Therapists in 12009

Photo of Kendra Dzingle, Clinical Social Work/Therapist, LCSW
Kendra Dzingle
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Waitlist for new clients
Looking for a path to new perspectives and insights? As an clinical social worker, I aim to offer guidance and opportunities for my clients to cultivate nonjudgmental awareness and develop skills while practicing compassion, and perspective-taking. I believe the power of a growth mindset puts us in a position where change is possible. Every path and person is different. For this reason, I take an eclectic approach to treatment. Along with reflective, intuitive listening practices, I use a trauma-informed, psychodynamic approach and evidence-based CBT, DBT, Mindfulness strategies, and psychoeducation to support client's growth.
Looking for a path to new perspectives and insights? As an clinical social worker, I aim to offer guidance and opportunities for my clients to cultivate nonjudgmental awareness and develop skills while practicing compassion, and perspective-taking. I believe the power of a growth mindset puts us in a position where change is possible. Every path and person is different. For this reason, I take an eclectic approach to treatment. Along with reflective, intuitive listening practices, I use a trauma-informed, psychodynamic approach and evidence-based CBT, DBT, Mindfulness strategies, and psychoeducation to support client's growth.
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Photo of Rachel Lewis, Counselor, LMHC, CASAC, NCC
Rachel Lewis
Counselor, LMHC, CASAC, NCC
Online Only
With over 20 years of clinical experience working in behavioral health, I believe that people are resilient, and that resilience becomes our beacon to self-discovery and emotional healing. I believe that everyone has the power to live the life they want, and I tailor my counseling and support to help foster the healing and empowerment process. I love to help clients explore their potential with evidenced based techniques that can help increase life satisfaction and promote healing. Everyone's journey in life is personal. If you find yourself questioning your journey, please call or email me today. It would be my honor to help.
With over 20 years of clinical experience working in behavioral health, I believe that people are resilient, and that resilience becomes our beacon to self-discovery and emotional healing. I believe that everyone has the power to live the life they want, and I tailor my counseling and support to help foster the healing and empowerment process. I love to help clients explore their potential with evidenced based techniques that can help increase life satisfaction and promote healing. Everyone's journey in life is personal. If you find yourself questioning your journey, please call or email me today. It would be my honor to help.
(518) 302-2435 View (518) 302-2435
Photo of Catherine Foley, Marriage & Family Therapist, LMFT
Catherine Foley
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
Thank you for considering me as part of your community of care. I am eager to collaborate with you with compassion and presence as we consider the complexities you are navigating, while we get curious about ways to build nourishment, healing, and regeneration in your life. Affirming your sense of agency and identity, and your capacity to thrive is paramount to my approach. I specialize in working with queer and trans individuals, couples, and families. Other areas of expertise include neurodivergence, relationship diversity and sex therapy, life transitions and adjustment, perinatal support, and grief and loss.
Thank you for considering me as part of your community of care. I am eager to collaborate with you with compassion and presence as we consider the complexities you are navigating, while we get curious about ways to build nourishment, healing, and regeneration in your life. Affirming your sense of agency and identity, and your capacity to thrive is paramount to my approach. I specialize in working with queer and trans individuals, couples, and families. Other areas of expertise include neurodivergence, relationship diversity and sex therapy, life transitions and adjustment, perinatal support, and grief and loss.
(929) 429-4856 View (929) 429-4856
Photo of Anabel Lago-Pedrick, Licensed Mental Health Counselor, LMHC
Anabel Lago-Pedrick
Licensed Mental Health Counselor, LMHC
Online Only
I am a Licensed Mental Health Counselor (LMHC-D) and Master CASAC with over 25 years of experience working with adults navigating substance use disorders, depression, anxiety, relationship challenges, parenting stress, and life transitions. I have worked extensively in both residential and outpatient settings and bring clinical depth along with practical, real-world understanding.
I am a Licensed Mental Health Counselor (LMHC-D) and Master CASAC with over 25 years of experience working with adults navigating substance use disorders, depression, anxiety, relationship challenges, parenting stress, and life transitions. I have worked extensively in both residential and outpatient settings and bring clinical depth along with practical, real-world understanding.
(518) 656-8010 View (518) 656-8010

