Therapists in 12084
![Photo of Dr. Terri Linden, PhD, Psychologist](https://photos.psychologytoday.com/ff46e3ba-15c4-4e9e-abc7-8d1dd450acfa/2/320x400.jpeg)
Dr. Terri Linden
Psychologist, PhD
Verified Verified
Guilderland, NY 12084 (Online Only)
Not accepting new clients
I am a NY State Licensed Psychologist with specialized training in biofeedback, mindfulness, clinical hypnosis, cognitive behavioral therapy and mind-body medicine. I hold Clinical Certification for Health Professionals for stress, anxiety and emotional regulation from the HeartMath Institute. I am warm, compassionate and practical, and I provide a safe and supportive space for you to heal, grow, and build coping skills that will empower you to take charge of your health and wellbeing. I use an active, evidence-based approach that explores how the brain and body interact to influence mental and physical health.
I am a NY State Licensed Psychologist with specialized training in biofeedback, mindfulness, clinical hypnosis, cognitive behavioral therapy and mind-body medicine. I hold Clinical Certification for Health Professionals for stress, anxiety and emotional regulation from the HeartMath Institute. I am warm, compassionate and practical, and I provide a safe and supportive space for you to heal, grow, and build coping skills that will empower you to take charge of your health and wellbeing. I use an active, evidence-based approach that explores how the brain and body interact to influence mental and physical health.
![Photo of Heidi R. Wright, PsyD, Psychologist](https://photos.psychologytoday.com/3df41387-74d5-4594-bdcd-401af106a42b/2/320x400.jpeg)
Heidi R. Wright
Psychologist, PsyD
Verified Verified
3 Endorsed
Guilderland, NY 12084
Waitlist for new clients
Are you struggling with anxiety, sadness, feelings of loneliness or emptiness, or substance use? Are your relationships with family, friends, or others important to you being strained or affected? Are you having problems getting things done in your daily life? If so, you are not alone. For the past 20 years, I have been working with people from diverse backgrounds with unique circumstances, just like yours. I have learned that the quality of the relationship people have with their therapists is often the most important factor in helping people make the changes needed to improve their lives.
Are you struggling with anxiety, sadness, feelings of loneliness or emptiness, or substance use? Are your relationships with family, friends, or others important to you being strained or affected? Are you having problems getting things done in your daily life? If so, you are not alone. For the past 20 years, I have been working with people from diverse backgrounds with unique circumstances, just like yours. I have learned that the quality of the relationship people have with their therapists is often the most important factor in helping people make the changes needed to improve their lives.
![Photo of Ellen Handler-Singleton, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bfdfe1b7-021b-4eac-8994-dd321315bdbb/2/320x400.jpeg)
Ellen Handler-Singleton
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Guilderland, NY 12084 (Online Only)
As an experienced clinician I understand that most clients want a therapist with compassion but also one that has the skills and expertise to assist you to overcome patterns of behavior and thinking that hold you back or make you feel stuck in life and drain you of energy. To achieve your goals we create an individualized approach that builds upon the strengths you already have and assist you to learn new ones. This is a collaborative process based on understanding your history and how it has shaped you. which provides a new path to pausing with your automatics so you have choice to pick a different path.
As an experienced clinician I understand that most clients want a therapist with compassion but also one that has the skills and expertise to assist you to overcome patterns of behavior and thinking that hold you back or make you feel stuck in life and drain you of energy. To achieve your goals we create an individualized approach that builds upon the strengths you already have and assist you to learn new ones. This is a collaborative process based on understanding your history and how it has shaped you. which provides a new path to pausing with your automatics so you have choice to pick a different path.
![Photo of Patricia McNamara, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3bed9be4-46cd-11ea-a6ad-06142c356176/6/320x400.jpeg)
Patricia McNamara
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Guilderland, NY 12084 (Online Only)
Waitlist for new clients
Hoping to change the way you feel about yourself, your life? Wishing you could break out of your current stresses, anxieties and negative belief patterns? Together we will utilize traditional and energy therapies to help you heal from both current and long-standing wounds. You can shift from old, tired patterns of behaving, feeling and thinking to constructive, life-affirming approaches. Create the life you want through a therapy tailored to your individual needs,interests, values and beliefs.
