Therapists in Glen Mills, PA

Photo of Robert L. Hawkins - LifeStance Health, LPC, Licensed Professional Counselor
LifeStance Health
Licensed Professional Counselor, LPC
Verified Verified
Glen Mills, PA 19342
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(844) 848-1154 View (844) 848-1154
Photo of Robert L. Hawkins, LPC, Licensed Professional Counselor
Robert L. Hawkins
Licensed Professional Counselor, LPC
Verified Verified
Glen Mills, PA 19342
Robert L. Hawkins is a psychotherapist who has been practicing since 2019. He has an undergraduate degree in Neuroscience and an M.S. in Clinical Mental Health Therapy. Robert offers a holistic approach that places emphasis on the human brain as the primary element to effective care. Robert utilizes Existential and Gestalt approaches for internal and introspective work in addition to quality-of-life improvements. Outside of work, Robert enjoys fencing, archery, abstract theoretical physics, video games, creative fiction writing, and photography.
Robert L. Hawkins is a psychotherapist who has been practicing since 2019. He has an undergraduate degree in Neuroscience and an M.S. in Clinical Mental Health Therapy. Robert offers a holistic approach that places emphasis on the human brain as the primary element to effective care. Robert utilizes Existential and Gestalt approaches for internal and introspective work in addition to quality-of-life improvements. Outside of work, Robert enjoys fencing, archery, abstract theoretical physics, video games, creative fiction writing, and photography.
(484) 900-9052 View (484) 900-9052
Photo of Melissa Koway-Montana Lpc, MA, NCC, LPC, Licensed Professional Counselor
Melissa Koway-Montana Lpc
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
Glen Mills, PA 19342  (Online Only)
I am a Licensed Professional Counselor (LPC) and I work with clients with eating disorders, chronic illness, anxiety, trauma, ADHD, women's issues and life transitions. Many times, we may not be aware of how certain situations have impacted us. We may even feel that we have dealt with things cognitively; however, our actions and emotions may not align. I work from a trauma-focused lens which means that I believe that we have all had our fair share of difficulties that are impacting our present day thoughts, emotions and behaviors. I work with clients to address past, present and future struggles to have a more adaptive perspective.
I am a Licensed Professional Counselor (LPC) and I work with clients with eating disorders, chronic illness, anxiety, trauma, ADHD, women's issues and life transitions. Many times, we may not be aware of how certain situations have impacted us. We may even feel that we have dealt with things cognitively; however, our actions and emotions may not align. I work from a trauma-focused lens which means that I believe that we have all had our fair share of difficulties that are impacting our present day thoughts, emotions and behaviors. I work with clients to address past, present and future struggles to have a more adaptive perspective.
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Photo of Dr. Stacia K. Wilkins, PsyD, LPC, MDiv, Licensed Professional Counselor
Dr. Stacia K. Wilkins
Licensed Professional Counselor, PsyD, LPC, MDiv
Verified Verified
2 Endorsed
Glen Mills, PA 19342  (Online Only)
Calling all healthcare leaders in PA & NY! If you are a physician, a healthcare executive, a nurse, a pastor, or a therapist, I create a safe space to for you to be human. You have extended care to everyone else now it’s time to care for you! Leadership is not for the faint of heart and it can get lonely at the top. Who leads the leader? Who tows the tow truck? My work as both a therapist & organizational consultant is passionately dedicated to the well-being of those in healthcare leadership.
Calling all healthcare leaders in PA & NY! If you are a physician, a healthcare executive, a nurse, a pastor, or a therapist, I create a safe space to for you to be human. You have extended care to everyone else now it’s time to care for you! Leadership is not for the faint of heart and it can get lonely at the top. Who leads the leader? Who tows the tow truck? My work as both a therapist & organizational consultant is passionately dedicated to the well-being of those in healthcare leadership.
(610) 854-8663 View (610) 854-8663
Photo of Marla Mcculloch, LCSW, Clinical Social Work/Therapist
Marla Mcculloch
Clinical Social Work/Therapist, LCSW
Verified Verified
Glen Mills, PA 19342
Hi. I’m Marla McCulloch. I’m a licensed clinical social worker. More specifically, I am someone who helps people create change in their lives and relationships. As an LCSW, I believe in the dignity and worth of all people. That means I approach each session with the goal of communicating acceptance and respect. Being able to give words to our challenges in a non-judgmental, supportive space can be healing. I work with adults and adolescents (generally ages 12+) in many areas of concern.
