Therapists in Lancaster, PA

Photo of Maggie Harbord, MA, Pre-Licensed Professional
Maggie Harbord
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Lancaster, PA 17602
If you are someone who has experienced a recent life-altering event, finding it difficult to keep up with your day to day tasks, or even just need a safe person to tell your story to, I would love to help. I enjoy working with people who are struggling to grasp the changes happening around them. Life can move so quickly, and often times it is hard to keep up. Learning the skills to cope and processing those life-altering events can vastly improve how you feel when life is feeling unmanageable.
If you are someone who has experienced a recent life-altering event, finding it difficult to keep up with your day to day tasks, or even just need a safe person to tell your story to, I would love to help. I enjoy working with people who are struggling to grasp the changes happening around them. Life can move so quickly, and often times it is hard to keep up. Learning the skills to cope and processing those life-altering events can vastly improve how you feel when life is feeling unmanageable.
(223) 218-4576 View (223) 218-4576
Photo of Kari Richards, MSW, LSW, Clinical Social Work/Therapist
Kari Richards
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Lancaster, PA 17601
Seeking support through therapy is an invaluable experience, and it is an honor and a privilege to be a part of this process. My experience on the other side of the “couch” has afforded me the opportunity to see that real change is possible when we recognize that we deserve to ask for help. I enjoy seeing an eclectic group of clients and I am committed to providing a warm, non-judgmental space to foster a positive pathway to mental health. My competence present opportunities to reflect and identify underlying issues, while also offering skills and tools to use in moments of great distress.
Seeking support through therapy is an invaluable experience, and it is an honor and a privilege to be a part of this process. My experience on the other side of the “couch” has afforded me the opportunity to see that real change is possible when we recognize that we deserve to ask for help. I enjoy seeing an eclectic group of clients and I am committed to providing a warm, non-judgmental space to foster a positive pathway to mental health. My competence present opportunities to reflect and identify underlying issues, while also offering skills and tools to use in moments of great distress.
(717) 837-5791 View (717) 837-5791
Photo of Jill Corvino, NCC, LPC, Licensed Professional Counselor
Jill Corvino
Licensed Professional Counselor, NCC, LPC
Verified Verified
2 Endorsed
Lancaster, PA 17601  (Online Only)
Do you feel overwhelmed, stressed out and tired before your day even starts. You wonder how other people juggle home, work, school, family and still look like they have it all together. We often encounter many challenges, transitions, and unexpected circumstances. Sometimes we handle these bumps with ease and others we experience overwhelming sadness, pain, loss, and anger. How would it feel if you could manage your to-do list and enjoy your life where you feel empowered and confident as a woman, as a student, as a mother, as a friend?
Do you feel overwhelmed, stressed out and tired before your day even starts. You wonder how other people juggle home, work, school, family and still look like they have it all together. We often encounter many challenges, transitions, and unexpected circumstances. Sometimes we handle these bumps with ease and others we experience overwhelming sadness, pain, loss, and anger. How would it feel if you could manage your to-do list and enjoy your life where you feel empowered and confident as a woman, as a student, as a mother, as a friend?
(717) 537-1640 View (717) 537-1640
Photo of Megan Prevoznik, LMFT, Marriage & Family Therapist
Megan Prevoznik
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Lancaster, PA 17603
Hi, I'm Megan. I am passionate about making therapy approachable, effective, and possibly even enjoyable! I love working with individuals of any gender as they explore their relationships and process the thoughts, feelings or experiences that impact their interactions. This may look like exploring childhood attachment trauma and how it's impacting you now. This may look like helping you to set boundaries and assertively communicate your needs to others. Sometimes this looks like working through a break up or figuring out what the heck you want your life or relationships to look like and how to set that in motion.
Hi, I'm Megan. I am passionate about making therapy approachable, effective, and possibly even enjoyable! I love working with individuals of any gender as they explore their relationships and process the thoughts, feelings or experiences that impact their interactions. This may look like exploring childhood attachment trauma and how it's impacting you now. This may look like helping you to set boundaries and assertively communicate your needs to others. Sometimes this looks like working through a break up or figuring out what the heck you want your life or relationships to look like and how to set that in motion.
