Therapists in Brooklyn, NY

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Photo of Rebecca Tangen, LCSW, Clinical Social Work/Therapist
Rebecca Tangen
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11201
Change is a part of life. It is not always easy to manage alone. I support clients with developing skills and insights regarding their mental wellness, diagnosis, "triggers and overall interactions with the world. My goal as your therapist is to support you when you are tired of feeling tired, out of sync, or are just ready for the life you know you are meant to live. I utilize a blended and evidence-based therapy approach in my work that is individualized to your strengths.
Change is a part of life. It is not always easy to manage alone. I support clients with developing skills and insights regarding their mental wellness, diagnosis, "triggers and overall interactions with the world. My goal as your therapist is to support you when you are tired of feeling tired, out of sync, or are just ready for the life you know you are meant to live. I utilize a blended and evidence-based therapy approach in my work that is individualized to your strengths.
(718) 925-3297 View (718) 925-3297
Amanda Levy-Drexler
Clinical Social Work/Therapist, LMSW
Verified Verified
Brooklyn, NY 11211  (Online Only)
Hello, my name is Amanda Levy and I am a Licensed Social Worker. As a social worker, I am here to listen to my clients and help them discover and process what they are feeling. It is my strong belief that all members of our community should be provided with emotional and mental support. My goal as a therapist is to create interpersonal relationships and build trust. I recognize the needs of my clients and guide them towards their goals. I have experience working with clients who struggle with symptoms of anxiety, depression, substance abuse, and have difficulties communicating and expressing themselves.
Hello, my name is Amanda Levy and I am a Licensed Social Worker. As a social worker, I am here to listen to my clients and help them discover and process what they are feeling. It is my strong belief that all members of our community should be provided with emotional and mental support. My goal as a therapist is to create interpersonal relationships and build trust. I recognize the needs of my clients and guide them towards their goals. I have experience working with clients who struggle with symptoms of anxiety, depression, substance abuse, and have difficulties communicating and expressing themselves.
(347) 587-8791 View (347) 587-8791
Photo of Maryann Desilva-Not Currently Accepting New Clients., LCSW-R, Clinical Social Work/Therapist
Maryann Desilva-Not Currently Accepting New Clients.
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Brooklyn, NY 11234
Waitlist for new clients
Congratulations on starting your search for a therapist. Finding the right person to help you navigate through life's challenges is an important first step.
Congratulations on starting your search for a therapist. Finding the right person to help you navigate through life's challenges is an important first step.
(347) 609-7427 View (347) 609-7427
Photo of Aricia Lewis, LMFT, Marriage & Family Therapist
Aricia Lewis
Marriage & Family Therapist, LMFT
Verified Verified
Brooklyn, NY 11234
Need help with matters concerning your family life, relationships and/or individual growth. I am the person to service all of your needs. As a certified Marriage and Family Therapist and Educator for over 15 years, I've gained insurmountable experience in navigating life's difficulties, and assisting others in being their authentic selves. If you are in need of help, I implore you to reach out to me, Aricia Lewis at the number listed or at curemft@gmail.com. Please remember, You are Never Alone.
Need help with matters concerning your family life, relationships and/or individual growth. I am the person to service all of your needs. As a certified Marriage and Family Therapist and Educator for over 15 years, I've gained insurmountable experience in navigating life's difficulties, and assisting others in being their authentic selves. If you are in need of help, I implore you to reach out to me, Aricia Lewis at the number listed or at curemft@gmail.com. Please remember, You are Never Alone.
(347) 826-1685 View (347) 826-1685
Photo of Amarilis Rivera, LCSW-R, BCD, Clinical Social Work/Therapist
Amarilis Rivera
Clinical Social Work/Therapist, LCSW-R, BCD
Verified Verified
1 Endorsed
Brooklyn, NY 11201
I have practiced for over 37 years. Twenty- two of those years I was a clinician at a Child and Adolescent Psychiatry Clinic in a major hospital in NYC. In addition I have trained extensively in treating adults, and families. I treat eating disorders, anxiety, depression and identity disorders.
