Therapists in Hopkinton, NH

Photo of Isabelle Lovett, Clinical Social Work/Therapist, MSW, LICSW
Isabelle Lovett
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Hopkinton, NH 03229
Accepting new in-person clients. As a compassionate and client-centered therapist, I am dedicated to creating a safe and supportive space where you can explore your thoughts, feelings, and experiences. My therapeutic approach combines humanistic interventions with mindfulness and self-compassion practices. This blend allows us to address immediate concerns while also fostering deeper self-awareness and long-term growth.
Accepting new in-person clients. As a compassionate and client-centered therapist, I am dedicated to creating a safe and supportive space where you can explore your thoughts, feelings, and experiences. My therapeutic approach combines humanistic interventions with mindfulness and self-compassion practices. This blend allows us to address immediate concerns while also fostering deeper self-awareness and long-term growth.
(844) 975-2917 View (844) 975-2917
Photo of Jen Fitzgerald, Clinical Social Work/Therapist, MSW, LICSW, CEAP
Jen Fitzgerald
Clinical Social Work/Therapist, MSW, LICSW, CEAP
Verified Verified
Hopkinton, NH 03229
Hello and welcome! I’m Jen, a therapist dedicated to guiding you towards meaningful change through genuine connection, personal growth, and a bit of humor. In my practice, I focus on creating a safe, empathetic space where you can explore your inner world and foster lasting change. With over 12 years of experience, I’ve worked with clients with diverse backgrounds, helping them with issues ranging from trauma and anxiety/depression to relationship issues and life transitions.
Hello and welcome! I’m Jen, a therapist dedicated to guiding you towards meaningful change through genuine connection, personal growth, and a bit of humor. In my practice, I focus on creating a safe, empathetic space where you can explore your inner world and foster lasting change. With over 12 years of experience, I’ve worked with clients with diverse backgrounds, helping them with issues ranging from trauma and anxiety/depression to relationship issues and life transitions.
(855) 751-2450 View (855) 751-2450
Photo of Elizabeth Vargas, PhD, LPC, LCMHC, RPT
Elizabeth Vargas
PhD, LPC, LCMHC, RPT
Verified Verified
Online Only
Are you feeling lost, overwhelmed, or confused? Have you tried counseling before but didn't find it helpful or you didn't feel that your therapist was a match? Are you anxious about what the counseling process will look like or nervous about sharing your story? I understand how hard the counseling journey can feel. I enjoy working with clients that need support with autism, ADHD, anxiety, grief, trauma, crisis interventions, independent living skills, OCD, bipolar, major life transitions, and eating disorders. I support clients with reaching their goals, helping them find the power within, and to move towards who they want to be.
Are you feeling lost, overwhelmed, or confused? Have you tried counseling before but didn't find it helpful or you didn't feel that your therapist was a match? Are you anxious about what the counseling process will look like or nervous about sharing your story? I understand how hard the counseling journey can feel. I enjoy working with clients that need support with autism, ADHD, anxiety, grief, trauma, crisis interventions, independent living skills, OCD, bipolar, major life transitions, and eating disorders. I support clients with reaching their goals, helping them find the power within, and to move towards who they want to be.
(603) 506-6663 View (603) 506-6663
Photo of Dr. Meg Pilling, Psychologist, PsyD, MA, MS
Dr. Meg Pilling
Psychologist, PsyD, MA, MS
Verified Verified
1 Endorsed
Hopkinton, NH 03229
Dr. Meg is a licensed psychologist who specializes in working with children, adolescents, emerging adults, and families. She has expertise treating interpersonal trauma using relational and psychodynamic frameworks. She offers individual, group, and family psychotherapy, as well as consultation, training, and supervision. Dr. Meg is able to provide teletherapy and assessment services to clients in PSYPACT states.
Dr. Meg is a licensed psychologist who specializes in working with children, adolescents, emerging adults, and families. She has expertise treating interpersonal trauma using relational and psychodynamic frameworks. She offers individual, group, and family psychotherapy, as well as consultation, training, and supervision. Dr. Meg is able to provide teletherapy and assessment services to clients in PSYPACT states.
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Photo of Jessica Deleault, Counselor, LCMHC
Jessica Deleault
Counselor, LCMHC
Verified Verified
1 Endorsed
Serves Area
I am a Licensed Clinical Mental Health Counselor and have been working as a counselor for over twenty years. I enjoy working with individuals, from mid-late adolescence through adulthood, as well as couples and families. My practice includes working with people to alleviate depression, anxiety and stress, to improve self-esteem, and to help people cope with loss, relationship and parenting issues. By increasing self-awareness, enhancing healthy coping strategies and improving communication skills, I support clients in reaching their full potential.
