Therapists in Poughquag, NY

Photo of Davine Counseling LLC , Clinical Social Work/Therapist in Poughquag, NY
Davine Counseling LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Poughquag, NY 12570  (Online Only)
Words are very powerful, and the way we think about life and the events of the day are crucial to our well-being. Everything starts from inside the brain. With the right thought process and the proper skills to cope when life gets tough, big changes can happen. This is the foundation of my career and what we teach to my clients. From our work with trauma victims to assisting new moms who are struggling with their recent life transition, we have learned the solution to achieving a happy life starts from within.
Words are very powerful, and the way we think about life and the events of the day are crucial to our well-being. Everything starts from inside the brain. With the right thought process and the proper skills to cope when life gets tough, big changes can happen. This is the foundation of my career and what we teach to my clients. From our work with trauma victims to assisting new moms who are struggling with their recent life transition, we have learned the solution to achieving a happy life starts from within.
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Photo of Kimberly Wing, Clinical Social Work/Therapist in Poughquag, NY
Kimberly Wing
Clinical Social Work/Therapist, LCSW
Verified Verified
Poughquag, NY 12570  (Online Only)
Hi, my name is Kimberly Wing, and I am a licensed clinical social worker. My life's passion has always been supporting those in need. I have worked for over a decade with individuals experiencing overall life challenges, relationship concerns, depression, anxiety, bipolar disorder, and substance use. I use a harm reduction model and specialize in cognitive behavioral therapy and motivational interviewing. I take a person-centered approach and prioritize the individual's goals and needs.
Hi, my name is Kimberly Wing, and I am a licensed clinical social worker. My life's passion has always been supporting those in need. I have worked for over a decade with individuals experiencing overall life challenges, relationship concerns, depression, anxiety, bipolar disorder, and substance use. I use a harm reduction model and specialize in cognitive behavioral therapy and motivational interviewing. I take a person-centered approach and prioritize the individual's goals and needs.
(845) 237-3055 View (845) 237-3055
Photo of Carolee E Iltis, Psychologist in Poughquag, NY
Carolee E Iltis
Psychologist, PsyD
Verified Verified
Poughquag, NY 12570  (Online Only)
Do you know what you are looking for in a therapist? You are probably reading this because you are considering talking to someone about your anxiety/depression, work/relationship, life transition, or possibly trauma or bereavement issues. I am a NYS licensed psychologist and treat these and many other issues. I work with highly successful people who have problems, in addition to those who want to do better in their lives, and those with more serious problems. I provide clients a supportive working relationship because I am an excellent listener and like what I do, in addition to benefiting from doctoral training.
Do you know what you are looking for in a therapist? You are probably reading this because you are considering talking to someone about your anxiety/depression, work/relationship, life transition, or possibly trauma or bereavement issues. I am a NYS licensed psychologist and treat these and many other issues. I work with highly successful people who have problems, in addition to those who want to do better in their lives, and those with more serious problems. I provide clients a supportive working relationship because I am an excellent listener and like what I do, in addition to benefiting from doctoral training.
(914) 487-3575 View (914) 487-3575
Photo of Mary J Kline, Clinical Social Work/Therapist in Poughquag, NY
Mary J Kline
Clinical Social Work/Therapist, LCSW
Verified Verified
Poughquag, NY 12570  (Online Only)
I am warm, supportive and encouraging. I will teach you new and better skills to cope with life's stressors. I will support you to develop a better work-life balance and I will help you manage the many demands of life including work, family and your individualized identity. I specialize in working with anxiety, depression, trauma, mood instability and adjustment.
I am warm, supportive and encouraging. I will teach you new and better skills to cope with life's stressors. I will support you to develop a better work-life balance and I will help you manage the many demands of life including work, family and your individualized identity. I specialize in working with anxiety, depression, trauma, mood instability and adjustment.
(845) 539-0928 View (845) 539-0928
Photo of Anne M Johnson, Clinical Social Work/Therapist in Poughquag, NY
Anne M Johnson
Clinical Social Work/Therapist, LCSW-R, MS
Verified Verified
Poughquag, NY 12570
Transform your life and reshape your future. For over 20 years, I have helped individuals (including veterans and active military) overcome personal challenges so that they can realize their potential and enjoy their lives. I am an experienced therapist with the necessary skills to help and guide clients through life's struggles and transitions. My approach is empathic and non-judgmental. Mutual respect and compassion are present throughout the treatment process and are integral components of the therapeutic relationship.
Transform your life and reshape your future. For over 20 years, I have helped individuals (including veterans and active military) overcome personal challenges so that they can realize their potential and enjoy their lives. I am an experienced therapist with the necessary skills to help and guide clients through life's struggles and transitions. My approach is empathic and non-judgmental. Mutual respect and compassion are present throughout the treatment process and are integral components of the therapeutic relationship.
(914) 368-9864 View (914) 368-9864
Photo of Marisa Ferro, Pre-Licensed Professional in Poughquag, NY
Marisa Ferro
Pre-Licensed Professional, MHC, MS
Verified Verified
Poughquag, NY 12570  (Online Only)
Marisa MHC-LP - I'm the co-founder of Davine Counseling. I'm a Mental Health Counselor who specializes in direct services and interventions focused on helping clients of all ages with a variety of different goals and approaches for therapy. A session with me will start with a consultation and an initial assessment. Here you will expect me to ask you questions about yourself to give me a better understanding of you! Here we will also start to discuss therapy goals and expectations as well as a plan for what our session schedule will look like. These sessions are unique to you and I want you to feel comfortable and safe at all times!
Marisa MHC-LP - I'm the co-founder of Davine Counseling. I'm a Mental Health Counselor who specializes in direct services and interventions focused on helping clients of all ages with a variety of different goals and approaches for therapy. A session with me will start with a consultation and an initial assessment. Here you will expect me to ask you questions about yourself to give me a better understanding of you! Here we will also start to discuss therapy goals and expectations as well as a plan for what our session schedule will look like. These sessions are unique to you and I want you to feel comfortable and safe at all times!
(845) 413-2531 View (845) 413-2531

