Therapists in 13108

Photo of Amanda Ward, MS, LMHC
Amanda Ward
Verified Verified
1 Endorsed
Marcellus, NY 13108
Not feeling like yourself lately? Maybe you’ve been putting everyone else first, pushing through each day, but feeling increasingly disconnected from your own sense of peace and purpose. Whether you’re feeling overwhelmed, navigating a major life transition, or tired of anxiety and self-doubt running the show, therapy can offer a space to slow down, reconnect, and start making sense of what’s beneath the surface. It can provide an environment to explore how past experiences and relationships shape the way you move through the world today.
Not feeling like yourself lately? Maybe you’ve been putting everyone else first, pushing through each day, but feeling increasingly disconnected from your own sense of peace and purpose. Whether you’re feeling overwhelmed, navigating a major life transition, or tired of anxiety and self-doubt running the show, therapy can offer a space to slow down, reconnect, and start making sense of what’s beneath the surface. It can provide an environment to explore how past experiences and relationships shape the way you move through the world today.
(315) 306-3555 View (315) 306-3555
Photo of Allison Ray, Counselor, LMHC-D, NCC, ACS
Allison Ray
Counselor, LMHC-D, NCC, ACS
2 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 Amy Braley, Pre-Licensed Professional
Amy Braley
Pre-Licensed Professional
1 Endorsed
Marcellus, NY 13108
When Life is a Glorious, Chaotic Mess (And You or Your Child Needs a Guide) If you feel like your family is short-circuiting, or your child or teen is either shutting down or acting out, you are not alone. Welcome to the club you didn't ask to join. I'm Amy Braley, a Marriage and Family Therapist (MFT) Intern. I specialize in helping children and teens find their footing when grief shatters the family system. I know how messy and confusing it is when your child is laughing at a meme one minute and shutting down the next. That’s not chaos that’s their resilience at work, and I can teach you how to support it.
When Life is a Glorious, Chaotic Mess (And You or Your Child Needs a Guide) If you feel like your family is short-circuiting, or your child or teen is either shutting down or acting out, you are not alone. Welcome to the club you didn't ask to join. I'm Amy Braley, a Marriage and Family Therapist (MFT) Intern. I specialize in helping children and teens find their footing when grief shatters the family system. I know how messy and confusing it is when your child is laughing at a meme one minute and shutting down the next. That’s not chaos that’s their resilience at work, and I can teach you how to support it.
(315) 713-2478 View (315) 713-2478
Photo of Patty Sager, Marriage & Family Therapist, LMFT
Patty Sager
Marriage & Family Therapist, LMFT
Marcellus, NY 13108
You deserve a space where your identity is honored, your story is heard, and your healing is taken seriously. I work with adults and couples who are ready to move through old patterns, heal from painful experiences, and build relationships that feel grounded, authentic, and connected. My style is warm, collaborative, and deeply attuned. I believe therapy should feel like a partnership: you bring your lived experience, and I bring tools, insight, and a steady presence. Together, we’ll explore what’s getting in the way of the life or relationships you want and create a path forward that feels empowering rather than overwhelming.
You deserve a space where your identity is honored, your story is heard, and your healing is taken seriously. I work with adults and couples who are ready to move through old patterns, heal from painful experiences, and build relationships that feel grounded, authentic, and connected. My style is warm, collaborative, and deeply attuned. I believe therapy should feel like a partnership: you bring your lived experience, and I bring tools, insight, and a steady presence. Together, we’ll explore what’s getting in the way of the life or relationships you want and create a path forward that feels empowering rather than overwhelming.
(315) 713-2046 View (315) 713-2046
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 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 Kelly A Clookey, Counselor, LMHC-D, PLLC
Kelly A Clookey
Counselor, LMHC-D, PLLC
2 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 Colin Borland, Marriage & Family Therapist, MA, LMFT-D
Colin Borland
Marriage & Family Therapist, MA, LMFT-D
Serves Area
Healing begins when we give ourselves permission to pause and listen inward. If you’re navigating trauma, stress, or emotional blocks, I would be honored to walk beside you. Through Neuro Emotional Technique (NET), I support clients in gently releasing unresolved emotions held within the body—often stored beneath conscious awareness. Together, we create space for healing, alignment, and a deeper connection to your inner wisdom.
Healing begins when we give ourselves permission to pause and listen inward. If you’re navigating trauma, stress, or emotional blocks, I would be honored to walk beside you. Through Neuro Emotional Technique (NET), I support clients in gently releasing unresolved emotions held within the body—often stored beneath conscious awareness. Together, we create space for healing, alignment, and a deeper connection to your inner wisdom.
(315) 902-1742 View (315) 902-1742
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
2 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 Audrey Tyszka - Audrey Tyszka, LCSW-R, PLLC, Clinical Social Work/Therapist, MSW, LCSW-R, PLLC
Audrey Tyszka, LCSW-R, PLLC
