Therapists in East Setauket, NY

Photo of Dr. Tara Bulin, PhD, LCSW-R, EMDR, Clinical Social Work/Therapist
Dr. Tara Bulin
Clinical Social Work/Therapist, PhD, LCSW-R, EMDR
Verified Verified
3 Endorsed
East Setauket, NY 11733  (Online Only)
Are YOU ready to transform your life? Are you feeling overwhelmed by consuming thoughts, feelings, and repeating circumstances in your life? Are you feeling stuck, and not where you imagined you would be? Have you tried to make changes before, but for some reason, it just didn't work? If you answered YES to these questions, it's time for you to stop doing the same thing over and over and expecting the outcome to be different. It's time for you to start healing and move closer to the life you've always imagined you could have. It's time to make the change..now. YOU can do this, and I am here to support you.
Are YOU ready to transform your life? Are you feeling overwhelmed by consuming thoughts, feelings, and repeating circumstances in your life? Are you feeling stuck, and not where you imagined you would be? Have you tried to make changes before, but for some reason, it just didn't work? If you answered YES to these questions, it's time for you to stop doing the same thing over and over and expecting the outcome to be different. It's time for you to start healing and move closer to the life you've always imagined you could have. It's time to make the change..now. YOU can do this, and I am here to support you.
(631) 337-8275 View (631) 337-8275
Photo of Roni Bernstein, MS, MSSW, LCSW, Clinical Social Work/Therapist
Roni Bernstein
Clinical Social Work/Therapist, MS, MSSW, LCSW
Verified Verified
East Setauket, NY 11733  (Online Only)
I work collaboratively with my clients to help them identify and progress toward meeting their goals and personal needs. I use a relational approach, incorporating psychodynamic psychotherapy, as well as cognitive-behavioral therapy.
I work collaboratively with my clients to help them identify and progress toward meeting their goals and personal needs. I use a relational approach, incorporating psychodynamic psychotherapy, as well as cognitive-behavioral therapy.
(914) 618-3177 View (914) 618-3177
Photo of Julian Pessier, PhD, Psychologist
Julian Pessier
Psychologist, PhD
Verified Verified
3 Endorsed
East Setauket, NY 11733
My professional experience and background working with University (undergraduate, graduate and medical/health professions) students makes me an excellent fit for people looking to make changes in their lives, often starting with the reduction of emotional distress, followed by identifying new and meaningful goals in the areas of relationships and work.
My professional experience and background working with University (undergraduate, graduate and medical/health professions) students makes me an excellent fit for people looking to make changes in their lives, often starting with the reduction of emotional distress, followed by identifying new and meaningful goals in the areas of relationships and work.
(631) 201-5432 View (631) 201-5432
Photo of Yolanda Vazquez, LCSW, Clinical Social Work/Therapist
Yolanda Vazquez
Clinical Social Work/Therapist, LCSW
Verified Verified
East Setauket, NY 11733  (Online Only)
If you're looking to make changes in yourself and in your life, therapy can help. Whether you're here to navigate a short-term challenge or you've had a long history of anxiety, depression, relationship struggles, or trauma affecting your day-to-day life, you've already taken the first step toward making big changes.
If you're looking to make changes in yourself and in your life, therapy can help. Whether you're here to navigate a short-term challenge or you've had a long history of anxiety, depression, relationship struggles, or trauma affecting your day-to-day life, you've already taken the first step toward making big changes.
(631) 202-1093 View (631) 202-1093
Photo of Danielle Banducci, Clinical Social Work/Therapist
Danielle Banducci
Clinical Social Work/Therapist
Verified Verified
East Setauket, NY 11733
Are you struggling with life transitions and having difficulties navigating those situations? Do parenting challenges, relationships, or other interpersonal dynamics affect your anxiety or overall mood? Perhaps you are feeling stuck and need some motivation to make changes or just may benefit from a different perspective. I wholeheartedly strive to give my clients a safe place to explore and voice life's struggles and to build a therapeutic alliance. I believe that we are not meant to experience life alone and at times we all need a little extra support, guidance, and encouragement.
Are you struggling with life transitions and having difficulties navigating those situations? Do parenting challenges, relationships, or other interpersonal dynamics affect your anxiety or overall mood? Perhaps you are feeling stuck and need some motivation to make changes or just may benefit from a different perspective. I wholeheartedly strive to give my clients a safe place to explore and voice life's struggles and to build a therapeutic alliance. I believe that we are not meant to experience life alone and at times we all need a little extra support, guidance, and encouragement.