Hoping to change the way you feel about yourself, your life? Wishing you could break out of your current stresses, anxieties and negative belief patterns? Together we will utilize traditional and energy therapies to help you heal from both current and long-standing wounds. You can shift from old, tired patterns of behaving, feeling and thinking to constructive, life-affirming approaches. Create the life you want through a therapy tailored to your individual needs,interests, values and beliefs.
![Photo of Courtney L Butler, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/40d5a8e9-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Courtney L Butler
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Guilderland, NY 12084 (Online Only)
Are you tired of stress, worry, and depression affecting your health and happiness? Are you unsure how to handle it or what to do to make things better? Do you want to change the way you feel about yourself and your life? I can help you identify, explore, understand and change what is getting in the way of you getting more of what you want out of life.
Are you tired of stress, worry, and depression affecting your health and happiness? Are you unsure how to handle it or what to do to make things better? Do you want to change the way you feel about yourself and your life? I can help you identify, explore, understand and change what is getting in the way of you getting more of what you want out of life.
![Photo of Ellen Brandon, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/de7193b9-d699-473d-b1fd-58e7721bd612/2/320x400.jpeg)
Ellen Brandon
Clinical Social Work/Therapist, LCSW
Verified Verified
Guilderland, NY 12084
Not accepting new clients
Challenged by worrying thoughts? Wishing you could control your reactions to life better? Maybe old patterns are repeating and you’re feeling discouraged. You might be thinking: “I thought I took care of this before" or "why aren’t I feeling more confident and secure by now?” If any of this sounds familiar, one thing you know for sure is that something has to change. Making the decision to reach out for help is a bold and empowering step. I'll meet you where you're at and together we'll create a plan to help you achieve the peace and confidence you desire.
Challenged by worrying thoughts? Wishing you could control your reactions to life better? Maybe old patterns are repeating and you’re feeling discouraged. You might be thinking: “I thought I took care of this before" or "why aren’t I feeling more confident and secure by now?” If any of this sounds familiar, one thing you know for sure is that something has to change. Making the decision to reach out for help is a bold and empowering step. I'll meet you where you're at and together we'll create a plan to help you achieve the peace and confidence you desire.
![Photo of Ali Perry, LMSW, Pre-Licensed Professional](https://photos.psychologytoday.com/e83130f3-514b-4b9f-85ce-ed28506e1fd9/1/320x400.jpeg)
I believe that building rapport and creating a safe space for individuals to express themselves are key to a successful therapeutic experience. I use a collaborative, strength-based approach to empower individuals to achieve their counseling goals. My work focuses on helping individuals explore coping skills for mental health symptoms, life transitions, relationship challenges, systemic injustices, and other life stressors. My goal is to simply help you on your journey through life, to be a support where and when I can.
I believe that building rapport and creating a safe space for individuals to express themselves are key to a successful therapeutic experience. I use a collaborative, strength-based approach to empower individuals to achieve their counseling goals. My work focuses on helping individuals explore coping skills for mental health symptoms, life transitions, relationship challenges, systemic injustices, and other life stressors. My goal is to simply help you on your journey through life, to be a support where and when I can.
![Photo of Katie Aikens, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ebed73c6-7213-4105-b9aa-d6bbc92dfe7c/3/320x400.jpeg)
Whether it be you, your child, or your family, life's challenges can be daunting when taken on alone. My goal is to make it so you don't feel alone, and to be helping hand as you navigate these problems. I am most passionate in helping clients define what a “life worth living” means for them. I have worked with individuals of all backgrounds and developmental stages in addressing past trauma, developing healthy relationships, and building communication skills. I am also committed to continually developing her awareness of how power, privilege, and systemic injustice interact to impact her clients.
