Therapists in Lewes, DE

Photo of Georgette Barkala, Counselor in Lewes, DE
Georgette Barkala
Counselor, LPCMH, NCC
Verified Verified
Lewes, DE 19958
Therapy is a journey worth taking and I would be honored to take that journey with you. No matter where you are at this particular time in your life, know that you will not always be in this place. Change is the one thing we can surely count on. Whether you were the one who initiated the change or it was forced on you, the way you cope with change can affect your well-being. Unresolved feelings about the loss that naturally comes with change can lead to anxiety and depression. Having the support of a non-judgmental listener to help sort things out can make all the difference.
Therapy is a journey worth taking and I would be honored to take that journey with you. No matter where you are at this particular time in your life, know that you will not always be in this place. Change is the one thing we can surely count on. Whether you were the one who initiated the change or it was forced on you, the way you cope with change can affect your well-being. Unresolved feelings about the loss that naturally comes with change can lead to anxiety and depression. Having the support of a non-judgmental listener to help sort things out can make all the difference.
(302) 291-1515 View (302) 291-1515
Photo of Kathy King, Licensed Professional Counselor in Lewes, DE
Kathy King
Licensed Professional Counselor, LPC, NCC
Verified Verified
Lewes, DE 19958
I work with individuals, couples, and groups. My passion is reading and learning more about the differences between men and women and how the differences create conflict in relationships. My mission is to use this knowledge to help individuals, couples, and families improve their communication skills and increase their love, commitment, and happiness in each and every relationship. My motto is: Truth + Love +Time = Growth.
I work with individuals, couples, and groups. My passion is reading and learning more about the differences between men and women and how the differences create conflict in relationships. My mission is to use this knowledge to help individuals, couples, and families improve their communication skills and increase their love, commitment, and happiness in each and every relationship. My motto is: Truth + Love +Time = Growth.
(302) 526-1934 View (302) 526-1934
Photo of Achieve Empowerment Life Coaching in Lewes, DE
Achieve Empowerment Life Coaching
CPC, BFA
Verified Verified
Lewes, DE 19958  (Online Only)
Hi! I am MJ (aka Mary Jane Mullen), a Certified Professional Life Coach. I believe my calling is to help men and women to feel more empowered in their self and lives. With life coaching I can guide you through seeing life with new perspectives, awareness and a new approach. When you feel more empowered you are more comfortable when facing new challenges. You're able to be sure of yourself and what you want. You will be excited about new opportunities, Respected by others. Confident about your opinions and ideas.
Hi! I am MJ (aka Mary Jane Mullen), a Certified Professional Life Coach. I believe my calling is to help men and women to feel more empowered in their self and lives. With life coaching I can guide you through seeing life with new perspectives, awareness and a new approach. When you feel more empowered you are more comfortable when facing new challenges. You're able to be sure of yourself and what you want. You will be excited about new opportunities, Respected by others. Confident about your opinions and ideas.
(302) 281-0538 View (302) 281-0538
Photo of Christine Bishop-Edkins, Clinical Social Work/Therapist in Lewes, DE
Christine Bishop-Edkins
Clinical Social Work/Therapist, LCSW
Verified Verified
Lewes, DE 19958  (Online Only)
Life can be challenging at any age and talking with a therapist in a supportive environment can help. I integrate psychodynamic, cognitive behavioral and solution-focused therapies according to your needs and goals for therapy. Regardless of the approach, a good working relationship is key to making progress and feeling better. My clients tell me that they feel comfortable speaking with me and that my active listening style helps them discover solutions that work best for them. I bring a broad range of life experiences and a practical approach to therapy drawing from my professional, personal and educational background.
Life can be challenging at any age and talking with a therapist in a supportive environment can help. I integrate psychodynamic, cognitive behavioral and solution-focused therapies according to your needs and goals for therapy. Regardless of the approach, a good working relationship is key to making progress and feeling better. My clients tell me that they feel comfortable speaking with me and that my active listening style helps them discover solutions that work best for them. I bring a broad range of life experiences and a practical approach to therapy drawing from my professional, personal and educational background.
(302) 200-3709 View (302) 200-3709
