Therapists in Kingston, NY
![Photo of Sarah Rabenou, LCAT, MPS](https://photos.psychologytoday.com/501abdc2-70b3-4e36-9235-7698490fc85a/1/320x400.jpeg)
I am passionate about helping you create real change from within so you can experience life, sex, intimacy, and relationships as your heart desires. If you want to feel secure, confident, and satisfied in how you relate to intimacy and your relationships, I help you navigate your traumas, fears, wounds, and conditioning around attachment, love & relationships. I help you take your personal power back, remind you of your own inherent wisdom and truth, and teach you how to release the never-ending "broken" "fix it" cycle of self-improvement and repetitive painful experiences.
I am passionate about helping you create real change from within so you can experience life, sex, intimacy, and relationships as your heart desires. If you want to feel secure, confident, and satisfied in how you relate to intimacy and your relationships, I help you navigate your traumas, fears, wounds, and conditioning around attachment, love & relationships. I help you take your personal power back, remind you of your own inherent wisdom and truth, and teach you how to release the never-ending "broken" "fix it" cycle of self-improvement and repetitive painful experiences.
![Photo of Michael A Camargo, LMHC, LBA, Counselor](https://photos.psychologytoday.com/4c9e6ebd-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Michael A Camargo
Counselor, LMHC, LBA
Verified Verified
Kingston, NY 12401 (Online Only)
Not accepting new clients
***I am currently not accepting new clients to my counseling practice, however, I am currently offering parenting training only at PEPTalks360.com*** I provide person-centered, non-judgmental parent counseling and training with the goal of improving your family's quality of life and your relationship with your child by reducing conflict, improving your effectiveness as a parent, and increasing your child's independence.
***I am currently not accepting new clients to my counseling practice, however, I am currently offering parenting training only at PEPTalks360.com*** I provide person-centered, non-judgmental parent counseling and training with the goal of improving your family's quality of life and your relationship with your child by reducing conflict, improving your effectiveness as a parent, and increasing your child's independence.
![Photo of Mark Vecchio, LP, SEP, Licensed Psychoanalyst](https://photos.psychologytoday.com/ce2de73e-6edd-4986-b727-dcd5de3f9ea5/2/320x400.jpeg)
I am a relational psychotherapist in private practice in Kingston, NY, and I serve as the Director of Education and Faculty in Psychoanalysis at the Institute for Expressive Analysis in New York City. Also trained in Integral Somatic Psychology, ACT-Matrix, Coherence Therapy, and Embodied Archetypes, I integrate these modalities with a deep understanding of the transpersonal into a flexible, resonantly attuned, here-and-now way of working. I offer a free initial 50-minute consultation to give us both enough time, with no expectations or pressure, to decide whether we want to try working together.
I am a relational psychotherapist in private practice in Kingston, NY, and I serve as the Director of Education and Faculty in Psychoanalysis at the Institute for Expressive Analysis in New York City. Also trained in Integral Somatic Psychology, ACT-Matrix, Coherence Therapy, and Embodied Archetypes, I integrate these modalities with a deep understanding of the transpersonal into a flexible, resonantly attuned, here-and-now way of working. I offer a free initial 50-minute consultation to give us both enough time, with no expectations or pressure, to decide whether we want to try working together.
![Photo of Stephanie Kresser, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bd6df162-49ca-481a-af8d-eb780b29e9af/1/320x400.jpeg)
Stephanie Kresser
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Kingston, NY 12401 (Online Only)
Are you struggling with anxiety, depression, or relationship challenges? Do you feel overwhelmed by family dynamics or in need of better self-care strategies? As a Licensed Clinical Social Worker, I am dedicated to helping individuals and families navigate these difficulties with compassion, empathy, and expert guidance.
Are you struggling with anxiety, depression, or relationship challenges? Do you feel overwhelmed by family dynamics or in need of better self-care strategies? As a Licensed Clinical Social Worker, I am dedicated to helping individuals and families navigate these difficulties with compassion, empathy, and expert guidance.
