Photo of Dawn Garber, LMFT, IMFT, Marriage & Family Therapist
Dawn Garber
Marriage & Family Therapist, LMFT, IMFT
Verified Verified
3 Endorsed
Rochester, NY 14602  (Online Only)
As a 40-something with 15+ years of clinical experience in Marriage and Family Therapy, I have found that life is a journey of learning filled with twists and turns, many of which are beyond our power and control. It seems that when we are faced with the choices that naturally proceed from this journey, often we choose something not because it aligns with our highest value, but because it protects our unspoken vulnerabilities. If our greatest loyalty lies with our greatest fear or pain, then that fear or pain holds the potential to be either the cage that imprisons us or the opportunity that grows us to a new level of development.
As a 40-something with 15+ years of clinical experience in Marriage and Family Therapy, I have found that life is a journey of learning filled with twists and turns, many of which are beyond our power and control. It seems that when we are faced with the choices that naturally proceed from this journey, often we choose something not because it aligns with our highest value, but because it protects our unspoken vulnerabilities. If our greatest loyalty lies with our greatest fear or pain, then that fear or pain holds the potential to be either the cage that imprisons us or the opportunity that grows us to a new level of development.
(315) 552-0603 View (315) 552-0603
Photo of Jay W Pruiett, LCSW-R, Clinical Social Work/Therapist
Jay W Pruiett
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Rochester, NY 14602
Thank you for visiting my site and for your interest in professional counseling. If you are ready to feel better, please call me for a free telephone consultation and to talk about how therapy can help. If you want to strengthen your marriage, repair a damaged relationship, manage anxiety and depression more effectively, or change bad habits, and if you are motivated to change your life, then you are looking in the right place. After nearly 30 years of practice, I know that psychotherapy works and I encourage you to explore how therapy might work for you.
Thank you for visiting my site and for your interest in professional counseling. If you are ready to feel better, please call me for a free telephone consultation and to talk about how therapy can help. If you want to strengthen your marriage, repair a damaged relationship, manage anxiety and depression more effectively, or change bad habits, and if you are motivated to change your life, then you are looking in the right place. After nearly 30 years of practice, I know that psychotherapy works and I encourage you to explore how therapy might work for you.
(585) 563-1020 View (585) 563-1020
Photo of Christopher J Charleton, LCSW, MA, Clinical Social Work/Therapist
Christopher J Charleton
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
Rochester, NY 14602
You are not alone as we partner together to explore, uncover and remove the obstacles that prevent you from becoming your best self and having the quality of life you long for. Using a psychodynamic framework to engage you, build hope, and establish a healing relationship, I specialize in dealing with the cumulative life stresses, traumas, griefs and losses that insidiously sabotage your best efforts, deplete your energy, tempt you into addictions to numb and avoid the pain life has brought you, or turn your long suffering into despair and depression.
You are not alone as we partner together to explore, uncover and remove the obstacles that prevent you from becoming your best self and having the quality of life you long for. Using a psychodynamic framework to engage you, build hope, and establish a healing relationship, I specialize in dealing with the cumulative life stresses, traumas, griefs and losses that insidiously sabotage your best efforts, deplete your energy, tempt you into addictions to numb and avoid the pain life has brought you, or turn your long suffering into despair and depression.
(585) 302-4198 View (585) 302-4198
Photo of Suzanne Sefton-Silver, PhD, Psychologist
Suzanne Sefton-Silver
Psychologist, PhD
Verified Verified
Rochester, NY 14602
Hello. If you are on this site, it is likely things are not going well for your child at school, at home or with friends. You're worried, frustrated and possibly angry. When our children suffer, parents want to make it better. Sometimes, it can feel overwhelming. There is hope and there is help. I am a clinical psychologist specializing in work with children. I have extensive experience addressing the developmental, behavioral and emotional needs of children in diagnostic, school and family settings.
Hello. If you are on this site, it is likely things are not going well for your child at school, at home or with friends. You're worried, frustrated and possibly angry. When our children suffer, parents want to make it better. Sometimes, it can feel overwhelming. There is hope and there is help. I am a clinical psychologist specializing in work with children. I have extensive experience addressing the developmental, behavioral and emotional needs of children in diagnostic, school and family settings.
