Therapists in Andover, MA

Photo of Dr. Nicole Gause - Silvering Psychological, Psychologist, PhD
Silvering Psychological
Psychologist, PhD
Online Only
People seek therapy either because they feel stuck in patterns they don't fully understand — or they understand their patterns but can't seem to affect change despite their insight. Whether the source is an imprint of painful past experiences, nervous system dysregulation, or an invisible ceiling in your life, what you want is the same: to understand the architecture beneath your experience and change it at the root. Using depth psychology, somatic work, and cognitive restructuring, I identify the patterns shaping your experience and deliberately replace them. The goal is to move from insight to lived, enduring change.
People seek therapy either because they feel stuck in patterns they don't fully understand — or they understand their patterns but can't seem to affect change despite their insight. Whether the source is an imprint of painful past experiences, nervous system dysregulation, or an invisible ceiling in your life, what you want is the same: to understand the architecture beneath your experience and change it at the root. Using depth psychology, somatic work, and cognitive restructuring, I identify the patterns shaping your experience and deliberately replace them. The goal is to move from insight to lived, enduring change.
(617) 682-0054 View (617) 682-0054
Photo of Ashley S Visniewski, Counselor, LMHC, LCMHC, CCMHC
Ashley S Visniewski
Counselor, LMHC, LCMHC, CCMHC
3 Endorsed
Andover, MA 01810
Waitlist for new clients
The clients who meet with me strive to deepen their sense of self, challenge unhelpful thoughts and behaviors, and work to develop new ways of managing difficult emotions. When couples meet with me they aim to strengthen their friendship and understanding of their partner for a more secure relationship with better communication overall. Whether you're hoping to develop better self-esteem, manage your depression or anxiety, improve your relationships, work through past trauma, or get a better understanding of your emotions, I am here to support you!
The clients who meet with me strive to deepen their sense of self, challenge unhelpful thoughts and behaviors, and work to develop new ways of managing difficult emotions. When couples meet with me they aim to strengthen their friendship and understanding of their partner for a more secure relationship with better communication overall. Whether you're hoping to develop better self-esteem, manage your depression or anxiety, improve your relationships, work through past trauma, or get a better understanding of your emotions, I am here to support you!
(508) 682-5796 View (508) 682-5796
Photo of George Mouzakis - Integrated Behavioral Care- Andover, Clinical Social Work/Therapist, PhD, LICSW, LMHC, NP, MD
Integrated Behavioral Care- Andover
Clinical Social Work/Therapist, PhD, LICSW, LMHC, NP, MD
1 Endorsed
Andover, MA 01810
3-10-26 Accepting NEW Clients! (Children, Preteens, Teens, Adults.) Integrated Behavioral Care is committed to strengthening individuals, families and communities by providing compassionate care and evidence-based psychology services. Our clinicians are committed to a growth mindset, and to the overall health and wellness of those we serve. Our goal is to make mental health services an accessible and routine form of preventative healthcare for all.
3-10-26 Accepting NEW Clients! (Children, Preteens, Teens, Adults.) Integrated Behavioral Care is committed to strengthening individuals, families and communities by providing compassionate care and evidence-based psychology services. Our clinicians are committed to a growth mindset, and to the overall health and wellness of those we serve. Our goal is to make mental health services an accessible and routine form of preventative healthcare for all.
(508) 901-2264 x1 View (508) 901-2264 x1
Photo of Haoyan Lin - Resilient Care Therapy LLC, Counselor, LMHC, MSEd, MPhil
Resilient Care Therapy LLC
Counselor, LMHC, MSEd, MPhil
2 Endorsed
Andover, MA 01810
Whether you’re a parent navigating school challenges, a couple looking to reconnect, or an individual seeking a sense of balance, you have a place here. Life’s transitions can feel overwhelming, and it’s easy to get stuck in patterns that no longer serve you. Our team provides a holistic, evidence-based approach specifically tailored to your unique story. We do more than just listen; we actively collaborate with you and your community—from school advocacy to family therapy—to build a clear, effective path toward healing.
Whether you’re a parent navigating school challenges, a couple looking to reconnect, or an individual seeking a sense of balance, you have a place here. Life’s transitions can feel overwhelming, and it’s easy to get stuck in patterns that no longer serve you. Our team provides a holistic, evidence-based approach specifically tailored to your unique story. We do more than just listen; we actively collaborate with you and your community—from school advocacy to family therapy—to build a clear, effective path toward healing.