Photo of Lisa Daley Rector, Clinical Social Work/Therapist in Lewes, DE
Lisa Daley Rector
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lewes, DE 19958
I am a Licensed Clinical Social Worker who has worked in the field of behavioral health for over 25 years. I recognize that suffering is part of the human condition and we all experience it in a variety of ways. I empower my clients to heal themselves by learning to trust their inner wisdom and I am passionate about human behavior and the various coping mechanisms the mind and body utilize as adaptive strategies.
I am a Licensed Clinical Social Worker who has worked in the field of behavioral health for over 25 years. I recognize that suffering is part of the human condition and we all experience it in a variety of ways. I empower my clients to heal themselves by learning to trust their inner wisdom and I am passionate about human behavior and the various coping mechanisms the mind and body utilize as adaptive strategies.
(302) 207-7906 View (302) 207-7906
Photo of Lewes Expressive Therapy, Licensed Professional Counselor in Lewes, DE
Lewes Expressive Therapy
Licensed Professional Counselor, LPCMH, CADC, ATR
Verified Verified
Lewes, DE 19958
Waitlist for new clients
I have learned from personal experience that the smallest changes in our thinking can improve the quality of our daily life. I hope that all of my clients can find happiness through improved self-esteem, relationships, positive thinking, and healthy support systems. This support begins with the trust and positive regard that clients develop with their therapist. I am inspired by human interactions, and the improvements clients experience in their lives. I hope that having a practice, nestled in Lewes, Delaware will allow me to share the peace I have found through living here.
I have learned from personal experience that the smallest changes in our thinking can improve the quality of our daily life. I hope that all of my clients can find happiness through improved self-esteem, relationships, positive thinking, and healthy support systems. This support begins with the trust and positive regard that clients develop with their therapist. I am inspired by human interactions, and the improvements clients experience in their lives. I hope that having a practice, nestled in Lewes, Delaware will allow me to share the peace I have found through living here.
(302) 246-5819 View (302) 246-5819
Photo of Cid Vordenbaum, Clinical Social Work/Therapist in Lewes, DE
Cid Vordenbaum
Clinical Social Work/Therapist, LCSW
Verified Verified
Lewes, DE 19958
I am a licensed clinical social worker with over twenty-five years of experience and work with a wide range of clients. My approach to psychotherapy is goal-oriented and it is honest, direct and respectful, offering clients non-judgmental guidance in a safe environment. Within these parameters my approach to therapy is adjusted based on the needs of an individual client.
I am a licensed clinical social worker with over twenty-five years of experience and work with a wide range of clients. My approach to psychotherapy is goal-oriented and it is honest, direct and respectful, offering clients non-judgmental guidance in a safe environment. Within these parameters my approach to therapy is adjusted based on the needs of an individual client.
(302) 208-4592 View (302) 208-4592
Tracy Hansen
Marriage & Family Therapist, LMFT
Verified Verified
Lewes, DE 19958
Straightforward, proactive, and empowering are descriptors of my therapeutic style. I am a Licensed Clinical Marriage & Family Therapist who strives for resolution and attainable therapeutic goals for clients. I specialize in helping solve tension and conflict within marital and family relationships. Ineffective communication, Intimacy, and Infidelity are the primary focus of my marital work. Boundaries, Independence, and Ineffective communication are the focus of my family therapy work. If you have questions about my services or area of expertise, please feel free to contact me. I look forward to working with you.
Straightforward, proactive, and empowering are descriptors of my therapeutic style. I am a Licensed Clinical Marriage & Family Therapist who strives for resolution and attainable therapeutic goals for clients. I specialize in helping solve tension and conflict within marital and family relationships. Ineffective communication, Intimacy, and Infidelity are the primary focus of my marital work. Boundaries, Independence, and Ineffective communication are the focus of my family therapy work. If you have questions about my services or area of expertise, please feel free to contact me. I look forward to working with you.
(302) 966-9938 View (302) 966-9938
Photo of Catrina Stiller, Licensed Professional Counselor in Lewes, DE
Catrina Stiller
Licensed Professional Counselor, MA, LPCMH, NCC
Verified Verified
Lewes, DE 19958
