Photo of Phillip Barton, LCPC, LPC, Licensed Professional Counselor
Phillip Barton
Licensed Professional Counselor, LCPC, LPC
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010  (Online Only)
Many of us wrestle to find hope in our lives, move forward, or just make it through the day. Depression, anxiety, relationship concerns, and loss can take away motivation, causing struggle and suffering. This can change. Perhaps you're determining which life path to take or are dealing with past trauma, abuse, or painful memories. You don't have to carry this weight alone. I provide an unbiased, nonjudgmental space for adults to explore what is hindering them and overcome obstacles in healthy, ways.
Many of us wrestle to find hope in our lives, move forward, or just make it through the day. Depression, anxiety, relationship concerns, and loss can take away motivation, causing struggle and suffering. This can change. Perhaps you're determining which life path to take or are dealing with past trauma, abuse, or painful memories. You don't have to carry this weight alone. I provide an unbiased, nonjudgmental space for adults to explore what is hindering them and overcome obstacles in healthy, ways.
(267) 356-5911 View (267) 356-5911
Photo of Patricia A Harnett, MSS, MLSP, LCSW, Clinical Social Work/Therapist
Patricia A Harnett
Clinical Social Work/Therapist, MSS, MLSP, LCSW
Verified Verified
Bryn Mawr, PA 19010
If you are reading this then you are halfway there to working on your issues and finding solutions. I have been in practice for over twenty years and bring a warm and encouraging style to the therapy process. My practice is inclusive of children, adolescents, and adults. I provide individual, couples, family and group therapy. I offer a no cost half hour phone consultation to all prospective clients. That way you can see if I am the right fit for you!
If you are reading this then you are halfway there to working on your issues and finding solutions. I have been in practice for over twenty years and bring a warm and encouraging style to the therapy process. My practice is inclusive of children, adolescents, and adults. I provide individual, couples, family and group therapy. I offer a no cost half hour phone consultation to all prospective clients. That way you can see if I am the right fit for you!
(610) 674-6737 View (610) 674-6737
Photo of Dr. Thomas Smith, PsyD, Psychologist
Dr. Thomas Smith
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
If you or your family are struggling to communicate and support one another, I'm here to help. I work with families and individuals dealing with conflict, communication issues, and struggling through mental health crises by aiming to strengthen bonds and promote compassionate yet direct communication. We’ll work together to create a compassionate environment and promote personal growth. Feel free to reach out so we can start challenging you to face stress and conflict head on.
If you or your family are struggling to communicate and support one another, I'm here to help. I work with families and individuals dealing with conflict, communication issues, and struggling through mental health crises by aiming to strengthen bonds and promote compassionate yet direct communication. We’ll work together to create a compassionate environment and promote personal growth. Feel free to reach out so we can start challenging you to face stress and conflict head on.
(484) 969-9350 View (484) 969-9350
Photo of Karolina Lazarov, LPC, LBC, PMH-C, MS, MA, Licensed Professional Counselor
Karolina Lazarov
Licensed Professional Counselor, LPC, LBC, PMH-C, MS, MA
Verified Verified
Bryn Mawr, PA 19010
I believe that life can be challenging at times. Sometimes we feel unhappy, overwhelmed, stressed out, tired or simply “stuck.” In those moments, we want to have this one person who could truly hear us, listen to our deep thoughts and allow us to be authentic. Whether you are juggling motherhood, postpartum difficulties, life transitioning, career, familial responsibilities, anxiety, depression, or low self-confidence, I believe that I can be there for you. Together we will identify your strengths, build on your resilience, develop practical coping strategies to help you overcome your challenges and live more balanced life .
I believe that life can be challenging at times. Sometimes we feel unhappy, overwhelmed, stressed out, tired or simply “stuck.” In those moments, we want to have this one person who could truly hear us, listen to our deep thoughts and allow us to be authentic. Whether you are juggling motherhood, postpartum difficulties, life transitioning, career, familial responsibilities, anxiety, depression, or low self-confidence, I believe that I can be there for you. Together we will identify your strengths, build on your resilience, develop practical coping strategies to help you overcome your challenges and live more balanced life .
(267) 915-6026 View (267) 915-6026
Photo of Dina Del Amo, PsyD, Psychologist
