Therapists in Old Saybrook, CT

Photo of Nancy Diane Varga, Clinical Social Work/Therapist, LCSW, LADC
Nancy Diane Varga
Clinical Social Work/Therapist, LCSW, LADC
Old Saybrook, CT 06475
I am a licensed clinical social worker. I specialize in helping clients who are dealing with issues related to an oncology diagnosis, palliative care caregivers and or/chronic illness and grief and loss. I also have expertise in chemical dependence treatment and am a licensed alcohol and drug counselor.
I am a licensed clinical social worker. I specialize in helping clients who are dealing with issues related to an oncology diagnosis, palliative care caregivers and or/chronic illness and grief and loss. I also have expertise in chemical dependence treatment and am a licensed alcohol and drug counselor.
(860) 698-0977 View (860) 698-0977
Photo of Kristen Cooke, Clinical Social Work/Therapist, LCSW
Kristen Cooke
Clinical Social Work/Therapist, LCSW
Old Saybrook, CT 06475
As a clinical social worker, I have over 25 years of experience working with individuals in a variety of therapeutic settings. Creating a therapeutic environment that is warm, compassionate and nurturing is one of my strengths. Therapy often helps provide insight into our strengths and internal resources we already have so we can build skills for improved daily functioning, emotional health and fulfillment and positive change. My areas of special interest include adjustment to life changes, low self-esteem, stress management, relational concerns and emotional/mood disorders.
As a clinical social worker, I have over 25 years of experience working with individuals in a variety of therapeutic settings. Creating a therapeutic environment that is warm, compassionate and nurturing is one of my strengths. Therapy often helps provide insight into our strengths and internal resources we already have so we can build skills for improved daily functioning, emotional health and fulfillment and positive change. My areas of special interest include adjustment to life changes, low self-esteem, stress management, relational concerns and emotional/mood disorders.
(959) 200-8891 View (959) 200-8891
Photo of Melanie Meyer, Marriage & Family Therapist, LMFT
Melanie Meyer
Marriage & Family Therapist, LMFT
Old Saybrook, CT 06475
Not accepting new clients
Are you struggling through a difficult life transition? Are you in need of a safe space to process and explore your feelings? During those times it can be helpful to talk to someone who is encouraging, but also accepting of life's challenges. Most of us find ourselves overwhelmed or struggling at some point in our lives. Therapy can be the start, or a continuation of your journey. I believe in creating a therapy experience tailored to your individual needs, and that choosing a therapist that is the right fit for you is crucial to getting the most out of your experience.
Are you struggling through a difficult life transition? Are you in need of a safe space to process and explore your feelings? During those times it can be helpful to talk to someone who is encouraging, but also accepting of life's challenges. Most of us find ourselves overwhelmed or struggling at some point in our lives. Therapy can be the start, or a continuation of your journey. I believe in creating a therapy experience tailored to your individual needs, and that choosing a therapist that is the right fit for you is crucial to getting the most out of your experience.
(860) 590-7498 View (860) 590-7498
Photo of Adam Stahr - Old Saybrook Youth and Family Services, Marriage & Family Therapist, LMFT, LCSW, LADC, LPC, INTERNS
Old Saybrook Youth and Family Services
Marriage & Family Therapist, LMFT, LCSW, LADC, LPC, INTERNS
Old Saybrook, CT 06475
Old Saybrook Youth and Family Services is committed to promoting the positive and healthy well being of youth, families and senior citizens. We are concerned with all aspects of life that affect youth, their families and the community. Our clinicians are dedicated to a collaborative approach to analyzing existing needs and developing programs and relationships to serve those needs.
Old Saybrook Youth and Family Services is committed to promoting the positive and healthy well being of youth, families and senior citizens. We are concerned with all aspects of life that affect youth, their families and the community. Our clinicians are dedicated to a collaborative approach to analyzing existing needs and developing programs and relationships to serve those needs.
(860) 264-0722 View (860) 264-0722
Photo of Sara B. Snyder - Sara B. Snyder, LCSW, Clinical Social Work/Therapist, LCSW
Sara B. Snyder, LCSW
Clinical Social Work/Therapist, LCSW
Old Saybrook, CT 06475
Do you ever feel anxious, distracted, or overwhelmed—like no matter how hard you try, it’s difficult to stay focused or keep up with life’s demands? Living with challenges such as ADHD, anxiety, or depression can leave you feeling stuck, frustrated, or discouraged. But you don’t have to navigate this alone.
