Therapists in Rochester, NY

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Photo of Sara Urciuoli, LMHC, Counselor
Sara Urciuoli
Counselor, LMHC
Verified Verified
Rochester, NY 14609  (Online Only)
Navigating relationships and life transitions can feel like traversing uncharted territory. If you're feeling lost or overwhelmed, know that you're not alone. In my practice, I specialize in guiding individuals through these challenging terrains. Whether you're grappling with communication breakdowns, coping with a breakup, or facing the uncertainty of a major life change, I'm here to support you. In our work together, we'll explore emotions, identify patterns, and develop practical strategies for navigating these challenges with confidence and resilience.
Navigating relationships and life transitions can feel like traversing uncharted territory. If you're feeling lost or overwhelmed, know that you're not alone. In my practice, I specialize in guiding individuals through these challenging terrains. Whether you're grappling with communication breakdowns, coping with a breakup, or facing the uncertainty of a major life change, I'm here to support you. In our work together, we'll explore emotions, identify patterns, and develop practical strategies for navigating these challenges with confidence and resilience.
(585) 684-7839 View (585) 684-7839
Photo of Robyn Englert, LCSW-R, Clinical Social Work/Therapist
Robyn Englert
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Rochester, NY 14618
My goal is to join people where they are in their journey and identify the areas they would like to move through. The process of facing pain and being overwhelmed can be daunting, but it doesn't have to be faced alone. Together we focus on finding healthy and effective strategies to address the pain and stuck points that will lead to a more fulfilling and balanced life. Goals include increasing awareness of symptoms and healthy ways to address, establishing healthy relationships and interpersonal patterns, managing emotions, and healing.
My goal is to join people where they are in their journey and identify the areas they would like to move through. The process of facing pain and being overwhelmed can be daunting, but it doesn't have to be faced alone. Together we focus on finding healthy and effective strategies to address the pain and stuck points that will lead to a more fulfilling and balanced life. Goals include increasing awareness of symptoms and healthy ways to address, establishing healthy relationships and interpersonal patterns, managing emotions, and healing.
(585) 653-0760 View (585) 653-0760
Photo of Allison Mills, LMSW, Clinical Social Work/Therapist
Allison Mills
Clinical Social Work/Therapist, LMSW
Verified Verified
3 Endorsed
Rochester, NY 14626  (Online Only)
Waitlist for new clients
Life can feel overwhelming and confusing when we are met with expectations that do not align with authentic self. I believe positive and effective change can happen once we become more confident and empowered within ourselves. I work with individuals to feel confident to make effective change within their life in order meet their personal and therapeutic goals. I primarily work individuals with disrupted attachments related to childhood trauma, and sexual trauma; in addition to depression, anxiety, OCD (specifically related to Relationships, Contamination, and Perfectionism), and Borderline Personality Disorder.
Life can feel overwhelming and confusing when we are met with expectations that do not align with authentic self. I believe positive and effective change can happen once we become more confident and empowered within ourselves. I work with individuals to feel confident to make effective change within their life in order meet their personal and therapeutic goals. I primarily work individuals with disrupted attachments related to childhood trauma, and sexual trauma; in addition to depression, anxiety, OCD (specifically related to Relationships, Contamination, and Perfectionism), and Borderline Personality Disorder.
(585) 476-1997 View (585) 476-1997
Photo of Relationship And Trauma Therapist Sarah Nunes, NIC, LMSW, Clinical Social Work/Therapist
Relationship And Trauma Therapist Sarah Nunes
Clinical Social Work/Therapist, NIC, LMSW
Verified Verified
9 Endorsed
Rochester, NY 14605
My practice focuses on relationships, attachment, and trauma. I work with individuals and couples who feel disconnected, unheard, and are struggling. I’m excellent at navigating complexity and co-creating a safer space with you to unpack painful experiences and overwhelming emotions while being compassionate, direct, and offering insight. I focus on looking for patterns in the past that are continuing to show up in the present that impact your relationships.
