Photo of Rebecca Kushins - Online Therapist (She-Hers), MSW, LICSW, Clinical Social Work/Therapist
Rebecca Kushins - Online Therapist (She-Hers)
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Grafton, MA 01519  (Online Only)
Internal Family Systems (IFS) - Level 2 Trained. You’ve tried a lot of things to help yourself - mindfulness, meditation, yoga, exercise and more. You are relieved for a time, until it all comes back, sometimes worse than before. On the outside, you pride yourself on being an intelligent person, a strong individual, a committed worker, a loyal friend. Perhaps you identify as a member of the LBGTQ+ community. Yet these days you find yourself spinning inside. You can’t shake these feelings of being out of control. Sometimes your behavior really is.
Internal Family Systems (IFS) - Level 2 Trained. You’ve tried a lot of things to help yourself - mindfulness, meditation, yoga, exercise and more. You are relieved for a time, until it all comes back, sometimes worse than before. On the outside, you pride yourself on being an intelligent person, a strong individual, a committed worker, a loyal friend. Perhaps you identify as a member of the LBGTQ+ community. Yet these days you find yourself spinning inside. You can’t shake these feelings of being out of control. Sometimes your behavior really is.
(508) 413-6406 View (508) 413-6406
Photo of Kristy Boshell - Clarity Counseling, LLC, LMHC, Counselor
Clarity Counseling, LLC
Counselor, LMHC
Verified Verified
Grafton, MA 01519  (Online Only)
Not accepting new clients
Asking for help is a major strength and you deserve to feel safe, protected, and valid in your journey to clarity. I hope to offer guidance, a listening ear, and a supportive voice to help with whatever it is you're struggling with. I primarily work with teens and adults and when I work with teens, I aim to provide a safe place to explore all of those questions you're facing at this point in your life. Adolescent years are exciting and terrifying and you deserve to have a place you can process all of those feelings- free of judgment. When working with adults, I also aim to provide safety and reassurance when navigating life!
Asking for help is a major strength and you deserve to feel safe, protected, and valid in your journey to clarity. I hope to offer guidance, a listening ear, and a supportive voice to help with whatever it is you're struggling with. I primarily work with teens and adults and when I work with teens, I aim to provide a safe place to explore all of those questions you're facing at this point in your life. Adolescent years are exciting and terrifying and you deserve to have a place you can process all of those feelings- free of judgment. When working with adults, I also aim to provide safety and reassurance when navigating life!
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Photo of Robin Brown, LICSW, Clinical Social Work/Therapist
Robin Brown
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Grafton, MA 01519
Are you struggling with anxiety and depression? Have you found that you are not able to get back to living as you had prior to the pandemic? Are family, work, and relationships causing you stress? Is your teen worried about school? Have they lost a sense of themself, their interests, and their friends over the past year?
Are you struggling with anxiety and depression? Have you found that you are not able to get back to living as you had prior to the pandemic? Are family, work, and relationships causing you stress? Is your teen worried about school? Have they lost a sense of themself, their interests, and their friends over the past year?
(508) 388-1489 View (508) 388-1489
Photo of Jonathan B. Wolf, EdM
Jonathan B. Wolf
EdM
Verified Verified
Grafton, MA 01519
Feel that traditional therapy is not for you? Jonathan started YouTime Coaching 13 years ago with an ambitious core belief: if you provide compassionate support, positive modeling, and skillful accountability, personal growth and change are possible. We've had major success working with many young people, adults, and families regarding academic/work struggles, transitional challenges, focus/attention issues, communication, motivation, performance enhancement, and self-confidence.
Feel that traditional therapy is not for you? Jonathan started YouTime Coaching 13 years ago with an ambitious core belief: if you provide compassionate support, positive modeling, and skillful accountability, personal growth and change are possible. We've had major success working with many young people, adults, and families regarding academic/work struggles, transitional challenges, focus/attention issues, communication, motivation, performance enhancement, and self-confidence.
(856) 281-2747 View (856) 281-2747