Are you feeling unfulfilled in your life? Are feelings of anxiety, depression, stress or loss overwhelming you? Would you like to start enjoying life and achieving your dreams? If so, allow me or another therapist on our team, the opportunity to help you learn how to help yourself. Our focus is on giving you the tools you need to move out of survival mode and into a life that is thriving. At HealTree, we offer psychotherapy, classes, groups and workshops to help you gain the tools you need to thrive. Our environment is friendly and welcoming as we focus on treating the whole person.
Are you feeling unfulfilled in your life? Are feelings of anxiety, depression, stress or loss overwhelming you? Would you like to start enjoying life and achieving your dreams? If so, allow me or another therapist on our team, the opportunity to help you learn how to help yourself. Our focus is on giving you the tools you need to move out of survival mode and into a life that is thriving. At HealTree, we offer psychotherapy, classes, groups and workshops to help you gain the tools you need to thrive. Our environment is friendly and welcoming as we focus on treating the whole person.
(302) 246-8075 View (302) 246-8075
Photo of Toni M Ballas Rowe, Clinical Social Work/Therapist in Lewes, DE
Toni M Ballas Rowe
Clinical Social Work/Therapist, LCSW
Verified Verified
Lewes, DE 19958
As an experienced Therapist of many years I have worked with children, adolescents and adults who have struggled with issues of abuse, bereavement, divorce, parent/ child-adolescent conflict, ADHD, depression and anxiety. My knowledge and experience with patients has given me a wealth of resources and tools to use in helping children, adults and families to cope with life challenges and tragedies. I have a passion for my work and hope that those who work with me eventually leave therapy with a better feeling about themselves and life.
As an experienced Therapist of many years I have worked with children, adolescents and adults who have struggled with issues of abuse, bereavement, divorce, parent/ child-adolescent conflict, ADHD, depression and anxiety. My knowledge and experience with patients has given me a wealth of resources and tools to use in helping children, adults and families to cope with life challenges and tragedies. I have a passion for my work and hope that those who work with me eventually leave therapy with a better feeling about themselves and life.
(302) 450-1188 View (302) 450-1188
Photo of Gary J Hartford, Licensed Professional Counselor in Lewes, DE
Gary J Hartford
Licensed Professional Counselor, LPCMH, NCC
Verified Verified
Lewes, DE 19958
I have been licensed in the state of Delaware since 2009 and have been practicing in the outpatient setting since 2010. Prior to that I worked as a therapist in a residential treatment facility, as a mobile therapist providing wrap around services and as a counselor in a drug and alcohol facility.
I have been licensed in the state of Delaware since 2009 and have been practicing in the outpatient setting since 2010. Prior to that I worked as a therapist in a residential treatment facility, as a mobile therapist providing wrap around services and as a counselor in a drug and alcohol facility.
(302) 329-3264 View (302) 329-3264
Photo of Anthony D Bozzi, Drug & Alcohol Counselor in Lewes, DE
Anthony D Bozzi
Drug & Alcohol Counselor, MS, CTRP, CADC
Verified Verified
Lewes, DE 19958
As a Certified Drug and Alcohol Counselor specializing in substance abuse counseling, I will work with you to develop a plan that meets your needs, and where you are on your path to recovery without any judgment or shame. Together, we will work towards reaching your goals realistically, practically, and effectively. You will learn more about yourself and gain critical insight into your motivations. We can work individually with each other, or we can work as a collaborative team with you and your family.
As a Certified Drug and Alcohol Counselor specializing in substance abuse counseling, I will work with you to develop a plan that meets your needs, and where you are on your path to recovery without any judgment or shame. Together, we will work towards reaching your goals realistically, practically, and effectively. You will learn more about yourself and gain critical insight into your motivations. We can work individually with each other, or we can work as a collaborative team with you and your family.
(302) 200-3695 View (302) 200-3695
Photo of Kristy Notarangelo, Clinical Social Work/Therapist in Lewes, DE
Kristy Notarangelo
Clinical Social Work/Therapist, LCSW, MBA, A-CBT
Verified Verified
Lewes, DE 19958  (Online Only)
Waitlist for new clients
Stuck or not moving on the cycle of change? Wondering why you continue to repeat unhealthy patterns throughout your life? Kristy can help you move through each different stage of life, each presenting a unique set of challenges. Psychotherapy is provided in conjunction with or without use of psychopharmacology. Psychotherapy modalities include Cognitive Behavioral Therapy, Motivational Therapy, Supportive Therapy and Insight Oriented approaches. Together we can overcome obstacles and reach important milestones to help achieve your goals.
