Therapists in New London County, CT

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Photo of Lydia P Perry, LPC, LADC, AADC, Licensed Professional Counselor
Lydia P Perry
Licensed Professional Counselor, LPC, LADC, AADC
Verified Verified
1 Endorsed
Groton, CT 06340
"Tell me, what is it you plan to do/with your one wild and precious life?" Welcome! Now accepting new clients! Have you lost focus on your wild, precious life? Let's work to find it, or towards finding it again/anew. I believe that positive change can happen, a positive life can result, with confidence, courage, and with the skills you’ve possessed all along but might not have known you had at your availability. I take blended approach to therapy, so that treatment can be tailored to fit your need(s); this is centered in/around an empowerment/strengths based foci; one both respectful and responsive to the concern you bring.
"Tell me, what is it you plan to do/with your one wild and precious life?" Welcome! Now accepting new clients! Have you lost focus on your wild, precious life? Let's work to find it, or towards finding it again/anew. I believe that positive change can happen, a positive life can result, with confidence, courage, and with the skills you’ve possessed all along but might not have known you had at your availability. I take blended approach to therapy, so that treatment can be tailored to fit your need(s); this is centered in/around an empowerment/strengths based foci; one both respectful and responsive to the concern you bring.
(860) 390-4808 View (860) 390-4808
Photo of Rita Gilman, LMHC, MA, LPC, CT, Licensed Professional Counselor
Rita Gilman
Licensed Professional Counselor, LMHC, MA, LPC, CT
Verified Verified
Mystic, CT 06355
People often go into therapy feeling a great deal of shame, guilt and with secrets. It's important to me that the therapeutic environment I provide allow people to feel they are part of a non-judgmental, safe and warm environment. The goal of therapy is to help clients make behavioral changes and increase insight into the cause of those behaviors and the purpose they serve. I specialize in the treatment of eating disorders, emotional/stress eating, body image, depression and anxiety. In addition, I run groups for individuals struggling with binge eating disorder.
People often go into therapy feeling a great deal of shame, guilt and with secrets. It's important to me that the therapeutic environment I provide allow people to feel they are part of a non-judgmental, safe and warm environment. The goal of therapy is to help clients make behavioral changes and increase insight into the cause of those behaviors and the purpose they serve. I specialize in the treatment of eating disorders, emotional/stress eating, body image, depression and anxiety. In addition, I run groups for individuals struggling with binge eating disorder.
(860) 566-8932 View (860) 566-8932
Photo of Trudy Friedberg, MA, MCW, MS, LPC, Licensed Professional Counselor
Trudy Friedberg
Licensed Professional Counselor, MA, MCW, MS, LPC
Verified Verified
Bozrah, CT 06334
Not accepting new clients
My practice is totally devoted to children and their families. I treat children ages 3 to 10. I commonly address the issues of childhood depression and anxiety, post traumatic stress, grieving, divorce, ADHD, and school issues. I am also familiar with the particular struggles of adoptive, foster, and blended families. I use my extensive theoretical background and years of experience to develop a treatment program that best addresses the needs of your child.
My practice is totally devoted to children and their families. I treat children ages 3 to 10. I commonly address the issues of childhood depression and anxiety, post traumatic stress, grieving, divorce, ADHD, and school issues. I am also familiar with the particular struggles of adoptive, foster, and blended families. I use my extensive theoretical background and years of experience to develop a treatment program that best addresses the needs of your child.
(860) 861-1722 View (860) 861-1722
Photo of Linda Suriyakham, PhD, Psychologist
Linda Suriyakham
Psychologist, PhD
Verified Verified
Mystic, CT 06355
Waitlist for new clients
I believe in the healing power of human connection, which can bring about transformative change. Clients come to psychotherapy for many reasons, and my job is learning about your concerns in order to design a course of psychotherapy that moves you towards feeling well and functioning at your optimum capacity. If you're burned out, restless, stressed, or scared, supportive counseling can get you through a difficult transition. Mindfulness-Based Cognitive Behavioral Therapy and Relational Psychodynamic Therapy help you experience relief of troubling symptoms that occur during mood and trauma-related disorders.
