Therapists in New York, NY

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Photo of Patricia Fernández, LCSW, Clinical Social Work/Therapist
Patricia Fernández
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10003
With a warm, thoughtful, and focused style, I aim to create a safe space in which we can collaboratively explore your difficulties and make sense out of what feels overwhelming or impossible to change. Whether you're struggling with depression, anxiety, difficulties in relationships, or any other kind of emotional pain, sharing the process of understanding yourself better can also change how you experience yourself and others, and make other changes possible.
With a warm, thoughtful, and focused style, I aim to create a safe space in which we can collaboratively explore your difficulties and make sense out of what feels overwhelming or impossible to change. Whether you're struggling with depression, anxiety, difficulties in relationships, or any other kind of emotional pain, sharing the process of understanding yourself better can also change how you experience yourself and others, and make other changes possible.
(917) 746-5450 View (917) 746-5450
Photo of Elisa English, LCSW-R, Clinical Social Work/Therapist
Elisa English
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
New York, NY 10001
The ideal client seeks help and is willing to commit to healing process. I understand importance of mental/emotional stability in order to embrace life possibilities and achieve optimal wellness. As a teen mother, I witnessed the brutal murder of my child's father. This tragedy should have weakened me mentally to a point of no return. Reversely, the adversity turned into a life experience that propelled my journey toward inner strength and purpose. We all have organic/non-organic circumstances that take us off course. Our responsibility is to work on what we can, one day at a time.
The ideal client seeks help and is willing to commit to healing process. I understand importance of mental/emotional stability in order to embrace life possibilities and achieve optimal wellness. As a teen mother, I witnessed the brutal murder of my child's father. This tragedy should have weakened me mentally to a point of no return. Reversely, the adversity turned into a life experience that propelled my journey toward inner strength and purpose. We all have organic/non-organic circumstances that take us off course. Our responsibility is to work on what we can, one day at a time.
(855) 831-4319 View (855) 831-4319
Jane Rosen
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10016
I believe that therapy is a partnership endeavor. Within the context of a warm, empathic therapeutic relationship we can work on your problems together. Utilizing a multi pronged approach I have an interactive style of therapy which incorporates practical, cognitive/'behavioral suggestions regarding the here and now yet have a psychoanalytically informed understanding that also seeks to explore how current dilemmas came to be the way they are. After 30 plus years of experience I believe this is a good combination for many people.
I believe that therapy is a partnership endeavor. Within the context of a warm, empathic therapeutic relationship we can work on your problems together. Utilizing a multi pronged approach I have an interactive style of therapy which incorporates practical, cognitive/'behavioral suggestions regarding the here and now yet have a psychoanalytically informed understanding that also seeks to explore how current dilemmas came to be the way they are. After 30 plus years of experience I believe this is a good combination for many people.
(646) 386-2185 View (646) 386-2185
Photo of Peggy Horwitz, LCSW, Clinical Social Work/Therapist
Peggy Horwitz
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011  (Online Only)
Psychotherapy is a process of self-discovery that will help you connect with your inner life, unbind from the past, and live fully in the present. As you learn about and acknowledge different aspects of yourself, you will find rough spots, as well as resources. All parts of your experience play important roles and we can understand what has been useful, what parts might be modified, as well as parts that offer strength and support that can be built upon. These discoveries remove potential obstacles to your growth and open avenues for connection and well-being.
Psychotherapy is a process of self-discovery that will help you connect with your inner life, unbind from the past, and live fully in the present. As you learn about and acknowledge different aspects of yourself, you will find rough spots, as well as resources. All parts of your experience play important roles and we can understand what has been useful, what parts might be modified, as well as parts that offer strength and support that can be built upon. These discoveries remove potential obstacles to your growth and open avenues for connection and well-being.
(646) 713-1686 View (646) 713-1686
Photo of Cynthia Field, PhD, Psychologist
Cynthia Field
Psychologist, PhD
Verified Verified
New York, NY 10024
I am a down to earth, engaging psychologist who believes that people are shaped by their relationships and life experiences. I work to create a safe haven where we can explore your difficulties and find ways to improve your life. Previously, I served as the Director of Clinical Services at the William Alanson White Institute and taught at Fordham.