(585) 563-5056 View (585) 563-5056
Photo of Sara Ormsby, LCSW, Clinical Social Work/Therapist
Sara Ormsby
Clinical Social Work/Therapist, LCSW
Not Verified Not Verified
4 Endorsed
Rochester, NY 14602
My belief in the resilience of the human spirit is the source from which I draw my hope - the same hope that I offer to my clients. Whether you are experiencing a life change such as divorce or loss, substance abuse, family conflict, or are simply in need of support as you navigate through one of life's challenges, there is hope for you as well. I have guided and supported many people through these same challenges with compassion, professionalism, and humor.
My belief in the resilience of the human spirit is the source from which I draw my hope - the same hope that I offer to my clients. Whether you are experiencing a life change such as divorce or loss, substance abuse, family conflict, or are simply in need of support as you navigate through one of life's challenges, there is hope for you as well. I have guided and supported many people through these same challenges with compassion, professionalism, and humor.
(585) 633-7664 View (585) 633-7664
Photo of Siera Weiss, LCAT, Art Therapist
Siera Weiss
Art Therapist, LCAT
Verified Verified
1 Endorsed
Rochester, NY 14602
There are times in most people’s lives when we get stuck in patterns of behavior or feelings that weigh us down and hold us back. During those times, the compassionate support and guidance from a therapist may be what we need to get to the root of what hinders us, work though it, and grow past it.
There are times in most people’s lives when we get stuck in patterns of behavior or feelings that weigh us down and hold us back. During those times, the compassionate support and guidance from a therapist may be what we need to get to the root of what hinders us, work though it, and grow past it.
(585) 626-4819 View (585) 626-4819
Photo of Kim Mossbrook, CCEP, MEd, BS
Kim Mossbrook
CCEP, MEd, BS
Verified Verified
Rochester, NY 14602
Core Energetics is a dynamic system for personal growth, healing, and transformation. Together we work to unblock your innate life force through the use of movement, breath, voice, and other techniques. You gain greater understanding of what makes you tick. This understanding opens up more choices about what you create in your life. When your energy is blocked, your body and personality suffer. When your energy is flowing, long standing patterns shift. You have more clarity, purpose, pleasure.
Core Energetics is a dynamic system for personal growth, healing, and transformation. Together we work to unblock your innate life force through the use of movement, breath, voice, and other techniques. You gain greater understanding of what makes you tick. This understanding opens up more choices about what you create in your life. When your energy is blocked, your body and personality suffer. When your energy is flowing, long standing patterns shift. You have more clarity, purpose, pleasure.
(585) 412-2599 View (585) 412-2599
Photo of Chad S Pautler, LMHC
Chad S Pautler
LMHC
Verified Verified
7 Endorsed
Rochester, NY 14602
Accepting new clients! Available Weekdays (9AM - 4PM); evenings full. Are you struggling with anxiety, depression, burn out, stress, or loneliness? Unfortunately, this is quite common for many people in today's world. Some feel as if they are drifting through life, without a deeper sense of meaning, or purpose. Sometimes, we numb the pain; other times, we just accept it and don't realize how to manage it. It is also common for people to struggle with having deeper relationships, whether with family, friends or romantic. If you would like to identify and explore the roots of these or other issues, you have come to the right place.
Accepting new clients! Available Weekdays (9AM - 4PM); evenings full. Are you struggling with anxiety, depression, burn out, stress, or loneliness? Unfortunately, this is quite common for many people in today's world. Some feel as if they are drifting through life, without a deeper sense of meaning, or purpose. Sometimes, we numb the pain; other times, we just accept it and don't realize how to manage it. It is also common for people to struggle with having deeper relationships, whether with family, friends or romantic. If you would like to identify and explore the roots of these or other issues, you have come to the right place.
(716) 340-0754 View (716) 340-0754
Photo of Lauren Damstetter, LCSW, Clinical Social Work/Therapist
Lauren Damstetter
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14602  (Online Only)
Life can be hard at times and it can leave you feeling stuck and hopeless, but there is hope. I believe you deserve to live a life in which you are thriving instead of surviving. I can help you begin to understand, transform, and heal your pain so that you can live a fulfilling and meaningful life. One of the bravest things we can do is to begin to understand ourselves and you don’t have to go on that journey alone. I will provide a compassionate and nonjudgmental space to foster your healing journey. “When we have the courage to walk into our story and own it, we get to write the ending” -Brene Brown
