Photo of Emily Strayhorn, LCSW, Clinical Social Work/Therapist
Emily Strayhorn
Clinical Social Work/Therapist, LCSW
Verified Verified
Dedham, MA 02026
Emily (she/her/hers) a Licensed Certified Social Worker (LCSW) with a passion for mental health that began at an early age. She graduated from Columbia University with her Masters of Social Work. Emily has experience working in the outpatient setting with clients with a range of ages (children, adolescents, young adults) and diagnoses, including ADHD, depression, anxiety, emotion regulation, relationship difficulties, self-esteem, and other life stressors. Her approach is client-centered and collaborative - she never wants to simply tells her clients what to do, but rather hopes to explore options together to fulfill their goals.
Emily (she/her/hers) a Licensed Certified Social Worker (LCSW) with a passion for mental health that began at an early age. She graduated from Columbia University with her Masters of Social Work. Emily has experience working in the outpatient setting with clients with a range of ages (children, adolescents, young adults) and diagnoses, including ADHD, depression, anxiety, emotion regulation, relationship difficulties, self-esteem, and other life stressors. Her approach is client-centered and collaborative - she never wants to simply tells her clients what to do, but rather hopes to explore options together to fulfill their goals.
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Photo of Anna Rosenspan, LMHC, Counselor
Anna Rosenspan
Counselor, LMHC
Verified Verified
Dedham, MA 02026
OFFERING TELETHERAPY. I provide support for anyone who feels stressed, worried, or restless. Do you find your energy level is not where it used to be? Do you want something to change? Everyone experiences life stressors; therapy can help find your balance and achieve resolutions. I provide a safe and comfortable opportunity for my clients to share their story, learn new coping skills, and let go of things holding them back.
OFFERING TELETHERAPY. I provide support for anyone who feels stressed, worried, or restless. Do you find your energy level is not where it used to be? Do you want something to change? Everyone experiences life stressors; therapy can help find your balance and achieve resolutions. I provide a safe and comfortable opportunity for my clients to share their story, learn new coping skills, and let go of things holding them back.
(617) 712-2755 View (617) 712-2755
Photo of Emmanuel Dorvelus - Comprehensive Counseling & Consulting Srvcs, LLC, LMHC, Counselor
Comprehensive Counseling & Consulting Srvcs, LLC
Counselor, LMHC
Verified Verified
1 Endorsed
Dedham, MA 02026  (Online Only)
Are you going through tough times in your life and need an experienced and patient therapist to talk to? Do you feel like you might benefit from some skills training, cognitive reframing and coaching to help you cope with your worries, stress, and disappointments? Let’s work together then!
Are you going through tough times in your life and need an experienced and patient therapist to talk to? Do you feel like you might benefit from some skills training, cognitive reframing and coaching to help you cope with your worries, stress, and disappointments? Let’s work together then!
(339) 215-3767 View (339) 215-3767
Photo of Annie Cantieri, LCSW, Clinical Social Work/Therapist
Annie Cantieri
Clinical Social Work/Therapist, LCSW
Verified Verified
Dedham, MA 02026
I am a Licensed Certified Social Worker (LCSW) with experience engaging adults (18+) in both individual and group therapy. I work with clients experiencing anxiety, depression, ADHD, OCD, PTSD, mood disorders, trauma, grief, interpersonal difficulties, neurodivergence, and more. I have worked with a diverse range of clients and cherish the progress and therapeutic connections we have fostered together. I aim to create a welcoming, non-judgmental space where clients can fully express themselves while feeling supported. My practice is client-centered and strengths-based, allowing the client to determine their short and long-term goals
I am a Licensed Certified Social Worker (LCSW) with experience engaging adults (18+) in both individual and group therapy. I work with clients experiencing anxiety, depression, ADHD, OCD, PTSD, mood disorders, trauma, grief, interpersonal difficulties, neurodivergence, and more. I have worked with a diverse range of clients and cherish the progress and therapeutic connections we have fostered together. I aim to create a welcoming, non-judgmental space where clients can fully express themselves while feeling supported. My practice is client-centered and strengths-based, allowing the client to determine their short and long-term goals
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Photo of Alyssa Brelsford - Embodying Compassion: Alyssa Gorel , LICSW, BCN, RYT-500, Clinical Social Work/Therapist
Embodying Compassion: Alyssa Gorel
Clinical Social Work/Therapist, LICSW, BCN, RYT-500
Verified Verified
