Therapists in Pittsfield, MA
Margaret Dondiego
Marriage & Family Therapist, LMFT, BCN
Verified Verified
Pittsfield, MA 01201
Not accepting new clients
I practice neuro-therapy. Board Certified in Neurofeedback I us neurofeedback combined with therapy to help clients with self regulation and healing from the effects of trauma. I work with individuals, families and couples. My focus is on reducing symptoms of traumatic stress which make daily life difficult, disrupting work and relationships. Neuro-therapy can help people of all ages, including children, helping increase the effectiveness of talk therapy through "bottom-up" brain training. Neurofeedback assisted therapy allows us to work directly on patterns that underlie emotional, behavioral or sensory concerns.
I practice neuro-therapy. Board Certified in Neurofeedback I us neurofeedback combined with therapy to help clients with self regulation and healing from the effects of trauma. I work with individuals, families and couples. My focus is on reducing symptoms of traumatic stress which make daily life difficult, disrupting work and relationships. Neuro-therapy can help people of all ages, including children, helping increase the effectiveness of talk therapy through "bottom-up" brain training. Neurofeedback assisted therapy allows us to work directly on patterns that underlie emotional, behavioral or sensory concerns.
![Photo of Self-Esteem Anxiety And Trauma Samantha Figueroa, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/22d5aabb-ebcf-4cba-ac46-3a46a4ba3277/1/320x400.jpeg)
Self-Esteem Anxiety And Trauma Samantha Figueroa
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Pittsfield, MA 01201 (Online Only)
Heal the childhood trauma that has left you feeling anxious and dysregulated. Don’t let it continue to negatively impact your relationship(s). Create a brighter future for yourself and loved ones — break the cycle and leave a legacy free from trauma.
Heal the childhood trauma that has left you feeling anxious and dysregulated. Don’t let it continue to negatively impact your relationship(s). Create a brighter future for yourself and loved ones — break the cycle and leave a legacy free from trauma.
![Photo of Samantha Vaccaro, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/0d3a40e9-1c59-4d0e-b54c-f0eeddc0e40d/1/320x400.jpeg)
Do you want to make a positive change in your life but are limited by negative thoughts or beliefs? Do you want to break down internal walls and work toward the best version of you? I am Sam Vaccaro, Integrative Therapist from the Berkshires and I would like to be apart of your journey. I see healing as a journey, the process of growth, mending pieces, making connections, forgiving, accepting and creating a new. I am passionate about helping women reach their mental health and wellness goals. You are a whole person & your care should include all parts of you.
Do you want to make a positive change in your life but are limited by negative thoughts or beliefs? Do you want to break down internal walls and work toward the best version of you? I am Sam Vaccaro, Integrative Therapist from the Berkshires and I would like to be apart of your journey. I see healing as a journey, the process of growth, mending pieces, making connections, forgiving, accepting and creating a new. I am passionate about helping women reach their mental health and wellness goals. You are a whole person & your care should include all parts of you.
![Photo of Jim Mucia, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/405b66f3-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
My Interventions are evidenced based and time tested in years of practice. I work with anxiety and depression with sub-specialties in addictions, sport psychology and chronic pain management. I also specialize in couples and family therapy. Thank you for viewing my profile. I am more than happy to answer any questions you might have, please feel free to call.
My Interventions are evidenced based and time tested in years of practice. I work with anxiety and depression with sub-specialties in addictions, sport psychology and chronic pain management. I also specialize in couples and family therapy. Thank you for viewing my profile. I am more than happy to answer any questions you might have, please feel free to call.
![Photo of Trudy Carl, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/5745650c-9d04-449f-801d-132e88d66016/1/320x400.jpeg)
Trudy Carl
Clinical Social Work/Therapist, LCSW
Verified Verified
Pittsfield, MA 01201 (Online Only)
Welcome, as you step into the realm of positive change and growth, you've embarked on a journey towards a brighter present and a thriving future. I am Trudy, LCSW (she/her/hers), a Licensed Clinical Social Worker dedicated to guiding individuals, families, and couples towards uncovering their innate wholeness amidst life's challenges. With over 15 years of experience, my practice encompasses a diverse range of specialties including developmental/relational trauma, life transitions, shame, anger, depression, anxiety, grief/loss, PTSD, incarceration/re-entry life stressors, academic/career related concerns, substance use and more.
