Therapists in Nashua, NH

Photo of Danielle MacDonald, Pre-Licensed Professional in Nashua, NH
Danielle MacDonald
Pre-Licensed Professional, MSW
Verified Verified
Nashua, NH 03063
I am a firm believer in collaborative therapy, fostering a safe, comfortable, and supportive environment where clients can strive to surmount life’s obstacles and stressors. My primary objective is to support clients in facilitating a deeper understanding of themself, aiming to improve their overall wellbeing. My clinical expertise lies in helping clients explore the root causes of their self-beliefs and difficulties, aiding them to grasp the intricacies of their unique challenges.
I am a firm believer in collaborative therapy, fostering a safe, comfortable, and supportive environment where clients can strive to surmount life’s obstacles and stressors. My primary objective is to support clients in facilitating a deeper understanding of themself, aiming to improve their overall wellbeing. My clinical expertise lies in helping clients explore the root causes of their self-beliefs and difficulties, aiding them to grasp the intricacies of their unique challenges.
(866) 716-3181 View (866) 716-3181
Photo of Courtney Ohler, Marriage & Family Therapist in Nashua, NH
Courtney Ohler
Marriage & Family Therapist, MA, LMFT
Verified Verified
Nashua, NH 03062
Waitlist for new clients
No Telehealth. Due to the increase in demand in therapy and time I am available, email is preferred to get back to you in the most timely manner. I work with individuals and couples from a systemic, client focused and strength-based perspective. I have worked with individuals with an array of issues as well including life transitions, anxiety, relationship conflict, grief and loss, as well as trauma. I particularly enjoy assisting clients on the autism spectrum, people with their anxiety, and couples with sexual intimacy issues. I utilize CBT, narrative therapy and solution focused aspects. I also offer supervision for MFTs.
No Telehealth. Due to the increase in demand in therapy and time I am available, email is preferred to get back to you in the most timely manner. I work with individuals and couples from a systemic, client focused and strength-based perspective. I have worked with individuals with an array of issues as well including life transitions, anxiety, relationship conflict, grief and loss, as well as trauma. I particularly enjoy assisting clients on the autism spectrum, people with their anxiety, and couples with sexual intimacy issues. I utilize CBT, narrative therapy and solution focused aspects. I also offer supervision for MFTs.
(612) 888-8765 View (612) 888-8765
Photo of ADHD Innovations LLC, Clinical Social Work/Therapist in Nashua, NH
ADHD Innovations LLC
Clinical Social Work/Therapist, LICSW, MSW, ADDCCSP
Verified Verified
Nashua, NH 03063
Waitlist for new clients
Please be aware there is a dog in my office at all times. Due to allergies/ sensory issues No perfume is allowed in my office thank you. My area of focus is ADHD. I work with ages 12+, including adults. I work to help improve executive functioning levels by finding what areas are in need of support for the individual. Helping to work on improving communication, increasing accountability while reducing shame are all areas of focus. Due to high scheduling needs, multiple inquires and being a solo practitioner, please reach out via email for fastest response. Open 11-6 Monday - Thursday and 11-5 on Fridays. Weds/Friday Telehealth
Please be aware there is a dog in my office at all times. Due to allergies/ sensory issues No perfume is allowed in my office thank you. My area of focus is ADHD. I work with ages 12+, including adults. I work to help improve executive functioning levels by finding what areas are in need of support for the individual. Helping to work on improving communication, increasing accountability while reducing shame are all areas of focus. Due to high scheduling needs, multiple inquires and being a solo practitioner, please reach out via email for fastest response. Open 11-6 Monday - Thursday and 11-5 on Fridays. Weds/Friday Telehealth
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Photo of Kelly Dolan, LCMHC, Clinical Social Work/Therapist in Nashua, NH
Kelly Dolan, LCMHC
Clinical Social Work/Therapist, MA, LMHC, LCMHC
Verified Verified
Nashua, NH 03062
Not accepting new clients
My have limited daytime availability at this time. I prefer to do in person therapy sessions, but will do some online work, too. Email is the best way to communicate. I am certified by the National Emergency Responder and Public Safety Center (NERPSC). I feel a person's history, current life, and steps they are taking towards the future are all part of the therapeutic process. Often times, just coming in to talk with someone helps to ease your burden. I tend to ask lots of questions, and we can work to identify what techniques work best for you. I feel very strongly that if we work together, we can accomplish the goals you set.