![Photo of Jason R Fredenberg, PsyD, Psychologist](https://photos.psychologytoday.com/87cf804e-380b-42a1-92f0-8fd89f8418ff/1/320x400.jpeg)
I am a Licensed Clinical Psychologist with more than 20 years of experience providing psychotherapy, consultation, and forensic assessments. In addition to my private practice, much of my career has been in community mental health where I’ve provided direct clinical services, as well as clinical supervision and worked in administration. Throughout my work in community mental health, I have also held the position of Adjunct Clinical Faculty with the Doctoral Program in Counseling Psychology at the University at Albany where, over the years, I have trained and supervised countless graduate students.
I am a Licensed Clinical Psychologist with more than 20 years of experience providing psychotherapy, consultation, and forensic assessments. In addition to my private practice, much of my career has been in community mental health where I’ve provided direct clinical services, as well as clinical supervision and worked in administration. Throughout my work in community mental health, I have also held the position of Adjunct Clinical Faculty with the Doctoral Program in Counseling Psychology at the University at Albany where, over the years, I have trained and supervised countless graduate students.
![Photo of Jessica Shaw, LCSW, CCM, Clinical Social Work/Therapist](https://photos.psychologytoday.com/e0e213cf-05be-48c6-88eb-9459d8903cee/3/320x400.png)
Jessica Shaw
Clinical Social Work/Therapist, LCSW, CCM
Verified Verified
1 Endorsed
Kingston, NY 12401 (Online Only)
When you're struggling, it can be really hard to reach out for help. But, I'm glad you are. Despite feeling overwhelmed by negative thoughts and constant worrying, you've decided to face your fears. You're ready to feel freer within your choices and experiences in life, no longer being held back by past trauma or current stressful events. And while you might feel tired and alone, your desire to build closer relationships motivates you to create change. You may still feel hesitation doing the work, but you won’t have to do it alone. Our time together can help you get unstuck, find peace within, and build more meaningful connections.
When you're struggling, it can be really hard to reach out for help. But, I'm glad you are. Despite feeling overwhelmed by negative thoughts and constant worrying, you've decided to face your fears. You're ready to feel freer within your choices and experiences in life, no longer being held back by past trauma or current stressful events. And while you might feel tired and alone, your desire to build closer relationships motivates you to create change. You may still feel hesitation doing the work, but you won’t have to do it alone. Our time together can help you get unstuck, find peace within, and build more meaningful connections.
![Photo of Allie Fair Keel, MHC-LP, CSC](https://photos.psychologytoday.com/22e7b190-1f2a-461f-b638-fdd8747c53d4/1/320x400.jpeg)
Accepting new clients! Navigating the challenges that arise in all stages of life can be eased through opening ourselves to support and making space for exploring and developing our own inherent strengths, resources, and skills. In acknowledging and honoring ourselves as competent, powerful, and capable, we can create positive change. I provide compassionate support, validation, and understanding in this work, collaborating with you to intentionally and effectively address your needs and goals, while fostering a positive sense of self- worth, efficacy, and empowerment.
Accepting new clients! Navigating the challenges that arise in all stages of life can be eased through opening ourselves to support and making space for exploring and developing our own inherent strengths, resources, and skills. In acknowledging and honoring ourselves as competent, powerful, and capable, we can create positive change. I provide compassionate support, validation, and understanding in this work, collaborating with you to intentionally and effectively address your needs and goals, while fostering a positive sense of self- worth, efficacy, and empowerment.
![Photo of Rosey Rouhana, LMHC, NCC, RPT, Counselor](https://photos.psychologytoday.com/3fdcbc95-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I specialize in working with youth and families, and use traditional talk therapy, as well as Synergetic Play Therapy, a body-based modality, to facilitate growth and healing. I also offer the use of art and sandtray to help clients process feelings and experiences that are sometimes beyond words. In my work with teens and pre-teens, I seek to validate, support, and draw upon the innate wisdom they hold within to build resources, confidence, and movement toward goals. I hold my clients in the highest regard, and am constantly reminded in my work that young people can be our greatest teachers about ourselves and the world.