More Therapists Nearby

Photo of Justina Anne Reilly, Counselor in Poughquag, NY
Justina Anne Reilly
Counselor, LMHC
Verified Verified
1 Endorsed
Poughkeepsie, NY 12603  (Online Only)
I am a Mental Health Counselor with an empathic demeanor allowing others to feel comfortable. I am educated in cognitive behavioral therapy, evidence-based programs focused on social emotional learning and play therapy. I have experience working with children and adolescents, parents, and adults. As a therapist I practice psychoanalytic orientation, finding the “root of the problem”. I also practice the importance of living in the now, empowering clients to focus on their strengths.
I am a Mental Health Counselor with an empathic demeanor allowing others to feel comfortable. I am educated in cognitive behavioral therapy, evidence-based programs focused on social emotional learning and play therapy. I have experience working with children and adolescents, parents, and adults. As a therapist I practice psychoanalytic orientation, finding the “root of the problem”. I also practice the importance of living in the now, empowering clients to focus on their strengths.
(845) 506-8408 View (845) 506-8408
Photo of Cathey Duryea, Clinical Social Work/Therapist in Poughquag, NY
Cathey Duryea
Clinical Social Work/Therapist, LCSW
Verified Verified
Wappingers Falls, NY 12590  (Online Only)
Our world today is tough; very little grace is shared with one another. We all need a person in our corner. I have over 25 years of experience in healing people. I firmly believe in supporting, encouraging, and healing people so they can become the best version of themselves. Providing encouragement and support for those coping with various life transitions makes each journey unique. Services are tailored to the needs of the individual. Our time together aims to learn how to navigate through life transitions and complex emotions while establishing healthy boundaries.
Our world today is tough; very little grace is shared with one another. We all need a person in our corner. I have over 25 years of experience in healing people. I firmly believe in supporting, encouraging, and healing people so they can become the best version of themselves. Providing encouragement and support for those coping with various life transitions makes each journey unique. Services are tailored to the needs of the individual. Our time together aims to learn how to navigate through life transitions and complex emotions while establishing healthy boundaries.
(845) 576-9921 View (845) 576-9921
Photo of Lorinda R Arella, Psychologist in Poughquag, NY
Lorinda R Arella
Psychologist, PhD
Verified Verified
Hopewell Junction, NY 12533  (Online Only)
NY Licensed/seeking clients via Telehealth (Headway): in-network with AETNA, (BC/BS pending), CIGNA, OSCAR, OXFORD, UNITED. I have worked with all racial/ethnic groups, including American Natives, lifelong residents of a busy East coast metropolis and others who live in the rural Southwest, teens through the elderly. I have extensive experience diagnosing and treating individuals with ADHD, addictions, and Autism. I have gained the trust of many active duty military and veterans, as well as first responders. I am not easily scared off by extensive trauma and my toolbox includes EMDR, EFT/Tapping, CBT and Mindfulness Techniques.
NY Licensed/seeking clients via Telehealth (Headway): in-network with AETNA, (BC/BS pending), CIGNA, OSCAR, OXFORD, UNITED. I have worked with all racial/ethnic groups, including American Natives, lifelong residents of a busy East coast metropolis and others who live in the rural Southwest, teens through the elderly. I have extensive experience diagnosing and treating individuals with ADHD, addictions, and Autism. I have gained the trust of many active duty military and veterans, as well as first responders. I am not easily scared off by extensive trauma and my toolbox includes EMDR, EFT/Tapping, CBT and Mindfulness Techniques.
(845) 244-5713 View (845) 244-5713
Photo of Sharon Hoferer in Poughquag, NY
Sharon Hoferer
MA, MHC-LP
Verified Verified
1 Endorsed
Poughkeepsie, NY 12603  (Online Only)
Sometimes in life we find ourselves feeling lost or alone on our journey. We each need to know that someone will be there to help us find our way.
Sometimes in life we find ourselves feeling lost or alone on our journey. We each need to know that someone will be there to help us find our way.
