Therapists in Bath, ME

Photo of Diana Leigh Embler, LCSW, Clinical Social Work/Therapist
Diana Leigh Embler
Clinical Social Work/Therapist, LCSW
Verified Verified
Bath, ME 04530  (Online Only)
Not accepting new clients
Are you struggling with anxiety, depression, stress and having issues with relationships, work/school or family? Together we can develop your strengths and skills to better manage the challenges of life. Most of my practice has focused on working with Women's Issues, LGBTQ, teens, families and couples. I work from a variety of approaches that focus on the skills to manage symptoms and regain a sense of hope and delight. We will focus on interventions that build on strengths, capacity for connection, mindfulness, clarity and change.
Are you struggling with anxiety, depression, stress and having issues with relationships, work/school or family? Together we can develop your strengths and skills to better manage the challenges of life. Most of my practice has focused on working with Women's Issues, LGBTQ, teens, families and couples. I work from a variety of approaches that focus on the skills to manage symptoms and regain a sense of hope and delight. We will focus on interventions that build on strengths, capacity for connection, mindfulness, clarity and change.
(207) 600-1469 View (207) 600-1469
Photo of Dr. Edward Hall, PhD, LADC, MAC, CCS, Drug & Alcohol Counselor
Dr. Edward Hall
Drug & Alcohol Counselor, PhD, LADC, MAC, CCS
Verified Verified
Bath, ME 04530  (Online Only)
Not accepting new clients
Addiction can take such a heavy toll on us, and on the people, we care about the most, I’d like to help. I believe everyone has within them limitless power to transform into the most confident, fulfilled, authentic version of themselves. But that can feel impossible, especially when you’re weighed down by anxiety, frustration, disappointment, anger, financial difficulty, legal issues, and hopelessness.
Addiction can take such a heavy toll on us, and on the people, we care about the most, I’d like to help. I believe everyone has within them limitless power to transform into the most confident, fulfilled, authentic version of themselves. But that can feel impossible, especially when you’re weighed down by anxiety, frustration, disappointment, anger, financial difficulty, legal issues, and hopelessness.
(207) 288-7185 View (207) 288-7185
Photo of Rebecca Porter, MS, LCPC, HHC, NCC, Counselor
Rebecca Porter
Counselor, MS, LCPC, HHC, NCC
Verified Verified
Bath, ME 04530
When we are faced with the common ebb and flow of life's challenges we sometimes cope in ways that may not serve our best-self, compromising our relationships, family, physical health, or career. This can leave us feeling out of balance, overwhelmed, and seeking a change. Through an integrative mind-body approach we will explore how the compromised aspects of your life impact you as a whole, while empowering you with tools and strategies to regain the balance you desire.
When we are faced with the common ebb and flow of life's challenges we sometimes cope in ways that may not serve our best-self, compromising our relationships, family, physical health, or career. This can leave us feeling out of balance, overwhelmed, and seeking a change. Through an integrative mind-body approach we will explore how the compromised aspects of your life impact you as a whole, while empowering you with tools and strategies to regain the balance you desire.
(207) 618-6409 View (207) 618-6409
Photo of Debra Johannah Harkness - Johannah Harkness Psychotherapy, MA, LCPC, Counselor
Johannah Harkness Psychotherapy
Counselor, MA, LCPC
Verified Verified
Bath, ME 04530
As an LCPC, Certified Clinical Trauma Professional and Mental Health Integrative Medicine Provider, my practice focuses on post traumatic resilience, and healthy habits of mind, body and spirit. Clients are compassionately supported to heal and manage early attachment- and trauma-based influences. Psycho-education on the neurobiology of trauma, strategies to calm trauma-related hyper-arousal and triggering, habit reversal, removal of blocks to personal agency and fulfillment of potential, development of relational life skills such as service, gratitude and connection with nature are all important to holistic healing.
As an LCPC, Certified Clinical Trauma Professional and Mental Health Integrative Medicine Provider, my practice focuses on post traumatic resilience, and healthy habits of mind, body and spirit. Clients are compassionately supported to heal and manage early attachment- and trauma-based influences. Psycho-education on the neurobiology of trauma, strategies to calm trauma-related hyper-arousal and triggering, habit reversal, removal of blocks to personal agency and fulfillment of potential, development of relational life skills such as service, gratitude and connection with nature are all important to holistic healing.
(207) 245-1390 View (207) 245-1390
Nancy Harris Jaeger
Clinical Social Work/Therapist, LCSW
Verified Verified
Bath, ME 04530
