Therapists in Shrewsbury, MA

Photo of Alicia Trant, LMHC, Counselor
Alicia Trant
Counselor, LMHC
Verified Verified
1 Endorsed
Shrewsbury, MA 01545  (Online Only)
As a licensed mental health counselor, I am passionate about empowering my clients to develop and live a life they desire. I strive to collaborate with each client to develop meaningful personal goals tailored specifically to their unique needs and circumstances. Often I will offer various proven coping skills and techniques that can support improving the quality of their lives in tangible ways. Providing a safe, compassionate and non-judgmental therapeutic environment is of utmost importance within our counselor-client relationship, as I believe it allows for deeper understanding and healing to occur.
As a licensed mental health counselor, I am passionate about empowering my clients to develop and live a life they desire. I strive to collaborate with each client to develop meaningful personal goals tailored specifically to their unique needs and circumstances. Often I will offer various proven coping skills and techniques that can support improving the quality of their lives in tangible ways. Providing a safe, compassionate and non-judgmental therapeutic environment is of utmost importance within our counselor-client relationship, as I believe it allows for deeper understanding and healing to occur.
(508) 422-5449 View (508) 422-5449
Photo of Juan Ramos-Ayes, PsyD, Psychologist
Juan Ramos-Ayes
Psychologist, PsyD
Verified Verified
Shrewsbury, MA 01545
I am a bilingual (Spanish-English) Clinical Psychologist that specializes in the impact of medical conditions (diabetes, cardiovascular conditions, chronic pain, endocrine problems, STD's, cancer, liver transplant, kidney transplant, among others) in the psychological, social and emotional wellbeing of the patients and families. I also specialize in depression, anxiety, adjustment process, life stressors, grief and loss, and smoking cessation.
I am a bilingual (Spanish-English) Clinical Psychologist that specializes in the impact of medical conditions (diabetes, cardiovascular conditions, chronic pain, endocrine problems, STD's, cancer, liver transplant, kidney transplant, among others) in the psychological, social and emotional wellbeing of the patients and families. I also specialize in depression, anxiety, adjustment process, life stressors, grief and loss, and smoking cessation.
(774) 326-1135 View (774) 326-1135
Photo of Kevin Scott, MSW, Pre-Licensed Professional
Kevin Scott
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Shrewsbury, MA 01545  (Online Only)
I enjoy working with children, youth, and families. I prioritize rapport building in the therapeutic relationship utilizing a strength-based approach. I also incorporate the solution focused approach, instillation of hope, narrative therapy and other effective evidence -based methods to treat symptoms of depression, trauma, mood disorders, self-esteem, family conflict, relational conflicts and societal barriers.
I enjoy working with children, youth, and families. I prioritize rapport building in the therapeutic relationship utilizing a strength-based approach. I also incorporate the solution focused approach, instillation of hope, narrative therapy and other effective evidence -based methods to treat symptoms of depression, trauma, mood disorders, self-esteem, family conflict, relational conflicts and societal barriers.
(508) 590-9759 View (508) 590-9759
Photo of Natalya Posnick, MA, Pre-Licensed Professional
Natalya Posnick
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Shrewsbury, MA 01545
Natalya completed her Master’s Degree in Clinical Mental Health Counseling and Behavioral Medicine from Boston University School of Medicine. She works with adolescents (age 16+) and adults. She is experienced in working with substance use, anxiety, depression, trauma, and other mood disorders. She utilizes a holistic approach and interventions informed by neuroscience and the mind-body connection. This is especially helpful in the treatment of trauma-related disorders.
Natalya completed her Master’s Degree in Clinical Mental Health Counseling and Behavioral Medicine from Boston University School of Medicine. She works with adolescents (age 16+) and adults. She is experienced in working with substance use, anxiety, depression, trauma, and other mood disorders. She utilizes a holistic approach and interventions informed by neuroscience and the mind-body connection. This is especially helpful in the treatment of trauma-related disorders.
(978) 999-2165 View (978) 999-2165
Photo of Carol L A Smith, MDiv, MSW, Clinical Social Work/Therapist
Carol L A Smith
Clinical Social Work/Therapist, MDiv, MSW
Verified Verified
Shrewsbury, MA 01545
