Therapists in Springfield, PA

Photo of Mandy Graham Coaching, Licensed Professional Counselor in Springfield, PA
Mandy Graham Coaching
Licensed Professional Counselor, MA, LPC, Coach
Verified Verified
Springfield, PA 19064  (Online Only)
Hello amazing women, the struggles and triumphs of corporate women resonate deeply with me. I've witnessed, felt, and understood the myriad challenges that come with balancing demanding careers, social lives, motherhood, and various roles we take on in our lives. From an early age, we're taught to wear countless hats, hide our vulnerabilities, keep pushing forward, and shoulder everyone else's burdens. It's a programming ingrained in us, almost biologically.
Hello amazing women, the struggles and triumphs of corporate women resonate deeply with me. I've witnessed, felt, and understood the myriad challenges that come with balancing demanding careers, social lives, motherhood, and various roles we take on in our lives. From an early age, we're taught to wear countless hats, hide our vulnerabilities, keep pushing forward, and shoulder everyone else's burdens. It's a programming ingrained in us, almost biologically.
(484) 613-2730 View (484) 613-2730
Photo of Valerie Latney, Counselor in Springfield, PA
Valerie Latney
Counselor, LPC, CMHPC, NCC, NBCC
Verified Verified
1 Endorsed
Springfield, PA 19064  (Online Only)
What if your best life is just a phone call away? What would you be willing to do??? Don't let guilt, shame, heart aches, or betrayal hold you back any longer. Live long enough and you or someone you know can experience any of these issues. Experiencing any of these circumstances can leave you feeling loss, helpless, hopeless and stuck. Unresolved hurts from our past or present can keep us trapped or disillusioned that life can never get better. My name is Valerie Latney and I would be honored to journey with you into well being.
What if your best life is just a phone call away? What would you be willing to do??? Don't let guilt, shame, heart aches, or betrayal hold you back any longer. Live long enough and you or someone you know can experience any of these issues. Experiencing any of these circumstances can leave you feeling loss, helpless, hopeless and stuck. Unresolved hurts from our past or present can keep us trapped or disillusioned that life can never get better. My name is Valerie Latney and I would be honored to journey with you into well being.
(610) 981-1288 View (610) 981-1288
Photo of Aquilla Ali, Clinical Social Work/Therapist in Springfield, PA
Aquilla Ali
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Springfield, PA 19064  (Online Only)
I conduct individual sessions with teenagers and adults. My experience includes working with clients that deal with Anxiety, Depression, Parental issues, Stress Management, Family Conflict, and Self Esteem.
I conduct individual sessions with teenagers and adults. My experience includes working with clients that deal with Anxiety, Depression, Parental issues, Stress Management, Family Conflict, and Self Esteem.
(484) 233-6197 View (484) 233-6197
Photo of Avital Spiegel, Clinical Social Work/Therapist in Springfield, PA
Avital Spiegel
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Springfield, PA 19064
Ever have the feeling as if you are just going through the motions of your life, or waiting for the day to be over so you can go to sleep, just to wake up and do it all over again? Are you tired of the "hamster wheel" constantly spinning, wondering how on earth you are supposed to incorporate "self-care" along with everything else you are responsible for? As women, we have so many pressures and expectations placed on us that are often unrealistic. This leads to burn out and feels like we are living our lives for everyone else except ourselves.
Ever have the feeling as if you are just going through the motions of your life, or waiting for the day to be over so you can go to sleep, just to wake up and do it all over again? Are you tired of the "hamster wheel" constantly spinning, wondering how on earth you are supposed to incorporate "self-care" along with everything else you are responsible for? As women, we have so many pressures and expectations placed on us that are often unrealistic. This leads to burn out and feels like we are living our lives for everyone else except ourselves.
(484) 806-1371 View (484) 806-1371
Photo of Tajshana Solomon, Clinical Social Work/Therapist in Springfield, PA
Tajshana Solomon
Clinical Social Work/Therapist, LCSW
Verified Verified
Springfield, PA 19064
Therapy is an incredible place to get to know yourself and grow through some of life’s most challenging experiences and events. I wish to offer a safe space to explore, learn and address your concerns and worries. I have experience helping both teens and adults of various backgrounds, and orientations including the LGBTQIA+ community. I wish to empower clients to accomplish their goals, live in their truth, and make the changes they deem necessary for themselves.
