Photo of Dana Romano, LSW, LCADC, Clinical Social Work/Therapist
Dana Romano
Clinical Social Work/Therapist, LSW, LCADC
Verified Verified
Saddle River, NJ 07458
Welcome to Hopeful Heart Counseling! We are a Northern NJ specialized private therapy practice. As founder of Hopeful Heart Counseling, it is my privilege and passion to help you restore balance in your life. I specialize in working with individuals and families impacted by substance abuse and co-occurring disorders. I utilize empirically based practices when working with mental health issues affecting adolescents and adults. I use an eclectic approach that is solution focused. When combined with transparency and authenticity, it helps put clients at ease and allows them to openly express themselves and their feelings.
Welcome to Hopeful Heart Counseling! We are a Northern NJ specialized private therapy practice. As founder of Hopeful Heart Counseling, it is my privilege and passion to help you restore balance in your life. I specialize in working with individuals and families impacted by substance abuse and co-occurring disorders. I utilize empirically based practices when working with mental health issues affecting adolescents and adults. I use an eclectic approach that is solution focused. When combined with transparency and authenticity, it helps put clients at ease and allows them to openly express themselves and their feelings.
(201) 903-4540 View (201) 903-4540
Photo of Lance Eric Stern - Lance Stern LCSW, BCD, LCSW, BCD, Clinical Social Work/Therapist
Lance Stern LCSW, BCD
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
I am a licensed Board Certified psychotherapist, regarded as intuitive, patient and kind. My diverse professional background in combination with my lifelong dedication to guiding others through emotional challenges has informed my unique empathetic approach to psychotherapy. I understand that most issues lie deep and it takes time for clients to work them through to find lasting relief. However, others might only need short term treatment, then I will address presenting problems to offer more immediate relief. My goal is to assist each client in finding comfort, perspective, stability and strategies to resolve inner conflicts.
I am a licensed Board Certified psychotherapist, regarded as intuitive, patient and kind. My diverse professional background in combination with my lifelong dedication to guiding others through emotional challenges has informed my unique empathetic approach to psychotherapy. I understand that most issues lie deep and it takes time for clients to work them through to find lasting relief. However, others might only need short term treatment, then I will address presenting problems to offer more immediate relief. My goal is to assist each client in finding comfort, perspective, stability and strategies to resolve inner conflicts.
(551) 224-0526 View (551) 224-0526
Photo of Debra D Castaldo, PhD, LCSW, MS, Marriage & Family Therapist
Debra D Castaldo
Marriage & Family Therapist, PhD, LCSW, MS
Verified Verified
Is your marriage CRASHING? Are you in need of a RELATIONSHIP REBOOT? (tm) Is your child testing limits? Are you struggling with depression and anxiety? Dr. Castaldo is a nationally recognized relationship expert who has been featured on CNN, FOX, NBC, in Ladies Home Journal, Woman's Day, Redbook, & More magazines, and has authored 3 books. Founder of the Center for Family and Couple Solutions, she uses a unique solution focused, brief approach to help clients build solutions quickly. She has special expertise in Divorce Prevention, Remarriage, Step Parenting, Child Management, Behavioral Issues, Family Conflict, Depression, Anxiety, Adoption, & Women's Issues.
Is your marriage CRASHING? Are you in need of a RELATIONSHIP REBOOT? (tm) Is your child testing limits? Are you struggling with depression and anxiety? Dr. Castaldo is a nationally recognized relationship expert who has been featured on CNN, FOX, NBC, in Ladies Home Journal, Woman's Day, Redbook, & More magazines, and has authored 3 books. Founder of the Center for Family and Couple Solutions, she uses a unique solution focused, brief approach to help clients build solutions quickly. She has special expertise in Divorce Prevention, Remarriage, Step Parenting, Child Management, Behavioral Issues, Family Conflict, Depression, Anxiety, Adoption, & Women's Issues.
(201) 494-2580 View (201) 494-2580
Photo of Lori Tsey, pre MSW, HHC, Pre-Licensed Professional
Lori Tsey
Pre-Licensed Professional, pre MSW, HHC
Verified Verified
Saddle River, NJ 07458
My ideal clients are often women who struggle with body image issues, binge eating disorders, anxiety, and low self-worth. They may feel overwhelmed by societal pressures and the expectations placed on them, leading to isolation and self-doubt. These individuals seek support to navigate their emotional challenges, improve their relationship with food and their bodies, and foster a sense of self-acceptance. Their goals include overcoming these hurdles and cultivating resilience, confidence, and a healthier lifestyle that aligns with their values.