As a Licensed Independent Clinical Social Worker I focus on helping individuals and couples deal with life's difficult circumstances using a variety of psycho-therapeutic styles to help people manage anxiety and depression and to improve communication, intimacy and purpose in their daily lives. Mindfulness and cognition are helpful tools in my work. As an ordained Christian therapist I utilize a spiritual perspective with those seeking such. I enjoy helping people find new life out of difficult circumstances and unhappy histories.The initial consultation includes choosing between regular psychotherapy or spiritual direction - My blog: Living Each Day with Christ.
As a Licensed Independent Clinical Social Worker I focus on helping individuals and couples deal with life's difficult circumstances using a variety of psycho-therapeutic styles to help people manage anxiety and depression and to improve communication, intimacy and purpose in their daily lives. Mindfulness and cognition are helpful tools in my work. As an ordained Christian therapist I utilize a spiritual perspective with those seeking such. I enjoy helping people find new life out of difficult circumstances and unhappy histories.The initial consultation includes choosing between regular psychotherapy or spiritual direction - My blog: Living Each Day with Christ.
(774) 413-8220 View (774) 413-8220
Photo of Kristen Powers, MA, LMHC, Counselor
Kristen Powers
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Shrewsbury, MA 01545  (Online Only)
Finding a therapist can be a challenging process and making it this far is a great first step. Are you a female who is feeling overwhelmed with symptoms of anxiety or depression? Searching for support and interested in learning new coping skills? I am a licensed skill based therapist eager to work with you! My typical clients have experienced major life changes such as college, career, parenting, marriage, divorce and grief. As well as woman who are unable to cope with day to day stress as easily as they used to, or might have past experiences that are interfering with present day quality of life.
Finding a therapist can be a challenging process and making it this far is a great first step. Are you a female who is feeling overwhelmed with symptoms of anxiety or depression? Searching for support and interested in learning new coping skills? I am a licensed skill based therapist eager to work with you! My typical clients have experienced major life changes such as college, career, parenting, marriage, divorce and grief. As well as woman who are unable to cope with day to day stress as easily as they used to, or might have past experiences that are interfering with present day quality of life.
(508) 290-6164 View (508) 290-6164
Photo of Martina Crane, MA, Pre-Licensed Professional
Martina Crane
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Shrewsbury, MA 01545  (Online Only)
Schedule a session today! I am passionate about and experienced in working with survivors of abuse and complex trauma, the LGBTQ+ community, and issues related to oppression and activism. My work is deeply grounded in anti-oppression and equity, and the belief that therapy is about empowerment, permission to be and celebration of our authentic selves, and ultimately turning our pain into our purpose.
Schedule a session today! I am passionate about and experienced in working with survivors of abuse and complex trauma, the LGBTQ+ community, and issues related to oppression and activism. My work is deeply grounded in anti-oppression and equity, and the belief that therapy is about empowerment, permission to be and celebration of our authentic selves, and ultimately turning our pain into our purpose.
(508) 306-8799 View (508) 306-8799
Photo of Paul Avolese, MA, LMHC, Counselor
Paul Avolese
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Shrewsbury, MA 01545
Have you been feeling stuck in your life or relationships for a while? Have you been experiencing stress, anxiety, or depression? Would you like support in navigating the journey of discovering who you are, what you want, and in what direction you want to go? I believe that it is wise and self-aware to seek support and objective perspectives when you feel stuck, lost, or unhappy with your life or with your ways of being. I will work with you in a non-judgmental, fully accepting space so you can solve problems, find new directions, and discover joy and fulfillment.
Have you been feeling stuck in your life or relationships for a while? Have you been experiencing stress, anxiety, or depression? Would you like support in navigating the journey of discovering who you are, what you want, and in what direction you want to go? I believe that it is wise and self-aware to seek support and objective perspectives when you feel stuck, lost, or unhappy with your life or with your ways of being. I will work with you in a non-judgmental, fully accepting space so you can solve problems, find new directions, and discover joy and fulfillment.
(978) 999-2165 View (978) 999-2165
Photo of Edward Beeso, MA, Pre-Licensed Professional
Edward Beeso
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Shrewsbury, MA 01545
