Therapists in Middletown, RI

Gracious Audette
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Middletown, RI 02842
Harmony, Balance & Happiness through Insight, Acceptance & Forgiveness. I see adults 28 and up, integrating DBT, psychodynamic and insight-oriented approaches with mindfulness, meditation and spiritual practices. I am trained in IFS and EMDR, powerful tools for working with trauma, grief, addictions and chronic pain.
Harmony, Balance & Happiness through Insight, Acceptance & Forgiveness. I see adults 28 and up, integrating DBT, psychodynamic and insight-oriented approaches with mindfulness, meditation and spiritual practices. I am trained in IFS and EMDR, powerful tools for working with trauma, grief, addictions and chronic pain.
(401) 519-5474 View (401) 519-5474
Photo of Jacquelene Marie Henderson, LMHC, Counselor
Jacquelene Marie Henderson
Counselor, LMHC
Verified Verified
Middletown, RI 02842
My clients are motivated for healing and are open to mindfulness techniques to create transformation and change. They want to explore their shadow side and integrate all parts of them into one whole healthy being. They are open to creative approaches to therapy. They understand the importance of bringing to awareness their core beliefs and posses a desire to cultivate a sense of integration and wholeness through body centered work. My clients understand that trauma is held in their bodies and they are committed to this self exploration to shifting patterns that no longer serve them.
My clients are motivated for healing and are open to mindfulness techniques to create transformation and change. They want to explore their shadow side and integrate all parts of them into one whole healthy being. They are open to creative approaches to therapy. They understand the importance of bringing to awareness their core beliefs and posses a desire to cultivate a sense of integration and wholeness through body centered work. My clients understand that trauma is held in their bodies and they are committed to this self exploration to shifting patterns that no longer serve them.
(401) 307-4581 x401862 View (401) 307-4581 x401862
Photo of Randy J Machado, MA, CGS, LMHC, Counselor
Randy J Machado
Counselor, MA, CGS, LMHC
Verified Verified
Middletown, RI 02842
Waitlist for new clients
I offer my clients a collaborative, engaging environment where we work together to solve issues. I believe that we hold within ourselves the answers to our conflicts, and often, only require a coach or an assistant to help us realize those answers. I utilize cognitive behavioral strategies, motivational techniques and behavioral principles to engage you in self-discovery and problem solving. In this safe and open environment, we will uncover hidden behavioral tendencies and unhelpful thinking patterns, and we will work together to correct these issues. Becoming aware of these patterns is the key to changing them.
I offer my clients a collaborative, engaging environment where we work together to solve issues. I believe that we hold within ourselves the answers to our conflicts, and often, only require a coach or an assistant to help us realize those answers. I utilize cognitive behavioral strategies, motivational techniques and behavioral principles to engage you in self-discovery and problem solving. In this safe and open environment, we will uncover hidden behavioral tendencies and unhelpful thinking patterns, and we will work together to correct these issues. Becoming aware of these patterns is the key to changing them.
(401) 543-2116 View (401) 543-2116
Photo of Jennifer Palo - Jen Palo MA, LCDP, MA, LCDP, Drug & Alcohol Counselor
Jen Palo MA, LCDP
Drug & Alcohol Counselor, MA, LCDP
Verified Verified
Middletown, RI 02842  (Online Only)
Asking for help is difficult, thank you for considering me. Lets explore if drugs and/or alcohol are having undesirable effects on your life. I am a person in long term recovery. Lived experience and employment throughout the treatment modalities has given me a broad perspective including an expertise in Medication Assisted Recovery. I help people better understand the disease of addiction and the resulting confusing and unmanageable behaviors. And then, work towards better ways of handling day-to-day interactions that align with a happier life. Recovery is possible. Recovery happens.
Asking for help is difficult, thank you for considering me. Lets explore if drugs and/or alcohol are having undesirable effects on your life. I am a person in long term recovery. Lived experience and employment throughout the treatment modalities has given me a broad perspective including an expertise in Medication Assisted Recovery. I help people better understand the disease of addiction and the resulting confusing and unmanageable behaviors. And then, work towards better ways of handling day-to-day interactions that align with a happier life. Recovery is possible. Recovery happens.
(401) 648-3877 View (401) 648-3877
Photo of David Hatch, MSW, LICSW, Clinical Social Work/Therapist