(516) 744-5285 View (516) 744-5285
Photo of Amy Gironda, LCSW-R, Clinical Social Work/Therapist
Amy Gironda
Clinical Social Work/Therapist, LCSW-R
Verified Verified
East Setauket, NY 11733
Are you often overwhelmed with all of your responsibilities or feel you "should be" happier?" Do you feel inadequate in your career, parenting, or marriage or filled with inner self doubt that interferes with your happiness? I am an experienced Licensed Clinical Social Worker dedicated to helping you identify and manage those life stressors that may be preventing you from feeling satisfied and joyful. My goal is to help you find greater satisfaction while you navigate your life and to help you recognize your strengths and ability for positive change.
Are you often overwhelmed with all of your responsibilities or feel you "should be" happier?" Do you feel inadequate in your career, parenting, or marriage or filled with inner self doubt that interferes with your happiness? I am an experienced Licensed Clinical Social Worker dedicated to helping you identify and manage those life stressors that may be preventing you from feeling satisfied and joyful. My goal is to help you find greater satisfaction while you navigate your life and to help you recognize your strengths and ability for positive change.
(516) 774-1312 View (516) 774-1312
Photo of JoAnn Rosen, EdD, LMHC, NCC, Counselor
JoAnn Rosen
Counselor, EdD, LMHC, NCC
Verified Verified
1 Endorsed
East Setauket, NY 11733
Do you feel anxious, sad, depressed or unhappy? Are you repeating ineffective, self-defeating behaviors in relationships, work or other important areas of your life? Do you want to experience greater self-confidence? If you are struggling with these issues, I would like to help you. Asking for help is courageous, and reading this site suggests that you are taking the initial step towards positive change. My therapeutic style is friendly, engaging, and respectful. Together we will explore and better understand your painful past and present experiences, behaviors and feelings. Clarity, self-appreciation, skillfulness and true happiness can be yours!
Do you feel anxious, sad, depressed or unhappy? Are you repeating ineffective, self-defeating behaviors in relationships, work or other important areas of your life? Do you want to experience greater self-confidence? If you are struggling with these issues, I would like to help you. Asking for help is courageous, and reading this site suggests that you are taking the initial step towards positive change. My therapeutic style is friendly, engaging, and respectful. Together we will explore and better understand your painful past and present experiences, behaviors and feelings. Clarity, self-appreciation, skillfulness and true happiness can be yours!
(631) 594-8281 View (631) 594-8281
Photo of Nancy R. Goldstein, LCSW, Clinical Social Work/Therapist
Nancy R. Goldstein
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
East Setauket, NY 11733  (Online Only)
I have a profound faith in the process of therapy to help you live a happier, more satisfying life. Your unique personal history, needs and goals will shape our work. You will experience the deep level of engagement, caring and commitment that I bring to our work together. Do you want to talk with someone who is non-judgmental, and who will not just listen to you, but will provide gentle insight, honest feedback and guidance informed by 35 years in practice? Would you like to discover deeper meaning in your life, access your inner wisdom, and be kinder to yourself? If so, I can help you. Call me today.
I have a profound faith in the process of therapy to help you live a happier, more satisfying life. Your unique personal history, needs and goals will shape our work. You will experience the deep level of engagement, caring and commitment that I bring to our work together. Do you want to talk with someone who is non-judgmental, and who will not just listen to you, but will provide gentle insight, honest feedback and guidance informed by 35 years in practice? Would you like to discover deeper meaning in your life, access your inner wisdom, and be kinder to yourself? If so, I can help you. Call me today.
(631) 410-6118 View (631) 410-6118
Photo of Donna E Friedman, PhD, Psychologist
Donna E Friedman
Psychologist, PhD
Verified Verified
East Setauket, NY 11733
I view therapy as a collaborative process that facilitates communication, problem-solving and self-exploration, which leads to lasting change in relationships and life. As a clinical psychologist in practice for over 27 years, I have learned that while no single type of therapy works for everyone, a strong, trusting therapeutic relationship is essential to achieving growth and change. We use this relationship to learn about how you feel and behave in other significant relationships. Therapy becomes a place to try new ways of communicating and to develop new ways of seeing things. Ultimately, therapy leads to taking healthy risks in relationships and life.
