Therapists in Kingston, MA
![Photo of Carolyn Judge, MEd, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3d760472-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Are you experiencing distress in your daily life and in your relationships? Are you feeling depressed, anxious, confused or disempowered? Are you frustrated by repetitive nonproductive disagreements with your partner? As a practicing therapist for twenty plus years, I have worked with individuals, couples and families struggling with depression, anxiety, relationship difficulties, and substance abuse issues. It is my belief that basic to all relationships, is the relationship with self. In our work we will look at relationship patterns to identify barriers to creating healthy, satisfying connections with ourselves and others in our lives, play, and work.
Are you experiencing distress in your daily life and in your relationships? Are you feeling depressed, anxious, confused or disempowered? Are you frustrated by repetitive nonproductive disagreements with your partner? As a practicing therapist for twenty plus years, I have worked with individuals, couples and families struggling with depression, anxiety, relationship difficulties, and substance abuse issues. It is my belief that basic to all relationships, is the relationship with self. In our work we will look at relationship patterns to identify barriers to creating healthy, satisfying connections with ourselves and others in our lives, play, and work.
![Photo of Cristin M Duffy - Anchor of Grace Counseling PLLC, MA, LMHC, Counselor](https://photos.psychologytoday.com/47050d7a-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
*******We have expanded our practice and are now ACCEPTING NEW CLIENTS***** "The journey of a thousand miles begins with a single step". - Laozi- I have experience working with individuals and families experiencing a wide variety of circumstances. I enjoy getting to know clients, developing goals suited to their individualized needs, strengths and vision for the future. Through a client-centered approach, I work with clients to develop positive coping strategies to manage emotions, increase communication, build interpersonal skills and resolve conflict.
*******We have expanded our practice and are now ACCEPTING NEW CLIENTS***** "The journey of a thousand miles begins with a single step". - Laozi- I have experience working with individuals and families experiencing a wide variety of circumstances. I enjoy getting to know clients, developing goals suited to their individualized needs, strengths and vision for the future. Through a client-centered approach, I work with clients to develop positive coping strategies to manage emotions, increase communication, build interpersonal skills and resolve conflict.
![Photo of Julie Hill-King, LICSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3e9162fe-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Julie Hill-King
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Kingston, MA 02364 (Online Only)
Daytime telehealth availability in September! ”You can't go back and change the beginning but you can start where you are and change the ending" C.S. Lewis... I believe therapy is a journey of exploration and self-discovery. I offer a warm, supportive environment that promotes positive change. I utilize a strengths-based, collaborative approach to therapy that is designed to individually meet each your unique needs. Therapy will tap into a combination of modalities, skills, and mindfulness tailored to my clients strengths, needs and goals. Looking to start a private practice? I offer consultation services on how to begin!
Daytime telehealth availability in September! ”You can't go back and change the beginning but you can start where you are and change the ending" C.S. Lewis... I believe therapy is a journey of exploration and self-discovery. I offer a warm, supportive environment that promotes positive change. I utilize a strengths-based, collaborative approach to therapy that is designed to individually meet each your unique needs. Therapy will tap into a combination of modalities, skills, and mindfulness tailored to my clients strengths, needs and goals. Looking to start a private practice? I offer consultation services on how to begin!
![Photo of Kathleen Anderson - Andersonka Counseling LLC, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/392d6f7c-15bf-4a94-8c54-c792e6239159/1/320x400.jpeg)
Andersonka Counseling LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Kingston, MA 02364
If you are struggling with anxiety or depression, unresolved grief, life transitions and stressors or are experiencing burnout in your professional or personal caretaking role, I'd like to help.
If you are struggling with anxiety or depression, unresolved grief, life transitions and stressors or are experiencing burnout in your professional or personal caretaking role, I'd like to help.
