Therapists in Doylestown, PA
Shannon Minnick
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Doylestown, PA 18901
Over the past 19 years, I have worked with hundreds of adolescents in area community mental health agencies and as a visiting school counselor, and am now offering services privately, specializing in young adults, adolescents, parenting, & women's issues. I help with issues like stress, anxiety, depression, trauma, grief, parent-child relationships, peer issues, and self-esteem. I treat all of my clients with positive regard, warmth, and kindness. My approach is strengths based and holistic, incorporating evidenced based interventions. I want you to feel free and safe to talk about whatever you would like to in my office.
Over the past 19 years, I have worked with hundreds of adolescents in area community mental health agencies and as a visiting school counselor, and am now offering services privately, specializing in young adults, adolescents, parenting, & women's issues. I help with issues like stress, anxiety, depression, trauma, grief, parent-child relationships, peer issues, and self-esteem. I treat all of my clients with positive regard, warmth, and kindness. My approach is strengths based and holistic, incorporating evidenced based interventions. I want you to feel free and safe to talk about whatever you would like to in my office.
Paul Koehler
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Doylestown, PA 18901
My training, my experience, and my teaching and supervising have helped me to appreciate and apprehend the many and complex ways in which early experience becomes internalized and structured in one's internal world, and consequently becomes manifested and repeated in the external world of one's life and relationships. It is my goal to provide psychoanalytically-oriented psychotherapy of sufficient depth, duration and thoughtfulness to facilitate the mastery of emotional problems, the restoration and enhancement of self-esteem, and the fostering of emotional resilience, creativity and self-discovery.
My training, my experience, and my teaching and supervising have helped me to appreciate and apprehend the many and complex ways in which early experience becomes internalized and structured in one's internal world, and consequently becomes manifested and repeated in the external world of one's life and relationships. It is my goal to provide psychoanalytically-oriented psychotherapy of sufficient depth, duration and thoughtfulness to facilitate the mastery of emotional problems, the restoration and enhancement of self-esteem, and the fostering of emotional resilience, creativity and self-discovery.
Christine Marston
Psychologist, PhD, LP, CEDS
Verified Verified
6 Endorsed
Doylestown, PA 18902
I help people who are overwhelmed, stressed & struggling to feel like themselves again. As an experienced psychologist, I'll help you gain perspective about your problem and inspire change. During unsettling times, we'll make sense of why you feel so bad and help you live better. I treat men, women, teens & couples helping with depression, anxiety & panic, eating issues & disorders, relationship problems, trauma, dissociative disorders & life transitions. I'm a brainspotting practitionner & collaborate with dietitians & physicians. Call me to schedule a first session. We can get to know each other and make a plan from there.
I help people who are overwhelmed, stressed & struggling to feel like themselves again. As an experienced psychologist, I'll help you gain perspective about your problem and inspire change. During unsettling times, we'll make sense of why you feel so bad and help you live better. I treat men, women, teens & couples helping with depression, anxiety & panic, eating issues & disorders, relationship problems, trauma, dissociative disorders & life transitions. I'm a brainspotting practitionner & collaborate with dietitians & physicians. Call me to schedule a first session. We can get to know each other and make a plan from there.
Mark Richardson
Psychologist, PsyD
Verified Verified
Doylestown, PA 18901 (Online Only)
As a psychotherapist, I have the privilege of getting to know and work with people from all walks of life. Some people are feeling a little more depressed than they used to, or more anxious, or angry. Others feel stuck, or hopeless, or really don't know how they feel. Some people feel they don't have a voice, while others hear voices that are upsetting to them. I also work with people who want to drink or use drugs less, or not at all, and others that are involved with the criminal justice system. Many people want to better their relationships in some way, and most want to finally feel some peace.
As a psychotherapist, I have the privilege of getting to know and work with people from all walks of life. Some people are feeling a little more depressed than they used to, or more anxious, or angry. Others feel stuck, or hopeless, or really don't know how they feel. Some people feel they don't have a voice, while others hear voices that are upsetting to them. I also work with people who want to drink or use drugs less, or not at all, and others that are involved with the criminal justice system. Many people want to better their relationships in some way, and most want to finally feel some peace.
