Therapists in Rockland County, NY

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Photo of Shalimar Hoeg, LMHC, Counselor
Shalimar Hoeg
Counselor, LMHC
Verified Verified
West Nyack, NY 10994
Shalimar Hoeg is a Licensed Mental Health Counselor in New York who has been practicing since 2015. She has a Bachelor Degree in Sociology and Women Studies and a Master of Science in Mental Health Counseling. Shalimar specializes in Cognitive Behavioral Therapy, Dialectic Behavioral Therapy, and Crisis Intervention. By identifying emotional triggers, she tailors her approach specifically to the individual needs of each client. She strives to not only help clients cope, but effectively position them to thrive in recovery.
Shalimar Hoeg is a Licensed Mental Health Counselor in New York who has been practicing since 2015. She has a Bachelor Degree in Sociology and Women Studies and a Master of Science in Mental Health Counseling. Shalimar specializes in Cognitive Behavioral Therapy, Dialectic Behavioral Therapy, and Crisis Intervention. By identifying emotional triggers, she tailors her approach specifically to the individual needs of each client. She strives to not only help clients cope, but effectively position them to thrive in recovery.
(914) 331-8078 View (914) 331-8078
Photo of Gloria D Mulitauopele, MA,  LMFT, CLC, Marriage & Family Therapist
Gloria D Mulitauopele
Marriage & Family Therapist, MA, LMFT, CLC
Verified Verified
1 Endorsed
Online Only
I specialize in healing relationships with self and others. Whether these relationships are unfulfilling, challenging, unhealthy or just plain confusing, I am here to help! If you've lost yourself, given up on your dreams, have anxious thoughts, are feeling overwhelmed, or if you can't decide whether to stay in a relationship or leave, I'll help you learn to manage those difficult emotions and confusing situations so that you can move through those life stressors with a greater sense of confidence, ease, and empowerment.
I specialize in healing relationships with self and others. Whether these relationships are unfulfilling, challenging, unhealthy or just plain confusing, I am here to help! If you've lost yourself, given up on your dreams, have anxious thoughts, are feeling overwhelmed, or if you can't decide whether to stay in a relationship or leave, I'll help you learn to manage those difficult emotions and confusing situations so that you can move through those life stressors with a greater sense of confidence, ease, and empowerment.
(845) 684-9218 View (845) 684-9218
Photo of Kristina DeLuccia, LMHC, CASAC, Counselor
Kristina DeLuccia
Counselor, LMHC, CASAC
Verified Verified
Pearl River, NY 10965
I provide my clients the coping skills needed to navigate through their individual and unique life challenges. I will help my clients better understand themselves and also help them reach their ultimate goals, all while doing so in a safe comforting environment. Lastly, I welcome all of my clients with warmth and empathy from the moment they begin therapy until their very last session. "Courage doesn't happen when you have all of the answers. It happens when you are ready to face the questions you have been avoiding your whole life".
I provide my clients the coping skills needed to navigate through their individual and unique life challenges. I will help my clients better understand themselves and also help them reach their ultimate goals, all while doing so in a safe comforting environment. Lastly, I welcome all of my clients with warmth and empathy from the moment they begin therapy until their very last session. "Courage doesn't happen when you have all of the answers. It happens when you are ready to face the questions you have been avoiding your whole life".
(845) 203-8576 View (845) 203-8576
Photo of Catherine A Farrell, MPS, ATR-BC, LCAT, CDP, Art Therapist
Catherine A Farrell
Art Therapist, MPS, ATR-BC, LCAT, CDP
Verified Verified
1 Endorsed
Orangeburg, NY 10962
I provide a dynamic, integrative, person-centered approach to therapy and utilize the power of the creative process to help clients achieve emotional balance, develop personal insight, increase coping strategies for life stressors, and improve overall quality of life. I work with clients struggling with depression, anxiety, adhd, divorce, and other life transitions. The body / mind connection is extremely important in the healing process and as a certified yoga instructor, I also incorporate meditation, breathwork, and gentle physical movement into the therapeutic experience.
I provide a dynamic, integrative, person-centered approach to therapy and utilize the power of the creative process to help clients achieve emotional balance, develop personal insight, increase coping strategies for life stressors, and improve overall quality of life. I work with clients struggling with depression, anxiety, adhd, divorce, and other life transitions. The body / mind connection is extremely important in the healing process and as a certified yoga instructor, I also incorporate meditation, breathwork, and gentle physical movement into the therapeutic experience.