My ideal clients are often women who struggle with body image issues, binge eating disorders, anxiety, and low self-worth. They may feel overwhelmed by societal pressures and the expectations placed on them, leading to isolation and self-doubt. These individuals seek support to navigate their emotional challenges, improve their relationship with food and their bodies, and foster a sense of self-acceptance. Their goals include overcoming these hurdles and cultivating resilience, confidence, and a healthier lifestyle that aligns with their values.
(551) 386-4189 View (551) 386-4189
Photo of Nouriman Ghahary, PhD, LPC, Psychologist
Nouriman Ghahary
Psychologist, PhD, LPC
Verified Verified
Saddle River, NJ 07458
I have been a therapist for 29 years. I assist adult clients and families and couples in working through underlying reasons for their pain, problems and conflicts, and help them learn skills to manage their emotions and behavior to solve problems and form healthier relationships. I help children, adolescents and their parents manage phase of life challenges, and the struggles posed by conditions like ADHD, anxiety, depression, OCD, mood dysregulation, trauma and behavioral difficulties.
I have been a therapist for 29 years. I assist adult clients and families and couples in working through underlying reasons for their pain, problems and conflicts, and help them learn skills to manage their emotions and behavior to solve problems and form healthier relationships. I help children, adolescents and their parents manage phase of life challenges, and the struggles posed by conditions like ADHD, anxiety, depression, OCD, mood dysregulation, trauma and behavioral difficulties.
(551) 209-0918 View (551) 209-0918
Photo of Barbara Samaan, LPC, Licensed Professional Counselor
Barbara Samaan
Licensed Professional Counselor, LPC
Verified Verified
Are you feeling tired, emotionally drained,or struggle to get out of bed? Do you experience painful emotions including anger, resentment, or shame? Are you repeating the cycle of unhealthy or self-destructive behavior? Does your child or teenager seem sad, anxious, or irritable? My name is Barbara Samaan. I am a Licensed Professional Counselor. I have over 12 years of experience counseling children, adolescents and adults and working with individuals, couples, and families. Areas of expertise include: working with individuals with chronic illnesses, disability, depression and other mood disorders, anxiety, faith based counseling, and trauma, abuse, and neglect.
Are you feeling tired, emotionally drained,or struggle to get out of bed? Do you experience painful emotions including anger, resentment, or shame? Are you repeating the cycle of unhealthy or self-destructive behavior? Does your child or teenager seem sad, anxious, or irritable? My name is Barbara Samaan. I am a Licensed Professional Counselor. I have over 12 years of experience counseling children, adolescents and adults and working with individuals, couples, and families. Areas of expertise include: working with individuals with chronic illnesses, disability, depression and other mood disorders, anxiety, faith based counseling, and trauma, abuse, and neglect.
(201) 470-6355 View (201) 470-6355
Photo of Katherine Sutton, LCSW, Clinical Social Work/Therapist
Katherine Sutton
Clinical Social Work/Therapist, LCSW
Verified Verified
Saddle River, NJ 07458  (Online Only)
I work with individuals navigating challenging periods in life—whether you’re a young adult in transition, an adolescent struggling with self-identity, or feeling overwhelmed by stress, anxiety, or family conflict. You might be seeking a space to express your thoughts, looking for tools to manage emotions, or aiming to gain clarity. Your goals may include building healthier relationships, improving communication, or finding better ways to cope.
I work with individuals navigating challenging periods in life—whether you’re a young adult in transition, an adolescent struggling with self-identity, or feeling overwhelmed by stress, anxiety, or family conflict. You might be seeking a space to express your thoughts, looking for tools to manage emotions, or aiming to gain clarity. Your goals may include building healthier relationships, improving communication, or finding better ways to cope.
(551) 373-5294 View (551) 373-5294
Photo of Nina Garland - Footprints to Feel Better, Licensed Professional Counselor
Footprints to Feel Better
Licensed Professional Counselor
Verified Verified
Saddle River, NJ 07458
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities were confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Footprints began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
