Therapists in Monroeville, PA

Photo of The Center for OCD and Anxiety, Clinical Social Work/Therapist in Monroeville, PA
The Center for OCD and Anxiety
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Monroeville, PA 15146
We provide treatment for Obsessive Compulsive Disorder (OCD) and related issues such as Social Anxiety, Generalized Anxiety, Panic, and Body Dysmorphic Disorder. We offer individual and family therapy for children, adolescents and adults, utilizing Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), and Acceptance and Commitment Therapy (ACT). These techniques have been shown through research to be the most effective approaches for helping individuals struggling with OCD and anxiety. Please review our website to learn more about our therapists and therapy approach. https://pittsburghocdtreatment.com
We provide treatment for Obsessive Compulsive Disorder (OCD) and related issues such as Social Anxiety, Generalized Anxiety, Panic, and Body Dysmorphic Disorder. We offer individual and family therapy for children, adolescents and adults, utilizing Cognitive Behavioral Therapy (CBT), Exposure and Response Prevention (ERP), and Acceptance and Commitment Therapy (ACT). These techniques have been shown through research to be the most effective approaches for helping individuals struggling with OCD and anxiety. Please review our website to learn more about our therapists and therapy approach. https://pittsburghocdtreatment.com
(412) 906-4764 View (412) 906-4764
Photo of Liz Bittner, Pre-Licensed Professional in Monroeville, PA
Liz Bittner
Pre-Licensed Professional, MS, NCC
Verified Verified
Monroeville, PA 15146
I am a professional mental health counselor certified by the National Board of Certified Counselors. I work side-by-side with my clients to identify realistic and attainable personal goals to produce self-awareness and positive change. I provide a safe and relaxed environment to process life’s complications such as sport performance difficulties, relationship issues, phase of life struggles, anxiety and depression, substance abuse, and more.
I am a professional mental health counselor certified by the National Board of Certified Counselors. I work side-by-side with my clients to identify realistic and attainable personal goals to produce self-awareness and positive change. I provide a safe and relaxed environment to process life’s complications such as sport performance difficulties, relationship issues, phase of life struggles, anxiety and depression, substance abuse, and more.
(724) 604-5520 View (724) 604-5520
Photo of Diana Charlton, Licensed Professional Counselor in Monroeville, PA
Diana Charlton
Licensed Professional Counselor, MS, LPC
Verified Verified
Monroeville, PA 15146
Do you find yourself struggling with feelings of sadness, nervousness, worry or anger? Are you having trouble in your relationships, feeling powerless or frustrated. I can help. Are you someone in early recovery who has stopped using substances, but feels their life isn't improving? I can help.
Do you find yourself struggling with feelings of sadness, nervousness, worry or anger? Are you having trouble in your relationships, feeling powerless or frustrated. I can help. Are you someone in early recovery who has stopped using substances, but feels their life isn't improving? I can help.
(724) 726-4080 View (724) 726-4080
Photo of Jennifer Murphy, Licensed Professional Counselor in Monroeville, PA
Jennifer Murphy
Licensed Professional Counselor, MA, ATR-BC, LPC
Verified Verified
Monroeville, PA 15146
Not accepting new clients
Life can be challenging and stressful. Deciding to seek therapy shows your courage and desire to work towards improving your overall health and well-being. I'm a licensed professional counselor and board certified art therapist with over 15 years of experience working with adults and adolescents. I specialize in providing support and guidance for those experiencing trauma, loss, depression and/or anxiety. My approach is to be both strength-based in helping you to recognize your own abilities and to positively challenge you to identify changes and coping skills necessary for you to be more successful in your life.
Life can be challenging and stressful. Deciding to seek therapy shows your courage and desire to work towards improving your overall health and well-being. I'm a licensed professional counselor and board certified art therapist with over 15 years of experience working with adults and adolescents. I specialize in providing support and guidance for those experiencing trauma, loss, depression and/or anxiety. My approach is to be both strength-based in helping you to recognize your own abilities and to positively challenge you to identify changes and coping skills necessary for you to be more successful in your life.
(724) 954-3723 View (724) 954-3723
Photo of Caysey J. Lofquist, Clinical Social Work/Therapist in Monroeville, PA
Caysey J. Lofquist
Clinical Social Work/Therapist, LSW, RYT
Verified Verified
1 Endorsed
Monroeville, PA 15146