Therapy is an incredible place to get to know yourself and grow through some of life’s most challenging experiences and events. I wish to offer a safe space to explore, learn and address your concerns and worries. I have experience helping both teens and adults of various backgrounds, and orientations including the LGBTQIA+ community. I wish to empower clients to accomplish their goals, live in their truth, and make the changes they deem necessary for themselves.
(484) 214-2897 View (484) 214-2897
Photo of George Louis Escuza, Pre-Licensed Professional in Springfield, PA
George Louis Escuza
Pre-Licensed Professional
Verified Verified
1 Endorsed
Springfield, PA 19064  (Online Only)
As a pre-licensed professional, I currently have a lot of experience working with adolescence. Ideally, I would like to expand on my knowledge by specifically helping teens or adults that might have symptoms of anxiety, depression, ADHD, Anger, etc. Individuals like these might or could be in a situation that requires someone like me to build rapport, gain trust, provide alternatives solutions to the issue at hand, and healthy feedback.
As a pre-licensed professional, I currently have a lot of experience working with adolescence. Ideally, I would like to expand on my knowledge by specifically helping teens or adults that might have symptoms of anxiety, depression, ADHD, Anger, etc. Individuals like these might or could be in a situation that requires someone like me to build rapport, gain trust, provide alternatives solutions to the issue at hand, and healthy feedback.
(973) 791-8591 View (973) 791-8591
Photo of Cara DelMaestro, Clinical Social Work/Therapist in Springfield, PA
Cara DelMaestro
Clinical Social Work/Therapist, CAADC, LCSW
Verified Verified
Springfield, PA 19064  (Online Only)
Are you having a hard time managing your emotions, thoughts, relationships, and responsibilities? It may be time to reach out for help. As a licensed clinical social worker and certified addictions counselor, I provide a safe space for my clients to process their experiences, improve self- awareness, and find realistic solutions. By using a comprehensive and individualized treatment approach, I can assist you in meeting your personal goals.
Are you having a hard time managing your emotions, thoughts, relationships, and responsibilities? It may be time to reach out for help. As a licensed clinical social worker and certified addictions counselor, I provide a safe space for my clients to process their experiences, improve self- awareness, and find realistic solutions. By using a comprehensive and individualized treatment approach, I can assist you in meeting your personal goals.
(484) 246-8265 View (484) 246-8265
Photo of Richard C Mandel, Licensed Professional Counselor in Springfield, PA
Richard C Mandel
Licensed Professional Counselor, MA, LPC, DMD, MBA
Verified Verified
Springfield, PA 19064
In this post-COVID era, the effects of lockdowns, vaccinating, and physical distancing have posed a more serious threat to global mental health. In particular, our geriatric population is seeing increases in anxiety, depression, and other mental health issues. These issues remain untreated, and, often, undiagnosed, due to lack of mental health services. As a mental health provider, my focus has been a renewed commitment to the elderly, as well as, younger adults, couples, and adolescents. In these post-pandemic times, mental health challenges are imminent, but I will take great pride in making every effort, caringly, to meet them.
In this post-COVID era, the effects of lockdowns, vaccinating, and physical distancing have posed a more serious threat to global mental health. In particular, our geriatric population is seeing increases in anxiety, depression, and other mental health issues. These issues remain untreated, and, often, undiagnosed, due to lack of mental health services. As a mental health provider, my focus has been a renewed commitment to the elderly, as well as, younger adults, couples, and adolescents. In these post-pandemic times, mental health challenges are imminent, but I will take great pride in making every effort, caringly, to meet them.
(610) 421-0337 View (610) 421-0337
Photo of Alice Fischer, Clinical Social Work/Therapist in Springfield, PA
Alice Fischer
Clinical Social Work/Therapist, MSS, LCSW
Verified Verified
Springfield, PA 19064  (Online Only)
Not accepting new clients
Welcome. You’re here because you just made a big step toward change: you’re trying to figure out what can be different in your life. Congratulations! That’s no small feat. If you’re looking for someone to walk alongside you to help navigate the challenges of living as a human, I may be able to help. Transitions and change are a part of life, but that does not mean that they’re easy. Sometimes we need support and help figuring out how to take next steps. I want to encourage you to explore your own power for change. Remember, you’ve already survived all of your worst days.