Life can be hard at times and it can leave you feeling stuck and hopeless, but there is hope. I believe you deserve to live a life in which you are thriving instead of surviving. I can help you begin to understand, transform, and heal your pain so that you can live a fulfilling and meaningful life. One of the bravest things we can do is to begin to understand ourselves and you don’t have to go on that journey alone. I will provide a compassionate and nonjudgmental space to foster your healing journey. “When we have the courage to walk into our story and own it, we get to write the ending” -Brene Brown
(716) 455-2079 View (716) 455-2079
Photo of Lauren Ayres, LCSW, Clinical Social Work/Therapist
Lauren Ayres
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14602
Not accepting new clients
I enjoy working with people to help them find solutions and acceptance in their lives while working through grief, depression, anxiety, trauma, relational issues, and struggles with faith. My hope is that as we work together, you will find solutions to problems, healing for your mind, body, and emotions, and answers to questions for which you have been seeking. Whether or not you are a person of faith, life can be complex and having an outside perspective and tools based in truth can be helpful to most. I would be honored in helping you in your journey.
I enjoy working with people to help them find solutions and acceptance in their lives while working through grief, depression, anxiety, trauma, relational issues, and struggles with faith. My hope is that as we work together, you will find solutions to problems, healing for your mind, body, and emotions, and answers to questions for which you have been seeking. Whether or not you are a person of faith, life can be complex and having an outside perspective and tools based in truth can be helpful to most. I would be honored in helping you in your journey.
(585) 326-8592 View (585) 326-8592
Photo of Daniel Millstein, PhD, Psychologist
Daniel Millstein
Psychologist, PhD
Verified Verified
Rochester, NY 14602  (Online Only)
You may be unsure what therapy is, how it works, and if it can help you. Or, you are dealing with symptoms of anxiety, uncertainty, or feeling unclear on things in your life. While therapy can help with many of these issues, feeling like you have a clear and focused approach is important. That is where I come in. My goal is to take much of the uncertainty out of seeing a therapist and to help you feel like you can learn and practice concrete skills for navigating your life.
You may be unsure what therapy is, how it works, and if it can help you. Or, you are dealing with symptoms of anxiety, uncertainty, or feeling unclear on things in your life. While therapy can help with many of these issues, feeling like you have a clear and focused approach is important. That is where I come in. My goal is to take much of the uncertainty out of seeing a therapist and to help you feel like you can learn and practice concrete skills for navigating your life.
(781) 516-8407 View (781) 516-8407
Photo of Ronald E Follansbee Jr, LCSW, Clinical Social Work/Therapist
Ronald E Follansbee Jr
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14602
Not accepting new clients
I hold the opinion that most challenges to our health come from things that have happened to us in the past. Sometimes people need help processing what has happened to them and understanding how it impacts their life today. I believe that people are generally good and are always striving to live their best life. I like to come alongside someone, in an accepting and curious manner, to help them figure out how to move forward in the most healthful way possible.
I hold the opinion that most challenges to our health come from things that have happened to us in the past. Sometimes people need help processing what has happened to them and understanding how it impacts their life today. I believe that people are generally good and are always striving to live their best life. I like to come alongside someone, in an accepting and curious manner, to help them figure out how to move forward in the most healthful way possible.
(585) 440-9153 View (585) 440-9153
Photo of Michelle Uzoma, MA, MHC-LP
Michelle Uzoma
MA, MHC-LP
Verified Verified
Rochester, NY 14602  (Online Only)
I hope this message finds you well. I wanted to extend a warm invitation to seek support from me. I prioritize creating a safe and nurturing environment where you can openly explore your thoughts, feelings, and experiences. Whether you're facing challenges, seeking personal growth, or simply need someone to listen, I am here to support you every step of the way. I strive to create a non-judgmental environment.
I hope this message finds you well. I wanted to extend a warm invitation to seek support from me. I prioritize creating a safe and nurturing environment where you can openly explore your thoughts, feelings, and experiences. Whether you're facing challenges, seeking personal growth, or simply need someone to listen, I am here to support you every step of the way. I strive to create a non-judgmental environment.