LCSW in Bath, Maine with over 25 years of experience with adolescent, adult, couples, and family therapy. Psychodynamically trained with skills in EMDR and DBT.
LCSW in Bath, Maine with over 25 years of experience with adolescent, adult, couples, and family therapy. Psychodynamically trained with skills in EMDR and DBT.
(207) 618-9466 View (207) 618-9466
Photo of Sanja Gerskovic, LCPC, Counselor
Sanja Gerskovic
Counselor, LCPC
Verified Verified
Bath, ME 04530
Not accepting new clients
"If we don't change, we don't grow. If we don't grow, we aren't really living." --Gail Sheehy. I am so pleased to live in Midcoast Maine and work with those in the community to seek out life's joys and opportunities. As a therapist, it is essential to work with people where they're at, and help guide them to where they want to be. I've assisted people along such paths in a variety of settings and ranges of diagnostic severity. ***Currently not accepting new clients. ***
"If we don't change, we don't grow. If we don't grow, we aren't really living." --Gail Sheehy. I am so pleased to live in Midcoast Maine and work with those in the community to seek out life's joys and opportunities. As a therapist, it is essential to work with people where they're at, and help guide them to where they want to be. I've assisted people along such paths in a variety of settings and ranges of diagnostic severity. ***Currently not accepting new clients. ***
(207) 751-2308 View (207) 751-2308
Photo of Carol L Huntington, LCSW, DCSW, MSW, M Div, MSW , Clinical Social Work/Therapist
Carol L Huntington
Clinical Social Work/Therapist, LCSW, DCSW, MSW, M Div, MSW
Verified Verified
Bath, ME 04530  (Online Only)
You may be blocked or feeling helpless, stuck or at a loss for how to cope. You may be unsure where to begin or how to continue in your journey with more joy, meaning and purpose. I focus on your strengths and believe in the inherent wisdom each person has. I combine my life experience and clinical training. My specialties include helping people to navigate grief, PTSD, trauma, anxiety, life transitions, problematic substance use, depression, and spiritual conflicts. I will journey with you nonjudgmentally to help you identify and work on your goals. I will model, facilitate, and help you discover new ways of coping, and behaving.
You may be blocked or feeling helpless, stuck or at a loss for how to cope. You may be unsure where to begin or how to continue in your journey with more joy, meaning and purpose. I focus on your strengths and believe in the inherent wisdom each person has. I combine my life experience and clinical training. My specialties include helping people to navigate grief, PTSD, trauma, anxiety, life transitions, problematic substance use, depression, and spiritual conflicts. I will journey with you nonjudgmentally to help you identify and work on your goals. I will model, facilitate, and help you discover new ways of coping, and behaving.
(207) 803-6134 View (207) 803-6134
Photo of Ellen W Sullivan, LICSW, Coach, Teacher, MSW, Clinical Social Work/Therapist
Ellen W Sullivan
Clinical Social Work/Therapist, LICSW, Coach, Teacher, MSW
Verified Verified
Bath, ME 04530
To quote Jon Kabat Zinn, 'To be mindful is to befriend the present moment as it is'. Offering mindfulness and meditation individual coaching to people who want to expand their awareness and apply new skills to dealing with life's challenges. I help you cultivate mindfulness principals of self- acceptance, self-compassion, letting go of negative beliefs and thinking. I will help you learn to meditate on a regular basis, coach you to manage stress and emotions, teach basic mindful movement practices, and help you stay focused and grounded in the present moment for a calmer more peaceful approach to life.
To quote Jon Kabat Zinn, 'To be mindful is to befriend the present moment as it is'. Offering mindfulness and meditation individual coaching to people who want to expand their awareness and apply new skills to dealing with life's challenges. I help you cultivate mindfulness principals of self- acceptance, self-compassion, letting go of negative beliefs and thinking. I will help you learn to meditate on a regular basis, coach you to manage stress and emotions, teach basic mindful movement practices, and help you stay focused and grounded in the present moment for a calmer more peaceful approach to life.
(207) 492-4506 View (207) 492-4506
Photo of Anita R Lichman, LCSW, Clinical Social Work/Therapist
Anita R Lichman
Clinical Social Work/Therapist, LCSW
Verified Verified
Bath, ME 04530  (Online Only)
Accepting New Telehealth Clients: People who work with me will find a therapist who is welcoming, non-judgmental, and flexible. I lean heavily on years of training in narrative therapy, cognitive behavioral therapy, dream analysis, tarot as a projective tool, and trauma informed work along with my highly tuned intuition and compassion. I try to be down to earth and bring humor into sessions when appropriate too.
