Therapists in Paramus, NJ
Counseling With A Difference, LLC
Licensed Professional Counselor, MEd, LPC, NCC, CTS
Verified Verified
Paramus, NJ 07652
If you are looking for effective solution-focused online therapy then we are the people for you. Our boutique client-centered practice is small enough to take care of your needs and give you a seamless experience and large enough to treat almost all of your concerns. Our clients attest to the effectiveness of online therapy in healing and overcoming life’s challenges. All from the comfort of your own space.
If you are looking for effective solution-focused online therapy then we are the people for you. Our boutique client-centered practice is small enough to take care of your needs and give you a seamless experience and large enough to treat almost all of your concerns. Our clients attest to the effectiveness of online therapy in healing and overcoming life’s challenges. All from the comfort of your own space.
Jesenia Vergel
Licensed Professional Counselor, LPC
Verified Verified
Paramus, NJ 07652
Jesenia Vergel is a Licensed Professional Counselor in New Jersey with 27 years of experience. She has a Bachelor of Arts in Biology from New York University, a Master of Arts in Counseling Psychology from Montclair State University, and a Post-Masters from New Jersey City University.
Jesenia Vergel is a Licensed Professional Counselor in New Jersey with 27 years of experience. She has a Bachelor of Arts in Biology from New York University, a Master of Arts in Counseling Psychology from Montclair State University, and a Post-Masters from New Jersey City University.
Dr. Imran Rasid-Depression and Anxiety Therapist
NLP , MD, PhD, AW, CHT
Verified Verified
1 Endorsed
Paramus, NJ 07652
I am a depression and anxiety therapist in New Jersey. I am dedicated to providing personalized care that addresses the needs of my patients and aims to create a therapeutic environment that is supportive and comfortable. Furthermore, I am committed to providing the best care possible for each of my patients and strive to create a healing and supportive environment. As a result, many of my patients have referred friends and family members to me, which is an additional testament to my excellence.
I am a depression and anxiety therapist in New Jersey. I am dedicated to providing personalized care that addresses the needs of my patients and aims to create a therapeutic environment that is supportive and comfortable. Furthermore, I am committed to providing the best care possible for each of my patients and strive to create a healing and supportive environment. As a result, many of my patients have referred friends and family members to me, which is an additional testament to my excellence.
Family Psychiatry and Therapy
Clinical Social Work/Therapist, LCSW
Not Verified Not Verified
Paramus, NJ 07652
Adolescence and young adulthood can be both the most exciting and trying time in one's life. Having a therapist to help navigate through those times can make all the difference in how one copes and moves forward. I strive to create a safe, supportive, engaging, and nurturing environment for each client. My clinical experience includes a specialization in the areas of eating disorders, self harm behaviors, and addiction, as well as the treatment of adolescents and adults who present with a range of issues such as, anxiety, mood disorders, family conflict, impulsivity, and difficult life transitions.
Adolescence and young adulthood can be both the most exciting and trying time in one's life. Having a therapist to help navigate through those times can make all the difference in how one copes and moves forward. I strive to create a safe, supportive, engaging, and nurturing environment for each client. My clinical experience includes a specialization in the areas of eating disorders, self harm behaviors, and addiction, as well as the treatment of adolescents and adults who present with a range of issues such as, anxiety, mood disorders, family conflict, impulsivity, and difficult life transitions.
Arista Psychological & Psychiatric Services
Psychologist, PhD, ABPP, APRN, BC
Verified Verified
Paramus, NJ 07652
ARISTA is a private mental health and chemical dependency practice which has been serving Manhattan and Bergen County, New Jersey, for over 25 years. Our health care professionals include licensed psychiatrists, psychologists, psychiatric nurse practitioners, clinical social workers, and counselors with expertise in marriage, family, adults, teens, children, hypnotherapy and addictions. Arista's warm, highly qualified psychotherapists will ensure that you receive individualized care in a comfortable, confidential setting. Our goal is to match you with a therapist who has achieved success with patients who have problems similar to yours.
