Therapists in Rutland, MA

Photo of Diane Spindler, LMHC, LMFT, Counselor
Diane Spindler
Counselor, LMHC, LMFT
Verified Verified
Rutland, MA 01543
I specialize in helping clients let go of the negative emotions that keep people anchored in the past or afraid of the future. These emotions are usually part of either an acute (one time) or chronic (on-going) traumas that a client has experienced in his or her life. Once the emotions are dissolved, the trauma no longer has power over a client and the client has more energy to enjoy life, both present and future.
I specialize in helping clients let go of the negative emotions that keep people anchored in the past or afraid of the future. These emotions are usually part of either an acute (one time) or chronic (on-going) traumas that a client has experienced in his or her life. Once the emotions are dissolved, the trauma no longer has power over a client and the client has more energy to enjoy life, both present and future.
(508) 928-5093 View (508) 928-5093
Photo of Tracie Goodness, PhD, Psychologist
Tracie Goodness
Psychologist, PhD
Verified Verified
1 Endorsed
Rutland, MA 01543  (Online Only)
Have you had something traumatic happen in your past, and you don’t know why it’s all coming up right now? Do you ever feel like everyone else got a manual for life, and everything seems so much harder for you? Have you or a loved one been diagnosed with a serious illness (e.g., cancer), and you’re feeling completely overwhelmed? Have you lost a loved one, and you’re feeling stuck in your grief, like you just can’t move forward? (And maybe a part of you doesn’t want to?) Do you toss and turn at night, and you wake up feeling tired and groggy? Do you have chronic pain that gets in the way of your day-to-day activities?
Have you had something traumatic happen in your past, and you don’t know why it’s all coming up right now? Do you ever feel like everyone else got a manual for life, and everything seems so much harder for you? Have you or a loved one been diagnosed with a serious illness (e.g., cancer), and you’re feeling completely overwhelmed? Have you lost a loved one, and you’re feeling stuck in your grief, like you just can’t move forward? (And maybe a part of you doesn’t want to?) Do you toss and turn at night, and you wake up feeling tired and groggy? Do you have chronic pain that gets in the way of your day-to-day activities?
(508) 501-5743 View (508) 501-5743
Photo of Anna Sawczuk, LMHC, CADC, MA, Counselor
Anna Sawczuk
Counselor, LMHC, CADC, MA
Verified Verified
Rutland, MA 01543
If you are currently experiencing life transitions, feeling overwhelmed by past or present circumstances, or simply seeking a more fulfilling way of living, I may be the therapist you are looking for.
If you are currently experiencing life transitions, feeling overwhelmed by past or present circumstances, or simply seeking a more fulfilling way of living, I may be the therapist you are looking for.
(774) 450-6104 View (774) 450-6104
Photo of Chelsea Walsh, LICSW, Clinical Social Work/Therapist
Chelsea Walsh
Clinical Social Work/Therapist, LICSW
Verified Verified
Rutland, MA 01543  (Online Only)
Are you having a hard time figuring it all out? What you want, how to get there, or who you are? If you have big ideas that you’re having a hard time translating into daily life, you’ve come to the right place. I love working with adolescents and young adults who want to create a path towards their goals. I often work with people whose anxiety, depression, trauma, or behavioral struggles have held them back from being able to find the version of themself that they seek. If you know where you want to be but can’t get there or if you don’t even know who you want to be, let’s talk. Find out more here: www.ampersandcounselingma.com.
Are you having a hard time figuring it all out? What you want, how to get there, or who you are? If you have big ideas that you’re having a hard time translating into daily life, you’ve come to the right place. I love working with adolescents and young adults who want to create a path towards their goals. I often work with people whose anxiety, depression, trauma, or behavioral struggles have held them back from being able to find the version of themself that they seek. If you know where you want to be but can’t get there or if you don’t even know who you want to be, let’s talk. Find out more here: www.ampersandcounselingma.com.
(978) 295-2714 View (978) 295-2714
Photo of Paul Harris Sandman, EdD, LMHC, Counselor
Paul Harris Sandman
Counselor, EdD, LMHC
Verified Verified
Rutland, MA 01543
My ideal clients are interested in improving their self awareness of their thoughts, feelings, and behaviors. I treat any of the following issues: depression, anxiety, anger, substance abuse, relationship issues, sexual behaviors, trauma, domestic violence, low self-esteem, eating disorders, attention deficit difficulties, autism, schizophrenia, stress management, Post-Traumatic Stress Disorder, child behavior and attitude problems, school behavior, low motivation, weight loss, quitting smoking, grief and loss of a loved one, divorce, parenting issues, co-dependency, pain management, social skills development, bi-polar disorder, abusive family situations, work problems, shame/inappropriate guilt, and negative thinking but treat many more issues.
