Therapists in Rockland County, NY

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Photo of Mark G Schneider, Psychologist in Rockland County, NY
Mark G Schneider
Psychologist, PsyD
Verified
Nyack, NY 10960
People reading this maybe struggling with depression, anxiety, trauma and a sense that their lives have lost direction. Do you have a sense that your life has stopped moving forward or your own personal growth encountered overwhelming obstacles? Therapy is a process of healing , recovery and growth. Hope is an essential ingredient in being able to move your life forward. You can see your life improve and a sense of growth, opportunity and hope return.
People reading this maybe struggling with depression, anxiety, trauma and a sense that their lives have lost direction. Do you have a sense that your life has stopped moving forward or your own personal growth encountered overwhelming obstacles? Therapy is a process of healing , recovery and growth. Hope is an essential ingredient in being able to move your life forward. You can see your life improve and a sense of growth, opportunity and hope return.
(914) 920-2397 View (914) 920-2397
Photo of Julie Buffington, Clinical Social Work/Therapist in Rockland County, NY
Julie Buffington
Clinical Social Work/Therapist, LCSW
Verified
Nyack, NY 10960
You will find me to be warm, engaging, compassionate , comfortable to connect with, and a very solid and experienced professional. As a clinical social worker with over 35 years experience, I am able to hear not only what your challenges are now, but what themes and patterns you carry with you as part of your life story. My approach is active and collaborative: together we will identify what you need help with and develop an approach accordingly. I am flexible and creative and I will listen and learn to help you explore the challenges you are facing.
You will find me to be warm, engaging, compassionate , comfortable to connect with, and a very solid and experienced professional. As a clinical social worker with over 35 years experience, I am able to hear not only what your challenges are now, but what themes and patterns you carry with you as part of your life story. My approach is active and collaborative: together we will identify what you need help with and develop an approach accordingly. I am flexible and creative and I will listen and learn to help you explore the challenges you are facing.
(845) 554-3658 View (845) 554-3658
Photo of Migdalia Valdes, Clinical Social Work/Therapist in Rockland County, NY
Migdalia Valdes
Clinical Social Work/Therapist, LMSW
Verified
4 Endorsed
West Nyack, NY 10994
If you have come to Psychology Today, you've probably made the decision to seek or research assistance, help. That is a big decision so good for you. Emotional and physical isolation, life transitions, anxiety and personal relationships have all come to the forefront of many experiences; perhaps why you are here. My approach to therapy includes listening and active engagement; we create an honest space to talk, one centered directly around you. Therapy takes courage, commitment and time. I am here work with you, hear what you have to share and continue your journey through life on your own terms.
If you have come to Psychology Today, you've probably made the decision to seek or research assistance, help. That is a big decision so good for you. Emotional and physical isolation, life transitions, anxiety and personal relationships have all come to the forefront of many experiences; perhaps why you are here. My approach to therapy includes listening and active engagement; we create an honest space to talk, one centered directly around you. Therapy takes courage, commitment and time. I am here work with you, hear what you have to share and continue your journey through life on your own terms.
(845) 218-7969 View (845) 218-7969
Photo of Dr. Mitch and Lisa Marriages/Couples Workshops in Rockland County, NY
Dr. Mitch and Lisa Marriages/Couples Workshops
PsyD, MSW, Life, Coach
Montebello, NY 10901
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
(845) 415-1886 View (845) 415-1886
Photo of Articulate Psychological Services, Psychologist in Rockland County, NY
Articulate Psychological Services
Psychologist, PsyD
Verified
Nanuet, NY 10954
Does your child have learning, behavioral, or social difficulties at home or school?Children, adolescents, and families face daily stressors. As a licensed psychologist, I work with children and adolescents to cope with feelings of anxiety, depression, and anger. I assist clients in managing stress related to interpersonal issues, family conflict, academic difficulties, and low frustration tolerance. Additionally, I conduct psycho-educational evaluations to understand why your child may be experiencing difficulties, devise treatment plans, and document evidence for school/college based services.
