Therapists in West Chester, PA

Photo of Camilla Coakley, LCSW, Clinical Social Work/Therapist
Camilla Coakley
Clinical Social Work/Therapist, LCSW
Verified Verified
West Chester, PA 19382
You are here because you know something has got to change. Are you self-critical? Do you have that depleting sense of never feeling good enough? Do you hyperfocus on your flaws, fears, or what others may think of you? Have you "let yourself go"? Do you feel overwhelmed or exhausted? Are you wanting to feel calm, light, accomplished, and confident? Has traditional therapy left you feeling like something was missing? My expertise is in mind-body therapy which helps you to work through your old patterns and offers you concrete tools to help you make small, yet profound, changes that support and nourish both the mind and the body.
You are here because you know something has got to change. Are you self-critical? Do you have that depleting sense of never feeling good enough? Do you hyperfocus on your flaws, fears, or what others may think of you? Have you "let yourself go"? Do you feel overwhelmed or exhausted? Are you wanting to feel calm, light, accomplished, and confident? Has traditional therapy left you feeling like something was missing? My expertise is in mind-body therapy which helps you to work through your old patterns and offers you concrete tools to help you make small, yet profound, changes that support and nourish both the mind and the body.
(484) 209-5209 View (484) 209-5209
Photo of Vincent Bellwoar - Springfield Psychological of West Chester, Psychologist
Springfield Psychological of West Chester
Psychologist
Verified Verified
West Chester, PA 19380
We are a friendly and professional mental health practice that has been providing outstanding and affordable therapy for adults, couples, families, teens and children since 1985. With seven locations in Havertown, King of Prussia, North Wales, Philadelphia, Sinking Spring, Springfield, and West Chester as well as flexible scheduling options, we are able to offer appointments during the daytime, evening, and weekends for your convenience. In addition, we accept most insurance plans.
We are a friendly and professional mental health practice that has been providing outstanding and affordable therapy for adults, couples, families, teens and children since 1985. With seven locations in Havertown, King of Prussia, North Wales, Philadelphia, Sinking Spring, Springfield, and West Chester as well as flexible scheduling options, we are able to offer appointments during the daytime, evening, and weekends for your convenience. In addition, we accept most insurance plans.
(610) 364-5156 View (610) 364-5156
Photo of Susan Genereux, MS, Pre-Licensed Professional
Susan Genereux
Pre-Licensed Professional, MS
Verified Verified
West Chester, PA 19380
I am pre-licensed counselor working with clients seeking to change unhealthy life-style patterns attributing to feeling disconnected from intentions, core values, beliefs, character & self. Patterns and experiences may include anxiety, trauma, depression, relational and other adjustment concerns. The approaches used integrate holistic modalities with existing evidenced-based treatments & prior successes to create the client's fully equipped toolbox. These resources offer an empowering, non-judgmental approach toward sustained self-care removing the stigma of mental health being separate from body & spirit for whole self-wellness.
I am pre-licensed counselor working with clients seeking to change unhealthy life-style patterns attributing to feeling disconnected from intentions, core values, beliefs, character & self. Patterns and experiences may include anxiety, trauma, depression, relational and other adjustment concerns. The approaches used integrate holistic modalities with existing evidenced-based treatments & prior successes to create the client's fully equipped toolbox. These resources offer an empowering, non-judgmental approach toward sustained self-care removing the stigma of mental health being separate from body & spirit for whole self-wellness.
(484) 799-9098 View (484) 799-9098
Photo of Tracey Dugan, LCSW, PMH-C, Clinical Social Work/Therapist
Tracey Dugan
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
West Chester, PA 19382  (Online Only)
My clients are primarily parents who are experiencing perinatal depression, anxiety and trauma or who have experienced a miscarriage, stillbirth or infant loss, and/or pregnancy complications. Their goal is to feel better as soon as possible. They need an experienced, confident and caring therapist who knows how to help them in their distress. My clients are looking for someone that can teach them skills that they can use both now and for the rest of their lives. I am licensed in both PA and NJ.
My clients are primarily parents who are experiencing perinatal depression, anxiety and trauma or who have experienced a miscarriage, stillbirth or infant loss, and/or pregnancy complications. Their goal is to feel better as soon as possible. They need an experienced, confident and caring therapist who knows how to help them in their distress. My clients are looking for someone that can teach them skills that they can use both now and for the rest of their lives. I am licensed in both PA and NJ.
