Therapists in East Longmeadow, MA

Photo of Elissa Noonan, LMHC (Co-Owner, 413Therapy Group), Counselor in East Longmeadow, MA
Elissa Noonan, LMHC (Co-Owner, 413Therapy Group)
Counselor, MEd, LMHC
Verified Verified
East Longmeadow, MA 01028  (Online Only)
Updated 01/26/2024: We have CURRENT telehealth (video) openings for clients located anywhere in Massachusetts and Connecticut! I believe that change is hard, for both adults and children alike, and aim to work with you to not only applaud your choice, but support and push you to make the changes you seek in your life. I believe everyone has their own definition of success and want to help you strive to reach your goals. I am an empathic listener and help you work towards identifying areas of focus, obtaining your individual goals, striving, working and pushing yourself to be better in your own way.
Updated 01/26/2024: We have CURRENT telehealth (video) openings for clients located anywhere in Massachusetts and Connecticut! I believe that change is hard, for both adults and children alike, and aim to work with you to not only applaud your choice, but support and push you to make the changes you seek in your life. I believe everyone has their own definition of success and want to help you strive to reach your goals. I am an empathic listener and help you work towards identifying areas of focus, obtaining your individual goals, striving, working and pushing yourself to be better in your own way.
(413) 259-0609 View (413) 259-0609
Photo of Carol M. Ouellette, Counselor in East Longmeadow, MA
Carol M. Ouellette
Counselor, EdD, LMHC, CCTP-II, CGP
Verified Verified
East Longmeadow, MA 01028
Not accepting new clients
To those who stopped to read my profile, thank you for taking the time to consider if I am a good match for your needs. My first therapeutic action is to be sure you feel safe and comfortable in therapy. I want you to feel empowered as a consumer; if for any reason we are not a good match, I will support your transition to the therapist who is a better fit. While my primary focus is compassionate care for those who have experienced childhood (complex) trauma, grief, and loss, I also work with individuals who struggle with depression, anxiety, and anger. I also specialize in serving Deaf and Hard-of-Hearing individuals fluent in ASL.
To those who stopped to read my profile, thank you for taking the time to consider if I am a good match for your needs. My first therapeutic action is to be sure you feel safe and comfortable in therapy. I want you to feel empowered as a consumer; if for any reason we are not a good match, I will support your transition to the therapist who is a better fit. While my primary focus is compassionate care for those who have experienced childhood (complex) trauma, grief, and loss, I also work with individuals who struggle with depression, anxiety, and anger. I also specialize in serving Deaf and Hard-of-Hearing individuals fluent in ASL.
(413) 216-2444 View (413) 216-2444
Photo of Osvaldo Santiago, LMHC, LSW , Counselor in East Longmeadow, MA
Osvaldo Santiago, LMHC, LSW
Counselor, MEd, LMHC, LSW
Verified Verified
East Longmeadow, MA 01028  (Online Only)
Are you experiencing sadness, anxiety, fear? Are you struggling with doubts about your sexuality or your gender identify? Have you struggled with discrimination? Do you have any struggles that you would like to vent about? Or are you just in need of someone that will listen to you without judgment? If you are, contact me to discuss ways to guide you in the process of overcoming these life challenges. I believe in treating everyone with respect, sensitivity, and compassion. I am open-minded and sensitive to cultural, racial, and religious diversity. I am fully bilingual, English and Spanish.
Are you experiencing sadness, anxiety, fear? Are you struggling with doubts about your sexuality or your gender identify? Have you struggled with discrimination? Do you have any struggles that you would like to vent about? Or are you just in need of someone that will listen to you without judgment? If you are, contact me to discuss ways to guide you in the process of overcoming these life challenges. I believe in treating everyone with respect, sensitivity, and compassion. I am open-minded and sensitive to cultural, racial, and religious diversity. I am fully bilingual, English and Spanish.
(413) 666-1380 View (413) 666-1380
Photo of Karter K. Grant, Counselor in East Longmeadow, MA
Karter K. Grant
Counselor, MS, LMHC, NCC
Verified Verified
3 Endorsed
East Longmeadow, MA 01028
New Beginnings Await in January! As we approach the start of a brand new year, I'm excited to announce that our counseling services will be welcoming new individuals and couples in January! Whether you're seeking support for personal growth, relationship challenges, or navigating life's transitions, our doors are open to help you on your journey. Our team of compassionate and experienced therapists is here to provide you with personalized care, tailored to your unique needs. New beginnings await in January 2024!
