Therapists in Bryn Mawr, PA
Melea Sayward
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
Bryn Mawr, PA 19010 (Online Only)
Welcome! Taking the step to access support through therapy is an act of courage. As a professional counselor it’s a privilege to step into the hard parts of life with others and I am happy to support you as you navigate your current struggle.
Welcome! Taking the step to access support through therapy is an act of courage. As a professional counselor it’s a privilege to step into the hard parts of life with others and I am happy to support you as you navigate your current struggle.
Amy Wenzel
Psychologist
Verified Verified
Bryn Mawr, PA 19010
I use cognitive behavioral therapy (CBT) to treat a broad range of mood and anxiety disorders. From 2004 until his death in 2021, I worked with Dr. Aaron T. Beck, who is regarded as the "father" of CBT, to develop and evaluate CBT treatment protocols for many types of clientele and treatment settings. I deliver these evidence-based treatments in my clinical practice. I work well with clients who seek an active, problem-focused, and evidence-based approach to resolve their emotional distress and life problems in a warm, supportive, and compassionate environment that is focused on the cultivation of a strong therapeutic relationship.
I use cognitive behavioral therapy (CBT) to treat a broad range of mood and anxiety disorders. From 2004 until his death in 2021, I worked with Dr. Aaron T. Beck, who is regarded as the "father" of CBT, to develop and evaluate CBT treatment protocols for many types of clientele and treatment settings. I deliver these evidence-based treatments in my clinical practice. I work well with clients who seek an active, problem-focused, and evidence-based approach to resolve their emotional distress and life problems in a warm, supportive, and compassionate environment that is focused on the cultivation of a strong therapeutic relationship.
Jane M Hart
Licensed Professional Counselor, EdD, LPC, NCC
Verified Verified
Bryn Mawr, PA 19010
You may be facing your first counseling experience or after years of working with other practitioners--willing to try again. When we first meet, I trust you will know you are safe and respected. I commit my full presence, deep interest, and willingness to be open to who you truly are. In other words, I am "teachable"--by you, for you and with you. And rather than fit you into a model, I will "learn and flex"--learn how you learn, change and grow and flex my skills, style and tools to find what works best for you.
You may be facing your first counseling experience or after years of working with other practitioners--willing to try again. When we first meet, I trust you will know you are safe and respected. I commit my full presence, deep interest, and willingness to be open to who you truly are. In other words, I am "teachable"--by you, for you and with you. And rather than fit you into a model, I will "learn and flex"--learn how you learn, change and grow and flex my skills, style and tools to find what works best for you.
Ren (Lauren) Gibson
Psychologist, PhD
Verified Verified
Bryn Mawr, PA 19010
I am a licensed clinical psychologist who specializes in treating trauma-related conditions, emotion dysregulation, and the broad spectrum of anxiety disorders, with extensive training in various approaches, including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, exposure therapies, and Acceptance and Commitment Therapy. I incorporate principles from many evidence-based treatments given the complexity of individuals and the world generally. My interventions can target issues that fall under diagnostic categories (e.g., PTSD, OCD, GAD), but also other underlying relationship, personality, and emotion concerns.
I am a licensed clinical psychologist who specializes in treating trauma-related conditions, emotion dysregulation, and the broad spectrum of anxiety disorders, with extensive training in various approaches, including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, exposure therapies, and Acceptance and Commitment Therapy. I incorporate principles from many evidence-based treatments given the complexity of individuals and the world generally. My interventions can target issues that fall under diagnostic categories (e.g., PTSD, OCD, GAD), but also other underlying relationship, personality, and emotion concerns.
David Yusko
Psychologist, PsyD
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
I am a licensed clinical psychologist and Co-Founder of the Center for Anxiety & Behavior Therapy which specializes in providing compassionate evidence-based treatment for anxiety disorders including OCD, PTSD, social anxiety, generalized anxiety, panic, and phobias. I also treat substance use disorders and work with athletes seeking to enhance performance through the mental aspect of competition. My work is largely guided by cognitive behavioral therapy principles, but I often incorporate aspects of mindfulness and psychodynamic theory. I seek to help clients return to the meaningful parts of their lives through a collaborative, goal-oriented, and practical approach.
