Photo of Ellen Tarby, LFMT, MA, Marriage & Family Therapist
Ellen Tarby
Marriage & Family Therapist, LFMT, MA
Verified Verified
4 Endorsed
Ithaca, NY 14851  (Online Only)
My practice is focused on helping you from the moment you realize that the ways you have been getting by seem to be causing more distress than relief. You may be noticing imbalance in your relationships, that you are putting off life changes and goals until you feel "good enough", or you might have a lot of fear of things feeling chaotic or not in control. While I address a broad range of concerns, a lot of the people I work with are struggling in particular with patterns around food, dieting, and body image that have left them feeling exhausted, defeated, and out of control.
My practice is focused on helping you from the moment you realize that the ways you have been getting by seem to be causing more distress than relief. You may be noticing imbalance in your relationships, that you are putting off life changes and goals until you feel "good enough", or you might have a lot of fear of things feeling chaotic or not in control. While I address a broad range of concerns, a lot of the people I work with are struggling in particular with patterns around food, dieting, and body image that have left them feeling exhausted, defeated, and out of control.
(607) 600-6467 View (607) 600-6467
Photo of Julie Tatowicz - Coast to Coast LCSW Pllc, LCSW, Clinical Social Work/Therapist
Coast to Coast LCSW Pllc
Clinical Social Work/Therapist, LCSW
Verified Verified
Ithaca, NY 14851
Hello my name is Julie Tatowicz and I am the owner of Coast to Coast LCSW Pllc. Reaching out for help is difficult, but you have already taken the first step. My goal is to make people feel comfortable and create an environment where people can feel heard and not judged. As a therapist I will help you formulate goals and work toward them. I utilize Cognitive Behavioral Therapy, Solution Focused Therapy and Motivational Interviewing. I try to help clients stay focused on the here and now, rather than getting stuck in the "whys" or the "what ifs." No matter what you're going through I want you to feel supported and empowered.
Hello my name is Julie Tatowicz and I am the owner of Coast to Coast LCSW Pllc. Reaching out for help is difficult, but you have already taken the first step. My goal is to make people feel comfortable and create an environment where people can feel heard and not judged. As a therapist I will help you formulate goals and work toward them. I utilize Cognitive Behavioral Therapy, Solution Focused Therapy and Motivational Interviewing. I try to help clients stay focused on the here and now, rather than getting stuck in the "whys" or the "what ifs." No matter what you're going through I want you to feel supported and empowered.
(607) 300-5472 View (607) 300-5472
Photo of Sheila McCue, LCSW-R, Clinical Social Work/Therapist
Sheila McCue
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Ithaca, NY 14851  (Online Only)
I believe the usefulness of therapy lies in the relationship the counselor and client create together. It is there that the client is able to safely explore the challenges of life. Within that relationship, personal strengths are cultivated, while weaknesses are identified and skills developed to inform how best to navigate through one's life fully. I have worked with students struggling under the pressures of academia; couples working to keep a relationship strong; couple's in the midst of separation/divorce; Individuals struggling with depression and anxiety.
I believe the usefulness of therapy lies in the relationship the counselor and client create together. It is there that the client is able to safely explore the challenges of life. Within that relationship, personal strengths are cultivated, while weaknesses are identified and skills developed to inform how best to navigate through one's life fully. I have worked with students struggling under the pressures of academia; couples working to keep a relationship strong; couple's in the midst of separation/divorce; Individuals struggling with depression and anxiety.
(607) 233-4314 View (607) 233-4314
Photo of Gina Campbell, LCSWR, Clinical Social Work/Therapist
Gina Campbell
Clinical Social Work/Therapist, LCSWR
Verified Verified
Ithaca, NY 14851
If you want to change thought patterns or behaviors, you may need to work with your body because it too has developed habits that support your cognitive and emotional habits. What distinguishes me as a psychotherapist is the amount of attention I give to the bodily components of mental/emotional habits and the resources I can bring to improve the body-mind connection. In my practice I use EMDR, Sensorimotor Psychotherapy, AEDP (Accelerated Experiential Dynamic Psychotherapy), IFS (Internal Family Systems), Cognitive Behavioral Therapy, Neurofeedback (direct brain-training), and EFT (tapping to get traumatic memories unstuck).
