Therapists in Chinatown, New York, NY

Photo of Tarynn Dier, LMSW, Coach
Tarynn Dier
LMSW, Coach
Verified Verified
2 Endorsed
Chinatown, New York, NY 10013  (Online Only)
I'm a proud queer/pan/poly human, and I absolutely love being a therapist. As a straight-passing queer person, I have a lived understanding of what it’s like to have multiple marginalized identities that are misread both in and outside my communities. As a single parent who was raised in a very religious environment, I have done a lot of my own introspection and exploration to become the sex positive and body positive person I am today. I am a compassionate, non-judgmental, and empowerment-focused therapist. I aim to support you in living freely and authentically, as you thrive in your relationships with yourself and others.
I'm a proud queer/pan/poly human, and I absolutely love being a therapist. As a straight-passing queer person, I have a lived understanding of what it’s like to have multiple marginalized identities that are misread both in and outside my communities. As a single parent who was raised in a very religious environment, I have done a lot of my own introspection and exploration to become the sex positive and body positive person I am today. I am a compassionate, non-judgmental, and empowerment-focused therapist. I aim to support you in living freely and authentically, as you thrive in your relationships with yourself and others.
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Photo of Michelle Back, LMSW, Clinical Social Work/Therapist
Michelle Back
Clinical Social Work/Therapist, LMSW
Verified Verified
Chinatown, New York, NY 10013  (Online Only)
My goal is to provide you the support and attention you deserve, with a kind intention in our space. Through your shared stories, we will face your life challenges together, and acknowledge positive strengths you hold, as well as negative beliefs that may hold you back. Many of my clients seek support for anxiety, depression, emotional regulation, childhood trauma, ptsd, grief, identity crises, low self-esteem, and more. Together, we will address your needs and explore your past, your present, and set you up for a future you are comfortable and confident with.
My goal is to provide you the support and attention you deserve, with a kind intention in our space. Through your shared stories, we will face your life challenges together, and acknowledge positive strengths you hold, as well as negative beliefs that may hold you back. Many of my clients seek support for anxiety, depression, emotional regulation, childhood trauma, ptsd, grief, identity crises, low self-esteem, and more. Together, we will address your needs and explore your past, your present, and set you up for a future you are comfortable and confident with.
(646) 350-3698 View (646) 350-3698
Photo of Reyna Ramirez-Guest, LCSW, Clinical Social Work/Therapist
Reyna Ramirez-Guest
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Chinatown, New York, NY 10013  (Online Only)
Looking for an affirming, safe, nonjudgmental space where you can be yourself? Together we can work through whatever challenges you are facing to meet goals that have seemed difficult to attain. My intention is to pave the way toward healing, acceptance of your full authentic self, and long-term growth. Drawing on knowledge from queer, and critical race theory, we will work collaboratively to help you navigate systemic issues and its impact on your intersecting identities.
Looking for an affirming, safe, nonjudgmental space where you can be yourself? Together we can work through whatever challenges you are facing to meet goals that have seemed difficult to attain. My intention is to pave the way toward healing, acceptance of your full authentic self, and long-term growth. Drawing on knowledge from queer, and critical race theory, we will work collaboratively to help you navigate systemic issues and its impact on your intersecting identities.
(718) 215-9109 View (718) 215-9109
Photo of Ching Sum Leung, LCSW-R, Clinical Social Work/Therapist
Ching Sum Leung
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Chinatown, New York, NY 10013
Are you ready to embark on a transformative journey towards a happier, healthier, and more fulfilling life? I believe that everyone has the potential to lead a life filled with purpose, resilience, and joy. My mission is to provide compassionate and empowering counseling services to individuals seeking positive change and personal growth.
Are you ready to embark on a transformative journey towards a happier, healthier, and more fulfilling life? I believe that everyone has the potential to lead a life filled with purpose, resilience, and joy. My mission is to provide compassionate and empowering counseling services to individuals seeking positive change and personal growth.
(929) 475-0549 View (929) 475-0549
Photo of Julia Pema Dolma Gutman, LCSW, MA, Clinical Social Work/Therapist
Julia Pema Dolma Gutman
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
Chinatown, New York, NY 10013