My ideal clients are interested in improving their self awareness of their thoughts, feelings, and behaviors. I treat any of the following issues: depression, anxiety, anger, substance abuse, relationship issues, sexual behaviors, trauma, domestic violence, low self-esteem, eating disorders, attention deficit difficulties, autism, schizophrenia, stress management, Post-Traumatic Stress Disorder, child behavior and attitude problems, school behavior, low motivation, weight loss, quitting smoking, grief and loss of a loved one, divorce, parenting issues, co-dependency, pain management, social skills development, bi-polar disorder, abusive family situations, work problems, shame/inappropriate guilt, and negative thinking but treat many more issues.
(774) 768-0617 View (774) 768-0617
Photo of Nathan Gay, PsyD, Psychologist
Nathan Gay
Psychologist, PsyD
Verified Verified
7 Endorsed
Rutland, MA 01543
Waitlist for new clients
I help children and adolescents to learn skills and strategies to improve their attention, complete homework, worry less, be happier or improve their overall self-esteem. I help parents to feel more comfortable, confident and effective in parenting or advocating for their child. I consult with Primary Care Physicians, other treatment providers, and educational teams to help them better understand and support your child's individual strengths and needs. I use effective, practical treatment approaches to help children, adolescents and families reach their unique treatment goals.
I help children and adolescents to learn skills and strategies to improve their attention, complete homework, worry less, be happier or improve their overall self-esteem. I help parents to feel more comfortable, confident and effective in parenting or advocating for their child. I consult with Primary Care Physicians, other treatment providers, and educational teams to help them better understand and support your child's individual strengths and needs. I use effective, practical treatment approaches to help children, adolescents and families reach their unique treatment goals.
(774) 541-1532 View (774) 541-1532
Photo of Dave Russo - Dave Russo, LMFT, LMHC, LMFT, LMHC, Counselor
Dave Russo, LMFT, LMHC
Counselor, LMFT, LMHC
Verified Verified
Rutland, MA 01543
Not accepting new clients
Dave is a Licensed Marriage & Family Therapist (LMFT); a Licensed Mental Health Counselor (LMHC); a Pastoral Counselor; and a Level II EMDR Therapist; and has taught in the pastoral counseling graduate program at Assumption College. Dave's academic work includes dual majors in Religious Studies and Psychology at Assumption College; a Master's degree in Theological Studies and Pastoral Counseling at the Claremont School of Theology (CA); and two years of post-graduate academic work in pastoral counseling at Claremont.
Dave is a Licensed Marriage & Family Therapist (LMFT); a Licensed Mental Health Counselor (LMHC); a Pastoral Counselor; and a Level II EMDR Therapist; and has taught in the pastoral counseling graduate program at Assumption College. Dave's academic work includes dual majors in Religious Studies and Psychology at Assumption College; a Master's degree in Theological Studies and Pastoral Counseling at the Claremont School of Theology (CA); and two years of post-graduate academic work in pastoral counseling at Claremont.
(508) 455-5114 View (508) 455-5114
Photo of Rachel M Kelly, MA, LMHC, Counselor
Rachel M Kelly
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Rutland, MA 01543
Waitlist for new clients
I have experience working with children, adolescents, adults and families in both the home and office settings. I have worked in state and private agencies, and am familiar with the importance of working closely within the identified team to ensure comprehensive treatment. I focus on the individual needs of the client and family when developing treatment plans and goals. My experience includes working with individuals and families with emotional and behavioral concerns, trauma, family conflict, substance abuse, mood disorders, and stress. I take a strength-based approach to treatment, and encourage open and honest communication to motivate growth and change.
I have experience working with children, adolescents, adults and families in both the home and office settings. I have worked in state and private agencies, and am familiar with the importance of working closely within the identified team to ensure comprehensive treatment. I focus on the individual needs of the client and family when developing treatment plans and goals. My experience includes working with individuals and families with emotional and behavioral concerns, trauma, family conflict, substance abuse, mood disorders, and stress. I take a strength-based approach to treatment, and encourage open and honest communication to motivate growth and change.
(774) 512-3136 View (774) 512-3136
Photo of Emily Van Ness-Wells, LICSW, Clinical Social Work/Therapist
Emily Van Ness-Wells
Clinical Social Work/Therapist, LICSW
Verified Verified
Rutland, MA 01543
* No current openings at this time* I am a clinical social worker with 14 years of experience in human services. I work with individuals, children, and families and treat a range of issues or concerns. My main focus is to help you reach your own self-directed goals. My style is eclectic, warm, and authentic. I believe the therapeutic relationship is the foundation to successful treatment. My goal is to create a safe, non-judgmental environment where you have access to a clinician that fits your needs. I utilize mindfulness, heart centered dialog, and compassion to aide in your journey.
* No current openings at this time* I am a clinical social worker with 14 years of experience in human services. I work with individuals, children, and families and treat a range of issues or concerns. My main focus is to help you reach your own self-directed goals. My style is eclectic, warm, and authentic. I believe the therapeutic relationship is the foundation to successful treatment. My goal is to create a safe, non-judgmental environment where you have access to a clinician that fits your needs. I utilize mindfulness, heart centered dialog, and compassion to aide in your journey.