Clinical Social Work/Therapist, MSW, LCSW-R, PLLC
5 Endorsed
Serves Area
Ooof, life is hard! We simply cannot avoid the various day to day stressors, or unfortunately, the often bigger unexpected pains and losses. However, I do believe that we can develop effective coping skills to manage our stress, reduce our suffering, and to develop a life worth living. I feel effective treatment consists of helping clients to balance both acceptance and change- by learning to live alongside what is beyond our control, while making the necessary changes in our lives to achieve our goals and reach our true potential.
Ooof, life is hard! We simply cannot avoid the various day to day stressors, or unfortunately, the often bigger unexpected pains and losses. However, I do believe that we can develop effective coping skills to manage our stress, reduce our suffering, and to develop a life worth living. I feel effective treatment consists of helping clients to balance both acceptance and change- by learning to live alongside what is beyond our control, while making the necessary changes in our lives to achieve our goals and reach our true potential.
(315) 353-4005 View (315) 353-4005
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 Kristen Miguel, Clinical Social Work/Therapist, LCSW-R
Kristen Miguel
Clinical Social Work/Therapist, LCSW-R
7 Endorsed
Serves Area
You have taken the first brave step toward prioritizing you! I'm happy you are here. I have worked in the mental health field for twenty years, witnessing countless individuals, couples and families endure life-changing challenges and come out on the other side stronger, at peace, and more connected with themselves and those they care about. I would love to have the opportunity to meet you and assist you to actualize your hopes and dreams for this next chapter in your life! I view our therapeutic relationship as a partnership in which we both bring valuable experience and knowledge to work through the concerns you wish to address.
You have taken the first brave step toward prioritizing you! I'm happy you are here. I have worked in the mental health field for twenty years, witnessing countless individuals, couples and families endure life-changing challenges and come out on the other side stronger, at peace, and more connected with themselves and those they care about. I would love to have the opportunity to meet you and assist you to actualize your hopes and dreams for this next chapter in your life! I view our therapeutic relationship as a partnership in which we both bring valuable experience and knowledge to work through the concerns you wish to address.
(315) 613-3955 View (315) 613-3955
Photo of Jill Boyer, Clinical Social Work/Therapist, LCSW-R
Jill Boyer
Clinical Social Work/Therapist, LCSW-R
1 Endorsed
Serves Area
Anxiety and daily stressors can make the simplest parts of life feel overwhelming and heavy. From overthinking to paralyzing OCD, it can be exhausting to manage your day. But, you are not alone! My approach is grounded in empathy, validation, and evidence-based strategies that empower you to build insight and manage your anxious thoughts and feelings - as well as your behavioral responses to them. Using evidence-based techniques, we will work as a team to uncover the root causes of your anxiety and develop the necessary skills needed to restore your life balance and peace of mind.
Anxiety and daily stressors can make the simplest parts of life feel overwhelming and heavy. From overthinking to paralyzing OCD, it can be exhausting to manage your day. But, you are not alone! My approach is grounded in empathy, validation, and evidence-based strategies that empower you to build insight and manage your anxious thoughts and feelings - as well as your behavioral responses to them. Using evidence-based techniques, we will work as a team to uncover the root causes of your anxiety and develop the necessary skills needed to restore your life balance and peace of mind.
(315) 840-1465 View (315) 840-1465
Photo of Cindy Barletta, Clinical Social Work/Therapist, LCSW
Cindy Barletta
Clinical Social Work/Therapist, LCSW
Serves Area
Life is unpredictable with many twists and turns. From one day to the next it's impossible to know what challenges or situations may arise, including some that may have been inconceivable. It may be difficult to know which way to turn or what to do. Asking for help may be difficult. Seeking treatment and developing a positive therapeutic relationship with a clinician may be helpful. As a therapist, I am clear I don't have the answers, but work to help those I see to find their own answers. My core practice values include respect, honesty, empathy, and lack of judgement. If you choose to see me, you should expect nothing less.
Life is unpredictable with many twists and turns. From one day to the next it's impossible to know what challenges or situations may arise, including some that may have been inconceivable. It may be difficult to know which way to turn or what to do. Asking for help may be difficult. Seeking treatment and developing a positive therapeutic relationship with a clinician may be helpful. As a therapist, I am clear I don't have the answers, but work to help those I see to find their own answers. My core practice values include respect, honesty, empathy, and lack of judgement. If you choose to see me, you should expect nothing less.
(315) 834-4296 View (315) 834-4296
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.
View
Photo of Kate van Ingen Kelsen, Marriage & Family Therapist, MS, MA, LMFT
Kate van Ingen Kelsen
Marriage & Family Therapist, MS, MA, LMFT
1 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