I am a Licensed Clinical Mental Health Counselor and have been working as a counselor for over twenty years. I enjoy working with individuals, from mid-late adolescence through adulthood, as well as couples and families. My practice includes working with people to alleviate depression, anxiety and stress, to improve self-esteem, and to help people cope with loss, relationship and parenting issues. By increasing self-awareness, enhancing healthy coping strategies and improving communication skills, I support clients in reaching their full potential.
(603) 685-4867 View (603) 685-4867
Photo of Sonali Desai Zoracki, Clinical Social Work/Therapist, LICSW, LCSW
Sonali Desai Zoracki
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Online Only
If you are struggling to cope with the emotional and physical pain of infertility know that you do not need to walk this road alone. It is my honor to walk alongside you. If like many on that path, loss of a pregnancy or loss of multiple pregnancies at any stage has also been part of your journey know that I can support you in your grief. And if you are pregnant after infertility or loss and/or parenting post, know that I understand those unique challenges well.
If you are struggling to cope with the emotional and physical pain of infertility know that you do not need to walk this road alone. It is my honor to walk alongside you. If like many on that path, loss of a pregnancy or loss of multiple pregnancies at any stage has also been part of your journey know that I can support you in your grief. And if you are pregnant after infertility or loss and/or parenting post, know that I understand those unique challenges well.
(603) 632-3134 View (603) 632-3134
Photo of Lauren O'Connor, Clinical Social Work/Therapist, MSW, LICSW
Lauren O'Connor
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Serves Area
Hello! Thank you for considering me as a partner in your recovery and wellness! My name is Lauren O'Connor and I am a Licensed Independent Clinical Social Worker (LICSW) who strives to create a safe and supportive environment for you to comfortably explore life’s challenges and improve your sense of wellbeing. I believe everyone has strengths and, at times, challenges that can be overcome with support and guidance. My ideal client is motivated to take a look at where they wish to make a change and welcomes taking steps forward.
Hello! Thank you for considering me as a partner in your recovery and wellness! My name is Lauren O'Connor and I am a Licensed Independent Clinical Social Worker (LICSW) who strives to create a safe and supportive environment for you to comfortably explore life’s challenges and improve your sense of wellbeing. I believe everyone has strengths and, at times, challenges that can be overcome with support and guidance. My ideal client is motivated to take a look at where they wish to make a change and welcomes taking steps forward.
(781) 291-3469 View (781) 291-3469
Photo of Kate Weston, Clinical Social Work/Therapist, LICSW
Kate Weston
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Serves Area
Accepting new clients. Hello, my name is Kate and my therapeutic approach focuses on the development of positive coping skills through personal exploration. Whether this is your first experience with therapy or you have been in therapy for years, I create a supportive environment where you feel comfortable exploring the root of what is prohibiting you from living a fulfilled life. Collaboration between the therapist and the client promotes self-exploration, realization, and growth, easing emotional discomfort.
Accepting new clients. Hello, my name is Kate and my therapeutic approach focuses on the development of positive coping skills through personal exploration. Whether this is your first experience with therapy or you have been in therapy for years, I create a supportive environment where you feel comfortable exploring the root of what is prohibiting you from living a fulfilled life. Collaboration between the therapist and the client promotes self-exploration, realization, and growth, easing emotional discomfort.
(401) 343-0068 View (401) 343-0068
Photo of Brenda Quinn, Clinical Social Work/Therapist, LICSW
Brenda Quinn
Clinical Social Work/Therapist, LICSW
Verified Verified
Serves Area
Unfortunately, I am unable to accept new clients at this time. For over 25 years, as a Licensed Independent Clinical Social Worker (LICSW), I have sought to provide the support and tools needed to help people maximize their growth and success. Sometimes the goal is to feel more self confident, perhaps reach for a dream, and at other times the goal is relief from feelings and negative behavior patterns that threaten a happy future. With effective therapy amazing growth and relief are possible. I am so eager to do all I can to help you find your new happy, healthy ending!
Unfortunately, I am unable to accept new clients at this time. For over 25 years, as a Licensed Independent Clinical Social Worker (LICSW), I have sought to provide the support and tools needed to help people maximize their growth and success. Sometimes the goal is to feel more self confident, perhaps reach for a dream, and at other times the goal is relief from feelings and negative behavior patterns that threaten a happy future. With effective therapy amazing growth and relief are possible. I am so eager to do all I can to help you find your new happy, healthy ending!
(603) 272-6348 View (603) 272-6348

