Therapists in De Witt, NY

Photo of Jennifer Wainman-Sauda, Marriage & Family Therapist, LMFT, MS
Jennifer Wainman-Sauda
Marriage & Family Therapist, LMFT, MS
1 Endorsed
Serves Area
Welcome to The Family Center. We provide therapy services to individuals, couples, families, and children. We are here to help you work on any presenting problem such as anxiety, depression, post traumatic stress disorder, etc. I specialize in helping families who have children with ADHD, anxiety, behavioral, and Autism Spectrum Disorders including PDA and recovery from abuse and trauma. I also provide couples and marital therapy. We believe in helping you live fully; happy with yourself, and connected with your partner, child, and family. We currently have 10 skilled licensed therapists on staff.
Welcome to The Family Center. We provide therapy services to individuals, couples, families, and children. We are here to help you work on any presenting problem such as anxiety, depression, post traumatic stress disorder, etc. I specialize in helping families who have children with ADHD, anxiety, behavioral, and Autism Spectrum Disorders including PDA and recovery from abuse and trauma. I also provide couples and marital therapy. We believe in helping you live fully; happy with yourself, and connected with your partner, child, and family. We currently have 10 skilled licensed therapists on staff.
(315) 496-1357 View (315) 496-1357
Photo of Christine Tyrrell Baker - WellBeing CNY , Psychologist, PhD
WellBeing CNY
Psychologist, PhD
3 Endorsed
Serves Area
Hello, I am Christine Tyrrell Baker, PhD and I am the founder of WellBeing CNY. We specialize in working with people who feel stuck and want to try a new approach. People benefit from our services who are feeling fearful, overwhelmed, on edge, helpless, hopeless, or tired. They may be struggling with anxiety, depression, or symptoms of PTSD which persist despite many attempts at treatment. They may notice stress-related symptoms in their bodies. We specialize in working with adults to become better at coping with the stress in their lives.
Hello, I am Christine Tyrrell Baker, PhD and I am the founder of WellBeing CNY. We specialize in working with people who feel stuck and want to try a new approach. People benefit from our services who are feeling fearful, overwhelmed, on edge, helpless, hopeless, or tired. They may be struggling with anxiety, depression, or symptoms of PTSD which persist despite many attempts at treatment. They may notice stress-related symptoms in their bodies. We specialize in working with adults to become better at coping with the stress in their lives.
(315) 231-6032 View (315) 231-6032
Photo of Tracy Torelli, Clinical Social Work/Therapist, LCSW-R, CASAC
Tracy Torelli
Clinical Social Work/Therapist, LCSW-R, CASAC
9 Endorsed
Serves Area
Each of us have faced painful personal experiences. Pain can be due to events, interactions with others or troubled relationships. Or they can be caused by negative behavior or thought patterns that won’t stop. Sometimes we can address such troubles on their own. However, if you have been unable to resolve difficult issues alone, you may realize how they reduce the quality of your life – by establishing a pattern of emotional problems, an inability to interact productively with others, impacting your career, negatively affect relationships, or create problematic habits. But they can be addressed with help. My hours are M-F 8-4
Each of us have faced painful personal experiences. Pain can be due to events, interactions with others or troubled relationships. Or they can be caused by negative behavior or thought patterns that won’t stop. Sometimes we can address such troubles on their own. However, if you have been unable to resolve difficult issues alone, you may realize how they reduce the quality of your life – by establishing a pattern of emotional problems, an inability to interact productively with others, impacting your career, negatively affect relationships, or create problematic habits. But they can be addressed with help. My hours are M-F 8-4
(315) 888-4986 View (315) 888-4986
Photo of Meghan Kresge - Eastside Counseling Services, Clinical Social Work/Therapist, LCSW
Eastside Counseling Services
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
