Therapists in Upper East Side, New York, NY

Photo of Alexander Baron-Raiffe, PhD, LP, Licensed Psychoanalyst
Alexander Baron-Raiffe
Licensed Psychoanalyst, PhD, LP
Verified Verified
Upper East Side, New York, NY 10028
Not accepting new clients
Do you feel anxious, depressed, overwhelmed by your obligations? Are you struggling in your relationships, wondering how you got to your current place in life and searching for a new direction? The introspective and collaborative approach to treatment that I offer can help. I provide both psychoanalytic psychotherapy and psychoanalysis and strive to help patients achieve transformation enabling them to lead a more satisfying and fulfilled life.
Do you feel anxious, depressed, overwhelmed by your obligations? Are you struggling in your relationships, wondering how you got to your current place in life and searching for a new direction? The introspective and collaborative approach to treatment that I offer can help. I provide both psychoanalytic psychotherapy and psychoanalysis and strive to help patients achieve transformation enabling them to lead a more satisfying and fulfilled life.
(646) 679-7883 View (646) 679-7883
Photo of Sandra Siegal, LCSW, Clinical Social Work/Therapist
Sandra Siegal
Clinical Social Work/Therapist, LCSW
Verified Verified
Upper East Side, New York, NY 10065
I am an experienced psychotherapist in practice for over 30 years,who is a supportive, non judgmental listener. Working with couples and individuals, I have treated depression, anxiety, addiction, relationship issues, gender/sexual identity issues and coping with illness (with a specialization in breast cancer). My clients include straight, lesbian and gay individuals and couples. My educational background includes training as a psychoanalyst with a psychodynamic, interactive focus.
I am an experienced psychotherapist in practice for over 30 years,who is a supportive, non judgmental listener. Working with couples and individuals, I have treated depression, anxiety, addiction, relationship issues, gender/sexual identity issues and coping with illness (with a specialization in breast cancer). My clients include straight, lesbian and gay individuals and couples. My educational background includes training as a psychoanalyst with a psychodynamic, interactive focus.
(917) 825-5867 View (917) 825-5867
Photo of Tamara Singh, MA
Tamara Singh
MA
Verified Verified
Upper East Side, New York, NY 10028
My clients are postcolonial, queer, subaltern, disabled, invisibilised survivors of everyday microagressions or complex trauma. Like my clients I am polycultural, multilingual, queer and attuned to queries on acculturation, multiple social identities, identity shifting, parenting minority or neuroatypical children, intercultural couples, as well as accidental, disabling or climacteric transitions. My clients want to come to terms with their complexities — those invalidated because of primary or secondary socialisation. Exploring symbolic language allows for production of new knowledge of self and self-(re)actualisation. Paris based.
My clients are postcolonial, queer, subaltern, disabled, invisibilised survivors of everyday microagressions or complex trauma. Like my clients I am polycultural, multilingual, queer and attuned to queries on acculturation, multiple social identities, identity shifting, parenting minority or neuroatypical children, intercultural couples, as well as accidental, disabling or climacteric transitions. My clients want to come to terms with their complexities — those invalidated because of primary or secondary socialisation. Exploring symbolic language allows for production of new knowledge of self and self-(re)actualisation. Paris based.
(201) 809-3463 View (201) 809-3463
Photo of Debra S Faecher - Debra S. Faecher LCSW-R, LCSW-R, Clinical Social Work/Therapist
Debra S. Faecher LCSW-R
Clinical Social Work/Therapist, LCSW-R
Verified Verified
3 Endorsed
Upper East Side, New York, NY 10075
I am an experienced psychotherapist dedicated to helping individuals and couples address their difficulties in a thoughtful manner. I work collaboratively and with curiosity in order to facilitate healing and change. Starting therapy is not easy though it allows people to acknowledge problems and face them. I have seen so many people benefit and thrive by doing so. I look forward to helping you be your best self.
I am an experienced psychotherapist dedicated to helping individuals and couples address their difficulties in a thoughtful manner. I work collaboratively and with curiosity in order to facilitate healing and change. Starting therapy is not easy though it allows people to acknowledge problems and face them. I have seen so many people benefit and thrive by doing so. I look forward to helping you be your best self.
(917) 382-2111 View (917) 382-2111
Photo of Carrie Gelber Rosenfield - Carrie Gelber Rosenfield, Psy.D., PsyD, Psychologist
Carrie Gelber Rosenfield, Psy.D.
Psychologist, PsyD
Verified Verified
Upper East Side, New York, NY 10028  (Online Only)
