Therapists in Astoria, NY

Photo of Justin M Wolsky, LCSW, Clinical Social Work/Therapist
Justin M Wolsky
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Astoria, NY 11103  (Online Only)
Waitlist for new clients
Embarking on a journey of healing with a therapist who understands your unique experience can make all the difference. As a multi-racial person raised in Queens, NY, I bring a deep cultural sensitivity and awareness to my practice. I am LGBTQIA+ affirming and committed to providing a space where a person from any background can feel safe, connected, and encouraged to become the best version of themselves. To facilitate this, I offer EMDR, Psychodynamic Psychotherapy, and CBT. I also encourage the exploration of existential conflicts and find that this is often fertile ground for growth.
Embarking on a journey of healing with a therapist who understands your unique experience can make all the difference. As a multi-racial person raised in Queens, NY, I bring a deep cultural sensitivity and awareness to my practice. I am LGBTQIA+ affirming and committed to providing a space where a person from any background can feel safe, connected, and encouraged to become the best version of themselves. To facilitate this, I offer EMDR, Psychodynamic Psychotherapy, and CBT. I also encourage the exploration of existential conflicts and find that this is often fertile ground for growth.
(718) 571-8762 View (718) 571-8762
Photo of Bisma Anwar, LMHC, LPC, Licensed Professional Counselor
Bisma Anwar
Licensed Professional Counselor, LMHC, LPC
Verified Verified
3 Endorsed
Astoria, NY 11106  (Online Only)
Bisma Anwar has been a mental health therapist for over a decade. Her work experiences have been in hospitals, non-profits, mental health clinics, and digital mental health startups. Throughout her career she has worked with community based organizations, spoken at panels, done workshops and webinars to provide education and awareness of various mental health issues. Over the years, she has been quoted in the New York Times, Time Magazine, Popsugar, Buzzfeed, and many other media outlets.
Bisma Anwar has been a mental health therapist for over a decade. Her work experiences have been in hospitals, non-profits, mental health clinics, and digital mental health startups. Throughout her career she has worked with community based organizations, spoken at panels, done workshops and webinars to provide education and awareness of various mental health issues. Over the years, she has been quoted in the New York Times, Time Magazine, Popsugar, Buzzfeed, and many other media outlets.
(646) 846-7071 View (646) 846-7071
Photo of Kaitlyn Clifford, LCSW, Clinical Social Work/Therapist
Kaitlyn Clifford
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Astoria, NY 11105  (Online Only)
Hey, I’m Kait! I’m excited to help you navigate life’s twists and turns. Think of me as your co-pilot on this journey, creating a warm and supportive space where we can tackle challenges together (and I promise to let you pick the playlist). Whether you're facing life transitions, anxiety, depression, relationship issues, or healing from trauma, I’m here for you. My goal is to foster an environment filled with warmth, security, and a bit of humor, so you feel safe being your authentic self. Together, we’ll face whatever life throws your way, and I’ll be cheering you on as you build the confidence to tackle future challenges.
Hey, I’m Kait! I’m excited to help you navigate life’s twists and turns. Think of me as your co-pilot on this journey, creating a warm and supportive space where we can tackle challenges together (and I promise to let you pick the playlist). Whether you're facing life transitions, anxiety, depression, relationship issues, or healing from trauma, I’m here for you. My goal is to foster an environment filled with warmth, security, and a bit of humor, so you feel safe being your authentic self. Together, we’ll face whatever life throws your way, and I’ll be cheering you on as you build the confidence to tackle future challenges.
(646) 982-3421 View (646) 982-3421
Photo of Dr. Suzanne Marmo, PhD, LCSW, APHSW-C, Clinical Social Work/Therapist
Dr. Suzanne Marmo
Clinical Social Work/Therapist, PhD, LCSW, APHSW-C
Verified Verified
3 Endorsed
Astoria, NY 11102  (Online Only)
Not accepting new clients
Difficult experiences in life can bring up feelings of anxiety, depression, or lack of direction, it can be hard to know what to do. I approach psychotherapy from a place of empathy, non-judgment and I tailor my treatment approach to each unique individual I work with. With compassion and honesty, I aim to help you work through issues and identify your inner strengths to be a more happier and healthier version of you. My specialization as a therapist, researcher and educator has been in loss and complicated grief, as well as with those who are experiencing serious illness.