1 Endorsed
Dedham, MA 02026
I integrate yoga and psychotherapy to provide healing for adults in Massachusetts who are working through trauma or stuck reliving habitual patterns. Upon arrival at the office, I work compassionately and authentically with you to create a space where we can effectively work together on your goals. Collaboration, curiosity, and a mindful pace will help us explore automatic patterns, current and past stressors that are getting in the way of healing, growth, and self-realization. I integrate several healing modalities in sessions.
I integrate yoga and psychotherapy to provide healing for adults in Massachusetts who are working through trauma or stuck reliving habitual patterns. Upon arrival at the office, I work compassionately and authentically with you to create a space where we can effectively work together on your goals. Collaboration, curiosity, and a mindful pace will help us explore automatic patterns, current and past stressors that are getting in the way of healing, growth, and self-realization. I integrate several healing modalities in sessions.
(339) 217-4139 View (339) 217-4139
Photo of Isadora Howard-Karp, LMHC, Counselor
Isadora Howard-Karp
Counselor, LMHC
Verified Verified
Dedham, MA 02026
I’m a licensed mental health clinician with current daytime openings. I see adults experiencing major life transitions, struggling through difficult periods, or working to break old patterns. I work with children experiencing anxiety, impulsivity, or friendships and I work with parents to help them support their child and adapt their parenting to meet their child's needs. I am LGBTQ+-affirming, direct, caring, and insightful, and I love to use humor in my approach.
I’m a licensed mental health clinician with current daytime openings. I see adults experiencing major life transitions, struggling through difficult periods, or working to break old patterns. I work with children experiencing anxiety, impulsivity, or friendships and I work with parents to help them support their child and adapt their parenting to meet their child's needs. I am LGBTQ+-affirming, direct, caring, and insightful, and I love to use humor in my approach.
(857) 375-8961 View (857) 375-8961
Photo of Steven Saranga - Steven Saranga, LMHC, LMHC, MS, Counselor
Steven Saranga, LMHC
Counselor, LMHC, MS
Verified Verified
Dedham, MA 02026  (Online Only)
Are you feeling stressed? Are you tired of conflict with a loved one? If you're looking for someone to help work through these concerns and gain new skills and strategies for living an emotionally healthier life, I can help. I view my role as helping you identify the roots of your struggle, how they get perpetuated and why, and learn new and healthier ways of managing the curve balls life throws your way.
Are you feeling stressed? Are you tired of conflict with a loved one? If you're looking for someone to help work through these concerns and gain new skills and strategies for living an emotionally healthier life, I can help. I view my role as helping you identify the roots of your struggle, how they get perpetuated and why, and learn new and healthier ways of managing the curve balls life throws your way.
(978) 451-6240 View (978) 451-6240
Photo of Amy Sandler, PhD, LICSW, Clinical Social Work/Therapist
Amy Sandler
Clinical Social Work/Therapist, PhD, LICSW
Verified Verified
1 Endorsed
Dedham, MA 02026
Life is not about IF we will face difficult times, it's about preparing for WHEN and getting through the now. I enjoy working with adults and children who struggle with anxiety, depression, relationship difficulties, cultural demands, grief/loss, and complex life transitions (including serious illness such as cancer, etc.). I want to help you discover meaning and hope through our intentional work together. Additionally, I am LGBTQ+ affirming.
Life is not about IF we will face difficult times, it's about preparing for WHEN and getting through the now. I enjoy working with adults and children who struggle with anxiety, depression, relationship difficulties, cultural demands, grief/loss, and complex life transitions (including serious illness such as cancer, etc.). I want to help you discover meaning and hope through our intentional work together. Additionally, I am LGBTQ+ affirming.
(617) 915-3227 View (617) 915-3227
Photo of Katie Willard, EdS, LICSW, Clinical Social Work/Therapist
Katie Willard
Clinical Social Work/Therapist, EdS, LICSW
Verified Verified
Dedham, MA 02026  (Online Only)
Are you struggling with a new life adjustment? Maybe you just became a parent? Lost someone you love? Are you at a crossroads in your career? Struggling with self confidence? Talking through these issues with someone who you can trust can be the best medicine in these scenarios.
Are you struggling with a new life adjustment? Maybe you just became a parent? Lost someone you love? Are you at a crossroads in your career? Struggling with self confidence? Talking through these issues with someone who you can trust can be the best medicine in these scenarios.