(484) 271-0533 View (484) 271-0533
Photo of Erin Hipple, MA, LCSW, PhD, Clinical Social Work/Therapist
Erin Hipple
Clinical Social Work/Therapist, MA, LCSW, PhD
Verified Verified
West Chester, PA 19382  (Online Only)
I am a white, queer, disabled, non-binary femme. I have worked as a therapist in a variety of settings, including inpatient mental health facilities, outpatient community mental health services, women's shelters, and university settings. These experiences have led me to pursue a liberation-based, anti-carceral, and non-pathologizing approach to mental health support. I have worked with individuals experiencing a variety of expressions of distress including: depression, anxiety, stress, struggles with intimacy and boundaries, self-esteem issues, eating disorders, complicated and disenfranchised grief, and trauma-related stress.
I am a white, queer, disabled, non-binary femme. I have worked as a therapist in a variety of settings, including inpatient mental health facilities, outpatient community mental health services, women's shelters, and university settings. These experiences have led me to pursue a liberation-based, anti-carceral, and non-pathologizing approach to mental health support. I have worked with individuals experiencing a variety of expressions of distress including: depression, anxiety, stress, struggles with intimacy and boundaries, self-esteem issues, eating disorders, complicated and disenfranchised grief, and trauma-related stress.
(484) 648-2767 View (484) 648-2767
Photo of Peter-William Myers, LPC , CNIT, Licensed Professional Counselor
Peter-William Myers
Licensed Professional Counselor, LPC , CNIT
Verified Verified
West Chester, PA 19380
Are you feeling stuck in life, battling depression and anxiety, or experiencing relationship issues? I will walk alongside you in whatever journey you are on to help you reach your goals, whatever they may be, from learning new coping skills, improving communication skills, or improving your relationships.
Are you feeling stuck in life, battling depression and anxiety, or experiencing relationship issues? I will walk alongside you in whatever journey you are on to help you reach your goals, whatever they may be, from learning new coping skills, improving communication skills, or improving your relationships.
(484) 207-6304 View (484) 207-6304
Photo of Stephanie Adams, MA , LPC, CCTP, Licensed Professional Counselor
Stephanie Adams
Licensed Professional Counselor, MA , LPC, CCTP
Verified Verified
West Chester, PA 19380
Are you struggling with depression, anxiety, trauma, and/or addiction? My ideal client is open to gaining insight into behavior patterns and problematic coping skills. I am kind & non-judgmental, but not afraid to give clients a little (figurative) nudge when necessary. I have experience working with all kinds of problems & diagnoses, both inpatient and outpatient, as well as individual and group settings. The majority of my experience lies in dual diagnosis treatment, working with clients with co-occurring mental health and substance use diagnoses.
Are you struggling with depression, anxiety, trauma, and/or addiction? My ideal client is open to gaining insight into behavior patterns and problematic coping skills. I am kind & non-judgmental, but not afraid to give clients a little (figurative) nudge when necessary. I have experience working with all kinds of problems & diagnoses, both inpatient and outpatient, as well as individual and group settings. The majority of my experience lies in dual diagnosis treatment, working with clients with co-occurring mental health and substance use diagnoses.
(484) 613-3620 View (484) 613-3620
Photo of Brandi Caldwell, LCSW , MBA, Clinical Social Work/Therapist
Brandi Caldwell
Clinical Social Work/Therapist, LCSW , MBA
Verified Verified
West Chester, PA 19380
Do you desire treatment for mental health diagnoses, grief/loss, disabilities, or stress/anger management? Do you want or need guidance and are willing to explore yourselves more deeply? My ideal client would be motivated for change and open to new perspectives to create healthy progress in their lives. They would feel comfortable in their rapport with me and supported in their treatment. My diverse experience in healthcare has allowed me to develop strong therapeutic skills using various strategies fitting the client's needs.
Do you desire treatment for mental health diagnoses, grief/loss, disabilities, or stress/anger management? Do you want or need guidance and are willing to explore yourselves more deeply? My ideal client would be motivated for change and open to new perspectives to create healthy progress in their lives. They would feel comfortable in their rapport with me and supported in their treatment. My diverse experience in healthcare has allowed me to develop strong therapeutic skills using various strategies fitting the client's needs.
(484) 897-7208 View (484) 897-7208
Photo of Cole Glaser, LCSW, Clinical Social Work/Therapist
Cole Glaser
Clinical Social Work/Therapist, LCSW
Verified Verified
