Therapists in New York

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Photo of James Foley - Sexual Addiction Sex Misbehavior Infidelity Expert, LCSW, SOTS , Clinical Social Work/Therapist
Sexual Addiction Sex Misbehavior Infidelity Expert
Clinical Social Work/Therapist, LCSW, SOTS
Verified Verified
1 Endorsed
New York, NY 10028
I will help you protect the life you love from self destructive choices. Sexual addiction elite level expert 27 years + 45k hours sexual misbehavior specialist psychotherapy provided, Together we will use evidence based research oriented methods on your Infidelity / Cheating /Affairs, Prostitution Use, Seeking Arrangements, Sugar Daddy, Strip Clubs, Massage Parlors, Certified Specialist. I created government funded sexual misbehavior programs utilizing highly effective clinical models and now you and I will use the most up to date understandings to have you change your thinking, end these behaviors, and heal your relationships.
I will help you protect the life you love from self destructive choices. Sexual addiction elite level expert 27 years + 45k hours sexual misbehavior specialist psychotherapy provided, Together we will use evidence based research oriented methods on your Infidelity / Cheating /Affairs, Prostitution Use, Seeking Arrangements, Sugar Daddy, Strip Clubs, Massage Parlors, Certified Specialist. I created government funded sexual misbehavior programs utilizing highly effective clinical models and now you and I will use the most up to date understandings to have you change your thinking, end these behaviors, and heal your relationships.
(914) 352-5260 View (914) 352-5260
Photo of Sarah Heller, LCSW-R, Clinical Social Work/Therapist
Sarah Heller
Clinical Social Work/Therapist, LCSW-R
Verified Verified
New York, NY 10011  (Online Only)
The most important thing in a therapeutic relationship is the match. Everyone wants to find a therapist who 'gets' them. I believe that therapy really works, and that finding the right person can be life-changing. As a therapist, I believe it is important to respect the choices that people make in their lives, and to listen openly and non-judgmentally. We all make choices that may not make sense to our friends and family. Therapy is useful for helping us to understand the reasoning behind the decisions we've made, and for facilitating change in our lives.
The most important thing in a therapeutic relationship is the match. Everyone wants to find a therapist who 'gets' them. I believe that therapy really works, and that finding the right person can be life-changing. As a therapist, I believe it is important to respect the choices that people make in their lives, and to listen openly and non-judgmentally. We all make choices that may not make sense to our friends and family. Therapy is useful for helping us to understand the reasoning behind the decisions we've made, and for facilitating change in our lives.
(917) 924-5524 View (917) 924-5524
Photo of Audrey Tyszka - Audrey Tyszka, LCSW-R, PLLC, MSW, LCSW-R, PLLC, Clinical Social Work/Therapist
Audrey Tyszka, LCSW-R, PLLC
Clinical Social Work/Therapist, MSW, LCSW-R, PLLC
Verified Verified
4 Endorsed
Baldwinsville, NY 13027
We cannot avoid stress and painful experiences in our lives. However, we can develop effective coping skills to reduce our suffering and to develop meaning. I believe that effective treatment consists of helping clients to balance both acceptance and change- by learning to live alongside what is beyond our control, while making the necessary changes in our lives to reach our true potential.
We cannot avoid stress and painful experiences in our lives. However, we can develop effective coping skills to reduce our suffering and to develop meaning. I believe that effective treatment consists of helping clients to balance both acceptance and change- by learning to live alongside what is beyond our control, while making the necessary changes in our lives to reach our true potential.
(315) 353-4005 View (315) 353-4005
Photo of Alyson Curtis, MA, LMHC, Counselor
Alyson Curtis
Counselor, MA, LMHC
Verified Verified
New York, NY 10016  (Online Only)
I work with individuals who have often had a long, difficult, battle with their relationship to their body and food. I welcome clients at any point in this journey, from those who are eager to begin changing behaviors and thoughts as soon as we begin, to those that have maybe even never admitted to another person what their relationship with food/their body is really like. I work from an inclusive, body diverse and positive lens. Come as you are. I am Health at Every Size and Intuitive Eating focused, and together we can restore and reclaim your relationship to food and your body.
