Therapists in New Haven, CT

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Photo of Lauren Seltzer, LMFT, Marriage & Family Therapist
Lauren Seltzer
Marriage & Family Therapist, LMFT
Verified Verified
New Haven, CT 06511  (Online Only)
As a Licensed Marriage and Family Therapist with over 15 years of experience providing psychotherapy, I offer a compassionate and integrative approach to therapy, focusing on experiential and family systems to create meaningful and lasting change. With a Master's in Counseling from SFSU and a specialization in Dialectical Behavior Therapy (DBT) for adolescents and young adults, I provide practical tools for managing emotions, improving relationships, and building resilience. Whether you're struggling with anxiety, depression, or relationship challenges, I'm here to support you on your journey to a more balanced and fulfilling life.
As a Licensed Marriage and Family Therapist with over 15 years of experience providing psychotherapy, I offer a compassionate and integrative approach to therapy, focusing on experiential and family systems to create meaningful and lasting change. With a Master's in Counseling from SFSU and a specialization in Dialectical Behavior Therapy (DBT) for adolescents and young adults, I provide practical tools for managing emotions, improving relationships, and building resilience. Whether you're struggling with anxiety, depression, or relationship challenges, I'm here to support you on your journey to a more balanced and fulfilling life.
(203) 769-9034 View (203) 769-9034
Photo of Kimberly Ali, MA, LPC, Licensed Professional Counselor
Kimberly Ali
Licensed Professional Counselor, MA, LPC
Verified Verified
New Haven, CT 06513  (Online Only)
I am a Licensed Professional Counselor, committed to helping you navigate through life’s challenges, changes and experiences. I believe the relationship between therapist and client is the most important part of therapy, therefore I strive to build this relationship first. You and your story are important; and your concerns are my priority. I am passionate about working with teens(16 yrs old & older) and adults dealing with: anxiety, stress, ADHD, relationship issues and life transitions; no matter how small or big the transition may be.
I am a Licensed Professional Counselor, committed to helping you navigate through life’s challenges, changes and experiences. I believe the relationship between therapist and client is the most important part of therapy, therefore I strive to build this relationship first. You and your story are important; and your concerns are my priority. I am passionate about working with teens(16 yrs old & older) and adults dealing with: anxiety, stress, ADHD, relationship issues and life transitions; no matter how small or big the transition may be.
(475) 325-5952 View (475) 325-5952
Photo of Tracey King Bergman, LMFT, Marriage & Family Therapist
Tracey King Bergman
Marriage & Family Therapist, LMFT
Verified Verified
New Haven, CT 06511
Not accepting new clients
I believe that kindness, respect and a little humor help us to achieve goals in life, and this goes double for therapy. Research indicates that the therapeutic relationship is the most important component of therapy, that across all types of therapy, the greatest predictor of successful therapy is an excellent therapeutic relationship. So, finding the right fit is crucial. When asked, I advise friends and family to contact a few therapists, and find the best chemistry, or fit. I advise you reading this to do the same thing.
I believe that kindness, respect and a little humor help us to achieve goals in life, and this goes double for therapy. Research indicates that the therapeutic relationship is the most important component of therapy, that across all types of therapy, the greatest predictor of successful therapy is an excellent therapeutic relationship. So, finding the right fit is crucial. When asked, I advise friends and family to contact a few therapists, and find the best chemistry, or fit. I advise you reading this to do the same thing.
(203) 889-9946 View (203) 889-9946
Photo of Gina Rossini, LCSW, SIFI, Clinical Social Work/Therapist
Gina Rossini
Clinical Social Work/Therapist, LCSW, SIFI
Verified Verified
New Haven, CT 06510
Feel stuck, stressed, anxious, sad or angry? Find yourself repeating behaviors you wish you didn't or unable to communicate effectively? Maybe a combination of these? You are not alone. Cognitive Behavioral Therapy can help you alleviate and better manage unwanted cycles of behaviors, thoughts and feelings long term. I specialize in effective communication and in reduction of anxiety, stress, anger, depression, addictive and self destructive behavior. I have helped many people increase their life fulfillment, balance, goal attainment and healing. I tailor treatment to your specific needs in a caring, safe and supportive space.