Does your child have learning, behavioral, or social difficulties at home or school?Children, adolescents, and families face daily stressors. As a licensed psychologist, I work with children and adolescents to cope with feelings of anxiety, depression, and anger. I assist clients in managing stress related to interpersonal issues, family conflict, academic difficulties, and low frustration tolerance. Additionally, I conduct psycho-educational evaluations to understand why your child may be experiencing difficulties, devise treatment plans, and document evidence for school/college based services.
(917) 746-5562 View (917) 746-5562
Photo of David Shipper, Counselor in Rockland County, NY
David Shipper
Counselor, LMHC, CCTP, MBA
Verified
7 Endorsed
West Nyack, NY 10994
My primary focus of treatment is trauma recovery, depression, and anxiety. Many people have chronic low self-esteem stemming from early childhood messages received from adults and others in their lives. The coping skills used at that time may have been adaptive, but in the present, they are no longer helpful. If you are depressed, anxious, and feel alone, don't know what to do, or if you suffer from a difficult past, I can help. You're not alone. I engage in strengths-based, solution-focused person-centered work and use a variety of traditional mental health modalities.
My primary focus of treatment is trauma recovery, depression, and anxiety. Many people have chronic low self-esteem stemming from early childhood messages received from adults and others in their lives. The coping skills used at that time may have been adaptive, but in the present, they are no longer helpful. If you are depressed, anxious, and feel alone, don't know what to do, or if you suffer from a difficult past, I can help. You're not alone. I engage in strengths-based, solution-focused person-centered work and use a variety of traditional mental health modalities.
(914) 313-3510 View (914) 313-3510
Photo of Danielle Feld, Counselor in Rockland County, NY
Danielle Feld
Counselor, MS, LMHC, LPC
Verified
5 Endorsed
Orangeburg, NY 10962  (Online Only)
Deciding to start therapy can feel both scary and relieving. It can also be really difficult to find a therapist who you feel is a good fit for you. As a licensed therapist, I'm dedicated to helping people overcome challenges. As a mom, wife, sister, daughter, friend, and human, I understand life’s complexities. I assist clients dealing with issues like anxiety, depression, time management, organization, life transitions, executive functioning struggles, work-related stress (corporate and non-corporate), family dynamics, school, and social concerns. I work with adolescents, college students, young adults, and adults.
Deciding to start therapy can feel both scary and relieving. It can also be really difficult to find a therapist who you feel is a good fit for you. As a licensed therapist, I'm dedicated to helping people overcome challenges. As a mom, wife, sister, daughter, friend, and human, I understand life’s complexities. I assist clients dealing with issues like anxiety, depression, time management, organization, life transitions, executive functioning struggles, work-related stress (corporate and non-corporate), family dynamics, school, and social concerns. I work with adolescents, college students, young adults, and adults.
(845) 202-0798 View (845) 202-0798
Photo of Beth Friedberg, Clinical Social Work/Therapist in Rockland County, NY
Beth Friedberg
Clinical Social Work/Therapist, LCSW
Verified
Nyack, NY 10960  (Online Only)
Not accepting new clients
Welcome to my practice. I have over 25 years of experience providing psychotherapy and coaching, primarily within the adoption community. I specialize in addressing unique themes that emerge for adoptees, pre-adoptive and adoptive parents, and birth/first parents. Adoption search and reconnection, questions related to identity and transracial adoption, and understanding the impact of loss are some of the areas that I can help you with. My style is down-to-earth and I have an integrative approach blending psychodynamic, behavioral, and attachment-based therapies.
Welcome to my practice. I have over 25 years of experience providing psychotherapy and coaching, primarily within the adoption community. I specialize in addressing unique themes that emerge for adoptees, pre-adoptive and adoptive parents, and birth/first parents. Adoption search and reconnection, questions related to identity and transracial adoption, and understanding the impact of loss are some of the areas that I can help you with. My style is down-to-earth and I have an integrative approach blending psychodynamic, behavioral, and attachment-based therapies.
(646) 480-7087 View (646) 480-7087
Photo of Eliza Vilteor, Clinical Social Work/Therapist in Rockland County, NY
Eliza Vilteor