All people face challenges at certain times in their lives. We are a group practice with therapists who possess are variety of skills and expertise to focus on helping children and adults with a wide range of challenges including anxiety, depression, ADHD, ASD, LGTBQ+ issues, grief, life transitions and more. We will work with you to identify your needs and goals and provide you with the tools and skills you need to reach them in a supportive and confidential environment.
All people face challenges at certain times in their lives. We are a group practice with therapists who possess are variety of skills and expertise to focus on helping children and adults with a wide range of challenges including anxiety, depression, ADHD, ASD, LGTBQ+ issues, grief, life transitions and more. We will work with you to identify your needs and goals and provide you with the tools and skills you need to reach them in a supportive and confidential environment.
(315) 505-8104 View (315) 505-8104
Photo of Jeanette S Angeloro, Clinical Social Work/Therapist, LCSW
Jeanette S Angeloro
Clinical Social Work/Therapist, LCSW
Serves Area
Accepting New Clients. Authentic, respectful, accepting: I offer a therapeutic relationship and evidence-based treatment to help you live your best life. I believe that unresolved issues and problems have the power to control the direction of our lives and cause real pain. This pain can take the form of depression, anxiety, trouble regulating emotion, sleep problems and poor self esteem. Problems in relationships as well as coming to terms with loss can often be the hardest ones. Difficulties at work and questioning career choice are other important areas of our life that can be negatively effected.
Accepting New Clients. Authentic, respectful, accepting: I offer a therapeutic relationship and evidence-based treatment to help you live your best life. I believe that unresolved issues and problems have the power to control the direction of our lives and cause real pain. This pain can take the form of depression, anxiety, trouble regulating emotion, sleep problems and poor self esteem. Problems in relationships as well as coming to terms with loss can often be the hardest ones. Difficulties at work and questioning career choice are other important areas of our life that can be negatively effected.
(315) 279-3069 View (315) 279-3069
Photo of Katie McBeth, Clinical Social Work/Therapist, LCSW-R, CASAC
Katie McBeth
Clinical Social Work/Therapist, LCSW-R, CASAC
2 Endorsed
Serves Area
I understand how difficult it can be for some to ask for help. Whether you're considering entering therapy for the first time, or have prior experience, the first priority is on developing a sense of safety in the therapy session. Once a trusting connection is developed, I allow the client to identify their own goals. I believe therapy is about change, but the type of change we work toward and the pace with which we work, is determined by the client. I provide support and guidance in this process.
I understand how difficult it can be for some to ask for help. Whether you're considering entering therapy for the first time, or have prior experience, the first priority is on developing a sense of safety in the therapy session. Once a trusting connection is developed, I allow the client to identify their own goals. I believe therapy is about change, but the type of change we work toward and the pace with which we work, is determined by the client. I provide support and guidance in this process.
(680) 201-5612 View (680) 201-5612
Photo of Dina Schwartz, Clinical Social Work/Therapist, LCSWR
Dina Schwartz
Clinical Social Work/Therapist, LCSWR
Online Only
As a clinical social worker specializing in cognitive behavioral therapy (CBT), I empower adults to cultivate healthier relationships with themselves and others. My approach is skills-based, equipping you with practical tools to manage symptoms of mood disorders and navigate life's challenges with greater resilience. I have extensive experience supporting individuals on their journey of recovery from addiction, codependency, and trauma. By integrating CBT techniques with a deep understanding of these complex issues, I can help you develop coping strategies, modify negative thought patterns, and build stronger connections.
