Photo of Madelyn Herzog, LCSW, Clinical Social Work/Therapist
Madelyn Herzog
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, ME 04101  (Online Only)
Not accepting new clients
My goal as a therapist is to work with you as you navigate all of the challenges, complexity, and pain in our world. There are no easy answers and there is no one-size-fits-all approach, but I can be with you, and support you, with evidence-based frameworks, as you figure out your path forward. I offer a nonjudmental and affirming space to bring whatever is on your mind, whatever you're needing to process or work through.
My goal as a therapist is to work with you as you navigate all of the challenges, complexity, and pain in our world. There are no easy answers and there is no one-size-fits-all approach, but I can be with you, and support you, with evidence-based frameworks, as you figure out your path forward. I offer a nonjudmental and affirming space to bring whatever is on your mind, whatever you're needing to process or work through.
(207) 410-2999 View (207) 410-2999
Photo of Dax Peters, LCSW, CCS, LADC, Clinical Social Work/Therapist
Dax Peters
Clinical Social Work/Therapist, LCSW, CCS, LADC
Verified Verified
Portland, ME 04101
Hi, my name is Dax Peters and you've made the decision to overcome your challenges and move forward in your life. Change is very scary, but you don't have to do it alone. I am here to facilitate the change you've longed for. As uncomfortable as the process may be, we will work towards your desired goals. I am a Licensed Clinical Social Worker with experience helping individuals manage their depression, anxiety, relationship struggles, addictions and various life stressors. I believe that all my clients are equipped to create a purposeful life for themselves. I am here to assist you with utilizing your strengths.
Hi, my name is Dax Peters and you've made the decision to overcome your challenges and move forward in your life. Change is very scary, but you don't have to do it alone. I am here to facilitate the change you've longed for. As uncomfortable as the process may be, we will work towards your desired goals. I am a Licensed Clinical Social Worker with experience helping individuals manage their depression, anxiety, relationship struggles, addictions and various life stressors. I believe that all my clients are equipped to create a purposeful life for themselves. I am here to assist you with utilizing your strengths.
(207) 305-9007 View (207) 305-9007
Photo of Christine E Stevens, LCPC, Counselor
Christine E Stevens
Counselor, LCPC
Verified Verified
Portland, ME 04101
Waitlist for new clients
Morning/midday availability. Can best reply to emaiI. I integrate a variety of approaches in my work, with a value on relationship and finding creative ways to make treatment individual. I practiced at Bowdoin College for students struggling with identity exploration, anxiety, depression and relationships. I spent 3 years working in residential/day treatment with adolescents (and their families) who have endured complex trauma, anxiety and mood disorders, and developmental disabilities. Much of my experience is with children, adolescents and young adults, though I am open to working with all ages and cater treatment to each client.
Morning/midday availability. Can best reply to emaiI. I integrate a variety of approaches in my work, with a value on relationship and finding creative ways to make treatment individual. I practiced at Bowdoin College for students struggling with identity exploration, anxiety, depression and relationships. I spent 3 years working in residential/day treatment with adolescents (and their families) who have endured complex trauma, anxiety and mood disorders, and developmental disabilities. Much of my experience is with children, adolescents and young adults, though I am open to working with all ages and cater treatment to each client.
(901) 676-7267 View (901) 676-7267
Photo of Jess Adam, LMHC, LMFT, RYT, Marriage & Family Therapist
Jess Adam
Marriage & Family Therapist, LMHC, LMFT, RYT
Verified Verified
5 Endorsed
Portland, ME 04101
The decision to come to therapy is a powerful one. In our work together, we’ll team up and create distance from stressors, such as anxiety, perfectionism, and other external pressures. You will likely find me warm, engaged, and direct. Our sessions will seem active and conversational- you will not feel like you are the only one doing the talking!
The decision to come to therapy is a powerful one. In our work together, we’ll team up and create distance from stressors, such as anxiety, perfectionism, and other external pressures. You will likely find me warm, engaged, and direct. Our sessions will seem active and conversational- you will not feel like you are the only one doing the talking!
(207) 421-9932 View (207) 421-9932
Photo of Kathleen Albert, CP, Psychologist
Kathleen Albert
Psychologist, CP
Verified Verified
Portland, ME 04101
