Therapists in East Longmeadow, MA

Photo of Amy Neumann - 413Therapy Group, Inc. (Amy Neumann, Co-Owner), LICSW:, MA, LCSW:, CT, FL, TX, Clinical Social Work/Therapist
413Therapy Group, Inc. (Amy Neumann, Co-Owner)
Clinical Social Work/Therapist, LICSW:, MA, LCSW:, CT, FL, TX
Verified Verified
East Longmeadow, MA 01028  (Online Only)
Updated 06/06/2024: We have CURRENT telehealth (video) openings for clients located in MA and CT, and limited in NY, TX, and FL. School, work, family, relationships, LIFE...they can all be stressful, overwhelming and seemingly unmanageable sometimes. Going to therapy for the first time, or starting over again with a new therapist can be intimidating. Combining your expertise (you are always the expert on you) and ours, we will work to overcome barriers to happiness.
Updated 06/06/2024: We have CURRENT telehealth (video) openings for clients located in MA and CT, and limited in NY, TX, and FL. School, work, family, relationships, LIFE...they can all be stressful, overwhelming and seemingly unmanageable sometimes. Going to therapy for the first time, or starting over again with a new therapist can be intimidating. Combining your expertise (you are always the expert on you) and ours, we will work to overcome barriers to happiness.
(413) 241-8859 View (413) 241-8859
Photo of Paula Teixeira, MA, Pre-Licensed Professional
Paula Teixeira
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
East Longmeadow, MA 01028  (Online Only)
Navigating adolescence and young adulthood can be a challenging journey, often leaving individuals feeling overwhelmed as if they're grappling with their daily struggles in isolation, compounded by the pressures of anxiety and the incessant demands of social media. If you're finding it challenging to navigate through these feelings of stress, consider engaging in a conversation with me.
Navigating adolescence and young adulthood can be a challenging journey, often leaving individuals feeling overwhelmed as if they're grappling with their daily struggles in isolation, compounded by the pressures of anxiety and the incessant demands of social media. If you're finding it challenging to navigate through these feelings of stress, consider engaging in a conversation with me.
(413) 287-6370 View (413) 287-6370
Photo of Amy Neumann - 413Therapy Group, Inc., LICSW, Clinical Social Work/Therapist
413Therapy Group, Inc.
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
East Longmeadow, MA 01028  (Online Only)
Welcome to 413 therapy Group where compassionate care meets diverse expertise. We understand that seeking therapy is a deeply personal journey. Finding the right therapist for YOU is crucial for positive outcomes. Our team includes skilled therapists with a diverse range of specialties and expertise. Are you navigating life transitions, managing stress or anxiety, coping with grief and loss, working through trauma or navigating substance abuse in your family or for yourself? If so, 413Therapy Group would like to help.
Welcome to 413 therapy Group where compassionate care meets diverse expertise. We understand that seeking therapy is a deeply personal journey. Finding the right therapist for YOU is crucial for positive outcomes. Our team includes skilled therapists with a diverse range of specialties and expertise. Are you navigating life transitions, managing stress or anxiety, coping with grief and loss, working through trauma or navigating substance abuse in your family or for yourself? If so, 413Therapy Group would like to help.
(413) 613-4481 View (413) 613-4481
Photo of Jennifer Daley, LMHC, Counselor
Jennifer Daley
Counselor, LMHC
Verified Verified
East Longmeadow, MA 01028  (Online Only)
I worked as a therapist for a local community mental health agency for 4 years, where I developed a specialty in working with adults, particularly around anxiety, depression, boundaries, and self esteem issues. I strive to provide a safe and non-judgmental space to explore feelings, decrease conflict, and work toward an individual's goals. My hope is that we can develop a relationship that feels comfortable and supportive. It is my belief that you are the expert on you, and that by working together, we can explore your strengths and skills.
I worked as a therapist for a local community mental health agency for 4 years, where I developed a specialty in working with adults, particularly around anxiety, depression, boundaries, and self esteem issues. I strive to provide a safe and non-judgmental space to explore feelings, decrease conflict, and work toward an individual's goals. My hope is that we can develop a relationship that feels comfortable and supportive. It is my belief that you are the expert on you, and that by working together, we can explore your strengths and skills.
(413) 343-4020 View (413) 343-4020
Photo of Carol M. Ouellette, EdD, LMHC, CCTP-II, CGP, Counselor
Carol M. Ouellette
Counselor, EdD, LMHC, CCTP-II, CGP
Verified Verified
East Longmeadow, MA 01028
Not accepting new clients
