Therapists in Cortland County, NY

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Photo of Heather Lee Arnold, LCSW, Clinical Social Work/Therapist
Heather Lee Arnold
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
My ideal client is someone who is experiencing significant emotional and psychological challenges but is committed to their healing journey. They are open to exploring their feelings, thoughts, and behaviors, and are seeking support to navigate their complex emotions and experiences. By addressing these issues, needs, goals, and wants, my ideal client is supported in their path towards healing, growth, and a more fulfilling life. Through the therapeutic process, they can learn to navigate their emotions, build resilience, and foster healthier relationships, ultimately leading to a more empowered and hopeful future.
My ideal client is someone who is experiencing significant emotional and psychological challenges but is committed to their healing journey. They are open to exploring their feelings, thoughts, and behaviors, and are seeking support to navigate their complex emotions and experiences. By addressing these issues, needs, goals, and wants, my ideal client is supported in their path towards healing, growth, and a more fulfilling life. Through the therapeutic process, they can learn to navigate their emotions, build resilience, and foster healthier relationships, ultimately leading to a more empowered and hopeful future.
(607) 800-5453 View (607) 800-5453
Photo of Gregory G Moss, LCSW, Clinical Social Work/Therapist
Gregory G Moss
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cortland, NY 13045
Waitlist for new clients
I provide counseling to people who have a history of anxiety, depression, painful or abusive relationships, as well as those with past traumas or PTSD due to abuse or tragedy. I also work with people struggling with recent life or relationship problems or who are dealing with a relationship break-up. Although I provide therapy to a wide variety of people, what they have in common is that they want help to feel better and enjoy their lives more. They recognize that counseling is something that can help get them there faster than they could on their own.
I provide counseling to people who have a history of anxiety, depression, painful or abusive relationships, as well as those with past traumas or PTSD due to abuse or tragedy. I also work with people struggling with recent life or relationship problems or who are dealing with a relationship break-up. Although I provide therapy to a wide variety of people, what they have in common is that they want help to feel better and enjoy their lives more. They recognize that counseling is something that can help get them there faster than they could on their own.
(607) 533-2977 View (607) 533-2977
Photo of Kurt Warner, LCSW, Clinical Social Work/Therapist
Kurt Warner
Clinical Social Work/Therapist, LCSW
Verified Verified
Cortland, NY 13045
Life is hard. There are so many challenges that can get us off track. Most challenges can be diminished if not overcome by closely examining them and seeing them from a different vantage point. We can work together to pinpoint what makes meaning in your life and use what motivates you to overcome or better traverse whatever problem may be that you are experiencing. With good communication and a solid understanding and grasp of who you are and what you want out of life, I don't believe there is any issue in life that we cannot work together to mitigate or overcome. I have flexible hours that include days and nights.
Life is hard. There are so many challenges that can get us off track. Most challenges can be diminished if not overcome by closely examining them and seeing them from a different vantage point. We can work together to pinpoint what makes meaning in your life and use what motivates you to overcome or better traverse whatever problem may be that you are experiencing. With good communication and a solid understanding and grasp of who you are and what you want out of life, I don't believe there is any issue in life that we cannot work together to mitigate or overcome. I have flexible hours that include days and nights.
(607) 246-2334 View (607) 246-2334
Photo of Cindy Horn, LMHC, Counselor
Cindy Horn
Counselor, LMHC
Verified Verified
Online Only
Do you wake up with your heart pounding, stomach in knots, feeling overwhelmed, anxious, depressed? Do you have to drag yourself out of bed? Does it feel like you are struggling to cope, can't say "no" to anyone, and you're not enjoying life the way you wish you could? Sometimes it's so easy to get trapped in the endless cycle of negative thoughts and emotions. It can feel so isolating and discouraging. It seems like nothing you try works out, and it affects your job, your relationships and your self-esteem.
Do you wake up with your heart pounding, stomach in knots, feeling overwhelmed, anxious, depressed? Do you have to drag yourself out of bed? Does it feel like you are struggling to cope, can't say "no" to anyone, and you're not enjoying life the way you wish you could? Sometimes it's so easy to get trapped in the endless cycle of negative thoughts and emotions. It can feel so isolating and discouraging. It seems like nothing you try works out, and it affects your job, your relationships and your self-esteem.