John Markey
Psychologist, PsyD, CADC
Verified Verified
Doylestown, PA 18901
I am a Licensed Clinical Psychologist and Certified Alcohol and Drug Counselor in Pennsylvania with 14 years of experience. Prior to opening my practice, I held the position of Director of Mental Health Services at the Bucks County Correctional Facility. During that time, I became an expert in treating mentally illness, which involved the complex forensic component. Most notably, I am known for competent and successful treatment of Major Depressive Disorder, Generalized Anxiety Disorder, Schizophrenia, Schizoaffective Disorder, PTSD and Bipolar Disorder. I also provided treatment to military veterans, who were in combat during the most recent war.
I am a Licensed Clinical Psychologist and Certified Alcohol and Drug Counselor in Pennsylvania with 14 years of experience. Prior to opening my practice, I held the position of Director of Mental Health Services at the Bucks County Correctional Facility. During that time, I became an expert in treating mentally illness, which involved the complex forensic component. Most notably, I am known for competent and successful treatment of Major Depressive Disorder, Generalized Anxiety Disorder, Schizophrenia, Schizoaffective Disorder, PTSD and Bipolar Disorder. I also provided treatment to military veterans, who were in combat during the most recent war.
Deborah Kleeman
Pre-Licensed Professional, MA
Verified Verified
Doylestown, PA 18901
Sometimes life is not easy- it doesn't go the way we planned. Talking to someone who understands is the first step when things become difficult. I am a Certified School Counselor and Certified Student Assistance Counselor with 35 years of experience in assessing and addressing substance use, anxiety, depression, school avoidance, OCD, learning issues, ADHD, and autism spectrum disorders.
Sometimes life is not easy- it doesn't go the way we planned. Talking to someone who understands is the first step when things become difficult. I am a Certified School Counselor and Certified Student Assistance Counselor with 35 years of experience in assessing and addressing substance use, anxiety, depression, school avoidance, OCD, learning issues, ADHD, and autism spectrum disorders.
Denise Olesky
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Doylestown, PA 18901
Continually feeling sad, anxious, or hopeless can make you feel like this cycle in your life will never end. Feeling stuck, numb, or helpless can feel downright frustrating some days. Racing thoughts and negative thoughts seem to take up space in your head that just won't turn off - "I'm not good enough." "Is this person judging me right now?" "Everyone is looking at me." "I screwed up again." Whether you have worry and racing thoughts from anxiety, or you are neurodivergent and finding your way in a neurotypical world, I can help. I specialize in individuals with anxiety and adult ADHD.
Continually feeling sad, anxious, or hopeless can make you feel like this cycle in your life will never end. Feeling stuck, numb, or helpless can feel downright frustrating some days. Racing thoughts and negative thoughts seem to take up space in your head that just won't turn off - "I'm not good enough." "Is this person judging me right now?" "Everyone is looking at me." "I screwed up again." Whether you have worry and racing thoughts from anxiety, or you are neurodivergent and finding your way in a neurotypical world, I can help. I specialize in individuals with anxiety and adult ADHD.
Amy Tielemans & Associates
Marriage & Family Therapist, LMFT, MBA, MA
Verified Verified
3 Endorsed
Doylestown, PA 18902
I work with individuals, couples and families. It doesn't matter how many people are sitting in the office, I view each individual within the context of the systems they live in each day. We are all part of many systems, marital, family, school, community, work. The relationships and importance each of these systems place on individuals can sometimes can lead to breakdowns in communication and mental health issues, such as depression and anxiety. Treating the dysfunction in the relationship often restores the feeling of wholeness in an individual and of course leads to stronger deeper relationships between individuals.
I work with individuals, couples and families. It doesn't matter how many people are sitting in the office, I view each individual within the context of the systems they live in each day. We are all part of many systems, marital, family, school, community, work. The relationships and importance each of these systems place on individuals can sometimes can lead to breakdowns in communication and mental health issues, such as depression and anxiety. Treating the dysfunction in the relationship often restores the feeling of wholeness in an individual and of course leads to stronger deeper relationships between individuals.