To those who stopped to read my profile, thank you for taking the time to consider if I am a good match for your needs. My first therapeutic action is to be sure you feel safe and comfortable in therapy. I want you to feel empowered as a consumer; if for any reason we are not a good match, I will support your transition to the therapist who is a better fit. While my primary focus is compassionate care for those who have experienced childhood (complex) trauma, grief, and loss, I also work with individuals who struggle with depression, anxiety, and anger. I also specialize in serving Deaf and Hard-of-Hearing individuals fluent in ASL.
To those who stopped to read my profile, thank you for taking the time to consider if I am a good match for your needs. My first therapeutic action is to be sure you feel safe and comfortable in therapy. I want you to feel empowered as a consumer; if for any reason we are not a good match, I will support your transition to the therapist who is a better fit. While my primary focus is compassionate care for those who have experienced childhood (complex) trauma, grief, and loss, I also work with individuals who struggle with depression, anxiety, and anger. I also specialize in serving Deaf and Hard-of-Hearing individuals fluent in ASL.
(413) 216-2444 View (413) 216-2444
Photo of Mary Crowley, MEd, LMHC, Counselor
Mary Crowley
Counselor, MEd, LMHC
Verified Verified
East Longmeadow, MA 01028
I am currently accepting new patients. I believe that asking for help can be difficult and that coming to therapy is not always an easy thing to do. I try to always keep this in mind and to meet people where they are at. I work within a collaborative framework to help each person(s) connect to their own strengths and to use these strengths to begin building healthy change in their lives. Therapy is a way to gain better insight into your feelings, thoughts, and experiences. Please call or email for a session. Thank you.
I am currently accepting new patients. I believe that asking for help can be difficult and that coming to therapy is not always an easy thing to do. I try to always keep this in mind and to meet people where they are at. I work within a collaborative framework to help each person(s) connect to their own strengths and to use these strengths to begin building healthy change in their lives. Therapy is a way to gain better insight into your feelings, thoughts, and experiences. Please call or email for a session. Thank you.
(413) 216-2238 View (413) 216-2238
Photo of Tribe Institute ( Dr. Winifred N Martin), EdD, LICSW, Clinical Social Work/Therapist
Tribe Institute ( Dr. Winifred N Martin)
Clinical Social Work/Therapist, EdD, LICSW
Verified Verified
East Longmeadow, MA 01028
We often rely on survival skills we learned as children to navigate the world. These skills helped us feel safe and taught us how to view and interact with the world. However, some of these ways of surviving now impede our ability to form deeper connections with others and ourselves. Our marriages become challenging, family interactions feel hollow, and we struggle to be vulnerable due to fear of judgment. This fear prevents us from connecting with others, setting boundaries, and making better decisions. At Tribe Institute, we help you discover the generational patterns that have helped and hindered you.
We often rely on survival skills we learned as children to navigate the world. These skills helped us feel safe and taught us how to view and interact with the world. However, some of these ways of surviving now impede our ability to form deeper connections with others and ourselves. Our marriages become challenging, family interactions feel hollow, and we struggle to be vulnerable due to fear of judgment. This fear prevents us from connecting with others, setting boundaries, and making better decisions. At Tribe Institute, we help you discover the generational patterns that have helped and hindered you.
(413) 213-3608 View (413) 213-3608
Photo of Kaine' Compton, Pre-Licensed Professional
Kaine' Compton
Pre-Licensed Professional
Verified Verified
East Longmeadow, MA 01028
At some point, we realize we can’t do this on our own. Thank you for stopping by my page. Now, let the healing process begin. Acknowledging you need support in your journey is confirmation that there is strength in you. Everyone can use a helping hand in their life. I am here to help you, help yourself, through whatever life’s challenges may bring. I have over 20 years of experience working in the human service and mental health field. Not only am I a mental health clinician, but I am a licensed minister and a community-involved public servant. I believe that quality of life begins with understanding the importance of self-care.
