Therapists in Downingtown, PA

Erin Elizabeth Reigle
Licensed Professional Counselor, LPC, NCC
Verified Verified
Downingtown, PA 19335
Thank you for visiting my psychology today page! My philosophy is that clients are the experts on their own lives, and sometimes we all need guidance and support to achieve what we want to achieve. I base my approach on each individual client but primarily use a person centered approach along with teaching many coping skills from the DBT modality. I enjoy working with clients of all ages, including young children. I have also worked with a variety of different diagnoses and can help clients with a variety of issues. Included in this would be anxiety, depression, grief/loss, self esteem, and relationship issues.
Thank you for visiting my psychology today page! My philosophy is that clients are the experts on their own lives, and sometimes we all need guidance and support to achieve what we want to achieve. I base my approach on each individual client but primarily use a person centered approach along with teaching many coping skills from the DBT modality. I enjoy working with clients of all ages, including young children. I have also worked with a variety of different diagnoses and can help clients with a variety of issues. Included in this would be anxiety, depression, grief/loss, self esteem, and relationship issues.
(484) 209-0392 View (484) 209-0392
Photo of Women's Counseling Associates of Chester County, Clinical Social Work/Therapist in Downingtown, PA
Women's Counseling Associates of Chester County
Clinical Social Work/Therapist, PsyD, LCSW
Verified Verified
Downingtown, PA 19335  (Online Only)
Please note: We only offer video sessions. Our mission at Women's Counseling Associates of Chester County is to provide a space where women can work on themselves to become happier, successful and fulfilled in their lives. We guide our clients through the process of self-exploration, self-awareness, learning and growth. We work to remove any obstacles such as self-sabotage along with negative behavioral and thought patterns that may be inhibiting you from being the best you.
Please note: We only offer video sessions. Our mission at Women's Counseling Associates of Chester County is to provide a space where women can work on themselves to become happier, successful and fulfilled in their lives. We guide our clients through the process of self-exploration, self-awareness, learning and growth. We work to remove any obstacles such as self-sabotage along with negative behavioral and thought patterns that may be inhibiting you from being the best you.
(484) 498-6713 View (484) 498-6713
Photo of Todd Shirley, Licensed Professional Counselor in Downingtown, PA
Todd Shirley
Licensed Professional Counselor, LPC
Verified Verified
5 Endorsed
Downingtown, PA 19335
Waiting lists are long, situations are urgent, and help can be hard to find. Compassionate and successful therapeautic care for you or your struggling teen is available through the counseling services I offer. If you or someone you know is struggling with issues like depression, anxiety, academic struggles, obsessive compulsive disorder, ADHD, self injury, sexual orientation, gender identity, or suicidal ideation reach out to set up an appointment or brief introductory virtual meeting. Weekend and evening appointment times are available. I know first hand how scary it can be to watch an adolescent you love struggle and suffer.
Waiting lists are long, situations are urgent, and help can be hard to find. Compassionate and successful therapeautic care for you or your struggling teen is available through the counseling services I offer. If you or someone you know is struggling with issues like depression, anxiety, academic struggles, obsessive compulsive disorder, ADHD, self injury, sexual orientation, gender identity, or suicidal ideation reach out to set up an appointment or brief introductory virtual meeting. Weekend and evening appointment times are available. I know first hand how scary it can be to watch an adolescent you love struggle and suffer.
(610) 557-8332 View (610) 557-8332
Photo of Jennifer Turek, Clinical Social Work/Therapist in Downingtown, PA
Jennifer Turek
Clinical Social Work/Therapist, LCSW, NBC-HWC
Verified Verified
2 Endorsed
Downingtown, PA 19335  (Online Only)
I am a Licensed Clinical Social Worker and Nationally Board Certified Health and Wellness Coach, and have experience working with children, adolescents and adults. I am passionate that we all have a place in this world and a purpose in life. By combining my clinical training and my integrative and holistic health coaching, I will help you get to the place where you want to be.
I am a Licensed Clinical Social Worker and Nationally Board Certified Health and Wellness Coach, and have experience working with children, adolescents and adults. I am passionate that we all have a place in this world and a purpose in life. By combining my clinical training and my integrative and holistic health coaching, I will help you get to the place where you want to be.
(610) 510-7516 View (610) 510-7516
