Therapists in 13108

Photo of Amy Braley, Pre-Licensed Professional
Amy Braley
Pre-Licensed Professional
1 Endorsed
Marcellus, NY 13108
I am a Marriage and Family Therapist Intern at Nurturing Connections. I'm passionate about providing a safe and empowering space for children and families to heal, grow, and connect. With over a decade of experience working with children and teens in residential treatment settings, I have developed a deep understanding of the complexities of behavioral and emotional challenges. My passion is helping people learn and grow whether that be learning essential life skills, emotional regulation or helping with interpersonal relationships.
I am a Marriage and Family Therapist Intern at Nurturing Connections. I'm passionate about providing a safe and empowering space for children and families to heal, grow, and connect. With over a decade of experience working with children and teens in residential treatment settings, I have developed a deep understanding of the complexities of behavioral and emotional challenges. My passion is helping people learn and grow whether that be learning essential life skills, emotional regulation or helping with interpersonal relationships.
(315) 713-2478 View (315) 713-2478
Photo of Allison Ray, Counselor, MS, LMHC-D, NCC
Allison Ray
Counselor, MS, LMHC-D, NCC
1 Endorsed
Marcellus, NY 13108
You’ve probably been trying to hold it all together for a while now. Maybe you’re constantly in your head—spinning with worry, self-doubt, or a quiet kind of sadness that never fully goes away. You might feel stuck in patterns you can’t seem to change, overwhelmed by emotions that hit out of nowhere, or exhausted from pretending you're fine when you’re really not. Whether you’re carrying pain from the past, navigating anxiety or depression, grieving a loss, or struggling with a major life change—it makes sense that things feel hard. And if your usual ways of coping aren’t working like they used to, you’re not alone.
You’ve probably been trying to hold it all together for a while now. Maybe you’re constantly in your head—spinning with worry, self-doubt, or a quiet kind of sadness that never fully goes away. You might feel stuck in patterns you can’t seem to change, overwhelmed by emotions that hit out of nowhere, or exhausted from pretending you're fine when you’re really not. Whether you’re carrying pain from the past, navigating anxiety or depression, grieving a loss, or struggling with a major life change—it makes sense that things feel hard. And if your usual ways of coping aren’t working like they used to, you’re not alone.
(315) 673-5005 View (315) 673-5005
Photo of Kate van Ingen Kelsen, Marriage & Family Therapist, MS, MA, LMFT
Kate van Ingen Kelsen
Marriage & Family Therapist, MS, MA, LMFT
2 Endorsed
Online Only
Not accepting new clients
I have over 25 years of experience working with couples, families, and individuals. My work with couples enhances communication when it has been hindered by trauma, illness, infidelity, or other stressors. Couples work helps members listen differently, understand, and negotiate respectfully. I help parents understand children's behavior through a social emotional developmental lens. Individual work within the context of relationships explores self care. Our lives are affected by the systems in which we live and work.
I have over 25 years of experience working with couples, families, and individuals. My work with couples enhances communication when it has been hindered by trauma, illness, infidelity, or other stressors. Couples work helps members listen differently, understand, and negotiate respectfully. I help parents understand children's behavior through a social emotional developmental lens. Individual work within the context of relationships explores self care. Our lives are affected by the systems in which we live and work.
(315) 291-8383 View (315) 291-8383
Photo of Kayla Weaver, LP-MFT
Kayla Weaver
Verified Verified
2 Endorsed
Marcellus, NY 13108
Life feels heavy sometimes – and when it does, you deserve a space to set it down. You might be feeling stuck, overwhelmed, or unsure how to move forward and you don’t have to navigate it alone. Whether you’re a parent worried about your child, someone navigating identity, or an adult carrying the weight of past experiences, therapy can offer relief and connection. I provide a space where you or your child can feel seen, supported, and empowered to grow, heal, and move forward at a pace that feels right for you.
Life feels heavy sometimes – and when it does, you deserve a space to set it down. You might be feeling stuck, overwhelmed, or unsure how to move forward and you don’t have to navigate it alone. Whether you’re a parent worried about your child, someone navigating identity, or an adult carrying the weight of past experiences, therapy can offer relief and connection. I provide a space where you or your child can feel seen, supported, and empowered to grow, heal, and move forward at a pace that feels right for you.
(315) 306-3694 View (315) 306-3694
Photo of Michelle VanHatten, Marriage & Family Therapist, LMFT, CTP
Michelle VanHatten
Marriage & Family Therapist, LMFT, CTP
5 Endorsed
Marcellus, NY 13108
You lie awake at night, going over the day again and wondering where it all went wrong. Before you have time to figure it out, yet another hectic day has begun. As a parent of a child who has experienced a challenge or traumatic experience, it's like you're being asked to do it all. The problem is that there's never enough energy, time, or information to manage the difficult behaviors. Before you know it, you've seen multiple therapists and nothing seems to work. The parenting suggestions just don't fit the socially awkward tantrums, fits of rage, or your child's need to control. You're nearing the end of your rope, but what's next?