West Chester, PA 19380
I enjoy working with clients struggling with anxiety, depression, substance use disorder, and process addictions and clients struggling with a relationship. I offer clients a safe environment to explore their thoughts, feelings, and past to learn about their present life. My ideal client would be aware that they need help. They are also prepared and open to doing the necessary work to address their issue. They understand that therapy is a process they cannot complete overnight. They know that their previous methods have failed and are willing to try again with me.
I enjoy working with clients struggling with anxiety, depression, substance use disorder, and process addictions and clients struggling with a relationship. I offer clients a safe environment to explore their thoughts, feelings, and past to learn about their present life. My ideal client would be aware that they need help. They are also prepared and open to doing the necessary work to address their issue. They understand that therapy is a process they cannot complete overnight. They know that their previous methods have failed and are willing to try again with me.
(267) 341-1527 View (267) 341-1527
Photo of Gregory Mairs, LMFT, Marriage & Family Therapist
Gregory Mairs
Marriage & Family Therapist, LMFT
Verified Verified
West Chester, PA 19380
I have an extensive professional history of working with families and couples in crisis. Many of us struggle in our relationships & find that clear communication is challenging for many reasons. The barriers may include issues with past trauma or failed attempts to find the right words during a conflict. I bring the structural therapy tools to help a family, couple, or individual recognize the triggers of their conflicts, explore past trauma & the impact it may have on the current relationship/situation, help the individual challenge automatic negative assumptions, & find a response which leads to clear communication.
I have an extensive professional history of working with families and couples in crisis. Many of us struggle in our relationships & find that clear communication is challenging for many reasons. The barriers may include issues with past trauma or failed attempts to find the right words during a conflict. I bring the structural therapy tools to help a family, couple, or individual recognize the triggers of their conflicts, explore past trauma & the impact it may have on the current relationship/situation, help the individual challenge automatic negative assumptions, & find a response which leads to clear communication.
(484) 282-7353 View (484) 282-7353
Photo of Elaine McKinney - Elaine McKinney Counseling, LLC, MA, LPC, CEDS, Licensed Professional Counselor
Elaine McKinney Counseling, LLC
Licensed Professional Counselor, MA, LPC, CEDS
Verified Verified
1 Endorsed
West Chester, PA 19382  (Online Only)
Not accepting new clients
Do you feel stuck, powerless, and unable to develop sustainable strategies for long-term health? Are you hoping to challenge your inner critic? Is it hard to cultivate self-compassion? I help individuals find a peaceful relationship with their mind, body, and soul. I will work with you to help identify what is keeping you stuck and what you need to do to return to a place of balance.
Do you feel stuck, powerless, and unable to develop sustainable strategies for long-term health? Are you hoping to challenge your inner critic? Is it hard to cultivate self-compassion? I help individuals find a peaceful relationship with their mind, body, and soul. I will work with you to help identify what is keeping you stuck and what you need to do to return to a place of balance.
(484) 878-5825 View (484) 878-5825
Photo of Sara Watt, MA, LPC, RPT, Licensed Professional Counselor
Sara Watt
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
West Chester, PA 19382
If you are struggling at home with power struggles, tantrums, big emotions feeling out of control, or an event has occurred where you want extra support, I am here to meet you where you are. All parts are welcome no matter how big or small they feel. I believe that the heart can guide us if we turn toward it to give it love. The body holds innate wisdom of unconditional love and acceptance within. I am here to walk with you on your journey home to yourself. We offer in person appointments in West Chester, PA and Telemental Health for Colorado. I am licensed in both states.
If you are struggling at home with power struggles, tantrums, big emotions feeling out of control, or an event has occurred where you want extra support, I am here to meet you where you are. All parts are welcome no matter how big or small they feel. I believe that the heart can guide us if we turn toward it to give it love. The body holds innate wisdom of unconditional love and acceptance within. I am here to walk with you on your journey home to yourself. We offer in person appointments in West Chester, PA and Telemental Health for Colorado. I am licensed in both states.
(215) 515-4922 View (215) 515-4922
Photo of Tell Perry Williams, MSW, Pre-Licensed Professional
Tell Perry Williams
Pre-Licensed Professional, MSW
