Therapists in Middleburgh, NY

Photo of Daniel Torrecilla, Counselor in Middleburgh, NY
Daniel Torrecilla
Counselor, LMHC
Verified Verified
Middleburgh, NY 12122  (Online Only)
Is it time for a change? Do you feel depressed, anxious, stuck, or angry? Do past experiences negatively impact the present? Do you need a safe place to feel listened to and supported? At times, we all find ourselves feeling lost and afraid. Things in our lives may not be going in a desired way or we may find that we come up against the same issues time and again. Life can sometimes be overwhelming and painful. You may feel like things will never get better or that change is out of reach. I believe that the trials of life can be tremendous opportunities for growth.
Is it time for a change? Do you feel depressed, anxious, stuck, or angry? Do past experiences negatively impact the present? Do you need a safe place to feel listened to and supported? At times, we all find ourselves feeling lost and afraid. Things in our lives may not be going in a desired way or we may find that we come up against the same issues time and again. Life can sometimes be overwhelming and painful. You may feel like things will never get better or that change is out of reach. I believe that the trials of life can be tremendous opportunities for growth.
(646) 362-5307 View (646) 362-5307

More Therapists Nearby

Photo of Kimberlee Culver, LCSW, Clinical Social Work/Therapist in Middleburgh, NY
Kimberlee Culver, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Schoharie, NY 12157
Waitlist for new clients
My mission is to help you to identify the symptoms or areas of life you'd like to change and to aid you in making the changes necessary. My approach is supportive and cognitive-behavioral. I like to work on the powerful mind-body connection (see paragraph on Cognitive-Behavioral therapy and Dr. Herbert Benson, Harvard MD, on tube). Everything is confidential to provide a safe place to work on your issues. Recently I've been learning more about nutritional influences on mental health. I look forward to meeting new clients. Check out my video https://youtu.be/wzuVD-LPc7g
My mission is to help you to identify the symptoms or areas of life you'd like to change and to aid you in making the changes necessary. My approach is supportive and cognitive-behavioral. I like to work on the powerful mind-body connection (see paragraph on Cognitive-Behavioral therapy and Dr. Herbert Benson, Harvard MD, on tube). Everything is confidential to provide a safe place to work on your issues. Recently I've been learning more about nutritional influences on mental health. I look forward to meeting new clients. Check out my video https://youtu.be/wzuVD-LPc7g
(518) 302-0161 View (518) 302-0161
Photo of Yolanda Koumidou Inner Life Exploration, Clinical Social Work/Therapist in Middleburgh, NY
Yolanda Koumidou Inner Life Exploration
Clinical Social Work/Therapist, LCSW, BCD, CHT
Verified Verified
1 Endorsed
Schoharie, NY 12157
Have dedicated my life in accompanying people on their voyages of self-exploration to reach inner peace. Through interweaving traditional approaches with psycho-spiritual disciplines, the following theories and modalities serve as the foundation for my work: the Voice Dialogue Method, Quantum Physics theory, Hypnotherapy, Art, Movement, Dream Work and Energetics. Please tune in to my podcast called Awareness Sucks to familiarize yourself with my approach.
Have dedicated my life in accompanying people on their voyages of self-exploration to reach inner peace. Through interweaving traditional approaches with psycho-spiritual disciplines, the following theories and modalities serve as the foundation for my work: the Voice Dialogue Method, Quantum Physics theory, Hypnotherapy, Art, Movement, Dream Work and Energetics. Please tune in to my podcast called Awareness Sucks to familiarize yourself with my approach.
(516) 513-8819 View (516) 513-8819