As a clinical social worker specializing in cognitive behavioral therapy (CBT), I empower adults to cultivate healthier relationships with themselves and others. My approach is skills-based, equipping you with practical tools to manage symptoms of mood disorders and navigate life's challenges with greater resilience. I have extensive experience supporting individuals on their journey of recovery from addiction, codependency, and trauma. By integrating CBT techniques with a deep understanding of these complex issues, I can help you develop coping strategies, modify negative thought patterns, and build stronger connections.
(315) 883-2080 View (315) 883-2080
Photo of Jessica Carson - Fortitude Mental Health Counseling, Pllc, Counselor, LMHC
Fortitude Mental Health Counseling, Pllc
Counselor, LMHC
Serves Area
Starting therapy is a meaningful and sometimes overwhelming decision. I provide warm, person-centered care in a safe and supportive environment. Whether you’re processing trauma, dealing with ongoing stress, or seeking greater self acceptance and understanding, I’m here to support you. We’ll work together to build the skills and insights to achieve greater clarity and emotional awareness, improved communication, healthier coping strategies, increased self-acceptance, renewed motivation and focus and a stronger sense of balance in life.
Starting therapy is a meaningful and sometimes overwhelming decision. I provide warm, person-centered care in a safe and supportive environment. Whether you’re processing trauma, dealing with ongoing stress, or seeking greater self acceptance and understanding, I’m here to support you. We’ll work together to build the skills and insights to achieve greater clarity and emotional awareness, improved communication, healthier coping strategies, increased self-acceptance, renewed motivation and focus and a stronger sense of balance in life.
(315) 758-3957 View (315) 758-3957
Photo of Tonja S Rector, Marriage & Family Therapist, MA, LMFT
Tonja S Rector
Marriage & Family Therapist, MA, LMFT
Serves Area
Offering in person and Telehealth appointments. Are there relationship issues in your life? Perhaps there's problems with your child, spouse, partner, family member or friend. My practice offers individual, family and couple therapy. I tailor treatment to meet the specific needs of each client. I believe in working with clients to establish a treatment focus most important in their lives. I work collaboratively with schools, physicians and other professionals as needed to address different areas of a client's life.
Offering in person and Telehealth appointments. Are there relationship issues in your life? Perhaps there's problems with your child, spouse, partner, family member or friend. My practice offers individual, family and couple therapy. I tailor treatment to meet the specific needs of each client. I believe in working with clients to establish a treatment focus most important in their lives. I work collaboratively with schools, physicians and other professionals as needed to address different areas of a client's life.
(315) 538-3298 View (315) 538-3298
Photo of Susan Hartman Brenizer, Marriage & Family Therapist, MA, LMFT, NY
Susan Hartman Brenizer
Marriage & Family Therapist, MA, LMFT, NY
Serves Area
Licensed Marriage and Family Therapist, Clinical Fellow, AAMFT with 40+ years experience. Special expertise in working with couples, and individual adults. Training in psychodynamic therapy, systems' and behavioral therapy. Extensive expertise: couples therapy, depression, grief, loss, trauma, abuse and affair recovery, and divorce recovery. Columnist for "Syracuse Post Standard" newspaper "Shrink Rap", 2007- 2014. Featured in PBS Documentary entitled "Pain Runs Deep: Relationship Violence". Interview on NPR, WCNY, and "Brides" Magazine, 2023 and 2024. Recently inducted into Marquis "Who's Who in America", March 2024.
Licensed Marriage and Family Therapist, Clinical Fellow, AAMFT with 40+ years experience. Special expertise in working with couples, and individual adults. Training in psychodynamic therapy, systems' and behavioral therapy. Extensive expertise: couples therapy, depression, grief, loss, trauma, abuse and affair recovery, and divorce recovery. Columnist for "Syracuse Post Standard" newspaper "Shrink Rap", 2007- 2014. Featured in PBS Documentary entitled "Pain Runs Deep: Relationship Violence". Interview on NPR, WCNY, and "Brides" Magazine, 2023 and 2024. Recently inducted into Marquis "Who's Who in America", March 2024.
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More Therapists Nearby

