Therapists in 12309

Photo of Andrew S Berry, Psychologist, PhD, PsyD, ABPP
Andrew S Berry
Psychologist, PhD, PsyD, ABPP
1 Endorsed
Niskayuna, NY 12309
My area of expertise is PTSD, as suffered by veterans and first responders. I have published on this topic, as well as lecturing around the country at analytic institutes. I have also presented at both national and international conferences. In addition to my professional identity as a clinical psychologist and a psychoanalyst, I am also a past volunteer firefighter and EMT.
My area of expertise is PTSD, as suffered by veterans and first responders. I have published on this topic, as well as lecturing around the country at analytic institutes. I have also presented at both national and international conferences. In addition to my professional identity as a clinical psychologist and a psychoanalyst, I am also a past volunteer firefighter and EMT.
(518) 430-5949 View (518) 430-5949
Photo of Judy L Schultz, Counselor, MS, LMHC
Judy L Schultz
Counselor, MS, LMHC
1 Endorsed
Online Only
You can feel better! Life can be difficult and full of change and challenges. You may be feeling overwhelmed, depressed, anxious or fearful. Even positive changes such as a new job, a baby or retirement can result in challenging feelings. As well, past losses and traumas can impinge on the present leaving you wondering why you feel upset and out of sorts.
You can feel better! Life can be difficult and full of change and challenges. You may be feeling overwhelmed, depressed, anxious or fearful. Even positive changes such as a new job, a baby or retirement can result in challenging feelings. As well, past losses and traumas can impinge on the present leaving you wondering why you feel upset and out of sorts.
(518) 255-7757 View (518) 255-7757
Photo of Maria Skane, Clinical Social Work/Therapist, LCSW
Maria Skane
Clinical Social Work/Therapist, LCSW
Niskayuna, NY 12309
Genuine, honest, caring, interested, easy to talk to, practical. If these are some of the qualities you are looking for in a therapist, we might be a good fit. I am grateful for the privilege of being able to walk beside the people who come to me for therapy. Even though people often come to me feeling anxious, sad or lost, I am naturally drawn to their strengths. A lot of the work I do with my patients centers around helping them to get to know their own strengths.
Genuine, honest, caring, interested, easy to talk to, practical. If these are some of the qualities you are looking for in a therapist, we might be a good fit. I am grateful for the privilege of being able to walk beside the people who come to me for therapy. Even though people often come to me feeling anxious, sad or lost, I am naturally drawn to their strengths. A lot of the work I do with my patients centers around helping them to get to know their own strengths.
(518) 520-4681 View (518) 520-4681
Photo of Laura DaPolito, Clinical Social Work/Therapist, LCSW-R
Laura DaPolito
Clinical Social Work/Therapist, LCSW-R
2 Endorsed
Online Only
Therapy is about you: your goals, your hopes, and your needs. Clients come to therapy seeking empathic support but also concrete skills to improve their lives. I provide non-judgmental, thoughtful help for those managing depression, anxiety, and trauma symptoms that disrupt their lives. Because healing happens through connection, I work to enable clients to connect with themselves and others in meaningful ways. Through a heart centered approach, I empower clients to harness their courage in facing past and present losses, traumas, and stressors so that they no longer feel trapped or controlled by their experiences.
Therapy is about you: your goals, your hopes, and your needs. Clients come to therapy seeking empathic support but also concrete skills to improve their lives. I provide non-judgmental, thoughtful help for those managing depression, anxiety, and trauma symptoms that disrupt their lives. Because healing happens through connection, I work to enable clients to connect with themselves and others in meaningful ways. Through a heart centered approach, I empower clients to harness their courage in facing past and present losses, traumas, and stressors so that they no longer feel trapped or controlled by their experiences.
(838) 206-3410 View (838) 206-3410
Photo of Ruth N Geller, Counselor, MA, LMHC
Ruth N Geller
Counselor, MA, LMHC
Online Only
Welcome to my re-imagined counseling practice--now, purely virtual! Do you feel like a square peg in a round hole? Are you out of touch with who you are and what you really want? Do you sometimes lie awake nights worrying, "Is this IT?" You know you need a change, but you're not sure how to take the first step. Somewhere along the way, you may have started doing what others thought was best for you instead of trusting your own gut. Perhaps you're unhappy because you and your job aren't a good fit. Maybe you feel overwhelmed with stress from all sides.