Hi. I’m Marla McCulloch. I’m a licensed clinical social worker. More specifically, I am someone who helps people create change in their lives and relationships. As an LCSW, I believe in the dignity and worth of all people. That means I approach each session with the goal of communicating acceptance and respect. Being able to give words to our challenges in a non-judgmental, supportive space can be healing. I work with adults and adolescents (generally ages 12+) in many areas of concern.
(484) 559-8049 View (484) 559-8049
Photo of Sharon Rose Geiner - Concord Counseling Services, LLC/Sharon Geiner, MEd, LPC, Licensed Professional Counselor
Concord Counseling Services, LLC/Sharon Geiner
Licensed Professional Counselor, MEd, LPC
Verified Verified
Glen Mills, PA 19342  (Online Only)
Greetings, amazing clients! I offer an unwavering commitment as an LPC, proudly holding dual licensure in both Pennsylvania and Delaware. My passion lies in the empowerment of individuals, the cultivation of self-awareness, and the delivery of pragmatic coping strategies. Through counseling sessions customized to each individual, I empower clients to enhance their emotional intelligence, improve communication skills, and foster healthier relationships. My goal is to guide clients towards meaningful growth, resilience, and fulfillment in their lives.
Greetings, amazing clients! I offer an unwavering commitment as an LPC, proudly holding dual licensure in both Pennsylvania and Delaware. My passion lies in the empowerment of individuals, the cultivation of self-awareness, and the delivery of pragmatic coping strategies. Through counseling sessions customized to each individual, I empower clients to enhance their emotional intelligence, improve communication skills, and foster healthier relationships. My goal is to guide clients towards meaningful growth, resilience, and fulfillment in their lives.
(484) 718-9925 View (484) 718-9925
Photo of Christine Lees, MS, NCC, Pre-Licensed Professional
Christine Lees
Pre-Licensed Professional, MS, NCC
Verified Verified
1 Endorsed
Glen Mills, PA 19342  (Online Only)
Do you find that you have trouble connecting to the important people in your life? Like no matter how much you'd like to reach out, it feels impossible to bridge the gap? Has adversity and trauma left walls up that separate you from the intimacy and safety that you crave and deserve? If you don't know where to start in opening up your heart again, you're not alone. Conquering trauma, anxiety, depression, stress, and loneliness can be a daunting task. My mission in the counseling room is to come alongside you to help take back your life.
Do you find that you have trouble connecting to the important people in your life? Like no matter how much you'd like to reach out, it feels impossible to bridge the gap? Has adversity and trauma left walls up that separate you from the intimacy and safety that you crave and deserve? If you don't know where to start in opening up your heart again, you're not alone. Conquering trauma, anxiety, depression, stress, and loneliness can be a daunting task. My mission in the counseling room is to come alongside you to help take back your life.
(484) 799-9260 View (484) 799-9260
Photo of Nicholas Vignati, PsyD, Psychologist
Nicholas Vignati
Psychologist, PsyD
Verified Verified
Glen Mills, PA 19342
Nick Vignati is a Psychologist in Pennsylvania who has been practicing since 2023. He has a Master’s of Science in Creative Arts Therapy: Music Therapy from Nazareth University and a Doctorate in Clinical Psychology from Immaculata University. Foundationally, Nick practices from a person-centered approach. However, he recognizes the benefits in individualized treatment and likes to work collaboratively with each person to understand their unique life experiences and determine what approach(es) to treatment feel supportive, challenging, and likely to foster healing and growth.
Nick Vignati is a Psychologist in Pennsylvania who has been practicing since 2023. He has a Master’s of Science in Creative Arts Therapy: Music Therapy from Nazareth University and a Doctorate in Clinical Psychology from Immaculata University. Foundationally, Nick practices from a person-centered approach. However, he recognizes the benefits in individualized treatment and likes to work collaboratively with each person to understand their unique life experiences and determine what approach(es) to treatment feel supportive, challenging, and likely to foster healing and growth.
(484) 946-9328 View (484) 946-9328
Photo of JoAnne Gaines, LPC, Licensed Professional Counselor
