Therapists in Downingtown, PA

Photo of Suzann Steadman - Chester Springs Clinical Associates, LLC, PsyD, DAPA, LPC, Licensed Professional Counselor
Chester Springs Clinical Associates, LLC
Licensed Professional Counselor, PsyD, DAPA, LPC
Verified Verified
Downingtown, PA 19335
Dr. Suzann Steadman holds a doctorate degree in Clinical Psychology, and is a PA Certified School Psychologist. Licensed in Pennsylvania, Dr. Steadman has also received advanced training in behavioral analysis, conflict management, critical incident management, organizational leadership, cognitive-behavioral therapy techniques, treatment and evaluation of autism spectrum disorders, anxiety among high-achieving students, and the utilization of strength-based interventions. She provides a wide variety of psychotherapeutic and assessment services to patients in the Chester Springs office, as well as through school district or corporate contracts.
Dr. Suzann Steadman holds a doctorate degree in Clinical Psychology, and is a PA Certified School Psychologist. Licensed in Pennsylvania, Dr. Steadman has also received advanced training in behavioral analysis, conflict management, critical incident management, organizational leadership, cognitive-behavioral therapy techniques, treatment and evaluation of autism spectrum disorders, anxiety among high-achieving students, and the utilization of strength-based interventions. She provides a wide variety of psychotherapeutic and assessment services to patients in the Chester Springs office, as well as through school district or corporate contracts.
(610) 518-2422 View (610) 518-2422
Photo of Sally Carpenter, LPC, Licensed Professional Counselor
Sally Carpenter
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Downingtown, PA 19335
As a Licensed Professional Counselor, I help adults and teens who are struggling with over-thinking, excessive worrying, feeling overwhelmed, feeling low or frequently annoyed. I work with people who want healthier relationships and more self-confidence.
As a Licensed Professional Counselor, I help adults and teens who are struggling with over-thinking, excessive worrying, feeling overwhelmed, feeling low or frequently annoyed. I work with people who want healthier relationships and more self-confidence.
(484) 900-2913 View (484) 900-2913
Photo of Rebecca Weidler, MS, LBS, LPC, Licensed Professional Counselor
Rebecca Weidler
Licensed Professional Counselor, MS, LBS, LPC
Verified Verified
Downingtown, PA 19335  (Online Only)
No matter what life brings you, treatment can bring you "home." All walks of life and all experiences are unique, so your treatment will be tailored to fit for you. Direction, support, guidance and healing available now.
No matter what life brings you, treatment can bring you "home." All walks of life and all experiences are unique, so your treatment will be tailored to fit for you. Direction, support, guidance and healing available now.
(484) 207-5572 View (484) 207-5572
Photo of Lori Nelsen Luneburg, PhD, Psychologist
Lori Nelsen Luneburg
Psychologist, PhD
Verified Verified
2 Endorsed
Downingtown, PA 19335
Are you tired of the toxicity? Have you lost your identity? Do you feel crazy in your current relationship and/or family ? Emotional/Psychological/Narcissistic and other types of abuse can take a huge toll on an individual's self esteem and ability to cope. I am a caring Licensed Clinical Psychologist with extensive experience with Narcissistic/Abusive/Toxic Relationships and Trauma. I also specialize in Women Issues, Mood Disorders/Anxiety as well as Eating Disorders. My goal in therapy is to help you understand what "healthy" looks like and empower you to set boundaries and create the life that you desire.
Are you tired of the toxicity? Have you lost your identity? Do you feel crazy in your current relationship and/or family ? Emotional/Psychological/Narcissistic and other types of abuse can take a huge toll on an individual's self esteem and ability to cope. I am a caring Licensed Clinical Psychologist with extensive experience with Narcissistic/Abusive/Toxic Relationships and Trauma. I also specialize in Women Issues, Mood Disorders/Anxiety as well as Eating Disorders. My goal in therapy is to help you understand what "healthy" looks like and empower you to set boundaries and create the life that you desire.
(610) 490-8635 View (610) 490-8635
Photo of Rebecca Toddes-Miller, MSS, LCSW, Clinical Social Work/Therapist
Rebecca Toddes-Miller
Clinical Social Work/Therapist, MSS, LCSW
Not Verified Not Verified
Downingtown, PA 19335
Not accepting new clients
I enjoy working with adolescents, adults, and couples who are going through transitions, experiencing symptoms of anxiety and depression, and/or who are troubled by substance abuse. I also see many people who have chronic syndromes such as autoimmune disorders. I have a collaborative approach and a conversational style, and provide a safe and confidential place where people can share their story. I see psychotherapy as an opportunity to develop greater self awareness and skills to improve relationships, and to enhance coping and decision making skills so that they are in keeping with the client's values and goals.