A highly intelligent, sensitive and responsive psychotherapist, Julia Pema will help you decipher the meaning of life and being, figure out how to realize your dreams, overcome challenges, and heal your wounds, and will sit with you in moments of despair and indescribable grief. Whether you want to grow better and deeper or survive and just function, she will uphold your safe space.
A highly intelligent, sensitive and responsive psychotherapist, Julia Pema will help you decipher the meaning of life and being, figure out how to realize your dreams, overcome challenges, and heal your wounds, and will sit with you in moments of despair and indescribable grief. Whether you want to grow better and deeper or survive and just function, she will uphold your safe space.
(646) 798-9230 View (646) 798-9230
Photo of Yu-Ying Chen, PhD, LCAT, MT-BC, Art Therapist
Yu-Ying Chen
Art Therapist, PhD, LCAT, MT-BC
Verified Verified
1 Endorsed
Chinatown, New York, NY 10013
I am a creative arts therapist, trained in Psychological Counseling, Expressive Therapies, and Music Therapy. I have been working with clients in different settings, including inpatient psychiatric care, school, and private practice. I use music, the arts, talk therapies, and mindfulness practices to help my clients deal with depression, anxiety, relationship problems, life transition, grief and loss. Through my empathetic and client-centered counseling programs, I will help you find inner growth, self-awareness, focus and structure in your life.
I am a creative arts therapist, trained in Psychological Counseling, Expressive Therapies, and Music Therapy. I have been working with clients in different settings, including inpatient psychiatric care, school, and private practice. I use music, the arts, talk therapies, and mindfulness practices to help my clients deal with depression, anxiety, relationship problems, life transition, grief and loss. Through my empathetic and client-centered counseling programs, I will help you find inner growth, self-awareness, focus and structure in your life.
(347) 834-9367 View (347) 834-9367
Photo of Nicholas Hakimi
Nicholas Hakimi
Licensed Master Social Worker
Verified Verified
1 Endorsed
Chinatown, New York, NY 10013  (Online Only)
Hi, my name’s Nicholas (he/they), and I’m a Latinx, Middle Eastern, Jewish, and queer psychotherapist in NYC. My multicultural upbringing, experiences with immigration, and growing up in a low-income household have not only inspired me to help people who are marginalized because of how they identify, but also those who experience systematic violence. Through diverse lived and clinical experiences, I'm able to help you discover your inner thoughts surrounding identities, relationships, and social issues that affect how you show up in the world.
Hi, my name’s Nicholas (he/they), and I’m a Latinx, Middle Eastern, Jewish, and queer psychotherapist in NYC. My multicultural upbringing, experiences with immigration, and growing up in a low-income household have not only inspired me to help people who are marginalized because of how they identify, but also those who experience systematic violence. Through diverse lived and clinical experiences, I'm able to help you discover your inner thoughts surrounding identities, relationships, and social issues that affect how you show up in the world.
(347) 767-2084 View (347) 767-2084
Photo of Tiffanie Brown, LCSW, R, Clinical Social Work/Therapist
Tiffanie Brown
Clinical Social Work/Therapist, LCSW, R
Verified Verified
2 Endorsed
Chinatown, New York, NY 10013  (Online Only)
I’m pretty excited for you because you showed up today which lets me know you are ready. Be proud of yourself for taking this first step; looking for the right provider. I help individuals who find themselves “stuck” in a cycle of making the same choices and decisions over and over again in their relationships, health goals, or career. My goal is to help you get unstuck and move forward. Our mental health can be impacted by life challenges which include trauma, loss, interpersonal, intimate, and familial conflict.
I’m pretty excited for you because you showed up today which lets me know you are ready. Be proud of yourself for taking this first step; looking for the right provider. I help individuals who find themselves “stuck” in a cycle of making the same choices and decisions over and over again in their relationships, health goals, or career. My goal is to help you get unstuck and move forward. Our mental health can be impacted by life challenges which include trauma, loss, interpersonal, intimate, and familial conflict.
(718) 395-4735 View (718) 395-4735
Photo of Aniella Perold, PhD
Aniella Perold
PhD
Verified Verified
2 Endorsed
Chinatown, New York, NY 10013
People often come to psychotherapy feeling stuck, angry, wound up, or adrift. Beneath the surface are important and unmet needs. By recognizing these, we can start shifting patterns that get in our way and communicate more clearly with others. I work with children, adolescents and adults. My approach is curious, warm, and actively engaged. I draw on my extensive training in psychodynamic and attachment-based interventions, initiating change by understanding the past experiences that shape our reactions and patterns in present-day relationships. I also incorporate emotion regulation skills and mindfulness techniques, as appropriate.
