Therapists in Middletown, NY

Photo of Bridgette Coppola-Simmons - Cross the Bridge Counseling/Play Therapy, Clinical Social Work/Therapist, LCSW-R
Cross the Bridge Counseling/Play Therapy
Clinical Social Work/Therapist, LCSW-R
Middletown, NY 10940
I am a strengths-based therapist who builds my clients up so that they can face any challenge. Rather than giving them a fish, I teach them to fish! I use cognitive-behavioral therapy to help my clients reach success!
I am a strengths-based therapist who builds my clients up so that they can face any challenge. Rather than giving them a fish, I teach them to fish! I use cognitive-behavioral therapy to help my clients reach success!
(845) 839-4050 View (845) 839-4050
Photo of Crystal Bradley, Clinical Social Work/Therapist, LCSW
Crystal Bradley
Clinical Social Work/Therapist, LCSW
Online Only
You’re the one who keeps everything going for everyone else — while privately feeling overwhelmed, emotionally exhausted, anxious, and never quite “good enough.” Maybe you overthink constantly, struggle to relax, feel guilty prioritizing yourself, or feel stuck in patterns of perfectionism and people pleasing. Even though you appear high functioning on the outside, internally you feel drained. I help clients struggling with anxiety, overwhelm, perfectionism, people pleasing, burnout, self-worth, and life transitions. Therapy focuses on building coping skills, improving boundaries, reducing overthinking, and increasing confidence.
You’re the one who keeps everything going for everyone else — while privately feeling overwhelmed, emotionally exhausted, anxious, and never quite “good enough.” Maybe you overthink constantly, struggle to relax, feel guilty prioritizing yourself, or feel stuck in patterns of perfectionism and people pleasing. Even though you appear high functioning on the outside, internally you feel drained. I help clients struggling with anxiety, overwhelm, perfectionism, people pleasing, burnout, self-worth, and life transitions. Therapy focuses on building coping skills, improving boundaries, reducing overthinking, and increasing confidence.
(845) 683-5252 View (845) 683-5252
Photo of Kristin Mohamed, Clinical Social Work/Therapist, LCSW
Kristin Mohamed
Clinical Social Work/Therapist, LCSW
Online Only
I am a warm, affirming, and empowering therapist. I graduated from Columbia University with a Master’s of Science Degree in Clinical Practice of Social Work. I found my calling after completing undergraduate in Early Childhood Education (kudos to our teachers!) and Sociology/Psychology. These experiences paved the way to my clinical social work journey. I obtained clinical licensure by working with adolescents in both school and therapeutic settings, foster/adoptive families, and adults with serious persistent mental illness.
I am a warm, affirming, and empowering therapist. I graduated from Columbia University with a Master’s of Science Degree in Clinical Practice of Social Work. I found my calling after completing undergraduate in Early Childhood Education (kudos to our teachers!) and Sociology/Psychology. These experiences paved the way to my clinical social work journey. I obtained clinical licensure by working with adolescents in both school and therapeutic settings, foster/adoptive families, and adults with serious persistent mental illness.
(845) 498-1645 View (845) 498-1645
Photo of Diana Rubin, Clinical Social Work/Therapist, LCSW
Diana Rubin
Clinical Social Work/Therapist, LCSW
Online Only
With proven clinical expertise, I know it is never too late to access your innate capacity to heal and make meaningful, desired change—no matter your age. My clients often describe our sessions as a safe place to exhale and find clarity. Whether you’re facing a major transition, persistent stress, or seeking deeper fulfillment, I provide tailored, evidence-based care through telehealth. While I specialize in CBT, I draw from a diverse toolbox of techniques to meet your unique needs. I accept many insurance plans, including Medicare. Please contact me for a free consultation.
With proven clinical expertise, I know it is never too late to access your innate capacity to heal and make meaningful, desired change—no matter your age. My clients often describe our sessions as a safe place to exhale and find clarity. Whether you’re facing a major transition, persistent stress, or seeking deeper fulfillment, I provide tailored, evidence-based care through telehealth. While I specialize in CBT, I draw from a diverse toolbox of techniques to meet your unique needs. I accept many insurance plans, including Medicare. Please contact me for a free consultation.
(845) 345-8182 View (845) 345-8182
Photo of David Joseph Miranda - David J Miranda, LCSW, PLLC, Clinical Social Work/Therapist, LCSW, CCTP
David J Miranda, LCSW, PLLC
Clinical Social Work/Therapist, LCSW, CCTP
Middletown, NY 10940
Not accepting new clients