Footprints was started by a therapist who realized that often times the services provided to low socio-economic communities is lacking quality care. We noticed these communities were confronted with long wait times, disrespectful admins, and subpar treatment. The one and only purpose was to exploit the community for profit without providing the level of care deserved. Footprints began from the inspiration to provide quality mental health care to the poorest of communities and treating the clients of this community the same way a rich patient would be treated in a clinic treating affluent clients.
(646) 204-2295 View (646) 204-2295
Photo of Sonia M. Alves, LCSW, Clinical Social Work/Therapist
Sonia M. Alves
Clinical Social Work/Therapist, LCSW
Verified Verified
How can I help you? I work with adults and young people who are facing difficulties in their personal relationships, are suffering from anxiety, depression, effects of trauma, low self-esteem, or other mood/personality disorders. Please contact me if you are looking to improve your overall mental health, or have other specific target goals that you are having trouble with attaining on your own.
How can I help you? I work with adults and young people who are facing difficulties in their personal relationships, are suffering from anxiety, depression, effects of trauma, low self-esteem, or other mood/personality disorders. Please contact me if you are looking to improve your overall mental health, or have other specific target goals that you are having trouble with attaining on your own.
(201) 885-6519 View (201) 885-6519
Photo of Robin Guterman, LCSW, NCRAC, Clinical Social Work/Therapist
Robin Guterman
Clinical Social Work/Therapist, LCSW, NCRAC
Verified Verified
I am a licensed clinical social worker and have been treating teens, adults and families for over 25 years. My goal with teens is help change emotional and behavioral patterns that become roadblocks to achieving a healthy and secure life. My focus with adults is to help change unhealthy patterns by finding new ways of thinking, behaving and responding to maximize potential. My clients struggle with mental health issues, trauma, behavioral problems and addictive disorders including: substance abuse, gambling, social media, eating, etc. I guide my clients towards establishing balance in life for lasting change and continued growth.
I am a licensed clinical social worker and have been treating teens, adults and families for over 25 years. My goal with teens is help change emotional and behavioral patterns that become roadblocks to achieving a healthy and secure life. My focus with adults is to help change unhealthy patterns by finding new ways of thinking, behaving and responding to maximize potential. My clients struggle with mental health issues, trauma, behavioral problems and addictive disorders including: substance abuse, gambling, social media, eating, etc. I guide my clients towards establishing balance in life for lasting change and continued growth.
(561) 288-6734 View (561) 288-6734
Photo of Inna Matov Gluhovsky - Dr. Inna Matov, PsyD, Psychologist
Dr. Inna Matov
Psychologist, PsyD
Verified Verified
As a psychologist, I assist people in acquiring greater creative and emotional competencies, reconnecting with themselves and significant others, and removing obstacles to personal happiness and joy. Psychotherapy is about personal growth, healing after emotional trauma and grief, and realizing one's fullest potential. In therapy sessions we examine meaningful relationships, communication styles, and barriers to success with a goal of restoring a sense of balance to your life and, by extension, to the lives of others who care deeply about you. For those who wish to deepen their self-understanding, we explore the unconscious by analyzing dreams, memories, and fantasies.
As a psychologist, I assist people in acquiring greater creative and emotional competencies, reconnecting with themselves and significant others, and removing obstacles to personal happiness and joy. Psychotherapy is about personal growth, healing after emotional trauma and grief, and realizing one's fullest potential. In therapy sessions we examine meaningful relationships, communication styles, and barriers to success with a goal of restoring a sense of balance to your life and, by extension, to the lives of others who care deeply about you. For those who wish to deepen their self-understanding, we explore the unconscious by analyzing dreams, memories, and fantasies.
(650) 516-6741 View (650) 516-6741
Photo of Ilana Schlein Rosenberg, PhD, Psychologist
Ilana Schlein Rosenberg
Psychologist, PhD
Verified Verified
Saddle River, NJ 07458
Life is about transition. And with each transition comes challenges. Some are easy and some more difficult to manage. Sometimes the challenge comes in the form of a failed relationship, sometimes we lose a loved one and feel the desolation and loneliness of dealing with life's challenges alone, sometimes anxiety takes over and renders us less capable of managing our daily responsibilities. Sometimes we act in ways that even we do not fully understand or that moves us further and further away from success, happiness and serenity.
