Therapists in Mount Hope, Providence, RI

Photo of Kylee Boles Reed, MS, LMHC, Counselor
Kylee Boles Reed
Counselor, MS, LMHC
Verified Verified
Mount Hope, Providence, RI 02904  (Online Only)
I strive to create an accepting, safe space for you or your child/teen to explore and process any and every thing. Together we will create short and long-term goals, that you will be able to see and measure for yourself. I will also help navigate any of the mess we call "life" that happens along the way. If you are ready to put in the work and time to get yourself to where you want to be, then so am I, and I may be the right person for you. I offer free 15-minute phone consultations to help see if we would work well together. If you're ready to start your journey, I'm here!
I strive to create an accepting, safe space for you or your child/teen to explore and process any and every thing. Together we will create short and long-term goals, that you will be able to see and measure for yourself. I will also help navigate any of the mess we call "life" that happens along the way. If you are ready to put in the work and time to get yourself to where you want to be, then so am I, and I may be the right person for you. I offer free 15-minute phone consultations to help see if we would work well together. If you're ready to start your journey, I'm here!
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Photo of Morgan Lafrance, LICSW, Clinical Social Work/Therapist
Morgan Lafrance
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Mount Hope, Providence, RI 02904  (Online Only)
Starting the healing process is not easy. Please acknowledge that looking at this page is already a major step. As a therapist I have worked in multiple settings in Rhode Island with a focus and expertise in helping clients who are experiencing issues with substance abuse, sobriety, and emotional disturbance. In addition, I am skilled in helping clients overcome challenges with anxiety, depression, codependency, anger management, chronic stress, mood disorders, as well as grief and loss. I specialize in EMDR treatment which is a helpful modality for individuals who need help resolving past trauma. I am accepting new clients.
Starting the healing process is not easy. Please acknowledge that looking at this page is already a major step. As a therapist I have worked in multiple settings in Rhode Island with a focus and expertise in helping clients who are experiencing issues with substance abuse, sobriety, and emotional disturbance. In addition, I am skilled in helping clients overcome challenges with anxiety, depression, codependency, anger management, chronic stress, mood disorders, as well as grief and loss. I specialize in EMDR treatment which is a helpful modality for individuals who need help resolving past trauma. I am accepting new clients.
(401) 235-4069 View (401) 235-4069
Photo of Robert Wilson, MA,  , LMHC, Counselor
Robert Wilson
Counselor, MA, , LMHC
Verified Verified
Mount Hope, Providence, RI 02906  (Online Only)
Robert works with clients suffering from Depression, Anxiety, PTSD, Panic attacks, low self-esteem, Marital issues, Spiritual issues and more. Robert's enduring Christian faith, clinical skills, and his experience of being in counseling for mental illness enables Robert to bring a unique approach to counseling which enables him to help clients afflicted with mental, emotional and spiritual issues.
Robert works with clients suffering from Depression, Anxiety, PTSD, Panic attacks, low self-esteem, Marital issues, Spiritual issues and more. Robert's enduring Christian faith, clinical skills, and his experience of being in counseling for mental illness enables Robert to bring a unique approach to counseling which enables him to help clients afflicted with mental, emotional and spiritual issues.
(401) 205-3828 View (401) 205-3828
Photo of Lydie Helene Gnacadja - Own Your Voice Mental Wellness, LLC, MSW, LICSW, Clinical Social Work/Therapist
Own Your Voice Mental Wellness, LLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Mount Hope, Providence, RI 02904
Why do I need therapy? Therapy is for people who are crazy or out of control! I should be able to do this by myself! Asking or getting help means I'm not capable or strong. People are in therapy "cause they have to be." Couple's therapy is a last resort. Family therapy doesn't work/is not for me. Are any of these questions going through your mind? Is it helpful to know you are not alone? Sometimes, people are apprehensive about engaging in therapy or leery about continuing with therapy. All of the above reactions are understandable considering people's experiences. Licensure supervision/professional consultations offered.
