Therapists in Garden City, NY

Photo of Samantha Pidgeon, Counselor in Garden City, NY
Samantha Pidgeon
Counselor, LMHC
Verified Verified
1 Endorsed
Garden City, NY 11530
Life can be difficult at times and it takes strength to reach out to someone for help. Through our therapeutic relationship, my goal is to help you gain self-awareness about potential negative thinking patterns and ultimately increase stability and independence. We live in a world of many different stressors and pressures and I hope to help you learn to cope with these issues in a positive way. Mental health is just as important as physical, through all stages of life. I utilize a person-centered approach in order to explore past and current issues in order to help you learn different tools to help you take control of your life.
Life can be difficult at times and it takes strength to reach out to someone for help. Through our therapeutic relationship, my goal is to help you gain self-awareness about potential negative thinking patterns and ultimately increase stability and independence. We live in a world of many different stressors and pressures and I hope to help you learn to cope with these issues in a positive way. Mental health is just as important as physical, through all stages of life. I utilize a person-centered approach in order to explore past and current issues in order to help you learn different tools to help you take control of your life.
(516) 614-6962 View (516) 614-6962
Photo of Nassau Wellness: Couples Therapy, Marriage & Family Therapist in Garden City, NY
Nassau Wellness: Couples Therapy
Marriage & Family Therapist, MA, LMFT
Verified Verified
Garden City, NY 11530
Nassau Wellness offers high-quality individual, couples, and family therapy. We provide caring and compassionate support to help our clients identify and achieve the changes important to them. Our practice focuses on empowering our clients to succeed by working collaboratively and developing long-lasting coping skills.
Nassau Wellness offers high-quality individual, couples, and family therapy. We provide caring and compassionate support to help our clients identify and achieve the changes important to them. Our practice focuses on empowering our clients to succeed by working collaboratively and developing long-lasting coping skills.
(516) 252-3670 View (516) 252-3670
Photo of Torres Mental Health Counseling Services, PLLC, Counselor in Garden City, NY
Torres Mental Health Counseling Services, PLLC
Counselor, LMHC, LPC, NCC, MS Ed
Verified Verified
Garden City, NY 11530
Seeking therapy can feel daunting and taking the first step can be difficult. We are here to help you while providing dignity, compassion, and acceptance to assist you in your journey to developing mental wellness. Our group was founded in 2020 by Silvia Torres, LMHC, NCC. Our mission is to provide a space that will allow you to heal, feel heard, and develop skills that can help you reach your goals. We offer client-centered focused therapy. Our clinicians have a variety of backgrounds and we try to match you as best as we can. We look forward to assisting you on your journey!
Seeking therapy can feel daunting and taking the first step can be difficult. We are here to help you while providing dignity, compassion, and acceptance to assist you in your journey to developing mental wellness. Our group was founded in 2020 by Silvia Torres, LMHC, NCC. Our mission is to provide a space that will allow you to heal, feel heard, and develop skills that can help you reach your goals. We offer client-centered focused therapy. Our clinicians have a variety of backgrounds and we try to match you as best as we can. We look forward to assisting you on your journey!
(516) 447-4736 View (516) 447-4736
Photo of Growth Psychology P.C., Psychologist in Garden City, NY
Growth Psychology P.C.
Psychologist, PhD
Verified Verified
Garden City, NY 11530
Clark R. Goldstein, Ph.D., is the founder of Growth Psychology, P.C. He is a former Clinical Assistant Professor of Child and Adolescent Psychiatry at the NYU School of Medicine at the Child Study Center. He specializes in the evaluation and treatment of anxiety and mood disorders in children, teens, and adults. Previously, Dr. Goldstein served as a clinical psychologist at the Child Mind Institute where he worked with children, adults, and their families working to overcome anxiety, depression, and behavioral issues. His responsibilities also included training and supervision of advanced doctoral students and postdoctoral fellows.
Clark R. Goldstein, Ph.D., is the founder of Growth Psychology, P.C. He is a former Clinical Assistant Professor of Child and Adolescent Psychiatry at the NYU School of Medicine at the Child Study Center. He specializes in the evaluation and treatment of anxiety and mood disorders in children, teens, and adults. Previously, Dr. Goldstein served as a clinical psychologist at the Child Mind Institute where he worked with children, adults, and their families working to overcome anxiety, depression, and behavioral issues. His responsibilities also included training and supervision of advanced doctoral students and postdoctoral fellows.