Welcome, as you step into the realm of positive change and growth, you've embarked on a journey towards a brighter present and a thriving future. I am Trudy, LCSW (she/her/hers), a Licensed Clinical Social Worker dedicated to guiding individuals, families, and couples towards uncovering their innate wholeness amidst life's challenges. With over 15 years of experience, my practice encompasses a diverse range of specialties including developmental/relational trauma, life transitions, shame, anger, depression, anxiety, grief/loss, PTSD, incarceration/re-entry life stressors, academic/career related concerns, substance use and more.
![Photo of Lauren Blackerby, LMHC, ATR, Counselor](https://photos.psychologytoday.com/1d476b90-510d-42f4-aa2d-01978c5039fb/2/320x400.jpeg)
Lauren Blackerby
Counselor, LMHC, ATR
Verified Verified
Pittsfield, MA 01201 (Online Only)
Not accepting new clients
I have helped clients experiencing anxiety, depression, life transitions, and those learning to manage their mental health symptoms. When life can feel overwhelming and we are not sure how to cope, I believe that therapy can help to provide us with the tools we need to manage our stress and our mental health symptoms. These skills can also better equip us to do the work of processing past trauma and working through family of origin issues. I believe you are the expert when it comes to your work and healing.
I have helped clients experiencing anxiety, depression, life transitions, and those learning to manage their mental health symptoms. When life can feel overwhelming and we are not sure how to cope, I believe that therapy can help to provide us with the tools we need to manage our stress and our mental health symptoms. These skills can also better equip us to do the work of processing past trauma and working through family of origin issues. I believe you are the expert when it comes to your work and healing.
![Photo of Kate Banks, MS MHC, MBA, Pre-Licensed Professional](https://photos.psychologytoday.com/bbf81558-fdac-4fa2-9c62-d9f4b7d9ac7b/1/320x400.jpeg)
Welcome. From a person-centered perspective, I work collaboratively with my clients. Together, we identify both the obstacles and the openings on the road toward your desired change. I am the observing guide who might form connections, challenge assumptions, or help you see what is calling to be seen. Present with what you share, I listen without judgment to your experience and its unique meaning for you. I am a psychotherapist who values the safety and sanctity inherent to the therapeutic relationship; one where you are met with genuineness and acceptance.
Welcome. From a person-centered perspective, I work collaboratively with my clients. Together, we identify both the obstacles and the openings on the road toward your desired change. I am the observing guide who might form connections, challenge assumptions, or help you see what is calling to be seen. Present with what you share, I listen without judgment to your experience and its unique meaning for you. I am a psychotherapist who values the safety and sanctity inherent to the therapeutic relationship; one where you are met with genuineness and acceptance.
![Photo of Ann L Greenbaum-Mucia, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e4108b0-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I have been practicing for over 30 years in many capacities as a clinical supervisor, consultant,coordinator and director of programs in residential and community mental health clinics. I am absolutely humbled and respect clients" resiliency and courage as they confront their various life stressors.
I have been practicing for over 30 years in many capacities as a clinical supervisor, consultant,coordinator and director of programs in residential and community mental health clinics. I am absolutely humbled and respect clients" resiliency and courage as they confront their various life stressors.
![Photo of Amanda McCall, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bcc58aa7-a523-418f-8c6a-0e5860ad2050/1/320x400.jpeg)
Amanda McCall
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Pittsfield, MA 01201 (Online Only)
Life in our modern world can feel both overwhelming and isolating. It takes a lot to simply survive; working, raising a family, navigating relationships of all kinds, and expectations of instant communication with others. As we go through the motions of daily life, we can become disconnected from our-selves; the part of self that feels excited about life, that dreams, and feels wonder. When we are disconnected from ourselves, it is difficult to be connected to others in a way that feels fulfilling. This feeling of separateness can exacerbate symptoms of anxiety and depression.
