Therapists in Rochester, NY
![Photo of Carol Inzinga - Carol Inzinga, LCSW, PLLC, LCSW-R, Clinical Social Work/Therapist](https://photos.psychologytoday.com/40b61dc8-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Carol Inzinga, LCSW, PLLC
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Rochester, NY 14618
I specialize in the area of Trauma, which is an extraordinarily stressful event or events that shatters your sense of security, making you feel helpless and vulnerable. My experience has enabled me to work with clients that have symptoms of PTSD, anxiety, depression, stress and many other emotional and physical responses. It is important to develop a collaborative relationship with the clients I serve and create an environment that provides support. My focus is first on relieving the symptoms and then addressing the distressing or traumatic events.
I specialize in the area of Trauma, which is an extraordinarily stressful event or events that shatters your sense of security, making you feel helpless and vulnerable. My experience has enabled me to work with clients that have symptoms of PTSD, anxiety, depression, stress and many other emotional and physical responses. It is important to develop a collaborative relationship with the clients I serve and create an environment that provides support. My focus is first on relieving the symptoms and then addressing the distressing or traumatic events.
![Photo of Emily Rittenberg, LMHC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/29c0acef-fb29-4147-acca-ae1af1e29673/2/320x400.jpeg)
Emily Rittenberg
Licensed Professional Counselor, LMHC, NCC
Verified Verified
1 Endorsed
Rochester, NY 14610
Not accepting new clients
I help clients, of all ages, overcome adversity to lead rich, full, and meaningful lives. Sometimes clients reach out with specific issues they would like to work on and sometimes clients aren't sure what exactly the "problem" is, they just aren't happy or satisfied. My job is to walk along side you and help you uncover and live your truth in a warm and therapeutic way. I safely encourage the best of the people I work with, even when they aren't feeling like that is possible. Life is constantly changing and I can help you find your way.
I help clients, of all ages, overcome adversity to lead rich, full, and meaningful lives. Sometimes clients reach out with specific issues they would like to work on and sometimes clients aren't sure what exactly the "problem" is, they just aren't happy or satisfied. My job is to walk along side you and help you uncover and live your truth in a warm and therapeutic way. I safely encourage the best of the people I work with, even when they aren't feeling like that is possible. Life is constantly changing and I can help you find your way.
![Photo of Alana Geller, LMHC](https://photos.psychologytoday.com/1b7b9234-5c3b-4ad2-9e27-3a797f0ae181/1/320x400.png)
Welcome! As a child and adolescent therapist, my goal is to support children and teens in processing traumatic experiences, developing healthy coping skills, building self-esteem, and fostering positive interpersonal relationships. I specialize in working with children (ages 3-18) who have experienced trauma.
Welcome! As a child and adolescent therapist, my goal is to support children and teens in processing traumatic experiences, developing healthy coping skills, building self-esteem, and fostering positive interpersonal relationships. I specialize in working with children (ages 3-18) who have experienced trauma.
![Photo of Howard B. Adler, LCSW-R, CSAT, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4bd4fb10-46cd-11ea-a6ad-06142c356176/1/320x400.jpeg)
Howard B. Adler
Clinical Social Work/Therapist, LCSW-R, CSAT
Verified Verified
Rochester, NY 14610
Not accepting new clients
If you are struggling with anxiety, depression, low self-worth, a tough inner critic, or preoccupied with unwanted urges, thoughts or behaviors, I'm here to help. I will assist you in getting to know yourself better and transform the parts of you that are currently getting in the way of your happiness and aspirations for a better life. Let's work together to relieve your fears, insecurities, depression, anxiety, and intimacy issues. In addition, I am certified to help those struggling with the disruptive impact of sex & pornography addiction and betrayal trauma. This too can be healed for both you and your partner.
If you are struggling with anxiety, depression, low self-worth, a tough inner critic, or preoccupied with unwanted urges, thoughts or behaviors, I'm here to help. I will assist you in getting to know yourself better and transform the parts of you that are currently getting in the way of your happiness and aspirations for a better life. Let's work together to relieve your fears, insecurities, depression, anxiety, and intimacy issues. In addition, I am certified to help those struggling with the disruptive impact of sex & pornography addiction and betrayal trauma. This too can be healed for both you and your partner.
