Therapists in Philadelphia, PA

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Photo of Carlos Nunez, Pre-Licensed Professional in Philadelphia, PA
Carlos Nunez
Pre-Licensed Professional
Verified Verified
1 Endorsed
Philadelphia, PA 19147  (Online Only)
Hi! Welcome to the healing process! My name is Carlos Núñez and I am an intern student from Saint Joseph’s University, studying clinical mental health counseling. Despite being a student, I have vast experience in the mental health field that has given me the chance to support individuals, especially those from minority backgrounds, to understand, gain knowledge and accessibility to the right treatment. This experience has helped me develop my passion for counseling and mental health as I enjoy getting to know people deeply. Now, as a Latinx Mental Health counselor my hope is that through counseling you discover more of yourself.
Hi! Welcome to the healing process! My name is Carlos Núñez and I am an intern student from Saint Joseph’s University, studying clinical mental health counseling. Despite being a student, I have vast experience in the mental health field that has given me the chance to support individuals, especially those from minority backgrounds, to understand, gain knowledge and accessibility to the right treatment. This experience has helped me develop my passion for counseling and mental health as I enjoy getting to know people deeply. Now, as a Latinx Mental Health counselor my hope is that through counseling you discover more of yourself.
(267) 458-5774 View (267) 458-5774
Photo of Katherine Anderson, Clinical Social Work/Therapist in Philadelphia, PA
Katherine Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19102  (Online Only)
Hello! I am a Licensed Clinical Social Worker based in Pennsylvania. I received my degree from the University of Pennsylvania, and since then have worked with children and adolescents in schools, outpatient, and in-home therapy settings. My clients are working through the stress that comes from growing up and learning to navigate childhood and adolescence to become their best selves.
Hello! I am a Licensed Clinical Social Worker based in Pennsylvania. I received my degree from the University of Pennsylvania, and since then have worked with children and adolescents in schools, outpatient, and in-home therapy settings. My clients are working through the stress that comes from growing up and learning to navigate childhood and adolescence to become their best selves.
(484) 897-7361 View (484) 897-7361
Photo of Dr. Nina A. Mendez-Diaz, Marriage & Family Therapist in Philadelphia, PA
Dr. Nina A. Mendez-Diaz
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Philadelphia, PA 19125  (Online Only)
I am very excited that you are taking the next step in your healing journey! My name is Dr. MD and I am a licensed Marriage & Family Therapist with over 15 years of clinical experience and training. I received my family therapy training at Drexel University where I received my doctorate degree. Since then, I have worked in a wide variety of settings, equipping me with a wealth of knowledge and experience helping clients deal with various challenges.
I am very excited that you are taking the next step in your healing journey! My name is Dr. MD and I am a licensed Marriage & Family Therapist with over 15 years of clinical experience and training. I received my family therapy training at Drexel University where I received my doctorate degree. Since then, I have worked in a wide variety of settings, equipping me with a wealth of knowledge and experience helping clients deal with various challenges.
(215) 337-2546 View (215) 337-2546
Photo of James Ellerbe, Pre-Licensed Professional in Philadelphia, PA
James Ellerbe
Pre-Licensed Professional, MAR, MSOL
Verified Verified
1 Endorsed
Philadelphia, PA 19126  (Online Only)
Assistance in life is often needed and desired but seldom sought. There is a place of hope for the heart and a person who wants to find their way. When we get out of our way, we find freedom from suffering and begin to embrace the change, transition, and transformation to a new reality of life. The new life is freedom from the silent conversation from within, seeking relief sometimes from self and dealing with the burdens of life.
Assistance in life is often needed and desired but seldom sought. There is a place of hope for the heart and a person who wants to find their way. When we get out of our way, we find freedom from suffering and begin to embrace the change, transition, and transformation to a new reality of life. The new life is freedom from the silent conversation from within, seeking relief sometimes from self and dealing with the burdens of life.
(215) 598-6603 View (215) 598-6603
Photo of Varney Glassman, Clinical Social Work/Therapist in Philadelphia, PA
Varney Glassman
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Philadelphia, PA 19107  (Online Only)