Kathleen M. Albert PhD obtained a doctoral degree in counseling psychology from Purdue University. She received pre-doctoral training in clinical psychology; and completed specialized training in neuropsychology from the Fielding Institute. She has experience working with children, adolescents, adults, and families in a variety of settings including group/private practice, schools, in-patient units, residential placement programs, a wilderness program for at risk girls, and a day treatment program. Dr. Albert is certified as a level two EMDR provider and is trained in TR-CBT therapy.
Kathleen M. Albert PhD obtained a doctoral degree in counseling psychology from Purdue University. She received pre-doctoral training in clinical psychology; and completed specialized training in neuropsychology from the Fielding Institute. She has experience working with children, adolescents, adults, and families in a variety of settings including group/private practice, schools, in-patient units, residential placement programs, a wilderness program for at risk girls, and a day treatment program. Dr. Albert is certified as a level two EMDR provider and is trained in TR-CBT therapy.
(207) 255-7349 View (207) 255-7349
Photo of Celia Rapp, LCSW, Clinical Social Work/Therapist
Celia Rapp
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, ME 04101
Celia Rapp, LCSW Celia Rapp is a Licensed Clinical Social Worker in Maine who has been practicing since 2021. Celia is dedicated to serving others in the pursuit of supporting her community. She uses evidenced based strategies to support individuals from all walks of life in managing the stresses of everyday life, as well as uniquely challenging situations. Celia offers a safe, gentle therapeutic space to process, reflect, and grow through challenge. She finds value in slowing down and taking time to put in the work to improve outcomes.
Celia Rapp, LCSW Celia Rapp is a Licensed Clinical Social Worker in Maine who has been practicing since 2021. Celia is dedicated to serving others in the pursuit of supporting her community. She uses evidenced based strategies to support individuals from all walks of life in managing the stresses of everyday life, as well as uniquely challenging situations. Celia offers a safe, gentle therapeutic space to process, reflect, and grow through challenge. She finds value in slowing down and taking time to put in the work to improve outcomes.
(207) 521-9305 View (207) 521-9305
Photo of Michael Harris, LCSW, Clinical Social Work/Therapist
Michael Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Portland, ME 04101
As human beings, we instinctively seek meaning and purpose, yet we also resist the difficult experiences that could move us toward them. These difficult experiences may start out in the world, but often live within us in the form of repeating thoughts, feelings, sensations, memories, and beliefs - parts of ourselves that may need to be more fully experienced, acknowledged, and examined. When approaching these experiences with a compassionate and curious awareness, we can begin to discern what's truly authentic for us and create more ease, meaning, creativity, and possibility for the future.
As human beings, we instinctively seek meaning and purpose, yet we also resist the difficult experiences that could move us toward them. These difficult experiences may start out in the world, but often live within us in the form of repeating thoughts, feelings, sensations, memories, and beliefs - parts of ourselves that may need to be more fully experienced, acknowledged, and examined. When approaching these experiences with a compassionate and curious awareness, we can begin to discern what's truly authentic for us and create more ease, meaning, creativity, and possibility for the future.
(207) 716-5405 View (207) 716-5405
Photo of Christine Drabek, LADC, MS, CCS, Drug & Alcohol Counselor
Christine Drabek
Drug & Alcohol Counselor, LADC, MS, CCS
Verified Verified
Portland, ME 04101
I am an Addictions Specialist with with 20+ years of professional experience in both NYC and Maine - in addition to personal experience with addiction and long term recovery.. most important factor when pursuing counseling is to find a "therapeutic alliance" that fits. I always recommend that clients consult with a few providers before choosing. Once a trusting alliance is established, I embark on a journey alongside my clients, which can be brief and solution-focused or longer term weekly sessions and ongoing support.
I am an Addictions Specialist with with 20+ years of professional experience in both NYC and Maine - in addition to personal experience with addiction and long term recovery.. most important factor when pursuing counseling is to find a "therapeutic alliance" that fits. I always recommend that clients consult with a few providers before choosing. Once a trusting alliance is established, I embark on a journey alongside my clients, which can be brief and solution-focused or longer term weekly sessions and ongoing support.
(207) 518-7042 View (207) 518-7042
Photo of Beth Stilphen, LCPC
Beth Stilphen
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Portland, ME 04101
