Therapists in Lake Mary, FL

Photo of Mary Salazar, MA, LMHC, NCC, Counselor
Mary Salazar
Counselor, MA, LMHC, NCC
Verified Verified
3 Endorsed
Lake Mary, FL 32746  (Online Only)
Hello and welcome, I am so glad you've decided to take the first steps in the counseling process. I know asking for help can be extremely difficult and is often one of the hardest parts in the journey of healing. I seek to provide a nonjudgmental, genuine, and empathetic presence for my clients in order to ensure a safe and secure environment for the counseling process. I utilize a collaborative approach to facilitate growth and healing in my clients.
Hello and welcome, I am so glad you've decided to take the first steps in the counseling process. I know asking for help can be extremely difficult and is often one of the hardest parts in the journey of healing. I seek to provide a nonjudgmental, genuine, and empathetic presence for my clients in order to ensure a safe and secure environment for the counseling process. I utilize a collaborative approach to facilitate growth and healing in my clients.
(321) 204-1334 View (321) 204-1334
Photo of Dr. Caitlin S. Lowry, PhD, LMFT, Marriage & Family Therapist
Dr. Caitlin S. Lowry
Marriage & Family Therapist, PhD, LMFT
Verified Verified
7 Endorsed
Lake Mary, FL 32746
Waitlist for new clients
I believe that the most crucial aspect of therapy is the relationship between the client and the therapist. The therapeutic relationship is part of what helps facilitate change. I help my clients make shifts in their relationships–the relationships they have with themselves, each other, and with their problems. I understand therapy to be a place not to run away from one's problems, but to turn toward them, a place to find ways to connect and to move toward health and wholeness.
I believe that the most crucial aspect of therapy is the relationship between the client and the therapist. The therapeutic relationship is part of what helps facilitate change. I help my clients make shifts in their relationships–the relationships they have with themselves, each other, and with their problems. I understand therapy to be a place not to run away from one's problems, but to turn toward them, a place to find ways to connect and to move toward health and wholeness.
(331) 210-9523 View (331) 210-9523
Photo of Rebecca Berndt, MA, LMHC, Counselor
Rebecca Berndt
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Lake Mary, FL 32746
Not accepting new clients
Do you feel as if the same scene is playing out in your life over and over again and you have no ability to change the script? Do you feel powerless in managing your distressing emotions, or even in understanding why you feel the way you do? I'm a psychotherapist specialized in trauma-focused treatments for adults, children, and adolescents. Each individual has inherent dignity and value, thus making them entitled to and worthy of the emotional healing they desire.
Do you feel as if the same scene is playing out in your life over and over again and you have no ability to change the script? Do you feel powerless in managing your distressing emotions, or even in understanding why you feel the way you do? I'm a psychotherapist specialized in trauma-focused treatments for adults, children, and adolescents. Each individual has inherent dignity and value, thus making them entitled to and worthy of the emotional healing they desire.
(407) 833-6908 View (407) 833-6908
Photo of Claudia Haywood, LMFT, MS, Marriage & Family Therapist
Claudia Haywood
Marriage & Family Therapist, LMFT, MS
Verified Verified
2 Endorsed
Lake Mary, FL 32746  (Online Only)
Have you found yourself struggling with unresolved childhood trauma, anxiety, and/or life transitions? Have you found it difficult to understand and regulate your emotions? Are you wanting to develop and implement boundaries into your life, but don’t know where to start? As your therapist, I aim to assist with cultivating self-awareness, unlearning unhealthy generational traits, navigating childhood trauma and establishing boundaries. Everyone can benefit from therapy. My goal is to provide a safe and nonjudgemental environment that allows you to feel comfortable while navigating current or past stressors in your life!
Have you found yourself struggling with unresolved childhood trauma, anxiety, and/or life transitions? Have you found it difficult to understand and regulate your emotions? Are you wanting to develop and implement boundaries into your life, but don’t know where to start? As your therapist, I aim to assist with cultivating self-awareness, unlearning unhealthy generational traits, navigating childhood trauma and establishing boundaries. Everyone can benefit from therapy. My goal is to provide a safe and nonjudgemental environment that allows you to feel comfortable while navigating current or past stressors in your life!
(321) 999-9581 View (321) 999-9581
Photo of Cesare Perlini, MA, RMHCI, BCN, Pre-Licensed Professional