My have limited daytime availability at this time. I prefer to do in person therapy sessions, but will do some online work, too. Email is the best way to communicate. I am certified by the National Emergency Responder and Public Safety Center (NERPSC). I feel a person's history, current life, and steps they are taking towards the future are all part of the therapeutic process. Often times, just coming in to talk with someone helps to ease your burden. I tend to ask lots of questions, and we can work to identify what techniques work best for you. I feel very strongly that if we work together, we can accomplish the goals you set.
(603) 379-6282 View (603) 379-6282
Photo of Kim Burkland-Ward, Clinical Social Work/Therapist in Nashua, NH
Kim Burkland-Ward
Clinical Social Work/Therapist, MA, MSW, LICSW
Verified Verified
2 Endorsed
Nashua, NH 03060  (Online Only)
Not accepting new clients
Are you finding that you are turning outside yourself to help you feel better? Have you lost someone or something important to you? Has something traumatic happened? Sometimes people just need a professional to talk with because they do not want to burden family or friends with their troubles. Psychotherapy is an active process in an empowering and supportive environment that helps you define and reach goals of wellness or success. It can help you overcome fears, insecurities, cope with stress, make sense of past traumatic experiences, improve relationships, understand why things bother you, and end habits or addictions.
Are you finding that you are turning outside yourself to help you feel better? Have you lost someone or something important to you? Has something traumatic happened? Sometimes people just need a professional to talk with because they do not want to burden family or friends with their troubles. Psychotherapy is an active process in an empowering and supportive environment that helps you define and reach goals of wellness or success. It can help you overcome fears, insecurities, cope with stress, make sense of past traumatic experiences, improve relationships, understand why things bother you, and end habits or addictions.
(603) 601-4673 View (603) 601-4673
Photo of Dr. Jennifer A Kilgore in Nashua, NH
Dr. Jennifer A Kilgore
ND
Verified Verified
Nashua, NH 03063
You just had a baby and to your unfortunate surprise, you are not well. Everything has changed from your relationship to your husband, your body, yourself and your work. It’s all now different. And while parts of it are good, like really really good, there’s something keeping you from being a better version of you and it’s creating toxicity. There is some part of you that is afraid you actually have lost your mind and there is also some part of you that is having a very hard time staying on your best behavior. Of course everything that you’re feeling is perfectly justified and that’s how it feels to you, but not one person gets it.
You just had a baby and to your unfortunate surprise, you are not well. Everything has changed from your relationship to your husband, your body, yourself and your work. It’s all now different. And while parts of it are good, like really really good, there’s something keeping you from being a better version of you and it’s creating toxicity. There is some part of you that is afraid you actually have lost your mind and there is also some part of you that is having a very hard time staying on your best behavior. Of course everything that you’re feeling is perfectly justified and that’s how it feels to you, but not one person gets it.
(603) 821-4744 View (603) 821-4744
Photo of Donna B. Lennon, Counselor in Nashua, NH
Donna B. Lennon
Counselor, MA, LCMHC, MLADC, CADC-ll
Verified Verified
2 Endorsed
Nashua, NH 03064
Now FT with a new office in Nashua with daytime openings. As a dually licensed and seasoned therapist, I will partner with you to help you find solutions. Do you frequently worry, focus on negative thoughts, neglect your own needs or struggle to “let go?” Are you a caregiver with feelings of burnout? Any concerns about your relationship with alcohol, drugs or food? Are you “sober” yet restless, irritable or alone? Our work together will be genuine & focused on your individual needs. While some therapies can focus on pathology & take years of exploration, our primary focus is on how your life circumstances affect you here & now.
Now FT with a new office in Nashua with daytime openings. As a dually licensed and seasoned therapist, I will partner with you to help you find solutions. Do you frequently worry, focus on negative thoughts, neglect your own needs or struggle to “let go?” Are you a caregiver with feelings of burnout? Any concerns about your relationship with alcohol, drugs or food? Are you “sober” yet restless, irritable or alone? Our work together will be genuine & focused on your individual needs. While some therapies can focus on pathology & take years of exploration, our primary focus is on how your life circumstances affect you here & now.
(833) 278-5373 View (833) 278-5373
Photo of Thomas W Burwell, Counselor in Nashua, NH
Thomas W Burwell
Counselor, MS, LCMHC