Feel stuck, stressed, anxious, sad or angry? Find yourself repeating behaviors you wish you didn't or unable to communicate effectively? Maybe a combination of these? You are not alone. Cognitive Behavioral Therapy can help you alleviate and better manage unwanted cycles of behaviors, thoughts and feelings long term. I specialize in effective communication and in reduction of anxiety, stress, anger, depression, addictive and self destructive behavior. I have helped many people increase their life fulfillment, balance, goal attainment and healing. I tailor treatment to your specific needs in a caring, safe and supportive space.
(646) 797-3397 View (646) 797-3397
Photo of Carla Baker, LCSW, Clinical Social Work/Therapist
Carla Baker
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Haven, CT 06510  (Online Only)
By seeking therapy you are taking an important step toward achieving a greater sense of fulfillment in life. You may currently be experiencing painful feelings, longstanding problems, or feeling stuck in repetitive patterns. Therapy can provide an opportunity to better understand the problems that occur in your life. Developing insight into yourself can lead to lasting change, such as more satisfying relationships, a more gratifying experience at work, recovery from trauma, and an alleviation of symptoms of anxiety and depression.
By seeking therapy you are taking an important step toward achieving a greater sense of fulfillment in life. You may currently be experiencing painful feelings, longstanding problems, or feeling stuck in repetitive patterns. Therapy can provide an opportunity to better understand the problems that occur in your life. Developing insight into yourself can lead to lasting change, such as more satisfying relationships, a more gratifying experience at work, recovery from trauma, and an alleviation of symptoms of anxiety and depression.
(646) 502-8659 View (646) 502-8659
Photo of Alan Herbert Lovins, PhD, Psychologist
Alan Herbert Lovins
Psychologist, PhD
Verified Verified
New Haven, CT 06511
My name is Alan Lovins, and I practice at 441 Orange Street, New Haven, CT. I am a graduate of Yale University. I studied theology at the University of Goettingen, Germany for one year, and I was ordained rabbi at the Jewish Theological Seminary in New York City. I received my Ph.D. in psychology from Columbia University and have been practicing since then in New Haven for over 30 years.I am currently forming a group for people who are dealing with issues of retirement.
My name is Alan Lovins, and I practice at 441 Orange Street, New Haven, CT. I am a graduate of Yale University. I studied theology at the University of Goettingen, Germany for one year, and I was ordained rabbi at the Jewish Theological Seminary in New York City. I received my Ph.D. in psychology from Columbia University and have been practicing since then in New Haven for over 30 years.I am currently forming a group for people who are dealing with issues of retirement.
(203) 697-8254 View (203) 697-8254
Photo of Griffin Gordon, LMFT-A, Pre-Licensed Professional
Griffin Gordon
Pre-Licensed Professional, LMFT-A
Verified Verified
New Haven, CT 06511  (Online Only)
It can be really hard to know yourself. To know what you want, who you are, and how to move through the world with a sense of confident authenticity. Even once you know yourself, it can be hard to actually be that person and accept yourself, even in the face of a lack of acceptance from others. Learning to understand and accept oneself can feel like a never-ending uphill battle. If you are someone who is struggling with their sense of identity and how they show up both individually and in their relationships, then I might be the right therapist for you.
It can be really hard to know yourself. To know what you want, who you are, and how to move through the world with a sense of confident authenticity. Even once you know yourself, it can be hard to actually be that person and accept yourself, even in the face of a lack of acceptance from others. Learning to understand and accept oneself can feel like a never-ending uphill battle. If you are someone who is struggling with their sense of identity and how they show up both individually and in their relationships, then I might be the right therapist for you.
(475) 473-9285 View (475) 473-9285
Photo of Melvin P Roy, PhD, Psychologist
Melvin P Roy
Psychologist, PhD
Verified Verified
New Haven, CT 06511
I have been developing my skills as a practicing psychotherapist in the New Haven area for over thirty years. My therapeutic approach is eclectic, dynamic, and practical, inspired by my use of clinical hypnosis as an agent for positive change. My primary interest is in helping people to help themselves by releasing and reinforcing emotional resources previously unrecognized and unused. Imaging issues creatively and incisively can generate the emotional strength and confidence to deal with problems, even those seemingly insurmountable. Much of the enthusiam for my work has been derived from my connection with the Yale University School of Medicine.
