Therapists in New York, NY

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Photo of Karina Gopeesingh, Pre-Licensed Professional in New York, NY
Karina Gopeesingh
Pre-Licensed Professional, MHC-LP
Verified Verified
New York, NY 10017  (Online Only)
Seeking someone to speak to can be the first step to improving your mental health. It can be difficult, but it can be an illuminating experience to look deeper within yourself. Speaking with someone can eliminate the feeling of being alone, and provide you with the support you need to work toward developing coping skills and explore how to make yourself live the life you want to live. As a first-generation Indo-Caribbean woman, I have learned to acknowledge and welcome the delights and difficulties of a multicultural identity. One of these very difficulties is the avoidance of addressing mental health.
Seeking someone to speak to can be the first step to improving your mental health. It can be difficult, but it can be an illuminating experience to look deeper within yourself. Speaking with someone can eliminate the feeling of being alone, and provide you with the support you need to work toward developing coping skills and explore how to make yourself live the life you want to live. As a first-generation Indo-Caribbean woman, I have learned to acknowledge and welcome the delights and difficulties of a multicultural identity. One of these very difficulties is the avoidance of addressing mental health.
(929) 499-2487 View (929) 499-2487
Photo of Sheldon Schwartz, Clinical Social Work/Therapist in New York, NY
Sheldon Schwartz
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10025
Sheldon Schwartz is a Licensed Clinical Social Worker in New York who has been practicing since 2003. He graduated from McGill University, The Juilliard School (BFA), The Albert Einstein College of Medicine (Intern and Fellow), and New York University (MSW, SIFI). Sheldon has helped clients with general anxiety, performance anxiety, life transitions, relationship issues, motivation, self-esteem and confidence and LGBT-related issues. He works to create an open and safe environment and to build a therapeutic relationship where thoughts and feelings can be shared without fear of judgment.
Sheldon Schwartz is a Licensed Clinical Social Worker in New York who has been practicing since 2003. He graduated from McGill University, The Juilliard School (BFA), The Albert Einstein College of Medicine (Intern and Fellow), and New York University (MSW, SIFI). Sheldon has helped clients with general anxiety, performance anxiety, life transitions, relationship issues, motivation, self-esteem and confidence and LGBT-related issues. He works to create an open and safe environment and to build a therapeutic relationship where thoughts and feelings can be shared without fear of judgment.
(347) 657-3986 View (347) 657-3986
Photo of Rose Marie Alonso-Chatterton, Counselor in New York, NY
Rose Marie Alonso-Chatterton
Counselor, MA, LMHC
Verified Verified
New York, NY 10001
Clients who seek my services come with a desire to create positive change in their lives. They may be seeking help for themselves,their child or their family. Their goals can include finding relief of unnecessary stress and suffering, increasing awareness and breaking unhealthy patterns of behavior, developing the ability to create and sustain healthy and intimate relationships and/or obtaining relief from psychological pain, trauma and loss. Psychotherapy can help people heal from past experiences in order to develop the awareness and the skills necessary to handle challenging situations in the present.
Clients who seek my services come with a desire to create positive change in their lives. They may be seeking help for themselves,their child or their family. Their goals can include finding relief of unnecessary stress and suffering, increasing awareness and breaking unhealthy patterns of behavior, developing the ability to create and sustain healthy and intimate relationships and/or obtaining relief from psychological pain, trauma and loss. Psychotherapy can help people heal from past experiences in order to develop the awareness and the skills necessary to handle challenging situations in the present.
(201) 643-7667 View (201) 643-7667
Photo of Dr. Melissa Gluck, Psychologist in New York, NY
Dr. Melissa Gluck
Psychologist, PhD
Verified Verified
5 Endorsed
New York, NY 10128
Choosing a therapist can be super overwhelming. It’s my goal to make the therapy process feel easy & comfortable. I give you the space to heal whether you need a little extra support or are in a time of major crisis or change. I specialize in supporting those who are navigating relationships, dating, complex family dynamics, career stressors, & those who don’t know where to begin but know they want to feel better. I use a directive, collaborative, & nonjudgemental approach to help identify patterns that no longer serve you and help you get “unstuck”. I will always be real with you and support you through warmth, empathy, and humor.