Online Therapists

Photo of Meghan Shea, Clinical Social Work/Therapist in Middleburgh, NY
Meghan Shea
Clinical Social Work/Therapist, LICSW
Verified Verified
Lagrangeville, NY 12540  (Online Only)
Accepting NEW clients in NY and RI for evening appointments! I am a seasoned, experienced therapist, dedicated to helping my clients feel joy, hope, worthiness, and fulfillment. My current clients see me as someone who is caring, calm, empathic, and goes the extra mile. I work hard to create a safe, trusting space where you can share freely. Are you struggling to get out of bed where every day feel like a slog? Is anxiety stopping you from the life you dreamed of? I am here for these and many other struggles!
Accepting NEW clients in NY and RI for evening appointments! I am a seasoned, experienced therapist, dedicated to helping my clients feel joy, hope, worthiness, and fulfillment. My current clients see me as someone who is caring, calm, empathic, and goes the extra mile. I work hard to create a safe, trusting space where you can share freely. Are you struggling to get out of bed where every day feel like a slog? Is anxiety stopping you from the life you dreamed of? I am here for these and many other struggles!
(401) 240-2970 View (401) 240-2970
Photo of Elyse Cavadi, Clinical Social Work/Therapist in Middleburgh, NY
Elyse Cavadi
Clinical Social Work/Therapist, LCSW
Verified Verified
Pine Bush, NY 12566  (Online Only)
My goal as a therapist is to help my client's achieve their own personal treatment goals, may that be processing trauma, learning new coping skills or simply having a non-biased person to speak with.
My goal as a therapist is to help my client's achieve their own personal treatment goals, may that be processing trauma, learning new coping skills or simply having a non-biased person to speak with.
(845) 681-6625 View (845) 681-6625
Photo of Shawn Bubany, Psychologist in Middleburgh, NY
Shawn Bubany
Psychologist, PhD, LP
Verified Verified
Delhi, NY 13753
We feel uncertain, afraid, and conflicted when going through hardship. And we often are self-critical at our low points, yet we all suffer in these ways. There are understandable reasons why we struggle that have nothing to do with our worth as people and everything to do with experiences we’ve had. Through no fault of our own, we internalize a lot of unhelpful stuff that we can carry with us. I believe that therapy at its best can help people break free from old emotions, habits, and stories that are not useful anymore. And I believe therapy has the potential to empower people to live more healthy, present, and authentic lives.
We feel uncertain, afraid, and conflicted when going through hardship. And we often are self-critical at our low points, yet we all suffer in these ways. There are understandable reasons why we struggle that have nothing to do with our worth as people and everything to do with experiences we’ve had. Through no fault of our own, we internalize a lot of unhelpful stuff that we can carry with us. I believe that therapy at its best can help people break free from old emotions, habits, and stories that are not useful anymore. And I believe therapy has the potential to empower people to live more healthy, present, and authentic lives.
(607) 862-5341 View (607) 862-5341
Photo of Walk It Out Now, LLC, Counselor in Middleburgh, NY
Walk It Out Now, LLC
Counselor, LMHC
Verified Verified
Delmar, NY 12054
Walk-talk therapy is a connection between mind, body and nature aimed at enhancing the benefits of talk therapy. Walking in nature can reduce stress, help you breathe deeper and release tension while processing your thoughts,experiences, and emotions. Walking side by side instead of sitting face to face can feel like a more relaxed, natural experience.
Walk-talk therapy is a connection between mind, body and nature aimed at enhancing the benefits of talk therapy. Walking in nature can reduce stress, help you breathe deeper and release tension while processing your thoughts,experiences, and emotions. Walking side by side instead of sitting face to face can feel like a more relaxed, natural experience.
(518) 336-7124 View (518) 336-7124
Photo of Ally Cooley, Marriage & Family Therapist in Middleburgh, NY
Ally Cooley
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Schenectady, NY 12305  (Online Only)
If you are struggling with anxiety, depression, relationship conflict and/or family trauma, I want you to know that I am here to support you. I specialize in working with individuals or couples who are dealing with these challenges and have a passion for helping them overcome their struggles. During our therapy sessions, I will reassure you that you are not alone in this journey. Together, we will identify the patterns that are influencing your behaviors and habits and work towards updating those patterns to help you achieve new, healthier outcomes. I welcome you to reach out to me and look forward to guiding you on your journey.
If you are struggling with anxiety, depression, relationship conflict and/or family trauma, I want you to know that I am here to support you. I specialize in working with individuals or couples who are dealing with these challenges and have a passion for helping them overcome their struggles. During our therapy sessions, I will reassure you that you are not alone in this journey. Together, we will identify the patterns that are influencing your behaviors and habits and work towards updating those patterns to help you achieve new, healthier outcomes. I welcome you to reach out to me and look forward to guiding you on your journey.