(607) 536-9774 View (607) 536-9774
Maureen A Kiely
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Cortland, NY 13045
Not accepting new clients
I am a Licensed Clinical Social Worker with years of experience in providing counseling to individuals, couples and families. My practice serves adults. A collaborative approach is utilized to address issues including depression, anxiety, family relationships, occupational stress, interpersonal problems and self concept. Trauma treatment including EMDR is available.
I am a Licensed Clinical Social Worker with years of experience in providing counseling to individuals, couples and families. My practice serves adults. A collaborative approach is utilized to address issues including depression, anxiety, family relationships, occupational stress, interpersonal problems and self concept. Trauma treatment including EMDR is available.
(607) 643-4029 View (607) 643-4029
Photo of Melinda McCullough, LCSW-R, MSW, Clinical Social Work/Therapist
Melinda McCullough
Clinical Social Work/Therapist, LCSW-R, MSW
Verified Verified
Cortland, NY 13045
Not accepting new clients
A strong connection to your therapist is the cornerstone of good therapy and is more likely to lead towards personal growth and achievement of your life goals. I want you to feel heard, understood and successful in your healing journey. I use an approach that is warm, welcoming and real with my clients. I specialize my work with adults who have experienced relational trauma, depression, anxiety and victims of narcissistic abuse. I am certified in trauma therapies such as TF-CBT, IFS, and Tapping (EFT). I also pull from an eclectic approach of therapies such as CBT, DBT, ACT and family systems.
A strong connection to your therapist is the cornerstone of good therapy and is more likely to lead towards personal growth and achievement of your life goals. I want you to feel heard, understood and successful in your healing journey. I use an approach that is warm, welcoming and real with my clients. I specialize my work with adults who have experienced relational trauma, depression, anxiety and victims of narcissistic abuse. I am certified in trauma therapies such as TF-CBT, IFS, and Tapping (EFT). I also pull from an eclectic approach of therapies such as CBT, DBT, ACT and family systems.
Photo of Daniel Fletcher Stevens, LMSW, Pre-Licensed Professional
Daniel Fletcher Stevens
Pre-Licensed Professional, LMSW
Verified Verified
Cortland, NY 13045
With eight years of experience working with children, families, and individuals who have faced adversity, I am committed to helping those impacted by difficult experiences heal and move forward. My approach is client-centered, focusing on your strengths and solutions, creating a supportive space where we can collaboratively address life's challenges.
With eight years of experience working with children, families, and individuals who have faced adversity, I am committed to helping those impacted by difficult experiences heal and move forward. My approach is client-centered, focusing on your strengths and solutions, creating a supportive space where we can collaboratively address life's challenges.
(607) 388-4482 View (607) 388-4482
Photo of Angela Contento, LMHC, NCC, Counselor
Angela Contento
Counselor, LMHC, NCC
Verified Verified
Online Only
I'm here to support clients who are looking to strengthen their mental health, relationships, and adaptability. Every day we face challenges and stress; whether it is neurobiologically based, interpersonal, a trauma response, or the result of systemic stressors of an unjust society. While I use a variety of approaches and techniques based on client needs, my foundation is person centered. You deserve a safe, nonjudgmental space to break down or build back up. I believe my clients have all the answers within them and are capable of great things. My role is to use my education, training, and empathy to help you reach your goals.
I'm here to support clients who are looking to strengthen their mental health, relationships, and adaptability. Every day we face challenges and stress; whether it is neurobiologically based, interpersonal, a trauma response, or the result of systemic stressors of an unjust society. While I use a variety of approaches and techniques based on client needs, my foundation is person centered. You deserve a safe, nonjudgmental space to break down or build back up. I believe my clients have all the answers within them and are capable of great things. My role is to use my education, training, and empathy to help you reach your goals.
(607) 600-9502 View (607) 600-9502
Photo of Jessica Gelfand, LCSW, Clinical Social Work/Therapist
Jessica Gelfand
