Therapists in New Jersey

View cities and counties in New Jersey
Photo of Jolene Arasz, PsyD, Psychologist
Jolene Arasz
Psychologist, PsyD
Verified Verified
Waldwick, NJ 07463
Waitlist for new clients
Dr. Jolene Arasz is an adolescent and family licensed psychologist with extensive experience working with adolescents, adults and families. Author of the book, Why On Earth Do I Feel This Way: Understanding anxiety and mental health through control theory, Dr. Arasz incorporates her own theory with a neuropsychological perspective to educate and treat her clients' array of mental health issues. Dr. Arasz consults with schools, providing mental health education to students (K-college), teachers and parents. She brings science to her practice, resulting in immediate and sustainable mental health management.
Dr. Jolene Arasz is an adolescent and family licensed psychologist with extensive experience working with adolescents, adults and families. Author of the book, Why On Earth Do I Feel This Way: Understanding anxiety and mental health through control theory, Dr. Arasz incorporates her own theory with a neuropsychological perspective to educate and treat her clients' array of mental health issues. Dr. Arasz consults with schools, providing mental health education to students (K-college), teachers and parents. She brings science to her practice, resulting in immediate and sustainable mental health management.
(781) 780-8296 View (781) 780-8296
Photo of Greg Ingram - Internal Affairs Child & Family Therapy Center, LCSW-R, LCSW, Clinical Social Work/Therapist
Internal Affairs Child & Family Therapy Center
Clinical Social Work/Therapist, LCSW-R, LCSW
Verified Verified
Cranford, NJ 07016
We will work together to find that balance in your life that we all strive for
We will work together to find that balance in your life that we all strive for
(908) 867-0561 View (908) 867-0561
Photo of Zoe Malkin, LCSW, Clinical Social Work/Therapist
Zoe Malkin
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
South Orange, NJ 07079
Welcome! No matter your stage in life, many of you have concerns which are prompting you to seek guidance in understanding some of your thoughts, feelings and experiences. Perhaps you're struggling with anxiety or depression or with relationships both personal and professional. Other challenges might be with parenting and balancing responsibilities, with life transitions or with chronic pain. Within the structure and privacy of the therapeutic environment, I am committed to engaging in a collaborative, holistic therapy process in which you can achieve balance, contentment and ultimately, healing.
Welcome! No matter your stage in life, many of you have concerns which are prompting you to seek guidance in understanding some of your thoughts, feelings and experiences. Perhaps you're struggling with anxiety or depression or with relationships both personal and professional. Other challenges might be with parenting and balancing responsibilities, with life transitions or with chronic pain. Within the structure and privacy of the therapeutic environment, I am committed to engaging in a collaborative, holistic therapy process in which you can achieve balance, contentment and ultimately, healing.
(973) 281-4233 View (973) 281-4233
Photo of Emily Rice, MS, LPC, NCC, Counselor
Emily Rice
Counselor, MS, LPC, NCC
Verified Verified
Wall Township, NJ 07719
Waitlist for new clients
As a licensed counselor, my goal is to provide a safe and supportive environment that allows you to grow. By prioritizing the therapeutic relationship, I hope to extend warmth and compassion that will allow you to lean into vulnerability and heal. Body image, self-concept & values clarification are passions of mine. I enjoy working with individuals, couples, and families looking to gain deeper insight into relationship dynamics, attachment style, nervous system regulation & self-exploration. I work most naturally through a feminist & existential lens while knowing there is no one-size-fits-all approach.
As a licensed counselor, my goal is to provide a safe and supportive environment that allows you to grow. By prioritizing the therapeutic relationship, I hope to extend warmth and compassion that will allow you to lean into vulnerability and heal. Body image, self-concept & values clarification are passions of mine. I enjoy working with individuals, couples, and families looking to gain deeper insight into relationship dynamics, attachment style, nervous system regulation & self-exploration. I work most naturally through a feminist & existential lens while knowing there is no one-size-fits-all approach.
(732) 217-7853 View (732) 217-7853
Photo of Ashley Appleton - CogniCare Psychological Services, LLC, LPC, NCC
CogniCare Psychological Services, LLC
LPC, NCC
Verified Verified
Branchburg, NJ 08876