(518) 759-7311 View (518) 759-7311
Photo of Katherine Angelica Shelton, LPC Intern in Middleburgh, NY
Katherine Angelica Shelton
LPC Intern
Verified Verified
1 Endorsed
Syracuse, NY 13202  (Online Only)
Do you feel like no one understands the emotional suffering and shame you experience? Do you want to get to the root of your issues in a safe, comfortable, and caring environment without judgment? Life can be challenging in a multitude of ways and make thriving difficult. I help with assisting clients on their journey of self-awareness and self-understanding. Therapy is not a "one-size-fits-all" so I like to discuss with clients their unique needs and attributes individually in therapy and cater the sessions around the client's own specific experiences and goals. A core value I have is building trust and connection with clients.
Do you feel like no one understands the emotional suffering and shame you experience? Do you want to get to the root of your issues in a safe, comfortable, and caring environment without judgment? Life can be challenging in a multitude of ways and make thriving difficult. I help with assisting clients on their journey of self-awareness and self-understanding. Therapy is not a "one-size-fits-all" so I like to discuss with clients their unique needs and attributes individually in therapy and cater the sessions around the client's own specific experiences and goals. A core value I have is building trust and connection with clients.
(315) 522-8844 View (315) 522-8844
Photo of Alyssa Reig, Counselor in Middleburgh, NY
Alyssa Reig
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Cornwall, NY 12518  (Online Only)
We all have innate abilities to heal ourselves and improve our lives. I will work with you to tap into your own power so that you can live a healthy and balanced life. In a peaceful and accepting environment we work together to gain insight into what you are experiencing and to move beyond painful patterns and stuck points.
We all have innate abilities to heal ourselves and improve our lives. I will work with you to tap into your own power so that you can live a healthy and balanced life. In a peaceful and accepting environment we work together to gain insight into what you are experiencing and to move beyond painful patterns and stuck points.
(347) 514-9874 View (347) 514-9874
Photo of Susan M Isaacson, Clinical Social Work/Therapist in Middleburgh, NY
Susan M Isaacson
Clinical Social Work/Therapist, MA, CCC, LCSW
Verified Verified
1 Endorsed
Warwick, NY 10990
I am passionate about helping others achieve goals, work through and problem solve as well as address significant mental health issues and obstacles that intrude, create havoc and prevent individuals from living happy and healthy. As well as a licensed clinical social worker, I also have a masters degree in communication disorders....I'll help you find how and what to say when words and the ability to express feelings are at a loss. Life is not a dress rehearsal....we only go around once!!
I am passionate about helping others achieve goals, work through and problem solve as well as address significant mental health issues and obstacles that intrude, create havoc and prevent individuals from living happy and healthy. As well as a licensed clinical social worker, I also have a masters degree in communication disorders....I'll help you find how and what to say when words and the ability to express feelings are at a loss. Life is not a dress rehearsal....we only go around once!!
(845) 763-4099 View (845) 763-4099
Photo of Rebecca Fisk, Clinical Social Work/Therapist in Middleburgh, NY
Rebecca Fisk
Clinical Social Work/Therapist, LCSW
Verified Verified
Yorktown Heights, NY 10598
Rebecca Fisk is an individual, child, and family therapist, who has been practicing since 2015. She graduated from New York University with a Masters in Social Work. Rebecca is committed to helping you by providing a warm, compassionate, safe, judgement free space. Rebecca specializes in working with children, adolescents, and teens of all ages, but also has experience working with adults. She has significant experience working with individuals struggling with social skills, sense of self, relationships, behavioral difficulties, and school refusal.
Rebecca Fisk is an individual, child, and family therapist, who has been practicing since 2015. She graduated from New York University with a Masters in Social Work. Rebecca is committed to helping you by providing a warm, compassionate, safe, judgement free space. Rebecca specializes in working with children, adolescents, and teens of all ages, but also has experience working with adults. She has significant experience working with individuals struggling with social skills, sense of self, relationships, behavioral difficulties, and school refusal.
(914) 350-4081 View (914) 350-4081
Photo of Karin J Gardner, Clinical Social Work/Therapist in Middleburgh, NY
Karin J Gardner
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