Difficult experiences in life can bring up feelings of anxiety, depression, or lack of direction, it can be hard to know what to do. I approach psychotherapy from a place of empathy, non-judgment and I tailor my treatment approach to each unique individual I work with. With compassion and honesty, I aim to help you work through issues and identify your inner strengths to be a more happier and healthier version of you. My specialization as a therapist, researcher and educator has been in loss and complicated grief, as well as with those who are experiencing serious illness.
(631) 250-5811 View (631) 250-5811
Photo of Alicia Leporati, LMHC, Counselor
Alicia Leporati
Counselor, LMHC
Verified Verified
1 Endorsed
Astoria, NY 11106  (Online Only)
Healing is Collective: Healing from trauma and making meaning for ourselves is a unique process. I’m here to help. My philosophy is that we heal creatively and my work is centered around walking with my clients down their own paths towards liberation. It helps to talk. It helps to make art. It helps to share the burden. My style is conversational, empathic, and feminist because we are contained within the context of our society, our history, our upbringing, and our identity. Therapy can be that place to do your healing work and grow authentically.
Healing is Collective: Healing from trauma and making meaning for ourselves is a unique process. I’m here to help. My philosophy is that we heal creatively and my work is centered around walking with my clients down their own paths towards liberation. It helps to talk. It helps to make art. It helps to share the burden. My style is conversational, empathic, and feminist because we are contained within the context of our society, our history, our upbringing, and our identity. Therapy can be that place to do your healing work and grow authentically.
(347) 297-5296 View (347) 297-5296
Photo of Charlie Kadan, LCSW, Clinical Social Work/Therapist
Charlie Kadan
Clinical Social Work/Therapist, LCSW
Verified Verified
Astoria, NY 11105  (Online Only)
I work with individuals to build their capacities for living life with greater ease, confidence, and self-compassion. My primary modalities are CBT, DBT, motivational-interviewing, and mindfulness. I am committed to showing up in the therapeutic relationship as warm and non-judgmental, with an aspiration that clients feel welcome and affirmed as their full selves.
I work with individuals to build their capacities for living life with greater ease, confidence, and self-compassion. My primary modalities are CBT, DBT, motivational-interviewing, and mindfulness. I am committed to showing up in the therapeutic relationship as warm and non-judgmental, with an aspiration that clients feel welcome and affirmed as their full selves.
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Photo of Evangelos Samaras, LMHC, Counselor
Evangelos Samaras
Counselor, LMHC
Verified Verified
Astoria, NY 11105  (Online Only)
Hi, my name is Evangelos, but you can call me Evan! At the moment I am practicing through Telehealth only. If this is okay with you, please read on! The foundation of my approach to therapy is person centered and based on genuine human interaction. I understand that not every individual benefits from the same intervention, and it's for this reason I bring an eclectic tool kit, including but not limited to: Acceptance-Based, Mindfulness, CBT, DBT, Emotionally Focused, and Relaxation strategies. My earliest exposure and training in mental health was in Hypnosis, and the interaction between our conscious and subconscious mind.
Hi, my name is Evangelos, but you can call me Evan! At the moment I am practicing through Telehealth only. If this is okay with you, please read on! The foundation of my approach to therapy is person centered and based on genuine human interaction. I understand that not every individual benefits from the same intervention, and it's for this reason I bring an eclectic tool kit, including but not limited to: Acceptance-Based, Mindfulness, CBT, DBT, Emotionally Focused, and Relaxation strategies. My earliest exposure and training in mental health was in Hypnosis, and the interaction between our conscious and subconscious mind.
(347) 923-6823 View (347) 923-6823
Photo of Megan Hannan, LCSW, Clinical Social Work/Therapist
Megan Hannan
Clinical Social Work/Therapist, LCSW
Verified Verified
Astoria, NY 11103
I believe that trust is the cornerstone of every meaningful therapeutic relationship, and my goal is to make you feel safe, relaxed and supported from the moment you send that first email to inquire about our first session. I know that reaching out to a new therapist or even seeking therapy for the first time can seem daunting, but I truly believe that it can be the best form of self-care. Our mental health is the key to our happiness. My style is warm, empathetic and nurturing, but I will work with you to create tactical and personalized strategies, equipping you with tools to grow and connect with your most authentic self.