(516) 272-4708 View (516) 272-4708
Photo of Long Island Hope Counseling Services LLC, Counselor in Garden City, NY
Long Island Hope Counseling Services LLC
Counselor, PhD, LMHC, LPC, NCC
Verified Verified
1 Endorsed
Garden City, NY 11530
Waitlist for new clients
Dr. Angela Fung is a licensed mental health counselor and adjunct instructor in the Master’s Program for Counseling for Mental Health & Wellness at New York University. She finds great joy in walking alongside her clients through a meaningful journey of healing and behavioral transformation. Angela’s many years of working with individuals, couples, and groups have shaped her approach to client centered counseling and compassionate care.
Dr. Angela Fung is a licensed mental health counselor and adjunct instructor in the Master’s Program for Counseling for Mental Health & Wellness at New York University. She finds great joy in walking alongside her clients through a meaningful journey of healing and behavioral transformation. Angela’s many years of working with individuals, couples, and groups have shaped her approach to client centered counseling and compassionate care.
(516) 980-3936 View (516) 980-3936
Photo of Chaya Kohn, Counselor in Garden City, NY
Chaya Kohn
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Garden City, NY 11530
Feeling alone? Sad? Burnt out? Whether you've recently experienced a loss, facing previous challenges, received painful news, or find yourself overwhelmed by everyday stressors, you deserve a collaborative partner to navigate these complexities. I understand the many hats you wear & the magnitude of responsibilities you juggle. Let me be your compassionate partner in healing. I have a heartfelt commitment to helping individuals like you thrive. My passion lies in bridging the gap between the heart & the mind, creating a space that is both supportive & compassionate.
Feeling alone? Sad? Burnt out? Whether you've recently experienced a loss, facing previous challenges, received painful news, or find yourself overwhelmed by everyday stressors, you deserve a collaborative partner to navigate these complexities. I understand the many hats you wear & the magnitude of responsibilities you juggle. Let me be your compassionate partner in healing. I have a heartfelt commitment to helping individuals like you thrive. My passion lies in bridging the gap between the heart & the mind, creating a space that is both supportive & compassionate.
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Photo of Megan DioGuardi, Pre-Licensed Professional in Garden City, NY
Megan DioGuardi
Pre-Licensed Professional, MSW
Verified Verified
Garden City, NY 11530
I received my Masters Degree in Social Work from Adelphi University. I am a very compassionate and empathetic person by nature and have always had a passion to help others. I have worked with children and families of all ages, specifically helping them navigate challenges that surfaced from being in the foster care system. I believe that every child deserves a safe, nurturing, and permanent family and home.
I received my Masters Degree in Social Work from Adelphi University. I am a very compassionate and empathetic person by nature and have always had a passion to help others. I have worked with children and families of all ages, specifically helping them navigate challenges that surfaced from being in the foster care system. I believe that every child deserves a safe, nurturing, and permanent family and home.
(516) 980-4292 View (516) 980-4292
Photo of Cari Lubliner, Clinical Social Work/Therapist in Garden City, NY
Cari Lubliner
Clinical Social Work/Therapist, LCSW-R
Verified Verified
3 Endorsed
Garden City, NY 11530
Therapy is one of the most important mechanisms to live a healthy and prosperous life. Therapy offers room for a person to express themself in a judgement free environment. This environment invites healthy coping skills to navigate everyday issues. Between juggling my primary career as a school social worker, and raising three girls, I've learned that everyone's worries, anxieties, and fears are valid. These elements make everyone's needs different. Therapy is an avenue through dark times to sun light.
Therapy is one of the most important mechanisms to live a healthy and prosperous life. Therapy offers room for a person to express themself in a judgement free environment. This environment invites healthy coping skills to navigate everyday issues. Between juggling my primary career as a school social worker, and raising three girls, I've learned that everyone's worries, anxieties, and fears are valid. These elements make everyone's needs different. Therapy is an avenue through dark times to sun light.
(917) 473-9216 View (917) 473-9216
Photo of Sammy Touma, Clinical Social Work/Therapist in Garden City, NY
Sammy Touma
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
Garden City, NY 11530