I view therapy as a collaborative process that facilitates communication, problem-solving and self-exploration, which leads to lasting change in relationships and life. As a clinical psychologist in practice for over 27 years, I have learned that while no single type of therapy works for everyone, a strong, trusting therapeutic relationship is essential to achieving growth and change. We use this relationship to learn about how you feel and behave in other significant relationships. Therapy becomes a place to try new ways of communicating and to develop new ways of seeing things. Ultimately, therapy leads to taking healthy risks in relationships and life.
(631) 352-4278 View (631) 352-4278
Photo of Bianca Marro-Boyle, PsyD, BCBA, Pre-Licensed Professional
Bianca Marro-Boyle
Pre-Licensed Professional, PsyD, BCBA
Verified Verified
East Setauket, NY 11733
Dr. Marro is a psychologist who received her Doctorate in School Psychology from Adelphi University. She also possesses a Masters degree in Applied Educational Psychology, a Masters degree in Psychology, as well as a Masters degree in School Psychology. Dr. Marro is BCBA. Dr. Marro specializes in working with children, adolescents and adults, particularly those with an Autism Spectrum Disorder (ASD) and anxiety disorders. She also sees adults who are struggling with adjusting to new life changes and stressful life experiences. She also works with parents and families for parent training, and conducts social skills groups for youth.
Dr. Marro is a psychologist who received her Doctorate in School Psychology from Adelphi University. She also possesses a Masters degree in Applied Educational Psychology, a Masters degree in Psychology, as well as a Masters degree in School Psychology. Dr. Marro is BCBA. Dr. Marro specializes in working with children, adolescents and adults, particularly those with an Autism Spectrum Disorder (ASD) and anxiety disorders. She also sees adults who are struggling with adjusting to new life changes and stressful life experiences. She also works with parents and families for parent training, and conducts social skills groups for youth.
(631) 776-4641 View (631) 776-4641
Photo of Alison Herrschaft, PhD, LCSW, CASAC, Clinical Social Work/Therapist
Alison Herrschaft
Clinical Social Work/Therapist, PhD, LCSW, CASAC
Verified Verified
East Setauket, NY 11733  (Online Only)
Are you a young adult feeling overwhelmed by anxiety, depression, or the pressures of college life? Perhaps you're grappling with drug or alcohol use, or simply trying to navigate the complexities of adulthood? I specialize in working with individuals who are facing these challenges, providing a safe and supportive space to work through difficult emotions and experiences.
Are you a young adult feeling overwhelmed by anxiety, depression, or the pressures of college life? Perhaps you're grappling with drug or alcohol use, or simply trying to navigate the complexities of adulthood? I specialize in working with individuals who are facing these challenges, providing a safe and supportive space to work through difficult emotions and experiences.
(631) 623-9477 View (631) 623-9477
Photo of Christine Colavito, LMHC, CASAC, Counselor
Christine Colavito
Counselor, LMHC, CASAC
Verified Verified
1 Endorsed
East Setauket, NY 11733
I am a strong believer in people's ability to make positive changes in their lives. Whether that be in regards to depression, anxiety, relationship issues, anger, trauma issues, mood instability, substance abuse problems, grief/loss issues or any other problem. You can make changes and feel better, and I can help you with this process. It's time to have a good quality of life and stop suffering.
I am a strong believer in people's ability to make positive changes in their lives. Whether that be in regards to depression, anxiety, relationship issues, anger, trauma issues, mood instability, substance abuse problems, grief/loss issues or any other problem. You can make changes and feel better, and I can help you with this process. It's time to have a good quality of life and stop suffering.
(631) 651-6070 View (631) 651-6070
Photo of Erika Delco, LCSW, Clinical Social Work/Therapist
Erika Delco
Clinical Social Work/Therapist, LCSW
Verified Verified
East Setauket, NY 11733  (Online Only)
When life feels confusing and overwhelming, it's like trying to juggle too many things at once. Sometimes, we cope in ways that aren't great for us, like eating too much or avoiding friends. But what if you had someone who understood, listened without judging, and helped you figure things out? If you're ready to try new ways to feel better and find peace of mind, you're in the right place. Let's take that first step together on a journey towards healing. I'll be here to support you all the way.