(845) 261-0161 View (845) 261-0161
Photo of Miriam Scheiner, LMHC, Counselor
Miriam Scheiner
Counselor, LMHC
Verified Verified
Monsey, NY 10952
Guided by the belief that a therapist allegiance to a model is found to be a strong determinant of therapy outcomes, I exclusively deal with couples, passionately utilizing emotionally focused therapy, a model that has scientifically proven to achieve astounding success rates. My experience includes, but is not limited to, relationship conflict, infidelity, trauma, addictions, and sexual dysfunction. I provide a safe, comfortable environment for us to work together towards a path tailored to your unique needs in your relationship.
Guided by the belief that a therapist allegiance to a model is found to be a strong determinant of therapy outcomes, I exclusively deal with couples, passionately utilizing emotionally focused therapy, a model that has scientifically proven to achieve astounding success rates. My experience includes, but is not limited to, relationship conflict, infidelity, trauma, addictions, and sexual dysfunction. I provide a safe, comfortable environment for us to work together towards a path tailored to your unique needs in your relationship.
(860) 598-8133 View (860) 598-8133
Photo of Vincent Mauro, LMHC, Counselor
Vincent Mauro
Counselor, LMHC
Verified Verified
Online Only
My name is Vincent Mauro and I am a LMHC licensed mental health counselor in NY and NJ. I specialize in treating depression, trauma, anxiety, OCD, sexual function, and related difficulties. In sessions, I work to help my clients better understand the relationship between their thoughts, feelings, and behaviors. I help my clients achieve individual and interpersonal growth through goal-oriented talk therapy. I also have experience as an expert witness in the state of New York.
My name is Vincent Mauro and I am a LMHC licensed mental health counselor in NY and NJ. I specialize in treating depression, trauma, anxiety, OCD, sexual function, and related difficulties. In sessions, I work to help my clients better understand the relationship between their thoughts, feelings, and behaviors. I help my clients achieve individual and interpersonal growth through goal-oriented talk therapy. I also have experience as an expert witness in the state of New York.
(551) 395-2471 View (551) 395-2471
Photo of Cheryl Kalter-Schloss - Cheryl Kalter-Schloss LCSW, LCSW-R, BCD, SSWS, Clinical Social Work/Therapist
Cheryl Kalter-Schloss LCSW
Clinical Social Work/Therapist, LCSW-R, BCD, SSWS
Verified Verified
1 Endorsed
New City, NY 10956
When children and teens are in crisis, so are their families? Is homework time stressful? Is your child unhappy? Does he/she not have friends? Is the teacher complaining that he/she is not paying attention to the lessons? Are you concerned your child's grades need to improve in order for he/she to be promoted to the next grade level? I help children learn ways to calm themselves so they can better pay attention. Through playing games which may involve math or reading, they begin to feel a sense of success and find learning can be fun.
When children and teens are in crisis, so are their families? Is homework time stressful? Is your child unhappy? Does he/she not have friends? Is the teacher complaining that he/she is not paying attention to the lessons? Are you concerned your child's grades need to improve in order for he/she to be promoted to the next grade level? I help children learn ways to calm themselves so they can better pay attention. Through playing games which may involve math or reading, they begin to feel a sense of success and find learning can be fun.
(845) 262-4315 View (845) 262-4315
Photo of Caroline Mullen, LCSW-R, Clinical Social Work/Therapist
Caroline Mullen
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Orangeburg, NY 10962
My approach is to support the whole person by working together so that problems might be seen less as an obstacle and more as a challenge where change is possible. Whether someone seeks to address a specific area they may be struggling with, or simply striving to improve their sense of well being, through a positive therapeutic relationship one might gain insight and a new understanding that lends to creating personal growth & transformation.
My approach is to support the whole person by working together so that problems might be seen less as an obstacle and more as a challenge where change is possible. Whether someone seeks to address a specific area they may be struggling with, or simply striving to improve their sense of well being, through a positive therapeutic relationship one might gain insight and a new understanding that lends to creating personal growth & transformation.
(914) 875-2768 View (914) 875-2768
Photo of Kathryn Brondolo, LCSWR, Clinical Social Work/Therapist