1 Endorsed
Troy, NY 12180  (Online Only)
I opened Kaleidoscope Psychotherapy, LCSW, PLLC to empower my clients to better understand themselves as they navigate in their personal environment so they may make positive changes and create a meaningful, joyful life. Similar to a kaleidoscope which has many colorful shapes that make the entire image, you also hold many attributes that make you who you are. In our sessions, I will help you to illuminate these attributes within yourself, and reveal behavioral patterns, so we may focus on self-discovery, self-awareness, and positive behavioral changes that attend to your personal strengths and goals.
I opened Kaleidoscope Psychotherapy, LCSW, PLLC to empower my clients to better understand themselves as they navigate in their personal environment so they may make positive changes and create a meaningful, joyful life. Similar to a kaleidoscope which has many colorful shapes that make the entire image, you also hold many attributes that make you who you are. In our sessions, I will help you to illuminate these attributes within yourself, and reveal behavioral patterns, so we may focus on self-discovery, self-awareness, and positive behavioral changes that attend to your personal strengths and goals.
(518) 840-0816 View (518) 840-0816
Photo of Courtney L Butler, Clinical Social Work/Therapist in Middleburgh, NY
Courtney L Butler
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Albany, NY 12208  (Online Only)
Are you tired of stress, worry, and depression affecting your health and happiness? Are you unsure how to handle it or what to do to make things better? Do you want to change the way you feel about yourself and your life? I can help you identify, explore, understand and change what is getting in the way of you getting more of what you want out of life.
Are you tired of stress, worry, and depression affecting your health and happiness? Are you unsure how to handle it or what to do to make things better? Do you want to change the way you feel about yourself and your life? I can help you identify, explore, understand and change what is getting in the way of you getting more of what you want out of life.
(518) 310-4583 View (518) 310-4583
Photo of Courtney Gazda in Middleburgh, NY
Courtney Gazda
L-P MHC
Verified Verified
5 Endorsed
Syracuse, NY 13203
Hi, I’m Courtney! I provide talk therapy for adolescents, adults, and couples experiencing difficulties in their daily life. My specialities include anxiety, depression, substance use disorder, trauma, and women’s issues. I utilize person-centered, trauma-informed, and mindfulness-based practices. I also have a certification in dialectical behavioral therapy (DBT).
Hi, I’m Courtney! I provide talk therapy for adolescents, adults, and couples experiencing difficulties in their daily life. My specialities include anxiety, depression, substance use disorder, trauma, and women’s issues. I utilize person-centered, trauma-informed, and mindfulness-based practices. I also have a certification in dialectical behavioral therapy (DBT).
(680) 203-4496 View (680) 203-4496
Photo of Beth Coons, Clinical Social Work/Therapist in Middleburgh, NY
Beth Coons
Clinical Social Work/Therapist
Verified Verified
Hurley, NY 12443  (Online Only)
ACCEPTING NEW CLIENTS VIA TELE-HEALTH. I am a seasoned therapist with over 25 years experience helping children, adolescents and adults to work through life's challenges thereby living happy, fulfilling lives. I am a passionate believer that we all have inner resources and strengths that enable us to reduce anxiety, depression, heal inner wounds, improve relationships and experience personal growth. These are challenging times and I am experienced in grief counseling, particularly related to loss and loneliness due to the COVID pandemic.
ACCEPTING NEW CLIENTS VIA TELE-HEALTH. I am a seasoned therapist with over 25 years experience helping children, adolescents and adults to work through life's challenges thereby living happy, fulfilling lives. I am a passionate believer that we all have inner resources and strengths that enable us to reduce anxiety, depression, heal inner wounds, improve relationships and experience personal growth. These are challenging times and I am experienced in grief counseling, particularly related to loss and loneliness due to the COVID pandemic.
(914) 350-6769 View (914) 350-6769
Photo of Gina Villiere, Clinical Social Work/Therapist in Middleburgh, NY
Gina Villiere
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Saratoga Springs, NY 12866
Is your child or teen struggling socially, academically or at home? Do they appear sad, worried, or angry? Are they spending too much time on digital media? Parents want to help their child but do not always know how or where to start. In our work together, I can help you better understand your child's behaviors and needs. I work collaboratively with the family unit to negotiate change so that all members feel heard and everyone has bought into a healthier way of life. I strive to provide a supportive, comfortable, safe and encouraging environment that facilitates growth and lasting change.