Accepting New Telehealth Clients: People who work with me will find a therapist who is welcoming, non-judgmental, and flexible. I lean heavily on years of training in narrative therapy, cognitive behavioral therapy, dream analysis, tarot as a projective tool, and trauma informed work along with my highly tuned intuition and compassion. I try to be down to earth and bring humor into sessions when appropriate too.
(207) 386-9665 View (207) 386-9665
Photo of Terence Donahue, MSW, LCSW, Clinical Social Work/Therapist
Terence Donahue
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Bath, ME 04530
Book with me now by clicking on my website or sending me an email. I am not able to consistently return calls/voicemails at this time unfortunately. Currently I do have limited openings for in-person sessions. I am a licensed clinical social worker with 15 years of experience supporting families in a variety of roles. I provide individual counseling to adults and adolescents in person. I have experience supporting clients with depression, anxiety, trauma, substance use disorder, self harm, and eating disorders.
Book with me now by clicking on my website or sending me an email. I am not able to consistently return calls/voicemails at this time unfortunately. Currently I do have limited openings for in-person sessions. I am a licensed clinical social worker with 15 years of experience supporting families in a variety of roles. I provide individual counseling to adults and adolescents in person. I have experience supporting clients with depression, anxiety, trauma, substance use disorder, self harm, and eating disorders.
(207) 489-8939 View (207) 489-8939
Photo of Rory Wall, LCPC-C, Counselor
Rory Wall
Counselor, LCPC-C
Verified Verified
1 Endorsed
Bath, ME 04530
Current client openings. If you are seeking help for something that impacts your life in a negative way, the first step is to care about it and then for it. The word "cure" originates in the Latin word for "care." Our sessions together are built upon this care, and we refine it as we go. It is this refined care that will give us access to difficult places, unresolved pain and trauma, fear, as well as untapped strengths or power. It is also this care that has the capacity to transform.
Current client openings. If you are seeking help for something that impacts your life in a negative way, the first step is to care about it and then for it. The word "cure" originates in the Latin word for "care." Our sessions together are built upon this care, and we refine it as we go. It is this refined care that will give us access to difficult places, unresolved pain and trauma, fear, as well as untapped strengths or power. It is also this care that has the capacity to transform.
(207) 477-5804 View (207) 477-5804
Photo of Lynn Mallory, LCSW, Clinical Social Work/Therapist
Lynn Mallory
Clinical Social Work/Therapist, LCSW
Verified Verified
Bath, ME 04530
** I am not currently accepting new clients, but will update when I have openings.** Sometimes life can be challenging. Kids don't always know how to manage difficult transitions or feelings by using their words. Instead, an unhappy or anxious child may present with behaviors that are upsetting. I can help discover underlying issues and guide young people in finding ways to better express what is on their minds.
** I am not currently accepting new clients, but will update when I have openings.** Sometimes life can be challenging. Kids don't always know how to manage difficult transitions or feelings by using their words. Instead, an unhappy or anxious child may present with behaviors that are upsetting. I can help discover underlying issues and guide young people in finding ways to better express what is on their minds.
(207) 389-7688 View (207) 389-7688
Photo of Jenny Faherty - Jenny Faherty, LCPC, LLC, Counselor
Jenny Faherty, LCPC, LLC
Counselor
Verified Verified
Bath, ME 04530  (Online Only)
Not accepting new clients
Let's face it...life can feel overwhelming or discouraging at times. Everyone has been there at some point. Fortunately, all of us have an innate drive to heal and feel better; to regain a sense of control, become more resilient or empowered, or face and overcome challenging obstacles. But still, it's not unusual for us to have difficulty tapping into that sometimes—or know how to start. That's where I come in. I help you find your strengths as you address, work through, or resolve what is troubling you. Reaching out for help isn't always easy, but is one of the best and most courageous things you can do.
Let's face it...life can feel overwhelming or discouraging at times. Everyone has been there at some point. Fortunately, all of us have an innate drive to heal and feel better; to regain a sense of control, become more resilient or empowered, or face and overcome challenging obstacles. But still, it's not unusual for us to have difficulty tapping into that sometimes—or know how to start. That's where I come in. I help you find your strengths as you address, work through, or resolve what is troubling you. Reaching out for help isn't always easy, but is one of the best and most courageous things you can do.