I am a down to earth, engaging psychologist who believes that people are shaped by their relationships and life experiences. I work to create a safe haven where we can explore your difficulties and find ways to improve your life. Previously, I served as the Director of Clinical Services at the William Alanson White Institute and taught at Fordham.
(646) 386-2132 View (646) 386-2132
Photo of Allison Frances Mitchell, PhD, Psychologist
Allison Frances Mitchell
Psychologist, PhD
Verified Verified
New York, NY 10017
I have over 10 years of experience helping patients navigate difficult life circumstances and process the impacts of past trauma and childhood attachment failures. I work collaboratively to help you understand ways to manage difficult feelings in the moment by understanding links to past events and current stressors. I have experience working with individuals, groups and couples helping people find ways to connect and create more satisfying relationships and decrease unhealthy behaviors. I am committed to getting to know you as a unique individual and tailoring interventions to help you find more contentment and joy.
I have over 10 years of experience helping patients navigate difficult life circumstances and process the impacts of past trauma and childhood attachment failures. I work collaboratively to help you understand ways to manage difficult feelings in the moment by understanding links to past events and current stressors. I have experience working with individuals, groups and couples helping people find ways to connect and create more satisfying relationships and decrease unhealthy behaviors. I am committed to getting to know you as a unique individual and tailoring interventions to help you find more contentment and joy.
(914) 449-4129 View (914) 449-4129
Photo of Anya Ford, LMHC, Counselor
Anya Ford
Counselor, LMHC
Verified Verified
4 Endorsed
New York, NY 10001
Are you are feeling overwhelmed & generally shut down in your day to day life, or are wondering things like “What’s wrong with me?” “Other people seem to have it all together” and “Why can’t I just…feel/think/act differently?” If any of this resonates with you, then that is where I come in. I am here to help you process these emotions by helping you learn to be more kind to yourself, how to confront your difficult emotional experiences with confidence, and to help you feel more empowered to do the hard work.
Are you are feeling overwhelmed & generally shut down in your day to day life, or are wondering things like “What’s wrong with me?” “Other people seem to have it all together” and “Why can’t I just…feel/think/act differently?” If any of this resonates with you, then that is where I come in. I am here to help you process these emotions by helping you learn to be more kind to yourself, how to confront your difficult emotional experiences with confidence, and to help you feel more empowered to do the hard work.
(332) 378-5260 View (332) 378-5260
Photo of Brenda A Lewis, LCSW, Clinical Social Work/Therapist
Brenda A Lewis
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10003
Experienced, effective therapist, focusing on sexuality, relationships & intimacy issues in individuals and couples. Embracing a wide range of ages, backgrounds and multi cultures and work with sexual dysfunction in men and women and all emotional themes involving intimacy. It's important and imperative to find the uniqueness of everyone's story and find healing ways to make the present fulfilling. I strive to understand the people I work with deeply and to address non-working elements in a supportive, non-judgmental and collaborative way. Together, we look to discover, understand and resolve recurring obstacles to your well-being.
Experienced, effective therapist, focusing on sexuality, relationships & intimacy issues in individuals and couples. Embracing a wide range of ages, backgrounds and multi cultures and work with sexual dysfunction in men and women and all emotional themes involving intimacy. It's important and imperative to find the uniqueness of everyone's story and find healing ways to make the present fulfilling. I strive to understand the people I work with deeply and to address non-working elements in a supportive, non-judgmental and collaborative way. Together, we look to discover, understand and resolve recurring obstacles to your well-being.
(646) 759-1681 View (646) 759-1681
Photo of Baiyu Chen, PhD, LP, Licensed Psychoanalyst
Baiyu Chen
Licensed Psychoanalyst, PhD, LP
Verified Verified
New York, NY 10010
Before I came to New York, I was a lecturer in medical school and a neuroscientist. I was interested in the wonders of the brain from a scientist's point of view. My focus, over the last decade, has shifted from the brain to the mind. I think of psychoanalysis as a profound journey of understanding of oneself. Its purpose is to help people to understand feelings, behaviors, and habits that are troubling to them and to enrich their lives with new creativity, more fulfilling careers, and more meaningful relationships.