I have been developing my skills as a practicing psychotherapist in the New Haven area for over thirty years. My therapeutic approach is eclectic, dynamic, and practical, inspired by my use of clinical hypnosis as an agent for positive change. My primary interest is in helping people to help themselves by releasing and reinforcing emotional resources previously unrecognized and unused. Imaging issues creatively and incisively can generate the emotional strength and confidence to deal with problems, even those seemingly insurmountable. Much of the enthusiam for my work has been derived from my connection with the Yale University School of Medicine.
(203) 701-6934 View (203) 701-6934
Photo of Matt Fields, LMFT, Marriage & Family Therapist
Matt Fields
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
New Haven, CT 06511
Waitlist for new clients
If you're looking for a laid-back and non-judgmental therapist, I'm your guy. I have extensive experience working in the field of mental health. From inpatient mental health and addiction treatment to your more casual individual therapy. I am comfortable with nearly all mental health diagnoses and struggles. I like to provide practical, evidence-based solutions for the things you may be struggling with. I also like to do the more textured analytic talk therapy. Whatever you may be struggling with, I am confident that I can help you. If we aren't a good fit I can definitely help you find someone that would be a good fit.
If you're looking for a laid-back and non-judgmental therapist, I'm your guy. I have extensive experience working in the field of mental health. From inpatient mental health and addiction treatment to your more casual individual therapy. I am comfortable with nearly all mental health diagnoses and struggles. I like to provide practical, evidence-based solutions for the things you may be struggling with. I also like to do the more textured analytic talk therapy. Whatever you may be struggling with, I am confident that I can help you. If we aren't a good fit I can definitely help you find someone that would be a good fit.
(475) 219-7047 View (475) 219-7047
Photo of Ferris Clare - The Harvest Counseling & Wellness, LLC, LPC, Licensed Professional Counselor
The Harvest Counseling & Wellness, LLC
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
New Haven, CT 06513
The Harvest Counseling & Wellness is a sanctuary for your mental health and holistic healing. We are committed to helping you weather all of life's unpredictable storms and uncertainties. Our primary goal is to create a nurturing environment in which you feel heard and supported on your transformative journey towards healing and personal growth. Our team of professionals specialize in various dimensions of mental health, offering diverse perspectives and comprehensive care.
The Harvest Counseling & Wellness is a sanctuary for your mental health and holistic healing. We are committed to helping you weather all of life's unpredictable storms and uncertainties. Our primary goal is to create a nurturing environment in which you feel heard and supported on your transformative journey towards healing and personal growth. Our team of professionals specialize in various dimensions of mental health, offering diverse perspectives and comprehensive care.
(203) 590-5412 View (203) 590-5412
Photo of Christopher H. Anderson, LCSW, Clinical Social Work/Therapist
Christopher H. Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Haven, CT 06511
Not accepting new clients
At some point in our lives, almost all of us get hit with some really difficult stuff that we aren't prepared to deal with. Which feels awful. And when things are really awful, sometimes the best thing is to call in a professional to help out. A good therapist is an expert on how to move forward or adjust in the face of difficulties.
At some point in our lives, almost all of us get hit with some really difficult stuff that we aren't prepared to deal with. Which feels awful. And when things are really awful, sometimes the best thing is to call in a professional to help out. A good therapist is an expert on how to move forward or adjust in the face of difficulties.
(203) 590-5458 View (203) 590-5458
Photo of Will Culpepper - Culpepper Clinical Psychotherapy LLC, LMFT, Marriage & Family Therapist
Culpepper Clinical Psychotherapy LLC
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
New Haven, CT 06515
Effective therapy is individualized, focused, and flexible to respond to the needs of each participant. Ultimately, it is my intention to help my clients lead lives of self-determination, discernment, and skillfulness so they can consciously and effectively respond, rather than habitually react, to life's happenings. Specialties of mine include promoting the growth of resilience, insight, authenticity, and individuation. While I treat symptoms using evidence-based practices, I also support deeper work to get to what may be at the root of the issue.
