Therapists in Bristol County, RI

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Photo of Megan S. Sinclair, MSW, LCSW, Clinical Social Work/Therapist
Megan S. Sinclair
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bristol, RI 02809
Not accepting new clients
The human struggle is a phenomenon that transcends time and cultures. It is a normal part of life to experience periods of sadness, confusion, hardship, and an overall desire for self-betterment. Therapy provides a secure environment for exploring the intricacies of the mind and deriving meaning from life experiences. Beginning can seem overwhelming, but it is a pivotal step in transformation.
The human struggle is a phenomenon that transcends time and cultures. It is a normal part of life to experience periods of sadness, confusion, hardship, and an overall desire for self-betterment. Therapy provides a secure environment for exploring the intricacies of the mind and deriving meaning from life experiences. Beginning can seem overwhelming, but it is a pivotal step in transformation.
(401) 388-3950 View (401) 388-3950
Photo of Craig Crawford - Craig Crawford Licsw LLC, LICSW, ACSW, Clinical Social Work/Therapist
Craig Crawford Licsw LLC
Clinical Social Work/Therapist, LICSW, ACSW
Verified Verified
1 Endorsed
Barrington, RI 02806  (Online Only)
Not accepting new clients
Currently Not Accepting New Clients: I practice with the core belief that every client possesses answers within themselves to address and resolve their issues or difficulties. Many times those answers or truths are not clearly visible to the person due to factors such as unhealthy/familiar patterns, addictions/compulsions, mood/anxiety disorders just to name a few. It is therefore my job as the therapist to help clients not only overcome these factors to discover their truths but also to put these new patterns and truths into action. Once achieved the client can access a more balanced and satisfying life.
Currently Not Accepting New Clients: I practice with the core belief that every client possesses answers within themselves to address and resolve their issues or difficulties. Many times those answers or truths are not clearly visible to the person due to factors such as unhealthy/familiar patterns, addictions/compulsions, mood/anxiety disorders just to name a few. It is therefore my job as the therapist to help clients not only overcome these factors to discover their truths but also to put these new patterns and truths into action. Once achieved the client can access a more balanced and satisfying life.
(401) 491-4449 View (401) 491-4449
Photo of Sulwa Lima, LICSW, PMH-C, Clinical Social Work/Therapist
Sulwa Lima
Clinical Social Work/Therapist, LICSW, PMH-C
Verified Verified
1 Endorsed
Bristol, RI 02809  (Online Only)
I am a Licensed Independent Clinical Social Worker licensed in RI and MA with a specialty and certification in perinatal mental health (PMH-C). I enjoy working with pregnant or postpartum women, adults, and adolescents. I have years of experience working with clients to manage and reduce issues related to anxiety, depression, trauma, parenting, life transitions, ADHD, PMADs and postpartum issues, just to name a few. I very much enjoy supporting individuals in increasing self-esteem and self-compassion.
I am a Licensed Independent Clinical Social Worker licensed in RI and MA with a specialty and certification in perinatal mental health (PMH-C). I enjoy working with pregnant or postpartum women, adults, and adolescents. I have years of experience working with clients to manage and reduce issues related to anxiety, depression, trauma, parenting, life transitions, ADHD, PMADs and postpartum issues, just to name a few. I very much enjoy supporting individuals in increasing self-esteem and self-compassion.
(401) 320-4604 View (401) 320-4604
Photo of Katie Grifka, LICSW, Clinical Social Work/Therapist
Katie Grifka
Clinical Social Work/Therapist, LICSW
Verified Verified
Bristol, RI 02809
I am currently offering in-person sessions in Bristol, RI. Feel free to reach out! Our lives are constantly changing and growing as we experience new transitions in life. Are you adapting to a life transition that you are not familiar with or trying to overcome a difficult change? Consider reaching out if you are worried about starting school, struggling with a relationship, having a personal problem, or dealing with a work related issue.
I am currently offering in-person sessions in Bristol, RI. Feel free to reach out! Our lives are constantly changing and growing as we experience new transitions in life. Are you adapting to a life transition that you are not familiar with or trying to overcome a difficult change? Consider reaching out if you are worried about starting school, struggling with a relationship, having a personal problem, or dealing with a work related issue.
(401) 240-1697 View (401) 240-1697
Photo of Cerissa L Blaney, PhD, Psychologist
Cerissa L Blaney
Psychologist, PhD
Verified Verified
1 Endorsed