I have practiced for over 37 years. Twenty- two of those years I was a clinician at a Child and Adolescent Psychiatry Clinic in a major hospital in NYC. In addition I have trained extensively in treating adults, and families. I treat eating disorders, anxiety, depression and identity disorders.
(516) 272-4947 View (516) 272-4947
Photo of Mollie Schneider, LCSW, Clinical Social Work/Therapist
Mollie Schneider
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11201
Are you feeling sad, anxious, or overwhelmed? Do you feel disconnected from others and wish for relationships that are more solid and fulfilling? Do you struggle with difficulties in communication or experience feelings of being misunderstood? Have you experienced difficult events in the past that affect your current life? Whatever challenges currently bring you to consider therapy, I would like to work with you to alleviate distress, promote positive change, and form stronger relationships. I love the work I do and I feel privileged to see individuals, couples, and families grow, deepen understanding, and change through their experiences in therapy.
Are you feeling sad, anxious, or overwhelmed? Do you feel disconnected from others and wish for relationships that are more solid and fulfilling? Do you struggle with difficulties in communication or experience feelings of being misunderstood? Have you experienced difficult events in the past that affect your current life? Whatever challenges currently bring you to consider therapy, I would like to work with you to alleviate distress, promote positive change, and form stronger relationships. I love the work I do and I feel privileged to see individuals, couples, and families grow, deepen understanding, and change through their experiences in therapy.
(646) 490-1817 View (646) 490-1817
Photo of Magda Rangel-Hendrick, LCSW, Clinical Social Work/Therapist
Magda Rangel-Hendrick
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11215
Waitlist for new clients
I am a licensed clinical social worker with over a decade of experience helping adolescents and adults work through life transitions, anxiety, depression, grief, loss and trauma. In my practice I see first-hand the growth that can happen when one feels connected and truly seen. My training in evidence based and psychodynamic therapy will guide us as we work together towards personal growth .
I am a licensed clinical social worker with over a decade of experience helping adolescents and adults work through life transitions, anxiety, depression, grief, loss and trauma. In my practice I see first-hand the growth that can happen when one feels connected and truly seen. My training in evidence based and psychodynamic therapy will guide us as we work together towards personal growth .
(646) 787-0747 View (646) 787-0747
Photo of Ashley Wiscovitch, MA, MHC-LP, Pre-Licensed Professional
Ashley Wiscovitch
Pre-Licensed Professional, MA, MHC-LP
Verified Verified
1 Endorsed
Brooklyn, NY 11249
I'm a therapist dedicated to helping people live a meaningful and value-driven life. I balance challenging clients to examine their thoughts and beliefs, while providing a supportive environment that encourages self-compassion and acceptance as they explore their true, authentic selves. I provide psychotherapy for adults working through life transitions, anxiety, depression, ADHD, trauma, relationship issues, and psychedelic integration. My aim is to assist clients in changing their relationship with difficult thoughts and feelings, while identifying their values and taking committed action.
I'm a therapist dedicated to helping people live a meaningful and value-driven life. I balance challenging clients to examine their thoughts and beliefs, while providing a supportive environment that encourages self-compassion and acceptance as they explore their true, authentic selves. I provide psychotherapy for adults working through life transitions, anxiety, depression, ADHD, trauma, relationship issues, and psychedelic integration. My aim is to assist clients in changing their relationship with difficult thoughts and feelings, while identifying their values and taking committed action.
(718) 866-4271 View (718) 866-4271
Photo of July Hernandez, MHC-LP, MA
July Hernandez
MHC-LP, MA
Verified Verified
4 Endorsed
Brooklyn, NY 11238
Are you struggling to feel understood in therapy? Are you having trouble within your relationships and feeling like you have no idea what to do? Are you interested in exploring who you are and what is happening inside you? Do you want to engage with more coping skills? Then I might be the therapist for you. I work best with clients who are under the queer, trans, and BIPOC umbrellas. I also specialize in working with sex workers, avoidance/ dissociation patterns, identity/gender/sexuality exploration, sex/intimacy, communication patterns, confidence/ self-esteem issues, and shame/guilt spirals.