Stuck or not moving on the cycle of change? Wondering why you continue to repeat unhealthy patterns throughout your life? Kristy can help you move through each different stage of life, each presenting a unique set of challenges. Psychotherapy is provided in conjunction with or without use of psychopharmacology. Psychotherapy modalities include Cognitive Behavioral Therapy, Motivational Therapy, Supportive Therapy and Insight Oriented approaches. Together we can overcome obstacles and reach important milestones to help achieve your goals.
(302) 246-7042 View (302) 246-7042
Photo of Margaret (Peggy) Gaestel, Clinical Social Work/Therapist in Lewes, DE
Margaret (Peggy) Gaestel
Clinical Social Work/Therapist, MSW, LCSW, LCSW-C
Verified Verified
Lewes, DE 19958
Director of Synergy Behavioral Health Group and Clinical Social Worker in Delaware and Maryland. I learned the importance of respecting people for who they are, recognizing and building on individual strengths and resilience, people bring to their life circumstances. Certified in Trauma Studies, experience with children, adults, and families. Engaged in on-going training in areas of assessing trauma and attachment issues and incorporate therapies that have the best outcomes for families, including Theraplay Provide trauma focused EMDR. In addition to traditional therapeutic interventions, I incorporate use of yoga, mindfulness, and mind/body connections that help improve therapeutic outcomes.
Director of Synergy Behavioral Health Group and Clinical Social Worker in Delaware and Maryland. I learned the importance of respecting people for who they are, recognizing and building on individual strengths and resilience, people bring to their life circumstances. Certified in Trauma Studies, experience with children, adults, and families. Engaged in on-going training in areas of assessing trauma and attachment issues and incorporate therapies that have the best outcomes for families, including Theraplay Provide trauma focused EMDR. In addition to traditional therapeutic interventions, I incorporate use of yoga, mindfulness, and mind/body connections that help improve therapeutic outcomes.
(302) 219-6476 View (302) 219-6476
Photo of Pamela Procter Lee, Counselor in Lewes, DE
Pamela Procter Lee
Counselor, LMHC
Verified Verified
Lewes, DE 19958  (Online Only)
Telehealth ONLY. I am a Licensed Mental Health Therapist and Certified EMDR clinician. EMDR is an evidence-based, highly effective treatment for adverse experiences and traumatic memory. When you experience trauma, your brain may not be able to process it. You may feel depressed, irritable, have nightmares, anxiety, and interpersonal conflicts. You may freeze that unpleasant moment in time and replay it when images, sounds, smells, feelings, etc. trigger you. EMDR therapy helps the brain process thoughts and feelings as it did before the adverse experience and returns you to a feeling of calm and connection.
Telehealth ONLY. I am a Licensed Mental Health Therapist and Certified EMDR clinician. EMDR is an evidence-based, highly effective treatment for adverse experiences and traumatic memory. When you experience trauma, your brain may not be able to process it. You may feel depressed, irritable, have nightmares, anxiety, and interpersonal conflicts. You may freeze that unpleasant moment in time and replay it when images, sounds, smells, feelings, etc. trigger you. EMDR therapy helps the brain process thoughts and feelings as it did before the adverse experience and returns you to a feeling of calm and connection.
(978) 225-7721 View (978) 225-7721
Photo of Trauma Specialists of Delaware, Counselor in Lewes, DE
Trauma Specialists of Delaware
Counselor
Verified Verified
1 Endorsed
Lewes, DE 19958
TSDE understands the impact trauma can have on a person. Whether the person has experienced one traumatic event or several over a life time it can cause anxiety, panic, phobia, depression, anger, relationship problems, substance use. We work with each person individually, based on their needs, abilities, strengths to help heal and move from the trauma and symptoms. We are an inclusive group that keeps the whole person and their life experiences in mind.
TSDE understands the impact trauma can have on a person. Whether the person has experienced one traumatic event or several over a life time it can cause anxiety, panic, phobia, depression, anger, relationship problems, substance use. We work with each person individually, based on their needs, abilities, strengths to help heal and move from the trauma and symptoms. We are an inclusive group that keeps the whole person and their life experiences in mind.
(302) 517-0172 View (302) 517-0172
Photo of Kate Gehret, MS LLC, Licensed Professional Counselor in Lewes, DE
Kate Gehret, MS LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
Lewes, DE 19958
The first step into therapy can feel uncomfortable or unfamiliar if you have never seen a therapist or if you previously had negative experiences. Whether you are struggling with panic, anxiety or fears, the physical affects can be debilitating. Depression may make it difficult to participate in life. Perhaps you find yourself in difficult relationships at work or at home. Or perhaps you are dealing with past trauma, abuse or relationship problems. If you are suffering with one or more of these problems, I have the training and experience to help you journey through these difficult issues.