New Beginnings Await in January! As we approach the start of a brand new year, I'm excited to announce that our counseling services will be welcoming new individuals and couples in January! Whether you're seeking support for personal growth, relationship challenges, or navigating life's transitions, our doors are open to help you on your journey. Our team of compassionate and experienced therapists is here to provide you with personalized care, tailored to your unique needs. New beginnings await in January 2024!
(413) 342-1756 View (413) 342-1756
Photo of Greater Springfield Counseling, PC , Counselor in East Longmeadow, MA
Greater Springfield Counseling, PC
Counselor
Verified Verified
East Longmeadow, MA 01028
Individuals who seek help are incredibly courageous, and I am grateful to be a small piece of their journey along the way. My approach uses various modalities that are both, structured, and unstructured, depending on the needs of those I'm serving. Everyone deserves to have an opportunity to feel relief, joy, grounding, and security. This looks different for all, and I'm happy to adapt as needed while supporting in reaching the ultimate goals outlined. I offer the most experience with individuals who have experienced trauma and abuse, anxiety, depression, bipolar symptoms, relationship issues, ADHD, and addiction.
Individuals who seek help are incredibly courageous, and I am grateful to be a small piece of their journey along the way. My approach uses various modalities that are both, structured, and unstructured, depending on the needs of those I'm serving. Everyone deserves to have an opportunity to feel relief, joy, grounding, and security. This looks different for all, and I'm happy to adapt as needed while supporting in reaching the ultimate goals outlined. I offer the most experience with individuals who have experienced trauma and abuse, anxiety, depression, bipolar symptoms, relationship issues, ADHD, and addiction.
(413) 384-5538 x139 View (413) 384-5538 x139
Photo of Kaine' Compton, Pre-Licensed Professional in East Longmeadow, MA
Kaine' Compton
Pre-Licensed Professional
Verified Verified
East Longmeadow, MA 01028
At some point, we realize we can’t do this on our own. Thank you for stopping by my page. Now, let the healing process begin. Acknowledging you need support in your journey is confirmation that there is strength in you. Everyone can use a helping hand in their life. I am here to help you, help yourself, through whatever life’s challenges may bring. I have over 20 years of experience working in the human service and mental health field. Not only am I a mental health clinician, but I am a licensed minister and a community-involved public servant. I believe that quality of life begins with understanding the importance of self-care.
At some point, we realize we can’t do this on our own. Thank you for stopping by my page. Now, let the healing process begin. Acknowledging you need support in your journey is confirmation that there is strength in you. Everyone can use a helping hand in their life. I am here to help you, help yourself, through whatever life’s challenges may bring. I have over 20 years of experience working in the human service and mental health field. Not only am I a mental health clinician, but I am a licensed minister and a community-involved public servant. I believe that quality of life begins with understanding the importance of self-care.
(413) 414-5560 View (413) 414-5560
Photo of Jennifer Wallace-Johnson, Clinical Social Work/Therapist in East Longmeadow, MA
Jennifer Wallace-Johnson
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
East Longmeadow, MA 01028  (Online Only)
Do you feel dragged down by the pressures of society? Does your life feel overwhelming and exhausting? Everyone needs support to build resiliency and gain new personal insight. Together, let's build on the tools needed to tackle the challenges you face. Whether there are mental health concerns, traumatic experiences to unpack, or you just need an unbiased sounding board, connecting with professional support is the first step
Do you feel dragged down by the pressures of society? Does your life feel overwhelming and exhausting? Everyone needs support to build resiliency and gain new personal insight. Together, let's build on the tools needed to tackle the challenges you face. Whether there are mental health concerns, traumatic experiences to unpack, or you just need an unbiased sounding board, connecting with professional support is the first step
(413) 666-1703 View (413) 666-1703
Photo of Shelly Warren, Clinical Social Work/Therapist in East Longmeadow, MA
Shelly Warren
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
East Longmeadow, MA 01028
I offer compassionate and practical psychotherapy for mental health and substance use challenges, with a focus on teens and young adults. I believe all people are capable of forging a healthy path in life, one which includes self-awareness and acceptance, strong connections with others, and progress towards their own growth and positive goals. As your therapist, I would offer you both support and strategies for developing resilience as you move through this stage of your life's journey.