![Photo of Kristen E Anderson, PhD, LMHC , NCC, Counselor](https://photos.psychologytoday.com/3e69455d-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Kristen E Anderson
Counselor, PhD, LMHC , NCC
Verified Verified
1 Endorsed
Kingston, MA 02364 (Online Only)
Accepting new/ tele-health clients!! Welcome, simply arriving on this site suggests you have moved forward on your journey to health and wellness. I have been counseling clients for over 20 years and have found that making this initial outreach is often the biggest hurdle. Many of the individuals I work with have experienced depression or anxiety and many have found that substance use, once a form of 'decompression', has in fact compounded their struggle. This does not need to be your 'new' or 'permanant normal.'
Accepting new/ tele-health clients!! Welcome, simply arriving on this site suggests you have moved forward on your journey to health and wellness. I have been counseling clients for over 20 years and have found that making this initial outreach is often the biggest hurdle. Many of the individuals I work with have experienced depression or anxiety and many have found that substance use, once a form of 'decompression', has in fact compounded their struggle. This does not need to be your 'new' or 'permanant normal.'
![Photo of Elizabeth Mazzilli, MA, LMHC, Counselor](https://photos.psychologytoday.com/3c588339-46cd-11ea-a6ad-06142c356176/5/320x400.jpeg)
Elizabeth Mazzilli
Counselor, MA, LMHC
Verified Verified
Kingston, MA 02364
Not accepting new clients
I believe that trust is the cornerstone to a successful therapy relationship and that effective treatment balances both acceptance and change. I allow my clients time to warm up to both me and the treatment process. My goal is to provide a safe and comfortable atmosphere for clients of all ages to address whatever challenges they may be facing and I do use humor when appropriate in session. I love meeting new clients and helping them reach their full potential.
I believe that trust is the cornerstone to a successful therapy relationship and that effective treatment balances both acceptance and change. I allow my clients time to warm up to both me and the treatment process. My goal is to provide a safe and comfortable atmosphere for clients of all ages to address whatever challenges they may be facing and I do use humor when appropriate in session. I love meeting new clients and helping them reach their full potential.
![Photo of Jennifer Lee Trott - Jennifer Trott, LICSW, CADC, LADC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3327fdff-ceeb-48d1-b60b-454d25837f69/2/320x400.jpeg)
Jennifer Trott
Clinical Social Work/Therapist, LICSW, CADC, LADC
Verified Verified
Kingston, MA 02364 (Online Only)
Not accepting new clients
Are you ready to feel better and improve the quality of your life? My goal as a therapist is to assist individuals with issues ranging from anxiety and depression to substance abuse. I work with clients ranging from young adults through older adults.
Are you ready to feel better and improve the quality of your life? My goal as a therapist is to assist individuals with issues ranging from anxiety and depression to substance abuse. I work with clients ranging from young adults through older adults.
![Photo of Jane Sullivan, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d4ab2d5-35c8-4998-ae27-be8a52ca8062/3/320x400.jpeg)
Jane Sullivan
Clinical Social Work/Therapist, LICSW
Verified Verified
Kingston, MA 02364 (Online Only)
Hi there! My name is Jane, and I understand that with life comes tough times, and no one should have to navigate the difficult parts alone. I am a therapist dedicated to assisting individuals with depression, anxiety, PTSD, family conflicts or stressful life changes. I am down-to-earth and completely non-judgmental. I would love to be given the opportunity to hear your story and help you get to a better emotional space.
Hi there! My name is Jane, and I understand that with life comes tough times, and no one should have to navigate the difficult parts alone. I am a therapist dedicated to assisting individuals with depression, anxiety, PTSD, family conflicts or stressful life changes. I am down-to-earth and completely non-judgmental. I would love to be given the opportunity to hear your story and help you get to a better emotional space.
![Photo of Nicholas M. Auerbach, MEd, LMHC, Counselor](https://photos.psychologytoday.com/3c683574-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I am working with clients to address their beliefs about themselves and how things "should" be. Please note: the only form of MassHealth I can accept is MBHP.
I am working with clients to address their beliefs about themselves and how things "should" be. Please note: the only form of MassHealth I can accept is MBHP.