I specialize in working with youth and families, and use traditional talk therapy, as well as Synergetic Play Therapy, a body-based modality, to facilitate growth and healing. I also offer the use of art and sandtray to help clients process feelings and experiences that are sometimes beyond words. In my work with teens and pre-teens, I seek to validate, support, and draw upon the innate wisdom they hold within to build resources, confidence, and movement toward goals. I hold my clients in the highest regard, and am constantly reminded in my work that young people can be our greatest teachers about ourselves and the world.
![Photo of Claire Odom, LMSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/15fa54b7-c6fa-4a0b-b939-9712af915d04/3/320x400.jpeg)
I support children, adolescents, adults, and families in their lifelong efforts towards a good life. I treat a variety of issues but I specialize in OCD, anxiety, trauma resolution, and parent-child relationship building. My practice is affirming of neurodiversity and rooted in principles of cultural humility and social justice.
I support children, adolescents, adults, and families in their lifelong efforts towards a good life. I treat a variety of issues but I specialize in OCD, anxiety, trauma resolution, and parent-child relationship building. My practice is affirming of neurodiversity and rooted in principles of cultural humility and social justice.
![Photo of Brandon Roman - Skytop Mental Health Counseling PLLC, LMHC, Counselor](https://photos.psychologytoday.com/d4049aae-bf89-4065-8c47-fc07f6a6b86e/3/320x400.jpeg)
Skytop Mental Health Counseling PLLC
Counselor, LMHC
Verified Verified
3 Endorsed
Kingston, NY 12401
Thanks for looking into Skytop MHC. We are a private group of mental health counselors owned by Brandon Roman LMHC, practicing in Kingston, NY. Counselors at SMHC strive to deliver comfortable, professional, and competent care, tailored to the needs of our clients. We are generalists by training, meaning we are comfortable working with a variety of presenting issues, but also try work with clients whom we feel like we can be of best service to based on personal fit.
Thanks for looking into Skytop MHC. We are a private group of mental health counselors owned by Brandon Roman LMHC, practicing in Kingston, NY. Counselors at SMHC strive to deliver comfortable, professional, and competent care, tailored to the needs of our clients. We are generalists by training, meaning we are comfortable working with a variety of presenting issues, but also try work with clients whom we feel like we can be of best service to based on personal fit.
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![Photo of Lisa Babb, LCSW, CASAC-M, Clinical Social Work/Therapist](https://photos.psychologytoday.com/680f3a7b-5466-4b50-b43f-3495c53fa229/1/320x400.jpeg)
Are you struggling with anxiety, depression, unresolved trauma, or substance use issues? These issues can be overwhelming with long-lasting feelings and behaviors that have become barriers to achieving your daily or life goals. Fortunately, healing power lies within each of us. Therapy is an opportunity for people to develop insight into themselves and their relationships, to find self-acceptance and deeper connections with others. I will provide therapy to help you reach your potential and improve the quality of your life. Therapy begins the healing process.
Are you struggling with anxiety, depression, unresolved trauma, or substance use issues? These issues can be overwhelming with long-lasting feelings and behaviors that have become barriers to achieving your daily or life goals. Fortunately, healing power lies within each of us. Therapy is an opportunity for people to develop insight into themselves and their relationships, to find self-acceptance and deeper connections with others. I will provide therapy to help you reach your potential and improve the quality of your life. Therapy begins the healing process.
![Photo of Sydney Huppert, MS, MHC-LP, Pre-Licensed Professional](https://photos.psychologytoday.com/bfb43804-3534-4620-b47f-902641cf9641/2/320x400.jpeg)
Sydney Huppert
Pre-Licensed Professional, MS, MHC-LP
Verified Verified
2 Endorsed
Kingston, NY 12401 (Online Only)
If you are feeling stuck, taking the steps to gain more control over your life can feel overwhelming. My goal is to help clients break free from these patterns and live in alignment with their core values. Through the use of evidence-based treatment, my approach is rooted in collaboration, compassion and curiosity.
If you are feeling stuck, taking the steps to gain more control over your life can feel overwhelming. My goal is to help clients break free from these patterns and live in alignment with their core values. Through the use of evidence-based treatment, my approach is rooted in collaboration, compassion and curiosity.