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Photo of Connie Harrington, LPC , Licensed Professional Counselor
Connie Harrington
Licensed Professional Counselor, LPC
Verified Verified
Lancaster, PA 17603  (Online Only)
As a Licensed Professional Counselor in the Commonwealth of Pennsylvania and more than two decades of experience working with adults and couples in private practice as well as Telehealth, I bring to you professional training, practical clinical skills as well as lived experience. Whether you are battling depression, stress and anxiety, struggling with relationship issues or family conflicts I look forward to meeting you where you are and walking with you to a healthier quality of life.
As a Licensed Professional Counselor in the Commonwealth of Pennsylvania and more than two decades of experience working with adults and couples in private practice as well as Telehealth, I bring to you professional training, practical clinical skills as well as lived experience. Whether you are battling depression, stress and anxiety, struggling with relationship issues or family conflicts I look forward to meeting you where you are and walking with you to a healthier quality of life.
(323) 643-8569 View (323) 643-8569
Photo of Yolanda Larson, MS, LPC, NCSP, Licensed Professional Counselor
Yolanda Larson
Licensed Professional Counselor, MS, LPC, NCSP
Verified Verified
1 Endorsed
Lancaster, PA 17601
I am a Licensed Professional Counselor and a certified school psychologist who enjoys working with children, adolescents, and their parents. I utilize the three C's (collaboration, creativity, and Cognitive Behavioral Therapy/CBT) or Trauma-Focus CBT for both an interactive and informative therapy session. I thoughtfully incorporate a variety of techniques that best suits a person's individual needs, while acknowledging one’s ability to problem solve through to a solution. My therapeutic style incorporates empirically-based research with therapeutic activities and honest feedback.
I am a Licensed Professional Counselor and a certified school psychologist who enjoys working with children, adolescents, and their parents. I utilize the three C's (collaboration, creativity, and Cognitive Behavioral Therapy/CBT) or Trauma-Focus CBT for both an interactive and informative therapy session. I thoughtfully incorporate a variety of techniques that best suits a person's individual needs, while acknowledging one’s ability to problem solve through to a solution. My therapeutic style incorporates empirically-based research with therapeutic activities and honest feedback.
(844) 941-2818 View (844) 941-2818
Photo of Patricia Kathleen Tolle - Align Counseling, LLC, MSW, LCSW, Clinical Social Work/Therapist
Align Counseling, LLC
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lancaster, PA 17603
Are you are always in battle with your spouse or partner? Has communication has broken down and you don’t know how to talk to each other anymore? Are you hurt because of things that were said in anger? Do you feel that no matter what you do, nothing is ever good enough or you’re not good enough? In most marriage or couples counseling, all things can be improved, changed and made better, with just a little support, no matter how big or small. With couples therapy, you’ll learn how to communicate your feelings and needs, fight fair and get what you want out of your relationship.
Are you are always in battle with your spouse or partner? Has communication has broken down and you don’t know how to talk to each other anymore? Are you hurt because of things that were said in anger? Do you feel that no matter what you do, nothing is ever good enough or you’re not good enough? In most marriage or couples counseling, all things can be improved, changed and made better, with just a little support, no matter how big or small. With couples therapy, you’ll learn how to communicate your feelings and needs, fight fair and get what you want out of your relationship.
(717) 871-9220 View (717) 871-9220
Photo of Cassie Ellison, Pre-Licensed Professional
Cassie Ellison
Pre-Licensed Professional
Verified Verified
1 Endorsed
Lancaster, PA 17601
No matter your age, life has the capacity for highs and lows. As a therapist, I am passionate about helping individuals develop coping skills to get through the hard times and better navigate their future. I work primarily with teenagers (14+) who have concerns regarding ADHD, anxiety, and trauma. I have experience working with teenagers and adults who are part of the LGBTQ+ community and believe in creating an inclusive and accepting space to foster healing and growth according to your values and goals. I aim to work with you to address underlying causes to mental health concerns and to help you rediscover joy in life.