Do you ever feel anxious, distracted, or overwhelmed—like no matter how hard you try, it’s difficult to stay focused or keep up with life’s demands? Living with challenges such as ADHD, anxiety, or depression can leave you feeling stuck, frustrated, or discouraged. But you don’t have to navigate this alone.
(203) 916-5494 View (203) 916-5494
Photo of Maureen Kapij, Clinical Social Work/Therapist, LCSW
Maureen Kapij
Clinical Social Work/Therapist, LCSW
Old Saybrook, CT 06475
My work with you will focus on empowering you to be the strongest version of yourself. I have worked with children, teens, adults and couples struggling with anxiety, low self esteem, depression, school avoidance and marital conflict. Each situation is different and each person brings strengths and needs to the therapeutic experience. I work to help strengthen your relationships, improve your coping skills and practice healthy routines on the path to wellness.
My work with you will focus on empowering you to be the strongest version of yourself. I have worked with children, teens, adults and couples struggling with anxiety, low self esteem, depression, school avoidance and marital conflict. Each situation is different and each person brings strengths and needs to the therapeutic experience. I work to help strengthen your relationships, improve your coping skills and practice healthy routines on the path to wellness.
(860) 898-9280 View (860) 898-9280
Photo of Rachel Skelton, Licensed Professional Counselor, LPC
Rachel Skelton
Licensed Professional Counselor, LPC
Old Saybrook, CT 06475
Waitlist for new clients
Looking for a therapist can be scary and intimidating so congratulations on taking the first step in healing! Life, especially now more than ever, can be exhausting, challenging and hard. You are taking the first and most important step into finding the healthiest version of you. My experience is with adults and teens who have experienced various life stressors including depression, anxiety, trauma, grief, addiction, alcohol use, relationship and communication related issues, and family conflict. As a therapist, I offer a collaborative approach with my clients.
Looking for a therapist can be scary and intimidating so congratulations on taking the first step in healing! Life, especially now more than ever, can be exhausting, challenging and hard. You are taking the first and most important step into finding the healthiest version of you. My experience is with adults and teens who have experienced various life stressors including depression, anxiety, trauma, grief, addiction, alcohol use, relationship and communication related issues, and family conflict. As a therapist, I offer a collaborative approach with my clients.
(860) 851-3898 View (860) 851-3898
Photo of Kaila Brown, Clinical Social Work/Therapist, LCSW
Kaila Brown
Clinical Social Work/Therapist, LCSW
1 Endorsed
Old Saybrook, CT 06475
Not accepting new clients
Life is challenging navigating the peaks and valleys throughout our lifetime. Some people can feel the mounting pressures closing in. Well, it's time to breathe fresh air again. Whether you are battling with depression, struggling with anxiety, or managing everyday life stressors, I am here to help you navigate all the twists and curves. Together we will learn how to respond to life's difficult challenges while building a strong sense of worth. You deserve to achieve your goals, and happiness.
Life is challenging navigating the peaks and valleys throughout our lifetime. Some people can feel the mounting pressures closing in. Well, it's time to breathe fresh air again. Whether you are battling with depression, struggling with anxiety, or managing everyday life stressors, I am here to help you navigate all the twists and curves. Together we will learn how to respond to life's difficult challenges while building a strong sense of worth. You deserve to achieve your goals, and happiness.
(860) 718-4647 View (860) 718-4647
Photo of Caitlin Kimberlin, Clinical Social Work/Therapist, MSW, LCSW
Caitlin Kimberlin
Clinical Social Work/Therapist, MSW, LCSW
1 Endorsed
Old Saybrook, CT 06475
Do you feel like your family is struggling? Do you feel overwhelmed by your relationships or family life? Are you battling with your children’s challenging behaviors in school and/or at home? Individual and family therapy can provide you and your family members with a safe space to discuss and work through conflicts, learn skills to interact with others more successfully and improve your emotional health and overall happiness. I am passionate about helping adults and children improve their relationships and make positive changes within their life.
Do you feel like your family is struggling? Do you feel overwhelmed by your relationships or family life? Are you battling with your children’s challenging behaviors in school and/or at home? Individual and family therapy can provide you and your family members with a safe space to discuss and work through conflicts, learn skills to interact with others more successfully and improve your emotional health and overall happiness. I am passionate about helping adults and children improve their relationships and make positive changes within their life.