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Photo of Emily Michaud, LCPC, LADC, Counselor
Emily Michaud
Counselor, LCPC, LADC
Verified Verified
Bath, ME 04530  (Online Only)
Are you ready to engage in an experience of growth and healing? Do you sometimes feel stuck? I would like to help you figure out how to get your needs met, to increase hope and to help you to engage in a better relationship with YOU and others in your life. Lets brainstorm together. My training and experience lies in addiction treatment, codependency recovery, nature focused treatment, treatment of PTSD and trauma, mood disorders, personality disorders and psychotic disorders. I am also developing a nature based outdoors based therapy group in the Midcoast area as I believe the relationship we have to nature is important.
Are you ready to engage in an experience of growth and healing? Do you sometimes feel stuck? I would like to help you figure out how to get your needs met, to increase hope and to help you to engage in a better relationship with YOU and others in your life. Lets brainstorm together. My training and experience lies in addiction treatment, codependency recovery, nature focused treatment, treatment of PTSD and trauma, mood disorders, personality disorders and psychotic disorders. I am also developing a nature based outdoors based therapy group in the Midcoast area as I believe the relationship we have to nature is important.
(207) 716-5305 View (207) 716-5305
Photo of Jessie Weary, LCSW, Clinical Social Work/Therapist
Jessie Weary
Clinical Social Work/Therapist, LCSW
Verified Verified
Bath, ME 04530  (Online Only)
Waitlist for new clients
Do you find yourself struggling with life transitions, changes, anxiety, burnout, feeling stuck? Have you been told you are an Empath or HSP and/or are you part of the LGBTQ+ or Queer community? I offer a safe and authentic space to align with you and support your individual growth. I use more of a “coaching” style and help support others with finding their authentic selves through tapping into their intuition and own unique wisdom. We all go through times when we need extra support. Starting therapy can be a first step to to healing and creating the life you want! I want you to get back to your higher self and life purpose.
Do you find yourself struggling with life transitions, changes, anxiety, burnout, feeling stuck? Have you been told you are an Empath or HSP and/or are you part of the LGBTQ+ or Queer community? I offer a safe and authentic space to align with you and support your individual growth. I use more of a “coaching” style and help support others with finding their authentic selves through tapping into their intuition and own unique wisdom. We all go through times when we need extra support. Starting therapy can be a first step to to healing and creating the life you want! I want you to get back to your higher self and life purpose.
(207) 386-3802 View (207) 386-3802
Photo of Barbara Meichner Doughty, MS, LCPC, Counselor
Barbara Meichner Doughty
Counselor, MS, LCPC
Verified Verified
Bath, ME 04530
My approach to counseling recognizes the uniqueness of each individual. I have experience working with folks 18-80 dealing with trauma, anxiety, depression, relationships, health concerns, grief,and other major life transitions. My practice focuses on deep inner work that encourages self-awareness and a feeling relationship with the body. This work is facilitated by a strong and trusting client/counselor relationship based on warmth and non-judgment. You will gain insight into feelings, learn to understand behavior and reduce emotional suffering so that your changes are positive and lasting. There is one opening available now.
My approach to counseling recognizes the uniqueness of each individual. I have experience working with folks 18-80 dealing with trauma, anxiety, depression, relationships, health concerns, grief,and other major life transitions. My practice focuses on deep inner work that encourages self-awareness and a feeling relationship with the body. This work is facilitated by a strong and trusting client/counselor relationship based on warmth and non-judgment. You will gain insight into feelings, learn to understand behavior and reduce emotional suffering so that your changes are positive and lasting. There is one opening available now.
(207) 517-4973 View (207) 517-4973
Photo of Ella L Brown, LCPC-C, Counselor
Ella L Brown
Counselor, LCPC-C
Verified Verified
4 Endorsed
Bath, ME 04530
Whatever challenge you are facing - anxiety, depression, feelings related to connectivity/isolation, general day-to-day issues that are adding up or becoming overwhelming, issues with life transitions, or issues with your partner, I will meet you (individuals or couples) wherever you are on your journey and provide a space where you feel seen and heard. We will work together to identify the emotions associated with the challenges in your life, process those emotions, and discover your strengths. I will form a collaborative relationship with you and be with you every step of the way as you make changes and discover your potential.
