Therapists in Barnstable County, MA

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Photo of Audrey Tarplin, LICSW, Clinical Social Work/Therapist
Audrey Tarplin
Clinical Social Work/Therapist, LICSW
Verified Verified
East Falmouth, MA 02536
Not accepting new clients
Hello. By looking on this website you've taken the first step towards improving that which feels unsettled in your life. I offer you hope and guidance for reaching your goals. I have many years of experience providing psychotherapy to those struggling with relationship issues, depressed or anxious mood, chronic physical illness, grief, and childhood issues that are bothering you at this time in your life. I am well trained in a variety of techniques that I use within the context of talk therapy. I also have many years of experience supervising other therapists in their work to help clients.
Hello. By looking on this website you've taken the first step towards improving that which feels unsettled in your life. I offer you hope and guidance for reaching your goals. I have many years of experience providing psychotherapy to those struggling with relationship issues, depressed or anxious mood, chronic physical illness, grief, and childhood issues that are bothering you at this time in your life. I am well trained in a variety of techniques that I use within the context of talk therapy. I also have many years of experience supervising other therapists in their work to help clients.
(774) 541-2874 View (774) 541-2874
Photo of Barbara L Blair, MSW, LICSW, Clinical Social Work/Therapist
Barbara L Blair
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Falmouth, MA 02540  (Online Only)
Not accepting new clients
As a therapist of over 30 years' training and experience in helping people with many kinds of life problems, I have worked on Cape Cod over 20 years. A few years ago I closed my private practice, planning to retire, but the pandemic and subsequent mental health crisis has compelled me to return to my original vocation, this time through "telehealth" appointments -- counseling over the internet via a secure platform. For those who don't use the internet easily, I will also help by telephone. In Massachusetts, your teletherapy is covered by your health insurance in the same way it would be covered for in-person sessions.
As a therapist of over 30 years' training and experience in helping people with many kinds of life problems, I have worked on Cape Cod over 20 years. A few years ago I closed my private practice, planning to retire, but the pandemic and subsequent mental health crisis has compelled me to return to my original vocation, this time through "telehealth" appointments -- counseling over the internet via a secure platform. For those who don't use the internet easily, I will also help by telephone. In Massachusetts, your teletherapy is covered by your health insurance in the same way it would be covered for in-person sessions.
(508) 388-5311 View (508) 388-5311
Photo of Melissa A. Plourde, MSW, LICSW, Clinical Social Work/Therapist
Melissa A. Plourde
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Mashpee, MA 02649
Waitlist for new clients
As your therapist, I believe in getting to know you and working together as a team through this process. I'm client-centered, and utilize a realistic, cognitive-behavioral therapeutic approach although my counseling style is dependent upon your individual needs. To me, establishing a trusting, empathic, judgment free environment is the key to building a relationship that will support and empower people to achieve their best selves. We will spend the first couple of sessions working on getting to know your needs and together, coming up with topics and goals to focus on.
As your therapist, I believe in getting to know you and working together as a team through this process. I'm client-centered, and utilize a realistic, cognitive-behavioral therapeutic approach although my counseling style is dependent upon your individual needs. To me, establishing a trusting, empathic, judgment free environment is the key to building a relationship that will support and empower people to achieve their best selves. We will spend the first couple of sessions working on getting to know your needs and together, coming up with topics and goals to focus on.
(774) 208-0505 View (774) 208-0505
Photo of Dr. Michael Abruzzese, MA, PhD, HSPP, Psychologist
Dr. Michael Abruzzese
Psychologist, MA, PhD, HSPP
Verified Verified
Osterville, MA 02655
As a Child and Family Psychologist with over 40 years experience, I provide therapy as well as conduct Neuropsychological and Forensic Assessments. I utilize a life-span developmental approach within a Positive Psychology framework for therapy and can provide specialized Cognitive Behavioral Therapy (CBT) to children, families, adolescents and adults. I offer diagnosis and treatment for a variety of psychological conditions and concerns and specialize in non-pharmaceutical CBT treatment for ADD and ASD. I offer in-person treatment sessions in my office and also offer remote online sessions. Email contacts get a quicker response.
