Therapists in Coconut Creek, FL

Photo of Kaci Garcia, PsyD, Psychologist
Kaci Garcia
Psychologist, PsyD
Verified Verified
Coconut Creek, FL 33073
Dr. Garcia has experience working with a wide range of psychological disorders in the areas of individual and group therapy, assessment, and consultation. She has clinical experience in various treatment settings including outpatient neuropsychological assessment centers, primary care medical offices, inpatient rehabilitation centers, psychological hospitals settings, and private practice.
Dr. Garcia has experience working with a wide range of psychological disorders in the areas of individual and group therapy, assessment, and consultation. She has clinical experience in various treatment settings including outpatient neuropsychological assessment centers, primary care medical offices, inpatient rehabilitation centers, psychological hospitals settings, and private practice.
(954) 710-0889 View (954) 710-0889
Photo of Marissa Roecklein, PhD, Psychologist
Marissa Roecklein
Psychologist, PhD
Verified Verified
3 Endorsed
Coconut Creek, FL 33073
I have extensive experience conducting individual therapy, couples therapy, and group therapy as well as a range of psychological assessments. My areas of expertise include the diagnosis and treatment of a wide variety of psychological disorders including anxiety, depression, bipolar disorder, schizophrenia, post-traumatic stress disorder, personality disorders, and substance abuse disorders. My theoretical orientation is integrative, as I strongly believe that therapeutic interventions should be specifically tailored to the needs of each individual.
I have extensive experience conducting individual therapy, couples therapy, and group therapy as well as a range of psychological assessments. My areas of expertise include the diagnosis and treatment of a wide variety of psychological disorders including anxiety, depression, bipolar disorder, schizophrenia, post-traumatic stress disorder, personality disorders, and substance abuse disorders. My theoretical orientation is integrative, as I strongly believe that therapeutic interventions should be specifically tailored to the needs of each individual.
(954) 280-9486 View (954) 280-9486
Photo of Ricki Shain, LMHC, Counselor
Ricki Shain
Counselor, LMHC
Verified Verified
Coconut Creek, FL 33066  (Online Only)
Welcome to my profile! I’ve been a Licensed Mental Health Counselor for over 30 years in a variety of settings. My clients were from a variety of ages and backgrounds; some were struggling with challenges and some were looking to make a positive change in their lives. The individuals with whom I worked have found me to be empathetic, non-judgmental, and direct. I am task-oriented and take a practical, no-nonsense approach to tackle life's challenges. Clients respond well to my positive attitude, knowledge, and humor, and it would be my honor to share that with you.
Welcome to my profile! I’ve been a Licensed Mental Health Counselor for over 30 years in a variety of settings. My clients were from a variety of ages and backgrounds; some were struggling with challenges and some were looking to make a positive change in their lives. The individuals with whom I worked have found me to be empathetic, non-judgmental, and direct. I am task-oriented and take a practical, no-nonsense approach to tackle life's challenges. Clients respond well to my positive attitude, knowledge, and humor, and it would be my honor to share that with you.
(954) 758-8653 View (954) 758-8653
Photo of Bryan Aston, LCSW, Clinical Social Work/Therapist
Bryan Aston
Clinical Social Work/Therapist, LCSW
Verified Verified
Coconut Creek, FL 33073  (Online Only)
Whether you are looking to understand current or past conflicts, cultivate deeper relationships, or address recurring challenges, I offer an interactive, exploratory, and collaborative approach to help you achieve your therapeutic goals. My practice focuses on individuals navigating relationships, sexuality, anxiety, depression, life transitions, and self-esteem concerns. Informed by a holistic, psychodynamic framework, I prioritize a genuine therapeutic relationship with empathic conversations aimed at fostering insight, understanding, and growth. I primarily work with men's mental health, the LGBTQ community, and trauma/PTSD.
Whether you are looking to understand current or past conflicts, cultivate deeper relationships, or address recurring challenges, I offer an interactive, exploratory, and collaborative approach to help you achieve your therapeutic goals. My practice focuses on individuals navigating relationships, sexuality, anxiety, depression, life transitions, and self-esteem concerns. Informed by a holistic, psychodynamic framework, I prioritize a genuine therapeutic relationship with empathic conversations aimed at fostering insight, understanding, and growth. I primarily work with men's mental health, the LGBTQ community, and trauma/PTSD.
(561) 621-4671 View (561) 621-4671