Kathryn Brondolo
Clinical Social Work/Therapist, LCSWR
Verified Verified
2 Endorsed
Online Only
My name is Kathy Brondolo and I have been working as a Clinical Social Worker for 38+ years. My experience is in working with children, adolescents, adults, families and groups. Life can be very challenging, so my goal is to work together with you in order to manage these challenges. Treatment issues may include anxiety, depression ,school issues (including school refusal), parenting issues, peer relations, and transitions. I utilize Cognitive Behavioral Therapy as well as strength based practices. I have worked in both Inpatient and Outpatient Psychiatric Hospital and have received multiple trainings and certifications.
My name is Kathy Brondolo and I have been working as a Clinical Social Worker for 38+ years. My experience is in working with children, adolescents, adults, families and groups. Life can be very challenging, so my goal is to work together with you in order to manage these challenges. Treatment issues may include anxiety, depression ,school issues (including school refusal), parenting issues, peer relations, and transitions. I utilize Cognitive Behavioral Therapy as well as strength based practices. I have worked in both Inpatient and Outpatient Psychiatric Hospital and have received multiple trainings and certifications.
(845) 977-4184 View (845) 977-4184
Photo of Barbara Ellman, LCSW, Clinical Social Work/Therapist
Barbara Ellman
Clinical Social Work/Therapist, LCSW
Verified Verified
West Nyack, NY 10994
Barbara Ellman is a Licensed Clinical Social Worker, licensed in both New York and New Jersey. She achieved her degree at New York University, and has extensive experience working with anxiety, panic, depression, trauma, eating disorders, LGBTQ+, life crisis, self-esteem, marital issues, and interpersonal communication. Ms. Ellman utilizes various evidence based approached, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT) and Psychodynamic Therapy to create a helping process that best fits the client and presenting issues.
Barbara Ellman is a Licensed Clinical Social Worker, licensed in both New York and New Jersey. She achieved her degree at New York University, and has extensive experience working with anxiety, panic, depression, trauma, eating disorders, LGBTQ+, life crisis, self-esteem, marital issues, and interpersonal communication. Ms. Ellman utilizes various evidence based approached, including Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT) and Psychodynamic Therapy to create a helping process that best fits the client and presenting issues.
(914) 817-0868 View (914) 817-0868
Photo of Helen Gorokhovsky, LCSW-R, Clinical Social Work/Therapist
Helen Gorokhovsky
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Nyack, NY 10960
Whether you are looking to ease a transition, relieve suffering, find joy and connection in your relationships, or to improve satisfaction in the day to day, therapy can help you to cultivate and sustain the change you are seeking.
Whether you are looking to ease a transition, relieve suffering, find joy and connection in your relationships, or to improve satisfaction in the day to day, therapy can help you to cultivate and sustain the change you are seeking.
(845) 448-9757 View (845) 448-9757
Photo of Diane Cleary, LCSW-R, ACSW, CATP, CTP, Clinical Social Work/Therapist
Diane Cleary
Clinical Social Work/Therapist, LCSW-R, ACSW, CATP, CTP
Verified Verified
Online Only
Reaching out for help can be challenging, I know, and it’s perfectly normal to feel a mix of emotions about it. I want you to know that you’re not alone—I’m here to support you on this journey. As a caring, energetic, and non-judgmental therapist, I prioritize providing a safe and compassionate space where you can explore and navigate the difficult emotions and challenges in your life. Building a trusting and meaningful therapeutic relationship is at the heart of what I do because I believe it’s essential to your growth and healing. Through my personal life experiences, professional training, and deep commitment to helping others
Reaching out for help can be challenging, I know, and it’s perfectly normal to feel a mix of emotions about it. I want you to know that you’re not alone—I’m here to support you on this journey. As a caring, energetic, and non-judgmental therapist, I prioritize providing a safe and compassionate space where you can explore and navigate the difficult emotions and challenges in your life. Building a trusting and meaningful therapeutic relationship is at the heart of what I do because I believe it’s essential to your growth and healing. Through my personal life experiences, professional training, and deep commitment to helping others
(845) 407-9629 View (845) 407-9629
Photo of Yonette Azore, MSW,  LMSW, Clinical Social Work/Therapist
Yonette Azore
Clinical Social Work/Therapist, MSW, LMSW
Verified Verified
West Nyack, NY 10994