I enjoy working with adolescents, adults, and couples who are going through transitions, experiencing symptoms of anxiety and depression, and/or who are troubled by substance abuse. I also see many people who have chronic syndromes such as autoimmune disorders. I have a collaborative approach and a conversational style, and provide a safe and confidential place where people can share their story. I see psychotherapy as an opportunity to develop greater self awareness and skills to improve relationships, and to enhance coping and decision making skills so that they are in keeping with the client's values and goals.
(610) 594-1494 View (610) 594-1494
Photo of Kellyann Peck, MA, Pre-Licensed Professional
Kellyann Peck
Pre-Licensed Professional, MA
Verified Verified
Downingtown, PA 19335
My desire is to help my clients grow in wholeness. Our life's journeys can be unpredictable and uncertain. We can experience transitional changes and shifts in our perspectives: mentally, physically and even spiritually. I believe you can walk through these circumstances with grace as we partner together. My hope is to support and assist you as we travel through therapeutic care and help you find the right path for your destination. I would love to help you move forward with vitality. Empowering you to become aware of what you desire and give you the tools to reach for hope and health!
My desire is to help my clients grow in wholeness. Our life's journeys can be unpredictable and uncertain. We can experience transitional changes and shifts in our perspectives: mentally, physically and even spiritually. I believe you can walk through these circumstances with grace as we partner together. My hope is to support and assist you as we travel through therapeutic care and help you find the right path for your destination. I would love to help you move forward with vitality. Empowering you to become aware of what you desire and give you the tools to reach for hope and health!
(484) 237-1339 View (484) 237-1339
Photo of Theresa Anne Counihan, PsyD, Psychologist
Theresa Anne Counihan
Psychologist, PsyD
Verified Verified
Downingtown, PA 19335  (Online Only)
I have worked with persons throughout the lifespan. Most recently, I consulted at skilled nursing homes and assisted care facilities with a focus on illness and end of life challenges. I enjoy working with young adults who are just finding their way in this world and navigating new relationships and responsibilities. I accept clients with a wide range of concerns including depression, anxiety, phobias, stress, identity development, assertiveness, anger management, and relationship challenges for those who are heterosexual, LGBTQ, caregivers, and parents.
I have worked with persons throughout the lifespan. Most recently, I consulted at skilled nursing homes and assisted care facilities with a focus on illness and end of life challenges. I enjoy working with young adults who are just finding their way in this world and navigating new relationships and responsibilities. I accept clients with a wide range of concerns including depression, anxiety, phobias, stress, identity development, assertiveness, anger management, and relationship challenges for those who are heterosexual, LGBTQ, caregivers, and parents.
(484) 209-6486 View (484) 209-6486
Photo of Vanessa Zottoli, MS, LPC, NCC, Licensed Professional Counselor
Vanessa Zottoli
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Downingtown, PA 19335
Hi! I am an anti-diet, weight inclusive provider. I specialize in working with clients who struggle with eating disorders and anxiety disorders. Are you struggling with restricting, binging, purging? Have a love/hate relationship with food? Anxious thoughts about school, social settings, or life? Maybe you feel like you will never recover, and have trouble feeling supported due to diet culture.
Hi! I am an anti-diet, weight inclusive provider. I specialize in working with clients who struggle with eating disorders and anxiety disorders. Are you struggling with restricting, binging, purging? Have a love/hate relationship with food? Anxious thoughts about school, social settings, or life? Maybe you feel like you will never recover, and have trouble feeling supported due to diet culture.
(484) 759-7552 View (484) 759-7552
Photo of Allison Brunner, MSW, LCSW
Allison Brunner
MSW, LCSW
Verified Verified
1 Endorsed
Downingtown, PA 19335  (Online Only)
