Therapists in New York County, NY
![Photo of Emily K Fitton, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/fa90b9c1-efe3-48c3-ad82-e61b4f2f0bc8/2/320x400.jpeg)
I specialize in anxiety, insomnia and life purpose because they’re challenges I’ve personally overcome. I help people find the exit ramp out of anxiety. I understand how much the race for external validation has cost you. Living in repeating cycles of overwhelm, avoiding, then shaming yourself for it. You wonder if you have to live with the physical symptoms and insomnia forever. And the highest cost of all – you never got to know yourself. Paradoxically, your anxiety is actually a flashing signal to change. Work with me and discover the way back to you. And, if it feels like chronic insomnia has taken over your life, there’s hope.
I specialize in anxiety, insomnia and life purpose because they’re challenges I’ve personally overcome. I help people find the exit ramp out of anxiety. I understand how much the race for external validation has cost you. Living in repeating cycles of overwhelm, avoiding, then shaming yourself for it. You wonder if you have to live with the physical symptoms and insomnia forever. And the highest cost of all – you never got to know yourself. Paradoxically, your anxiety is actually a flashing signal to change. Work with me and discover the way back to you. And, if it feels like chronic insomnia has taken over your life, there’s hope.
![Photo of Eve Schwartz, PsyD, Psychologist](https://photos.psychologytoday.com/8ab7d554-89d0-45a9-9d09-a0887b047a7c/1/320x400.jpeg)
Life can feel overwhelming, especially as we confront different forms of loss and transition. These defining moments can disrupt the relationship we have with ourselves. As your psychologist my aim is to help you better understand and navigate the challenges interfering with your innate capacity for growth. I am devoted to providing a therapy space that feels safe, warm, and authentic. My style is open and curious such that your unique experiences can unfold organically. I will closely attune to your needs, and together we will co-create an environment that will foster your ability to experience yourself in new and exciting ways.
Life can feel overwhelming, especially as we confront different forms of loss and transition. These defining moments can disrupt the relationship we have with ourselves. As your psychologist my aim is to help you better understand and navigate the challenges interfering with your innate capacity for growth. I am devoted to providing a therapy space that feels safe, warm, and authentic. My style is open and curious such that your unique experiences can unfold organically. I will closely attune to your needs, and together we will co-create an environment that will foster your ability to experience yourself in new and exciting ways.
![Photo of Jennifer Elson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/39bd030e-cedb-461b-b1cc-76256a3d3313/1/320x400.jpeg)
At times we all need help sorting through life's complexities. I believe that learned experiences from the past can interfere with our present-day fulfillment. Whether you are struggling with relationships, professional dynamics or personal satisfaction, understanding how negative thought patterns adversely impact your life is a critical step towards change. With this knowledge you are empowered to approach your life in more beneficial ways. Therapy is a journey that explores some challenging emotional terrain. We will navigate that path together at a pace that feels manageable for you.
At times we all need help sorting through life's complexities. I believe that learned experiences from the past can interfere with our present-day fulfillment. Whether you are struggling with relationships, professional dynamics or personal satisfaction, understanding how negative thought patterns adversely impact your life is a critical step towards change. With this knowledge you are empowered to approach your life in more beneficial ways. Therapy is a journey that explores some challenging emotional terrain. We will navigate that path together at a pace that feels manageable for you.
![Photo of Jessica Glazer, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b9b0da38-5f21-4416-b983-c8e79729c953/1/320x400.jpeg)
Jessica Glazer
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
New York, NY 10016
Are you a middle-aged professional who’s thought about therapy, but perhaps been unsure of or felt undeserving of it in the past? Do you want to change negative thoughts and behaviors, but have had difficulty doing so, don’t know where to start, or don’t believe you can? Do you desire to feel more confident in yourself and in your life? You may constantly question yourself and your decisions, accommodating others and neglecting your needs. You might be dissatisfied with your relationships, family, work, and even yourself, but you don’t know what to do about it.