Life in our modern world can feel both overwhelming and isolating. It takes a lot to simply survive; working, raising a family, navigating relationships of all kinds, and expectations of instant communication with others. As we go through the motions of daily life, we can become disconnected from our-selves; the part of self that feels excited about life, that dreams, and feels wonder. When we are disconnected from ourselves, it is difficult to be connected to others in a way that feels fulfilling. This feeling of separateness can exacerbate symptoms of anxiety and depression.
![Photo of Danielle D Shumway - Holistic Wellness & Healing, LLC, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/26eb5a0e-009f-4911-a9a8-61646bd7e990/1/320x400.jpeg)
Holistic Wellness & Healing, LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Pittsfield, MA 01201 (Online Only)
Experiencing struggles with perinatal or postpartum mental health (depression, anxiety, OCD, psychosis)? Needing to heal from miscarriage or infant/child loss? Wanting to find space to work on disordered eating, body acceptance and self-worth? Have a history of trauma (childhood abuse, sexual assault, domestic violence)? Looking to heal and find peace of mind? To feel seen and be heard? Connect with Danielle Shumway, Holistic Wellness & Healing, and start your journey today!
Experiencing struggles with perinatal or postpartum mental health (depression, anxiety, OCD, psychosis)? Needing to heal from miscarriage or infant/child loss? Wanting to find space to work on disordered eating, body acceptance and self-worth? Have a history of trauma (childhood abuse, sexual assault, domestic violence)? Looking to heal and find peace of mind? To feel seen and be heard? Connect with Danielle Shumway, Holistic Wellness & Healing, and start your journey today!
![Photo of Rebecca Lord, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3f4628d2-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Within each of us is the potential to create the lives we want. We all have passions and dreams. My focus in working with each client is to help manifest these goals, moving them toward a rich and meaningful life. I am a psychotherapist in practice since 1999 serving adults, older teens, couples and families. I focus on enhancing well being and moving into action.
Within each of us is the potential to create the lives we want. We all have passions and dreams. My focus in working with each client is to help manifest these goals, moving them toward a rich and meaningful life. I am a psychotherapist in practice since 1999 serving adults, older teens, couples and families. I focus on enhancing well being and moving into action.
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Cynthia Pinsky
Clinical Social Work/Therapist, LICSW
Verified Verified
Pittsfield, MA 01201
Not accepting new clients
There are times in everyone's life when we may feel overwhelmed, have exhausted our own coping skills, or need guidance around the situations we may encounter in daily living. I work with people experiencing mood disturbances, life transitions, grief, crisis and ongoing challenges for adults, elderly and older adolescents. My approach is strength based with a cognitive behavioral framework. I will work with you to set goals, gain insight and overcome obstacles with new perspectives.
There are times in everyone's life when we may feel overwhelmed, have exhausted our own coping skills, or need guidance around the situations we may encounter in daily living. I work with people experiencing mood disturbances, life transitions, grief, crisis and ongoing challenges for adults, elderly and older adolescents. My approach is strength based with a cognitive behavioral framework. I will work with you to set goals, gain insight and overcome obstacles with new perspectives.
![Photo of Kathy Davis-Gillette - Kathy Davis-Gillette, PhD, New Inspiration LLC, PhD, Psychologist](https://photos.psychologytoday.com/f9c42b2e-5b62-4578-a3d4-c316a7a41707/2/320x400.jpeg)
Kathy Davis-Gillette, PhD, New Inspiration LLC
Psychologist, PhD
Verified Verified
Pittsfield, MA 01201 (Online Only)
Joy. Self-Esteem. Confidence. Fulfillment. Do you ever feel as if something is missing in your Life––either as an individual or couple? If so, let’s join together and find the missing pieces. As a Team, we’ll take an objective look at your Life and your desires. Then we’ll put together a personal Action Plan that will show the way to a more complete and happier You! The possibilities are endless once you take the first step!