As a Child and Family Psychologist with over 40 years experience, I provide therapy as well as conduct Neuropsychological and Forensic Assessments. I utilize a life-span developmental approach within a Positive Psychology framework for therapy and can provide specialized Cognitive Behavioral Therapy (CBT) to children, families, adolescents and adults. I offer diagnosis and treatment for a variety of psychological conditions and concerns and specialize in non-pharmaceutical CBT treatment for ADD and ASD. I offer in-person treatment sessions in my office and also offer remote online sessions. Email contacts get a quicker response.
(508) 455-5134 View (508) 455-5134
Photo of Kelly Kirkbride, LMHC, RN, LCMHC, LCPC, Counselor
Kelly Kirkbride
Counselor, LMHC, RN, LCMHC, LCPC
Verified Verified
1 Endorsed
Brewster, MA 02631  (Online Only)
I am accepting new clients for telehealth visits in Massachusetts, Maine, and Vermont. I provide short-term and long-term individual therapy as well as group therapy. I use evidence-based skills teaching aimed at fast symptom reduction and building a lasting coping style. With a degree in nursing, I help people improve the relationship between their mental and physical health.
I am accepting new clients for telehealth visits in Massachusetts, Maine, and Vermont. I provide short-term and long-term individual therapy as well as group therapy. I use evidence-based skills teaching aimed at fast symptom reduction and building a lasting coping style. With a degree in nursing, I help people improve the relationship between their mental and physical health.
(508) 625-5901 View (508) 625-5901
Photo of Dr. Mary Acunzo, PhD, Psychologist
Dr. Mary Acunzo
Psychologist, PhD
Verified Verified
Barnstable, MA 02630
I primarily work with people with Developmental Disabilities, such as ADHD, LD (Dyslexia and Nonverbal Learning Disability), and Autism Spectrum Disorder. I also test for Giftedness and Twice or more exceptional. Anxiety and depression are also part of my referral questions. Most of my practice is Neuropsychological Testing but I also do consulting with individuals, schools, and parents. I do not test for dementia. I do limited amounts of therapy and feel very effective with the populations described above as well as couples therapy.
I primarily work with people with Developmental Disabilities, such as ADHD, LD (Dyslexia and Nonverbal Learning Disability), and Autism Spectrum Disorder. I also test for Giftedness and Twice or more exceptional. Anxiety and depression are also part of my referral questions. Most of my practice is Neuropsychological Testing but I also do consulting with individuals, schools, and parents. I do not test for dementia. I do limited amounts of therapy and feel very effective with the populations described above as well as couples therapy.
(508) 888-6869 View (508) 888-6869
Photo of Beth Rollins, LICSW, Clinical Social Work/Therapist
Beth Rollins
Clinical Social Work/Therapist, LICSW
Verified Verified
Bourne, MA 02532
Feeling overwhelmed, stuck, sad, worried, anxious, wishing things were different? Talking Helps! Let‘s sit down together to talk about what’s going on. My goal is to provide a warm and welcoming environment where you feel comfortable and safe to open up and explore what‘s happening to cause discomfort in your life and see what we can do to change that. I want to help you create the life YOU want to live and achieve whatever solutions and life changes you are looking for. I want to help you to be able to deal with life on life’s terms and find meaning/purpose in work, family, friends and other aspects of life. Please give me a call
Feeling overwhelmed, stuck, sad, worried, anxious, wishing things were different? Talking Helps! Let‘s sit down together to talk about what’s going on. My goal is to provide a warm and welcoming environment where you feel comfortable and safe to open up and explore what‘s happening to cause discomfort in your life and see what we can do to change that. I want to help you create the life YOU want to live and achieve whatever solutions and life changes you are looking for. I want to help you to be able to deal with life on life’s terms and find meaning/purpose in work, family, friends and other aspects of life. Please give me a call
(508) 257-7421 View (508) 257-7421
Photo of Jonathan S Runge, PsyD, Psychologist
Jonathan S Runge
Psychologist, PsyD
Verified Verified
Provincetown, MA 02657  (Online Only)
Finding a therapist is a daunting task, even for clinicians. While I specialize in Cognitive Behavioral Therapy (CBT) for anxiety-related disorders and depression, I also incorporate elements of Mindfulness, Problem-Solving, Dialectical Behavioral Therapy (DBT), Acceptance & Commitment Therapy (ACT), and Gottman Method Couples Therapy. In addition, I have been trained in EMDR (Eye Movement Desensitization and Reprocessing) by the EMDR Institute. My goal is to help you feel more hopeful, be happier, and have agency with your life.