People come to therapy for many reasons, sometimes it’s an unexpected or painful transition, other times it might be conflict in important relationships. Often, people have tried to help themselves feel better, and are unsure of where to go next. Regardless of the reason you are seeking help, you are likely looking for relief from pain or suffering. I’m glad you’ve taken this important first step. My role is to offer you a warm and non-judgmental space to process life’s complexities and create meaningful change.
People come to therapy for many reasons, sometimes it’s an unexpected or painful transition, other times it might be conflict in important relationships. Often, people have tried to help themselves feel better, and are unsure of where to go next. Regardless of the reason you are seeking help, you are likely looking for relief from pain or suffering. I’m glad you’ve taken this important first step. My role is to offer you a warm and non-judgmental space to process life’s complexities and create meaningful change.
(802) 327-8265 View (802) 327-8265
Photo of Emily Cox, Licensed Professional Counselor in Philadelphia, PA
Emily Cox
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Philadelphia, PA 19119
Looking to make change in your life, but not sure if it is possible? Do you feel terrified of the world, or struggle to trust yourself or other people? I work with people to make measurable and meaningful change in their lives. I am passionate about helping people feel comfortable with themselves, other people, and the world. I value building safety and trust using humor, empathy, and authenticity.
Looking to make change in your life, but not sure if it is possible? Do you feel terrified of the world, or struggle to trust yourself or other people? I work with people to make measurable and meaningful change in their lives. I am passionate about helping people feel comfortable with themselves, other people, and the world. I value building safety and trust using humor, empathy, and authenticity.
(215) 709-8713 View (215) 709-8713
Photo of Eve J. Cannon, Licensed Professional Counselor in Philadelphia, PA
Eve J. Cannon
Licensed Professional Counselor, LPC, LPAT, ATR-BC, NCC
Verified Verified
1 Endorsed
Philadelphia, PA 19104  (Online Only)
Not accepting new clients
Are you struggling to cope with big changes in your life? Perhaps you're adjusting to a shift in relationship or career, moving, going to college, or past trauma is resurfacing during a stressful time. Whether your challenges are new or familiar, as a counselor, art therapist, and holistic health coach, I'll help you break old patterns, shift your mindset, and find more ease in life. I also enjoy supporting helping professionals and caregivers to prioritize self-care. I offer individual therapy, supervision, and therapeutic art workshops (see Groups section below to learn more).
Are you struggling to cope with big changes in your life? Perhaps you're adjusting to a shift in relationship or career, moving, going to college, or past trauma is resurfacing during a stressful time. Whether your challenges are new or familiar, as a counselor, art therapist, and holistic health coach, I'll help you break old patterns, shift your mindset, and find more ease in life. I also enjoy supporting helping professionals and caregivers to prioritize self-care. I offer individual therapy, supervision, and therapeutic art workshops (see Groups section below to learn more).
(215) 999-6730 View (215) 999-6730
Photo of Melanie Swencki, Clinical Social Work/Therapist in Philadelphia, PA
Melanie Swencki
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19103  (Online Only)
Hi, I'm Melanie! I'm a Licensed Clinical Social Worker with 25 years of experience as a clinician in a variety of settings.
Hi, I'm Melanie! I'm a Licensed Clinical Social Worker with 25 years of experience as a clinician in a variety of settings.
(484) 715-0786 View (484) 715-0786
Photo of Persida Ghibilic, Licensed Professional Counselor in Philadelphia, PA
Persida Ghibilic
Licensed Professional Counselor, MA, LPC, LBS
Verified Verified
Philadelphia, PA 19116
As a Mental Health professional I was always sensitive to individuals' needs and oriented to help them overcome difficulties in their lives. I understand asking for help is a difficult step. Building and maintaining a positive therapeutic relationship based on trust and confidence is essential in interaction with my clients.
As a Mental Health professional I was always sensitive to individuals' needs and oriented to help them overcome difficulties in their lives. I understand asking for help is a difficult step. Building and maintaining a positive therapeutic relationship based on trust and confidence is essential in interaction with my clients.
(267) 723-7500 View (267) 723-7500
Photo of Sara Gaarn-Larsen, Pre-Licensed Professional in Philadelphia, PA
Sara Gaarn-Larsen
Pre-Licensed Professional, MFT
Verified Verified
1 Endorsed
Philadelphia, PA 19103