JoAnne Gaines
Licensed Professional Counselor, LPC
Verified Verified
Glen Mills, PA 19342
JoAnne Gaines, LPC is dedicated to helping individuals navigate life’s transitions and challenges with compassion and expertise. As a Licensed Professional Counselor at LifeStance Health, JoAnne provides support to clients in Pennsylvania, addressing a broad range of mental health concerns. Her practice focuses on helping children, adolescents, and adults who are dealing with anxiety, depression, ADHD, and childhood behavior issues. With a commitment to fostering hope and progress, JoAnne offers a warm and engaging approach tailored to meet each client's unique needs.
JoAnne Gaines, LPC is dedicated to helping individuals navigate life’s transitions and challenges with compassion and expertise. As a Licensed Professional Counselor at LifeStance Health, JoAnne provides support to clients in Pennsylvania, addressing a broad range of mental health concerns. Her practice focuses on helping children, adolescents, and adults who are dealing with anxiety, depression, ADHD, and childhood behavior issues. With a commitment to fostering hope and progress, JoAnne offers a warm and engaging approach tailored to meet each client's unique needs.
(844) 264-6945 View (844) 264-6945
Photo of Margaret Albright, LPCC, Licensed Professional Counselor
Margaret Albright
Licensed Professional Counselor, LPCC
Verified Verified
Glen Mills, PA 19342
Margaret Albright, MS, LPC Margaret Mary Albright received a Master of Science degree in Pastoral Counseling at Neumann College in 2001. She is a national Board Certified Counselor, Licensed Professional Counselor. Ms. Albright's has 30 years experience and her treatment focus is with young children, parents, and couples.
Margaret Albright, MS, LPC Margaret Mary Albright received a Master of Science degree in Pastoral Counseling at Neumann College in 2001. She is a national Board Certified Counselor, Licensed Professional Counselor. Ms. Albright's has 30 years experience and her treatment focus is with young children, parents, and couples.
(484) 613-3335 View (484) 613-3335
Photo of Lisa Strauch, MS, LPCMH, Counselor
Lisa Strauch
Counselor, MS, LPCMH
Verified Verified
Glen Mills, PA 19342
Not accepting new clients
We become a couple to make life better. To make us better. When this partnership no longer allows us room to feel better than we did when we were on our own, when our partnership becomes one of our stressors, we become compromised. Staying becomes hard because we hurt. Leaving is scary because so much changes. We can get stuck here. I work to break these cycles.
We become a couple to make life better. To make us better. When this partnership no longer allows us room to feel better than we did when we were on our own, when our partnership becomes one of our stressors, we become compromised. Staying becomes hard because we hurt. Leaving is scary because so much changes. We can get stuck here. I work to break these cycles.
(267) 662-2013 View (267) 662-2013
Photo of Cheryl McCool, Psychologist
Cheryl McCool
Psychologist
Verified Verified
Glen Mills, PA 19342
Dr. Cheryl McCool is a licensed clinical psychologist in the state of Pennsylvania. She earned her Master of Science in Clinical Psychology from Capella University and a Doctorate in Clinical Psychology (PsyD) from Immaculata University. Dr. McCool completed her predoctoral internship with LifeStance Health where she focused on working with children, adolescents, and adults providing therapy and psychological testing. Dr. McCool has experience treating children, adolescents, and adults with a range of mental health disorders including depression, anxiety, PTSD, obsessive-compulsive disorder (OCD), and personality disorders.
Dr. Cheryl McCool is a licensed clinical psychologist in the state of Pennsylvania. She earned her Master of Science in Clinical Psychology from Capella University and a Doctorate in Clinical Psychology (PsyD) from Immaculata University. Dr. McCool completed her predoctoral internship with LifeStance Health where she focused on working with children, adolescents, and adults providing therapy and psychological testing. Dr. McCool has experience treating children, adolescents, and adults with a range of mental health disorders including depression, anxiety, PTSD, obsessive-compulsive disorder (OCD), and personality disorders.
(302) 786-0987 View (302) 786-0987
Photo of Rosemarie Collins Phd, PhD, APRN
Rosemarie Collins Phd
PhD, APRN
Verified Verified
Glen Mills, PA 19342  (Online Only)
Transform your life. Stop the struggle. Manage your stress, grief, anxiety, depression, loneliness and fear. Discover love, hope, peace, and inner strengths and resources to achieve the life you desire and deserve.