My practice focuses on relationships, attachment, and trauma. I work with individuals and couples who feel disconnected, unheard, and are struggling. I’m excellent at navigating complexity and co-creating a safer space with you to unpack painful experiences and overwhelming emotions while being compassionate, direct, and offering insight. I focus on looking for patterns in the past that are continuing to show up in the present that impact your relationships.
(585) 440-8955 View (585) 440-8955
Photo of Richard Ferguson, MS, LMHC, Counselor
Richard Ferguson
Counselor, MS, LMHC
Verified Verified
Rochester, NY 14623
I have 16 years experience working with Attention Disorders, Addictions, Brain Injury Rehabilitation,Relationship Problems, Depression, Anxiety and Stress Management. I am also Certified by the National Curriculum Training Institute in Cognitive Behavorial Change to utilize the offense specific treatment recognized by the American Probation and Parole Association for persons involved with the criminal justice system. The first appointment is a consultation and is free of charge. Give me a call at 585-292-6070.
I have 16 years experience working with Attention Disorders, Addictions, Brain Injury Rehabilitation,Relationship Problems, Depression, Anxiety and Stress Management. I am also Certified by the National Curriculum Training Institute in Cognitive Behavorial Change to utilize the offense specific treatment recognized by the American Probation and Parole Association for persons involved with the criminal justice system. The first appointment is a consultation and is free of charge. Give me a call at 585-292-6070.
(585) 542-8909 View (585) 542-8909
Photo of Kavitha Unni Finnity, PhD, Psychologist
Kavitha Unni Finnity
Psychologist, PhD
Verified Verified
Rochester, NY 14623
Are you feeling sad, anxious, dissatisfied or angry? I provide a safe, caring and non-judgmental environment. I tailor my treatment approach to the needs of each individual patient to build on the strengths you already possess. Therapy is people talking with each other to discuss life's challenges, personal concerns and emotional problems. I can help you regain control in your life by gaining insight, and learning coping skills to manage uncomfortable feelings. We will focus on the solutions that can lead to positive change.
Are you feeling sad, anxious, dissatisfied or angry? I provide a safe, caring and non-judgmental environment. I tailor my treatment approach to the needs of each individual patient to build on the strengths you already possess. Therapy is people talking with each other to discuss life's challenges, personal concerns and emotional problems. I can help you regain control in your life by gaining insight, and learning coping skills to manage uncomfortable feelings. We will focus on the solutions that can lead to positive change.
(585) 496-0551 View (585) 496-0551
Photo of Katarina Asbury, LMHC, LPC, NCC, Counselor
Katarina Asbury
Counselor, LMHC, LPC, NCC
Verified Verified
1 Endorsed
Rochester, NY 14618  (Online Only)
My name is Katarina Asbury. I am a therapist who is passionate about treating OCD and other anxiety disorders. I believe that therapy is a collaborative process meant to teach people how to manage, cope and return to feeling in control of their life as soon as possible. I have extensive experience in the application of Exposure Response Prevention and Habit Reversal Therapy. I utilize CBT in a creative and flexible way to meet the specific needs of each client and where they are in their journey.
My name is Katarina Asbury. I am a therapist who is passionate about treating OCD and other anxiety disorders. I believe that therapy is a collaborative process meant to teach people how to manage, cope and return to feeling in control of their life as soon as possible. I have extensive experience in the application of Exposure Response Prevention and Habit Reversal Therapy. I utilize CBT in a creative and flexible way to meet the specific needs of each client and where they are in their journey.
(585) 540-1383 View (585) 540-1383
Photo of Jessica Lauro, LMFT, Marriage & Family Therapist
Jessica Lauro
Marriage & Family Therapist, LMFT
Verified Verified
Rochester, NY 14623  (Online Only)
Hi, I'm Jessica Lauro. I am a Licensed Marriage and Family Therapist with over 4 years of clinical experience. I provide psychotherapy with mindfulness guidance to help clients treat, manage, and work through anxiety, depression, OCD, ADD/ADHD, panic disorder, grief/loss, marriage issues, family issues, reconciliations, divorce, self-esteem issues, and many more. I use a mix of Acceptance and Commitment (ACT), Client-Centered Therapy, Cognitive Behavioral (CBT), Dialectical (DBT), and Experiential Therapy. I believe that respect and care are always thoughtfully maintained as a standard in my therapy practice.