“I love my therapist, but we’ve hit a plateau,” potential clients often say when reaching out to me. Or they’re tired of being treated like they’re broken. If you’ve spent years in therapy and are ready to go deeper and experience profound shifts and lasting change, try mindfulness-based, somatic (body-mind) psychotherapy and inner parts work. In short time, most new clients say, “Wow, that was very different from what I expected!”—in a positive way. If you’re a highly sensitive person (HSP), empath, or old soul yearning to be truly understood and are ready to process more deeply and talk and analyze less, welcome!
“I love my therapist, but we’ve hit a plateau,” potential clients often say when reaching out to me. Or they’re tired of being treated like they’re broken. If you’ve spent years in therapy and are ready to go deeper and experience profound shifts and lasting change, try mindfulness-based, somatic (body-mind) psychotherapy and inner parts work. In short time, most new clients say, “Wow, that was very different from what I expected!”—in a positive way. If you’re a highly sensitive person (HSP), empath, or old soul yearning to be truly understood and are ready to process more deeply and talk and analyze less, welcome!
(484) 214-2477 View (484) 214-2477
Photo of Kimberly Lynn Mason, MA, LPC, NCC, ICADC, Licensed Professional Counselor
Kimberly Lynn Mason
Licensed Professional Counselor, MA, LPC, NCC, ICADC
Verified Verified
1 Endorsed
Downingtown, PA 19335  (Online Only)
I am passionate about helping those who suffer with mental health and dual disorders. My approach is empathetic and compassion first, with the goal of helping my clients overcome the obstacles in their lives that are inhibiting them from achieving fulfillment in life. No two clients are alike, therefore I treat each person's needs as I partner with them to heal the body, mind and spirit. My method is eclectic whether I am seeing you individually or in group , I believe everyone is capable of healing; as a therapist, it is my job to help guide each person on their own, personal journey toward healing and growth.
I am passionate about helping those who suffer with mental health and dual disorders. My approach is empathetic and compassion first, with the goal of helping my clients overcome the obstacles in their lives that are inhibiting them from achieving fulfillment in life. No two clients are alike, therefore I treat each person's needs as I partner with them to heal the body, mind and spirit. My method is eclectic whether I am seeing you individually or in group , I believe everyone is capable of healing; as a therapist, it is my job to help guide each person on their own, personal journey toward healing and growth.
(610) 601-3978 View (610) 601-3978
Photo of Deanne Weaver, MS, Licensed Professional Counselor
Deanne Weaver
Licensed Professional Counselor, MS
Verified Verified
Downingtown, PA 19335
I bring a unique ability to simplify complex relationships with compassion and gentleness. My multifaceted experience of relationships forged in me the deep capacity to be present to a wide range of emotions. I would love to enter into the pain and suffering you experienced while holding on to hope. Everyone has a story that is worthy of being heard. I tenaciously believe that honesty is important, and I believe healing and hope begin to form in the courage it takes to be honest.
I bring a unique ability to simplify complex relationships with compassion and gentleness. My multifaceted experience of relationships forged in me the deep capacity to be present to a wide range of emotions. I would love to enter into the pain and suffering you experienced while holding on to hope. Everyone has a story that is worthy of being heard. I tenaciously believe that honesty is important, and I believe healing and hope begin to form in the courage it takes to be honest.
(484) 371-7440 View (484) 371-7440
Photo of Audrey Najor Hall, MSW, LCSW, Clinical Social Work/Therapist
Audrey Najor Hall
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Downingtown, PA 19335  (Online Only)
Are you often unaware of what is bothering you? Are difficult thoughts, memories, or feelings (like anger, depression, anxiety, or distress) getting in the way of what you really want to do? Is it difficult to cope with stress? Do you want to live a more full, rich & meaningful life? If so, I can help. I specialize in Anxiety disorders; Depressive disorders including grief and loss; Developmental/ life transitions; Relationship issues; Trauma and Stress Related Disorders, and Acculturation, assimilation & ethnic Identity issues. I offer individual & couples therapy via video sessions & teletherapy only
Are you often unaware of what is bothering you? Are difficult thoughts, memories, or feelings (like anger, depression, anxiety, or distress) getting in the way of what you really want to do? Is it difficult to cope with stress? Do you want to live a more full, rich & meaningful life? If so, I can help. I specialize in Anxiety disorders; Depressive disorders including grief and loss; Developmental/ life transitions; Relationship issues; Trauma and Stress Related Disorders, and Acculturation, assimilation & ethnic Identity issues. I offer individual & couples therapy via video sessions & teletherapy only