Whatever challenge you are facing - anxiety, depression, feelings related to connectivity/isolation, general day-to-day issues that are adding up or becoming overwhelming, issues with life transitions, or issues with your partner, I will meet you (individuals or couples) wherever you are on your journey and provide a space where you feel seen and heard. We will work together to identify the emotions associated with the challenges in your life, process those emotions, and discover your strengths. I will form a collaborative relationship with you and be with you every step of the way as you make changes and discover your potential.
(207) 672-2738 View (207) 672-2738
Photo of Sarah Keats Pardue, LCPC, Counselor
Sarah Keats Pardue
Counselor, LCPC
Verified Verified
Bath, ME 04530
I am currently doing telehealth appointments and office appointments. Are you or your child suffering from worry, sadness, or other concerns that you don't know how to deal with? Sometimes you just need a counselor in order to explore where these concerns are coming from and develop new ways to cope, handle or think about situations differently. I counsel adults, adolescents, and children ages 10-12 years old around a variety of concerns.
I am currently doing telehealth appointments and office appointments. Are you or your child suffering from worry, sadness, or other concerns that you don't know how to deal with? Sometimes you just need a counselor in order to explore where these concerns are coming from and develop new ways to cope, handle or think about situations differently. I counsel adults, adolescents, and children ages 10-12 years old around a variety of concerns.
(207) 618-9884 View (207) 618-9884
Photo of Bennett Holbrook, LCPC, Counselor
Bennett Holbrook
Counselor, LCPC
Verified Verified
Bath, ME 04530
Not accepting new clients
People seeking the help of a therapist often feel alone, defeated, and even ashamed. Because of these typical feelings I believe it is extremely important for the therapist to foster feelings of hope and acceptance as a foundation for the work to follow. To achieve this I embrace the humanistic principle of Unconditional Positive Regard working with clients within a non-judgmental cooperative alliance.My office is located in a convenient, rural, residential setting that many of my clients have described as therapeutic. I work with clients experiencing anxiety, depression, relationship problems, PTSD, and loss of meaning in their lives.
People seeking the help of a therapist often feel alone, defeated, and even ashamed. Because of these typical feelings I believe it is extremely important for the therapist to foster feelings of hope and acceptance as a foundation for the work to follow. To achieve this I embrace the humanistic principle of Unconditional Positive Regard working with clients within a non-judgmental cooperative alliance.My office is located in a convenient, rural, residential setting that many of my clients have described as therapeutic. I work with clients experiencing anxiety, depression, relationship problems, PTSD, and loss of meaning in their lives.
(207) 358-4694 View (207) 358-4694
Photo of Khara Randall, LPC, CSAC, Licensed Professional Counselor
Khara Randall
Licensed Professional Counselor, LPC, CSAC
Verified Verified
3 Endorsed
Bath, ME 04530  (Online Only)
Addictions, life changes and mood disorders can feel difficult and overwhelming when dealt with alone. As a therapist with both inpatient and outpatient experience, we can work together to begin to cope with life stressors. I specialize in working with substance abuse and eating disorders and working towards a Certified Eating Disorder Specialist certification. I have experience with mood disorders, anxiety, depression, codependency and life transitions.
Addictions, life changes and mood disorders can feel difficult and overwhelming when dealt with alone. As a therapist with both inpatient and outpatient experience, we can work together to begin to cope with life stressors. I specialize in working with substance abuse and eating disorders and working towards a Certified Eating Disorder Specialist certification. I have experience with mood disorders, anxiety, depression, codependency and life transitions.
(757) 703-4540 View (757) 703-4540
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How does your Therapist compare?

Number of Therapists in Bath, ME

60+

Average cost per session

$125

Therapists in Bath, ME who prioritize treating:

90% Depression
90% Anxiety
83% Relationship Issues
78% Grief
76% Trauma and PTSD
75% Self Esteem
68% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

77% Anthem
74% BlueCross and BlueShield
57% Harvard Pilgrim

How Therapists in Bath, ME see their clients

69% In Person and Online
31% Online Only

Gender breakdown

70% Female
29% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bath?

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.