You lie awake at night, going over the day again and wondering where it all went wrong. Before you have time to figure it out, yet another hectic day has begun. As a parent of a child who has experienced a challenge or traumatic experience, it's like you're being asked to do it all. The problem is that there's never enough energy, time, or information to manage the difficult behaviors. Before you know it, you've seen multiple therapists and nothing seems to work. The parenting suggestions just don't fit the socially awkward tantrums, fits of rage, or your child's need to control. You're nearing the end of your rope, but what's next?
(315) 506-4383 View (315) 506-4383
Photo of Dr. Sarah F Spiegelhoff, Counselor, PhD, LMHC, NCC
Dr. Sarah F Spiegelhoff
Counselor, PhD, LMHC, NCC
2 Endorsed
Serves Area
Every client is unique and it is my job to assist you through transforming pain and other emotional distress into hope, strength, positive change, and achievement. I offer clients a patient-centered partnership, to support and empower them in making informed choices that will lead to meaningful change. I evaluate clients’ identified concerns from a holistic and integrative mental health perspective. Successful outcomes are accomplished through insight-oriented conversations to express emotion, provide motivation, assess wellness, identify strengths, and create a safe space to explore oneself.
Every client is unique and it is my job to assist you through transforming pain and other emotional distress into hope, strength, positive change, and achievement. I offer clients a patient-centered partnership, to support and empower them in making informed choices that will lead to meaningful change. I evaluate clients’ identified concerns from a holistic and integrative mental health perspective. Successful outcomes are accomplished through insight-oriented conversations to express emotion, provide motivation, assess wellness, identify strengths, and create a safe space to explore oneself.
(315) 320-6441 View (315) 320-6441
Photo of Colin Borland, Marriage & Family Therapist, MA, LMFT-D
Colin Borland
Marriage & Family Therapist, MA, LMFT-D
Serves Area
At times in life, we are gifted the opportunity to pause and recognize that there is room for growth and healing. When you arrive at this place, it would be my honor to be a stepping stone on your journey. In our fast-paced world, we often lose sight of the many life experiences that shape who we are and how we engage with ourselves and the many systems around us. If things aren’t going as you hoped, dreamed, or envisioned, it’s never too late to shift directions. You are the architect of your life and hold the power to create change, as you are on the journey of becoming your own masterpiece.
At times in life, we are gifted the opportunity to pause and recognize that there is room for growth and healing. When you arrive at this place, it would be my honor to be a stepping stone on your journey. In our fast-paced world, we often lose sight of the many life experiences that shape who we are and how we engage with ourselves and the many systems around us. If things aren’t going as you hoped, dreamed, or envisioned, it’s never too late to shift directions. You are the architect of your life and hold the power to create change, as you are on the journey of becoming your own masterpiece.
(315) 902-1742 View (315) 902-1742
Photo of Karen Dellonte, Counselor, LMHC
Karen Dellonte
Counselor, LMHC
Serves Area
I am excited to bring my 20 plus years of experience as a Licensed Mental Health Counselor into private practice. I have extensive experience working with children and adolescents in a variety of environments. I have worked in community based, school, and clinic settings, providing services to children with a mental health diagnosis, and their families. In addition, I have been trained in positive parenting practices as well as Crisis Intervention techniques. Further, I have experience working with adults in a not for profit clinic, I work with individuals who are experiencing anxiety, depression, mood disorders and more.
I am excited to bring my 20 plus years of experience as a Licensed Mental Health Counselor into private practice. I have extensive experience working with children and adolescents in a variety of environments. I have worked in community based, school, and clinic settings, providing services to children with a mental health diagnosis, and their families. In addition, I have been trained in positive parenting practices as well as Crisis Intervention techniques. Further, I have experience working with adults in a not for profit clinic, I work with individuals who are experiencing anxiety, depression, mood disorders and more.
(315) 825-6334 View (315) 825-6334
Photo of J Paul Stein, Licensed Professional Counselor, PhD, LMHC
J Paul Stein
Licensed Professional Counselor, PhD, LMHC
1 Endorsed
Serves Area
No one is a stranger to finding a way forward in difficult times. Many of those I work with struggle with issues related to relationships, depression, and/or tragic events. At times, others come for brief, short-term treatment for issues that are not all-consuming, but to improve how they manage these and also use these difficulties to become more fully empowered. Regardless of the specific goals of therapy, our general ideal is to reach healing and wellness as well as for finding meaning and peace.
No one is a stranger to finding a way forward in difficult times. Many of those I work with struggle with issues related to relationships, depression, and/or tragic events. At times, others come for brief, short-term treatment for issues that are not all-consuming, but to improve how they manage these and also use these difficulties to become more fully empowered. Regardless of the specific goals of therapy, our general ideal is to reach healing and wellness as well as for finding meaning and peace.
(315) 509-6559 View (315) 509-6559
Photo of Melissa M Kallfelz, Counselor, MA, LMHC
Melissa M Kallfelz
Counselor, MA, LMHC
3 Endorsed
Serves Area