Whether it be you, your child, or your family, life's challenges can be daunting when taken on alone. My goal is to make it so you don't feel alone, and to be helping hand as you navigate these problems. I am most passionate in helping clients define what a “life worth living” means for them. I have worked with individuals of all backgrounds and developmental stages in addressing past trauma, developing healthy relationships, and building communication skills. I am also committed to continually developing her awareness of how power, privilege, and systemic injustice interact to impact her clients.
![Photo of Cassie Munoz, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0717ba20-0e99-4c5b-8d3f-e279f6e6e919/1/320x400.jpeg)
Cassie Munoz
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Guilderland, NY 12084
You are the main player in your life. It may not always feel this way, whether it is past experiences, unhelpful habits, or challenges arising in your relationships that seem to be taking the lead. You CAN build on established skills and develop the necessary tools to help you feel in control again. Though this can take time, you’re working to take the steps needed for your own well-being. For that, I commend you! Will it be hard at times? Yes. Will it get better in time? Yes! With your willingness and desire to be a part of this journey, you can accomplish your goal, and I will gladly support you in that.
You are the main player in your life. It may not always feel this way, whether it is past experiences, unhelpful habits, or challenges arising in your relationships that seem to be taking the lead. You CAN build on established skills and develop the necessary tools to help you feel in control again. Though this can take time, you’re working to take the steps needed for your own well-being. For that, I commend you! Will it be hard at times? Yes. Will it get better in time? Yes! With your willingness and desire to be a part of this journey, you can accomplish your goal, and I will gladly support you in that.
![Photo of Jennifer Matthews, LMHC, Counselor](https://photos.psychologytoday.com/0a1421e0-503f-482e-843c-80fdec1c23f9/1/320x400.jpeg)
My name is Jennifer Matthews and I am a Licensed Mental Health Counselor. I take an eclectic approach to therapy, utilizing my vast knowledge of theory to provide quality care to each of my clients on an individual basis. I am trained and certified in CBT, DBT, ACT, CPT, and PE. I have spent most of my career assisting individuals to gain power and freedom back over their lives. There is nothing more rewarding than the client who can smile during and after the storm knowing they have created the skills necessary to not only survive but thrive.
My name is Jennifer Matthews and I am a Licensed Mental Health Counselor. I take an eclectic approach to therapy, utilizing my vast knowledge of theory to provide quality care to each of my clients on an individual basis. I am trained and certified in CBT, DBT, ACT, CPT, and PE. I have spent most of my career assisting individuals to gain power and freedom back over their lives. There is nothing more rewarding than the client who can smile during and after the storm knowing they have created the skills necessary to not only survive but thrive.
![Photo of Renee Hereth, LMSW, Pre-Licensed Professional](https://photos.psychologytoday.com/45a41e9f-1a34-4150-8177-aca9559389bf/2/320x400.jpeg)
Renee Hereth
Pre-Licensed Professional, LMSW
Verified Verified
1 Endorsed
Guilderland, NY 12084 (Online Only)
Not accepting new clients
Not currently accepting new clients. Are you struggling to juggle all of life’s demands? You are not alone. Managing responsibilities, emotions, expectations, and relationships in a constantly changing world can feel overwhelming and impact our quality of life. You do not need to ride the rollercoaster of life alone. I can help! In therapy I provide a safe, unbiased, space for you to unpack the weight of those demands, prioritize your goals, and learn life-long tools to become your most authentic self.
Not currently accepting new clients. Are you struggling to juggle all of life’s demands? You are not alone. Managing responsibilities, emotions, expectations, and relationships in a constantly changing world can feel overwhelming and impact our quality of life. You do not need to ride the rollercoaster of life alone. I can help! In therapy I provide a safe, unbiased, space for you to unpack the weight of those demands, prioritize your goals, and learn life-long tools to become your most authentic self.
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![Photo of Julie Demeter Darling, LCSW, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0fdb3376-91a7-45cb-a463-e652fb2f7402/1/320x400.jpeg)
Julie Demeter Darling
Clinical Social Work/Therapist, LCSW, LMSW
Verified Verified
Guilderland, NY 12084
Individuals of all ages, nationalities, gender, and sexual orientation are welcomed. The populations I work with include individuals, couples, students as well as extended and blended families.