Are you struggling to feel understood in therapy? Are you having trouble within your relationships and feeling like you have no idea what to do? Are you interested in exploring who you are and what is happening inside you? Do you want to engage with more coping skills? Then I might be the therapist for you. I work best with clients who are under the queer, trans, and BIPOC umbrellas. I also specialize in working with sex workers, avoidance/ dissociation patterns, identity/gender/sexuality exploration, sex/intimacy, communication patterns, confidence/ self-esteem issues, and shame/guilt spirals.
(646) 982-3931 View (646) 982-3931
Photo of Kelly McKay, LMSW
Kelly McKay
Licensed Master Social Worker, LMSW
Verified Verified
2 Endorsed
Brooklyn, NY 11215
Whatever you're currently struggling with: interpersonal issues, anxiety, depression, grief, low self-esteem, an existential or spiritual crisis, or simply work or school stress, I’m here to meet you where you’re at with compassion, patience, gentleness, and zero judgment as we collaborate on your therapeutic goals. My practice is primarily psychodynamic, while incorporating elements of cognitive and behavioral therapies as needed to assist in restructuring self-defeating patterns. An emphasis on the value of cultivating self awareness and compassion for self and others is at the core of my philosophy.
Whatever you're currently struggling with: interpersonal issues, anxiety, depression, grief, low self-esteem, an existential or spiritual crisis, or simply work or school stress, I’m here to meet you where you’re at with compassion, patience, gentleness, and zero judgment as we collaborate on your therapeutic goals. My practice is primarily psychodynamic, while incorporating elements of cognitive and behavioral therapies as needed to assist in restructuring self-defeating patterns. An emphasis on the value of cultivating self awareness and compassion for self and others is at the core of my philosophy.
(646) 762-9413 View (646) 762-9413
Photo of Dagem Lemma, LCSW, Clinical Social Work/Therapist
Dagem Lemma
Clinical Social Work/Therapist, LCSW
Verified Verified
Brooklyn, NY 11224  (Online Only)
You are real; deserving of joy, peace, and freedom. Are you feeling the weight of the many oppressive realities of life? Have you experienced a loss and feel lost yourself? Struggling to get along with loved ones, feeling out of place and desiring connection? Or just trying to figure life out? I’m glad you’ve taken this step.
You are real; deserving of joy, peace, and freedom. Are you feeling the weight of the many oppressive realities of life? Have you experienced a loss and feel lost yourself? Struggling to get along with loved ones, feeling out of place and desiring connection? Or just trying to figure life out? I’m glad you’ve taken this step.
(347) 297-5138 View (347) 297-5138
Photo of Nicole R. Narain, MA, LMHC, Counselor
Nicole R. Narain
Counselor, MA, LMHC
Verified Verified
Brooklyn, NY 11230  (Online Only)
Do you find yourself struggling with relationships, sadness and worry? Have you experienced trauma that gets in the way of you living your life? No matter what you're going through, this will be a safe space for you. I'm here to help. I am a licensed mental health counselor of 4 years and have mostly worked in nonprofit. I believe mental health care should be attainable for all, which is why I accept health insurances and offer reduced rates if needed. Much of my work has been with the Jewish population.
Do you find yourself struggling with relationships, sadness and worry? Have you experienced trauma that gets in the way of you living your life? No matter what you're going through, this will be a safe space for you. I'm here to help. I am a licensed mental health counselor of 4 years and have mostly worked in nonprofit. I believe mental health care should be attainable for all, which is why I accept health insurances and offer reduced rates if needed. Much of my work has been with the Jewish population.
(929) 543-6113 View (929) 543-6113
Photo of Mickey Field - Jamron Counseling, MA, Pre-Licensed Professional
Mickey Field - Jamron Counseling
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
Brooklyn, NY 11249
One of the few certainties of life is change, which can come with excitement but also uncertainty and hardship. Whether you are experiencing the stressors of adolescence or young adulthood, confronting relationship issues, or wanting to examine your inner world, therapy can be a useful tool in navigating life transitions. I’m particularly interested in exploring issues surrounding anxiety, depression, relationships, self-worth, grief, gender identity, and sexuality. Together we can discover your wants and needs and take action towards reaching your goals.
