Therapists in 13761

Photo of Cindy Tesch, Counselor, MS , LMHC-D, NCC
Cindy Tesch
Counselor, MS , LMHC-D, NCC
3 Endorsed
Serves Area
Healing from trauma takes courage, and you don’t have to do it alone. I help adults find relief from painful memories, rebuild confidence, and reconnect with life. Whether your trauma comes from a single event or long-term stress, we’ll work together at your pace to process the past and strengthen your ability to handle what comes next. My goal is to help you feel calmer, more confident, and more at peace in everyday life.
Healing from trauma takes courage, and you don’t have to do it alone. I help adults find relief from painful memories, rebuild confidence, and reconnect with life. Whether your trauma comes from a single event or long-term stress, we’ll work together at your pace to process the past and strengthen your ability to handle what comes next. My goal is to help you feel calmer, more confident, and more at peace in everyday life.
(607) 246-2282 View (607) 246-2282
Photo of Mindful Health And Wellness Llc - Mindful Health & Wellness, LLC, Clinical Social Work/Therapist, LCSW
Mindful Health & Wellness, LLC
Clinical Social Work/Therapist, LCSW
Serves Area
We strive to serve our community using a multidisciplinary approach, focusing on the health and wellness of the body, mind and soul. We aim to create a therapeutic atmosphere that aids in healing and maintaining your emotional, physical and spiritual well-being.
We strive to serve our community using a multidisciplinary approach, focusing on the health and wellness of the body, mind and soul. We aim to create a therapeutic atmosphere that aids in healing and maintaining your emotional, physical and spiritual well-being.
(607) 304-2812 View (607) 304-2812
Photo of Jennifer Cooper (Harper), Clinical Social Work/Therapist, LCSW-R
Jennifer Cooper (Harper)
Clinical Social Work/Therapist, LCSW-R
Serves Area
I am a New York State licensed clinical social worker who has been working in the mental health field for over ten years with both adults and children. I believe that everyone is the creator of their own reality and that therapy can be a useful tool to better manage life stressors. I work with individuals to help promote a sense of well being and gain mastery over their lives. "Rule your mind or it will rule you"-Horace
I am a New York State licensed clinical social worker who has been working in the mental health field for over ten years with both adults and children. I believe that everyone is the creator of their own reality and that therapy can be a useful tool to better manage life stressors. I work with individuals to help promote a sense of well being and gain mastery over their lives. "Rule your mind or it will rule you"-Horace
(607) 275-5366 View (607) 275-5366
Photo of Mitch Lisa - Dr. Mitch-Lisa Marriage/Couple Workshop Specialist, PsyD, MSW, Life, Coach
Dr. Mitch PsyD & Lisa Couples Relationship Life Coach, Specialize in Marriage/Couples, Communication, Alcohol, Infidelity, Narcissism & Parenting. We have 35 Years of Co-Leading our Workshops (Male/Female Perspective). Our Workshops are Not Traditional Counseling (We Don't Obsess about your Past). We Provide: Two Professionals that Specialize in the Treatment of Relationships and Communication. We are Opened: Days, Eve's & Weekends. These Workshops are Designed for a Rapid Recovery and are Powerful & Comprehensive. Our Marriage/Couples, Alcohol & Communication Workshops have an 85% Rate of Success when you Complete our Program.
Dr. Mitch PsyD & Lisa Couples Relationship Life Coach, Specialize in Marriage/Couples, Communication, Alcohol, Infidelity, Narcissism & Parenting. We have 35 Years of Co-Leading our Workshops (Male/Female Perspective). Our Workshops are Not Traditional Counseling (We Don't Obsess about your Past). We Provide: Two Professionals that Specialize in the Treatment of Relationships and Communication. We are Opened: Days, Eve's & Weekends. These Workshops are Designed for a Rapid Recovery and are Powerful & Comprehensive. Our Marriage/Couples, Alcohol & Communication Workshops have an 85% Rate of Success when you Complete our Program.
(607) 228-8736 View (607) 228-8736