(339) 330-4009 View (339) 330-4009
Photo of Rebecca Morse, Clinical Social Work/Therapist, LICSW
Rebecca Morse
Clinical Social Work/Therapist, LICSW
Online Only
Currently Accepting Patients! Hello! I’m glad you have landed here. More than likely, you are struggling, and know it is time to reach out for help. I am hopeful that I can make a difference! My practice is focused on helping people who are managing anxiety and depression, as well as life transitions. I also work with individuals who are navigating chronic or major illness, or who are grieving a loss.
Currently Accepting Patients! Hello! I’m glad you have landed here. More than likely, you are struggling, and know it is time to reach out for help. I am hopeful that I can make a difference! My practice is focused on helping people who are managing anxiety and depression, as well as life transitions. I also work with individuals who are navigating chronic or major illness, or who are grieving a loss.
(351) 529-8765 View (351) 529-8765
Photo of Jessica Sharpe, Clinical Social Work/Therapist, LICSW, MSW
Jessica Sharpe
Clinical Social Work/Therapist, LICSW, MSW
Online Only
It is my belief that we all have the ability to harness the power within us to find our own way to true healing and transformation. I am a licensed therapist who combines traditional clinical skills with a holistic, mindful and spiritual approach to healing and transformation rooted in self-compassion. Life is full of challenges and my true passion is working with clients to find the personal sense of empowerment that naturally resides in each one of us.
It is my belief that we all have the ability to harness the power within us to find our own way to true healing and transformation. I am a licensed therapist who combines traditional clinical skills with a holistic, mindful and spiritual approach to healing and transformation rooted in self-compassion. Life is full of challenges and my true passion is working with clients to find the personal sense of empowerment that naturally resides in each one of us.
(978) 627-7359 View (978) 627-7359
Photo of Michael William Reed, Counselor, MA, LMHC
Michael William Reed
Counselor, MA, LMHC
Andover, MA 01810
I work with individuals struggling with OCD, intrusive thoughts, and anxiety—especially when it involves uncertainty, identity, or difficulty trusting your own thinking. You may feel stuck in cycles of overthinking or doubt, trying to think your way to certainty but only feeling more stuck. Many of my clients are thoughtful and self-aware, but caught in mental loops that don’t fully make sense and are hard to let go of. Our work focuses on understanding these patterns and developing a different relationship to thoughts so you can move forward with more clarity.
I work with individuals struggling with OCD, intrusive thoughts, and anxiety—especially when it involves uncertainty, identity, or difficulty trusting your own thinking. You may feel stuck in cycles of overthinking or doubt, trying to think your way to certainty but only feeling more stuck. Many of my clients are thoughtful and self-aware, but caught in mental loops that don’t fully make sense and are hard to let go of. Our work focuses on understanding these patterns and developing a different relationship to thoughts so you can move forward with more clarity.
(857) 271-5610 View (857) 271-5610
Photo of Susan P O'Neil, Clinical Social Work/Therapist, LICSW, CADAC
Susan P O'Neil
Clinical Social Work/Therapist, LICSW, CADAC
Andover, MA 01810
I have over 25 years experience in a variety of settings, helping clients who have struggled with substance abuse and/or mental health issues . What has, and continues to amaze me is the strength and resilience that these clients have despite their very difficult concerns. I feel my skill as a therapist is in helping clients to uncover and access their strengths, which can be challenging to do on one's own. I hold the belief that their situations and outlooks will improve, that life will get better, and I utilize therapeutic tools to assist me in helping to ensure that for them.
I have over 25 years experience in a variety of settings, helping clients who have struggled with substance abuse and/or mental health issues . What has, and continues to amaze me is the strength and resilience that these clients have despite their very difficult concerns. I feel my skill as a therapist is in helping clients to uncover and access their strengths, which can be challenging to do on one's own. I hold the belief that their situations and outlooks will improve, that life will get better, and I utilize therapeutic tools to assist me in helping to ensure that for them.
(978) 502-4514 View (978) 502-4514
Photo of Jenifer Maloney, Clinical Social Work/Therapist, LICSW
Jenifer Maloney
Clinical Social Work/Therapist, LICSW
Online Only
Not accepting new clients