My expertise is in supporting individuals with relationship concerns, trauma, borderline personality disorder, low self-esteem, and body image issues. I work with children, adolescents, and adults, employing components of schema therapy, narrative therapy, internal family systems therapy, CBT, and DBT. Leveraging my skills as a yoga teacher, I gently guide clients in understanding the mind-body connection for trauma recovery.
My expertise is in supporting individuals with relationship concerns, trauma, borderline personality disorder, low self-esteem, and body image issues. I work with children, adolescents, and adults, employing components of schema therapy, narrative therapy, internal family systems therapy, CBT, and DBT. Leveraging my skills as a yoga teacher, I gently guide clients in understanding the mind-body connection for trauma recovery.
(412) 851-6866 View (412) 851-6866
Photo of Samantha Lalama, Pre-Licensed Professional in Monroeville, PA
Samantha Lalama
Pre-Licensed Professional, MS, NCC
Verified Verified
1 Endorsed
Monroeville, PA 15146
Have you found it difficult to live your life authentically? Have you ever felt out of place or different? You are not alone. I value an integrative approach to therapy which allows me to tailor my treatment methods to work best with each individual as no two people are the same. Focusing on a holistic point of view, I encourage self-discovery through the mind, body, relationships, spirituality, thoughts, and emotions. A large part of my work includes mindfulness-based cognitive behavioral therapy which aids in connecting thoughts and emotions to promote healthy behavior.
Have you found it difficult to live your life authentically? Have you ever felt out of place or different? You are not alone. I value an integrative approach to therapy which allows me to tailor my treatment methods to work best with each individual as no two people are the same. Focusing on a holistic point of view, I encourage self-discovery through the mind, body, relationships, spirituality, thoughts, and emotions. A large part of my work includes mindfulness-based cognitive behavioral therapy which aids in connecting thoughts and emotions to promote healthy behavior.
(412) 545-6453 View (412) 545-6453
Photo of Amanda Anderson, Licensed Professional Counselor in Monroeville, PA
Amanda Anderson
Licensed Professional Counselor, MEd, LPC
Verified Verified
2 Endorsed
Monroeville, PA 15146  (Online Only)
Welcome! In my practice, my clients often tell me they feel anxious, stuck, and overwhelmed by their past, present, and future. They speak about patterns of people-pleasing, impostor syndrome, social anxiety, and perfectionism after experiencing events such as childhood bullying or parental abuse. Many experience a mismatch between their thoughts and what they feel in their bodies.
Welcome! In my practice, my clients often tell me they feel anxious, stuck, and overwhelmed by their past, present, and future. They speak about patterns of people-pleasing, impostor syndrome, social anxiety, and perfectionism after experiencing events such as childhood bullying or parental abuse. Many experience a mismatch between their thoughts and what they feel in their bodies.
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Photo of Zack Byam, Licensed Professional Counselor in Monroeville, PA
Zack Byam
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Monroeville, PA 15146
Are you “stuck”—either on something that’s changed in your life, in the world around us, or just in general? Maybe something just feels strange or unsettling. Change is intimidating, even when we take it one step at a time, and often we can’t see the full picture without stepping away from the lens for a wider view. Sometimes, you just need another perspective - one that's neutral and doesn't "take sides." Your situation, just like you, is unique, and I can help you through it. I’m here to honor your struggle and help you build on the skills you have. I can help you respect or heal past decisions and help you to define new ones.
Are you “stuck”—either on something that’s changed in your life, in the world around us, or just in general? Maybe something just feels strange or unsettling. Change is intimidating, even when we take it one step at a time, and often we can’t see the full picture without stepping away from the lens for a wider view. Sometimes, you just need another perspective - one that's neutral and doesn't "take sides." Your situation, just like you, is unique, and I can help you through it. I’m here to honor your struggle and help you build on the skills you have. I can help you respect or heal past decisions and help you to define new ones.
(724) 964-4202 View (724) 964-4202
Photo of Heidi McKenzie, Psychologist in Monroeville, PA
Heidi McKenzie
Psychologist, PsyD, LMFT, CHT
Verified Verified
Monroeville, PA 15146
I'm an experienced, licensed psychologist who helps people get "unstuck" from unhelpful behavior patterns. Whether you're facing a temporary, difficult life situation or struggling with more long-standing problems like depression or anxiety, I can help. My style is direct and active - I don't simply nod my head while you talk. I'll listen closely, we'll work together on the problem and I'll offer you supportive, non-judgmental and practical feedback that will help you to navigate through the issue as quickly and effectively as possible.
