Therapists in Oxford, MA

Photo of Ryan Nash, LMHC, Counselor
Ryan Nash
Counselor, LMHC
Verified Verified
Oxford, MA 01540  (Online Only)
Hello, my name is Ryan Nash. I am a Licensed Mental Health Counselor (LMHC) in the state of Massachusetts. I have an undergraduate degree in Psychology from Franciscan University of Steubenville and a Masters in Counseling from the University of Toledo. I have experience working with a variety of individuals, including but not limited to those who struggle with depression, anxiety, addictions, trauma, and paraphilic disorders. I am passionate about helping those who need help finding themselves in midst of their present struggles. I strive to offer a nonjudgmental and deeply attentive presence when I work with my clients.
Hello, my name is Ryan Nash. I am a Licensed Mental Health Counselor (LMHC) in the state of Massachusetts. I have an undergraduate degree in Psychology from Franciscan University of Steubenville and a Masters in Counseling from the University of Toledo. I have experience working with a variety of individuals, including but not limited to those who struggle with depression, anxiety, addictions, trauma, and paraphilic disorders. I am passionate about helping those who need help finding themselves in midst of their present struggles. I strive to offer a nonjudgmental and deeply attentive presence when I work with my clients.
(774) 217-7245 View (774) 217-7245
Photo of Amy M Campbell, MA, LMHC, Counselor
Amy M Campbell
Counselor, MA, LMHC
Verified Verified
Oxford, MA 01540
Do you find it hard to put yourself first in your relationships? Does it some times feel that no matter how hard you try, you struggle to find joy in every day life? Self care is so important for each person and if we neglect ourselves to care for others, we may have increases in depression and anxiety. Asking for help when things begin to feel overwhelming is the first step in finding the solution. Utilizing my years of training and experience, I have been able to help others “find themselves”, so that they can find the joy they so much deserve once again.
Do you find it hard to put yourself first in your relationships? Does it some times feel that no matter how hard you try, you struggle to find joy in every day life? Self care is so important for each person and if we neglect ourselves to care for others, we may have increases in depression and anxiety. Asking for help when things begin to feel overwhelming is the first step in finding the solution. Utilizing my years of training and experience, I have been able to help others “find themselves”, so that they can find the joy they so much deserve once again.
(508) 475-5673 View (508) 475-5673
Photo of Becky Howard, MA, CAGS, LMHC, Counselor
Becky Howard
Counselor, MA, CAGS, LMHC
Verified Verified
3 Endorsed
Oxford, MA 01540
Whether you're feeling depressed, anxious, hopeless, or irritable, making that first call for help can be hard. You desperately want to feel better, but you're afraid of what it will be like to share your thoughts with a therapist. I understand. My guiding principles are respect, appreciation of differences, and a balance between acceptance and change. I listen carefully and center the therapy around your needs.
Whether you're feeling depressed, anxious, hopeless, or irritable, making that first call for help can be hard. You desperately want to feel better, but you're afraid of what it will be like to share your thoughts with a therapist. I understand. My guiding principles are respect, appreciation of differences, and a balance between acceptance and change. I listen carefully and center the therapy around your needs.
(508) 815-4137 View (508) 815-4137
Photo of Ashley Starzec - Perfect Harmony Relationship Solutions, LLC, MA, LMFT, Marriage & Family Therapist
Perfect Harmony Relationship Solutions, LLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
Oxford, MA 01540
Not accepting new clients
Ashley Starzec, LMFT is the founder of Perfect Harmony Relationship Solutions, LLC. We are an attachment-focused psychotherapy practice that is dedicated to helping adult individuals and couples/relationships restore harmony and secure connection to their lives. We utilize attachment-based therapies to best support our clients with achieving harmony in mind, body, and spirit. We routinely treat issues such as poor communication, disconnection or dysfunction in relationships, infidelity and betrayal recovery, trust issues, blended family issues, and more. We are not providing family therapy services at this time.