Our sessions begin with a conversation. What brings you here? What would you like to be different? What would your life look like if our work together is successful? With over 35 years of experience as a Licensed Clinical Psychologist we can quickly and jointly determine if we are a good fit. I work with adolescents and individual adults as well as couples experiencing relationship, intimacy and/or parenting issues. My expertise in psychodynamic, cognitive, and relational therapy, as well as EMDR provide a unique combination. Please see my website for more information: www.drcarrierosenfield.com
Our sessions begin with a conversation. What brings you here? What would you like to be different? What would your life look like if our work together is successful? With over 35 years of experience as a Licensed Clinical Psychologist we can quickly and jointly determine if we are a good fit. I work with adolescents and individual adults as well as couples experiencing relationship, intimacy and/or parenting issues. My expertise in psychodynamic, cognitive, and relational therapy, as well as EMDR provide a unique combination. Please see my website for more information: www.drcarrierosenfield.com
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Photo of Barri Hammer, PhD, Psychologist
Barri Hammer
Psychologist, PhD
Verified Verified
Upper East Side, New York, NY 10028
I am an experienced clinical psychologist who is dedicated to helping individuals and couples move forward in their lives through a better understanding of the obstacles in their paths. Your concerns may involve relationship difficulties, family issues, professional conflicts or a general sense that you are not proceeding in life the way you had hoped. You may be struggling with feelings of anxiety, sadness or depression. I have particular expertise working with individuals who are dealing with chronic illnesses and the family members who are supporting these individuals.
I am an experienced clinical psychologist who is dedicated to helping individuals and couples move forward in their lives through a better understanding of the obstacles in their paths. Your concerns may involve relationship difficulties, family issues, professional conflicts or a general sense that you are not proceeding in life the way you had hoped. You may be struggling with feelings of anxiety, sadness or depression. I have particular expertise working with individuals who are dealing with chronic illnesses and the family members who are supporting these individuals.
(646) 846-8794 View (646) 846-8794
Photo of Thomas Stewart, PhD, LCSW, Clinical Social Work/Therapist
Thomas Stewart
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
1 Endorsed
Upper East Side, New York, NY 10128
I work collaboratively with my clients to help them get the most out of treatment and life. Experienced with several modalities and treatment styles, I offer both short-term (goal-oriented) and in-depth psychotherapy to individuals, couples, and families. I also provide supportive psychotherapy for level 1 and 2 ASD to assist in normative emotional processing and provide social modeling to work in conjunction with client's other functional therapies. Over the past 20 years, I have worked in numerous settings as a psychotherapist with adults and children in both inpatient and outpatient facilities.
I work collaboratively with my clients to help them get the most out of treatment and life. Experienced with several modalities and treatment styles, I offer both short-term (goal-oriented) and in-depth psychotherapy to individuals, couples, and families. I also provide supportive psychotherapy for level 1 and 2 ASD to assist in normative emotional processing and provide social modeling to work in conjunction with client's other functional therapies. Over the past 20 years, I have worked in numerous settings as a psychotherapist with adults and children in both inpatient and outpatient facilities.
(347) 223-5440 View (347) 223-5440
Photo of Carly Rachel Bell, LCSW, Clinical Social Work/Therapist
Carly Rachel Bell
Clinical Social Work/Therapist, LCSW
Verified Verified
Upper East Side, New York, NY 10028
A truly fantastic therapist can be life changing. I truly believe that what is mentionable, is manageable. I provide a safe space where all can feel validated, appreciated and heard. I work to develop a unique treatment plan, tailored to your most pressing and specific needs.
A truly fantastic therapist can be life changing. I truly believe that what is mentionable, is manageable. I provide a safe space where all can feel validated, appreciated and heard. I work to develop a unique treatment plan, tailored to your most pressing and specific needs.
(347) 244-7535 View (347) 244-7535
Photo of Annie Mudick, MA, LMSW, Clinical Social Work/Therapist
Annie Mudick
Clinical Social Work/Therapist, MA, LMSW
Verified Verified
1 Endorsed
Upper East Side, New York, NY 10075
I received a dual degree master’s degree in Child Development and Social Work. I use this educational experience to work holistically with children and adolescents over a variety of issues such as anxiety, depression, aggression, friendship issues, and others using techniques such as play therapy, CBT, art therapy, and psychotherapy.