I am a licensed clinical social worker and experienced psychotherapist trained in the use of cognitive behavioral therapy. I am also certified as a clinical trauma professional. My ultimate and foremost goal as a therapist is to create a compassionate, non-judgmental and caring space where people can be safe to work through emotional distress and challenges that can seem overwhelming. Together we can work on helping you to overcome obstacles to living a life that is fulfilling and satisfying, even when the stresses of life can lead you to believe otherwise.
I am a licensed clinical social worker and experienced psychotherapist trained in the use of cognitive behavioral therapy. I am also certified as a clinical trauma professional. My ultimate and foremost goal as a therapist is to create a compassionate, non-judgmental and caring space where people can be safe to work through emotional distress and challenges that can seem overwhelming. Together we can work on helping you to overcome obstacles to living a life that is fulfilling and satisfying, even when the stresses of life can lead you to believe otherwise.
(845) 237-3137 View (845) 237-3137
Photo of Krystal Findley, Clinical Social Work/Therapist, LMSW
Krystal Findley
Clinical Social Work/Therapist, LMSW
1 Endorsed
Online Only
Change is HARD! But I believe in the transformative power of growth. As a licensed master social worker with 12+ years of experience, I specialize in helping individuals and families navigate mental illness, substance use, developmental disabilities, trauma, grief, and relationship challenges. My clinical approach creates a safe, collaborative space where clients feel heard, validated, and empowered to stretch beyond their comfort zones and take meaningful steps toward change.
Change is HARD! But I believe in the transformative power of growth. As a licensed master social worker with 12+ years of experience, I specialize in helping individuals and families navigate mental illness, substance use, developmental disabilities, trauma, grief, and relationship challenges. My clinical approach creates a safe, collaborative space where clients feel heard, validated, and empowered to stretch beyond their comfort zones and take meaningful steps toward change.
(914) 860-0210 View (914) 860-0210
Photo of Carrie V Fuller, Clinical Social Work/Therapist, LCSWR
Carrie V Fuller
Clinical Social Work/Therapist, LCSWR
Middletown, NY 10940
Our practice aims to empower individuals of all ages, backgrounds and experiences to improve quality of life and livelihood. We counsel children, teens, couples and families. I work in a strengths based model. We practice in a judgement free zone and meet each client just where you are at. I strive or the best personal outcome. Come meet and see what a difference an empathic counselor can mean in your world. I know humor is good for the soul and heals so I use it in my practice often. I hope to have the opportunity to be the catalyst for change in your life.
Our practice aims to empower individuals of all ages, backgrounds and experiences to improve quality of life and livelihood. We counsel children, teens, couples and families. I work in a strengths based model. We practice in a judgement free zone and meet each client just where you are at. I strive or the best personal outcome. Come meet and see what a difference an empathic counselor can mean in your world. I know humor is good for the soul and heals so I use it in my practice often. I hope to have the opportunity to be the catalyst for change in your life.
(914) 331-8032 View (914) 331-8032
Photo of Eliana Perez, Pre-Licensed Professional, MHC-LP
Eliana Perez
Pre-Licensed Professional, MHC-LP
1 Endorsed
Online Only
Life can feel overwhelming, but you don’t have to go through it alone. I’m a Mental Health Counselor-LP providing therapy for teens, young adults, adults, and mothers at every stage—whether you’re navigating postpartum changes, parenting stress, identity shifts, or work-life balance. I help clients work through anxiety, depression, life transitions, stress management, and relationship issues. I offer a warm, culturally responsive counseling space—available in English or Spanish—where you can feel heard, understood, and supported as we work toward meaningful change.
Life can feel overwhelming, but you don’t have to go through it alone. I’m a Mental Health Counselor-LP providing therapy for teens, young adults, adults, and mothers at every stage—whether you’re navigating postpartum changes, parenting stress, identity shifts, or work-life balance. I help clients work through anxiety, depression, life transitions, stress management, and relationship issues. I offer a warm, culturally responsive counseling space—available in English or Spanish—where you can feel heard, understood, and supported as we work toward meaningful change.
(914) 334-6295 View (914) 334-6295
Photo of Sheena Carey, Clinical Social Work/Therapist, LCSW
Sheena Carey
Clinical Social Work/Therapist, LCSW
Online Only
I am a licensed clinical social worker with 15 years of experience supporting children, adults, and individuals navigating substance use, legal challenges, and crisis situations, including suicidality. I believe that every person has the capacity for healing and growth. My approach is grounded in compassion, collaboration, and respect, helping clients build lives that feel meaningful, balanced, and fulfilling.