I am here for YOU, with almost a decade of experience. I want you to feel at ease and comfortable with my approachable style. I have a results-driven record of being effective and efficient. Depending on your specific struggles and circumstances, I will design a personalized approach. Various types of psychotherapy will be customized specifically for you. These include: EMDR for trauma, Cognitive Behavioral Therapy, Psychodynamic Therapy based on Psychoanalytic Principles and Dialectical Behavioral Therapy related approaches, etc. Please visit: www.zocdoc.com/professional/samya-sammy-touma-lcsw-431236 for more details.
I am here for YOU, with almost a decade of experience. I want you to feel at ease and comfortable with my approachable style. I have a results-driven record of being effective and efficient. Depending on your specific struggles and circumstances, I will design a personalized approach. Various types of psychotherapy will be customized specifically for you. These include: EMDR for trauma, Cognitive Behavioral Therapy, Psychodynamic Therapy based on Psychoanalytic Principles and Dialectical Behavioral Therapy related approaches, etc. Please visit: www.zocdoc.com/professional/samya-sammy-touma-lcsw-431236 for more details.
(516) 441-2596 View (516) 441-2596
Photo of Janeen Chasan Creative Arts Therapy Source, Art Therapist in Garden City, NY
Janeen Chasan Creative Arts Therapy Source
Art Therapist, LCAT
Verified Verified
6 Endorsed
Garden City, NY 11530
Accepting new clients! The therapists at Creative Arts Therapy Source are compassionate and person centered psychotherapists specializing in innovative approaches to help children, teens and adults overcome grief, anxiety and depression. Our team of creative arts therapists have exceptional training in evidenced based techniques and creative approaches that set us apart from more traditional talk therapy methods. We offer individual, couples and group therapy sessions throughout New York and New Jersey.
Accepting new clients! The therapists at Creative Arts Therapy Source are compassionate and person centered psychotherapists specializing in innovative approaches to help children, teens and adults overcome grief, anxiety and depression. Our team of creative arts therapists have exceptional training in evidenced based techniques and creative approaches that set us apart from more traditional talk therapy methods. We offer individual, couples and group therapy sessions throughout New York and New Jersey.
(516) 289-0017 View (516) 289-0017
Photo of Angelique Yemma Creative Arts Therapy Source, Creative Arts Therapist in Garden City, NY
Angelique Yemma Creative Arts Therapy Source
Creative Arts Therapist, BC-DMT, LCAT
Verified Verified
2 Endorsed
Garden City, NY 11530
I am a solution-focused therapist dedicated to helping children, youth, and young adults successfully manage life transitions. By actively listening to their needs and goals, I tailor my approach to align with what they want and why—whether they're coping with changes in their family, school, or personal life. Together, we explore effective strategies that not only address their immediate challenges but also build resilience and skills for future success.
I am a solution-focused therapist dedicated to helping children, youth, and young adults successfully manage life transitions. By actively listening to their needs and goals, I tailor my approach to align with what they want and why—whether they're coping with changes in their family, school, or personal life. Together, we explore effective strategies that not only address their immediate challenges but also build resilience and skills for future success.
(516) 973-4397 View (516) 973-4397
Photo of Richard J. Lopez, Psychologist in Garden City, NY
Richard J. Lopez
Psychologist, PhD
Verified Verified
Garden City, NY 11530
Hello, I am Dr. Richard Lopez. I use he/him & they/them pronouns. The decision to begin therapy is an important step on your healing journey. By building partnerships that are founded on warmth, dignity, and non-judgment, I help clients grow in a way that is most aligned with their values. Together, we focus on promoting wellness by acknowledging the past, respecting the present, identifying goals for the future, and developing the skills needed to joyfully move in that direction. I use behavioral, exposure, cognitive, and acceptance-based approaches that are evidence-based.
Hello, I am Dr. Richard Lopez. I use he/him & they/them pronouns. The decision to begin therapy is an important step on your healing journey. By building partnerships that are founded on warmth, dignity, and non-judgment, I help clients grow in a way that is most aligned with their values. Together, we focus on promoting wellness by acknowledging the past, respecting the present, identifying goals for the future, and developing the skills needed to joyfully move in that direction. I use behavioral, exposure, cognitive, and acceptance-based approaches that are evidence-based.
(516) 908-7692 View (516) 908-7692
Photo of Mona Wakeley-Fishman, Clinical Social Work/Therapist in Garden City, NY
Mona Wakeley-Fishman
Clinical Social Work/Therapist, LCSW
Verified Verified
Garden City, NY 11530  (Online Only)