Verified Verified
Nashua, NH 03064
With Sixteen years of experience working in positive modalities with Adults, and Couples, I understand how life can get out of control and become overwhelming. Today, I counsel using Cognitive Behavioral Therapy with an emphasis on the "here and now" to assist in a more balanced outcome and realistic achievement of life goals.
With Sixteen years of experience working in positive modalities with Adults, and Couples, I understand how life can get out of control and become overwhelming. Today, I counsel using Cognitive Behavioral Therapy with an emphasis on the "here and now" to assist in a more balanced outcome and realistic achievement of life goals.
(603) 780-4655 View (603) 780-4655
Photo of Mary Elizabeth Beach, Drug & Alcohol Counselor in Nashua, NH
Mary Elizabeth Beach
Drug & Alcohol Counselor, LADC
Verified Verified
Nashua, NH 03063
GH Recovery Solutions is a private drug and alcohol rehab providing intervention and treatment services to those suffering from substance use, and individuals with co-occurring mental health issues. We provide individualized treatment in a small, gender-specific environment. Also, GH Recovery offers one of the only comprehensive vocational programs in New England. At GH Recovery, evidence-based practice is applied along with creative and cutting-edge interventions. We provide extraordinary individualized care and enable our clients to gain insight into their underlying factors driving addictive behaviors and unhealthy coping skills.
GH Recovery Solutions is a private drug and alcohol rehab providing intervention and treatment services to those suffering from substance use, and individuals with co-occurring mental health issues. We provide individualized treatment in a small, gender-specific environment. Also, GH Recovery offers one of the only comprehensive vocational programs in New England. At GH Recovery, evidence-based practice is applied along with creative and cutting-edge interventions. We provide extraordinary individualized care and enable our clients to gain insight into their underlying factors driving addictive behaviors and unhealthy coping skills.
(603) 691-3548 View (603) 691-3548
Photo of Patricia (Tricia) Feldman Owens, Counselor in Nashua, NH
Patricia (Tricia) Feldman Owens
Counselor, LCMHC, BSN
Verified Verified
Nashua, NH 03060
Experience how nonjudgmental, compassionate, goal-oriented support feels. As I am educated in both physical and mental health, my approach is holistic and evidence based. I focus on the ways in which our body's systems impact our overall mental and physical health. My collaborative style is committed to developing a plan that focuses on your specific needs, temperament and learning style. You will be challenged to grow and heal by developing awareness, skills and coping strategies to improve your well being and overall functioning. EMOTIONS MAKE US HUMAN...LIFE MAKES US STRUGGLE!
Experience how nonjudgmental, compassionate, goal-oriented support feels. As I am educated in both physical and mental health, my approach is holistic and evidence based. I focus on the ways in which our body's systems impact our overall mental and physical health. My collaborative style is committed to developing a plan that focuses on your specific needs, temperament and learning style. You will be challenged to grow and heal by developing awareness, skills and coping strategies to improve your well being and overall functioning. EMOTIONS MAKE US HUMAN...LIFE MAKES US STRUGGLE!
(603) 779-9057 View (603) 779-9057
Photo of Erin K Crail, Counselor in Nashua, NH
Erin K Crail
Counselor, MA, LMHC, LCMHC
Verified Verified
1 Endorsed
Nashua, NH 03060
Waitlist for new clients
I believe there is a lot of pressure in today's world which can create a sense of imbalance in one's life. I strive to help clients to find balance in their lives and feel more fulfilled. I also work with clients to overcome chronic anxiety, depression and move through the stages of grief with the support they need. In my work with families, I have helped couples who are suffering from breakdowns in communication to reconnect and enjoy one another again.
I believe there is a lot of pressure in today's world which can create a sense of imbalance in one's life. I strive to help clients to find balance in their lives and feel more fulfilled. I also work with clients to overcome chronic anxiety, depression and move through the stages of grief with the support they need. In my work with families, I have helped couples who are suffering from breakdowns in communication to reconnect and enjoy one another again.
(978) 827-0906 View (978) 827-0906
Photo of Kirby Gardner, Counselor in Nashua, NH
Kirby Gardner
Counselor, MA, CAGS, LCMHC
Verified Verified
3 Endorsed
Nashua, NH 03064
Making the decision to begin counseling can be intimidating and also rewarding. I am here to support you on this journey with a genuine, compassionate, and curious mind. I have been licensed for 10 years in NH and recently added VT for telehealth appointments only. I provide a solution-focused, person-centered approach to therapy. I specialize in topics such as anxious worry, self-esteem, interpersonal relationships, and stress/emotion management.