I am a licensed clinical social worker with 15 years of experience supporting children, adults, and individuals navigating substance use, legal challenges, and crisis situations, including suicidality. I believe that every person has the capacity for healing and growth. My approach is grounded in compassion, collaboration, and respect, helping clients build lives that feel meaningful, balanced, and fulfilling.
(914) 362-2286 View (914) 362-2286
Windsor Counseling West
Clinical Social Work/Therapist, LCSWR
Middletown, NY 10940
Windsor Counseling West's licensed professionals provide caring and compassionate counseling services for adults, children, adolescents, couples, and families coping with a wide variety of issues and concerns, including: anxiety, depression, life partner issues, phase of life challenges, adolescent mood and behavioral issues, divorce, co-parenting, ADHD, school related issues, life stressors, employment / career related stressors, and interpersonal conflicts. Today life can be complex and challenging, and everyone at some point can benefit from therapeutic support and guidance. Whether struggling with parenting, marriage, career or family, or experiencing symptoms of common mental health concerns, we are here to help.
Windsor Counseling West's licensed professionals provide caring and compassionate counseling services for adults, children, adolescents, couples, and families coping with a wide variety of issues and concerns, including: anxiety, depression, life partner issues, phase of life challenges, adolescent mood and behavioral issues, divorce, co-parenting, ADHD, school related issues, life stressors, employment / career related stressors, and interpersonal conflicts. Today life can be complex and challenging, and everyone at some point can benefit from therapeutic support and guidance. Whether struggling with parenting, marriage, career or family, or experiencing symptoms of common mental health concerns, we are here to help.
(845) 764-8089 View (845) 764-8089
Photo of Laura Altieri-Howell, Clinical Social Work/Therapist, LCSWR
Laura Altieri-Howell
Clinical Social Work/Therapist, LCSWR
Online Only
Therapy That Fits Your Life. Real Support. Real Change. I specialize in supporting First Responders and individuals navigating stress, personal challenges, or life transitions—providing grounded, compassionate care tailored to your unique needs. Whether you're feeling overwhelmed, emotionally exhausted, or just need a space to process, therapy doesn’t have to be long-term. Sometimes, just a few focused sessions can help you regain clarity and balance—like a mental reset.
Therapy That Fits Your Life. Real Support. Real Change. I specialize in supporting First Responders and individuals navigating stress, personal challenges, or life transitions—providing grounded, compassionate care tailored to your unique needs. Whether you're feeling overwhelmed, emotionally exhausted, or just need a space to process, therapy doesn’t have to be long-term. Sometimes, just a few focused sessions can help you regain clarity and balance—like a mental reset.
(845) 443-7551 View (845) 443-7551
Photo of Dr. Shaniqua Schloss, Clinical Social Work/Therapist, DSW, LMSW
Dr. Shaniqua Schloss
Clinical Social Work/Therapist, DSW, LMSW
5 Endorsed
Online Only
Seeking therapy is a big step on your road to change, empowerment, healing, happiness, and everything your heart desires. I believe a successful therapeutic relationship between therapist and client is built upon empathy, trust, compassion, and honesty. As a therapist, I am active and engaged in your growth, development, healing, and change. Life comes with its challenges and you do not have to face them alone. Whether you need a listening ear, support in decision-making, problem-solving, processing, or healing I look forward to being a part of your support system and assist in change.
Seeking therapy is a big step on your road to change, empowerment, healing, happiness, and everything your heart desires. I believe a successful therapeutic relationship between therapist and client is built upon empathy, trust, compassion, and honesty. As a therapist, I am active and engaged in your growth, development, healing, and change. Life comes with its challenges and you do not have to face them alone. Whether you need a listening ear, support in decision-making, problem-solving, processing, or healing I look forward to being a part of your support system and assist in change.
(347) 621-6579 View (347) 621-6579
Photo of Deja Harford, Counselor, LMHC
Deja Harford
Counselor, LMHC
3 Endorsed
Middletown, NY 10940
I am a licensed mental health counselor and have advanced Certification in Family Counseling with over 15 years of experience. I have dedicated myself to truly understanding the unique challenges individuals and families face. Throughout my journey in this field, I've gathered a diverse range of skills and insights, allowing me to genuinely support clients as they navigate through relationship struggles and life's various stressors. I aim to provide personalized and collaborative treatment, tailored to enhance your overall quality of life. I'm here to empower and support you on your journey.