Finding a therapist is a daunting task, even for clinicians. While I specialize in Cognitive Behavioral Therapy (CBT) for anxiety-related disorders and depression, I also incorporate elements of Mindfulness, Problem-Solving, Dialectical Behavioral Therapy (DBT), Acceptance & Commitment Therapy (ACT), and Gottman Method Couples Therapy. In addition, I have been trained in EMDR (Eye Movement Desensitization and Reprocessing) by the EMDR Institute. My goal is to help you feel more hopeful, be happier, and have agency with your life.
(617) 945-8028 View (617) 945-8028
Photo of Ann B Condon, LICSW, Clinical Social Work/Therapist
Ann B Condon
Clinical Social Work/Therapist, LICSW
Verified Verified
Centerville, MA 02632
I have helped so many people dealing with issues of mid life crisis and beyond. I work with folks who had a remote father, a perfectionist mother, an angry spouse. I care for clients who experience anxiety, sadness and irritation. Sources of these feelings may be in childhood or illness, ageing or sometimes the old Peggy Lee song, “Is That All There Is?” We work together to find the old incident or belief and bring it forward to the present where it’s doing its mischief.
I have helped so many people dealing with issues of mid life crisis and beyond. I work with folks who had a remote father, a perfectionist mother, an angry spouse. I care for clients who experience anxiety, sadness and irritation. Sources of these feelings may be in childhood or illness, ageing or sometimes the old Peggy Lee song, “Is That All There Is?” We work together to find the old incident or belief and bring it forward to the present where it’s doing its mischief.
(508) 501-6635 View (508) 501-6635
Photo of Heather Bowden, LICSW, Clinical Social Work/Therapist
Heather Bowden
Clinical Social Work/Therapist, LICSW
Verified Verified
Yarmouth Port, MA 02675
I currently have a waitlist for after school or weekend appointments.
I currently have a waitlist for after school or weekend appointments.
(508) 859-7625 View (508) 859-7625
Photo of Jill Garvin, LICSW, Clinical Social Work/Therapist
Jill Garvin
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Mashpee, MA 02649  (Online Only)
Not accepting new clients
Therapy is about talking through your problems, but that’s only the beginning. When you develop a relationship with a caring, attuned therapist you will find new ways to solve problems, heal old wounds, and change the way you live. I’ve been a therapist for the better part of two decades. Working as a counselor and supporting hundreds of clients over the years has been an immense privilege. I am so glad to call it my life’s work. And it’s only the beginning. My goal is to assist you in becoming your most authentic self.
Therapy is about talking through your problems, but that’s only the beginning. When you develop a relationship with a caring, attuned therapist you will find new ways to solve problems, heal old wounds, and change the way you live. I’ve been a therapist for the better part of two decades. Working as a counselor and supporting hundreds of clients over the years has been an immense privilege. I am so glad to call it my life’s work. And it’s only the beginning. My goal is to assist you in becoming your most authentic self.
(508) 286-7982 View (508) 286-7982
Photo of Norina Reif, LMHC, ET, Counselor
Norina Reif
Counselor, LMHC, ET
Verified Verified
Falmouth, MA 02540
When one looks for a therapist to help, what are they really looking for? Someone who understands, someone who listens, someone who cares, and someone who can help one help oneself. If you are looking for a knowledgeable, creative, and compassionate professional to assist in your journey toward health, then I can help you. In addition to my training as a clinical mental health counselor, versed in traditional talk therapies as well as cognitive behavioral, I also offer expressive arts therapy. Psychology Today defines expressive therapy as combining "psychology and the creative process to promote emotional growth and healing."
When one looks for a therapist to help, what are they really looking for? Someone who understands, someone who listens, someone who cares, and someone who can help one help oneself. If you are looking for a knowledgeable, creative, and compassionate professional to assist in your journey toward health, then I can help you. In addition to my training as a clinical mental health counselor, versed in traditional talk therapies as well as cognitive behavioral, I also offer expressive arts therapy. Psychology Today defines expressive therapy as combining "psychology and the creative process to promote emotional growth and healing."
(508) 257-7403 View (508) 257-7403
Photo of Holly Reed, LMHC, Counselor
Holly Reed
Counselor, LMHC
Verified Verified
West Harwich, MA 02671