Cesare Perlini
Pre-Licensed Professional, MA, RMHCI, BCN
Verified Verified
1 Endorsed
Lake Mary, FL 32746
Understanding, honesty, and growth guide my practice. My approach emphasizes building awareness and empowerment that activates your potential to recognize the obstacles you face, envision a more fulfilling life, and develop skills to reach it. Counseling strategies personalized to your individual needs and goals allow us to move forward at a pace in which you are comfortable yet encouraged. You can expect a supportive and non-judgmental space to explore, heal, and grow.
Understanding, honesty, and growth guide my practice. My approach emphasizes building awareness and empowerment that activates your potential to recognize the obstacles you face, envision a more fulfilling life, and develop skills to reach it. Counseling strategies personalized to your individual needs and goals allow us to move forward at a pace in which you are comfortable yet encouraged. You can expect a supportive and non-judgmental space to explore, heal, and grow.
(407) 531-8776 View (407) 531-8776
Photo of Kenneth D. Koffer, MS, LMHC, CHT, Counselor
Kenneth D. Koffer
Counselor, MS, LMHC, CHT
Verified Verified
1 Endorsed
Lake Mary, FL 32746
To the outside world, it seems like you have it all together. But inside you struggle with frequent doubts that you are not good enough. In an effort to prove it wrong, you overextend yourself with being the perfect employee, partner, or parent. Because when your mind is unoccupied, the inner critic who lives rent-free in your head can be relentless. So you keep yourself distracted by setting near impossible goals for yourself over and over, and then attacking yourself for not reaching them. And it has become exhausting.
To the outside world, it seems like you have it all together. But inside you struggle with frequent doubts that you are not good enough. In an effort to prove it wrong, you overextend yourself with being the perfect employee, partner, or parent. Because when your mind is unoccupied, the inner critic who lives rent-free in your head can be relentless. So you keep yourself distracted by setting near impossible goals for yourself over and over, and then attacking yourself for not reaching them. And it has become exhausting.
(407) 449-1418 View (407) 449-1418
Photo of Breanna Simanton, MS,  DBH, LMHC, Counselor
Breanna Simanton
Counselor, MS, DBH, LMHC
Verified Verified
Lake Mary, FL 32746
I earned a clinical Master's in Counseling Psychology from Palm Beach Atlantic University and a professional Doctorate of Behavioral Health from Arizona State University. I have more than 13 years of experience working with adolescents and adults on a variety of concerns ranging from life stressors and adjustments to more complex behavioral health needs. I specialize in the treatment of ADHD, Trauma, Mood & Anxiety disorders, Lifestyle changes and Adjustment from Life Stressors.
I earned a clinical Master's in Counseling Psychology from Palm Beach Atlantic University and a professional Doctorate of Behavioral Health from Arizona State University. I have more than 13 years of experience working with adolescents and adults on a variety of concerns ranging from life stressors and adjustments to more complex behavioral health needs. I specialize in the treatment of ADHD, Trauma, Mood & Anxiety disorders, Lifestyle changes and Adjustment from Life Stressors.
(321) 233-5565 View (321) 233-5565
Photo of Patrick J Nave, DMin, LMHC, ABD, CAP, CET, Counselor
Patrick J Nave
Counselor, DMin, LMHC, ABD, CAP, CET
Verified Verified
Lake Mary, FL 32746
Greetings, my name is Dr. Patrick "Doc" and I believe that we are all on a journey. Therapy really is about a partnership where we learn skills and strategies which equip us to move forward in a more positive manner. My masters degree is in psychology and my doctoral work is in psychology and family systems. I have extensive experience in dealing with all ages and issues. I am an avid Green Bay Packer football fan, love my soy latte, enjoy riding my Harley Fatboy and try to hit the gym as often as I can. I ALSO OFFER ONLINE COUNSELING VIA A SECURE HIPAA COMPLIANT PLATFORM FOR THOSE WHO PREFER THE CONVENIENCE.
Greetings, my name is Dr. Patrick "Doc" and I believe that we are all on a journey. Therapy really is about a partnership where we learn skills and strategies which equip us to move forward in a more positive manner. My masters degree is in psychology and my doctoral work is in psychology and family systems. I have extensive experience in dealing with all ages and issues. I am an avid Green Bay Packer football fan, love my soy latte, enjoy riding my Harley Fatboy and try to hit the gym as often as I can. I ALSO OFFER ONLINE COUNSELING VIA A SECURE HIPAA COMPLIANT PLATFORM FOR THOSE WHO PREFER THE CONVENIENCE.
(407) 329-3229 View (407) 329-3229
Photo of Jennifer Hoke, MA, LMHC
Jennifer Hoke
MA, LMHC
Verified Verified
Lake Mary, FL 32746