Taylor Deysher
Licensed Professional Counselor, MS, LPC, R-DMT
Verified Verified
1 Endorsed
Doylestown, PA 18902
My number one priority as a therapist is to offer a deep connection in a safe and supportive environment to allow each person to show up as their truest self. Starting from building this foundation, I can offer a variety of paths from there, including but not limited to CBT and DBT skills, grounding and mindfulness practice, addressing, depression, anxiety, general mood concerns, & more, or just a safe space. I primarily work with adults and teens in individual, couples, or family work. As part of the LGBTQIA+ community myself, I have a passion for working with the community.
My number one priority as a therapist is to offer a deep connection in a safe and supportive environment to allow each person to show up as their truest self. Starting from building this foundation, I can offer a variety of paths from there, including but not limited to CBT and DBT skills, grounding and mindfulness practice, addressing, depression, anxiety, general mood concerns, & more, or just a safe space. I primarily work with adults and teens in individual, couples, or family work. As part of the LGBTQIA+ community myself, I have a passion for working with the community.
Robin B Lynk
Psychologist, PhD
Verified Verified
Doylestown, PA 18901
"The real voyage of discovery consists not in seeking new landscapes but in having new eyes".....
Do you ever feel like you are stuck in a cage without a key? Are you caught in an unexpected or difficult situation which seems increasingly demanding? Maybe you find yourself caught up in thoughts, memories or behaviors which leave you feeling diminished or scared, and leave others feeling worried about you. Via psychotherapy, we can turn these experiences around by effecting changes in the way you experience yourself and your world.
"The real voyage of discovery consists not in seeking new landscapes but in having new eyes".....
Do you ever feel like you are stuck in a cage without a key? Are you caught in an unexpected or difficult situation which seems increasingly demanding? Maybe you find yourself caught up in thoughts, memories or behaviors which leave you feeling diminished or scared, and leave others feeling worried about you. Via psychotherapy, we can turn these experiences around by effecting changes in the way you experience yourself and your world.
Lee Anne Englert
Licensed Professional Counselor, LPC, MA
Verified Verified
Doylestown, PA 18901
Do Holistic and spiritual approaches to therapy appeal to you? Clients connect to my services because they want to work through their struggles from a body/soul/mind/emotion perspective. I guide couples and individuals in their quest to transform life's challenges into a tapestry of wisdom. I passionately embrace the depth of each person's journey to heal their past traumatic wounding and foster the development of true empowerment. Embracing the ancient teachings of shamanism, we will journey into non-ordinary realities where you will heal fragmented aspects and begin to know your true self.
Do Holistic and spiritual approaches to therapy appeal to you? Clients connect to my services because they want to work through their struggles from a body/soul/mind/emotion perspective. I guide couples and individuals in their quest to transform life's challenges into a tapestry of wisdom. I passionately embrace the depth of each person's journey to heal their past traumatic wounding and foster the development of true empowerment. Embracing the ancient teachings of shamanism, we will journey into non-ordinary realities where you will heal fragmented aspects and begin to know your true self.
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Pre-Licensed Professional, MS, MFT
Verified Verified
1 Endorsed
Doylestown, PA 18901
As a Marriage and Family Therapist, I believe that all couples and individuals should take the time to nurture themselves and their relationships. When couples get stuck in the same interaction cycle, the pattern must be broken. I enjoy helping couples to decode their messages to each other, repair bonds, increase security, and their rebuild connection with healthy interaction patterns. Also, as a Certified Grief Counselor I also enjoy helping individuals walk through their grief journey. Grief is as unique as your fingerprint, and by talking through the many grief emotions we can help you process and take steps forward.
As a Marriage and Family Therapist, I believe that all couples and individuals should take the time to nurture themselves and their relationships. When couples get stuck in the same interaction cycle, the pattern must be broken. I enjoy helping couples to decode their messages to each other, repair bonds, increase security, and their rebuild connection with healthy interaction patterns. Also, as a Certified Grief Counselor I also enjoy helping individuals walk through their grief journey. Grief is as unique as your fingerprint, and by talking through the many grief emotions we can help you process and take steps forward.