I received a dual degree master’s degree in Child Development and Social Work. I use this educational experience to work holistically with children and adolescents over a variety of issues such as anxiety, depression, aggression, friendship issues, and others using techniques such as play therapy, CBT, art therapy, and psychotherapy.
(347) 875-6307 View (347) 875-6307
Photo of Kelly Whitney, MS, CASAC
Kelly Whitney
MS, CASAC
Verified Verified
2 Endorsed
Upper East Side, New York, NY 10065  (Online Only)
Are you feeling overwhelmed and struggling to find ways to cope? Have you felt that no one listens to you or validates you? You are not alone. Navigating life can be hard at times and I am here to help you. You are very brave for taking this step to receive mental health care. My name is Kelly, and I am currently a therapist-in-training while in my last year at University at Buffalo. I have my MS in Rehabilitation Counseling, and am currently in my last year of the LMHC Advanced Certificate program. I also have my Master’s CASAC, and have worked in the addiction and mental health field for the past twelve years.
Are you feeling overwhelmed and struggling to find ways to cope? Have you felt that no one listens to you or validates you? You are not alone. Navigating life can be hard at times and I am here to help you. You are very brave for taking this step to receive mental health care. My name is Kelly, and I am currently a therapist-in-training while in my last year at University at Buffalo. I have my MS in Rehabilitation Counseling, and am currently in my last year of the LMHC Advanced Certificate program. I also have my Master’s CASAC, and have worked in the addiction and mental health field for the past twelve years.
(646) 566-9954 View (646) 566-9954
Photo of Katie Brandi, LCSW, Clinical Social Work/Therapist
Katie Brandi
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Upper East Side, New York, NY 10075
My goal is for my patients to find relief from their pain and gain a better understanding of who they are. Examining perceptions and patterns can help people to understand what is not working in their lives and can lead to sustainable change. Therapy offers the opportunity to resolve relationship issues, manage chronic anxiety and depression, work through trauma, sort out painful experiences like divorce and infertility, and examine questions of identity and fulfillment. It is essential that the patient feel their therapist truly understands them. I am happy to help you find the right therapist, whether me or someone else.
My goal is for my patients to find relief from their pain and gain a better understanding of who they are. Examining perceptions and patterns can help people to understand what is not working in their lives and can lead to sustainable change. Therapy offers the opportunity to resolve relationship issues, manage chronic anxiety and depression, work through trauma, sort out painful experiences like divorce and infertility, and examine questions of identity and fulfillment. It is essential that the patient feel their therapist truly understands them. I am happy to help you find the right therapist, whether me or someone else.
(917) 746-5983 View (917) 746-5983
Photo of Robert Allan, Psychologist
Robert Allan
Psychologist
Verified Verified
Upper East Side, New York, NY 10128
My ideal client would like to work on him/herself in order to improve their life in a lively, open dialogue that can be light hearted as well as serious. I take a practical approach to dealing with problems of living. I have had an extensive practice dealing with individuals in all walks of life. My particular focus has been in medical psychology where I have treated patients with many types of heart disease as well as chronic pain. I have also had a career as a musician and enjoy working with those who have strong musical and artistic interests. I have had an appointment at Weill Cornell Medical Center for many years.
My ideal client would like to work on him/herself in order to improve their life in a lively, open dialogue that can be light hearted as well as serious. I take a practical approach to dealing with problems of living. I have had an extensive practice dealing with individuals in all walks of life. My particular focus has been in medical psychology where I have treated patients with many types of heart disease as well as chronic pain. I have also had a career as a musician and enjoy working with those who have strong musical and artistic interests. I have had an appointment at Weill Cornell Medical Center for many years.
(646) 480-7117 View (646) 480-7117
Photo of Christina Coons - Christina Coons, LCSW   Trauma, Somatic, Addiction, LCSW, Clinical Social Work/Therapist
Christina Coons, LCSW Trauma, Somatic, Addiction
Clinical Social Work/Therapist, LCSW
Verified Verified
Upper East Side, New York, NY 10028  (Online Only)
