Therapists in Portsmouth, NH

Photo of Diane Koehler, Counselor in Portsmouth, NH
Diane Koehler
Counselor, MA, LCMHC, LMHC, LCPC
Verified Verified
Portsmouth, NH 03801  (Online Only)
Sometimes in life we question where we are going or cannot seem to find a path to get to where we want to be ~ to be happy with ourselves and at peace. The world today may be creating more stressors in our life than what we are use to causing a feeling of imbalance, depression or anxiety. My goal is to create a safe, respectful and caring atmosphere where one may explore and begin to understand one's thoughts, behaviors and feelings. Together with my clients, we explore their dreams, challenges and fears. Along this journey there can be self-discovery, problem solving and self love.
Sometimes in life we question where we are going or cannot seem to find a path to get to where we want to be ~ to be happy with ourselves and at peace. The world today may be creating more stressors in our life than what we are use to causing a feeling of imbalance, depression or anxiety. My goal is to create a safe, respectful and caring atmosphere where one may explore and begin to understand one's thoughts, behaviors and feelings. Together with my clients, we explore their dreams, challenges and fears. Along this journey there can be self-discovery, problem solving and self love.
(978) 961-9414 View (978) 961-9414
Photo of Brian D Wener, Psychologist in Portsmouth, NH
Brian D Wener
Psychologist, BA, MA, PsyD
Verified Verified
1 Endorsed
Portsmouth, NH 03801
Practicing 40 years in Seacoast Tri-state area. Portsmouth Family Institute faculty member, former Guest Lecturer, UNH Grad. Studies in Marriage/Family Therapy. PSYCHOLOGICAL TESTING for ADHD- child/adult; Presurgical evaluations; Court-Legal-School evaluations. APA Board Certified in Assessment/Treatment of Substance Use Disorders ADDICTION services to families. Individuals/couples/families undergoing life transitions/divorce. I am a former GAL. I provide psychological assessment/treatment to clients of GALs. I gladly work with ages 14 +.
Practicing 40 years in Seacoast Tri-state area. Portsmouth Family Institute faculty member, former Guest Lecturer, UNH Grad. Studies in Marriage/Family Therapy. PSYCHOLOGICAL TESTING for ADHD- child/adult; Presurgical evaluations; Court-Legal-School evaluations. APA Board Certified in Assessment/Treatment of Substance Use Disorders ADDICTION services to families. Individuals/couples/families undergoing life transitions/divorce. I am a former GAL. I provide psychological assessment/treatment to clients of GALs. I gladly work with ages 14 +.
(603) 769-4162 View (603) 769-4162
Photo of Wendy Quinn, Psychologist in Portsmouth, NH
Wendy Quinn
Psychologist, PsyD, LADC, ADTR
Verified Verified
Portsmouth, NH 03801
During this medical crisis, Dr. Quinn is providing TelePsychology through a secure web portal. With thirty-five years of experience in the field of mental health, Dr. Quinn specializes in the effective treatment of eating disorders, addictions & trauma through individual, couples & family therapy for adults, children and adolescents. In treating clients with eating disorders, Dr. Quinn works closely with families, primary care physicians, psychiatrists and inpatient facilities to coordinate treatment. Dr. Quinn also incorporates expressive therapies (art & movement) with verbal therapy to access inner pain and promote deep healing.
During this medical crisis, Dr. Quinn is providing TelePsychology through a secure web portal. With thirty-five years of experience in the field of mental health, Dr. Quinn specializes in the effective treatment of eating disorders, addictions & trauma through individual, couples & family therapy for adults, children and adolescents. In treating clients with eating disorders, Dr. Quinn works closely with families, primary care physicians, psychiatrists and inpatient facilities to coordinate treatment. Dr. Quinn also incorporates expressive therapies (art & movement) with verbal therapy to access inner pain and promote deep healing.
(603) 685-3145 View (603) 685-3145
Photo of Gretchen L Estes, Counselor in Portsmouth, NH
Gretchen L Estes
Counselor, MEd, LCMHC
Verified Verified
Portsmouth, NH 03801
Welcome to my practice. With over 18 years as a practitioner in the mental health field, I have learned that at the heart of every successful clinical relationship is a strong therapeutic connection between the therapist and client. I consider it my responsibility to create a safe and nonjudgmental space that allows you to openly explore your thoughts and feelings. My approach is collaborative, present-focused, and solution-oriented. I also believe strongly in the connection between the mind and body and support a holistic approach to emotional health and wellness.