Hi! I'm Sara, a sex and relationship therapist in the Philadelphia area. I offer individual, relationship, and sex therapy that helps clients strengthen their relationships with their loved ones and themselves. I specialize in addressing anxiety related to insecure attachment and its impact on relational conflict and self-esteem. Working with clients to foster self-love and build emotional safety in their relationships is an important part of this process. As an LGBTQ+ affirming, sex positive, poly-friendly, and kink aware therapist, I welcome and provide a safe space for all identities and relationship styles.
Hi! I'm Sara, a sex and relationship therapist in the Philadelphia area. I offer individual, relationship, and sex therapy that helps clients strengthen their relationships with their loved ones and themselves. I specialize in addressing anxiety related to insecure attachment and its impact on relational conflict and self-esteem. Working with clients to foster self-love and build emotional safety in their relationships is an important part of this process. As an LGBTQ+ affirming, sex positive, poly-friendly, and kink aware therapist, I welcome and provide a safe space for all identities and relationship styles.
(484) 669-8283 View (484) 669-8283
Photo of Kari Richards, Clinical Social Work/Therapist in Philadelphia, PA
Kari Richards
Clinical Social Work/Therapist, LSW
Verified Verified
Philadelphia, PA 19103
I am accepting clients ranging from fourteen years of age and older. I work with individuals, families, and couples. Although I have experience treating an eclectic range of concerns, ideally, my clients may be facing symptoms of anxiety, depression, substance misuse, and PTSD. I have great expertise in treating dually-diagnosed clients, substance misuse, and mental health. The stress and hardships that come with these issues are often too much to handle on your own; please let me help.
I am accepting clients ranging from fourteen years of age and older. I work with individuals, families, and couples. Although I have experience treating an eclectic range of concerns, ideally, my clients may be facing symptoms of anxiety, depression, substance misuse, and PTSD. I have great expertise in treating dually-diagnosed clients, substance misuse, and mental health. The stress and hardships that come with these issues are often too much to handle on your own; please let me help.
(267) 458-5072 View (267) 458-5072
Photo of Julie Sokolow, Clinical Social Work/Therapist in Philadelphia, PA
Julie Sokolow
Clinical Social Work/Therapist, LSW
Verified Verified
1 Endorsed
Philadelphia, PA 19103
We all experience stress, but when stress becomes overwhelming, it may be time to seek support. Whether you are experiencing anxiety, depression, relationship issues, family issues, or life transitions, I would be honored to help you navigate these concerns. Together, we'll build trust and rapport in a safe, non-judgmental space that promotes exploration and discovery. The therapeutic alliance is a one-of-a-kind relationship. It is a privilege to assist you within psychotherapy as you gain clarity, develop coping skills, navigate challenges, and celebrate triumphs.
We all experience stress, but when stress becomes overwhelming, it may be time to seek support. Whether you are experiencing anxiety, depression, relationship issues, family issues, or life transitions, I would be honored to help you navigate these concerns. Together, we'll build trust and rapport in a safe, non-judgmental space that promotes exploration and discovery. The therapeutic alliance is a one-of-a-kind relationship. It is a privilege to assist you within psychotherapy as you gain clarity, develop coping skills, navigate challenges, and celebrate triumphs.
(484) 383-5988 View (484) 383-5988
Photo of Anna F. Greenwald, Clinical Social Work/Therapist in Philadelphia, PA
Anna F. Greenwald
Clinical Social Work/Therapist, MSS, LSW
Verified Verified
Philadelphia, PA 19103
Adulting is HARD. From school issues to work issues, starting a relationship to starting a family, there are countless transitions to navigate. These transitions, along with the stresses of daily life, can exacerbate anxiety and depression. You deserve the opportunity to be heard as you face life's challenges. Through compassion, humor, and sensitivity, I will work with you to cultivate the unique and special relationship between therapist and client that can help nurture you on your journey.
Adulting is HARD. From school issues to work issues, starting a relationship to starting a family, there are countless transitions to navigate. These transitions, along with the stresses of daily life, can exacerbate anxiety and depression. You deserve the opportunity to be heard as you face life's challenges. Through compassion, humor, and sensitivity, I will work with you to cultivate the unique and special relationship between therapist and client that can help nurture you on your journey.
(215) 330-2528 View (215) 330-2528
Photo of Mary L Cerulli, Clinical Social Work/Therapist in Philadelphia, PA
Mary L Cerulli
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Philadelphia, PA 19102