No matter your age, life has the capacity for highs and lows. As a therapist, I am passionate about helping individuals develop coping skills to get through the hard times and better navigate their future. I work primarily with teenagers (14+) who have concerns regarding ADHD, anxiety, and trauma. I have experience working with teenagers and adults who are part of the LGBTQ+ community and believe in creating an inclusive and accepting space to foster healing and growth according to your values and goals. I aim to work with you to address underlying causes to mental health concerns and to help you rediscover joy in life.
(717) 879-9797 x101 View (717) 879-9797 x101
Photo of Shelby Cordeiro, LCSW, Clinical Social Work/Therapist
Shelby Cordeiro
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lancaster, PA 17603  (Online Only)
Not accepting new clients
Hello, and congratulations on the first step of your mental health journey! Looking for a therapist can be overwhelming, so let me tell you a little about what you can expect in sessions with me. I became a therapist to help others find healing and create a life they enjoy. My clients often describe my sessions as accepting, validating, and educational. I want to help you explore your emotions, gain insights, and develop realistic coping skills. I work with you as a team to help you identify areas to improve and learn practical skills for a positive impact on your life. You are the expert on you, but you don't have to do it alone.
Hello, and congratulations on the first step of your mental health journey! Looking for a therapist can be overwhelming, so let me tell you a little about what you can expect in sessions with me. I became a therapist to help others find healing and create a life they enjoy. My clients often describe my sessions as accepting, validating, and educational. I want to help you explore your emotions, gain insights, and develop realistic coping skills. I work with you as a team to help you identify areas to improve and learn practical skills for a positive impact on your life. You are the expert on you, but you don't have to do it alone.
(223) 218-2644 View (223) 218-2644
Photo of Christina Yarrish Del Vecchio, MA, LPC, Licensed Professional Counselor
Christina Yarrish Del Vecchio
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17601
Hello! My name is Christina and I am a Licensed Professional Counselor who provides individual counseling to teens and adults. I have been involved in the clinical psychology field since 2017. I have a strong background in psychotherapy. I incorporate a variety of theoretical orientations and evidence-based approaches to meet individual client needs. I draw from person-centered, solution-focused, trauma-focused, cognitive-behavioral therapy, and mindfulness-based techniques in my practice. I am also EMDR trained.
Hello! My name is Christina and I am a Licensed Professional Counselor who provides individual counseling to teens and adults. I have been involved in the clinical psychology field since 2017. I have a strong background in psychotherapy. I incorporate a variety of theoretical orientations and evidence-based approaches to meet individual client needs. I draw from person-centered, solution-focused, trauma-focused, cognitive-behavioral therapy, and mindfulness-based techniques in my practice. I am also EMDR trained.
(717) 906-7166 View (717) 906-7166
Photo of Aarti Patel, LCSW, Clinical Social Work/Therapist
Aarti Patel
Clinical Social Work/Therapist, LCSW
Verified Verified
Lancaster, PA 17603  (Online Only)
Hello, I’m Aarti Patel, a Licensed Clinical Social Worker (LCSW) with nearly a decade of experience in guiding individuals through life’s challenges. Together, we’ll build a collaborative and compassionate path toward healing and self-discovery. My communication style is warm, empathetic, and collaborative, creating a welcoming space where individuals feel heard and supported. I strive to foster an environment of trust and openness, encouraging honest exploration of emotions and challenges. Working with me will feel effortless and we can work together to navigate your healing journey with compassion and care.
Hello, I’m Aarti Patel, a Licensed Clinical Social Worker (LCSW) with nearly a decade of experience in guiding individuals through life’s challenges. Together, we’ll build a collaborative and compassionate path toward healing and self-discovery. My communication style is warm, empathetic, and collaborative, creating a welcoming space where individuals feel heard and supported. I strive to foster an environment of trust and openness, encouraging honest exploration of emotions and challenges. Working with me will feel effortless and we can work together to navigate your healing journey with compassion and care.
(323) 643-8569 View (323) 643-8569
Photo of Amy Dorothea Seifarth, LCSW, Clinical Social Work/Therapist
Amy Dorothea Seifarth
Clinical Social Work/Therapist, LCSW
Verified Verified
Lancaster, PA 17601  (Online Only)
I believe that a strength-based and collaborative approach in therapy leads to developing important coping skills and enhances overall emotional wellness. My goal is to provide a tailored approach to your unique reasons for seeking support. I enjoy working with adult clients across the lifespan navigate complex challenges distinct to their stage of life.
