Therapists in Albany County, NY

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Photo of Aneesha Khan Baloch, Pre-Licensed Professional, MHC-LP
Aneesha Khan Baloch
Pre-Licensed Professional, MHC-LP
Albany, NY 12205
Therapy can be both an enriching yet vulnerable experience. Coming into therapy is a big step and it can be an excellent resource to discover new facets of oneself and how to navigate around them. Whether it be emotional, behavioral, relationships, or overall life situations, I’m here to offer you the support and tools needed to process and heal. My approach in particular is person centered with an emphasis on positive regard and compassion. In addition, utilizing elements of humor, genuineness, and a sense of hopefulness.
Therapy can be both an enriching yet vulnerable experience. Coming into therapy is a big step and it can be an excellent resource to discover new facets of oneself and how to navigate around them. Whether it be emotional, behavioral, relationships, or overall life situations, I’m here to offer you the support and tools needed to process and heal. My approach in particular is person centered with an emphasis on positive regard and compassion. In addition, utilizing elements of humor, genuineness, and a sense of hopefulness.
(518) 897-3745 View (518) 897-3745
Photo of James Falduti - James Falduti, LCSW, PLLC, Clinical Social Work/Therapist, LCSW-R
James Falduti, LCSW, PLLC
Clinical Social Work/Therapist, LCSW-R
4 Endorsed
Selkirk, NY 12158
Whether you need treatment for a mood disorder or practical tools to improve your life and relationships, I will patiently listen and compassionately guide you. My clients are challenged by depression, anxiety, trauma, grief, chronic illness, and/or conflicted relationships. They seek to improve their communication with others, to have more confidence and clarity, and be free of shame and painful memories. After over 40 years counseling others, first as a pastoral minister and then as a psychotherapist since 2001, I've learned that empathic listening and non-judgmental support is the key to helping and healing.
Whether you need treatment for a mood disorder or practical tools to improve your life and relationships, I will patiently listen and compassionately guide you. My clients are challenged by depression, anxiety, trauma, grief, chronic illness, and/or conflicted relationships. They seek to improve their communication with others, to have more confidence and clarity, and be free of shame and painful memories. After over 40 years counseling others, first as a pastoral minister and then as a psychotherapist since 2001, I've learned that empathic listening and non-judgmental support is the key to helping and healing.
(518) 662-1489 View (518) 662-1489
Photo of Epiphany McGee, Clinical Social Work/Therapist, LCSW
Epiphany McGee
Clinical Social Work/Therapist, LCSW
Online Only
I work with adults and young adults who find themselves at a point where something just has to give. Whether you are navigating work struggles, interpersonal relationships, or just the thoughts in your own head, I’ll work with you, at your pace, to build a plan that helps you to feel more empowered and in control. We will focus on how your experiences shape how you view, think about, and navigate the world and how addressing your own beliefs and perceptions can create meaningful and lasting change in your life.
I work with adults and young adults who find themselves at a point where something just has to give. Whether you are navigating work struggles, interpersonal relationships, or just the thoughts in your own head, I’ll work with you, at your pace, to build a plan that helps you to feel more empowered and in control. We will focus on how your experiences shape how you view, think about, and navigate the world and how addressing your own beliefs and perceptions can create meaningful and lasting change in your life.
(646) 437-8519 View (646) 437-8519
Photo of Emily Joseph, Clinical Social Work/Therapist, LCSW
Emily Joseph
Clinical Social Work/Therapist, LCSW
Albany, NY 12205
Are you contemplating a big change in your life? I'm talking a career shift, relationship re-evaluation, the transition to new parenthood, and beyond. Choices that alter the trajectory of your life path. Maybe you want to make a change, but you don't even know what that looks like yet. It's normal to feel helpless and stuck before, during, and after these huge transitions. If this sounds like you, you've come to the right place. If you want a therapist who's been there, who really hears you and offers helpful insights, and you are ready to finally prioritize yourself and leave sessions feeling clearer, look no further.
Are you contemplating a big change in your life? I'm talking a career shift, relationship re-evaluation, the transition to new parenthood, and beyond. Choices that alter the trajectory of your life path. Maybe you want to make a change, but you don't even know what that looks like yet. It's normal to feel helpless and stuck before, during, and after these huge transitions. If this sounds like you, you've come to the right place. If you want a therapist who's been there, who really hears you and offers helpful insights, and you are ready to finally prioritize yourself and leave sessions feeling clearer, look no further.