Choosing a therapist can be super overwhelming. It’s my goal to make the therapy process feel easy & comfortable. I give you the space to heal whether you need a little extra support or are in a time of major crisis or change. I specialize in supporting those who are navigating relationships, dating, complex family dynamics, career stressors, & those who don’t know where to begin but know they want to feel better. I use a directive, collaborative, & nonjudgemental approach to help identify patterns that no longer serve you and help you get “unstuck”. I will always be real with you and support you through warmth, empathy, and humor.
(646) 542-0422 View (646) 542-0422
Photo of Chris Starpoli, Clinical Social Work/Therapist in New York, NY
Chris Starpoli
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10016
Daily life has become challenging trying to balance our families, relationships, careers and goals. You may be feeling overwhelmed, experiencing anxiety that won’t allow you to move forward and you just can’t seem to get out of your own head. Perhaps you feel ready to take the steps to improve your quality of life, but you don’t know where to start. My goal as a therapist is to provide a safe space where we can openly discuss any obstacles and recognize patterns that may be holding you back. I now offer Telemental health sessions using a confidential computer platform so you can be in the comfort of your own home.
Daily life has become challenging trying to balance our families, relationships, careers and goals. You may be feeling overwhelmed, experiencing anxiety that won’t allow you to move forward and you just can’t seem to get out of your own head. Perhaps you feel ready to take the steps to improve your quality of life, but you don’t know where to start. My goal as a therapist is to provide a safe space where we can openly discuss any obstacles and recognize patterns that may be holding you back. I now offer Telemental health sessions using a confidential computer platform so you can be in the comfort of your own home.
(646) 798-5641 View (646) 798-5641
Photo of Michele DePalo Germer, Clinical Social Work/Therapist in New York, NY
Michele DePalo Germer
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10021  (Online Only)
The foundation of my practice is working in and supervising a Community-Based Prevention Program serving families, youth and adolescents that are exhibiting high-risk behaviors. I have experience working with the challenges of trauma, truancy, adolescent substance use, familial hardships, gang involvement and exploitation.
The foundation of my practice is working in and supervising a Community-Based Prevention Program serving families, youth and adolescents that are exhibiting high-risk behaviors. I have experience working with the challenges of trauma, truancy, adolescent substance use, familial hardships, gang involvement and exploitation.
(631) 817-3553 View (631) 817-3553
Photo of Jack Hazan, Mental Health Counselor in New York, NY
Jack Hazan
Mental Health Counselor, LMHC, CSAT
Verified Verified
1 Endorsed
New York, NY 10017
As a specialist, my primary focus is working with those who struggle with Relationships, Intimacy and Avoidant Behaviors related to: Adult Childhood Trauma, Codependency, Addiction (including; excessive behaviors related to Sex, Porn and Apps) and those who struggle with impulsive behaviors (including ADHD). Using a trauma-based model, I am able to help you work through the difficulties around feeling a sense of fulfillment within yourself and/or relationships. Together, we will create a plan with personalized coping skills and tools to lead you toward creating deeper, more meaningful connections while managing anxiety.
As a specialist, my primary focus is working with those who struggle with Relationships, Intimacy and Avoidant Behaviors related to: Adult Childhood Trauma, Codependency, Addiction (including; excessive behaviors related to Sex, Porn and Apps) and those who struggle with impulsive behaviors (including ADHD). Using a trauma-based model, I am able to help you work through the difficulties around feeling a sense of fulfillment within yourself and/or relationships. Together, we will create a plan with personalized coping skills and tools to lead you toward creating deeper, more meaningful connections while managing anxiety.
(646) 760-6169 View (646) 760-6169
Photo of Audrey McMaster, Pre-Licensed Professional in New York, NY
Audrey McMaster
Pre-Licensed Professional, MHC-I
Verified Verified
New York, NY 10022
My counseling approach is a blend of Cognitive Behavioral Therapy and Narrative Therapy. I am dedicated to creating a nurturing and secure environment for collaborative work that fosters self-discovery, goal-setting, and the acquisition of evidence-based skills to catalyze personal growth and transformation.
My counseling approach is a blend of Cognitive Behavioral Therapy and Narrative Therapy. I am dedicated to creating a nurturing and secure environment for collaborative work that fosters self-discovery, goal-setting, and the acquisition of evidence-based skills to catalyze personal growth and transformation.
(646) 859-2001 View (646) 859-2001