Effective therapy is individualized, focused, and flexible to respond to the needs of each participant. Ultimately, it is my intention to help my clients lead lives of self-determination, discernment, and skillfulness so they can consciously and effectively respond, rather than habitually react, to life's happenings. Specialties of mine include promoting the growth of resilience, insight, authenticity, and individuation. While I treat symptoms using evidence-based practices, I also support deeper work to get to what may be at the root of the issue.
(475) 291-4233 View (475) 291-4233
Photo of Caitlin Sorenson, PsyD, MA, MFA, Psychologist
Caitlin Sorenson
Psychologist, PsyD, MA, MFA
Verified Verified
New Haven, CT 06515  (Online Only)
Welcome to New Haven Therapy (www.newhaventherapy.com). I am a licensed Clinical Psychologist and have a small Telehealth practice serving ages 15-105 all over the state of Connecticut. I offer individual therapy and this spring will be offering a GROUP: "Thriving With My Adult ADHD." Group is an affordable way to access high quality care and each session is priced to be of service to a wide range of clients at only $25 per session ($200 for the group). This original curriculum has been tested on hundreds of people and has been demonstrated to be highly effective for so many clients who are now thriving!
Welcome to New Haven Therapy (www.newhaventherapy.com). I am a licensed Clinical Psychologist and have a small Telehealth practice serving ages 15-105 all over the state of Connecticut. I offer individual therapy and this spring will be offering a GROUP: "Thriving With My Adult ADHD." Group is an affordable way to access high quality care and each session is priced to be of service to a wide range of clients at only $25 per session ($200 for the group). This original curriculum has been tested on hundreds of people and has been demonstrated to be highly effective for so many clients who are now thriving!
(475) 241-7683 View (475) 241-7683
Photo of Tenee Ricks - The Healing Spa'T, LMSW, Pre-Licensed Professional
The Healing Spa'T
Pre-Licensed Professional, LMSW
Verified Verified
New Haven, CT 06511  (Online Only)
Here at The Healing Spa't we would like for our clients to become your best self. It doesn't matter about your imperfections or lacks, healing revolves around moving forward even when we can't see the "good" in our situations. Grasp onto your "why", challenge yourself to become whole and watch how one decision can change your life. Again, Welcome, to your journey and to your healing.
Here at The Healing Spa't we would like for our clients to become your best self. It doesn't matter about your imperfections or lacks, healing revolves around moving forward even when we can't see the "good" in our situations. Grasp onto your "why", challenge yourself to become whole and watch how one decision can change your life. Again, Welcome, to your journey and to your healing.
(203) 872-0180 View (203) 872-0180
Photo of Janina Tauro - Holistic Psychotherapy, LCSW, Licensed Professional Counselor
Holistic Psychotherapy
Licensed Professional Counselor, LCSW
Verified Verified
New Haven, CT 06520
NEW clients welcome! Our team of trauma therapists connect with clients who are ready to explore their experiences of emotional-, physical-, sexual-, and spiritual health. We value curiosity to guide our holistic approach to therapy, and together we look into your sense of self, and the world, and how you are coping. Holding space for you through individual or group therapy, we want to provide you with tools that support your exploration, and help you change the patterns that are no longer serving you.
NEW clients welcome! Our team of trauma therapists connect with clients who are ready to explore their experiences of emotional-, physical-, sexual-, and spiritual health. We value curiosity to guide our holistic approach to therapy, and together we look into your sense of self, and the world, and how you are coping. Holding space for you through individual or group therapy, we want to provide you with tools that support your exploration, and help you change the patterns that are no longer serving you.
(475) 207-4953 View (475) 207-4953
Photo of Brittany Henderson, LPC, Licensed Professional Counselor
Brittany Henderson
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
New Haven, CT 06519  (Online Only)
With over a decade of experience as a mental health therapist, I have had the privilege of working with individuals, couples, and families in a variety of settings. I understand that people come to therapy for many reasons—relationship problems, depression, anxiety, trauma, life transitions, self-improvement, weight management—the list can be complex and unique to each person. I enjoy collaborating with those seeking to better understand themselves and improve emotional resilience so they can navigate life's challenges with greater ease and live the satisfying and productive lives they desire.
With over a decade of experience as a mental health therapist, I have had the privilege of working with individuals, couples, and families in a variety of settings. I understand that people come to therapy for many reasons—relationship problems, depression, anxiety, trauma, life transitions, self-improvement, weight management—the list can be complex and unique to each person. I enjoy collaborating with those seeking to better understand themselves and improve emotional resilience so they can navigate life's challenges with greater ease and live the satisfying and productive lives they desire.