Barrington, RI 02806  (Online Only)
Not accepting new clients
Looking to improve health, stress, mood, quality of life or well being? Dr Blaney is an experienced Clinical Psychologist with specialized training in Health Psychology and who has unique expertise in clients Motivation and Readiness to Change. She provides collaborative, evidenced-based care with the use of Cognitive Behavioral Therapy, Acceptance and Commitment Therapy and Motivational Interviewing. She is a clinical assistant professor in the Department of Psychiatry and Human Behavior through Brown University and active in leadership roles in National Committees.
Looking to improve health, stress, mood, quality of life or well being? Dr Blaney is an experienced Clinical Psychologist with specialized training in Health Psychology and who has unique expertise in clients Motivation and Readiness to Change. She provides collaborative, evidenced-based care with the use of Cognitive Behavioral Therapy, Acceptance and Commitment Therapy and Motivational Interviewing. She is a clinical assistant professor in the Department of Psychiatry and Human Behavior through Brown University and active in leadership roles in National Committees.
(401) 271-6429 View (401) 271-6429
Photo of Terry Janette Gaspard, LICSW, Clinical Social Work/Therapist
Terry Janette Gaspard
Clinical Social Work/Therapist, LICSW
Verified Verified
Bristol, RI 02809
My ideal client is a woman between the ages of 18 and 75 who is dealing with relationship issues, anxiety, depression; or is struggling with divorce, marriage, remarriage, stepparenting, or parenting. I use cognitive behavioral therapy and mindfulness techniques to help clients gain more awareness about cognitive distortions and self-defeating thoughts that trigger undesirable mood states and actions. I am also a couple's therapist who uses The Gottman Method to help couples build a strong fountain of love, trust, and intimacy. It focuses on building rituals of connection and "Love Maps" - ways of showing interest and appreciation.
My ideal client is a woman between the ages of 18 and 75 who is dealing with relationship issues, anxiety, depression; or is struggling with divorce, marriage, remarriage, stepparenting, or parenting. I use cognitive behavioral therapy and mindfulness techniques to help clients gain more awareness about cognitive distortions and self-defeating thoughts that trigger undesirable mood states and actions. I am also a couple's therapist who uses The Gottman Method to help couples build a strong fountain of love, trust, and intimacy. It focuses on building rituals of connection and "Love Maps" - ways of showing interest and appreciation.
(401) 373-4373 View (401) 373-4373
Photo of Dr. Claire V Wiseman Online, PhD, Psychologist
Dr. Claire V Wiseman Online
Psychologist, PhD
Verified Verified
Barrington, RI 02806  (Online Only)
Women often find themselves overcommitted, stressed out, and exhausted from the constant grind, with no sense of peace or time to just be. northstarpersonaldevelopment.com Our emotions get out of control and damage both our personal and professional relationships. I offer a unique approach for you to gain control of the chaos of the world, and finally let go. Do something good for yourself, regain your integrity, the respect of others and feel.For women ready to initiate effective change, you are able to calm your emotions, open to insight, and embark on a natural unfolding of self-awareness.
Women often find themselves overcommitted, stressed out, and exhausted from the constant grind, with no sense of peace or time to just be. northstarpersonaldevelopment.com Our emotions get out of control and damage both our personal and professional relationships. I offer a unique approach for you to gain control of the chaos of the world, and finally let go. Do something good for yourself, regain your integrity, the respect of others and feel.For women ready to initiate effective change, you are able to calm your emotions, open to insight, and embark on a natural unfolding of self-awareness.
(401) 371-9526 View (401) 371-9526
Photo of Dana Freeman, LICSW, CGS, Clinical Social Work/Therapist
Dana Freeman
Clinical Social Work/Therapist, LICSW, CGS
Verified Verified
Barrington, RI 02806
It can be lonely and scary to navigate the darkness we feel after experiencing adversity, trauma, and issues with mental health. People who have experienced grief, loss, abuse, etc. often feel a sense of confusion and disconnection from their own identity. Our intention as a therapists specializing in trauma is to meet you where you are and guide you safely through your unique healing journey. Our office is a judgement free zone where you can unpack anything. Everybody deserves to find their way back to themselves, their light, their voice, and their wellness. It is an honor and a privilege to sit with you for this process.