One of the few certainties of life is change, which can come with excitement but also uncertainty and hardship. Whether you are experiencing the stressors of adolescence or young adulthood, confronting relationship issues, or wanting to examine your inner world, therapy can be a useful tool in navigating life transitions. I’m particularly interested in exploring issues surrounding anxiety, depression, relationships, self-worth, grief, gender identity, and sexuality. Together we can discover your wants and needs and take action towards reaching your goals.
(929) 339-1569 View (929) 339-1569
Photo of Ana Cabrera, MPS, LCAT, ATR-BC, Art Therapist
Ana Cabrera
Art Therapist, MPS, LCAT, ATR-BC
Verified Verified
Brooklyn, NY 11222
I am a bilingual Latina Licensed Creative Art Therapist. My clinical approach is trauma informed and psychodynamic therapy providing psychotherapy services through creativity, mindfulness and CBT. I strive to provide a safe and non-judgmental environment where you can freely explore your thoughts, feelings, and concerns through various art materials, techniques and talk therapy. My specialties include, anxiety, depression, complex trauma , improvement of interpersonal relationships and women issues.
I am a bilingual Latina Licensed Creative Art Therapist. My clinical approach is trauma informed and psychodynamic therapy providing psychotherapy services through creativity, mindfulness and CBT. I strive to provide a safe and non-judgmental environment where you can freely explore your thoughts, feelings, and concerns through various art materials, techniques and talk therapy. My specialties include, anxiety, depression, complex trauma , improvement of interpersonal relationships and women issues.
(718) 808-8474 View (718) 808-8474
Photo of Corinne Cappelletti, LMHC, MFA, R-SMT
Corinne Cappelletti
Mental Health Counselor, LMHC, MFA, R-SMT
Verified Verified
Brooklyn, NY 11242  (Online Only)
Accepting new couples & individual therapy clients. All sessions are virtual. Are you looking for a more embodied, connected, and fulfilling life? Maybe you tried traditional talk therapy before but found it wasn’t enough. If you are seeking lasting, holistic personal growth and are open to working on it, consider my integrated body-mind-soul approach. I can help you develop your inner resources to navigate stressful periods; balance your nervous system; communicate clearly and effectively; tend to unprocessed grief; understand your inner dynamics, mood changes, unexpressed creativity, soul longings; and more.
Accepting new couples & individual therapy clients. All sessions are virtual. Are you looking for a more embodied, connected, and fulfilling life? Maybe you tried traditional talk therapy before but found it wasn’t enough. If you are seeking lasting, holistic personal growth and are open to working on it, consider my integrated body-mind-soul approach. I can help you develop your inner resources to navigate stressful periods; balance your nervous system; communicate clearly and effectively; tend to unprocessed grief; understand your inner dynamics, mood changes, unexpressed creativity, soul longings; and more.
(929) 474-9705 View (929) 474-9705
Photo of Heather Abreu, LCMHC
Heather Abreu
Mental Health Counselor, LCMHC
Verified Verified
Brooklyn, NY 11220
I am Heather Abreu. I am a Licensed Mental Health Counselor with 20 years of experience from NYC working statewide via Telehealth. I work with both adults and adolescents specializing in anxiety, addiction treatment, family dynamics, and major life transitions. I work with individuals presenting with a wide range of concerns. I have extensive experience working with individuals with addiction and with their loved ones, with individuals who have experienced trauma, and with families in conflict. I work with individuals struggling with life transitions such as personal identity, divorce, and career change.
I am Heather Abreu. I am a Licensed Mental Health Counselor with 20 years of experience from NYC working statewide via Telehealth. I work with both adults and adolescents specializing in anxiety, addiction treatment, family dynamics, and major life transitions. I work with individuals presenting with a wide range of concerns. I have extensive experience working with individuals with addiction and with their loved ones, with individuals who have experienced trauma, and with families in conflict. I work with individuals struggling with life transitions such as personal identity, divorce, and career change.
(929) 512-7148 View (929) 512-7148
Photo of Amira R Martin, LCSW-R, Clinical Social Work/Therapist
Amira R Martin
Clinical Social Work/Therapist, LCSW-R
Verified Verified
5 Endorsed
Brooklyn, NY 11233  (Online Only)
I am here to provide you with warm and compassionate support as you navigate life's challenges. Your journey is unique, and I want you to feel genuinely heard and understood. If you're facing issues like Depression, Anxiety, difficult relationships and work-related struggles, I am here to help you navigate and recover from these challenges. My commitment is to create a safe and supportive space for your healing. Together, we will address your struggles and challenges while fostering your personal growth and resilience. You can achieve emotional well-being, navigate life transitions, and ultimately lead a more fulfilling life.