David Hatch
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Middletown, RI 02842
Waitlist for new clients
Taking care of one's mental health is a necessary part of being healthy and achieving contentment. Engaging in therapy can be a challenging, yet rewarding process. It can be both reactive and proactive. Through building a therapeutic relationship I partner with my clients to assist them with creating positive, long lasting change in their lives. I stress with every client the importance of engaging in self-care and establishing healthy boundaries.
Taking care of one's mental health is a necessary part of being healthy and achieving contentment. Engaging in therapy can be a challenging, yet rewarding process. It can be both reactive and proactive. Through building a therapeutic relationship I partner with my clients to assist them with creating positive, long lasting change in their lives. I stress with every client the importance of engaging in self-care and establishing healthy boundaries.
(401) 208-0512 View (401) 208-0512
Photo of Tyler Hunt, LICSW, Clinical Social Work/Therapist
Tyler Hunt
Clinical Social Work/Therapist, LICSW
Verified Verified
Middletown, RI 02842
I currently have daytime openings (e.g. 9-3) for in person appointments. Are you curious about aspects of your life that have become difficult for you? I see psychotherapy as an educational process, and my role is to help you to get to know yourself in a different way. I take a stance that is non-pathologizing, and believe that everyone, no matter how many overwhelming experiences one has had, also has the capacity to heal. I am grounded in an approach based on Internal family systems (IFS), and incorporate elements of mindfulness, as well as sensorimotor psychotherapy, and attachment theories in my work.
I currently have daytime openings (e.g. 9-3) for in person appointments. Are you curious about aspects of your life that have become difficult for you? I see psychotherapy as an educational process, and my role is to help you to get to know yourself in a different way. I take a stance that is non-pathologizing, and believe that everyone, no matter how many overwhelming experiences one has had, also has the capacity to heal. I am grounded in an approach based on Internal family systems (IFS), and incorporate elements of mindfulness, as well as sensorimotor psychotherapy, and attachment theories in my work.
(339) 309-2295 View (339) 309-2295
Colette T. Lafond
Clinical Social Work/Therapist, MA, MSW, LICSW
Verified Verified
Middletown, RI 02842
Not accepting new clients
In my 30+ years of experience as a therapist, I have worked with a wide and very diverse array of clients, whose issues have ranged from mild and transient to severe and chronic. I opened my private practice roughly seven years ago, having worked previously for various mental health agencies. I have a special interest in working with gay and lesbian clients, who may be having associated lifestyle or relationship issues. I also have a special interest in adults who were abused or neglected as children and who struggle with depression or chronic esteem problems as adults.
In my 30+ years of experience as a therapist, I have worked with a wide and very diverse array of clients, whose issues have ranged from mild and transient to severe and chronic. I opened my private practice roughly seven years ago, having worked previously for various mental health agencies. I have a special interest in working with gay and lesbian clients, who may be having associated lifestyle or relationship issues. I also have a special interest in adults who were abused or neglected as children and who struggle with depression or chronic esteem problems as adults.
(401) 287-2016 View (401) 287-2016
Photo of Cassandra Aguiar, LCSW, Clinical Social Work/Therapist
Cassandra Aguiar
Clinical Social Work/Therapist, LCSW
Verified Verified
Middletown, RI 02842  (Online Only)
As a therapist, I thrive to help others achieve their goals, understand their diagnosis, and provide psychoeducation on navigating challenges. I am most experienced with those aged 6-50 who are struggling with anxiety, ADHD, communication, family issues, divorce, intimacy, stress, and struggling with life transitions. I help children specifically who have ADHD and/or Anxiety, which includes navigating peer relationships. I also have extensive background in those diagnosed with Epilepsy and Autism. I am ready to work with those navigating new medical diagnosis aside from Epilepsy such as PCOS, Diabetes, Cancer, and more!
As a therapist, I thrive to help others achieve their goals, understand their diagnosis, and provide psychoeducation on navigating challenges. I am most experienced with those aged 6-50 who are struggling with anxiety, ADHD, communication, family issues, divorce, intimacy, stress, and struggling with life transitions. I help children specifically who have ADHD and/or Anxiety, which includes navigating peer relationships. I also have extensive background in those diagnosed with Epilepsy and Autism. I am ready to work with those navigating new medical diagnosis aside from Epilepsy such as PCOS, Diabetes, Cancer, and more!