Emily M. Easterling
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Doylestown, PA 18901 (Online Only)
Establishing a trusting relationship and environment that is warm and supportive where clients feel safe and motivated to engage in their therapeutic journey is my essential goal. My approach to therapy is formulated by the uniqueness of the person along with the uniqueness of the environmental and familial systems within which they have developed. Over the past 23 years I have worked with individuals, groups, families, and couples and have treated several mental and emotional health issues. Some of these issues include: Depression, Anxiety, Grief, ADHD, Self-Esteem, Life Transitions, Relationship/Family, and Attachment.
Establishing a trusting relationship and environment that is warm and supportive where clients feel safe and motivated to engage in their therapeutic journey is my essential goal. My approach to therapy is formulated by the uniqueness of the person along with the uniqueness of the environmental and familial systems within which they have developed. Over the past 23 years I have worked with individuals, groups, families, and couples and have treated several mental and emotional health issues. Some of these issues include: Depression, Anxiety, Grief, ADHD, Self-Esteem, Life Transitions, Relationship/Family, and Attachment.
Laura Kate Tressler
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
Doylestown, PA 18901
Sadness, anger and anxiety are universal experiences; it's when we can't move through them that they begin to define our lives. Getting stuck in a cycle of negative thought and feeling keeps us from reaching our potential. It doesn’t have to feel "strange" sitting down and talking to someone about your life, your feelings and your problems. This Must Be The Place (A Life Counseling Experience) is a private therapy practice, built in the spirit of offering a casual, comfortable, non-clinical setting for people to develop a resource in gaining perspective on their lives, moods and relationships.
Sadness, anger and anxiety are universal experiences; it's when we can't move through them that they begin to define our lives. Getting stuck in a cycle of negative thought and feeling keeps us from reaching our potential. It doesn’t have to feel "strange" sitting down and talking to someone about your life, your feelings and your problems. This Must Be The Place (A Life Counseling Experience) is a private therapy practice, built in the spirit of offering a casual, comfortable, non-clinical setting for people to develop a resource in gaining perspective on their lives, moods and relationships.
Linda Velez Galietta
MS
Verified Verified
Doylestown, PA 18901
I work with individuals who are struggling with anxiety, depression, major life transitions (divorce, health issues, career), low self esteem and those who want to have more balance, peace and less stress in their life. I work with couples who are going through the divorce process and want to learn how to co-parent for the well-being of their children. I also work with adolescents and children who are having difficulty with their parent's divorce.
I work with individuals who are struggling with anxiety, depression, major life transitions (divorce, health issues, career), low self esteem and those who want to have more balance, peace and less stress in their life. I work with couples who are going through the divorce process and want to learn how to co-parent for the well-being of their children. I also work with adolescents and children who are having difficulty with their parent's divorce.
Lael Rasch
Pre-Licensed Professional, MA, CPC, MFT
Verified Verified
4 Endorsed
Doylestown, PA 18901 (Online Only)
Do you desire to awaken to your deepest passion, to your life purpose, to your potential? Are you ready to craft a life and relationship of your own creative and bold design? Are you in the midst of a life transition desiring to more fully align with your core values and make space for more peace, passion and pleasure? Are you ready to up-level and transform your relationships and more masterfully connect, communicate and cohabitate? I'd be honored to partner with you and support you in creating a life that is in full alignment with your deepest desires, a life infused with joy and abundance, a life that you absolutely love.
Do you desire to awaken to your deepest passion, to your life purpose, to your potential? Are you ready to craft a life and relationship of your own creative and bold design? Are you in the midst of a life transition desiring to more fully align with your core values and make space for more peace, passion and pleasure? Are you ready to up-level and transform your relationships and more masterfully connect, communicate and cohabitate? I'd be honored to partner with you and support you in creating a life that is in full alignment with your deepest desires, a life infused with joy and abundance, a life that you absolutely love.
Diane Vliet Downs
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Doylestown, PA 18901
Although most of my experience has been with teens and young adults, I am open to meeting with clients of all ages and genders. Before becoming a social worker, I was a high school teacher for 23 years and worked as a social worker in a therapeutic school. I am particularly interested in supporting adoptees, sexual assault survivors, young people with learning differences, and LGBTQ+ youth as they heal from loss or trauma, discover their strengths, and construct an authentic identity. I have also run support groups for adoptees, trans/nonbinary teens, and parents of TGN teens.