I work with individuals who have often had a long, difficult, battle with their relationship to their body and food. I welcome clients at any point in this journey, from those who are eager to begin changing behaviors and thoughts as soon as we begin, to those that have maybe even never admitted to another person what their relationship with food/their body is really like. I work from an inclusive, body diverse and positive lens. Come as you are. I am Health at Every Size and Intuitive Eating focused, and together we can restore and reclaim your relationship to food and your body.
(646) 663-5850 View (646) 663-5850
Photo of Yelena V Shik - Yelena Shik Telehealth Psychotherapy , LCSW-R, Clinical Social Work/Therapist
Yelena Shik Telehealth Psychotherapy
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Commack, NY 11725
Issues with your child? Personal struggles? Stressed out or overwhelmed? Feeling depressed or anxious? You don't have to deal with difficulties alone. Yelena Shik for professional consultation. Who would benefit from this service? A child or an adult with symptoms of anxiety, depression, unresolved trauma or another emotional/behavioral problem. A family in distress to help resolving their issues; An adolescent or his/her parents who would like to see a therapist regarding their difficulties; emotional, social-relational, adjustments, etc.; A couple who is working on improvements in their relationship or deciding on breaking up.
Issues with your child? Personal struggles? Stressed out or overwhelmed? Feeling depressed or anxious? You don't have to deal with difficulties alone. Yelena Shik for professional consultation. Who would benefit from this service? A child or an adult with symptoms of anxiety, depression, unresolved trauma or another emotional/behavioral problem. A family in distress to help resolving their issues; An adolescent or his/her parents who would like to see a therapist regarding their difficulties; emotional, social-relational, adjustments, etc.; A couple who is working on improvements in their relationship or deciding on breaking up.
(631) 259-6032 View (631) 259-6032
Photo of Gregory M Singer, LMSW, SBL, SDL, Clinical Social Work/Therapist
Gregory M Singer
Clinical Social Work/Therapist, LMSW, SBL, SDL
Verified Verified
Massapequa, NY 11758
The only way to change is to define who you are and then change your habits to align with who your new self is. It's as simple as that, but the problem that arises the most with the clients who come into my office is; who is this new person I want to be. This can be difficult, because many times there are many underlying factors that prevent us, or that we perceive prevent us from taking the steps we need to move forward. It is my job is to help you realize what great potential you have inside you already. With that said let's work together to pick apart the old ideas you have of yourself, and create a new pathway forward.
The only way to change is to define who you are and then change your habits to align with who your new self is. It's as simple as that, but the problem that arises the most with the clients who come into my office is; who is this new person I want to be. This can be difficult, because many times there are many underlying factors that prevent us, or that we perceive prevent us from taking the steps we need to move forward. It is my job is to help you realize what great potential you have inside you already. With that said let's work together to pick apart the old ideas you have of yourself, and create a new pathway forward.
(631) 201-4895 View (631) 201-4895
Photo of Juliana Overbeck, LCSW, Clinical Social Work/Therapist
Juliana Overbeck
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Garden City, NY 11530
I am a Licensed Master Social Worker and graduate of New York University. I am passionate about helping others overcome life's challenges and discover their best selves. I practice from a strengths-based approach and believe that a nurturing and genuine presence is essential to the healing process and developing self-compassion. I am proficient in serving adults, adolescents, and children with mood disorders/depression, persistent anxiety, complex trauma and ADHD.
I am a Licensed Master Social Worker and graduate of New York University. I am passionate about helping others overcome life's challenges and discover their best selves. I practice from a strengths-based approach and believe that a nurturing and genuine presence is essential to the healing process and developing self-compassion. I am proficient in serving adults, adolescents, and children with mood disorders/depression, persistent anxiety, complex trauma and ADHD.
(929) 521-6591 View (929) 521-6591
Photo of Caroline Van Zandt, LCSW-R, LP, Clinical Social Work/Therapist
Caroline Van Zandt
Clinical Social Work/Therapist, LCSW-R, LP
Verified Verified
Brooklyn, NY 11242
Each of us is unique. In all the billions of years on this earth, there will never be another living person exactly like you. How are you handling the opportunities, challenges, crises and paradoxes of your one and only human life? How do you feel loved and valued? Connected to others? Secure? What provides you with a sense of creativity, meaning and purpose? As a therapist, I view my role as a catalyst to help reduce the inner obstacles to psychic growth and development. I want to reduce feelings of inadequacy, fear, sadness, shame and depression. I want to help you feel kinder towards both yourself and others.