I am a licensed clinical psychologist and Co-Founder of the Center for Anxiety & Behavior Therapy which specializes in providing compassionate evidence-based treatment for anxiety disorders including OCD, PTSD, social anxiety, generalized anxiety, panic, and phobias. I also treat substance use disorders and work with athletes seeking to enhance performance through the mental aspect of competition. My work is largely guided by cognitive behavioral therapy principles, but I often incorporate aspects of mindfulness and psychodynamic theory. I seek to help clients return to the meaningful parts of their lives through a collaborative, goal-oriented, and practical approach.
Bernadette Andrews
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
Does anxiety or depression keep you from being able to live the life you want? Are feelings of fear and worry stopping you from doing the things you want to do and impacting your relationships? Perhaps you are weighed down by shame, guilt and other negative thinking patterns. Is it difficult to engage with your teen without conflict or being shut down? These can be difficult to talk about and sift through on your own. My goal as a therapist is to create a safe place where you can share your story, experience healing, feel empowered and be inspired to live a meaningful and purposeful life.
Does anxiety or depression keep you from being able to live the life you want? Are feelings of fear and worry stopping you from doing the things you want to do and impacting your relationships? Perhaps you are weighed down by shame, guilt and other negative thinking patterns. Is it difficult to engage with your teen without conflict or being shut down? These can be difficult to talk about and sift through on your own. My goal as a therapist is to create a safe place where you can share your story, experience healing, feel empowered and be inspired to live a meaningful and purposeful life.
Teresa Thompson
Licensed Professional Counselor, LPC, ATR-BC, CBIS
Verified Verified
Bryn Mawr, PA 19010
Are you feeling stuck? I help clients feel seen, understood and empowered to create change in their lives and relationships. I see my role in the therapeutic relationship as a catalyst to help increase awareness and trust to support freedom of expression, insight, and healing. In therapy sessions, I work in collaboration with individuals and couples to identify areas that are inhibiting quality of life and focus on building existing strengths and new skills. I believe that each individual is an expert in their own lives and has the strengths and potential to actualize the change they want to see.
Are you feeling stuck? I help clients feel seen, understood and empowered to create change in their lives and relationships. I see my role in the therapeutic relationship as a catalyst to help increase awareness and trust to support freedom of expression, insight, and healing. In therapy sessions, I work in collaboration with individuals and couples to identify areas that are inhibiting quality of life and focus on building existing strengths and new skills. I believe that each individual is an expert in their own lives and has the strengths and potential to actualize the change they want to see.
Suzanne Muller
Clinical Social Work/Therapist, LCSW
Verified Verified
Bryn Mawr, PA 19010
Welcome to Thrive Therapy & Wellness. My name is Suzanne Muller, and I would be honored to work with you! Often in life we find ourselves stuck, not living the life we had imagined, and/or feeling terribly imbalanced. If you are feeling overwhelmed, unmotivated, or that you barely recognize yourself, you are not alone. I focus on building a stronger sense of self through acceptance, self forgiveness, and letting go of what is holding you back. Once you are able to liberate yourself from these obstacles, you can build and embrace a better and brighter future. (PA and DE licensed)
Welcome to Thrive Therapy & Wellness. My name is Suzanne Muller, and I would be honored to work with you! Often in life we find ourselves stuck, not living the life we had imagined, and/or feeling terribly imbalanced. If you are feeling overwhelmed, unmotivated, or that you barely recognize yourself, you are not alone. I focus on building a stronger sense of self through acceptance, self forgiveness, and letting go of what is holding you back. Once you are able to liberate yourself from these obstacles, you can build and embrace a better and brighter future. (PA and DE licensed)
Sameh Shaker
Marriage & Family Therapist Intern, STM
Verified Verified
Bryn Mawr, PA 19010
I am a PhD intern in Marriage and Family Therapy. I focus on attachment studies, including Emotionally Focused Therapy (EFT), which I utilize in my work with individuals and couples. In my master’s degree, I focused on trauma and grief. I have over 12 years of experience working with clients who have experienced chronic and terminal illnesses, grief, and loss in the palliative and hospice care field. I also work with couples who experience emotional and sexual distress in their relationships.