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Hello! I'm Jessica, I'm a Licensed Clinical Social Worker (LCSW) working in New York State. I specialize in working with adults with a range of concerns from serious mental health diagnoses to addiction, to anxiety and relationship concerns. I typically work with adults dealing with depression, anxiety, bipolar disorder, substance use disorders, and/or PTSD. I'm happy to discuss diagnoses and conditions not listed as well. I work with individuals of all gender identities, as well as everyone across the LGBTIQA+ spectrum.
Hello! I'm Jessica, I'm a Licensed Clinical Social Worker (LCSW) working in New York State. I specialize in working with adults with a range of concerns from serious mental health diagnoses to addiction, to anxiety and relationship concerns. I typically work with adults dealing with depression, anxiety, bipolar disorder, substance use disorders, and/or PTSD. I'm happy to discuss diagnoses and conditions not listed as well. I work with individuals of all gender identities, as well as everyone across the LGBTIQA+ spectrum.
(646) 718-0776 View (646) 718-0776
Photo of Shelley L Musci - Serenity Counseling, LCSW, Clinical Social Work/Therapist
Serenity Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Cortland, NY 13045
Life can be tricky sometimes leaving us feeling stuck, alone, and confused. Taking the first step toward change can seem overwhelming and scary. I appreciate the strength it takes to even consider the possibility of making a change. I provide counseling support to individuals with a wide range of emotional and behavioral challenges. As a therapist, I offer a safe, supportive, and comfortable environment with an individualized approach to each client to promote personal growth. I encourage recognition and development of inner strengths and self-compassion to facilitate the process of change as well as resolve challenging issues.
Life can be tricky sometimes leaving us feeling stuck, alone, and confused. Taking the first step toward change can seem overwhelming and scary. I appreciate the strength it takes to even consider the possibility of making a change. I provide counseling support to individuals with a wide range of emotional and behavioral challenges. As a therapist, I offer a safe, supportive, and comfortable environment with an individualized approach to each client to promote personal growth. I encourage recognition and development of inner strengths and self-compassion to facilitate the process of change as well as resolve challenging issues.
(607) 208-9007 View (607) 208-9007
Photo of Melissa A. Bramley, LCSW-R, Clinical Social Work/Therapist
Melissa A. Bramley
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Cortland, NY 13045
Not accepting new clients
Therapy is an opportunity for growth. Understanding our emotions, processing deep feelings, and learning from our family histories can help us gain inner strength and wisdom.
Therapy is an opportunity for growth. Understanding our emotions, processing deep feelings, and learning from our family histories can help us gain inner strength and wisdom.
(607) 600-2971 View (607) 600-2971
Photo of Giselle Noboa, LCSW, Clinical Social Work/Therapist
Giselle Noboa
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
I am a licensed mental health provider in the state of New York. I work with clients with many concerns, including depression, anxiety, relationship issues, career challenges, OCD, and ADHD. I also help many people who have experienced physical trauma or emotional abuse.
I am a licensed mental health provider in the state of New York. I work with clients with many concerns, including depression, anxiety, relationship issues, career challenges, OCD, and ADHD. I also help many people who have experienced physical trauma or emotional abuse.
(646) 566-8589 View (646) 566-8589
Photo of Amanda S. Hartman, LCSW-R, Clinical Social Work/Therapist
Amanda S. Hartman
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Online Only
Having happiness and peace in your life again can be possible. Exploring new options for self care and wellness can help you attain your goal of feeling better. By discovering the possibilities for change, therapy will help you be who you want to be and gain control back in your life. My approach to therapy is patient and caring. I will listen to your needs and work collaboratively to help you build new coping skills and strengthen those you already posess.
Having happiness and peace in your life again can be possible. Exploring new options for self care and wellness can help you attain your goal of feeling better. By discovering the possibilities for change, therapy will help you be who you want to be and gain control back in your life. My approach to therapy is patient and caring. I will listen to your needs and work collaboratively to help you build new coping skills and strengthen those you already posess.
(315) 254-2182 View (315) 254-2182
Photo of Diana Tillotson, LCSW, PMH-C , CLC, Clinical Social Work/Therapist
Diana Tillotson
Clinical Social Work/Therapist, LCSW, PMH-C , CLC
Verified Verified
2 Endorsed
Online Only