CogniCare= Caring for your thoughts. Here at Cognicare we believe that caring for your mental health is imperative. Whether you're motivated and ready to work on a specific goal or introspective and curious about further exploring yourself, mental health therapy may be right for you. Our therapists are multiculturally competent and identity affirming. We are interested in helping you to navigate the complexities of life and it's impact on your overall functioning. Our practice may be right for you if: you identify as a minority/multiple minorities (female, race other than Caucasian, member of the LGBTQ+ community, etc.), if you are struggling with your sexual orientation or gender identity or just want to further unpack in this area, if you are a parent of a child who identifies with the LGBTQ+ community, if you are a parent in general, couples (including LGBTQ+ couples and non-conventional relationships), if you are struggling to afford mental health care, and/or if you are just someone who would like to prioritize their mental health.
CogniCare= Caring for your thoughts. Here at Cognicare we believe that caring for your mental health is imperative. Whether you're motivated and ready to work on a specific goal or introspective and curious about further exploring yourself, mental health therapy may be right for you. Our therapists are multiculturally competent and identity affirming. We are interested in helping you to navigate the complexities of life and it's impact on your overall functioning. Our practice may be right for you if: you identify as a minority/multiple minorities (female, race other than Caucasian, member of the LGBTQ+ community, etc.), if you are struggling with your sexual orientation or gender identity or just want to further unpack in this area, if you are a parent of a child who identifies with the LGBTQ+ community, if you are a parent in general, couples (including LGBTQ+ couples and non-conventional relationships), if you are struggling to afford mental health care, and/or if you are just someone who would like to prioritize their mental health.
(908) 332-9637 View (908) 332-9637
Photo of Allison Santero, LCSW, Clinical Social Work/Therapist
Allison Santero
Clinical Social Work/Therapist, LCSW
Verified Verified
Toms River, NJ 08753
Hello, I'm Allison Santero, LCSW. With over 20 years as a Clinical Therapist, I've worked with children, adolescents, adults, and families. My background in healthcare/hospital settings enhances my skill set, enabling me to address how physical health impacts emotional well-being. I specialize in supporting individuals and families navigating challenging transitions like divorce, trauma, or academic difficulties, as well as addressing issues such as anxiety, depression, self-harm, bullying, and associated diagnoses. Additionally, I have experience working with and supporting the LGBTQ community.
Hello, I'm Allison Santero, LCSW. With over 20 years as a Clinical Therapist, I've worked with children, adolescents, adults, and families. My background in healthcare/hospital settings enhances my skill set, enabling me to address how physical health impacts emotional well-being. I specialize in supporting individuals and families navigating challenging transitions like divorce, trauma, or academic difficulties, as well as addressing issues such as anxiety, depression, self-harm, bullying, and associated diagnoses. Additionally, I have experience working with and supporting the LGBTQ community.
(848) 235-9299 x1 View (848) 235-9299 x1
Photo of Katie Smith, LPC, Licensed Professional Counselor
Katie Smith
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Sparta, NJ 07871
In my work with clients my goal is to create a safe space where you can express yourself without judgement. I approach therapy as a space where we work together as a team to help you achieve your goals. Do you feel stuck? Do you feel anxious? Do you want to feel happier with your relationships? These are all things that we can work on together.
In my work with clients my goal is to create a safe space where you can express yourself without judgement. I approach therapy as a space where we work together as a team to help you achieve your goals. Do you feel stuck? Do you feel anxious? Do you want to feel happier with your relationships? These are all things that we can work on together.
(862) 357-7586 View (862) 357-7586
Photo of Leigh Kolodny-Kraft, LPC, LCADC, CSAT-S, CCTP, CCGC, Licensed Professional Counselor
Leigh Kolodny-Kraft
Licensed Professional Counselor, LPC, LCADC, CSAT-S, CCTP, CCGC
Verified Verified
1 Endorsed
Florham Park, NJ 07932
As a solution focused Addictions and Trauma Therapist, my goal is to help you uncover your true potential and lead a life that you want to celebrate. While we can't change situations of the past, we can work together to better understand and resolve life challenges. I offer a highly personalized approach tailored to my client's individual needs to attain the personal growth they are striving for. I recognize that for many change feels unattainable. However, In a nonjudgmental environment I can help you develop the confidence and skills to carry out change in a non-threatening way.