Things happen to us everyday which impact and change who we are and how we live in this world. My role as a therapist is to support others in identifying their purpose. The passion for guiding others in identifying positive choices and making healthy changes is my purpose. Whether you are going through life transitions, feel depressed, or anxious, therapy can help facilitate positive change and improve your overall quality of life.
Things happen to us everyday which impact and change who we are and how we live in this world. My role as a therapist is to support others in identifying their purpose. The passion for guiding others in identifying positive choices and making healthy changes is my purpose. Whether you are going through life transitions, feel depressed, or anxious, therapy can help facilitate positive change and improve your overall quality of life.
(315) 707-4246 View (315) 707-4246
Photo of Stephanie Agosh, Clinical Social Work/Therapist
Stephanie Agosh
Clinical Social Work/Therapist
1 Endorsed
Serves Area
Do you feel stuck, overwhelmed, overworked, or unfulfilled? Do you struggle with people pleasing? Feeling the weight of perfectionism, anxiety, work/school stress, or relationship challenges? You are NOT alone! The pressures of life can feel like too much, especially when trying to maintain relationships and show up for others how you would like to. Or to be able to tell others how you need them to show up for you. Life's challenges can leave us feeling uncertain, disconnected and burned out. It is easy to overlook how we are feeling. Therapy provides the opportunity to be your authentic self and work towards positive change.
Do you feel stuck, overwhelmed, overworked, or unfulfilled? Do you struggle with people pleasing? Feeling the weight of perfectionism, anxiety, work/school stress, or relationship challenges? You are NOT alone! The pressures of life can feel like too much, especially when trying to maintain relationships and show up for others how you would like to. Or to be able to tell others how you need them to show up for you. Life's challenges can leave us feeling uncertain, disconnected and burned out. It is easy to overlook how we are feeling. Therapy provides the opportunity to be your authentic self and work towards positive change.
(315) 309-0470 View (315) 309-0470
Photo of Kelly A Clookey, Counselor, LMHC-D
Kelly A Clookey
Counselor, LMHC-D
1 Endorsed
Serves Area
It’s time to nourish your heart, mind, body & soul! Self-care isn’t always easy but it is not selfish to prioritize your own wellbeing. Engaging in meaningful counseling sessions can support an overall sense of peace & change in how your brain processes and thinks about your experiences. Together we can work on reshaping negative thought patterns & can create new neuropathways for a healthier mind. I provide a safe space for healing by addressing matters of the heart & examining root issues. Specialized in adolescent/adult related issues such as stress/trauma, grief/loss, burnout, body image, depression/anxiety, addiction/OCD/aging.
It’s time to nourish your heart, mind, body & soul! Self-care isn’t always easy but it is not selfish to prioritize your own wellbeing. Engaging in meaningful counseling sessions can support an overall sense of peace & change in how your brain processes and thinks about your experiences. Together we can work on reshaping negative thought patterns & can create new neuropathways for a healthier mind. I provide a safe space for healing by addressing matters of the heart & examining root issues. Specialized in adolescent/adult related issues such as stress/trauma, grief/loss, burnout, body image, depression/anxiety, addiction/OCD/aging.
(315) 642-1701 View (315) 642-1701
Photo of Christine Hudson, Counselor, LMHC, NCC, CCTP
Christine Hudson
Counselor, LMHC, NCC, CCTP
2 Endorsed
Serves Area
It is no secret, Life can be overwhelming, and at times, we all need support in finding balance. I take an integrative approach to my work with clients, drawing on my extensive training in various treatment modalities. Together, we will create a personalized plan tailored to your unique needs. I also have a strong focus on helping clients navigate and address challenges related to executive functioning, supporting them as they embrace or find their place in a neurotypical world. I am here to help you thrive in ways that align with your unique strengths. With the right tools and guidance, you can unlock your fullest potential.
It is no secret, Life can be overwhelming, and at times, we all need support in finding balance. I take an integrative approach to my work with clients, drawing on my extensive training in various treatment modalities. Together, we will create a personalized plan tailored to your unique needs. I also have a strong focus on helping clients navigate and address challenges related to executive functioning, supporting them as they embrace or find their place in a neurotypical world. I am here to help you thrive in ways that align with your unique strengths. With the right tools and guidance, you can unlock your fullest potential.
(315) 302-1831 View (315) 302-1831
Photo of Laura Crouch, Clinical Social Work/Therapist, LCSW
Laura Crouch
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Does life feel overwhelming? Is it exhausting to get through the day? Does completing daily tasks spark feelings of anxiety? Are you or someone you care deeply for struggling to heal from past trauma? You are not alone and you can heal from this and get support! Therapy can become your safe space to explore your feelings and emotions and problem solve challenging situations.
Does life feel overwhelming? Is it exhausting to get through the day? Does completing daily tasks spark feelings of anxiety? Are you or someone you care deeply for struggling to heal from past trauma? You are not alone and you can heal from this and get support! Therapy can become your safe space to explore your feelings and emotions and problem solve challenging situations.
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More Therapists Nearby