Clinical Social Work/Therapist, LCSW
Verified
Nanuet, NY 10954  (Online Only)
I do not believe one size fits all approach. Whether you are struggling with a specific issue such as anxiety, depression, work related issues, career challenges, familial dynamics, PTSD, DV survivor, romantic relationship, friendships, women related issues, or just need someone to talk to, I am here to listen and support you every step of the way. I am also here to help you identify maladaptive patterns, overcome barriers, and challenges that impact reaching your goals.
I do not believe one size fits all approach. Whether you are struggling with a specific issue such as anxiety, depression, work related issues, career challenges, familial dynamics, PTSD, DV survivor, romantic relationship, friendships, women related issues, or just need someone to talk to, I am here to listen and support you every step of the way. I am also here to help you identify maladaptive patterns, overcome barriers, and challenges that impact reaching your goals.
(845) 576-6106 View (845) 576-6106
Photo of Nisa Rauschenberg, Art Therapist in Rockland County, NY
Nisa Rauschenberg
Art Therapist, MS, ATR-BC, LCAT, CCTP
Verified
1 Endorsed
Nyack, NY 10960  (Online Only)
Art therapy uses the creative process to identify and resolve thoughts, attitudes, and feelings that present obstacles to emotional and cognitive growth. Art is a language of symbols-the same language of symbols that our subconscious uses in dreams. At Creative Arts Therapy Studio, PLLC, artwork is created to give *voice* to the subconscious allowing patients to deepen insight, increase well-being and build the lives they want to live.
Art therapy uses the creative process to identify and resolve thoughts, attitudes, and feelings that present obstacles to emotional and cognitive growth. Art is a language of symbols-the same language of symbols that our subconscious uses in dreams. At Creative Arts Therapy Studio, PLLC, artwork is created to give *voice* to the subconscious allowing patients to deepen insight, increase well-being and build the lives they want to live.
(845) 284-1284 View (845) 284-1284
Photo of Israa Nasir, Pre-Licensed Professional in Rockland County, NY
Israa Nasir
Pre-Licensed Professional, MHC
Verified
1 Endorsed
Orangeburg, NY 10962  (Online Only)
My work focuses on the roles of culture, family of origin, and society in my clients' lives. I am passionate about helping my clients process the interaction between identity formation, emotional distress, and the first- and second-generation immigrant experience. Likewise, I help my clients gain skills to cope with stressors secondary to life transitions, such as those related to dating/marriage, relocation, professional career changes, and voluntary childlessness. I have particular experience in working with identity formation and healing for the AAPI immigrant (first and second generation).
My work focuses on the roles of culture, family of origin, and society in my clients' lives. I am passionate about helping my clients process the interaction between identity formation, emotional distress, and the first- and second-generation immigrant experience. Likewise, I help my clients gain skills to cope with stressors secondary to life transitions, such as those related to dating/marriage, relocation, professional career changes, and voluntary childlessness. I have particular experience in working with identity formation and healing for the AAPI immigrant (first and second generation).
(845) 668-6689 x9 View (845) 668-6689 x9
Photo of Empathic Connections Therapy Group, Clinical Social Work/Therapist in Rockland County, NY
Empathic Connections Therapy Group
Clinical Social Work/Therapist, LCSW
Verified
New City, NY 10956
Sadness and fear live inside us all. At times, we are so used to feeling depressed and anxious that it seems as though there is no point to try and work through these struggles. But there is a part of us that wonders- maybe there is a way to find contentment in life? Maybe there is a way to make peace with pain? Maybe I do not need to feel so alone? In our therapy practice, we provide you with clinicians who are both skilled at their work as therapists and empathic and warm human beings. We value creating an accepting and safe environment whereby you feel comfortable expressing your struggles and fears.
Sadness and fear live inside us all. At times, we are so used to feeling depressed and anxious that it seems as though there is no point to try and work through these struggles. But there is a part of us that wonders- maybe there is a way to find contentment in life? Maybe there is a way to make peace with pain? Maybe I do not need to feel so alone? In our therapy practice, we provide you with clinicians who are both skilled at their work as therapists and empathic and warm human beings. We value creating an accepting and safe environment whereby you feel comfortable expressing your struggles and fears.