I'm an experienced, licensed psychologist who helps people get "unstuck" from unhelpful behavior patterns. Whether you're facing a temporary, difficult life situation or struggling with more long-standing problems like depression or anxiety, I can help. My style is direct and active - I don't simply nod my head while you talk. I'll listen closely, we'll work together on the problem and I'll offer you supportive, non-judgmental and practical feedback that will help you to navigate through the issue as quickly and effectively as possible.
(412) 567-8902 View (412) 567-8902
Photo of Eric L Tillman, Licensed Professional Counselor in Monroeville, PA
Eric L Tillman
Licensed Professional Counselor, MS, LPC
Verified Verified
Monroeville, PA 15146
You may be feeling anxious, sad, depressed, overwhelmed, misunderstood, and lonely right now. It takes a lot of courage to ask for help, and I applaud you for reaching out. I am passionate about bringing healing to those who have been through traumatic and stressful experiences. I provide psychotherapy and counseling to individuals dealing with issues related to anxiety, depression, stress, personality disorders, substance abuse, trauma, panic disorder, life transitions, etc. I will provide a thorough assessment to aid in identifying specific concerns and will modify my therapeutic approaches to match your individualized needs.
You may be feeling anxious, sad, depressed, overwhelmed, misunderstood, and lonely right now. It takes a lot of courage to ask for help, and I applaud you for reaching out. I am passionate about bringing healing to those who have been through traumatic and stressful experiences. I provide psychotherapy and counseling to individuals dealing with issues related to anxiety, depression, stress, personality disorders, substance abuse, trauma, panic disorder, life transitions, etc. I will provide a thorough assessment to aid in identifying specific concerns and will modify my therapeutic approaches to match your individualized needs.
(412) 226-9993 View (412) 226-9993
Photo of Támara Hill, Licensed Professional Counselor in Monroeville, PA
Támara Hill
Licensed Professional Counselor, MS, NCC, CCTP, LPC
Verified Verified
Monroeville, PA 15146
Waitlist for new clients
Thank you for visiting my profile. I am passionate about the work I do with individuals and families within the home, school, and community. My counseling approach is educational and supportive. I aim to help young clients and their families utilize their resources and skills to overcome challenges. My goal in therapy is to educate throughout the process of therapy and offer support to overcome obstacles. I aim to teach long-term coping skills, build insight, motivate self-learning, and encourage independence. Thankfully, there are "tools" available to help us redirect our attention, anxieties, and strengths in appropriate ways.
Thank you for visiting my profile. I am passionate about the work I do with individuals and families within the home, school, and community. My counseling approach is educational and supportive. I aim to help young clients and their families utilize their resources and skills to overcome challenges. My goal in therapy is to educate throughout the process of therapy and offer support to overcome obstacles. I aim to teach long-term coping skills, build insight, motivate self-learning, and encourage independence. Thankfully, there are "tools" available to help us redirect our attention, anxieties, and strengths in appropriate ways.
(724) 320-1265 View (724) 320-1265
Photo of Angeline Buczkowski, Licensed Professional Counselor in Monroeville, PA
Angeline Buczkowski
Licensed Professional Counselor, MSCP, LPC, NCC
Verified Verified
2 Endorsed
Monroeville, PA 15146
Not accepting new clients
Every individual has their own strengths and unique needs. I believe that meeting people where they are and allowing them to take a steering wheel to their own life is the way to see change. I have worked in a variety of settings including in home, partial hospitalization and outpatient. As a counselor my job is to empower you to meet your goals as well provide you with the tools you are needing to see change. Trust and intimacy in oneself can be built by allowing you the space to feel heard, understood and to develop your own insight into your own thoughts, feelings and behaviors.
Every individual has their own strengths and unique needs. I believe that meeting people where they are and allowing them to take a steering wheel to their own life is the way to see change. I have worked in a variety of settings including in home, partial hospitalization and outpatient. As a counselor my job is to empower you to meet your goals as well provide you with the tools you are needing to see change. Trust and intimacy in oneself can be built by allowing you the space to feel heard, understood and to develop your own insight into your own thoughts, feelings and behaviors.