Yonette Azore is a compassionate Licensed Master Social Worker (LMSW) practicing in New York, dedicated to helping clients navigate their mental health challenges and life stressors. With over 17 years of experience, she specializes in working with children, adolescents, and adults, providing a safe space for individuals to explore their emotions and develop healthier coping mechanisms. Yonette’s therapeutic approach combines empathy, active listening, and analytical thinking, ensuring that her clients feel understood and validated throughout their journey toward emotional wellbeing.
Yonette Azore is a compassionate Licensed Master Social Worker (LMSW) practicing in New York, dedicated to helping clients navigate their mental health challenges and life stressors. With over 17 years of experience, she specializes in working with children, adolescents, and adults, providing a safe space for individuals to explore their emotions and develop healthier coping mechanisms. Yonette’s therapeutic approach combines empathy, active listening, and analytical thinking, ensuring that her clients feel understood and validated throughout their journey toward emotional wellbeing.
(855) 688-1397 View (855) 688-1397
Leah Schechter
Clinical Social Work/Therapist, LCSW
Verified Verified
Monsey, NY 10952
Life has challenges for everyone. Are you searching for help navigating the stresses you're experiencing? I specialize in treating a wide range of trauma-related issues such as anxiety, depression, PTSD, grief, and relationship dynamics.
Life has challenges for everyone. Are you searching for help navigating the stresses you're experiencing? I specialize in treating a wide range of trauma-related issues such as anxiety, depression, PTSD, grief, and relationship dynamics.
(845) 630-0863 View (845) 630-0863
Photo of Diane Martins-Mandel, LCSW-R, Clinical Social Work/Therapist
Diane Martins-Mandel
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
Hi! I specialize in working with young adults and adults in navigating stress related to sadness, overwhelm, anxiety, self-doubt, and/or adjusting to life changes. I have expertise in working with those who identify as LGBTQIA+. I also often work with first-generation Americans who have the added challenge of balancing the expectations of two cultures. I am trilingual (English, Spanish, Portuguese). I have virtual, daytime availability for those living & located in New York State.
Hi! I specialize in working with young adults and adults in navigating stress related to sadness, overwhelm, anxiety, self-doubt, and/or adjusting to life changes. I have expertise in working with those who identify as LGBTQIA+. I also often work with first-generation Americans who have the added challenge of balancing the expectations of two cultures. I am trilingual (English, Spanish, Portuguese). I have virtual, daytime availability for those living & located in New York State.
(845) 593-9403 View (845) 593-9403
Photo of Noelia Perez, LCSW, Clinical Social Work/Therapist
Noelia Perez
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Nyack, NY 10960
I am committed to providing personalized care and support to help clients achieve their goals. I take a solution-focused approach and am certified in applied behavioral analysis. I am dedicated to providing evidence-based interventions and techniques to help clients achieve meaningful and lasting change. Outside of my work, I have traveled and explored international urban communities, gaining a unique perspective on different cultures and experiences. I bring a global perspective to my work, helping clients navigate complex social and cultural dynamics.
I am committed to providing personalized care and support to help clients achieve their goals. I take a solution-focused approach and am certified in applied behavioral analysis. I am dedicated to providing evidence-based interventions and techniques to help clients achieve meaningful and lasting change. Outside of my work, I have traveled and explored international urban communities, gaining a unique perspective on different cultures and experiences. I bring a global perspective to my work, helping clients navigate complex social and cultural dynamics.
Photo of Matthew Kraus, MPH, LMHC, LCAT, Counselor
Matthew Kraus
Counselor, MPH, LMHC, LCAT
Verified Verified
Nyack, NY 10960
The foundation of what makes working with me helpful, based on feedback from clients, is the personable nature of our conversations and our connection. I do not place myself on a higher footing than clients. Clients feel more at ease when they realize what they are working on is often the same as many others or things I have faced as a human. Clients know that I am accessible and committed to helping them strive towards the therapy or life goals they express are close to their values.
