Therapists in Lancaster, MA

Photo of Dianne M Walsh - Center for Behavioral Health at RFKCA, LICSW, Clinical Social Work/Therapist
Center for Behavioral Health at RFKCA
Clinical Social Work/Therapist, LICSW
Verified Verified
Lancaster, MA 01523
The Center for Behavioral Health is a community-based outpatient clinic treating the mental and behavioral health needs of children, adolescents, adults, and their families. We seek to help those who are willing to take the next step in getting the support they need to develop new skills to navigate any issues they may be facing. Our licensed, and certified therapists will work collaboratively with you, to develop a plan to help you achieve your goals in therapy. Our model is short term, evidence-based and goal oriented so you are always working towards your treatment goals.
The Center for Behavioral Health is a community-based outpatient clinic treating the mental and behavioral health needs of children, adolescents, adults, and their families. We seek to help those who are willing to take the next step in getting the support they need to develop new skills to navigate any issues they may be facing. Our licensed, and certified therapists will work collaboratively with you, to develop a plan to help you achieve your goals in therapy. Our model is short term, evidence-based and goal oriented so you are always working towards your treatment goals.
(978) 368-6442 View (978) 368-6442
Photo of John Beland - John Beland, LICSW, LICSW, Clinical Social Work/Therapist
John Beland, LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Lancaster, MA 01523
Not accepting new clients
Looking for a therapist can feel daunting when you already feel sad, hopeless or lost. It takes courage to consider that something in your life is not working, that you could use help. Psychotherapy allows you to get acquainted with yourself and the world you inhabit in a new way. Through this expanded field of view, you are better equipped to make choices that will help you achieve your goals. It is also not uncommon to have difficulty identifying goals, desires and feelings. Together, we can help you to discover, develop, and integrate these many different parts of you.
Looking for a therapist can feel daunting when you already feel sad, hopeless or lost. It takes courage to consider that something in your life is not working, that you could use help. Psychotherapy allows you to get acquainted with yourself and the world you inhabit in a new way. Through this expanded field of view, you are better equipped to make choices that will help you achieve your goals. It is also not uncommon to have difficulty identifying goals, desires and feelings. Together, we can help you to discover, develop, and integrate these many different parts of you.
(774) 484-1985 View (774) 484-1985
Photo of Alicia Rapson, MEd , LMHC, Counselor
Alicia Rapson
Counselor, MEd , LMHC
Verified Verified
Lancaster, MA 01523
I am the owner of Water Bear Counseling, LLC; and am a one woman private practice. Colleagues and clients say I am "down to earth" and "develop great rapport quickly." This is because of my laid back style of having a therapeutic conversation. I ask questions, reflect what I hear, and offer observations. I also keep clients informed about the process so they understand what is happening. I teach the skills and strategies that may be helpful to creating change and improved quality of life. I also am available for clinical training and supervision for employees from all disciplines.
I am the owner of Water Bear Counseling, LLC; and am a one woman private practice. Colleagues and clients say I am "down to earth" and "develop great rapport quickly." This is because of my laid back style of having a therapeutic conversation. I ask questions, reflect what I hear, and offer observations. I also keep clients informed about the process so they understand what is happening. I teach the skills and strategies that may be helpful to creating change and improved quality of life. I also am available for clinical training and supervision for employees from all disciplines.
View
Photo of Meridith Nicholaev, Pre-Licensed Professional
Meridith Nicholaev
Pre-Licensed Professional
Verified Verified
Lancaster, MA 01523  (Online Only)