Welcome to my practice. With over 18 years as a practitioner in the mental health field, I have learned that at the heart of every successful clinical relationship is a strong therapeutic connection between the therapist and client. I consider it my responsibility to create a safe and nonjudgmental space that allows you to openly explore your thoughts and feelings. My approach is collaborative, present-focused, and solution-oriented. I also believe strongly in the connection between the mind and body and support a holistic approach to emotional health and wellness.
(603) 760-7464 View (603) 760-7464
Photo of Amanda Rose Hitchings, Psychologist in Portsmouth, NH
Amanda Rose Hitchings
Psychologist, PsyD
Verified Verified
Portsmouth, NH 03801  (Online Only)
I am Rose, a licensed clinical psychologist specializing in women's health and gender affirming care. Additionally I am a doula with specific training in Birth Story Listening. My small telemedicine practice services NH, VT, and UT. My therapy style integrates modern CBT and positive psychology approaches. Together we explore the relationship between our mental health and physical health and the ways they affect each other. New meaning and acceptance will arise. My heart is in the creative consultation practice, exploring the unique way we can foster resiliency throughout our development.
I am Rose, a licensed clinical psychologist specializing in women's health and gender affirming care. Additionally I am a doula with specific training in Birth Story Listening. My small telemedicine practice services NH, VT, and UT. My therapy style integrates modern CBT and positive psychology approaches. Together we explore the relationship between our mental health and physical health and the ways they affect each other. New meaning and acceptance will arise. My heart is in the creative consultation practice, exploring the unique way we can foster resiliency throughout our development.
(603) 945-5925 View (603) 945-5925
Photo of Marieke Kat, Clinical Social Work/Therapist in Portsmouth, NH
Marieke Kat
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Portsmouth, NH 03801  (Online Only)
Throughout our lives we are strengthened, not defined, by our experiences. Some experiences are welcomed and enjoyed and others are challenging and even devastating at times. The work for all of us in this life is to learn how to cope with and grow from our experiences while empowering ourselves and others to create more positive ones. We can do this by staying mindful and connected to the strength and stability within us. I believe we have an innate need and ability to connect and feel a sense of unconditional acceptance and this is what therapy can offer.
Throughout our lives we are strengthened, not defined, by our experiences. Some experiences are welcomed and enjoyed and others are challenging and even devastating at times. The work for all of us in this life is to learn how to cope with and grow from our experiences while empowering ourselves and others to create more positive ones. We can do this by staying mindful and connected to the strength and stability within us. I believe we have an innate need and ability to connect and feel a sense of unconditional acceptance and this is what therapy can offer.
(617) 903-8017 View (617) 903-8017
Photo of Christine Williams, Counselor in Portsmouth, NH
Christine Williams
Counselor, LCMHC
Verified Verified
Portsmouth, NH 03801  (Online Only)
Not accepting new clients
Seeking support is a sign of strength, not weakness, and that is something to be admired. Being strong doesn't mean we have to work through everything on our own. I practice from the belief that no matter how stuck or lost you may feel, growth and healing are always possible.
Seeking support is a sign of strength, not weakness, and that is something to be admired. Being strong doesn't mean we have to work through everything on our own. I practice from the belief that no matter how stuck or lost you may feel, growth and healing are always possible.
(603) 326-6645 View (603) 326-6645
Photo of Elliott Kronenfeld, Clinical Social Work/Therapist in Portsmouth, NH
Elliott Kronenfeld
Clinical Social Work/Therapist, PhD, LICSW, MSW, MS, CSTS
Verified Verified
6 Endorsed
Portsmouth, NH 03802
I am a certified sex therapist who is licensed in NH, ME, and MA, and specialize in therapies for individuals and couples that are dealing with issues that inhibit future growth and happiness. As the author of Couples by Intention: Creating and Cultivating Relationships That Matter!, specialties include sex/intimacy, infidelity recovery, infertility, Surrogacy/Adoption, life transitions/personal growth, men's issues, and sexual minorities' concerns. My approach is solution focused, varied and includes a strength based perspective. Narrative therapy, CBT and interpersonal methods are often used.