I believe that trust is the cornerstone of every meaningful therapeutic relationship, and my goal is to make you feel safe, relaxed and supported from the moment you send that first email to inquire about our first session. I know that reaching out to a new therapist or even seeking therapy for the first time can seem daunting, but I truly believe that it can be the best form of self-care. Our mental health is the key to our happiness. My style is warm, empathetic and nurturing, but I will work with you to create tactical and personalized strategies, equipping you with tools to grow and connect with your most authentic self.
(929) 203-3586 View (929) 203-3586
Maria Genna-Barrera
MSW, CLC, BA-Psyc
Verified Verified
1 Endorsed
Astoria, NY 11106
**EMAIL IS BEST* You and I will work together to face the challenges you may have. As a Social Worker & Certified Life Coach, I am committed to helping you find your strength and motivation so you can accomplish your goals. I adapt my work method to meet the needs for each of my patients. Together we will make changes and work to achieve a less anxious life. Everyone feels anxious at times. Worrying can be helpful when it spurs you to take action and solve a problem. But if you're preoccupied with "what ifs" and worst-case scenarios, worry becomes a problem. Anxiety and constant worry maybe holding you back from your goals.
**EMAIL IS BEST* You and I will work together to face the challenges you may have. As a Social Worker & Certified Life Coach, I am committed to helping you find your strength and motivation so you can accomplish your goals. I adapt my work method to meet the needs for each of my patients. Together we will make changes and work to achieve a less anxious life. Everyone feels anxious at times. Worrying can be helpful when it spurs you to take action and solve a problem. But if you're preoccupied with "what ifs" and worst-case scenarios, worry becomes a problem. Anxiety and constant worry maybe holding you back from your goals.
(332) 900-3526 View (332) 900-3526
Photo of Brooke Marlin, LCSW, Clinical Social Work/Therapist
Brooke Marlin
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Astoria, NY 11103
Not accepting new clients
Please note, the fastest way to contact me is via my website. I am a Licensed Clinical Social Worker who specializes in working with children and parents. I work with children at all stages of development from infancy to adolescence. My approach is to build a partnership with caregivers, based on non-judgement and appreciation of diverse cultural values. Through the use of play therapy, I create a safe environment in which children can express their emotions freely, and we can begin to address any areas of tension or distress.
Please note, the fastest way to contact me is via my website. I am a Licensed Clinical Social Worker who specializes in working with children and parents. I work with children at all stages of development from infancy to adolescence. My approach is to build a partnership with caregivers, based on non-judgement and appreciation of diverse cultural values. Through the use of play therapy, I create a safe environment in which children can express their emotions freely, and we can begin to address any areas of tension or distress.
(646) 859-0258 View (646) 859-0258
Photo of Lindsay Ericksen, LCSW, Clinical Social Work/Therapist
Lindsay Ericksen
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Astoria, NY 11103  (Online Only)
I believe in everyone's inherent value and seek to guide individuals through the process of reconnecting to their true essence and worth. Together we would explore presenting challenges to eventually get to the origin of the pain that may be keeping you stuck or blocked. I work somatically using Sensorimotor Psychotherapy approach in order to gently guide the body and mind back into harmony as so often trauma and life experiences can separate or fracture the two, leaving us feeling disconnected from ourselves and others.
I believe in everyone's inherent value and seek to guide individuals through the process of reconnecting to their true essence and worth. Together we would explore presenting challenges to eventually get to the origin of the pain that may be keeping you stuck or blocked. I work somatically using Sensorimotor Psychotherapy approach in order to gently guide the body and mind back into harmony as so often trauma and life experiences can separate or fracture the two, leaving us feeling disconnected from ourselves and others.
(718) 808-9442 View (718) 808-9442
Photo of Joseph E Kruft, MFA, LP, NCPsyA, Licensed Psychoanalyst
Joseph E Kruft
Licensed Psychoanalyst, MFA, LP, NCPsyA
Verified Verified
Astoria, NY 11106
People seek therapy for a variety of reasons: anxiety, depression, relationship complications, sexuality issues, to name just a specific few; or it may be a combination of issues, or even for reasons one cannot immediately put a finger on -- a general sense of "just not feeling right." Regardless the reasons, you likely found this site in a search for relief and/or a better understanding of where you find yourself at this particular moment in your own story. So now comes the (sometimes) daunting task of finding someone who might offer help.
