Therapists in Rochester, NY

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Photo of Audrey Berger, Psychologist, PhD
Audrey Berger
Psychologist, PhD
Online Only
Making the decision to begin therapy can be difficult, and finding a therapist that's right for you is an important step. My therapy style involves, first and foremost, working to help you feel safe and supported as you go through the therapy process. We will work together to identify, understand and then address the issues that are causing you trouble in your life. I specialize in a number of patient concerns including anxiety, depression, coping with chronic illness and other medical concerns, coping with major life transitions, relationship issues, grief/loss, women's issues and stress management.
Making the decision to begin therapy can be difficult, and finding a therapist that's right for you is an important step. My therapy style involves, first and foremost, working to help you feel safe and supported as you go through the therapy process. We will work together to identify, understand and then address the issues that are causing you trouble in your life. I specialize in a number of patient concerns including anxiety, depression, coping with chronic illness and other medical concerns, coping with major life transitions, relationship issues, grief/loss, women's issues and stress management.
(585) 270-7213 View (585) 270-7213
Photo of Alana Russotti, Clinical Social Work/Therapist, LCSW, IECMH-E
Alana Russotti
Clinical Social Work/Therapist, LCSW, IECMH-E
1 Endorsed
Rochester, NY 14618
Perhaps you feel out of balance, are struggling with a transition, or are seeking to find a state of wellness in your life; or maybe your child is struggling emotionally and/or behaviorally, is going through a big life change, or you're wanting them to have space to explore and express themselves with a professional. However you or your family came to need support, I would be honored to help. My therapeutic philosophy is relationally and psychodynamically driven, trauma-informed and flexible; we will work together to tailor support that's right for you.
Perhaps you feel out of balance, are struggling with a transition, or are seeking to find a state of wellness in your life; or maybe your child is struggling emotionally and/or behaviorally, is going through a big life change, or you're wanting them to have space to explore and express themselves with a professional. However you or your family came to need support, I would be honored to help. My therapeutic philosophy is relationally and psychodynamically driven, trauma-informed and flexible; we will work together to tailor support that's right for you.
(585) 326-9567 View (585) 326-9567
Photo of Dianna Guerin, Clinical Social Work/Therapist, LCSW-R
Dianna Guerin
Clinical Social Work/Therapist, LCSW-R
Rochester, NY 14618
Not accepting new clients
Many of us have times in our lives when we get overwhelmed. And despite our best efforts to cope, we can end up feeling unhappy, lost, and alone. Perhaps you are going through something right now - a relationship conflict, a big life transition, struggling at work or in school, dealing with grief or long-standing struggles with family, identity, self-esteem, anxiety or depression. Perhaps you are dealing with a physical health issue that is impacting your emotional and mental well-being. It’s helpful at times like these to have someone there to listen and help you sort things out.
Many of us have times in our lives when we get overwhelmed. And despite our best efforts to cope, we can end up feeling unhappy, lost, and alone. Perhaps you are going through something right now - a relationship conflict, a big life transition, struggling at work or in school, dealing with grief or long-standing struggles with family, identity, self-esteem, anxiety or depression. Perhaps you are dealing with a physical health issue that is impacting your emotional and mental well-being. It’s helpful at times like these to have someone there to listen and help you sort things out.
(585) 294-4827 View (585) 294-4827
Photo of Molly Catherine Perreaud, Counselor, LMHC
Molly Catherine Perreaud
Counselor, LMHC
2 Endorsed
Online Only
Hi! I’m Molly, and I have a genuine passion for helping people who feel stuck, overwhelmed, or disconnected from themselves. Whether you're navigating anxiety, depression, identity issues, life transitions, or relationship challenges, healing is possible. Change can feel uncomfortable, but it’s often the first sign that growth is happening—and I’m here to support you every step of the way.
Hi! I’m Molly, and I have a genuine passion for helping people who feel stuck, overwhelmed, or disconnected from themselves. Whether you're navigating anxiety, depression, identity issues, life transitions, or relationship challenges, healing is possible. Change can feel uncomfortable, but it’s often the first sign that growth is happening—and I’m here to support you every step of the way.
(585) 304-1562 View (585) 304-1562
Photo of Stephanie Cicero, Mental Health Counselor, LMHC, MSEd
Stephanie Cicero