Right now, things may feel overwhelming, distressing, and out of sorts with you or your kids. You have probably tried a number of things to get back to normal, but nothing is working out the way you hoped. There may be symptoms like low motivation, difficulty sleeping, lack of socializing, or troubles with work and relationships. Or, perhaps it’s your child you are concerned about because you are seeing a lot of behaviors, such as isolation, withdrawal, moodiness, irritability, difficult peer relationships, or refusing to go to school or participate in the usual routine. If so, I appreciate how challenging it can be to seek support.
Right now, things may feel overwhelming, distressing, and out of sorts with you or your kids. You have probably tried a number of things to get back to normal, but nothing is working out the way you hoped. There may be symptoms like low motivation, difficulty sleeping, lack of socializing, or troubles with work and relationships. Or, perhaps it’s your child you are concerned about because you are seeing a lot of behaviors, such as isolation, withdrawal, moodiness, irritability, difficult peer relationships, or refusing to go to school or participate in the usual routine. If so, I appreciate how challenging it can be to seek support.
(978) 999-2165 View (978) 999-2165
Photo of Lauren Duffy, MA, LMHC, Counselor
Lauren Duffy
Counselor, MA, LMHC
Verified Verified
Shrewsbury, MA 01545
Not accepting new clients
I believe that all people have the power to heal, and that building a solid foundation of strength is essential to that process. I like to work collaboratively with clients to identify their goals and how we can work together to get there. Helping people change unhelpful beliefs such as, "I am insignificant" or "I am not in control" to the more helpful, "I now have choices" or "I am worthy" is such an honor as a provider.
I believe that all people have the power to heal, and that building a solid foundation of strength is essential to that process. I like to work collaboratively with clients to identify their goals and how we can work together to get there. Helping people change unhelpful beliefs such as, "I am insignificant" or "I am not in control" to the more helpful, "I now have choices" or "I am worthy" is such an honor as a provider.
(508) 955-5805 View (508) 955-5805
Photo of Wade Munroe - Wade Munroe, PsyD, LLC, PsyD, Psychologist
Wade Munroe, PsyD, LLC
Psychologist, PsyD
Verified Verified
Shrewsbury, MA 01545
I am a licensed psychologist and have worked within the behavioral health field for the past 20 years. I seek to provide a supportive and non-judgmental environment in which adult clients (18+) can better understand and overcome their struggles, recognize their strengths, and work toward attaining their goals. I have a special interest in the treatment of anxiety disorders (panic, phobias, OCD, GAD), depression, and trauma/PTSD using cognitive behavioral therapy and interventions demonstrated by research to reduce debilitating symptoms.
I am a licensed psychologist and have worked within the behavioral health field for the past 20 years. I seek to provide a supportive and non-judgmental environment in which adult clients (18+) can better understand and overcome their struggles, recognize their strengths, and work toward attaining their goals. I have a special interest in the treatment of anxiety disorders (panic, phobias, OCD, GAD), depression, and trauma/PTSD using cognitive behavioral therapy and interventions demonstrated by research to reduce debilitating symptoms.
(508) 893-4819 View (508) 893-4819
Photo of Latoya Scott, MA, Pre-Licensed Professional
Latoya Scott
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Shrewsbury, MA 01545  (Online Only)
If you're experiencing family conflict and stressors, parenting challenges, chronic pain, anxiety, racing thoughts, prolonged sadness and depression, distress due to traumatic experiences, changes in your self beliefs and identity, persistent fearfulness, grief, mood disorders, or you've been trying to gain as much control over your life as possible due to other chronic mental illness, I am here for you!
If you're experiencing family conflict and stressors, parenting challenges, chronic pain, anxiety, racing thoughts, prolonged sadness and depression, distress due to traumatic experiences, changes in your self beliefs and identity, persistent fearfulness, grief, mood disorders, or you've been trying to gain as much control over your life as possible due to other chronic mental illness, I am here for you!
(774) 260-6947 View (774) 260-6947
Photo of Ted Dobbert, LMHC, Counselor
Ted Dobbert
Counselor, LMHC
Verified Verified
2 Endorsed
Shrewsbury, MA 01545
You might be feeling down on yourself right now or frustrated with your current situation. It might be a struggle to make it through the day at school or work, interact with family and friends, or manage daily activities. Are you upset and irritable because you can’t seem to cope like you did before? Have things been feeling pretty bad for a while, despite everything you’ve tried? Reaching out for support and an objective perspective is a smart and brave move when things are not going well. I’d love to discuss how we can work together on coping skills, finding solutions, and fostering lasting changes in your life and relationships.