![Photo of Lauren Powell, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9da037be-2057-4dca-b077-0ea7f8729671/1/320x400.jpeg)
Lauren Powell
Clinical Social Work/Therapist, LCSW
Verified Verified
Kingston, MA 02364 (Online Only)
Waitlist for new clients
I received my Bachelors in Sociology with a minor in music, my first Masters in Human Relations with an emphasis in counseling, and my second Masters in Social Work. I am a licensed social worker with experience working with many different populations and age groups. I have worked in various settings including nonprofit leadership, foster care and adoption, and homelessness. I have training in trauma focused approaches and specialize in LGBTQIA+, chronic illness, and anxiety.
I received my Bachelors in Sociology with a minor in music, my first Masters in Human Relations with an emphasis in counseling, and my second Masters in Social Work. I am a licensed social worker with experience working with many different populations and age groups. I have worked in various settings including nonprofit leadership, foster care and adoption, and homelessness. I have training in trauma focused approaches and specialize in LGBTQIA+, chronic illness, and anxiety.
![Photo of Heidi Conner, LICSW, CADC-II, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a69c9784-a252-4783-b800-064eabbdf1b7/1/320x400.jpeg)
Heidi Conner
Clinical Social Work/Therapist, LICSW, CADC-II
Verified Verified
Kingston, MA 02364 (Online Only)
Waitlist for new clients
By the time you begin looking for a therapist, you may have tried many different approaches to help yourself feel better. If you’re feeling stuck, overwhelmed, or seeking a new perspective, I can offer non-judgmental support and guidance in a safe and nurturing environment. Taking the first step toward beginning therapy isn’t easy, but it’s a courageous choice that can open doors to positive change and personal fulfillment.
By the time you begin looking for a therapist, you may have tried many different approaches to help yourself feel better. If you’re feeling stuck, overwhelmed, or seeking a new perspective, I can offer non-judgmental support and guidance in a safe and nurturing environment. Taking the first step toward beginning therapy isn’t easy, but it’s a courageous choice that can open doors to positive change and personal fulfillment.
15 Second Videos
Nora Foley
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![Photo of Dr. Colleen Long, PsyD, Psychologist](https://photos.psychologytoday.com/bab4ec8c-6154-4626-b23f-e9ddda502fd7/1/320x400.jpeg)
You would never let your child or yourself undergo surgery without an x-ray, so why would you ever start medications or therapy without testing? Our practice helps thousands of Massachusetts children, teens, and adults who have tried a myriad of therapies and medications with little to no success, so far. Our mission is to provide hope again in what seems like a failing mental health care system. We also accept every major insurance payer to ensure that all people can get access to affordable quality psychological testing.
You would never let your child or yourself undergo surgery without an x-ray, so why would you ever start medications or therapy without testing? Our practice helps thousands of Massachusetts children, teens, and adults who have tried a myriad of therapies and medications with little to no success, so far. Our mission is to provide hope again in what seems like a failing mental health care system. We also accept every major insurance payer to ensure that all people can get access to affordable quality psychological testing.
![Photo of Shannon Ahern, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/365d0af4-79f8-4b67-bbe8-8f5dd77f554a/1/320x400.jpeg)
Hey there! I am a Licensed Independent Clinical Social Worker (LICSW) living and working on the South Shore of Massachusetts. I received my Master's in Social Work from Tulane University in 2010. Since then, I have worked in a variety of settings (community, hospitals, schools) with children and adults providing trauma informed clinical services, both short and long term. I am excited to offer both virtual and in person counseling services in a very unique setting!
Hey there! I am a Licensed Independent Clinical Social Worker (LICSW) living and working on the South Shore of Massachusetts. I received my Master's in Social Work from Tulane University in 2010. Since then, I have worked in a variety of settings (community, hospitals, schools) with children and adults providing trauma informed clinical services, both short and long term. I am excited to offer both virtual and in person counseling services in a very unique setting!