(860) 590-8323 View (860) 590-8323
Photo of Valerie Martin, Clinical Social Work/Therapist, MSW, LCSW, ACHP-SW, MBA
Valerie Martin
Clinical Social Work/Therapist, MSW, LCSW, ACHP-SW, MBA
Online Only
Accepting New Clients! Welcome and congratulations - you have taken the first step towards finding balance in your life, achieving your goals and becoming the best version of you yet. As an LCSW, I specialize in depression, anxiety, substance abuse, stress management and adjusting to life transitions. I also have specialized training in coping with chronic illness and grief counseling. Regardless of the challenges you are facing, together we can find and choose a new path of hope, healing and happiness.
Accepting New Clients! Welcome and congratulations - you have taken the first step towards finding balance in your life, achieving your goals and becoming the best version of you yet. As an LCSW, I specialize in depression, anxiety, substance abuse, stress management and adjusting to life transitions. I also have specialized training in coping with chronic illness and grief counseling. Regardless of the challenges you are facing, together we can find and choose a new path of hope, healing and happiness.
(203) 902-8052 View (203) 902-8052
Photo of Janice Katilius, Clinical Social Work/Therapist, LCSW
Janice Katilius
Clinical Social Work/Therapist, LCSW
Old Saybrook, CT 06475
Are you looking for an experienced Clinical Social Worker ? If so, please reach out to see how I can assist you in reaching your goal in treatment. I have worked with many individuals who have experienced much pain in their lives due to anxiety, depression, psychosis, and trauma and have been amazed at the individual's resilience. My part in the journey with the individual is offering the hope that things will change . I offer a non-judgemental space in which to listen and encourage individuals to feel good about themselves in order to make treatment happen for themselves. I am a strength based therapist. I am licensed in CT and Fl
Are you looking for an experienced Clinical Social Worker ? If so, please reach out to see how I can assist you in reaching your goal in treatment. I have worked with many individuals who have experienced much pain in their lives due to anxiety, depression, psychosis, and trauma and have been amazed at the individual's resilience. My part in the journey with the individual is offering the hope that things will change . I offer a non-judgemental space in which to listen and encourage individuals to feel good about themselves in order to make treatment happen for themselves. I am a strength based therapist. I am licensed in CT and Fl
(860) 962-6088 View (860) 962-6088
Photo of Mark D Aron - Hypnosis for Healthy Eating, Psychologist, PhD
Hypnosis for Healthy Eating
Psychologist, PhD
Old Saybrook, CT 06475
So why are you so focused on your weight? There isn't just one reason but many. We have the attitude that you can be healthy at any size with a focus on nutritional goals that will help you get the energy level that you need. Our approach offers you a chance to pursue your health goals through a better relationship with food. Whether you are trying to manage a health issue such as diabetes or trying to improve your performance as an athlete, we can guide you. It's not good enough to know what you need to do for your nutritional needs. You then need the confidence of following through with the necessary habits for results.
So why are you so focused on your weight? There isn't just one reason but many. We have the attitude that you can be healthy at any size with a focus on nutritional goals that will help you get the energy level that you need. Our approach offers you a chance to pursue your health goals through a better relationship with food. Whether you are trying to manage a health issue such as diabetes or trying to improve your performance as an athlete, we can guide you. It's not good enough to know what you need to do for your nutritional needs. You then need the confidence of following through with the necessary habits for results.
(860) 809-1968 View (860) 809-1968
Photo of Leah O'Connor, Licensed Professional Counselor, LPC
Leah O'Connor
Licensed Professional Counselor, LPC
Old Saybrook, CT 06475
Having worked as a counselor with children, adolescents, young adults and parents for over 14 years, I help each client identify the barriers in their life, and collaboratively work together to help them find strength within and new strategies in everyday life to enhance overall wellbeing. While I see clients of all ages with a range of issues and concerns, I specialize in Women's Wellness - helping women in varying stages of life. My clients want to find joy, enhance self-concept and self-esteem, work towards achievable goals in varying areas of their lives, and experience relief from problematic patterns or experiences.