Before I came to New York, I was a lecturer in medical school and a neuroscientist. I was interested in the wonders of the brain from a scientist's point of view. My focus, over the last decade, has shifted from the brain to the mind. I think of psychoanalysis as a profound journey of understanding of oneself. Its purpose is to help people to understand feelings, behaviors, and habits that are troubling to them and to enrich their lives with new creativity, more fulfilling careers, and more meaningful relationships.
(646) 386-2301 View (646) 386-2301
Photo of Ayana A Ali, LCSW, Clinical Social Work/Therapist
Ayana A Ali
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10011  (Online Only)
I serve 2 niche populations- 1) women who struggle with crippling anxiety & want to get their fears, worries & self-sabotage under control for good. 2) women navigating through infertility & pregnancy loss. While I have 23+ years of experience as a therapist, you & I will always work collaboratively because I believe that "you are the expert on you." I encourage you to look inwardly & introspectively to help to bring about healing & wholeness, while I provide guidance, techniques & support. My style is eclectic & effective. As a Coach, I work with people who desire a more targeted approach to problem solving & personal growth.
I serve 2 niche populations- 1) women who struggle with crippling anxiety & want to get their fears, worries & self-sabotage under control for good. 2) women navigating through infertility & pregnancy loss. While I have 23+ years of experience as a therapist, you & I will always work collaboratively because I believe that "you are the expert on you." I encourage you to look inwardly & introspectively to help to bring about healing & wholeness, while I provide guidance, techniques & support. My style is eclectic & effective. As a Coach, I work with people who desire a more targeted approach to problem solving & personal growth.
(833) 410-0074 View (833) 410-0074
Photo of Catherine McCarthy, LCSW, Clinical Social Work/Therapist
Catherine McCarthy
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10001  (Online Only)
Do you want to better understand the stories that shaped who you are? I am a cisgender, white woman living in Upstate New York, where I am constantly inspired by the natural landscape and the changing seasons. Before becoming a therapist, I spent a decade with storytelling nonprofit The Moth, where I helped people to understand themselves better and connect meaningfully to others through telling personal stories. That experience has greatly shaped my approach to mental health; I take strengths-based, narrative approach to therapy, affirming your natural ability to reflect on your past experiences so you can gain new insights.
Do you want to better understand the stories that shaped who you are? I am a cisgender, white woman living in Upstate New York, where I am constantly inspired by the natural landscape and the changing seasons. Before becoming a therapist, I spent a decade with storytelling nonprofit The Moth, where I helped people to understand themselves better and connect meaningfully to others through telling personal stories. That experience has greatly shaped my approach to mental health; I take strengths-based, narrative approach to therapy, affirming your natural ability to reflect on your past experiences so you can gain new insights.
(646) 603-1864 View (646) 603-1864
Photo of Amanda Zoe Baten, PhD, Psychologist
Amanda Zoe Baten
Psychologist, PhD
Verified Verified
New York, NY 10001
Dr. Baten incorporates CBT and holistic health in her practice. She helps individuals, children, families and couples develop new strategies to change old patterns. She stimulates emotional growth by teaching people to replace their self-defeating thoughts, feelings and actions with new and more effective ones. Patients are taught to identify the dysfunctional beliefs that lead to negative consequences in their mood and behavior as well as to replace poor food and lifestyle choices. She encourages individuals to be responsible for their own emotions, empowering them to change and overcome unhealthy behaviors that interfere with their ability to enjoy life.
Dr. Baten incorporates CBT and holistic health in her practice. She helps individuals, children, families and couples develop new strategies to change old patterns. She stimulates emotional growth by teaching people to replace their self-defeating thoughts, feelings and actions with new and more effective ones. Patients are taught to identify the dysfunctional beliefs that lead to negative consequences in their mood and behavior as well as to replace poor food and lifestyle choices. She encourages individuals to be responsible for their own emotions, empowering them to change and overcome unhealthy behaviors that interfere with their ability to enjoy life.