Are you a middle-aged professional who’s thought about therapy, but perhaps been unsure of or felt undeserving of it in the past? Do you want to change negative thoughts and behaviors, but have had difficulty doing so, don’t know where to start, or don’t believe you can? Do you desire to feel more confident in yourself and in your life? You may constantly question yourself and your decisions, accommodating others and neglecting your needs. You might be dissatisfied with your relationships, family, work, and even yourself, but you don’t know what to do about it.
![Photo of Maria Astorga, LMHC, Counselor](https://photos.psychologytoday.com/5b9f79d6-f088-4820-b8b9-f453882ffb3a/2/320x400.jpeg)
Bilingual therapist who works with clients in English and Spanish and a strong understanding of multicultural identity. She has a humanistic approach based on experiential, person-centered and systems theory but is mainly focused in the attachment theory. She believes change is possible when creating a safe environment where the individual feels trusted and understood.
Bilingual therapist who works with clients in English and Spanish and a strong understanding of multicultural identity. She has a humanistic approach based on experiential, person-centered and systems theory but is mainly focused in the attachment theory. She believes change is possible when creating a safe environment where the individual feels trusted and understood.
![Photo of Susan Greenfield, PhD , Psychologist](https://photos.psychologytoday.com/1a11d116-a7ba-40e6-a1b2-ef14d2fc4139/2/320x400.jpeg)
I work with clients in a supportive and empowering environment. This allows people to feel safe while doing challenging work to improve quality of life emotionally, mentally, and physically. If you have anxiety about your health, your relationships, your body, overachievement or past traumas, we can work together to help you have fewer symptoms, and feel more in control of your thoughts, feelings, and medical concerns.
I work with clients in a supportive and empowering environment. This allows people to feel safe while doing challenging work to improve quality of life emotionally, mentally, and physically. If you have anxiety about your health, your relationships, your body, overachievement or past traumas, we can work together to help you have fewer symptoms, and feel more in control of your thoughts, feelings, and medical concerns.
![Photo of Will Petzel, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8728efed-bc91-4923-ab64-9e6cafc12c61/2/320x400.jpeg)
Whether you're feeling stuck, finally ready to face something you've been putting off for years, or just wanting to take the next step in your life, I am ready to support you. My orientation is primarily psychodynamic and relational, though I am well-versed in numerous modalities. I have 25+ years of experience working with adults and families around a variety of issues, and I look forward to speaking with you. Please feel free to reach out for a free consultation. I see clients in-person at my Union Square office or through telehealth.
Whether you're feeling stuck, finally ready to face something you've been putting off for years, or just wanting to take the next step in your life, I am ready to support you. My orientation is primarily psychodynamic and relational, though I am well-versed in numerous modalities. I have 25+ years of experience working with adults and families around a variety of issues, and I look forward to speaking with you. Please feel free to reach out for a free consultation. I see clients in-person at my Union Square office or through telehealth.
![Photo of Geraldine Espinoza, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f0ca7cec-0c1f-479c-a9cb-0a259dc710ed/3/320x400.jpeg)
Geraldine Espinoza
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New York, NY 10011
I welcome everyone from all walks of life. My goal is to gain an in-depth knowledge of your specific needs using our talk space to deepen self-awareness, using psycho-education, and empathically nurture growth by providing the tools needed to achieve goals. The initial session will focus on completing a comprehensive assessment. I have worked with families, children, adolescents, and adults. I will guide, support, mentor, and collaborate with you on establishing goals to best meet your needs.
I welcome everyone from all walks of life. My goal is to gain an in-depth knowledge of your specific needs using our talk space to deepen self-awareness, using psycho-education, and empathically nurture growth by providing the tools needed to achieve goals. The initial session will focus on completing a comprehensive assessment. I have worked with families, children, adolescents, and adults. I will guide, support, mentor, and collaborate with you on establishing goals to best meet your needs.
![Photo of Rania Kanazi, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3c0458ac-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Rania Kanazi
Clinical Social Work/Therapist, LCSW-R
Verified Verified
New York, NY 10001
Waitlist for new clients
While New York City provides endless opportunities for people, it also presents a fast paced environment that can result in stress, frustration and low self esteem. Fear of failure, body image issues, racism, financial/work problems and competitiveness are stressors that I continually deal with in my practice.