Welcome to my re-imagined counseling practice--now, purely virtual! Do you feel like a square peg in a round hole? Are you out of touch with who you are and what you really want? Do you sometimes lie awake nights worrying, "Is this IT?" You know you need a change, but you're not sure how to take the first step. Somewhere along the way, you may have started doing what others thought was best for you instead of trusting your own gut. Perhaps you're unhappy because you and your job aren't a good fit. Maybe you feel overwhelmed with stress from all sides.
(518) 809-8041 View (518) 809-8041
Photo of Allison Patricia Marinucci, Clinical Social Work/Therapist, LCSW, EMDR, Trauma, Focused
Allison Patricia Marinucci
Clinical Social Work/Therapist, LCSW, EMDR, Trauma, Focused
Online Only
You hold it together on the outside — but inside, it’s a swirl of anxiety, grief, anger, or exhaustion. Maybe you’re navigating postpartum struggles, fertility heartbreak, perimenopause shifts, body image battles, or the emotional wreckage of infidelity. You miss feeling like yourself — or maybe you’re still figuring out who that even is now. I offer a supportive space where you can process, reset, and reconnect with your strength. You don’t have to do this alone.
You hold it together on the outside — but inside, it’s a swirl of anxiety, grief, anger, or exhaustion. Maybe you’re navigating postpartum struggles, fertility heartbreak, perimenopause shifts, body image battles, or the emotional wreckage of infidelity. You miss feeling like yourself — or maybe you’re still figuring out who that even is now. I offer a supportive space where you can process, reset, and reconnect with your strength. You don’t have to do this alone.
(518) 656-8159 View (518) 656-8159
Photo of Ryan O'Connell, Clinical Social Work/Therapist, MA, LCSW
Ryan O'Connell
Clinical Social Work/Therapist, MA, LCSW
1 Endorsed
Online Only
My ideal client is at a crossroads. They are high functioning but burdened by stress, grief, or identity confusion. They seek more than symptom relief; they long for purpose, integration, and a greater sense of authenticity. Often navigating trauma, a lack of supportive relationships, or nagging existential questions, they need a therapist who holds both a diverse clinical skillset and a deep respect for his clients. Client goals may include reducing symptoms of anxiety or depression while improving personal relationships. Ultimately, clients desire to feel empowered to grow into the best version of themselves. I can help with that.
My ideal client is at a crossroads. They are high functioning but burdened by stress, grief, or identity confusion. They seek more than symptom relief; they long for purpose, integration, and a greater sense of authenticity. Often navigating trauma, a lack of supportive relationships, or nagging existential questions, they need a therapist who holds both a diverse clinical skillset and a deep respect for his clients. Client goals may include reducing symptoms of anxiety or depression while improving personal relationships. Ultimately, clients desire to feel empowered to grow into the best version of themselves. I can help with that.
(518) 808-3704 View (518) 808-3704
Photo of Colleen Clausson, Clinical Social Work/Therapist, LCSW-R
Colleen Clausson
Clinical Social Work/Therapist, LCSW-R
1 Endorsed
Online Only
Are your thoughts or emotions getting in the way of the life you want to live? It’s easy to get stuck in patterns that leave us feeling overwhelmed, anxious, or disconnected. Whether you’re navigating a challenging transition, coping with anxiety or depression, or managing symptoms of ADHD, you don’t have to go through it alone. With over 20 years of experience supporting both adolescents and adults, I offer a warm, collaborative, and strength-based approach to therapy. My goal is to help you understand what’s behind your distress and empower you with the tools to create meaningful, lasting change.
Are your thoughts or emotions getting in the way of the life you want to live? It’s easy to get stuck in patterns that leave us feeling overwhelmed, anxious, or disconnected. Whether you’re navigating a challenging transition, coping with anxiety or depression, or managing symptoms of ADHD, you don’t have to go through it alone. With over 20 years of experience supporting both adolescents and adults, I offer a warm, collaborative, and strength-based approach to therapy. My goal is to help you understand what’s behind your distress and empower you with the tools to create meaningful, lasting change.
(518) 990-8082 View (518) 990-8082
Photo of Douglas Kabat, Clinical Social Work/Therapist, LCSW, CASAC
Douglas Kabat
Clinical Social Work/Therapist, LCSW, CASAC
Schenectady, NY 12309
I help alcohol troubled people control or stop their drinking. I use The Sinclair Method, which allows most people to control their drinking by taking a Naltrexone pill our hour prior to every drinking episode. For most people (78% according to the research) this results in reduced drinking to a problem-free level; many people stop drinking completely. No detox or rehab is necessary and treatment consists primarily of brief, regular coaching. I refer you to physicians who are familiar with The Sinclair Method, and will provide the medical service necessary for you to use this approach. I provide coaching, support and encouragement.