(585) 541-3636 View (585) 541-3636
Photo of Alia Healy Cross, MS, LMHC, Counselor
Alia Healy Cross
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Rochester, NY 14602
Due to licensing rules, I can only see New York clients! I am empathetic when working with diverse, adult populations facing situational & mental health challenges. I've been on both sides of "the therapy couch" as a Survivor with Bipolar I Disorder & as a counselor. I completed my internship assisting Survivors of Domestic Violence & have a great deal of knowledge about Healthy Relationships vs Unhealthy ones. I'm comfortable helping folks facing anxiety, depression, psychosis & trauma. I can assist in clarifying achievable goals & I can build trust. It's an honor to be able to help others navigate the curveballs life will throw!
Due to licensing rules, I can only see New York clients! I am empathetic when working with diverse, adult populations facing situational & mental health challenges. I've been on both sides of "the therapy couch" as a Survivor with Bipolar I Disorder & as a counselor. I completed my internship assisting Survivors of Domestic Violence & have a great deal of knowledge about Healthy Relationships vs Unhealthy ones. I'm comfortable helping folks facing anxiety, depression, psychosis & trauma. I can assist in clarifying achievable goals & I can build trust. It's an honor to be able to help others navigate the curveballs life will throw!
(716) 458-7887 View (716) 458-7887
Photo of Joy-Anne Persaud, MHC-LP, Pre-Licensed Professional
Joy-Anne Persaud
Pre-Licensed Professional, MHC-LP
Verified Verified
1 Endorsed
Rochester, NY 14602  (Online Only)
It takes a lot of courage to do what you're doing right now. Asking for help can be one of the hardest things to do in life, but you're taking that first step, which is half the battle. If you are experiencing challenges related to trauma, anxiety, depression, communication issues, or major life changes, I am here to offer the support that you need. My name is Joy, and I'm an MHC-LP Psychotherapist at Center Rock Mental Health Counseling. My main goal is to provide a safe space for you to speak freely and comfortably, as you process your thoughts, feelings, and experiences.
It takes a lot of courage to do what you're doing right now. Asking for help can be one of the hardest things to do in life, but you're taking that first step, which is half the battle. If you are experiencing challenges related to trauma, anxiety, depression, communication issues, or major life changes, I am here to offer the support that you need. My name is Joy, and I'm an MHC-LP Psychotherapist at Center Rock Mental Health Counseling. My main goal is to provide a safe space for you to speak freely and comfortably, as you process your thoughts, feelings, and experiences.
(917) 912-2925 View (917) 912-2925
Photo of Jessica Massaro - Compassionate Connections Sex & Couples Counseling, LCSW-R, BHC, Clinical Social Work/Therapist
Compassionate Connections Sex & Couples Counseling
Clinical Social Work/Therapist, LCSW-R, BHC
Verified Verified
1 Endorsed
Rochester, NY 14602  (Online Only)
Jessica is certified in Family Therapy & Couples Therapy; I am a supportive and kink-affirming therapist and I love helping couples (and individuals) learn to effectively communicate, create intimacy and connection, reignite chemistry and provide sex education; because the sexual life you desire doesn't have to be out of reach! I am comfortable hearing about those spicy desires so that I can empower you to share them with your partner(s) in a safe and non-judgmental way. I specialize in couples counseling & sex therapy. There is nothing taboo or off limits to anything you share with me, as your psychological safety is my priority.
Jessica is certified in Family Therapy & Couples Therapy; I am a supportive and kink-affirming therapist and I love helping couples (and individuals) learn to effectively communicate, create intimacy and connection, reignite chemistry and provide sex education; because the sexual life you desire doesn't have to be out of reach! I am comfortable hearing about those spicy desires so that I can empower you to share them with your partner(s) in a safe and non-judgmental way. I specialize in couples counseling & sex therapy. There is nothing taboo or off limits to anything you share with me, as your psychological safety is my priority.
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Photo of Johnathan Elliott, LMHC, NCC, Counselor
Johnathan Elliott
Counselor, LMHC, NCC
Verified Verified
Rochester, NY 14602
Immediate openings. The difficulties of life grip us in ways both obvious and unseen. Life has a way of happening at inconvenient times and counseling can assist in navigating the emotional difficulties and consequences with someone who is non-judgmental and supportive. I strive to view the world through your lens while helping you recognize your strengths and build resiliency through proven techniques so that you can lead a successful and comfortable life. I hope to have the opportunity to support you through this difficult time.