Ashley Starzec, LMFT is the founder of Perfect Harmony Relationship Solutions, LLC. We are an attachment-focused psychotherapy practice that is dedicated to helping adult individuals and couples/relationships restore harmony and secure connection to their lives. We utilize attachment-based therapies to best support our clients with achieving harmony in mind, body, and spirit. We routinely treat issues such as poor communication, disconnection or dysfunction in relationships, infidelity and betrayal recovery, trust issues, blended family issues, and more. We are not providing family therapy services at this time.
(508) 921-7131 View (508) 921-7131
Photo of Serena M Neslusan, LMHC, Counselor
Serena M Neslusan
Counselor, LMHC
Verified Verified
2 Endorsed
Oxford, MA 01540  (Online Only)
Waitlist for new clients
Weekday daytime Telehealth appt's available ! If you would like to see Serena, please email (link on this page) (1) your name, (2) date of birth, (3) type of insurance and (4) what issues you'd like to address. We all get stuck, but we don’t have to stay stuck. Make the decision today to put yourself first and come to therapy to reduce your symptoms and learn coping skills. If you’re feeling lost and don’t know where to turn, then EMAIL me and give yourself and therapy a chance.
Weekday daytime Telehealth appt's available ! If you would like to see Serena, please email (link on this page) (1) your name, (2) date of birth, (3) type of insurance and (4) what issues you'd like to address. We all get stuck, but we don’t have to stay stuck. Make the decision today to put yourself first and come to therapy to reduce your symptoms and learn coping skills. If you’re feeling lost and don’t know where to turn, then EMAIL me and give yourself and therapy a chance.
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Photo of Beth Danforth - Beth Danforth, LICSW - Therapist, LICSW, Clinical Social Work/Therapist
Beth Danforth, LICSW - Therapist
Clinical Social Work/Therapist, LICSW
Verified Verified
Oxford, MA 01540
I am Beth Danforth, LICSW. I am now a provider of Blue Cross/Blue Shieid, Tufts, and United Behavioral Health insurances and presently have availability to see new clients on Friday mornings and early afternoons. I have extensive experience working with troubled adolescents, children, and adults with past trauma issues. I use a variety of methods and approaches depending on the need of my clients. I am Level II trained in Eye Movement Desensitization and Reprocessing (EMDR), which facilitate rapid processing of past trauma. I have expertise in working with adolescents who have sexually abused young children.
I am Beth Danforth, LICSW. I am now a provider of Blue Cross/Blue Shieid, Tufts, and United Behavioral Health insurances and presently have availability to see new clients on Friday mornings and early afternoons. I have extensive experience working with troubled adolescents, children, and adults with past trauma issues. I use a variety of methods and approaches depending on the need of my clients. I am Level II trained in Eye Movement Desensitization and Reprocessing (EMDR), which facilitate rapid processing of past trauma. I have expertise in working with adolescents who have sexually abused young children.
(978) 704-1957 View (978) 704-1957
Photo of Melissa Fijol - Melissa L. Fijol, LMHC, LMHC, MS, Counselor
Melissa L. Fijol, LMHC
Counselor, LMHC, MS
Verified Verified
Oxford, MA 01540
Waitlist for new clients
Current hours of practice-Mon thru Thurs, 7a.m.-2 p.m./Fri-7-12. Clients must be able to meet during this time frame; no afternoon or evening sessions. Adults/Individuals only. (Combination of telehealth and in person sessions; platform Doxy.me is utilized for telehealth). Treatment focus includes CBT, mindfulness, trauma informed care (PTSD/complex/developmental/attachment trauma); other treatment modalities are utilized based on client's needs; eclectic range of therapeutic interventions used.
Current hours of practice-Mon thru Thurs, 7a.m.-2 p.m./Fri-7-12. Clients must be able to meet during this time frame; no afternoon or evening sessions. Adults/Individuals only. (Combination of telehealth and in person sessions; platform Doxy.me is utilized for telehealth). Treatment focus includes CBT, mindfulness, trauma informed care (PTSD/complex/developmental/attachment trauma); other treatment modalities are utilized based on client's needs; eclectic range of therapeutic interventions used.
(508) 863-4446 View (508) 863-4446