More Therapists Nearby

Photo of Carolyn Smiley, Clinical Social Work/Therapist, LCSW
Carolyn Smiley
Clinical Social Work/Therapist, LCSW
Binghamton, NY 13902
We all experience times in our lives when we feel that life is out of balance. Perhaps there is sadness, or longing. Something doesn't feel quite right. Or Maybe we experience the effects of past or present trauma and feel disconnected from ourselves or others. With presence and warmth my goal is to provide a nurturing environment where you can explore, process, and develop insight into why life feels the way it does. I'll strive to help you find sure footing as you navigate the uncertainties of life, and develop a deeper connection with yourself and others.
We all experience times in our lives when we feel that life is out of balance. Perhaps there is sadness, or longing. Something doesn't feel quite right. Or Maybe we experience the effects of past or present trauma and feel disconnected from ourselves or others. With presence and warmth my goal is to provide a nurturing environment where you can explore, process, and develop insight into why life feels the way it does. I'll strive to help you find sure footing as you navigate the uncertainties of life, and develop a deeper connection with yourself and others.
(908) 948-8935 View (908) 948-8935
Photo of Pat Noble - Mindful Healing & Growth, Clinical Social Work/Therapist, LCSW
Mindful Healing & Growth
Clinical Social Work/Therapist, LCSW
Binghamton, NY 13901
To borrow from Shakespeare, these are times that try our souls- how to navigate this time we are in? Being human means experiencing joys & sorrows, hurts and healing. At times, things happen to us that wound our sense of self & wellbeing, break our hearts & relationships, and leave us limping through our lives. The good news is, though we may be hurt in relationships, we can be healed in relationships and it does not have to be the same relationship. When we struggle to heal and grow, engaging with a professional healer can be helpful.
To borrow from Shakespeare, these are times that try our souls- how to navigate this time we are in? Being human means experiencing joys & sorrows, hurts and healing. At times, things happen to us that wound our sense of self & wellbeing, break our hearts & relationships, and leave us limping through our lives. The good news is, though we may be hurt in relationships, we can be healed in relationships and it does not have to be the same relationship. When we struggle to heal and grow, engaging with a professional healer can be helpful.
(607) 695-4847 View (607) 695-4847
Photo of Jackie Egan, Clinical Social Work/Therapist, LMSW
Jackie Egan
Clinical Social Work/Therapist, LMSW
Johnson City, NY 13790
My ideal client is someone navigating the weight of depression or anxiety, the complexities of grief, or the emotional terrain that comes with aging, illness, or end-of-life transitions. They might be a young adult trying to find meaning and direction amidst internal overwhelm, or an older adult longing to process loss or find peace in later life. They come to therapy with the hope of feeling more steady, understood, and connected. They’re looking for space to be vulnerable without judgment, to reflect on life’s hardest questions, and to feel supported as they reshape their relationship to pain, purpose, and hope.
My ideal client is someone navigating the weight of depression or anxiety, the complexities of grief, or the emotional terrain that comes with aging, illness, or end-of-life transitions. They might be a young adult trying to find meaning and direction amidst internal overwhelm, or an older adult longing to process loss or find peace in later life. They come to therapy with the hope of feeling more steady, understood, and connected. They’re looking for space to be vulnerable without judgment, to reflect on life’s hardest questions, and to feel supported as they reshape their relationship to pain, purpose, and hope.
(716) 437-6973 View (716) 437-6973
Photo of Jamie Papathomopoulos, Clinical Social Work/Therapist, LCSW, CASAC, LMT
Jamie Papathomopoulos
Clinical Social Work/Therapist, LCSW, CASAC, LMT
Endicott, NY 13760
As a person who struggles with day to day stress, you feel tired everyday. It seems you have tried everything but nothing works. Do you feel the same scene playing out in your life over and over again, but you have the inability to change the script? Do you feel powerless in managing intolerable feelings and even more consumed in trying to figure out why you feel this way? My belief is that trauma is the root cause. Most trauma generates from a past or current relationship and can be healed. Even the most severe trauma can be healed.