I am a licensed mental health counselor and have advanced Certification in Family Counseling with over 15 years of experience. I have dedicated myself to truly understanding the unique challenges individuals and families face. Throughout my journey in this field, I've gathered a diverse range of skills and insights, allowing me to genuinely support clients as they navigate through relationship struggles and life's various stressors. I aim to provide personalized and collaborative treatment, tailored to enhance your overall quality of life. I'm here to empower and support you on your journey.
(347) 389-7512 View (347) 389-7512
Photo of Dawn Sanchez, Clinical Social Work/Therapist, LCSW
Dawn Sanchez
Clinical Social Work/Therapist, LCSW
2 Endorsed
Middletown, NY 10940
Waitlist for new clients
You may look like you’re holding it all together on the outside, but inside you notice familiar patterns repeating—especially in relationships, parenting, or how you relate to yourself. Perhaps you grew up learning to push your needs aside, stay strong, or keep moving forward no matter what. Now something in you is asking for a different way. Many of the people I work with feel ready to understand themselves more deeply and, at times, are open to meeting twice a week to support more focused therapeutic work.
You may look like you’re holding it all together on the outside, but inside you notice familiar patterns repeating—especially in relationships, parenting, or how you relate to yourself. Perhaps you grew up learning to push your needs aside, stay strong, or keep moving forward no matter what. Now something in you is asking for a different way. Many of the people I work with feel ready to understand themselves more deeply and, at times, are open to meeting twice a week to support more focused therapeutic work.
(845) 415-7580 View (845) 415-7580
Photo of Victoria DiRubba, Counselor, LMHC, CCATP
Victoria DiRubba
Counselor, LMHC, CCATP
1 Endorsed
Middletown, NY 10941
I believe that pursing therapy is a direct message to yourself that you deserve support, in the best and worst of times. It is a privilege to be welcomed into your world and to provide you with the necessary support, guidance, and collaborative efforts. My education and training have allowed me to indulge in opportunities where I was able to work with many different populations and utilize new modalities.
I believe that pursing therapy is a direct message to yourself that you deserve support, in the best and worst of times. It is a privilege to be welcomed into your world and to provide you with the necessary support, guidance, and collaborative efforts. My education and training have allowed me to indulge in opportunities where I was able to work with many different populations and utilize new modalities.
(845) 443-7858 View (845) 443-7858
Photo of Vanessa Harley, MHC-LP
Vanessa Harley
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
I may be the right therapist for you if you are navigating the lasting effects of past abuse and trauma whether from childhood, intimate relationships, or societal and cultural pressures. Trauma can take many forms. Perhaps you were hurt by people you trusted, or maybe the systems around you made you feel insignificant, overlooked, or misunderstood. If you’ve experienced emotional, physical, or psychological harm that has left you questioning your worth, your choices, or your sense of safety you deserve validation, and the opportunity to rebuild trust in yourself.
I may be the right therapist for you if you are navigating the lasting effects of past abuse and trauma whether from childhood, intimate relationships, or societal and cultural pressures. Trauma can take many forms. Perhaps you were hurt by people you trusted, or maybe the systems around you made you feel insignificant, overlooked, or misunderstood. If you’ve experienced emotional, physical, or psychological harm that has left you questioning your worth, your choices, or your sense of safety you deserve validation, and the opportunity to rebuild trust in yourself.
View
Photo of Erin Dudek, Counselor, LMHC
Erin Dudek
Counselor, LMHC
1 Endorsed
Middletown, NY 10940
Robert Frost once said, "The best way out is always through." It is my belief that by changing the thought patterns that keep us stuck, we can become our most authentic selves and live happier, healthier, and fuller lives. My hope is to create a space where therapy can be a positive, client lead experience that leads to growth and change. In my 5 years of experience, I have gained a variety of tools and skills to help aid in making those changes. I am a therapist with Cross the Bridge Counseling. We offer a group play therapy program for ages 3-17, individual sessions for ages 11-17, adult sessions, and couples counseling.