Photo of Candy Garcia - BetterDays Counseling Center, LCSW, LMSW, LSW, EMDR-T, Clinical Social Work/Therapist
BetterDays Counseling Center
Clinical Social Work/Therapist, LCSW, LMSW, LSW, EMDR-T
Verified Verified
1 Endorsed
Coconut Creek, FL 33066  (Online Only)
Therapy can be an enjoyable experience with the right therapist. Hi im Candy, I am a down to earth, warm and easy going therapist. I care about helping you grow and seeing you reach your goals. I specialize in treating relationship conflict, anxiety, pregnancy, prenatal postpartum care, and depression. Hablo español tambien.
Therapy can be an enjoyable experience with the right therapist. Hi im Candy, I am a down to earth, warm and easy going therapist. I care about helping you grow and seeing you reach your goals. I specialize in treating relationship conflict, anxiety, pregnancy, prenatal postpartum care, and depression. Hablo español tambien.
(804) 494-6930 View (804) 494-6930
Photo of Adrianna Brown, MS, LMHC, Counselor
Adrianna Brown
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Coconut Creek, FL 33063
If you are looking for someone to aid you in clearing your mental space and help you to manifest your best self, then you are in the right place. Strengthened Souls is all about utilizing the best in yourself to build YOUR best self. Our goal is to be able to build strong client-therapist rapport, working to dispel past traumas, negative thoughts and unhelpful behaviors. Together, we approach mental health concerns as obstacles that can be overcome, and together we can work to find your inner strength and allow your positive light to shine!
If you are looking for someone to aid you in clearing your mental space and help you to manifest your best self, then you are in the right place. Strengthened Souls is all about utilizing the best in yourself to build YOUR best self. Our goal is to be able to build strong client-therapist rapport, working to dispel past traumas, negative thoughts and unhelpful behaviors. Together, we approach mental health concerns as obstacles that can be overcome, and together we can work to find your inner strength and allow your positive light to shine!
(954) 960-3116 View (954) 960-3116
Photo of Michelle Muñoz, LMHC , Counselor
Michelle Muñoz
Counselor, LMHC
Verified Verified
4 Endorsed
Coconut Creek, FL 33073  (Online Only)
I am a Licensed Mental Health Counselor working in South Florida for the past eight years. I graduated with a Masters in Psychology from Florida International University. I have worked with adults, adolescents, and children. I have worked with clients to help alleviate symptoms of depression, anxiety, stress, low self-esteem, ADHD, and interpersonal conflicts. I am fluent in both English and Spanish.
I am a Licensed Mental Health Counselor working in South Florida for the past eight years. I graduated with a Masters in Psychology from Florida International University. I have worked with adults, adolescents, and children. I have worked with clients to help alleviate symptoms of depression, anxiety, stress, low self-esteem, ADHD, and interpersonal conflicts. I am fluent in both English and Spanish.
(954) 953-5920 View (954) 953-5920
Photo of Jaime Thomas, MA, MS, LMHC, Counselor
Jaime Thomas
Counselor, MA, MS, LMHC
Verified Verified
Coconut Creek, FL 33073  (Online Only)
Have you come to a point where you're feeling overwhelmed with your job, your relationship, your family, your life and it's causing you unnecessary stress, feelings of frustration, anxiety, sadness or inadequacy? I understand how you feel. I can help you reduce your stress, regulate your emotions, and work through your anxiety, giving you more confidence and control of your life. Sometimes it can feel like the light at the end of the tunnel is dim. Working collaboratively, we can brighten and find the light at the end of the tunnel together. Change is absolutely possible!
Have you come to a point where you're feeling overwhelmed with your job, your relationship, your family, your life and it's causing you unnecessary stress, feelings of frustration, anxiety, sadness or inadequacy? I understand how you feel. I can help you reduce your stress, regulate your emotions, and work through your anxiety, giving you more confidence and control of your life. Sometimes it can feel like the light at the end of the tunnel is dim. Working collaboratively, we can brighten and find the light at the end of the tunnel together. Change is absolutely possible!
(561) 782-1161 View (561) 782-1161
Photo of Davisha Scudder, PsyD, Psychologist
Davisha Scudder
Psychologist, PsyD
Verified Verified
Coconut Creek, FL 33066  (Online Only)
I am a psychologist licensed in Florida and New York with 9 years of experience working as a school psychologist, trauma-informed postdoctoral resident and a clinical psychologist. I have worked with clients with a wide range of concerns including depression, anxiety, executive functioning deficits, relationship difficulties, school problems, parenting struggles and career challenges. I also helped many people who have experienced trauma and/or abuse.