Making the decision to begin counseling can be intimidating and also rewarding. I am here to support you on this journey with a genuine, compassionate, and curious mind. I have been licensed for 10 years in NH and recently added VT for telehealth appointments only. I provide a solution-focused, person-centered approach to therapy. I specialize in topics such as anxious worry, self-esteem, interpersonal relationships, and stress/emotion management.
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Photo of Celene Barnes, Psychologist in Nashua, NH
Celene Barnes
Psychologist, PsyD
Verified Verified
Nashua, NH 03060
Not accepting new clients
These are very stressful times for many, many people, and in the midst of this stress it is essential to take care of yourself, both physically and emotionally. Our relationships, work, physical and emotional health, and even our leisure activities all suffer when our stress levels become overwhelming. I will work to teach and support you in regaining health and balance, and ultimately support you in living life more fully.
These are very stressful times for many, many people, and in the midst of this stress it is essential to take care of yourself, both physically and emotionally. Our relationships, work, physical and emotional health, and even our leisure activities all suffer when our stress levels become overwhelming. I will work to teach and support you in regaining health and balance, and ultimately support you in living life more fully.
(603) 244-3600 View (603) 244-3600
Photo of Julie Brown-Nierman, Clinical Social Work/Therapist in Nashua, NH
Julie Brown-Nierman
Clinical Social Work/Therapist, LCSW
Verified Verified
Nashua, NH 03060
Not accepting new clients
Your life hasn't turned out the way you planned. Anxiety or depression are making you feel stuck...like you don't recognize yourself anymore. Maybe you are considering a divorce, you've gotten sick, you've lost your job, or you've had a loved one die. Situations like these and others can leave you feeling angry, heartbroken, and confused. Having a safe place, and the support of an experienced and compassionate therapist during those ups and downs can be transformative.
Your life hasn't turned out the way you planned. Anxiety or depression are making you feel stuck...like you don't recognize yourself anymore. Maybe you are considering a divorce, you've gotten sick, you've lost your job, or you've had a loved one die. Situations like these and others can leave you feeling angry, heartbroken, and confused. Having a safe place, and the support of an experienced and compassionate therapist during those ups and downs can be transformative.
(978) 221-2513 View (978) 221-2513
Photo of Veronica Dacey, Marriage & Family Therapist in Nashua, NH
Veronica Dacey
Marriage & Family Therapist, MA, LMFT
Verified Verified
Nashua, NH 03060  (Online Only)
My ideal client is one who is invested in the therapy process as I am, and motivated to work in and out of session. My ideal client is ready to try new things and willing to look deeply inside. When these elements are in place, therapy tends to progress nicely.
My ideal client is one who is invested in the therapy process as I am, and motivated to work in and out of session. My ideal client is ready to try new things and willing to look deeply inside. When these elements are in place, therapy tends to progress nicely.
(603) 691-3497 View (603) 691-3497
Photo of Cheryl Ann Carroll, Clinical Social Work/Therapist in Nashua, NH
Cheryl Ann Carroll
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Nashua, NH 03063
Not accepting new clients
Have you been experiencing increased stress and anxiety? This past year has been challenging for everyone and we can work together on processing your experiences and gaining the coping skills to better manage life stressors moving forward.
Have you been experiencing increased stress and anxiety? This past year has been challenging for everyone and we can work together on processing your experiences and gaining the coping skills to better manage life stressors moving forward.
(603) 239-2349 View (603) 239-2349
Photo of Lahens Counseling, PLLC, Clinical Social Work/Therapist in Nashua, NH
Lahens Counseling, PLLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Nashua, NH 03062
Some days are better than others, but there’s an ongoing theme in your life of feeling discouraged and overwhelmed. You find yourself frequently worrying about how you will stay on top of all your responsibilities, and sometimes worrying about things that you know are out of your hands. When you stop and reflect, you know you used to have real closeness with your partner or other important people in your life, but it’s getting harder to remember that actual feeling. You’re drained by how much you seem to give of yourself but don’t feel hopeful about anything changing soon.