More Therapists Nearby

Photo of Lauri Johnson, Clinical Social Work/Therapist, MSW, LICSW
Lauri Johnson
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Concord, NH 03301
Relationship stress, grief, loss, life transitions, a lack of sync or control can all feel overwhelming. When our minds and bodies are out of balance, emotional reactions can intensify, create chronic stress, and lead to other chronic illnesses. Regardless of how great your support system is, it's not easy for friends and family to remain neutral or even patient when you need to talk about what's bothering you. It can cause more frustration and decrease connection. When there are complex or long term pains and struggles, collaborating with someone who IS neutral and focused on YOUR needs helps facilitate healing and lasting peace!
Relationship stress, grief, loss, life transitions, a lack of sync or control can all feel overwhelming. When our minds and bodies are out of balance, emotional reactions can intensify, create chronic stress, and lead to other chronic illnesses. Regardless of how great your support system is, it's not easy for friends and family to remain neutral or even patient when you need to talk about what's bothering you. It can cause more frustration and decrease connection. When there are complex or long term pains and struggles, collaborating with someone who IS neutral and focused on YOUR needs helps facilitate healing and lasting peace!
(603) 632-3433 View (603) 632-3433
Photo of Joan Gallagher - Personal Visions Counseling & Wellness, LLC, Counselor, MA, LCMHC, NBCC
Personal Visions Counseling & Wellness, LLC
Counselor, MA, LCMHC, NBCC
Verified Verified
2 Endorsed
Manchester, NH 03104
Waitlist for new clients
My focus is in ART (Accelerated Resolution Therapy) and EMDR (Eye Movement Desensitization & Reprocessing. If you are looking for change and want to feel better, validated and respected, please contact me with your specific needs and goals.
My focus is in ART (Accelerated Resolution Therapy) and EMDR (Eye Movement Desensitization & Reprocessing. If you are looking for change and want to feel better, validated and respected, please contact me with your specific needs and goals.
(603) 540-2358 View (603) 540-2358
Photo of Joyce Johnson Stratton, Counselor, LCMHC, RPT-S
Joyce Johnson Stratton
Counselor, LCMHC, RPT-S
Verified Verified
Concord, NH 03301
I am a Licensed Clinical Mental Health Counselor and Registered Play Therapist Supervisor. I specialize in working with children and adolescents with complicated profiles. I am trained in integrating play therapy with evidence based approaches such as Trauma Focused Cognitive Behavioral Therapy, Cognitive Behavioral Therapy, and more. I also offer supervision for Licensure and Association for Play Therapy credentialing.
I am a Licensed Clinical Mental Health Counselor and Registered Play Therapist Supervisor. I specialize in working with children and adolescents with complicated profiles. I am trained in integrating play therapy with evidence based approaches such as Trauma Focused Cognitive Behavioral Therapy, Cognitive Behavioral Therapy, and more. I also offer supervision for Licensure and Association for Play Therapy credentialing.
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Photo of Courtney Livingston, Counselor, LCMHC
Courtney Livingston
Counselor, LCMHC
Verified Verified
Concord, NH 03301
My approach focuses on supporting you in bridging the gap between how things are and how you want them to be. As a clinician, I am focused on working with individuals and families to ensure our work together feels effective. I am dedicated to assisting clients in the process of change, healing and growth. I practice goal-focused and collaborative therapy, to assist you or your child with life challenges and emotional distress.
My approach focuses on supporting you in bridging the gap between how things are and how you want them to be. As a clinician, I am focused on working with individuals and families to ensure our work together feels effective. I am dedicated to assisting clients in the process of change, healing and growth. I practice goal-focused and collaborative therapy, to assist you or your child with life challenges and emotional distress.
(603) 601-4131 View (603) 601-4131
Photo of Thomas Mark, Counselor, MA, LCMHC
Thomas Mark
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Concord, NH 03301