(518) 282-0712 View (518) 282-0712
Photo of Cailin LeBarron, Clinical Social Work/Therapist, LCSW-R, CIMHP
Cailin LeBarron
Clinical Social Work/Therapist, LCSW-R, CIMHP
Online Only
Cailin is a Registered Licensed Clinical Social Worker & Certified Integrative Mental Health Professional (CIMHP) with 10 years of experience treating a variety of mental health and trauma-related disorders. She supports her clients as they navigate various challenges, including transitions, complex family dynamics, women's issues, and finding purpose and direction in life. Cailin has experience in assisting survivors of sexual abuse and domestic violence, as well as parents and caregivers. Cailin draws from a holistic approach-connecting nutrition, mental health & whole body wellness. She is accepting new clients via telehealth.
Cailin is a Registered Licensed Clinical Social Worker & Certified Integrative Mental Health Professional (CIMHP) with 10 years of experience treating a variety of mental health and trauma-related disorders. She supports her clients as they navigate various challenges, including transitions, complex family dynamics, women's issues, and finding purpose and direction in life. Cailin has experience in assisting survivors of sexual abuse and domestic violence, as well as parents and caregivers. Cailin draws from a holistic approach-connecting nutrition, mental health & whole body wellness. She is accepting new clients via telehealth.
(518) 632-7340 View (518) 632-7340
Photo of Paroda Loy DeCavallas, MS, LMHC
Paroda Loy DeCavallas
Verified Verified
Online Only
I am licensed in New York with over 10 years of professional experience. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. I like to start with the main reason the client is seeking therapy, any previous therapy experiences and any specific needs. People seek therapy for many reasons. Sometimes a specific situation or life event or a new/ongoing mental health condition. Even the desire to learn, grow and explore the self, with a trusted guide. I encourage clients to set goals they are comfortable with and assist with steps to reach these goals.
I am licensed in New York with over 10 years of professional experience. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. I like to start with the main reason the client is seeking therapy, any previous therapy experiences and any specific needs. People seek therapy for many reasons. Sometimes a specific situation or life event or a new/ongoing mental health condition. Even the desire to learn, grow and explore the self, with a trusted guide. I encourage clients to set goals they are comfortable with and assist with steps to reach these goals.
(518) 400-5073 View (518) 400-5073
Photo of Blake Hotopp, Pre-Licensed Professional, MHC-LP
Blake Hotopp
Pre-Licensed Professional, MHC-LP
Latham, NY 12110
We do the best we can with what we’re given, yet sometimes we need additional support to address life's challenges and grow through them. I believe in the importance of building a trusting therapeutic relationship with each client to guide and support them in making desired changes in their lives. I have significant experience working with clients across the lifespan from childhood through late adulthood. I utilize an active, collaborative approach and evidence-based treatment to meet your clinical needs. Whether you have been to therapy before or you are new to the therapeutic process, I am here to help.
We do the best we can with what we’re given, yet sometimes we need additional support to address life's challenges and grow through them. I believe in the importance of building a trusting therapeutic relationship with each client to guide and support them in making desired changes in their lives. I have significant experience working with clients across the lifespan from childhood through late adulthood. I utilize an active, collaborative approach and evidence-based treatment to meet your clinical needs. Whether you have been to therapy before or you are new to the therapeutic process, I am here to help.
(518) 634-6662 View (518) 634-6662
Photo of Ellen Handler-Singleton, Clinical Social Work/Therapist, LCSW-R
Ellen Handler-Singleton
Clinical Social Work/Therapist, LCSW-R
Online Only
As an experienced clinician I understand that most clients want a therapist with compassion but also one that has the skills and expertise to assist you to overcome patterns of behavior and thinking that hold you back or make you feel stuck in life and drain you of energy. To achieve your goals we create an individualized approach that builds upon the strengths you already have and assist you to learn new ones. This is a collaborative process based on understanding your history and how it has shaped you. which provides a new path to pausing with your automatics so you have choice to pick a different path.