More Therapists Nearby

Photo of Sarah Etkin - Pathways Counseling of Saratoga, PC, Clinical Social Work/Therapist, LCSW-R
Pathways Counseling of Saratoga, PC
Clinical Social Work/Therapist, LCSW-R
Saratoga Springs, NY 12866
Welcome to Pathways Counseling of Saratoga, PC. where you will find a warm, supportive environment to explore issues, problems, and life challenges. Sarah Etkin, LCSW-R is a licensed clinical social worker with twenty years of clinical experience who provides guidance and support with care and compassion. The therapeutic approach is based on your unique needs and is focused on finding solutions and promoting growth.
Welcome to Pathways Counseling of Saratoga, PC. where you will find a warm, supportive environment to explore issues, problems, and life challenges. Sarah Etkin, LCSW-R is a licensed clinical social worker with twenty years of clinical experience who provides guidance and support with care and compassion. The therapeutic approach is based on your unique needs and is focused on finding solutions and promoting growth.
(518) 430-5708 View (518) 430-5708
Photo of Alex Sheppard, PsyD
Alex Sheppard
Verified Verified
1 Endorsed
Latham, NY 12110
I work with adults navigating anxiety, depression, sleep difficulties, or trauma, often alongside chronic illness, disability, GI issues, or neurodivergence (ADHD, autism). I believe people need a supportive and individualized space to feel understood and to build practical skills for managing symptoms and daily challenges. I work with clients towards goals of improving overall functioning, while increasing self-awareness, resilience, and making behavioral change. I want to create sustainable change and relief for those ready to regain control, feel more grounded, and live with greater stability and purpose.
I work with adults navigating anxiety, depression, sleep difficulties, or trauma, often alongside chronic illness, disability, GI issues, or neurodivergence (ADHD, autism). I believe people need a supportive and individualized space to feel understood and to build practical skills for managing symptoms and daily challenges. I work with clients towards goals of improving overall functioning, while increasing self-awareness, resilience, and making behavioral change. I want to create sustainable change and relief for those ready to regain control, feel more grounded, and live with greater stability and purpose.
(518) 241-1221 View (518) 241-1221
Photo of Roland J Graves, Counselor, LMHC
Roland J Graves
Counselor, LMHC
Serves Area
I provide evidence based psychodynamically informed mental health counseling. This treatment is best suited for people who are interested in healing, wellness and self development. People entering treatment are often times plagued by psychological symptoms related to chronic stress, anxiety and depression. They may feel disorganized, inattentive, disconnected.
I provide evidence based psychodynamically informed mental health counseling. This treatment is best suited for people who are interested in healing, wellness and self development. People entering treatment are often times plagued by psychological symptoms related to chronic stress, anxiety and depression. They may feel disorganized, inattentive, disconnected.
(740) 744-4154 View (740) 744-4154
Photo of Monica C Hemmett, Clinical Social Work/Therapist, RN, LCSW-R
Monica C Hemmett
Clinical Social Work/Therapist, RN, LCSW-R
Saratoga Springs, NY 12866
I am a registered nurse as well as a licensed clinical social worker with over 25 years in practice. My clients include individuals as well as couples. I am currently using the Gottman method for treating relationship issues and am certified as a level two counselor. Now accepting only private pay clients for this method as more time is required for this to be successful. Please feel free to research John and Julia Gottman‘s method of couple counseling .My approach to treating anxiety and depression is eclectic and tailored to the needs of the individual. Included in there. I have many years of treating eating disorders, as well.
I am a registered nurse as well as a licensed clinical social worker with over 25 years in practice. My clients include individuals as well as couples. I am currently using the Gottman method for treating relationship issues and am certified as a level two counselor. Now accepting only private pay clients for this method as more time is required for this to be successful. Please feel free to research John and Julia Gottman‘s method of couple counseling .My approach to treating anxiety and depression is eclectic and tailored to the needs of the individual. Included in there. I have many years of treating eating disorders, as well.
(518) 754-4416 View (518) 754-4416
Photo of Christina Taillie, Counselor, MS, LMHC, PMH-C
Christina Taillie
Counselor, MS, LMHC, PMH-C
2 Endorsed
Serves Area