Robert Frost once said, "The best way out is always through." It is my belief that by changing the thought patterns that keep us stuck, we can become our most authentic selves and live happier, healthier, and fuller lives. My hope is to create a space where therapy can be a positive, client lead experience that leads to growth and change. In my 5 years of experience, I have gained a variety of tools and skills to help aid in making those changes. I am a therapist with Cross the Bridge Counseling. We offer a group play therapy program for ages 3-17, individual sessions for ages 11-17, adult sessions, and couples counseling.
(845) 393-3239 View (845) 393-3239
Photo of Darcie M Horne, Licensed Master Social Worker, LMSW
Darcie M Horne
Licensed Master Social Worker, LMSW
Middletown, NY 10940
Life can feel overwhelming at times, and you don’t have to navigate it alone. By offering a safe space to talk openly about challenges, I help individuals gain clarity and see their experiences from a different perspective. This process can open the door to meaningful coping skills and strategies that support personal growth and goal attainment. I have worked with individuals facing grief and loss, trauma, anxiety, depression, and everyday stressors. My goal is to provide a warm, supportive, and judgment-free space where clients feel comfortable sharing their stories.
Life can feel overwhelming at times, and you don’t have to navigate it alone. By offering a safe space to talk openly about challenges, I help individuals gain clarity and see their experiences from a different perspective. This process can open the door to meaningful coping skills and strategies that support personal growth and goal attainment. I have worked with individuals facing grief and loss, trauma, anxiety, depression, and everyday stressors. My goal is to provide a warm, supportive, and judgment-free space where clients feel comfortable sharing their stories.
(845) 622-8741 View (845) 622-8741
Photo of Heather Gordon, Counselor, LMHC, CGT
Heather Gordon
Counselor, LMHC, CGT
Online Only
We are all on an adventure. An adventure that can take us to anxious, dark, and scary places. It may make it difficult to engage in everyday tasks. It can be isolating and feel like we can never find our way back. Our adventure becomes hopeless. But what if hope is not lost? Imagine if you woke up tomorrow and, as if by magic, everything was better. What would have changed? Would you have become present instead of time-traveling to past defeats or future concerns and perhaps more grounded instead of becoming lost in space on an unknown dark world? It may not be magic but let us use therapy to dispel those fears together.
We are all on an adventure. An adventure that can take us to anxious, dark, and scary places. It may make it difficult to engage in everyday tasks. It can be isolating and feel like we can never find our way back. Our adventure becomes hopeless. But what if hope is not lost? Imagine if you woke up tomorrow and, as if by magic, everything was better. What would have changed? Would you have become present instead of time-traveling to past defeats or future concerns and perhaps more grounded instead of becoming lost in space on an unknown dark world? It may not be magic but let us use therapy to dispel those fears together.
(845) 203-3847 View (845) 203-3847
Photo of Patricia Smith, Clinical Social Work/Therapist, LCSW
Patricia Smith
Clinical Social Work/Therapist, LCSW
Middletown, NY 10940
“And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.” (Anais Nin). I celebrate your efforts to take stock of your life, to take a deep breath, and to take the risk to reach out. Emotional, mental, physical, and spiritual pain gives us an opportunity for healing, learning, and growth. Often what feels like something overwhelming and upsetting is about to give you Clarity. I provide a safe environment for openness, self-exploration, and movement forward. I am happy to partner with you in this work.
“And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.” (Anais Nin). I celebrate your efforts to take stock of your life, to take a deep breath, and to take the risk to reach out. Emotional, mental, physical, and spiritual pain gives us an opportunity for healing, learning, and growth. Often what feels like something overwhelming and upsetting is about to give you Clarity. I provide a safe environment for openness, self-exploration, and movement forward. I am happy to partner with you in this work.
(845) 640-5560 View (845) 640-5560

See more therapy options for Middletown

How does your Therapist compare?

Number of Therapists in Middletown, NY

100+

Average cost per session

$150

Therapists in Middletown, NY who prioritize treating:

89% Anxiety
89% Social Anxiety
89% Health Anxiety
89% Driving Anxiety
82% Depression
78% Relationship Issues
76% Self Esteem

Average years in practice

13 Years

Top 3 insurances accepted

94% Aetna
86% Cigna and Evernorth
65% UnitedHealthcare UHC | UBH

How Therapists in Middletown, NY see their clients

52% Online Only
48% In Person and Online

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Middletown?

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.