Photo of Jacqueline McLean, MSW, LICSW, Clinical Social Work/Therapist
Jacqueline McLean
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Grafton, MA 01519
I help people overcome many different psychological challenges, including anxiety, depression, eating disorders, substance abuse, relationship issues and many more (please see my website). By bridging two different careers myself for the past 24 years, I am able to work with people, not only around major mental health issues, but in career changing and strategic life planning. I am also qualified to work with professionals and executives who want to excel or redirect their careers. As an experienced divorce coach and educator, I help adolescents handle the impact divorcing parents have on their lives.
I help people overcome many different psychological challenges, including anxiety, depression, eating disorders, substance abuse, relationship issues and many more (please see my website). By bridging two different careers myself for the past 24 years, I am able to work with people, not only around major mental health issues, but in career changing and strategic life planning. I am also qualified to work with professionals and executives who want to excel or redirect their careers. As an experienced divorce coach and educator, I help adolescents handle the impact divorcing parents have on their lives.
(508) 928-5177 View (508) 928-5177
Photo of Dorene Calmus, LICSW, Clinical Social Work/Therapist
Dorene Calmus
Clinical Social Work/Therapist, LICSW
Verified Verified
Grafton, MA 01519
Not accepting new clients
I have been in the field of social work for 36 years, with 14 of those years in an inpatient psychiatric setting for adolescents with chronic mental health and trauma issues. I work with children, teens, adults, and families, and have an extensive practice with trauma related issues, including sexual trauma. An active participant in the therapeutic process, I provide insight, feedback, and thoughtful questions to assist individuals to recognize their strengths, utilize their coping skills, and reclaim their voice in order to lead a more fulfilled affirmative life.
I have been in the field of social work for 36 years, with 14 of those years in an inpatient psychiatric setting for adolescents with chronic mental health and trauma issues. I work with children, teens, adults, and families, and have an extensive practice with trauma related issues, including sexual trauma. An active participant in the therapeutic process, I provide insight, feedback, and thoughtful questions to assist individuals to recognize their strengths, utilize their coping skills, and reclaim their voice in order to lead a more fulfilled affirmative life.
(508) 534-8745 View (508) 534-8745
Photo of Front Desk - Serenity Coaching and Counseling, LLC - , LMHC, LICSW, LADAC, CADAC, LMFT, Counselor
Serenity Coaching and Counseling, LLC -
Counselor, LMHC, LICSW, LADAC, CADAC, LMFT
Verified Verified
2 Endorsed
Grafton, MA 01519
We are finally coming off a wait list! We have a high rate of success with a low turn over of clients. Spots will fill up fast - contact us today! We are a GROUP PRIVATE PRACTICE focused on mental health or substance use COACHING and COUNSELING support for adults and teens. Our PROVIDERS have extensive experience and are independently LICENSED to practice or in process be under full apprenticeship. Our goal is to offer education and guidance to INDIVIDUALS, COUPLES, and FAMILIES dealing with a variety of issues that affect their MENTAL HEALTH, BALANCE, and WELL-BEING.
We are finally coming off a wait list! We have a high rate of success with a low turn over of clients. Spots will fill up fast - contact us today! We are a GROUP PRIVATE PRACTICE focused on mental health or substance use COACHING and COUNSELING support for adults and teens. Our PROVIDERS have extensive experience and are independently LICENSED to practice or in process be under full apprenticeship. Our goal is to offer education and guidance to INDIVIDUALS, COUPLES, and FAMILIES dealing with a variety of issues that affect their MENTAL HEALTH, BALANCE, and WELL-BEING.
(508) 436-2608 View (508) 436-2608
Photo of Elizabeth Daniels, MA, LMHC, Counselor
Elizabeth Daniels
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Grafton, MA 01519
Not accepting new clients
In my practice I offer therapy for children, adolescents, and families, helping clients learn new ways to successfully cope with current stresses. I help young people who are struggling with depression, anxiety, divorce, bereavement, trauma and adjustment issues. My specialty areas include helping both children and adolescents cope with their concerns and develop a healthy sense of self.