(339) 233-4546 View (339) 233-4546
Photo of Angelica F Emery-Fertitta, LICSW, TCTSY-F, RYT-500, Clinical Social Work/Therapist
Angelica F Emery-Fertitta
Clinical Social Work/Therapist, LICSW, TCTSY-F, RYT-500
Verified Verified
Dedham, MA 02026
Whether you’re navigating anxiety, life transitions, relationship issues, or trying to move forward after experiencing trauma, I am here to support you with compassion. We all deserve opportunities to heal and feel supported in all our complexities. I strive to create a safe and welcoming environment for all folx I walk alongside (literally in a walk and talk session or metaphorically if we meet virtually).
Whether you’re navigating anxiety, life transitions, relationship issues, or trying to move forward after experiencing trauma, I am here to support you with compassion. We all deserve opportunities to heal and feel supported in all our complexities. I strive to create a safe and welcoming environment for all folx I walk alongside (literally in a walk and talk session or metaphorically if we meet virtually).
(339) 218-4362 View (339) 218-4362
Photo of Justin C Schiavone, LMHC, LADC-1, LPC, Counselor
Justin C Schiavone
Counselor, LMHC, LADC-1, LPC
Verified Verified
1 Endorsed
Dedham, MA 02026
Waitlist for new clients
My business partner Molly and I started our private practice, Strength Within Counseling, to help clients dig deeper into their current lives and their past experiences, and to do the longer work with them on self-exploration and life fulfillment. I enjoy working with clients who are ready to work on themselves, willing to face their challenges and take control back in their lives. I emphasize a caring, empathetic, and strengths-based approach in my work, which allows me to support clients of all backgrounds and with their individual needs, strengths, and goals.
My business partner Molly and I started our private practice, Strength Within Counseling, to help clients dig deeper into their current lives and their past experiences, and to do the longer work with them on self-exploration and life fulfillment. I enjoy working with clients who are ready to work on themselves, willing to face their challenges and take control back in their lives. I emphasize a caring, empathetic, and strengths-based approach in my work, which allows me to support clients of all backgrounds and with their individual needs, strengths, and goals.
(781) 230-7268 View (781) 230-7268
Photo of Matt Raspanti, LMHC, Counselor
Matt Raspanti
Counselor, LMHC
Verified Verified
Dedham, MA 02026  (Online Only)
I am currently accepting new clients. Finding your therapist is a search I consider with great care. I imagine you desire someone you can trust, who will validate your struggles, and help you find ways to navigate the pain you are experiencing. My priority is to be there for you in these ways, and further to understand your concerns, and needs, by creating a safe, nonjudgmental space to explore your thoughts and feelings. I want you to feel empowered in our sessions, so that you may accomplish your goals, and moreso be curious and brave in viewing your experiences from new perspectives, to help you heal, and grow.
I am currently accepting new clients. Finding your therapist is a search I consider with great care. I imagine you desire someone you can trust, who will validate your struggles, and help you find ways to navigate the pain you are experiencing. My priority is to be there for you in these ways, and further to understand your concerns, and needs, by creating a safe, nonjudgmental space to explore your thoughts and feelings. I want you to feel empowered in our sessions, so that you may accomplish your goals, and moreso be curious and brave in viewing your experiences from new perspectives, to help you heal, and grow.
(617) 765-1377 View (617) 765-1377
Photo of Sandra Mattar, PsyD, CYT, Psychologist
Sandra Mattar
Psychologist, PsyD, CYT
Verified Verified
Dedham, MA 02026
I am a Boston University School of Medicine/Boston Medical Center affiliated faculty. I believe people come to therapy when they feel stuck in their lives with no options in sight. Many times, these feelings stem from a lack of understanding of past trauma histories, misunderstandings in relationships, accumulated stress, lack of self-compassion, identity confusion, and unmet needs, among others. I create a safe and genuine space to help you sort out these feelings and problems while promoting a sense of self-agency, self-compassion, and self-love.
I am a Boston University School of Medicine/Boston Medical Center affiliated faculty. I believe people come to therapy when they feel stuck in their lives with no options in sight. Many times, these feelings stem from a lack of understanding of past trauma histories, misunderstandings in relationships, accumulated stress, lack of self-compassion, identity confusion, and unmet needs, among others. I create a safe and genuine space to help you sort out these feelings and problems while promoting a sense of self-agency, self-compassion, and self-love.