I am passionate about joining individuals and couples facing anxiety, relationship challenges, and trauma. I would be honored to help during difficult life struggles and offering a space to process and make sense of their life story. I provide a safe and compassionate space for healing, offering hope and vision when life gets overwhelming.
I am passionate about joining individuals and couples facing anxiety, relationship challenges, and trauma. I would be honored to help during difficult life struggles and offering a space to process and make sense of their life story. I provide a safe and compassionate space for healing, offering hope and vision when life gets overwhelming.
(407) 720-5337 View (407) 720-5337
Photo of Belinda Judge, MA, LMHC, Counselor
Belinda Judge
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Lake Mary, FL 32746
Mental health counseling is a deeply personal service and finding the right fit with a therapist is important. I hope you find this information of assistance in your pursuit of the right counselor for you. I work exclusively with individual adults and couples and use a combination of counseling techniques including client centered, cognitive-behavioral, and mindfulness based approaches. My goal is to assist clients in developing resilience to life stressors and develop skills for coping throughout life. I speak to all clients personally to discuss your specific needs.
Mental health counseling is a deeply personal service and finding the right fit with a therapist is important. I hope you find this information of assistance in your pursuit of the right counselor for you. I work exclusively with individual adults and couples and use a combination of counseling techniques including client centered, cognitive-behavioral, and mindfulness based approaches. My goal is to assist clients in developing resilience to life stressors and develop skills for coping throughout life. I speak to all clients personally to discuss your specific needs.
(407) 378-7038 View (407) 378-7038
Photo of Christina Milazzo - Christina Milazzo Counseling, MA, LMHC, Counselor
Christina Milazzo Counseling
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Lake Mary, FL 32746
Specialized therapy for women and teen girls. If you are woman, you are likely familiar with stress, anxiety, and emotions that just feel all over the place. Therapy for women and teen girls focuses on helping females cope with anxiety, depression, grief and loss, infertility, and parenting support and coaching for parents who are struggling with how to support their child through the extreme highs and lows of their teen's emotions. After working with teen girls for over a decade I have learned firsthand what challenges teen girls are facing and more importantly what they need to cope, grow, and mature into confident young women.
Specialized therapy for women and teen girls. If you are woman, you are likely familiar with stress, anxiety, and emotions that just feel all over the place. Therapy for women and teen girls focuses on helping females cope with anxiety, depression, grief and loss, infertility, and parenting support and coaching for parents who are struggling with how to support their child through the extreme highs and lows of their teen's emotions. After working with teen girls for over a decade I have learned firsthand what challenges teen girls are facing and more importantly what they need to cope, grow, and mature into confident young women.
(407) 972-1021 View (407) 972-1021
Photo of Paulette Arboleda, MS, RMHCI
Paulette Arboleda
Registered Mental Health Counselor Intern, MS, RMHCI
Verified Verified
2 Endorsed
Lake Mary, FL 32746
I help you untangle your inner critic and reclaim your inner peace. Are you a mama feeling anxious about transitioning into motherhood? Are you going through a career shift and feeling lost in the process? Are you noticing that you have low motivation or inspiration in your life? Are you grieving a loss within your own identity? Your story matters and I am here to guide you through it. If you are experiencing feelings of not being good enough, worried about living up to others’ expectations, or even feeling disconnected from yourself and others – this is where I come in.
I help you untangle your inner critic and reclaim your inner peace. Are you a mama feeling anxious about transitioning into motherhood? Are you going through a career shift and feeling lost in the process? Are you noticing that you have low motivation or inspiration in your life? Are you grieving a loss within your own identity? Your story matters and I am here to guide you through it. If you are experiencing feelings of not being good enough, worried about living up to others’ expectations, or even feeling disconnected from yourself and others – this is where I come in.
(689) 210-3707 View (689) 210-3707
Photo of Melissa Christine Sorensen, MS, LMHC, Counselor
Melissa Christine Sorensen
Counselor, MS, LMHC
Verified Verified
Lake Mary, FL 32746