![Photo of Clarissa Williams, LMSW](https://photos.psychologytoday.com/627a758c-a64c-4ee2-93b6-0c31adde91c3/1/320x400.jpeg)
Clarissa Williams
Licensed Master Social Worker, LMSW
Verified Verified
Rochester, NY 14619 (Online Only)
Hello! I am happy you are taking the next step to care for yourself and start therapy. Caring for our mental health is an essential part of our overall wellness. When you are ready to reach out and start therapy, my intention is to provide a safe, non-judgmental space where you can talk about your life and the struggles you may be facing. I will provide an empathetic listening ear while encouraging you to reflect on your goals and changes you would like to make.
Hello! I am happy you are taking the next step to care for yourself and start therapy. Caring for our mental health is an essential part of our overall wellness. When you are ready to reach out and start therapy, my intention is to provide a safe, non-judgmental space where you can talk about your life and the struggles you may be facing. I will provide an empathetic listening ear while encouraging you to reflect on your goals and changes you would like to make.
![Photo of Sabrina I Smith - S Solutions Therapy —Sabrina Smith, MHC-P](https://photos.psychologytoday.com/856acfd2-8a7c-4a12-8091-dcd88628652b/2/320x400.jpeg)
The ideal Client for S.S. Solutions Therapy may be struggling with past trauma, anxiety, depression, obsessive behaviors, unsatisfactory relationships, and/or their sense of purpose in life. Prospective Clients may have treatment goals such as building emotion regulation, interpersonal effectiveness, and distress tolerance skills, processing and coping with trauma, and/or feeling more comfortable addressing existential issues. Individuals may be seeking to reduce symptoms, get a better hold on their current situation, address deep-seeded childhood issues, and/or strive for general contentedness.
The ideal Client for S.S. Solutions Therapy may be struggling with past trauma, anxiety, depression, obsessive behaviors, unsatisfactory relationships, and/or their sense of purpose in life. Prospective Clients may have treatment goals such as building emotion regulation, interpersonal effectiveness, and distress tolerance skills, processing and coping with trauma, and/or feeling more comfortable addressing existential issues. Individuals may be seeking to reduce symptoms, get a better hold on their current situation, address deep-seeded childhood issues, and/or strive for general contentedness.
![Photo of Dina Y Johnson, MS, MFT-LP](https://photos.psychologytoday.com/a7733bb7-0f4a-49f3-a547-ec4ea1067638/1/320x400.jpeg)
Someone navigating life with unique challenges and needs shaped by their experiences and the social determinants of health (SDOH). They may face stigma related to their issues, which have likely impacted their journey. Understanding their goals and desires is crucial—what do they want to achieve, and why? By listening attentively and meeting them where they are, we acknowledge their expertise in their own life. Acting as a supportive guide, we help them navigate obstacles and ensure they feel supported and understood throughout their journey, reminding them they are not alone.
Someone navigating life with unique challenges and needs shaped by their experiences and the social determinants of health (SDOH). They may face stigma related to their issues, which have likely impacted their journey. Understanding their goals and desires is crucial—what do they want to achieve, and why? By listening attentively and meeting them where they are, we acknowledge their expertise in their own life. Acting as a supportive guide, we help them navigate obstacles and ensure they feel supported and understood throughout their journey, reminding them they are not alone.
![Photo of Claire McLauchlin, PhD, Psychologist](https://photos.psychologytoday.com/8710f178-9c1f-4b50-9638-8136c8adfe76/1/320x400.jpeg)
When things are difficult, it can isolate us, drain our emotional reserves, and limit our ability to look at things in new ways. I work to help clients appreciate the depth of their experience, and support them toward personal strength and healthier relationships. My style is open, collaborative, direct, and supportive. I am a licensed clinical psychologist with over 20 years in private practice. I also served as adjunct faculty at the University of Rochester's Counseling Center for many years.