Photo of Ashley Clarke-Arnold, Clinical Social Work/Therapist, LCSW, CSSW
Ashley Clarke-Arnold
Clinical Social Work/Therapist, LCSW, CSSW
Chittenango, NY 13037
Not accepting new clients
Welcome! First, I would like to congratulate you on already taking the first step in your healing journey. Let me introduce myself, my name is Ashley and I am a Licensed Clinical Social Worker. I have over a decade of experience working with individuals and families in many different settings. The therapeutic experience you can expect from me will an atmosphere of empathy and understanding, as you begin your journey of processing and healing.
Welcome! First, I would like to congratulate you on already taking the first step in your healing journey. Let me introduce myself, my name is Ashley and I am a Licensed Clinical Social Worker. I have over a decade of experience working with individuals and families in many different settings. The therapeutic experience you can expect from me will an atmosphere of empathy and understanding, as you begin your journey of processing and healing.
(315) 313-5639 View (315) 313-5639
Photo of Michelle Warner, Marriage & Family Therapist, MA, LMFT, D
Michelle Warner
Marriage & Family Therapist, MA, LMFT, D
3 Endorsed
Liverpool, NY 13088
In-person and online appointments offered. Our relationships and our ability to cope are impacted when under stress. Even normal and otherwise happy events add stress to our lives. Do you feel like you are caught in an endless cycle of conflict? Do you feel like your efforts to connect are misunderstood? As a licensed marriage and family therapist, I focus on how an individual's personal relationships, behavior patterns, and life choices are interconnected with the issues they face in their life. My website is michellewarnerlmft.com.
In-person and online appointments offered. Our relationships and our ability to cope are impacted when under stress. Even normal and otherwise happy events add stress to our lives. Do you feel like you are caught in an endless cycle of conflict? Do you feel like your efforts to connect are misunderstood? As a licensed marriage and family therapist, I focus on how an individual's personal relationships, behavior patterns, and life choices are interconnected with the issues they face in their life. My website is michellewarnerlmft.com.
(315) 595-5034 View (315) 595-5034
Photo of Andrea L Corson, Clinical Social Work/Therapist, LCSW-R
Andrea L Corson
Clinical Social Work/Therapist, LCSW-R
Online Only
Welcome! I'm glad you took this 1st step. I understand that busy schedules can make it difficult to prioritize therapy. That’s why I offer flexible hours, including evening, late-night, & early weekend sessions. With me, you won’t hear the phrase “tell me how that makes you feel” endlessly repeated. While emotional exploration is important, I focus on practical solutions & measurable progress to help you move toward your goals (stress, anxiety, depression, anger, relationships, divorce, addiction and more).
Welcome! I'm glad you took this 1st step. I understand that busy schedules can make it difficult to prioritize therapy. That’s why I offer flexible hours, including evening, late-night, & early weekend sessions. With me, you won’t hear the phrase “tell me how that makes you feel” endlessly repeated. While emotional exploration is important, I focus on practical solutions & measurable progress to help you move toward your goals (stress, anxiety, depression, anger, relationships, divorce, addiction and more).
(914) 266-7426 View (914) 266-7426
Photo of Mingyi He, Clinical Social Work/Therapist, LMSW
Mingyi He
Clinical Social Work/Therapist, LMSW
1 Endorsed
Serves Area
There is so much more to life than just feeling fine, and as a therapist, I deeply believe in this. Every concern, whether big or small, is valid and deserving of attention; it's not about overreacting, but rather about respecting your wants and needs. It's completely okay to feel overwhelmed or drained by life's hurdles and to seek a momentary break to prioritize self-care. It's during these moments that we often unearth our resilience, uncover strengths, and foster personal growth.
There is so much more to life than just feeling fine, and as a therapist, I deeply believe in this. Every concern, whether big or small, is valid and deserving of attention; it's not about overreacting, but rather about respecting your wants and needs. It's completely okay to feel overwhelmed or drained by life's hurdles and to seek a momentary break to prioritize self-care. It's during these moments that we often unearth our resilience, uncover strengths, and foster personal growth.
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Photo of Jennifer M Butera, Clinical Social Work/Therapist, LCSW
Jennifer M Butera
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Welcome to therapy! I am an ARMY Veteran who left the military to pursue a career in the helping profession. I look forward to working with you!
Welcome to therapy! I am an ARMY Veteran who left the military to pursue a career in the helping profession. I look forward to working with you!
(315) 864-5969 View (315) 864-5969
Photo of Frances Christina Gouda, Counselor, LMHC
Frances Christina Gouda
Counselor, LMHC
1 Endorsed
Serves Area
I work best with clients who want to feel understood, supported, and actually get through life without feeling like their brain is trying to sabotage them. Whether you’re dealing with anxiety, depression, OCD, trauma, ADHD, or identify as neurodivergent—or you just want a safe, affirming space as part of the LGBTQIA+ community—I’ve got you. Together, we’ll find practical tools, build emotional resilience, and create strategies that actually fit your life. My goal? A space where you feel heard, empowered, and ready to thrive—not just survive. And yes, humor is absolutely allowed; therapy doesn’t have to feel like homework.