I am a psychologist licensed in Florida and New York with 9 years of experience working as a school psychologist, trauma-informed postdoctoral resident and a clinical psychologist. I have worked with clients with a wide range of concerns including depression, anxiety, executive functioning deficits, relationship difficulties, school problems, parenting struggles and career challenges. I also helped many people who have experienced trauma and/or abuse.
(954) 379-2187 View (954) 379-2187
Photo of Michelle Carr, LMHC, Counselor
Michelle Carr
Counselor, LMHC
Verified Verified
1 Endorsed
Coconut Creek, FL 33066  (Online Only)
Nothing is more rewarding than helping people acknowledge and utilize their natural capacity to heal, survive, overcome, and thrive. The therapy hour typically feels less like a chore and more like having a genuine, present experience where clients have the space to show up exactly as they are and be themselves. We all deserve the time and energy it takes to have a deep and meaningful relationship with ourselves, and it is my privilege to sit alongside my clients as they do this important work.
Nothing is more rewarding than helping people acknowledge and utilize their natural capacity to heal, survive, overcome, and thrive. The therapy hour typically feels less like a chore and more like having a genuine, present experience where clients have the space to show up exactly as they are and be themselves. We all deserve the time and energy it takes to have a deep and meaningful relationship with ourselves, and it is my privilege to sit alongside my clients as they do this important work.
(954) 869-8773 View (954) 869-8773
Photo of Melissa Michelin, LMFT, Marriage & Family Therapist
Melissa Michelin
Marriage & Family Therapist, LMFT
Verified Verified
Coconut Creek, FL 33073
Do you find yourself wishing you could go back in time to when “things were easier?” Are you concerned you may never be able to overcome past trauma or difficulties? Many of us steer clear of issues that cause distress, creating a barrier to overcome adversity. As your therapist, I will support you while you delve into what is holding you back from achieving your goals. I utilize a solution focused and non-judgmental approach to help adolescents, adults, couples, and families overcome trauma and other emotional disorders by enhancing confidence and self-esteem while empowering clients to identify a path forward.
Do you find yourself wishing you could go back in time to when “things were easier?” Are you concerned you may never be able to overcome past trauma or difficulties? Many of us steer clear of issues that cause distress, creating a barrier to overcome adversity. As your therapist, I will support you while you delve into what is holding you back from achieving your goals. I utilize a solution focused and non-judgmental approach to help adolescents, adults, couples, and families overcome trauma and other emotional disorders by enhancing confidence and self-esteem while empowering clients to identify a path forward.
(754) 354-8953 View (754) 354-8953
Photo of Nicole Lara, LCSW, Clinical Social Work/Therapist
Nicole Lara
Clinical Social Work/Therapist, LCSW
Verified Verified
Coconut Creek, FL 33073  (Online Only)
Do you struggle with overwhelming thoughts and feelings? Do you feel stuck and not progressing to your natural potential? I've been there, and want to help you break free from the prison you feel trapped in. I help people, just like you, find a balance in their life, nurture self-love, and learn to let go of anger and resentments that are holding you back. Together, we can find and build on your strengths, create healthy relationships, and manage negative thoughts and feelings.
Do you struggle with overwhelming thoughts and feelings? Do you feel stuck and not progressing to your natural potential? I've been there, and want to help you break free from the prison you feel trapped in. I help people, just like you, find a balance in their life, nurture self-love, and learn to let go of anger and resentments that are holding you back. Together, we can find and build on your strengths, create healthy relationships, and manage negative thoughts and feelings.
(954) 466-9358 View (954) 466-9358
Photo of Ilene Kaskel, PsyD, Psychologist
Ilene Kaskel
Psychologist, PsyD
Verified Verified
Coconut Creek, FL 33073
I am a licensed clinical psychologist and am competent and experienced in providing comprehensive neuropsychological assessment services and psychological assessment services to children, adolescents, adults, and older adults. I also have extensive experience treating a broad range of issues/conditions and have been trained in EMDR via a didactic program and supervised practicum. I am an EMDRIA approved EMDR clinician and was trained in Emotionally Focused Couples Therapy via an externship and intensive Core Skills training sessions.