ARISTA is a private mental health and chemical dependency practice which has been serving Manhattan and Bergen County, New Jersey, for over 25 years. Our health care professionals include licensed psychiatrists, psychologists, psychiatric nurse practitioners, clinical social workers, and counselors with expertise in marriage, family, adults, teens, children, hypnotherapy and addictions. Arista's warm, highly qualified psychotherapists will ensure that you receive individualized care in a comfortable, confidential setting. Our goal is to match you with a therapist who has achieved success with patients who have problems similar to yours.
Kristin Cote
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Paramus, NJ 07652 (Online Only)
Are you feeling overwhelmed by life’s challenges? Feeling at a loss as to how to manage so many emotions at once? Perhaps you are adjusting to an important transition, such as graduating, getting a new job, or moving. Maybe you have experienced life circumstances you did not foresee, such as loss of a loved-one. Sometimes we are not prepared for what life throws in our direction, which can lead us to feel anxious, isolated, insecure or depressed. Not a fun feeling, right? By coming to therapy, we can work on helping you feel more at ease with navigating these hardships. Asking for help is a sign of strength, not weakness.
Are you feeling overwhelmed by life’s challenges? Feeling at a loss as to how to manage so many emotions at once? Perhaps you are adjusting to an important transition, such as graduating, getting a new job, or moving. Maybe you have experienced life circumstances you did not foresee, such as loss of a loved-one. Sometimes we are not prepared for what life throws in our direction, which can lead us to feel anxious, isolated, insecure or depressed. Not a fun feeling, right? By coming to therapy, we can work on helping you feel more at ease with navigating these hardships. Asking for help is a sign of strength, not weakness.
Rebecca Dombrowsky-Henriquez
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Paramus, NJ 07652
In my twenty years of working in the mental health field, I've learned that it is not the situation that can render us helpless, but the meaning we create about the situation. The judgments we make about ourselves and others can make a situation worse, creating anxiety, depression, or undue stress. I specialize in providing therapeutic interventions to decrease self defeating patterns and negative self-talk. You will be engaged in a partnership as treatment goals are identified to personalize your care. I specialize in the following therapies: DBT, CBT, EMDR, Mindfulness Meditation, Hypnotherapy, and Imago Couple Therapy.
In my twenty years of working in the mental health field, I've learned that it is not the situation that can render us helpless, but the meaning we create about the situation. The judgments we make about ourselves and others can make a situation worse, creating anxiety, depression, or undue stress. I specialize in providing therapeutic interventions to decrease self defeating patterns and negative self-talk. You will be engaged in a partnership as treatment goals are identified to personalize your care. I specialize in the following therapies: DBT, CBT, EMDR, Mindfulness Meditation, Hypnotherapy, and Imago Couple Therapy.
Diante Jordan
Marriage & Family Therapist Associate, MEd, LAMFT
Verified Verified
Paramus, NJ 07652
Diante Jordan, is a licensed associate marriage and family therapist (LAMFT) in New Jersey. He has experience working with children, adolescents and adults from a variety of populations and settings. Diante operates from the point of view that the client is the expert on themselves and through collaboration can overcome their personal challenges and become empowered to continue growing.
Diante Jordan, is a licensed associate marriage and family therapist (LAMFT) in New Jersey. He has experience working with children, adolescents and adults from a variety of populations and settings. Diante operates from the point of view that the client is the expert on themselves and through collaboration can overcome their personal challenges and become empowered to continue growing.
Sheila Berard
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Paramus, NJ 07652
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. As a solution-focused therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
Today you are one step closer to a new you where you feel empowered and on a positive path to growth and well-being. As a solution-focused therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
Christopher Guico
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Paramus, NJ 07652
Whether it's for navigating a difficult time in your life, struggling to achieve your goals, or even feeling overwhelmed by current events, everyone needs support. The type of support I provide combines motivational interviewing, psychodynamic, and cognitive behavioral therapies filtered through a trauma-informed, feminist, anti-oppression, and empowerment lens. In my practice, I strive to create a safe space that is culturally-sensitive and is affirming of all identities and spiritual paths, with a special interest in the LGBTQIA+ and BIPOC communities, as well as adolescents.