(845) 439-2114 View (845) 439-2114
Photo of Liana Bekker in Rockland County, NY
Liana Bekker
MSW, BC, AADP, DC, Life Co
Suffern, NY 10901
My goal is to create a nonjudgmental environment and a safe place to share all of life’s stressors. Specializing in all areas of discomfort and struggles. Discover you inner balance between vulnerability and making the right choices! Take a mindful and soulful approach to making your life better with future awareness of your issues at hand. Focus on mental health with an option to holistically focus on mind, body, and soul as one entity. If we treat it all we receive the maximum mental health experience because one affects the other. Individual, couples, sex, CBT, DBT, and somatic, adhd, bipolar, and personality disorders addressed.
My goal is to create a nonjudgmental environment and a safe place to share all of life’s stressors. Specializing in all areas of discomfort and struggles. Discover you inner balance between vulnerability and making the right choices! Take a mindful and soulful approach to making your life better with future awareness of your issues at hand. Focus on mental health with an option to holistically focus on mind, body, and soul as one entity. If we treat it all we receive the maximum mental health experience because one affects the other. Individual, couples, sex, CBT, DBT, and somatic, adhd, bipolar, and personality disorders addressed.
(845) 867-2489 View (845) 867-2489
Photo of Stephanie Torres, Counselor in Rockland County, NY
Stephanie Torres
Counselor, LMHC
Verified
1 Endorsed
Suffern, NY 10901  (Online Only)
Are you experiencing some feelings that may be too much to handle on your own? Are you trying to figure out the next steps in your life? Are you in the middle of a transition such as a break up or losing a loved one? Have you tried therapy before? This is a great first start to going down the road to getting the help you may need! There are times in everyone's life that moving forward can be feel very difficult. Whether its difficulties in your relationships with loved ones, determining your life goals, depression or anxiety. Having someone to talk to and work through these thoughts and feelings can be the start of self discovery.
Are you experiencing some feelings that may be too much to handle on your own? Are you trying to figure out the next steps in your life? Are you in the middle of a transition such as a break up or losing a loved one? Have you tried therapy before? This is a great first start to going down the road to getting the help you may need! There are times in everyone's life that moving forward can be feel very difficult. Whether its difficulties in your relationships with loved ones, determining your life goals, depression or anxiety. Having someone to talk to and work through these thoughts and feelings can be the start of self discovery.
(845) 209-2783 View (845) 209-2783
Photo of Meir Hersh Brach, Licensed Master Social Worker in Rockland County, NY
Meir Hersh Brach
Licensed Master Social Worker, LMSW
Verified
1 Endorsed
Monsey, NY 10952
My specialization includes helping with social/interpersonal challenges including social anxiety and anger, as well as navigating confusions around your identity and sense of self. Rest assured, I maintain a professional approach while respecting your beliefs and values, creating a supportive environment tailored to your personal journey of growth and self-discovery.
My specialization includes helping with social/interpersonal challenges including social anxiety and anger, as well as navigating confusions around your identity and sense of self. Rest assured, I maintain a professional approach while respecting your beliefs and values, creating a supportive environment tailored to your personal journey of growth and self-discovery.
(845) 377-6629 View (845) 377-6629
Photo of Samantha Marks, Clinical Social Work/Therapist in Rockland County, NY
Samantha Marks
Clinical Social Work/Therapist, LCSW
Verified
2 Endorsed
West Nyack, NY 10994
Has traditional therapy not worked for you? While sitting in an office might work for some people, it's not for everyone. My sessions all take place walking in a scenic location rather than sitting in a therapy office. This is a mindfulness-based therapy that can make it easier for clients to relax, release physical tension, and connect the mind and body towards reaching their individual goals, all while enjoying the beauty of nature.
Has traditional therapy not worked for you? While sitting in an office might work for some people, it's not for everyone. My sessions all take place walking in a scenic location rather than sitting in a therapy office. This is a mindfulness-based therapy that can make it easier for clients to relax, release physical tension, and connect the mind and body towards reaching their individual goals, all while enjoying the beauty of nature.