Transform your life. Stop the struggle. Manage your stress, grief, anxiety, depression, loneliness and fear. Discover love, hope, peace, and inner strengths and resources to achieve the life you desire and deserve.
(484) 416-8214 View (484) 416-8214
Photo of Amy Schullery, PsyD, Psychologist
Amy Schullery
Psychologist, PsyD
Verified Verified
2 Endorsed
Glen Mills, PA 19342
Feeling overwhelmed or anxious as you adjust to new stressors or changes in your life? Have a hard time turning off your mind? Need help learning better ways to cope with the demands of school, work, or parenthood, and keeping it all in balance? I'm a Clinical Psychologist and provide therapy for teens 16+ and adults of all ages. I help people with anxiety and worry, and managing difficult changes in life- adjustment to college, career change, early adulthood, pregnancy, postpartum, family changes, and other stages of life.
Feeling overwhelmed or anxious as you adjust to new stressors or changes in your life? Have a hard time turning off your mind? Need help learning better ways to cope with the demands of school, work, or parenthood, and keeping it all in balance? I'm a Clinical Psychologist and provide therapy for teens 16+ and adults of all ages. I help people with anxiety and worry, and managing difficult changes in life- adjustment to college, career change, early adulthood, pregnancy, postpartum, family changes, and other stages of life.
(610) 635-9641 View (610) 635-9641
Photo of Kia Medley-Stephens, MS, NCC, LPC, Licensed Professional Counselor
Kia Medley-Stephens
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Glen Mills, PA 19342
Being an adult, a parent, child and teenager comes with too many expectations, responsibilities, and demands. You may feel overwhelmed, saddened with thoughts of low self-worth, fearful, on edge, avoidant, and easily frustrated and angered. You want to feel confident, true to yourself, and ultimately the best version of you. I can help you to develop a plan that will allow you to grow, flourish, and live optimally. You deserve to be happy, feel confident, and to be your authentic self.
Being an adult, a parent, child and teenager comes with too many expectations, responsibilities, and demands. You may feel overwhelmed, saddened with thoughts of low self-worth, fearful, on edge, avoidant, and easily frustrated and angered. You want to feel confident, true to yourself, and ultimately the best version of you. I can help you to develop a plan that will allow you to grow, flourish, and live optimally. You deserve to be happy, feel confident, and to be your authentic self.
(484) 559-5745 View (484) 559-5745
Photo of Neal Stolar, MD-PhD
Neal Stolar
MD-PhD
Verified Verified
Glen Mills, PA 19342  (Online Only)
At nPSYGHT, we emphasize the use of psychotherapy, while supplementing it with medication as needed and at minimum effective doses. We incorporate neuropsychotherapeutic concepts whenever possible, meaning we recognize that advances in our understanding of how the brain works can inform how psychotherapy can be conducted. We stress the importance of general good health habits - diet, exercise, sleep, relaxation methods (meditation, yoga, tai chi) - in promoting mental and behavioral well-being.
At nPSYGHT, we emphasize the use of psychotherapy, while supplementing it with medication as needed and at minimum effective doses. We incorporate neuropsychotherapeutic concepts whenever possible, meaning we recognize that advances in our understanding of how the brain works can inform how psychotherapy can be conducted. We stress the importance of general good health habits - diet, exercise, sleep, relaxation methods (meditation, yoga, tai chi) - in promoting mental and behavioral well-being.
(267) 983-5528 View (267) 983-5528
Photo of Cynthia Benzing, LPC, Licensed Professional Counselor
Cynthia Benzing
Licensed Professional Counselor, LPC
Verified Verified
Glen Mills, PA 19342  (Online Only)
Sometimes we need a little help navigating the tough times in life. You may feel anxious or stressed about what is going on in your life and with your relationships. My goal is to help you learn about yourself so you will feel capable to meet these challenges and grow as a person. If you are feeling sad, anxious, or angry, I hope you will give therapy a try because I'm here to help.
Sometimes we need a little help navigating the tough times in life. You may feel anxious or stressed about what is going on in your life and with your relationships. My goal is to help you learn about yourself so you will feel capable to meet these challenges and grow as a person. If you are feeling sad, anxious, or angry, I hope you will give therapy a try because I'm here to help.
(484) 760-0234 View (484) 760-0234
Photo of Karen Shamus, LPC, Licensed Professional Counselor
