Therapists in Manchester by the Sea, MA

Photo of Tara T. Gans, MA, MFT
Tara T. Gans
MA, MFT
Verified Verified
Manchester by the Sea, MA 01944  (Online Only)
Parenting & Couples Work: Are you stressed and worried you are failing as a parent? Do you lack communication or connection with your kids? Can't stand the back talk? Can't stop yelling? Do you struggle to get your kids to cooperate? Are you exhausted of the misbehavior? OR are you in a relationship that is challenging? Are you wanting to cultivate a healthier love life full of intimacy and connection? Do you find yourself not communicating the way you would like with your spouse or other family member? Are you curious how you could improve your situation? Start now with my help! I work with couples, families and individuals.
Parenting & Couples Work: Are you stressed and worried you are failing as a parent? Do you lack communication or connection with your kids? Can't stand the back talk? Can't stop yelling? Do you struggle to get your kids to cooperate? Are you exhausted of the misbehavior? OR are you in a relationship that is challenging? Are you wanting to cultivate a healthier love life full of intimacy and connection? Do you find yourself not communicating the way you would like with your spouse or other family member? Are you curious how you could improve your situation? Start now with my help! I work with couples, families and individuals.
(351) 217-4411 View (351) 217-4411
Photo of Ashley Casey, LICSW, MA, Clinical Social Work/Therapist
Ashley Casey
Clinical Social Work/Therapist, LICSW, MA
Verified Verified
Manchester by the Sea, MA 01944  (Online Only)
I am a Licensed Independent Social Worker with over 8 years of experience working in a variety of settings. I specialize working with people struggling with anxiety, depression, trauma, self-esteem issues, stress, and grief. I help client's overcome feelings of overwhelm, sadness and stress through an individualized approach. The modalities I use include EMDR (eye movement desensitization and reprocessing), CBT (cognitive behavioral therapy), solution-focused therapy, and mindfulness-based therapies.
I am a Licensed Independent Social Worker with over 8 years of experience working in a variety of settings. I specialize working with people struggling with anxiety, depression, trauma, self-esteem issues, stress, and grief. I help client's overcome feelings of overwhelm, sadness and stress through an individualized approach. The modalities I use include EMDR (eye movement desensitization and reprocessing), CBT (cognitive behavioral therapy), solution-focused therapy, and mindfulness-based therapies.
(351) 213-6668 View (351) 213-6668
Photo of Frank S Caruso, EdD, Psychologist
Frank S Caruso
Psychologist, EdD
Verified Verified
Manchester by the Sea, MA 01944
The people who come to me tend to be those having difficulty in relationships; those dealing with life transitions (e.g., divorce, illness, marriage, moves, changes in work or studies); and those experiencing loss, trauma, anxiety. or depression. Psychotherapy often involves addressing the fear, denial, avoidance, and other obstacles that prevent us from constructively attending to psychological pain and from leading a life that is true to who we are and to how we want to be in the world. I work best with people who are open to change and who are willing to consider their resistance to change.
The people who come to me tend to be those having difficulty in relationships; those dealing with life transitions (e.g., divorce, illness, marriage, moves, changes in work or studies); and those experiencing loss, trauma, anxiety. or depression. Psychotherapy often involves addressing the fear, denial, avoidance, and other obstacles that prevent us from constructively attending to psychological pain and from leading a life that is true to who we are and to how we want to be in the world. I work best with people who are open to change and who are willing to consider their resistance to change.
(781) 437-7474 View (781) 437-7474
Photo of Lauren Carpenter, LICSW, Clinical Social Work/Therapist
Lauren Carpenter
Clinical Social Work/Therapist, LICSW
Verified Verified
Manchester by the Sea, MA 01944  (Online Only)
I am currently accepting clients for group therapy (openings Fall 2024) and individual therapy. The group is for adults who have (or may have) experienced trauma during childhood and are considering any of the following questions: Even though I have difficult childhood memories, was it really that bad? Was it right how my parents treated me (what they did and/or did not do)? Was it right what they led me to believe about myself, about our family, and about how to interact in relationships? Did my childhood experience leave me with emotional and relational difficulties that have significant negative consequences in my present life?
I am currently accepting clients for group therapy (openings Fall 2024) and individual therapy. The group is for adults who have (or may have) experienced trauma during childhood and are considering any of the following questions: Even though I have difficult childhood memories, was it really that bad? Was it right how my parents treated me (what they did and/or did not do)? Was it right what they led me to believe about myself, about our family, and about how to interact in relationships? Did my childhood experience leave me with emotional and relational difficulties that have significant negative consequences in my present life?