(845) 498-0337 View (845) 498-0337
Photo of Robyn E Rozwaski, Clinical Social Work/Therapist in Rockland County, NY
Robyn E Rozwaski
Clinical Social Work/Therapist, LCSW
Verified
Spring Valley, NY 10977
I invite you to share a therapeutic experience with me to explore and uncover your true essence, manage your emotional pain, and work to shift your internal view of yourself to a positive awareness of who you genuinely are. In NY/NJ, I work well with issues such as: anxiety; depression; trauma; self esteem; single parents; familial and other relationships.
I invite you to share a therapeutic experience with me to explore and uncover your true essence, manage your emotional pain, and work to shift your internal view of yourself to a positive awareness of who you genuinely are. In NY/NJ, I work well with issues such as: anxiety; depression; trauma; self esteem; single parents; familial and other relationships.
(646) 461-4038 View (646) 461-4038
Photo of Tamra Holtzer, Psychologist in Rockland County, NY
Tamra Holtzer
Psychologist, PhD
Verified
Suffern, NY 10901  (Online Only)
Dr. Holtzer has expertise with anxiety, panic attacks, adjustment difficulties, trauma, and grief. Another area of specialty for her is working with clients struggling with fertility issues, fetal loss, and unexpected or traumatic outcomes related to pregnancy and birth. Dr. Holtzer has 15+ years of experience across the human lifespan, working with individuals of varied backgrounds and cultures. She works within a scientific-based framework, while weaving in holistic principles, to help clients enrich their lives. Now In-network with Aetna insurance!
Dr. Holtzer has expertise with anxiety, panic attacks, adjustment difficulties, trauma, and grief. Another area of specialty for her is working with clients struggling with fertility issues, fetal loss, and unexpected or traumatic outcomes related to pregnancy and birth. Dr. Holtzer has 15+ years of experience across the human lifespan, working with individuals of varied backgrounds and cultures. She works within a scientific-based framework, while weaving in holistic principles, to help clients enrich their lives. Now In-network with Aetna insurance!
(845) 250-0426 View (845) 250-0426
Photo of Jessenia Aguirre, Counselor in Rockland County, NY
Jessenia Aguirre
Counselor, LMHC
Verified
2 Endorsed
New City, NY 10956
Sometimes life can be difficult to manage-especially with all of the demands it brings: family, relationships, career, school. Therapy for me is a place we can explore feelings, troubles, and ideas in a safe, caring and nonjudgmental place. We can form a working, trusting relationship in order to begin to build understanding, and empowering oneself to increase your quality of life.
Sometimes life can be difficult to manage-especially with all of the demands it brings: family, relationships, career, school. Therapy for me is a place we can explore feelings, troubles, and ideas in a safe, caring and nonjudgmental place. We can form a working, trusting relationship in order to begin to build understanding, and empowering oneself to increase your quality of life.
(845) 535-4142 View (845) 535-4142
Photo of Leslie Laskin, Clinical Social Work/Therapist in Rockland County, NY
Leslie Laskin
Clinical Social Work/Therapist, MA, LCSW
Verified
Monsey, NY 10952
I am a compassionate and experienced therapist who helps people make positive change in their lives. I work with you to identify your goals and resolve issues that might be preventing you from reaching your potential. My focus is to help you get more of what you want in life. I provide a comfortable and professional atmosphere where you can feel safe and understood while working towards healing and restoration, leaving self limiting thoughts behind.
I am a compassionate and experienced therapist who helps people make positive change in their lives. I work with you to identify your goals and resolve issues that might be preventing you from reaching your potential. My focus is to help you get more of what you want in life. I provide a comfortable and professional atmosphere where you can feel safe and understood while working towards healing and restoration, leaving self limiting thoughts behind.
(914) 297-7130 View (914) 297-7130

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
86% Depression
79% Relationship Issues
74% Self Esteem
67% Coping Skills
65% Trauma and PTSD
65% Stress

Average years in practice

14 Years

Top 3 insurances accepted

75% Aetna
63% Cigna and Evernorth
61% UnitedHealthcare UHC | UBH

How Therapists in Rockland County, NY see their clients

68% In Person and Online
32% Online Only

Gender breakdown

76% Female
23% 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.