I work best with clients who want to feel understood, supported, and actually get through life without feeling like their brain is trying to sabotage them. Whether you’re dealing with anxiety, depression, OCD, trauma, ADHD, or identify as neurodivergent—or you just want a safe, affirming space as part of the LGBTQIA+ community—I’ve got you. Together, we’ll find practical tools, build emotional resilience, and create strategies that actually fit your life. My goal? A space where you feel heard, empowered, and ready to thrive—not just survive. And yes, humor is absolutely allowed; therapy doesn’t have to feel like homework.
(585) 440-6893 View (585) 440-6893
Photo of Marsha Joseph, Counselor, MA, LMHC
Marsha Joseph
Counselor, MA, LMHC
1 Endorsed
Online Only
You may feel stuck in a constant fight with food, your body, and the pressure to hold everything together. Maybe you eat for comfort, restrict to feel in control, or carry shame about never feeling “enough.” Many of the women I work with—especially Black women—carry the weight of perfectionism, cultural expectations, and beauty standards that were never made for them. You’re tired of self-criticism and just want peace, balance, and to finally feel at home in yourself.
You may feel stuck in a constant fight with food, your body, and the pressure to hold everything together. Maybe you eat for comfort, restrict to feel in control, or carry shame about never feeling “enough.” Many of the women I work with—especially Black women—carry the weight of perfectionism, cultural expectations, and beauty standards that were never made for them. You’re tired of self-criticism and just want peace, balance, and to finally feel at home in yourself.
(516) 363-4344 View (516) 363-4344
Photo of Maggie Osinski, Clinical Social Work/Therapist, LCSW, LICSW
Maggie Osinski
Clinical Social Work/Therapist, LCSW, LICSW
Online Only
Not accepting new clients
Let me start by saying that I believe humans are powerful beings. Part of the human experience is to experience pain, suffering, and hardship. My goal is to help you navigate through the inevitable difficulties life will bring. To help you reach your goals, I will incorporate several evidence-based treatment modalities into our work together, including Cognitive Behavioral Therapy and Dialectical Behavioral Therapy. Most importantly, I feel strongly that there is healing power in being present with you, listening to you, and truly hearing what you have to say.
Let me start by saying that I believe humans are powerful beings. Part of the human experience is to experience pain, suffering, and hardship. My goal is to help you navigate through the inevitable difficulties life will bring. To help you reach your goals, I will incorporate several evidence-based treatment modalities into our work together, including Cognitive Behavioral Therapy and Dialectical Behavioral Therapy. Most importantly, I feel strongly that there is healing power in being present with you, listening to you, and truly hearing what you have to say.
(516) 604-5948 View (516) 604-5948
Photo of Claire Michele Neumann, Clinical Social Work/Therapist, LCSW
Claire Michele Neumann
Clinical Social Work/Therapist, LCSW
Serves Area
Not accepting new clients
Hi! I am an LCSW and actor, helping people find their truest and most joyful self-expression, and guiding clients to get connected to their passion and excitement for life! My MSW is from NYU and my BA is in Communications (Theatre & Music Theatre Major) from Northwestern University. I've been a professional actor, teaching artist and improvisor for 14 years, and in addition to eclectic therapeutic modalities (CBT, ACT, Mindfulness, Psychodynamics), I incorporate drama, theatre and comedy in my work as a therapist and social worker. In addition to private practice, I perform theatre around the country and dance salsa and hip hop!
Hi! I am an LCSW and actor, helping people find their truest and most joyful self-expression, and guiding clients to get connected to their passion and excitement for life! My MSW is from NYU and my BA is in Communications (Theatre & Music Theatre Major) from Northwestern University. I've been a professional actor, teaching artist and improvisor for 14 years, and in addition to eclectic therapeutic modalities (CBT, ACT, Mindfulness, Psychodynamics), I incorporate drama, theatre and comedy in my work as a therapist and social worker. In addition to private practice, I perform theatre around the country and dance salsa and hip hop!
(510) 405-9955 View (510) 405-9955
Photo of Shannon Galarneau, Clinical Social Work/Therapist, LCSW, CASAC
Shannon Galarneau
Clinical Social Work/Therapist, LCSW, CASAC
2 Endorsed
Syracuse, NY 13206
I am open minded, easy to talk to and have a great deal of lived experience, as well as learned knowledge to offer. I focus on goal setting and tangible solutions to help clients feel empowered and in control of their own healing. I try to use unique and client-centered methods to help process every individual situation, no matter what that may be.
I am open minded, easy to talk to and have a great deal of lived experience, as well as learned knowledge to offer. I focus on goal setting and tangible solutions to help clients feel empowered and in control of their own healing. I try to use unique and client-centered methods to help process every individual situation, no matter what that may be.
(315) 897-6678 View (315) 897-6678

How does your Therapist compare?

Number of Therapists in De Witt, NY

10+

Average cost per session

$150

Therapists in De Witt, NY who prioritize treating:

100% Relationship Issues
100% Anxiety
90% Depression
90% Trauma and PTSD
90% Stress
80% Grief
80% Family Conflict

Average years in practice

24 Years

Top 3 insurances accepted

67% Aetna
67% Optum
50% BlueCross and BlueShield

How Therapists in De Witt, NY see their clients

90% In Person and Online
10% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in De Witt?

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.