As a solution focused Addictions and Trauma Therapist, my goal is to help you uncover your true potential and lead a life that you want to celebrate. While we can't change situations of the past, we can work together to better understand and resolve life challenges. I offer a highly personalized approach tailored to my client's individual needs to attain the personal growth they are striving for. I recognize that for many change feels unattainable. However, In a nonjudgmental environment I can help you develop the confidence and skills to carry out change in a non-threatening way.
(862) 235-0986 View (862) 235-0986
Photo of Natalie Joan Vance, LCSW, LCADC, Clinical Social Work/Therapist
Natalie Joan Vance
Clinical Social Work/Therapist, LCSW, LCADC
Verified Verified
1 Endorsed
Woodbridge, NJ 07095  (Online Only)
I am an experienced and compassionate licensed clinical social worker (LCSW) and licensed clinical alcohol and drug counselor (LCADC) in New Jersey with over 15 years of experience in the field. I embrace a client-centered approach, recognizing that each person is the expert of their own experiences. I strive to create a warm, non-judgmental space where clients feel valued, heard, and understood. Drawing from my background in coaching and psychotherapy, I employ a collaborative approach that empowers individuals to develop personalized strategies for achieving their therapy goals.
I am an experienced and compassionate licensed clinical social worker (LCSW) and licensed clinical alcohol and drug counselor (LCADC) in New Jersey with over 15 years of experience in the field. I embrace a client-centered approach, recognizing that each person is the expert of their own experiences. I strive to create a warm, non-judgmental space where clients feel valued, heard, and understood. Drawing from my background in coaching and psychotherapy, I employ a collaborative approach that empowers individuals to develop personalized strategies for achieving their therapy goals.
(848) 308-7327 View (848) 308-7327
Photo of Deborah Ejiofor, MA, LPC, NCC, Licensed Professional Counselor
Deborah Ejiofor
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Collingswood, NJ 08108
Do you feel overwhelmed by your current situation? When confronted with unchangeable circumstances, you may feel unable to do anything but wish your situation would change. I can help you move forward toward finding peace, happiness and a more satisfying life. I have experience working with depression, anxiety, trauma, adjustment to life stressors, relationships, and women's issues.
Do you feel overwhelmed by your current situation? When confronted with unchangeable circumstances, you may feel unable to do anything but wish your situation would change. I can help you move forward toward finding peace, happiness and a more satisfying life. I have experience working with depression, anxiety, trauma, adjustment to life stressors, relationships, and women's issues.
(973) 878-0819 View (973) 878-0819
Photo of Daniel Petrille - Daniel Petrille (adolescent/teen specialist), MSW, LSW, Clinical Social Work/Therapist
Daniel Petrille (adolescent/teen specialist)
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Clementon, NJ 08021
I am a Licensed Social Worker who recently graduated from Rutgers University. My professional experiences include interning at community centers and working as a social worker at a high school.
I am a Licensed Social Worker who recently graduated from Rutgers University. My professional experiences include interning at community centers and working as a social worker at a high school.
(856) 595-0065 View (856) 595-0065
Photo of Janice Leventhal Rosenman, LCSW, Clinical Social Work/Therapist
Janice Leventhal Rosenman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
People seek therapy because they wish to make a difference in their lives. They may struggle with anxiety, depression, loss, low self-esteem, relationship issues, life transitions, trauma, parenting challlenges. They may be contemplating a life change or curious about the emotional obstacles interfering with their ability to change. We will collaborate to establish your own goals for therapy and work together to gain clarity so that those goals become available to you.
People seek therapy because they wish to make a difference in their lives. They may struggle with anxiety, depression, loss, low self-esteem, relationship issues, life transitions, trauma, parenting challlenges. They may be contemplating a life change or curious about the emotional obstacles interfering with their ability to change. We will collaborate to establish your own goals for therapy and work together to gain clarity so that those goals become available to you.
(201) 654-7940 View (201) 654-7940
Photo of Alex Golob, LCSW, Clinical Social Work/Therapist
Alex Golob
Clinical Social Work/Therapist, LCSW
Verified Verified
Weehawken, NJ 07086  (Online Only)
Not accepting new clients