Dina Del Amo
Psychologist, PsyD
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
Whether you are seeking assessment or psychotherapy, I will treat you and your concerns with honesty and respect. I am a clinical psychologist who works with children through adults, both neurotypical and neurodivegent. Together, we will explore the issues that bring you to see me. With a spirit of inquiry, my skills and professional experience join with your personal knowledge and cultural experiences, allowing us to better understand the challenges you are facing.
Whether you are seeking assessment or psychotherapy, I will treat you and your concerns with honesty and respect. I am a clinical psychologist who works with children through adults, both neurotypical and neurodivegent. Together, we will explore the issues that bring you to see me. With a spirit of inquiry, my skills and professional experience join with your personal knowledge and cultural experiences, allowing us to better understand the challenges you are facing.
(484) 997-3098 View (484) 997-3098
Photo of Mary Fry, MS, LPC, Licensed Professional Counselor
Mary Fry
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
Hello! My goal is to partner with you on your journey towards healing and self discovery. I gravitate towards adults of all ages seeking support as they navigate life transitions, manage their mental health, cope with challenges in relationships and develop stress management skills. I have a Master's in Counseling and Clinical Health and 10 years experience as a Licensed Professional Counselor. I have worked in a variety of settings including inpatient, private practice, and telehealth.
Hello! My goal is to partner with you on your journey towards healing and self discovery. I gravitate towards adults of all ages seeking support as they navigate life transitions, manage their mental health, cope with challenges in relationships and develop stress management skills. I have a Master's in Counseling and Clinical Health and 10 years experience as a Licensed Professional Counselor. I have worked in a variety of settings including inpatient, private practice, and telehealth.
(484) 380-9204 View (484) 380-9204
Photo of David Fask - Fask Therapy, PhD, Psychologist
Fask Therapy
Psychologist, PhD
Verified Verified
Bryn Mawr, PA 19010
There's no denying it: life is hard, and it doesn't come with a manual. Sometimes, getting through the day can be a challenge, even in the best of circumstances. But it doesn't have to feel that way. I work with adults who want to boost their self-esteem, lower their stress and anxiety, and improve their communication skills in many different types of relationships. My clients tend to be adults who are struggling to balance the life they are working to build against the stress of leading a life that doesn't come with a manual.
There's no denying it: life is hard, and it doesn't come with a manual. Sometimes, getting through the day can be a challenge, even in the best of circumstances. But it doesn't have to feel that way. I work with adults who want to boost their self-esteem, lower their stress and anxiety, and improve their communication skills in many different types of relationships. My clients tend to be adults who are struggling to balance the life they are working to build against the stress of leading a life that doesn't come with a manual.
(484) 254-5254 View (484) 254-5254
Photo of Brian D Barber, PsyD, LPC, MDiv, Psychologist
Brian D Barber
Psychologist, PsyD, LPC, MDiv
Verified Verified
1 Endorsed
Bryn Mawr, PA 19010
You want more and deserve better. For many adults and youngsters, feelings of anxiety and depression leave you feeling like you are just getting by. Meeting in person, talking about your thoughts, feelings, and concerns within a safe therapeutic relationship, we can work together to help you become unstuck and rebuild a life with purpose and meaning. For some, this may include processing painful emotions, grieving losses, navigating difficult relationships, or changing self-defeating patterns. Therapy is hard work and by reading this page, you’ve already shown you’re curious to learn more about yourself and are motivated to change.
You want more and deserve better. For many adults and youngsters, feelings of anxiety and depression leave you feeling like you are just getting by. Meeting in person, talking about your thoughts, feelings, and concerns within a safe therapeutic relationship, we can work together to help you become unstuck and rebuild a life with purpose and meaning. For some, this may include processing painful emotions, grieving losses, navigating difficult relationships, or changing self-defeating patterns. Therapy is hard work and by reading this page, you’ve already shown you’re curious to learn more about yourself and are motivated to change.
(484) 214-2653 View (484) 214-2653
Photo of Kristina Ferrari - Kristina Ferrari | Modern Relationship Therapy, MSEd, LPC, Licensed Professional Counselor