Why do I need therapy? Therapy is for people who are crazy or out of control! I should be able to do this by myself! Asking or getting help means I'm not capable or strong. People are in therapy "cause they have to be." Couple's therapy is a last resort. Family therapy doesn't work/is not for me. Are any of these questions going through your mind? Is it helpful to know you are not alone? Sometimes, people are apprehensive about engaging in therapy or leery about continuing with therapy. All of the above reactions are understandable considering people's experiences. Licensure supervision/professional consultations offered.
(401) 208-2542 View (401) 208-2542
Photo of Lucely D Rodriguez, LICSW, Clinical Social Work/Therapist
Lucely D Rodriguez
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Mount Hope, Providence, RI 02904  (Online Only)
As a therapist who identifies with the BIPOC community, I am passionate about empowering women during the transformative experience of motherhood. I believe every woman deserves to feel seen, heard, and valued. I am dedicated to supporting women during the perinatal period, including pregnancy, childbirth, and the postpartum period, recognizing that motherhood can be complex and emotionally charged.
As a therapist who identifies with the BIPOC community, I am passionate about empowering women during the transformative experience of motherhood. I believe every woman deserves to feel seen, heard, and valued. I am dedicated to supporting women during the perinatal period, including pregnancy, childbirth, and the postpartum period, recognizing that motherhood can be complex and emotionally charged.
(401) 409-4639 View (401) 409-4639
Photo of Vivian Ng, LMHC, Counselor
Vivian Ng
Counselor, LMHC
Verified Verified
Mount Hope, Providence, RI 02906  (Online Only)
Vivian Ng is a Licensed Mental Health Counselor in the state of Rhode Island with over 10 years of experience working with children, adults, and families in community and school-based settings. She approaches her clients with an eagerness to listen and learn their stories. As her clients allow, she walks into their spaces of hopelessness and distress to sit with those feelings, and she navigates her clients to a place of measurable change. The goal is long-term empowerment. The approach is relational and collaborative.
Vivian Ng is a Licensed Mental Health Counselor in the state of Rhode Island with over 10 years of experience working with children, adults, and families in community and school-based settings. She approaches her clients with an eagerness to listen and learn their stories. As her clients allow, she walks into their spaces of hopelessness and distress to sit with those feelings, and she navigates her clients to a place of measurable change. The goal is long-term empowerment. The approach is relational and collaborative.
(401) 373-4199 View (401) 373-4199
Photo of Rachel McCrystal, LICSW, MSW, Clinical Social Work/Therapist
Rachel McCrystal
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Mount Hope, Providence, RI 02904  (Online Only)
Hi, I'm Rachel McCrystal! I'm a mental health therapist, licensed in RI, CT, and MA. I have spent the last decade working in a variety of settings, including non-profits, community mental health centers, outpatient offices, schools, research labs, substance abuse programs, and residential facilities. I am also a Chapter Member of the International Association of Eating Disorder Professionals, a member of the National Association of Social Workers, and a Certified Intuitive Eating Counselor.
Hi, I'm Rachel McCrystal! I'm a mental health therapist, licensed in RI, CT, and MA. I have spent the last decade working in a variety of settings, including non-profits, community mental health centers, outpatient offices, schools, research labs, substance abuse programs, and residential facilities. I am also a Chapter Member of the International Association of Eating Disorder Professionals, a member of the National Association of Social Workers, and a Certified Intuitive Eating Counselor.
(401) 389-7288 View (401) 389-7288
Photo of Chloe Blau, MA, Pre-Licensed Professional
Chloe Blau
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Mount Hope, Providence, RI 02904  (Online Only)
I'm Chloe, a compassionate and dedicated mental health therapist, here to help you navigate life's challenges. My approach to therapy is all about meeting you where you are and tailoring our sessions to fit your unique needs. I believe a comfort zone is a beautiful place, but nothing grows there. I am here to support you as you step out of that comfort zone and work towards positive change. Motivational interviewing is used to promote insight and self awareness. I draw from a psychodynamic perspective, how your past influences your present, and also use techniques like Internal Family Systems, CBT, and attachment theory.