(610) 632-5410 View (610) 632-5410
Photo of Tori Kline, MA, ATR-BC, LPC, CBIS, RYT, Licensed Professional Counselor
Tori Kline
Licensed Professional Counselor, MA, ATR-BC, LPC, CBIS, RYT
Verified Verified
1 Endorsed
Downingtown, PA 19335  (Online Only)
As a Licensed Professional Counselor, Board Certified Art Therapist, Certified Brain Injury Specialist and Registered Yoga Teacher, I specialize in taking a creative and holistic approach to help clients find balance of mind, body and spirit. I seek to support and empower individuals to develop skills that align with their values and strengths, as a way to get in touch with a more mindful and centered sense of being to overcome life’s challenges. I aim to assist adults experiencing brain injury, physical disability or medical trauma, depression, anxiety, grief and chronic pain.
As a Licensed Professional Counselor, Board Certified Art Therapist, Certified Brain Injury Specialist and Registered Yoga Teacher, I specialize in taking a creative and holistic approach to help clients find balance of mind, body and spirit. I seek to support and empower individuals to develop skills that align with their values and strengths, as a way to get in touch with a more mindful and centered sense of being to overcome life’s challenges. I aim to assist adults experiencing brain injury, physical disability or medical trauma, depression, anxiety, grief and chronic pain.
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Photo of New Beginnings Therapeutic Services - New Beginnings Therapeutic Services, LPC, LCSW, Clinical Social Work/Therapist
New Beginnings Therapeutic Services
Clinical Social Work/Therapist, LPC, LCSW
Verified Verified
5 Endorsed
Downingtown, PA 19335
New Beginnings Therapeutic Services is committed to being a client-centered practice. It is our goal to create a space for clients to share their most intimate thoughts and feelings, and for those thoughts to be received without judgment.
New Beginnings Therapeutic Services is committed to being a client-centered practice. It is our goal to create a space for clients to share their most intimate thoughts and feelings, and for those thoughts to be received without judgment.
(484) 237-1853 x100 View (484) 237-1853 x100
Photo of Erin Matthews, MS, LPC, Licensed Professional Counselor
Erin Matthews
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Downingtown, PA 19335
Not accepting new clients
I'm glad you're here! My name is Erin Matthews. I enjoy working with clients from teen to older adult, and helping them deal with a variety of issues. I believe that devolping a healthy therapeutic relationship is the most important aspect for fostering growth and change. I have an open-minded and accepting approach, and love helping clients gain a better understanding of their emotions and how to deal with them more effectively. I also enjoy helping people learn to better advocate for themselves, create healthy boundaries, and improve communication with family and friends.
I'm glad you're here! My name is Erin Matthews. I enjoy working with clients from teen to older adult, and helping them deal with a variety of issues. I believe that devolping a healthy therapeutic relationship is the most important aspect for fostering growth and change. I have an open-minded and accepting approach, and love helping clients gain a better understanding of their emotions and how to deal with them more effectively. I also enjoy helping people learn to better advocate for themselves, create healthy boundaries, and improve communication with family and friends.
(610) 379-1260 View (610) 379-1260
Photo of Sandy Zeiset, MA, Pre-Licensed Professional
Sandy Zeiset
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Downingtown, PA 19335
*I am now offering Telehealth appointments* Change is hard. When you’re in the middle of a life transition, it’s easy to feel lost. Heading off to college or a new career, going through a divorce or a newly “empty nest”, questioning your religious faith or your sexuality are just some of the things that can make you feel like you’re not sure who you are anymore. Maybe you want to make a change but can’t figure out what direction you want to go in. We all need guidance sometimes.
*I am now offering Telehealth appointments* Change is hard. When you’re in the middle of a life transition, it’s easy to feel lost. Heading off to college or a new career, going through a divorce or a newly “empty nest”, questioning your religious faith or your sexuality are just some of the things that can make you feel like you’re not sure who you are anymore. Maybe you want to make a change but can’t figure out what direction you want to go in. We all need guidance sometimes.
(484) 364-2509 View (484) 364-2509
Photo of Michele Paiva - The Finance Therapist & Narcissist Abuse Recovery, PhD, CFEI, MBSR, CHT