(351) 300-0559 View (351) 300-0559
Photo of Kathleen Kelliher-Ostrowski, LICSW, Clinical Social Work/Therapist
Kathleen Kelliher-Ostrowski
Clinical Social Work/Therapist, LICSW
Verified Verified
Manchester by the Sea, MA 01944  (Online Only)
Let me help you move forward. Life can be complicated with a mix of twists and turns which can be hard to negotiate. Making the decision to speak with a therapist is a first step towards relieving some pressure and a courageous step forward. Although asking for help can be overwhelming, why wait?
Let me help you move forward. Life can be complicated with a mix of twists and turns which can be hard to negotiate. Making the decision to speak with a therapist is a first step towards relieving some pressure and a courageous step forward. Although asking for help can be overwhelming, why wait?
(978) 481-3136 View (978) 481-3136
Photo of Diane Roberts Stoler, EdD, Psychologist
Diane Roberts Stoler
Psychologist, EdD
Verified Verified
Manchester by the Sea, MA 01944
Are you looking for a kind, caring, compassionate therapist who really sees you and your needs and is able to develop a personalized, customized program, rather than fitting you into a standardized one? Are you dealing with chronic anxiety, grief, PTSD or trauma? Or have you sustained a brain injury, concussion or stroke or are dealing with ADD, ADHD, dyslexia, or OCD? Or are you a performing artist or athlete who wants to perform at their highest ability? There is help and hope. There is a Way!
Are you looking for a kind, caring, compassionate therapist who really sees you and your needs and is able to develop a personalized, customized program, rather than fitting you into a standardized one? Are you dealing with chronic anxiety, grief, PTSD or trauma? Or have you sustained a brain injury, concussion or stroke or are dealing with ADD, ADHD, dyslexia, or OCD? Or are you a performing artist or athlete who wants to perform at their highest ability? There is help and hope. There is a Way!
(978) 743-9935 View (978) 743-9935
Photo of Dr. Jeanne McKeon, EdD, Psychologist
Dr. Jeanne McKeon
Psychologist, EdD
Verified Verified
Manchester by the Sea, MA 01944
I am a licensed psychologist with over three decades of experience. Presently, I am in private practice seeing adolescents and adults for a wide variety of psychological concerns, couples struggles and addiction. Additionally, over the past 5 years I have been a consultant for Beth Israel Deaconess Hospital inside multiple primary care sites, treating patients in a primary care setting. Previously, I was a Senior Supervising Psychologist at Massachusetts General Hospital for over a decade and a Clinical Instructor in the Department of Psychiatry at Harvard Medical School
I am a licensed psychologist with over three decades of experience. Presently, I am in private practice seeing adolescents and adults for a wide variety of psychological concerns, couples struggles and addiction. Additionally, over the past 5 years I have been a consultant for Beth Israel Deaconess Hospital inside multiple primary care sites, treating patients in a primary care setting. Previously, I was a Senior Supervising Psychologist at Massachusetts General Hospital for over a decade and a Clinical Instructor in the Department of Psychiatry at Harvard Medical School
(978) 778-3200 View (978) 778-3200
Photo of Ajna Pisani, LICSW, Clinical Social Work/Therapist
Ajna Pisani
Clinical Social Work/Therapist, LICSW
Verified Verified
Manchester by the Sea, MA 01944
Not accepting new clients
Are you worried it will take you forever in therapy to start feeling good? Do you desire a conversation focused on well-being instead of problems? I help people find peace of mind and live their best lives. Together we find unique ways to address your life issues, manage overwhelming feelings and find solutions to problems.
Are you worried it will take you forever in therapy to start feeling good? Do you desire a conversation focused on well-being instead of problems? I help people find peace of mind and live their best lives. Together we find unique ways to address your life issues, manage overwhelming feelings and find solutions to problems.
(617) 383-4312 View (617) 383-4312
Photo of Seyrel Williams, LICSW, Clinical Social Work/Therapist
Seyrel Williams
Clinical Social Work/Therapist, LICSW
Verified Verified
Manchester by the Sea, MA 01944  (Online Only)
Testimonials: "I just want to say thank you for everything as you have expertly guided me through some of life’s biggest challenges. You have had a huge, positive impact" & "You are my amazing healer", Anonymous. I want two things in my life; peace and truth. I assume most people would like that as well. What is causing you the most stress in your life? We cannot change anyone else but the good news is that we can change ourselves. Power comes from understanding that we have choice about our beliefs and our actions. You can learn what is stopping you from having peace in your life and then how to obtain it.