Joy. Self-Esteem. Confidence. Fulfillment. Do you ever feel as if something is missing in your Life––either as an individual or couple? If so, let’s join together and find the missing pieces. As a Team, we’ll take an objective look at your Life and your desires. Then we’ll put together a personal Action Plan that will show the way to a more complete and happier You! The possibilities are endless once you take the first step!
![Photo of Simeon M Joffe - Serenity Now Counseling, LLC, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bfeb7764-ec62-4910-81c9-7cb9bd4cf557/1/320x400.jpeg)
Serenity Now Counseling, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pittsfield, MA 01201
I believe the establishment a nonjudgmental compassionate and trusting relationship between therapist and client is the cornerstone of effective therapy. I work with adults and teenagers, around a range of issues, including anxiety, depression, relationship issues, life transitions, and trauma.
I believe the establishment a nonjudgmental compassionate and trusting relationship between therapist and client is the cornerstone of effective therapy. I work with adults and teenagers, around a range of issues, including anxiety, depression, relationship issues, life transitions, and trauma.
![Photo of Lorraine Brill, MA, LMHC, Counselor](https://photos.psychologytoday.com/4bacad19-e5c8-4911-96d8-e2c37a458d5c/1/320x400.jpeg)
I work with individuals who want to improve the quality of their lives and couples who are having difficulty with communication or resolving conflict. My work is to understand the difficulties in the context of the whole person. Together we identify and remove the obstacles that interfere with having a more meaningful life.
I work with individuals who want to improve the quality of their lives and couples who are having difficulty with communication or resolving conflict. My work is to understand the difficulties in the context of the whole person. Together we identify and remove the obstacles that interfere with having a more meaningful life.
![Photo of Cate Wolff, MEd , TCTSY-F](https://photos.psychologytoday.com/4b1b0398-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
It is possible for all people to affect change in their lives, and to feel more contentment and empowerment, no matter your age or how long you have been struggling. Congratulations on having the courage to reach out. We all need support in navigating life and asking for help is the first step in that direction. The individuals and couples that are seeking my services are looking for guidance in communicating with family members and significant others, decision-making, coping with depression and anxiety, challenging patterns due to past trauma, and support in making changes in any area of life.
It is possible for all people to affect change in their lives, and to feel more contentment and empowerment, no matter your age or how long you have been struggling. Congratulations on having the courage to reach out. We all need support in navigating life and asking for help is the first step in that direction. The individuals and couples that are seeking my services are looking for guidance in communicating with family members and significant others, decision-making, coping with depression and anxiety, challenging patterns due to past trauma, and support in making changes in any area of life.
![Photo of Charell McFarland - Community First Therapy and Consulting, LLC, LICSW, LCSW-C, Clinical Social Work/Therapist](https://photos.psychologytoday.com/7ac91c0f-9768-4837-85af-7941d8932b44/2/320x400.jpeg)
Community First Therapy and Consulting, LLC
Clinical Social Work/Therapist, LICSW, LCSW-C
Verified Verified
Pittsfield, MA 01201 (Online Only)
We are a local mental health provider in Berkshire County. We specialize in treating a variety of conditions and use a person centered, strength based approach. We are able to treat adolescents, adults, seniors, and couples. We accept a variety of insurances and can work with you if you have an insurance we are not contracted with. We have several therapists that are available to schedule appointments with you. You can learn more about our therapists and request an appointment online at: www.communityfirsttc.org
We are a local mental health provider in Berkshire County. We specialize in treating a variety of conditions and use a person centered, strength based approach. We are able to treat adolescents, adults, seniors, and couples. We accept a variety of insurances and can work with you if you have an insurance we are not contracted with. We have several therapists that are available to schedule appointments with you. You can learn more about our therapists and request an appointment online at: www.communityfirsttc.org
![Photo of Samuel Utz, LMHC, PMH-C, Counselor](https://photos.psychologytoday.com/0b6e9316-d7f4-4b1b-abe3-a5db5ebf4429/2/320x400.jpeg)
If you struggle with intrusive thoughts, checking, reassurance seeking, anxiety, obsessions, or compulsions that are impairing your daily life, I may be able to help you. If you are struggling with the challenges of pregnancy, early parenthood, other perinatal stressors, I may be able to help.My two main specialties include diagnosis and treatment of obsessive-compulsive disorder (OCD), and perinatal/postpartum mental health issues. I also treat individuals with anxiety, depression, bereavement, trauma, and mood disorders.