I'm passionate about supporting young adults and LGBTQIA+ people learn to manage anxiety and overwhelm while addressing the root causes of distress by processing trauma. I specialize in working with people who identify with caregiving and/or hyperindependence in their personal or professional lives, including health care workers and educators. My style therapy is relational and collaborative, while incorporating trauma-informed approaches such as somatic tools and EMDR. As a social worker, I bring a systemic lens to understanding mental health which includes exploring the impact of structures of power and oppression on experiences.
I'm passionate about supporting young adults and LGBTQIA+ people learn to manage anxiety and overwhelm while addressing the root causes of distress by processing trauma. I specialize in working with people who identify with caregiving and/or hyperindependence in their personal or professional lives, including health care workers and educators. My style therapy is relational and collaborative, while incorporating trauma-informed approaches such as somatic tools and EMDR. As a social worker, I bring a systemic lens to understanding mental health which includes exploring the impact of structures of power and oppression on experiences.
(267) 619-7643 View (267) 619-7643
Photo of Madeleine Bates, Pre-Licensed Professional in Philadelphia, PA
Madeleine Bates
Pre-Licensed Professional
Verified Verified
Philadelphia, PA 19102  (Online Only)
I am a graduate student at the University of Pennsylvania's program for Counseling and Mental Health Services M.S.ed. I am an intern at The Nourished Nest where I will be providing FREE online therapy for adults and teens residing in Pennsylvania. While gaining experience in the counseling field, I have worked with youth facing anxiety, depression, home-life instability, trauma, mood disorders, substance use and dependence, as well as gender and sexuality exploration. I prioritize understanding you through your cultural and contextual lens so that we may target your individualized needs during therapy.
I am a graduate student at the University of Pennsylvania's program for Counseling and Mental Health Services M.S.ed. I am an intern at The Nourished Nest where I will be providing FREE online therapy for adults and teens residing in Pennsylvania. While gaining experience in the counseling field, I have worked with youth facing anxiety, depression, home-life instability, trauma, mood disorders, substance use and dependence, as well as gender and sexuality exploration. I prioritize understanding you through your cultural and contextual lens so that we may target your individualized needs during therapy.
(267) 692-8694 View (267) 692-8694
Photo of Jessica Curlett, Licensed Professional Counselor in Philadelphia, PA
Jessica Curlett
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
Philadelphia, PA 19103  (Online Only)
As a person-centered therapist, I strive to ensure my clients feel seen, heard, and supported on their mental health journey. With focus areas of anxiety, depression, and trauma I feel that understanding is the basis of healing. Many barriers exist in accessing mental health care and finding the right therapist shouldn’t be one of them. I am a licensed professional counselor and received my Master’s degree from Temple University in Philadelphia. I've worked in university and group practice settings providing therapy to teens, college students, and clients in their 20s and 30s. I also provide Christian counseling upon request.
As a person-centered therapist, I strive to ensure my clients feel seen, heard, and supported on their mental health journey. With focus areas of anxiety, depression, and trauma I feel that understanding is the basis of healing. Many barriers exist in accessing mental health care and finding the right therapist shouldn’t be one of them. I am a licensed professional counselor and received my Master’s degree from Temple University in Philadelphia. I've worked in university and group practice settings providing therapy to teens, college students, and clients in their 20s and 30s. I also provide Christian counseling upon request.
(484) 603-6891 View (484) 603-6891
Photo of Molly Hayes Wolfe, Marriage & Family Therapist in Philadelphia, PA
Molly Hayes Wolfe
Marriage & Family Therapist, LMFT, MS
Verified Verified
Philadelphia, PA 19103  (Online Only)
Waitlist for new clients
I am very passionate about my work and consider it a gift to be able to help people improve their lives and wellbeing. I have over 20 years of experience in the mental health care field. I was trained early in in my career as an Addictions Counselor at Drexel University and then moved to San Francisco to complete my Masters in Counseling Psychology with a focus in Marriage and family therapy . I am trained in Cognitive behavioral therapy , Humanistic , and Mindfulness based practices . I have a very dynamic, collaborative, pragmatic approach to counseling that I tailor to the needs and preferences of each individual client.
