Therapists in East Fishkill, NY

Photo of Regina Sewell, Counselor, MEd, LMHC
Regina Sewell
Counselor, MEd, LMHC
2 Endorsed
Serves Area
Waitlist for new clients
What if: You could change your life for the better? You had more access to your creativity and more tools to help you succeed? You could improve your relationships at home and at work? Stress, anxiety, depression, and limiting beliefs keep you stuck in unhealthy, unproductive patterns and prevent you from living the life you want to live. I offer experiential tools to help you explore your issues, identify and work through the blocks that get in the way, and find the tools and resources you need to move forward. Why analyze your dreams when you can live them?
What if: You could change your life for the better? You had more access to your creativity and more tools to help you succeed? You could improve your relationships at home and at work? Stress, anxiety, depression, and limiting beliefs keep you stuck in unhealthy, unproductive patterns and prevent you from living the life you want to live. I offer experiential tools to help you explore your issues, identify and work through the blocks that get in the way, and find the tools and resources you need to move forward. Why analyze your dreams when you can live them?
(845) 832-8678 View (845) 832-8678
Photo of Carol Hults, Counselor, MA, LMHC, BCPC, DAPA
Carol Hults
Counselor, MA, LMHC, BCPC, DAPA
Online Only
Do you want to feel better, be less stressed, feel more positive, handle anger more productively or be able to deal better with past traumas? If you answered yes to one or more of these questions, I can help. I am a supportive and direct therapist. I provide a warm and supportive environment that stresses collaboration, mutual respect and trust. Counseling is an interactive process that encourages participation from all involved. By working together the therapeutic process can become a stress free, comfortable and successful endeavor.
Do you want to feel better, be less stressed, feel more positive, handle anger more productively or be able to deal better with past traumas? If you answered yes to one or more of these questions, I can help. I am a supportive and direct therapist. I provide a warm and supportive environment that stresses collaboration, mutual respect and trust. Counseling is an interactive process that encourages participation from all involved. By working together the therapeutic process can become a stress free, comfortable and successful endeavor.
(845) 661-2884 View (845) 661-2884
Photo of Lisa Papantoniou, Art Therapist, MA, LCAT, ATR-BC
Lisa Papantoniou
Art Therapist, MA, LCAT, ATR-BC
1 Endorsed
Serves Area
If you are looking for a holistic and empowering approach to therapy, Creative Arts Therapy may be the perfect fit for you. Our person-centered approach combines artistic expression and talk therapy techniques to help individuals cultivate self-awareness, foster emotional well-being, and facilitate personal growth. Whether you are dealing with depression, anxiety, PTSD, or going through a life transition, our practice provides as a safe and supportive environment to explore your thoughts, emotions, and experiences through creative expression. Let us help you on your journey of self discovery and transformation.
If you are looking for a holistic and empowering approach to therapy, Creative Arts Therapy may be the perfect fit for you. Our person-centered approach combines artistic expression and talk therapy techniques to help individuals cultivate self-awareness, foster emotional well-being, and facilitate personal growth. Whether you are dealing with depression, anxiety, PTSD, or going through a life transition, our practice provides as a safe and supportive environment to explore your thoughts, emotions, and experiences through creative expression. Let us help you on your journey of self discovery and transformation.
(845) 523-6582 View (845) 523-6582
Photo of Elana Kirsch, Clinical Social Work/Therapist, LCSW
Elana Kirsch
Clinical Social Work/Therapist, LCSW
Serves Area
My practice is called Moon View Therapy and I work with individuals, couples and families in New York and New Jersey. My expertise is in working with those experiencing relationship transitions, feelings of anxiety and depression, as well as those exploring life purpose and meaning.
My practice is called Moon View Therapy and I work with individuals, couples and families in New York and New Jersey. My expertise is in working with those experiencing relationship transitions, feelings of anxiety and depression, as well as those exploring life purpose and meaning.
(332) 208-9814 View (332) 208-9814
Photo of Rheam El-Rouby Metzger, Counselor, MASP, LMHC
Rheam El-Rouby Metzger
Counselor, MASP, LMHC
3 Endorsed
Serves Area
Waitlist for new clients
Life presents us with challenges that can sometimes feel overwhelming. Whether you're managing stress, anxiety, depression, or navigating the complexities of ADHD, Autism, or other special needs, you do not have to do it alone. My approach is compassionate, nonjudgmental, and designed to support you in finding solutions. Together, we'll work on strategies that help you manage immediate crises while also building long term resilience. If you are ready to take control of your life and find balance, I'm here to help guide you through the process.
Life presents us with challenges that can sometimes feel overwhelming. Whether you're managing stress, anxiety, depression, or navigating the complexities of ADHD, Autism, or other special needs, you do not have to do it alone. My approach is compassionate, nonjudgmental, and designed to support you in finding solutions. Together, we'll work on strategies that help you manage immediate crises while also building long term resilience. If you are ready to take control of your life and find balance, I'm here to help guide you through the process.
(845) 377-4592 View (845) 377-4592
Photo of Mary Gifford-Smith, Psychologist, PhD
Mary Gifford-Smith
Psychologist, PhD
Serves Area
Anxiety looks different in every child, but no matter what form it takes, it can be excruciating for both the child and the parent. Whether your child withdraws to their room and won’t talk, gets angry and refuses to make an effort, works three times as hard as other children and still feels inadequate, or seems to need you so much they can’t function on their own, knowing how best to help is so hard. The good news is that no matter what anxiety looks like on the surface, there are evidence-based treatments that really work.
Anxiety looks different in every child, but no matter what form it takes, it can be excruciating for both the child and the parent. Whether your child withdraws to their room and won’t talk, gets angry and refuses to make an effort, works three times as hard as other children and still feels inadequate, or seems to need you so much they can’t function on their own, knowing how best to help is so hard. The good news is that no matter what anxiety looks like on the surface, there are evidence-based treatments that really work.
(845) 203-9277 View (845) 203-9277