Hi there, and welcome! I’m really looking forward to working with you. I specialize in childhood trauma and unraveling how events from our past shape our current thoughts, feelings and behaviors. Along with trauma, I also deal passionately with overcoming addictions. I fully believe that each individual person genuinely seeking healing, wholeness and recovery WILL achieve it!
Hi there, and welcome! I’m really looking forward to working with you. I specialize in childhood trauma and unraveling how events from our past shape our current thoughts, feelings and behaviors. Along with trauma, I also deal passionately with overcoming addictions. I fully believe that each individual person genuinely seeking healing, wholeness and recovery WILL achieve it!
(386) 339-3524 View (386) 339-3524
Photo of Michele G Dennis, LMHC , Counselor
Michele G Dennis
Counselor, LMHC
Verified Verified
1 Endorsed
Lake Mary, FL 32746
Life can be challenging at times and talking to a mental health professional may be exactly what you need. Meeting with me, you can expect a professional who is welcoming, compassionate, astute and understands the profound significance of the client-therapist relationship. We will work collaboratively, in therapy, to achieve solutions and desired outcomes.
Life can be challenging at times and talking to a mental health professional may be exactly what you need. Meeting with me, you can expect a professional who is welcoming, compassionate, astute and understands the profound significance of the client-therapist relationship. We will work collaboratively, in therapy, to achieve solutions and desired outcomes.
(407) 279-0922 View (407) 279-0922
Photo of Monica Perry, MS, LMFT, Marriage & Family Therapist
Monica Perry
Marriage & Family Therapist, MS, LMFT
Verified Verified
Lake Mary, FL 32746
Perhaps the most difficult and courageous decision one must make in life is to ask for help during troubling times. I practice holistic reality-based therapy, teaching clients to become agents of their own change. I will assist in identifying goals, as well as barriers, and together we will collaborate to devise and implement a set of life skills and tools that will ultimately become the backbone of positive change for an individual or family. I believe that the client-therapist relationship is the single most important factor in successful therapy outcomes.
Perhaps the most difficult and courageous decision one must make in life is to ask for help during troubling times. I practice holistic reality-based therapy, teaching clients to become agents of their own change. I will assist in identifying goals, as well as barriers, and together we will collaborate to devise and implement a set of life skills and tools that will ultimately become the backbone of positive change for an individual or family. I believe that the client-therapist relationship is the single most important factor in successful therapy outcomes.
(386) 243-3633 View (386) 243-3633
Photo of Dr. Angela Jones, EdD, LMFT, LPC, RPT, CPFC, Marriage & Family Therapist
Dr. Angela Jones
Marriage & Family Therapist, EdD, LMFT, LPC, RPT, CPFC
Verified Verified
1 Endorsed
Lake Mary, FL 32746
MARRIAGE AND COUPLES SPECIALIST: Our Marriage and Couples program is structured and geared towards helping couples rekindle the flame you once felt! Whether you are currently married or if you are looking for premarital counseling, as a Licensed Marriage & Family Therapist, I can help identify areas of growth and together we can work on problems within your relationship before they become an issue.
MARRIAGE AND COUPLES SPECIALIST: Our Marriage and Couples program is structured and geared towards helping couples rekindle the flame you once felt! Whether you are currently married or if you are looking for premarital counseling, as a Licensed Marriage & Family Therapist, I can help identify areas of growth and together we can work on problems within your relationship before they become an issue.
(407) 955-5687 View (407) 955-5687
Photo of Sarah A Gura, MA, LMHC, LCPC, EMDR, RYT200, Counselor
Sarah A Gura
Counselor, MA, LMHC, LCPC, EMDR, RYT200
Verified Verified
2 Endorsed
Lake Mary, FL 32746
Hi, there! I can help you with stress, anxiety, panic attacks, depression, trauma, and relationships. Self-care is not selfish, it is necessary. Learning to take better care of yourself in this difficult world is valuable. We'll complete an assessment, create a treatment plan together, and get you where you want to be!
Hi, there! I can help you with stress, anxiety, panic attacks, depression, trauma, and relationships. Self-care is not selfish, it is necessary. Learning to take better care of yourself in this difficult world is valuable. We'll complete an assessment, create a treatment plan together, and get you where you want to be!
(321) 415-3403 View (321) 415-3403
Photo of Margie Grebin, MS, LMFT, FT, Marriage & Family Therapist
Margie Grebin
Marriage & Family Therapist, MS, LMFT, FT
Verified Verified
1 Endorsed
Lake Mary, FL 32746