If you want to change thought patterns or behaviors, you may need to work with your body because it too has developed habits that support your cognitive and emotional habits. What distinguishes me as a psychotherapist is the amount of attention I give to the bodily components of mental/emotional habits and the resources I can bring to improve the body-mind connection. In my practice I use EMDR, Sensorimotor Psychotherapy, AEDP (Accelerated Experiential Dynamic Psychotherapy), IFS (Internal Family Systems), Cognitive Behavioral Therapy, Neurofeedback (direct brain-training), and EFT (tapping to get traumatic memories unstuck).
(607) 953-6103 View (607) 953-6103
Photo of Leslie Ihde, LCSW-R, Clinical Social Work/Therapist
Leslie Ihde
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Ithaca, NY 14851
My approach is influenced by C.G. Jung, Viktor Frankl (Man's Search for Meaning) Socratic dialogue, Buddhism and Quaker meetings. I work best with the person who sees their life as a journey of self-discovery. I will help you uncover the solutions that you already have and see the problematics of those solutions. I will help you listen to your muse, interpret your dreams, identify your interpersonal patterns and face the fears and anxieties that haunt you. I will treat your troubles with the utmost respect because they help you learn and grow. Gratitude softens pain. I find parallels between creativity & spiritual inspiration.
My approach is influenced by C.G. Jung, Viktor Frankl (Man's Search for Meaning) Socratic dialogue, Buddhism and Quaker meetings. I work best with the person who sees their life as a journey of self-discovery. I will help you uncover the solutions that you already have and see the problematics of those solutions. I will help you listen to your muse, interpret your dreams, identify your interpersonal patterns and face the fears and anxieties that haunt you. I will treat your troubles with the utmost respect because they help you learn and grow. Gratitude softens pain. I find parallels between creativity & spiritual inspiration.
(607) 527-7234 View (607) 527-7234
Photo of Colleen Colbert, PsyD, Psychologist
Colleen Colbert
Psychologist, PsyD
Verified Verified
1 Endorsed
Ithaca, NY 14851
I am a licensed psychologist who has practices in New York State both upstate and in the metropolitan New York area for many years and in Rhode Island for some time. I also have graduate degrees in the field of education and have been a teacher prior to my years as a therapist. My practice includes expertise in a wide variety of areas and ages including adults and have a special interest in marital work and couples sessions.
I am a licensed psychologist who has practices in New York State both upstate and in the metropolitan New York area for many years and in Rhode Island for some time. I also have graduate degrees in the field of education and have been a teacher prior to my years as a therapist. My practice includes expertise in a wide variety of areas and ages including adults and have a special interest in marital work and couples sessions.
(914) 671-2750 View (914) 671-2750
Photo of Cheryl Delaney, MA, LCAT
Cheryl Delaney
Creative Arts Therapist, MA, LCAT
Verified Verified
Ithaca, NY 14851
Do you find yourself feeling stuck in certain feelings? We call emotions "feelings" because they are experienced physically first, and then words are put to what is felt. If talking yourself out of uncomfortable feelings isn't working, you may want to try body-based therapy. All of your emotions are needed to fully express yourself, just as a dancer needs a full range of motion, and an artist needs every color. I help clients to cope with uncomfortable and painful feelings in order to open up to feeling safe experiencing the full range of human emotions. I offer traditional talk therapy, body-based therapy, and Walk & Talk therapy.
Do you find yourself feeling stuck in certain feelings? We call emotions "feelings" because they are experienced physically first, and then words are put to what is felt. If talking yourself out of uncomfortable feelings isn't working, you may want to try body-based therapy. All of your emotions are needed to fully express yourself, just as a dancer needs a full range of motion, and an artist needs every color. I help clients to cope with uncomfortable and painful feelings in order to open up to feeling safe experiencing the full range of human emotions. I offer traditional talk therapy, body-based therapy, and Walk & Talk therapy.
(607) 536-8553 View (607) 536-8553
Photo of Michael Bertenthal, PhD, Psychologist
Michael Bertenthal
Psychologist, PhD
Verified Verified
1 Endorsed
Ithaca, NY 14851
Not accepting new clients
I have been in private practice since 1990. I have a non-traditional approach to psychotherapy. I have a background in philosophy as well as psychology and draw on both disciplines for an understanding of human problems. I specialize in working with adults who seek to improve their lives through self-inquiry, whether those problems involve love, work or achieving personal goals.