I believe that a strength-based and collaborative approach in therapy leads to developing important coping skills and enhances overall emotional wellness. My goal is to provide a tailored approach to your unique reasons for seeking support. I enjoy working with adult clients across the lifespan navigate complex challenges distinct to their stage of life.
(484) 376-5109 View (484) 376-5109
Photo of Herb Landis, LCSW, BCD, LLC, Clinical Social Work/Therapist
Herb Landis
Clinical Social Work/Therapist, LCSW, BCD, LLC
Verified Verified
3 Endorsed
Lancaster, PA 17603
I provide psychotherapy services to children, teens, young adults, families and couples, and over the 30 years of being in outpatient and private practice settings, I can say I love treating the lifespan of all ages. I promote growth and potential. My clinical focus has been primarily in treating anxiety, depression, grief and complicated grief. I use the creative arts to promote the healing process. We all walk different landscapes at different times in our lives and I will help you in walking that landscape you find yourself in. Please feel free to contact me for a phone consult for any questions you might have.
I provide psychotherapy services to children, teens, young adults, families and couples, and over the 30 years of being in outpatient and private practice settings, I can say I love treating the lifespan of all ages. I promote growth and potential. My clinical focus has been primarily in treating anxiety, depression, grief and complicated grief. I use the creative arts to promote the healing process. We all walk different landscapes at different times in our lives and I will help you in walking that landscape you find yourself in. Please feel free to contact me for a phone consult for any questions you might have.
(717) 964-4267 View (717) 964-4267
Photo of Emily Tangert, MS, LPC, PMH-C, Licensed Professional Counselor
Emily Tangert
Licensed Professional Counselor, MS, LPC, PMH-C
Verified Verified
5 Endorsed
Lancaster, PA 17603
I help individuals facing challenges in managing painful emotions, trauma, depression, anxiety, and the complexities of pregnancy, postpartum, and motherhood. Navigating emotional ups and downs can be distressing, especially when shaped by past trauma. Managing feelings of anxiety, sadness, shame, and anger may impact relationships, leading to a sense of inadequacy and isolation. I support individuals in creating a safe environment to explore and reflect on their connections with themselves and others.
I help individuals facing challenges in managing painful emotions, trauma, depression, anxiety, and the complexities of pregnancy, postpartum, and motherhood. Navigating emotional ups and downs can be distressing, especially when shaped by past trauma. Managing feelings of anxiety, sadness, shame, and anger may impact relationships, leading to a sense of inadequacy and isolation. I support individuals in creating a safe environment to explore and reflect on their connections with themselves and others.
(717) 613-6687 View (717) 613-6687
Photo of Adam Hultstrand Individual Plus Dbt Group Openings, MDiv, MA, LAMFT, Marriage & Family Therapist Associate
Adam Hultstrand Individual Plus Dbt Group Openings
Marriage & Family Therapist Associate, MDiv, MA, LAMFT
Verified Verified
2 Endorsed
Lancaster, PA 17601
To those who know me best, I am considered a genuine “encourager” of people, compassionate yet direct. You don't have to journey through life alone. I seek to create a safe and confidential space for children, adults, couples, and families to process life and find greater purpose, healing and joy. I have graduate degrees in both theology and counseling with over 20 years of experience. I enjoy working with people from all backgrounds in a strengths-based way that infuses hope. I integrate a variety of relational and experiential approaches to best meet your needs and will use faith based counseling for those interested.
To those who know me best, I am considered a genuine “encourager” of people, compassionate yet direct. You don't have to journey through life alone. I seek to create a safe and confidential space for children, adults, couples, and families to process life and find greater purpose, healing and joy. I have graduate degrees in both theology and counseling with over 20 years of experience. I enjoy working with people from all backgrounds in a strengths-based way that infuses hope. I integrate a variety of relational and experiential approaches to best meet your needs and will use faith based counseling for those interested.
(717) 837-5266 View (717) 837-5266
Photo of Sean F. Dougherty, MS, MEd
Sean F. Dougherty
MS, MEd
Verified Verified
Lancaster, PA 17601
I seek to provide a safe, comfortable, and confidential space for individuals to process their unique life experiences. I take a person-centered learning approach in session and operate on the premise that physical, emotional, spiritual, and mental well-being are interrelated. I work with adolescent and adult clients, specializing in areas such as but not limited to stress, anxiety, depression, grief & loss, career counseling, sports anxiety, school issues, youth mental health, perfectionism, and parenting strategies.