Hi, I'm Jessica Lauro. I am a Licensed Marriage and Family Therapist with over 4 years of clinical experience. I provide psychotherapy with mindfulness guidance to help clients treat, manage, and work through anxiety, depression, OCD, ADD/ADHD, panic disorder, grief/loss, marriage issues, family issues, reconciliations, divorce, self-esteem issues, and many more. I use a mix of Acceptance and Commitment (ACT), Client-Centered Therapy, Cognitive Behavioral (CBT), Dialectical (DBT), and Experiential Therapy. I believe that respect and care are always thoughtfully maintained as a standard in my therapy practice.
(347) 801-2785 View (347) 801-2785
Photo of Melissa McCauley, LCSW, PMH-C, Clinical Social Work/Therapist
Melissa McCauley
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Rochester, NY 14618
I am a Licensed Clinical Social Worker who graduated from Nazareth College with my master's in social work in 2013. I have served in the human service field for 10+ years in a number of different settings from schools to hospitals and public non-for-profit agencies.  In 2020 I became certified in Perinatal Mental Health. During my own motherhood journey, I felt pulled to find a way to support other moms in their journey. Motherhood is complex and complicated, and women deserve to feel like there is someone in their corner.
I am a Licensed Clinical Social Worker who graduated from Nazareth College with my master's in social work in 2013. I have served in the human service field for 10+ years in a number of different settings from schools to hospitals and public non-for-profit agencies.  In 2020 I became certified in Perinatal Mental Health. During my own motherhood journey, I felt pulled to find a way to support other moms in their journey. Motherhood is complex and complicated, and women deserve to feel like there is someone in their corner.
(585) 460-2793 View (585) 460-2793
Photo of Damaris Attanasio, LCSW, Clinical Social Work/Therapist
Damaris Attanasio
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
Rochester, NY 14618
Hi, I'm Damaris! My practice focuses on helping you learn how to connect with yourself and your emotions, cultivate self-compassion, and embrace more honesty and acceptance in your life. My areas of focus include working with adults navigating life transitions in their 20s and 30s. I am passionate about the people who experience fatigue from their high, unmet expectations. The people who struggle to disconnect their self-worth from what they do. The people who feel paralyzed by fear of failure or criticism. Perfectionism is a common thread in many of our lives, whether we’ve realized it or not.
Hi, I'm Damaris! My practice focuses on helping you learn how to connect with yourself and your emotions, cultivate self-compassion, and embrace more honesty and acceptance in your life. My areas of focus include working with adults navigating life transitions in their 20s and 30s. I am passionate about the people who experience fatigue from their high, unmet expectations. The people who struggle to disconnect their self-worth from what they do. The people who feel paralyzed by fear of failure or criticism. Perfectionism is a common thread in many of our lives, whether we’ve realized it or not.
(585) 595-0624 View (585) 595-0624
Photo of Stephanie Klehr, LMHC, CASAC, Counselor
Stephanie Klehr
Counselor, LMHC, CASAC
Verified Verified
Rochester, NY 14618
Not accepting new clients
Therapy can be a supportive way to navigate life changes and find hope in moving forward. I can certainly assist you in identifying and managing the symptoms that might be causing you some stress (ex: racing thoughts, not feeling like yourself, sadness, guilt, fear, or worry).
Therapy can be a supportive way to navigate life changes and find hope in moving forward. I can certainly assist you in identifying and managing the symptoms that might be causing you some stress (ex: racing thoughts, not feeling like yourself, sadness, guilt, fear, or worry).
(585) 536-1626 View (585) 536-1626
Photo of Dr. Marla J. Britton, EdD, LMHC, NCC, ACS
Dr. Marla J. Britton
Mental Health Counselor, EdD, LMHC, NCC, ACS
Verified Verified
2 Endorsed
Rochester, NY 14617
As a Licensed Mental Health Counselor and a National Certified Counselor, I focus on the needs of my clients. I am a goal-oriented therapist who uses an integrative approach in helping individuals achieve their personal goals. My therapeutic method is based on the individual needs of the client. I encourage self-empowerment and skill-building, and work collaboratively with clients for a solution-focused approach to help achieve goals and resolve inner conflicts. I work effectively with individuals and couples to facilitate the development and fine-tuning of coping skills that can be utilized throughout life.