Photo of Brianna Laricchia, Clinical Social Work/Therapist in New York, NY
Brianna Laricchia
Clinical Social Work/Therapist, LMHC
Verified Verified
1 Endorsed
New York, NY 10025  (Online Only)
I know it can be difficult to make the informed decision to start therapy. The idea of unpacking our thoughts, feelings, behaviors and emotions can feel overwhelming and intimidating. Your bravery toward facing your personal hardships and improving your overall quality of life is the first of many victories that you will experience in our time together. Whether you are suffering with anxiety and depression, undergoing life transitions, struggling with self-esteem, facing relationship issue or looking to understand your past to make sense of your present.
I know it can be difficult to make the informed decision to start therapy. The idea of unpacking our thoughts, feelings, behaviors and emotions can feel overwhelming and intimidating. Your bravery toward facing your personal hardships and improving your overall quality of life is the first of many victories that you will experience in our time together. Whether you are suffering with anxiety and depression, undergoing life transitions, struggling with self-esteem, facing relationship issue or looking to understand your past to make sense of your present.
(646) 969-3190 View (646) 969-3190
Photo of Rachel Reid, Clinical Social Work/Therapist in New York, NY
Rachel Reid
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
New York, NY 10001  (Online Only)
Many of us seek out therapy when we're in the midst of change, or when we've reached a point of wanting change but are unsure how to make that happen. In either case, therapy offers us the opportunity to deepen our understanding of the circumstances which have brought about the desire, or the need, for something to be different. In collaborating with someone whose role is to reflect our experience back to us, we're often able to meet parts of our selves or our histories that had been forgotten, and we start to see how embodying ourselves more fully will create movement and fulfillment in our lives.
Many of us seek out therapy when we're in the midst of change, or when we've reached a point of wanting change but are unsure how to make that happen. In either case, therapy offers us the opportunity to deepen our understanding of the circumstances which have brought about the desire, or the need, for something to be different. In collaborating with someone whose role is to reflect our experience back to us, we're often able to meet parts of our selves or our histories that had been forgotten, and we start to see how embodying ourselves more fully will create movement and fulfillment in our lives.
(516) 400-4981 View (516) 400-4981
Photo of Shelby Becker, Clinical Social Work/Therapist in New York, NY
Shelby Becker
Clinical Social Work/Therapist, LCSW, EMDR
Verified Verified
New York, NY 10010
As a therapist, I seek to empower people with self-knowledge, self-awareness, and understanding. Within my practice, I find human experience can vary from day to day. My practice serves to engage people to have a more positive experience with themselves in a safe and compassionate space. I approach therapy from a place of discovering your strengths in a holistic manner, in order to help you address your unique life motivators and stressors. My goal is to give you the opportunity to process and grow from your hidden inner conflicts.
As a therapist, I seek to empower people with self-knowledge, self-awareness, and understanding. Within my practice, I find human experience can vary from day to day. My practice serves to engage people to have a more positive experience with themselves in a safe and compassionate space. I approach therapy from a place of discovering your strengths in a holistic manner, in order to help you address your unique life motivators and stressors. My goal is to give you the opportunity to process and grow from your hidden inner conflicts.
(332) 249-6545 View (332) 249-6545
Photo of Andrea Allen, Psychologist in New York, NY
Andrea Allen
Psychologist, PhD
Verified Verified
New York, NY 10029
Not accepting new clients
If you are troubled by anxiety, worries, intrusive thoughts or compulsive behaviors, I want you to know that effective treatments are available. I can work with you to reclaim your life and live it with joy. I'm a clinical psychologist with 20+ years of experience working with obsessive compulsive and anxiety disorders. I have extensive experience and success treating patients with Body Dysmorphic Disorder and Obsessive Compulsive Disorder. Other disorders I treat include body focused repetitive behaviors (e.g. trichotillomania, excoriation), hoarding, health anxiety, Generalized Anxiety, Social Anxiety, Panic and phobias.