Yes, I am accepting new clients. I work with adults individually. Please be aware that I no longer work with teens. My clinical experience includes men's issues, anxiety, depression, behavioral issues, anger/self-control, family and marriage issues, career/work-related issues, interpersonal conflicts, and conflict resolution. Men face pressures, stigmas, and responsibilities that can be difficult to bear. I specialize in working with men who feel angry, conflicted, frustrated, or generally unhappy. Clients are expected to be self-motivated and willing to engage in discussion.
Yes, I am accepting new clients. I work with adults individually. Please be aware that I no longer work with teens. My clinical experience includes men's issues, anxiety, depression, behavioral issues, anger/self-control, family and marriage issues, career/work-related issues, interpersonal conflicts, and conflict resolution. Men face pressures, stigmas, and responsibilities that can be difficult to bear. I specialize in working with men who feel angry, conflicted, frustrated, or generally unhappy. Clients are expected to be self-motivated and willing to engage in discussion.
(603) 319-4345 x21 View (603) 319-4345 x21
Photo of Darryl Stewart, Licensed Clinical Mental Health Counselor, LCMHC
Darryl Stewart
Licensed Clinical Mental Health Counselor, LCMHC
Verified Verified
Online Only
I am a Licensed Clinical Mental Health Counselor currently practicing in New Hampshire via Telehealth. I work with adults 18+ and specialize in PTSD, anxiety, stress, grief, and life transitions. I pull from a wide range of approaches like Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavior Therapy (DBT), and Cognitive Behavioral Therapy (CBT) to help clients with personal growth and feel better.
I am a Licensed Clinical Mental Health Counselor currently practicing in New Hampshire via Telehealth. I work with adults 18+ and specialize in PTSD, anxiety, stress, grief, and life transitions. I pull from a wide range of approaches like Eye Movement Desensitization and Reprocessing (EMDR), Dialectical Behavior Therapy (DBT), and Cognitive Behavioral Therapy (CBT) to help clients with personal growth and feel better.
(603) 665-0310 View (603) 665-0310
Photo of Pete Afflerbach, Counselor, MA, LCMHC
Pete Afflerbach
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
New London, NH 03257
Pete has more than 15 years of experience as a teacher and counselor. Pete approaches his work from a systems perspective and his areas of interest include working with adolescents, individuals and families struggling with addiction, and couples. He also works with individuals of all ages to help them explore their beliefs and how those beliefs affect their present selves. Regardless of the root of symptoms, exploring how we think about ourselves and the world around us and working to replace the behaviors and beliefs that no longer serve us often help us get unstuck and move forward to achieving our goals.
Pete has more than 15 years of experience as a teacher and counselor. Pete approaches his work from a systems perspective and his areas of interest include working with adolescents, individuals and families struggling with addiction, and couples. He also works with individuals of all ages to help them explore their beliefs and how those beliefs affect their present selves. Regardless of the root of symptoms, exploring how we think about ourselves and the world around us and working to replace the behaviors and beliefs that no longer serve us often help us get unstuck and move forward to achieving our goals.
(603) 392-7876 View (603) 392-7876
Photo of William Edward Keating - Avanti Counseling & Consultation, LLC, Counselor, William, Keating, LCMHC, MLADC, NCC
Avanti Counseling & Consultation, LLC
Counselor, William, Keating, LCMHC, MLADC, NCC
Verified Verified
1 Endorsed
Manchester, NH 03104
William is a Licensed Clinical Mental Health Counselor (LCMHC) and a Master Licensed Alcohol and Drug Counselor (MLADC), earning his master’s degree from Antioch University New England. He believes in a collaborative and solution-focused approach when working with patients. William works towards providing a safe & professional environment for his patients. He is geared toward working collaboratively around building the therapeutic relationship and assisting you in accomplishing your goals. We have immediate openings for weekends and evenings!
William is a Licensed Clinical Mental Health Counselor (LCMHC) and a Master Licensed Alcohol and Drug Counselor (MLADC), earning his master’s degree from Antioch University New England. He believes in a collaborative and solution-focused approach when working with patients. William works towards providing a safe & professional environment for his patients. He is geared toward working collaboratively around building the therapeutic relationship and assisting you in accomplishing your goals. We have immediate openings for weekends and evenings!