(618) 762-4832 View (618) 762-4832
Photo of Carissa M DeMello, LICSW, MA-PGS, Clinical Social Work/Therapist
Carissa M DeMello
Clinical Social Work/Therapist, LICSW, MA-PGS
Verified Verified
1 Endorsed
Middletown, RI 02842  (Online Only)
Have you been feeling "stuck" lately? Do you find yourself needing to make change, but need a push or some help finding the right direction? Oftentimes the overwhelming tasks needed to take charge of a given situation leave us feeling anxious, sad, confused, fearful, etc. Learning new ways to approach any situation will help you to feel more balanced and at peace. Now is your time to do something for YOU.
Have you been feeling "stuck" lately? Do you find yourself needing to make change, but need a push or some help finding the right direction? Oftentimes the overwhelming tasks needed to take charge of a given situation leave us feeling anxious, sad, confused, fearful, etc. Learning new ways to approach any situation will help you to feel more balanced and at peace. Now is your time to do something for YOU.
(401) 343-6733 View (401) 343-6733
Photo of Janice K Schwartz, LMHC, LAADC, MA, CAGS, CGS, Drug & Alcohol Counselor
Janice K Schwartz
Drug & Alcohol Counselor, LMHC, LAADC, MA, CAGS, CGS
Verified Verified
Middletown, RI 02842
Do you need a professional to truly listen to you and help you find what you are seeking? Whether it is relief from anxiety, depression; a problem with alcohol/ drugs; or needing balance or relaxation; therapy makes a difference! With 28+ years of experience and initial training at Edgehill Newport, I have treated people in individual, couples, family, and group therapy. I work with situational problems, mental health issues, and have a specialty in substance abuse counseling. I offer one, brief, free telephone consultation prior to a first appointment. Begin, today, to make the changes you desire in your life!
Do you need a professional to truly listen to you and help you find what you are seeking? Whether it is relief from anxiety, depression; a problem with alcohol/ drugs; or needing balance or relaxation; therapy makes a difference! With 28+ years of experience and initial training at Edgehill Newport, I have treated people in individual, couples, family, and group therapy. I work with situational problems, mental health issues, and have a specialty in substance abuse counseling. I offer one, brief, free telephone consultation prior to a first appointment. Begin, today, to make the changes you desire in your life!
(401) 352-5233 View (401) 352-5233
Photo of Denise Anne Nadeau, PsyD, MFT, Marriage & Family Therapist
Denise Anne Nadeau
Marriage & Family Therapist, PsyD, MFT
Verified Verified
Middletown, RI 02842  (Online Only)
As a Marriage and Family Therapist I work with individuals and couples treating a variety of relational and mental health issues. As an assistant neuropsychological associate to our staff Psychiatrist, I assist in the diagnosis and treatment of anxiety, depression, mood disorders, trauma, attentional issues and cognitive complaints. Through the assessment process, together and in collaboration with our staff Psychiatrist, we establish differential diagnosis and treatment recommendations. We are now testing for Autism Diagnosis.
As a Marriage and Family Therapist I work with individuals and couples treating a variety of relational and mental health issues. As an assistant neuropsychological associate to our staff Psychiatrist, I assist in the diagnosis and treatment of anxiety, depression, mood disorders, trauma, attentional issues and cognitive complaints. Through the assessment process, together and in collaboration with our staff Psychiatrist, we establish differential diagnosis and treatment recommendations. We are now testing for Autism Diagnosis.
(401) 903-3968 View (401) 903-3968
Photo of Brenna J Toland, MA, LMFT, MEd, Marriage & Family Therapist
Brenna J Toland
Marriage & Family Therapist, MA, LMFT, MEd
Verified Verified
1 Endorsed
Middletown, RI 02842
Life’s challenges can feel overwhelming, whether you're a parent navigating the ups and downs of adolescence, a woman facing a major life transition, or a couple struggling to find balance in your parenting roles. I’m Brenna Toland, a licensed psychotherapist, former special education director and certified executive function coach with over 20 years of experience, and I’m here to help you turn challenges into opportunities for growth and connection.
Life’s challenges can feel overwhelming, whether you're a parent navigating the ups and downs of adolescence, a woman facing a major life transition, or a couple struggling to find balance in your parenting roles. I’m Brenna Toland, a licensed psychotherapist, former special education director and certified executive function coach with over 20 years of experience, and I’m here to help you turn challenges into opportunities for growth and connection.