Although most of my experience has been with teens and young adults, I am open to meeting with clients of all ages and genders. Before becoming a social worker, I was a high school teacher for 23 years and worked as a social worker in a therapeutic school. I am particularly interested in supporting adoptees, sexual assault survivors, young people with learning differences, and LGBTQ+ youth as they heal from loss or trauma, discover their strengths, and construct an authentic identity. I have also run support groups for adoptees, trans/nonbinary teens, and parents of TGN teens.
Marc Carafa
Psychologist, PsyD
Verified Verified
1 Endorsed
Doylestown, PA 18901
Do you ever wish that life felt more fulfilling? Does it ever feel like you have a hard time knowing who you are, what you are feeling, or what you need? Do you ever wish that you felt more connected with others, and less isolated? There are times in life when we just feel "stuck," and have a hard time finding our way out. Many things can come along in life that get us off the track that we want to be on, whether it be depression, anxiety, grief, or hurtful events from our past.
Do you ever wish that life felt more fulfilling? Does it ever feel like you have a hard time knowing who you are, what you are feeling, or what you need? Do you ever wish that you felt more connected with others, and less isolated? There are times in life when we just feel "stuck," and have a hard time finding our way out. Many things can come along in life that get us off the track that we want to be on, whether it be depression, anxiety, grief, or hurtful events from our past.
Katherine Tieman Stein
Marriage & Family Therapist, MA, LMFT
Verified Verified
Doylestown, PA 18901
Not accepting new clients
When we are challenged to find grace in a storm, we have a choice. I am here to help you cultivate your gifts and voice in the world in a collaborative relationship built on a strong foundation of trust. The therapeutic relationship is a very special bond based on feeling safe, heard, and seen. I offer a warm nurturing space to build the trusting relationship needed to explore what it means for you to feel understood and fulfilled. Working together, we will discover your best way to navigate life’s challenges as an individual, couple, or family.
When we are challenged to find grace in a storm, we have a choice. I am here to help you cultivate your gifts and voice in the world in a collaborative relationship built on a strong foundation of trust. The therapeutic relationship is a very special bond based on feeling safe, heard, and seen. I offer a warm nurturing space to build the trusting relationship needed to explore what it means for you to feel understood and fulfilled. Working together, we will discover your best way to navigate life’s challenges as an individual, couple, or family.
Jessica Kudera
Pre-Licensed Professional
Verified Verified
1 Endorsed
Doylestown, PA 18901
My passion is supporting adolescents and young adults as they navigate through the changes in life. Our work together will aim to deepen your understanding of who you are now and who you want to be. When transitions happen you may experience anxiety, depression, stress, mood changes, trauma, self esteem issues, school avoidance, or body image issues. It is important to have a support system in place as we manage these changes. During our work together I will support you as you determine what path you would like to take in life. When I work with families it is to support them to stay connected during these times.
My passion is supporting adolescents and young adults as they navigate through the changes in life. Our work together will aim to deepen your understanding of who you are now and who you want to be. When transitions happen you may experience anxiety, depression, stress, mood changes, trauma, self esteem issues, school avoidance, or body image issues. It is important to have a support system in place as we manage these changes. During our work together I will support you as you determine what path you would like to take in life. When I work with families it is to support them to stay connected during these times.
See more therapy options for Doylestown
Nearby Searches for Doylestown
- Buckingham
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How does your Therapist compare?
Number of Therapists in Doylestown, PA
500+
Average cost per session
$130
Therapists in Doylestown, PA who prioritize treating:
92% | Anxiety |
87% | Depression |
76% | Self Esteem |
72% | Coping Skills |
66% | Relationship Issues |
65% | Trauma and PTSD |
60% | Grief |
Average years in practice
13 Years
Top 3 insurances accepted
80% | Aetna |
74% | UnitedHealthcare UHC | UBH |
70% | Cigna and Evernorth |
How Therapists in Doylestown, PA see their clients
64% | In Person and Online | |
36% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Doylestown?
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
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.
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.
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.