Kristina Ferrari | Modern Relationship Therapy
Licensed Professional Counselor, MSEd, LPC
Verified Verified
7 Endorsed
Bryn Mawr, PA 19010
When you met your partner you likely didn't notice them across the room and say — "That looks like someone I could solve problems with." What attracts us to people initially usually has little to do with the factors that make conflict resolution possible — let alone productive and connective. Nobody teaches us how to do conflict well. It’s not a class in high school (although it absolutely should be). We aren’t born with these tools. In fact, some of our biology actively works against us here because our nervous system is wired to detect threat.
When you met your partner you likely didn't notice them across the room and say — "That looks like someone I could solve problems with." What attracts us to people initially usually has little to do with the factors that make conflict resolution possible — let alone productive and connective. Nobody teaches us how to do conflict well. It’s not a class in high school (although it absolutely should be). We aren’t born with these tools. In fact, some of our biology actively works against us here because our nervous system is wired to detect threat.
(484) 265-9532 View (484) 265-9532
Photo of Brian James Flatley, MS, BS, Pre-Licensed Professional
Brian James Flatley
Pre-Licensed Professional, MS, BS
Verified Verified
Bryn Mawr, PA 19010
I am a firm believer in the power of the therapeutic relationship. My goal is to utilize your expert knowledge of your own life in combination with my clinical background to create a better quality of life for you. We will achieve this by identifying stressors, processing unconscious troubles, and utilizing your strengths! I really enjoy witnessing the positive change in people's life that counseling makes.
I am a firm believer in the power of the therapeutic relationship. My goal is to utilize your expert knowledge of your own life in combination with my clinical background to create a better quality of life for you. We will achieve this by identifying stressors, processing unconscious troubles, and utilizing your strengths! I really enjoy witnessing the positive change in people's life that counseling makes.
(484) 749-0900 View (484) 749-0900
Photo of Ashley Cook, MEd, LPC, LMHC, NCC, Licensed Professional Counselor
Ashley Cook
Licensed Professional Counselor, MEd, LPC, LMHC, NCC
Verified Verified
4 Endorsed
Bryn Mawr, PA 19010
Not accepting new clients
Welcome. I'm a Licensed Professional Counselor and the owner of ABC Therapies, LLC (ABCT); a private practice providing mental health and relationship counseling services for individuals, couples and families who are motivated to overcome life's challenges and achieve wellness and personal goals.
Welcome. I'm a Licensed Professional Counselor and the owner of ABC Therapies, LLC (ABCT); a private practice providing mental health and relationship counseling services for individuals, couples and families who are motivated to overcome life's challenges and achieve wellness and personal goals.
(484) 638-6363 View (484) 638-6363
Photo of Alli Domers Benhaim - Spilove Psychotherapy, LSW, MSS, Clinical Social Work/Therapist
Spilove Psychotherapy
Clinical Social Work/Therapist, LSW, MSS
Verified Verified
Bryn Mawr, PA 19010
I have been providing therapy for children and families for several years after graduating from Bryn Mawr College of Social Work and Social Research. I am trauma informed and specialize in child development, attachment, mindful parenting, sensory integration, behavioral challenges, Autism, Intellectual Disabilities, Learning Disabilities, Anxiety, Depression, ADD/ADHD, OCD and grief and loss.
I have been providing therapy for children and families for several years after graduating from Bryn Mawr College of Social Work and Social Research. I am trauma informed and specialize in child development, attachment, mindful parenting, sensory integration, behavioral challenges, Autism, Intellectual Disabilities, Learning Disabilities, Anxiety, Depression, ADD/ADHD, OCD and grief and loss.
(484) 382-3843 View (484) 382-3843
Photo of Samantha McComsey, BA, CADC, Drug & Alcohol Counselor
Samantha McComsey
Drug & Alcohol Counselor, BA, CADC
Verified Verified
Bryn Mawr, PA 19010
Samantha McComsey graduated from Penn State University in 2006 with a BA in Applied Psychology and holds a CADC. Samantha brings over 16 years of experience in addiction treatment, co-occurring disorders and process addictions, such as gambling, and sex addiction. Samantha specializes in treatment of adults with concierge needs, professionals seeking to understand how their drive, success, and lifestyle have become intertwined with addiction and mental health. Samantha believes that addiction and mental health can impact everyone regardless of success and background. She believes that every individual/family deserves quality care.