As a person who struggles with day to day stress, you feel tired everyday. It seems you have tried everything but nothing works. Do you feel the same scene playing out in your life over and over again, but you have the inability to change the script? Do you feel powerless in managing intolerable feelings and even more consumed in trying to figure out why you feel this way? My belief is that trauma is the root cause. Most trauma generates from a past or current relationship and can be healed. Even the most severe trauma can be healed.
(607) 251-0209 View (607) 251-0209
Photo of Kristin Burghardt, Clinical Social Work/Therapist, LCSW
Kristin Burghardt
Clinical Social Work/Therapist, LCSW
Endicott, NY 13760
Today’s world is hard. Each one of us experiences life differently and has their own unique way of handling life’s ups and downs. I work with children and adolescents who are trying to find their way in life and who have hit some roadblocks in their search for happiness and success. I have experience working with youth who are experiencing sadness/depression, anxiety, mood swings, trauma, grief/loss, suicidal ideation/attempts, self harming behaviors , ADHD and anger issues. I also have experience with youth who are experiencing psychosis or other thought disorders.
Today’s world is hard. Each one of us experiences life differently and has their own unique way of handling life’s ups and downs. I work with children and adolescents who are trying to find their way in life and who have hit some roadblocks in their search for happiness and success. I have experience working with youth who are experiencing sadness/depression, anxiety, mood swings, trauma, grief/loss, suicidal ideation/attempts, self harming behaviors , ADHD and anger issues. I also have experience with youth who are experiencing psychosis or other thought disorders.
(607) 524-5417 View (607) 524-5417
Photo of Matt Spottek, Counselor, MA, LMHC, NCC
Matt Spottek
Counselor, MA, LMHC, NCC
2 Endorsed
Binghamton, NY 13905
Are you feeling overwhelmed or stressed? Are you experiencing anxiety, depression, anger/irritability, mood swings, or just feeling "off?" I am glad that you are reaching out for help. My name is Matt Spottek, and I am a New York State Licensed Mental Health Counselor. I specialize in treating the following issues: Anxiety, depression, stress, addiction, communication issues, symptom management, improving interpersonal awareness, and relationship problems. I can help you identify and address your problems, and together we can develop a plan geared toward wellness and recovery.
Are you feeling overwhelmed or stressed? Are you experiencing anxiety, depression, anger/irritability, mood swings, or just feeling "off?" I am glad that you are reaching out for help. My name is Matt Spottek, and I am a New York State Licensed Mental Health Counselor. I specialize in treating the following issues: Anxiety, depression, stress, addiction, communication issues, symptom management, improving interpersonal awareness, and relationship problems. I can help you identify and address your problems, and together we can develop a plan geared toward wellness and recovery.
(607) 214-2859 View (607) 214-2859
Photo of Moonhawk River Stone, Counselor, MS, LMHC
Moonhawk River Stone
Counselor, MS, LMHC
Serves Area
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 Patricia Sharon Jordan - peacefulpathwayscounseling.com, Clinical Social Work/Therapist, LCSW-R
peacefulpathwayscounseling.com
Clinical Social Work/Therapist, LCSW-R
Vestal, NY 13850
I specialize in individual counseling for people suffering with mental health disorders, serious illness, grief, death, weight loss, and LGBT issues, especially transgender. I am a Licensed Clinical Social Worker, with Masters Degrees in Applied Social Science and in Social Work. I am in private practice and am a member of NASW. I have many years of mental health experience, both inpatient and outpatient, serving a diverse population.
I specialize in individual counseling for people suffering with mental health disorders, serious illness, grief, death, weight loss, and LGBT issues, especially transgender. I am a Licensed Clinical Social Worker, with Masters Degrees in Applied Social Science and in Social Work. I am in private practice and am a member of NASW. I have many years of mental health experience, both inpatient and outpatient, serving a diverse population.
(607) 300-6760 View (607) 300-6760
Photo of Krista Larnerd, LMSW
Krista Larnerd
Verified Verified
1 Endorsed
Johnson City, NY 13790
To whomever is reading this, I am proud of you for taking the first step to improve your journey! I am a dedicated and compassionate clinician whom recently graduated from Keuka College with my MSW. My first internship involved completing assessments and developing person-centered treatment approaches at the Children’s Home of Wyoming Conference. Prior to my education at Keuka College, I earned an associate degree in Chemical Dependency Counseling from SUNY Broome and a bachelor’s degree in Human Development from Binghamton University. My second internship was through the Journey Through Psychological Services.
