Photo of Rebecca McDermott, MS, LMFT, Marriage & Family Therapist
Rebecca McDermott
Marriage & Family Therapist, MS, LMFT
Verified Verified
7 Endorsed
Erdenheim, PA 19038
Not accepting new clients
You have spent years now wishing that things would be different. Your hope that things would get better once you were done school, the kids were older, you/they got the job, but nothing feels different. You are stuck in cycle, that during it's peak shakes you to your core and makes you question everything. When things feel calmer, you are holding your breath waiting for it to start again. You want to break free of this cycle. You want joy, laughter, love and connection! You already have the answers to make this a reality, maybe you just need a guide.
You have spent years now wishing that things would be different. Your hope that things would get better once you were done school, the kids were older, you/they got the job, but nothing feels different. You are stuck in cycle, that during it's peak shakes you to your core and makes you question everything. When things feel calmer, you are holding your breath waiting for it to start again. You want to break free of this cycle. You want joy, laughter, love and connection! You already have the answers to make this a reality, maybe you just need a guide.
(484) 851-9291 View (484) 851-9291
Photo of Cat McLaughlin, MA, NCC, LPC, Licensed Professional Counselor
Cat McLaughlin
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
3 Endorsed
Wyndmoor, PA 19038
You don't have to struggle through each day, or learn elaborate ways to manage your symptoms - that's exhausting & not a way to live. As an AEDP clinician, I help us create safety to allow your emotions to be felt and expressed, together. We’ll quickly get to what’s bothering you, addressing your most pressing concerns first, and you’ll learn strategies to enable you to have some relief. As you feel better, emotions are uncovered, acknowledged, and felt. I am interested in developing our relationship, which provides a grounded place to explore your concerns together in a respectful and collaborative way.
You don't have to struggle through each day, or learn elaborate ways to manage your symptoms - that's exhausting & not a way to live. As an AEDP clinician, I help us create safety to allow your emotions to be felt and expressed, together. We’ll quickly get to what’s bothering you, addressing your most pressing concerns first, and you’ll learn strategies to enable you to have some relief. As you feel better, emotions are uncovered, acknowledged, and felt. I am interested in developing our relationship, which provides a grounded place to explore your concerns together in a respectful and collaborative way.
(267) 460-7530 View (267) 460-7530
Photo of S E A Counseling, MA, LPC, Licensed Professional Counselor
S E A Counseling
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Online Only
I enjoy helping others overcome sleep disturbance, bothersome anxiety, adjusting to the challenges of parenthood and improving communication skills. I mostly focus on your present situation and apply various solution-focused modalities to help reach your therapeutic goals.
I enjoy helping others overcome sleep disturbance, bothersome anxiety, adjusting to the challenges of parenthood and improving communication skills. I mostly focus on your present situation and apply various solution-focused modalities to help reach your therapeutic goals.
(267) 223-0709 View (267) 223-0709
Photo of Hillary A. Graham, MS, LPC, Licensed Professional Counselor
Hillary A. Graham
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Wyndmoor, PA 19038
I have been privileged to work alongside people of all ages, races, and beliefs, which has offered me the advantage of a wide perspective on life. One of my main goals is to help you integrate the solutions we discover in session into your daily life. I have dedicated my professional life to gaining the skills to partner with you, so you can feel excited and encouraged to consider your life and all its purposes with confidence with renewed happiness. I look forward to connecting and answering any initial questions you may have, as you choose your next healing steps!
I have been privileged to work alongside people of all ages, races, and beliefs, which has offered me the advantage of a wide perspective on life. One of my main goals is to help you integrate the solutions we discover in session into your daily life. I have dedicated my professional life to gaining the skills to partner with you, so you can feel excited and encouraged to consider your life and all its purposes with confidence with renewed happiness. I look forward to connecting and answering any initial questions you may have, as you choose your next healing steps!
(215) 398-6948 View (215) 398-6948
Photo of Allison (Allie) Beer, MSW, LCSW, Clinical Social Work/Therapist
Allison (Allie) Beer
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Wyndmoor, PA 19038