Verified Verified
West Chester, PA 19380
As a therapist, I strive to collaborate in creating a space that nurtures and empowers clients on their journey to better mental health. I work with adults of any and all backgrounds, particularly LGBTQIA+ and BIPOC clients. I lead my sessions with trauma informed care, and I am specialized in grief, depression, anxiety, and sex therapy. Allow me to help you grow more confident, promote self-exploration, and assist you on your path to better mental health.
As a therapist, I strive to collaborate in creating a space that nurtures and empowers clients on their journey to better mental health. I work with adults of any and all backgrounds, particularly LGBTQIA+ and BIPOC clients. I lead my sessions with trauma informed care, and I am specialized in grief, depression, anxiety, and sex therapy. Allow me to help you grow more confident, promote self-exploration, and assist you on your path to better mental health.
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Photo of Sarah Vaghari, PsyD, JD, Psychologist
Sarah Vaghari
Psychologist, PsyD, JD
Verified Verified
West Chester, PA 19382  (Online Only)
As a PSYPACT psychologist, I am able to work across state lines with only a few exceptions. While I have experience providing treatment for a wide range of mental health issues, I have a special interest in helping people improve their relationships and self-worth by reducing feelings of shame and insecurity. Helping clients cultivate self-compassion is a hallmark of my therapeutic approach. As an executive coach, I also specialize in helping leaders, attorneys, business owners, and other professionals overcome obstacles to achieve their personal and professional goals.
As a PSYPACT psychologist, I am able to work across state lines with only a few exceptions. While I have experience providing treatment for a wide range of mental health issues, I have a special interest in helping people improve their relationships and self-worth by reducing feelings of shame and insecurity. Helping clients cultivate self-compassion is a hallmark of my therapeutic approach. As an executive coach, I also specialize in helping leaders, attorneys, business owners, and other professionals overcome obstacles to achieve their personal and professional goals.
(484) 946-8593 View (484) 946-8593
Photo of Lydia (Fehintola) Lawson, LMFT, Marriage & Family Therapist
Lydia (Fehintola) Lawson
Marriage & Family Therapist, LMFT
Verified Verified
West Chester, PA 19380
Lydia (Fehintola) Lawson is a Marriage and Family Therapist who creates a warm and calm environment so her clients can show up as their authentic selves. Seeking therapy is rarely an easy one, so whatever reason you are seeking therapy, Lydia cares about making sure you will feel seen, heard, and understood. By using a strengths-based approach it allows her clients to feel validated and that much more empowered to live and lead the lives they desire. Lydia believes healing is a journey and is passionate about meeting her clients where they are.
Lydia (Fehintola) Lawson is a Marriage and Family Therapist who creates a warm and calm environment so her clients can show up as their authentic selves. Seeking therapy is rarely an easy one, so whatever reason you are seeking therapy, Lydia cares about making sure you will feel seen, heard, and understood. By using a strengths-based approach it allows her clients to feel validated and that much more empowered to live and lead the lives they desire. Lydia believes healing is a journey and is passionate about meeting her clients where they are.
(215) 709-3103 View (215) 709-3103
Photo of Zoe Rabinowitz, MS, LPC, Licensed Professional Counselor
Zoe Rabinowitz
Licensed Professional Counselor, MS, LPC
Verified Verified
West Chester, PA 19380
Accepting new Clients! I believe that everyone can benefit from finding someone to help foster self compassion, connection, and trust. Whether you are struggling with life changes, relenting intrusive thoughts, or low self esteem, therapy can be a wonderful and supportive tool. Specifically designed to support you in navigating and healing, it can provide an opportunity to become the best version of yourself. Feeling overwhelmed, isolated, or unsure of what to do next? Together we will identify your personal goals and begin to explore and identify the deeper issues keeping you stuck and disconnected from fully participating in life.
Accepting new Clients! I believe that everyone can benefit from finding someone to help foster self compassion, connection, and trust. Whether you are struggling with life changes, relenting intrusive thoughts, or low self esteem, therapy can be a wonderful and supportive tool. Specifically designed to support you in navigating and healing, it can provide an opportunity to become the best version of yourself. Feeling overwhelmed, isolated, or unsure of what to do next? Together we will identify your personal goals and begin to explore and identify the deeper issues keeping you stuck and disconnected from fully participating in life.
(484) 290-1599 View (484) 290-1599
Photo of Olivia Houser, MA, Pre-Licensed Professional
Olivia Houser