In my practice I offer therapy for children, adolescents, and families, helping clients learn new ways to successfully cope with current stresses. I help young people who are struggling with depression, anxiety, divorce, bereavement, trauma and adjustment issues. My specialty areas include helping both children and adolescents cope with their concerns and develop a healthy sense of self.
(508) 455-5191 View (508) 455-5191
Photo of Stephanie Stilla-Petrie, MA, LMHC, Counselor
Stephanie Stilla-Petrie
Counselor, MA, LMHC
Verified Verified
Grafton, MA 01519
Not accepting new clients
Everyday living is not without stressors. How we react to events or interact in relationships can be a struggle as well as puzzling. Why do we feel the way we do? Why do we continue to make the same mistakes over and over again? How can our perceptions be so different from others? How do early experiences impact our perceptions, feelings, and behaviors? I provide a safe, comforting environment for you to explore and reflect on your past and recent experiences, feelings, and relationships. My approach is to facilitate change based on your expressed needs and goals.
Everyday living is not without stressors. How we react to events or interact in relationships can be a struggle as well as puzzling. Why do we feel the way we do? Why do we continue to make the same mistakes over and over again? How can our perceptions be so different from others? How do early experiences impact our perceptions, feelings, and behaviors? I provide a safe, comforting environment for you to explore and reflect on your past and recent experiences, feelings, and relationships. My approach is to facilitate change based on your expressed needs and goals.
(508) 401-7291 View (508) 401-7291
Photo of Alisa Zaref, LICSW, Clinical Social Work/Therapist
Alisa Zaref
Clinical Social Work/Therapist, LICSW
Verified Verified
Grafton, MA 01519
People choose to enter psychotherapy for many different reasons. They might be feeling overwhelming sadness or worry. They might be experiencing conflict in their relationships, going through a challenging situation, or just feel stuck and unable to find their path towards a fulfilling life. My goal as a therapist is to provide a safe and comfortable space for you to explore the ways that you can get your life back on track. Together, we will set achievable goals and find strategies to meet your unique needs.
People choose to enter psychotherapy for many different reasons. They might be feeling overwhelming sadness or worry. They might be experiencing conflict in their relationships, going through a challenging situation, or just feel stuck and unable to find their path towards a fulfilling life. My goal as a therapist is to provide a safe and comfortable space for you to explore the ways that you can get your life back on track. Together, we will set achievable goals and find strategies to meet your unique needs.
(508) 812-9069 View (508) 812-9069
Photo of Casey M Rickli, MA, LMHC, Counselor
Casey M Rickli
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Grafton, MA 01519  (Online Only)
A happier life is within reach when we are able to let go of old behaviors and ways of thinking. Maybe you are feeling anxious, depressed or stuck in your life. You want to improve your relationships with yourself and those that you love. With curiosity and humor, I strive to create a safe, supportive and non-judgmental partnership with clients to promote healing, growth and change.
A happier life is within reach when we are able to let go of old behaviors and ways of thinking. Maybe you are feeling anxious, depressed or stuck in your life. You want to improve your relationships with yourself and those that you love. With curiosity and humor, I strive to create a safe, supportive and non-judgmental partnership with clients to promote healing, growth and change.
(774) 214-2688 View (774) 214-2688
Photo of Margo McGann, MSW, LICSW, Clinical Social Work/Therapist
Margo McGann
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
4 Endorsed
Grafton, MA 01519
Welcome, I’m glad you’re here! Initiating change may be one of the hardest and strongest steps you can take. I work with people facing an array of mental health concerns, and have a specialty in helping people heal from relational trauma. I find we are most often hurt in the context of relationships - a break-up, infidelity, emotional, physical or sexual abuse, being made to feel you are unloved. You may feel overwhelmingly anxious, disconnected or over-attached to loved-ones, or unable to trust. Maybe you begin isolating yourself from friendships or engaging in relationships you know aren’t healthy for you.