Having worked as a counselor with children, adolescents, young adults and parents for over 14 years, I help each client identify the barriers in their life, and collaboratively work together to help them find strength within and new strategies in everyday life to enhance overall wellbeing. While I see clients of all ages with a range of issues and concerns, I specialize in Women's Wellness - helping women in varying stages of life. My clients want to find joy, enhance self-concept and self-esteem, work towards achievable goals in varying areas of their lives, and experience relief from problematic patterns or experiences.
(860) 979-5488 View (860) 979-5488
Photo of Mairi Graham-Shaw, Clinical Social Work/Therapist, LMSW
Mairi Graham-Shaw
Clinical Social Work/Therapist, LMSW
Online Only
You may be feeling overwhelmed, stuck, or weighed down by grief, anxiety, depression, or past trauma. Perhaps you’re exhausted by constant worry, racing thoughts, or low moods that make it hard to get through the day. Or maybe you’re carrying painful memories, loss, or experiences that still impact your present. You want to feel calmer, more grounded, and able to reconnect with yourself and others — but right now, that feels out of reach.
You may be feeling overwhelmed, stuck, or weighed down by grief, anxiety, depression, or past trauma. Perhaps you’re exhausted by constant worry, racing thoughts, or low moods that make it hard to get through the day. Or maybe you’re carrying painful memories, loss, or experiences that still impact your present. You want to feel calmer, more grounded, and able to reconnect with yourself and others — but right now, that feels out of reach.
(860) 507-9206 View (860) 507-9206
Photo of Shelley F Pelletier, Psychologist, PhD, NCSP, ABPP
Shelley F Pelletier
Psychologist, PhD, NCSP, ABPP
Old Saybrook, CT 06475
I work with toddlers, children, adolescents, and young adults, generally spanning the ages of 3-21. With experience in school districts and in medical and private practice settings, I have had experience working with children with a wide range of issues, including: learning disorders (e.g. dyslexia and non-verbal learning disabilities), attention-deficit/hyperactivity disorder, developmental disabilities (mental retardation), autism spectrum disorders, neurodevelopmental disorders and genetic syndromes, Tourette's syndrome and tic disorders, prematurity and low birth weight outcomes, brain injuries and neurological disorders, anxiety/mood disorders, obsessive compulsive disorder, and late effects of cancer treatment.
I work with toddlers, children, adolescents, and young adults, generally spanning the ages of 3-21. With experience in school districts and in medical and private practice settings, I have had experience working with children with a wide range of issues, including: learning disorders (e.g. dyslexia and non-verbal learning disabilities), attention-deficit/hyperactivity disorder, developmental disabilities (mental retardation), autism spectrum disorders, neurodevelopmental disorders and genetic syndromes, Tourette's syndrome and tic disorders, prematurity and low birth weight outcomes, brain injuries and neurological disorders, anxiety/mood disorders, obsessive compulsive disorder, and late effects of cancer treatment.
(860) 308-1643 View (860) 308-1643
Photo of Andrew S. Pollak, Marriage & Family Therapist, LMFT, CCHT
Andrew S. Pollak
Marriage & Family Therapist, LMFT, CCHT
Old Saybrook, CT 06475
30 years in practice, and working intimately with thousands of individuals, families and groups, has been my greatest teacher. It has taught me the single most important ingredient that determines ones likelyhood of successfully achieving their desires and actualizing their highest potential. The ingredient COURAGE allows for fear AND steps forward in spite of it. Call now if are a sincerely determined individual and want to feel relief and have a greater sense of control and mastery over the direction of your life, despite feeling stuck,anxious,depressed, suffering with traumatic memory.If you bring the courage anything is possible
30 years in practice, and working intimately with thousands of individuals, families and groups, has been my greatest teacher. It has taught me the single most important ingredient that determines ones likelyhood of successfully achieving their desires and actualizing their highest potential. The ingredient COURAGE allows for fear AND steps forward in spite of it. Call now if are a sincerely determined individual and want to feel relief and have a greater sense of control and mastery over the direction of your life, despite feeling stuck,anxious,depressed, suffering with traumatic memory.If you bring the courage anything is possible
(203) 697-8418 View (203) 697-8418
Photo of Tony Augustine, Drug & Alcohol Counselor, MA, MEd, LADC
Tony Augustine
Drug & Alcohol Counselor, MA, MEd, LADC
Old Saybrook, CT 06475
Chances are you or a family member is affected by addiction. It is a heartbreaking disease but there is A WAY OUT! I use a person-centered, individual, holistic approach to addiction treatment and education for individuals and family members. I employ clinically proven strategies to recovery. I successfully treated addicted clients and supported and educated family members for over twenty years. I would be honored to walk with you on your road to a newly found life! I treat men and women 17 years and older. Feel free to call. I'm happy to speak with you.