I am a PhD intern in Marriage and Family Therapy. I focus on attachment studies, including Emotionally Focused Therapy (EFT), which I utilize in my work with individuals and couples. In my master’s degree, I focused on trauma and grief. I have over 12 years of experience working with clients who have experienced chronic and terminal illnesses, grief, and loss in the palliative and hospice care field. I also work with couples who experience emotional and sexual distress in their relationships.
Tysheira Maddox
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Bryn Mawr, PA 19010 (Online Only)
If you’ve found me, perhaps you’re tired of feeling like the “strong one” or the “go-to person” in your circle. You want to be the hero for yourself this time around, you’ve come to the right place. So often, we get lost being what everyone else needs and forget to be who we need first. Life is filled with complexities, sprinkled in with the difficulties of our lived experiences and we find ourselves feeling out of whack! Whether you are struggling with the heaviness of depression, anxiety, life transitions, or chronic health conditions, there is something you can do about it.
If you’ve found me, perhaps you’re tired of feeling like the “strong one” or the “go-to person” in your circle. You want to be the hero for yourself this time around, you’ve come to the right place. So often, we get lost being what everyone else needs and forget to be who we need first. Life is filled with complexities, sprinkled in with the difficulties of our lived experiences and we find ourselves feeling out of whack! Whether you are struggling with the heaviness of depression, anxiety, life transitions, or chronic health conditions, there is something you can do about it.
Laura DiCesare
Psychologist, PsyD, MS
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
Follow Dr.Laura.D on Instagram for Psychology Tips...While 20% of Americans have a diagnosed mental health illness, 100% of us have Mental Health! As a Positive Psychologist I, Dr. Laura DiCesare, and my Associates empower our clients with the tools to tap into their internal strengths and resources. Learning about our brains and how they work is necessary to finding more balance in life. Are you experiencing stress, anxiety, or sadness? Are you feeling alone or like no one truly listens or understands? Is there trauma from your past that is holding you back from the life you want? Then let's get started (licensed in 34 States!
Follow Dr.Laura.D on Instagram for Psychology Tips...While 20% of Americans have a diagnosed mental health illness, 100% of us have Mental Health! As a Positive Psychologist I, Dr. Laura DiCesare, and my Associates empower our clients with the tools to tap into their internal strengths and resources. Learning about our brains and how they work is necessary to finding more balance in life. Are you experiencing stress, anxiety, or sadness? Are you feeling alone or like no one truly listens or understands? Is there trauma from your past that is holding you back from the life you want? Then let's get started (licensed in 34 States!
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Licensed Professional Counselor, MA , LPC, NCC
Verified Verified
Bryn Mawr, PA 19010 (Online Only)
As a trauma therapist, I work with many individuals facing deep heartache and struggles that sometimes feel too overwhelming and scary. Trauma can be triggered from some experiences such as past abuse, grief, chronic illness, or being a witness to traumatic events. This can also lead to symptoms of depression, anxiety, panic, fear, phobias, irrational fears, and agitation. Trauma can also lead to negative coping skills such as addictive patterns and behaviors. I can walk alongside you in a journey of healing and assist you in coming to a place of safety and peace and help you overcome and move you towards a place of healing!
As a trauma therapist, I work with many individuals facing deep heartache and struggles that sometimes feel too overwhelming and scary. Trauma can be triggered from some experiences such as past abuse, grief, chronic illness, or being a witness to traumatic events. This can also lead to symptoms of depression, anxiety, panic, fear, phobias, irrational fears, and agitation. Trauma can also lead to negative coping skills such as addictive patterns and behaviors. I can walk alongside you in a journey of healing and assist you in coming to a place of safety and peace and help you overcome and move you towards a place of healing!