I believe in the healing power of human connection, which can bring about transformative change. Clients come to psychotherapy for many reasons, and my job is learning about your concerns in order to design a course of psychotherapy that moves you towards feeling well and functioning at your optimum capacity. If you're burned out, restless, stressed, or scared, supportive counseling can get you through a difficult transition. Mindfulness-Based Cognitive Behavioral Therapy and Relational Psychodynamic Therapy help you experience relief of troubling symptoms that occur during mood and trauma-related disorders.
(860) 770-0518 View (860) 770-0518
Photo of Karen A Viggiani, LPC, ATR, NCC, Licensed Professional Counselor
Karen A Viggiani
Licensed Professional Counselor, LPC, ATR, NCC
Verified Verified
East Lyme, CT 06333
I am an experienced, engaging therapist who brings warmth, humor, creativity, hope, and compassion into my practice. I am dedicated to helping rebuild, strengthen, and empower individuals and families who have felt lost or been hit by life's challenges. I have extensive experience in working with young individuals and families who have experienced significant loss or trauma, including physical, emotional, and sexual abuse. I specialize in early childhood, attachment, developmental/ behavioral issues, trauma in infancy/ early childhood, issues around adoption, and in helping parents develop insight and understanding into their child's behavior and experiences.
I am an experienced, engaging therapist who brings warmth, humor, creativity, hope, and compassion into my practice. I am dedicated to helping rebuild, strengthen, and empower individuals and families who have felt lost or been hit by life's challenges. I have extensive experience in working with young individuals and families who have experienced significant loss or trauma, including physical, emotional, and sexual abuse. I specialize in early childhood, attachment, developmental/ behavioral issues, trauma in infancy/ early childhood, issues around adoption, and in helping parents develop insight and understanding into their child's behavior and experiences.
(860) 733-0244 View (860) 733-0244
Photo of Jennifer Anne Martley, LCSW, Clinical Social Work/Therapist
Jennifer Anne Martley
Clinical Social Work/Therapist, LCSW
Verified Verified
Mystic, CT 06355
Waitlist for new clients
Jennifer Anne Martley, LCSW I specialize in treating depression, anxiety, anger management and interpersonal relationship issues. Helping people with stress management as it pertains to all forms of emotional and mental abuse is really important to me as a professional psychotherapist. My style is nurturing but firm as I aim to help people advocate effectively for themselves. I take a holistic approach assessing all factors that contribute to one's physical and emotional well bing. I have 29 years of experience and a home office in Mystic. I work with couples, individuals and families.
Jennifer Anne Martley, LCSW I specialize in treating depression, anxiety, anger management and interpersonal relationship issues. Helping people with stress management as it pertains to all forms of emotional and mental abuse is really important to me as a professional psychotherapist. My style is nurturing but firm as I aim to help people advocate effectively for themselves. I take a holistic approach assessing all factors that contribute to one's physical and emotional well bing. I have 29 years of experience and a home office in Mystic. I work with couples, individuals and families.
(860) 724-2889 View (860) 724-2889
Photo of Katelyn Baez, LCSW, Clinical Social Work/Therapist
Katelyn Baez
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
New London, CT 06320
I am a Licensed Clinical Social Worker (LCSW) in the state of Connecticut. I focus on trauma, and how it current day impacts areas such as attachment, relationships, self esteem and family dynamics, through EMDR: Eye movement desensitization and reprocessing. By utilizing EMDR, I believe that positive change is possible.
I am a Licensed Clinical Social Worker (LCSW) in the state of Connecticut. I focus on trauma, and how it current day impacts areas such as attachment, relationships, self esteem and family dynamics, through EMDR: Eye movement desensitization and reprocessing. By utilizing EMDR, I believe that positive change is possible.
(860) 910-4881 View (860) 910-4881
Photo of Laura Hetherington, LCSW, Clinical Social Work/Therapist
Laura Hetherington
Clinical Social Work/Therapist, LCSW
Verified Verified
Mystic, CT 06355
I have been working with children and families in New London County for 19 years. I am a trained Adoption and trauma therapist as well as an Adoptive mom myself. I truly understand the daily struggles that life hands you when you or someone you love has experienced trauma or is experiencing high levels of stress. When you come into therapy we will work together on the goals that you have for yourself in order for you to lead a happy and healthy life!
I have been working with children and families in New London County for 19 years. I am a trained Adoption and trauma therapist as well as an Adoptive mom myself. I truly understand the daily struggles that life hands you when you or someone you love has experienced trauma or is experiencing high levels of stress. When you come into therapy we will work together on the goals that you have for yourself in order for you to lead a happy and healthy life!