Mental Health Counselor, LMHC, MSEd
1 Endorsed
Rochester, NY 14618
I feel grateful for my job as a therapist everyday. Adolescents, adults, couples, families and parents come to me because they are experiencing depression, anxiety, hopelessness, ongoing family conflict, low self-esteem and other difficulties. If something is not right in your life you can expect me to initially listen intently as we work together to clarify your goals, so that your vision for a different life informs everything we do.
I feel grateful for my job as a therapist everyday. Adolescents, adults, couples, families and parents come to me because they are experiencing depression, anxiety, hopelessness, ongoing family conflict, low self-esteem and other difficulties. If something is not right in your life you can expect me to initially listen intently as we work together to clarify your goals, so that your vision for a different life informs everything we do.
(585) 312-3740 View (585) 312-3740
Photo of Mackenzie Northrup, Counselor, LMHC, NCC
Mackenzie Northrup
Counselor, LMHC, NCC
1 Endorsed
Rochester, NY 14624
Not accepting new clients
Healing from trauma shouldn’t feel like another battle! Many of my clients feel overwhelmed by medical trauma, assaults, abuse, chronic stress, grief, or generational adversity. They often struggle with anxiety, panic, or feeling “stuck,” even after trying therapy before. I know how frustrating it is when people say to “just think positive” or force a new perspective when some things just are what they are, so I help clients move toward acceptance in a way that doesn’t feel invalidating. Together, we can build flexibility in the face of challenges and refocus on what truly matters!
Healing from trauma shouldn’t feel like another battle! Many of my clients feel overwhelmed by medical trauma, assaults, abuse, chronic stress, grief, or generational adversity. They often struggle with anxiety, panic, or feeling “stuck,” even after trying therapy before. I know how frustrating it is when people say to “just think positive” or force a new perspective when some things just are what they are, so I help clients move toward acceptance in a way that doesn’t feel invalidating. Together, we can build flexibility in the face of challenges and refocus on what truly matters!
(585) 476-1467 View (585) 476-1467
Photo of William Robert Jarvie, Clinical Social Work/Therapist, LCSW-R
William Robert Jarvie
Clinical Social Work/Therapist, LCSW-R
1 Endorsed
Rochester, NY 14618
Hello, my name is William (Bill) Jarvie and I am a New York State Licensed Clinical Social Worker. I have over 30 years of experience working with individuals in psychotherapy (having first worked with children for 10 years, then for the last 20+ years working with adults). What brings each person to therapy is always unique, but some of the more common issues/struggles I have helped clients with over the years, includes; anxiety, depression, stress, poor emotion management, lack of coping skills, life transitions, grief, and loss.
Hello, my name is William (Bill) Jarvie and I am a New York State Licensed Clinical Social Worker. I have over 30 years of experience working with individuals in psychotherapy (having first worked with children for 10 years, then for the last 20+ years working with adults). What brings each person to therapy is always unique, but some of the more common issues/struggles I have helped clients with over the years, includes; anxiety, depression, stress, poor emotion management, lack of coping skills, life transitions, grief, and loss.
(585) 639-4641 View (585) 639-4641
Photo of Rocco Hagen, Licensed Professional Counselor, MS, LMHC-D
Rocco Hagen
Licensed Professional Counselor, MS, LMHC-D
2 Endorsed
Rochester, NY 14619
Feeling lost, stuck, or nothing at all? Wondering how you got to this point or how you can get past it? Let's start with this assumption: All people -at any point in time- are doing the best that they can with the resources available to them. Starting in infancy we develop ways to express our feelings and meet our needs, which can have a profound impact on how we interact with people and go through the world. Often skills that we developed at these early stages in our lives can become unhelpful as we transition to new stages. In therapy we can explore the question: “How is the past playing out in the present?” in a safe space.
Feeling lost, stuck, or nothing at all? Wondering how you got to this point or how you can get past it? Let's start with this assumption: All people -at any point in time- are doing the best that they can with the resources available to them. Starting in infancy we develop ways to express our feelings and meet our needs, which can have a profound impact on how we interact with people and go through the world. Often skills that we developed at these early stages in our lives can become unhelpful as we transition to new stages. In therapy we can explore the question: “How is the past playing out in the present?” in a safe space.
(585) 460-1328 View (585) 460-1328
Photo of Peg Debaise, Marriage & Family Therapist, LMFT, CT