I have been in private practice since 1990. I have a non-traditional approach to psychotherapy. I have a background in philosophy as well as psychology and draw on both disciplines for an understanding of human problems. I specialize in working with adults who seek to improve their lives through self-inquiry, whether those problems involve love, work or achieving personal goals.
(607) 333-7786 View (607) 333-7786
Photo of Dr. Cris E. Haltom - Cristen E. Haltom, PhD, CEDS, PhD, CEDS, Psychologist
Cristen E. Haltom, PhD, CEDS
Psychologist, PhD, CEDS
Verified Verified
Ithaca, NY 14851
Waitlist for new clients
I welcome new clients who are interested in making life changes. I individualize my approach to each person and family, drawing from skills learned over the years. My areas of specialty include life change adjustments, interpersonal and family relationships, eating disorders, mood disorders, and anxiety issues. I am also a speaker and educator, clinical consultant, and give workshops and lectures on clinical psychotherapy topics and positive psychology.
I welcome new clients who are interested in making life changes. I individualize my approach to each person and family, drawing from skills learned over the years. My areas of specialty include life change adjustments, interpersonal and family relationships, eating disorders, mood disorders, and anxiety issues. I am also a speaker and educator, clinical consultant, and give workshops and lectures on clinical psychotherapy topics and positive psychology.
(607) 214-2581 View (607) 214-2581
Photo of Ineke Demuynck, LMFT, Marriage & Family Therapist
Ineke Demuynck
Marriage & Family Therapist, LMFT
Verified Verified
Ithaca, NY 14851
Waitlist for new clients
Life can be challenging sometimes. In my work, I try to provide a safe space where those challenges can be explored and new possibilities can be discovered. I work collaboratively to help you re-discover your strengths and use these to deal more effectively with your struggles. I have been working with individuals, couples, families and groups for 15-plus years. I have worked with a variety of problems and populations including, but not limited to: relationship issues, depression, anxiety, grief, self-esteem, life transitions, student coaching (individually and in group), (foreign) students, immigrants, acculturation problems.
Life can be challenging sometimes. In my work, I try to provide a safe space where those challenges can be explored and new possibilities can be discovered. I work collaboratively to help you re-discover your strengths and use these to deal more effectively with your struggles. I have been working with individuals, couples, families and groups for 15-plus years. I have worked with a variety of problems and populations including, but not limited to: relationship issues, depression, anxiety, grief, self-esteem, life transitions, student coaching (individually and in group), (foreign) students, immigrants, acculturation problems.
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Photo of Emily Pimpinella - Emily Pimpinella, Psy.D., PsyD, Psychologist
Emily Pimpinella, Psy.D.
Psychologist, PsyD
Verified Verified
1 Endorsed
Ithaca, NY 14851
Not accepting new clients
We all encounter struggles in our lives that challenge us and deplete our emotional resources. Gaining perspective and dealing with our pain can be difficult on our own and we can benefit from talking to someone outside of the situation in order to help us sift through all the thoughts, feelings, and experiences that come into play. I provide a therapeutic environment where you have the space and safety to process what's contributing to your distress and to work on ways that you might grow, gain insight, learn coping skills, and attain your desired goals.
We all encounter struggles in our lives that challenge us and deplete our emotional resources. Gaining perspective and dealing with our pain can be difficult on our own and we can benefit from talking to someone outside of the situation in order to help us sift through all the thoughts, feelings, and experiences that come into play. I provide a therapeutic environment where you have the space and safety to process what's contributing to your distress and to work on ways that you might grow, gain insight, learn coping skills, and attain your desired goals.
(607) 233-4643 View (607) 233-4643
Photo of Amy Spenciner, LCSW, Clinical Social Work/Therapist
Amy Spenciner
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Ithaca, NY 14851  (Online Only)
I am a ME and NYS Licensed Clinical Social Worker and provide phone/online counseling services. I provide counseling for adults privately and thru Employee Assistance Programs (including Cornell U, Ithaca College, Cayuga Medical Center and Ithaca City). Much of this work entails helping high functioning adults increase their stress management and supporting them through work, home and career challenges. I also provide counseling for school children as I am a former school social worker. I utilize a combination cognitive behavior therapy, life skills development, mindfulness and stress reduction.