The foundation of what makes working with me helpful, based on feedback from clients, is the personable nature of our conversations and our connection. I do not place myself on a higher footing than clients. Clients feel more at ease when they realize what they are working on is often the same as many others or things I have faced as a human. Clients know that I am accessible and committed to helping them strive towards the therapy or life goals they express are close to their values.
(845) 643-2090 View (845) 643-2090
Photo of Adavelyn Rivera, LCSWR, Clinical Social Work/Therapist
Adavelyn Rivera
Clinical Social Work/Therapist, LCSWR
Verified Verified
3 Endorsed
Online Only
Balance feels elusive. You desire permission to find your own voice. Fears get in the way of asserting yourself. You are ready to take a deep dive to cultivate growth and healing in your life. And you're ready for some help in slowing down and observing yourself your rhythm. You'll become aware of what you’re thinking and how you're feeling. You'll learn to communicate more assertively to get your needs met in all aspects of your life. You'll become empowered, self-compassionate and embody inherit strength within.
Balance feels elusive. You desire permission to find your own voice. Fears get in the way of asserting yourself. You are ready to take a deep dive to cultivate growth and healing in your life. And you're ready for some help in slowing down and observing yourself your rhythm. You'll become aware of what you’re thinking and how you're feeling. You'll learn to communicate more assertively to get your needs met in all aspects of your life. You'll become empowered, self-compassionate and embody inherit strength within.
(646) 490-1918 View (646) 490-1918
Photo of Agnes Gambale, LCSW, Clinical Social Work/Therapist
Agnes Gambale
Clinical Social Work/Therapist, LCSW
Verified Verified
West Nyack, NY 10994
Agnes M. Gambale, LCSW Agnes M. Gambale is a Licensed Clinical Social Worker in New York who has been practicing since 1991. Agnes has worked in both the inpatient and outpatient setting over the course of her career both as a clinician and an Administrator. She helps individuals restore their vitality and resume a life of meaning and purpose. Depression, anxiety, trauma, hyperactivity, and stress are just some of the many issues that are part of one's complicated life that can lead to dysfunction and suffering.
Agnes M. Gambale, LCSW Agnes M. Gambale is a Licensed Clinical Social Worker in New York who has been practicing since 1991. Agnes has worked in both the inpatient and outpatient setting over the course of her career both as a clinician and an Administrator. She helps individuals restore their vitality and resume a life of meaning and purpose. Depression, anxiety, trauma, hyperactivity, and stress are just some of the many issues that are part of one's complicated life that can lead to dysfunction and suffering.
(914) 491-6399 View (914) 491-6399
Photo of Christopher Kotecha - Abundant Life Counseling, MA, LMHC, Counselor
Abundant Life Counseling
Counselor, MA, LMHC
Verified Verified
New City, NY 10956
Jesus said, “The thief comes only to steal, kill and destroy. I came that they may have life, and have it abundantly.” (John 10:10). What would abundant life look like for you? And are there any roadblocks you've encountered? For some it's loss, fear, sadness, regret, shame, disappointment or a toxic relationship. I don't presume to have all of the answers, but I am here to partner with you on your journey. Whether it's discovering what your goals are, or just the cherry on the top. Counseling can be an investment in yourself and your future. Chris is a Licensed therapist in New York and Connecticut.
Jesus said, “The thief comes only to steal, kill and destroy. I came that they may have life, and have it abundantly.” (John 10:10). What would abundant life look like for you? And are there any roadblocks you've encountered? For some it's loss, fear, sadness, regret, shame, disappointment or a toxic relationship. I don't presume to have all of the answers, but I am here to partner with you on your journey. Whether it's discovering what your goals are, or just the cherry on the top. Counseling can be an investment in yourself and your future. Chris is a Licensed therapist in New York and Connecticut.
(845) 442-4547 View (845) 442-4547
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See more therapy options for Rockland County

How does your Therapist compare?

Number of Therapists in Rockland County, NY

500+

Average cost per session

$175

Therapists in Rockland County, NY who prioritize treating:

93% Anxiety
85% Depression
78% Relationship Issues
72% Self Esteem
65% Trauma and PTSD
65% Coping Skills
63% Stress

Average years in practice

14 Years

Top 3 insurances accepted

80% Aetna
64% Cigna and Evernorth
59% UnitedHealthcare UHC | UBH

How Therapists in Rockland County, NY see their clients

63% In Person and Online
37% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Rockland County?

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.