When things are difficult, it can isolate us, drain our emotional reserves, and limit our ability to look at things in new ways. I work to help clients appreciate the depth of their experience, and support them toward personal strength and healthier relationships. My style is open, collaborative, direct, and supportive. I am a licensed clinical psychologist with over 20 years in private practice. I also served as adjunct faculty at the University of Rochester's Counseling Center for many years.
![Photo of Deborah Hudson, LCSW-R, PhD, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d2d0ff1-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
My mission is to provide effective therapy in the interest of empowering my clients to experience optimum well-being and quality of life. I specialize in client concerns pertaining to relational and sexual health; parenting; assisting families to thrive during times of life transition (such as adolescence, young adulthood, and divorce); and to facilitate the healthy self-esteem, development, and functioning of individuals, couples, and families. My approach takes into account the whole person, including emotional, physical, relational, and spiritual factors.
My mission is to provide effective therapy in the interest of empowering my clients to experience optimum well-being and quality of life. I specialize in client concerns pertaining to relational and sexual health; parenting; assisting families to thrive during times of life transition (such as adolescence, young adulthood, and divorce); and to facilitate the healthy self-esteem, development, and functioning of individuals, couples, and families. My approach takes into account the whole person, including emotional, physical, relational, and spiritual factors.
![Photo of Chad McDonald - Motivated 4 Change LLC, BSW, MSW, LMSW , LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/44e22280-0670-40d9-a1fe-3310c44a5dfd/1/320x400.jpeg)
Motivated 4 Change LLC
Clinical Social Work/Therapist, BSW, MSW, LMSW , LCSW
Verified Verified
Rochester, NY 14605
Motivated 4 Change L.L.C. Mental Health and Counseling Services is an established and professionally licensed mental health and counseling service in Rochester, NY, created to address the growing need for positive influences and meaningful support in the lives of today's men and women from adolescent to adulthood. As the number of negative stressors in the lives of our society increases, so does the necessity for affirmative representation to aid in addressing the development of positive coping skills and stress management.
Motivated 4 Change L.L.C. Mental Health and Counseling Services is an established and professionally licensed mental health and counseling service in Rochester, NY, created to address the growing need for positive influences and meaningful support in the lives of today's men and women from adolescent to adulthood. As the number of negative stressors in the lives of our society increases, so does the necessity for affirmative representation to aid in addressing the development of positive coping skills and stress management.
![Photo of Donna J Grant, MSW, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e7042ddd-34f0-4c92-9c78-335852081085/1/320x400.jpeg)
I offer an interactive, practical, comprehensive, respectful and resourceful style of therapy that helps people shift their focus from wondering, "What's wrong with me?" to asking a very different question: "What's right about me?" My sessions, for both individuals and couples, are designed to identify effective and practical problem-solving strategies, as well as to uncover inner strengths and healing resources to address your concerns. I am open-minded and value cultural and religious diversity.
I offer an interactive, practical, comprehensive, respectful and resourceful style of therapy that helps people shift their focus from wondering, "What's wrong with me?" to asking a very different question: "What's right about me?" My sessions, for both individuals and couples, are designed to identify effective and practical problem-solving strategies, as well as to uncover inner strengths and healing resources to address your concerns. I am open-minded and value cultural and religious diversity.
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![Photo of Carly St. John, LMHC, Counselor](https://photos.psychologytoday.com/9eaa385a-8152-4c60-bbc6-0688f7c0f73e/1/320x400.jpeg)
Who am I? What is important to me? What do I believe in? What do I want out of life? I know firsthand what it is like to face these questions, especially when rebuilding after disappointment, trauma, and loss. In my own experience and in my experience working with clients, I have found that the most difficult times of our lives can be the catalyst to our greatest growth, and eventually, a sense of peace we had not thought possible.
Who am I? What is important to me? What do I believe in? What do I want out of life? I know firsthand what it is like to face these questions, especially when rebuilding after disappointment, trauma, and loss. In my own experience and in my experience working with clients, I have found that the most difficult times of our lives can be the catalyst to our greatest growth, and eventually, a sense of peace we had not thought possible.