Testimonials: "I just want to say thank you for everything as you have expertly guided me through some of life’s biggest challenges. You have had a huge, positive impact" & "You are my amazing healer", Anonymous. I want two things in my life; peace and truth. I assume most people would like that as well. What is causing you the most stress in your life? We cannot change anyone else but the good news is that we can change ourselves. Power comes from understanding that we have choice about our beliefs and our actions. You can learn what is stopping you from having peace in your life and then how to obtain it.
(978) 338-6583 View (978) 338-6583
Photo of Ana Outhet Miller, MDiv, LMFT, LMHC, Marriage & Family Therapist
Ana Outhet Miller
Marriage & Family Therapist, MDiv, LMFT, LMHC
Verified Verified
Manchester by the Sea, MA 01944
Now offering Teletherapy online video session for couples and marriage counseling. In a relaxed, professional but non-threatening environment, we can explore areas of your life in which you'd like to grow. As a Christian Counselor, the Bible is always the backdrop of the conversation. Nothing about human behavior shocks me. However, God is all about second chances and reconciliation and I love to be a part of the healing process. In addition to the traditional weekly counseling hour long session, I offer phone, and video sessions. I am now offering "marriage intensives" which is extensive hours of therapy over a weekend.
Now offering Teletherapy online video session for couples and marriage counseling. In a relaxed, professional but non-threatening environment, we can explore areas of your life in which you'd like to grow. As a Christian Counselor, the Bible is always the backdrop of the conversation. Nothing about human behavior shocks me. However, God is all about second chances and reconciliation and I love to be a part of the healing process. In addition to the traditional weekly counseling hour long session, I offer phone, and video sessions. I am now offering "marriage intensives" which is extensive hours of therapy over a weekend.
(978) 278-3809 View (978) 278-3809
Photo of Susan M Hagerich, LICSW, LCSW, MSW, Clinical Social Work/Therapist
Susan M Hagerich
Clinical Social Work/Therapist, LICSW, LCSW, MSW
Verified Verified
1 Endorsed
Manchester by the Sea, MA 01944  (Online Only)
"The journey of a thousand miles begins with a single step" (Tao Te Ching). I know how hard that first step can be. I have been a therapist for over 20 years, and I'm here to help you through struggles and teach you techniques and coping skills that can help you manage your stress levels, communicate better with loved ones, achieve a balance between work and relaxation, and change patterns that no longer serve you. I have extensive experience working with adults, adolescents, couples and families and used evidence based treatments.
"The journey of a thousand miles begins with a single step" (Tao Te Ching). I know how hard that first step can be. I have been a therapist for over 20 years, and I'm here to help you through struggles and teach you techniques and coping skills that can help you manage your stress levels, communicate better with loved ones, achieve a balance between work and relaxation, and change patterns that no longer serve you. I have extensive experience working with adults, adolescents, couples and families and used evidence based treatments.
(978) 874-3068 View (978) 874-3068
Photo of Emily DeBenedictis, MA, ATR, Art Therapist
Emily DeBenedictis
Art Therapist, MA, ATR
Verified Verified
1 Endorsed
Manchester by the Sea, MA 01944
What if you only knew the wonder that has truly been you all along? Welcome to the safe discovery of your true self beyond life's past and present struggles and learn to feel better having improved skills to heal and thrive.
What if you only knew the wonder that has truly been you all along? Welcome to the safe discovery of your true self beyond life's past and present struggles and learn to feel better having improved skills to heal and thrive.
(978) 231-9256 View (978) 231-9256
Photo of Mary Vermilye Minott, LICSW, Clinical Social Work/Therapist
Mary Vermilye Minott
Clinical Social Work/Therapist, LICSW
Verified Verified
Manchester by the Sea, MA 01944
I am not accepting new clients. As a psychotherapist with over 25 years of experience I see clients with a variety of concerns including spiraling thoughts and anxiety, negative self talk and depression, transitions in the college years, work/life balance, communication and relationship issues, and self-defeating behaviors. Through exploration and collaboration, I work with clients to help them gain personal insight and develop new healthier patterns of communication and behavior to achieve greater satisfaction with their lives.
I am not accepting new clients. As a psychotherapist with over 25 years of experience I see clients with a variety of concerns including spiraling thoughts and anxiety, negative self talk and depression, transitions in the college years, work/life balance, communication and relationship issues, and self-defeating behaviors. Through exploration and collaboration, I work with clients to help them gain personal insight and develop new healthier patterns of communication and behavior to achieve greater satisfaction with their lives.