I help alcohol troubled people control or stop their drinking. I use The Sinclair Method, which allows most people to control their drinking by taking a Naltrexone pill our hour prior to every drinking episode. For most people (78% according to the research) this results in reduced drinking to a problem-free level; many people stop drinking completely. No detox or rehab is necessary and treatment consists primarily of brief, regular coaching. I refer you to physicians who are familiar with The Sinclair Method, and will provide the medical service necessary for you to use this approach. I provide coaching, support and encouragement.
(518) 620-4771 x275 View (518) 620-4771 x275
Photo of Bonnie Slater Manuel, Clinical Social Work/Therapist, LCSW
Bonnie Slater Manuel
Clinical Social Work/Therapist, LCSW
Online Only
During my twenty six years of clinical experience, I find effective therapy starts with connection. Fostering a warm, non-judgmental working relationship is always my initial focus. I will collaborate with you to create an individualized approach that will address your goals and speak to your strengths. I am a compassionate, direct, and calm communicator and adept at facilitating exploration of your thoughts, feelings and actions to assist you in gaining insight and understanding. We will explore and develop enhanced coping and communication strategies; emotional resilience and regulation; and more satisfying relationships.
During my twenty six years of clinical experience, I find effective therapy starts with connection. Fostering a warm, non-judgmental working relationship is always my initial focus. I will collaborate with you to create an individualized approach that will address your goals and speak to your strengths. I am a compassionate, direct, and calm communicator and adept at facilitating exploration of your thoughts, feelings and actions to assist you in gaining insight and understanding. We will explore and develop enhanced coping and communication strategies; emotional resilience and regulation; and more satisfying relationships.
(838) 300-4206 View (838) 300-4206
Lynn Asvestas
Counselor, LMHC
Niskayuna, NY 12309
I believe everyone benefits from therapy. We all at times experience anxiety, depression, stress, anger, self-doubt and many other feelings that cause us distress. I offer counseling services in my office but will also travel to you--your home, office or location that is convenient and comfortable for you. My goal is to eliminate barriers that may block you from participating in this crucial service and to allow you to improve your mental health well-being and ultimately your life.
I believe everyone benefits from therapy. We all at times experience anxiety, depression, stress, anger, self-doubt and many other feelings that cause us distress. I offer counseling services in my office but will also travel to you--your home, office or location that is convenient and comfortable for you. My goal is to eliminate barriers that may block you from participating in this crucial service and to allow you to improve your mental health well-being and ultimately your life.
(518) 557-8958 View (518) 557-8958
Photo of Laurel Burns, Counselor, EdS, LMHC
Laurel Burns
Counselor, EdS, LMHC
Schenectady, NY 12309
Change is hard, whether you are trying to stop anxious thoughts, be a better parent, let go of eating disorder behavior, or save your marriage. If you wish to bring change into your life, and have been unable to do it on your own, I can help. I am an expert in the science of change and hold a certificate in the field of Positive Psychology. I am a strength based therapist. Collaboratively and creatively we can discover the tools to enable you to move from a painful state to comfort and resilience, where you can flourish and become the best version of yourself.
Change is hard, whether you are trying to stop anxious thoughts, be a better parent, let go of eating disorder behavior, or save your marriage. If you wish to bring change into your life, and have been unable to do it on your own, I can help. I am an expert in the science of change and hold a certificate in the field of Positive Psychology. I am a strength based therapist. Collaboratively and creatively we can discover the tools to enable you to move from a painful state to comfort and resilience, where you can flourish and become the best version of yourself.
(518) 864-4056 View (518) 864-4056
Photo of Kristin Gotebiowski, Marriage & Family Therapist, LMFT
Kristin Gotebiowski
Marriage & Family Therapist, LMFT
Online Only
Hello! My work with individuals is built upon a foundation of patience, openness, and non-judgment. I enjoy helping others accept and see the value in themselves so they feel empowered to make the changes in their lives that will bring greater joy, peace, and positivity. All of us have strengths within, and resources around us, that can make our lives better. I help you tap into these strengths and resources based on your personal goals. I will hold space for you to honestly discuss what is going on for you now and in the past, while never losing sight of who you truly are and what you are capable of becoming in your future.