Feeling overwhelmed, anxious or depressed and considering the possibility of making changes? Having difficulty with relationships, friends or school? Maybe you have experienced trauma and/or loss of family, friends or home, which can affect all of the above areas. Perhaps the skills you use to get through daily life are just not working anymore. Let's learn some new ones that work better. Life can be hard and I want to support you to feel confident about yourself and your ability to manage the curves life throws your way. You are not alone.
Feeling overwhelmed, anxious or depressed and considering the possibility of making changes? Having difficulty with relationships, friends or school? Maybe you have experienced trauma and/or loss of family, friends or home, which can affect all of the above areas. Perhaps the skills you use to get through daily life are just not working anymore. Let's learn some new ones that work better. Life can be hard and I want to support you to feel confident about yourself and your ability to manage the curves life throws your way. You are not alone.
(207) 803-3653 View (207) 803-3653
Photo of Shelby Chamberlin, L(I)CSW, Clinical Social Work/Therapist
Shelby Chamberlin
Clinical Social Work/Therapist, L(I)CSW
Verified Verified
Portland, ME 04101  (Online Only)
I understand that it takes a lot of courage and strength to seek help at any stage of life. I provide a safe and welcoming space for individuals across the lifespan who are interested in improving their mental health and relationships through individual and family therapy. I specialize in working with adolescents, adults, and families who are struggling with life transitions, experiencing anxiety and mood disorders, exploring identity and sexuality, dealing with the effects of grief or past trauma, managing challenging behaviors, or are feeling overwhelmed trying to balance the responsibilities of growing up or parenthood.
I understand that it takes a lot of courage and strength to seek help at any stage of life. I provide a safe and welcoming space for individuals across the lifespan who are interested in improving their mental health and relationships through individual and family therapy. I specialize in working with adolescents, adults, and families who are struggling with life transitions, experiencing anxiety and mood disorders, exploring identity and sexuality, dealing with the effects of grief or past trauma, managing challenging behaviors, or are feeling overwhelmed trying to balance the responsibilities of growing up or parenthood.
(207) 610-7658 View (207) 610-7658
Photo of Patricia Anne Proulx-Lough, MS, LMFT, AAMFT, TIRA, FST, Marriage & Family Therapist
Patricia Anne Proulx-Lough
Marriage & Family Therapist, MS, LMFT, AAMFT, TIRA, FST
Verified Verified
Portland, ME 04101  (Online Only)
I have extensive training and experience treating families who encounter transitional issues, behavioral issues, parenting concerns, couples conflict, and adolescents who are in trouble with the law or who have problem sexual behavior. I also work with individuals who experience anxiety and depressive disorders, disruptive behavioral disorders, trauma and post traumatic stress disorder, grief and loss, and reactive attachment disorder.
I have extensive training and experience treating families who encounter transitional issues, behavioral issues, parenting concerns, couples conflict, and adolescents who are in trouble with the law or who have problem sexual behavior. I also work with individuals who experience anxiety and depressive disorders, disruptive behavioral disorders, trauma and post traumatic stress disorder, grief and loss, and reactive attachment disorder.
(207) 482-0784 View (207) 482-0784
Photo of Sasha Perkins, LMSW, Clinical Social Work/Therapist
Sasha Perkins
Clinical Social Work/Therapist, LMSW
Verified Verified
Portland, ME 04101  (Online Only)
Sasha Perkins is a Licensed Clinical Social Worker in Maine who has been practicing since 2017. Sasha works from a collaborative strengths-based approach, assisting and supporting clients with anxiety, depression, disruptive behaviors, relationship challenges, self-esteem, and family issues. Outside of work, Sasha enjoys snowboarding, paddleboarding, traveling, cooking, and spending time with family and friends.
Sasha Perkins is a Licensed Clinical Social Worker in Maine who has been practicing since 2017. Sasha works from a collaborative strengths-based approach, assisting and supporting clients with anxiety, depression, disruptive behaviors, relationship challenges, self-esteem, and family issues. Outside of work, Sasha enjoys snowboarding, paddleboarding, traveling, cooking, and spending time with family and friends.
(207) 536-5733 View (207) 536-5733
Photo of Caitlin Gentilini, LCSW, Clinical Social Work/Therapist
Caitlin Gentilini
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, ME 04101
Often people begin counseling to change something and feel differently. Working together we'll explore what may be getting in the way today and work to find ways of dealing with life on a day-to-day basis more resourcefully. When relevant, we'll also look at the past to understand how your history might be part of what you are experiencing currently and to support you in making desired changes for yourself. Part of my role in working together is to bring into your awareness what presently has been outside of your awareness. I use a blend of Transactional Analysis, Redecision Therapy, and Energy Work.