Individuals of all ages, nationalities, gender, and sexual orientation are welcomed. The populations I work with include individuals, couples, students as well as extended and blended families.
![Photo of Heidi Arnaud, MS, MHC-LP, Pre-Licensed Professional](https://photos.psychologytoday.com/0c7bc1ca-8f2c-450f-b736-38974bc22938/1/320x400.png)
Looking for help to navigate life's challenges and achieve lasting positive change? Whether you are dealing with stress, anxiety, depression, addiction, relationship issues, or simply seeking personal growth, I will be dedicated to helping you identify and resolve discrepancies between present circumstances and future goals.
Looking for help to navigate life's challenges and achieve lasting positive change? Whether you are dealing with stress, anxiety, depression, addiction, relationship issues, or simply seeking personal growth, I will be dedicated to helping you identify and resolve discrepancies between present circumstances and future goals.
![Photo of Claire Burnham, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/ac5998da-57fb-4750-b099-defb441317ca/1/320x400.jpeg)
I believe one of the most important aspects of therapy is building a supportive therapeutic relationship. I bring a compassionate, strengths based, and person centered approach to my clients which has been very effective. I specialize in helping those with social anxiety, generalized anxiety, relationship problems, depression, ocd, and trauma. My goal is to support you in developing coping skills to manage symptoms and feel empowered doing so. I am passionate about helping you find meaning and fulfillment through life’s challenges.
I believe one of the most important aspects of therapy is building a supportive therapeutic relationship. I bring a compassionate, strengths based, and person centered approach to my clients which has been very effective. I specialize in helping those with social anxiety, generalized anxiety, relationship problems, depression, ocd, and trauma. My goal is to support you in developing coping skills to manage symptoms and feel empowered doing so. I am passionate about helping you find meaning and fulfillment through life’s challenges.
![Photo of Chelsea Rader, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/61fcd5f9-9bb6-4ec1-b031-05917b88f20a/1/320x400.jpeg)
My ideal client would be a child, pre-teen or teenager who is struggling with suicidal ideation, depression, anxiety or familial difficulties. They’re working on discovering who they are in a world that is constantly changing….and so are they! Their goals are to develop coping skills to help manage their symptoms of anxiety, depression & feelings leading to suicidal ideation. They are navigating their personal relationships, as well as their family relationships. They want to feel better, heard & be confident with themselves.
My ideal client would be a child, pre-teen or teenager who is struggling with suicidal ideation, depression, anxiety or familial difficulties. They’re working on discovering who they are in a world that is constantly changing….and so are they! Their goals are to develop coping skills to help manage their symptoms of anxiety, depression & feelings leading to suicidal ideation. They are navigating their personal relationships, as well as their family relationships. They want to feel better, heard & be confident with themselves.
![Photo of Elly Barhydt, LCSW -R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/f5b14712-82ea-4dbe-8c97-8c759d604c72/1/320x400.jpeg)
I am a NYS Licensed Clinical Social Worker (LCSW-R) with over 16 years of experience working with children, adolescents and adults with a wide range of issues, such as anxiety, depression, stress, anger, self-esteem, lack of motivation, interpersonal relationships, cultural and life transitions, family conflicts, parenting, ADHD and school struggles.
I am a NYS Licensed Clinical Social Worker (LCSW-R) with over 16 years of experience working with children, adolescents and adults with a wide range of issues, such as anxiety, depression, stress, anger, self-esteem, lack of motivation, interpersonal relationships, cultural and life transitions, family conflicts, parenting, ADHD and school struggles.
![Photo of Emilia Hahn-Zollo, LMSW, Pre-Licensed Professional](https://photos.psychologytoday.com/9d9d69ea-844b-4bf8-b1d0-1b379be2ad4c/1/320x400.jpeg)
Sometimes we know exactly what the change we want is, it seems right in arm's reach, yet, we find ourselves struggling and confused to bridge the gap. My goal is to assist you in identifying the life you want, finding the path, and supporting you while you place your feet on that path. Our emotional struggles, including mental health symptoms, can be very challenging to overcome alone. Let's work together to come up with ways to cope, and ways to excel.