If you struggle with intrusive thoughts, checking, reassurance seeking, anxiety, obsessions, or compulsions that are impairing your daily life, I may be able to help you. If you are struggling with the challenges of pregnancy, early parenthood, other perinatal stressors, I may be able to help.My two main specialties include diagnosis and treatment of obsessive-compulsive disorder (OCD), and perinatal/postpartum mental health issues. I also treat individuals with anxiety, depression, bereavement, trauma, and mood disorders.
![Photo of Alysha Warren, LMHC, Counselor](https://photos.psychologytoday.com/501af7ea-1c5a-43cb-b8ef-480118105ec6/2/320x400.jpeg)
Life after sexual trauma can be disorienting, altering your self-perception, trust in others, and connection with your body. It can extend beyond memories, impacting every facet of life. Coping with intense emotions, rebuilding trust, feeling disconnected from your body, experiencing flashbacks, avoiding triggers, and battling shame are common challenges. You might feel isolated and struggle to maintain balance in daily life. Through holistic, integrative, and somatic therapy approaches, we can explore pathways to healing, focusing on reclaiming your life and fostering reconnection with your body.
Life after sexual trauma can be disorienting, altering your self-perception, trust in others, and connection with your body. It can extend beyond memories, impacting every facet of life. Coping with intense emotions, rebuilding trust, feeling disconnected from your body, experiencing flashbacks, avoiding triggers, and battling shame are common challenges. You might feel isolated and struggle to maintain balance in daily life. Through holistic, integrative, and somatic therapy approaches, we can explore pathways to healing, focusing on reclaiming your life and fostering reconnection with your body.
![Photo of Courtney Fulks Coduri, LMHC, Counselor](https://photos.psychologytoday.com/7defc88e-3b46-4cd7-b8a2-eb130c0e3933/4/320x400.jpeg)
Courtney Fulks Coduri
Counselor, LMHC
Verified Verified
1 Endorsed
Pittsfield, MA 01201 (Online Only)
Waitlist for new clients
Worry, stress, grief, and growth seem to be playing out everywhere while so many struggle, too often in isolation. I have years of experience working with adult and teen clients on concerns such as anxiety, depression, trauma, identity, and relationships, with a focus on navigating life transitions and challenges. I believe each person has incredible capacity to grow and heal when given space and support to do so in their own way. My approach starts with curiosity, how it is to move through the world as you.
Worry, stress, grief, and growth seem to be playing out everywhere while so many struggle, too often in isolation. I have years of experience working with adult and teen clients on concerns such as anxiety, depression, trauma, identity, and relationships, with a focus on navigating life transitions and challenges. I believe each person has incredible capacity to grow and heal when given space and support to do so in their own way. My approach starts with curiosity, how it is to move through the world as you.
See more therapy options for Pittsfield
How does your Therapist compare?
Number of Therapists in Pittsfield, MA
100+
Average cost per session
$150
Therapists in Pittsfield, MA who prioritize treating:
88% | Anxiety |
81% | Depression |
75% | Self Esteem |
72% | Relationship Issues |
69% | Trauma and PTSD |
67% | Coping Skills |
64% | Grief |
Average years in practice
15 Years
Top 3 insurances accepted
89% | BlueCross and BlueShield |
65% | UnitedHealthcare UHC | UBH |
60% | Aetna |
How Therapists in Pittsfield, MA see their clients
58% | In Person and Online | |
42% | Online Only |
Gender breakdown
76% | Female | |
23% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Pittsfield?
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.