Some days are better than others, but there’s an ongoing theme in your life of feeling discouraged and overwhelmed. You find yourself frequently worrying about how you will stay on top of all your responsibilities, and sometimes worrying about things that you know are out of your hands. When you stop and reflect, you know you used to have real closeness with your partner or other important people in your life, but it’s getting harder to remember that actual feeling. You’re drained by how much you seem to give of yourself but don’t feel hopeful about anything changing soon.
(351) 300-0679 View (351) 300-0679
Photo of Christine Sperrazza, LCMHC, PLLC, Counselor in Nashua, NH
Christine Sperrazza, LCMHC, PLLC
Counselor, LCMHC, PLLC
Verified Verified
2 Endorsed
Nashua, NH 03063  (Online Only)
Not accepting new clients
Hi. I'm Christy, a therapist who offers video sessions for people in Massachusetts, New Hampshire, and Maine. Welcome to my profile. Glad you are here. I applaud you for taking the first step towards feeling more peace, happiness, and maybe even joy. The fact that you are reading this tells me there is hope. Let's explore together what's getting in the way.
Hi. I'm Christy, a therapist who offers video sessions for people in Massachusetts, New Hampshire, and Maine. Welcome to my profile. Glad you are here. I applaud you for taking the first step towards feeling more peace, happiness, and maybe even joy. The fact that you are reading this tells me there is hope. Let's explore together what's getting in the way.
(603) 825-4947 View (603) 825-4947
Photo of CARE Counseling Services LLC, Clinical Social Work/Therapist in Nashua, NH
CARE Counseling Services LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Nashua, NH 03063
Want more than a "band aide" solution? We specialize in helping you uncover the root cause of your current symptoms, triggers, and behaviors. We will support you while you make meaningful connections and process some of your most challenging life experiences. Getting bullied, watching parents get divorced, losing someone you love, living through abuse or neglect, losing an important game, being a first responder. The list goes on and on. We believe you are ready to put these experiences to rest. Let us help you take the weight off your shoulders. Visit our website (www.carenh.com) or call to get started TODAY!
Want more than a "band aide" solution? We specialize in helping you uncover the root cause of your current symptoms, triggers, and behaviors. We will support you while you make meaningful connections and process some of your most challenging life experiences. Getting bullied, watching parents get divorced, losing someone you love, living through abuse or neglect, losing an important game, being a first responder. The list goes on and on. We believe you are ready to put these experiences to rest. Let us help you take the weight off your shoulders. Visit our website (www.carenh.com) or call to get started TODAY!
(603) 270-9181 View (603) 270-9181
Photo of Kimberly D Ducharme, Drug & Alcohol Counselor in Nashua, NH
Kimberly D Ducharme
Drug & Alcohol Counselor, MS, MLADC
Verified Verified
1 Endorsed
Nashua, NH 03062
I believe the path to recovery begins with finding your inner strength, empowering yourself and sometimes reaching out for help. If you are struggling with substance abuse or co-occurring issues, I am here to offer guidance and support. I have been working in the addictions field for over 6 years in a multitude of settings. I have worked within the prison system offering substance abuse treatment to both men and women. I have also worked as a clinician within a non-profit organization. Working in these settings have taught me that their is no cookie cutter approach to substance abuse treatment, everyone's path is different.
I believe the path to recovery begins with finding your inner strength, empowering yourself and sometimes reaching out for help. If you are struggling with substance abuse or co-occurring issues, I am here to offer guidance and support. I have been working in the addictions field for over 6 years in a multitude of settings. I have worked within the prison system offering substance abuse treatment to both men and women. I have also worked as a clinician within a non-profit organization. Working in these settings have taught me that their is no cookie cutter approach to substance abuse treatment, everyone's path is different.
(603) 945-2189 View (603) 945-2189

How does your Therapist compare?

Number of Therapists in Nashua, NH

100+

Average cost per session

$150

Therapists in Nashua, NH who prioritize treating:

91% Anxiety
82% Depression
76% Relationship Issues
72% Coping Skills
72% Self Esteem
70% Trauma and PTSD
66% Stress

Average years in practice

13 Years

Top 3 insurances accepted

81% BlueCross and BlueShield
76% UnitedHealthcare UHC | UBH
76% Anthem | Elevance

How Therapists in Nashua, NH see their clients

71% In Person and Online
29% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Nashua?

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.