(646) 386-2182 View (646) 386-2182
Photo of Vishal Vaswani, LMHC, Counselor
Vishal Vaswani
Counselor, LMHC
Verified Verified
New York, NY 10003  (Online Only)
I work from a human-centered base which consists of empathy and curiosity. I have 4+ years in substance use treatment as well as 4+ years working with justice involved individuals in an alternative to incarceration program. I utilize trauma-informed and strengths-based approaches which consist of harm reduction and motivational interviewing techniques. I am passionate about social justice and understand that as individuals, people live in a context of systems, small and large. I work with people to understand themselves and others in these contexts.
I work from a human-centered base which consists of empathy and curiosity. I have 4+ years in substance use treatment as well as 4+ years working with justice involved individuals in an alternative to incarceration program. I utilize trauma-informed and strengths-based approaches which consist of harm reduction and motivational interviewing techniques. I am passionate about social justice and understand that as individuals, people live in a context of systems, small and large. I work with people to understand themselves and others in these contexts.
(646) 846-5665 View (646) 846-5665
Photo of Emily S Rosen, MSW, LCSW-R, Clinical Social Work/Therapist
Emily S Rosen
Clinical Social Work/Therapist, MSW, LCSW-R
Verified Verified
3 Endorsed
New York, NY 10024
Therapy provides the space to challenge self defeating beliefs and see oneself more clearly. I offer a safe and non-judgmental environment. My specialties and areas of interest include helping people overcome feeings of shame, depression and anxiety. I'll support you in your life transitions and when you're feeling afraid or unfulfilled. A lot of my work is around relationship challenges of all kinds. My goal is to help you understand and accept yourself. My goal is also to help you learn how to help yourself.
Therapy provides the space to challenge self defeating beliefs and see oneself more clearly. I offer a safe and non-judgmental environment. My specialties and areas of interest include helping people overcome feeings of shame, depression and anxiety. I'll support you in your life transitions and when you're feeling afraid or unfulfilled. A lot of my work is around relationship challenges of all kinds. My goal is to help you understand and accept yourself. My goal is also to help you learn how to help yourself.
(347) 732-5768 View (347) 732-5768
Photo of Dr. Ashley Campbell, PsyD, HSP, Psychologist
Dr. Ashley Campbell
Psychologist, PsyD, HSP
Verified Verified
1 Endorsed
New York, NY 10024  (Online Only)
Dr. Campbell is a licensed clinical psychologist who specializes in psychological and forensic assessment, crisis intervention, psychotherapy and supervision. She has worked and trained in various inpatient, outpatient, community and correctional settings, and with many different populations, including adolescents and adults over the last 15 years. She has experience working with and assessing for multiple disorders including depression, anxiety, disabilities, addictions, trauma, grief, family issues, and severe and persistent mental illness.
Dr. Campbell is a licensed clinical psychologist who specializes in psychological and forensic assessment, crisis intervention, psychotherapy and supervision. She has worked and trained in various inpatient, outpatient, community and correctional settings, and with many different populations, including adolescents and adults over the last 15 years. She has experience working with and assessing for multiple disorders including depression, anxiety, disabilities, addictions, trauma, grief, family issues, and severe and persistent mental illness.
(914) 281-2181 View (914) 281-2181
Photo of Pamela Pucci, LCSW, Clinical Social Work/Therapist
Pamela Pucci
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011
Hello! I’m a Licensed Clinical Social Worker with over 6 years of counseling experience. My specialties include working with depression, anxiety, substance use, mood disorders, bipolar and borderline personality disorders, and more. My top modalities are cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and motivational interviewing. My behavioral health background includes case management, vocational case management, and social work for individuals with mental health and or substance use diagnosis. I use a person-centered, strengths-based approach to support you in making your desired changes.
Hello! I’m a Licensed Clinical Social Worker with over 6 years of counseling experience. My specialties include working with depression, anxiety, substance use, mood disorders, bipolar and borderline personality disorders, and more. My top modalities are cognitive behavioral therapy (CBT), dialectical behavioral therapy (DBT), and motivational interviewing. My behavioral health background includes case management, vocational case management, and social work for individuals with mental health and or substance use diagnosis. I use a person-centered, strengths-based approach to support you in making your desired changes.