To whomever is reading this, I am proud of you for taking the first step to improve your journey! I am a dedicated and compassionate clinician whom recently graduated from Keuka College with my MSW. My first internship involved completing assessments and developing person-centered treatment approaches at the Children’s Home of Wyoming Conference. Prior to my education at Keuka College, I earned an associate degree in Chemical Dependency Counseling from SUNY Broome and a bachelor’s degree in Human Development from Binghamton University. My second internship was through the Journey Through Psychological Services.
(607) 261-7683 View (607) 261-7683
Photo of Kristen Daniels, MHC-LP
Kristen Daniels
Verified Verified
1 Endorsed
Binghamton, NY 13901
Feeling anxious all the time is such a crippling feeling and can feel like there is no escaping it. Just when one anxious thought starts to go away, another one shows up and takes its place. It can feel like an endless cycle of racing thoughts, worry, and fear about anything and everything. It’s hard to know when the anxiety will be over especially living in an anxiety-inducing world that is constantly changing which in turn leads to more anxiety. If this sounds like you, you're not alone!
Feeling anxious all the time is such a crippling feeling and can feel like there is no escaping it. Just when one anxious thought starts to go away, another one shows up and takes its place. It can feel like an endless cycle of racing thoughts, worry, and fear about anything and everything. It’s hard to know when the anxiety will be over especially living in an anxiety-inducing world that is constantly changing which in turn leads to more anxiety. If this sounds like you, you're not alone!
(929) 445-2107 View (929) 445-2107
Photo of Cassandra L Bransford, Clinical Social Work/Therapist, PhD, LCSW-R
Cassandra L Bransford
Clinical Social Work/Therapist, PhD, LCSW-R
Binghamton, NY 13905
With over 40 years of experience, I offer psychotherapeutic services to individuals who are experiencing relationship difficulties, phase-of-life issues, grief, depression, and/or anxiety disorders. My style is relational, collaborative and strengths-based. Having been formally trained in psychoanalysis, psychodynamic psychotherapy, and trauma specific approaches, I tend to view current psychological challenges as providing renewed opportunities for growth and development, toward the achievement of a richer, more vital, and fully-engaged life.
With over 40 years of experience, I offer psychotherapeutic services to individuals who are experiencing relationship difficulties, phase-of-life issues, grief, depression, and/or anxiety disorders. My style is relational, collaborative and strengths-based. Having been formally trained in psychoanalysis, psychodynamic psychotherapy, and trauma specific approaches, I tend to view current psychological challenges as providing renewed opportunities for growth and development, toward the achievement of a richer, more vital, and fully-engaged life.
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Photo of Jesse Natishak - Jesse Natishak | Couples Therapy, LCSW
Jesse Natishak | Couples Therapy
Verified Verified
Endicott, NY 13760
My role in treating a couple is to equip them with concepts & tools that help turn conflict into insight & to view conflict as a unique means to come closer to one another's feelings and experiences with vulnerability & friendship. Each person brings a unique set of life experiences, together we treat the wounds and address the needs of the relationship. I help couples understand what conflict is as and that while conflict may seem perpetual, it is not a guarantee for separation.
My role in treating a couple is to equip them with concepts & tools that help turn conflict into insight & to view conflict as a unique means to come closer to one another's feelings and experiences with vulnerability & friendship. Each person brings a unique set of life experiences, together we treat the wounds and address the needs of the relationship. I help couples understand what conflict is as and that while conflict may seem perpetual, it is not a guarantee for separation.
(607) 303-6891 View (607) 303-6891
Photo of Steven Paro - SP Counseling and Treatment, Clinical Social Work/Therapist, LCSW-R
SP Counseling and Treatment
Clinical Social Work/Therapist, LCSW-R
Owego, NY 13827
I have been helping people examine and change their lives for 48 years and have been offering Tele-Health Services for some time. I provide Face to Face sessions as well. I specialize in Trauma and Loss, Substance Use Disorders, PTSD, Anxiety and Depression. I am skilled in Cognitive Behavioral Therapy, Mindfulness Techniques, Values Clarification and Goal Setting. I offer a 20–30-minute free consultation to determine if we are a good fit for each other. There is no obligation! My website is: https:/steven-paro.clientsecure.me.