(475) 253-5062 View (475) 253-5062
Photo of Nicholas Lombardi, PsyD, Psychologist
Nicholas Lombardi
Psychologist, PsyD
Verified Verified
New Haven, CT 06515  (Online Only)
Not accepting new clients
Starting therapy can be a rewarding, enriching experience. I would like to help you have that experience while working towards positive changes in your life. I am a licensed clinical psychologist in Connecticut with extensive experience working with individuals with emotion regulation difficulties, mood disorders, and personality disorders. I want to help you recognize your strengths, as well as changes you can make in your life to make it more positive and fulfilling. I believe that when people understand how they feel and who they are, they can build a life worth living and manage any challenges that come their way.
Starting therapy can be a rewarding, enriching experience. I would like to help you have that experience while working towards positive changes in your life. I am a licensed clinical psychologist in Connecticut with extensive experience working with individuals with emotion regulation difficulties, mood disorders, and personality disorders. I want to help you recognize your strengths, as well as changes you can make in your life to make it more positive and fulfilling. I believe that when people understand how they feel and who they are, they can build a life worth living and manage any challenges that come their way.
(203) 457-6345 View (203) 457-6345
Photo of Jessica R Fay - Jessica R Fay, LCSW, LLC, LCSW, Clinical Social Work/Therapist
Jessica R Fay, LCSW, LLC
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
New Haven, CT 06511  (Online Only)
We at Jessica R Fay, LCSW, LLC are committed to joining with each person and/or family that I work with to empower them to reach their full potential. We are excited to continue to expand to meet the needs of the communities that we serve.
We at Jessica R Fay, LCSW, LLC are committed to joining with each person and/or family that I work with to empower them to reach their full potential. We are excited to continue to expand to meet the needs of the communities that we serve.
(203) 930-1631 View (203) 930-1631
Photo of Kimberly Gereda (Look Up Marganski For Insurance), LCSW, Clinical Social Work/Therapist
Kimberly Gereda (Look Up Marganski For Insurance)
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
New Haven, CT 06515  (Online Only)
Not accepting new clients
Therapy should be a place that makes you feel safe and free from judgement. I honor your individuality. No matter what phase of life you are in, we can experience feelings of anxiety, loss, heartbreak, betrayal, and sadness. Relationships are essential in the process of healing and growth, but you must feel safe for healing and growth to begin. Through building trust, positivity, and perspective with me, my goal is to help you reach inner transformation.
Therapy should be a place that makes you feel safe and free from judgement. I honor your individuality. No matter what phase of life you are in, we can experience feelings of anxiety, loss, heartbreak, betrayal, and sadness. Relationships are essential in the process of healing and growth, but you must feel safe for healing and growth to begin. Through building trust, positivity, and perspective with me, my goal is to help you reach inner transformation.
(475) 234-4311 View (475) 234-4311
Photo of Linda H Robinson, LCSW, MA, Clinical Social Work/Therapist
Linda H Robinson
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
New Haven, CT 06511
I view psychotherapy as a creative and collaborative process that leads to a fuller engagement in love, work and play. I specialize in treating depression, anxiety and self-esteem issues as well as creativity issues and matters relating to relationships, gender and sexuality.
I view psychotherapy as a creative and collaborative process that leads to a fuller engagement in love, work and play. I specialize in treating depression, anxiety and self-esteem issues as well as creativity issues and matters relating to relationships, gender and sexuality.
(860) 498-2067 View (860) 498-2067
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How does your Therapist compare?

Number of Therapists in New Haven, CT

800+

Average cost per session

$150

Therapists in New Haven, CT who prioritize treating:

92% Anxiety
86% Depression
75% Relationship Issues
74% Self Esteem
71% Trauma and PTSD
69% Coping Skills
68% Stress

Average years in practice

12 Years

Top 3 insurances accepted

74% Aetna
68% Cigna and Evernorth
63% UnitedHealthcare UHC | UBH

How Therapists in New Haven, CT see their clients

60% In Person and Online
40% Online Only

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New Haven?

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.