Samantha McComsey graduated from Penn State University in 2006 with a BA in Applied Psychology and holds a CADC. Samantha brings over 16 years of experience in addiction treatment, co-occurring disorders and process addictions, such as gambling, and sex addiction. Samantha specializes in treatment of adults with concierge needs, professionals seeking to understand how their drive, success, and lifestyle have become intertwined with addiction and mental health. Samantha believes that addiction and mental health can impact everyone regardless of success and background. She believes that every individual/family deserves quality care.
(484) 749-8385 View (484) 749-8385
Photo of Evan V Vida, PsyD, Pre-Licensed Professional
Evan V Vida
Pre-Licensed Professional, PsyD
Verified Verified
Bryn Mawr, PA 19010
I specialize in providing evidence-based treatment for the full spectrum of anxiety and anxiety-related disorders, including obsessive-compulsive disorder (OCD), posttraumatic stress disorder (PTSD), body-focused repetitive behaviors (BFRBs; skin-picking, hair pulling, nail-biting), generalized anxiety disorder, panic disorder, agoraphobia, phobias, social anxiety, body dysmorphic disorder, health/illness anxiety, and more. I also specialize in helping those with difficulties in emotional and behavioral dysregulation using principles of dialectical behavior therapy (DBT).
I specialize in providing evidence-based treatment for the full spectrum of anxiety and anxiety-related disorders, including obsessive-compulsive disorder (OCD), posttraumatic stress disorder (PTSD), body-focused repetitive behaviors (BFRBs; skin-picking, hair pulling, nail-biting), generalized anxiety disorder, panic disorder, agoraphobia, phobias, social anxiety, body dysmorphic disorder, health/illness anxiety, and more. I also specialize in helping those with difficulties in emotional and behavioral dysregulation using principles of dialectical behavior therapy (DBT).
(484) 623-5338 x510 View (484) 623-5338 x510
Photo of Dina H. Harth, PhD, Psychologist
Dina H. Harth
Psychologist, PhD
Verified Verified
2 Endorsed
Bryn Mawr, PA 19010
Dr. Dina Harth provides psychological services to individuals, couples and families of all ages who are coping with issues across the lifespan. She uses an integrative approach, combining cognitive-behavioral principles with insight-oriented, as well as marital and family therapies. She provides individualized treatment based on the needs and style of each client.
Dr. Dina Harth provides psychological services to individuals, couples and families of all ages who are coping with issues across the lifespan. She uses an integrative approach, combining cognitive-behavioral principles with insight-oriented, as well as marital and family therapies. She provides individualized treatment based on the needs and style of each client.
(610) 526-0755 View (610) 526-0755
Photo of Cinda L Cooper, MSW, LCSW, Clinical Social Work/Therapist
Cinda L Cooper
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bryn Mawr, PA 19010
Life can be difficult. Have you been feeling overwhelmed? Do you find yourself repeating the same patterns, with the same painful results? We can work to find the source of these patterns and understand the messages impacting your life. As a therapist, my goal is to create a collaborative relationship in which you find the support, warmth and safety to challenge the thoughts, beliefs and behaviors that may be holding you back. I would be honored to hear your story and work with you towards change and healing.
Life can be difficult. Have you been feeling overwhelmed? Do you find yourself repeating the same patterns, with the same painful results? We can work to find the source of these patterns and understand the messages impacting your life. As a therapist, my goal is to create a collaborative relationship in which you find the support, warmth and safety to challenge the thoughts, beliefs and behaviors that may be holding you back. I would be honored to hear your story and work with you towards change and healing.
(484) 209-0572 View (484) 209-0572
Photo of Elana Gotfried, PsyD, Psychologist
Elana Gotfried
Psychologist, PsyD
Verified Verified
Bryn Mawr, PA 19010
I am a licensed clinical psychologist, specializing in the treatment of trauma, addiction, depression, grief/loss, and emotional dysregulation. When your coping mechanisms are no longer sufficient, and you're feeling overwhelmed, unhappy, anxious, or disconnected, therapy is an opportunity to learn how to increase your ability to manage life's demands, improve your quality of life, and achieve the change you are looking for. Therapy will begin with a conversation about your hopes for our work. Together we will deepen our understanding of your concerns, and establish new ways of feeling and being in the world.