Whether it's for navigating a difficult time in your life, struggling to achieve your goals, or even feeling overwhelmed by current events, everyone needs support. The type of support I provide combines motivational interviewing, psychodynamic, and cognitive behavioral therapies filtered through a trauma-informed, feminist, anti-oppression, and empowerment lens. In my practice, I strive to create a safe space that is culturally-sensitive and is affirming of all identities and spiritual paths, with a special interest in the LGBTQIA+ and BIPOC communities, as well as adolescents.
Chris Buro
Licensed Professional Counselor, LPC
Verified Verified
Paramus, NJ 07652
Chris obtained his Master's Degree in Counseling with a concentration in Mental Health Counseling from Montclair State University. He is a Licensed Professional Counselor in the State of New Jersey as well as a National Certified Counselor. Chris has been working in the mental health field for the last 14 years with experience in individual, couples, substance use, and group treatment in a variety of settings which include outpatient and residential programs. The approach Chris takes in his treatment involves building a working relationship with clients to enable trust between client and counselor.
Chris obtained his Master's Degree in Counseling with a concentration in Mental Health Counseling from Montclair State University. He is a Licensed Professional Counselor in the State of New Jersey as well as a National Certified Counselor. Chris has been working in the mental health field for the last 14 years with experience in individual, couples, substance use, and group treatment in a variety of settings which include outpatient and residential programs. The approach Chris takes in his treatment involves building a working relationship with clients to enable trust between client and counselor.
15 Second Videos
Counseling With A Difference, LLC
Dr. Imran Rasid-Depression and Anxiety Therapist
Sheila Berard
Brendan Guarino
Healthy Expressions
Abby Emmert
Joe Galasso
Alicia Joel
Carrie Ditzel
Desirae Harden
Valerie Uehlinger
Baker Street Behavioral Health
Rebekah Thompson
Bridget Anton
Love Light Mental Health Counseling Services, PLLC
Mars & Venus Counseling Center
Daria Luongo
Julie B Stewart
Advanced Psychological Specialists, LLC
Melissa L Donahue
Mars & Venus Counseling Center
Michael Stern
Jay Paul Granat
Leidy Quispe
Mary J Jose
Daniel McDonald
Kelly Nilsen
Nancy Joi Frankel
Jonathan D Friedman
Cara Capasso-Murray
Heidi D Cosmi-Godau
Matthew Francisco
Dr. Mitch and Lisa Marriages/Couples Workshops
Holly Richmond
Jennifer Lamaj
Hudson Valley Mental Health Counseling, PLLC
Jeffrey Ly I Porn Addiction Relationship
Melissa McLean
Joslyn Camilo
Licensed Social Worker , LSW
Verified Verified
Paramus, NJ 07652
My treatment focuses on compassion and cultural awareness in the realm of mental health. With unwavering dedication, I extend my compassionate hand to guide you through life's intricate challenges. My heart is a sanctuary for fostering genuine connections, where empathy and understanding are the cornerstones of my therapeutic approach.
My treatment focuses on compassion and cultural awareness in the realm of mental health. With unwavering dedication, I extend my compassionate hand to guide you through life's intricate challenges. My heart is a sanctuary for fostering genuine connections, where empathy and understanding are the cornerstones of my therapeutic approach.
Kit Margeotes
Licensed Social Worker , LSW
Verified Verified
1 Endorsed
Paramus, NJ 07652
In my therapeutic approach, I blend compassion with a focus on recovery. I incorporate cognitive-behavioral techniques and psychoanalysis to help clients effectively manage their present circumstances while delving into the roots of potential issues. My philosophy centers on empowering and validating clients, creating a therapeutic sanctuary where individuals can freely explore their vulnerabilities. I also place great emphasis on connecting with clients through their passions, recognizing the transformative potential of shared interests in the therapeutic process.
In my therapeutic approach, I blend compassion with a focus on recovery. I incorporate cognitive-behavioral techniques and psychoanalysis to help clients effectively manage their present circumstances while delving into the roots of potential issues. My philosophy centers on empowering and validating clients, creating a therapeutic sanctuary where individuals can freely explore their vulnerabilities. I also place great emphasis on connecting with clients through their passions, recognizing the transformative potential of shared interests in the therapeutic process.