View
Photo of Catherine Hennessy, LMHC, ATR-BC, Counselor
Catherine Hennessy
Counselor, LMHC, ATR-BC
Verified Verified
Manchester by the Sea, MA 01944
Not accepting new clients
I work with adolescents and adults to provide a gentle approach to reflecting and engaging with complex emotions. I sit with my clients through their challenges and play an active role in helping them finding hope, understanding, and resolutions. I work with individuals who have experienced grief/loss, anxiety, depression, trauma, challenges in relationships, and difficult life transitions.
I work with adolescents and adults to provide a gentle approach to reflecting and engaging with complex emotions. I sit with my clients through their challenges and play an active role in helping them finding hope, understanding, and resolutions. I work with individuals who have experienced grief/loss, anxiety, depression, trauma, challenges in relationships, and difficult life transitions.
(351) 666-4718 View (351) 666-4718
Photo of Ann Creilson, LMHC, Counselor
Ann Creilson
Counselor, LMHC
Verified Verified
Manchester by the Sea, MA 01944
As a former airline pilot turned psychotherapist, I truly understand how challenging it can be to initiate change in our lives, even when really needed. I am passionate about helping individuals harness the power of talk and somatic therapy to create change while healing past wounds, managing stress, and cultivating resilience. With a deep commitment to empathetic care, I offer a safe and supportive space where you can explore your emotions, reconnect with your body, and discover new pathways to personal growth. I specialize in working with complex trauma, anxiety, relationship and parenting challenges, and women's issues.
As a former airline pilot turned psychotherapist, I truly understand how challenging it can be to initiate change in our lives, even when really needed. I am passionate about helping individuals harness the power of talk and somatic therapy to create change while healing past wounds, managing stress, and cultivating resilience. With a deep commitment to empathetic care, I offer a safe and supportive space where you can explore your emotions, reconnect with your body, and discover new pathways to personal growth. I specialize in working with complex trauma, anxiety, relationship and parenting challenges, and women's issues.
(978) 882-9889 View (978) 882-9889
Photo of Sarah E. Keenan, LICSW, Clinical Social Work/Therapist
Sarah E. Keenan
Clinical Social Work/Therapist, LICSW
Verified Verified
Manchester by the Sea, MA 01944
Beneficial therapy is founded upon a strong relationship between the therapist and the client. There is something healing about connecting with another person, about being seen, about feeling understood. With each of my clients, I work to create a warm relationship where they know they will be met with respect and empathy. I also recognize that for some people, especially people with non-dominant cultural identities, mental health care has not always felt welcoming. With that in mind, I work to provide a space where everyone can experience a sense of belonging and feel safe being their full selves. I am LGBTQIA+ affirming.
Beneficial therapy is founded upon a strong relationship between the therapist and the client. There is something healing about connecting with another person, about being seen, about feeling understood. With each of my clients, I work to create a warm relationship where they know they will be met with respect and empathy. I also recognize that for some people, especially people with non-dominant cultural identities, mental health care has not always felt welcoming. With that in mind, I work to provide a space where everyone can experience a sense of belonging and feel safe being their full selves. I am LGBTQIA+ affirming.
(978) 228-2763 View (978) 228-2763
Photo of Emily C Gould, ATR-BC, LMHC, Counselor
Emily C Gould
Counselor, ATR-BC, LMHC
Verified Verified
Manchester by the Sea, MA 01944  (Online Only)
Limited Telehealth openings. Are you a caretaker in your professional or personal life? Are you finding yourself overwhelmed, anxious and stressed, and struggling to balance the needs of others with your own? Experiencing a life transition or a loss? Therapy can allow you a moment to breathe and focus on your goals, dreams, and wellbeing. I specialize in supporting those who take care of others by creating an opportunity to recharge, process grief, explore challenges, and learn new skills to manage stress and anxiety. I believe feeling “heard” can truly be healing.
Limited Telehealth openings. Are you a caretaker in your professional or personal life? Are you finding yourself overwhelmed, anxious and stressed, and struggling to balance the needs of others with your own? Experiencing a life transition or a loss? Therapy can allow you a moment to breathe and focus on your goals, dreams, and wellbeing. I specialize in supporting those who take care of others by creating an opportunity to recharge, process grief, explore challenges, and learn new skills to manage stress and anxiety. I believe feeling “heard” can truly be healing.
(978) 591-6203 View (978) 591-6203