I am a licensed clinical psychologist and am competent and experienced in providing comprehensive neuropsychological assessment services and psychological assessment services to children, adolescents, adults, and older adults. I also have extensive experience treating a broad range of issues/conditions and have been trained in EMDR via a didactic program and supervised practicum. I am an EMDRIA approved EMDR clinician and was trained in Emotionally Focused Couples Therapy via an externship and intensive Core Skills training sessions.
(561) 449-2436 View (561) 449-2436
Photo of Alise Lindsey - Enhancing Success LLC, LPC, LMHC, CCTP, Counselor
Enhancing Success LLC
Counselor, LPC, LMHC, CCTP
Verified Verified
7 Endorsed
Coconut Creek, FL 33073  (Online Only)
If you are ready for a change, let's talk! I work best with individuals and couples who are motivated for change. The clients' I work best with initially report depression, anxiety, trauma, sexual concerns, relationship concerns, difficulty with effective communication and/or self-esteem struggles. Clients who are insightful and willing to try a new approach experience success in the therapeutic process with me. I also provide psychosocial evaluations for Hardship Waivers (I-601 and I-601A), Cancellation of Removal, VAWA and Spousal Abuse, U-Visas, Asylum, Withholding of Removal, and Convention Against Torture.
If you are ready for a change, let's talk! I work best with individuals and couples who are motivated for change. The clients' I work best with initially report depression, anxiety, trauma, sexual concerns, relationship concerns, difficulty with effective communication and/or self-esteem struggles. Clients who are insightful and willing to try a new approach experience success in the therapeutic process with me. I also provide psychosocial evaluations for Hardship Waivers (I-601 and I-601A), Cancellation of Removal, VAWA and Spousal Abuse, U-Visas, Asylum, Withholding of Removal, and Convention Against Torture.
(561) 783-3073 View (561) 783-3073
Photo of Maria DePaduaSilva, MS, LMHC, NPT-C, Counselor
Maria DePaduaSilva
Counselor, MS, LMHC, NPT-C
Verified Verified
1 Endorsed
Coconut Creek, FL 33073  (Online Only)
My ideal client struggles with trauma, anxiety, depression, relationship challenges, low self-esteem, or grief. They need a safe, supportive environment, practical tools for managing symptoms, and techniques like EMDR for trauma integration. They aim to regulate emotions, improve relationships, understand themselves better, heal from trauma, and enhance overall well-being. They also seek transformative change, empowerment, deeper connections, resilience, and clarity in their life and purpose.
My ideal client struggles with trauma, anxiety, depression, relationship challenges, low self-esteem, or grief. They need a safe, supportive environment, practical tools for managing symptoms, and techniques like EMDR for trauma integration. They aim to regulate emotions, improve relationships, understand themselves better, heal from trauma, and enhance overall well-being. They also seek transformative change, empowerment, deeper connections, resilience, and clarity in their life and purpose.
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Photo of Tara C Coronado, LMHC, CATP, CCATP, Counselor
Tara C Coronado
Counselor, LMHC, CATP, CCATP
Verified Verified
1 Endorsed
Coconut Creek, FL 33066  (Online Only)
Does the world seem like a scary and hopeless place? Do you feel overwhelmed with anxiety and worry? Do you long to have more fulfilling relationships? Is pain from your past making it difficult to enjoy the present? You have been trying to solve these problems on your own and you are exhausted. Some days it may feel as though you are hanging on by a thread, but I am here to tell you there is hope. I want to know your story; How you came to find yourself in this place. I will meet you right where you are, in the middle of your mess, without judgment.
Does the world seem like a scary and hopeless place? Do you feel overwhelmed with anxiety and worry? Do you long to have more fulfilling relationships? Is pain from your past making it difficult to enjoy the present? You have been trying to solve these problems on your own and you are exhausted. Some days it may feel as though you are hanging on by a thread, but I am here to tell you there is hope. I want to know your story; How you came to find yourself in this place. I will meet you right where you are, in the middle of your mess, without judgment.
(954) 953-4483 View (954) 953-4483
Photo of Melanie Smith, PhD, LMHC, CEDS-S, Counselor
Melanie Smith
Counselor, PhD, LMHC, CEDS-S
Verified Verified
4 Endorsed
Coconut Creek, FL 33073  (Online Only)
Life can be hard sometimes, but some times are harder than others. After so many years of navigating a cultural climate of stress, division and injustice, it's no wonder most of us feel like we are walking around in a cloud of existential angst. While everyone responds to stressors differently, there is one thing we all have in common; we all have the need to feel seen, heard and understood.