More Therapists Nearby

Photo of Amanda Bruno, Licensed Master Social Work, LMSW
Amanda Bruno
Licensed Master Social Work, LMSW
3 Endorsed
Fishkill, NY 12524
Waitlist for new clients
Are you feeling overwhelmed by life's challenges? Seeking a safe space to explore your emotions? As a dedicated mental health counselor, I am passionate about helping individuals navigate life's difficulties and achieve emotional well-being. With a compassionate and empathetic approach, my goal is to create a supportive environment where clients feel heard, understood, and seen. Together, we can work towards healing and personal growth, empowering you to live a fulfilling and balanced life.
Are you feeling overwhelmed by life's challenges? Seeking a safe space to explore your emotions? As a dedicated mental health counselor, I am passionate about helping individuals navigate life's difficulties and achieve emotional well-being. With a compassionate and empathetic approach, my goal is to create a supportive environment where clients feel heard, understood, and seen. Together, we can work towards healing and personal growth, empowering you to live a fulfilling and balanced life.
(845) 493-2633 View (845) 493-2633
Photo of Deborah Strock, Counselor, LMHC, CCTP
Deborah Strock
Counselor, LMHC, CCTP
2 Endorsed
Online Only
I am a neurodivergent member of the LGBTQIA+ community who has worked passionately as a therapist for over 25 years. Due to my own early life experiences, my driving motivation is to help other survivors of trauma in overcoming adversity as well as in supporting people in their process of coming out and/or transitioning. I greatly enjoy helping members of the autism community in overcoming challenges & embracing the gifts inherent in being autistic. I am licensed in NY and am currently working 100% virtually.
I am a neurodivergent member of the LGBTQIA+ community who has worked passionately as a therapist for over 25 years. Due to my own early life experiences, my driving motivation is to help other survivors of trauma in overcoming adversity as well as in supporting people in their process of coming out and/or transitioning. I greatly enjoy helping members of the autism community in overcoming challenges & embracing the gifts inherent in being autistic. I am licensed in NY and am currently working 100% virtually.
(845) 576-1208 View (845) 576-1208
Photo of Melissa Millian Katz, Clinical Social Work/Therapist, LCSW
Melissa Millian Katz
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
I'm a Licensed Clinical Social Worker and online therapist providing virtual therapy to adults, teens, and families across New York. I help people navigate anxiety, parenting stress, trauma, chronic illness, and life transitions. With lived experience as a caregiver, parent, and cancer survivor, I bring grounded, steady care to each session. Clients often tell me they feel safe, understood, and deeply heard, sometimes for the first time. Therapy with me feels calm, connected, and truly supportive. I am dedicated to helping you improve your self-worth, strengthen your emotional regulation, and cultivate a greater sense of joy.
I'm a Licensed Clinical Social Worker and online therapist providing virtual therapy to adults, teens, and families across New York. I help people navigate anxiety, parenting stress, trauma, chronic illness, and life transitions. With lived experience as a caregiver, parent, and cancer survivor, I bring grounded, steady care to each session. Clients often tell me they feel safe, understood, and deeply heard, sometimes for the first time. Therapy with me feels calm, connected, and truly supportive. I am dedicated to helping you improve your self-worth, strengthen your emotional regulation, and cultivate a greater sense of joy.
(914) 584-1480 View (914) 584-1480
Photo of Pamela Cunningham, Clinical Social Work/Therapist, LCSW-R
Pamela Cunningham
Clinical Social Work/Therapist, LCSW-R
2 Endorsed
Online Only
Not accepting new clients
For over two decades, I've had the privilege of working in the mental health, medical, and chemical dependency fields, dedicating my career to helping individuals achieve optimal functioning and find their inner peace. My passion lies in being a beacon of support, fostering growth, and facilitating positive change to guide my clients toward their best selves. As a Certified Anxiety Treatment Professional and Clinical Trauma Professional, I bring specialized expertise, particularly in the realms of depression, anxiety and trauma. For over 20 years, I've been fortunate to help countless individuals on their unique healing journeys.