Hello! My work with individuals is built upon a foundation of patience, openness, and non-judgment. I enjoy helping others accept and see the value in themselves so they feel empowered to make the changes in their lives that will bring greater joy, peace, and positivity. All of us have strengths within, and resources around us, that can make our lives better. I help you tap into these strengths and resources based on your personal goals. I will hold space for you to honestly discuss what is going on for you now and in the past, while never losing sight of who you truly are and what you are capable of becoming in your future.
(518) 936-7210 View (518) 936-7210
Photo of Denise Morett, Psychologist, PsyD
Denise Morett
Psychologist, PsyD
1 Endorsed
Online Only
Do you want to heal as well as shift life challenging repetitive patterns? Have you experienced anxiety, depression, trauma, loss, and/or relationship issues. Have you tried methods of therapy, medication and other assorted methods? Change and healing is possible and easier than we think. I offer that help and true shift that supports lasting permanent change to clear out old issues, cope and manage the present day, and leverage resiliency for the future. Using plant meds, nutrition, cognition, imagery and therapy, lifelong physical and emotional health is possible. Couple Intensives available. Plant medicine consultations available
Do you want to heal as well as shift life challenging repetitive patterns? Have you experienced anxiety, depression, trauma, loss, and/or relationship issues. Have you tried methods of therapy, medication and other assorted methods? Change and healing is possible and easier than we think. I offer that help and true shift that supports lasting permanent change to clear out old issues, cope and manage the present day, and leverage resiliency for the future. Using plant meds, nutrition, cognition, imagery and therapy, lifelong physical and emotional health is possible. Couple Intensives available. Plant medicine consultations available
(845) 203-2250 View (845) 203-2250
Photo of Kelli Schuhl, Clinical Social Work/Therapist, LCSW-R
Kelli Schuhl
Clinical Social Work/Therapist, LCSW-R
Online Only
Life is full of transitions, and change can be hard, but you don't need to face it alone. Whether you're struggling with interpersonal relationships, parenting challenges, job dissatisfaction, empty nest, or grief and loss we will work together to process your feelings. Counseling is an opportunity to explore the connection between our thoughts, feelings and behaviors, to consider how our personal narratives impact both our sense of self, and our relationship with others, and to identify our individual goals empowering us to make the changes needed to feel more fulfilled, and live the life we've always imagined.
Life is full of transitions, and change can be hard, but you don't need to face it alone. Whether you're struggling with interpersonal relationships, parenting challenges, job dissatisfaction, empty nest, or grief and loss we will work together to process your feelings. Counseling is an opportunity to explore the connection between our thoughts, feelings and behaviors, to consider how our personal narratives impact both our sense of self, and our relationship with others, and to identify our individual goals empowering us to make the changes needed to feel more fulfilled, and live the life we've always imagined.
(838) 262-2182 View (838) 262-2182
Photo of Melissa Anderson, Clinical Social Work/Therapist, LCSW
Melissa Anderson
Clinical Social Work/Therapist, LCSW
1 Endorsed
Schenectady, NY 12309
As adults, we often carry the weight of the world on our shoulders—balancing careers, relationships, maybe parenthood, and the never-ending list of responsibilities. You show up for everyone else, but deep down, you know it’s time to show up for yourself too. Therapy is not about being fixed—it’s about being seen, heard, and supported. I’m not a therapist who just nods and takes notes. I’m real, engaged, and here to walk beside you through the hard stuff with honesty, humor, and heart. My goal is to help you create meaningful change, while making the process as empowering (and even enjoyable!) as possible.
As adults, we often carry the weight of the world on our shoulders—balancing careers, relationships, maybe parenthood, and the never-ending list of responsibilities. You show up for everyone else, but deep down, you know it’s time to show up for yourself too. Therapy is not about being fixed—it’s about being seen, heard, and supported. I’m not a therapist who just nods and takes notes. I’m real, engaged, and here to walk beside you through the hard stuff with honesty, humor, and heart. My goal is to help you create meaningful change, while making the process as empowering (and even enjoyable!) as possible.