(716) 466-0449 View (716) 466-0449
Photo of Nicole A Breck, LCSW, Clinical Social Work/Therapist
Nicole A Breck
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10011
To quote Anais Nin, " We don't see things as they are, we see them as we are". When you are in the middle of a problem it is hard to find solutions because there is a lack of prespective. Friends and family may have their own viewpoint that make it hard to be objective. Therapy provides a non-judgemental place to find new solutions when old behaviors don't work anymore. I have over 12 years experience successfully helping patients find alternative ways of veiwing things and making decisions about what they want in their lives.
To quote Anais Nin, " We don't see things as they are, we see them as we are". When you are in the middle of a problem it is hard to find solutions because there is a lack of prespective. Friends and family may have their own viewpoint that make it hard to be objective. Therapy provides a non-judgemental place to find new solutions when old behaviors don't work anymore. I have over 12 years experience successfully helping patients find alternative ways of veiwing things and making decisions about what they want in their lives.
(917) 791-4094 View (917) 791-4094
Photo of Innae Julia Kim, MA, LCAT, ATR-BC, Art Therapist
Innae Julia Kim
Art Therapist, MA, LCAT, ATR-BC
Verified Verified
1 Endorsed
New York, NY 10016
안녕하세요! Hi, I'm Julia! I'm an Asian American therapist based in NYC! I hold years of experience successfully working with teens, adults, and young professionals who are struggling with relational issues (codependency & turbulent relational patterns), ADHD, understanding transgenerational trauma, family dynamics, cultural identity, depression, and anxiety. I utilize creative, holistic evidence-based psychotherapy to help people feel more whole, resilient and joyful. Working with me will be a creative collaboration with a goal of helping you heal and live in a way aligned with your needs, wants, and life goals. :-)
안녕하세요! Hi, I'm Julia! I'm an Asian American therapist based in NYC! I hold years of experience successfully working with teens, adults, and young professionals who are struggling with relational issues (codependency & turbulent relational patterns), ADHD, understanding transgenerational trauma, family dynamics, cultural identity, depression, and anxiety. I utilize creative, holistic evidence-based psychotherapy to help people feel more whole, resilient and joyful. Working with me will be a creative collaboration with a goal of helping you heal and live in a way aligned with your needs, wants, and life goals. :-)
(848) 257-9846 View (848) 257-9846
Photo of Lauren Milo, LP-MHC, Pre-Licensed Professional
Lauren Milo
Pre-Licensed Professional, LP-MHC
Verified Verified
New York, NY 10016
Lauren is passionate about mitigating stress and working with others to help ease the ebbs and flows of everyday life. Lauren focuses on counseling adults in times of transition and helping to navigate stress from day to day.
Lauren is passionate about mitigating stress and working with others to help ease the ebbs and flows of everyday life. Lauren focuses on counseling adults in times of transition and helping to navigate stress from day to day.
(646) 362-6826 View (646) 362-6826
Photo of Yephat Kivetz, PhD, Psychologist
Yephat Kivetz
Psychologist, PhD
Verified Verified
New York, NY 10128
I view therapy as a collaborative journey shaped by your needs and designed to facilitate growth and create a hopeful path while helping you feel empowered, instead of being imprisoned, by your prior path and struggles. I encourage you to find and express your genuine self and develop the courage to be in the driver seat and live a more fulfilling, connected, and happier life. My multicultural background and extensive training and education in different fields of psychology allow me to apply a multidisciplinary approach while appreciating your personal and social needs, values, tradition, and cultural circumstances.
I view therapy as a collaborative journey shaped by your needs and designed to facilitate growth and create a hopeful path while helping you feel empowered, instead of being imprisoned, by your prior path and struggles. I encourage you to find and express your genuine self and develop the courage to be in the driver seat and live a more fulfilling, connected, and happier life. My multicultural background and extensive training and education in different fields of psychology allow me to apply a multidisciplinary approach while appreciating your personal and social needs, values, tradition, and cultural circumstances.
(646) 891-1427 View (646) 891-1427

How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

94% Anxiety
89% Depression
85% Relationship Issues
78% Self Esteem
67% Trauma and PTSD
66% Stress
64% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

79% Aetna
62% UnitedHealthcare UHC | UBH
61% Cigna and Evernorth

How Therapists in New York, NY see their clients

58% In Person and Online
42% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New York?

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.