(860) 724-2027 View (860) 724-2027
Photo of Marc Nee, LMFT, CHT, Marriage & Family Therapist
Marc Nee
Marriage & Family Therapist, LMFT, CHT
Verified Verified
3 Endorsed
Norwich, CT 06360
In 1999 I created the following mission statement: "To create a safe space where individuals can explore the issues that are standing in the way of living more fulfilling and authentic lives." As a result, I have explored, studied and practiced a wide variety of techniques to address the mental/emotional aspects of our lives, as well as the physical and spiritual issues that can block potential, and the ability to relate effectively with others. It is always an honor to help clients transition through difficulty and to witness them living more fulfilling lives.
In 1999 I created the following mission statement: "To create a safe space where individuals can explore the issues that are standing in the way of living more fulfilling and authentic lives." As a result, I have explored, studied and practiced a wide variety of techniques to address the mental/emotional aspects of our lives, as well as the physical and spiritual issues that can block potential, and the ability to relate effectively with others. It is always an honor to help clients transition through difficulty and to witness them living more fulfilling lives.
(860) 237-3865 View (860) 237-3865
Arlene Havens
Clinical Social Work/Therapist, MEd, MSW, LCSW
Verified Verified
Niantic, CT 06357
I have been privileged to work with clients in a variety of settings including schools, employee assistance programs, partial hospital programs as well as private practice. I enjoy working with tweens, adolescents, adults, including elders, couples and families. Most commonly clients present issues of depression, anxiety, relationship issues (including bullying), and issues related to trauma, abuse and addiction.
I have been privileged to work with clients in a variety of settings including schools, employee assistance programs, partial hospital programs as well as private practice. I enjoy working with tweens, adolescents, adults, including elders, couples and families. Most commonly clients present issues of depression, anxiety, relationship issues (including bullying), and issues related to trauma, abuse and addiction.
(860) 484-7964 View (860) 484-7964
Photo of Stephen Diana, LMFT, Marriage & Family Therapist
Stephen Diana
Marriage & Family Therapist, LMFT
Verified Verified
New London, CT 06320
Welcome. Choosing a therapist is an important and positive step toward healing and growth. I provide therapy for individual clients and couples to help reduce distress and to assist them in moving from where they are to where they want to be. This is done in the safe, understanding, and non-judgmental environment that is essential for success.
Welcome. Choosing a therapist is an important and positive step toward healing and growth. I provide therapy for individual clients and couples to help reduce distress and to assist them in moving from where they are to where they want to be. This is done in the safe, understanding, and non-judgmental environment that is essential for success.
(860) 440-7346 View (860) 440-7346
Photo of Daniel S Brown, LCSW, Clinical Social Work/Therapist
Daniel S Brown
Clinical Social Work/Therapist, LCSW
Verified Verified
Mystic, CT 06355
My ideal client is any individual, from teen to older adult, who is experiencing grief, anxiety, depression, spiritual or religious issues, feeling stuck in their life, having difficulty adjusting to life circumstances, and/or feeling unseen and unheard. He/she/they seeks to be heard with true acceptance, curiosity, and respect. He/she/they then seeks to work towards his/her/their goals in a collaborative relationship that draws upon my clinical expertise, but keeps him/her/they in the driver's seat.
My ideal client is any individual, from teen to older adult, who is experiencing grief, anxiety, depression, spiritual or religious issues, feeling stuck in their life, having difficulty adjusting to life circumstances, and/or feeling unseen and unheard. He/she/they seeks to be heard with true acceptance, curiosity, and respect. He/she/they then seeks to work towards his/her/their goals in a collaborative relationship that draws upon my clinical expertise, but keeps him/her/they in the driver's seat.
(860) 855-3263 View (860) 855-3263
Photo of Stephen G. Pulaski, LCSW, RP II, Clinical Social Work/Therapist
Stephen G. Pulaski
Clinical Social Work/Therapist, LCSW, RP II
Verified Verified
New London, CT 06320
Have you ever felt like you are on a boat lost at sea and you don't know where to turn? There are unexpected life events for human beings that can cause sudden stress, trauma, and challenges in their daily life. Without support some people have no place to turn and they feel hopeless and lost. A change in course cannot occur without action and calling in for support is the first step and sometimes the hardest step. Here at a "safe harbor" you can find respite, guidance, support, and encouragement to work through your challenges and find the inner strength to empower yourself to manifest what you need and your destiny.