I am a ME and NYS Licensed Clinical Social Worker and provide phone/online counseling services. I provide counseling for adults privately and thru Employee Assistance Programs (including Cornell U, Ithaca College, Cayuga Medical Center and Ithaca City). Much of this work entails helping high functioning adults increase their stress management and supporting them through work, home and career challenges. I also provide counseling for school children as I am a former school social worker. I utilize a combination cognitive behavior therapy, life skills development, mindfulness and stress reduction.
(207) 389-7569 View (207) 389-7569
Photo of Emma Novick, LMSW, Clinical Social Work/Therapist
Emma Novick
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Ithaca, NY 14851  (Online Only)
Therapy can feel daunting after much contemplation. You have been feeling exhausted, stressed, or emotionally overwhelmed, especially if you are experiencing chronic illness, anxiety, depression, trauma, mood disorders, or relationship issues. You may find it difficult to navigate your healthcare and get the help you need. Constantly reaccepting your illness or stuck on thoughts from your past and struggling to express needs or feelings to others can be draining. I connect with adults who want to explore these stressors, understand them, and find ways to become their own advocates.
Therapy can feel daunting after much contemplation. You have been feeling exhausted, stressed, or emotionally overwhelmed, especially if you are experiencing chronic illness, anxiety, depression, trauma, mood disorders, or relationship issues. You may find it difficult to navigate your healthcare and get the help you need. Constantly reaccepting your illness or stuck on thoughts from your past and struggling to express needs or feelings to others can be draining. I connect with adults who want to explore these stressors, understand them, and find ways to become their own advocates.
(646) 762-5348 View (646) 762-5348
Photo of Jamie Sorrentino, LCSW-R, Clinical Social Work/Therapist
Jamie Sorrentino
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Ithaca, NY 14851
Are you seeking evidence-based psychotherapy to help you achieve your goals or manage your symptoms in the most effective way? I or another qualified therapist at MindWell Psychology may be able to help you. I engage in relational therapy that values authenticity, vulnerability, curiosity, collaboration, and compassionate care. As well, I utilize evidence-based practices that pull from Acceptance and Commitment Therapy (ACT), mindfulness-based practice, and Cognitive Behavioral Therapy (CBT).
Are you seeking evidence-based psychotherapy to help you achieve your goals or manage your symptoms in the most effective way? I or another qualified therapist at MindWell Psychology may be able to help you. I engage in relational therapy that values authenticity, vulnerability, curiosity, collaboration, and compassionate care. As well, I utilize evidence-based practices that pull from Acceptance and Commitment Therapy (ACT), mindfulness-based practice, and Cognitive Behavioral Therapy (CBT).
(607) 260-3100 View (607) 260-3100
Photo of Katrina Blomquist, PhD, Psychologist
Katrina Blomquist
Psychologist, PhD
Verified Verified
Ithaca, NY 14851
Are you seeking evidence-based psychotherapy to help you achieve your goals or manage your symptoms in the most effective way? If you or your child are struggling with your mood, anxiety, trauma, obsessive or unhelpful thinking patterns, chronic pain, or behaviors you wish to change, I or another qualified therapist at the MindWell Center may be able to help you.
Are you seeking evidence-based psychotherapy to help you achieve your goals or manage your symptoms in the most effective way? If you or your child are struggling with your mood, anxiety, trauma, obsessive or unhelpful thinking patterns, chronic pain, or behaviors you wish to change, I or another qualified therapist at the MindWell Center may be able to help you.
(607) 260-3100 View (607) 260-3100
Photo of Dr. Paula Sands, PsyD, Psychologist
Dr. Paula Sands
Psychologist, PsyD
Verified Verified
2 Endorsed
Ithaca, NY 14851  (Online Only)
I am not currently accepting new clients. Are you struggling with anxiety & depression? Feeling stuck? Have relationships in your life that you need to talk through? Are things just not feeling "right?"
I am not currently accepting new clients. Are you struggling with anxiety & depression? Feeling stuck? Have relationships in your life that you need to talk through? Are things just not feeling "right?"
(347) 286-4892 View (347) 286-4892
Photo of Kate Evans Holmes, Pre-Licensed Professional
Kate Evans Holmes
Pre-Licensed Professional
Verified Verified
2 Endorsed
Ithaca, NY 14851  (Online Only)