Each of us is unique. In all the billions of years on this earth, there will never be another living person exactly like you. How are you handling the opportunities, challenges, crises and paradoxes of your one and only human life? How do you feel loved and valued? Connected to others? Secure? What provides you with a sense of creativity, meaning and purpose? As a therapist, I view my role as a catalyst to help reduce the inner obstacles to psychic growth and development. I want to reduce feelings of inadequacy, fear, sadness, shame and depression. I want to help you feel kinder towards both yourself and others.
(347) 697-4390 View (347) 697-4390
Photo of Jeana Penree, LCSW-R, Clinical Social Work/Therapist
Jeana Penree
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Utica, NY 13502
Not accepting new clients
Life can be challenging at times and I can help you navigate through the tougher moments. I will help you combat negative self talk, self defeating behaviors, or just plain and simple stress associated with day to day life. While helping you to embrace a calmer existence I will assist you in finding the awareness you desire to balance distinguishable areas of your life. I am experienced in working with individuals who are struggling with anxiety, depression, situational stressors, grief, and school- or work-related issues. My therapy approach is eclectic, consisting of Solution Focused Therapy, Cognitive Behavioral Therapy (CBT), and Strengths-Based Perspective.
Life can be challenging at times and I can help you navigate through the tougher moments. I will help you combat negative self talk, self defeating behaviors, or just plain and simple stress associated with day to day life. While helping you to embrace a calmer existence I will assist you in finding the awareness you desire to balance distinguishable areas of your life. I am experienced in working with individuals who are struggling with anxiety, depression, situational stressors, grief, and school- or work-related issues. My therapy approach is eclectic, consisting of Solution Focused Therapy, Cognitive Behavioral Therapy (CBT), and Strengths-Based Perspective.
(315) 805-4355 View (315) 805-4355
Photo of Emma Rosenbloom, LMHC, Counselor
Emma Rosenbloom
Counselor, LMHC
Verified Verified
1 Endorsed
Lagrangeville, NY 12540  (Online Only)
Therapy can be a great space to talk openly and freely with no judgement. My goal as a therapist is to provide that space for you to feel safe, supported and understood. If you are experiencing sadness, anxiety, struggles in relationships, difficulty with day-to-day tasks or just feeling overwhelmed with life stressors- I am here to help!
Therapy can be a great space to talk openly and freely with no judgement. My goal as a therapist is to provide that space for you to feel safe, supported and understood. If you are experiencing sadness, anxiety, struggles in relationships, difficulty with day-to-day tasks or just feeling overwhelmed with life stressors- I am here to help!
(845) 210-9786 View (845) 210-9786
Photo of Lisa Rosenzweig - Lisa Rosenzweig, PhD, PhD, Psychologist
Lisa Rosenzweig, PhD
Psychologist, PhD
Verified Verified
New York, NY 10010  (Online Only)
Chronic pain or illness didn't stop for the pandemic. In fact, it was harder to get to doctors, you may have felt more isolated, and you may have wanted to move on like everyone else but find yourself still struggling. And your physical health may still be affecting...everything. Are you having trouble managing symptoms of illness, side effects from treatment, chronic pain, infertility, or the emotional burden of your own or a loved one's diagnosis? Medical diagnoses and how we feel physically can profoundly impact our emotional health, family lives, and so much more. It can be a lot to handle on your own and you don't have to.
Chronic pain or illness didn't stop for the pandemic. In fact, it was harder to get to doctors, you may have felt more isolated, and you may have wanted to move on like everyone else but find yourself still struggling. And your physical health may still be affecting...everything. Are you having trouble managing symptoms of illness, side effects from treatment, chronic pain, infertility, or the emotional burden of your own or a loved one's diagnosis? Medical diagnoses and how we feel physically can profoundly impact our emotional health, family lives, and so much more. It can be a lot to handle on your own and you don't have to.
(917) 338-4798 View (917) 338-4798
Photo of Yoko Iwaki, PhD, LMHC, Counselor
Yoko Iwaki
Counselor, PhD, LMHC
Verified Verified
1 Endorsed
New York, NY 10001