Getting here may have been hard but I’m glad you made it. Maybe something isn’t going the way you would like it to (or just feels off!) and you have made the decision to try to make some changes. I have been working with adults, children, adolescents, and families for over 20 years in a variety of settings. Whether it’s stress from work or relationships, depression, anxiety, a traumatic life event, or issues with alcohol or drugs, we can work through it together. You can call/text me directly at (978)-409-7143 and I will return your call by the next business day.
Getting here may have been hard but I’m glad you made it. Maybe something isn’t going the way you would like it to (or just feels off!) and you have made the decision to try to make some changes. I have been working with adults, children, adolescents, and families for over 20 years in a variety of settings. Whether it’s stress from work or relationships, depression, anxiety, a traumatic life event, or issues with alcohol or drugs, we can work through it together. You can call/text me directly at (978)-409-7143 and I will return your call by the next business day.
(978) 409-7143 View (978) 409-7143
Photo of Lauren Gillum, Psychologist, PsyD
Lauren Gillum
Psychologist, PsyD
1 Endorsed
Andover, MA 01810
As a parent or caregiver, you often experience feelings of uncertainty, isolation, and overwhelm. You want to parent from a calmer place, but struggle to manage your own emotions in response to certain triggering behaviors. Becoming a parent may have opened some of your own childhood wounds, and you want to break cycles that you grew up with, but there's no instruction manual for how. Perhaps you’re a step-parent navigating a complex family dynamic or a grandparent stepping into the parental role. Maybe you or your child are neurodivergent, and you're seeking ways for you both to feel better supported in an authentic, affirming way.
As a parent or caregiver, you often experience feelings of uncertainty, isolation, and overwhelm. You want to parent from a calmer place, but struggle to manage your own emotions in response to certain triggering behaviors. Becoming a parent may have opened some of your own childhood wounds, and you want to break cycles that you grew up with, but there's no instruction manual for how. Perhaps you’re a step-parent navigating a complex family dynamic or a grandparent stepping into the parental role. Maybe you or your child are neurodivergent, and you're seeking ways for you both to feel better supported in an authentic, affirming way.
(978) 494-4580 View (978) 494-4580
Photo of Peter Skerry, Clinical Social Work/Therapist, LMHC, MAPGSII
Peter Skerry
Clinical Social Work/Therapist, LMHC, MAPGSII
1 Endorsed
Andover, MA 01810
I work with a diverse caseload of clients and specialize in helping those who struggle with mood disorders, anxiety and trauma disorders, addiction, and personality disorders. I take an eclectic approach to providing therapy and tend to utilize aspects of several methods including Cognitive Behavioral Therapy, Person-Centered Therapy, and Motivational Interviewing, to name a few. I use sessions to focus on psycho-educating clients to understand the relationships and connections between our thoughts, emotions, and behaviors, and assist with learning how to sow the seeds of change through mindful exploration of unhealthy patterns.
I work with a diverse caseload of clients and specialize in helping those who struggle with mood disorders, anxiety and trauma disorders, addiction, and personality disorders. I take an eclectic approach to providing therapy and tend to utilize aspects of several methods including Cognitive Behavioral Therapy, Person-Centered Therapy, and Motivational Interviewing, to name a few. I use sessions to focus on psycho-educating clients to understand the relationships and connections between our thoughts, emotions, and behaviors, and assist with learning how to sow the seeds of change through mindful exploration of unhealthy patterns.
(508) 273-8565 View (508) 273-8565
Photo of Sarah Gabel, Counselor, LMHC
Sarah Gabel
Counselor, LMHC
Online Only
I am a Licensed Mental Health Counselor who has worked with a variety of clients from children to adults. Over the past several years, my work has been focused on treating individuals with chronic and severe mental illness including addictions. I have worked in a variety of settings including individual outpatient clinics, therapeutic mentoring, adult day treatment and community based clinical services focused on helping people remain stable in the community. Through my experience, I have had the privilege of working with a diverse group of clients from many different cultures, ages, religions, and backgrounds.
I am a Licensed Mental Health Counselor who has worked with a variety of clients from children to adults. Over the past several years, my work has been focused on treating individuals with chronic and severe mental illness including addictions. I have worked in a variety of settings including individual outpatient clinics, therapeutic mentoring, adult day treatment and community based clinical services focused on helping people remain stable in the community. Through my experience, I have had the privilege of working with a diverse group of clients from many different cultures, ages, religions, and backgrounds.
(508) 392-5474 View (508) 392-5474