Welcome. You’re here because you just made a big step toward change: you’re trying to figure out what can be different in your life. Congratulations! That’s no small feat. If you’re looking for someone to walk alongside you to help navigate the challenges of living as a human, I may be able to help. Transitions and change are a part of life, but that does not mean that they’re easy. Sometimes we need support and help figuring out how to take next steps. I want to encourage you to explore your own power for change. Remember, you’ve already survived all of your worst days.
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Photo of Michael P. D'Angelo, Licensed Professional Counselor in Springfield, PA
Michael P. D'Angelo
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
13 Endorsed
Springfield, PA 19064
You have 168 hours in a week. SLOW DOWN. You are wonderful. You will learn how to transform your pain and not to transmit it. If you have problems with any type of violence, we can work on being gentler with yourself and others. Any type of -isms in your life - racism, sexism, classism, ableism, anti-Semitism, ageism and heterosexism- we will work on self-kindness together. The call is free. If you are reading this - PICK UP YOUR PHONE and CALL:) I invite you to decide if you would like to come in and try counseling with me. Change is not easy but investing in yourself is one of the best gifts you can give your loved ones.
You have 168 hours in a week. SLOW DOWN. You are wonderful. You will learn how to transform your pain and not to transmit it. If you have problems with any type of violence, we can work on being gentler with yourself and others. Any type of -isms in your life - racism, sexism, classism, ableism, anti-Semitism, ageism and heterosexism- we will work on self-kindness together. The call is free. If you are reading this - PICK UP YOUR PHONE and CALL:) I invite you to decide if you would like to come in and try counseling with me. Change is not easy but investing in yourself is one of the best gifts you can give your loved ones.
(484) 436-4035 View (484) 436-4035
Photo of Adara W Anderson, Licensed Professional Counselor in Springfield, PA
Adara W Anderson
Licensed Professional Counselor, LPC, BC-TMH
Verified Verified
Springfield, PA 19064  (Online Only)
Are you a millennial woman of color whose life looks “good” from the outside, but you are in inner turmoil? You’re someone who appears successful in one area of your life, but still find yourself feeling overwhelmed, feeling confused, and beating yourself up. You often worry about your family, your relationships, your career or a big life transition. But you’re ready to make a change. You’re ready to learn how to cope. You’re ready to show up for yourself. Most of all, you’re ready to live life with clarity and purpose! I want to help you get there.
Are you a millennial woman of color whose life looks “good” from the outside, but you are in inner turmoil? You’re someone who appears successful in one area of your life, but still find yourself feeling overwhelmed, feeling confused, and beating yourself up. You often worry about your family, your relationships, your career or a big life transition. But you’re ready to make a change. You’re ready to learn how to cope. You’re ready to show up for yourself. Most of all, you’re ready to live life with clarity and purpose! I want to help you get there.
(610) 553-3468 View (610) 553-3468
Photo of Springfield Psychological, Psychologist in Springfield, PA
Springfield Psychological
Psychologist
Verified Verified
Springfield, PA 19064
We are a friendly mental health practice that has been providing outstanding and affordable therapy for adults, couples, families, teens, and children since 1985. Our compassionate and caring team of licensed clinicians offer diverse expertise and are dedicated to helping people manage life's challenges. With eight locations in PA, and two locations in New Jersey. We offer flexible scheduling options, and we are able to offer appointments during the daytime, evening and weekends for your convenience. In addition, we accept most insurance plans.
We are a friendly mental health practice that has been providing outstanding and affordable therapy for adults, couples, families, teens, and children since 1985. Our compassionate and caring team of licensed clinicians offer diverse expertise and are dedicated to helping people manage life's challenges. With eight locations in PA, and two locations in New Jersey. We offer flexible scheduling options, and we are able to offer appointments during the daytime, evening and weekends for your convenience. In addition, we accept most insurance plans.
(610) 572-3474 View (610) 572-3474
Photo of Alba Miranda, Clinical Social Work/Therapist in Springfield, PA
Alba Miranda
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Springfield, PA 19064  (Online Only)
Hi! I'm so glad you found my profile! I am a Licensed Clinical Social Worker in Pennsylvania. I have been in the mental health field providing counseling and life coaching for 16 years and counting. Making the decision to start therapy is a personal one. So the fact that you are here searching for support means you are putting yourself first and ready to work on yourself and/or tackle an issue that is weighing on you. I will be here to support and empower you as you strive to be a happy, healthier and better YOU!