I have been helping people examine and change their lives for 48 years and have been offering Tele-Health Services for some time. I provide Face to Face sessions as well. I specialize in Trauma and Loss, Substance Use Disorders, PTSD, Anxiety and Depression. I am skilled in Cognitive Behavioral Therapy, Mindfulness Techniques, Values Clarification and Goal Setting. I offer a 20–30-minute free consultation to determine if we are a good fit for each other. There is no obligation! My website is: https:/steven-paro.clientsecure.me.
(607) 208-7948 View (607) 208-7948
Photo of Christina Anne Wisnesky, Counselor, LMHC, NCC, CCMHC
Christina Anne Wisnesky
Counselor, LMHC, NCC, CCMHC
1 Endorsed
Endicott, NY 13760
In my years of experience, I have worked the most with individuals experiencing issues with anxiety, grief, depression, and trauma. I have found the most success with meeting clients where they are at, building a strong therapeutic rapport, and using an eclectic style of treatment techniques (tailored to each individual’s needs). This collective approach will allow individuals to gain the most from their therapy involvement. I will provide the framework for the client to develop their strategy in order to work toward achieving their psychological, emotional, and social well being.
In my years of experience, I have worked the most with individuals experiencing issues with anxiety, grief, depression, and trauma. I have found the most success with meeting clients where they are at, building a strong therapeutic rapport, and using an eclectic style of treatment techniques (tailored to each individual’s needs). This collective approach will allow individuals to gain the most from their therapy involvement. I will provide the framework for the client to develop their strategy in order to work toward achieving their psychological, emotional, and social well being.
(607) 208-7951 View (607) 208-7951
Photo of Jessica S Ventura-Ewing, Counselor, LMHC, LCPC, IMH-E, PMH-C, ATR-BC
Jessica S Ventura-Ewing
Counselor, LMHC, LCPC, IMH-E, PMH-C, ATR-BC
3 Endorsed
Serves Area
Becoming a parent is one of the most transformative journeys a person will experience. For some it can be a time for self awareness, reflection and deepening of relationships. For others it may be a time filled with anxiety, fear and distress. After baby arrives the family will be in a time of transition, navigating new roles and how to care for and attune to baby. I am passionate about supporting parents and their babies to navigate the crucial time period.
Becoming a parent is one of the most transformative journeys a person will experience. For some it can be a time for self awareness, reflection and deepening of relationships. For others it may be a time filled with anxiety, fear and distress. After baby arrives the family will be in a time of transition, navigating new roles and how to care for and attune to baby. I am passionate about supporting parents and their babies to navigate the crucial time period.
(773) 377-3440 View (773) 377-3440
Photo of Jennifer Dovin, Clinical Social Work/Therapist, LCSW-R
Jennifer Dovin
Clinical Social Work/Therapist, LCSW-R
1 Endorsed
Johnson City, NY 13790
As a therapist, my ideal patient is someone who is open to self-exploration and personal growth. I thrive when working with individuals who are ready to engage in the therapeutic process, whether they are facing specific challenges or seeking to enhance their overall well-being. My ideal patient values collaboration and demonstrates a willingness to share their thoughts and feelings while being receptive to feedback and new perspectives. I particularly resonate with those navigating PTSD, life transitions, relationship dynamics and coping with depression and anxiety.
As a therapist, my ideal patient is someone who is open to self-exploration and personal growth. I thrive when working with individuals who are ready to engage in the therapeutic process, whether they are facing specific challenges or seeking to enhance their overall well-being. My ideal patient values collaboration and demonstrates a willingness to share their thoughts and feelings while being receptive to feedback and new perspectives. I particularly resonate with those navigating PTSD, life transitions, relationship dynamics and coping with depression and anxiety.
(607) 523-3731 View (607) 523-3731

How does your Therapist compare?

Number of Therapists in 13761

< 10

Therapists in 13761 who prioritize treating:

100% Depression
100% Anxiety
75% Relationship Issues
75% Grief
75% Coping Skills
75% Self Esteem
75% Stress

Average years in practice

45 Years

Top 3 insurances accepted

100% Excellus BlueCross BlueShield
50% Aetna
50% Optum

How Therapists in 13761 see their clients

100% In Person and Online

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 13761?

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.