Waitlist for new clients
Taking the first step towards healing and growth involves tremendous courage and I strive to hold a safe space for my clients to share their truth, while not imposing judgment in a welcoming environment to feel heard, validated, and understood. My goal is to motivate, encourage, educate, and support you on your journey to becoming your best self.
Taking the first step towards healing and growth involves tremendous courage and I strive to hold a safe space for my clients to share their truth, while not imposing judgment in a welcoming environment to feel heard, validated, and understood. My goal is to motivate, encourage, educate, and support you on your journey to becoming your best self.
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Photo of Michelle Barnathan, Counselor in Garden City, NY
Michelle Barnathan
Counselor, LMHC
Verified Verified
1 Endorsed
Garden City, NY 11530
Working with adolescents and young adults has always been my passion. As a former school counselor, I use my knowledge of the school system in conjunction with cognitive behavioral therapy to guide teens throughout their educational experience. With specializations in ADHD, Anxiety, Depression, and LGBTQ, I work closely with each individual client to determine goals and create a realistic long-term plan.
Working with adolescents and young adults has always been my passion. As a former school counselor, I use my knowledge of the school system in conjunction with cognitive behavioral therapy to guide teens throughout their educational experience. With specializations in ADHD, Anxiety, Depression, and LGBTQ, I work closely with each individual client to determine goals and create a realistic long-term plan.
(516) 518-2939 View (516) 518-2939
Photo of Sue Banahan, Clinical Social Work/Therapist in Garden City, NY
Sue Banahan
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Garden City, NY 11530
My clinical practice focuses on the treatment of individuals and families impacted by addiction, divorce, depression, mood and anxiety disorders utilizing traditional and holistic approaches. I offer in person office sessions and telehealth sessions via phone and facetime. Emotional self-care is so important to manage the emotional “lava of life”. Talk therapy is a gentle process to reduce the “lava of life”
My clinical practice focuses on the treatment of individuals and families impacted by addiction, divorce, depression, mood and anxiety disorders utilizing traditional and holistic approaches. I offer in person office sessions and telehealth sessions via phone and facetime. Emotional self-care is so important to manage the emotional “lava of life”. Talk therapy is a gentle process to reduce the “lava of life”
(516) 730-9870 View (516) 730-9870
Photo of Rachel Reich, Psychologist in Garden City, NY
Rachel Reich
Psychologist, PhD
Verified Verified
2 Endorsed
Garden City, NY 11530
I specialize in treating adults and adolescents struggling with emotions that often feel unmanageable or overwhelming. Whether you'd like help with anxiety, depression, frustration, low self-esteem, or any other dysregulated emotion, I can help you to build the tools to manage those experiences effectively and, ultimately, to find joy in the process. I also work with couples and families to strengthen communication and build connectedness. We'll work together to understand why you're feeling the way you do and then to uncover strengths and practices you can use to reach your goals.
I specialize in treating adults and adolescents struggling with emotions that often feel unmanageable or overwhelming. Whether you'd like help with anxiety, depression, frustration, low self-esteem, or any other dysregulated emotion, I can help you to build the tools to manage those experiences effectively and, ultimately, to find joy in the process. I also work with couples and families to strengthen communication and build connectedness. We'll work together to understand why you're feeling the way you do and then to uncover strengths and practices you can use to reach your goals.
(516) 614-6233 View (516) 614-6233
Photo of Luz M Oviedo, Clinical Social Work/Therapist in Garden City, NY
Luz M Oviedo
Clinical Social Work/Therapist, LCSW-R
Verified Verified
6 Endorsed
Garden City, NY 11530
As a Therapist and Life Coach I often wear many hats. My current roles include being the Executive Director of Social Butterflies Psychotherapy where our therapist provide virtual appointments and in-person appointments at our newest locations in Garden City, Long Island, NY and Williamsburg, Brooklyn, NY. My passion is to Mentor aspiring Clinicians that want to build their own practices. At Creative Care Group I supervise Clinicians and Interns. Our clinicians are dedicated to providing the best in behavioral & mental health services. We are currently offering individual, family, couples therapy at all of our locations.