Alicia Belmonte
Licensed Professional Counselor, LPC
Verified Verified
Paramus, NJ 07652
Alicia Belmonte is a Licensed Professional Counselor in New Jersey who has been practicing since 2017. She has a Bachelor of Arts in Psychology from UDELAR in Uruguay and a Master of Art in Counselor Education from Kean University. Alicia believes in a client centered philosophy where she meets the client where they are and establishes a trusting relationship with them. She feels that aligning the client's view of the problem with a sound diagnostic criterium is important not only for reimbursement purposes, but also to choose the appropriate theoretical framework and the right techniques or tools to use in the therapeutic process.
Alicia Belmonte is a Licensed Professional Counselor in New Jersey who has been practicing since 2017. She has a Bachelor of Arts in Psychology from UDELAR in Uruguay and a Master of Art in Counselor Education from Kean University. Alicia believes in a client centered philosophy where she meets the client where they are and establishes a trusting relationship with them. She feels that aligning the client's view of the problem with a sound diagnostic criterium is important not only for reimbursement purposes, but also to choose the appropriate theoretical framework and the right techniques or tools to use in the therapeutic process.
Lauren McCarthy
Licensed Professional Counselor, LPC, MS
Verified Verified
Paramus, NJ 07652
Is this your first time seeking therapy? Or do you have previous experience working with a therapist? Either way, I want to warmly invite you into a safe space to explore whatever is bringing you to therapy and to work toward bettering your mental health. In our work together we could tackle issues related to life transitions, relationships, building self-esteem, learning tools to better manage stress, anxiety, or depression. I have experience working with various mental health diagnoses and age groups including children, adolescents, and adults. I also work with LGBTQ+ individuals and provide care that is gender affirming.
Is this your first time seeking therapy? Or do you have previous experience working with a therapist? Either way, I want to warmly invite you into a safe space to explore whatever is bringing you to therapy and to work toward bettering your mental health. In our work together we could tackle issues related to life transitions, relationships, building self-esteem, learning tools to better manage stress, anxiety, or depression. I have experience working with various mental health diagnoses and age groups including children, adolescents, and adults. I also work with LGBTQ+ individuals and provide care that is gender affirming.
Prof. Robert E. Douglas II
Marriage & Family Therapist Associate, MACLP, LAMFT, LAPC, CLC
Verified Verified
Paramus, NJ 07653
Robert takes the approach that all individuals and family systems are unique and should create a “space” that encompasses all of the salient components in their lives. Life has peaks and valleys and there is no one size fits all approach to therapy. Creating a safe, respectful therapeutic environment is his goal. He takes and eclectic approach and individualizes the interventions and treatment plans for the clients and families needs. He works with clients regarding family satisfaction, couples’ satisfaction, depression, anxiety, stress, grief and other psychological impairing issues.
Robert takes the approach that all individuals and family systems are unique and should create a “space” that encompasses all of the salient components in their lives. Life has peaks and valleys and there is no one size fits all approach to therapy. Creating a safe, respectful therapeutic environment is his goal. He takes and eclectic approach and individualizes the interventions and treatment plans for the clients and families needs. He works with clients regarding family satisfaction, couples’ satisfaction, depression, anxiety, stress, grief and other psychological impairing issues.
Nadine Abdelaziz
Counselor, LAC
Verified Verified
Paramus, NJ 07652
Nadine Abdelaziz is a Licensed Associate Counselor and Certified Clinical Trauma Professional in New Jersey who Joined Lifestance in 2024. She has a Masters in Clinical Mental Health Counseling, a Masters in Criminal Justice, and a Bachelor’s in Psychology. Through her clinical experience and education, Nadine has learned many skills that will help her aid the client on their journey. She offers patience, understanding, empathy and compassion. Outside of work, Nadine enjoys reading psychological thrillers, engaging in pyrography, and enjoying the sport of fencing.