Chances are you or a family member is affected by addiction. It is a heartbreaking disease but there is A WAY OUT! I use a person-centered, individual, holistic approach to addiction treatment and education for individuals and family members. I employ clinically proven strategies to recovery. I successfully treated addicted clients and supported and educated family members for over twenty years. I would be honored to walk with you on your road to a newly found life! I treat men and women 17 years and older. Feel free to call. I'm happy to speak with you.
(860) 322-5231 View (860) 322-5231
Photo of Carleigh Hannah, Clinical Social Work/Therapist, LCSW
Carleigh Hannah
Clinical Social Work/Therapist, LCSW
Old Saybrook, CT 06475
Not accepting new clients
I’m Carleigh Hannah, LCSW and I’m here to help. My goal is to provide a safe place to explore current life challenges. I am here to root you on when things are going well, encourage you to look deeper into underlining meanings, support you through difficult life decisions and transitions. I treat ADHD, Anxiety disorders, Autism, Bipolar disorders, Depression, Personality disorders, Schizophrenia, PTSD. I am an ally to our LGBTQ+ community and have experience with educating and advocating for LGBTQ+ misconceptions.
I’m Carleigh Hannah, LCSW and I’m here to help. My goal is to provide a safe place to explore current life challenges. I am here to root you on when things are going well, encourage you to look deeper into underlining meanings, support you through difficult life decisions and transitions. I treat ADHD, Anxiety disorders, Autism, Bipolar disorders, Depression, Personality disorders, Schizophrenia, PTSD. I am an ally to our LGBTQ+ community and have experience with educating and advocating for LGBTQ+ misconceptions.
(860) 362-2409 View (860) 362-2409
Photo of Elizabeth Fernandes, Clinical Social Work/Therapist, LCSW
Elizabeth Fernandes
Clinical Social Work/Therapist, LCSW
Old Saybrook, CT 06475
Begin Your Journey Toward Healing and Growth...At Path to Hope & Healing, LLC, you’ll find a compassionate, supportive counseling space where you are seen, heard, and accepted—without judgment. Therapy is a collaborative process, and together we’ll build trust, clarify your personal goals, and address the challenges that may be holding you back, so you can create meaningful and lasting change in your life.
Begin Your Journey Toward Healing and Growth...At Path to Hope & Healing, LLC, you’ll find a compassionate, supportive counseling space where you are seen, heard, and accepted—without judgment. Therapy is a collaborative process, and together we’ll build trust, clarify your personal goals, and address the challenges that may be holding you back, so you can create meaningful and lasting change in your life.
(203) 974-3746 View (203) 974-3746
Photo of Mary Katherine Peralez, Licensed Professional Counselor, LPC, LPCP
Mary Katherine Peralez
Licensed Professional Counselor, LPC, LPCP
Online Only
Hello & Welcome to MinuteClinic! My name is MK and I approach the therapeutic relationship with a person-centered, CBT perspective that promotes collaboration. I have always been quick to recognize when others are struggling mentally and emotionally, and have dedicated my adult life to learning how to support individuals through this suffering. Life is constantly throwing curveballs and it is ok to reach out for support when you keep striking out! At MinuteClinic in Old Saybrook, I offer brief, solution-focused therapy to assist individuals in managing the current stressors in their lives.
Hello & Welcome to MinuteClinic! My name is MK and I approach the therapeutic relationship with a person-centered, CBT perspective that promotes collaboration. I have always been quick to recognize when others are struggling mentally and emotionally, and have dedicated my adult life to learning how to support individuals through this suffering. Life is constantly throwing curveballs and it is ok to reach out for support when you keep striking out! At MinuteClinic in Old Saybrook, I offer brief, solution-focused therapy to assist individuals in managing the current stressors in their lives.
(860) 891-6402 View (860) 891-6402

See more therapy options for Old Saybrook

How does your Therapist compare?

Number of Therapists in Old Saybrook, CT

100+

Average cost per session

$150

Therapists in Old Saybrook, CT who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
87% Depression
76% Self Esteem
72% Relationship Issues

Average years in practice

16 Years

Top 3 insurances accepted

70% Aetna
70% UnitedHealthcare UHC | UBH
69% Cigna and Evernorth

How Therapists in Old Saybrook, CT see their clients

71% In Person and Online
29% Online Only

Gender breakdown

85% Female
15% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Old Saybrook?

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.