Photo of Casey Carle, Clinical Social Work/Therapist in Downingtown, PA
Casey Carle
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
Downingtown, PA 19335
I focus on meeting each person where they are and supporting them in meeting their treatment goals. I strive to empower folks to make the changes they want to see. I enjoy working with folks that have co-occurring mental health and disordered eating, members of the LGBTQ community, individuals who are struggling with life transitions, or who are experiencing grief and loss, self-esteem issues, anxiety, depression, binge eating, infertility, pregnancy, postpartum, or are in recovery from substance use.
I focus on meeting each person where they are and supporting them in meeting their treatment goals. I strive to empower folks to make the changes they want to see. I enjoy working with folks that have co-occurring mental health and disordered eating, members of the LGBTQ community, individuals who are struggling with life transitions, or who are experiencing grief and loss, self-esteem issues, anxiety, depression, binge eating, infertility, pregnancy, postpartum, or are in recovery from substance use.
(484) 909-9065 View (484) 909-9065
Photo of Bill Curtin, Clinical Social Work/Therapist in Downingtown, PA
Bill Curtin
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
1 Endorsed
Downingtown, PA 19335  (Online Only)
I work with those who have worries, sadness, stressors, trauma, or life changes. I will work with you towards a healthy life and relationships around you. I create a safe and supportive environment where you can feel comfortable sharing your experiences and working towards growth.
I work with those who have worries, sadness, stressors, trauma, or life changes. I will work with you towards a healthy life and relationships around you. I create a safe and supportive environment where you can feel comfortable sharing your experiences and working towards growth.
(717) 853-1524 View (717) 853-1524
Photo of Kellyann Peck, Marriage & Family Therapist Intern in Downingtown, PA
Kellyann Peck
Marriage & Family Therapist Intern, MA
Not Verified Not Verified
Downingtown, PA 19335
My desire is to help my clients grow in wholeness. Our life's journeys can be unpredictable and uncertain. We can experience transitional changes and shifts in our perspectives: mentally, physically and even spiritually. I believe you can walk through these circumstances with grace as we partner together. My hope is to support and assist you as we travel through therapeutic care and help you find the right path for your destination. I would love to help you move forward with vitality. Empowering you to become aware of what you desire and give you the tools to reach for hope and health!
My desire is to help my clients grow in wholeness. Our life's journeys can be unpredictable and uncertain. We can experience transitional changes and shifts in our perspectives: mentally, physically and even spiritually. I believe you can walk through these circumstances with grace as we partner together. My hope is to support and assist you as we travel through therapeutic care and help you find the right path for your destination. I would love to help you move forward with vitality. Empowering you to become aware of what you desire and give you the tools to reach for hope and health!
(484) 237-1339 View (484) 237-1339
Photo of Angela Sylvina, Clinical Social Work/Therapist in Downingtown, PA
Angela Sylvina
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
1 Endorsed
Downingtown, PA 19335
Whether you are going through a difficult life transition, struggling with depression, anxiety, relationship issues, or suffering from trauma, I am here to support you on your journey. I use a strengths-based philosophy to empower you to seek the life you desire. I believe that the therapeutic relationship itself can be a powerful agent for change, and that emotional safety within our relationship is paramount. I provide a safe and trusting environment so that you can learn to trust yourself and others in your life.
Whether you are going through a difficult life transition, struggling with depression, anxiety, relationship issues, or suffering from trauma, I am here to support you on your journey. I use a strengths-based philosophy to empower you to seek the life you desire. I believe that the therapeutic relationship itself can be a powerful agent for change, and that emotional safety within our relationship is paramount. I provide a safe and trusting environment so that you can learn to trust yourself and others in your life.
(610) 379-1941 View (610) 379-1941
Photo of Buttonwood A Place To Heal -Now offering IOP!, Licensed Professional Counselor in Downingtown, PA
Buttonwood A Place To Heal -Now offering IOP!
Licensed Professional Counselor, ATR-BC, LPC
Verified Verified
Downingtown, PA 19335