Emily B. Chaffin
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
The process of finding a psychologist who is a good fit for either yourself or a family member can be overwhelming and frustrating. I make it a point to ensure that clients who reach out to me feel heard and understood. Therapy can only be effective if it is a collaborative process in which clients feel they have a say in their own treatment. I mainly practice from a cognitive-behavioral perspective (CBT), but I also use other modalities in sessions in order to best meet the needs of my clients.
The process of finding a psychologist who is a good fit for either yourself or a family member can be overwhelming and frustrating. I make it a point to ensure that clients who reach out to me feel heard and understood. Therapy can only be effective if it is a collaborative process in which clients feel they have a say in their own treatment. I mainly practice from a cognitive-behavioral perspective (CBT), but I also use other modalities in sessions in order to best meet the needs of my clients.
Mary Beth Ertel
Psychologist, PhD
Verified Verified
Bryn Mawr, PA 19010
Your desire to change your life and find better ways of coping is a strength you may not yet realize you possess. As a clinical developmental psychologist, I can help you understand your current struggles in context, as part of your developmental journey and the systems of family and relationships surrounding you. In an emotionally safe and confidential environment, I will work with you to uncover the source of your challenges and find alternate coping strategies. I believe it is important to help you identify and use the many strengths you already possess as you work through your current difficulties.
Your desire to change your life and find better ways of coping is a strength you may not yet realize you possess. As a clinical developmental psychologist, I can help you understand your current struggles in context, as part of your developmental journey and the systems of family and relationships surrounding you. In an emotionally safe and confidential environment, I will work with you to uncover the source of your challenges and find alternate coping strategies. I believe it is important to help you identify and use the many strengths you already possess as you work through your current difficulties.
Samantha Ciambro
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010 (Online Only)
Constant overthinking, poor self-esteem, relationship issues, people-pleasing tendencies, depressed mood. If this describes something that you are going through, you don't have to go through it alone. Life itself is hard and even more difficult when dealing with mental health struggles and life transitions. As a therapist, I'm here to walk along side you as you navigate life's difficulties. We can work together to find a unique therapeutic plan that meets your needs in order for you to obtain your goals and be in the place you want to be in.
Constant overthinking, poor self-esteem, relationship issues, people-pleasing tendencies, depressed mood. If this describes something that you are going through, you don't have to go through it alone. Life itself is hard and even more difficult when dealing with mental health struggles and life transitions. As a therapist, I'm here to walk along side you as you navigate life's difficulties. We can work together to find a unique therapeutic plan that meets your needs in order for you to obtain your goals and be in the place you want to be in.
Meredith Lisa Kramer
Clinical Social Work/Therapist, LCSW
Verified Verified
Bryn Mawr, PA 19010 (Online Only)
I believe that everyone has the potential to live a fuller, happier and more enriching life. Therapy is an excellent way to achieve the life you want to live and be the best you. Therapy provides an opportunity for you to look at what you are doing, thinking and feeling on a daily basis and what is or is not working well in your life. This information will forge a path that will empower you to feel more confident in both personal and work relationships. The goal is to help you feel less anxious, depressed, angry, helpless or whatever symptom is bringing you into therapy. I also offer video therapy or tele-therapy at the present time
I believe that everyone has the potential to live a fuller, happier and more enriching life. Therapy is an excellent way to achieve the life you want to live and be the best you. Therapy provides an opportunity for you to look at what you are doing, thinking and feeling on a daily basis and what is or is not working well in your life. This information will forge a path that will empower you to feel more confident in both personal and work relationships. The goal is to help you feel less anxious, depressed, angry, helpless or whatever symptom is bringing you into therapy. I also offer video therapy or tele-therapy at the present time
Kristina Ferrari | Modern Relationship Therapy
Licensed Professional Counselor, MSEd, LPC
Verified Verified
7 Endorsed
Bryn Mawr, PA 19010
When you met your partner you likely didn't notice them across the room and say — "That looks like someone I could solve problems with." What attracts us to people initially usually has little to do with the factors that make conflict resolution possible — let alone productive and connective. Nobody teaches us how to do conflict well. It’s not a class in high school (although it absolutely should be). We aren’t born with these tools. In fact, some of our biology actively works against us here because our nervous system is wired to detect threat.