Photo of Carolyn Emerson, Pre-Licensed Professional, MEd, MS
Carolyn Emerson
Pre-Licensed Professional, MEd, MS
Andover, MA 01810
Welcome! I’m Carolyn (she/her), and I’m glad you’re here. I work with adults and children (ages 9 and older) navigating concerns such as anxiety, perfectionism, self-esteem challenges, relationship difficulties, trauma, grief, and major life transitions. Many of my clients come to therapy wanting to feel less overwhelmed, more confident, and better able to manage life’s stressors. My goal is to provide a safe, supportive space where you can explore how past experiences shape the present, curiously examine thought patterns and their impact on mood and self-perception, and cultivate resilience and self-compassion.
Welcome! I’m Carolyn (she/her), and I’m glad you’re here. I work with adults and children (ages 9 and older) navigating concerns such as anxiety, perfectionism, self-esteem challenges, relationship difficulties, trauma, grief, and major life transitions. Many of my clients come to therapy wanting to feel less overwhelmed, more confident, and better able to manage life’s stressors. My goal is to provide a safe, supportive space where you can explore how past experiences shape the present, curiously examine thought patterns and their impact on mood and self-perception, and cultivate resilience and self-compassion.
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Photo of Jamie L King, Clinical Social Work/Therapist, LICSW
Jamie L King
Clinical Social Work/Therapist, LICSW
2 Endorsed
Andover, MA 01810
I am here and I am ready to help with change of all types. My ideal client will have an idea of what changes they want in their lives and are willing to put the hard work in to get there. I will cheer you on and support you every step of the way. I am currently licensed to practice in the following states: Massachusetts, Maine, Maryland, New Hampshire, Rhode Island and Tennessee. Please note, at this time there is a waitlist for people needing after school or evening sessions. Children under 15 can be seen in person only.
I am here and I am ready to help with change of all types. My ideal client will have an idea of what changes they want in their lives and are willing to put the hard work in to get there. I will cheer you on and support you every step of the way. I am currently licensed to practice in the following states: Massachusetts, Maine, Maryland, New Hampshire, Rhode Island and Tennessee. Please note, at this time there is a waitlist for people needing after school or evening sessions. Children under 15 can be seen in person only.
(508) 625-9413 View (508) 625-9413
Photo of Louise A Dinsmore, Counselor, LMHC
Louise A Dinsmore
Counselor, LMHC
Andover, MA 01810
Have you been feeling anxious, sad, and overwhelmed? Has alcohol, drugs, or other addiction become more of a problem than an escape? You may find yourself here because addiction has taken control. You may have told yourself or others that you will stop, but it’s hard to do it alone. Relief is possible, but often it requires support from someone who understands addiction. Let's get to the root of the problem. Therapy can help you figure out your "why". Together, we can identify healthy ways to cope. We can clarify your purpose, and get you back to a life that isn't dictated by urges. Let’s figure this out together.
Have you been feeling anxious, sad, and overwhelmed? Has alcohol, drugs, or other addiction become more of a problem than an escape? You may find yourself here because addiction has taken control. You may have told yourself or others that you will stop, but it’s hard to do it alone. Relief is possible, but often it requires support from someone who understands addiction. Let's get to the root of the problem. Therapy can help you figure out your "why". Together, we can identify healthy ways to cope. We can clarify your purpose, and get you back to a life that isn't dictated by urges. Let’s figure this out together.
(351) 206-0319 View (351) 206-0319
Photo of Julia Linkova, Counselor, LMHC
Julia Linkova
Counselor, LMHC
Online Only
I am an independently licensed practitioner with over 30 years' experience. I integrate a wide range of different therapeutic approaches and techniques to better suit the unique needs of individuals and couples. I have experience working with individuals - children, adolescents and adults - as well as couples. My clients include those who deal with issues of increased stress, depression, anger, anxiety, grief and those who would like help navigating relationships.I believe in peoples' ability for growth and transformation and is grateful to those who allowed me to be part of this process.
I am an independently licensed practitioner with over 30 years' experience. I integrate a wide range of different therapeutic approaches and techniques to better suit the unique needs of individuals and couples. I have experience working with individuals - children, adolescents and adults - as well as couples. My clients include those who deal with issues of increased stress, depression, anger, anxiety, grief and those who would like help navigating relationships.I believe in peoples' ability for growth and transformation and is grateful to those who allowed me to be part of this process.
