Therapists in Flushing, NY

Photo of Ariella Aharon, LCSW, OSW-C, ACHP-SW, Clinical Social Work/Therapist
Ariella Aharon
Clinical Social Work/Therapist, LCSW, OSW-C, ACHP-SW
Verified Verified
Flushing, NY 11367  (Online Only)
While life is filled with joy and meaning, it can also be painful and difficult at times. My focus is to help you understand and work through whatever it is that you are experiencing. I will encourage you to maximize your potential and build a strong sense of self-esteem and self-awareness. This will help you manage whatever hurdles come your way and ultimately live a more fulfilling and meaningful life.
While life is filled with joy and meaning, it can also be painful and difficult at times. My focus is to help you understand and work through whatever it is that you are experiencing. I will encourage you to maximize your potential and build a strong sense of self-esteem and self-awareness. This will help you manage whatever hurdles come your way and ultimately live a more fulfilling and meaningful life.
(718) 550-7491 View (718) 550-7491
Photo of Patricia Pagan, LMSW, Clinical Social Work/Therapist
Patricia Pagan
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Flushing, NY 11378  (Online Only)
Patricia S. Pagan, LMSW; Bilingual (English and Spanish) social work therapist who graduated from New York University with a Master’s of Social Work and completed her Bachelor's of Social Work at Georgian Court University. Patricia has extensive experience working closely with children, teenagers and adults, utilizing ACT (acceptance and commitment therapy), DBT (dialectical behavioral therapy), TF-CBT (trauma focused cognitive behavioral therapy), Psychodynamic Therapy, in addition to Psychoeducation to help clients develop tools and insight that they can use towards managing life’s challenges.
Patricia S. Pagan, LMSW; Bilingual (English and Spanish) social work therapist who graduated from New York University with a Master’s of Social Work and completed her Bachelor's of Social Work at Georgian Court University. Patricia has extensive experience working closely with children, teenagers and adults, utilizing ACT (acceptance and commitment therapy), DBT (dialectical behavioral therapy), TF-CBT (trauma focused cognitive behavioral therapy), Psychodynamic Therapy, in addition to Psychoeducation to help clients develop tools and insight that they can use towards managing life’s challenges.
(332) 239-2948 View (332) 239-2948
Photo of Wendy Salazar, LCSW, Clinical Social Work/Therapist
Wendy Salazar
Clinical Social Work/Therapist, LCSW
Verified Verified
Flushing, NY 11367
Are you feeling sad, lonely, depressed and/or anxious? You are not alone. According to the National Alliance on Mental Health, 1 in 5 people experience mental illness.
Are you feeling sad, lonely, depressed and/or anxious? You are not alone. According to the National Alliance on Mental Health, 1 in 5 people experience mental illness.
(347) 966-6963 View (347) 966-6963
Photo of Donna Latendresse, LMHC, LCAT, LPC, Counselor
Donna Latendresse
Counselor, LMHC, LCAT, LPC
Verified Verified
Flushing, NY 11369  (Online Only)
Life can be challenging, and navigating those challenges can feel overwhelming at times. I am here to support you in a safe and non-judgmental space. Whether you're dealing with anxiety, depression, trauma, or relationship issues, my approach is tailored to your unique needs. Together, we will explore your emotions, uncover patterns, and develop coping strategies that empower you to lead a more fulfilling life. What sets me apart is my integration of creative expression with evidence-based therapies such as CBT, DBT, & Mindfulness techniques.
Life can be challenging, and navigating those challenges can feel overwhelming at times. I am here to support you in a safe and non-judgmental space. Whether you're dealing with anxiety, depression, trauma, or relationship issues, my approach is tailored to your unique needs. Together, we will explore your emotions, uncover patterns, and develop coping strategies that empower you to lead a more fulfilling life. What sets me apart is my integration of creative expression with evidence-based therapies such as CBT, DBT, & Mindfulness techniques.
(929) 238-8954 View (929) 238-8954
Photo of Avi Miodownik, PsyD, Psychologist
Avi Miodownik
Psychologist, PsyD
Verified Verified
Flushing, NY 11367  (Online Only)
I am a clinical psychologist licensed in New York specializing in individual and couples therapy. In my practice, I work with adults and older adults experiencing anxiety, depression, substance use, relationship conflict, and the consequences of traumatic experiences. I also work with individuals looking to gain a deeper understanding of themselves. Much of the way I think about people, relationships, and psychotherapy is rooted in relational, psychodynamic theory which emphasizes non-judgemental curiosity about one’s thoughts, feelings, and behavioral patterns within the context of a therapeutic relationship.