It can be lonely and scary to navigate the darkness we feel after experiencing adversity, trauma, and issues with mental health. People who have experienced grief, loss, abuse, etc. often feel a sense of confusion and disconnection from their own identity. Our intention as a therapists specializing in trauma is to meet you where you are and guide you safely through your unique healing journey. Our office is a judgement free zone where you can unpack anything. Everybody deserves to find their way back to themselves, their light, their voice, and their wellness. It is an honor and a privilege to sit with you for this process.
(401) 240-2978 View (401) 240-2978
Photo of Jennifer Adrienne Sedam, LMHC, Counselor
Jennifer Adrienne Sedam
Counselor, LMHC
Verified Verified
Bristol, RI 02809
Hello and welcome! I am a licensed professional counselor who sees clients ages 18+ for individual therapy. I offer in-person and Telehealth hours on Tuesdays and Thursdays in Bristol, RI. I primarily utilize Cognitive Behavioral Therapy and Family Systems models in a relaxed and conversational setting where you can address various difficulties. These difficulties can range from anxiety to low self esteem to relational discord and beyond. I look forward to joining you in this next step.
Hello and welcome! I am a licensed professional counselor who sees clients ages 18+ for individual therapy. I offer in-person and Telehealth hours on Tuesdays and Thursdays in Bristol, RI. I primarily utilize Cognitive Behavioral Therapy and Family Systems models in a relaxed and conversational setting where you can address various difficulties. These difficulties can range from anxiety to low self esteem to relational discord and beyond. I look forward to joining you in this next step.
(401) 592-4102 View (401) 592-4102
Photo of Sarah Jablecki, BFA, LICSW, Clinical Social Work/Therapist
Sarah Jablecki
Clinical Social Work/Therapist, BFA, LICSW
Verified Verified
Bristol, RI 02809
I offer a safe space that encourages creativity and expression. The journey of increased self awareness, healing, and recovery can be daunting. I am here to help you navigate the highs and lows in a heart-centered approach. Compassion, validation, and a non judgmental environment will support your unique process of moving forward. Using the Humanistic perspective, we will focus on your strengths and individualism to explore and exercise newer, healthier coping skills.
I offer a safe space that encourages creativity and expression. The journey of increased self awareness, healing, and recovery can be daunting. I am here to help you navigate the highs and lows in a heart-centered approach. Compassion, validation, and a non judgmental environment will support your unique process of moving forward. Using the Humanistic perspective, we will focus on your strengths and individualism to explore and exercise newer, healthier coping skills.
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Photo of Kenneth Patterson, LMHC, MA, Licensed Professional Counselor
Kenneth Patterson
Licensed Professional Counselor, LMHC, MA
Verified Verified
1 Endorsed
Barrington, RI 02806
I have a history working with adults, children, couples and families. I enjoy working with a diverse population. Change is inevitable in life however how one moves through it is up to the individual. Behavior is changeable but only by the person that has the behavior not by his/her partner, parent, friend etc.
I have a history working with adults, children, couples and families. I enjoy working with a diverse population. Change is inevitable in life however how one moves through it is up to the individual. Behavior is changeable but only by the person that has the behavior not by his/her partner, parent, friend etc.
(401) 489-7724 View (401) 489-7724
Photo of Dr. J Sema Bruno, MFT-A, PhD, A-CCEP, Marriage & Family Therapist Associate
Dr. J Sema Bruno
Marriage & Family Therapist Associate, MFT-A, PhD, A-CCEP
Verified Verified
Barrington, RI 02806
I take an embodied, client-centered approach when working with individuals, couples, polycules, and families, I work with issues from a systemic lens, actively bridging transgenerational and historical events and situations with presenting concerns. I am dedicated to helping clients process and work through issues relating to trauma, abuse, gender identity and non-conformity, sex therapy, co-parenting, career advancement, non-monogamy and polyamory, classism, racism, and sexism. I am well prepared to support clients in breaking through destructive patterns in pursuit of deeper satisfaction with life, career, and relationships.
I take an embodied, client-centered approach when working with individuals, couples, polycules, and families, I work with issues from a systemic lens, actively bridging transgenerational and historical events and situations with presenting concerns. I am dedicated to helping clients process and work through issues relating to trauma, abuse, gender identity and non-conformity, sex therapy, co-parenting, career advancement, non-monogamy and polyamory, classism, racism, and sexism. I am well prepared to support clients in breaking through destructive patterns in pursuit of deeper satisfaction with life, career, and relationships.