(412) 981-2300 View (412) 981-2300
Photo of Tomasina Boyd, Licensed Professional Counselor in Monroeville, PA
Tomasina Boyd
Licensed Professional Counselor, LPC, NCC, CCLS
Verified Verified
Monroeville, PA 15146
Not accepting new clients
There are times when we feel like we can use extra support in life. Children may feel vulnerable and need their caring adult to help them find this support. For adults, that can come in the form of reaching out to a friend. We don’t always seek support because we feel shame, are too nervous, or are worried about what others might think. Talking to someone outside of your circle, in a non-judgmental environment, can often relieve some of that stress.
There are times when we feel like we can use extra support in life. Children may feel vulnerable and need their caring adult to help them find this support. For adults, that can come in the form of reaching out to a friend. We don’t always seek support because we feel shame, are too nervous, or are worried about what others might think. Talking to someone outside of your circle, in a non-judgmental environment, can often relieve some of that stress.
(412) 413-9546 View (412) 413-9546
Photo of Daniel Marston, Psychologist in Monroeville, PA
Daniel Marston
Psychologist, PhD
Verified Verified
Monroeville, PA 15146
Hello and Welcome!! I am Dr. Daniel Marston, a Licensed Psychologist in the state of Pennsylvania. I have been in clinical practice for over 20 years and have helped many people overcome many different challenges. I specialize in cognitive-behavioral therapy and am board-certified in Cognitive-Behavioral Therapy by the American Board of Professional Psychology (ABPP). My approach to counseling is a strong combination of caring and research. I strongly believe that counseling needs to be much more than just “friendly talk” and that the only way to do this is to base it solidly on clinical research.
Hello and Welcome!! I am Dr. Daniel Marston, a Licensed Psychologist in the state of Pennsylvania. I have been in clinical practice for over 20 years and have helped many people overcome many different challenges. I specialize in cognitive-behavioral therapy and am board-certified in Cognitive-Behavioral Therapy by the American Board of Professional Psychology (ABPP). My approach to counseling is a strong combination of caring and research. I strongly believe that counseling needs to be much more than just “friendly talk” and that the only way to do this is to base it solidly on clinical research.
(412) 467-0179 View (412) 467-0179
Photo of Jared Slodowick, Licensed Professional Counselor in Monroeville, PA
Jared Slodowick
Licensed Professional Counselor, LPC
Verified Verified
Monroeville, PA 15146
I work with people who feel as if things are outside of their control and are looking to find better balance. Whether it’s a recent experience influencing your distress, or perhaps something that’s been present for much longer, I aim to help people better understand their situation and develop the skills needed to manage the thoughts and feelings that may be contributing to the struggle. Anxiety, depression, self-esteem, and general difficulty managing emotions are all areas with which I have experience. I also focus on areas such as impulse control/difficulty focusing, managing technology/internet use, and mindfulness practices.
I work with people who feel as if things are outside of their control and are looking to find better balance. Whether it’s a recent experience influencing your distress, or perhaps something that’s been present for much longer, I aim to help people better understand their situation and develop the skills needed to manage the thoughts and feelings that may be contributing to the struggle. Anxiety, depression, self-esteem, and general difficulty managing emotions are all areas with which I have experience. I also focus on areas such as impulse control/difficulty focusing, managing technology/internet use, and mindfulness practices.
(412) 743-8621 View (412) 743-8621
Photo of Oscar Aguilera, Licensed Professional Counselor in Monroeville, PA
Oscar Aguilera
Licensed Professional Counselor, MS, MEd, LPC
Verified Verified
1 Endorsed
Monroeville, PA 15146
Overcoming challenges while learning about yourself and your own resilience through therapy can be some of the most healing work. I understand the value of looking at challenges through the lens of trauma and how that affects all aspects of life. I have a passion for working with adolescents and athletes, as well as couples and parents. I am originally from Nicaragua and am able to conduct full sessions in Spanish, if needed.
Overcoming challenges while learning about yourself and your own resilience through therapy can be some of the most healing work. I understand the value of looking at challenges through the lens of trauma and how that affects all aspects of life. I have a passion for working with adolescents and athletes, as well as couples and parents. I am originally from Nicaragua and am able to conduct full sessions in Spanish, if needed.
(724) 269-2642 View (724) 269-2642
Photo of Téa Del Rio, Pre-Licensed Professional in Monroeville, PA