Do you often find yourself caught in a whirlwind of worry? Does everything feel heavy, with the pressure to not let others down weighing on you? You crave genuine connections, yet the thought of showing your true self can feel overwhelming. It’s as if you’re wearing a mask, afraid that if you reveal the vulnerable parts of you, it might be too much for others to handle. This sense of not quite fitting in can be so isolating. You recognize patterns in your life that no longer serve you, but breaking free from them is challenging.
Do you often find yourself caught in a whirlwind of worry? Does everything feel heavy, with the pressure to not let others down weighing on you? You crave genuine connections, yet the thought of showing your true self can feel overwhelming. It’s as if you’re wearing a mask, afraid that if you reveal the vulnerable parts of you, it might be too much for others to handle. This sense of not quite fitting in can be so isolating. You recognize patterns in your life that no longer serve you, but breaking free from them is challenging.
(484) 666-5931 View (484) 666-5931
Photo of Julia Ruane, LCSW, PMH-C, Clinical Social Work/Therapist
Julia Ruane
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Online Only
Hi! I'm Julia. I specialize and am certified in perinatal mental health. I work with clients through the unpredictability of trying to start a family, including adoption and fertility issues. I support families who are facing the pain of pregnancy loss, or dealing with the aftermath of birth trauma. I treat perinatal mood and anxiety disorders that arise during pregnancy and/or the postpartum period. I provide a skilled perspective to help clients learn how to ride the waves of this delicate and vulnerable time.
Hi! I'm Julia. I specialize and am certified in perinatal mental health. I work with clients through the unpredictability of trying to start a family, including adoption and fertility issues. I support families who are facing the pain of pregnancy loss, or dealing with the aftermath of birth trauma. I treat perinatal mood and anxiety disorders that arise during pregnancy and/or the postpartum period. I provide a skilled perspective to help clients learn how to ride the waves of this delicate and vulnerable time.
(215) 999-7062 View (215) 999-7062
Photo of Elizabeth Anne Butler, LCSW, Clinical Social Work/Therapist
Elizabeth Anne Butler
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Erdenheim, PA 19038
When working with my clients, I address problems related to difficult life transitions, anxiety, depression, self esteem, relationships, career, and parenting effectiveness. My clients and I work together to form useful, hands-on strategies. My goals are that clients feel better sooner than later so they can enjoy a higher quality of life.
When working with my clients, I address problems related to difficult life transitions, anxiety, depression, self esteem, relationships, career, and parenting effectiveness. My clients and I work together to form useful, hands-on strategies. My goals are that clients feel better sooner than later so they can enjoy a higher quality of life.
(215) 977-4668 View (215) 977-4668
Photo of Richard Bergman Ph.d., PhD, Psychologist
Richard Bergman Ph.d.
Psychologist, PhD
Verified Verified
Wyndmoor, PA 19038
As a licensed psychologist, I work with adults, teens (16 and older) and couples. I am here to help with anxiety, depression, trauma and PTSD, relationship issues, life transitions and more. Through respect, understanding, honesty and a touch of humor, therapy becomes a safe place to ease distress and accomplish goals. As we work together, therapy can help with easing symptoms, healing and recovery, improving life satisfaction, relationships and well being. I incorporate the wisdom and tools from various psychotherapy approaches.
As a licensed psychologist, I work with adults, teens (16 and older) and couples. I am here to help with anxiety, depression, trauma and PTSD, relationship issues, life transitions and more. Through respect, understanding, honesty and a touch of humor, therapy becomes a safe place to ease distress and accomplish goals. As we work together, therapy can help with easing symptoms, healing and recovery, improving life satisfaction, relationships and well being. I incorporate the wisdom and tools from various psychotherapy approaches.
(215) 618-9234 View (215) 618-9234
Photo of Lauren Reid, PhD, Psychologist
Lauren Reid
Psychologist, PhD
Verified Verified
1 Endorsed
Online Only
My goal is to support you and honor your experience by listening to what you need from a healing space. I am gender-affirming, LGBTQ+ affirming, and recognize the significance of race/culture. I have extensive clinical experience and training working with individuals struggling with identity, relational problems, family of origin issues, trauma, self-esteem, depression, anxiety and stress management. I work with you to help you identify patterns that no longer serve you and empower you to choose whether you shift those patterns as you become aware.