If you are troubled by anxiety, worries, intrusive thoughts or compulsive behaviors, I want you to know that effective treatments are available. I can work with you to reclaim your life and live it with joy. I'm a clinical psychologist with 20+ years of experience working with obsessive compulsive and anxiety disorders. I have extensive experience and success treating patients with Body Dysmorphic Disorder and Obsessive Compulsive Disorder. Other disorders I treat include body focused repetitive behaviors (e.g. trichotillomania, excoriation), hoarding, health anxiety, Generalized Anxiety, Social Anxiety, Panic and phobias.
(516) 701-3026 View (516) 701-3026
Photo of Andrew Blatter, Clinical Social Work/Therapist in New York, NY
Andrew Blatter
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10001
I believe that therapy is an inherently paradoxical process. We want to feel better, but sometimes the only way to do so is through sadness, pain or anger. We go because we want to change, but it feels much safer to stay the same. We want to expand our comfort zone, but can do so only by traveling to uncomfortable places. I try to create an environment where you feel safe enough to be challenged and where you can stretch yourself sufficiently to achieve the lasting positive change you desire.
I believe that therapy is an inherently paradoxical process. We want to feel better, but sometimes the only way to do so is through sadness, pain or anger. We go because we want to change, but it feels much safer to stay the same. We want to expand our comfort zone, but can do so only by traveling to uncomfortable places. I try to create an environment where you feel safe enough to be challenged and where you can stretch yourself sufficiently to achieve the lasting positive change you desire.
(917) 725-2049 View (917) 725-2049
Photo of Sasha Hare, Clinical Social Work/Therapist in New York, NY
Sasha Hare
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10019
Waitlist for new clients
I start with listening and seek to cultivate a perspective that enlivens, enlightens and unburdens. I use an integrative psychoanalytic approach founded in curiosity and collaboration to address problems relating to trauma, depression, anxiety or self-esteem that can undermine ones ability to thrive interpersonally, creatively, sexually or professionally. Whether it's a life-change, a search for meaning, creative blocks, frustration with the quality of relationships or something else, I will meet you there. Through listening and talking, we will explore internal experience and how it impacts relating to oneself and others.
I start with listening and seek to cultivate a perspective that enlivens, enlightens and unburdens. I use an integrative psychoanalytic approach founded in curiosity and collaboration to address problems relating to trauma, depression, anxiety or self-esteem that can undermine ones ability to thrive interpersonally, creatively, sexually or professionally. Whether it's a life-change, a search for meaning, creative blocks, frustration with the quality of relationships or something else, I will meet you there. Through listening and talking, we will explore internal experience and how it impacts relating to oneself and others.
(917) 909-4305 View (917) 909-4305
Photo of Meredith Shirey, Marriage & Family Therapist in New York, NY
Meredith Shirey
Marriage & Family Therapist, MS, LMFT
Verified Verified
4 Endorsed
New York, NY 10004
Whether wishing to reconnect with a partner, recover from infidelity, cope with a loss, or even find ways to amicably end a relationship; I can offer assistance and guidance in not only resolving the issues that brought you and your partner to therapy, but also to gain insight into how your own life experiences may impact the relationship. My hope is that my warm but direct approach to treatment will allow you and your partner to feel welcomed, understood, and safe to speak about the issues impacting your relationship. Please visit the website to learn more about my approach.
Whether wishing to reconnect with a partner, recover from infidelity, cope with a loss, or even find ways to amicably end a relationship; I can offer assistance and guidance in not only resolving the issues that brought you and your partner to therapy, but also to gain insight into how your own life experiences may impact the relationship. My hope is that my warm but direct approach to treatment will allow you and your partner to feel welcomed, understood, and safe to speak about the issues impacting your relationship. Please visit the website to learn more about my approach.
(646) 713-0975 View (646) 713-0975
Photo of Lauren Finn, LMHC, Counselor in New York, NY
Lauren Finn, LMHC
Counselor, MA, LMHC
Verified Verified
2 Endorsed
New York, NY 10010
Hello! I am happy you are here. You may be feeling overwhelmed, anxious, and stuck. At times, these feelings may affect your work, personal life, or self-esteem. It's possible that you do not know why you have these feelings, but you would like to learn about how your mind works, understand your past and your relationships, and learn how to navigate your world better.
Hello! I am happy you are here. You may be feeling overwhelmed, anxious, and stuck. At times, these feelings may affect your work, personal life, or self-esteem. It's possible that you do not know why you have these feelings, but you would like to learn about how your mind works, understand your past and your relationships, and learn how to navigate your world better.