(401) 227-3919 View (401) 227-3919
Photo of Danielle Thibert - Lighthouse Counseling Associates, LICSW, Clinical Social Work/Therapist
Lighthouse Counseling Associates
Clinical Social Work/Therapist, LICSW
Verified Verified
Warren, RI 02885
I believe that life is a journey, and with every journey there are bumps in the road. Issues may come up in life that lead to feelings of confusion, anxiety, anger, or depression. It may help to find a person that will listen and can offer a helping hand on that road. I feel that with my years of experience and objective approach, I can be that person. There is a beacon of hope there, for minor bumps as well as life altering losses. I wish you well on your road and hope to hear from you.
I believe that life is a journey, and with every journey there are bumps in the road. Issues may come up in life that lead to feelings of confusion, anxiety, anger, or depression. It may help to find a person that will listen and can offer a helping hand on that road. I feel that with my years of experience and objective approach, I can be that person. There is a beacon of hope there, for minor bumps as well as life altering losses. I wish you well on your road and hope to hear from you.
(401) 217-4142 View (401) 217-4142
Photo of Colleen Desmond, LICSW, Clinical Social Work/Therapist
Colleen Desmond
Clinical Social Work/Therapist, LICSW
Verified Verified
Bristol, RI 02809  (Online Only)
Therapy is an individual support we need in our lives. I'm grateful you have decided to take steps in the direction towards mental well-being and stability. It can be a long road to get to where you are. I enjoy using practical approaches in therapy so clients have tools they can practice and use. I utilize evidence-based therapy methods and practices.
Therapy is an individual support we need in our lives. I'm grateful you have decided to take steps in the direction towards mental well-being and stability. It can be a long road to get to where you are. I enjoy using practical approaches in therapy so clients have tools they can practice and use. I utilize evidence-based therapy methods and practices.
(401) 388-6757 View (401) 388-6757
Photo of Jocelyn Malave - VALLEE associates Inc., LMHC, Pre-Licensed Professional
VALLEE associates Inc.
Pre-Licensed Professional, LMHC
Verified Verified
Bristol, RI 02809
Not accepting new clients
I am interested in helping all groups of people from all walks of life: including the LGBTQIA+ community, sex workers, and alternative lifestyles. My clinical interests and expertise include anxiety, OCD, depression, eating disorders, and racial identity. I believe that everyone is worthy of compassion, and through compassion, we can facilitate positive change.
I am interested in helping all groups of people from all walks of life: including the LGBTQIA+ community, sex workers, and alternative lifestyles. My clinical interests and expertise include anxiety, OCD, depression, eating disorders, and racial identity. I believe that everyone is worthy of compassion, and through compassion, we can facilitate positive change.
(401) 250-8614 View (401) 250-8614
Photo of Rose Murrin, MSW, LICSW, Clinical Social Work/Therapist
Rose Murrin
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Warren, RI 02885
Not accepting new clients
I am not currently accepting new clients. I believe we all have a story or understanding of our lives that includes the past, present and our vision (however vague) for the future. There are times and events in our lives that disrupt this narrative and strain our coping skills, our vision of ourselves and, at times, the meaning of our lives. Whether the moment that we decide to seek out therapy is the culmination of events or the result of a significant change, it is an important decision.
I am not currently accepting new clients. I believe we all have a story or understanding of our lives that includes the past, present and our vision (however vague) for the future. There are times and events in our lives that disrupt this narrative and strain our coping skills, our vision of ourselves and, at times, the meaning of our lives. Whether the moment that we decide to seek out therapy is the culmination of events or the result of a significant change, it is an important decision.
(401) 592-1244 View (401) 592-1244
Photo of Carrie Ruggieri, LMHC, BCETS, Counselor
Carrie Ruggieri
Counselor, LMHC, BCETS
Verified Verified
Barrington, RI 02806  (Online Only)
I work within a psychotherapy model that is called AEDP. AEDP is an approach to healing that starts with the premise that all symptoms are creative adaptations to painful or traumatic circumstances. We recognize the resilience underlying symptoms, as opposed to viewing symptoms as a pathological. AEDP is grounded in affective neuroscience and in psychotherapy research.