Immediate openings. The difficulties of life grip us in ways both obvious and unseen. Life has a way of happening at inconvenient times and counseling can assist in navigating the emotional difficulties and consequences with someone who is non-judgmental and supportive. I strive to view the world through your lens while helping you recognize your strengths and build resiliency through proven techniques so that you can lead a successful and comfortable life. I hope to have the opportunity to support you through this difficult time.
(585) 598-1916 View (585) 598-1916
Photo of Monika Rybak, LP-MHC
Monika Rybak
LP-MHC
Verified Verified
4 Endorsed
Rochester, NY 14602  (Online Only)
Connections with others are a vital lifeline in times of stress. I work with adults who may be struggling with a variety of issues, life transitions, or would like support on their mental health journeys. I want to be a positive support system while challenging you to become your most empowered self. We will work together to foster a balanced life. As a Mental Health Counselor-LP, working under the supervision of Silvia B. Arias, I look forward to counseling those who feel emotionally fatigued, or anyone who has a difficult time making sense of their life.
Connections with others are a vital lifeline in times of stress. I work with adults who may be struggling with a variety of issues, life transitions, or would like support on their mental health journeys. I want to be a positive support system while challenging you to become your most empowered self. We will work together to foster a balanced life. As a Mental Health Counselor-LP, working under the supervision of Silvia B. Arias, I look forward to counseling those who feel emotionally fatigued, or anyone who has a difficult time making sense of their life.
(914) 415-5708 View (914) 415-5708
Photo of Deanne Christopher, LCSW, Clinical Social Work/Therapist
Deanne Christopher
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14602  (Online Only)
If tacos can fall apart and still be amazing, so can you! I am so glad you've found my page. I am a licensed clinical social worker in Syracuse, NY. I believe that everyone could benefit from therapy at some point in their lives. It's common to think that you only need therapy when your life is in shambles. That's not so, the best time to seek support is when you're in a place be ready to discover that your goals are achievable through time and implementation of skills learned through therapy sessions.
If tacos can fall apart and still be amazing, so can you! I am so glad you've found my page. I am a licensed clinical social worker in Syracuse, NY. I believe that everyone could benefit from therapy at some point in their lives. It's common to think that you only need therapy when your life is in shambles. That's not so, the best time to seek support is when you're in a place be ready to discover that your goals are achievable through time and implementation of skills learned through therapy sessions.
(315) 918-7739 View (315) 918-7739
Photo of David Krakowski, LCSW, Clinical Social Work/Therapist
David Krakowski
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Rochester, NY 14602
Are anxiety, fears, or stress interfering with your life? Close your eyes and imagine what your life would look like without anxiety, fear, and stress. How would you feel? What activities would you get involved in, what relationships would you pursue? Together we can explore how anxieties, fears, and stress develop and how to free yourself from them. I am a Licensed Clinical Social Worker in NY and NJ. In my many years of experience, I have successfully treated clients with various anxieties and phobias, as well as depression, stress, and life transition issues. After treatment clients report feeling empowered, calm, and happy.
Are anxiety, fears, or stress interfering with your life? Close your eyes and imagine what your life would look like without anxiety, fear, and stress. How would you feel? What activities would you get involved in, what relationships would you pursue? Together we can explore how anxieties, fears, and stress develop and how to free yourself from them. I am a Licensed Clinical Social Worker in NY and NJ. In my many years of experience, I have successfully treated clients with various anxieties and phobias, as well as depression, stress, and life transition issues. After treatment clients report feeling empowered, calm, and happy.
(201) 581-3034 View (201) 581-3034
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See more therapy options for 14602

How does your Therapist compare?

Number of Therapists in 14602

30+

Average cost per session

$130

Therapists in 14602 who prioritize treating:

94% Anxiety
88% Relationship Issues
88% Depression
75% Grief
72% Trauma and PTSD
72% Coping Skills
72% Self Esteem

Average years in practice

11 Years

Top 3 insurances accepted

70% Aetna
57% Cigna and Evernorth
57% Oxford

How Therapists in 14602 see their clients

56% Online Only
44% In Person and Online

Gender breakdown

65% Female
29% Male
6% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 14602?

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.