Have you ever felt like you are on a boat lost at sea and you don't know where to turn? There are unexpected life events for human beings that can cause sudden stress, trauma, and challenges in their daily life. Without support some people have no place to turn and they feel hopeless and lost. A change in course cannot occur without action and calling in for support is the first step and sometimes the hardest step. Here at a "safe harbor" you can find respite, guidance, support, and encouragement to work through your challenges and find the inner strength to empower yourself to manifest what you need and your destiny.
(959) 208-4809 x92 View (959) 208-4809 x92
Photo of Joyce M Elias, MA, LPC, LMHC, Licensed Professional Counselor
Joyce M Elias
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
2 Endorsed
Problems are meant to be worked on, people are meant to be worked with. The therapy process offers a way to work through your problems while you are partnered with, heard and supported. Many paths can be taken, all intersect with the paths of others. If your path involves grief over the loss of a loved one, relationship, health, home, job, way of life, part of yourself, then I can help. If, along the way, you struggle with ADHD, anxiety, depression, relationship stress, parenting or eldercare, I can equip you with tools and skills to help you cope.
Problems are meant to be worked on, people are meant to be worked with. The therapy process offers a way to work through your problems while you are partnered with, heard and supported. Many paths can be taken, all intersect with the paths of others. If your path involves grief over the loss of a loved one, relationship, health, home, job, way of life, part of yourself, then I can help. If, along the way, you struggle with ADHD, anxiety, depression, relationship stress, parenting or eldercare, I can equip you with tools and skills to help you cope.
(860) 237-4304 View (860) 237-4304
Photo of Jeannine Cleaver, LCSW, Clinical Social Work/Therapist
Jeannine Cleaver
Clinical Social Work/Therapist, LCSW
Verified Verified
Stonington, CT 06378
From daily life stressors to a history of traumatic events, finding hope within your everyday can be extremely challenging. I believe that all people are capable of and have the right to experience joy and peace in their daily lives. I believe that through a strong therapeutic relationship, I can support you in healing from past wounds in order to live the life you deserve and reach your greatest potential.
From daily life stressors to a history of traumatic events, finding hope within your everyday can be extremely challenging. I believe that all people are capable of and have the right to experience joy and peace in their daily lives. I believe that through a strong therapeutic relationship, I can support you in healing from past wounds in order to live the life you deserve and reach your greatest potential.
(860) 407-6202 View (860) 407-6202
Photo of Dennis Goguen, MA, MSW, LCSW, Clinical Social Work/Therapist
Dennis Goguen
Clinical Social Work/Therapist, MA, MSW, LCSW
Verified Verified
1 Endorsed
Groton, CT 06340
Providing creative counseling solutions within a safe, caring and non-judgmental therapeutic relationship! As a Licensed Clinical Social Worker, I have been providing clients with opportunities of growth and change for the past 20 years by utilizing a variety of therapeutic treatment approaches to include: CBT, Trauma Treatment, EFT, ACT, Solution Focused Counseling, Couples Therapy, and Mind-Body Spirit.
Providing creative counseling solutions within a safe, caring and non-judgmental therapeutic relationship! As a Licensed Clinical Social Worker, I have been providing clients with opportunities of growth and change for the past 20 years by utilizing a variety of therapeutic treatment approaches to include: CBT, Trauma Treatment, EFT, ACT, Solution Focused Counseling, Couples Therapy, and Mind-Body Spirit.
(860) 764-3050 View (860) 764-3050
Photo of Nikki Krys, LADC, LPCA, Drug & Alcohol Counselor
Nikki Krys
Drug & Alcohol Counselor, LADC, LPCA
Verified Verified
2 Endorsed
New London, CT 06320
Addiction is powerful, but so are you! Sometimes, all people need is a little help remembering how much power they have within themselves. It is easy to fall into the trap of constantly feeling like you are not good enough. Developing a solid sense of self can be achieved by exploring your feelings, finding meaning in your life, and focusing on your strengths. My vision for the people I work with is to support them in finding freedom, rebuilding their lives, and using their strengths to reach their goals.