Photo of Tammy Weiner - Lexington Behavioral Health, LICSW, Clinical Social Work/Therapist
Lexington Behavioral Health
Clinical Social Work/Therapist, LICSW
Verified Verified
Oxford, MA 01540  (Online Only)
We have several years of experience working with the adult population dealing with: Family and couples counseling, dual diagnosis, trauma, psychosis, personality disorders, anxiety, depression, LGBTQ+, and substance use disorder. Together we will work on different treatments such as: coping skills, problem solving, CBT, DBT and remain solution focused. Everyone is individualized, not everyone fits into the same starting point or same modality of treatment.
We have several years of experience working with the adult population dealing with: Family and couples counseling, dual diagnosis, trauma, psychosis, personality disorders, anxiety, depression, LGBTQ+, and substance use disorder. Together we will work on different treatments such as: coping skills, problem solving, CBT, DBT and remain solution focused. Everyone is individualized, not everyone fits into the same starting point or same modality of treatment.
(508) 213-0891 View (508) 213-0891
Photo of Valerie Smith, MEd, LMHC, Counselor
Valerie Smith
Counselor, MEd, LMHC
Verified Verified
Oxford, MA 01540
As a licensed mental health clinician, I specialize in the treatment of anxiety, depression, and trauma related disorders. I work with families to improve relationships and individuals of all ages who suffer from traumatic experiences.
As a licensed mental health clinician, I specialize in the treatment of anxiety, depression, and trauma related disorders. I work with families to improve relationships and individuals of all ages who suffer from traumatic experiences.
(774) 425-7414 View (774) 425-7414
Photo of Amanda Bush, MEd, LMHC, Counselor
Amanda Bush
Counselor, MEd, LMHC
Verified Verified
1 Endorsed
Oxford, MA 01540
~Accepting new clients for daytime hours only. Please Email.~ The most important thing to me is helping a client reach individualized goals and balance of clinical, emotional and personal goals in life. I pride myself in helping people to trust and express their mind, body and soul for positive changes and growth. The biggest changes sometimes can happen by realistically changing a few simple behaviors, thoughts, and/or habits. My goal is to help the growth process along in a way that works with one's current strengths and hopes.
~Accepting new clients for daytime hours only. Please Email.~ The most important thing to me is helping a client reach individualized goals and balance of clinical, emotional and personal goals in life. I pride myself in helping people to trust and express their mind, body and soul for positive changes and growth. The biggest changes sometimes can happen by realistically changing a few simple behaviors, thoughts, and/or habits. My goal is to help the growth process along in a way that works with one's current strengths and hopes.
(508) 469-5234 View (508) 469-5234
Photo of Kelley Bailey, MSW, LICSW, Clinical Social Work/Therapist
Kelley Bailey
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Oxford, MA 01540
New client sessions available next week daytime Tues 11/12 & Thurs 11/14. Individual therapy & ages 18+ only. Please e-mail for availability & provide insurance info for fastest response. Specialties include: individuals working in helping professions (mental health, healthcare, caretakers, teaching, etc.), burnout/compassion fatigue, life transitions/change, health issues, college & grad students . Sometimes life becomes difficult & it can be helpful to seek out someone for support. Reaching out & asking for help can be one of the most challenging aspects of starting therapy. I applaud you for taking the first step in this process!
New client sessions available next week daytime Tues 11/12 & Thurs 11/14. Individual therapy & ages 18+ only. Please e-mail for availability & provide insurance info for fastest response. Specialties include: individuals working in helping professions (mental health, healthcare, caretakers, teaching, etc.), burnout/compassion fatigue, life transitions/change, health issues, college & grad students . Sometimes life becomes difficult & it can be helpful to seek out someone for support. Reaching out & asking for help can be one of the most challenging aspects of starting therapy. I applaud you for taking the first step in this process!
(508) 306-8147 View (508) 306-8147
Photo of Kelly Porter, Counselor
Kelly Porter
Counselor
Verified Verified
Oxford, MA 01540  (Online Only)
Waitlist for new clients