When life feels confusing and overwhelming, it's like trying to juggle too many things at once. Sometimes, we cope in ways that aren't great for us, like eating too much or avoiding friends. But what if you had someone who understood, listened without judging, and helped you figure things out? If you're ready to try new ways to feel better and find peace of mind, you're in the right place. Let's take that first step together on a journey towards healing. I'll be here to support you all the way.
(516) 583-0289 View (516) 583-0289
Photo of Angela Turner Dougherty, PhD, Psychologist
Angela Turner Dougherty
Psychologist, PhD
Verified Verified
East Setauket, NY 11733
We may be a good fit for therapy if you (or your child/teen) identify with some or all of the following: You struggle with mood swings. Your fears and worries are taking over your life. You and your loved ones argue a lot. People often tell you that you're overreacting. You feel misunderstood. You feel like you don't belong. You may resort to self-harm and suicidal thoughts during times of stress. You may also have neurodevelopmental differences that impact the way you learn and interact with the world.
We may be a good fit for therapy if you (or your child/teen) identify with some or all of the following: You struggle with mood swings. Your fears and worries are taking over your life. You and your loved ones argue a lot. People often tell you that you're overreacting. You feel misunderstood. You feel like you don't belong. You may resort to self-harm and suicidal thoughts during times of stress. You may also have neurodevelopmental differences that impact the way you learn and interact with the world.
(631) 230-5556 View (631) 230-5556
Photo of Alexandra Rulli, LCSW, Clinical Social Work/Therapist
Alexandra Rulli
Clinical Social Work/Therapist, LCSW
Verified Verified
East Setauket, NY 11733
I am a Licensed Clinical Social Worker & offer in person therapy in my East Setauket office, as well as virtual therapy. I have worked in college mental health for several years and enjoy working with individuals of all ages focused on challenges around family dynamics, relationships, perfectionism, ADHD, Anxiety, and motivation. In addition to individual therapy I am also currently offering support groups for young people focused on strategies to cope with anxiety, as well as skills to manage ADHD. I also offer pre-surgical assessments for bariatric surgery.
I am a Licensed Clinical Social Worker & offer in person therapy in my East Setauket office, as well as virtual therapy. I have worked in college mental health for several years and enjoy working with individuals of all ages focused on challenges around family dynamics, relationships, perfectionism, ADHD, Anxiety, and motivation. In addition to individual therapy I am also currently offering support groups for young people focused on strategies to cope with anxiety, as well as skills to manage ADHD. I also offer pre-surgical assessments for bariatric surgery.
(516) 990-1774 View (516) 990-1774
Photo of Christopher James Kearney, PsyD, NCSP, Psychologist
Christopher James Kearney
Psychologist, PsyD, NCSP
Verified Verified
1 Endorsed
East Setauket, NY 11733
I believe in a counseling approach that is built upon trust and empathy. I have 20 years of experience working with children, adolescents and adults. Individuals continue to evolve throughout their lives and I enjoy working with clients whom encounter challenges and pressure in daily life. I have taught Counseling courses, Adolescent Psychology and Abnormal Psychology. I have experience with patients with anxiety, depression, Autism Spectrum Disorder, Learning Disabilities and ADHD.
I believe in a counseling approach that is built upon trust and empathy. I have 20 years of experience working with children, adolescents and adults. Individuals continue to evolve throughout their lives and I enjoy working with clients whom encounter challenges and pressure in daily life. I have taught Counseling courses, Adolescent Psychology and Abnormal Psychology. I have experience with patients with anxiety, depression, Autism Spectrum Disorder, Learning Disabilities and ADHD.
(631) 651-1763 View (631) 651-1763
Photo of Passages Wellness And Counseling For Women, LCSW-R, Clinical Social Work/Therapist
Passages Wellness And Counseling For Women
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
East Setauket, NY 11733
Passages Wellness & Counseling for Women is a group practice specializing in women's health and wellness. Our focus is on the unique needs of women, helping to empower individuals to create balance and fullfillment in their lives. Working with women through the life cycle, we address issues related to self-esteem, relationships, anxiety & mood disorders, body image, work life balance, parenting, family, mental health and chronic health issues. At Passages, our goal is to create a safe and nurturing environment to support women and couples through their journey to self discovery and provide tools for ongoing self-care.