I am here to provide you with warm and compassionate support as you navigate life's challenges. Your journey is unique, and I want you to feel genuinely heard and understood. If you're facing issues like Depression, Anxiety, difficult relationships and work-related struggles, I am here to help you navigate and recover from these challenges. My commitment is to create a safe and supportive space for your healing. Together, we will address your struggles and challenges while fostering your personal growth and resilience. You can achieve emotional well-being, navigate life transitions, and ultimately lead a more fulfilling life.
(646) 755-9294 View (646) 755-9294
Photo of Maureen Enayo, LMHC, Clinical Social Work/Therapist
Maureen Enayo
Clinical Social Work/Therapist, LMHC
Verified Verified
Brooklyn, NY 11210  (Online Only)
Have you ever asked yourself "am I where I am suppose to be in life" or "am I really happy with the way my life is going?" Through talk therapy, you will receive the help and support to answer any of the questions you have regarding the quality of your life, relationships and wellbeing. You will also be able to improve your life and the way you feel about your life in every possible way. Ultimately, you will gain a level of self-awareness and understanding of your thoughts, behaviors, and feelings in order to create the change needed to become the best version of yourself and live satisfyingly.
Have you ever asked yourself "am I where I am suppose to be in life" or "am I really happy with the way my life is going?" Through talk therapy, you will receive the help and support to answer any of the questions you have regarding the quality of your life, relationships and wellbeing. You will also be able to improve your life and the way you feel about your life in every possible way. Ultimately, you will gain a level of self-awareness and understanding of your thoughts, behaviors, and feelings in order to create the change needed to become the best version of yourself and live satisfyingly.
(929) 470-1787 View (929) 470-1787
Photo of Mark O'Connell, LCSW-R, MFA, Clinical Social Work/Therapist
Mark O'Connell
Clinical Social Work/Therapist, LCSW-R, MFA
Verified Verified
11 Endorsed
Brooklyn, NY 11218
Therapy is an opportunity to be seen and heard, to heal and grow, and to discover your full range of self. I provide a safe, supportive space for you to identify what you want in your life and in relationships, and what's getting in the way of it. Many of my clients face challenges with partners, careers, and/or families of origin. I work with a lot actors and artists, professionals seeking a change, individual adults, adolescents, couples, and members of the LGBTQ+ communities. I also offer clinical supervision for therapists seeking mentoring, consultation, or clinical support.
Therapy is an opportunity to be seen and heard, to heal and grow, and to discover your full range of self. I provide a safe, supportive space for you to identify what you want in your life and in relationships, and what's getting in the way of it. Many of my clients face challenges with partners, careers, and/or families of origin. I work with a lot actors and artists, professionals seeking a change, individual adults, adolescents, couples, and members of the LGBTQ+ communities. I also offer clinical supervision for therapists seeking mentoring, consultation, or clinical support.
(646) 553-6431 View (646) 553-6431
Photo of Online Virtual Therapy With Daylied Espinal, LMHC, Counselor
Online Virtual Therapy With Daylied Espinal
Counselor, LMHC
Verified Verified
1 Endorsed
Brooklyn, NY 11209
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
FREE consultations! Are you feeling stuck in negative thoughts, intense emotions, or behavioral patterns that don't serve your best interest? Are you hoping to build more meaning and joy in your life? You may feel hesitant about reaching out for help, especially with pressure from all directions to "have it all together". I'm here to join you on this journey to discover healing and build a balanced life.
(332) 244-0567 View (332) 244-0567
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How does your Therapist compare?

Number of Therapists in Brooklyn, NY

3,000+

Average cost per session

$175

Therapists in Brooklyn, NY who prioritize treating:

93% Anxiety
89% Depression
81% Relationship Issues
77% Self Esteem
69% Trauma and PTSD
69% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
68% Cigna and Evernorth
63% UnitedHealthcare UHC | UBH

How Therapists in Brooklyn, NY see their clients

51% Online Only
49% In Person and Online

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Brooklyn?

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.