People seek therapy for a variety of reasons: anxiety, depression, relationship complications, sexuality issues, to name just a specific few; or it may be a combination of issues, or even for reasons one cannot immediately put a finger on -- a general sense of "just not feeling right." Regardless the reasons, you likely found this site in a search for relief and/or a better understanding of where you find yourself at this particular moment in your own story. So now comes the (sometimes) daunting task of finding someone who might offer help.
(212) 714-7084 View (212) 714-7084
Photo of Maria Gregorio, LCSW, MFA, Clinical Social Work/Therapist
Maria Gregorio
Clinical Social Work/Therapist, LCSW, MFA
Verified Verified
Astoria, NY 11106  (Online Only)
I am a licensed therapist with more than two decades of experience providing counseling, therapy and consultation to people struggling with trauma, depression, anxiety, grief and loss. I help people develop confidence, identify strategies for coping and attain inner strength. My expertise is in childhood trauma and complex PTSD. My practice is founded on psychodynamic, relational and cognitive-behavioral therapy (CBT) treatments. As an Asian woman of color and daughter of immigrant parents, I have a holistic perspective of how race, culture, gender, economic history and systematic oppression impacts mental health and wellness.
I am a licensed therapist with more than two decades of experience providing counseling, therapy and consultation to people struggling with trauma, depression, anxiety, grief and loss. I help people develop confidence, identify strategies for coping and attain inner strength. My expertise is in childhood trauma and complex PTSD. My practice is founded on psychodynamic, relational and cognitive-behavioral therapy (CBT) treatments. As an Asian woman of color and daughter of immigrant parents, I have a holistic perspective of how race, culture, gender, economic history and systematic oppression impacts mental health and wellness.
(347) 580-5894 View (347) 580-5894
Photo of Stephen Kendall, LMHC, LPC, Counselor
Stephen Kendall
Counselor, LMHC, LPC
Verified Verified
Astoria, NY 11105  (Online Only)
I believe that therapy should be a collaborative process. I view my clients and I as a team that is working together to help them achieve their goals. Your priorities and goals matter, and I value meeting the client where they are at as we build a therapeutic relationship together. It is important to work with the whole person and not make assumptions about the support they need. I value making therapy accessible and with as few barriers as possible.
I believe that therapy should be a collaborative process. I view my clients and I as a team that is working together to help them achieve their goals. Your priorities and goals matter, and I value meeting the client where they are at as we build a therapeutic relationship together. It is important to work with the whole person and not make assumptions about the support they need. I value making therapy accessible and with as few barriers as possible.
(917) 740-5913 View (917) 740-5913
Photo of Henriett Gonzales-Guillaury, LMHC, EdM, Counselor
Henriett Gonzales-Guillaury
Counselor, LMHC, EdM
Verified Verified
1 Endorsed
Astoria, NY 11102  (Online Only)
I typically work with adolescents and adults with one or more marginalized identities, assisting them in navigating internal and external conflicts that may show up as symptoms of anxiety, depression, prolonged stress, procrastination, relationship difficulties, and other experiences of distress. These symptoms may manifest more intensely around life transitions.
I typically work with adolescents and adults with one or more marginalized identities, assisting them in navigating internal and external conflicts that may show up as symptoms of anxiety, depression, prolonged stress, procrastination, relationship difficulties, and other experiences of distress. These symptoms may manifest more intensely around life transitions.
(646) 687-1867 View (646) 687-1867
Photo of Janine Ritchie, LMFT, MS, MBA, Marriage & Family Therapist
Janine Ritchie
Marriage & Family Therapist, LMFT, MS, MBA
Verified Verified
2 Endorsed
Astoria, NY 11102  (Online Only)
As a Licensed Marriage and Family Therapist, I work with individuals and couples, specializing in supporting relationships in crisis and facilitating personal growth. My practice emphasizes improving communication and accelerating healing, addressing a range of concerns from infidelity and conflict resolution to co-dependency and cultural differences with couples. I have experience working with cisgendered and same-sex couples, understanding the unique challenges they may face. For individuals, my focus extends to enhancing self-esteem, managing anxiety, depression, and mastering time management issues.