Meridith Nicholaev is a dedicated Mental Health Counselor seeking her licensure. She has 2 years of experience working with clients of diverse backgrounds and diagnoses at inpatient units and community-based programs. Her passion is to provide therapeutic care to adults seeking relief from anxiety, addiction, adjustment disorders, stress, and communication challenges. She believes building trust and rapport must be the cornerstone of any good therapeutic relationship to foster a supportive and safe environment. Anything can be said freely and without judgment and be met with warmth and empathy.
Meridith Nicholaev is a dedicated Mental Health Counselor seeking her licensure. She has 2 years of experience working with clients of diverse backgrounds and diagnoses at inpatient units and community-based programs. Her passion is to provide therapeutic care to adults seeking relief from anxiety, addiction, adjustment disorders, stress, and communication challenges. She believes building trust and rapport must be the cornerstone of any good therapeutic relationship to foster a supportive and safe environment. Anything can be said freely and without judgment and be met with warmth and empathy.
(978) 574-7998 View (978) 574-7998
Photo of Meghan Kelley, LMHC, Counselor
Meghan Kelley
Counselor, LMHC
Verified Verified
Lancaster, MA 01523  (Online Only)
Meghan Kelley is a Licensed Mental Health Counselor (LMHC) who has 5 years of experience in the mental health field. Meg has experience working with adults in both individual and group counseling. She treats a variety of issues, including anger management, stress management, reintegration from incarceration to society, anxiety, mood, trauma, personality, and substance use disorders. Meg completed her Bachelor of Arts (BA) in Psychology at Boston University and her Master of Arts (MA) in Clinical Mental Health Counseling with a concentration in Forensic and Correctional Counseling at William James College.
Meghan Kelley is a Licensed Mental Health Counselor (LMHC) who has 5 years of experience in the mental health field. Meg has experience working with adults in both individual and group counseling. She treats a variety of issues, including anger management, stress management, reintegration from incarceration to society, anxiety, mood, trauma, personality, and substance use disorders. Meg completed her Bachelor of Arts (BA) in Psychology at Boston University and her Master of Arts (MA) in Clinical Mental Health Counseling with a concentration in Forensic and Correctional Counseling at William James College.
(351) 213-7406 View (351) 213-7406
Photo of Karen Sullivan, LICSW, Clinical Social Work/Therapist
Karen Sullivan
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Lancaster, MA 01523
Waitlist for new clients
I have been a social worker for over 23 years and have worked in a number of different settings, which allowed me to gain knowledge and experience to address any presenting concerns you may have. In my practice, I will guide, nurture, and work together with you on your concerns. I will work with you using a solution-based approach based upon your own individual situation. I am here to help you transform your life through awareness, support, and insight. You are not in this alone, I am here to help you!
I have been a social worker for over 23 years and have worked in a number of different settings, which allowed me to gain knowledge and experience to address any presenting concerns you may have. In my practice, I will guide, nurture, and work together with you on your concerns. I will work with you using a solution-based approach based upon your own individual situation. I am here to help you transform your life through awareness, support, and insight. You are not in this alone, I am here to help you!
(978) 310-0762 View (978) 310-0762
Photo of Sunny Huang, Pre-Licensed Professional
Sunny Huang
Pre-Licensed Professional
Verified Verified
Lancaster, MA 01523  (Online Only)
Sunny Huang is working towards licensure as a Licensed Mental Health Counselor with 2 years of experience. She has worked with adolescents and adults in both individual & group settings, addressing a diverse range of issues including depression, anxiety, life transitions, trauma, relationship concerns, & family conflicts. Sunny's approach is deeply client-centered, focusing on identifying the underlying causes of their psychological distress while providing a supportive environment for exploring their innermost thoughts & emotions. Through this process, she empowers her clients to embark on their unique journeys of growth & healing