While New York City provides endless opportunities for people, it also presents a fast paced environment that can result in stress, frustration and low self esteem. Fear of failure, body image issues, racism, financial/work problems and competitiveness are stressors that I continually deal with in my practice.
![Photo of Meghan Fitzpatrick, PsyD, Psychologist](https://photos.psychologytoday.com/f5d9be52-7c2b-4c9a-aad0-9368f796fe5a/1/320x400.jpeg)
Dr. Fitz uses an eclectic approach focused on action steps to implement in everyday life. She prefers to utilize techniques from a wide array of styles, focused most on aspects of CBT and DBT. She works with each client to learn what style works best for them, and uses that to create action plans and next step
Dr. Fitz uses an eclectic approach focused on action steps to implement in everyday life. She prefers to utilize techniques from a wide array of styles, focused most on aspects of CBT and DBT. She works with each client to learn what style works best for them, and uses that to create action plans and next step
![Photo of Simon Hirschhorn, FIPA, MS, MA, LP, Licensed Psychoanalyst](https://photos.psychologytoday.com/3c64bc1c-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I work with people of all ages, of all genders, all professions and especially of all faiths. I know that making the first step to reach out for help requires a lot of courage. Creating a safe & supportive environment where you won't feel judged is my goal, so that you can use therapy to cope better with difficult feelings and make real changes.
I work with people of all ages, of all genders, all professions and especially of all faiths. I know that making the first step to reach out for help requires a lot of courage. Creating a safe & supportive environment where you won't feel judged is my goal, so that you can use therapy to cope better with difficult feelings and make real changes.
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![Photo of Phoenix A. Muhammad - Phoenix Marriage & Family Therapy, PLLC, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/e47c9d9d-6d27-4ada-bb83-79371f2edaed/2/320x400.jpeg)
Phoenix Marriage & Family Therapy, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
New York, NY 10001 (Online Only)
Greetings! I am a Licensed Marriage and Family Therapist providing psychotherapy to individuals, couples and families with ten years’ service in this very rewarding work. Our team works with everyone including BIPOC, the LGBTQ+ Community, all religions and backgrounds, ages 5 to 95. I also provide group therapy to address Domestic Violence and Self-Esteem in addition to Parenting with Purpose, classes for those with ACS involvement and mandated to a parenting program by the court. I have significant experience addressing the effects of racism, chronic illness, depression, anxiety, grief and bereavement, family conflict and more.
Greetings! I am a Licensed Marriage and Family Therapist providing psychotherapy to individuals, couples and families with ten years’ service in this very rewarding work. Our team works with everyone including BIPOC, the LGBTQ+ Community, all religions and backgrounds, ages 5 to 95. I also provide group therapy to address Domestic Violence and Self-Esteem in addition to Parenting with Purpose, classes for those with ACS involvement and mandated to a parenting program by the court. I have significant experience addressing the effects of racism, chronic illness, depression, anxiety, grief and bereavement, family conflict and more.
![Photo of Mindy Levine, LCSW, BCD, CGP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4a485070-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
It is often difficult to find ways to resolve our problems without feeling defeated, depleted, frustrated, sad, alone and angry. My goal in developing the therapeutic relationship, is to create a space where you can feel safe expressing whatever thoughts and feelings you may have regarding your current concerns and worries. Life is full of challenges, emotional, physical, familial, financial, etc. Therapy can help you to find paths to alleviating problems, while enabling you to become more self-confident, self-evolved with greater satisfaction about your life.
It is often difficult to find ways to resolve our problems without feeling defeated, depleted, frustrated, sad, alone and angry. My goal in developing the therapeutic relationship, is to create a space where you can feel safe expressing whatever thoughts and feelings you may have regarding your current concerns and worries. Life is full of challenges, emotional, physical, familial, financial, etc. Therapy can help you to find paths to alleviating problems, while enabling you to become more self-confident, self-evolved with greater satisfaction about your life.