Is your child or teen struggling socially, academically or at home? Do they appear sad, worried, or angry? Are they spending too much time on digital media? Parents want to help their child but do not always know how or where to start. In our work together, I can help you better understand your child's behaviors and needs. I work collaboratively with the family unit to negotiate change so that all members feel heard and everyone has bought into a healthier way of life. I strive to provide a supportive, comfortable, safe and encouraging environment that facilitates growth and lasting change.
(518) 714-1495 View (518) 714-1495
Photo of The Taconic Counseling Group, Elisha S. Fisch, PhD, Psychologist in Middleburgh, NY
The Taconic Counseling Group, Elisha S. Fisch, PhD
Psychologist, PhD
Verified Verified
Fishkill, NY 12524
Hello, I am Elisha Fisch. We, at Taconic, know that finding the right therapist can be a difficult process. We help you find the right match with a member of our group because we recognize that the match between you and your counselor makes all the difference in your having a good therapy experience. I am one of our 6 psychologists with PhD's plus advanced training and over 30 years of experience. Because each of us has different as well as overlapping specialties, we benefit from our many perspectives as your therapist crafts, with you, a therapy plan that is right for you, in a warm and caring environment.
Hello, I am Elisha Fisch. We, at Taconic, know that finding the right therapist can be a difficult process. We help you find the right match with a member of our group because we recognize that the match between you and your counselor makes all the difference in your having a good therapy experience. I am one of our 6 psychologists with PhD's plus advanced training and over 30 years of experience. Because each of us has different as well as overlapping specialties, we benefit from our many perspectives as your therapist crafts, with you, a therapy plan that is right for you, in a warm and caring environment.
(914) 873-0453 View (914) 873-0453
Photo of Lucian M Schloss, Licensed Professional Counselor in Middleburgh, NY
Lucian M Schloss
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
3 Endorsed
Hudson, NY 12534
Do you repeat the same negative and dysfunctional patterns in your life and relationships? Do you cope with your stress in destructive ways, leaving you in constant dis-ease and discomfort mentally and emotionally? What if your symptoms and ailments were trying to tell you something about your evolution and growth? You are in the right place if you seek a deeper understanding of yourself, your relationships, and your life purpose. I utilize cutting-edge therapies like Internal Family Systems, Systemic Constellations, and Ketamine-Assisted Psychotherapy.
Do you repeat the same negative and dysfunctional patterns in your life and relationships? Do you cope with your stress in destructive ways, leaving you in constant dis-ease and discomfort mentally and emotionally? What if your symptoms and ailments were trying to tell you something about your evolution and growth? You are in the right place if you seek a deeper understanding of yourself, your relationships, and your life purpose. I utilize cutting-edge therapies like Internal Family Systems, Systemic Constellations, and Ketamine-Assisted Psychotherapy.
(413) 327-0006 View (413) 327-0006
Photo of Ranjana Hari, Pre-Licensed Professional in Middleburgh, NY
Ranjana Hari
Pre-Licensed Professional, PsyD, NCSP
Verified Verified
Katonah, NY 10536
I'm a dedicated psychotherapist with an extensive and diverse background, spanning private practice, schools, college clinics, foster care, and hospitals, including acute care. With a passion for treating individuals of all ages, I specialize in harnessing the power of evidence-based therapies to create long-lasting positive change, focusing on the core of issues, rather than surface change. I take pride in fostering a safe, warm, and compassionate environment that embraces the unique perspectives of clients from diverse backgrounds. Even the most resistant patients find themselves engaged in the therapeutic process under my care.
I'm a dedicated psychotherapist with an extensive and diverse background, spanning private practice, schools, college clinics, foster care, and hospitals, including acute care. With a passion for treating individuals of all ages, I specialize in harnessing the power of evidence-based therapies to create long-lasting positive change, focusing on the core of issues, rather than surface change. I take pride in fostering a safe, warm, and compassionate environment that embraces the unique perspectives of clients from diverse backgrounds. Even the most resistant patients find themselves engaged in the therapeutic process under my care.
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How does your Therapist compare?

Number of Therapists in Middleburgh, NY

< 10

Therapists in Middleburgh, NY who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Addiction
100% ADHD
100% Grief
100% Obsessive-Compulsive (OCD)

Average years in practice

13 Years

Top 3 insurances accepted

100% Aetna
100% Cigna and Evernorth
100% Oxford

How Therapists in Middleburgh, NY see their clients

100% Online Only

Gender breakdown

100% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Middleburgh?

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.