As an experienced clinician I understand that most clients want a therapist with compassion but also one that has the skills and expertise to assist you to overcome patterns of behavior and thinking that hold you back or make you feel stuck in life and drain you of energy. To achieve your goals we create an individualized approach that builds upon the strengths you already have and assist you to learn new ones. This is a collaborative process based on understanding your history and how it has shaped you. which provides a new path to pausing with your automatics so you have choice to pick a different path.
(518) 620-1944 View (518) 620-1944
Photo of Chet Lesniak, Psychologist, PhD, PSYPACT
Chet Lesniak
Psychologist, PhD, PSYPACT
Online Only
Thank you for looking at my profile. I have the privilege of working with people from all walks of life, including other psychologists. I help them to navigate a wide range of mental health challenges, life transitions, and the everyday obstacles that get in the way of enjoying life and being happy. Many of the people I work with carry a great deal of stress, anxiety, loneliness, and fear. I offer a safe space to decompress. A place where you can talk about you, your problems, your relationships, and your most private and confidential thoughts and feelings.
Thank you for looking at my profile. I have the privilege of working with people from all walks of life, including other psychologists. I help them to navigate a wide range of mental health challenges, life transitions, and the everyday obstacles that get in the way of enjoying life and being happy. Many of the people I work with carry a great deal of stress, anxiety, loneliness, and fear. I offer a safe space to decompress. A place where you can talk about you, your problems, your relationships, and your most private and confidential thoughts and feelings.
(929) 475-0804 View (929) 475-0804
Photo of Sara Cunningham, Psychologist, PhD
Sara Cunningham
Psychologist, PhD
Albany, NY 12205
Waitlist for new clients
As a licensed counseling psychologist, I approach therapy through a strengths-based, culturally sensitive, and holistic lens. I enjoy working with a variety of populations and concerns. I specialize in providing neurodivergent affirming support to young adults/adults with ADHD, executive function concerns, and learning challenges. I also have expertise in supporting individuals through grief and bereavement.
As a licensed counseling psychologist, I approach therapy through a strengths-based, culturally sensitive, and holistic lens. I enjoy working with a variety of populations and concerns. I specialize in providing neurodivergent affirming support to young adults/adults with ADHD, executive function concerns, and learning challenges. I also have expertise in supporting individuals through grief and bereavement.
(518) 299-5390 View (518) 299-5390
Photo of Jennifer Stanley, Clinical Social Work/Therapist, LCSW
Jennifer Stanley
Clinical Social Work/Therapist, LCSW
Albany, NY 12203
Jennifer received her MSW from SUNY-Albany, and her BA in Creative Arts Therapy and Psychology from Russell Sage College. She has over 30 years experience providing services to individuals of all ages and backgrounds, in a wide variety of settings. Jennifer strives to work in close collaboration with each client, developing a solution-focused approach that acknowledges each person’s unique life experiences and goals for treatment.
Jennifer received her MSW from SUNY-Albany, and her BA in Creative Arts Therapy and Psychology from Russell Sage College. She has over 30 years experience providing services to individuals of all ages and backgrounds, in a wide variety of settings. Jennifer strives to work in close collaboration with each client, developing a solution-focused approach that acknowledges each person’s unique life experiences and goals for treatment.
(518) 639-6036 View (518) 639-6036
Photo of Wendy Ide Williams, Counselor, LMHCC, MS, MFA
Wendy Ide Williams
Counselor, LMHCC, MS, MFA
Ravena, NY 12143
I am focused on helping you find your strengths and your passion for life. My approach starts with connecting your concerns and goals with supportive and compassionate direction. I believe the therapeutic relationship can be meaningful as well as change oriented. I work with a variety of concerns which include trauma, anxiety, gender issues, family conflicts, and chronic illness and physical challenges. I specialize in helping those who can sometimes feel the stress of being outside the "norm" knowing that is a quality that defines only possibility.
I am focused on helping you find your strengths and your passion for life. My approach starts with connecting your concerns and goals with supportive and compassionate direction. I believe the therapeutic relationship can be meaningful as well as change oriented. I work with a variety of concerns which include trauma, anxiety, gender issues, family conflicts, and chronic illness and physical challenges. I specialize in helping those who can sometimes feel the stress of being outside the "norm" knowing that is a quality that defines only possibility.
(518) 839-2327 View (518) 839-2327
Photo of Ingrid Pipes, Licensed Mental Health Counselor, LMHC, LPC
Ingrid Pipes
Licensed Mental Health Counselor, LMHC, LPC
Albany, NY 12205
Waitlist for new clients