Peg Debaise
Marriage & Family Therapist, LMFT, CT
Rochester, NY 14625
Not accepting new clients
My specialty is bereavement. I help clients to cope with the loss of a loved one, physical illness, and anticipatory grief. I also help clients cope with life transitions such as: job loss, relocating, divorce, retirement and relationship issues. My belief is that we all hold the answers to help ourselves, we just need to uncover them. I use a combination of brief therapy, experiential therapy, and emotionally focused therapy to help clients reinvest and reinvent themselves after a traumatic life event such as the death of a loved one.
My specialty is bereavement. I help clients to cope with the loss of a loved one, physical illness, and anticipatory grief. I also help clients cope with life transitions such as: job loss, relocating, divorce, retirement and relationship issues. My belief is that we all hold the answers to help ourselves, we just need to uncover them. I use a combination of brief therapy, experiential therapy, and emotionally focused therapy to help clients reinvest and reinvent themselves after a traumatic life event such as the death of a loved one.
(585) 598-9845 View (585) 598-9845
Photo of Alissa Freer-Kalmus, Marriage & Family Therapist, LMFT
Alissa Freer-Kalmus
Marriage & Family Therapist, LMFT
2 Endorsed
Online Only
Not accepting new clients
My practice is fueled by a holistic approach to help clients explore the many facets of their story. I am LGBTQIA+ and kink affirming, as well as knowledgeable about the polyamory and consensual non-monogamy culture. I enjoy working with individuals and any constellation of relationships collaboratively.
My practice is fueled by a holistic approach to help clients explore the many facets of their story. I am LGBTQIA+ and kink affirming, as well as knowledgeable about the polyamory and consensual non-monogamy culture. I enjoy working with individuals and any constellation of relationships collaboratively.
(585) 566-1448 View (585) 566-1448
Photo of Sisi Chen, Counselor, MS, LMHC, NCC
Sisi Chen
Counselor, MS, LMHC, NCC
2 Endorsed
Rochester, NY 14618
I’m deeply committed to supporting the well-being of all my clients. I work with children, adolescents, young adults, and adults experiencing anxiety, depression, and issues related to: school/college, interpersonal relationships, self image/concept, and life transitions. I use a culturally informed, client-centered perspective when working with people to honor the way in which individuals' unique experiences have shaped them. I aim to provide a safe and genuine environment, where thoughts and concerns can be discussed authentically.
I’m deeply committed to supporting the well-being of all my clients. I work with children, adolescents, young adults, and adults experiencing anxiety, depression, and issues related to: school/college, interpersonal relationships, self image/concept, and life transitions. I use a culturally informed, client-centered perspective when working with people to honor the way in which individuals' unique experiences have shaped them. I aim to provide a safe and genuine environment, where thoughts and concerns can be discussed authentically.
(585) 598-4237 View (585) 598-4237
Photo of Carla Barbosa - Carla Barbosa 🏳️‍🌈 LGBTQ+┃Autism┃ADHD┃Giftedness, MSc, MSW, LMSW
Carla Barbosa 🏳️‍🌈 LGBTQ+┃Autism┃ADHD┃Giftedness
Verified Verified
1 Endorsed
Rochester, NY 14625
Not accepting new clients
NOT accepting new clients. Has life shifted so quickly that you feel destabilized? Or maybe you want to change, but feel stuck in patterns or relationships that no longer work. I hear you! Life can be quite messy and stressful, and sometimes we need support. As a therapist, my great passion is to create space for people to find safety, get unstuck, and live more authentically. I am a queer, cisgender therapist with lived experience of mental health challenges. My personal experiences will help me connect with you from a place of empathy and profound respect for your strengths.
NOT accepting new clients. Has life shifted so quickly that you feel destabilized? Or maybe you want to change, but feel stuck in patterns or relationships that no longer work. I hear you! Life can be quite messy and stressful, and sometimes we need support. As a therapist, my great passion is to create space for people to find safety, get unstuck, and live more authentically. I am a queer, cisgender therapist with lived experience of mental health challenges. My personal experiences will help me connect with you from a place of empathy and profound respect for your strengths.
(585) 449-6455 View (585) 449-6455
Photo of Lenka Schroeder, Marriage & Family Therapist, MA, LMFT
Lenka Schroeder
Marriage & Family Therapist, MA, LMFT
Rochester, NY 14607
Life can get really tough sometimes and I think we all need a place to come and just BE REAL with another person. Vent feelings, share thoughts that one is not really comfortable sharing with close friends and family, just lay it all out however messy. ABOUT ME: I am a Licensed Marriage and Family Therapist in both California and New York with over 15 years in the field. I got my Masters degree in Integral Counseling Psychology at California Institute of Integral Studies in San Francisco, CA in 2008. My areas of study was Gestalt Therapy, Mindfulness Based Stress Reduction and Creative Arts Therapy.