![Photo of Nora Foley, LICSW, CASAC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/6d65f731-e77a-4206-be30-6fd9dc838182/2/320x400.jpeg)
Nora Foley
Clinical Social Work/Therapist, LICSW, CASAC
Verified Verified
2 Endorsed
Kingston, MA 02364
My name is Nora Foley and I am a licensed independent clinical social worker (LICSW) as well as a certified alcohol and substance abuse counselor. I earned my Bachelors Degree in Psychology from Curry College in Milton, MA, and my Masters Degree in Clinical Social Work from Simmons University in Boston, MA. I am focused on providing quality mental healthcare and social services to individuals spanning across various life stages, including children and youth, mid-life, and geriatric. As a licensed psychotherapist, I am able to assess, diagnose, treat or make appropriate referrals for various mental health conditions.
My name is Nora Foley and I am a licensed independent clinical social worker (LICSW) as well as a certified alcohol and substance abuse counselor. I earned my Bachelors Degree in Psychology from Curry College in Milton, MA, and my Masters Degree in Clinical Social Work from Simmons University in Boston, MA. I am focused on providing quality mental healthcare and social services to individuals spanning across various life stages, including children and youth, mid-life, and geriatric. As a licensed psychotherapist, I am able to assess, diagnose, treat or make appropriate referrals for various mental health conditions.
![Photo of Melissa Goldbach, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3cb48ed9-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Melissa Goldbach
Clinical Social Work/Therapist, LICSW
Verified Verified
Kingston, MA 02364
Not accepting new clients
Seeking help in the form of therapy takes courage. I view my role in therapy as embarking on a journey with my client towards greater life fulfillment, improved quality in their relationships and in their overall quality of life. I work with adults struggling with mood and anxiety issues, grief and loss, codependency, marital issues, trauma and life cycle/life adjustment issues, inner child work and family of origin issues. I work with preteens and adolescents and include parenting and family therapy in that work when needed. I enjoy working with couples and have been trained in The Developmental Model of Couples Therapy.
Seeking help in the form of therapy takes courage. I view my role in therapy as embarking on a journey with my client towards greater life fulfillment, improved quality in their relationships and in their overall quality of life. I work with adults struggling with mood and anxiety issues, grief and loss, codependency, marital issues, trauma and life cycle/life adjustment issues, inner child work and family of origin issues. I work with preteens and adolescents and include parenting and family therapy in that work when needed. I enjoy working with couples and have been trained in The Developmental Model of Couples Therapy.
![Photo of Kathleen Gibbs - Kathleen A Gibbs, LMHC, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4662c0a3-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Kathleen A Gibbs
Marriage & Family Therapist, LMHC, LMFT
Verified Verified
2 Endorsed
Kingston, MA 02364
I have over 20 years of experience working with women, couples, and families, primarily addressing challenges at different stages of marriage and raising a family. In addition , issues women frequently face, depression, anxiety, work/life balance, and parenting are an area of special interest. My approach is systemic, viewing people in context of their family, communities, educational situations, beliefs and values that shape how their world is viewed. I support individuals and families to advocate for themselves, and, if appropriate, link people with community resources that might be helpful on their journey.
I have over 20 years of experience working with women, couples, and families, primarily addressing challenges at different stages of marriage and raising a family. In addition , issues women frequently face, depression, anxiety, work/life balance, and parenting are an area of special interest. My approach is systemic, viewing people in context of their family, communities, educational situations, beliefs and values that shape how their world is viewed. I support individuals and families to advocate for themselves, and, if appropriate, link people with community resources that might be helpful on their journey.
![Photo of Donna Marie Cotter, MS, LMHC, Counselor](https://photos.psychologytoday.com/3e6bce98-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Donna Marie Cotter
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Kingston, MA 02364 (Online Only)
Therapy should be a safe place where an individual can feel they have control to address their concerns and receive support and therapeutic strategies to build their skills. As your therapist I will provide a non-judgmental environment for you work on whatever brings you to therapy. I have been in practice for over twenty years working with individuals, families, adolescents and children. My goal is to assist my clients with utilizing their strengths to build their ability to manage issues that may be interfering with daily functioning.