I am a client centered therapist who supports your capacity to learn new perspectives and ways of interacting with self and the world. My approach includes helping you to gain new skills to navigate current challenges, past trauma, and develop more healthy relationship patterns moving forward. I do this by using active listening, empathy and compassion in a safe and judgement free environment, My style is interactive, my methods are eclectic, meaning I use a variety of approaches. I meet you where you are and let you set the pace. Sometimes we work together very briefly, other times for longer depending on your goals.
I am a client centered therapist who supports your capacity to learn new perspectives and ways of interacting with self and the world. My approach includes helping you to gain new skills to navigate current challenges, past trauma, and develop more healthy relationship patterns moving forward. I do this by using active listening, empathy and compassion in a safe and judgement free environment, My style is interactive, my methods are eclectic, meaning I use a variety of approaches. I meet you where you are and let you set the pace. Sometimes we work together very briefly, other times for longer depending on your goals.
(774) 520-0125 View (774) 520-0125
Photo of Lynn Kelly - Family Support Program & Autism Diagnosis- MA & NY, Psy D, LICSW, LMHC, MSW, Counselor
Family Support Program & Autism Diagnosis- MA & NY
Counselor, Psy D, LICSW, LMHC, MSW
Verified Verified
Falmouth, MA 02540  (Online Only)
NEW- Availability for clients seeking neuropsychological evaluations in MA! We partner with The LEGO Foundation to support families of neurodivergent children, those with developmental delays, and children in need of a diagnosis that are between the ages of 3-12. Through our Family Support Program we create a customized Family Support Plan that works on language development, adaptive skills, cognitive skills, social skills, family mental health support, and self care and support. The goal of our program is to provide continuous training and support to families that will improve the families overall well-being and quality of life.
NEW- Availability for clients seeking neuropsychological evaluations in MA! We partner with The LEGO Foundation to support families of neurodivergent children, those with developmental delays, and children in need of a diagnosis that are between the ages of 3-12. Through our Family Support Program we create a customized Family Support Plan that works on language development, adaptive skills, cognitive skills, social skills, family mental health support, and self care and support. The goal of our program is to provide continuous training and support to families that will improve the families overall well-being and quality of life.
(508) 501-6332 View (508) 501-6332
Photo of Tommy McCann, MA, LADC I, NCAC I, SAP, Drug & Alcohol Counselor
Tommy McCann
Drug & Alcohol Counselor, MA, LADC I, NCAC I, SAP
Verified Verified
Falmouth, MA 02540
I work with individuals who are seeking support and counseling for issues related to problematic alcohol and substance use, addictions, and other behaviors. Many of my clients come for counseling after receiving inpatient or intensive outpatient services, or who identify as being in recovery and have been experiencing challenges such as stress, cravings, or lapses.
I work with individuals who are seeking support and counseling for issues related to problematic alcohol and substance use, addictions, and other behaviors. Many of my clients come for counseling after receiving inpatient or intensive outpatient services, or who identify as being in recovery and have been experiencing challenges such as stress, cravings, or lapses.
(508) 714-7231 View (508) 714-7231
Photo of Matthew Donlan - Donlan Counseling Services, DBH, MBA, LADC I
Donlan Counseling Services
DBH, MBA, LADC I
Verified Verified
2 Endorsed
Mashpee, MA 02649
Not accepting new clients
I am a Doctor of Behavioral Health (DBH) with over 15 years of experience assisting individuals suffering from depression, anxiety, and addiction. I have worked with patients who have endured emotionally stressful experiences and I recognize the importance of having a supportive guide to help you through the journey to healing and recovery. I use my training in Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI) to support a patient-centered model that I have developed for individualized care. I work with ages 14 + and I pride myself on the ability to connect with my patients on a personal level and instill hope.
I am a Doctor of Behavioral Health (DBH) with over 15 years of experience assisting individuals suffering from depression, anxiety, and addiction. I have worked with patients who have endured emotionally stressful experiences and I recognize the importance of having a supportive guide to help you through the journey to healing and recovery. I use my training in Cognitive Behavioral Therapy (CBT) and Motivational Interviewing (MI) to support a patient-centered model that I have developed for individualized care. I work with ages 14 + and I pride myself on the ability to connect with my patients on a personal level and instill hope.
(508) 796-8152 View (508) 796-8152