Life can get really tough sometimes and I think we all need a place to come and just BE REAL with another person. Vent feelings, share thoughts that one is not really comfortable sharing with close friends and family, just lay it all out however messy. ABOUT ME: I am a Licensed Marriage and Family Therapist in both California and New York with over 15 years in the field. I got my Masters degree in Integral Counseling Psychology at California Institute of Integral Studies in San Francisco, CA in 2008. My areas of study was Gestalt Therapy, Mindfulness Based Stress Reduction and Creative Arts Therapy.
(585) 257-0198 View (585) 257-0198
Photo of Amy Hickey-Smith, Clinical Social Work/Therapist
Amy Hickey-Smith
Clinical Social Work/Therapist
1 Endorsed
Online Only
Waitlist for new clients
You deserve a therapist who truly gets you. I work with individuals and partners navigating identity, intimacy, and the lasting impact of trauma or rigid upbringings. Whether you're exploring gender or sexuality, deepening connection in your relationship, or unlearning people-pleasing to finally put yourself first- therapy can help. My approach is affirming, trauma-informed, and grounded in real, meaningful change. If you’re ready to be seen and supported in all your complexity, I’d be honored to walk alongside you.
You deserve a therapist who truly gets you. I work with individuals and partners navigating identity, intimacy, and the lasting impact of trauma or rigid upbringings. Whether you're exploring gender or sexuality, deepening connection in your relationship, or unlearning people-pleasing to finally put yourself first- therapy can help. My approach is affirming, trauma-informed, and grounded in real, meaningful change. If you’re ready to be seen and supported in all your complexity, I’d be honored to walk alongside you.
(585) 669-5889 View (585) 669-5889
Photo of Caitlin Whitcomb, Clinical Social Work/Therapist, LCSW
Caitlin Whitcomb
Clinical Social Work/Therapist, LCSW
Rochester, NY 14618
Is your child or teenager experiencing low mood, lack of motivation, loss of interest, poor self-esteem, irritability, sleep issues, anger problems, and/or difficulty managing their emotions and behavior? They aren't alone. We all want our children to be happy, but there are a lot of things that get in the way of that for our youth. Together, we will work on ways to recognize their feelings, identify their negative thought patterns, and develop healthy coping skills to manage strong feelings. Your child will feel heard and supported while developing the tools to live a happier, less stressful life.
Is your child or teenager experiencing low mood, lack of motivation, loss of interest, poor self-esteem, irritability, sleep issues, anger problems, and/or difficulty managing their emotions and behavior? They aren't alone. We all want our children to be happy, but there are a lot of things that get in the way of that for our youth. Together, we will work on ways to recognize their feelings, identify their negative thought patterns, and develop healthy coping skills to manage strong feelings. Your child will feel heard and supported while developing the tools to live a happier, less stressful life.
(585) 460-4523 View (585) 460-4523
Photo of Judith Lundquist, Clinical Social Work/Therapist, LCSW, PLLC
Judith Lundquist
Clinical Social Work/Therapist, LCSW, PLLC
1 Endorsed
Rochester, NY 14617
I am currently taking new clients. Including clients referred directly from Military OneSource (an EAP program) or from GiveanHour, for in person appointments. Am an experienced psychotherapist dedicated to working with clients 18 and older, across a wide range of family and mental health concerns. I believe I have a sensitive, very respectful approach, without jargon. I work Monday-Thursday, with some early evening availability.
I am currently taking new clients. Including clients referred directly from Military OneSource (an EAP program) or from GiveanHour, for in person appointments. Am an experienced psychotherapist dedicated to working with clients 18 and older, across a wide range of family and mental health concerns. I believe I have a sensitive, very respectful approach, without jargon. I work Monday-Thursday, with some early evening availability.
(585) 360-0536 View (585) 360-0536
Photo of Rose Doi, Marriage & Family Therapist, PhD, LMFT
Rose Doi
Marriage & Family Therapist, PhD, LMFT
Rochester, NY 14607
Waitlist for new clients
Being vulnerable and having boundaries with your partner is cathartic. Always having a mask on or your walls up is exhausting. I can help you figure out the map to move past the patterns and behaviors that no longer serve your growth. By safely addressing and healing the disconnects in your relationship, you can open again to each other and to a fuller life to build a healthy, nurturing connection and a brighter future for yourself!