Pre-Licensed Professional, MA
Verified Verified
West Chester, PA 19382
Do you struggle with self acceptance, authenticity and safety. Have you felt worthlessness, and lack of self identity. I cultivate a philosophy of compassion and safety in all levels of my practice. I work with young adults with substance use disorder, eating disorders, and complex trauma. I also work with children and adolescents suffering from complex medical conditions. I help clients to feel safe in expressing their emotions, allowing them to process and understand themselves and the world around them. I aid clients in all stages of their recovery from diagnosis, to prognosis, to recovery. I have a nonjudgmental approach.
Do you struggle with self acceptance, authenticity and safety. Have you felt worthlessness, and lack of self identity. I cultivate a philosophy of compassion and safety in all levels of my practice. I work with young adults with substance use disorder, eating disorders, and complex trauma. I also work with children and adolescents suffering from complex medical conditions. I help clients to feel safe in expressing their emotions, allowing them to process and understand themselves and the world around them. I aid clients in all stages of their recovery from diagnosis, to prognosis, to recovery. I have a nonjudgmental approach.
(484) 749-8141 View (484) 749-8141
Photo of Maegan Staats, MA, LPC, Licensed Professional Counselor
Maegan Staats
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
West Chester, PA 19382
I believe that warmth, understanding and compassion are the key to any successful and supportive therapeutic relationship and these qualities are the foundation of my practice. I have been providing counseling services to individuals, couples and families for over 10 years in a variety of settings and one thing has always been the same; I learn something new from each and every client and the relationship that is built through the course of treatment is where the healing is created. I tailor my approach based on the needs of my clients and collaborate with them to identify their goals.
I believe that warmth, understanding and compassion are the key to any successful and supportive therapeutic relationship and these qualities are the foundation of my practice. I have been providing counseling services to individuals, couples and families for over 10 years in a variety of settings and one thing has always been the same; I learn something new from each and every client and the relationship that is built through the course of treatment is where the healing is created. I tailor my approach based on the needs of my clients and collaborate with them to identify their goals.
(484) 406-0187 View (484) 406-0187
Photo of Welsley Brutto, MSCP, LPC, NCC, Licensed Professional Counselor
Welsley Brutto
Licensed Professional Counselor, MSCP, LPC, NCC
Verified Verified
West Chester, PA 19382
There are times we can become stuck in life's challenges. We find ourselves discouraged knowing how we would like things to be or how we would like to feel but find ourselves unable to navigate the best course. I enjoy helping clients navigate such challenges and develop a greater understanding of themselves while focusing on goals.
There are times we can become stuck in life's challenges. We find ourselves discouraged knowing how we would like things to be or how we would like to feel but find ourselves unable to navigate the best course. I enjoy helping clients navigate such challenges and develop a greater understanding of themselves while focusing on goals.
(610) 365-7994 View (610) 365-7994
Photo of Patricia L Adams, MA, LPC, Licensed Professional Counselor
Patricia L Adams
Licensed Professional Counselor, MA, LPC
Verified Verified
West Chester, PA 19382  (Online Only)
If you are struggling in any area of your life and/or having difficulty moving forward because you are overwhelmed, I would like to help you sort out your feelings and move forward to attain the life you deserve! Using a combination of interpersonal, cognitive and goal focused therapy, my approach is warm, compassionate, nonjudgmental and empowering.
If you are struggling in any area of your life and/or having difficulty moving forward because you are overwhelmed, I would like to help you sort out your feelings and move forward to attain the life you deserve! Using a combination of interpersonal, cognitive and goal focused therapy, my approach is warm, compassionate, nonjudgmental and empowering.
(419) 495-8035 View (419) 495-8035
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How does your Therapist compare?

Number of Therapists in West Chester, PA

600+

Average cost per session

$140

Therapists in West Chester, PA who prioritize treating:

96% Anxiety
89% Depression
75% Self Esteem
69% Relationship Issues
68% Coping Skills
65% Trauma and PTSD
61% Grief

Average years in practice

11 Years

Top 3 insurances accepted

83% Aetna
71% Cigna and Evernorth
62% UnitedHealthcare UHC | UBH

How Therapists in West Chester, PA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in West Chester?

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.