I'm Chloe, a compassionate and dedicated mental health therapist, here to help you navigate life's challenges. My approach to therapy is all about meeting you where you are and tailoring our sessions to fit your unique needs. I believe a comfort zone is a beautiful place, but nothing grows there. I am here to support you as you step out of that comfort zone and work towards positive change. Motivational interviewing is used to promote insight and self awareness. I draw from a psychodynamic perspective, how your past influences your present, and also use techniques like Internal Family Systems, CBT, and attachment theory.
(401) 381-5858 View (401) 381-5858
Photo of Noelle Pool, MA, Pre-Licensed Professional
Noelle Pool
Pre-Licensed Professional, MA
Verified Verified
Mount Hope, Providence, RI 02904  (Online Only)
Immediate openings for evenings and weekends! - Are you feeling overwhelmed by anxiety, depression, or the stress from significant life changes? Is your day-to-day life more challenging than it used to be? Or more challenging than you'd like it to be? You aren't alone. We all face difficult times in life. It's part of being human. The good news is you're here right now, and that means you're ready to tackle whatever you feel is holding you back.
Immediate openings for evenings and weekends! - Are you feeling overwhelmed by anxiety, depression, or the stress from significant life changes? Is your day-to-day life more challenging than it used to be? Or more challenging than you'd like it to be? You aren't alone. We all face difficult times in life. It's part of being human. The good news is you're here right now, and that means you're ready to tackle whatever you feel is holding you back.
(401) 389-4643 View (401) 389-4643
Photo of Will Meek - Dr Will Meek, PhD, Psychologist
Dr Will Meek
Psychologist, PhD
Verified Verified
Mount Hope, Providence, RI 02904  (Online Only)
If life isn't feeling like it should, or your usual ways of managing things aren't working, let's talk. I take a practical, strengths-based approach to dealing with the challenges we face and for improving the things we care about the most. Our sessions will be conversational and interactive with specific action items from each meeting.
If life isn't feeling like it should, or your usual ways of managing things aren't working, let's talk. I take a practical, strengths-based approach to dealing with the challenges we face and for improving the things we care about the most. Our sessions will be conversational and interactive with specific action items from each meeting.
(401) 347-0230 View (401) 347-0230
Photo of Grace McClentic, LMHC, Counselor
Grace McClentic
Counselor, LMHC
Verified Verified
Mount Hope, Providence, RI 02906  (Online Only)
As a Licensed Mental Health Clinician, Grace McClentic has clinical experience ranging from providing direct care in a psychiatric children’s hospital to working directly with victims of domestic violence and sexual assault. Grace also has experience in community-based services facilitating family therapy and parenting groups. Grace prefers to work with clients with a wide array of ages or clinical needs.
As a Licensed Mental Health Clinician, Grace McClentic has clinical experience ranging from providing direct care in a psychiatric children’s hospital to working directly with victims of domestic violence and sexual assault. Grace also has experience in community-based services facilitating family therapy and parenting groups. Grace prefers to work with clients with a wide array of ages or clinical needs.
(401) 357-0522 View (401) 357-0522
Photo of Kate Hodges, MSW, LCSW, Pre-Licensed Professional
Kate Hodges
Pre-Licensed Professional, MSW, LCSW
Verified Verified
1 Endorsed
Mount Hope, Providence, RI 02904  (Online Only)
I am a Licensed Certified Social Worked in the state of Massachusetts and completed a Master’s of Social Work (MSW) at the University of West Florida. I enjoy working with clients from diverse backgrounds and spiritual traditions, and have experience working with those who have co-occurring disorders.
I am a Licensed Certified Social Worked in the state of Massachusetts and completed a Master’s of Social Work (MSW) at the University of West Florida. I enjoy working with clients from diverse backgrounds and spiritual traditions, and have experience working with those who have co-occurring disorders.
(508) 691-8363 View (508) 691-8363
Photo of Chelsey Bhadouria, LICSW, Clinical Social Work/Therapist
Chelsey Bhadouria
Clinical Social Work/Therapist, LICSW
Verified Verified
Mount Hope, Providence, RI 02906  (Online Only)
Chelsey Bhadouria is a Licensed Independent Clinical Social Worker (LICSW) who has 5 years of experience with adolescents and adults in a clinical outpatient setting. Chelsey has helped individuals and families seeking support with concerns such as mood disorders, anxiety, personality disorders, and trauma. Chelsey also has experience working with clients navigating challenges such as gender identity, cultural identity, life transitions, stress management, and self-esteem.