Welcome, I’m glad you’re here! Initiating change may be one of the hardest and strongest steps you can take. I work with people facing an array of mental health concerns, and have a specialty in helping people heal from relational trauma. I find we are most often hurt in the context of relationships - a break-up, infidelity, emotional, physical or sexual abuse, being made to feel you are unloved. You may feel overwhelmingly anxious, disconnected or over-attached to loved-ones, or unable to trust. Maybe you begin isolating yourself from friendships or engaging in relationships you know aren’t healthy for you.
(508) 348-7099 View (508) 348-7099
Photo of Victoria Cruz, MA, LMHC, BC-DMT, Counselor
Victoria Cruz
Counselor, MA, LMHC, BC-DMT
Verified Verified
2 Endorsed
Grafton, MA 01519
When painful things happen in our lives, we do our best to cope with it in the moment. That might mean we get really good at “just dealing with it,” and “toughing it out.” Maybe we get really good at “checking out,” or maybe we become super skilled at coming up with clever ways to altogether avoid triggering situations. At one point in time, these skills served you well. And maybe they don’t any longer. Often, underneath these patterns anxiety and depression flood every day, drowning out our resources and making life difficult to enjoy. But changing these patterns and finding new hope can seem like an impossible feat.
When painful things happen in our lives, we do our best to cope with it in the moment. That might mean we get really good at “just dealing with it,” and “toughing it out.” Maybe we get really good at “checking out,” or maybe we become super skilled at coming up with clever ways to altogether avoid triggering situations. At one point in time, these skills served you well. And maybe they don’t any longer. Often, underneath these patterns anxiety and depression flood every day, drowning out our resources and making life difficult to enjoy. But changing these patterns and finding new hope can seem like an impossible feat.
(508) 691-8076 View (508) 691-8076
Photo of Gloria Tower, LICSW, Clinical Social Work/Therapist
Gloria Tower
Clinical Social Work/Therapist, LICSW
Verified Verified
Grafton, MA 01519
I am a Licensed Independent Clinical Social Worker and a 200-hour Kripalu Yoga teacher. I have a passion for holistic healing & and enjoy empowering my clients toward their goals. I use a range of approaches such as CBT, DBT, Internal Family systems, anger management, and peaceful communication strategies. I work with adults who are 18+.
I am a Licensed Independent Clinical Social Worker and a 200-hour Kripalu Yoga teacher. I have a passion for holistic healing & and enjoy empowering my clients toward their goals. I use a range of approaches such as CBT, DBT, Internal Family systems, anger management, and peaceful communication strategies. I work with adults who are 18+.
(508) 388-1606 View (508) 388-1606
Photo of Bonnie J DeLorme - Whole Family Coaching, LLC, MMFT , CAS, LSW
Whole Family Coaching, LLC
MMFT , CAS, LSW
Verified Verified
Grafton, MA 01519
MY APPROACH IS UNIQUE AS I BELIEVE THAT GROWTH COMES FROM HAVING THE COURAGE TO FACE YOUR TRUTH AND CHALLENGE THE "STATUS QUO" IN A SAFE AND SUPPORTIVE SPACE. I AM SINCERE, DOWN TO EARTH, AND GENUINE. MY CLIENTS ARE THE EXPERTS IN THEIR OWN LIVES AND THEREFORE I OPERATE AS A GUIDE AND COACH IN FINDING A DIFFERENT WAY TO THINK ABOUT YOUR RELATIONSHIPS. IT WOULD BE MY HONOR TO COACH YOUR FAMILY, TEEN, YOUNG ADULT OR RELATIONSHIP TOWARD EMPOWERMENT, PEACE AND HARMONY.
MY APPROACH IS UNIQUE AS I BELIEVE THAT GROWTH COMES FROM HAVING THE COURAGE TO FACE YOUR TRUTH AND CHALLENGE THE "STATUS QUO" IN A SAFE AND SUPPORTIVE SPACE. I AM SINCERE, DOWN TO EARTH, AND GENUINE. MY CLIENTS ARE THE EXPERTS IN THEIR OWN LIVES AND THEREFORE I OPERATE AS A GUIDE AND COACH IN FINDING A DIFFERENT WAY TO THINK ABOUT YOUR RELATIONSHIPS. IT WOULD BE MY HONOR TO COACH YOUR FAMILY, TEEN, YOUNG ADULT OR RELATIONSHIP TOWARD EMPOWERMENT, PEACE AND HARMONY.
(774) 489-3141 View (774) 489-3141
Photo of Carolyn M. Chapman, MSW, LICSW, Clinical Social Work/Therapist
Carolyn M. Chapman
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Grafton, MA 01519
Not accepting new clients
My particular areas of expertise include women’s health, pregnancy and postpartum struggles, fertility issues, depression, anxiety, trauma, identity development and sexual orientation, relationship challenges, and adjustment to significant life changes.
My particular areas of expertise include women’s health, pregnancy and postpartum struggles, fertility issues, depression, anxiety, trauma, identity development and sexual orientation, relationship challenges, and adjustment to significant life changes.
(774) 241-9085 View (774) 241-9085
Mary K Counseling
Counselor, LMHC
Verified Verified
Grafton, MA 01519