Addiction is powerful, but so are you! Sometimes, all people need is a little help remembering how much power they have within themselves. It is easy to fall into the trap of constantly feeling like you are not good enough. Developing a solid sense of self can be achieved by exploring your feelings, finding meaning in your life, and focusing on your strengths. My vision for the people I work with is to support them in finding freedom, rebuilding their lives, and using their strengths to reach their goals.
(860) 238-3744 View (860) 238-3744
Photo of Danielle Montemerlo, LPC, Licensed Professional Counselor
Danielle Montemerlo
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Waterford, CT 06385
Current Availability: In Person Tuesdays 12:30 and 1:30pm; Telehealth Wednesdays at 1:30,3:30pm, Thursdays at 1:30, 2:30, 4:30pm. Are you stuck in a cycle that you have tried to get out of, but can't? Is your depression, anxiety, or addiction continuing that cycle of not being able to work towards your life goals? Do you need help finding the motivation to change, and the potential to life a happy and fulfilling life? I might be the therapist for you, to help you in your journey. I am a Licensed Professional Counselor with years of experience working in different settings and a variety of concerns that people have come to me with.
Current Availability: In Person Tuesdays 12:30 and 1:30pm; Telehealth Wednesdays at 1:30,3:30pm, Thursdays at 1:30, 2:30, 4:30pm. Are you stuck in a cycle that you have tried to get out of, but can't? Is your depression, anxiety, or addiction continuing that cycle of not being able to work towards your life goals? Do you need help finding the motivation to change, and the potential to life a happy and fulfilling life? I might be the therapist for you, to help you in your journey. I am a Licensed Professional Counselor with years of experience working in different settings and a variety of concerns that people have come to me with.
(860) 777-0986 View (860) 777-0986
Photo of Margaret Harris, MA, LPC, Licensed Professional Counselor
Margaret Harris
Licensed Professional Counselor, MA, LPC
Verified Verified
Waterford, CT 06385
Do you love someone who has an addiction? Have you recently lost someone close to you? Are you coming to terms with the effects of an affair or having relationship difficulties? Addiction, infidelity, grief, and loss are things that many of us struggle with and during these times it can be easy to lose sight of what we need or what makes our lives have meaning. I have found that acceptance, gratitude, and building resilience help us through our most trying times. Having done this work at many important junctures in my life, I offer my assistance to those who are going through these and other difficult life transitions.
Do you love someone who has an addiction? Have you recently lost someone close to you? Are you coming to terms with the effects of an affair or having relationship difficulties? Addiction, infidelity, grief, and loss are things that many of us struggle with and during these times it can be easy to lose sight of what we need or what makes our lives have meaning. I have found that acceptance, gratitude, and building resilience help us through our most trying times. Having done this work at many important junctures in my life, I offer my assistance to those who are going through these and other difficult life transitions.
(959) 230-0842 View (959) 230-0842
Photo of Suzanne Spina, MS, LADC, Drug & Alcohol Counselor
Suzanne Spina
Drug & Alcohol Counselor, MS, LADC
Verified Verified
Old Lyme, CT 06371  (Online Only)
I believe everyone has the right and the ability to develop a solid sense of self, happiness and find meaning in life, free from dependence on substances such as alcohol, drugs or other addictive behaviors. As a licensed alcohol and drug counselor, I provide compassionate counseling to adults in southeastern Connecticut who seek to change their lives, start, or continue the recovery process without judgment, shame, or stigma.
I believe everyone has the right and the ability to develop a solid sense of self, happiness and find meaning in life, free from dependence on substances such as alcohol, drugs or other addictive behaviors. As a licensed alcohol and drug counselor, I provide compassionate counseling to adults in southeastern Connecticut who seek to change their lives, start, or continue the recovery process without judgment, shame, or stigma.
(860) 854-3739 View (860) 854-3739
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How does your Therapist compare?

Number of Therapists in New London County, CT

400+

Average cost per session

$150

Therapists in New London County, CT who prioritize treating:

92% Anxiety
88% Depression
80% Self Esteem
77% Relationship Issues
73% Coping Skills
72% Trauma and PTSD
66% Stress

Average years in practice

15 Years

Top 3 insurances accepted

75% Husky | CT BHP
70% UnitedHealthcare UHC | UBH
62% Anthem | Elevance

How Therapists in New London County, CT see their clients

75% In Person and Online
25% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New London County?

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.