My passion in life is to help others break free from eating disorders and disordered eating so that they can live fuller lives. I am an Art Therapist and Licensed Practicing Counselor with many years in the field. I believe each person's needs are different and unique. Part of recovery is becoming more connected to the self and ultimately more aware of your needs so that symptoms become less desirable. I work with clients with eating disorders as well as family members who may need guidance and direction in how to help their loved ones.
My passion in life is to help others break free from eating disorders and disordered eating so that they can live fuller lives. I am an Art Therapist and Licensed Practicing Counselor with many years in the field. I believe each person's needs are different and unique. Part of recovery is becoming more connected to the self and ultimately more aware of your needs so that symptoms become less desirable. I work with clients with eating disorders as well as family members who may need guidance and direction in how to help their loved ones.
(484) 430-3676 View (484) 430-3676
Photo of Schell Therapy Inc, Clinical Social Work/Therapist in Downingtown, PA
Schell Therapy Inc
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Downingtown, PA 19335  (Online Only)
I'm Nicole Eshelman, and I find fulfillment in supporting adults from diverse backgrounds. My expertise encompasses various areas, including trauma, ADHD assessments, gambling issues, early adulthood transitions, depression, anxiety, stress management, mood disorders, body image concerns, postpartum adjustments, and self-esteem challenges. I specialize in assisting individuals facing difficulties and those seeking to enhance their overall well-being.
I'm Nicole Eshelman, and I find fulfillment in supporting adults from diverse backgrounds. My expertise encompasses various areas, including trauma, ADHD assessments, gambling issues, early adulthood transitions, depression, anxiety, stress management, mood disorders, body image concerns, postpartum adjustments, and self-esteem challenges. I specialize in assisting individuals facing difficulties and those seeking to enhance their overall well-being.
(717) 853-1951 View (717) 853-1951
Photo of Erica Colbert, Licensed Professional Counselor in Downingtown, PA
Erica Colbert
Licensed Professional Counselor, MA, LPC
Verified Verified
Downingtown, PA 19335
Life is a continuous journey through which we experience challenges and successes. The challenges may leave us feeling overwhelmed, confused, sad, or desperate. What we do with these experiences and feelings shape our continued journey through life. Do you feel challenged by struggles in your life? Looking to find meaning, achieve balance, and seek growth towards your true self?
Life is a continuous journey through which we experience challenges and successes. The challenges may leave us feeling overwhelmed, confused, sad, or desperate. What we do with these experiences and feelings shape our continued journey through life. Do you feel challenged by struggles in your life? Looking to find meaning, achieve balance, and seek growth towards your true self?
(610) 477-5712 View (610) 477-5712
Photo of Chester Springs Clinical Associates, LLC, Licensed Professional Counselor in Downingtown, PA
Chester Springs Clinical Associates, LLC
Licensed Professional Counselor, PsyD, DAPA, LPC
Verified Verified
Downingtown, PA 19335
Dr. Suzann Steadman holds a doctorate degree in Clinical Psychology, and is a PA Certified School Psychologist. Licensed in Pennsylvania, Dr. Steadman has also received advanced training in behavioral analysis, conflict management, critical incident management, organizational leadership, cognitive-behavioral therapy techniques, treatment and evaluation of autism spectrum disorders, anxiety among high-achieving students, and the utilization of strength-based interventions. She provides a wide variety of psychotherapeutic and assessment services to patients in the Chester Springs office, as well as through school district or corporate contracts.
Dr. Suzann Steadman holds a doctorate degree in Clinical Psychology, and is a PA Certified School Psychologist. Licensed in Pennsylvania, Dr. Steadman has also received advanced training in behavioral analysis, conflict management, critical incident management, organizational leadership, cognitive-behavioral therapy techniques, treatment and evaluation of autism spectrum disorders, anxiety among high-achieving students, and the utilization of strength-based interventions. She provides a wide variety of psychotherapeutic and assessment services to patients in the Chester Springs office, as well as through school district or corporate contracts.
(610) 518-2422 View (610) 518-2422
Photo of Tranquil Solutions Counseling Center, LLC, Licensed Professional Counselor in Downingtown, PA
Tranquil Solutions Counseling Center, LLC
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Downingtown, PA 19335
Tranquil Solutions Counseling Center (TSCC) is committed to providing clients with a safe and supportive atmosphere in which to address issues preventing their ability to live life to the fullest. We seek to assist clients experiencing issues including anxiety, depression, trauma and grief, along with those experiencing life and career transitions. We also offer psychiatric evaluations and medication management. TSCC staff utilize a collaborative approach with clients, ultimately seeking to empower individuals with the tools needed to manage barriers to their success.