I offer compassionate and practical psychotherapy for mental health and substance use challenges, with a focus on teens and young adults. I believe all people are capable of forging a healthy path in life, one which includes self-awareness and acceptance, strong connections with others, and progress towards their own growth and positive goals. As your therapist, I would offer you both support and strategies for developing resilience as you move through this stage of your life's journey.
(413) 216-2833 View (413) 216-2833
Photo of Maria Michelakis Cintron, Licensed Mental Health Counselor in East Longmeadow, MA
Maria Michelakis Cintron
Licensed Mental Health Counselor, LMHC
Verified Verified
East Longmeadow, MA 01028
I am currently not accepting new clients at this time. Are you tired of struggling with the same issues year after year and looking to heal? Have you recently been through a traumatic event that has left you feeling lost and alone? Whether you are struggling at work, in your marriage, relationships, or looking for personal growth, I can help support you on your journey.
I am currently not accepting new clients at this time. Are you tired of struggling with the same issues year after year and looking to heal? Have you recently been through a traumatic event that has left you feeling lost and alone? Whether you are struggling at work, in your marriage, relationships, or looking for personal growth, I can help support you on your journey.
(413) 298-6756 View (413) 298-6756
Photo of Michelle Lifer Murray, Counselor in East Longmeadow, MA
Michelle Lifer Murray
Counselor, MA, LMHC
Verified Verified
East Longmeadow, MA 01028
Are you feeling exhausted by the effort it takes to keep "pushing down" your worries and sadness? Especially if you have a history of trauma, it can feel like a losing battle keeping all of this at bay, but it doesn't have to. If you are ready for some relief, I can help. Acknowledging pain doesn't erase strength, and tending to it doesn't require "falling apart" in the process. I can help you put your past where it belongs: behind you. I start by strengthening the resiliency and coping strategies you already have, and adding more.
Are you feeling exhausted by the effort it takes to keep "pushing down" your worries and sadness? Especially if you have a history of trauma, it can feel like a losing battle keeping all of this at bay, but it doesn't have to. If you are ready for some relief, I can help. Acknowledging pain doesn't erase strength, and tending to it doesn't require "falling apart" in the process. I can help you put your past where it belongs: behind you. I start by strengthening the resiliency and coping strategies you already have, and adding more.
(413) 314-3681 View (413) 314-3681
Photo of Asia M Higginson, Pre-Licensed Professional in East Longmeadow, MA
Asia M Higginson
Pre-Licensed Professional, MSW
Verified Verified
East Longmeadow, MA 01028  (Online Only)
As a practitioner, I value holistic healing, and am passionate about working with families, and individuals. I enjoy seeing how the restorative power of the healing, in conjunction with evidence-based theories, can have a transformation effect in the lives I have been privileged to serve. I have worked with families struggling with relationship problems, as well as individuals dealing with depression, trauma, addictions and anxiety.
As a practitioner, I value holistic healing, and am passionate about working with families, and individuals. I enjoy seeing how the restorative power of the healing, in conjunction with evidence-based theories, can have a transformation effect in the lives I have been privileged to serve. I have worked with families struggling with relationship problems, as well as individuals dealing with depression, trauma, addictions and anxiety.
(413) 296-8917 View (413) 296-8917
Photo of Yvette Kasparian, Counselor in East Longmeadow, MA
Yvette Kasparian
Counselor
Verified Verified
East Longmeadow, MA 01028  (Online Only)
Waitlist for new clients
Life can feel messy. Whether you are in crisis mode, grieving a loss, seeking relief from past trauma, disillusioned with the daily grind, or simply looking for ways to make your life and relationships more fulfilling, I can help you navigate the challenges you are facing.
Life can feel messy. Whether you are in crisis mode, grieving a loss, seeking relief from past trauma, disillusioned with the daily grind, or simply looking for ways to make your life and relationships more fulfilling, I can help you navigate the challenges you are facing.
(413) 402-6045 View (413) 402-6045
Photo of Bao Chau Van, Clinical Social Work/Therapist in East Longmeadow, MA
Bao Chau Van
Clinical Social Work/Therapist, LICSW
Verified Verified
East Longmeadow, MA 01028