My goal is to support you and honor your experience by listening to what you need from a healing space. I am gender-affirming, LGBTQ+ affirming, and recognize the significance of race/culture. I have extensive clinical experience and training working with individuals struggling with identity, relational problems, family of origin issues, trauma, self-esteem, depression, anxiety and stress management. I work with you to help you identify patterns that no longer serve you and empower you to choose whether you shift those patterns as you become aware.
(215) 770-2778 View (215) 770-2778
Photo of Taniek A Gentles, LMFT, Marriage & Family Therapist
Taniek A Gentles
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Glenside, PA 19038
You were given this life because you are strong enough to live it"-Unknown Inspiration is a person, place, experience that makes someone want to do something or create something. I like to think of therapy as a place to inspire people to do better, to want better, to create better and to live better. My ultimate goal is for my clients to embrace their full sense of self, walk away feeling empowered and take courageous steps towards living the life they want to live. I strive to create a safe, nurturing environment where vulnerabilities are embraced and used to shape people into the human beings they were created to be.
You were given this life because you are strong enough to live it"-Unknown Inspiration is a person, place, experience that makes someone want to do something or create something. I like to think of therapy as a place to inspire people to do better, to want better, to create better and to live better. My ultimate goal is for my clients to embrace their full sense of self, walk away feeling empowered and take courageous steps towards living the life they want to live. I strive to create a safe, nurturing environment where vulnerabilities are embraced and used to shape people into the human beings they were created to be.
(267) 863-2927 View (267) 863-2927
Photo of Patricia J Duffy, MSS, LCSW, Clinical Social Work/Therapist
Patricia J Duffy
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
1 Endorsed
Wyndmoor, PA 19038
Waitlist for new clients
Psychotherapy can be a powerful and transformative experience. I believe that psychological healing occurs within the relationship between patient and therapist. Together we will seek to explore and understand your life experiences, thoughts, and emotions, with the goal of helping you experience your world in a new way.
Psychotherapy can be a powerful and transformative experience. I believe that psychological healing occurs within the relationship between patient and therapist. Together we will seek to explore and understand your life experiences, thoughts, and emotions, with the goal of helping you experience your world in a new way.
(267) 888-5040 x2 View (267) 888-5040 x2
Photo of Denise M. Carr, MS, LMFT, Marriage & Family Therapist
Denise M. Carr
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Online Only
I believe we all have different struggles and I provide individualized treatment to explore the challenges in life. My philosophy is to work with the whole person, mind, body, and spirit to help you release anxiety, depression or stressful feelings that may be caused by unhelpful thoughts and behaviors. My goal is to establish a starting point that is comfortable for you in order to build a collaborative working relationship. Together, we will achieve your goals and increase fulfillment, happiness, and peace in your life.
I believe we all have different struggles and I provide individualized treatment to explore the challenges in life. My philosophy is to work with the whole person, mind, body, and spirit to help you release anxiety, depression or stressful feelings that may be caused by unhelpful thoughts and behaviors. My goal is to establish a starting point that is comfortable for you in order to build a collaborative working relationship. Together, we will achieve your goals and increase fulfillment, happiness, and peace in your life.
(215) 709-7452 View (215) 709-7452
Photo of Lauren Massi, MS, LPC, CCTP, Licensed Professional Counselor
Lauren Massi
Licensed Professional Counselor, MS, LPC, CCTP
Verified Verified
1 Endorsed
Erdenheim, PA 19038
Welcome, I'm glad you're here! Whatever your reason for seeking therapy for yourself or your teen, I am so happy to help you along your path. Maybe you've been facing anxiety that interrupts your life with worry, intrusive thoughts, and panic attacks; or depression that keeps you stuck within sadness, hopelessness, or feeling numb and disconnected. Challenges within your relationships - romantic, family, friends - make it feel scary to connect with people and trust others. Perhaps you've suffered traumatic experiences and relationships that have left you feeling lost, hoping to feel like yourself again.
Welcome, I'm glad you're here! Whatever your reason for seeking therapy for yourself or your teen, I am so happy to help you along your path. Maybe you've been facing anxiety that interrupts your life with worry, intrusive thoughts, and panic attacks; or depression that keeps you stuck within sadness, hopelessness, or feeling numb and disconnected. Challenges within your relationships - romantic, family, friends - make it feel scary to connect with people and trust others. Perhaps you've suffered traumatic experiences and relationships that have left you feeling lost, hoping to feel like yourself again.