Tranquil Solutions Counseling Center (TSCC) is committed to providing clients with a safe and supportive atmosphere in which to address issues preventing their ability to live life to the fullest. We seek to assist clients experiencing issues including anxiety, depression, trauma and grief, along with those experiencing life and career transitions. We also offer psychiatric evaluations and medication management. TSCC staff utilize a collaborative approach with clients, ultimately seeking to empower individuals with the tools needed to manage barriers to their success.
(610) 295-5199 View (610) 295-5199
Photo of Dawn Crocco Counseling, Pre-Licensed Professional in Downingtown, PA
Dawn Crocco Counseling
Pre-Licensed Professional, MS
Not Verified Not Verified
Downingtown, PA 19335
I am experienced in working with clients with drug and alcohol addiction and families or spouses who are dealing with their loved one who is addicted.I have worked in an Inpatient Rehabilitation Center, Intensive Outpatient and Outpatient Centers. I have extensive experience in working with depression and anxiety and patients who are dually diagnosed. I enjoy talking with clients about how to find a better life that they are looking for and helping people to grow in their emotional, mental and spiritual journey.
I am experienced in working with clients with drug and alcohol addiction and families or spouses who are dealing with their loved one who is addicted.I have worked in an Inpatient Rehabilitation Center, Intensive Outpatient and Outpatient Centers. I have extensive experience in working with depression and anxiety and patients who are dually diagnosed. I enjoy talking with clients about how to find a better life that they are looking for and helping people to grow in their emotional, mental and spiritual journey.
(610) 697-9640 View (610) 697-9640
Photo of Brandon LeBoeuf, Clinical Social Work/Therapist in Downingtown, PA
Brandon LeBoeuf
Clinical Social Work/Therapist, LCSW, CSW-G
Verified Verified
1 Endorsed
Downingtown, PA 19335
As a Licensed Clinical Social Worker I aim to help adults, older adults, families, and couples stop struggling with difficult emotions and start living a life that aligns with their values. I have experience helping those struggling with eating disorders, body image issues, substance abuse, LGBTQI+ issues, illness, chronic pain, communication problems, burnout, and more.
As a Licensed Clinical Social Worker I aim to help adults, older adults, families, and couples stop struggling with difficult emotions and start living a life that aligns with their values. I have experience helping those struggling with eating disorders, body image issues, substance abuse, LGBTQI+ issues, illness, chronic pain, communication problems, burnout, and more.
(610) 467-3449 View (610) 467-3449
Photo of Christine E Soriano, Clinical Social Work/Therapist in Downingtown, PA
Christine E Soriano
Clinical Social Work/Therapist, LCSW, PMHC
Verified Verified
Downingtown, PA 19335  (Online Only)
Experience the journey of family planning, pregnancy and becoming a new parent with confidence with me, a certified perinatal mental health practitioner dedicated to guiding parents through the complexities of this exciting and confusing time. From the comfort of your home, meeting virtually, you'll discover holistic care that integrates therapy, meditation, and mindfulness exercises, nurturing a sense of balance and intentionality. Tackle the next phase with confidence, feeling supported and empowered.
Experience the journey of family planning, pregnancy and becoming a new parent with confidence with me, a certified perinatal mental health practitioner dedicated to guiding parents through the complexities of this exciting and confusing time. From the comfort of your home, meeting virtually, you'll discover holistic care that integrates therapy, meditation, and mindfulness exercises, nurturing a sense of balance and intentionality. Tackle the next phase with confidence, feeling supported and empowered.
(201) 581-3753 View (201) 581-3753
Photo of Dr. Laura Miller, Psychologist in Downingtown, PA
Dr. Laura Miller
Psychologist, PsyD, LPC
Verified Verified
3 Endorsed
Downingtown, PA 19335  (Online Only)
As a Psychotherapist I have had an eclectic clinical background working with the geriatric, adult, adolescent and child populations in multiple modalities including, family, and individual therapy. My work clinical work focuses on mental flexibility and exploration of individualized patterns in self-regulation, attachment and executive functioning as a way to create familial and individual changes.
As a Psychotherapist I have had an eclectic clinical background working with the geriatric, adult, adolescent and child populations in multiple modalities including, family, and individual therapy. My work clinical work focuses on mental flexibility and exploration of individualized patterns in self-regulation, attachment and executive functioning as a way to create familial and individual changes.