Hi, I'm glad you found your way here. Reaching out for help takes courage, and I see that as a true strength. I know it can be overwhelming looking through profile after profile, so I offer a free 15-minute consultation to see if I would be a good fit for your needs. A little bit about my focus as a therapist- My heart's work lies in supporting mothers, birthing persons and families as they navigate the profound transitions of pregnancy, birth, and the seasons that follow- helping them find steadiness, healing, and hope.
Hi, I'm glad you found your way here. Reaching out for help takes courage, and I see that as a true strength. I know it can be overwhelming looking through profile after profile, so I offer a free 15-minute consultation to see if I would be a good fit for your needs. A little bit about my focus as a therapist- My heart's work lies in supporting mothers, birthing persons and families as they navigate the profound transitions of pregnancy, birth, and the seasons that follow- helping them find steadiness, healing, and hope.
(585) 684-3634 View (585) 684-3634
Photo of Mirko Pavlek, Clinical Social Work/Therapist, LCSW-R
Mirko Pavlek
Clinical Social Work/Therapist, LCSW-R
Saratoga Springs, NY 12866
My practice is based on presumption that mind can create dysfunctional, disruptive and destructive functioning patterns, but it also has an enormous potential for healing from those patterns by recognizing, resolving, modifying and integrating them. Toward that end, I use therapeutic approaches where the therapy itself is "held" by strong alliance and trust in process, that as it deepens, allows for access and application of client's unique conscious and unconscious healing potentials. The therapy is effective with depressed and/or anxious individuals, couples with problems, as well as individuals with unresolved traumas or PTSD.
My practice is based on presumption that mind can create dysfunctional, disruptive and destructive functioning patterns, but it also has an enormous potential for healing from those patterns by recognizing, resolving, modifying and integrating them. Toward that end, I use therapeutic approaches where the therapy itself is "held" by strong alliance and trust in process, that as it deepens, allows for access and application of client's unique conscious and unconscious healing potentials. The therapy is effective with depressed and/or anxious individuals, couples with problems, as well as individuals with unresolved traumas or PTSD.
(518) 520-3477 View (518) 520-3477
Photo of Meghan Murphy, MHC-LP
Meghan Murphy
Verified Verified
2 Endorsed
Clifton Park, NY 12065
I work from a Humanistic, person-centered perspective, which means I believe you are the expert in your own life. My role is to walk alongside you, helping you make empowered decisions that feel aligned with who you are. The therapeutic relationship is at the heart of my work — creating a safe, supportive space where you feel truly seen and heard. I work with individuals navigating family and relationship challenges, life transitions, anxiety, depression, trauma, multicultural concerns, and LGBTQIA+ identity and sexuality.
I work from a Humanistic, person-centered perspective, which means I believe you are the expert in your own life. My role is to walk alongside you, helping you make empowered decisions that feel aligned with who you are. The therapeutic relationship is at the heart of my work — creating a safe, supportive space where you feel truly seen and heard. I work with individuals navigating family and relationship challenges, life transitions, anxiety, depression, trauma, multicultural concerns, and LGBTQIA+ identity and sexuality.
(518) 662-1582 View (518) 662-1582
Photo of Marian Borgia, Clinical Social Work/Therapist, LCSW-R
Marian Borgia
Clinical Social Work/Therapist, LCSW-R
2 Endorsed
Albany, NY 12203
Are you feeling overwhelmed, anxious, depressed or confused? Are you struggling with different relationships in your life? Do you find yourself asking "Why do I feel this way? What's wrong with me? Why can't I get over it?" Are you experiencing feelings of shame and guilt? Whatever you are experiencing, there is hope.
Are you feeling overwhelmed, anxious, depressed or confused? Are you struggling with different relationships in your life? Do you find yourself asking "Why do I feel this way? What's wrong with me? Why can't I get over it?" Are you experiencing feelings of shame and guilt? Whatever you are experiencing, there is hope.
(518) 963-6926 View (518) 963-6926
Photo of Cindy Perlin, Clinical Social Work/Therapist, LCSW, BCB
Cindy Perlin
Clinical Social Work/Therapist, LCSW, BCB
1 Endorsed
Delmar, NY 12054
I work with clients with a wide variety of mental and physical conditions who want to optimize their emotional and physical well-being. This includes people of all ages who have anxiety, depression, PTSD, ADHD, autism spectrum disorders, chronic pain and chronic physical conditions that may be exacerbated by stress.
I work with clients with a wide variety of mental and physical conditions who want to optimize their emotional and physical well-being. This includes people of all ages who have anxiety, depression, PTSD, ADHD, autism spectrum disorders, chronic pain and chronic physical conditions that may be exacerbated by stress.