Karen Shamus
Licensed Professional Counselor, LPC
Verified Verified
Glen Mills, PA 19342
Karen Shamus is a compassionate and empathetic counselor devoted to providing quality care to help her clients achieve personal growth. She has experience treating a wide variety of conditions including anxiety, depression, ADHD, bipolar disorder, life stressors, trauma, and substance use. She understands the importance of being authentic and creating a safe space without judgement. Karen uses an eclectic approach to better suit the needs of each individual client. Karen's therapeutic approaches can include person-centered, CBT, strengths-based, mindfulness, and motivational interviewing.
Karen Shamus is a compassionate and empathetic counselor devoted to providing quality care to help her clients achieve personal growth. She has experience treating a wide variety of conditions including anxiety, depression, ADHD, bipolar disorder, life stressors, trauma, and substance use. She understands the importance of being authentic and creating a safe space without judgement. Karen uses an eclectic approach to better suit the needs of each individual client. Karen's therapeutic approaches can include person-centered, CBT, strengths-based, mindfulness, and motivational interviewing.
(484) 265-9882 View (484) 265-9882
Photo of Rebecca Pierce, MS,  LPC, Licensed Professional Counselor
Rebecca Pierce
Licensed Professional Counselor, MS, LPC
Verified Verified
Glen Mills, PA 19342  (Online Only)
I am one of those therapists who genuinely loves their work. Getting to understand my clients and the hurdles they face is a privilege that I take seriously. If you are struggling to form and maintain healthy intimate relationships, overcome trauma, to coexist with and even manage anxiety and depression, to gain new approaches to coping with obsessive compulsive symptoms... well, these are just a few of the issues that we can work on together! We can navigate this journey as a team, collaborate on setting realistic goals, and then you can define what "progress" would look like in your eyes.
I am one of those therapists who genuinely loves their work. Getting to understand my clients and the hurdles they face is a privilege that I take seriously. If you are struggling to form and maintain healthy intimate relationships, overcome trauma, to coexist with and even manage anxiety and depression, to gain new approaches to coping with obsessive compulsive symptoms... well, these are just a few of the issues that we can work on together! We can navigate this journey as a team, collaborate on setting realistic goals, and then you can define what "progress" would look like in your eyes.
(484) 229-5139 View (484) 229-5139
Photo of Anna Morrow, LPC, Licensed Professional Counselor
Anna Morrow
Licensed Professional Counselor, LPC
Verified Verified
Glen Mills, PA 19342
Anna is a Licensed Professional Counselor (LP) who has been practicing for over 5 years. Anna graduated with her MS. Ed. and M. Phil from the University of Pennsylvania in 2017 and became licensed in the state of Pennsylvania in 2019. Anna has worked with many clients (adolescents and adults) who have struggled with depression, anxiety, ADHD, work burnout and trauma. Anna enjoys using a holistic and person-centered approach while also incorporating cognitive behavioral therapy (CBT), embodiment and energy psychology, as well as some mindfulness-based practices to help her clients meet their specific goals.
Anna is a Licensed Professional Counselor (LP) who has been practicing for over 5 years. Anna graduated with her MS. Ed. and M. Phil from the University of Pennsylvania in 2017 and became licensed in the state of Pennsylvania in 2019. Anna has worked with many clients (adolescents and adults) who have struggled with depression, anxiety, ADHD, work burnout and trauma. Anna enjoys using a holistic and person-centered approach while also incorporating cognitive behavioral therapy (CBT), embodiment and energy psychology, as well as some mindfulness-based practices to help her clients meet their specific goals.
(267) 651-5424 View (267) 651-5424
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How does your Therapist compare?

Number of Therapists in Glen Mills, PA

200+

Average cost per session

$120

Therapists in Glen Mills, PA who prioritize treating:

96% Anxiety
88% Depression
69% Self Esteem
66% Coping Skills
65% Trauma and PTSD
60% Grief
54% Life Transitions

Average years in practice

8 Years

Top 3 insurances accepted

88% Cigna and Evernorth
84% Aetna
77% UnitedHealthcare UHC | UBH

How Therapists in Glen Mills, PA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

85% Female
14% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Glen Mills?

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.