(617) 616-8309 View (617) 616-8309
Photo of Dr. Glavielinys Cruz, Counselor, PsyD, LMHC
Dr. Glavielinys Cruz
Counselor, PsyD, LMHC
Andover, MA 01810
I offer individual psychotherapy to children, adolescents and adults of all ages. Treating a plethora of different conditions, my aim is to provide a welcoming space where you may feel heard and encouraged as you explore different pathways in life.
I offer individual psychotherapy to children, adolescents and adults of all ages. Treating a plethora of different conditions, my aim is to provide a welcoming space where you may feel heard and encouraged as you explore different pathways in life.
(978) 771-1657 View (978) 771-1657
Photo of Karen Rosado, Counselor, LMHC
Karen Rosado
Counselor, LMHC
Online Only
I am a Licensed Mental Health Counselor. My approach to therapy is centered on the unique needs of each client. My focus is to provide clients with an open atmosphere where they can work on themselves without fear. I typically work with adolescents, young adults, and adults. I am comfortable treating various diagnoses, including PTSD, depression, anxiety, personality disorders, and more.
I am a Licensed Mental Health Counselor. My approach to therapy is centered on the unique needs of each client. My focus is to provide clients with an open atmosphere where they can work on themselves without fear. I typically work with adolescents, young adults, and adults. I am comfortable treating various diagnoses, including PTSD, depression, anxiety, personality disorders, and more.
(857) 375-8785 View (857) 375-8785
Photo of Meaghan Downes-Berry, Clinical Social Work/Therapist, LICSW
Meaghan Downes-Berry
Clinical Social Work/Therapist, LICSW
2 Endorsed
Andover, MA 01810
Our brains did not evolve to live the kind of life that many modern humans are living and it shows. From forty hour work weeks, to the attention economy, to the way we've been disconnected from our bodies and from nature, many find themselves struggling to find contentment, purpose, and community. Confounding variables such as neurodivergence or trauma can further complicate and confuse. Together we can explore the impact of living under systems that defy our very nature and build the self knowledge, connection, and skills needed to live a life that works for you. (This is a generative AI free practice.)
Our brains did not evolve to live the kind of life that many modern humans are living and it shows. From forty hour work weeks, to the attention economy, to the way we've been disconnected from our bodies and from nature, many find themselves struggling to find contentment, purpose, and community. Confounding variables such as neurodivergence or trauma can further complicate and confuse. Together we can explore the impact of living under systems that defy our very nature and build the self knowledge, connection, and skills needed to live a life that works for you. (This is a generative AI free practice.)
(508) 213-9624 View (508) 213-9624
Photo of Katy Ong, Clinical Social Work/Therapist, LICSW, MSW, MPH
Katy Ong
Clinical Social Work/Therapist, LICSW, MSW, MPH
Andover, MA 01810
I view therapy as a safe, supportive space to explore experiences with an objective and compassionate professional. With over 20 years experience, I am a therapist known for using warmth and humor to empathically challenge patterns that keep clients feeling stuck. My approach integrates Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT). Using CBT strategies, we work to identify and shift unhelpful thought patterns and behaviors. Through ACT, we focus on increasing psychological flexibility—learning to relate differently to difficult thoughts and emotions while taking steps toward what matters most.
I view therapy as a safe, supportive space to explore experiences with an objective and compassionate professional. With over 20 years experience, I am a therapist known for using warmth and humor to empathically challenge patterns that keep clients feeling stuck. My approach integrates Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT). Using CBT strategies, we work to identify and shift unhelpful thought patterns and behaviors. Through ACT, we focus on increasing psychological flexibility—learning to relate differently to difficult thoughts and emotions while taking steps toward what matters most.
(617) 500-6189 View (617) 500-6189

See more therapy options for Andover

How does your Therapist compare?

Number of Therapists in Andover, MA

200+

Average cost per session

$150

Therapists in Andover, MA who prioritize treating:

95% Anxiety
88% Depression
74% Relationship Issues
74% Stress
73% Self Esteem
62% Trauma and PTSD
55% Grief

Average years in practice

13 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
72% UnitedHealthcare UHC | UBH
71% Aetna

How Therapists in Andover, MA see their clients

64% In Person and Online
36% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Andover?

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.