Therapy is a place to feel understood. If you're hesitant about getting started and struggle opening up or fear judgment, I'm here for you. I work with authenticity, patience and compassion, without judgment. Whether you’re feeling unfulfilled or overwhelmed, I am here to help you navigate challenges with stress, life transitions, and relationships. I can also offer support for trauma survivors, anger management, ADHD, and spiritual issues. Together, we will move towards the healing and fulfillment you’re hoping for, extending compassion for yourself along the way.
Therapy is a place to feel understood. If you're hesitant about getting started and struggle opening up or fear judgment, I'm here for you. I work with authenticity, patience and compassion, without judgment. Whether you’re feeling unfulfilled or overwhelmed, I am here to help you navigate challenges with stress, life transitions, and relationships. I can also offer support for trauma survivors, anger management, ADHD, and spiritual issues. Together, we will move towards the healing and fulfillment you’re hoping for, extending compassion for yourself along the way.
(929) 254-4209 View (929) 254-4209
Photo of Tracey Barlow, LCSW, RN, Clinical Social Work/Therapist
Tracey Barlow
Clinical Social Work/Therapist, LCSW, RN
Verified Verified
Ithaca, NY 14851
"You are never too old to set another goal or to dream a new dream." C.S. Lewis
"You are never too old to set another goal or to dream a new dream." C.S. Lewis
(607) 364-8637 View (607) 364-8637
Photo of Maggie Stoutenburg, PhD, Psychologist
Maggie Stoutenburg
Psychologist, PhD
Verified Verified
4 Endorsed
Ithaca, NY 14851  (Online Only)
Are you going through the day feeling uncomfortable in your skin? Are you sad for long periods of time, angry, or stuck in painful rumination? I help patients live fuller, happier, and more satisfying lives. My approach is to create a supportive and non-judgmental environment where you can feel safe to explore your thoughts, feelings and behaviors. We will work together to identify patterns that might be keeping you stuck and help you get relief from your symptoms. In therapy you will learn skills that enable you to relate to your thoughts and emotions differently. This applies whether you are an individual or in couples therapy.
Are you going through the day feeling uncomfortable in your skin? Are you sad for long periods of time, angry, or stuck in painful rumination? I help patients live fuller, happier, and more satisfying lives. My approach is to create a supportive and non-judgmental environment where you can feel safe to explore your thoughts, feelings and behaviors. We will work together to identify patterns that might be keeping you stuck and help you get relief from your symptoms. In therapy you will learn skills that enable you to relate to your thoughts and emotions differently. This applies whether you are an individual or in couples therapy.
(516) 928-4691 View (516) 928-4691
Photo of Jason L Cunningham, LMHC, NCC, Counselor
Jason L Cunningham
Counselor, LMHC, NCC
Verified Verified
Ithaca, NY 14851
Esoterics Counseling was founded by a Black male therapist to provide quality mental health care by credentialed practitioners who recognize the unique challenges, transitions, and actualities of navigating life as a marginalized individual. We provide mental health support through a decidedly anti-racist and queer -friendly perspective while embedding cultural humility, awareness, and responsiveness into our practice. We strive to build a therapeutic alliance based less on diagnosis and more on uncovering effective strategies to assist with clarity, agency, and purpose. Insurance accepted through Alma or Headway only.
Esoterics Counseling was founded by a Black male therapist to provide quality mental health care by credentialed practitioners who recognize the unique challenges, transitions, and actualities of navigating life as a marginalized individual. We provide mental health support through a decidedly anti-racist and queer -friendly perspective while embedding cultural humility, awareness, and responsiveness into our practice. We strive to build a therapeutic alliance based less on diagnosis and more on uncovering effective strategies to assist with clarity, agency, and purpose. Insurance accepted through Alma or Headway only.
(347) 527-4937 View (347) 527-4937

See more therapy options for 14851

How does your Therapist compare?

Number of Therapists in 14851

20+

Average cost per session

$150

Therapists in 14851 who prioritize treating:

90% Depression
85% Relationship Issues
85% Anxiety
75% Self Esteem
60% Family Conflict
60% Coping Skills
55% Life Transitions

Average years in practice

16 Years

Top 3 insurances accepted

100% Aetna
53% UnitedHealthcare UHC | UBH
40% BlueCross and BlueShield

How Therapists in 14851 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

87% Female
13% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 14851?

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.