Photo of Rachel J Gillespie, Marriage & Family Therapist, MA, LMFT
Rachel J Gillespie
Marriage & Family Therapist, MA, LMFT
3 Endorsed
Manlius, NY 13104
"You cannot change or heal what you do not acknowledge." (Unknown) I believe in utilizing therapy as an opportunity to assist individuals, couples, and families in acknowledging and overcoming barriers to healing and change. I create an authentic, collaborative and non-judgmental therapeutic space where clients are able to address areas in life that aren't working (anxiety, anger, depression, low self-esteem, relationships, painful experiences); to explore and resolve the internal and relational barriers that limits healing and personal growth; and to create an action plan that empowers clients to live out their full potential.
"You cannot change or heal what you do not acknowledge." (Unknown) I believe in utilizing therapy as an opportunity to assist individuals, couples, and families in acknowledging and overcoming barriers to healing and change. I create an authentic, collaborative and non-judgmental therapeutic space where clients are able to address areas in life that aren't working (anxiety, anger, depression, low self-esteem, relationships, painful experiences); to explore and resolve the internal and relational barriers that limits healing and personal growth; and to create an action plan that empowers clients to live out their full potential.
(315) 514-3540 View (315) 514-3540
Molly Paciorek
Counselor, D-LMHC, CCPT
Online Only
You might be feeling like everyone else seems to know what they are doing in this life and yet, you are internally struggling against everything. There might be the struggle of consistent fatigue, confusion at your own reactions and an unsettled feeling from the decisions you are trying to make. There are moments where you might set a goal, or five, but you seem to fall short. Or you become bored with the process of meeting those goals. You are noticing that your body does not really feel like your own body and you are looking for anything to help you come back to being you.
You might be feeling like everyone else seems to know what they are doing in this life and yet, you are internally struggling against everything. There might be the struggle of consistent fatigue, confusion at your own reactions and an unsettled feeling from the decisions you are trying to make. There are moments where you might set a goal, or five, but you seem to fall short. Or you become bored with the process of meeting those goals. You are noticing that your body does not really feel like your own body and you are looking for anything to help you come back to being you.
(315) 712-5176 View (315) 712-5176
Photo of Danielle Mascarelli, Mental Health Counselor, LMHC
Danielle Mascarelli
Mental Health Counselor, LMHC
Serves Area
Are you struggling to find balance in your busy life? I specialize in helping individuals facing challenges with substance use, stress, anxiety, depression, and relationship issues. With a deep understanding of the complexities these struggles bring, I provide a safe and supportive environment where you can explore your thoughts and feelings without judgment. Above all, I want you to feel understood, validated, and empowered. My goal is for you to leave each session with a sense of hope for the future and the confidence that you have the tools to handle whatever comes your way.
Are you struggling to find balance in your busy life? I specialize in helping individuals facing challenges with substance use, stress, anxiety, depression, and relationship issues. With a deep understanding of the complexities these struggles bring, I provide a safe and supportive environment where you can explore your thoughts and feelings without judgment. Above all, I want you to feel understood, validated, and empowered. My goal is for you to leave each session with a sense of hope for the future and the confidence that you have the tools to handle whatever comes your way.
(914) 559-7573 View (914) 559-7573
Photo of Lisa Picciotto - Azara Counseling, Clinical Social Work/Therapist, LCSW-R
Azara Counseling