Chelsey Bhadouria is a Licensed Independent Clinical Social Worker (LICSW) who has 5 years of experience with adolescents and adults in a clinical outpatient setting. Chelsey has helped individuals and families seeking support with concerns such as mood disorders, anxiety, personality disorders, and trauma. Chelsey also has experience working with clients navigating challenges such as gender identity, cultural identity, life transitions, stress management, and self-esteem.
(401) 388-5626 View (401) 388-5626
Photo of Nadia N Holmes, Clinical Social Work/Therapist
Nadia N Holmes
Clinical Social Work/Therapist
Verified Verified
Mount Hope, Providence, RI 02904  (Online Only)
I help people overcome anxiety and depression. My area of specialty is first-generation immigrants who struggle with imposter syndrome. I help all my clients to find their positive attributes, increase their coping skills and identify their internal strengths. My first-hand knowledge lets me guide my clients to feel more secure, accomplished and proud of themselves.
I help people overcome anxiety and depression. My area of specialty is first-generation immigrants who struggle with imposter syndrome. I help all my clients to find their positive attributes, increase their coping skills and identify their internal strengths. My first-hand knowledge lets me guide my clients to feel more secure, accomplished and proud of themselves.
(401) 645-5031 View (401) 645-5031
Photo of Christina M. Berard, LMHC, LCDP, Counselor
Christina M. Berard
Counselor, LMHC, LCDP
Verified Verified
Mount Hope, Providence, RI 02904  (Online Only)
Are you feeling stuck? Dissatisfied with how things are going for you right now? Anxious / sad / "blah"? Are you finding yourself turning to substances or other unhealthy coping skills to get through the days? You've come to the right place! Let's work together to create your "new normal" and develop coping skills for what life throws in the mix.
Are you feeling stuck? Dissatisfied with how things are going for you right now? Anxious / sad / "blah"? Are you finding yourself turning to substances or other unhealthy coping skills to get through the days? You've come to the right place! Let's work together to create your "new normal" and develop coping skills for what life throws in the mix.
(401) 200-4065 View (401) 200-4065
Photo of Yolanda Jones - Bridge of Hope Center, PhD, LMHC, LCDP, Drug & Alcohol Counselor
Bridge of Hope Center
Drug & Alcohol Counselor, PhD, LMHC, LCDP
Verified Verified
1 Endorsed
Mount Hope, Providence, RI 02904
Hello, I'm Yolanda Jones, and I want to personally welcome you to Bridge of Hope Center. With over 15 years of experience in behavioral health, including my recent PhD in psychology counseling, I am deeply committed to guiding you through your journey to wellness. I'm not just about therapy; but about understanding you as an individual and providing care that is as unique as you are. Whether you’re seeking support for mental health, struggling with addiction, or navigating relationship challenges, we offer a range of services tailored to your needs. My approach is grounded in compassion and evidenced based practices.
Hello, I'm Yolanda Jones, and I want to personally welcome you to Bridge of Hope Center. With over 15 years of experience in behavioral health, including my recent PhD in psychology counseling, I am deeply committed to guiding you through your journey to wellness. I'm not just about therapy; but about understanding you as an individual and providing care that is as unique as you are. Whether you’re seeking support for mental health, struggling with addiction, or navigating relationship challenges, we offer a range of services tailored to your needs. My approach is grounded in compassion and evidenced based practices.
(401) 388-3970 View (401) 388-3970
Photo of Greg O'Rourke, MA, Counselor
Greg O'Rourke
Counselor, MA
Verified Verified
Mount Hope, Providence, RI 02904  (Online Only)
Are you feeling overwhelmed by anxiety, depression, ADHD or perhaps the stress from significant life changes? You're not alone. We often face these challenges and search for effective ways to cope and seek a life where we can feel truly at peace and fulfilled. Together, we'll explore strategies to manage your emotions and daily stresses, aiming to unlock deep self-compassion and resilience. This journey is about empowering you to live confidently and realize your dreams, providing the support you need every step of the way.
Are you feeling overwhelmed by anxiety, depression, ADHD or perhaps the stress from significant life changes? You're not alone. We often face these challenges and search for effective ways to cope and seek a life where we can feel truly at peace and fulfilled. Together, we'll explore strategies to manage your emotions and daily stresses, aiming to unlock deep self-compassion and resilience. This journey is about empowering you to live confidently and realize your dreams, providing the support you need every step of the way.
(401) 382-3486 View (401) 382-3486