The Finance Therapist & Narcissist Abuse Recovery
PhD, CFEI, MBSR, CHT
Verified Verified
1 Endorsed
Downingtown, PA 19335  (Online Only)
Are you feeling overwhelmed by financial stress or trapped in the aftermath of a toxic relationship? You may be dealing with the emotional toll of financial anxiety, navigating life post-narcissistic abuse, or striving to reclaim your self-worth. I understand how trauma can impact your financial decisions and overall well-being, and I'm here to guide you toward healing and empowerment.
Are you feeling overwhelmed by financial stress or trapped in the aftermath of a toxic relationship? You may be dealing with the emotional toll of financial anxiety, navigating life post-narcissistic abuse, or striving to reclaim your self-worth. I understand how trauma can impact your financial decisions and overall well-being, and I'm here to guide you toward healing and empowerment.
(484) 364-2221 View (484) 364-2221
Photo of Alexandria Anshant, LMFT, Marriage & Family Therapist
Alexandria Anshant
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Downingtown, PA 19335
The fact that you are viewing this page already tells me something about you: You want to feel better. This step is the first and, sometimes, the most difficult. I work well with individuals, couples, and families who are looking to deepen their understanding of current challenges, discover hope, and feel empowered to make change. ​I am most passionate about helping adults work through difficulties in their relationships (past, present, or future) and couples/families who are navigating their parenting journey.
The fact that you are viewing this page already tells me something about you: You want to feel better. This step is the first and, sometimes, the most difficult. I work well with individuals, couples, and families who are looking to deepen their understanding of current challenges, discover hope, and feel empowered to make change. ​I am most passionate about helping adults work through difficulties in their relationships (past, present, or future) and couples/families who are navigating their parenting journey.
(484) 946-4042 View (484) 946-4042
Photo of Jason L Dobrzynski, MS, LPC, NCC, Licensed Professional Counselor
Jason L Dobrzynski
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Downingtown, PA 19335  (Online Only)
My mission is to utilize my robust clinical experience and training - guided by a deep pastoral sensibility - to help clients attain their own measure of personal therapeutic success. I specialize in working with individuals experiencing major life events and transitions (good, difficult, or otherwise) and other life challenges.
My mission is to utilize my robust clinical experience and training - guided by a deep pastoral sensibility - to help clients attain their own measure of personal therapeutic success. I specialize in working with individuals experiencing major life events and transitions (good, difficult, or otherwise) and other life challenges.
(484) 666-0751 View (484) 666-0751
Photo of Nikki Talarico Yatron, MA, LPC, NCC, Licensed Professional Counselor
Nikki Talarico Yatron
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Downingtown, PA 19335  (Online Only)
Hello! I am so happy you found my page! I am very passionate about what I do and the families I serve. I have been a Mental Health Therapist serving children and adolescence for over 7 years.  I'm a Licensed Professional Counselor and Nationally Certified Counselor. I am licensed in both DC and Pennsylvania. I hold a certification in TFCBT (Trauma Focused Cognitive Behavioral Therapy) and am in the process of obtaining my Registered Play Therapy Licensure.
Hello! I am so happy you found my page! I am very passionate about what I do and the families I serve. I have been a Mental Health Therapist serving children and adolescence for over 7 years.  I'm a Licensed Professional Counselor and Nationally Certified Counselor. I am licensed in both DC and Pennsylvania. I hold a certification in TFCBT (Trauma Focused Cognitive Behavioral Therapy) and am in the process of obtaining my Registered Play Therapy Licensure.
(484) 209-1478 View (484) 209-1478
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How does your Therapist compare?

Number of Therapists in Downingtown, PA

200+

Average cost per session

$140

Therapists in Downingtown, PA who prioritize treating:

94% Anxiety
89% Depression
75% Self Esteem
73% Relationship Issues
68% Coping Skills
60% Trauma and PTSD
60% Stress

Average years in practice

12 Years

Top 3 insurances accepted

82% Aetna
82% Highmark
67% Optum

How Therapists in Downingtown, PA see their clients

71% In Person and Online
29% Online Only

Gender breakdown

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

How can I find a therapist in Downingtown?

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.