As a Licensed Mental Health Counselor and a National Certified Counselor, I focus on the needs of my clients. I am a goal-oriented therapist who uses an integrative approach in helping individuals achieve their personal goals. My therapeutic method is based on the individual needs of the client. I encourage self-empowerment and skill-building, and work collaboratively with clients for a solution-focused approach to help achieve goals and resolve inner conflicts. I work effectively with individuals and couples to facilitate the development and fine-tuning of coping skills that can be utilized throughout life.
(585) 209-5317 View (585) 209-5317
Photo of Laura Jean Solomon, LCSW, Clinical Social Work/Therapist
Laura Jean Solomon
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14624  (Online Only)
Hi. My Name is Laura Solomon. I am a Licensed Clinical Social Worker and have been practicing for 20 years. I also have a Master’s in Social Science and graduated from both the University of Albany and Binghamton University. I have worked with a wide range of clients including addiction, eating disorders, anxiety, depression, codependency, grief, and family issues to name a few. I believe in meeting people where they are at yet also healthily challenging them for growth purposes. I have worked with clients in person as well as virtually.
Hi. My Name is Laura Solomon. I am a Licensed Clinical Social Worker and have been practicing for 20 years. I also have a Master’s in Social Science and graduated from both the University of Albany and Binghamton University. I have worked with a wide range of clients including addiction, eating disorders, anxiety, depression, codependency, grief, and family issues to name a few. I believe in meeting people where they are at yet also healthily challenging them for growth purposes. I have worked with clients in person as well as virtually.
(347) 407-8501 View (347) 407-8501
Photo of Julia Ricklefs, MAMFT
Julia Ricklefs
MAMFT
Not Verified Not Verified
1 Endorsed
Rochester, NY 14618
I help individuals, couples, and families who want healthier relationships (with self & others) & are struggling with how to make it happen. I create a space where each person is heard & understood. I support my clients by building safety based on accountability and consistency. I assist my clients recognize their strengths and develop skills in communication & self-esteem. I work collaboratively to establish goals with clients that are realistic and support them through the challenges of change. The ultimate goal is to assist clients to get healthy so they don't need me anymore.
I help individuals, couples, and families who want healthier relationships (with self & others) & are struggling with how to make it happen. I create a space where each person is heard & understood. I support my clients by building safety based on accountability and consistency. I assist my clients recognize their strengths and develop skills in communication & self-esteem. I work collaboratively to establish goals with clients that are realistic and support them through the challenges of change. The ultimate goal is to assist clients to get healthy so they don't need me anymore.
(585) 601-2432 View (585) 601-2432
Photo of Patrick W Walsh, MSEd, LMHC, Counselor
Patrick W Walsh
Counselor, MSEd, LMHC
Verified Verified
Rochester, NY 14618
I provide individual psychotherapy to adults age 21 and over. My interests and expertise center around enhancing self-awareness, self-regard, confidence, and assertiveness; exploring and directly experiencing difficult or painful feelings, and increasing the capacity to accept, understand, and work them through; improving troubled relationships, including fears about, and barriers to, deeper emotional closeness; clarifying what one most fundamentally values and wants in life, and creates and finds meaning; working with loss, grief, and mourning; and managing stress and anxiety, drawing on mindfulness approaches when appropriate.
I provide individual psychotherapy to adults age 21 and over. My interests and expertise center around enhancing self-awareness, self-regard, confidence, and assertiveness; exploring and directly experiencing difficult or painful feelings, and increasing the capacity to accept, understand, and work them through; improving troubled relationships, including fears about, and barriers to, deeper emotional closeness; clarifying what one most fundamentally values and wants in life, and creates and finds meaning; working with loss, grief, and mourning; and managing stress and anxiety, drawing on mindfulness approaches when appropriate.
(585) 252-2155 View (585) 252-2155
Photo of Xiomoria Scott, CASAC-T, LMHC, Counselor
Xiomoria Scott
Counselor, CASAC-T, LMHC
Verified Verified
2 Endorsed
Rochester, NY 14620  (Online Only)