(215) 366-0073 View (215) 366-0073
Photo of Trudy Gregson, LPC, Licensed Professional Counselor
Trudy Gregson
Licensed Professional Counselor, LPC
Verified Verified
Online Only
If you're feeling overwhelmed, anxious, depressed, or stuck in a pattern that just isn’t working for you, I can help. We'll work together to untangle all your complicated feelings so you can gain a greater sense of control over your life. Your relationships will be smoother and you’ll feel better able to make choices that help you get what you need. I’ll bring compassionate, non-judgmental listening to our work together and ask you questions that will help you discover your own innate wisdom. You’ll gain the clarity and confidence you need to respond to life’s challenges in new ways.
If you're feeling overwhelmed, anxious, depressed, or stuck in a pattern that just isn’t working for you, I can help. We'll work together to untangle all your complicated feelings so you can gain a greater sense of control over your life. Your relationships will be smoother and you’ll feel better able to make choices that help you get what you need. I’ll bring compassionate, non-judgmental listening to our work together and ask you questions that will help you discover your own innate wisdom. You’ll gain the clarity and confidence you need to respond to life’s challenges in new ways.
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Photo of Amy L Hostetter, MSS, LCSW, CCTP, Clinical Social Work/Therapist
Amy L Hostetter
Clinical Social Work/Therapist, MSS, LCSW, CCTP
Verified Verified
Online Only
Choosing to begin psychotherapy can start with a feeling that there is more for you to discover, a greater balance to achieve, or a challenge to work through. In the safe accepting space of therapy, a healing process can evolve at a pace that is supportive and comfortable for you. I encourage people to approach their inner work with gentleness, perseverance, courage and compassion. I offer psychodynamic, mindful, cognitive and trauma-informed care to individuals, pairs and groups, including independent teens (only). I value and practice a thoughtful, culturally aware, and collaborative approach to our work.
Choosing to begin psychotherapy can start with a feeling that there is more for you to discover, a greater balance to achieve, or a challenge to work through. In the safe accepting space of therapy, a healing process can evolve at a pace that is supportive and comfortable for you. I encourage people to approach their inner work with gentleness, perseverance, courage and compassion. I offer psychodynamic, mindful, cognitive and trauma-informed care to individuals, pairs and groups, including independent teens (only). I value and practice a thoughtful, culturally aware, and collaborative approach to our work.
(267) 318-4404 x30 View (267) 318-4404 x30
Photo of Catherine McIntyre Welsh, LCSW, Clinical Social Work/Therapist
Catherine McIntyre Welsh
Clinical Social Work/Therapist, LCSW
Verified Verified
Wyndmoor, PA 19038
An empathic therapeutic relationship offers a safe and confidential space to sort through confusing thoughts, explore painful emotions, and process acute and complex trauma. By looking thoughtfully at your earliest relationships and formative experiences, we will seek to understand how you currently interact with others and cope with life’s difficulties. The goal of our work together will be to foster self-awareness and build your capacity to live a life of curiosity, creativity, vitality, and connection. It is my hope to offer the process of healing as a transformative experience of feeling truly known.
An empathic therapeutic relationship offers a safe and confidential space to sort through confusing thoughts, explore painful emotions, and process acute and complex trauma. By looking thoughtfully at your earliest relationships and formative experiences, we will seek to understand how you currently interact with others and cope with life’s difficulties. The goal of our work together will be to foster self-awareness and build your capacity to live a life of curiosity, creativity, vitality, and connection. It is my hope to offer the process of healing as a transformative experience of feeling truly known.
(267) 668-0076 x12 View (267) 668-0076 x12
Photo of Barbara Gilin, MSW, LCSW, Clinical Social Work/Therapist
Barbara Gilin
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Glenside, PA 19038
Waitlist for new clients
I will listen carefully to your description of what is causing you the most stress and we will arrive at a plan together for how to help you. I am well trained in multiple theories and methods for helping people to feel better and act in ways that they prefer to act. I am respectful and empathetic and one of my primary goals is help you to feel hope that you will get through even the hardest experiences. I have seen how much a good therapeutic relationship can help to restore that hope and to expand your options for coping and for changing.