For over two decades, I've had the privilege of working in the mental health, medical, and chemical dependency fields, dedicating my career to helping individuals achieve optimal functioning and find their inner peace. My passion lies in being a beacon of support, fostering growth, and facilitating positive change to guide my clients toward their best selves. As a Certified Anxiety Treatment Professional and Clinical Trauma Professional, I bring specialized expertise, particularly in the realms of depression, anxiety and trauma. For over 20 years, I've been fortunate to help countless individuals on their unique healing journeys.
(845) 203-0269 View (845) 203-0269
Photo of Lynda Rosner, NYSLBA, BCBA, TSHH
Lynda Rosner
Verified Verified
Highland, NY 12528
I'm Lynda Rosner, a Licensed Behavior Analyst with a passion for making a difference in the lives of children and families. I have been a BCBA since 2007 and have dedicated my career to collaborating, showing compassion, and finding solutions to every problem.
I'm Lynda Rosner, a Licensed Behavior Analyst with a passion for making a difference in the lives of children and families. I have been a BCBA since 2007 and have dedicated my career to collaborating, showing compassion, and finding solutions to every problem.
(845) 393-3896 View (845) 393-3896
Photo of Ileanie Alifonso Belen, Licensed Mental Health Counselor, MA, MHC-LP, LAC
Ileanie Alifonso Belen
Licensed Mental Health Counselor, MA, MHC-LP, LAC
1 Endorsed
Goshen, NY 10924
Ileanie is passionate about helping children, teens, adults, couples, and families to find wholeness. She desires to see people flourish in their purpose and identity, to see them grow in ways that bring fulfillment and clarity of who they are and who they can become. Ileanie values the intricate uniqueness of who people are and strives to come alongside them as they pursue their goals.
Ileanie is passionate about helping children, teens, adults, couples, and families to find wholeness. She desires to see people flourish in their purpose and identity, to see them grow in ways that bring fulfillment and clarity of who they are and who they can become. Ileanie values the intricate uniqueness of who people are and strives to come alongside them as they pursue their goals.
(862) 358-4027 View (862) 358-4027
Photo of Steph Bayan, Marriage & Family Therapist, LMFT
Steph Bayan
Marriage & Family Therapist, LMFT
2 Endorsed
Rhinebeck, NY 12572
My ideal client feels overwhelmed by grief, anxiety, or old survival patterns. They’re capable and thoughtful, but inside they feel disconnected, exhausted, or unsure who they are becoming. They want relief from the weight they’ve been carrying and hope for a life that feels more authentic, regulated, and meaningful. They’re looking for a space where they can explore their inner world gently, without judgment, and with someone who truly understands the impact of complex trauma.
My ideal client feels overwhelmed by grief, anxiety, or old survival patterns. They’re capable and thoughtful, but inside they feel disconnected, exhausted, or unsure who they are becoming. They want relief from the weight they’ve been carrying and hope for a life that feels more authentic, regulated, and meaningful. They’re looking for a space where they can explore their inner world gently, without judgment, and with someone who truly understands the impact of complex trauma.
(929) 955-1785 View (929) 955-1785
Photo of Mark Beauregard, Creative Arts Therapist, MA, RDT-BCT, LCAT, AF-EMDR
Mark Beauregard
Creative Arts Therapist, MA, RDT-BCT, LCAT, AF-EMDR
1 Endorsed
Accord, NY 12404
Finding a therapist who you connect to is important in achieving your goals. With over twenty years of experience, I specialize in the integration of verbal psychotherapy and the arts to help people move from a place of feeling stuck to a place of feeling empowered, confident, and creative. I bring warmth, compassion, humor, truthful communication and collaboration to the therapy process, offering a space where you can explore your thoughts and feelings creatively and work toward solutions and resolutions at your own pace. I practice from a relational, LGBTQIA+ affirming, and trauma-informed framework, and am EMDR trained.
