may feel anxious not knowing what to expect or they may fear a potential outcome. I enjoy providing space to be curious, explore factors in life contributing to these feelings and help individuals develop skills to help manage this distress. By learning how our past and current stressors impact our lives, we can learn about ourselves and grow.
My primary therapeutic goal is to support individuals in their journey towards healthy and sustainable growth, including resolution of any past trauma. Often when faced with change or difficulty, people may feel anxious not knowing what to expect or they may fear a potential outcome. I enjoy providing space to be curious, explore factors in life contributing to these feelings and help individuals develop skills to help manage this distress. By learning how our past and current stressors impact our lives, we can learn about ourselves and grow.
(509) 635-3909 View (509) 635-3909
Photo of Eliza Brant, MS, MHC-LP, Pre-Licensed Professional
Eliza Brant
Pre-Licensed Professional, MS, MHC-LP
Verified Verified
New Hyde Park, NY 11040
I believe that beginning therapy is a courageous and positive step for a person to take in their life and I look to welcome each individual into this journey and support them along the way. I want to help clients live a life that brings them joy and fulfillment while supporting them in times where it may feel the opposite. I believe that my clients are capable of more than they believe and there is nothing more rewarding than watching this idea come to fruition in a client’s own mind.
I believe that beginning therapy is a courageous and positive step for a person to take in their life and I look to welcome each individual into this journey and support them along the way. I want to help clients live a life that brings them joy and fulfillment while supporting them in times where it may feel the opposite. I believe that my clients are capable of more than they believe and there is nothing more rewarding than watching this idea come to fruition in a client’s own mind.
(516) 774-5156 View (516) 774-5156
Photo of Craig LoPresti, LCSW, Clinical Social Work/Therapist
Craig LoPresti
Clinical Social Work/Therapist, LCSW
Verified Verified
New Hyde Park, NY 11040  (Online Only)
Let's be honest, things have been stressful lately! And even though you know everyone is going through it, it doesn't bring you much comfort and you may even feel like you are alone with this. You may have already had a lot going on before things changed and now you have that and this compounded together. The weight of it all can get pretty heavy at times and you are trying to be the best you can with everyone around you. You put on your best straight-face and a smile but worry that you're one moment away from losing it. Imagine how great it will feel to let all that go and feel more in control and confident!
Let's be honest, things have been stressful lately! And even though you know everyone is going through it, it doesn't bring you much comfort and you may even feel like you are alone with this. You may have already had a lot going on before things changed and now you have that and this compounded together. The weight of it all can get pretty heavy at times and you are trying to be the best you can with everyone around you. You put on your best straight-face and a smile but worry that you're one moment away from losing it. Imagine how great it will feel to let all that go and feel more in control and confident!
(516) 774-1327 View (516) 774-1327
Photo of George H Northrup, PhD, Psychologist
George H Northrup
Psychologist, PhD
Verified Verified
New Hyde Park, NY 11040
Long experience has familiarized me with the many ways in which people surrender to fear and anxiety, remain stuck in unhappy memories, repeat self-defeating behaviors, and forget how to love and be loved. People who telephone for an appointment are typically struggling with serious and painful personal difficulties. These can range from lifelong burdens to family crises, often with a tangled history; rarely has an acute problem dropped into an otherwise happy life. My patients would like to see major changes in their lives. With that in mind, I work as rapidly as circumstances allow, but with empathy and flexibility.
Long experience has familiarized me with the many ways in which people surrender to fear and anxiety, remain stuck in unhappy memories, repeat self-defeating behaviors, and forget how to love and be loved. People who telephone for an appointment are typically struggling with serious and painful personal difficulties. These can range from lifelong burdens to family crises, often with a tangled history; rarely has an acute problem dropped into an otherwise happy life. My patients would like to see major changes in their lives. With that in mind, I work as rapidly as circumstances allow, but with empathy and flexibility.
(718) 569-8541 View (718) 569-8541
Photo of Samantha Stehle, PhD, Psychologist
Samantha Stehle
Psychologist, PhD
Verified Verified
1 Endorsed
New Hyde Park, NY 11040  (Online Only)
Clients seek therapy for many reasons. Some want to address a specific issue, while others want to focus on living happier and less stressful lives. Finding the "right" therapist to help you is a very personal choice. It is essential that a client is able to trust and engage easily with a therapist who makes them feel comfortable and encouraged for progress. If you arrange a consultation with me, we can determine whether my approach would be a good match for your needs.
Clients seek therapy for many reasons. Some want to address a specific issue, while others want to focus on living happier and less stressful lives. Finding the "right" therapist to help you is a very personal choice. It is essential that a client is able to trust and engage easily with a therapist who makes them feel comfortable and encouraged for progress. If you arrange a consultation with me, we can determine whether my approach would be a good match for your needs.
(516) 272-4232 View (516) 272-4232
1

How does your Therapist compare?

Number of Therapists in 11040

100+

Average cost per session

$162

Therapists in 11040 who prioritize treating:

95% Anxiety
90% Depression
79% Relationship Issues
71% Self Esteem
67% Trauma and PTSD
63% Stress
58% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

80% Aetna
74% Cigna and Evernorth
70% UnitedHealthcare UHC | UBH

How Therapists in 11040 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

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

How can I find a therapist in 11040?

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.