You might be feeling down on yourself right now or frustrated with your current situation. It might be a struggle to make it through the day at school or work, interact with family and friends, or manage daily activities. Are you upset and irritable because you can’t seem to cope like you did before? Have things been feeling pretty bad for a while, despite everything you’ve tried? Reaching out for support and an objective perspective is a smart and brave move when things are not going well. I’d love to discuss how we can work together on coping skills, finding solutions, and fostering lasting changes in your life and relationships.
(978) 999-2165 View (978) 999-2165
Photo of Kathleen Litchfield, MFT
Kathleen Litchfield
MFT
Verified Verified
6 Endorsed
Shrewsbury, MA 01545
Taking the first step may be the hardest, but you’ll feel so much better when you do. And I’m here to help! I am a dedicated, experienced therapist who is passionate about my work. I help couples navigate their way through troubling times and improve the quality of their relationship. Poor communication, betrayal, feelings of disconnect and living parallel lives, are just a few of the issues couples bring to therapy. You can learn new ways to relate to one another, actively problem solve, and discover what each of you need to feel loved and cared for in your relationship. You both deserve a happy partnership!
Taking the first step may be the hardest, but you’ll feel so much better when you do. And I’m here to help! I am a dedicated, experienced therapist who is passionate about my work. I help couples navigate their way through troubling times and improve the quality of their relationship. Poor communication, betrayal, feelings of disconnect and living parallel lives, are just a few of the issues couples bring to therapy. You can learn new ways to relate to one another, actively problem solve, and discover what each of you need to feel loved and cared for in your relationship. You both deserve a happy partnership!
(508) 214-4735 View (508) 214-4735
Photo of Rollins Counseling Center, Clinical Social Work/Therapist
Rollins Counseling Center
Clinical Social Work/Therapist
Verified Verified
Shrewsbury, MA 01545
Rollins Counseling Center offers individual and family counseling to adolescents and adults. We offer Telehealth! In-person visits are available in our Westford location and will be available in our Marlborough location in December, 2021. We have a team of licensed clinicians that utilize evidenced based therapies to effectively treat a wide range of issues that affect one’s quality of life. Treatment modalities include psychodynamic therapy, CBT, family systems, mind-body approaches, hypnotherapy and EMDR.
Rollins Counseling Center offers individual and family counseling to adolescents and adults. We offer Telehealth! In-person visits are available in our Westford location and will be available in our Marlborough location in December, 2021. We have a team of licensed clinicians that utilize evidenced based therapies to effectively treat a wide range of issues that affect one’s quality of life. Treatment modalities include psychodynamic therapy, CBT, family systems, mind-body approaches, hypnotherapy and EMDR.
(978) 999-2165 View (978) 999-2165
Photo of Jacqueline McLean, MSW, LICSW, Clinical Social Work/Therapist
Jacqueline McLean
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Shrewsbury, MA 01545
I help people overcome many different psychological challenges, including anxiety, depression, eating disorders, substance abuse, relationship issues and many more (please see my website). By bridging two different careers myself for the past 24 years, I am able to work with people, not only around major mental health issues, but in career changing and strategic life planning. I am also qualified to work with professionals and executives who want to excel or redirect their careers. As an experienced divorce coach and educator, I help adolescents handle the impact divorcing parents have on their lives.
I help people overcome many different psychological challenges, including anxiety, depression, eating disorders, substance abuse, relationship issues and many more (please see my website). By bridging two different careers myself for the past 24 years, I am able to work with people, not only around major mental health issues, but in career changing and strategic life planning. I am also qualified to work with professionals and executives who want to excel or redirect their careers. As an experienced divorce coach and educator, I help adolescents handle the impact divorcing parents have on their lives.
(508) 928-5177 View (508) 928-5177
Photo of Jessica Adonteng, MA, LMHC, CCTP, Counselor
Jessica Adonteng
Counselor, MA, LMHC, CCTP
Verified Verified
Shrewsbury, MA 01545  (Online Only)