Often people begin counseling to change something and feel differently. Working together we'll explore what may be getting in the way today and work to find ways of dealing with life on a day-to-day basis more resourcefully. When relevant, we'll also look at the past to understand how your history might be part of what you are experiencing currently and to support you in making desired changes for yourself. Part of my role in working together is to bring into your awareness what presently has been outside of your awareness. I use a blend of Transactional Analysis, Redecision Therapy, and Energy Work.
View
Photo of Yara A Perez, MA, LCPC, CST, Counselor
Yara A Perez
Counselor, MA, LCPC, CST
Verified Verified
1 Endorsed
Portland, ME 04101
Are you struggling with worries, fears, sadness, relationship issues, or other stressors? Is it difficult to talk to people in your life about what you're going through. Are these feelings preventing you from having meaningful relationships with others and with yourself? Such emotions can be overwhelming and can affect us in negative ways. My goal is to provide a safe, supportive, and interactive environment to help you cope with and overcome these obstacles, and restore balance to your life.
Are you struggling with worries, fears, sadness, relationship issues, or other stressors? Is it difficult to talk to people in your life about what you're going through. Are these feelings preventing you from having meaningful relationships with others and with yourself? Such emotions can be overwhelming and can affect us in negative ways. My goal is to provide a safe, supportive, and interactive environment to help you cope with and overcome these obstacles, and restore balance to your life.
(207) 358-6331 View (207) 358-6331
Photo of Marit Denham Wilson, LCSW, Clinical Social Work/Therapist
Marit Denham Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, ME 04101
Welcome! I am interested in how a therapeutic partnership can be a laboratory and a refuge; a place for you to engage curiously with yourself and your relational capacity. I find that over time this practice of being together and being curious can catalyze our intuition and rearrange patterns of stuckness. I believe we can learn to relate more clearly, deeply, and kindly with ourselves through being witnessed and attended to with care. I find that intimacy with our own emotional landscape can be the bedrock of a grounded relationship to self and others.
Welcome! I am interested in how a therapeutic partnership can be a laboratory and a refuge; a place for you to engage curiously with yourself and your relational capacity. I find that over time this practice of being together and being curious can catalyze our intuition and rearrange patterns of stuckness. I believe we can learn to relate more clearly, deeply, and kindly with ourselves through being witnessed and attended to with care. I find that intimacy with our own emotional landscape can be the bedrock of a grounded relationship to self and others.
(207) 223-3150 View (207) 223-3150
Photo of Alice Podolsky, LCSW, Clinical Social Work/Therapist
Alice Podolsky
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, ME 04101
Are you a teenager or young adult ready to embark on a journey of self-discovery and growth, guided by someone who believes in your potential to succeed? Imagine a future where you feel liberated from the constraints of self-doubt, free from the grip of past traumas, and empowered to navigate life's challenges with clarity, confidence, and a profound sense of fulfillment.
Are you a teenager or young adult ready to embark on a journey of self-discovery and growth, guided by someone who believes in your potential to succeed? Imagine a future where you feel liberated from the constraints of self-doubt, free from the grip of past traumas, and empowered to navigate life's challenges with clarity, confidence, and a profound sense of fulfillment.
(207) 746-0502 x104 View (207) 746-0502 x104
Photo of Lynn D Manderson - Manderson Counseling Services, LADAC11, NAADAC, CCS, CCTP, DEEP , Drug & Alcohol Counselor
Manderson Counseling Services
Drug & Alcohol Counselor, LADAC11, NAADAC, CCS, CCTP, DEEP
Verified Verified
Portland, ME 04101
I believe in compassion and will meet you where you are. I understand addiction on a personal level and I know that trauma can separate you from people you love without your permission your heart is broken ; nothing seems to work and you are trying so hard. I hear you . Let me help you unravel the confusion I am a recognized trauma professional and have studied motivational interviewing with Stephen Andrews at the Health and Education Institute where I now practice. We do not have to suffer alone. I can take you into your unique avenue to peace with positive self regard and safety.