(838) 221-6913 View (838) 221-6913
Photo of William Roscoe Bonsal - Rocky Bonsal LCSW-R, Clinical Social Work/Therapist, LCSW-R
Rocky Bonsal LCSW-R
Clinical Social Work/Therapist, LCSW-R
Online Only
Waitlist for new clients
There is much to be said of the idea that a therapist should be a “good fit.” If you don’t feel there is a connection to build on and lessons to be learned, there is no harm in stating that truth and moving on. I’ve worked with people for a few months and some for many years. It’s important to feel you are getting something from your therapy. Therapeutic relationships perform the best when both therapist and client are mutually invested in the work. I deeply appreciate clients who commit and face the sometimes-painful work of therapy, knowing they are working toward a better day, a better life.
There is much to be said of the idea that a therapist should be a “good fit.” If you don’t feel there is a connection to build on and lessons to be learned, there is no harm in stating that truth and moving on. I’ve worked with people for a few months and some for many years. It’s important to feel you are getting something from your therapy. Therapeutic relationships perform the best when both therapist and client are mutually invested in the work. I deeply appreciate clients who commit and face the sometimes-painful work of therapy, knowing they are working toward a better day, a better life.
(518) 519-3165 View (518) 519-3165
Photo of Moonhawk River Stone, Counselor, MS, LMHC
Moonhawk River Stone
Counselor, MS, LMHC
Niskayuna, NY 12309
I am an internationally recognized expert in transgender care with 25 years experience working with transsexual, transgender and gender variant people of all ages, especially young gender variant children, and their families. When someone is contemplating a gender transition it is my approach to work with the whole family as everyone transitions in a gender transition. I have a solid record of success in workplace transitions for clients My expertise lends itself to working with transgender clients from many varied racial, cultural, religious and ethnic backgrounds. I also work with lesbian, gay, bisexual clients across the full spectrum of issues.
I am an internationally recognized expert in transgender care with 25 years experience working with transsexual, transgender and gender variant people of all ages, especially young gender variant children, and their families. When someone is contemplating a gender transition it is my approach to work with the whole family as everyone transitions in a gender transition. I have a solid record of success in workplace transitions for clients My expertise lends itself to working with transgender clients from many varied racial, cultural, religious and ethnic backgrounds. I also work with lesbian, gay, bisexual clients across the full spectrum of issues.
(518) 966-7461 View (518) 966-7461
Photo of Diana Cofsky, Licensed Professional Counselor, LPC
Diana Cofsky
Licensed Professional Counselor, LPC
Schenectady, NY 12309
I am a licensed professional counselor that has been working in behavioral health for over 20 years. I am a lifelong resident of South Jersey and obtained my Bachelors and Masters degrees from La Salle University in Philadelphia.
I am a licensed professional counselor that has been working in behavioral health for over 20 years. I am a lifelong resident of South Jersey and obtained my Bachelors and Masters degrees from La Salle University in Philadelphia.
(518) 241-4291 View (518) 241-4291
Photo of Sophie Hans, Clinical Social Work/Therapist, LSW
Sophie Hans
Clinical Social Work/Therapist, LSW
Schenectady, NY 12309
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerned as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
My ideal client is someone who comes to therapy in a time of need. They might be experiencing anxiety due to life changes and transitions or they might be experiencing symptoms of anxiety for the first time and be concerned as to where the anxiety came from. The client might be processing loss or grief from a loved one or past friendships and or relationships. My ideal client will have needs such as needing to identify coping skills to get through life stressors, assistance with reaching goals. As a therapist I would be able to provide the client with a objective perspective to bounce their ideas and situations off of.
(518) 336-8073 View (518) 336-8073

See more therapy options for 12309

How does your Therapist compare?

Number of Therapists in 12309

50+

Average cost per session

$130

Therapists in 12309 who prioritize treating:

94% Anxiety
88% Depression
75% Self Esteem
71% Relationship Issues
69% Grief
69% Coping Skills
61% Trauma and PTSD

Average years in practice

21 Years

Top 3 insurances accepted

60% Aetna
58% CDPHP
49% UnitedHealthcare UHC | UBH

How Therapists in 12309 see their clients

53% In Person and Online
47% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 12309?

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.