At some point, we realize we can’t do this on our own. Thank you for stopping by my page. Now, let the healing process begin. Acknowledging you need support in your journey is confirmation that there is strength in you. Everyone can use a helping hand in their life. I am here to help you, help yourself, through whatever life’s challenges may bring. I have over 20 years of experience working in the human service and mental health field. Not only am I a mental health clinician, but I am a licensed minister and a community-involved public servant. I believe that quality of life begins with understanding the importance of self-care.
(413) 414-5560 View (413) 414-5560
Photo of Wendy Lara, MEd, LMHC, Counselor
Wendy Lara
Counselor, MEd, LMHC
Verified Verified
1 Endorsed
East Longmeadow, MA 01028  (Online Only)
Not accepting new clients
Not accepting new clients.- - - Attending therapy is one of the biggest acts of self-care and self-love you can give to yourself. My practice is a space for respect, acceptance, hope, and growth; I focus on each client's independent goals, understanding their own process and challenges, and working on a collaborative dynamic to meet attainable and realistic goals. I am a Bilingual licensed mental health counselor, with more than 12 years of experience as a psychotherapist.
Not accepting new clients.- - - Attending therapy is one of the biggest acts of self-care and self-love you can give to yourself. My practice is a space for respect, acceptance, hope, and growth; I focus on each client's independent goals, understanding their own process and challenges, and working on a collaborative dynamic to meet attainable and realistic goals. I am a Bilingual licensed mental health counselor, with more than 12 years of experience as a psychotherapist.
(413) 213-3541 View (413) 213-3541
Photo of Jessica Steurer, MA, LMHC, Counselor
Jessica Steurer
Counselor, MA, LMHC
Verified Verified
East Longmeadow, MA 01028  (Online Only)
I offer virtual therapy for children ages 7-10 and young adult women ages 20-30 years old experiencing anxiety. I empower high-functioning women to overcome the burden of anxiety. Together, we can identify what's not working and get you back to balance. We'll use a whole self approach, addressing the needs of your mind, body and spirit. Seeking therapy can feel scary but you're making the right choice. You deserve a safe space to heal and grow. In our sessions together, I'll meet you with compassion and evidence-based techniques so you can overcome the hangups and habits holding you back.
I offer virtual therapy for children ages 7-10 and young adult women ages 20-30 years old experiencing anxiety. I empower high-functioning women to overcome the burden of anxiety. Together, we can identify what's not working and get you back to balance. We'll use a whole self approach, addressing the needs of your mind, body and spirit. Seeking therapy can feel scary but you're making the right choice. You deserve a safe space to heal and grow. In our sessions together, I'll meet you with compassion and evidence-based techniques so you can overcome the hangups and habits holding you back.
(617) 505-1980 View (617) 505-1980
Photo of Courtney K Jorud - Greater Springfield Counseling, PC , Counselor
Greater Springfield Counseling, PC
Counselor
Verified Verified
East Longmeadow, MA 01028
Individuals who seek help are incredibly courageous, and I am grateful to be a small piece of their journey along the way. My approach uses various modalities that are both, structured, and unstructured, depending on the needs of those I'm serving. Everyone deserves to have an opportunity to feel relief, joy, grounding, and security. This looks different for all, and I'm happy to adapt as needed while supporting in reaching the ultimate goals outlined. I offer the most experience with individuals who have experienced trauma and abuse, anxiety, depression, bipolar symptoms, relationship issues, ADHD, and addiction.
Individuals who seek help are incredibly courageous, and I am grateful to be a small piece of their journey along the way. My approach uses various modalities that are both, structured, and unstructured, depending on the needs of those I'm serving. Everyone deserves to have an opportunity to feel relief, joy, grounding, and security. This looks different for all, and I'm happy to adapt as needed while supporting in reaching the ultimate goals outlined. I offer the most experience with individuals who have experienced trauma and abuse, anxiety, depression, bipolar symptoms, relationship issues, ADHD, and addiction.
(413) 384-5538 x139 View (413) 384-5538 x139
Photo of Ulyssa Lopez, LCSW, Clinical Social Work/Therapist
Ulyssa Lopez
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
East Longmeadow, MA 01028  (Online Only)
First and foremost, congratulations for being here on this page and reading this profile. You turned around, looked whatever it is in the face and confronted it with courage. It takes a certain level of self-awareness, self-reflection, and bravery to admit that you might be struggling and/or need help, whether that be physical health or mental wellness. You might think to yourself, what has landed me here? I am here to help figure it out, to unpack the many layers we all natural have as human beings, and to help guide you through this healing journey/season