![Photo of Frank Barone, LCSW-R, MSW, BCD, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4013b966-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Frank Barone
Clinical Social Work/Therapist, LCSW-R, MSW, BCD
Verified Verified
Rochester, NY 14610 (Online Only)
I am a psychotherapist specializing in growth-oriented counseling with adults & couples. My clients typically work to increase awareness of their present life patterns which lead to various forms of emotional distress. This pain often causes significant disruption in their social, work, physical lives or intimate relationships. Early life experiences influence how we all experience our lives today. Insights and associations during talk therapy often bring previously unseen dynamics to light leading to healthier choices and increased fulfillment. Sessions take place weekly over the course of many months or more for lasting growth.
I am a psychotherapist specializing in growth-oriented counseling with adults & couples. My clients typically work to increase awareness of their present life patterns which lead to various forms of emotional distress. This pain often causes significant disruption in their social, work, physical lives or intimate relationships. Early life experiences influence how we all experience our lives today. Insights and associations during talk therapy often bring previously unseen dynamics to light leading to healthier choices and increased fulfillment. Sessions take place weekly over the course of many months or more for lasting growth.
![Photo of Samantha Jakubowski, LMHC, M-CASAC, Counselor](https://photos.psychologytoday.com/e67c11cc-2cb7-4d33-9cb0-a022e06f6c6c/1/320x400.jpeg)
Hi! I have been practicing addiction counseling for over 15 years, working with individuals, young adults and families. I expanded my practice to include mental health for the last 10 years and most recently began focusing on law enforcement/first responders. I work with individuals to determine what their goals are and help them achieve them. Individuals who are serious about their recovery and goals would be a great fit. Only you can change your future!
Hi! I have been practicing addiction counseling for over 15 years, working with individuals, young adults and families. I expanded my practice to include mental health for the last 10 years and most recently began focusing on law enforcement/first responders. I work with individuals to determine what their goals are and help them achieve them. Individuals who are serious about their recovery and goals would be a great fit. Only you can change your future!
![Photo of Lindsay Cray, MS , MHC-LP](https://photos.psychologytoday.com/04bd1415-fafc-4688-b1d2-be3875ecd83e/2/320x400.jpeg)
It's more common than we recognize to feel depleted or lost. Sometimes life has a way of challenging us, pushing our limits or asking us to expand even when we're not sure we can. To navigate these uncertainties, including the possibility of failure, we need support in this journey of self-discovery; to be authentically seen and accepted for who we are without judgement. Though it may be uncomfortable, having your experiences validated can ultimately be liberating, and I am committed to helping you go there. Whether it be past or present, how to get started or what the solution looks like, we will figure it out, together.
It's more common than we recognize to feel depleted or lost. Sometimes life has a way of challenging us, pushing our limits or asking us to expand even when we're not sure we can. To navigate these uncertainties, including the possibility of failure, we need support in this journey of self-discovery; to be authentically seen and accepted for who we are without judgement. Though it may be uncomfortable, having your experiences validated can ultimately be liberating, and I am committed to helping you go there. Whether it be past or present, how to get started or what the solution looks like, we will figure it out, together.
![Photo of Steven Sanfilippo, MSEd, LMHC, Counselor](https://photos.psychologytoday.com/40a08d83-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
You've come here and you're reading this because you need to make a change. Whether you are experiencing depression, anxiety, issues with self-doubt/self-confidence, existential difficulties, difficulties with relationships, or maybe life is great but you'd like it to be better by getting to deeper internal struggles, I am at your service. I'm looking forward to meeting you and getting to know you better. Let's walk your path together and create the life you want.
You've come here and you're reading this because you need to make a change. Whether you are experiencing depression, anxiety, issues with self-doubt/self-confidence, existential difficulties, difficulties with relationships, or maybe life is great but you'd like it to be better by getting to deeper internal struggles, I am at your service. I'm looking forward to meeting you and getting to know you better. Let's walk your path together and create the life you want.
![Photo of Allison S Fitzsimmons, LCAT, Art Therapist](https://photos.psychologytoday.com/b8a17f8e-b409-4f74-b579-33fbede85e6e/1/320x400.jpeg)
As a clinical therapist with over a decade of dedicated experience, I believe the therapeutic journey should be centered around fostering a strong, collaborative partnership with my clients. Healing begins within the context of a safe and compassionate environment, where clients feel valued, heard, and empowered. Each person I work with is unique, and I am committed to tailoring my approach to meet their individual needs and aspirations.