Life can be hard sometimes, but some times are harder than others. After so many years of navigating a cultural climate of stress, division and injustice, it's no wonder most of us feel like we are walking around in a cloud of existential angst. While everyone responds to stressors differently, there is one thing we all have in common; we all have the need to feel seen, heard and understood.
(321) 326-9761 View (321) 326-9761
Photo of Chris Pfleghaar, PsyD, Psychologist
Chris Pfleghaar
Psychologist, PsyD
Verified Verified
Coconut Creek, FL 33073  (Online Only)
I have been practicing therapy in various settings since 2013. I enjoy working with adults, older-adults and have a specific passion for helping emerging adults. In therapy, I engage with my clients through curiosity, creativity, humor, empathy and collaboration. I also emphasize skills-building, value-guided behaviors, and mindfulness as a means to encourage and support my clients as they identify their path in life.
I have been practicing therapy in various settings since 2013. I enjoy working with adults, older-adults and have a specific passion for helping emerging adults. In therapy, I engage with my clients through curiosity, creativity, humor, empathy and collaboration. I also emphasize skills-building, value-guided behaviors, and mindfulness as a means to encourage and support my clients as they identify their path in life.
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Photo of Christine Hiler, PsyD, Psychologist
Christine Hiler
Psychologist, PsyD
Verified Verified
Coconut Creek, FL 33066  (Online Only)
I support children, teens, & adults struggling with performance goals in sport, school, and career, as well as stress management, adjustment to life changes, healthy lifestyles, anxiety, depression, grief & loss, self-esteem, and relationships. You will learn to maximize your potential by using your strengths & building new skills. Your actions & habits will be aligned with your values & goals so you become the person you long to be while living your desired life. Our collaborative & empowering sessions are guided by you & offer you the dynamic tools needed for meaningful improvement. You have the power to live the life you envision
I support children, teens, & adults struggling with performance goals in sport, school, and career, as well as stress management, adjustment to life changes, healthy lifestyles, anxiety, depression, grief & loss, self-esteem, and relationships. You will learn to maximize your potential by using your strengths & building new skills. Your actions & habits will be aligned with your values & goals so you become the person you long to be while living your desired life. Our collaborative & empowering sessions are guided by you & offer you the dynamic tools needed for meaningful improvement. You have the power to live the life you envision
(954) 280-6704 View (954) 280-6704
Photo of Grecia E. Smith, MS, Pre-Licensed Professional
Grecia E. Smith
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Coconut Creek, FL 33073  (Online Only)
I primarily offer individual therapy, helping client's identify and modify maladaptive patterns that contribute to feelings of distress. These may include negative thought patterns that influence mood and behavior, difficulty controlling excessive worrying, experiencing unhealthy emotions and behaviors associated with trauma, and difficulties adjusting to different life stressors. I view therapy as the process of developing a deeper level of awareness that leads to better understanding of oneself, personal growth, and motivation to strive for healthy changes.
I primarily offer individual therapy, helping client's identify and modify maladaptive patterns that contribute to feelings of distress. These may include negative thought patterns that influence mood and behavior, difficulty controlling excessive worrying, experiencing unhealthy emotions and behaviors associated with trauma, and difficulties adjusting to different life stressors. I view therapy as the process of developing a deeper level of awareness that leads to better understanding of oneself, personal growth, and motivation to strive for healthy changes.
(954) 710-5403 View (954) 710-5403
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How does your Therapist compare?

Number of Therapists in Coconut Creek, FL

90+

Average cost per session

$150

Therapists in Coconut Creek, FL who prioritize treating:

97% Anxiety
91% Depression
82% Coping Skills
82% Self Esteem
75% Relationship Issues
75% Stress
70% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

80% Aetna
75% Cigna and Evernorth
68% UnitedHealthcare UHC | UBH

How Therapists in Coconut Creek, FL see their clients

53% In Person and Online
47% Online Only

Gender breakdown

92% Female
8% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Coconut Creek?

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.