(508) 213-0038 View (508) 213-0038
Photo of Kristin K Bowles - Inclusive Perspectives Counseling , MSW, LICSW, Clinical Social Work/Therapist
Inclusive Perspectives Counseling
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Dedham, MA 02026
Waitlist for new clients
At Inclusive Perspectives Counseling (formerly Kristin Bowles and Assoc.), we offer mental health services for children, adolescents, couples, families, and adults. We provide these services from trained therapists, social workers and mental health counselors with a wide array of expertise and therapeutic approaches. Our therapists provide psychotherapy, crisis counseling, maternal health and wellness counseling for those in need of social, emotional, and behavioral support. We engage in safe, culturally competent, racially sensitive, gender inclusive and evidenced based treatment to the community.
At Inclusive Perspectives Counseling (formerly Kristin Bowles and Assoc.), we offer mental health services for children, adolescents, couples, families, and adults. We provide these services from trained therapists, social workers and mental health counselors with a wide array of expertise and therapeutic approaches. Our therapists provide psychotherapy, crisis counseling, maternal health and wellness counseling for those in need of social, emotional, and behavioral support. We engage in safe, culturally competent, racially sensitive, gender inclusive and evidenced based treatment to the community.
(339) 217-9107 View (339) 217-9107
Photo of David W. Werner, Psy, D, Psychologist
David W. Werner
Psychologist, Psy, D
Verified Verified
Dedham, MA 02026
Not accepting new clients
Psychotherapy is a process of increasing self-awareness, and using what we have discovered to make our lives richer. In order to implement change, the problem must be clearly defined. Human beings are inherently imperfect, understanding our vulnerabilities, our fears ,and our destructive tendencies frees these dynamics to effect change. Absent an awareness of our darker side, we make decisions that are not fully informed and choices that often come back to haunt us. Self-awareness allows us to better understand ourselves and the world. Knowledge is power.
Psychotherapy is a process of increasing self-awareness, and using what we have discovered to make our lives richer. In order to implement change, the problem must be clearly defined. Human beings are inherently imperfect, understanding our vulnerabilities, our fears ,and our destructive tendencies frees these dynamics to effect change. Absent an awareness of our darker side, we make decisions that are not fully informed and choices that often come back to haunt us. Self-awareness allows us to better understand ourselves and the world. Knowledge is power.
(781) 366-0468 View (781) 366-0468
Photo of Danielle B Epstein, MSW, LICSW, Clinical Social Work/Therapist
Danielle B Epstein
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
4 Endorsed
Dedham, MA 02026
Are you feeling overwhelmed? Are you or your teen having difficulty? Are they exhibiting behaviors that have been concerning you? Stress and sadness are feelings each one of us has experienced at one time or another. It's when these feelings begin to impact our lives, that we need to seek out assistance. When you or your teen are struggling, school/work, social life and relationships suffer. Routine tasks and activities feel exhausting. Unhealthy behaviors emerge as a way of coping with the pain. It's vital that you find someone with whom you feel comfortable talking.
Are you feeling overwhelmed? Are you or your teen having difficulty? Are they exhibiting behaviors that have been concerning you? Stress and sadness are feelings each one of us has experienced at one time or another. It's when these feelings begin to impact our lives, that we need to seek out assistance. When you or your teen are struggling, school/work, social life and relationships suffer. Routine tasks and activities feel exhausting. Unhealthy behaviors emerge as a way of coping with the pain. It's vital that you find someone with whom you feel comfortable talking.
(339) 229-8678 View (339) 229-8678
Photo of Lisa Alcala, LICSW, Clinical Social Work/Therapist
Lisa Alcala
Clinical Social Work/Therapist, LICSW
Verified Verified
Dedham, MA 02026  (Online Only)
I am a warm and collaborative licensed independent clinical social worker in practice for over 25 years. Using a variety of therapeutic approaches that are tailored to your needs, I will help you identify and accept your thoughts and feelings. This awareness can help you alter behavior patterns that may be holding you back from experiencing a more fulfilling and meaningful life.  My deep belief in the ability of all people to heal and grow is a central guiding principle of my style, and begins with the idea that you are already whole and have many strengths. 