You deserve to be happy, you deserve to love yourself, you deserve to take up space. Stand in your own power and find yourself again. The time of self sacrifice needs to end. It is time to focus on yourself and learn how that is not selfish, it is self care and you deserve that just because you are, just because you breathe. No more proving your worth, giving up your wants and needs, values and morals. The change can start today, just by taking that first step, even when you don’t see the staircase, it is there.
You deserve to be happy, you deserve to love yourself, you deserve to take up space. Stand in your own power and find yourself again. The time of self sacrifice needs to end. It is time to focus on yourself and learn how that is not selfish, it is self care and you deserve that just because you are, just because you breathe. No more proving your worth, giving up your wants and needs, values and morals. The change can start today, just by taking that first step, even when you don’t see the staircase, it is there.
(508) 504-9341 View (508) 504-9341
Photo of Kayla Johnson, LMHC, Counselor
Kayla Johnson
Counselor, LMHC
Verified Verified
1 Endorsed
Shrewsbury, MA 01545  (Online Only)
I'm glad you're here! I have openings for Telehealth counseling! We all face challenges and unfortunately, the expectation is - don't talk about it, avoid and distract from the fears and uncomfortable emotions that are triggered. If you're a parent or caregiver, that speaks to another layer of difficulty in coping with your own triggers, as well as what your child or other family member(s) may be struggling with! You are not alone and we are not meant to do life alone. Contact me to receive support to address issues related to ADHD, Anxiety, Depression, Parenting challenges, Relationship Issues, Self-Harm & related safety concerns.
I'm glad you're here! I have openings for Telehealth counseling! We all face challenges and unfortunately, the expectation is - don't talk about it, avoid and distract from the fears and uncomfortable emotions that are triggered. If you're a parent or caregiver, that speaks to another layer of difficulty in coping with your own triggers, as well as what your child or other family member(s) may be struggling with! You are not alone and we are not meant to do life alone. Contact me to receive support to address issues related to ADHD, Anxiety, Depression, Parenting challenges, Relationship Issues, Self-Harm & related safety concerns.
(508) 469-4607 View (508) 469-4607
Photo of Karen Place Carlson, PhD, Psychologist
Karen Place Carlson
Psychologist, PhD
Verified Verified
Shrewsbury, MA 01545  (Online Only)
You're a gifted, dynamic, busy woman exhausted by life's competing demands. You put pressure on yourself to "do it all." You smile and take on the day, avoiding your emotional pain by staying busy. You have parenting, caregiving, relationship, or life transition issues that are being ignored, leading to anxiety, depression, medical issues, low motivation, and lack of fulfillment. Your past and current traumas are impacting your sleep and daily functioning. You've realized you need help, and you feel bad about that too. After all, you SHOULD be able to handle it all and keep smiling!
You're a gifted, dynamic, busy woman exhausted by life's competing demands. You put pressure on yourself to "do it all." You smile and take on the day, avoiding your emotional pain by staying busy. You have parenting, caregiving, relationship, or life transition issues that are being ignored, leading to anxiety, depression, medical issues, low motivation, and lack of fulfillment. Your past and current traumas are impacting your sleep and daily functioning. You've realized you need help, and you feel bad about that too. After all, you SHOULD be able to handle it all and keep smiling!
(774) 206-9391 View (774) 206-9391
Photo of Victoria Flynn-Sankaran, LICSW, Clinical Social Work/Therapist
Victoria Flynn-Sankaran
Clinical Social Work/Therapist, LICSW
Verified Verified
Shrewsbury, MA 01545  (Online Only)
I created Upswing Counseling Services because time and time again I hear people feel that they are invalided in health care settings. I want clients to understand that they will drive services and their treatment.
I created Upswing Counseling Services because time and time again I hear people feel that they are invalided in health care settings. I want clients to understand that they will drive services and their treatment.
(508) 231-4915 View (508) 231-4915

How does your Therapist compare?

Number of Therapists in Shrewsbury, MA

100+

Average cost per session

$150

Therapists in Shrewsbury, MA who prioritize treating:

96% Anxiety
91% Depression
73% Relationship Issues
71% Self Esteem
69% Stress
67% Coping Skills
65% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
72% UnitedHealthcare UHC | UBH
69% Harvard Pilgrim

How Therapists in Shrewsbury, MA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Shrewsbury?

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.