(401) 992-5424 View (401) 992-5424
Photo of Meg DeGregorio, LICSW, Clinical Social Work/Therapist
Meg DeGregorio
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Middletown, RI 02842  (Online Only)
(Not accepting new clients until my return from leave spring 2025) The opportunity to hear my clients’ stories and partner with them on their journeys of self-discovery and healing, is one of my life’s greatest privileges. In a warm and accepting environment, I help adults, couples and families identify their goals and take steps to improve their lives. I have extensive experience helping people improve their relationships, process and heal from trauma, and overcome a variety of anxiety and mood-related issues.
(Not accepting new clients until my return from leave spring 2025) The opportunity to hear my clients’ stories and partner with them on their journeys of self-discovery and healing, is one of my life’s greatest privileges. In a warm and accepting environment, I help adults, couples and families identify their goals and take steps to improve their lives. I have extensive experience helping people improve their relationships, process and heal from trauma, and overcome a variety of anxiety and mood-related issues.
(401) 594-3924 View (401) 594-3924
Photo of Avram Gleitsman, LICSW, Clinical Social Work/Therapist
Avram Gleitsman
Clinical Social Work/Therapist, LICSW
Verified Verified
Middletown, RI 02842  (Online Only)
I create a safe, supportive environment so that you feel comfortable sharing information that will allow me to help you. I am an engaged listener, and I enjoy asking questions and occasionally assigning "homework" as we work through obstacles that are preventing you from achieving your goals.
I create a safe, supportive environment so that you feel comfortable sharing information that will allow me to help you. I am an engaged listener, and I enjoy asking questions and occasionally assigning "homework" as we work through obstacles that are preventing you from achieving your goals.
(401) 283-7217 View (401) 283-7217
Photo of Tiffany Bourquin, LMHC, Counselor
Tiffany Bourquin
Counselor, LMHC
Verified Verified
1 Endorsed
Middletown, RI 02842
Are you feeling stuck, depressed, anxious? Have you tried therapy before but not get the direction or feedback you needed? Do you want to improve your life, career, relationships and not sure how? Finding new ways to deal with old struggles without direction & support can be overwhelming and feel impossible. Therapy can teach you healthy & effective ways to cope with life's challenges & achieve a healthy balanced lifestyle. You deserve to live with ease. Our CIB therapists will partner with you to cultivate a life that is satisfying, enjoyable, and peaceful. Your life can change in a day. Let today be that day. We serve all ages.
Are you feeling stuck, depressed, anxious? Have you tried therapy before but not get the direction or feedback you needed? Do you want to improve your life, career, relationships and not sure how? Finding new ways to deal with old struggles without direction & support can be overwhelming and feel impossible. Therapy can teach you healthy & effective ways to cope with life's challenges & achieve a healthy balanced lifestyle. You deserve to live with ease. Our CIB therapists will partner with you to cultivate a life that is satisfying, enjoyable, and peaceful. Your life can change in a day. Let today be that day. We serve all ages.
(401) 271-3414 View (401) 271-3414
Photo of Michael Castaldi, LICSW, Clinical Social Work/Therapist
Michael Castaldi
Clinical Social Work/Therapist, LICSW
Verified Verified
Middletown, RI 02842
As a practical, interactive therapist, my treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns. With sensitivity and compassion, I help clients find solutions to a wide range of life challenges and psychological issues.rnrnBlending conventional and alternatives approaches, I draw on a variety of styles and techniques to incorporate what will be most helpful for each client. I work with each client to help them build on their strengths to identify and achieve life goals.
As a practical, interactive therapist, my treatment approach is to provide support and practical feedback to help clients resolve current problems and long-standing patterns. With sensitivity and compassion, I help clients find solutions to a wide range of life challenges and psychological issues.rnrnBlending conventional and alternatives approaches, I draw on a variety of styles and techniques to incorporate what will be most helpful for each client. I work with each client to help them build on their strengths to identify and achieve life goals.
(401) 496-9682 View (401) 496-9682
Photo of Paul Zasada, MA, CAGS, LMHC, LCPC, CHT, Counselor
Paul Zasada
Counselor, MA, CAGS, LMHC, LCPC, CHT
Verified Verified
1 Endorsed
Middletown, RI 02842