The first step into therapy can feel uncomfortable or unfamiliar if you have never seen a therapist or if you previously had negative experiences. Whether you are struggling with panic, anxiety or fears, the physical affects can be debilitating. Depression may make it difficult to participate in life. Perhaps you find yourself in difficult relationships at work or at home. Or perhaps you are dealing with past trauma, abuse or relationship problems. If you are suffering with one or more of these problems, I have the training and experience to help you journey through these difficult issues.
(302) 253-7874 View (302) 253-7874
Photo of Ricki Geiger, Clinical Social Work/Therapist in Lewes, DE
Ricki Geiger
Clinical Social Work/Therapist, LCSW, CGP
Verified Verified
Lewes, DE 19958
Waitlist for new clients
In-person unavailable. Online only. Living with internal emotional conflicts inhibits opportunity for connection and regulation which creates isolation and unhappiness. I can help you unravel difficult experiences-past and present, work through bad feelings and cultivate positive change. I'm a relational psychotherapist and incorporate a PolyVagal Theory lens. I specialize in healing childhood abuse/neglect and trauma related stress and symptoms; shame, depression, loss of self, numbing, anxiety, self- destructive behavior, chronic grief and pain, attachment and trust issues, and feeling helpless and hopelessness.
In-person unavailable. Online only. Living with internal emotional conflicts inhibits opportunity for connection and regulation which creates isolation and unhappiness. I can help you unravel difficult experiences-past and present, work through bad feelings and cultivate positive change. I'm a relational psychotherapist and incorporate a PolyVagal Theory lens. I specialize in healing childhood abuse/neglect and trauma related stress and symptoms; shame, depression, loss of self, numbing, anxiety, self- destructive behavior, chronic grief and pain, attachment and trust issues, and feeling helpless and hopelessness.
(302) 732-2183 View (302) 732-2183
Photo of Seaside Healing LLC, Counselor in Lewes, DE
Seaside Healing LLC
Counselor, LCP
Verified Verified
Lewes, DE 19958
Life can be challenging and overwhelming, however, we are all capable of growth, change, and learning from our experiences. I am a Licensed Therapist in Delaware and Maryland with over 25 years of experience. Providing counseling for children, teens, adults, and families dealing with anxiety, depression, trauma, grief/loss, ADHD, and other life issues. I also have many years of experience helping individual and families who are dealing with terminal illness and end of life transitions.
Life can be challenging and overwhelming, however, we are all capable of growth, change, and learning from our experiences. I am a Licensed Therapist in Delaware and Maryland with over 25 years of experience. Providing counseling for children, teens, adults, and families dealing with anxiety, depression, trauma, grief/loss, ADHD, and other life issues. I also have many years of experience helping individual and families who are dealing with terminal illness and end of life transitions.
(302) 291-4456 View (302) 291-4456
Photo of Deborah Anne Stokes, Psychologist in Lewes, DE
Deborah Anne Stokes
Psychologist, PhD, BCN
Verified Verified
Lewes, DE 19958  (Online Only)
Not accepting new clients
PRACTICING TELEHEALTH. Providing psychotherapy and counseling since 1990. I enjoy working with individuals of all ages, families and couples experiencing a range of issues including anxiety, depression, substance abuse, grief, trauma and medical challenges. I work closely with other treatment professionals providing a team approach to providing comprehensive care and utilize a variety of approaches to therapy.
PRACTICING TELEHEALTH. Providing psychotherapy and counseling since 1990. I enjoy working with individuals of all ages, families and couples experiencing a range of issues including anxiety, depression, substance abuse, grief, trauma and medical challenges. I work closely with other treatment professionals providing a team approach to providing comprehensive care and utilize a variety of approaches to therapy.
(302) 200-3741 View (302) 200-3741

How does your Therapist compare?

Number of Therapists in Lewes, DE

90+

Average cost per session

$150

Therapists in Lewes, DE who prioritize treating:

91% Anxiety
87% Depression
76% Grief
70% Trauma and PTSD
70% Self Esteem
67% Relationship Issues
66% Coping Skills

Average years in practice

15 Years

Top 3 insurances accepted

79% BlueCross and BlueShield
74% Highmark
64% Aetna

How Therapists in Lewes, DE see their clients

72% In Person and Online
28% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lewes?

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.