Hi! I'm so glad you found my profile! I am a Licensed Clinical Social Worker in Pennsylvania. I have been in the mental health field providing counseling and life coaching for 16 years and counting. Making the decision to start therapy is a personal one. So the fact that you are here searching for support means you are putting yourself first and ready to work on yourself and/or tackle an issue that is weighing on you. I will be here to support and empower you as you strive to be a happy, healthier and better YOU!
(484) 376-5504 View (484) 376-5504
Photo of Kevin Hubbard, Licensed Professional Counselor in Springfield, PA
Kevin Hubbard
Licensed Professional Counselor, MEd, LPC, CMIP
Verified Verified
Springfield, PA 19064
Therapy is a process that promotes exploration and self-discovery. We all live with internal challenges that may have been caused by external stressors. Sometimes in life we need to really set aside time to slow down, take a look at ourselves and attempt to answer the question “Who are you?” Many of us define our lives by our occupation yet the answer to this question goes much deeper. Who we are as individuals can dictate how we deal with stress, how we make decisions and even how we take care of ourselves.
Therapy is a process that promotes exploration and self-discovery. We all live with internal challenges that may have been caused by external stressors. Sometimes in life we need to really set aside time to slow down, take a look at ourselves and attempt to answer the question “Who are you?” Many of us define our lives by our occupation yet the answer to this question goes much deeper. Who we are as individuals can dictate how we deal with stress, how we make decisions and even how we take care of ourselves.
(484) 559-6515 View (484) 559-6515
Photo of Donna Liu, Licensed Professional Counselor in Springfield, PA
Donna Liu
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Springfield, PA 19064
Waitlist for new clients
I am a L.P.C. with a MS degree in Pastoral Care and Counseling. I believe that it is helpful to bring your spiritual beliefs into the healing process. Starting psychotherapy is the beginning of feeling at home with yourself. It is a place where you can feel safe, grounded and secure, as you explore the difficult areas in your life that you may not want to face alone. Therapy can help you identify unhealthy thinking, and break destructive patterns, so you can make better choices. It also helps you to discover your own inner strengths that can bring deeper healings from within. We are all a work in progress!
I am a L.P.C. with a MS degree in Pastoral Care and Counseling. I believe that it is helpful to bring your spiritual beliefs into the healing process. Starting psychotherapy is the beginning of feeling at home with yourself. It is a place where you can feel safe, grounded and secure, as you explore the difficult areas in your life that you may not want to face alone. Therapy can help you identify unhealthy thinking, and break destructive patterns, so you can make better choices. It also helps you to discover your own inner strengths that can bring deeper healings from within. We are all a work in progress!
(484) 498-4588 View (484) 498-4588
Photo of Katie Alvayero, Licensed Professional Counselor in Springfield, PA
Katie Alvayero
Licensed Professional Counselor, MA, LBS, LPC
Verified Verified
Springfield, PA 19064  (Online Only)
I specialize in working with teens, adults, couples, and families navigating challenging transitions, seeking balance, managing relationship conflicts, and enhancing social skills in demanding environments like school and work. With over 13 years of experience in child, adolescent, and family therapy, I also offer clinical and licensure supervision. My warm and collaborative style fosters an environment of unconditional positive regard and safety, encouraging open expression of thoughts and feelings.
I specialize in working with teens, adults, couples, and families navigating challenging transitions, seeking balance, managing relationship conflicts, and enhancing social skills in demanding environments like school and work. With over 13 years of experience in child, adolescent, and family therapy, I also offer clinical and licensure supervision. My warm and collaborative style fosters an environment of unconditional positive regard and safety, encouraging open expression of thoughts and feelings.
(484) 559-1858 View (484) 559-1858
Photo of Rose Adamo, Pre-Licensed Professional in Springfield, PA
Rose Adamo
Pre-Licensed Professional, LPC, NCC, MS
Verified Verified
Springfield, PA 19064
Life's ups and downs are sometimes overwhelming and can impact one's mental and physical state. In a safe space, I gently challenge clients to work on becoming more self-aware, so they can break unhealthy patterns which affect how we see ourselves and others.