You contain multitudes and each part of you is allowed to take up space. For those facing big decisions, our space will be a journey of exploration towards your values. For those who feel burnt out and overwhelmed in their relationship, our space will be a protected hour that is focused on you and your partners needs. For those who feel pressure from their trauma, our space will be a soft place to land and learn what empowers you. For those who wonder about ADHD/AuDHD, our space will be an accommodating classroom open to possibility.
You contain multitudes and each part of you is allowed to take up space. For those facing big decisions, our space will be a journey of exploration towards your values. For those who feel burnt out and overwhelmed in their relationship, our space will be a protected hour that is focused on you and your partners needs. For those who feel pressure from their trauma, our space will be a soft place to land and learn what empowers you. For those who wonder about ADHD/AuDHD, our space will be an accommodating classroom open to possibility.
(518) 543-9826 View (518) 543-9826
Photo of Cashmere James, Mental Health Counselor, MS Ed, LMHC-D, NCC
Cashmere James
Mental Health Counselor, MS Ed, LMHC-D, NCC
Online Only
If you're feeling stuck, overwhelmed, or unsure of who you are or where you're going, you're not alone—and you don't have to figure it all out on your own. I have a great passion and significant experience in working with the BIPOC and LGBTQIA+ community. I am excited to meet clients who want to explore areas that hinder their growth, cloud insight and foster wholistic connections.
If you're feeling stuck, overwhelmed, or unsure of who you are or where you're going, you're not alone—and you don't have to figure it all out on your own. I have a great passion and significant experience in working with the BIPOC and LGBTQIA+ community. I am excited to meet clients who want to explore areas that hinder their growth, cloud insight and foster wholistic connections.
(929) 590-9935 View (929) 590-9935
Photo of Nicole Barrows, Counselor, LMHC
Nicole Barrows
Counselor, LMHC
Online Only
I specialize in Cognitive Behavioral Therapy (CBT), providing a supportive and client-centered approach tailored to each individual's unique needs. My goal is to create a warm, understanding, and nonjudgmental space where clients feel truly heard and supported in their journey toward growth and healing. Rooted in my strong value for family, I bring a deep sense of empathy and compassion to my work, helping clients navigate challenges and build meaningful connections in their lives. My approach to therapy begins with the client. I believe it is important to know and understand the client and meet them where they are.
I specialize in Cognitive Behavioral Therapy (CBT), providing a supportive and client-centered approach tailored to each individual's unique needs. My goal is to create a warm, understanding, and nonjudgmental space where clients feel truly heard and supported in their journey toward growth and healing. Rooted in my strong value for family, I bring a deep sense of empathy and compassion to my work, helping clients navigate challenges and build meaningful connections in their lives. My approach to therapy begins with the client. I believe it is important to know and understand the client and meet them where they are.
(518) 559-2191 View (518) 559-2191
Photo of Ava Jackson, Pre-Licensed Professional
Ava Jackson
Pre-Licensed Professional
Online Only
Not accepting new clients
Working as a compassionate and highly effective clinician committed to helping individuals and marriages/relationships overcome emotional challenges and enhance their mental well-being. As a clinician working under the supervision of Dr. Styles at Step by Step Mental Health, I specialize in psychotherapy for adults, adolescents, couples and families. My end goal is always to help you to become the BEST you. I provide a safe space that is non-judgmental where clients feel that their voice is heard and the clinician understands.
Working as a compassionate and highly effective clinician committed to helping individuals and marriages/relationships overcome emotional challenges and enhance their mental well-being. As a clinician working under the supervision of Dr. Styles at Step by Step Mental Health, I specialize in psychotherapy for adults, adolescents, couples and families. My end goal is always to help you to become the BEST you. I provide a safe space that is non-judgmental where clients feel that their voice is heard and the clinician understands.
(518) 667-8168 View (518) 667-8168
Photo of Naomi Schwenk, Licensed Master Social Worker, LMSW, MSW
Naomi Schwenk
Licensed Master Social Worker, LMSW, MSW
6 Endorsed
Online Only
Not accepting new clients
Hey there, I’m Naomi! As a biracial Asian American psychotherapist, I take a holistic and culturally sensitive approach rooted in empathy and respect, blending elements from various therapeutic modalities to tailor a unique and supportive experience, just for you. Are you navigating heavy emotions? Struggling with depression, anxiety, ADHD, or ASD? Perhaps you're exploring your identity and its links to intergenerational, cultural, or queer-related trauma? Or maybe you often feel misunderstood and want to build effective & intentional communication skills? If you crave internal peace, this neurodivergent-friendly therapist can help!