As a Licensed Marriage and Family Therapist, I work with individuals and couples, specializing in supporting relationships in crisis and facilitating personal growth. My practice emphasizes improving communication and accelerating healing, addressing a range of concerns from infidelity and conflict resolution to co-dependency and cultural differences with couples. I have experience working with cisgendered and same-sex couples, understanding the unique challenges they may face. For individuals, my focus extends to enhancing self-esteem, managing anxiety, depression, and mastering time management issues.
(646) 859-0643 View (646) 859-0643
Photo of Sonja DeCou, PsyD, Psychologist
Sonja DeCou
Psychologist, PsyD
Verified Verified
Astoria, NY 11102
I believe that the relationship you have with your therapist means everything. You could have the most skilled therapist on the planet, and if you feel uncomfortable with them or don’t like their approach, you will not make the progress you deserve. For this reason, it is important for you to understand who I am and how I work. I am a good fit for people who need a therapist who is genuine, open, and an active participant in the conversation. I am as real as it gets and I don’t want anything other than a real relationship with you.
I believe that the relationship you have with your therapist means everything. You could have the most skilled therapist on the planet, and if you feel uncomfortable with them or don’t like their approach, you will not make the progress you deserve. For this reason, it is important for you to understand who I am and how I work. I am a good fit for people who need a therapist who is genuine, open, and an active participant in the conversation. I am as real as it gets and I don’t want anything other than a real relationship with you.
(631) 651-6147 View (631) 651-6147
Photo of Sonia Lasmin, MHC-LP
Sonia Lasmin
MHC-LP
Verified Verified
Astoria, NY 11106
Taking the courageous step to seek counseling is an important decision, and finding a counselor with whom you can trust and connect is vital. As a Psychotherapist, I prioritize empathy, trust, and creating a non-judgmental environment for my clients.
Taking the courageous step to seek counseling is an important decision, and finding a counselor with whom you can trust and connect is vital. As a Psychotherapist, I prioritize empathy, trust, and creating a non-judgmental environment for my clients.
(332) 239-6726 View (332) 239-6726
Photo of Chrys Kasapis, PhD, Psychologist
Chrys Kasapis
Psychologist, PhD
Verified Verified
Astoria, NY 11102
I am currently accepting new patients and seeing people both in person and virtually. Feel free to reach out if you want to see if we are a good fit to work together. I have been a practicing Clinical Psychologist for over 25 years. I specialize in treating couples, adults and teens. By actively listening to you and understanding your needs, together we develop a treatment plan and focus on helping you gain insight and make changes. Whether you are struggling with anxiety, depression or feeling overwhelmed, we will work together to help you feel more at ease, self-aware and successful in your life.
I am currently accepting new patients and seeing people both in person and virtually. Feel free to reach out if you want to see if we are a good fit to work together. I have been a practicing Clinical Psychologist for over 25 years. I specialize in treating couples, adults and teens. By actively listening to you and understanding your needs, together we develop a treatment plan and focus on helping you gain insight and make changes. Whether you are struggling with anxiety, depression or feeling overwhelmed, we will work together to help you feel more at ease, self-aware and successful in your life.
(516) 882-3305 View (516) 882-3305
Photo of Karimé Hernandez, PhD, LCSW-R, MPH, Clinical Social Work/Therapist
Karimé Hernandez
Clinical Social Work/Therapist, PhD, LCSW-R, MPH
Verified Verified
Astoria, NY 11103  (Online Only)
People come to therapy for any number of reasons. Some have clear goals they would like to attain, others may just want to better themselves overall. You don’t need to have everything figured out in order to take the step toward improvement. More importantly, you don’t need to figure it out all by yourself.
People come to therapy for any number of reasons. Some have clear goals they would like to attain, others may just want to better themselves overall. You don’t need to have everything figured out in order to take the step toward improvement. More importantly, you don’t need to figure it out all by yourself.
(718) 550-0712 View (718) 550-0712
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How does your Therapist compare?

Number of Therapists in Astoria, NY

400+

Average cost per session

$150

Therapists in Astoria, NY who prioritize treating:

93% Anxiety
89% Depression
83% Relationship Issues
79% Self Esteem
72% Stress
70% Trauma and PTSD
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

89% Aetna
74% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in Astoria, NY see their clients

63% Online Only
37% In Person and Online

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Astoria?

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.