People often come to psychotherapy feeling stuck, angry, wound up, or adrift. Beneath the surface are important and unmet needs. By recognizing these, we can start shifting patterns that get in our way and communicate more clearly with others. I work with children, adolescents and adults. My approach is curious, warm, and actively engaged. I draw on my extensive training in psychodynamic and attachment-based interventions, initiating change by understanding the past experiences that shape our reactions and patterns in present-day relationships. I also incorporate emotion regulation skills and mindfulness techniques, as appropriate.
(347) 621-6407 View (347) 621-6407
Photo of Rebeca Chen, LCSW, Clinical Social Work/Therapist
Rebeca Chen
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Chinatown, New York, NY 10013  (Online Only)
The vision for my practice is to provide a connective environment where clients can explore their strengths along with deeper understanding of their fears, doubts, and shame.
The vision for my practice is to provide a connective environment where clients can explore their strengths along with deeper understanding of their fears, doubts, and shame.
(646) 760-8417 View (646) 760-8417
Photo of James Cherry, LMSW, Clinical Social Work/Therapist
James Cherry
Clinical Social Work/Therapist, LMSW
Verified Verified
Chinatown, New York, NY 10013  (Online Only)
While changing behaviors and feelings is always tricky, it is never something that we need to face alone. I know that coming to therapy and making the commitment to show up for themselves every week requires strength from my clients. Therefore, I strive to help them get the most out of their experience. Together, we create a wellness plan specific to each individual (which I believe is the utmost priority. My passion for helping others shines through with authenticity and compassion. My clients find emotional fulfillment, success in relationships, and develop more confidence to grow.
While changing behaviors and feelings is always tricky, it is never something that we need to face alone. I know that coming to therapy and making the commitment to show up for themselves every week requires strength from my clients. Therefore, I strive to help them get the most out of their experience. Together, we create a wellness plan specific to each individual (which I believe is the utmost priority. My passion for helping others shines through with authenticity and compassion. My clients find emotional fulfillment, success in relationships, and develop more confidence to grow.
(646) 974-9468 View (646) 974-9468
Photo of Jasmine Gelber, Clinical Social Work/Therapist
Jasmine Gelber
Clinical Social Work/Therapist
Verified Verified
Chinatown, New York, NY 10013
I approach our work through deep listening and attention to your singular experience. You may be coming to seek relief from troubling thoughts, difficulties in relating to others, or physical symptoms of anxiety or depression. I facilitate an unfolding process where you can give voice to your conflicts, relationships, desires, and memories, sometimes for the first time. Together, we can find insight where you feel stuck and find relief where you feel pain.
I approach our work through deep listening and attention to your singular experience. You may be coming to seek relief from troubling thoughts, difficulties in relating to others, or physical symptoms of anxiety or depression. I facilitate an unfolding process where you can give voice to your conflicts, relationships, desires, and memories, sometimes for the first time. Together, we can find insight where you feel stuck and find relief where you feel pain.
(929) 499-2360 View (929) 499-2360
Photo of Mary Swims, LCSW, Clinical Social Work/Therapist
Mary Swims
Clinical Social Work/Therapist, LCSW
Verified Verified
Chinatown, New York, NY 10013  (Online Only)
Many people (13+) I work with are typically experiencing worry, anxiety, depression, lack of motivation, identity issues, relationship issues, addiction, low self-esteem, boundary concerns, and family discord. I offer kind and compassionate care while working together to encourage, support, and guide towards healthier solutions. Finding healthy ways to cope, regulate emotions, and communicate more effectively, are ways to find balance and peace within the world you live. We can work on this together, I would be honored to help in any way I can.
Many people (13+) I work with are typically experiencing worry, anxiety, depression, lack of motivation, identity issues, relationship issues, addiction, low self-esteem, boundary concerns, and family discord. I offer kind and compassionate care while working together to encourage, support, and guide towards healthier solutions. Finding healthy ways to cope, regulate emotions, and communicate more effectively, are ways to find balance and peace within the world you live. We can work on this together, I would be honored to help in any way I can.