Life is about transition. And with each transition comes challenges. Some are easy and some more difficult to manage. Sometimes the challenge comes in the form of a failed relationship, sometimes we lose a loved one and feel the desolation and loneliness of dealing with life's challenges alone, sometimes anxiety takes over and renders us less capable of managing our daily responsibilities. Sometimes we act in ways that even we do not fully understand or that moves us further and further away from success, happiness and serenity.
(201) 283-8273 View (201) 283-8273
Photo of Gina DiNiro, LCSW, Clinical Social Work/Therapist
Gina DiNiro
Clinical Social Work/Therapist, LCSW
Verified Verified
Saddle River, NJ 07458
Gina has been successful in helping individuals and families meet their desired goals in therapy through an empathetic and strengths-based approach. She strives to meet clients where they are at and strengthen their innate abilities to lead happier and healthier lives. Her style evolves with their needs and up-to-date modalities to make therapy effective.
Gina has been successful in helping individuals and families meet their desired goals in therapy through an empathetic and strengths-based approach. She strives to meet clients where they are at and strengthen their innate abilities to lead happier and healthier lives. Her style evolves with their needs and up-to-date modalities to make therapy effective.
(201) 720-6601 View (201) 720-6601
Photo of Cadeena Liou, MS, LAC, Counselor
Cadeena Liou
Counselor, MS, LAC
Verified Verified
1 Endorsed
Accepting New Clients! My ideal client grapples with anxiety, depression, or trauma and is navigating life transitions or struggles with self-esteem and substance use. They need support in understanding themselves better and managing emotional challenges. Their goal is to build resilience, gain self-awareness, and develop coping strategies to improve their quality of life.
Accepting New Clients! My ideal client grapples with anxiety, depression, or trauma and is navigating life transitions or struggles with self-esteem and substance use. They need support in understanding themselves better and managing emotional challenges. Their goal is to build resilience, gain self-awareness, and develop coping strategies to improve their quality of life.
(201) 347-1959 View (201) 347-1959
Photo of Julia Tsakalis, LCSW, Clinical Social Work/Therapist
Julia Tsakalis
Clinical Social Work/Therapist, LCSW
Verified Verified
Saddle River, NJ 07458
Imagine your life as a bookshelf: It may feel like the “TRAUMA” book is the only one on your shelf. It’s big and heavy and it hurts to think about opening it. In our work together you will learn how to build a library full of rich life experiences around what you’ve already survived. You won’t have to numb the pain. You won’t have to minimize what you feel to make others comfortable. You will get to process your traumas and feel present for the first time in a long time, or maybe in your life.
Imagine your life as a bookshelf: It may feel like the “TRAUMA” book is the only one on your shelf. It’s big and heavy and it hurts to think about opening it. In our work together you will learn how to build a library full of rich life experiences around what you’ve already survived. You won’t have to numb the pain. You won’t have to minimize what you feel to make others comfortable. You will get to process your traumas and feel present for the first time in a long time, or maybe in your life.
(201) 540-8826 View (201) 540-8826
Photo of William Tsang, PsyD, Psychologist
William Tsang
Psychologist, PsyD
Verified Verified
2 Endorsed
NEW availability for therapy and evaluations for children and adults. I specialize in neuropsychology and apply knowledge of brain-behavior relationships to evidence-based therapies. I am a clinical assistant professor and staff psychologist at NYU Langone Health. Most of my training has been at academic medical centers, such as Columbia University, Stony Brook Medicine, Hackensack Neuroscience Institute, and the Veteran's Administration. Adjunct teaching positions include Pace, CUNY Baruch, and William Paterson University. In addition, I supervise pre-doctoral interns at Hamilton Madison House and NYU Rusk Rehabilitation.
NEW availability for therapy and evaluations for children and adults. I specialize in neuropsychology and apply knowledge of brain-behavior relationships to evidence-based therapies. I am a clinical assistant professor and staff psychologist at NYU Langone Health. Most of my training has been at academic medical centers, such as Columbia University, Stony Brook Medicine, Hackensack Neuroscience Institute, and the Veteran's Administration. Adjunct teaching positions include Pace, CUNY Baruch, and William Paterson University. In addition, I supervise pre-doctoral interns at Hamilton Madison House and NYU Rusk Rehabilitation.
(929) 383-5117 View (929) 383-5117
Photo of Kate Ringwood, LPC, Counselor
Kate Ringwood
Counselor, LPC
Verified Verified
2 Endorsed
Saddle River, NJ 07458  (Online Only)