I will listen carefully to your description of what is causing you the most stress and we will arrive at a plan together for how to help you. I am well trained in multiple theories and methods for helping people to feel better and act in ways that they prefer to act. I am respectful and empathetic and one of my primary goals is help you to feel hope that you will get through even the hardest experiences. I have seen how much a good therapeutic relationship can help to restore that hope and to expand your options for coping and for changing.
(215) 883-8473 View (215) 883-8473
Photo of Christian Carroll, LPC, Licensed Professional Counselor
Christian Carroll
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Online Only
The therapeutic alliance and relationship with my clients are very important components of the treatment process. As a licensed clinician, I'm passionate about helping people work through life's struggles and obstacles. Those challenges can be things such as depression, relationship issues, anxiety, parenting questions, and trauma. My counseling style entails utilizing validation, empathy, good listening skills, and a strength-based/positive approach. Moreover, in the first few sessions, I take an interest and spend time building rapport with my clients.
The therapeutic alliance and relationship with my clients are very important components of the treatment process. As a licensed clinician, I'm passionate about helping people work through life's struggles and obstacles. Those challenges can be things such as depression, relationship issues, anxiety, parenting questions, and trauma. My counseling style entails utilizing validation, empathy, good listening skills, and a strength-based/positive approach. Moreover, in the first few sessions, I take an interest and spend time building rapport with my clients.
(443) 232-9240 View (443) 232-9240
Photo of Robert Staples, PsyD, Psychologist
Robert Staples
Psychologist, PsyD
Verified Verified
2 Endorsed
Wyndmoor, PA 19038
Not accepting new clients
In my 45 years of post-doctoral experience I've learned to draw from psychodynamic, family systems, and cognitive behavioral approaches so that I can be most effective. My thinking has always been integrative and that has prevented me from taking a "one size fits all" approach to therapy. Over the years it has become clear to me that there are two essential ingredients in helping people change; establishing a strong, real working alliance built on mutual trust, and altering the person's perceptions of themselves and the world around them.
In my 45 years of post-doctoral experience I've learned to draw from psychodynamic, family systems, and cognitive behavioral approaches so that I can be most effective. My thinking has always been integrative and that has prevented me from taking a "one size fits all" approach to therapy. Over the years it has become clear to me that there are two essential ingredients in helping people change; establishing a strong, real working alliance built on mutual trust, and altering the person's perceptions of themselves and the world around them.
(215) 559-9765 x17 View (215) 559-9765 x17
Photo of Iliana Stavans, MA, LPC, Licensed Professional Counselor
Iliana Stavans
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Wyndmoor, PA 19038
I am dedicated to helping you cope and work to overcome life's inevitable challenges, family / relationship conflict, traumatic and painful circumstances that often result in suffering, distress, anxiety and depression. I strive to provide a supportive space where you can explore more effective ways to deal with your problems, while increasing self-awareness and self-acceptance. I can assist you to process issues related to grief and loss, including the loss of a beloved pet. I have experience working with people from diverse backgrounds and walks of life.
I am dedicated to helping you cope and work to overcome life's inevitable challenges, family / relationship conflict, traumatic and painful circumstances that often result in suffering, distress, anxiety and depression. I strive to provide a supportive space where you can explore more effective ways to deal with your problems, while increasing self-awareness and self-acceptance. I can assist you to process issues related to grief and loss, including the loss of a beloved pet. I have experience working with people from diverse backgrounds and walks of life.
(215) 515-7648 x26 View (215) 515-7648 x26
1

How does your Therapist compare?

Number of Therapists in 19038

100+

Average cost per session

$150

Therapists in 19038 who prioritize treating:

94% Anxiety
88% Depression
81% Relationship Issues
78% Self Esteem
63% Trauma and PTSD
63% Coping Skills
63% Stress

Average years in practice

12 Years

Top 3 insurances accepted

73% Aetna
54% Highmark
49% Cigna and Evernorth

How Therapists in 19038 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

82% Female
18% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 19038?

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.