When you met your partner you likely didn't notice them across the room and say — "That looks like someone I could solve problems with." What attracts us to people initially usually has little to do with the factors that make conflict resolution possible — let alone productive and connective. Nobody teaches us how to do conflict well. It’s not a class in high school (although it absolutely should be). We aren’t born with these tools. In fact, some of our biology actively works against us here because our nervous system is wired to detect threat.
Wesley M Myers
Licensed Professional Counselor, PsyD
Verified Verified
Bryn Mawr, PA 19010
As a psychotherapist with over twenty years experience I have had the privilege of helping clients with a broad range of emotional health issues. I have provided counseling to those struggling with depression, anxiety, and issues related to attention and impulse control. I work with individuals, couples, and families. I treat children, adolescents, and adults. Although I have experience treating a wide range of disorders, I specialize in treating persons with eating disorders. These include anorexia nervosa, bulimia nervosa, and binge eating disorder. I have provided psychological services to clients with eating disorders in inpatient, partial hospital, and outpatient settings.
As a psychotherapist with over twenty years experience I have had the privilege of helping clients with a broad range of emotional health issues. I have provided counseling to those struggling with depression, anxiety, and issues related to attention and impulse control. I work with individuals, couples, and families. I treat children, adolescents, and adults. Although I have experience treating a wide range of disorders, I specialize in treating persons with eating disorders. These include anorexia nervosa, bulimia nervosa, and binge eating disorder. I have provided psychological services to clients with eating disorders in inpatient, partial hospital, and outpatient settings.
Leon Gellert
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
Discussing our concerns in therapy can be daunting, so my goal is to create a space where clients can be comfortable enough to engage with uncomfortable thoughts, emotions, and experiences. In my career I have worked at University Counseling Centers including NYU, Drexel, and SJU, and also with Veterans at the Brooklyn VA. Through these experiences I have worked with individuals from varied backgrounds who have come to work on a range of issues ranging from managing the difficulties of growing independence to the significant impacts of past traumatic experiences.
Discussing our concerns in therapy can be daunting, so my goal is to create a space where clients can be comfortable enough to engage with uncomfortable thoughts, emotions, and experiences. In my career I have worked at University Counseling Centers including NYU, Drexel, and SJU, and also with Veterans at the Brooklyn VA. Through these experiences I have worked with individuals from varied backgrounds who have come to work on a range of issues ranging from managing the difficulties of growing independence to the significant impacts of past traumatic experiences.
Rachael Ariel Scott
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
Bryn Mawr, PA 19010
My mindfulness based, play therapy training has taught me how to help children that have gone through or may be going through a trauma. A child's language is play. A play therapy room offers a variety of mediums that will help a child safely express what they need to in order to heal through their play. My sessions also will partially include the parents, where feelings and coping skills can be discussed before the play time begins.
My mindfulness based, play therapy training has taught me how to help children that have gone through or may be going through a trauma. A child's language is play. A play therapy room offers a variety of mediums that will help a child safely express what they need to in order to heal through their play. My sessions also will partially include the parents, where feelings and coping skills can be discussed before the play time begins.
See more therapy options for Bryn Mawr
Nearby Searches for Bryn Mawr
- Ardmore
- Gladwyne
- Haverford
- Havertown
- Lower Merion
- Narberth
- Penn Valley
- Radnor
- Rosemont
- Villanova
- Wayne
- Wynnewood
How does your Therapist compare?
Number of Therapists in Bryn Mawr, PA
300+
Average cost per session
$160
Therapists in Bryn Mawr, PA who prioritize treating:
95% | Anxiety |
90% | Depression |
83% | Relationship Issues |
74% | Self Esteem |
68% | Trauma and PTSD |
66% | Stress |
64% | Coping Skills |
Average years in practice
15 Years
Top 3 insurances accepted
70% | Aetna |
59% | Highmark |
51% | UnitedHealthcare UHC | UBH |
How Therapists in Bryn Mawr, PA see their clients
72% | In Person and Online | |
28% | Online Only |
Gender breakdown
79% | Female | |
20% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Bryn Mawr?
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
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.
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.
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.