(845) 237-5065 View (845) 237-5065
Photo of Mary Farkas in Poughquag, NY
Mary Farkas
LCAT, MA, RDT, CDP
Verified Verified
3 Endorsed
Hopewell Junction, NY 12533
You’re so tired. And you’re tired of saying you’re tired. Especially after these exhausting COVID years. It’s so hard to turn your mind off from your worries and your endless to-do list. You’re overwhelmed, wondering when things will get easier. You provide so much care to others, but you get lost in the shuffle. Your temper flares easily. So much has changed in your life, and you wonder if you will feel like yourself again. Care work is incredibly hard and often invisible, and caring for yourself in the midst of that is even harder.
You’re so tired. And you’re tired of saying you’re tired. Especially after these exhausting COVID years. It’s so hard to turn your mind off from your worries and your endless to-do list. You’re overwhelmed, wondering when things will get easier. You provide so much care to others, but you get lost in the shuffle. Your temper flares easily. So much has changed in your life, and you wonder if you will feel like yourself again. Care work is incredibly hard and often invisible, and caring for yourself in the midst of that is even harder.
(845) 202-4312 View (845) 202-4312
Photo of Meghan Shea, Clinical Social Work/Therapist in Poughquag, NY
Meghan Shea
Clinical Social Work/Therapist, LICSW
Verified Verified
Lagrangeville, NY 12540  (Online Only)
Accepting NEW clients in NY and RI for evening appointments! I am a seasoned, experienced therapist, dedicated to helping my clients feel joy, hope, worthiness, and fulfillment. My current clients see me as someone who is caring, calm, empathic, and goes the extra mile. I work hard to create a safe, trusting space where you can share freely. Are you struggling to get out of bed where every day feel like a slog? Is anxiety stopping you from the life you dreamed of? I am here for these and many other struggles!
Accepting NEW clients in NY and RI for evening appointments! I am a seasoned, experienced therapist, dedicated to helping my clients feel joy, hope, worthiness, and fulfillment. My current clients see me as someone who is caring, calm, empathic, and goes the extra mile. I work hard to create a safe, trusting space where you can share freely. Are you struggling to get out of bed where every day feel like a slog? Is anxiety stopping you from the life you dreamed of? I am here for these and many other struggles!
(401) 240-2970 View (401) 240-2970
Photo of Christopher Charles Ryan, Clinical Social Work/Therapist in Poughquag, NY
Christopher Charles Ryan
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Hopewell Junction, NY 12533
I have 40+ years of clinical practice in a variety of mental health and substance abuse treatment settings. I believe in an approach that enhances a person's growth in self awareness. I have found that a person's ability to change is essential to their well-being and quality of life. My experience has led me to believe that therapy is a collaborative relationship. Each individual is unique. My approach focuses on the emotional, mental, physical and spiritual qualities of the person's life. We will utilize a variety of clinical approaches that are effective.
I have 40+ years of clinical practice in a variety of mental health and substance abuse treatment settings. I believe in an approach that enhances a person's growth in self awareness. I have found that a person's ability to change is essential to their well-being and quality of life. My experience has led me to believe that therapy is a collaborative relationship. Each individual is unique. My approach focuses on the emotional, mental, physical and spiritual qualities of the person's life. We will utilize a variety of clinical approaches that are effective.
(845) 367-4032 x101 View (845) 367-4032 x101
Photo of Andrea Bliss, Counselor in Poughquag, NY
Andrea Bliss
Counselor, LMHC, LPC
Verified Verified
Wappingers Falls, NY 12590  (Online Only)
Throughout my almost 10-year career I have worked with individuals dealing with anxiety, managing depression, relationship struggles, and stress management. I have a relaxed, empathetic approach and I believe that gaining rapport and trust is important in making my clients comfortable in therapy.
Throughout my almost 10-year career I have worked with individuals dealing with anxiety, managing depression, relationship struggles, and stress management. I have a relaxed, empathetic approach and I believe that gaining rapport and trust is important in making my clients comfortable in therapy.