Passages Wellness & Counseling for Women is a group practice specializing in women's health and wellness. Our focus is on the unique needs of women, helping to empower individuals to create balance and fullfillment in their lives. Working with women through the life cycle, we address issues related to self-esteem, relationships, anxiety & mood disorders, body image, work life balance, parenting, family, mental health and chronic health issues. At Passages, our goal is to create a safe and nurturing environment to support women and couples through their journey to self discovery and provide tools for ongoing self-care.
(631) 941-1200 View (631) 941-1200
Photo of Kristin Amber Scher, LCSW, Clinical Social Work/Therapist
Kristin Amber Scher
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
East Setauket, NY 11733
Waitlist for new clients
Our thoughts have the ability to impact the quality of our life. "Change your thoughts and you change your world" Norman Vincent Peale. Through Cognitive Behavioral Therapy, we will focus on solutions, challenge distorted thinking and work towards changing destructive patterns of behavior. As a psychotherapist, I will assist you in achieving your goals and work with you to establish positive coping mechanisms to help manage your symptoms.
Our thoughts have the ability to impact the quality of our life. "Change your thoughts and you change your world" Norman Vincent Peale. Through Cognitive Behavioral Therapy, we will focus on solutions, challenge distorted thinking and work towards changing destructive patterns of behavior. As a psychotherapist, I will assist you in achieving your goals and work with you to establish positive coping mechanisms to help manage your symptoms.
(516) 226-7620 View (516) 226-7620
Photo of Roger Keizerstein, LCSW, Clinical Social Work/Therapist
Roger Keizerstein
Clinical Social Work/Therapist, LCSW
Verified Verified
East Setauket, NY 11733
I have been working with children and adolescents and their families for over 42 years. Therapy includes sessions with child and consultations with parents. When appropriate and with the parents' permission, consultations with teachers and other school personnel are conducted. I will speak with any person that impacts your child's life. Ultimately, the goal of therapy is to create conditions in your child's life that will lead to their growth and development. Recently, I have had success with young children experiencing anxiety due to sensory integration over-load and separation anxiety.
I have been working with children and adolescents and their families for over 42 years. Therapy includes sessions with child and consultations with parents. When appropriate and with the parents' permission, consultations with teachers and other school personnel are conducted. I will speak with any person that impacts your child's life. Ultimately, the goal of therapy is to create conditions in your child's life that will lead to their growth and development. Recently, I have had success with young children experiencing anxiety due to sensory integration over-load and separation anxiety.
(631) 449-7836 View (631) 449-7836
Photo of Jannine Pergola, MS, LMHC, BCPC, CCH, RYT, Counselor
Jannine Pergola
Counselor, MS, LMHC, BCPC, CCH, RYT
Verified Verified
East Setauket, NY 11733
Life can be challenging. Relationships, finances, personal satisfaction, can create imbalance in our lives. At Sattva Wellness & Counseling, Jannine Pergola MS, LMHC, BCPC, CCH, RYT, assists individuals and couples to reduce problematic symptoms of anxiety, depression and stress, helping clients regain their sense personal balance. Using an integrated approach of Mindfulness Based Therapy (MBSR), Relaxation Therapy, Yoga techniques, Cognitive Behavioral Therapy (CBT) and Positive Psychological applications, clients have been successful in achieving personal empowerment, inner balance and creating positive change.
Life can be challenging. Relationships, finances, personal satisfaction, can create imbalance in our lives. At Sattva Wellness & Counseling, Jannine Pergola MS, LMHC, BCPC, CCH, RYT, assists individuals and couples to reduce problematic symptoms of anxiety, depression and stress, helping clients regain their sense personal balance. Using an integrated approach of Mindfulness Based Therapy (MBSR), Relaxation Therapy, Yoga techniques, Cognitive Behavioral Therapy (CBT) and Positive Psychological applications, clients have been successful in achieving personal empowerment, inner balance and creating positive change.
(631) 392-7063 View (631) 392-7063
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How does your Therapist compare?

Number of Therapists in East Setauket, NY

50+

Average cost per session

$150

Therapists in East Setauket, NY who prioritize treating:

96% Anxiety
83% Depression
81% Self Esteem
79% Relationship Issues
72% Coping Skills
72% Stress
64% Family Conflict

Average years in practice

16 Years

Top 3 insurances accepted

66% Aetna
51% UnitedHealthcare UHC | UBH
49% Cigna and Evernorth

How Therapists in East Setauket, NY see their clients

74% In Person and Online
26% Online Only

Gender breakdown

80% Female
20% Male
FAQs - About Therapy and Counseling

How can I find a therapist in East Setauket?

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.