![Photo of Desiree Patrice, MA, LMHC, Counselor](https://photos.psychologytoday.com/a4b1414d-03f3-4270-b138-e18d3ac4644e/1/320x400.jpeg)
I work with a diverse range of individuals, families and partners. I hold a certification in family and couples counseling. My approach includes reprocessing traumatic events & triggers, building an attuned and confident sense of self, improving communication and managing a life that will bring forth a purposeful future.
I work with a diverse range of individuals, families and partners. I hold a certification in family and couples counseling. My approach includes reprocessing traumatic events & triggers, building an attuned and confident sense of self, improving communication and managing a life that will bring forth a purposeful future.
![Photo of Stephanie Gomez, MHC-LP, Counselor](https://photos.psychologytoday.com/0711e251-b8ee-41cb-88d1-2cf59d76e29d/2/320x400.jpeg)
Stephanie prefers to cater to her clients needs and incorporates several therapeutic modalities such as CBT, ACT, DBT, Mindfulness, and traditional Psychotherapy. Stephanie is a dedicated, compassionate, and empathic therapist who likes to foster a safe place and judgement free, welcoming environment for her clients where they have the freedom to express themselves and their needs while also feeling supported. Stephanie has interned with one of Zucker Hillside Hospital's outpatient programs where she gained experience treating adults in both individual and group therapy settings.
Stephanie prefers to cater to her clients needs and incorporates several therapeutic modalities such as CBT, ACT, DBT, Mindfulness, and traditional Psychotherapy. Stephanie is a dedicated, compassionate, and empathic therapist who likes to foster a safe place and judgement free, welcoming environment for her clients where they have the freedom to express themselves and their needs while also feeling supported. Stephanie has interned with one of Zucker Hillside Hospital's outpatient programs where she gained experience treating adults in both individual and group therapy settings.
![Photo of Ranjana Hari, PsyD, NCSP, Pre-Licensed Professional](https://photos.psychologytoday.com/df548a93-c601-4c6e-b068-4fd0a1803585/1/320x400.jpeg)
I'm a dedicated psychotherapist with an extensive and diverse background, spanning private practice, schools, college clinics, foster care, and hospitals, including acute care. With a passion for treating individuals of all ages, I specialize in harnessing the power of evidence-based therapies to create long-lasting positive change, focusing on the core of issues, rather than surface change. I take pride in fostering a safe, warm, and compassionate environment that embraces the unique perspectives of clients from diverse backgrounds. Even the most resistant patients find themselves engaged in the therapeutic process under my care.
I'm a dedicated psychotherapist with an extensive and diverse background, spanning private practice, schools, college clinics, foster care, and hospitals, including acute care. With a passion for treating individuals of all ages, I specialize in harnessing the power of evidence-based therapies to create long-lasting positive change, focusing on the core of issues, rather than surface change. I take pride in fostering a safe, warm, and compassionate environment that embraces the unique perspectives of clients from diverse backgrounds. Even the most resistant patients find themselves engaged in the therapeutic process under my care.
![Photo of Angelique Caligiuri, PsyD, Psychologist](https://photos.psychologytoday.com/f6359954-59d2-432e-8524-c14f0fa4cd43/2/320x400.jpeg)
Angelique Caligiuri
Psychologist, PsyD
Verified Verified
3 Endorsed
New York, NY 10024 (Online Only)
I enjoy working with patients of all ethnic and faith backgrounds, with a particular interest in the LGBTQ+ community and twins. My focus is adults grappling with questions about identity, relationships, and general mental wellness.
I enjoy working with patients of all ethnic and faith backgrounds, with a particular interest in the LGBTQ+ community and twins. My focus is adults grappling with questions about identity, relationships, and general mental wellness.