As a clinical therapist with over a decade of dedicated experience, I believe the therapeutic journey should be centered around fostering a strong, collaborative partnership with my clients. Healing begins within the context of a safe and compassionate environment, where clients feel valued, heard, and empowered. Each person I work with is unique, and I am committed to tailoring my approach to meet their individual needs and aspirations.
![Photo of Breeanna Riley, LMSW](https://photos.psychologytoday.com/12c5bd31-0f4f-4687-803a-4936c36504a1/1/320x400.png)
Are you aiming to improve your relationships with the goal of creating a greater sense of community support? Are you self-motivated and interested in processing your life experiences to find patterns and make meaning of your emotional experiences? A typical client will be aligned with the belief in the importance of community and community care. I work with clients who are ready to do "the work." The expectation is that clients show up regularly and on time for sessions.
Are you aiming to improve your relationships with the goal of creating a greater sense of community support? Are you self-motivated and interested in processing your life experiences to find patterns and make meaning of your emotional experiences? A typical client will be aligned with the belief in the importance of community and community care. I work with clients who are ready to do "the work." The expectation is that clients show up regularly and on time for sessions.
![Photo of Meg Dorfner, PsyD, Psychologist](https://photos.psychologytoday.com/ad63d4ac-33dd-47a3-a165-136fedc6ee5f/1/320x400.jpeg)
I have immediate openings for comprehensive psychological assessment and testing children (6+), teens, and adults located in Rochester and Buffalo NY. The evidence-based battery of tests I utilize range from targeting general questions, such as general diagnostic and personality testing, to more specific questions, including testing for ADHD and/or Autism. Results can help inform diagnosis, treatment recommendations, and school/work accommodations in addition to providing a deeper understanding of yourself or your child.
I have immediate openings for comprehensive psychological assessment and testing children (6+), teens, and adults located in Rochester and Buffalo NY. The evidence-based battery of tests I utilize range from targeting general questions, such as general diagnostic and personality testing, to more specific questions, including testing for ADHD and/or Autism. Results can help inform diagnosis, treatment recommendations, and school/work accommodations in addition to providing a deeper understanding of yourself or your child.
![Photo of Joe Russo, PsyD, Psychologist](https://photos.psychologytoday.com/3d54eb85-46cd-11ea-a6ad-06142c356176/4/320x400.jpeg)
With 30 years of experience, Dr. Russo's psychotherapy practice serves adults in a comforting and confidential setting. Quality treatment is provided which is evidence based, time-effective, and based on your chosen treatment goals. Individual psychotherapy is available. Office hours are Monday through Friday 12:00- 8:00 pm. Together, we will strive for wellness, balance and recovery in your life. Dr. Russo is a member of the New York State Psychological Association as well as the Genesee Valley Psychological Association.
With 30 years of experience, Dr. Russo's psychotherapy practice serves adults in a comforting and confidential setting. Quality treatment is provided which is evidence based, time-effective, and based on your chosen treatment goals. Individual psychotherapy is available. Office hours are Monday through Friday 12:00- 8:00 pm. Together, we will strive for wellness, balance and recovery in your life. Dr. Russo is a member of the New York State Psychological Association as well as the Genesee Valley Psychological Association.
See more therapy options for Rochester
How does your Therapist compare?
Number of Therapists in Rochester, NY
900+
Average cost per session
$125
Therapists in Rochester, NY who prioritize treating:
93% | Anxiety |
86% | Depression |
79% | Relationship Issues |
76% | Self Esteem |
71% | Stress |
70% | Coping Skills |
68% | Trauma and PTSD |
Average years in practice
12 Years
Top 3 insurances accepted
81% | Aetna |
59% | Cigna and Evernorth |
51% | UnitedHealthcare UHC | UBH |
How Therapists in Rochester, NY see their clients
68% | In Person and Online | |
32% | Online Only |
Gender breakdown
82% | Female | |
17% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Rochester?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.