Complex trauma can have a lasting impact on our daily lives. It effects our mood, health, relationships, functioning, thinking, behavior and decision making. Trauma can rob us of joy, connection and convince us that we are undeserving or unworthy of love, care and compassion. In our work together, we will unlock your innate ability to heal, grow and transcend beyond the experiences that have burdened you. You deserve to feel safe, heard, seen and supported. Therapy is an opportunity to come home to yourself, recover and reclaim your life. It would be an honor to walk along side you on that journey.
Complex trauma can have a lasting impact on our daily lives. It effects our mood, health, relationships, functioning, thinking, behavior and decision making. Trauma can rob us of joy, connection and convince us that we are undeserving or unworthy of love, care and compassion. In our work together, we will unlock your innate ability to heal, grow and transcend beyond the experiences that have burdened you. You deserve to feel safe, heard, seen and supported. Therapy is an opportunity to come home to yourself, recover and reclaim your life. It would be an honor to walk along side you on that journey.
(914) 600-3498 View (914) 600-3498
Photo of Evangeline Wong, LCSW, Clinical Social Work/Therapist
Evangeline Wong
Clinical Social Work/Therapist, LCSW
Verified Verified
Upper East Side, New York, NY 10065  (Online Only)
I work with adults struggling with anxiety, depression, trauma, and loss who are navigating life stressors and transitions, communication and relational difficulties, and the impacts of intersecting identities of race, ethnicity, gender, sexuality, social class, and beyond. Together, we work to unravel patterns, process past events, and explore dynamics with the self, others, and society for healing and growth.
I work with adults struggling with anxiety, depression, trauma, and loss who are navigating life stressors and transitions, communication and relational difficulties, and the impacts of intersecting identities of race, ethnicity, gender, sexuality, social class, and beyond. Together, we work to unravel patterns, process past events, and explore dynamics with the self, others, and society for healing and growth.
(646) 450-8392 View (646) 450-8392
Photo of Dayna M Kurtz, MS, LCSW, Clinical Social Work/Therapist
Dayna M Kurtz
Clinical Social Work/Therapist, MS, LCSW
Verified Verified
Upper East Side, New York, NY 10028
You deserve to feel well; Let's get you there. Our work together is designed to cultivate greater contentment in your life. We all experience challenge, often around our relationships, our work, our health, and caring for our children and loved ones. These experiences can provoke anxiety, fear and uncertainty. Having a safe, nonjudgmental space in which to work through these moments can be profoundly helpful and often facilitate swifter resolution. I am trained in a wide number of modalities including EMDR, IFS (Internal Family Systems) Relational and Psychodynamic psychotherapy, among others.
You deserve to feel well; Let's get you there. Our work together is designed to cultivate greater contentment in your life. We all experience challenge, often around our relationships, our work, our health, and caring for our children and loved ones. These experiences can provoke anxiety, fear and uncertainty. Having a safe, nonjudgmental space in which to work through these moments can be profoundly helpful and often facilitate swifter resolution. I am trained in a wide number of modalities including EMDR, IFS (Internal Family Systems) Relational and Psychodynamic psychotherapy, among others.
(646) 681-1957 View (646) 681-1957
Photo of Isabel Jay, LCSW, MA, Clinical Social Work/Therapist
Isabel Jay
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
Upper East Side, New York, NY 10028  (Online Only)
My approach to therapy is most informed by cognitive behavioral therapy, motivational interviewing, interpersonal psychotherapy and narrative therapy. In our work together I hope to help you make change in your life and manage struggles such as depression, anxiety, stress, trauma and coping with life changes. In my practice, I am experienced working with children and parents, adolescents and adults. All sessions are currently telehealth with some in-person hours for children or vaccinated individuals beginning October 2021.
My approach to therapy is most informed by cognitive behavioral therapy, motivational interviewing, interpersonal psychotherapy and narrative therapy. In our work together I hope to help you make change in your life and manage struggles such as depression, anxiety, stress, trauma and coping with life changes. In my practice, I am experienced working with children and parents, adolescents and adults. All sessions are currently telehealth with some in-person hours for children or vaccinated individuals beginning October 2021.
(917) 960-9872 View (917) 960-9872
Photo of Mahroo Moshari, LCSW, Clinical Social Work/Therapist
Mahroo Moshari
Clinical Social Work/Therapist, LCSW
Verified Verified
Upper East Side, New York, NY 10065  (Online Only)