![Photo of Emma Fessler - Emma Fessler (w/ Mirielle Therapy Practice, PLLC), LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e222b5b4-d4c4-452e-a136-7fcbc9381d12/2/320x400.png)
Emma Fessler (w/ Mirielle Therapy Practice, PLLC)
Clinical Social Work/Therapist, LCSW-R
Verified Verified
New York, NY 10016 (Online Only)
Mirielle Therapy Practice is a group practice that specializes in helping early and mid-career stage women who are looking to make important changes in their lives. Our purpose is to work collaboratively with you so that you do not feel alone. As our client, it is important that you feel comfortable and accepted. We value working with women from a multitude of religious backgrounds, nationalities, sexual orientations, and ethnic/cultural identities.
Mirielle Therapy Practice is a group practice that specializes in helping early and mid-career stage women who are looking to make important changes in their lives. Our purpose is to work collaboratively with you so that you do not feel alone. As our client, it is important that you feel comfortable and accepted. We value working with women from a multitude of religious backgrounds, nationalities, sexual orientations, and ethnic/cultural identities.
![Photo of Julissa Hernandez, LMHC](https://photos.psychologytoday.com/996c6e28-6c14-4ed6-89bf-e4f018f6ee2a/1/320x400.jpeg)
Julissa Hernandez is a licensed mental health counselor. Julissa believes therapy is very specific in the sense that each individual needs and wants unique outcomes. In keeping with this, Julissa tailors her approach to each patient. She understands that vulnerability is not easy. In building a strong therapeutic alliance with her patients, she provides space for them to feel safe and explore difficult topics. Through conversation and exploration, Julissa helps patients become aware of patterns in their lives and create healthy ways to navigate their interactions and build stable, healthy lives.
Julissa Hernandez is a licensed mental health counselor. Julissa believes therapy is very specific in the sense that each individual needs and wants unique outcomes. In keeping with this, Julissa tailors her approach to each patient. She understands that vulnerability is not easy. In building a strong therapeutic alliance with her patients, she provides space for them to feel safe and explore difficult topics. Through conversation and exploration, Julissa helps patients become aware of patterns in their lives and create healthy ways to navigate their interactions and build stable, healthy lives.
![Photo of Fred Kutnick, Fred Kutnick, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6cf1b8f2-aafd-4bee-bbf2-c575dd931f43/1/320x400.png)
Fred Kutnick
Clinical Social Work/Therapist, Fred Kutnick, LCSW
Verified Verified
1 Endorsed
New York, NY 10014
Who is the person beneath your negative self-talk and turbulent emotions? If you're struggling with self-sabotage and distress, I can help. As partners in this process, you bring the expertise of knowing yourself, while I bring the expertise in treatment. Together, we will learn what gets in the way of you living the life you want to live and help you get unstuck. I work within a deeply humanistic, action-oriented, evidence-based framework (DBT, CBT, and ERP) that effectively confronts depressive, obsessive (OCD), and anxiety-based thought patterns and habits through emphasizing your known strengths and discovering the hidden ones.
Who is the person beneath your negative self-talk and turbulent emotions? If you're struggling with self-sabotage and distress, I can help. As partners in this process, you bring the expertise of knowing yourself, while I bring the expertise in treatment. Together, we will learn what gets in the way of you living the life you want to live and help you get unstuck. I work within a deeply humanistic, action-oriented, evidence-based framework (DBT, CBT, and ERP) that effectively confronts depressive, obsessive (OCD), and anxiety-based thought patterns and habits through emphasizing your known strengths and discovering the hidden ones.
See more therapy options for New York County
How does your Therapist compare?
Number of Therapists in New York County, NY
3,000+
Average cost per session
$200
Therapists in New York County, NY who prioritize treating:
94% | Anxiety |
89% | Depression |
84% | Relationship Issues |
78% | Self Esteem |
67% | Trauma and PTSD |
66% | Stress |
64% | Life Transitions |
Average years in practice
12 Years
Top 3 insurances accepted
81% | Aetna |
62% | Cigna and Evernorth |
60% | UnitedHealthcare UHC | UBH |
How Therapists in New York County, NY see their clients
57% | In Person and Online | |
43% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in New York County?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
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.
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.
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.