I am a certified sex therapist who is licensed in NH, ME, and MA, and specialize in therapies for individuals and couples that are dealing with issues that inhibit future growth and happiness. As the author of Couples by Intention: Creating and Cultivating Relationships That Matter!, specialties include sex/intimacy, infidelity recovery, infertility, Surrogacy/Adoption, life transitions/personal growth, men's issues, and sexual minorities' concerns. My approach is solution focused, varied and includes a strength based perspective. Narrative therapy, CBT and interpersonal methods are often used.
(603) 239-2119 View (603) 239-2119
Amanda deWildt
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Portsmouth, NH 03801
If you are a first responder or work in a high stress job that is affecting your personal or family life there is help to manage those symptoms and situations in order to enjoy life again. If you are diagnosed with PTSD there are ways to help manage and cope with those symptoms. It is my goal to help individuals and families reduce conflict, improve communication, and develop healthier relationships.
If you are a first responder or work in a high stress job that is affecting your personal or family life there is help to manage those symptoms and situations in order to enjoy life again. If you are diagnosed with PTSD there are ways to help manage and cope with those symptoms. It is my goal to help individuals and families reduce conflict, improve communication, and develop healthier relationships.
(603) 941-4338 View (603) 941-4338
Photo of Sheila Jenkins, Drug & Alcohol Counselor in Portsmouth, NH
Sheila Jenkins
Drug & Alcohol Counselor, MS, MLADC
Verified Verified
Portsmouth, NH 03802
I provide counseling to individuals on a variety of issues including depression/anxiety,anger management, substance abuse, addiction, compulsive behaviors,and stress management. Counseling sessions are tailored to your goals: either short-term, focusing on a specific issue, or longer-term, addressing ongoing personal growth. If you are looking for ways to gain a better understanding of yourself, change old behavior patterns, learn new ways to cope with stress then counseling can help you. What you can expect from counseling is compassion, and understanding, new perspectives on negative feelings and behaviors, and strategies for creating positive changes in your life.
I provide counseling to individuals on a variety of issues including depression/anxiety,anger management, substance abuse, addiction, compulsive behaviors,and stress management. Counseling sessions are tailored to your goals: either short-term, focusing on a specific issue, or longer-term, addressing ongoing personal growth. If you are looking for ways to gain a better understanding of yourself, change old behavior patterns, learn new ways to cope with stress then counseling can help you. What you can expect from counseling is compassion, and understanding, new perspectives on negative feelings and behaviors, and strategies for creating positive changes in your life.
(603) 244-3939 View (603) 244-3939
Photo of Alan Nemetz, Psychologist in Portsmouth, NH
Alan Nemetz
Psychologist, PhD
Verified Verified
Portsmouth, NH 03801
It is a privilege to introduce myself to you. I am a Licensed Psychologist located in Portsmouth, New Hampshire with more than 30 years of clinical experience in private practice, outpatient clinic, and inpatient settings. My clinical interests include mind-body medicine, health psychology, and optimal performance. I would describe myself as compassionate and thoughtful, with a good sense of humor.
It is a privilege to introduce myself to you. I am a Licensed Psychologist located in Portsmouth, New Hampshire with more than 30 years of clinical experience in private practice, outpatient clinic, and inpatient settings. My clinical interests include mind-body medicine, health psychology, and optimal performance. I would describe myself as compassionate and thoughtful, with a good sense of humor.
(603) 502-1217 View (603) 502-1217
Photo of Kim Cote, Pre-Licensed Professional in Portsmouth, NH
Kim Cote
Pre-Licensed Professional, MA
Verified Verified
Portsmouth, NH 03801
Accepting new In-person and Telehealth Clients at Mending Minds Counseling PLLC in Portsmouth, NH. I am a pre-licensed Clinical Mental Health therapist with several years of experience facilitating growth in adults, children and families seeking support for a variety of mental health issues. My experience is as follows but is not limited too; stress management, Anxiety, Depression, Mood Disorders, Eating Disorders, OCD and Behavioral Disorders. I can assist individuals in identifying their problem(s) and working towards solutions to help live a more fulfilling and manageable life.
Accepting new In-person and Telehealth Clients at Mending Minds Counseling PLLC in Portsmouth, NH. I am a pre-licensed Clinical Mental Health therapist with several years of experience facilitating growth in adults, children and families seeking support for a variety of mental health issues. My experience is as follows but is not limited too; stress management, Anxiety, Depression, Mood Disorders, Eating Disorders, OCD and Behavioral Disorders. I can assist individuals in identifying their problem(s) and working towards solutions to help live a more fulfilling and manageable life.