Clinical Social Work/Therapist, LCSW-R
Fayetteville, NY 13066
Are you looking to find more peace, contentment, or better relationships? At some point we are all faced with painful emotions or negative circumstances. Oftentimes, negative emotions and beliefs are the result of challenging or traumatic life experiences. These experiences can form unhelpful patterns of thinking, feeling, and behaving. We learn to fear, to doubt, to mistrust, to withdraw. We also tend to adopt false beliefs about ourselves, others, and the world. Therapy is a space to unlearn the negative patterns that prevent us from becoming the best version of ourselves.
Are you looking to find more peace, contentment, or better relationships? At some point we are all faced with painful emotions or negative circumstances. Oftentimes, negative emotions and beliefs are the result of challenging or traumatic life experiences. These experiences can form unhelpful patterns of thinking, feeling, and behaving. We learn to fear, to doubt, to mistrust, to withdraw. We also tend to adopt false beliefs about ourselves, others, and the world. Therapy is a space to unlearn the negative patterns that prevent us from becoming the best version of ourselves.
(315) 756-3920 View (315) 756-3920
Photo of Steven Cospewicz - Brightside Health, Clinical Social Work/Therapist, LCSW
Brightside Health
Clinical Social Work/Therapist, LCSW
Online Only
It gets much better from here. No matter what you're going through, our expert providers are here to help with online mental health care tailored to you. Brightside Health offers personalized psychiatry, proven therapy, or both to help you feel better. Get started right from home, with appointments in as little as 2 days.
It gets much better from here. No matter what you're going through, our expert providers are here to help with online mental health care tailored to you. Brightside Health offers personalized psychiatry, proven therapy, or both to help you feel better. Get started right from home, with appointments in as little as 2 days.
(415) 214-8606 View (415) 214-8606
Photo of Kristin Platt, Clinical Social Work/Therapist, LCSW-R
Kristin Platt
Clinical Social Work/Therapist, LCSW-R
3 Endorsed
Syracuse, NY 13210
Waitlist for new clients
You're not quite sure what happened or how you got here. Feeling stuck or experiencing life on repeat is frustrating. I'm a Licensed Clinical Social Worker passionate about providing quality therapy that provides you with a safe, collaborative space to learn about yourself and grow yourself. I have over 10 years of experience in the field working with individuals, families and couples and am always seeking opportunities to grow and expand my own knowledge base.  I am passionate about assisting clients in navigating past traumas, life transitions and present symptoms that are interfering with where you want to be in your life.
You're not quite sure what happened or how you got here. Feeling stuck or experiencing life on repeat is frustrating. I'm a Licensed Clinical Social Worker passionate about providing quality therapy that provides you with a safe, collaborative space to learn about yourself and grow yourself. I have over 10 years of experience in the field working with individuals, families and couples and am always seeking opportunities to grow and expand my own knowledge base.  I am passionate about assisting clients in navigating past traumas, life transitions and present symptoms that are interfering with where you want to be in your life.
(315) 400-4580 View (315) 400-4580

How does your Therapist compare?

Number of Therapists in 13108

10+

Average cost per session

$155

Therapists in 13108 who prioritize treating:

93% Depression
93% Anxiety
93% Stress
86% Relationship Issues
86% Self Esteem
79% Family Conflict
79% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

86% Aetna
86% Cigna and Evernorth
86% UnitedHealthcare UHC | UBH

How Therapists in 13108 see their clients

93% In Person and Online
7% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 13108?

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.