As a Therapist and Life Coach I often wear many hats. My current roles include being the Executive Director of Social Butterflies Psychotherapy where our therapist provide virtual appointments and in-person appointments at our newest locations in Garden City, Long Island, NY and Williamsburg, Brooklyn, NY. My passion is to Mentor aspiring Clinicians that want to build their own practices. At Creative Care Group I supervise Clinicians and Interns. Our clinicians are dedicated to providing the best in behavioral & mental health services. We are currently offering individual, family, couples therapy at all of our locations.
(888) 711-5532 View (888) 711-5532
Photo of Rebecca M Brown, Marriage & Family Therapist in Garden City, NY
Rebecca M Brown
Marriage & Family Therapist, LMFT
Verified Verified
Garden City, NY 11530  (Online Only)
I work with clients to help identify, process and heal relational issues whether it be familial, romantic, professional, or platonic. I also work with clients suffering from and feeling held back by the scars of trauma, emotional wounds, and maladaptive behavior patterns. I help clients to acknowledge their pain and/or the role they play in their dissatisfaction, slowly process it, accept it, and implement new paths forward so they can take back control of their lives and enjoy closer relationships.
I work with clients to help identify, process and heal relational issues whether it be familial, romantic, professional, or platonic. I also work with clients suffering from and feeling held back by the scars of trauma, emotional wounds, and maladaptive behavior patterns. I help clients to acknowledge their pain and/or the role they play in their dissatisfaction, slowly process it, accept it, and implement new paths forward so they can take back control of their lives and enjoy closer relationships.
(646) 916-5333 View (646) 916-5333
Photo of Randi Shelowitz, Clinical Social Work/Therapist in Garden City, NY
Randi Shelowitz
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Garden City, NY 11530
Randi Shelowitz is a NY State Licensed Clinical Social Worker specializing in providing psychotherapeutic services for Children, Adolescents and Adults. Over the course of her 30 years of experience, she is known best for her ability to connect to her patients, and their families with compassion and understanding. She has strong skills in the areas of both diagnosing mental illnesses, and creating attainable plans of treatment for her patients. Randi grew up playing competitive softball and beach volleyball, and continues to be guided by these team principles in her practice.
Randi Shelowitz is a NY State Licensed Clinical Social Worker specializing in providing psychotherapeutic services for Children, Adolescents and Adults. Over the course of her 30 years of experience, she is known best for her ability to connect to her patients, and their families with compassion and understanding. She has strong skills in the areas of both diagnosing mental illnesses, and creating attainable plans of treatment for her patients. Randi grew up playing competitive softball and beach volleyball, and continues to be guided by these team principles in her practice.
(516) 963-1851 View (516) 963-1851
Photo of Nicole Zell, Counselor in Garden City, NY
Nicole Zell
Counselor, LMHC, LPC, MA
Verified Verified
Garden City, NY 11530
I bring years of experience working with children as young as 3 with play therapy, and as young as 93! My practice has organically moved to working with children, teens, and their parents, and I love it! I am comfortable using all modes of therapy and have found the most successful for children and teens is CBT, DBT, ERP and positive psychology (for parents too). However, I truly believe the most important requirement is for a connection to be established between therapist and client. I pride myself on being able to connect with so many clients leading to their successes. I look forward to meeting and helping you too!
I bring years of experience working with children as young as 3 with play therapy, and as young as 93! My practice has organically moved to working with children, teens, and their parents, and I love it! I am comfortable using all modes of therapy and have found the most successful for children and teens is CBT, DBT, ERP and positive psychology (for parents too). However, I truly believe the most important requirement is for a connection to be established between therapist and client. I pride myself on being able to connect with so many clients leading to their successes. I look forward to meeting and helping you too!
(516) 271-1196 View (516) 271-1196

How does your Therapist compare?

Number of Therapists in Garden City, NY

300+

Average cost per session

$175

Therapists in Garden City, NY who prioritize treating:

95% Anxiety
92% Depression
80% Relationship Issues
78% Self Esteem
72% Coping Skills
66% Trauma and PTSD
65% Stress

Average years in practice

14 Years

Top 3 insurances accepted

79% Aetna
67% Cigna and Evernorth
63% UnitedHealthcare UHC | UBH

How Therapists in Garden City, NY see their clients

74% In Person and Online
26% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Garden City?

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.