I am very passionate about my work and consider it a gift to be able to help people improve their lives and wellbeing. I have over 20 years of experience in the mental health care field. I was trained early in in my career as an Addictions Counselor at Drexel University and then moved to San Francisco to complete my Masters in Counseling Psychology with a focus in Marriage and family therapy . I am trained in Cognitive behavioral therapy , Humanistic , and Mindfulness based practices . I have a very dynamic, collaborative, pragmatic approach to counseling that I tailor to the needs and preferences of each individual client.
(267) 609-2258 View (267) 609-2258
Photo of Marie-Lisa Dunbar, Clinical Social Work/Therapist in Philadelphia, PA
Marie-Lisa Dunbar
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Philadelphia, PA 19102  (Online Only)
I can provide that safe place for someone battling anxiety, depress, or stress. If you are feeling overwhelmed with balancing home and work life, I can be your confidant. We can work collaboratively and begin the journey to wellness. People want peace of mind during this time of chaos and I can provide that calm presence that someone is looking for.
I can provide that safe place for someone battling anxiety, depress, or stress. If you are feeling overwhelmed with balancing home and work life, I can be your confidant. We can work collaboratively and begin the journey to wellness. People want peace of mind during this time of chaos and I can provide that calm presence that someone is looking for.
(267) 641-8733 View (267) 641-8733
Photo of Andrew Negrey, Pre-Licensed Professional in Philadelphia, PA
Andrew Negrey
Pre-Licensed Professional, MS, MFA
Verified Verified
2 Endorsed
Philadelphia, PA 19118
I specialize in guiding people through life transitions, moments of reevaluation and readjustment. This may include recovering from trauma, addiction, grief, spiritual crisis, or just the emotional turmoil and sense of upheaval that comes after unexpected events, or when moving between life’s stages. I also focus on relationships and attachment issues, navigating the complex entanglements of family, friendship, and romantic relationships, and on creating more safe, healthy, intimate, and loving relationships.
I specialize in guiding people through life transitions, moments of reevaluation and readjustment. This may include recovering from trauma, addiction, grief, spiritual crisis, or just the emotional turmoil and sense of upheaval that comes after unexpected events, or when moving between life’s stages. I also focus on relationships and attachment issues, navigating the complex entanglements of family, friendship, and romantic relationships, and on creating more safe, healthy, intimate, and loving relationships.
(215) 234-1326 View (215) 234-1326
Photo of Zita Carroll, Clinical Social Work/Therapist in Philadelphia, PA
Zita Carroll
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
2 Endorsed
Philadelphia, PA 19103
Waitlist for new clients
Having the tools we need to navigate our way through life's challenges is often the key to greater happiness and fulfillment. I believe that human beings start from a place of health and resilience. When we have difficult or traumatic experiences, we can often be sidetracked by self-doubt, anxiety, depression and more. This can make life and relationships feel overwhelming, confusing and at times unmanageable. Therapy provides a safe space to explore and understand ourselves better while also developing the tools we need to move forward. Through this process, we can begin to heal from the past while creating a more intentional future.
Having the tools we need to navigate our way through life's challenges is often the key to greater happiness and fulfillment. I believe that human beings start from a place of health and resilience. When we have difficult or traumatic experiences, we can often be sidetracked by self-doubt, anxiety, depression and more. This can make life and relationships feel overwhelming, confusing and at times unmanageable. Therapy provides a safe space to explore and understand ourselves better while also developing the tools we need to move forward. Through this process, we can begin to heal from the past while creating a more intentional future.
(215) 660-3184 View (215) 660-3184

See more therapy options for Philadelphia

How does your Therapist compare?

Number of Therapists in Philadelphia, PA

3,000+

Average cost per session

$144

Therapists in Philadelphia, PA who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
71% Relationship Issues
69% Trauma and PTSD
64% Coping Skills
60% Stress

Average years in practice

10 Years

Top 3 insurances accepted

79% Aetna
67% UnitedHealthcare UHC | UBH
65% Cigna and Evernorth

How Therapists in Philadelphia, PA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

77% Female
20% Male
3% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Philadelphia?

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.