(508) 476-6312 View (508) 476-6312
Photo of Renee Nelson, PsyD, Psychologist
Renee Nelson
Psychologist, PsyD
Verified Verified
Rutland, MA 01543
I am a licensed clinical psychologist with focused training in health psychology and a specialty in eating disorder treatment. I believe in providing personalized care that is informed by research-based treatments, and in providing concrete skills while increasing insight. Those who have worked with or alongside me know that humor and play are central to who I am as a person, and is respectfully present in the work that I do with my clients.
I am a licensed clinical psychologist with focused training in health psychology and a specialty in eating disorder treatment. I believe in providing personalized care that is informed by research-based treatments, and in providing concrete skills while increasing insight. Those who have worked with or alongside me know that humor and play are central to who I am as a person, and is respectfully present in the work that I do with my clients.
(978) 717-2851 View (978) 717-2851
Photo of Mia Lise Carbone - Mia L. Carbone & Associates, LLC, MA, LMHC, DAy, Counselor
Mia L. Carbone & Associates, LLC
Counselor, MA, LMHC, DAy
Verified Verified
Rutland, MA 01543
With more than 20 yrs. professional experience as a licensed psychotherapist, I have a genuine passion to help others & am committed to each client I serve. I have the willingness & capacity to listen closely to what is & isn't spoken with great empathy & compassion, while recognizing & appreciating the therapeutic pacing & timing of each individuals' process. I meet each client exactly where they are in their emotional, psychological & spiritual development & assist them in navigating through their own life challenges without judgement or criticism. I utilize therapeutic model(s) appropriate & effective that facilitate self awareness, understanding , & healing while inspiring hope.
With more than 20 yrs. professional experience as a licensed psychotherapist, I have a genuine passion to help others & am committed to each client I serve. I have the willingness & capacity to listen closely to what is & isn't spoken with great empathy & compassion, while recognizing & appreciating the therapeutic pacing & timing of each individuals' process. I meet each client exactly where they are in their emotional, psychological & spiritual development & assist them in navigating through their own life challenges without judgement or criticism. I utilize therapeutic model(s) appropriate & effective that facilitate self awareness, understanding , & healing while inspiring hope.
(978) 696-9653 View (978) 696-9653
Photo of Donna O'Brien, PhD, MEd, LMHC, Counselor
Donna O'Brien
Counselor, PhD, MEd, LMHC
Verified Verified
2 Endorsed
Rutland, MA 01543  (Online Only)
Not currently accepting new clients. I have been a psychotherapist for over 25 years, working with men, women, adolescents, couples and groups. I view psychotherapy as a collaborative process between client and therapist. As a therapist I try to see the world through the eyes of my clients and accommodate the therapy to their particular needs. First we try to understand the problems that have brought the client into therapy, and we gradually put into practice ways to alleviate them. Unhappiness may take the form of depression, anxiety, panic, life change adjustment, recovery, guilt, grief, or relationship problems.
Not currently accepting new clients. I have been a psychotherapist for over 25 years, working with men, women, adolescents, couples and groups. I view psychotherapy as a collaborative process between client and therapist. As a therapist I try to see the world through the eyes of my clients and accommodate the therapy to their particular needs. First we try to understand the problems that have brought the client into therapy, and we gradually put into practice ways to alleviate them. Unhappiness may take the form of depression, anxiety, panic, life change adjustment, recovery, guilt, grief, or relationship problems.
(508) 213-5085 View (508) 213-5085
Photo of Laurie Ann Majka, LMHC, CAGS, MA, BA, Counselor
Laurie Ann Majka
Counselor, LMHC, CAGS, MA, BA
Verified Verified
2 Endorsed
Rutland, MA 01543
I have been licensed (LMHC) for 9 years, my speciality is children, but I do work with adults too. I have been working with children for more then 30 years. I am trained in play therapy, CBT, Trauma-focused therapy, grief/loss, children of divorce, OCD, parent-child conflicts, relationship conflicts, anxiety, depression, child adoption, IEP's, school related issues, couples therapy and existential therapy - focuses on free will, self-determination and the search for meaning. I believe blending elements from different approaches and tailor the treatment according to each patient's needs. I believe individuals have strengths.
I have been licensed (LMHC) for 9 years, my speciality is children, but I do work with adults too. I have been working with children for more then 30 years. I am trained in play therapy, CBT, Trauma-focused therapy, grief/loss, children of divorce, OCD, parent-child conflicts, relationship conflicts, anxiety, depression, child adoption, IEP's, school related issues, couples therapy and existential therapy - focuses on free will, self-determination and the search for meaning. I believe blending elements from different approaches and tailor the treatment according to each patient's needs. I believe individuals have strengths.
(351) 666-8113 View (351) 666-8113