I work within a psychotherapy model that is called AEDP. AEDP is an approach to healing that starts with the premise that all symptoms are creative adaptations to painful or traumatic circumstances. We recognize the resilience underlying symptoms, as opposed to viewing symptoms as a pathological. AEDP is grounded in affective neuroscience and in psychotherapy research.
(401) 489-2172 View (401) 489-2172
Photo of Kelly Fallon, LMHC, LPC, Counselor
Kelly Fallon
Counselor, LMHC, LPC
Verified Verified
2 Endorsed
Warren, RI 02885  (Online Only)
Not accepting new clients
I am licensed and offering virtual therapy across Rhode Island and Pennsylvania. My specialties include OCD, anxiety disorders, phobias (emetophobia, agoraphobia), panic attacks, self-esteem, perfectionism, life transitions, relationship dynamics, and stress management. I use a flexible and collaborative approach in developing goals and defining what a full and meaningful life looks like for you. As these struggles often involve high levels of guilt and shame, I make every effort to provide a safe place where you feel comfortable, understood, and not judged.
I am licensed and offering virtual therapy across Rhode Island and Pennsylvania. My specialties include OCD, anxiety disorders, phobias (emetophobia, agoraphobia), panic attacks, self-esteem, perfectionism, life transitions, relationship dynamics, and stress management. I use a flexible and collaborative approach in developing goals and defining what a full and meaningful life looks like for you. As these struggles often involve high levels of guilt and shame, I make every effort to provide a safe place where you feel comfortable, understood, and not judged.
(401) 375-9541 View (401) 375-9541
Photo of Tori Lynn Panzarella, LMHC, LCDP, Counselor
Tori Lynn Panzarella
Counselor, LMHC, LCDP
Verified Verified
8 Endorsed
Bristol, RI 02809  (Online Only)
In a society that prioritizes productivity over mental health, it is to be expected that at some point we might feel disconnected from our lives, values, and relationships. We can become distracted by the “goal” of avoiding uncomfortable emotions rather than making space for all emotional experiences. In a purposeful and meaningful life, suffering is inevitable. There will be fear, loss, and sadness and also, peace, joy, and contentment. Part of being human means we have the capacity for feeling all of the emotions and when we make space for them, we can learn how to stay present and connected with our values and our journey.
In a society that prioritizes productivity over mental health, it is to be expected that at some point we might feel disconnected from our lives, values, and relationships. We can become distracted by the “goal” of avoiding uncomfortable emotions rather than making space for all emotional experiences. In a purposeful and meaningful life, suffering is inevitable. There will be fear, loss, and sadness and also, peace, joy, and contentment. Part of being human means we have the capacity for feeling all of the emotions and when we make space for them, we can learn how to stay present and connected with our values and our journey.
(401) 356-3370 View (401) 356-3370
Photo of Katie A Saraiva, LICSW, Clinical Social Work/Therapist
Katie A Saraiva
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Barrington, RI 02806
I have vast experience in working with adults, families, children and adolscents. I am dedicated to providing people with the support and guidance they need to achieve goals, learn coping mechansims and invest in leading an overall healthy lifestyle for your mind, body and spirit. I have experience working with miltary members/families, ADHD, behavioral issues in children, anxiety, depression, bipolar, life transitions, grief, trauma, Autism and several other areas.
I have vast experience in working with adults, families, children and adolscents. I am dedicated to providing people with the support and guidance they need to achieve goals, learn coping mechansims and invest in leading an overall healthy lifestyle for your mind, body and spirit. I have experience working with miltary members/families, ADHD, behavioral issues in children, anxiety, depression, bipolar, life transitions, grief, trauma, Autism and several other areas.
(401) 309-0892 View (401) 309-0892

See more therapy options for Bristol County

How does your Therapist compare?

Number of Therapists in Bristol County, RI

100+

Average cost per session

$150

Therapists in Bristol County, RI who prioritize treating:

92% Anxiety
83% Depression
76% Relationship Issues
68% Trauma and PTSD
65% Life Transitions
64% Self Esteem
63% Stress

Average years in practice

15 Years

Top 3 insurances accepted

91% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH
58% Optum

How Therapists in Bristol County, RI see their clients

72% In Person and Online
28% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Bristol County?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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