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Photo of Sierra Counseling and therapy services, Clinical Social Work/Therapist in Poughquag, NY
Sierra Counseling and therapy services
Clinical Social Work/Therapist, LCSW
Verified Verified
Pleasant Valley, NY 12569  (Online Only)
Are you always afraid that anxiety, Trauma, or depression is not letting you live your life to the fullest? I know exactly what you are feeling; the depressed mood, lack of motivation, the flashbacks, hopelessness, the pounding of chest, apprehension, the feelings that the walls around you are closing in and don't know how to get out. CBT, Mindfulness, EMDR, and relaxation techniques as just a few of the tools that can help reduce your feelings of depression, trauma, and anxiety tremendously, I look forward to walking this journey with you and teaching you the tools to take your life back.
Are you always afraid that anxiety, Trauma, or depression is not letting you live your life to the fullest? I know exactly what you are feeling; the depressed mood, lack of motivation, the flashbacks, hopelessness, the pounding of chest, apprehension, the feelings that the walls around you are closing in and don't know how to get out. CBT, Mindfulness, EMDR, and relaxation techniques as just a few of the tools that can help reduce your feelings of depression, trauma, and anxiety tremendously, I look forward to walking this journey with you and teaching you the tools to take your life back.
(845) 244-4784 View (845) 244-4784
Photo of Joseph D. Pannozzo in Poughquag, NY
Joseph D. Pannozzo
BCBA, LBA
Verified Verified
Dover Plains, NY 12522
Are you looking for guidance and support on how to improve the life of a loved one with autism and assist with encouraging independence? My previous work experience has supported individuals in home and community settings. In working together, we can assist family members with the goal of obtaining positive outcomes and growth for loved ones. Some areas of focus may include, verbal and nonverbal communication, daily living skills, following visual and activity schedules and working towards daily independence.
Are you looking for guidance and support on how to improve the life of a loved one with autism and assist with encouraging independence? My previous work experience has supported individuals in home and community settings. In working together, we can assist family members with the goal of obtaining positive outcomes and growth for loved ones. Some areas of focus may include, verbal and nonverbal communication, daily living skills, following visual and activity schedules and working towards daily independence.
(860) 356-3038 View (860) 356-3038
Photo of Laura Gannon, Clinical Social Work/Therapist in Poughquag, NY
Laura Gannon
Clinical Social Work/Therapist, LCSW
Verified Verified
Stormville, NY 12582  (Online Only)
Greetings! I am Laura, a trauma informed psychotherapist passionate about providing a non-judgmental therapeutic environment for young and older adults to navigate the complexities, adversities, and stress in their lives. My passion to help and empower others is inspired by my own therapeutic journey in young adulthood and wanting the best for others. If you are someone who prioritizes their mental and emotional well-being and is willing to roll up their sleeves and dig deep; I can help you understand your past, get unstuck in the present and feel confident about moving forward towards your goals.
Greetings! I am Laura, a trauma informed psychotherapist passionate about providing a non-judgmental therapeutic environment for young and older adults to navigate the complexities, adversities, and stress in their lives. My passion to help and empower others is inspired by my own therapeutic journey in young adulthood and wanting the best for others. If you are someone who prioritizes their mental and emotional well-being and is willing to roll up their sleeves and dig deep; I can help you understand your past, get unstuck in the present and feel confident about moving forward towards your goals.
(845) 683-5430 View (845) 683-5430
Photo of Pleasant Valley Mental Health Counseling, PLLC, Counselor in Poughquag, NY
Pleasant Valley Mental Health Counseling, PLLC
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Hopewell, NY 12533  (Online Only)