I believe in compassion and will meet you where you are. I understand addiction on a personal level and I know that trauma can separate you from people you love without your permission your heart is broken ; nothing seems to work and you are trying so hard. I hear you . Let me help you unravel the confusion I am a recognized trauma professional and have studied motivational interviewing with Stephen Andrews at the Health and Education Institute where I now practice. We do not have to suffer alone. I can take you into your unique avenue to peace with positive self regard and safety.
(207) 218-0191 View (207) 218-0191
Photo of Ryan W Richards, MA
Ryan W Richards
MA
Verified Verified
1 Endorsed
Portland, ME 04101
As a Human Development Educator, inasmuch as all problems require solutions, I assist clients to develop timely approaches to conflict-resolution; based on comprehensive principles for learning to master critical struggles. In my consultations I will reliably reflect outstanding understanding, for analyzing the dynamics of conflict-resolution; particularly addressing how psychology positively or negatively affects individual and family identities, attitudes, beliefs, choices, and behaviors; regarding personal and interactive outcomes.
As a Human Development Educator, inasmuch as all problems require solutions, I assist clients to develop timely approaches to conflict-resolution; based on comprehensive principles for learning to master critical struggles. In my consultations I will reliably reflect outstanding understanding, for analyzing the dynamics of conflict-resolution; particularly addressing how psychology positively or negatively affects individual and family identities, attitudes, beliefs, choices, and behaviors; regarding personal and interactive outcomes.
(207) 305-3640 View (207) 305-3640
Photo of Nathaniel Clark, LCPC
Nathaniel Clark
Licensed Clinical Professional Counselor, LCPC
Verified Verified
Portland, ME 04101
I started my clinical counseling practice in 2016 when I provided services for children and adolescent clients with trauma-based treatments before I began work as a school-based therapist providing counseling services for middle school age clients with learning or behavioral difficulties. In this role I supported clients with general anxiety, depression, anger management issues and trauma. I have experience in a Day Treatment school providing counseling services for clients ranging from 6-12. I've worked in community outpatient services providing individual counseling services for a general population ranging from 4 to 70 years old.
I started my clinical counseling practice in 2016 when I provided services for children and adolescent clients with trauma-based treatments before I began work as a school-based therapist providing counseling services for middle school age clients with learning or behavioral difficulties. In this role I supported clients with general anxiety, depression, anger management issues and trauma. I have experience in a Day Treatment school providing counseling services for clients ranging from 6-12. I've worked in community outpatient services providing individual counseling services for a general population ranging from 4 to 70 years old.
(207) 605-5448 View (207) 605-5448
Photo of Holly Smevog, MS, CCC, ACC
Holly Smevog
MS, CCC, ACC
Verified Verified
1 Endorsed
Portland, ME 04101
Join my three or six month coaching program to transform your career and life today! I apply counseling, coaching, and consulting techniques as I guiding you through my 4 steps process. My approach is based in Positive Psychology, Mental Fitness, Life Coaching, and Career Development principles. Are you willing to closely inspect your values, needs, interests, and skills to create realistic goals that will result in your most satisfying life and career? If you are ready to be happier, don't wait! Call me for a free consultation to learn more about the outcomes you can expect from working together. look forward to hearing from you!
Join my three or six month coaching program to transform your career and life today! I apply counseling, coaching, and consulting techniques as I guiding you through my 4 steps process. My approach is based in Positive Psychology, Mental Fitness, Life Coaching, and Career Development principles. Are you willing to closely inspect your values, needs, interests, and skills to create realistic goals that will result in your most satisfying life and career? If you are ready to be happier, don't wait! Call me for a free consultation to learn more about the outcomes you can expect from working together. look forward to hearing from you!
(207) 218-0217 View (207) 218-0217
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How does your Therapist compare?

Number of Therapists in 04101

600+

Average cost per session

$150

Therapists in 04101 who prioritize treating:

94% Anxiety
86% Depression
76% Relationship Issues
73% Trauma and PTSD
69% Self Esteem
66% Life Transitions
65% Grief

Average years in practice

13 Years

Top 3 insurances accepted

66% BlueCross and BlueShield
63% Aetna
61% Anthem

How Therapists in 04101 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 04101?

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.