![Photo of Jeanne Moren, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/1b8e0d71-2b8d-413a-a88e-6165d7511be1/1/320x400.jpeg)
What is weighing heavily on your heart? What stories are playing on repeat and bringing you down? What have you been tolerating or avoiding for far too long? Let's not try to fix anything, let's just be curious and take the time you need to be fully heard and understood. I would like to help you gain a deeper understanding about what is happening in your life. I will meet you where you are and gently guide you on your inner journey to find what brings you inner peace and harmony. I hope you'll let me be your guide and offer you my kindness, wisdom and expertise developed over many years, both personally and professionally.
What is weighing heavily on your heart? What stories are playing on repeat and bringing you down? What have you been tolerating or avoiding for far too long? Let's not try to fix anything, let's just be curious and take the time you need to be fully heard and understood. I would like to help you gain a deeper understanding about what is happening in your life. I will meet you where you are and gently guide you on your inner journey to find what brings you inner peace and harmony. I hope you'll let me be your guide and offer you my kindness, wisdom and expertise developed over many years, both personally and professionally.
![Photo of Christine Dempsey, MS, MHC-LP, Pre-Licensed Professional](https://photos.psychologytoday.com/7dcd75a6-a5f5-4a55-81eb-8454d5c71029/1/320x400.jpeg)
Are you feeling overwhelmed by life's challenges and looking for a way to regain control? Have you lost interest in things you used to love and want to find more purpose and meaning in your life? Are you struggling with anxiety and worry about the past or future and want to be more present in your life in the moment? I work with adolescents and adults of all ages who are struggling with anxiety, stress, depression, self-esteem, ADHD, and life transitions. Together, we will explore what is standing in the way of living the life you want and develop strategies to empower you to create a life of meaning and purpose for yourself.
Are you feeling overwhelmed by life's challenges and looking for a way to regain control? Have you lost interest in things you used to love and want to find more purpose and meaning in your life? Are you struggling with anxiety and worry about the past or future and want to be more present in your life in the moment? I work with adolescents and adults of all ages who are struggling with anxiety, stress, depression, self-esteem, ADHD, and life transitions. Together, we will explore what is standing in the way of living the life you want and develop strategies to empower you to create a life of meaning and purpose for yourself.
![Photo of Connie Carr, LCSW, CASAC, Clinical Social Work/Therapist](https://photos.psychologytoday.com/a79bc3a4-6b50-4179-9203-1aad70b873a9/2/320x400.jpeg)
Connie Carr
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
1 Endorsed
Kingston, NY 12401 (Online Only)
Taking the step to seek out therapy can be scary and overwhelming but I believe in creating an environment that is free from judgment and focus on the goals that you want to achieve. I use a mixture of evidence based approaches including Cognitive Behaviors Therapy, Dialectical Behavioral Therapy, Moral Reconation Therapy, Internal Family Systems, Accelerated Resolution Therapy and Motivational Interviewing.
Taking the step to seek out therapy can be scary and overwhelming but I believe in creating an environment that is free from judgment and focus on the goals that you want to achieve. I use a mixture of evidence based approaches including Cognitive Behaviors Therapy, Dialectical Behavioral Therapy, Moral Reconation Therapy, Internal Family Systems, Accelerated Resolution Therapy and Motivational Interviewing.
![Photo of Stephanie S. Olear, MS, LMHC, Counselor](https://photos.psychologytoday.com/95ef6c46-44a1-45c2-a529-e8038afa6bf3/1/320x400.jpeg)
Stephanie S. Olear
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Kingston, NY 12401
Not accepting new clients
Now more than ever, people are looking to improve their ability to cope and to deepen their relationships. But you need to find the right person to work with! My clients tell me that they feel really comfortable with me and find me easy to talk with and open up to. I treat anxiety, depression, mood disorders, substance abuse, postpartum depression, teens/young adults and LGBTQIA issues. I’ve worked in many different clinical settings for the past 10 years. I am also a writer and musician. My experience has helped me develop a unique understanding of the complexity of human emotions and interpersonal relationships.
Now more than ever, people are looking to improve their ability to cope and to deepen their relationships. But you need to find the right person to work with! My clients tell me that they feel really comfortable with me and find me easy to talk with and open up to. I treat anxiety, depression, mood disorders, substance abuse, postpartum depression, teens/young adults and LGBTQIA issues. I’ve worked in many different clinical settings for the past 10 years. I am also a writer and musician. My experience has helped me develop a unique understanding of the complexity of human emotions and interpersonal relationships.