(833) 358-0469 View (833) 358-0469
Photo of New England Anger Management - Rev. Philip Meher , Counselor in Portsmouth, NH
New England Anger Management - Rev. Philip Meher
Counselor, MA, MEd, LCMHC, CAMT
Verified Verified
Portsmouth, NH 03802
As a clinical mental health professional, an Army Family Life Chaplain, VA therapist, and also a Christian ordained pastoral counselor (of 30+ years) I assist individuals in the community struggling with issues related to anxiety, depression, anger, grief, and trauma (PTSD). In addition to this I do marriage/couples therapy, pre-marital counseling, and spiritual/faith related counseling.
As a clinical mental health professional, an Army Family Life Chaplain, VA therapist, and also a Christian ordained pastoral counselor (of 30+ years) I assist individuals in the community struggling with issues related to anxiety, depression, anger, grief, and trauma (PTSD). In addition to this I do marriage/couples therapy, pre-marital counseling, and spiritual/faith related counseling.
(603) 736-7017 View (603) 736-7017
Photo of Kate Lemire, Clinical Social Work/Therapist in Portsmouth, NH
Kate Lemire
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
Portsmouth, NH 03801
Currently accepting new clients! Life has a way of throwing bumps at us, and oftentimes, these bumps have the ability to negatively impact our mental health. My primary goal is to build trust and safety so that I can support you, your child, or your family as you navigate these obstacles in a safe space.
Currently accepting new clients! Life has a way of throwing bumps at us, and oftentimes, these bumps have the ability to negatively impact our mental health. My primary goal is to build trust and safety so that I can support you, your child, or your family as you navigate these obstacles in a safe space.
(833) 657-0325 View (833) 657-0325
Photo of Peg Correia, Drug & Alcohol Counselor in Portsmouth, NH
Peg Correia
Drug & Alcohol Counselor, MEd, MLADC, CCFC, CCDVC
Verified Verified
Portsmouth, NH 03801
Waitlist for new clients
Offering EMDR therapy in person or online. Ketamine Assisted Therapy in person. I am an EMDR therapist who specializes in working with clients who are struggling with issues such as trauma (sexual abuse, family violence, combat trauma, accidents, natural disasters), attachment and/or addiction. I am an EMDRIA Approved Consultant. I provide groups and individual services for therapists wanting to enhance their EMDR therapy practice both on-line and in person. Other areas of expertise include Substance Use Disorders.
Offering EMDR therapy in person or online. Ketamine Assisted Therapy in person. I am an EMDR therapist who specializes in working with clients who are struggling with issues such as trauma (sexual abuse, family violence, combat trauma, accidents, natural disasters), attachment and/or addiction. I am an EMDRIA Approved Consultant. I provide groups and individual services for therapists wanting to enhance their EMDR therapy practice both on-line and in person. Other areas of expertise include Substance Use Disorders.
(603) 718-3945 View (603) 718-3945
Photo of Joanne Lindbom, Clinical Social Work/Therapist in Portsmouth, NH
Joanne Lindbom
Clinical Social Work/Therapist, LICSW, ACSW
Verified Verified
Portsmouth, NH 03801
I believe that when people feel understood, they have the best opportunity to successfully address life's challenges. Finding a therapist with whom you can talk honestly--one who can help you find the words to explain your feelings--can be life-changing. Creating a trusted relationship with a therapist can be the first step in developing the tools to live a life that feels richer and more authentic.
I believe that when people feel understood, they have the best opportunity to successfully address life's challenges. Finding a therapist with whom you can talk honestly--one who can help you find the words to explain your feelings--can be life-changing. Creating a trusted relationship with a therapist can be the first step in developing the tools to live a life that feels richer and more authentic.
(603) 433-7291 View (603) 433-7291
Photo of Brad Lebo, Psychologist in Portsmouth, NH
Brad Lebo
Psychologist, PhD
Verified Verified
1 Endorsed
Portsmouth, NH 03801
The people who like to work with me are facing challenges in their work or personal lives including, self-inflicted stress, relationship or peer conflict, and accepting a loss (or multiple losses). They appreciate a cognitive or thinking approach to their challenges and appreciate learning skills that they can use to reduce their distress. They may have sought treatment elsewhere for anxiety or depression, and it's not unusual that the challenges they face are either going home with them or making their way into their work.