(332) 286-4584 View (332) 286-4584
Photo of Laura Isherwood, LCSW, Clinical Social Work/Therapist
Laura Isherwood
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Chinatown, New York, NY 10013  (Online Only)
In the face of life's unexpected and expected challenges, including issues related to communication, relationships, loneliness, loss, anxiety, or depression, I strive to create a judgment-free space. Struggles that once felt manageable might now seem overwhelming. My aim is to facilitate genuine self-expression, identifying your unique strengths and areas for growth. I firmly believe that every individual possesses inherent coping abilities and resilience. It is my passion to support others in learning how to tolerate and grow from life’s challenges.
In the face of life's unexpected and expected challenges, including issues related to communication, relationships, loneliness, loss, anxiety, or depression, I strive to create a judgment-free space. Struggles that once felt manageable might now seem overwhelming. My aim is to facilitate genuine self-expression, identifying your unique strengths and areas for growth. I firmly believe that every individual possesses inherent coping abilities and resilience. It is my passion to support others in learning how to tolerate and grow from life’s challenges.
(332) 378-1353 View (332) 378-1353
Photo of Wendoline Vargas, LCSW, Clinical Social Work/Therapist
Wendoline Vargas
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Chinatown, New York, NY 10013  (Online Only)
Wendoline Vargas (she/her), is a first generation, Latinx, bilingual, licensed clinical social worker. Wendoline was born and raised in Los Angeles, earning an undergraduate degree from University of California, Santa Barbara, and a Masters in Social Work from New York University. Wendoline is a fierce advocate for social justice and passionate about working with BIPOC women/young adults, & individuals with marginalized identities, and helping to empower them to reach their fullest potential.
Wendoline Vargas (she/her), is a first generation, Latinx, bilingual, licensed clinical social worker. Wendoline was born and raised in Los Angeles, earning an undergraduate degree from University of California, Santa Barbara, and a Masters in Social Work from New York University. Wendoline is a fierce advocate for social justice and passionate about working with BIPOC women/young adults, & individuals with marginalized identities, and helping to empower them to reach their fullest potential.
(646) 632-1550 View (646) 632-1550
Photo of Erika Broad, LCSW, Clinical Social Work/Therapist
Erika Broad
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Chinatown, New York, NY 10002
Waitlist for new clients
I utilize an integrative approach with an emphasis on psychodynamic theory. Treatment is tailored to the best fit for the individual or couple. I specialize in LGBTQ+ affirmative therapy, relationship and marital issues, cognitive behavioral therapy (CBT), and trauma-informed therapy. I practice from a sex-positive, direct and non-judgmental perspective. I have helped clients with a range of struggles, including depression, anxiety, personality disorders, sexuality and gender identity, gender transition, body image, navigating polyamory, and finding clarity around life decisions.
I utilize an integrative approach with an emphasis on psychodynamic theory. Treatment is tailored to the best fit for the individual or couple. I specialize in LGBTQ+ affirmative therapy, relationship and marital issues, cognitive behavioral therapy (CBT), and trauma-informed therapy. I practice from a sex-positive, direct and non-judgmental perspective. I have helped clients with a range of struggles, including depression, anxiety, personality disorders, sexuality and gender identity, gender transition, body image, navigating polyamory, and finding clarity around life decisions.
(718) 340-3862 View (718) 340-3862
Photo of Ariel Goltche, LMSW, Clinical Social Work/Therapist
Ariel Goltche
Clinical Social Work/Therapist, LMSW
Verified Verified
Chinatown, New York, NY 10013  (Online Only)
My goal is to offer individuals a safe, non-judgmental space where they can speak freely about everything from daily challenges to the more nuanced, life-long issues. Therapy looks different for everyone, and I aim to provide a unique, personalized approach for each client. I acknowledge the importance of a trusting therapeutic relationship, and how meaningful it can be, over time, to truly connect with a therapist. Recognizing people are the experts of their own stories, I lead with compassion and understanding, with the intention of promoting self-agency and self-empowerment.