I utilize a humanistic, collaborative and solution focused counseling approach with clients, involving actively listening to their life narrative, and exploring how it may be preventing them from reaching desired goals. In sessions, with a questioning and curious mind, we explore and dialogue on how the client may perceive things differently in their therapeutic process. Throughout, I provide support, empowering them to take responsibility in making healthy adjustments in their life. It is through the client learning the importance of self-respect, self-compassion,confidence, and humor, that they find themselves living a more wholesome, healthy, and transformed life.
I utilize a humanistic, collaborative and solution focused counseling approach with clients, involving actively listening to their life narrative, and exploring how it may be preventing them from reaching desired goals. In sessions, with a questioning and curious mind, we explore and dialogue on how the client may perceive things differently in their therapeutic process. Throughout, I provide support, empowering them to take responsibility in making healthy adjustments in their life. It is through the client learning the importance of self-respect, self-compassion,confidence, and humor, that they find themselves living a more wholesome, healthy, and transformed life.
(321) 203-0480 View (321) 203-0480
Photo of Andrew James Pittington, PhD, NCC, BCPC, BCIM, LMHC, Counselor
Andrew James Pittington
Counselor, PhD, NCC, BCPC, BCIM, LMHC
Verified Verified
1 Endorsed
Lake Mary, FL 32746
Pittington Counseling Services offers highly trained, Licensed Mental Health Counselors dedicated to helping children, adolescents, young adults, and families dealing with issues relating to mental and behavioral health, as well as substance abuse, on an outpatient basis. Within a confidential and understanding environment, Andrew Pittington assures everyone will receive opportunity to build stronger lives together, one step at a time. The treatment practice specializes in adolescent and childhood disorders, bipolar disorders, ADD/ADHD, Autism Spectrum Disorders, depression and anxiety. Additional services include parenting education, dual-diagnosis, adolescent and parenting support groups, sports psychology and public speaking engagements.
Pittington Counseling Services offers highly trained, Licensed Mental Health Counselors dedicated to helping children, adolescents, young adults, and families dealing with issues relating to mental and behavioral health, as well as substance abuse, on an outpatient basis. Within a confidential and understanding environment, Andrew Pittington assures everyone will receive opportunity to build stronger lives together, one step at a time. The treatment practice specializes in adolescent and childhood disorders, bipolar disorders, ADD/ADHD, Autism Spectrum Disorders, depression and anxiety. Additional services include parenting education, dual-diagnosis, adolescent and parenting support groups, sports psychology and public speaking engagements.
(407) 490-2044 View (407) 490-2044
Photo of Carol A. Duryea, LCSW, MSW, Clinical Social Work/Therapist
Carol A. Duryea
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Lake Mary, FL 32746
Are you open to change? Are you ready to explore what transformation entails? Take a step. Let's start with a simple conversation. We all face times of challenge and transition. This is to be expected. It could be loss or illness, general life stressors, excessive worry, loneliness or hurtful relationships, or past trauma. Building resilience and skill, in order to find peace and workable solutions is a process. Let's begin the process by exploring your needs and goals, moving toward restoration, healing and hope.
Are you open to change? Are you ready to explore what transformation entails? Take a step. Let's start with a simple conversation. We all face times of challenge and transition. This is to be expected. It could be loss or illness, general life stressors, excessive worry, loneliness or hurtful relationships, or past trauma. Building resilience and skill, in order to find peace and workable solutions is a process. Let's begin the process by exploring your needs and goals, moving toward restoration, healing and hope.
(407) 214-5180 View (407) 214-5180
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How does your Therapist compare?

Number of Therapists in Lake Mary, FL

100+

Average cost per session

$125

Therapists in Lake Mary, FL who prioritize treating:

91% Anxiety
86% Depression
82% Relationship Issues
79% Self Esteem
72% Coping Skills
71% Trauma and PTSD
66% Stress

Average years in practice

12 Years

Top 3 insurances accepted

87% Aetna
82% Cigna and Evernorth
75% UnitedHealthcare UHC | UBH

How Therapists in Lake Mary, FL see their clients

73% In Person and Online
27% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Lake Mary?

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.