Multicultural therapist in Manhattan with 20+ years of experience in cross-cultural psychology welcomes clients of diverse backgrounds and orientations. Whether you grew up in an individualistic or collectivist society, you may experience difficulty in coping with life’s challenges. Are you experiencing anxiety/panic attacks, depression, self-doubt, identity confusion, feelings of powerlessness, or social anxiety? Do you fear the future? Are you suffering from low self-esteem because your feelings have never been validated due to cultural stigma? Do you want to make a positive change in your life, starting today?
Multicultural therapist in Manhattan with 20+ years of experience in cross-cultural psychology welcomes clients of diverse backgrounds and orientations. Whether you grew up in an individualistic or collectivist society, you may experience difficulty in coping with life’s challenges. Are you experiencing anxiety/panic attacks, depression, self-doubt, identity confusion, feelings of powerlessness, or social anxiety? Do you fear the future? Are you suffering from low self-esteem because your feelings have never been validated due to cultural stigma? Do you want to make a positive change in your life, starting today?
(516) 701-3710 View (516) 701-3710
Photo of Jason S, Clinical Social Work/Therapist
Jason S
Clinical Social Work/Therapist
Verified Verified
Upper East Side, New York, NY 10029  (Online Only)
My journey in mental health has been shaped by extensive training and experience, equipping me with the skills and knowledge needed to support individuals facing a variety of psychological challenges.
My journey in mental health has been shaped by extensive training and experience, equipping me with the skills and knowledge needed to support individuals facing a variety of psychological challenges.
(914) 352-7961 View (914) 352-7961
Photo of Anne Rosen Noran, PhD, LCSW-R, Clinical Social Work/Therapist
Anne Rosen Noran
Clinical Social Work/Therapist, PhD, LCSW-R
Verified Verified
Upper East Side, New York, NY 10021
Do you have secret that you are afraid to reveal or speak about? Do you feel stuck in your life? Do you have trouble with relationships and love in general? Are you coping with an ailing parent or spouse? I have been trained in a number of modalities, such as cognitive, interpersonal, behavioral, and postmodern therapies, that will help you feel free and able to handle your life and make new relationships. If you are anxious or depressed, there are many techniques that can soothe or lift you out of despair.
Do you have secret that you are afraid to reveal or speak about? Do you feel stuck in your life? Do you have trouble with relationships and love in general? Are you coping with an ailing parent or spouse? I have been trained in a number of modalities, such as cognitive, interpersonal, behavioral, and postmodern therapies, that will help you feel free and able to handle your life and make new relationships. If you are anxious or depressed, there are many techniques that can soothe or lift you out of despair.
(646) 699-3076 View (646) 699-3076
Photo of Rena Matison Greenblatt, PhD, Psychologist
Rena Matison Greenblatt
Psychologist, PhD
Verified Verified
Upper East Side, New York, NY 10029
Not accepting new clients
I work with children, adolescents and adults. I have a specialty in how people learn and their neurocognitive profile. I use this knowledge for a more eclectic and holistic approach. When I work with children and adolescents, I also involve the parent and offer parent guidance, while still preserving the individuality of the child's interaction with me as their therapist. My experience as a psychoanalyst allows me to view each person and why and how they feel and think as they do. I work in a psychodynamic way but am open to using other approaches. In this way, sought after changes can be fostered.
I work with children, adolescents and adults. I have a specialty in how people learn and their neurocognitive profile. I use this knowledge for a more eclectic and holistic approach. When I work with children and adolescents, I also involve the parent and offer parent guidance, while still preserving the individuality of the child's interaction with me as their therapist. My experience as a psychoanalyst allows me to view each person and why and how they feel and think as they do. I work in a psychodynamic way but am open to using other approaches. In this way, sought after changes can be fostered.
(646) 956-2541 View (646) 956-2541
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How does your Therapist compare?

Number of Therapists in Upper East Side, New York, NY

2,000+

Average cost per session

$200

Therapists in Upper East Side, New York, NY who prioritize treating:

94% Anxiety
88% Depression
84% Relationship Issues
78% Self Esteem
66% Stress
65% Coping Skills
64% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

77% Aetna
58% UnitedHealthcare UHC | UBH
56% Cigna and Evernorth

How Therapists in Upper East Side, New York, NY see their clients

57% In Person and Online
43% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Upper East Side, New York?

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.