I am a licensed clinical psychologist, specializing in the treatment of trauma, addiction, depression, grief/loss, and emotional dysregulation. When your coping mechanisms are no longer sufficient, and you're feeling overwhelmed, unhappy, anxious, or disconnected, therapy is an opportunity to learn how to increase your ability to manage life's demands, improve your quality of life, and achieve the change you are looking for. Therapy will begin with a conversation about your hopes for our work. Together we will deepen our understanding of your concerns, and establish new ways of feeling and being in the world.
(484) 380-9191 View (484) 380-9191
Photo of Ren (Lauren) Gibson, PhD, Psychologist
Ren (Lauren) Gibson
Psychologist, PhD
Verified Verified
Bryn Mawr, PA 19010
I am a licensed clinical psychologist who specializes in treating trauma-related conditions, emotion dysregulation, and the broad spectrum of anxiety disorders, with extensive training in various approaches, including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, exposure therapies, and Acceptance and Commitment Therapy. I incorporate principles from many evidence-based treatments given the complexity of individuals and the world generally. My interventions can target issues that fall under diagnostic categories (e.g., PTSD, OCD, GAD), but also other underlying relationship, personality, and emotion concerns.
I am a licensed clinical psychologist who specializes in treating trauma-related conditions, emotion dysregulation, and the broad spectrum of anxiety disorders, with extensive training in various approaches, including Cognitive Behavioral Therapy, Dialectical Behavior Therapy, exposure therapies, and Acceptance and Commitment Therapy. I incorporate principles from many evidence-based treatments given the complexity of individuals and the world generally. My interventions can target issues that fall under diagnostic categories (e.g., PTSD, OCD, GAD), but also other underlying relationship, personality, and emotion concerns.
(484) 406-3437 x517 View (484) 406-3437 x517
Photo of Ariel Peleg-Globig, LCSW, Clinical Social Work/Therapist
Ariel Peleg-Globig
Clinical Social Work/Therapist, LCSW
Verified Verified
Bryn Mawr, PA 19010
Our changing world brings with it joys and opportunities, but also challenges and anxieties. We try our best as parents, and caregivers to protect our children from the most challenging aspects of life, and provide them with skills to deal with the rest. Most of the time we are up to the task, but there are times when we all could use a helping hand. Whether your child is struggling with anxiety, or depression, avoiding following adult directions, involved in fights at school or at home, or something happened in their lives that is beyond their current ability to cope with - I am here to help.
Our changing world brings with it joys and opportunities, but also challenges and anxieties. We try our best as parents, and caregivers to protect our children from the most challenging aspects of life, and provide them with skills to deal with the rest. Most of the time we are up to the task, but there are times when we all could use a helping hand. Whether your child is struggling with anxiety, or depression, avoiding following adult directions, involved in fights at school or at home, or something happened in their lives that is beyond their current ability to cope with - I am here to help.
(610) 569-9663 View (610) 569-9663
Photo of Sameh Shaker, STM, Marriage & Family Therapist Intern
Sameh Shaker
Marriage & Family Therapist Intern, STM
Verified Verified
Bryn Mawr, PA 19010
I am a PhD intern in Marriage and Family Therapy. I focus on attachment studies, including Emotionally Focused Therapy (EFT), which I utilize in my work with individuals and couples. In my master’s degree, I focused on trauma and grief. I have over 12 years of experience working with clients who have experienced chronic and terminal illnesses, grief, and loss in the palliative and hospice care field. I also work with couples who experience emotional and sexual distress in their relationships.
I am a PhD intern in Marriage and Family Therapy. I focus on attachment studies, including Emotionally Focused Therapy (EFT), which I utilize in my work with individuals and couples. In my master’s degree, I focused on trauma and grief. I have over 12 years of experience working with clients who have experienced chronic and terminal illnesses, grief, and loss in the palliative and hospice care field. I also work with couples who experience emotional and sexual distress in their relationships.
(484) 739-1859 View (484) 739-1859
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How does your Therapist compare?

Number of Therapists in 19010

300+

Average cost per session

$163

Therapists in 19010 who prioritize treating:

96% Anxiety
89% Depression
80% Relationship Issues
74% Self Esteem
65% Trauma and PTSD
63% Stress
62% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

70% Aetna
55% Highmark
53% UnitedHealthcare UHC | UBH

How Therapists in 19010 see their clients

72% In Person and Online
28% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 19010?

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.