Photo of Robin Eitelbach, LICSW, Clinical Social Work/Therapist
Robin Eitelbach
Clinical Social Work/Therapist, LICSW
Verified Verified
Orleans, MA 02653
My practice stems from a warm, kind, empathetic approach. I practice with a strength based perspective with individual attunement and collaboration, starting where the client is. I work with adolescence, adults and families. My experience in the field is extensive, working at Gosnold with clients in recovery, with families in Crisis at MSPCC, with students as a High School Social Worker, and with adults who are experiencing life challenges. I am very proud of the work I do and am honored to share in the experiences and stories of others.
My practice stems from a warm, kind, empathetic approach. I practice with a strength based perspective with individual attunement and collaboration, starting where the client is. I work with adolescence, adults and families. My experience in the field is extensive, working at Gosnold with clients in recovery, with families in Crisis at MSPCC, with students as a High School Social Worker, and with adults who are experiencing life challenges. I am very proud of the work I do and am honored to share in the experiences and stories of others.
(508) 719-6363 View (508) 719-6363
Photo of Carol J S Nickerson, MSW, LICSW, Clinical Social Work/Therapist
Carol J S Nickerson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Harwich, MA 02645
Waitlist for new clients
I work with people who are seeking help because they know that having a private supportive setting with a professional is their next step. They know it's a big decision and want the right match.
I work with people who are seeking help because they know that having a private supportive setting with a professional is their next step. They know it's a big decision and want the right match.
(508) 388-6915 View (508) 388-6915
Photo of Natalie Loewen, LICSW, Clinical Social Work/Therapist
Natalie Loewen
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Mashpee, MA 02649
Not accepting new clients
I don't have any evening or late afternoon appointments available. Changes and transitions in life, whether positive or negative, can be overwhelming. At some time in our lives, we can find ourselves facing depression, life circumstances, or navigating life’s transitions like aging. We can become overwhelmed with being a caregiver to children or a loved one with an illness. It’s important to learn how to cope with life’s variety of stressors.
I don't have any evening or late afternoon appointments available. Changes and transitions in life, whether positive or negative, can be overwhelming. At some time in our lives, we can find ourselves facing depression, life circumstances, or navigating life’s transitions like aging. We can become overwhelmed with being a caregiver to children or a loved one with an illness. It’s important to learn how to cope with life’s variety of stressors.
(508) 718-2102 View (508) 718-2102
Photo of Dexter Smart, MSW, LICSW, Clinical Social Work/Therapist
Dexter Smart
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Mashpee, MA 02649
All people are innately good and have the ability to heal themselves. Stressors are ever present in our everyday lives and are manifested through multiple ways. While these stressors can be the genesis of our problems, they are also the catalyst to starting the healing process. After making the decision to seek counseling and wellness care, the second most critical step is who will provide this care. At Westwind Counseling & Wellness we operate from a strong multicultural perspective providing time honored psychotherapy but with a focus on your whole health guided by the core values of Resiliency, Empowerment and Restoration.
All people are innately good and have the ability to heal themselves. Stressors are ever present in our everyday lives and are manifested through multiple ways. While these stressors can be the genesis of our problems, they are also the catalyst to starting the healing process. After making the decision to seek counseling and wellness care, the second most critical step is who will provide this care. At Westwind Counseling & Wellness we operate from a strong multicultural perspective providing time honored psychotherapy but with a focus on your whole health guided by the core values of Resiliency, Empowerment and Restoration.
(508) 691-8670 View (508) 691-8670

See more therapy options for Barnstable County

How does your Therapist compare?

Number of Therapists in Barnstable County, MA

400+

Average cost per session

$150

Therapists in Barnstable County, MA who prioritize treating:

92% Anxiety
84% Depression
72% Self Esteem
71% Relationship Issues
69% Coping Skills
67% Trauma and PTSD
66% Stress

Average years in practice

14 Years

Top 3 insurances accepted

89% BlueCross and BlueShield
71% Harvard Pilgrim
70% UnitedHealthcare UHC | UBH

How Therapists in Barnstable County, MA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Barnstable County?

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.