![Photo of Eric Toboika, LCSW, RN, Clinical Social Work/Therapist](https://photos.psychologytoday.com/bd59912e-83ea-4944-9f56-970332ff1ed6/1/320x400.jpeg)
Eric Toboika
Clinical Social Work/Therapist, LCSW, RN
Verified Verified
Kingston, NY 12401 (Online Only)
I offer person-centered and strength-based counseling to people who are in need of support. Life presents us all with challenges and at times our resources to cope feel depleted in the face of these difficulties. My goal is to create a safe and warm environment for you to explore these challenges and to help in learning new ways of coping. Sometimes we need to bounce our troubles and thoughts going on in our heads to an objective person. I offer a professional and empathetic presence to assist you in navigating your current needs.
I offer person-centered and strength-based counseling to people who are in need of support. Life presents us all with challenges and at times our resources to cope feel depleted in the face of these difficulties. My goal is to create a safe and warm environment for you to explore these challenges and to help in learning new ways of coping. Sometimes we need to bounce our troubles and thoughts going on in our heads to an objective person. I offer a professional and empathetic presence to assist you in navigating your current needs.
![Photo of Claudia Forest, LCSW, MA, TRE, Clinical Social Work/Therapist](https://photos.psychologytoday.com/084cfd1b-d832-4db3-b79a-9dfbcf02e836/1/320x400.jpeg)
Getting support is more important than ever. I help clients adjust to change, including loss, overcome difficulties with relationships of all kinds, address attachment issues, PTSD, and anxiety. I work collaboratively—a strong connection between therapist and client is the foundation of good therapy. Listening deeply to clients, I draw on 40 years as a somatic practitioner (incl. 10 years as a massage therapist) and use intuition, empathy, compassion, and humor to help guide the process. I integrate proven and effective mind-body techniques to alleviate chronic stress and pain and achieve wellness through life-style changes.
Getting support is more important than ever. I help clients adjust to change, including loss, overcome difficulties with relationships of all kinds, address attachment issues, PTSD, and anxiety. I work collaboratively—a strong connection between therapist and client is the foundation of good therapy. Listening deeply to clients, I draw on 40 years as a somatic practitioner (incl. 10 years as a massage therapist) and use intuition, empathy, compassion, and humor to help guide the process. I integrate proven and effective mind-body techniques to alleviate chronic stress and pain and achieve wellness through life-style changes.
![Photo of Jennica K Laine-Formisano, PsyD, Psychologist](https://photos.psychologytoday.com/0b379381-673a-44cd-873d-2f9ec108a0e3/1/320x400.jpeg)
If you are here, you might be looking for help making changes in your life, or figuring out why something has been feeling "off" for you. I create a welcoming atmosphere where you can explore what's going on for you without judgement, get perspective on concerns, and learn different ways to manage things. Starting therapy can be overwhelming. I'm here to meet you where you are, and guide you toward changes you want to see in your life.
If you are here, you might be looking for help making changes in your life, or figuring out why something has been feeling "off" for you. I create a welcoming atmosphere where you can explore what's going on for you without judgement, get perspective on concerns, and learn different ways to manage things. Starting therapy can be overwhelming. I'm here to meet you where you are, and guide you toward changes you want to see in your life.
See more therapy options for Kingston
How does your Therapist compare?
Number of Therapists in Kingston, NY
200+
Average cost per session
$150
Therapists in Kingston, NY who prioritize treating:
92% | Anxiety |
88% | Depression |
80% | Relationship Issues |
72% | Self Esteem |
71% | Trauma and PTSD |
67% | Coping Skills |
65% | Stress |
Average years in practice
13 Years
Top 3 insurances accepted
68% | Aetna |
49% | Cigna and Evernorth |
49% | UnitedHealthcare UHC | UBH |
How Therapists in Kingston, NY see their clients
62% | In Person and Online | |
38% | Online Only |
Gender breakdown
75% | Female | |
21% | Male | |
4% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Kingston?
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
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.
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.
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.