Welcome! I have openings for in-office and telehealth options for residents of MA, RI and CT. You want to make a change in your life? I am here for you. It takes courage to look for help and I am glad that you are here. Everyone needs help in life now and then. You can click on the website link to view availability and to schedule your appointment. I believe every challenge that we encounter is an opportunity for growth and creativity.
Welcome! I have openings for in-office and telehealth options for residents of MA, RI and CT. You want to make a change in your life? I am here for you. It takes courage to look for help and I am glad that you are here. Everyone needs help in life now and then. You can click on the website link to view availability and to schedule your appointment. I believe every challenge that we encounter is an opportunity for growth and creativity.
(413) 340-5194 View (413) 340-5194
Photo of Heather Murphy LICSW, Clinical Social Work/Therapist in East Longmeadow, MA
Heather Murphy LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
East Longmeadow, MA 01028
Are you working towards developing and enhancing your personal goals? Does anxiety, depression, or self-esteem impact your ability to meet or exceed your goals? Would it be helpful to work on problem solving issues? Would you like to strengthen the positive relationships in your life? I am here to help.
Are you working towards developing and enhancing your personal goals? Does anxiety, depression, or self-esteem impact your ability to meet or exceed your goals? Would it be helpful to work on problem solving issues? Would you like to strengthen the positive relationships in your life? I am here to help.
(413) 287-1694 View (413) 287-1694
Photo of Jaime Thayer-Awoniyi, Clinical Social Work/Therapist in East Longmeadow, MA
Jaime Thayer-Awoniyi
Clinical Social Work/Therapist, LICSW
Verified Verified
East Longmeadow, MA 01028  (Online Only)
I see therapy as a collaborative process in which I listen to how you want to move forward with your goals. My hope is to provide my clients with the tools, skills and supports needed to achieve what it is they are looking to change in their lives. My style is gentle, compassionate and strengths based. I believe that true healing is achieved in the context of genuine, authentic relationships with a trusted helping professional.
I see therapy as a collaborative process in which I listen to how you want to move forward with your goals. My hope is to provide my clients with the tools, skills and supports needed to achieve what it is they are looking to change in their lives. My style is gentle, compassionate and strengths based. I believe that true healing is achieved in the context of genuine, authentic relationships with a trusted helping professional.
(413) 553-1169 View (413) 553-1169
Photo of The Warming Tree, Counselor in East Longmeadow, MA
The Warming Tree
Counselor, MA, LMHC, CPT
Verified Verified
6 Endorsed
East Longmeadow, MA 01028  (Online Only)
Are you seeking contentment in life, struggling with focus or motivation? I am here to assist. By shifting your attention you can cultivate meaningful connections, overcome self-esteem and intimacy hurdles, and channel energy towards your priorities. My approach is compassionate, meeting you where you stand. I offer insightful guidance for your specific needs. I am here to be your trusted companion through life's ups and downs! Find more information on Pamelah's website, TheWarmingTree.com. Explore CBT, Mindfulness Practices, Expressive Therapies, Transitional Work, Relationship Repair, and Self-Worth Enhancement!
Are you seeking contentment in life, struggling with focus or motivation? I am here to assist. By shifting your attention you can cultivate meaningful connections, overcome self-esteem and intimacy hurdles, and channel energy towards your priorities. My approach is compassionate, meeting you where you stand. I offer insightful guidance for your specific needs. I am here to be your trusted companion through life's ups and downs! Find more information on Pamelah's website, TheWarmingTree.com. Explore CBT, Mindfulness Practices, Expressive Therapies, Transitional Work, Relationship Repair, and Self-Worth Enhancement!
(413) 655-1814 View (413) 655-1814
Photo of Donna Ingalls Fellows, Counselor in East Longmeadow, MA
Donna Ingalls Fellows
Counselor, MA, LMHC
Verified Verified
East Longmeadow, MA 01028
Not accepting new clients
I'm a licensed mental health counselor in Massachusetts and love the work that I do! I specialize in couples counseling from a developmental model, but I also work with many individuals 18 and older. I know personally how difficult life can be and how hard it can be to ask for help. I'm here for you. If you are experiencing grief, loss of any kind, difficulty or pain in relationships, anxiety/depression, have experienced trauma, or struggling with self-esteem and figuring out your life path, I can help you explore and examine these intimate challenges.