Do you think about food most of the day? Do you feel shame when you eat certain foods? You are not alone. This used to be me. I work with those who are struggling with an eating disorder, disordered eating and body image. Whether you feel out of control around food or ashamed of your body, I am here to help guide you to a place of freedom from the shame and guilt. We will work together to fight the eating disorder, and get your life back! I use an empathetic, but challenging approach to best help you reach your goals.
Do you think about food most of the day? Do you feel shame when you eat certain foods? You are not alone. This used to be me. I work with those who are struggling with an eating disorder, disordered eating and body image. Whether you feel out of control around food or ashamed of your body, I am here to help guide you to a place of freedom from the shame and guilt. We will work together to fight the eating disorder, and get your life back! I use an empathetic, but challenging approach to best help you reach your goals.
(267) 573-8508 View (267) 573-8508
Family Psychiatry and Therapy
Pre-Licensed Professional, PMHNP
Verified Verified
Upper Saddle River, NJ 07458  (Online Only)
We pride ourselves in providing a nurturing, clean and confidential atmosphere for our patients. We treat all ages and stages of development. We have emergency and same-day appointments. Confidentiality and privacy are maintained to the strictest of standards. We have modern electronic medical records and electronic prescribing.
We pride ourselves in providing a nurturing, clean and confidential atmosphere for our patients. We treat all ages and stages of development. We have emergency and same-day appointments. Confidentiality and privacy are maintained to the strictest of standards. We have modern electronic medical records and electronic prescribing.
(973) 221-8926 View (973) 221-8926
Photo of Cheryl Golub, LCSW, Clinical Social Work/Therapist
Cheryl Golub
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Anxiety, depression and relationship problems can make life challenging for both adults and the children they care about. I would like to offer you help in a comfortable, empathetic environment. My practice specializes in addressing and treating the unique challenges faced by adolescents and teens. Treatment specializations include: family/peer relationships; bullying; self-esteem; self-harming; substance abuse; grief and loss; parenting; survivors of childhood abuse.
Anxiety, depression and relationship problems can make life challenging for both adults and the children they care about. I would like to offer you help in a comfortable, empathetic environment. My practice specializes in addressing and treating the unique challenges faced by adolescents and teens. Treatment specializations include: family/peer relationships; bullying; self-esteem; self-harming; substance abuse; grief and loss; parenting; survivors of childhood abuse.
(201) 616-7738 View (201) 616-7738
Photo of Erin Asquith, LCSW, Clinical Social Work/Therapist
Erin Asquith
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Saddle River, NJ 07458
Relationships are hard. Feeling like you & your partner are too busy, with no time for each other. That you've grown apart, almost like roommates. Intimacy barely existent. Having the same, unresolved arguments. Uncertain about where your relationship stands. Divorce keeps popping up in your mind. Feel like you keep swiping -- dating scene feels defeating. Looking for hope, a new route for your relationship(s) - rebuilding, reconnecting or separating/divorce or an open relationship. It's scary to embark on individual or couple's therapy, sharing all of this with a stranger, but you're ready to work & create change.
Relationships are hard. Feeling like you & your partner are too busy, with no time for each other. That you've grown apart, almost like roommates. Intimacy barely existent. Having the same, unresolved arguments. Uncertain about where your relationship stands. Divorce keeps popping up in your mind. Feel like you keep swiping -- dating scene feels defeating. Looking for hope, a new route for your relationship(s) - rebuilding, reconnecting or separating/divorce or an open relationship. It's scary to embark on individual or couple's therapy, sharing all of this with a stranger, but you're ready to work & create change.
(347) 848-1935 View (347) 848-1935
1

How does your Therapist compare?

Number of Therapists in 07458

100+

Average cost per session

$180

Therapists in 07458 who prioritize treating:

98% Anxiety
86% Depression
85% Relationship Issues
85% Self Esteem
74% Stress
72% Coping Skills
65% Family Conflict

Average years in practice

14 Years

Top 3 insurances accepted

75% Aetna
63% UnitedHealthcare UHC | UBH
56% Cigna and Evernorth

How Therapists in 07458 see their clients

77% In Person and Online
23% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 07458?

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.