View
Photo of Carly Keogh, Counselor in New York, NY
Carly Keogh
Counselor, LMHC
Verified Verified
New York, NY 10018  (Online Only)
Carly Keogh is a licensed mental health counselor. Carly helps her patients feel in charge of their own journeys by connecting with them and supporting them through hardship. While Carly believes strongly that each patient should be empowered to select their own treatment plan, she provides a clinical perspective and outside opinion. She offers support, and encouragement, and helps people see their own value and potential. She isn’t afraid to try unconventional methods and is always willing to adjust her approach to meet her patients’ needs. Carly works with patients ages 15-65.
Carly Keogh is a licensed mental health counselor. Carly helps her patients feel in charge of their own journeys by connecting with them and supporting them through hardship. While Carly believes strongly that each patient should be empowered to select their own treatment plan, she provides a clinical perspective and outside opinion. She offers support, and encouragement, and helps people see their own value and potential. She isn’t afraid to try unconventional methods and is always willing to adjust her approach to meet her patients’ needs. Carly works with patients ages 15-65.
(646) 980-5681 View (646) 980-5681
Photo of Justyna Zapolska, Psychologist in New York, NY
Justyna Zapolska
Psychologist, PhD
Verified Verified
2 Endorsed
New York, NY 10010
I am a warm and insightful psychologist who focuses on helping people make significant changes in personal and professional areas of their lives. I work with adults, couples, and families who are dealing with transitions or want to maximize their full potential. In the first session I identify the areas which are most crucial to focus on and the approach which will be most useful for reaching your goals quickly. We then jointly create a plan of action for reaching your objectives.
I am a warm and insightful psychologist who focuses on helping people make significant changes in personal and professional areas of their lives. I work with adults, couples, and families who are dealing with transitions or want to maximize their full potential. In the first session I identify the areas which are most crucial to focus on and the approach which will be most useful for reaching your goals quickly. We then jointly create a plan of action for reaching your objectives.
(844) 234-7420 View (844) 234-7420
Photo of Shoshana Yakira Linzer, Psychologist in New York, NY
Shoshana Yakira Linzer
Psychologist, PsyD
Verified Verified
New York, NY 10001
If you are seeking out therapy, chances are that there is something in your life that is no longer working for you. Whether it’s your relationships, work-life balance, or the way that you’ve been feeling about yourself, there’s no need to stay stuck. My role is to help you better understand yourself, your history, and patterns of thoughts, feelings and behaviors that may be unconsciously playing out in your life.
If you are seeking out therapy, chances are that there is something in your life that is no longer working for you. Whether it’s your relationships, work-life balance, or the way that you’ve been feeling about yourself, there’s no need to stay stuck. My role is to help you better understand yourself, your history, and patterns of thoughts, feelings and behaviors that may be unconsciously playing out in your life.
(646) 956-1850 View (646) 956-1850
Photo of Brent Piper, Counselor in New York, NY
Brent Piper
Counselor, MA, LMHC
Verified Verified
1 Endorsed
New York, NY 10001  (Online Only)
Self-sovereignty and honesty are two of your top priorities. You value curiosity, risk, and wonder. Maybe you have a healthy bit of rebelliousness. Mainly, you want to grow. I spent 10 years wandering, scrapping for meaning while drinking too much, and then the next 10 years (and counting) committed to getting to know my own heart. Now I help people integrate the energy of their emotional life to reach more of their potential.
Self-sovereignty and honesty are two of your top priorities. You value curiosity, risk, and wonder. Maybe you have a healthy bit of rebelliousness. Mainly, you want to grow. I spent 10 years wandering, scrapping for meaning while drinking too much, and then the next 10 years (and counting) committed to getting to know my own heart. Now I help people integrate the energy of their emotional life to reach more of their potential.
(332) 239-7550 View (332) 239-7550

How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

94% Anxiety
89% Depression
85% Relationship Issues
78% Self Esteem
67% Trauma and PTSD
66% Stress
63% Coping Skills

Average years in practice

12 Years

Top 3 insurances accepted

78% Aetna
62% UnitedHealthcare UHC | UBH
60% Cigna and Evernorth

How Therapists in New York, NY see their clients

59% In Person and Online
41% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New York?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.