Therapy can be a transformational process of self-discovery facilitated by deeper levels of awareness and change. I believe we have an inherent ability to heal ourselves, and my primary focus is to honor and trust your experience. Anxiety, depression, trauma, and other life stressors can interfere with living a fulfilling life, causing problems in your life and relationships, and leaving you feeling overwhelmed, anxious, depressed, lost or numb. I believe that therapy should meet the individual where they are within their unique set of circumstances.
Therapy can be a transformational process of self-discovery facilitated by deeper levels of awareness and change. I believe we have an inherent ability to heal ourselves, and my primary focus is to honor and trust your experience. Anxiety, depression, trauma, and other life stressors can interfere with living a fulfilling life, causing problems in your life and relationships, and leaving you feeling overwhelmed, anxious, depressed, lost or numb. I believe that therapy should meet the individual where they are within their unique set of circumstances.
(607) 564-4158 View (607) 564-4158
Photo of Samantha Ueberroth, LICSW, LCSW, Clinical Social Work/Therapist
Samantha Ueberroth
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
3 Endorsed
Online Only
Accepting New Clients for Individual, Couples & Family Counseling! Accepting BCBS in MA. Samantha Ueberroth is a LCSW in New York and LICSW in MA with Therapy Together, LCSW, PLLC. Samantha has expertise working with adults, millennials, and older adults and is passionate about empowering and supporting her clients in their journey to becoming their most authentic, confident selves. She specializes in working with individuals experiencing anxiety, depression, career difficulties, compassion fatigue, coping with grief and loss, coping with life changes, family conflicts, relationship issues, self-esteem, and stress management.
Accepting New Clients for Individual, Couples & Family Counseling! Accepting BCBS in MA. Samantha Ueberroth is a LCSW in New York and LICSW in MA with Therapy Together, LCSW, PLLC. Samantha has expertise working with adults, millennials, and older adults and is passionate about empowering and supporting her clients in their journey to becoming their most authentic, confident selves. She specializes in working with individuals experiencing anxiety, depression, career difficulties, compassion fatigue, coping with grief and loss, coping with life changes, family conflicts, relationship issues, self-esteem, and stress management.
(680) 213-7904 View (680) 213-7904
Photo of Celeste Froehlich, MA, LCSW-R, Clinical Social Work/Therapist
Celeste Froehlich
Clinical Social Work/Therapist, MA, LCSW-R
Verified Verified
6 Endorsed
Serves Area
Hi, we have openings, and welcome adult, child, and adolescent clients of all races, cultures, LGBTQ, etc. Are you struggling with work, relationships, or past trauma? We offer a safe, nonjudgemental, compassionate atmosphere. We use somatic and deeply relational modalities. Therapy sessions shouldn't be just talking about feelings, but instead having a new experience, so you leave each session feeling different, better. Together, we forge new pathways for lasting healing. While my caseload is often full, I have clinicians available to see you with extensive training in our shared approach, AEDP, under my close, expert supervision.
Hi, we have openings, and welcome adult, child, and adolescent clients of all races, cultures, LGBTQ, etc. Are you struggling with work, relationships, or past trauma? We offer a safe, nonjudgemental, compassionate atmosphere. We use somatic and deeply relational modalities. Therapy sessions shouldn't be just talking about feelings, but instead having a new experience, so you leave each session feeling different, better. Together, we forge new pathways for lasting healing. While my caseload is often full, I have clinicians available to see you with extensive training in our shared approach, AEDP, under my close, expert supervision.
(607) 305-4528 View (607) 305-4528
Photo of B Beth Cohen, PhD, Psychologist
B Beth Cohen
Psychologist, PhD
Verified Verified
1 Endorsed
Serves Area
Not accepting new clients
Whether you're really hurting or simply seeking personal growth, I'm happy to help. How I practice is mainly cognitive-behavioral, but I also draw from nonviolent communication, feminist therapy, and anti-racist multicultural counseling. I work with people who have a fairly broad range of concerns (see list to the right). I work with adults and older teens; individuals, couples, and groups. I especially enjoy helping clients with a stigmatized identity overcome both internalized and external oppression. I welcome transgender and other queer folk; Muslims, immigrants, and racial and ethnic "minority" members; and activists for social and environmental justice.
Whether you're really hurting or simply seeking personal growth, I'm happy to help. How I practice is mainly cognitive-behavioral, but I also draw from nonviolent communication, feminist therapy, and anti-racist multicultural counseling. I work with people who have a fairly broad range of concerns (see list to the right). I work with adults and older teens; individuals, couples, and groups. I especially enjoy helping clients with a stigmatized identity overcome both internalized and external oppression. I welcome transgender and other queer folk; Muslims, immigrants, and racial and ethnic "minority" members; and activists for social and environmental justice.