My goal is to offer individuals a safe, non-judgmental space where they can speak freely about everything from daily challenges to the more nuanced, life-long issues. Therapy looks different for everyone, and I aim to provide a unique, personalized approach for each client. I acknowledge the importance of a trusting therapeutic relationship, and how meaningful it can be, over time, to truly connect with a therapist. Recognizing people are the experts of their own stories, I lead with compassion and understanding, with the intention of promoting self-agency and self-empowerment.
(332) 248-1521 View (332) 248-1521
Photo of Eugenia Cherkasskaya, PhD, Psychologist
Eugenia Cherkasskaya
Psychologist, PhD
Verified Verified
4 Endorsed
Chinatown, New York, NY 10013
Starting psychotherapy can be an exciting and anxiety-provoking process as you take active steps to make changes in your life and relationships. I approach psychotherapy as a collaboration and work in an integrative way, tailoring interventions to individual needs. I believe that therapy's aim is not only to make improvements but also to manage disappointments. To this end, we can simultaneously engage in meaningful explorations while developing important coping skills, including mindfulness, emotion regulation, and distress tolerance. I offer individual, couples, and family psychotherapy to adults, children, and adolescents, and work with different family and relationship configurations.
Starting psychotherapy can be an exciting and anxiety-provoking process as you take active steps to make changes in your life and relationships. I approach psychotherapy as a collaboration and work in an integrative way, tailoring interventions to individual needs. I believe that therapy's aim is not only to make improvements but also to manage disappointments. To this end, we can simultaneously engage in meaningful explorations while developing important coping skills, including mindfulness, emotion regulation, and distress tolerance. I offer individual, couples, and family psychotherapy to adults, children, and adolescents, and work with different family and relationship configurations.
(646) 846-2763 View (646) 846-2763
Photo of Sarah Coker, MSW, Student, Intern, Pre-Licensed Professional
Sarah Coker
Pre-Licensed Professional, MSW, Student, Intern
Verified Verified
1 Endorsed
Chinatown, New York, NY 10013
I offer structured, evidence-based support while staying flexible to your unique needs. I’m passionate about working with individuals who are queer, those with Borderline Personality Disorder (BPD) or traits of BPD, as well as those experiencing emotion dysregulation, self-harm, suicidal thoughts and behaviors, and those at the intersection of these identities and challenges.
I offer structured, evidence-based support while staying flexible to your unique needs. I’m passionate about working with individuals who are queer, those with Borderline Personality Disorder (BPD) or traits of BPD, as well as those experiencing emotion dysregulation, self-harm, suicidal thoughts and behaviors, and those at the intersection of these identities and challenges.
(718) 971-2407 View (718) 971-2407
Photo of Keya Acharya, LMSW, Clinical Social Work/Therapist
Keya Acharya
Clinical Social Work/Therapist, LMSW
Verified Verified
9 Endorsed
Chinatown, New York, NY 10013  (Online Only)
Keya (kay-ah, they/them) is queer, non-binary, fat, neurodivergent, disabled, South Asian-American, multi-racial, anti-zionist, and an abolitionist therapist. They specialize in working with queer radicals. They strive to be highly intersectional and decolonial and are continually learning how to make their work truly liberatory. They are aligned with Health at Every Size (HAES). Every single part of you is wanted and welcome here. Keya is warm, friendly, and eager to support you. Their rates are $80-$300 for a 50 minute session.
Keya (kay-ah, they/them) is queer, non-binary, fat, neurodivergent, disabled, South Asian-American, multi-racial, anti-zionist, and an abolitionist therapist. They specialize in working with queer radicals. They strive to be highly intersectional and decolonial and are continually learning how to make their work truly liberatory. They are aligned with Health at Every Size (HAES). Every single part of you is wanted and welcome here. Keya is warm, friendly, and eager to support you. Their rates are $80-$300 for a 50 minute session.
(646) 516-6591 View (646) 516-6591
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How does your Therapist compare?

Number of Therapists in Chinatown, New York, NY

90+

Average cost per session

$190

Therapists in Chinatown, New York, NY who prioritize treating:

93% Anxiety
87% Relationship Issues
86% Depression
79% Self Esteem
76% Trauma and PTSD
67% Life Transitions
65% Grief

Average years in practice

9 Years

Top 3 insurances accepted

98% Aetna
93% Cigna and Evernorth
79% UnitedHealthcare UHC | UBH

How Therapists in Chinatown, New York, NY see their clients

56% Online Only
44% In Person and Online

Gender breakdown

71% Female
15% Male
14% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Chinatown, 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.