Hey there, I’m Naomi! As a biracial Asian American psychotherapist, I take a holistic and culturally sensitive approach rooted in empathy and respect, blending elements from various therapeutic modalities to tailor a unique and supportive experience, just for you. Are you navigating heavy emotions? Struggling with depression, anxiety, ADHD, or ASD? Perhaps you're exploring your identity and its links to intergenerational, cultural, or queer-related trauma? Or maybe you often feel misunderstood and want to build effective & intentional communication skills? If you crave internal peace, this neurodivergent-friendly therapist can help!
View
Photo of Bree Taylor-Farnsworth, Pre-Licensed Professional, LMSW
Bree Taylor-Farnsworth
Pre-Licensed Professional, LMSW
Online Only
Growing up and moving through young adulthood can bring challenges that feel confusing, overwhelming, or difficult to manage alone. I support children, adolescents, and young adults ages 8–25 as they work through stress, relationship challenges, grief, loss, and other experiences that may be affecting their emotional well-being. My goal is to create an environment that feels not only safe and approachable, but also useful in helping clients better understand themselves during a time in life that can often feel unpredictable.
Growing up and moving through young adulthood can bring challenges that feel confusing, overwhelming, or difficult to manage alone. I support children, adolescents, and young adults ages 8–25 as they work through stress, relationship challenges, grief, loss, and other experiences that may be affecting their emotional well-being. My goal is to create an environment that feels not only safe and approachable, but also useful in helping clients better understand themselves during a time in life that can often feel unpredictable.
(518) 667-5682 View (518) 667-5682
Photo of Haley Childrose, LMSW
Haley Childrose
Verified Verified
Albany, NY 12203
Not accepting new clients
I believe in the power of compassion to alleviate individual and community suffering and to strengthen connection to oneself and the outer world. Compassion is a force that combats social stigma, biases, and shame and provides space for us to understand and overcome emotional difficulties inherent to the human experience. My work relies on an authentic therapeutic connection through which the relationship between the mind, body, and spirit is explored to help people navigate intra- and interpersonal conflict, relationships, stress, life transitions, grief, and trauma.
I believe in the power of compassion to alleviate individual and community suffering and to strengthen connection to oneself and the outer world. Compassion is a force that combats social stigma, biases, and shame and provides space for us to understand and overcome emotional difficulties inherent to the human experience. My work relies on an authentic therapeutic connection through which the relationship between the mind, body, and spirit is explored to help people navigate intra- and interpersonal conflict, relationships, stress, life transitions, grief, and trauma.
(518) 749-3659 View (518) 749-3659
Photo of Maureen Rotondi, Clinical Social Work/Therapist, LCSW-R
Maureen Rotondi
Clinical Social Work/Therapist, LCSW-R
1 Endorsed
Albany, NY 12203
As a clinical social worker with over 30 years of experience, I provide a wealth of expertise to the individuals, couples, and families I see. My expertise includes working with children and adults who have experienced trauma, couples experiencing relationship issues, individuals experiencing anxiety, depression, or prolonged grief, ADHD, and medical personnel who have experienced trauma or stress as a result of their work. I provide a supportive environment to assist with healing and personal growth.
As a clinical social worker with over 30 years of experience, I provide a wealth of expertise to the individuals, couples, and families I see. My expertise includes working with children and adults who have experienced trauma, couples experiencing relationship issues, individuals experiencing anxiety, depression, or prolonged grief, ADHD, and medical personnel who have experienced trauma or stress as a result of their work. I provide a supportive environment to assist with healing and personal growth.
(518) 314-5009 View (518) 314-5009

See more therapy options for Albany County

How does your Therapist compare?

Number of Therapists in Albany County, NY

1,000+

Average cost per session

$150

Therapists in Albany County, NY who prioritize treating:

94% Anxiety
94% Social Anxiety
94% Health Anxiety
94% Driving Anxiety
87% Depression
74% Self Esteem
71% Stress

Average years in practice

11 Years

Top 3 insurances accepted

76% Aetna
66% Cigna and Evernorth
49% UnitedHealthcare UHC | UBH

How Therapists in Albany County, NY see their clients

57% Online Only
43% In Person and Online

Gender breakdown

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

How can I find a therapist in Albany County?

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.