I seek to provide a safe, comfortable, and confidential space for individuals to process their unique life experiences. I take a person-centered learning approach in session and operate on the premise that physical, emotional, spiritual, and mental well-being are interrelated. I work with adolescent and adult clients, specializing in areas such as but not limited to stress, anxiety, depression, grief & loss, career counseling, sports anxiety, school issues, youth mental health, perfectionism, and parenting strategies.
(717) 356-3219 View (717) 356-3219
Photo of Kathleen Bonnici, LPC, Licensed Professional Counselor
Kathleen Bonnici
Licensed Professional Counselor, LPC
Verified Verified
Lancaster, PA 17601
Do you often feel weighed down by feelings of anxiety, stress, or depression? Do you find it difficult to manage your relationships with your family members or significant other? Life can be challenging, but change is possible and attainable with support and guidance. Together we will work on strategies that allow you to address the root causes of your difficulties, and use coping skills to help build meaningful relationships and social connections.
Do you often feel weighed down by feelings of anxiety, stress, or depression? Do you find it difficult to manage your relationships with your family members or significant other? Life can be challenging, but change is possible and attainable with support and guidance. Together we will work on strategies that allow you to address the root causes of your difficulties, and use coping skills to help build meaningful relationships and social connections.
(717) 527-6061 View (717) 527-6061
Photo of Angela Miller, LCSW, Clinical Social Work/Therapist
Angela Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
Lancaster, PA 17601  (Online Only)
I enjoy working with children, teenagers, young adults, their families, and adults. My goal is to help you work toward your personal goals, all while recognizing and respecting where you are in your journey and your current environment. I can also help you manage mental health challenges you may be facing alone, including anxiety, depression, trauma, life transitions, and motherhood.
I enjoy working with children, teenagers, young adults, their families, and adults. My goal is to help you work toward your personal goals, all while recognizing and respecting where you are in your journey and your current environment. I can also help you manage mental health challenges you may be facing alone, including anxiety, depression, trauma, life transitions, and motherhood.
(717) 993-1646 x1 View (717) 993-1646 x1
Photo of Lilly Knopic, NCC, LPC, Licensed Professional Counselor
Lilly Knopic
Licensed Professional Counselor, NCC, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17601  (Online Only)
Many of us experience more unwanted emotions than the preferred ones, which can prompt our unhelpful reactions. If you have difficulty accepting or coping with a problem in life, I welcome you to begin therapy sessions with me. I can also support you if you’re having difficulty managing anxiety, depression, grief, or unhelpful thinking patterns.
Many of us experience more unwanted emotions than the preferred ones, which can prompt our unhelpful reactions. If you have difficulty accepting or coping with a problem in life, I welcome you to begin therapy sessions with me. I can also support you if you’re having difficulty managing anxiety, depression, grief, or unhelpful thinking patterns.
(717) 219-2354 View (717) 219-2354
Photo of Hannah Myer, APC, MA, NCC, Counselor
Hannah Myer
Counselor, APC, MA, NCC
Verified Verified
3 Endorsed
Lancaster, PA 17601
My hope is to create a safe space for you to journey toward healing and become more fully yourself in the process. This journey looks different for everyone, and wherever you are, it would be an honor to walk alongside you to find freedom and peace in the midst of struggle and embrace the richness of your life in all circumstances.
My hope is to create a safe space for you to journey toward healing and become more fully yourself in the process. This journey looks different for everyone, and wherever you are, it would be an honor to walk alongside you to find freedom and peace in the midst of struggle and embrace the richness of your life in all circumstances.
(717) 942-9476 View (717) 942-9476
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How does your Therapist compare?

Number of Therapists in Lancaster, PA

400+

Average cost per session

$130

Therapists in Lancaster, PA who prioritize treating:

93% Anxiety
87% Depression
78% Self Esteem
77% Relationship Issues
71% Stress
68% Trauma and PTSD
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

82% Highmark
69% Aetna
64% BlueCross and BlueShield

How Therapists in Lancaster, PA see their clients

71% In Person and Online
29% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lancaster?

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.