(603) 825-4872 View (603) 825-4872
Photo of Natalie Neilson - Anew Behavioral Health New Hampshire, Drug & Alcohol Counselor, MLADC, LICSW, LCMHC, MD, PMHNP
Anew Behavioral Health New Hampshire
Drug & Alcohol Counselor, MLADC, LICSW, LCMHC, MD, PMHNP
Verified Verified
Manchester, NH 03103
Anew is an outpatient behavioral health provider that offers a variety of services proven to assist those struggling with mental health and/or substance use issues. By offering psychiatry, nursing, therapy, and case management to individuals, families, and groups, Anew can provide an integrated care plan designed to help you reach your treatment goals.
Anew is an outpatient behavioral health provider that offers a variety of services proven to assist those struggling with mental health and/or substance use issues. By offering psychiatry, nursing, therapy, and case management to individuals, families, and groups, Anew can provide an integrated care plan designed to help you reach your treatment goals.
(603) 338-0033 View (603) 338-0033
Photo of Caroline Nickerson, Pre-Licensed Professional, MSW
Caroline Nickerson
Pre-Licensed Professional, MSW
Verified Verified
1 Endorsed
Concord, NH 03301
As the saying goes, "when life gives you lemons, make lemonade." Embracing this notion can often feel straightforward, as we strive to accept both the highs and lows that life offers. Yet, there are moments when facing the sourness of life isn't as simple. This is where therapy can offer valuable support. Through my practice, I employ Acceptance and Commitment Therapy alongside other approaches like Cognitive Behavioral Therapy and Motivational Interviewing. Together, we create a safe environment to navigate and address life's challenges head-on.
As the saying goes, "when life gives you lemons, make lemonade." Embracing this notion can often feel straightforward, as we strive to accept both the highs and lows that life offers. Yet, there are moments when facing the sourness of life isn't as simple. This is where therapy can offer valuable support. Through my practice, I employ Acceptance and Commitment Therapy alongside other approaches like Cognitive Behavioral Therapy and Motivational Interviewing. Together, we create a safe environment to navigate and address life's challenges head-on.
(888) 507-9804 View (888) 507-9804
Photo of Emily Scott, Clinical Social Work/Therapist, MSW, LCSW, LICSW, PMH-C
Emily Scott
Clinical Social Work/Therapist, MSW, LCSW, LICSW, PMH-C
Verified Verified
Online Only
My therapy style is warm, dynamic and open. I believe in holding space for your growth and potential to unfold, and in treating every human I work with with the utmost respect. My approach combines cognitive-behavioral, client centered modalities, psychodynamic and systems theories. Every person is unique, and I tailor my practice to best suit your needs. You've taken the first step by looking into your options for therapy. It takes courage and commitment to get to this point. When you are ready to take the next step, I am here to support and empower you. Your journey is in the process of unfolding and I hope to be able to support.
My therapy style is warm, dynamic and open. I believe in holding space for your growth and potential to unfold, and in treating every human I work with with the utmost respect. My approach combines cognitive-behavioral, client centered modalities, psychodynamic and systems theories. Every person is unique, and I tailor my practice to best suit your needs. You've taken the first step by looking into your options for therapy. It takes courage and commitment to get to this point. When you are ready to take the next step, I am here to support and empower you. Your journey is in the process of unfolding and I hope to be able to support.
(720) 804-0231 View (720) 804-0231

See more therapy options for Hopkinton

How does your Therapist compare?

Number of Therapists in Hopkinton, NH

< 10

Therapists in Hopkinton, NH who prioritize treating:

89% Relationship Issues
89% Self Esteem
78% Depression
78% Anxiety
78% Coping Skills
67% Family Conflict
67% Women's Issues

Average years in practice

13 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
75% Harvard Pilgrim
63% Aetna

How Therapists in Hopkinton, NH see their clients

78% In Person and Online
22% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Hopkinton?

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.