Téa Del Rio
Pre-Licensed Professional, MS, NCC
Verified Verified
1 Endorsed
Monroeville, PA 15146
Hello and welcome! I know that life can truly be a roller coaster of emotions, and at times, it can be a lot to manage alone. My ultimate goal as a counselor is to provide a space that is safe and supportive, especially in times where emotions can feel overwhelming. I am passionate about helping clients reach their goals, feel more in control of their life, and ultimately become the best version of themselves and live authentically. I have experience counseling individuals with anxiety disorders & depression, life transitions & stress, relational/marital concerns, and self-esteem.
Hello and welcome! I know that life can truly be a roller coaster of emotions, and at times, it can be a lot to manage alone. My ultimate goal as a counselor is to provide a space that is safe and supportive, especially in times where emotions can feel overwhelming. I am passionate about helping clients reach their goals, feel more in control of their life, and ultimately become the best version of themselves and live authentically. I have experience counseling individuals with anxiety disorders & depression, life transitions & stress, relational/marital concerns, and self-esteem.
(412) 744-8881 View (412) 744-8881
Photo of Margaret Christopher, Clinical Social Work/Therapist in Monroeville, PA
Margaret Christopher
Clinical Social Work/Therapist, PhD, LCSW, ACSW
Verified Verified
Monroeville, PA 15146
As a licensed clinical social worker with more than 40 years experience of working with families and individuals of all ages, I find that the most effective approach is one that is strengths-based with a strong emphasis on helping clients solve the problems that bring them to me for therapy and also on helping them develop powerful resiliency characteristics that allow for future problem-solving, conflict resolution, goal-attainment, wellness, and life satisfaction. My ideal client is one who likes to learn. Trauma survivors, in particular, do well with this approach.
As a licensed clinical social worker with more than 40 years experience of working with families and individuals of all ages, I find that the most effective approach is one that is strengths-based with a strong emphasis on helping clients solve the problems that bring them to me for therapy and also on helping them develop powerful resiliency characteristics that allow for future problem-solving, conflict resolution, goal-attainment, wellness, and life satisfaction. My ideal client is one who likes to learn. Trauma survivors, in particular, do well with this approach.
(724) 227-0660 View (724) 227-0660
Photo of Amanda Quintana, Pre-Licensed Professional in Monroeville, PA
Amanda Quintana
Pre-Licensed Professional
Verified Verified
Monroeville, PA 15146
Are you weighed down by feelings of anxiety or depression? Are you unsure how to handle it all or how to make things better? You are not alone. These challenges can cause one to become overwhelmed. My ideal client seeks to be challenged and wishes to place a focus on personal growth.
Are you weighed down by feelings of anxiety or depression? Are you unsure how to handle it all or how to make things better? You are not alone. These challenges can cause one to become overwhelmed. My ideal client seeks to be challenged and wishes to place a focus on personal growth.
(412) 455-8215 View (412) 455-8215
Photo of Pamela Keating, Pre-Licensed Professional in Monroeville, PA
Pamela Keating
Pre-Licensed Professional, MPC
Verified Verified
2 Endorsed
Monroeville, PA 15146  (Online Only)
Waitlist for new clients
Life is hard, and for those who have experienced trauma, the hardships endured can be debilitating. These hardships can be processed and resolved through a therapeutic alliance with a skilled counselor. With focus on providing tools for affect regulation and narrative processing, clients will learn the skills necessary to move through their emotions in a safe environment and apply them in their natural environment.
Life is hard, and for those who have experienced trauma, the hardships endured can be debilitating. These hardships can be processed and resolved through a therapeutic alliance with a skilled counselor. With focus on providing tools for affect regulation and narrative processing, clients will learn the skills necessary to move through their emotions in a safe environment and apply them in their natural environment.
(412) 324-3380 View (412) 324-3380

How does your Therapist compare?

Number of Therapists in Monroeville, PA

100+

Average cost per session

$120

Therapists in Monroeville, PA who prioritize treating:

95% Anxiety
92% Depression
81% Coping Skills
80% Relationship Issues
78% Self Esteem
71% Trauma and PTSD
71% Stress

Average years in practice

11 Years

Top 3 insurances accepted

84% Highmark
80% University of Pittsburgh Medical Center
71% Aetna

How Therapists in Monroeville, PA see their clients

84% In Person and Online
16% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Monroeville?

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.