Nadine Abdelaziz is a Licensed Associate Counselor and Certified Clinical Trauma Professional in New Jersey who Joined Lifestance in 2024. She has a Masters in Clinical Mental Health Counseling, a Masters in Criminal Justice, and a Bachelor’s in Psychology. Through her clinical experience and education, Nadine has learned many skills that will help her aid the client on their journey. She offers patience, understanding, empathy and compassion. Outside of work, Nadine enjoys reading psychological thrillers, engaging in pyrography, and enjoying the sport of fencing.
Fanta Keita
Clinical Social Work/Therapist, LMSW
Verified Verified
Paramus, NJ 07652 (Online Only)
Fanta Keita is a Licensed Master Social Worker with a background in Clinical Social Work and Psychology. Through studying the human mind and behavior as a student and gaining experience working in the mental health field, Fanta has learned the importance of taking care of one’s mental health. She is passionate about de-stigmatizing therapy in all communitieand advocating to not neglect mental wellness. As humans, there are times when we need support and someone to confide in. Family and friends may not always understand or offer the help you need. Fanta believes you should never feel alone or have to deal with struggles on your own.
Fanta Keita is a Licensed Master Social Worker with a background in Clinical Social Work and Psychology. Through studying the human mind and behavior as a student and gaining experience working in the mental health field, Fanta has learned the importance of taking care of one’s mental health. She is passionate about de-stigmatizing therapy in all communitieand advocating to not neglect mental wellness. As humans, there are times when we need support and someone to confide in. Family and friends may not always understand or offer the help you need. Fanta believes you should never feel alone or have to deal with struggles on your own.
Elina Polyakov
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Paramus, NJ 07652 (Online Only)
Ever wish you could forget your worries about the past and anxieties about the future, even just for one evening, to find fulfillment in your relationships and feel at peace in your life? What if, instead of feeling overwhelmed by your daily commitments, you could feel on top of things? Instead of feeling dissatisfied with your relationships, you could finally feel connected? What if you could wake up feeling refreshed, not exhausted? What if you could actually do the self-care you always hear about?
Ever wish you could forget your worries about the past and anxieties about the future, even just for one evening, to find fulfillment in your relationships and feel at peace in your life? What if, instead of feeling overwhelmed by your daily commitments, you could feel on top of things? Instead of feeling dissatisfied with your relationships, you could finally feel connected? What if you could wake up feeling refreshed, not exhausted? What if you could actually do the self-care you always hear about?
Sarah Merza
Counselor, LAC
Verified Verified
Paramus, NJ 07652 (Online Only)
Sarah Merza is a Licensed Associate Counselor and Nationally Certified Counselor. Sarah received her M.S. in Clinical Mental Health Counseling from Walden University and a B.A. in psychology from the Ohio State University. In her free time, she enjoys exercising, unwinding to any number of shows on Netflix, and reading the occassional mystery novel. Sarah has experience working with older adults, young adults, and teenagers who struggle with mental health diagnoses.
Sarah Merza is a Licensed Associate Counselor and Nationally Certified Counselor. Sarah received her M.S. in Clinical Mental Health Counseling from Walden University and a B.A. in psychology from the Ohio State University. In her free time, she enjoys exercising, unwinding to any number of shows on Netflix, and reading the occassional mystery novel. Sarah has experience working with older adults, young adults, and teenagers who struggle with mental health diagnoses.
See more therapy options for Paramus
How does your Therapist compare?
Number of Therapists in Paramus, NJ
300+
Average cost per session
$175
Therapists in Paramus, NJ who prioritize treating:
92% | Anxiety |
89% | Depression |
77% | Relationship Issues |
73% | Self Esteem |
66% | Coping Skills |
63% | Trauma and PTSD |
61% | Stress |
Average years in practice
13 Years
Top 3 insurances accepted
65% | Aetna |
50% | UnitedHealthcare UHC | UBH |
48% | Cigna and Evernorth |
How Therapists in Paramus, NJ see their clients
73% | In Person and Online | |
27% | Online Only |
Gender breakdown
79% | Female | |
21% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Paramus?
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
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.
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.
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.