(484) 535-7944 View (484) 535-7944
Photo of Lori Nelsen Luneburg, Psychologist in Downingtown, PA
Lori Nelsen Luneburg
Psychologist, PhD
Verified Verified
2 Endorsed
Downingtown, PA 19335
Do you feel like you are not enough? Have you lost your identity? Do you feel crazy in your current relationship or with your family? Emotional/Psychological/Narcissistic and other types of abuse can take a huge toll on an individual's self esteem and ability to cope. I am a caring Licensed Clinical Psychologist with extensive experience with Narcissistic/Abusive/Toxic Relationships and Trauma. I also specialize in Women Issues, Mood Disorders/Anxiety as well as Eating Disorders. My goal in therapy is to help you understand what "healthy" looks like and empower you to set boundaries and create the life that you desire.
Do you feel like you are not enough? Have you lost your identity? Do you feel crazy in your current relationship or with your family? Emotional/Psychological/Narcissistic and other types of abuse can take a huge toll on an individual's self esteem and ability to cope. I am a caring Licensed Clinical Psychologist with extensive experience with Narcissistic/Abusive/Toxic Relationships and Trauma. I also specialize in Women Issues, Mood Disorders/Anxiety as well as Eating Disorders. My goal in therapy is to help you understand what "healthy" looks like and empower you to set boundaries and create the life that you desire.
(610) 490-8635 View (610) 490-8635
Photo of Kimberly Lynn Mason, Licensed Professional Counselor in Downingtown, PA
Kimberly Lynn Mason
Licensed Professional Counselor, MA, LPC, NCC, ICADC
Verified Verified
1 Endorsed
Downingtown, PA 19335  (Online Only)
I am passionate about helping those who suffer with mental health and dual disorders. My approach is empathetic and compassion first, with the goal of helping my clients overcome the obstacles in their lives that are inhibiting them from achieving fulfillment in life. No two clients are alike, therefore I treat each person's needs as I partner with them to heal the body, mind and spirit. My method is eclectic whether I am seeing you individually or in group , I believe everyone is capable of healing; as a therapist, it is my job to help guide each person on their own, personal journey toward healing and growth.
I am passionate about helping those who suffer with mental health and dual disorders. My approach is empathetic and compassion first, with the goal of helping my clients overcome the obstacles in their lives that are inhibiting them from achieving fulfillment in life. No two clients are alike, therefore I treat each person's needs as I partner with them to heal the body, mind and spirit. My method is eclectic whether I am seeing you individually or in group , I believe everyone is capable of healing; as a therapist, it is my job to help guide each person on their own, personal journey toward healing and growth.
(610) 601-3978 View (610) 601-3978
Photo of Jennifer Fleming, Licensed Professional Counselor in Downingtown, PA
Jennifer Fleming
Licensed Professional Counselor, MA, LPC, CBIS
Verified Verified
1 Endorsed
Downingtown, PA 19335  (Online Only)
Are you feeling stressed, anxious or depressed? You are not alone & there is hope! Together we can identify: how you are feeling, what is contributing to your thoughts and feelings and a list of strategies to enhance resilience, improve relationships and feel an increased sense of fulfillment. If you are experiencing life challenges, adjustment, loss, intrapersonal or relationship issues impacting your mood, thinking or behavior, you are in the right place. You can begin a new journey of implementing healthy coping skills and moving toward peace, happiness, self-acceptance and more contentment.
Are you feeling stressed, anxious or depressed? You are not alone & there is hope! Together we can identify: how you are feeling, what is contributing to your thoughts and feelings and a list of strategies to enhance resilience, improve relationships and feel an increased sense of fulfillment. If you are experiencing life challenges, adjustment, loss, intrapersonal or relationship issues impacting your mood, thinking or behavior, you are in the right place. You can begin a new journey of implementing healthy coping skills and moving toward peace, happiness, self-acceptance and more contentment.
(484) 698-8284 x103 View (484) 698-8284 x103

How does your Therapist compare?

Number of Therapists in Downingtown, PA

200+

Average cost per session

$140

Therapists in Downingtown, PA who prioritize treating:

93% Anxiety
89% Depression
77% Self Esteem
75% Relationship Issues
66% Coping Skills
63% Stress
59% Grief

Average years in practice

13 Years

Top 3 insurances accepted

84% Aetna
77% Highmark
64% Cigna and Evernorth

How Therapists in Downingtown, PA see their clients

73% In Person and Online
27% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Downingtown?

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.