More Therapists Nearby

Photo of Kathleen Bosco, LMSW
Kathleen Bosco
Verified Verified
Fulton, NY 13069
I am currently accepting new patients. I work primarily with children and adolescents working on emotional regulation, social skills and behavior management just to name a few. I have over 10 years experience in working with children, adolescents and adults. I work individually and with the family system to help foster family relationships.
I am currently accepting new patients. I work primarily with children and adolescents working on emotional regulation, social skills and behavior management just to name a few. I have over 10 years experience in working with children, adolescents and adults. I work individually and with the family system to help foster family relationships.
(315) 706-9170 View (315) 706-9170
Photo of Penelope Lupo, Counselor, MS, LMHC, CCPT
Penelope Lupo
Counselor, MS, LMHC, CCPT
1 Endorsed
Auburn, NY 13021
Life circumstances can sometimes feel overwhelming and just plain hard. If you are at a loss and in need of talking it through to gain some clarity, I can help. I work with adult women managing anxiety, depression, trauma, stress, difficult life transitions and more. I have a special interest in working with people struggling with infertility, high risk pregnancy, pregnancy and infant loss, and adjusting to parenthood. I also have great interest in working with individuals that have endured medical treatments and need support building a life that looks different than you had anticipated.
Life circumstances can sometimes feel overwhelming and just plain hard. If you are at a loss and in need of talking it through to gain some clarity, I can help. I work with adult women managing anxiety, depression, trauma, stress, difficult life transitions and more. I have a special interest in working with people struggling with infertility, high risk pregnancy, pregnancy and infant loss, and adjusting to parenthood. I also have great interest in working with individuals that have endured medical treatments and need support building a life that looks different than you had anticipated.
(315) 352-4670 View (315) 352-4670
Photo of Bridget Fuller, Clinical Social Work/Therapist, LCSW
Bridget Fuller
Clinical Social Work/Therapist, LCSW
3 Endorsed
Online Only
Waitlist for new clients
I specialize in, and am passionate about, treating a range of anxiety disorders. If you struggle with anxiety or OCD, you may have fears that persist no matter what you try. Or you may feel stuck in patterns that you cannot control, or unable to stop certain behaviors even though some part of you desperately wants to stop. And while I cannot promise to erase the thoughts you are having, I can help you to change your relationship with them and reduce their ability to make your life difficult. There is hope.
I specialize in, and am passionate about, treating a range of anxiety disorders. If you struggle with anxiety or OCD, you may have fears that persist no matter what you try. Or you may feel stuck in patterns that you cannot control, or unable to stop certain behaviors even though some part of you desperately wants to stop. And while I cannot promise to erase the thoughts you are having, I can help you to change your relationship with them and reduce their ability to make your life difficult. There is hope.
(680) 224-4377 View (680) 224-4377

See more therapy options for 13108

How does your Therapist compare?

Number of Therapists in 13108

10+

Average cost per session

$150

Therapists in 13108 who prioritize treating:

88% Anxiety
82% Relationship Issues
82% Depression
82% Stress
76% Self Esteem
71% Marriage Counseling
59% Grief

Average years in practice

15 Years

Top 3 insurances accepted

100% Aetna
63% Cigna and Evernorth
63% Oxford

How Therapists in 13108 see their clients

94% In Person and Online
6% Online Only

Gender breakdown

88% Female
12% 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.