Sometimes we know exactly what the change we want is, it seems right in arm's reach, yet, we find ourselves struggling and confused to bridge the gap. My goal is to assist you in identifying the life you want, finding the path, and supporting you while you place your feet on that path. Our emotional struggles, including mental health symptoms, can be very challenging to overcome alone. Let's work together to come up with ways to cope, and ways to excel.
![Photo of Lisa Whitten, LMHC, MSEd, Counselor](https://photos.psychologytoday.com/488ea6d7-9b5b-46db-aec1-d44e5c4e0a1d/4/320x400.jpeg)
Lisa Whitten
Counselor, LMHC, MSEd
Verified Verified
1 Endorsed
Guilderland, NY 12084
Not accepting new clients
Lisa is a psychotherapist, in private practice, who has extensive experience working with trauma, grief, relationship issues, life transitions, and dual diagnosis. Prior to starting therapy, her clients often report feeling "stuck", struggle to make sense of what they are experiencing, often feel shame or fear that their experience or symptoms are unusual, lack feelings of fulfillment, and experience self doubt. If you, or a loved one can relate, and you're looking for clarity, courage, stability, or confidence, then this may be a good match.
Lisa is a psychotherapist, in private practice, who has extensive experience working with trauma, grief, relationship issues, life transitions, and dual diagnosis. Prior to starting therapy, her clients often report feeling "stuck", struggle to make sense of what they are experiencing, often feel shame or fear that their experience or symptoms are unusual, lack feelings of fulfillment, and experience self doubt. If you, or a loved one can relate, and you're looking for clarity, courage, stability, or confidence, then this may be a good match.
![Photo of Jacquelyn Llanos, MHC-LP, Pre-Licensed Professional](https://photos.psychologytoday.com/4fb53c90-339a-4f0a-8f9c-2fc8df31e443/2/320x400.jpeg)
**I am bilingual: English and Spanish. My availability is currently only during the day, before 4:30pm.** Starting the therapy process can be very challenging, especially during these times! Not only is it tough to find matching availability, but you also want someone with the necessary skills as well as a good interpersonal connection. My approach is to be collaborative and supportive, while also focusing on warmth and safety. I want to to explore your needs, goals, and motivation. You are the expert on your life, and I am a team member that helps you get you to where you want to be.
**I am bilingual: English and Spanish. My availability is currently only during the day, before 4:30pm.** Starting the therapy process can be very challenging, especially during these times! Not only is it tough to find matching availability, but you also want someone with the necessary skills as well as a good interpersonal connection. My approach is to be collaborative and supportive, while also focusing on warmth and safety. I want to to explore your needs, goals, and motivation. You are the expert on your life, and I am a team member that helps you get you to where you want to be.
![Photo of Jacqueline Cubano, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/52cd9037-4585-4d35-b46c-fb4de2718b6d/1/320x400.jpeg)
I have been providing therapy to children and families for 11 years. My greatest strength is connecting with my clients and building a strong therapeutic relationship. Science tells us that 70% of success in treatment is dependent just on that!
I have been providing therapy to children and families for 11 years. My greatest strength is connecting with my clients and building a strong therapeutic relationship. Science tells us that 70% of success in treatment is dependent just on that!
See more therapy options for 12084
How does your Therapist compare?
Number of Therapists in 12084
20+
Average cost per session
$150
Therapists in 12084 who prioritize treating:
96% | Anxiety |
89% | Depression |
86% | Self Esteem |
82% | Relationship Issues |
82% | Stress |
75% | Trauma and PTSD |
75% | Life Transitions |
Average years in practice
17 Years
Top 3 insurances accepted
67% | CDPHP |
54% | UnitedHealthcare UHC | UBH |
50% | Highmark |
How Therapists in 12084 see their clients
75% | In Person and Online | |
25% | Online Only |
Gender breakdown
96% | Female | |
4% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in 12084?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.