(518) 347-9481 View (518) 347-9481
Photo of Cassie Munoz, Clinical Social Work/Therapist, LCSW
Cassie Munoz
Clinical Social Work/Therapist, LCSW
3 Endorsed
Albany, NY 12203
You are the main player in your life. It may not always feel this way, whether it is past experiences, unhelpful habits, or challenges arising in your relationships that seem to be taking the lead. You CAN build on established skills and develop the necessary tools to help you feel in control again. Though this can take time, you’re working to take the steps needed for your own well-being. For that, I commend you! Will it be hard at times? Yes. Will it get better in time? Yes! With your willingness and desire to be a part of this journey, you can accomplish your goal, and I will gladly support you in that.
You are the main player in your life. It may not always feel this way, whether it is past experiences, unhelpful habits, or challenges arising in your relationships that seem to be taking the lead. You CAN build on established skills and develop the necessary tools to help you feel in control again. Though this can take time, you’re working to take the steps needed for your own well-being. For that, I commend you! Will it be hard at times? Yes. Will it get better in time? Yes! With your willingness and desire to be a part of this journey, you can accomplish your goal, and I will gladly support you in that.
(518) 255-8913 View (518) 255-8913
Photo of Elia Johnson, Clinical Social Work/Therapist, LCSW
Elia Johnson
Clinical Social Work/Therapist, LCSW
Serves Area
Are you feeling disconnected from yourself, your life, or your loved ones? You may find yourself going through the motions, moving through each day in a fog. Perhaps the ways you’ve learned to cope no longer work, and familiar emotional or behavioral patterns keep resurfacing. Some days you may feel anxious; other days depleted or low. You sense that something needs to change, but you’re not sure what. You may be seeking deeper meaning in your life and relationships, and a way to reconnect with self-trust, self-worth, and compassion. You don’t need to have everything figured out to begin. We can start right where you are.
Are you feeling disconnected from yourself, your life, or your loved ones? You may find yourself going through the motions, moving through each day in a fog. Perhaps the ways you’ve learned to cope no longer work, and familiar emotional or behavioral patterns keep resurfacing. Some days you may feel anxious; other days depleted or low. You sense that something needs to change, but you’re not sure what. You may be seeking deeper meaning in your life and relationships, and a way to reconnect with self-trust, self-worth, and compassion. You don’t need to have everything figured out to begin. We can start right where you are.
(475) 260-6156 View (475) 260-6156
Photo of Sarah Dougan, Licensed Mental Health Counselor, MS, MHC-LP
Sarah Dougan
Licensed Mental Health Counselor, MS, MHC-LP
Serves Area
My experience working as a limited permit mental health counselor in a private practice setting has given me diverse experience and has taught me the importance of using an eclectic approach in counseling. One of my strengths lies in developing personalized treatment plans that combine evidence-based therapeutic interventions with unconditional positive regard. By fostering therapeutic rapport and assessing the individual’s needs, interests and strengths, I ensure that each session is enjoyable and effective in achieving desired outcomes.
My experience working as a limited permit mental health counselor in a private practice setting has given me diverse experience and has taught me the importance of using an eclectic approach in counseling. One of my strengths lies in developing personalized treatment plans that combine evidence-based therapeutic interventions with unconditional positive regard. By fostering therapeutic rapport and assessing the individual’s needs, interests and strengths, I ensure that each session is enjoyable and effective in achieving desired outcomes.
(516) 701-2740 View (516) 701-2740
Photo of Jean Devlin, Clinical Social Work/Therapist, LCSW-R
Jean Devlin
Clinical Social Work/Therapist, LCSW-R
2 Endorsed
Saratoga Springs, NY 12866
I have been working as a clinical social worker and therapist in Saratoga County for over 20 years. I have worked with adolescents and adults in various settings including school-based counseling, intensive outpatient treatment programs and as a supervisor in an adult services outpatient treatment clinic. I have experience with a variety of mental health issues including anxiety, depression, mood disorders, trauma and substance use/ addiction issues. As an experienced clinician, I believe in staying informed and up to date with best practices in the field and have training with CBT, DBT and trauma-based approaches.