Do you have a pit in your stomach, a lump in your throat, or a variety of other uncomfortable feelings linked to your anxiety or depression? Do you have an issue or feelings you want to explore, fix, and/or understand? We will look at your thoughts, core beliefs, and how you view the world. As we decipher and explore what is holding you back, we will identify ways to improve your life. I provide a space where you have the opportunity to be vulnerable; to disclose your inner thoughts and feelings without judgement. I am here to help you work through challenging times and feelings, as well as celebrate the good times and achievements.
Do you have a pit in your stomach, a lump in your throat, or a variety of other uncomfortable feelings linked to your anxiety or depression? Do you have an issue or feelings you want to explore, fix, and/or understand? We will look at your thoughts, core beliefs, and how you view the world. As we decipher and explore what is holding you back, we will identify ways to improve your life. I provide a space where you have the opportunity to be vulnerable; to disclose your inner thoughts and feelings without judgement. I am here to help you work through challenging times and feelings, as well as celebrate the good times and achievements.
(201) 989-0068 View (201) 989-0068
Photo of Lorraine Gahles-Kildow, PhD, Psychologist
Lorraine Gahles-Kildow
Psychologist, PhD
Verified Verified
1 Endorsed
Scotch Plains, NJ 07076
Life can be hard, it can bring distress, loss, transition, and obstacles. But, we can survive and even thrive by being aware of our thoughts, emotions, behavior and bodily reactions. Processing and changing brings about healing and growth. Do a deep dive into yourself and discover the richness there.
Life can be hard, it can bring distress, loss, transition, and obstacles. But, we can survive and even thrive by being aware of our thoughts, emotions, behavior and bodily reactions. Processing and changing brings about healing and growth. Do a deep dive into yourself and discover the richness there.
(908) 799-0575 View (908) 799-0575
Photo of Joann Lee Anderson, LCSW, CSAT, CCTP, Clinical Social Work/Therapist
Joann Lee Anderson
Clinical Social Work/Therapist, LCSW, CSAT, CCTP
Verified Verified
Florham Park, NJ 07932  (Online Only)
Are you struggling to cope with the stressors of today? Are you experiencing emotional pain? Does worry, anxiety and depression leave you feeling alone and isolated? Do you find that you are repeating the same dysfunctional patterns in life? You can be free of emotional pain and successful in coping with trauma, anxiety and depression. You can find more meaning and purpose to your life and enhance your family, friendships and career. I believe each individual deserves a life that is fulfilling and meaningful.
Are you struggling to cope with the stressors of today? Are you experiencing emotional pain? Does worry, anxiety and depression leave you feeling alone and isolated? Do you find that you are repeating the same dysfunctional patterns in life? You can be free of emotional pain and successful in coping with trauma, anxiety and depression. You can find more meaning and purpose to your life and enhance your family, friendships and career. I believe each individual deserves a life that is fulfilling and meaningful.
(862) 288-7892 View (862) 288-7892
Photo of Rhonda Gulotta, LAC, Counselor
Rhonda Gulotta
Counselor, LAC
Verified Verified
1 Endorsed
Eatontown, NJ 07724
My ideal client is someone who feels stuck in their head much of the time and feel like their life/relationships aren't working. They feel like their internal state is interfering with the results they want in their lives whether that be in their relationships, parenting, financially, professionally or in life in general. They want to know how they can feel better and show up in a way that feels healthier for themselves and others. Many of my clients are reacting instead of responding to situations. They feel disconnected from themselves, have negative self-talk and relationship issues.
My ideal client is someone who feels stuck in their head much of the time and feel like their life/relationships aren't working. They feel like their internal state is interfering with the results they want in their lives whether that be in their relationships, parenting, financially, professionally or in life in general. They want to know how they can feel better and show up in a way that feels healthier for themselves and others. Many of my clients are reacting instead of responding to situations. They feel disconnected from themselves, have negative self-talk and relationship issues.
(732) 532-3415 View (732) 532-3415
Photo of Alyssa Grace Vicente - Embrace Hope, LLC, LCSW , Clinical Social Work/Therapist
Embrace Hope, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
Turnersville, NJ 08012  (Online Only)
The belief that every person has the ability to implement positive changes in their life is central to my work with clients. My experience working with people who are in various stages of change has been at the heart of Embrace Hope. I take a cognitive and realistic approach to therapy, keeping client goals central to my work. I have a deep understanding of what trauma informed care means, understanding that non-judgement and trust are at the core of healthy relationships. I have extensive experience working with individuals who are living with substance use disorder, in active recovery, anxiety and depression.