More Therapists Nearby

Photo of Michael Bronner, MEd, LMHC, Counselor
Michael Bronner
Counselor, MEd, LMHC
Verified Verified
2 Endorsed
Worcester, MA 01609
Do you want to feel better now? Whatever you can talk about we can improve your coping of it and change how you think of it. It takes courage to enter therapy. I have had the privilege of being a mental health counselor for 18 years. My therapy practice is a non-judgmental, skills-focused approach, where you have a safe place to talk about anything. Lets increase self-compassion and patience in your life. Lets learn to enjoy today and each day that we have. Together we can make your life better. You are almost there.
Do you want to feel better now? Whatever you can talk about we can improve your coping of it and change how you think of it. It takes courage to enter therapy. I have had the privilege of being a mental health counselor for 18 years. My therapy practice is a non-judgmental, skills-focused approach, where you have a safe place to talk about anything. Lets increase self-compassion and patience in your life. Lets learn to enjoy today and each day that we have. Together we can make your life better. You are almost there.
(857) 763-4063 View (857) 763-4063
Photo of Mark D Mariner, JD, MA
Mark D Mariner
JD, MA
Verified Verified
Worcester, MA 01602
I have been a counselor in private practice for over twenty years, and with my wife of thirty years, Marcia, have been helping individuals and couples and leading groups. I can take highly motivated individuals and couples very far in their growth and healing with the help of some highly refined tools which I teach them to use. I also possess a deeply caring relational presence that allows people to feel safe and trusting and to enter fully into their inner world. I have a great love for couples and yearn for relationships to reach their full potential.
I have been a counselor in private practice for over twenty years, and with my wife of thirty years, Marcia, have been helping individuals and couples and leading groups. I can take highly motivated individuals and couples very far in their growth and healing with the help of some highly refined tools which I teach them to use. I also possess a deeply caring relational presence that allows people to feel safe and trusting and to enter fully into their inner world. I have a great love for couples and yearn for relationships to reach their full potential.
(508) 202-4299 View (508) 202-4299
Photo of Anthony Tucci, Psychologist
Anthony Tucci
Psychologist
Verified Verified
Worcester, MA 01605
Tony Tucci is a Licensed Clinical Sport Psychologist with 11 years of experience in the field. He currently provides therapy, mental skills coaching, and performance coaching. Tony is passionate about helping individuals develop more effective habits to help them reach their goals in life. He has extensive experience in a variety of settings with a variety of populations but specializes in work with anxiety, panic, phobias, depression, and trauma/stressor disorders.
Tony Tucci is a Licensed Clinical Sport Psychologist with 11 years of experience in the field. He currently provides therapy, mental skills coaching, and performance coaching. Tony is passionate about helping individuals develop more effective habits to help them reach their goals in life. He has extensive experience in a variety of settings with a variety of populations but specializes in work with anxiety, panic, phobias, depression, and trauma/stressor disorders.
(508) 504-8850 View (508) 504-8850
Photo of Erin Almstrom, MA, LMHC, Counselor
Erin Almstrom
Counselor, MA, LMHC
Verified Verified
Holden, MA 01520  (Online Only)
(ACCEPTING NEW PATIENTS FOR TELE-HEALTH (Virtual) VISITS). Expectant mothers and new moms, especially if they already have toddlers or older siblings, may feel a range of anxieties and negative thoughts as they struggle to cope in what we hope would be a joyful time. There is warm and caring support to work through all these feelings and to establish coping mechanisms that will benefit your child and you. Let me help you to feel positive and secure as a pregnant mom, new mother, or as parents together. [TRUSTED REFERRAL PARTNER OF EMBRACE MIDWIFERY, WORCESTER.]