I work with young adults and professionals in their path to self-discovery and healing. I specialize in treating trauma and relationship issues. I have also been trained in cross-cultural psychology and help individuals to explore their multicultural identities. In addition, I apply the knowledge I have gained through my experiences as a leadership and management consultant to help individuals who are striving to find greater purpose and meaning in their careers.
I work with young adults and professionals in their path to self-discovery and healing. I specialize in treating trauma and relationship issues. I have also been trained in cross-cultural psychology and help individuals to explore their multicultural identities. In addition, I apply the knowledge I have gained through my experiences as a leadership and management consultant to help individuals who are striving to find greater purpose and meaning in their careers.
(646) 759-4423 View (646) 759-4423
Photo of Nicholas Ganoudis, LCSW-R, Clinical Social Work/Therapist
Nicholas Ganoudis
Clinical Social Work/Therapist, LCSW-R
Verified Verified
New York, NY 10001
I am a psychotherapist with over 15 years of experience in the mental health field. I provide services to adults and couples. I specialize in treating depression, anxiety, PTSD/trauma, addiction and severe mental illnesses such as bi-polar disorder and schizophrenia. I address a wide range of life challenges including destructive relationships, serious illness and job stress. My approach to treatment begins with providing a comfortable environment. To help you feel comfortable, I like to go at your own pace and work on whatever you want to work on.
I am a psychotherapist with over 15 years of experience in the mental health field. I provide services to adults and couples. I specialize in treating depression, anxiety, PTSD/trauma, addiction and severe mental illnesses such as bi-polar disorder and schizophrenia. I address a wide range of life challenges including destructive relationships, serious illness and job stress. My approach to treatment begins with providing a comfortable environment. To help you feel comfortable, I like to go at your own pace and work on whatever you want to work on.
(718) 715-4978 View (718) 715-4978
Photo of Dr. Stephanie Anismatta, PsyD, Psychologist
Dr. Stephanie Anismatta
Psychologist, PsyD
Verified Verified
Bayside, NY 11360  (Online Only)
Dr. Anismatta finds empathy and creating a strong therapeutic alliance are the key ingredients in helping her patients achieve their goals in therapy.
Dr. Anismatta finds empathy and creating a strong therapeutic alliance are the key ingredients in helping her patients achieve their goals in therapy.
(347) 464-0765 View (347) 464-0765
Photo of Barbara Gluckin, PsyD, Psychologist
Barbara Gluckin
Psychologist, PsyD
Verified Verified
Great Neck, NY 11021
Hello worriers! Are you feeling anxious, overwhelmed and stuck in spiraling thoughts? Are you wondering how to stop overthinking? Maybe you feel uncomfortably restless or short tempered, or perhaps you are feeling frozen and indecisive, or unable to start tasks. Maybe you even have panic attacks. You might be feeling depressed or frustrated, or badly about yourself that you haven’t been able to ‘just forget it and get it together!’ It takes courage to look for a therapist and face these thoughts. It is brave of you to be here.
Hello worriers! Are you feeling anxious, overwhelmed and stuck in spiraling thoughts? Are you wondering how to stop overthinking? Maybe you feel uncomfortably restless or short tempered, or perhaps you are feeling frozen and indecisive, or unable to start tasks. Maybe you even have panic attacks. You might be feeling depressed or frustrated, or badly about yourself that you haven’t been able to ‘just forget it and get it together!’ It takes courage to look for a therapist and face these thoughts. It is brave of you to be here.
(516) 412-6919 View (516) 412-6919
Photo of Chloe Carmichael, PhD, Psychologist
Chloe Carmichael
Psychologist, PhD
Verified Verified
3 Endorsed
New York, NY 10016  (Online Only)
I work well with clients seeking help with stress management, relationship issues, goal attainment, or issues related to emotion and self-esteem. My ideal clients are professionals who are seeking results. In addition to my work with clients, I also provide practice building tools for clinicians. Although I am currently on sabbatical from psychotherapy clients, I do oversee my associates, Amanda Pelcher, LMFT and Grayson Stadler, LCSW. You can have a free consultation with my office to learn more. Send us an email or give us a call so we may assist you further!
I work well with clients seeking help with stress management, relationship issues, goal attainment, or issues related to emotion and self-esteem. My ideal clients are professionals who are seeking results. In addition to my work with clients, I also provide practice building tools for clinicians. Although I am currently on sabbatical from psychotherapy clients, I do oversee my associates, Amanda Pelcher, LMFT and Grayson Stadler, LCSW. You can have a free consultation with my office to learn more. Send us an email or give us a call so we may assist you further!