My counseling philosophy is to build a trusting therapeutic relationship with the children, families, and school districts that I work with to allow for safe exploration of the thoughts, feelings, and emotions that impact the school day and beyond. I am a licensed mental health counselor (LMHC) and a school adjustment counselor (SAC). My passion is to help children and their families learn new and effective strategies to live a life worth living and create a solid foundation of self love.
My counseling philosophy is to build a trusting therapeutic relationship with the children, families, and school districts that I work with to allow for safe exploration of the thoughts, feelings, and emotions that impact the school day and beyond. I am a licensed mental health counselor (LMHC) and a school adjustment counselor (SAC). My passion is to help children and their families learn new and effective strategies to live a life worth living and create a solid foundation of self love.
(508) 501-6740 View (508) 501-6740
Photo of Ronnie McKenney II, LMHC, Counselor
Ronnie McKenney II
Counselor, LMHC
Verified Verified
Oxford, MA 01540  (Online Only)
*NEW CLIENTS ACCEPTED via TELEHEALTH* Ever feel like you have a way to do something, and though it does not work the way it seems like it should, you feel it “works for you?” Do you find that you have a way of behaving and struggle to break free from yourself? I find that humans act in patterns. We think about a problem and act in a way that is the most comfortable to us and tend to repeat these patterns regardless of the result. I work with people living with depression, anxiety, trauma, anger concerns, separation/loss/grief issues, and people coping with discrimination.
*NEW CLIENTS ACCEPTED via TELEHEALTH* Ever feel like you have a way to do something, and though it does not work the way it seems like it should, you feel it “works for you?” Do you find that you have a way of behaving and struggle to break free from yourself? I find that humans act in patterns. We think about a problem and act in a way that is the most comfortable to us and tend to repeat these patterns regardless of the result. I work with people living with depression, anxiety, trauma, anger concerns, separation/loss/grief issues, and people coping with discrimination.
(508) 538-3760 View (508) 538-3760
Photo of Katrina Harrigan, LMHC, Counselor
Katrina Harrigan
Counselor, LMHC
Verified Verified
Oxford, MA 01540  (Online Only)
I am a seasoned psychotherapist who provides initial diagnostic assessments, goal and treatment planning, as well as a variety of evidence-based practices based off the individuals’ needs. I am well versed in prescriptive psychotherapy where treatment is not a one-size-fits-all model, since people are more complex and intricate than meets the eye.
I am a seasoned psychotherapist who provides initial diagnostic assessments, goal and treatment planning, as well as a variety of evidence-based practices based off the individuals’ needs. I am well versed in prescriptive psychotherapy where treatment is not a one-size-fits-all model, since people are more complex and intricate than meets the eye.
(978) 432-5954 View (978) 432-5954
Photo of Jessica Bove Jamison, LMHC, Counselor
Jessica Bove Jamison
Counselor, LMHC
Verified Verified
Oxford, MA 01540  (Online Only)
Accepting new clients on Tues/WedThurs! Hi there! I'm Jessica, a licensed mental health counselor and certified trainer with a specialization in disordered eating and body image challenges. I work with women who have been harmed by diet culture and are ready to heal their relationship with food for good. It's time to discover a path towards finally finding peace with both food and fitness. By combining therapeutic techniques with personalized coaching, I guide my clients toward a brighter future. I balance compassion with directness and will encourage you to stretch your comfort zone.
Accepting new clients on Tues/WedThurs! Hi there! I'm Jessica, a licensed mental health counselor and certified trainer with a specialization in disordered eating and body image challenges. I work with women who have been harmed by diet culture and are ready to heal their relationship with food for good. It's time to discover a path towards finally finding peace with both food and fitness. By combining therapeutic techniques with personalized coaching, I guide my clients toward a brighter future. I balance compassion with directness and will encourage you to stretch your comfort zone.
(508) 715-6508 View (508) 715-6508