Photo of Charlotte Raine, LICSW, Clinical Social Work/Therapist
Charlotte Raine
Clinical Social Work/Therapist, LICSW
Verified Verified
Mount Hope, Providence, RI 02906
Charlotte Raine is a Licensed Independent Clinical Social Worker (LICSW) who has more than 6 years of experience. She specializes in treating individuals struggling with trauma and abuse, substance use disorders, anxiety, depression, grief, and life transitions in young adults and across the lifespan. Charlotte graduated from Simmons University with a Master's degree in Social Work and a specialization in trauma-informed care. Post graduation, she has worked in community mental health settings alongside first responders while providing care through a co-response model.
Charlotte Raine is a Licensed Independent Clinical Social Worker (LICSW) who has more than 6 years of experience. She specializes in treating individuals struggling with trauma and abuse, substance use disorders, anxiety, depression, grief, and life transitions in young adults and across the lifespan. Charlotte graduated from Simmons University with a Master's degree in Social Work and a specialization in trauma-informed care. Post graduation, she has worked in community mental health settings alongside first responders while providing care through a co-response model.
(401) 685-4075 View (401) 685-4075
Photo of Dr. Catherine Cardieri, PsyD, Psychologist
Dr. Catherine Cardieri
Psychologist, PsyD
Verified Verified
Mount Hope, Providence, RI 02904  (Online Only)
Are you a victim of narcissistic abuse, feeling trapped and emotionally drained? Do you need support managing your current relationship with a narcissist, finding the courage to end it, navigating complex divorce issues, and/or establishing healthy co-parenting dynamics? I am Dr. Cardieri, a Narcissism Therapist. I understand the struggles you face - the constant manipulation, control, and erosion of your self-worth. I will provide expert guidance and empower you to regain control of your life, and ensure a safe and nurturing environment for yourself and your children. AND, I offer full 1 hour sessions to all my patients.
Are you a victim of narcissistic abuse, feeling trapped and emotionally drained? Do you need support managing your current relationship with a narcissist, finding the courage to end it, navigating complex divorce issues, and/or establishing healthy co-parenting dynamics? I am Dr. Cardieri, a Narcissism Therapist. I understand the struggles you face - the constant manipulation, control, and erosion of your self-worth. I will provide expert guidance and empower you to regain control of your life, and ensure a safe and nurturing environment for yourself and your children. AND, I offer full 1 hour sessions to all my patients.
(401) 208-2586 View (401) 208-2586
Photo of Heather Joy Jackson, MA, MPH, LMHC, Counselor
Heather Joy Jackson
Counselor, MA, MPH, LMHC
Verified Verified
Mount Hope, Providence, RI 02904
Not accepting new clients
I am licensed in RI, NY, & VT (RI MHC01033, NY 012682, VT 068.0135547). Many things can make our mental health feel more manageable and sometimes that includes counseling. I deeply believe that our society and environment can deeply effect us and be traumatizing. I want people to be free in whatever way that looks for them. I offer non-judgmental approach that focuses on feeling comfortable and okay, as well as learning to tolerate discomfort. I believe mental health work is no linear and an on-going lifelong process. I'm very aligned with the LGBTQ population, sex workers, people in poverty, & those with chronic illness.
I am licensed in RI, NY, & VT (RI MHC01033, NY 012682, VT 068.0135547). Many things can make our mental health feel more manageable and sometimes that includes counseling. I deeply believe that our society and environment can deeply effect us and be traumatizing. I want people to be free in whatever way that looks for them. I offer non-judgmental approach that focuses on feeling comfortable and okay, as well as learning to tolerate discomfort. I believe mental health work is no linear and an on-going lifelong process. I'm very aligned with the LGBTQ population, sex workers, people in poverty, & those with chronic illness.
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See more therapy options for Mount Hope, Providence

How does your Therapist compare?

Number of Therapists in Mount Hope, Providence, RI

100+

Average cost per session

$150

Therapists in Mount Hope, Providence, RI who prioritize treating:

89% Anxiety
84% Depression
75% Relationship Issues
70% Self Esteem
67% Stress
65% Coping Skills
62% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

87% BlueCross and BlueShield
75% UnitedHealthcare UHC | UBH
56% Optum

How Therapists in Mount Hope, Providence, RI see their clients

55% In Person and Online
45% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Mount Hope, Providence?

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.