I have been working as a clinical social worker and therapist in Saratoga County for over 20 years. I have worked with adolescents and adults in various settings including school-based counseling, intensive outpatient treatment programs and as a supervisor in an adult services outpatient treatment clinic. I have experience with a variety of mental health issues including anxiety, depression, mood disorders, trauma and substance use/ addiction issues. As an experienced clinician, I believe in staying informed and up to date with best practices in the field and have training with CBT, DBT and trauma-based approaches.
(518) 735-0988 View (518) 735-0988
Photo of Jihee Cho, Psychologist, PhD
Jihee Cho
Psychologist, PhD
3 Endorsed
Albany, NY 12205
Struggling with trauma, grief, discrimination, immigration and cultural adjustment issues that keeping you up at night? Your challenges are real and valid, and can be affecting you, your relationships with family, friends, and even at work. If you find yourself spiralling down into isolation, feeling misunderstood, doubting your self worth and wandering, “What’s wrong with me?”, it’s time to reach out for help! There’s a way to ease your pain, achieve a sense of belonging, build meaningful connections and navigate documentation nightmare.
Struggling with trauma, grief, discrimination, immigration and cultural adjustment issues that keeping you up at night? Your challenges are real and valid, and can be affecting you, your relationships with family, friends, and even at work. If you find yourself spiralling down into isolation, feeling misunderstood, doubting your self worth and wandering, “What’s wrong with me?”, it’s time to reach out for help! There’s a way to ease your pain, achieve a sense of belonging, build meaningful connections and navigate documentation nightmare.
(917) 746-3583 View (917) 746-3583
Photo of Timothy (Tas) Steiner, Marriage & Family Therapist, MA, LMFT
Timothy (Tas) Steiner
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Albany, NY 12205
Do you, your boyfriends, girlfriends, spouses, or family members disagree about too many things, communication styles, control issues, do you argue too often? Do you struggle with low self-esteem, self-doubt, depression, and anxiety? Perhaps you, a friend or family member drink too much or have a drug problem, financial inequities, impatience, short temper, or anger management issues. Do you feel manipulated or coerced or that your wishes or your feelings are discounted and rejected by others? Are there too many upsets in your own day or do others make your days more complicated?
Do you, your boyfriends, girlfriends, spouses, or family members disagree about too many things, communication styles, control issues, do you argue too often? Do you struggle with low self-esteem, self-doubt, depression, and anxiety? Perhaps you, a friend or family member drink too much or have a drug problem, financial inequities, impatience, short temper, or anger management issues. Do you feel manipulated or coerced or that your wishes or your feelings are discounted and rejected by others? Are there too many upsets in your own day or do others make your days more complicated?
(518) 348-4417 View (518) 348-4417
Photo of Mary Ferrara - Mary Ferrara LCSW, PLLC, Clinical Social Work/Therapist, LCSW-R, CASAC
Mary Ferrara LCSW, PLLC
Clinical Social Work/Therapist, LCSW-R, CASAC
1 Endorsed
Malta, NY 12020
Hello and thank you for taking the time to read my bio! My name is Mary and I come to you with over twenty years of clinical experience in psychiatric and addiction treatment. I completed my Master’s Degree in Social Work at SUNY Albany- a Licensed Clinical Social Worker-R (LCSW-R) and also have my certification as a Credentialed Alcohol and Substance Abuse Counselor (CASAC). I work with adults, youth and families who are committed to healing and growth. Currently, I operate a full-time "hybrid" private practice. I offer a variety of techniques, appropriately directed toward age and developmental stage of the client.
Hello and thank you for taking the time to read my bio! My name is Mary and I come to you with over twenty years of clinical experience in psychiatric and addiction treatment. I completed my Master’s Degree in Social Work at SUNY Albany- a Licensed Clinical Social Worker-R (LCSW-R) and also have my certification as a Credentialed Alcohol and Substance Abuse Counselor (CASAC). I work with adults, youth and families who are committed to healing and growth. Currently, I operate a full-time "hybrid" private practice. I offer a variety of techniques, appropriately directed toward age and developmental stage of the client.
(518) 981-2835 View (518) 981-2835

How does your Therapist compare?

Number of Therapists in 12009

< 10

Therapists in 12009 who prioritize treating:

100% Depression
100% Anxiety
100% Grief
75% Relationship Issues
75% Parenting
75% Trauma and PTSD
75% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
50% Cigna and Evernorth
50% CDPHP

How Therapists in 12009 see their clients

75% Online Only
25% In Person and Online

Gender breakdown

67% Female
33% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 12009?

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.