Therapy should be a safe place where an individual can feel they have control to address their concerns and receive support and therapeutic strategies to build their skills. As your therapist I will provide a non-judgmental environment for you work on whatever brings you to therapy. I have been in practice for over twenty years working with individuals, families, adolescents and children. My goal is to assist my clients with utilizing their strengths to build their ability to manage issues that may be interfering with daily functioning.
![Photo of Shelley A Hart, MA, LMHC, Counselor](https://photos.psychologytoday.com/e0343aba-35ff-47d7-aa37-8141046b7d32/2/320x400.jpeg)
I have over 23 years experience working with teenagers and adults, I bring to sessions a solid combination of skills and empathy that support and guide my clients and their families. I follow my clients direction of what they want and need from therapy while helping develop the tools needed to deal with the challenges they are facing. Self care, mindfulness and mood management tools.
I have over 23 years experience working with teenagers and adults, I bring to sessions a solid combination of skills and empathy that support and guide my clients and their families. I follow my clients direction of what they want and need from therapy while helping develop the tools needed to deal with the challenges they are facing. Self care, mindfulness and mood management tools.
![Photo of Gregory Cowan, LMHC, Counselor](https://photos.psychologytoday.com/3c7e625e-46cd-11ea-a6ad-06142c356176/5/320x400.jpeg)
What often compels people to seek therapy is some form of felt loss. It could be as transparent as an unsatisfying relationship or as subtle as lowered self-esteem. It could be a sense that something is missing and an uncertainty as to what that may be. One of the most important relationships in life is the one we foster with ourselves. And frequently, it is the one most ignored. I strive to help people see and understand themselves more clearly as I believe self awareness is an indispensable bridge to healthy change.
What often compels people to seek therapy is some form of felt loss. It could be as transparent as an unsatisfying relationship or as subtle as lowered self-esteem. It could be a sense that something is missing and an uncertainty as to what that may be. One of the most important relationships in life is the one we foster with ourselves. And frequently, it is the one most ignored. I strive to help people see and understand themselves more clearly as I believe self awareness is an indispensable bridge to healthy change.
![Photo of Michelle Goodwin, MA, LMHC, Counselor](https://photos.psychologytoday.com/6f390871-b653-455a-933c-a08d91f277c2/1/320x400.jpeg)
Life can be hard, and we all need help sometimes. Have you been feeling a general lack of enjoyment in your life? Are you worrying more and feeling helpless? Have you felt less motivated as well as sad or hopeless? My intent is to offer and provide a caring, supportive, and non judgmental space. We can work together to address any issues and goals you may have. If you think that I might be a good fit, please reach out and we can talk further. I would love to connect and help.
Life can be hard, and we all need help sometimes. Have you been feeling a general lack of enjoyment in your life? Are you worrying more and feeling helpless? Have you felt less motivated as well as sad or hopeless? My intent is to offer and provide a caring, supportive, and non judgmental space. We can work together to address any issues and goals you may have. If you think that I might be a good fit, please reach out and we can talk further. I would love to connect and help.
See more therapy options for Kingston
How does your Therapist compare?
Number of Therapists in Kingston, MA
40+
Average cost per session
$130
Therapists in Kingston, MA who prioritize treating:
98% | Anxiety |
93% | Depression |
83% | Coping Skills |
76% | Relationship Issues |
76% | Grief |
73% | Self Esteem |
68% | Trauma and PTSD |
Average years in practice
16 Years
Top 3 insurances accepted
95% | BlueCross and BlueShield |
76% | Harvard Pilgrim |
71% | Tufts |
How Therapists in Kingston, MA see their clients
71% | In Person and Online | |
29% | Online Only |
Gender breakdown
92% | Female | |
8% | Male |
FAQs - About Therapy and Counseling
How can I find a therapist in Kingston?
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.