I offer psychotherapy in a safe and collaborative environment where you can explore the challenges of everyday living. Through a process of assisted self-discovery we create the conditions for healing to occur. My approach is holistic and experiential. I specializes in relationship struggles, mood difficulties and life transitions. My therapy is individualized to meet the unique needs of each client. In session with clients I create the opportunity for limiting habitual behavioral patterns and core beliefs to safely surface to conscious awareness so that they can be explored and where appropriate, transformed.
I offer psychotherapy in a safe and collaborative environment where you can explore the challenges of everyday living. Through a process of assisted self-discovery we create the conditions for healing to occur. My approach is holistic and experiential. I specializes in relationship struggles, mood difficulties and life transitions. My therapy is individualized to meet the unique needs of each client. In session with clients I create the opportunity for limiting habitual behavioral patterns and core beliefs to safely surface to conscious awareness so that they can be explored and where appropriate, transformed.
(401) 371-0076 View (401) 371-0076
Photo of Katelyn Martins - Arrow Behavioral Health, LLC, LMHC, APRN, Counselor
Arrow Behavioral Health, LLC
Counselor, LMHC, APRN
Verified Verified
Middletown, RI 02842
Currently accepting new clients for therapy and medication management! During this journey, it is so important to find someone who is empathetic, accepting and flexible in their thinking. These qualities allow the client to express their thoughts and feelings in a relaxed, judgement-free space. We believe that every person deserves to be heard and validated in a safe, comfortable space.
Currently accepting new clients for therapy and medication management! During this journey, it is so important to find someone who is empathetic, accepting and flexible in their thinking. These qualities allow the client to express their thoughts and feelings in a relaxed, judgement-free space. We believe that every person deserves to be heard and validated in a safe, comfortable space.
(401) 205-0298 View (401) 205-0298
Photo of Sarah Mort, LCSW, LICSW, Clinical Social Work/Therapist
Sarah Mort
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Middletown, RI 02842
**Accepting new clients** Therapy can and should be an enriching place to safely begin the process of healing and growth. Therapy requires dedication and a willingness to touch both dark and light areas of your life, and it is my goal to help you move through both worlds safely and supportively. While we cannot predict our future, we can be present in the journey. My goal is to help clients feel empowered by their work in therapy, obtain personal growth, awareness, and fulfillment, and ultimately lead a more balanced, peaceful, and rewarding life however that may look to each person.
**Accepting new clients** Therapy can and should be an enriching place to safely begin the process of healing and growth. Therapy requires dedication and a willingness to touch both dark and light areas of your life, and it is my goal to help you move through both worlds safely and supportively. While we cannot predict our future, we can be present in the journey. My goal is to help clients feel empowered by their work in therapy, obtain personal growth, awareness, and fulfillment, and ultimately lead a more balanced, peaceful, and rewarding life however that may look to each person.
(475) 471-1036 View (475) 471-1036
Photo of Malerie Schwartz, MA, CAGS, LMHC, Counselor
Malerie Schwartz
Counselor, MA, CAGS, LMHC
Verified Verified
Middletown, RI 02842
When life becomes overwhelming its easy to withdraw inside or reach towards unhealthy habits. With the right support you can start to feel comfortable in your own skin. If you are curious about what has been holding you back, I provide a compassionate space to let go of what is standing in your way. I offer the tools to identify and work through barriers, as well as support to navigate challenging relationships and emotions.
When life becomes overwhelming its easy to withdraw inside or reach towards unhealthy habits. With the right support you can start to feel comfortable in your own skin. If you are curious about what has been holding you back, I provide a compassionate space to let go of what is standing in your way. I offer the tools to identify and work through barriers, as well as support to navigate challenging relationships and emotions.
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How does your Therapist compare?

Number of Therapists in Middletown, RI

40+

Average cost per session

$130

Therapists in Middletown, RI who prioritize treating:

93% Anxiety
87% Depression
78% Self Esteem
74% Relationship Issues
74% Trauma and PTSD
72% Grief
70% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

90% BlueCross and BlueShield
85% UnitedHealthcare UHC | UBH
65% Optum

How Therapists in Middletown, RI see their clients

79% In Person and Online
21% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Middletown?

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.