PVMHC has a variety of highly trained clinicians who treat many clients including those with; anxiety, depression, postpartum, trauma, gender dysphoria, learning disabilities, ADHD, & more. We work to build long-term relationships, offer fast/flexible scheduling, and aim to make each session as beneficial as possible for you. Primarily, we work with adolescents and adults who are looking to better understand themselves, manage their emotions/stressors, and find their path to an enjoyable future. We offer a safe virtual space for you to understand your needs, set goals, and incorporate beneficial coping skills into your daily life.
PVMHC has a variety of highly trained clinicians who treat many clients including those with; anxiety, depression, postpartum, trauma, gender dysphoria, learning disabilities, ADHD, & more. We work to build long-term relationships, offer fast/flexible scheduling, and aim to make each session as beneficial as possible for you. Primarily, we work with adolescents and adults who are looking to better understand themselves, manage their emotions/stressors, and find their path to an enjoyable future. We offer a safe virtual space for you to understand your needs, set goals, and incorporate beneficial coping skills into your daily life.
(845) 681-2676 View (845) 681-2676
Photo of Jacquelyn A Lindsay, Clinical Social Work/Therapist in Poughquag, NY
Jacquelyn A Lindsay
Clinical Social Work/Therapist, LCSWR
Verified Verified
Hopewell Junction, NY 12533
I work with children, adolescents and adults. I specialize in trauma, anxiety, depression and stress reduction, as well as other psychiatric disorders. Methods include Cognitive Behavioral Therapy (CBT), meditation, expressive art, play therapy and animal assisted therapy. I have 2 dogs. Dogs are available by appointment only. I also work with individuals with chronic pain. (One dog is a Rescue with 3 legs TRI )
I work with children, adolescents and adults. I specialize in trauma, anxiety, depression and stress reduction, as well as other psychiatric disorders. Methods include Cognitive Behavioral Therapy (CBT), meditation, expressive art, play therapy and animal assisted therapy. I have 2 dogs. Dogs are available by appointment only. I also work with individuals with chronic pain. (One dog is a Rescue with 3 legs TRI )
(845) 262-4214 View (845) 262-4214
Photo of Dr. Randy W. Green, Psychologist in Poughquag, NY
Dr. Randy W. Green
Psychologist, PhD
Verified Verified
Hopewell Junction, NY 12533
Over the past five decades, I have conducted a licensed clinical psychology practice. As a counselor, author and innovator, those who seek my services feel better, think better and have better relationships. The focus is on helping people identify, then achieve what they want, rather than trying to manage problems. Using cutting-edge tools, I lead clients to where positive states are expressed in their bodies, then build the skill sets they will need to hold that somatic form through time, as they make useful, life-enhancing decisions. Call for appointment : 845-226-2356. Visit website: www.drrandywgreen.com (newly-revised)
Over the past five decades, I have conducted a licensed clinical psychology practice. As a counselor, author and innovator, those who seek my services feel better, think better and have better relationships. The focus is on helping people identify, then achieve what they want, rather than trying to manage problems. Using cutting-edge tools, I lead clients to where positive states are expressed in their bodies, then build the skill sets they will need to hold that somatic form through time, as they make useful, life-enhancing decisions. Call for appointment : 845-226-2356. Visit website: www.drrandywgreen.com (newly-revised)
(845) 202-0976 View (845) 202-0976

See more therapy options for Poughquag

How does your Therapist compare?

Number of Therapists in Poughquag, NY

< 10

Therapists in Poughquag, NY who prioritize treating:

100% Depression
100% Anxiety
100% Trauma and PTSD
100% Coping Skills
100% Self Esteem
67% Life Coaching
67% Career Counseling

Average years in practice

18 Years

Top 3 insurances accepted

83% Empire BlueCross BlueShield
67% Aetna
67% Cigna and Evernorth

How Therapists in Poughquag, NY see their clients

83% Online Only
17% In Person and Online

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Poughquag?

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.