Finding a therapist who you connect to is important in achieving your goals. With over twenty years of experience, I specialize in the integration of verbal psychotherapy and the arts to help people move from a place of feeling stuck to a place of feeling empowered, confident, and creative. I bring warmth, compassion, humor, truthful communication and collaboration to the therapy process, offering a space where you can explore your thoughts and feelings creatively and work toward solutions and resolutions at your own pace. I practice from a relational, LGBTQIA+ affirming, and trauma-informed framework, and am EMDR trained.
(917) 924-5144 View (917) 924-5144
Photo of Laurie Greenberg-Cardillo, Psychologist, PsyD
Laurie Greenberg-Cardillo
Psychologist, PsyD
New Paltz, NY 12561
Laurie Greenberg-Cardillo is a Clinical Psychologist specializing in individual and couples therapy. Dr. Greenberg-Cardillo has over 30 years experience working in hospitals and private practice in New York City. She received her doctorate in clinical psychology for Rutgers Graduate School of Applied and Professional Psychology. She went on to earn a certificate in psychotherapy and psychoanalysis from New York University. Dr. Greenberg-Cardillo is the former Director of the HIV Mental Health Program at Beth Israel Medical Center in New York City. She is also a Certified Accelerated Experiential Dynamic Psychotherapy therapist.
Laurie Greenberg-Cardillo is a Clinical Psychologist specializing in individual and couples therapy. Dr. Greenberg-Cardillo has over 30 years experience working in hospitals and private practice in New York City. She received her doctorate in clinical psychology for Rutgers Graduate School of Applied and Professional Psychology. She went on to earn a certificate in psychotherapy and psychoanalysis from New York University. Dr. Greenberg-Cardillo is the former Director of the HIV Mental Health Program at Beth Israel Medical Center in New York City. She is also a Certified Accelerated Experiential Dynamic Psychotherapy therapist.
(646) 679-7670 View (646) 679-7670
Photo of Adele S. Browdy, Clinical Social Work/Therapist, LCSWR
Adele S. Browdy
Clinical Social Work/Therapist, LCSWR
Chappaqua, NY 10514
Having been in practice for over 30 years I have found that connections are an important part of the helping process. I work with individuals, couples and families utilizing family history, current situational processes as well as personal strengths and coping skills to address issues of concern. I believe all individuals have the capacity to make changes in their lives and will work on helping each individual gain a better understanding of his/her needs and behaviors to attain those goals.
Having been in practice for over 30 years I have found that connections are an important part of the helping process. I work with individuals, couples and families utilizing family history, current situational processes as well as personal strengths and coping skills to address issues of concern. I believe all individuals have the capacity to make changes in their lives and will work on helping each individual gain a better understanding of his/her needs and behaviors to attain those goals.
(914) 618-5336 View (914) 618-5336
Jeremy Eggleston-Colon
Psychologist, LP
Salt Point, NY 12578
Dr. Eggleston is a New York State licensed clinical psychologist with a doctorate from Fordham University and a completed Resident Internship at Bellevue Hospital/NYU School of Medicine. He has over fifteen years of clinical experience working at places such as Columbia University, New York Presbyterian Hospital, Vassar College, and the Karen Horney Institute. He has expertise treating children, adolescents and adults. Dr. Eggleston has extensive training working with mood and anxiety disorders, substance use, spiritual/existential issues, relationship/family dynamics, severe and persistent mental illness, and LGBT-related issues.
Dr. Eggleston is a New York State licensed clinical psychologist with a doctorate from Fordham University and a completed Resident Internship at Bellevue Hospital/NYU School of Medicine. He has over fifteen years of clinical experience working at places such as Columbia University, New York Presbyterian Hospital, Vassar College, and the Karen Horney Institute. He has expertise treating children, adolescents and adults. Dr. Eggleston has extensive training working with mood and anxiety disorders, substance use, spiritual/existential issues, relationship/family dynamics, severe and persistent mental illness, and LGBT-related issues.
(845) 506-1649 View (845) 506-1649
Photo of Jason Duncan, Psychologist, PhD
Jason Duncan
Psychologist, PhD