I'm a licensed mental health counselor in Massachusetts and love the work that I do! I specialize in couples counseling from a developmental model, but I also work with many individuals 18 and older. I know personally how difficult life can be and how hard it can be to ask for help. I'm here for you. If you are experiencing grief, loss of any kind, difficulty or pain in relationships, anxiety/depression, have experienced trauma, or struggling with self-esteem and figuring out your life path, I can help you explore and examine these intimate challenges.
(413) 213-3610 View (413) 213-3610
Photo of Simone Phillips, Psychologist in East Longmeadow, MA
Simone Phillips
Psychologist, MEd, CAGS, EdD, LMHC, LEP
Verified Verified
1 Endorsed
East Longmeadow, MA 01028
My background is in special education. I have been working with children, adolescents, and families as a school psychologist since 2004, and in private practice since 2014. I specialize in working with children and adolescents (10-16), and young adults (18-25) and treat adjustment disorders that are associated with low academic achievement and school stress (i.e., social anxiety, depression/low self-esteem, ADHD, executive dysfunction, learning disabilities, etc.). I have available hours between 3:00 pm & 6:00 pm on Tues., Weds., and Thurs. Call me for a personal consultation!
My background is in special education. I have been working with children, adolescents, and families as a school psychologist since 2004, and in private practice since 2014. I specialize in working with children and adolescents (10-16), and young adults (18-25) and treat adjustment disorders that are associated with low academic achievement and school stress (i.e., social anxiety, depression/low self-esteem, ADHD, executive dysfunction, learning disabilities, etc.). I have available hours between 3:00 pm & 6:00 pm on Tues., Weds., and Thurs. Call me for a personal consultation!
(413) 418-3231 View (413) 418-3231
Photo of Mary F Albert, Clinical Social Work/Therapist in East Longmeadow, MA
Mary F Albert
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
East Longmeadow, MA 01028
Not accepting new clients
Managing everything in our lives can be challenging and difficult. Developing a trusting, supportive relationship to face these challenges can result in increased feelings of empowerment and restore a positive balance in your life. I work with adults of all ages who are experiencing anxiety, increased stress and depression. I specialize in areas of loss, PTSD, relationship issues and grief. My approach is utilizing a strength-based model and engaging in a collaborative relationship with my clients.
Managing everything in our lives can be challenging and difficult. Developing a trusting, supportive relationship to face these challenges can result in increased feelings of empowerment and restore a positive balance in your life. I work with adults of all ages who are experiencing anxiety, increased stress and depression. I specialize in areas of loss, PTSD, relationship issues and grief. My approach is utilizing a strength-based model and engaging in a collaborative relationship with my clients.
(413) 338-8764 View (413) 338-8764
Photo of Stephanie LaBelle Taylor, LMHC, LPC, CCTP-II, Counselor in East Longmeadow, MA
Stephanie LaBelle Taylor, LMHC, LPC, CCTP-II
Counselor, MEd, LMHC, LPC, CCTP-II
Verified Verified
7 Endorsed
East Longmeadow, MA 01028  (Online Only)
My practice is Telehealth only- taking new clients limitedly for individual counseling and EMDR. I am not accepting adjunct referrals at this time. I specialize in the treatment of trauma, survivors of narcissistic abuse, depression, anxiety, and other presenting issues. I strive to assist clients develop a stronger and healthier sense of self and find a sense of empowerment in their lives. Using a variety of therapeutic modalities, I aim to help each person improve overall stability, happiness, and life satisfaction.
My practice is Telehealth only- taking new clients limitedly for individual counseling and EMDR. I am not accepting adjunct referrals at this time. I specialize in the treatment of trauma, survivors of narcissistic abuse, depression, anxiety, and other presenting issues. I strive to assist clients develop a stronger and healthier sense of self and find a sense of empowerment in their lives. Using a variety of therapeutic modalities, I aim to help each person improve overall stability, happiness, and life satisfaction.
(413) 344-2090 View (413) 344-2090

See more therapy options for East Longmeadow

How does your Therapist compare?

Number of Therapists in East Longmeadow, MA

80+

Average cost per session

$140

Therapists in East Longmeadow, MA who prioritize treating:

94% Anxiety
86% Depression
78% Self Esteem
75% Relationship Issues
70% Trauma and PTSD
70% Coping Skills
70% Stress

Average years in practice

14 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
69% Aetna
68% Optum

How Therapists in East Longmeadow, MA see their clients

61% In Person and Online
39% Online Only

Gender breakdown

91% Female
8% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in East Longmeadow?

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.