Being vulnerable and having boundaries with your partner is cathartic. Always having a mask on or your walls up is exhausting. I can help you figure out the map to move past the patterns and behaviors that no longer serve your growth. By safely addressing and healing the disconnects in your relationship, you can open again to each other and to a fuller life to build a healthy, nurturing connection and a brighter future for yourself!
(585) 501-3553 View (585) 501-3553
Photo of Laura Farrell, Clinical Social Work/Therapist, LCSW-R
Laura Farrell
Clinical Social Work/Therapist, LCSW-R
Online Only
My philosophy is that everyone is unique and different with their issues. I understand individual differences in that an individual may not respond to every therapeutic style. Therefore, I am willing to tailor therapy to find the best fit for every client I work with. I feel that everyone deserves an opportunity for change and to live a happier, healthier life regardless of past experiences. I have experience working with addiction, trauma, Veterans and general Mental Health issues such as anxiety and depression. Currently, I specialize in working with Veterans and adults 18 and older.
My philosophy is that everyone is unique and different with their issues. I understand individual differences in that an individual may not respond to every therapeutic style. Therefore, I am willing to tailor therapy to find the best fit for every client I work with. I feel that everyone deserves an opportunity for change and to live a happier, healthier life regardless of past experiences. I have experience working with addiction, trauma, Veterans and general Mental Health issues such as anxiety and depression. Currently, I specialize in working with Veterans and adults 18 and older.
(585) 541-2226 View (585) 541-2226
Photo of Ashley DiMino, Counselor, MS, LMHC
Ashley DiMino
Counselor, MS, LMHC
1 Endorsed
Rochester, NY 14609
The decision to seek help for a problem is often a difficult one. People pursue therapy for a variety of reasons. Some may enter therapy to address major life changes, such as becoming a parent, and others may seek help in managing mental health conditions, like depression. Many people seek counseling because they have identified specific goals or issues that they wish to work on. Others may be encouraged by family, friends, or medical professionals to seek help. Whatever the motivation, it takes courage to attend therapy, and it takes dedication to see it through.
The decision to seek help for a problem is often a difficult one. People pursue therapy for a variety of reasons. Some may enter therapy to address major life changes, such as becoming a parent, and others may seek help in managing mental health conditions, like depression. Many people seek counseling because they have identified specific goals or issues that they wish to work on. Others may be encouraged by family, friends, or medical professionals to seek help. Whatever the motivation, it takes courage to attend therapy, and it takes dedication to see it through.
(585) 496-1522 View (585) 496-1522
Photo of Christian Homniyom, Clinical Social Work/Therapist, LMSW
Christian Homniyom
Clinical Social Work/Therapist, LMSW
Rochester, NY 14621
Life can feel overwhelming when you're carrying the weight of your personal identity, family expectations, or the impacts of generational trauma. You may find yourself caught between who you are and who others expect you to be, leading to feelings of stress, self-doubt, or disconnection. Many of my clients seek a space where all parts of their identity are seen and affirmed, while also working through challenges like anxiety, depression, family of origin issues, or difficult life transitions. Together, we focus on healing, resilience, and building a stronger sense of self.
Life can feel overwhelming when you're carrying the weight of your personal identity, family expectations, or the impacts of generational trauma. You may find yourself caught between who you are and who others expect you to be, leading to feelings of stress, self-doubt, or disconnection. Many of my clients seek a space where all parts of their identity are seen and affirmed, while also working through challenges like anxiety, depression, family of origin issues, or difficult life transitions. Together, we focus on healing, resilience, and building a stronger sense of self.
(585) 866-2953 View (585) 866-2953

See more therapy options for Rochester

How does your Therapist compare?

Number of Therapists in Rochester, NY

1,000+

Average cost per session

$130

Therapists in Rochester, NY who prioritize treating:

91% Anxiety
84% Depression
75% Self Esteem
74% Relationship Issues
68% Stress
67% Trauma and PTSD
65% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

85% Aetna
66% Cigna and Evernorth
43% UnitedHealthcare UHC | UBH

How Therapists in Rochester, NY see their clients

57% In Person and Online
43% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Rochester?

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.