Yorktown Heights, NY 10598
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
I am a psychologist providing therapy and assessment services for children through adults. I have extensive clinical experience and am an expert Cognitive Behavioral Therapist. I’ve been trained by top therapy institutes, am a board member for well accomplished CBT organizations, and run the official podcast for the national CBT organization. I strive to regularly advance my knowledge and provide leading scientific treatments. I specialize in the treatment of anxiety, depression, panic, OCD, trauma, stress, insomnia, ADHD, defiance, and work/school issues. Many of my clients lead busy lives; therefore, I offer evening appointments.
View
Photo of Judith Adamo, Psychologist, PhD
Judith Adamo
Psychologist, PhD
Serves Area
Life's challenges are many and COVID 19 has created a monumental shift in how we live and how we think about what it means to be human. It has put a different perspective on existing challenges while at the same time creating new ones. Facing such challenges in a supportive relationship can make a difference during these times of heightened anxiety. This type of self-examination takes courage and trust, and I feel privileged when asked to accompany someone on their journey. The success of this type of work lies in the relationship itself.
Life's challenges are many and COVID 19 has created a monumental shift in how we live and how we think about what it means to be human. It has put a different perspective on existing challenges while at the same time creating new ones. Facing such challenges in a supportive relationship can make a difference during these times of heightened anxiety. This type of self-examination takes courage and trust, and I feel privileged when asked to accompany someone on their journey. The success of this type of work lies in the relationship itself.
(917) 746-8607 View (917) 746-8607
Photo of Russell Schwartz, Psychologist, PhD
Russell Schwartz
Psychologist, PhD
New City, NY 10956
I am a licensed psychologist in private practice in New City, New York. I have been in private practice since 1996. I also worked as a School Psychologist retiring in 2016 after working in the school setting for 35 years. I received additional training through the Westchester Center for the Study of Psychoanalysis and Psychotherapy attending a two year program in Child and Adolescent Psychotherapy and another two year program in Adult Psychotherapy. When working with children and adolescents, I provide space for them to comfortably express their thoughts and feelings regarding their experiences. I also work closely with parents while respecting the confidentiality and comfort level of their children. When working with adults, I provide a safe and trusting setting in which understanding leads to both acceptance and change, if necessary. Changes are co-created through the positive, caring interactions of therapist and patient.
I am a licensed psychologist in private practice in New City, New York. I have been in private practice since 1996. I also worked as a School Psychologist retiring in 2016 after working in the school setting for 35 years. I received additional training through the Westchester Center for the Study of Psychoanalysis and Psychotherapy attending a two year program in Child and Adolescent Psychotherapy and another two year program in Adult Psychotherapy. When working with children and adolescents, I provide space for them to comfortably express their thoughts and feelings regarding their experiences. I also work closely with parents while respecting the confidentiality and comfort level of their children. When working with adults, I provide a safe and trusting setting in which understanding leads to both acceptance and change, if necessary. Changes are co-created through the positive, caring interactions of therapist and patient.
(845) 252-8169 View (845) 252-8169

How does your Therapist compare?

Number of Therapists in East Fishkill, NY

< 10

Therapists in East Fishkill, NY who prioritize treating:

100% Anxiety
83% Relationship Issues
83% Family Conflict
83% Self Esteem
67% Depression
67% Child
67% Grief

Average years in practice

22 Years

Top 3 insurances accepted

60% Carelon Behavioral Health
40% Aetna
40% BlueCross and BlueShield

How Therapists in East Fishkill, NY see their clients

83% In Person and Online
17% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in East Fishkill?

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.