The people who like to work with me are facing challenges in their work or personal lives including, self-inflicted stress, relationship or peer conflict, and accepting a loss (or multiple losses). They appreciate a cognitive or thinking approach to their challenges and appreciate learning skills that they can use to reduce their distress. They may have sought treatment elsewhere for anxiety or depression, and it's not unusual that the challenges they face are either going home with them or making their way into their work.
(603) 803-6534 View (603) 803-6534
Photo of Julia E Ovalle, Clinical Social Work/Therapist in Portsmouth, NH
Julia E Ovalle
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Portsmouth, NH 03801  (Online Only)
My view of therapy is an opportunity to engage in a collaborative process by which the therapist and client work together towards enriching lifestyle, and enhancing overall well-being. Additional treatment modalities I draw from include cognitive-behavioral therapy techniques aimed to help reframe and replace negative thought patterns leading to healthier responses in challenging situations. Furthermore, I work from a strengths based perspective that amplifies each individual's unique qualities through the process of self-discovery, healing, acceptance and forgiveness of self and others.
My view of therapy is an opportunity to engage in a collaborative process by which the therapist and client work together towards enriching lifestyle, and enhancing overall well-being. Additional treatment modalities I draw from include cognitive-behavioral therapy techniques aimed to help reframe and replace negative thought patterns leading to healthier responses in challenging situations. Furthermore, I work from a strengths based perspective that amplifies each individual's unique qualities through the process of self-discovery, healing, acceptance and forgiveness of self and others.
(603) 732-9256 View (603) 732-9256
Photo of William B Gunn, Psychologist in Portsmouth, NH
William B Gunn
Psychologist, PhD
Verified Verified
1 Endorsed
Portsmouth, NH 03801
I work with individuals and couples who are in distress and want to develop a "better self" in their work lives, their relationships, and in their view of themselves. I believe we all have the ability to heal ourselves from painful circumstances. As a therapist I work to co-create a safe environment and relationship in which clients can explore difficult topics and create meaningful change.
I work with individuals and couples who are in distress and want to develop a "better self" in their work lives, their relationships, and in their view of themselves. I believe we all have the ability to heal ourselves from painful circumstances. As a therapist I work to co-create a safe environment and relationship in which clients can explore difficult topics and create meaningful change.
(978) 712-9155 View (978) 712-9155
Photo of Jennifer L Gray, Psychologist in Portsmouth, NH
Jennifer L Gray
Psychologist, PsyD
Verified Verified
Portsmouth, NH 03801
Welcome! I am a licensed clinical psychologist with 17+ years of experience providing assessment and therapy to adolescents, young adults, and families who are seeking to process and heal from a variety of issues including: depression, anxiety, anger, suicide/self-harm, trauma, impulsivity, gender identity issues, and problematic sexual behavior. Adolescence is a period of significant development that presents major social and emotional challenges. My goal is to provide a nurturing and accepting environment where clients can grow to appreciate the therapeutic process and learn new skills necessary to reach their identified goals.
Welcome! I am a licensed clinical psychologist with 17+ years of experience providing assessment and therapy to adolescents, young adults, and families who are seeking to process and heal from a variety of issues including: depression, anxiety, anger, suicide/self-harm, trauma, impulsivity, gender identity issues, and problematic sexual behavior. Adolescence is a period of significant development that presents major social and emotional challenges. My goal is to provide a nurturing and accepting environment where clients can grow to appreciate the therapeutic process and learn new skills necessary to reach their identified goals.
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How does your Therapist compare?

Number of Therapists in Portsmouth, NH

300+

Average cost per session

$150

Therapists in Portsmouth, NH who prioritize treating:

94% Anxiety
85% Depression
79% Relationship Issues
75% Self Esteem
69% Coping Skills
64% Stress
62% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

64% BlueCross and BlueShield
59% UnitedHealthcare UHC | UBH
58% Anthem | Elevance

How Therapists in Portsmouth, NH see their clients

69% In Person and Online
31% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portsmouth?

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.