Imagine having everything you need to be the "best" you, but not knowing how to fully access it. This word "resilience" has become such a popular term and it can be amazing to help us cope with life, if we know how it truly works and how to access it. I specialize in youth and adult anxiety, depression, substance abuse, trauma and much more. Although most of these issues can cause problems in daily life. These problems are manageable and I am willing to help you create the narrative of your best self.
Imagine having everything you need to be the "best" you, but not knowing how to fully access it. This word "resilience" has become such a popular term and it can be amazing to help us cope with life, if we know how it truly works and how to access it. I specialize in youth and adult anxiety, depression, substance abuse, trauma and much more. Although most of these issues can cause problems in daily life. These problems are manageable and I am willing to help you create the narrative of your best self.
(585) 479-3763 View (585) 479-3763
Photo of Chad McDonald - Motivated 4 Change LLC, BSW, MSW, LMSW , LCSW, Clinical Social Work/Therapist
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.
(585) 549-2958 View (585) 549-2958
Photo of Heather Elston, LCSW-R, Clinical Social Work/Therapist
Heather Elston
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Rochester, NY 14625
Are you looking for an experienced therapist to help you feel better and live better? Are you hoping to improve communication with your partner or in your family relationships? I'd like to help you find a pathway to lasting change. I have more than 20 years of experience working with people across the lifespan, across genders and orientations, and facing varied stressors.
Are you looking for an experienced therapist to help you feel better and live better? Are you hoping to improve communication with your partner or in your family relationships? I'd like to help you find a pathway to lasting change. I have more than 20 years of experience working with people across the lifespan, across genders and orientations, and facing varied stressors.
(585) 357-4815 View (585) 357-4815
Photo of Todd Kennedy, LMSW
Todd Kennedy
Master Social Work, LMSW
Verified Verified
Rochester, NY 14618
I have 25 years of experience counseling adolescents and adults who are experiencing issues of difficult life adjustments (grief, loss), depression and anxiety. I also consider myself an expert in navigating the complex world of dating for young men. I have extensive experience working with couples which has been the one of the main areas of focus in my practice post Covid.
I have 25 years of experience counseling adolescents and adults who are experiencing issues of difficult life adjustments (grief, loss), depression and anxiety. I also consider myself an expert in navigating the complex world of dating for young men. I have extensive experience working with couples which has been the one of the main areas of focus in my practice post Covid.
(585) 563-8050 View (585) 563-8050
Photo of Eleanor Seifert, LCSW, Clinical Social Work/Therapist
Eleanor Seifert
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14609
Hi and welcome! I believe everyone can benefit from intentional time to reflect and process. People seek out therapy for a variety of reasons. Maybe you’d like to feel happier, or better understand yourself and those around you. Maybe you are a parent who would like support for your child, or to have less conflict at home. My goal is to understand your needs and help you feel better. I have over 10 years of experience working in the mental health field with children, teens, families, and young adults.
Hi and welcome! I believe everyone can benefit from intentional time to reflect and process. People seek out therapy for a variety of reasons. Maybe you’d like to feel happier, or better understand yourself and those around you. Maybe you are a parent who would like support for your child, or to have less conflict at home. My goal is to understand your needs and help you feel better. I have over 10 years of experience working in the mental health field with children, teens, families, and young adults.
(585) 595-0820 View (585) 595-0820
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How does your Therapist compare?

Number of Therapists in Rochester, NY

900+

Average cost per session

$125

Therapists in Rochester, NY who prioritize treating:

92% Anxiety
86% Depression
78% Relationship Issues
76% Self Esteem
71% Coping Skills
71% Stress
67% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

82% Aetna
60% Cigna and Evernorth
50% UnitedHealthcare UHC | UBH

How Therapists in Rochester, NY see their clients

66% In Person and Online
34% Online Only

Gender breakdown

81% Female
18% 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

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.