First and foremost, congratulations for being here on this page and reading this profile. You turned around, looked whatever it is in the face and confronted it with courage. It takes a certain level of self-awareness, self-reflection, and bravery to admit that you might be struggling and/or need help, whether that be physical health or mental wellness. You might think to yourself, what has landed me here? I am here to help figure it out, to unpack the many layers we all natural have as human beings, and to help guide you through this healing journey/season
(413) 225-4503 View (413) 225-4503
Photo of Daisy Kabochi, LCSW, Pre-Licensed Professional
Daisy Kabochi
Pre-Licensed Professional, LCSW
Verified Verified
1 Endorsed
East Longmeadow, MA 01028  (Online Only)
All humans have the capability to grow and develop through the power of self-reflection and self-care.
All humans have the capability to grow and develop through the power of self-reflection and self-care.
(413) 225-4789 View (413) 225-4789
Photo of Richard T. Longo, EdD, Psychologist
Richard T. Longo
Psychologist, EdD
Verified Verified
East Longmeadow, MA 01028
It takes a lot of courage to reach out and ask for help; that is the first step. Admitting one needs help in addressing a painful issue is not a weakness, it is a strength. I provide a safe, nonjudgmental, and collaborative environment that fosters change and growth. My style is supportive, yet active. Together we will work toward defining and achieving your treatment goals. I have had good success working with individuals (usually men) who are unfamiliar and skeptical of the therapy process. For my information about my practice, look on my website by clicking the button on the left of this statement.
It takes a lot of courage to reach out and ask for help; that is the first step. Admitting one needs help in addressing a painful issue is not a weakness, it is a strength. I provide a safe, nonjudgmental, and collaborative environment that fosters change and growth. My style is supportive, yet active. Together we will work toward defining and achieving your treatment goals. I have had good success working with individuals (usually men) who are unfamiliar and skeptical of the therapy process. For my information about my practice, look on my website by clicking the button on the left of this statement.
(413) 519-1960 View (413) 519-1960
Photo of Mary F Albert, MSW, LICSW, Clinical Social Work/Therapist
Mary F Albert
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
East Longmeadow, MA 01028
Not accepting new clients
Managing everything in our lives can be challenging and difficult. Developing a trusting, supportive relationship to face these challenges can result in increased feelings of empowerment and restore a positive balance in your life. I work with adults of all ages who are experiencing anxiety, increased stress and depression. I specialize in areas of loss, PTSD, relationship issues and grief. My approach is utilizing a strength-based model and engaging in a collaborative relationship with my clients.
Managing everything in our lives can be challenging and difficult. Developing a trusting, supportive relationship to face these challenges can result in increased feelings of empowerment and restore a positive balance in your life. I work with adults of all ages who are experiencing anxiety, increased stress and depression. I specialize in areas of loss, PTSD, relationship issues and grief. My approach is utilizing a strength-based model and engaging in a collaborative relationship with my clients.
(413) 338-8764 View (413) 338-8764
Photo of Shelly Warren, LICSW, Clinical Social Work/Therapist
Shelly Warren
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
East Longmeadow, MA 01028
I offer compassionate and practical psychotherapy for mental health and substance use challenges, with a focus on teens and young adults. I believe all people are capable of forging a healthy path in life, one which includes self-awareness and acceptance, strong connections with others, and progress towards their own growth and positive goals. As your therapist, I would offer you both support and strategies for developing resilience as you move through this stage of your life's journey.
I offer compassionate and practical psychotherapy for mental health and substance use challenges, with a focus on teens and young adults. I believe all people are capable of forging a healthy path in life, one which includes self-awareness and acceptance, strong connections with others, and progress towards their own growth and positive goals. As your therapist, I would offer you both support and strategies for developing resilience as you move through this stage of your life's journey.
(413) 216-2833 View (413) 216-2833
Photo of Lauren Gaffney, MA, LMHC, Counselor
Lauren Gaffney
Counselor, MA, LMHC
Verified Verified
East Longmeadow, MA 01028