(607) 953-5991 View (607) 953-5991
Photo of Barbara Lantz, PhD, LCSW-R, Clinical Social Work/Therapist
Barbara Lantz
Clinical Social Work/Therapist, PhD, LCSW-R
Verified Verified
Online Only
Not accepting new clients
If you're on this website reading therapists' profiles, you or someone you care about are probably wrestling with unpleasant feelings or difficult life circumstances. I can help you figure out what is working in your life, what is not working, what can change, and how to make change. I listen carefully and ask thoughtful questions to explore where you've been, where you are now, and where you need to go next, working through the tough stuff along the way in a spirit of respect and caring.
If you're on this website reading therapists' profiles, you or someone you care about are probably wrestling with unpleasant feelings or difficult life circumstances. I can help you figure out what is working in your life, what is not working, what can change, and how to make change. I listen carefully and ask thoughtful questions to explore where you've been, where you are now, and where you need to go next, working through the tough stuff along the way in a spirit of respect and caring.
(607) 269-4466 View (607) 269-4466
Photo of Deborah K Lewis, LCSW, MEd, Clinical Social Work/Therapist
Deborah K Lewis
Clinical Social Work/Therapist, LCSW, MEd
Verified Verified
Serves Area
My job is to facilitate the process of change with individuals and families. I am experienced in helping people with problems in personal relationships and at work. Many of my clients are feeling stuck or unsure about something of importance. They may be struggling with parenting, addiction, or feelings of anxiety, irritability, and deep sadness. Some of my clients have experienced something tragic that has left them unmoored and are wondering how to rebuild. Often, the people I work with are associated with colleges and universities. My 20+ years of experience in higher education is a resource in my work as a therapist.
My job is to facilitate the process of change with individuals and families. I am experienced in helping people with problems in personal relationships and at work. Many of my clients are feeling stuck or unsure about something of importance. They may be struggling with parenting, addiction, or feelings of anxiety, irritability, and deep sadness. Some of my clients have experienced something tragic that has left them unmoored and are wondering how to rebuild. Often, the people I work with are associated with colleges and universities. My 20+ years of experience in higher education is a resource in my work as a therapist.
(607) 228-8344 View (607) 228-8344
Photo of Ellen Peterson, LCSW, CHT, Clinical Social Work/Therapist
Ellen Peterson
Clinical Social Work/Therapist, LCSW, CHT
Verified Verified
Serves Area
Are you ready to live your life fully? I use a variety of approaches to support and empower you to move forward in your life. As a self-help author, (Choosing Joy, Creating Abundance and Paid in Full), I offer services that restore hope and inspire you to move beyond obstacles on your way to a life of unlimited possibilities. As a certified hypnotherapist, I can help you quickly reach the core levels of issues and transform the familiar patterns that sabotage living (i.e. depression, anxiety). My gentle and caring approach will undoubtedly move you into deeper levels of healing and connect you fully with life.
Are you ready to live your life fully? I use a variety of approaches to support and empower you to move forward in your life. As a self-help author, (Choosing Joy, Creating Abundance and Paid in Full), I offer services that restore hope and inspire you to move beyond obstacles on your way to a life of unlimited possibilities. As a certified hypnotherapist, I can help you quickly reach the core levels of issues and transform the familiar patterns that sabotage living (i.e. depression, anxiety). My gentle and caring approach will undoubtedly move you into deeper levels of healing and connect you fully with life.
(607) 208-7836 View (607) 208-7836
1

See more therapy options for Cortland County

How does your Therapist compare?

Number of Therapists in Cortland County, NY

50+

Average cost per session

$135

Therapists in Cortland County, NY who prioritize treating:

93% Anxiety
91% Depression
85% Relationship Issues
78% Self Esteem
76% Trauma and PTSD
75% Coping Skills
71% Stress

Average years in practice

16 Years

Top 3 insurances accepted

90% Aetna
59% Cigna and Evernorth
46% Optum

How Therapists in Cortland County, NY see their clients

50% Online Only
50% In Person and Online

Gender breakdown

82% Female
16% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Cortland 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.