Sunny Huang is working towards licensure as a Licensed Mental Health Counselor with 2 years of experience. She has worked with adolescents and adults in both individual & group settings, addressing a diverse range of issues including depression, anxiety, life transitions, trauma, relationship concerns, & family conflicts. Sunny's approach is deeply client-centered, focusing on identifying the underlying causes of their psychological distress while providing a supportive environment for exploring their innermost thoughts & emotions. Through this process, she empowers her clients to embark on their unique journeys of growth & healing
(978) 634-6681 View (978) 634-6681
Photo of Melissa Yazir, LICSW, Clinical Social Work/Therapist
Melissa Yazir
Clinical Social Work/Therapist, LICSW
Verified Verified
Lancaster, MA 01523  (Online Only)
Melissa is a Licensed Independent Clinical Social Worker in the state of Massachusetts and holds the equivalent titles in both New York and California. She has over 10 plus years of experience serving individuals in both inpatient and outpatient mental health settings, as well as in correctional settings across the country and in Canada. Melissa earned her Bachelors of Science in Therapeutic Recreation from SUNY Brockport and her Masters of Social Work from SUNY Brockport and Nazareth College’s collaborative program.
Melissa is a Licensed Independent Clinical Social Worker in the state of Massachusetts and holds the equivalent titles in both New York and California. She has over 10 plus years of experience serving individuals in both inpatient and outpatient mental health settings, as well as in correctional settings across the country and in Canada. Melissa earned her Bachelors of Science in Therapeutic Recreation from SUNY Brockport and her Masters of Social Work from SUNY Brockport and Nazareth College’s collaborative program.
(978) 620-0508 View (978) 620-0508
Photo of Amanda Casto, Pre-Licensed Professional
Amanda Casto
Pre-Licensed Professional
Verified Verified
Lancaster, MA 01523
Amanda Casto is working towards licensure as a Licensed Mental Health Counselor (LMHC) with over 2 years of experience in the mental health field. She is passionate in helping young adults, adults, and couples face any challenges they may be experiencing. Amanda specializes in depression, anxiety, grief, and life transitions. Amanda completed her Master's degree in Mental Health Counseling at Eastern Illinois University. She has experience with navigating stressors of student life and major life changes.
Amanda Casto is working towards licensure as a Licensed Mental Health Counselor (LMHC) with over 2 years of experience in the mental health field. She is passionate in helping young adults, adults, and couples face any challenges they may be experiencing. Amanda specializes in depression, anxiety, grief, and life transitions. Amanda completed her Master's degree in Mental Health Counseling at Eastern Illinois University. She has experience with navigating stressors of student life and major life changes.
(978) 440-6883 View (978) 440-6883
Photo of Ashley Kitchen Sweet, LMHC, Counselor
Ashley Kitchen Sweet
Counselor, LMHC
Verified Verified
Lancaster, MA 01523  (Online Only)
Ashley Kitchen-Sweet is a Licensed Mental Health Counselor (LMHC) in the state of Massachusetts who has over 5 years of experience providing clinical assessment and therapeutic care to adults, families/couples, and children seeking help with depression/anxiety, trauma, life transitions, and family/couples issues. She is very committed to providing an easy transition into therapy for her clients and is passionate about their progress. Ashley completed her Bachelor's degree in Sociology at the Massachusetts College of Liberal Arts and completed her Master's degree in Clinical Mental Health Counseling at Walden University.
Ashley Kitchen-Sweet is a Licensed Mental Health Counselor (LMHC) in the state of Massachusetts who has over 5 years of experience providing clinical assessment and therapeutic care to adults, families/couples, and children seeking help with depression/anxiety, trauma, life transitions, and family/couples issues. She is very committed to providing an easy transition into therapy for her clients and is passionate about their progress. Ashley completed her Bachelor's degree in Sociology at the Massachusetts College of Liberal Arts and completed her Master's degree in Clinical Mental Health Counseling at Walden University.
(351) 206-0524 View (351) 206-0524
Photo of Randi Braun, LMHC, Counselor
Randi Braun
Counselor, LMHC
Verified Verified
1 Endorsed
Lancaster, MA 01523  (Online Only)