Life's ups and downs are sometimes overwhelming and can impact one's mental and physical state. In a safe space, I gently challenge clients to work on becoming more self-aware, so they can break unhealthy patterns which affect how we see ourselves and others.
(215) 515-9071 View (215) 515-9071
Photo of Hannah Gilmore, Clinical Social Work/Therapist in Springfield, PA
Hannah Gilmore
Clinical Social Work/Therapist, LSW, MSW
Verified Verified
Springfield, PA 19064
Whether you are coming to therapy for anxiety, depression, grief, relationship issues, a life change, or just a general sense of unease, facing these issues can be scary. Healing isn’t easy because it involves confronting our pain and hurts. Healing can also be full of joy, hope, connection, and freedom as we experience new possibilities of being and relating. My approach is warm, relational, and integrative. I strive to offer a space where you can feel safe enough to look inward – to gently and compassionately welcome all parts of yourself with less judgment and shame.
Whether you are coming to therapy for anxiety, depression, grief, relationship issues, a life change, or just a general sense of unease, facing these issues can be scary. Healing isn’t easy because it involves confronting our pain and hurts. Healing can also be full of joy, hope, connection, and freedom as we experience new possibilities of being and relating. My approach is warm, relational, and integrative. I strive to offer a space where you can feel safe enough to look inward – to gently and compassionately welcome all parts of yourself with less judgment and shame.
(484) 246-7582 View (484) 246-7582
Photo of Sarah Sprenkle, Licensed Professional Counselor in Springfield, PA
Sarah Sprenkle
Licensed Professional Counselor, MS , LPC , NIT
Verified Verified
Springfield, PA 19064
Do you feel disconnected from yourself and your feelings, possibly due to trauma? Do you lack understanding of the cause & need education on how the brain responds to trauma? Do you have relational issues or anger management struggles that lead to addictive behaviors? Do you struggle with self-worth issues and feel tired, frustrated, and confused? In therapy, you will learn to identify trauma responses, build tolerance for difficult or uncomfortable feelings, & utilize various coping skills & grounding techniques. Gain confidence, take risks to address complex issues & learn how to create healthy boundaries for relationships.
Do you feel disconnected from yourself and your feelings, possibly due to trauma? Do you lack understanding of the cause & need education on how the brain responds to trauma? Do you have relational issues or anger management struggles that lead to addictive behaviors? Do you struggle with self-worth issues and feel tired, frustrated, and confused? In therapy, you will learn to identify trauma responses, build tolerance for difficult or uncomfortable feelings, & utilize various coping skills & grounding techniques. Gain confidence, take risks to address complex issues & learn how to create healthy boundaries for relationships.
(484) 246-8387 View (484) 246-8387
Photo of Rebecca Sheppard, Clinical Social Work/Therapist in Springfield, PA
Rebecca Sheppard
Clinical Social Work/Therapist, LSW
Verified Verified
Springfield, PA 19064
I specifically enjoy working with clients experiencing anxiety/phobias, self-esteem/body image/disordered eating concerns, and stress. I would also love to work with clients experiencing sexual concerns. My ideal client is someone who comes to me with an open mind about treatment, is willing to challenge themselves, and works with me as a team to set and achieve their goals. Ideal clients will be open and honest with me, as they understand our sessions are a safe and judgment-free space. They will have patience with themselves as we explore their concerns while also being willing to make changes for their benefit.
I specifically enjoy working with clients experiencing anxiety/phobias, self-esteem/body image/disordered eating concerns, and stress. I would also love to work with clients experiencing sexual concerns. My ideal client is someone who comes to me with an open mind about treatment, is willing to challenge themselves, and works with me as a team to set and achieve their goals. Ideal clients will be open and honest with me, as they understand our sessions are a safe and judgment-free space. They will have patience with themselves as we explore their concerns while also being willing to make changes for their benefit.
(484) 316-8562 View (484) 316-8562

How does your Therapist compare?

Number of Therapists in Springfield, PA

100+

Average cost per session

$140

Therapists in Springfield, PA who prioritize treating:

100% Anxiety
91% Depression
71% Self Esteem
69% Relationship Issues
66% Trauma and PTSD
60% Grief
60% Stress

Average years in practice

8 Years

Top 3 insurances accepted

92% Aetna
78% Cigna and Evernorth
73% Optum

How Therapists in Springfield, PA see their clients

83% In Person and Online
17% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Springfield?

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.