More Therapists Nearby

Photo of Ann M Flagg, MSW, LICSW, Clinical Social Work/Therapist
Ann M Flagg
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Beverly, MA 01915
Not accepting new clients
"Sometimes life leaves us feeling confused, stressed and emotionally low. I have experience working with adults helping them overcome their struggles with anxiety and depression and with issues such as family and parenting stress, school and work difficulties, unhappy relationships, loss of a loved one and trauma. I also work with children, ages 3 -13 who are experiencing difficulties at school and, or at home. I do individual, couples, family and play therapy (with younger children). I believe, given some gentle direction, people can harness their instinctual ability to decrease their own distress and to live a more contented life."
"Sometimes life leaves us feeling confused, stressed and emotionally low. I have experience working with adults helping them overcome their struggles with anxiety and depression and with issues such as family and parenting stress, school and work difficulties, unhappy relationships, loss of a loved one and trauma. I also work with children, ages 3 -13 who are experiencing difficulties at school and, or at home. I do individual, couples, family and play therapy (with younger children). I believe, given some gentle direction, people can harness their instinctual ability to decrease their own distress and to live a more contented life."
(978) 716-2822 View (978) 716-2822
Photo of Daniel Norton, PhD, Psychologist
Daniel Norton
Psychologist, PhD
Verified Verified
Wenham, MA 01984
I've had rewarding therapeutic relationships with a broad range of patients. Lately, due to their prevalence, I've seen a lot of folks struggling with problematic anxiety and with depression. Usually these individuals are stuck in some way and their functioning at work or in relationships is affected, or they are somehow white knuckling it through, but are suffering deeply due to patterns of thoughts, feelings and behaviors.
I've had rewarding therapeutic relationships with a broad range of patients. Lately, due to their prevalence, I've seen a lot of folks struggling with problematic anxiety and with depression. Usually these individuals are stuck in some way and their functioning at work or in relationships is affected, or they are somehow white knuckling it through, but are suffering deeply due to patterns of thoughts, feelings and behaviors.
(351) 300-4100 View (351) 300-4100
Photo of Ashley Sitkin, MSW, LICSW, RYT, Clinical Social Work/Therapist
Ashley Sitkin
Clinical Social Work/Therapist, MSW, LICSW, RYT
Verified Verified
3 Endorsed
Beverly, MA 01915
Are you ready to embark on a journey of transformation and self-discovery? At Embodied Living Practices, I bring a sacred dimension to personal growth work and believe in a multi-dimensional, holistic approach that honors the mind-body-spirit connection. Whether you're seeking tools to manage stress, difficult life transitions or grief, alleviate symptoms of anxiety and depression, strengthen your relationships, or prioritize self-care, I will provide you with the support you need to feel more empowered and joyful and have a deeper connection to yourself and those you care about.
Are you ready to embark on a journey of transformation and self-discovery? At Embodied Living Practices, I bring a sacred dimension to personal growth work and believe in a multi-dimensional, holistic approach that honors the mind-body-spirit connection. Whether you're seeking tools to manage stress, difficult life transitions or grief, alleviate symptoms of anxiety and depression, strengthen your relationships, or prioritize self-care, I will provide you with the support you need to feel more empowered and joyful and have a deeper connection to yourself and those you care about.
(351) 247-4585 View (351) 247-4585

See more therapy options for Manchester by the Sea

How does your Therapist compare?

Number of Therapists in Manchester by the Sea, MA

10+

Average cost per session

$175

Therapists in Manchester by the Sea, MA who prioritize treating:

100% Anxiety
88% Relationship Issues
88% Depression
76% Grief
76% Trauma and PTSD
76% Coping Skills
76% Stress

Average years in practice

22 Years

Top 3 insurances accepted

77% BlueCross and BlueShield
38% Optum
31% Cigna and Evernorth

How Therapists in Manchester by the Sea, MA see their clients

59% In Person and Online
41% Online Only

Gender breakdown

87% Female
7% Male
6% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Manchester by the Sea?

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.