(ACCEPTING NEW PATIENTS FOR TELE-HEALTH (Virtual) VISITS). Expectant mothers and new moms, especially if they already have toddlers or older siblings, may feel a range of anxieties and negative thoughts as they struggle to cope in what we hope would be a joyful time. There is warm and caring support to work through all these feelings and to establish coping mechanisms that will benefit your child and you. Let me help you to feel positive and secure as a pregnant mom, new mother, or as parents together. [TRUSTED REFERRAL PARTNER OF EMBRACE MIDWIFERY, WORCESTER.]
(774) 208-0714 View (774) 208-0714
Photo of Richard O'Garr, LMHC, Counselor
Richard O'Garr
Counselor, LMHC
Verified Verified
Worcester, MA 01605
Richard O’Garr is a Licensed Mental Health Counselor with over 15 years of experience in helping people who are struggling with a wide range of issues including depression, anxiety, grief, trauma, stress, conflicts in relationships, and addiction. Richard has a Master's in Counseling Psychology from Assumption College. He works to create an accepting and supportive environment where clients can feel comfortable sharing their personal issues and struggles.
Richard O’Garr is a Licensed Mental Health Counselor with over 15 years of experience in helping people who are struggling with a wide range of issues including depression, anxiety, grief, trauma, stress, conflicts in relationships, and addiction. Richard has a Master's in Counseling Psychology from Assumption College. He works to create an accepting and supportive environment where clients can feel comfortable sharing their personal issues and struggles.
(508) 504-7563 View (508) 504-7563
Photo of Keith Willette, MA, LMHC, Counselor
Keith Willette
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Worcester, MA 01602
I have been trained in cognitive behavioral therapy and am a graduate of Assumption College. I hold a masters degree in counseling psychology. I am certified in both family counseling and children & adolescent therapy from the Aaron T. Beck Institute.
I have been trained in cognitive behavioral therapy and am a graduate of Assumption College. I hold a masters degree in counseling psychology. I am certified in both family counseling and children & adolescent therapy from the Aaron T. Beck Institute.
(774) 435-1928 View (774) 435-1928
Photo of Barbara Richard-Varon, LMHC, Counselor
Barbara Richard-Varon
Counselor, LMHC
Verified Verified
Worcester, MA 01606  (Online Only)
Online appointments only. I am a licensed mental health counselor with a focus on clients experiencing trauma, anxiety, gender transitioning, gender exploration, depression and ADHD. My focus is to support you in identifying new tools and strategies to overcome the barriers that have prevented you from reaching your goals and living the life you want. I provide a space of affirmation and freedom to be your authentic self.
Online appointments only. I am a licensed mental health counselor with a focus on clients experiencing trauma, anxiety, gender transitioning, gender exploration, depression and ADHD. My focus is to support you in identifying new tools and strategies to overcome the barriers that have prevented you from reaching your goals and living the life you want. I provide a space of affirmation and freedom to be your authentic self.
(857) 371-3446 View (857) 371-3446

See more therapy options for Rutland

How does your Therapist compare?

Number of Therapists in Rutland, MA

10+

Average cost per session

$135

Therapists in Rutland, MA who prioritize treating:

100% Depression
100% Anxiety
85% Family Conflict
77% Parenting
77% Trauma and PTSD
77% Self Esteem
69% Relationship Issues

Average years in practice

17 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
78% Tufts
78% UnitedHealthcare UHC | UBH

How Therapists in Rutland, MA see their clients

77% In Person and Online
23% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Rutland?

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.