I am a warm and collaborative licensed independent clinical social worker in practice for over 25 years. Using a variety of therapeutic approaches that are tailored to your needs, I will help you identify and accept your thoughts and feelings. This awareness can help you alter behavior patterns that may be holding you back from experiencing a more fulfilling and meaningful life.  My deep belief in the ability of all people to heal and grow is a central guiding principle of my style, and begins with the idea that you are already whole and have many strengths. 
(617) 958-5785 View (617) 958-5785
Photo of Raechelle Joyner, LICSW, Clinical Social Work/Therapist
Raechelle Joyner
Clinical Social Work/Therapist, LICSW
Verified Verified
Dedham, MA 02026
Welcome to Laremij Counseling Services. If you answer yes to the next set of questions, then you are in the right place. Do you need someone to talk with about your wants, hopes, dreams and fears? Are you struggling with internal and external obstacles to reaching your goals? Do you need a flexible support system that will meet you where you are at? Then you are in the right place! I offer culturally responsive, trauma-informed, solution-focused, strength-based therapy treatment. Services can be delivered in an office setting, virtually. or in your home. I see it as an honor and privilege to work with you.
Welcome to Laremij Counseling Services. If you answer yes to the next set of questions, then you are in the right place. Do you need someone to talk with about your wants, hopes, dreams and fears? Are you struggling with internal and external obstacles to reaching your goals? Do you need a flexible support system that will meet you where you are at? Then you are in the right place! I offer culturally responsive, trauma-informed, solution-focused, strength-based therapy treatment. Services can be delivered in an office setting, virtually. or in your home. I see it as an honor and privilege to work with you.
(339) 230-2871 View (339) 230-2871
Photo of Marissa Peifer, PsyD, Psychologist
Marissa Peifer
Psychologist, PsyD
Verified Verified
Dedham, MA 02026  (Online Only)
Entering into therapy can feel overwhelming and vulnerable. My initial goals are always to understand what brings you into therapy, give you a sense of how I practice, and talk together about whether I am a good fit for you. I encourage an ongoing and open conversation about our treatment relationship and progress towards your goals. I practice from the fundamental belief that healing can occur in an attuned, compassionate relationship marked by curiosity. Clients describe me as interactive, collaborative, warm, and nonjudgemental.
Entering into therapy can feel overwhelming and vulnerable. My initial goals are always to understand what brings you into therapy, give you a sense of how I practice, and talk together about whether I am a good fit for you. I encourage an ongoing and open conversation about our treatment relationship and progress towards your goals. I practice from the fundamental belief that healing can occur in an attuned, compassionate relationship marked by curiosity. Clients describe me as interactive, collaborative, warm, and nonjudgemental.
(339) 331-2468 View (339) 331-2468
Photo of Lauren Alvarado, LICSW, Clinical Social Work/Therapist
Lauren Alvarado
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Dedham, MA 02026  (Online Only)
Waitlist for new clients
Do you feel like your past trauma is impacting your present? Do you need support in dealing with difficult family dynamics? Are you feeling stuck in difficult relationship patterns? Are you a new parent and feeling triggered as you reflect on your own childhood? Are you struggling to maintain a work life balance? These are some of the challenges many of my clients bring to me in an effort to make positive change in their lives. Being a part of your journey of personal growth would be an honor.
Do you feel like your past trauma is impacting your present? Do you need support in dealing with difficult family dynamics? Are you feeling stuck in difficult relationship patterns? Are you a new parent and feeling triggered as you reflect on your own childhood? Are you struggling to maintain a work life balance? These are some of the challenges many of my clients bring to me in an effort to make positive change in their lives. Being a part of your journey of personal growth would be an honor.
(339) 300-8026 View (339) 300-8026
1

How does your Therapist compare?

Number of Therapists in 02026

100+

Average cost per session

$150

Therapists in 02026 who prioritize treating:

96% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
71% Coping Skills
65% Stress
58% Trauma and PTSD

Average years in practice

10 Years

Top 3 insurances accepted

84% BlueCross and BlueShield
58% Optum
53% UnitedHealthcare UHC | UBH

How Therapists in 02026 see their clients

60% In Person and Online
40% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 02026?

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.