Through compassion, collaboration, and solution-focused interventions I help my clients understand their emotional needs, improve their ability to communicate effectively, and utilize their inner resources to develop healthier, more fulfilling relationships.
Through compassion, collaboration, and solution-focused interventions I help my clients understand their emotional needs, improve their ability to communicate effectively, and utilize their inner resources to develop healthier, more fulfilling relationships.
(413) 213-3875 View (413) 213-3875
Photo of Elissa Noonan - Elissa Noonan, LMHC (Co-Owner, 413Therapy Group), MEd, LMHC, Counselor
Elissa Noonan, LMHC (Co-Owner, 413Therapy Group)
Counselor, MEd, LMHC
Verified Verified
East Longmeadow, MA 01028  (Online Only)
Updated 06/06/2024: We have CURRENT telehealth (video) openings for clients located anywhere in Massachusetts and Connecticut! I believe that change is hard, for both adults and children alike, and aim to work with you to not only applaud your choice, but support and push you to make the changes you seek in your life. I believe everyone has their own definition of success and want to help you strive to reach your goals. I am an empathic listener and help you work towards identifying areas of focus, obtaining your individual goals, striving, working and pushing yourself to be better in your own way.
Updated 06/06/2024: We have CURRENT telehealth (video) openings for clients located anywhere in Massachusetts and Connecticut! I believe that change is hard, for both adults and children alike, and aim to work with you to not only applaud your choice, but support and push you to make the changes you seek in your life. I believe everyone has their own definition of success and want to help you strive to reach your goals. I am an empathic listener and help you work towards identifying areas of focus, obtaining your individual goals, striving, working and pushing yourself to be better in your own way.
(413) 259-0609 View (413) 259-0609
Photo of Arthur E Cash - The Practice of Arthur Cash, LICSW and Associates, LICSW, CCDVC, CCFAS, Clinical Social Work/Therapist
The Practice of Arthur Cash, LICSW and Associates
Clinical Social Work/Therapist, LICSW, CCDVC, CCFAS
Verified Verified
East Longmeadow, MA 01028
Arthur E. Cash is a Psychotherapist and Mental Health Consultant. He has been practicing psychotherapy for close to 40 years specializing in the treatment of adolescents, adults, couples, and families. A graduate of Atlanta University, Mr. Cash received a Master of Social Work in 1982 and attended Yale University as a Fellow where he studied Family Psychiatry. Mr. Cash has been in private practice for 20 years and is currently practicing at The Practice of Arthur E. Cash, in East Longmeadow, MA.
Arthur E. Cash is a Psychotherapist and Mental Health Consultant. He has been practicing psychotherapy for close to 40 years specializing in the treatment of adolescents, adults, couples, and families. A graduate of Atlanta University, Mr. Cash received a Master of Social Work in 1982 and attended Yale University as a Fellow where he studied Family Psychiatry. Mr. Cash has been in private practice for 20 years and is currently practicing at The Practice of Arthur E. Cash, in East Longmeadow, MA.
(413) 300-6130 View (413) 300-6130
Photo of Bao Chau Van, LICSW, Clinical Social Work/Therapist
Bao Chau Van
Clinical Social Work/Therapist, LICSW
Verified Verified
East Longmeadow, MA 01028
Welcome! I have openings for in-office and telehealth options for residents of MA, RI and CT. You want to make a change in your life? I am here for you. It takes courage to look for help and I am glad that you are here. Everyone needs help in life now and then. You can click on the website link to view availability and to schedule your appointment. I believe every challenge that we encounter is an opportunity for growth and creativity.
Welcome! I have openings for in-office and telehealth options for residents of MA, RI and CT. You want to make a change in your life? I am here for you. It takes courage to look for help and I am glad that you are here. Everyone needs help in life now and then. You can click on the website link to view availability and to schedule your appointment. I believe every challenge that we encounter is an opportunity for growth and creativity.
(413) 340-5194 View (413) 340-5194
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See more therapy options for East Longmeadow

How does your Therapist compare?

Number of Therapists in East Longmeadow, MA

80+

Average cost per session

$142

Therapists in East Longmeadow, MA who prioritize treating:

94% Anxiety
89% Depression
76% Self Esteem
75% Relationship Issues
70% Coping Skills
70% Stress
68% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

95% BlueCross and BlueShield
72% Aetna
65% UnitedHealthcare UHC | UBH

How Therapists in East Longmeadow, MA see their clients

60% In Person and Online
40% Online Only

Gender breakdown

90% Female
9% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in East Longmeadow?

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.