Randall Paige Braun (Randi) is a Licensed Mental Health Counselor (LMHC) who offers counseling services to individuals, children, and families seeking support for mental health needs including depression, anxiety, post-traumatic stress disorder (PTSD), and schizophrenia. Randi has 3 years of experience in the mental health field.
Randall Paige Braun (Randi) is a Licensed Mental Health Counselor (LMHC) who offers counseling services to individuals, children, and families seeking support for mental health needs including depression, anxiety, post-traumatic stress disorder (PTSD), and schizophrenia. Randi has 3 years of experience in the mental health field.
(351) 777-6069 View (351) 777-6069
Photo of Natalie Toth, MA, LMHC, LPC, Counselor
Natalie Toth
Counselor, MA, LMHC, LPC
Verified Verified
Lancaster, MA 01523
I enjoy working with people of all ages who are interested in finding meaning in and making peace with their lives. My high school English teacher left two indelible ideas in my head, a quote from Socrates "The unexamined life is not worth living" and the Latin question "Quo Vadis?" or "Where are you going?". Since then, I have not only held this sense of curiosity for my own journey but practiced the profession in which I get to be present with other people as they embrace curiosity for their own lives, face their challenges, losses and changes, heal their wounds, and find their directions.
I enjoy working with people of all ages who are interested in finding meaning in and making peace with their lives. My high school English teacher left two indelible ideas in my head, a quote from Socrates "The unexamined life is not worth living" and the Latin question "Quo Vadis?" or "Where are you going?". Since then, I have not only held this sense of curiosity for my own journey but practiced the profession in which I get to be present with other people as they embrace curiosity for their own lives, face their challenges, losses and changes, heal their wounds, and find their directions.
(351) 300-4161 View (351) 300-4161
Photo of Andrea Wolloff, MA, LMHC, PMH-C, Counselor
Andrea Wolloff
Counselor, MA, LMHC, PMH-C
Verified Verified
Lancaster, MA 01523  (Online Only)
Availability for virtual before 3pm. Feeling good is possible with the right treatment. Often times mental health challenges can leave you feeling like you aren’t yourself anymore or that you are no longer in control. Trauma, anxiety, stress, and emotional pain can make it very difficult to live the life you want or reach your goals. Taking the step into making change is scary and I want to help. I will work with you to determine what solutions best fit your needs. I'm passionate about helping survivors of trauma, parents with perinatal mood issues, anxiety, and anyone looking for help managing daily stress.
Availability for virtual before 3pm. Feeling good is possible with the right treatment. Often times mental health challenges can leave you feeling like you aren’t yourself anymore or that you are no longer in control. Trauma, anxiety, stress, and emotional pain can make it very difficult to live the life you want or reach your goals. Taking the step into making change is scary and I want to help. I will work with you to determine what solutions best fit your needs. I'm passionate about helping survivors of trauma, parents with perinatal mood issues, anxiety, and anyone looking for help managing daily stress.
(351) 777-8453 View (351) 777-8453
Photo of Tamara Perini, MSW, LICSW, Clinical Social Work/Therapist
Tamara Perini
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Lancaster, MA 01523
Not accepting new clients
Providing confidential psychotherapy for individuals, couples and families ranging from adolescents to older adults. Specializing in treatment for depression, anxiety, mood disorders, PTSD, adjustment disorders and stress in both a cognitive behavioral and psychodynamic approach. I am here to help you through difficult times, such as a divorce, loss of a loved one, or just getting through a rough patch in your life. We will focus on empowerment and self-change to help motivate a more positive, stable, and meaningful life.
Providing confidential psychotherapy for individuals, couples and families ranging from adolescents to older adults. Specializing in treatment for depression, anxiety, mood disorders, PTSD, adjustment disorders and stress in both a cognitive behavioral and psychodynamic approach. I am here to help you through difficult times, such as a divorce, loss of a loved one, or just getting through a rough patch in your life. We will focus on empowerment and self-change to help motivate a more positive, stable, and meaningful life.
(978) 216-5112 View (978) 216-5112