More Therapists Nearby

Photo of Joan P Maselli, MS, LMHC, Counselor
Joan P Maselli
Counselor, MS, LMHC
Verified Verified
Southbridge, MA 01550
In my blended practice of mental health counseling and art therapy, I work with families, adults, and children, supporting them in identifying resources and strengths to regain emotional health. In sessions, we work together using the approach that best suits my clients' needs--- art therapy using hands-on creative projects to gently encourage self-expression and gain insight; cognitive behavioral therapy to positively shift thoughts and feelings; and dialectical behavior therapy to enhance mindfulness and increase resilience. Through this therapeutic work, clients develop ways to resolve their issues--- relieving depression, managing anxiety, positively changing behavior, processing trauma, healing from abuse.
In my blended practice of mental health counseling and art therapy, I work with families, adults, and children, supporting them in identifying resources and strengths to regain emotional health. In sessions, we work together using the approach that best suits my clients' needs--- art therapy using hands-on creative projects to gently encourage self-expression and gain insight; cognitive behavioral therapy to positively shift thoughts and feelings; and dialectical behavior therapy to enhance mindfulness and increase resilience. Through this therapeutic work, clients develop ways to resolve their issues--- relieving depression, managing anxiety, positively changing behavior, processing trauma, healing from abuse.
(508) 434-4399 View (508) 434-4399
Photo of Michael J McManus, LICSW, MSW, Clinical Social Work/Therapist
Michael J McManus
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Charlton, MA 01507
The ideal client who we work with therapeutically is motivated, and desires change. This client values the therapeutic relationship while also working toward success quickly. This client should be excited, even if a little bit anxious, about gaining valuable insight into themselves and their place in their life. As far as couples/marriage counseling is concerned, couples should be motivated to stay together and not simply stop off at therapy before divorce. Couples should be willing to work hard and look at themselves as individuals as well as a family.
The ideal client who we work with therapeutically is motivated, and desires change. This client values the therapeutic relationship while also working toward success quickly. This client should be excited, even if a little bit anxious, about gaining valuable insight into themselves and their place in their life. As far as couples/marriage counseling is concerned, couples should be motivated to stay together and not simply stop off at therapy before divorce. Couples should be willing to work hard and look at themselves as individuals as well as a family.
(508) 455-3496 View (508) 455-3496
Photo of Maggie O'Brien, LMHC, Counselor
Maggie O'Brien
Counselor, LMHC
Verified Verified
1 Endorsed
Worcester, MA 01603  (Online Only)
Currently Accepting New Clients! Are you feeling disconnected, overwhelmed, unmotivated, or stuck? Or experiencing depression, anxiety, difficulty getting out of bed? Are these difficulties impacting your ability to engage with aspects of your life or to make changes? When it feels hard to start your day or get through your day, it can feel impossible to imagine things getting better. I am here to help!
Currently Accepting New Clients! Are you feeling disconnected, overwhelmed, unmotivated, or stuck? Or experiencing depression, anxiety, difficulty getting out of bed? Are these difficulties impacting your ability to engage with aspects of your life or to make changes? When it feels hard to start your day or get through your day, it can feel impossible to imagine things getting better. I am here to help!
(339) 329-1332 View (339) 329-1332
Photo of Pamela Daly - Guided Growth Therapy Collective, MA, CAGS, LMHC, Counselor
Guided Growth Therapy Collective
Counselor, MA, CAGS, LMHC
Verified Verified
Worcester, MA 01603  (Online Only)
Are you struggling with managing life's challenges lately? At Guided Growth Therapy Collective we are dedicated to helping individuals navigate those challenges and cultivate their mental well-being. With a compassionate and client-centered approach, We strive to create a safe and non-judgmental space where you can explore your thoughts, feelings, and behaviors. We believe that each person is unique, and we tailor our therapeutic techniques to meet your specific needs and goals. Whether you are struggling with anxiety, depression, or stress we are here to support you on your journey towards healing and growth.
Are you struggling with managing life's challenges lately? At Guided Growth Therapy Collective we are dedicated to helping individuals navigate those challenges and cultivate their mental well-being. With a compassionate and client-centered approach, We strive to create a safe and non-judgmental space where you can explore your thoughts, feelings, and behaviors. We believe that each person is unique, and we tailor our therapeutic techniques to meet your specific needs and goals. Whether you are struggling with anxiety, depression, or stress we are here to support you on your journey towards healing and growth.
(774) 255-5078 View (774) 255-5078
Photo of Christel Chambers, MA, LMHC, Counselor
Christel Chambers
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Whitinsville, MA 01588  (Online Only)
Not accepting new clients
I enjoy helping clients with a nonjudgmental compassionate approach and a bit of humor. I like to meet my clients where they are at and let them choose their goals for treatment. You hold the keys, I just help guide you to the doors.
I enjoy helping clients with a nonjudgmental compassionate approach and a bit of humor. I like to meet my clients where they are at and let them choose their goals for treatment. You hold the keys, I just help guide you to the doors.
(774) 490-9011 View (774) 490-9011

See more therapy options for Oxford

How does your Therapist compare?

Number of Therapists in Oxford, MA

10+

Average cost per session

$132

Therapists in Oxford, MA who prioritize treating:

87% Anxiety
80% Depression
80% Self Esteem
67% Relationship Issues
67% Coping Skills
67% Stress
60% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

93% BlueCross and BlueShield
64% Aetna
64% Harvard Pilgrim

How Therapists in Oxford, MA see their clients

54% In Person and Online
46% Online Only

Gender breakdown

86% Female
14% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Oxford?

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.