The belief that every person has the ability to implement positive changes in their life is central to my work with clients. My experience working with people who are in various stages of change has been at the heart of Embrace Hope. I take a cognitive and realistic approach to therapy, keeping client goals central to my work. I have a deep understanding of what trauma informed care means, understanding that non-judgement and trust are at the core of healthy relationships. I have extensive experience working with individuals who are living with substance use disorder, in active recovery, anxiety and depression.
(856) 420-6480 View (856) 420-6480
Photo of Ashley Marchese-Fiallos, MA, LPC, Licensed Professional Counselor
Ashley Marchese-Fiallos
Licensed Professional Counselor, MA, LPC
Verified Verified
Nutley, NJ 07110
CURRENTLY OFFERING TELEHEALTH SERVICES ONLY. Are you or your child feeling overwhelmed, depressed or anxious? I help individuals (children/teen/adults) and families learn how to cope with everyday stressors, navigate relationship issues and manage symptoms related to anxiety, depression, grief, ADHD, academic and behavioral issues, lack of motivation, and low self-esteem. I have over 7 years of experience in both private practice and hospital settings. My experience in a fast-paced children's hospital has given me the opportunity to gain vast knowledge of various community and school based psychosocial and emotional issues.
CURRENTLY OFFERING TELEHEALTH SERVICES ONLY. Are you or your child feeling overwhelmed, depressed or anxious? I help individuals (children/teen/adults) and families learn how to cope with everyday stressors, navigate relationship issues and manage symptoms related to anxiety, depression, grief, ADHD, academic and behavioral issues, lack of motivation, and low self-esteem. I have over 7 years of experience in both private practice and hospital settings. My experience in a fast-paced children's hospital has given me the opportunity to gain vast knowledge of various community and school based psychosocial and emotional issues.
(973) 559-2916 View (973) 559-2916
Photo of Trista Galvin, MA, LAC, NCC, Counselor
Trista Galvin
Counselor, MA, LAC, NCC
Verified Verified
Morristown, NJ 07960
Does perfectionism have you burnt out on life? Have you been people-pleasing so long that you don't have any idea what you like? Do you often second-guess yourself and doubt your capabilities? It is not easy to live this way, and anxiety and depression often accompany it. I can help you find your core self, give that part of you a voice, and live from that place to help you live a peaceful, joy-filled life.
Does perfectionism have you burnt out on life? Have you been people-pleasing so long that you don't have any idea what you like? Do you often second-guess yourself and doubt your capabilities? It is not easy to live this way, and anxiety and depression often accompany it. I can help you find your core self, give that part of you a voice, and live from that place to help you live a peaceful, joy-filled life.
(973) 559-2429 View (973) 559-2429
Photo of Tamara Pommells - Holistic Behavioral Solutions, ACS, LPC, LCADC, Licensed Professional Counselor
Holistic Behavioral Solutions
Licensed Professional Counselor, ACS, LPC, LCADC
Verified Verified
5 Endorsed
Pennington, NJ 08534
***Currently we are accepting clients for the waiting list only*** We are also actively hiring licensed clinicians that seek to work in diverse, just, and affirming practices. Please email us for more information. I/ We help CHANGE happen; families move to a place of harmony with greater connectedness and a sense of healing. Change requires experience and SUPPORT. Using a professional, highly rated counselor helps that change to happen today.
***Currently we are accepting clients for the waiting list only*** We are also actively hiring licensed clinicians that seek to work in diverse, just, and affirming practices. Please email us for more information. I/ We help CHANGE happen; families move to a place of harmony with greater connectedness and a sense of healing. Change requires experience and SUPPORT. Using a professional, highly rated counselor helps that change to happen today.
(609) 752-3098 View (609) 752-3098
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How does your Therapist compare?

Average cost per session

$150

Therapists in New Jersey who prioritize treating:

93% Anxiety
88% Depression
76% Relationship Issues
75% Self Esteem
69% Coping Skills
67% Stress
63% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

83% Aetna
66% Cigna and Evernorth
63% UnitedHealthcare UHC | UBH

How Therapists in New Jersey see their clients

67% In Person and Online
33% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New Jersey?

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.