The phoenix demonstrates the power of the human spirit to recreate itself even from the most disastrous of situations, rising into a magnificent bird. Hello, My name is Mary Kuchta. I have over three decades experience working with children, families and adults. As your therapist I will assist you in reaching your full potential as your best authentic self.
The phoenix demonstrates the power of the human spirit to recreate itself even from the most disastrous of situations, rising into a magnificent bird. Hello, My name is Mary Kuchta. I have over three decades experience working with children, families and adults. As your therapist I will assist you in reaching your full potential as your best authentic self.
(508) 355-3160 View (508) 355-3160
Photo of Nicole Bourassa-Pratt, LICSW, Clinical Social Work/Therapist
Nicole Bourassa-Pratt
Clinical Social Work/Therapist, LICSW
Verified Verified
Grafton, MA 01519  (Online Only)
Not accepting new clients
I believe we all have the ability to make the changes we want to in our lives. At times, however, we may feel stuck, unmotivated, or unsure of how to move forward. Using a strengths based approach I enjoy supporting clients as they move through challenges to live their best and most authentic lives. I believe in client-directed therapy, meaning that you are in control. Goals are based on the client's expressed needs and concerns, and are reviewed and altered to make sure that together we are always working towards the best outcome.
I believe we all have the ability to make the changes we want to in our lives. At times, however, we may feel stuck, unmotivated, or unsure of how to move forward. Using a strengths based approach I enjoy supporting clients as they move through challenges to live their best and most authentic lives. I believe in client-directed therapy, meaning that you are in control. Goals are based on the client's expressed needs and concerns, and are reviewed and altered to make sure that together we are always working towards the best outcome.
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Photo of Katie Ring, LICSW, Clinical Social Work/Therapist
Katie Ring
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Grafton, MA 01519  (Online Only)
Life often throws curveballs and learning new ways to respond to stress can be one of the most important things we can do. I enjoy building relationships and watching others develop the skills they need to successfully overcome their challenges in life. Therapeutic work can be difficult, but I've found that a good sense of humor can go a long way.
Life often throws curveballs and learning new ways to respond to stress can be one of the most important things we can do. I enjoy building relationships and watching others develop the skills they need to successfully overcome their challenges in life. Therapeutic work can be difficult, but I've found that a good sense of humor can go a long way.
(774) 314-1120 View (774) 314-1120
Photo of Liza Detenber, LICSW, EMDR, Clinical Social Work/Therapist
Liza Detenber
Clinical Social Work/Therapist, LICSW, EMDR
Verified Verified
Grafton, MA 01519  (Online Only)
Waitlist for new clients
In a busy, overwhelming, too-much world we all need to find ways to care for ourselves. Reaching out for therapy can be a way to carve out some space to nourish and connect to yourself. Maybe you're here because you feel overwhelmed and anxious. You know you have deep wisdom inside but the overwhelm is making it hard to access it. Perhaps there is self-judgment for feeling “too sensitive”. You’re doing big things yet you still feel small. You long to feel calm, centered, and connected. My grounded, intuitive, and collaborative approach can help!
In a busy, overwhelming, too-much world we all need to find ways to care for ourselves. Reaching out for therapy can be a way to carve out some space to nourish and connect to yourself. Maybe you're here because you feel overwhelmed and anxious. You know you have deep wisdom inside but the overwhelm is making it hard to access it. Perhaps there is self-judgment for feeling “too sensitive”. You’re doing big things yet you still feel small. You long to feel calm, centered, and connected. My grounded, intuitive, and collaborative approach can help!
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See more therapy options for 01519

How does your Therapist compare?

Number of Therapists in 01519

20+

Average cost per session

$155

Therapists in 01519 who prioritize treating:

96% Anxiety
91% Coping Skills
87% Depression
83% Self Esteem
78% Relationship Issues
78% Parenting
78% Stress

Average years in practice

14 Years

Top 3 insurances accepted

88% BlueCross and BlueShield
75% Harvard Pilgrim
75% Tufts

How Therapists in 01519 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

95% Female
5% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 01519?

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.