(929) 499-0492 View (929) 499-0492
Photo of Laura Geftman, LCSW, Clinical Social Work/Therapist
Laura Geftman
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10014  (Online Only)
I am here for you. When times are tough, it’s important to have the right support to nurture hope, focus on strength, and harness the power of uncertainty. You can stop surviving and start living again. Together we can explore the darkness & the light, and find your way thru it. We will tailor an approach to support your intentions, needs, and goals. You will become more aware of your core beliefs and better understand your thoughts, feelings, and behaviors. You’ll find our work to discover insight, self-acceptance, and freedom challenging but also profoundly supportive.
I am here for you. When times are tough, it’s important to have the right support to nurture hope, focus on strength, and harness the power of uncertainty. You can stop surviving and start living again. Together we can explore the darkness & the light, and find your way thru it. We will tailor an approach to support your intentions, needs, and goals. You will become more aware of your core beliefs and better understand your thoughts, feelings, and behaviors. You’ll find our work to discover insight, self-acceptance, and freedom challenging but also profoundly supportive.
(332) 286-4206 View (332) 286-4206
Photo of Tiina Treasure, LCSW, Clinical Social Work/Therapist
Tiina Treasure
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Brooklyn, NY 11218  (Online Only)
I love working with people who are inquisitive and are interested in knowing themselves better. With over a decade of experience providing mental health treatment in New York I have found that therapy works best with a dose of humor and curiosity. As a therapist my goal is to build a connection that is warm, nonjudgemental, and deeply attuned. I find that only then do my clients feel comfortable exploring the difficult issues (i.e. "the shit") that brought them to therapy to begin with, because a little light helps everyone be less afraid of the dark.
I love working with people who are inquisitive and are interested in knowing themselves better. With over a decade of experience providing mental health treatment in New York I have found that therapy works best with a dose of humor and curiosity. As a therapist my goal is to build a connection that is warm, nonjudgemental, and deeply attuned. I find that only then do my clients feel comfortable exploring the difficult issues (i.e. "the shit") that brought them to therapy to begin with, because a little light helps everyone be less afraid of the dark.
(347) 609-7103 View (347) 609-7103
Photo of Kristina Damiano, MHC-LP, Pre-Licensed Professional
Kristina Damiano
Pre-Licensed Professional, MHC-LP
Verified Verified
New York, NY 10001  (Online Only)
Kristina works from a place of non-judgement and authenticity where clients can feel free to show up as themselves. She values empathy and uses collaboration to help clients achieve their goals. Kristina uses CBT and DBT to help clients understand behaviors, thoughts, emotions and relationships. She uses Attachment Theory and The Gottman Method with couples.
Kristina works from a place of non-judgement and authenticity where clients can feel free to show up as themselves. She values empathy and uses collaboration to help clients achieve their goals. Kristina uses CBT and DBT to help clients understand behaviors, thoughts, emotions and relationships. She uses Attachment Theory and The Gottman Method with couples.
(646) 846-2880 View (646) 846-2880
Photo of Jesus R Vargas, LMHC, Counselor
Jesus R Vargas
Counselor, LMHC
Verified Verified
New Rochelle, NY 10801  (Online Only)
If you're seeking help navigating life's challenges, including anxiety, depression, trauma, relationship issues, and/or overall personal growth we may be a match! I also specialize in sports/workforce mental performance as well as spiritual based counseling.
If you're seeking help navigating life's challenges, including anxiety, depression, trauma, relationship issues, and/or overall personal growth we may be a match! I also specialize in sports/workforce mental performance as well as spiritual based counseling.
(914) 228-9713 View (914) 228-9713
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How does your Therapist compare?

Average cost per session

$165

Therapists in New York who prioritize treating:

93% Anxiety
88% Depression
80% Relationship Issues
76% Self Esteem
66% Trauma and PTSD
66% Coping Skills
66% Stress

Average years in practice

12 Years

Top 3 insurances accepted

79% Aetna
64% Cigna and Evernorth
62% UnitedHealthcare UHC | UBH

How Therapists in New York see their clients

62% In Person and Online
38% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New York?

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.