More Therapists Nearby

Photo of Erin Chetwynd - Erin Chetwynd-LMHC, LMHC, Counselor
Erin Chetwynd-LMHC
Counselor, LMHC
Verified Verified
Clinton, MA 01510  (Online Only)
Anxiety and depression can be a daily struggle that feels isolating and overwhelming. I work with you to build a positive therapeutic relationship in order to find hope and learn ways to feel better. I work with adults who struggle with depression, anxiety, relationship issues, and anger management. My goal is to help you feel more empowered and connected while learning to be kinder to yourself. We will work together to help you identify and build on your strengths and learn healthy strategies to manage life when it feels difficult.
Anxiety and depression can be a daily struggle that feels isolating and overwhelming. I work with you to build a positive therapeutic relationship in order to find hope and learn ways to feel better. I work with adults who struggle with depression, anxiety, relationship issues, and anger management. My goal is to help you feel more empowered and connected while learning to be kinder to yourself. We will work together to help you identify and build on your strengths and learn healthy strategies to manage life when it feels difficult.
(351) 200-8878 View (351) 200-8878
Photo of Jessica Jolly, MA, Pre-Licensed Professional
Jessica Jolly
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Clinton, MA 01510
Are you feeling overwhelmed by life's challenges? Having trouble identifying ways to cope? Are you struggling with anxiety, depression, or feelings of worthlessness? Are you searching for a listening ear, a supportive individual, or a guiding hand on your journey toward emotional well-being and personal transformation? You do not have to face these difficulties alone. I am a dedicated pre-licensed mental health counselor passionate about helping individuals overcome life's challenges and promote change and healing. I understand that everyone’s journey is unique, and I find importance in meeting you where you are in your journey.
Are you feeling overwhelmed by life's challenges? Having trouble identifying ways to cope? Are you struggling with anxiety, depression, or feelings of worthlessness? Are you searching for a listening ear, a supportive individual, or a guiding hand on your journey toward emotional well-being and personal transformation? You do not have to face these difficulties alone. I am a dedicated pre-licensed mental health counselor passionate about helping individuals overcome life's challenges and promote change and healing. I understand that everyone’s journey is unique, and I find importance in meeting you where you are in your journey.
(774) 252-9147 View (774) 252-9147
Photo of Kathleen Quinn, LICSW, Clinical Social Work/Therapist
Kathleen Quinn
Clinical Social Work/Therapist, LICSW
Verified Verified
Clinton, MA 01510
*New clients, please use email for fastest reply.* Therapy should begin with establishing a trusting and therapeutic relationship, in a relaxing environment, where clients of all ages will feel comfortable, safe & understood (my dog Taffy is my 'co-therapist'!). Although everyone struggles at times during our lives, most of us still reeling from the past few years alone. I believe ALL people have hidden strengths (yes, you too!) that they can use and build upon, while also learning how their past history may still effect their thoughts, actions, and self esteem. Therapy is about insight, encouragement, support, and progress.
*New clients, please use email for fastest reply.* Therapy should begin with establishing a trusting and therapeutic relationship, in a relaxing environment, where clients of all ages will feel comfortable, safe & understood (my dog Taffy is my 'co-therapist'!). Although everyone struggles at times during our lives, most of us still reeling from the past few years alone. I believe ALL people have hidden strengths (yes, you too!) that they can use and build upon, while also learning how their past history may still effect their thoughts, actions, and self esteem. Therapy is about insight, encouragement, support, and progress.
(508) 802-4791 View (508) 802-4791
Photo of Melissa Novakoff, LICSW, Clinical Social Work/Therapist
Melissa Novakoff
Clinical Social Work/Therapist, LICSW
Verified Verified
Clinton, MA 01510
It takes courage to ask for help. When we meet, I will listen and try to understand as much as I can about you and your experience with curiosity, compassion and, when appropriate, a sense of humor. Our therapy session will include letting go of beliefs and energy that don’t serve you and nurturing the parts of you that need attention.
It takes courage to ask for help. When we meet, I will listen and try to understand as much as I can about you and your experience with curiosity, compassion and, when appropriate, a sense of humor. Our therapy session will include letting go of beliefs and energy that don’t serve you and nurturing the parts of you that need attention.
View
Photo of Francesca Rinaldi, MS, BCBA, LABA
Francesca Rinaldi
MS, BCBA, LABA
Verified Verified
Sterling, MA 01564  (Online Only)
Accepting new clients for immediate virtual openings. I am a board certified behavior analyst. I work with adults looking to improve their wellbeing and change behavior to live their best lives. I also work with children and adults diagnosed with Autism Spectrum disorder and their families to promote positive behavior change in the home and community. My goal is to offer effective therapy that is person centered and focuses on all of the goals that the individual hopes to accomplish.
Accepting new clients for immediate virtual openings. I am a board certified behavior analyst. I work with adults looking to improve their wellbeing and change behavior to live their best lives. I also work with children and adults diagnosed with Autism Spectrum disorder and their families to promote positive behavior change in the home and community. My goal is to offer effective therapy that is person centered and focuses on all of the goals that the individual hopes to accomplish.
(978) 991-9078 View (978) 991-9078
Photo of Erica Corley, LICSW, Clinical Social Work/Therapist
Erica Corley
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Clinton, MA 01510
I am committed to providing you with compassionate and client focused care. Meeting you where you are emotionally, allows me to assist you in reaching your mental health and life goals.
I am committed to providing you with compassionate and client focused care. Meeting you where you are emotionally, allows me to assist you in reaching your mental health and life goals.
(339) 217-8096 View (339) 217-8096

See more therapy options for Lancaster

How does your Therapist compare?

Number of Therapists in Lancaster, MA

10+

Average cost per session

$140

Therapists in Lancaster, MA who prioritize treating:

100% Anxiety
93% Depression
86% Stress
79% Coping Skills
79% Self Esteem
64% Life Transitions
57% Relationship Issues

Average years in practice

21 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH
69% Optum

How Therapists in Lancaster, MA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in Lancaster?

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.