I am a clinical psychologist licensed in New York specializing in individual and couples therapy. In my practice, I work with adults and older adults experiencing anxiety, depression, substance use, relationship conflict, and the consequences of traumatic experiences. I also work with individuals looking to gain a deeper understanding of themselves. Much of the way I think about people, relationships, and psychotherapy is rooted in relational, psychodynamic theory which emphasizes non-judgemental curiosity about one’s thoughts, feelings, and behavioral patterns within the context of a therapeutic relationship.
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Photo of Lauren Melzer, EdD, MS
Lauren Melzer
EdD, MS
Verified Verified
2 Endorsed
Flushing, NY 11367
From a therapeutic perspective, I believe in "meeting people where they’re at." I also consider therapy a great way of finding what a beautiful life looks like for each and every person, with an understanding that we’re all different, but with some commonalities amongst us. I find that we can all find pockets of peace no matter how chaotic our lives are, and I love to help others find that too. I believe in combatting the “perfect” world social media has created by offering a real person to help support you, not a textbook robot.
From a therapeutic perspective, I believe in "meeting people where they’re at." I also consider therapy a great way of finding what a beautiful life looks like for each and every person, with an understanding that we’re all different, but with some commonalities amongst us. I find that we can all find pockets of peace no matter how chaotic our lives are, and I love to help others find that too. I believe in combatting the “perfect” world social media has created by offering a real person to help support you, not a textbook robot.
(929) 930-4540 View (929) 930-4540
Photo of Nicole Petzolt, PsyD, Psychologist
Nicole Petzolt
Psychologist, PsyD
Verified Verified
Flushing, NY 11366  (Online Only)
I enjoy working with individuals throughout the lifespan, from ages 5 to 105. My experience as a school psychologist has given me an understanding of the challenges of both being and parenting a child with special needs, as well as navigating life as an adult with a disability or chronic health condition. I also have experience in working with clients suffering from depression, grief/loss, anxiety, trauma, panic attacks, and phobias. I have a special interest in working with clients who are neurodivergent and those who identify as LGBTQIA.
I enjoy working with individuals throughout the lifespan, from ages 5 to 105. My experience as a school psychologist has given me an understanding of the challenges of both being and parenting a child with special needs, as well as navigating life as an adult with a disability or chronic health condition. I also have experience in working with clients suffering from depression, grief/loss, anxiety, trauma, panic attacks, and phobias. I have a special interest in working with clients who are neurodivergent and those who identify as LGBTQIA.
(516) 908-7641 View (516) 908-7641
Photo of Jocelyn Rosa, LCSW, Clinical Social Work/Therapist
Jocelyn Rosa
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Flushing, NY 11385  (Online Only)
Do you feel lost and uncertain about your identity beyond the roles assigned to you by others and external circumstances? Do you ever wonder if the behavioral patterns and limiting beliefs formed from childhood trauma are holding you back from reaching your full potential? Have you ever considered who you might become if you weren't constantly striving to meet the expectations and standards set by others? It's essential for me as your therapist to help you break free from unhealthy behaviors tied to perfectionism and people-pleasing, while navigating complex emotions, that may be holding you back from developing your own identity.
Do you feel lost and uncertain about your identity beyond the roles assigned to you by others and external circumstances? Do you ever wonder if the behavioral patterns and limiting beliefs formed from childhood trauma are holding you back from reaching your full potential? Have you ever considered who you might become if you weren't constantly striving to meet the expectations and standards set by others? It's essential for me as your therapist to help you break free from unhealthy behaviors tied to perfectionism and people-pleasing, while navigating complex emotions, that may be holding you back from developing your own identity.
(929) 410-5195 View (929) 410-5195
Photo of Jenny Toussaint, MHC, Pre-Licensed Professional
Jenny Toussaint
Pre-Licensed Professional, MHC
Verified Verified
1 Endorsed
Flushing, NY 11375
It is normal to experience a range of emotions when beginning therapy. There are times when life is difficult, relationships are complicated, and change can be frightening. Life may be made significantly easier to navigate if you have the correct tools and assistance in place to help you. I'm happy that you have taken the initial step! My purpose is to inspire and encourage clients to pursue their individual pathways to become a better version of themselves. My mission is to provide each and every client with a welcoming, safe and caring atmosphere.
It is normal to experience a range of emotions when beginning therapy. There are times when life is difficult, relationships are complicated, and change can be frightening. Life may be made significantly easier to navigate if you have the correct tools and assistance in place to help you. I'm happy that you have taken the initial step! My purpose is to inspire and encourage clients to pursue their individual pathways to become a better version of themselves. My mission is to provide each and every client with a welcoming, safe and caring atmosphere.
(347) 442-7967 View (347) 442-7967
Photo of Daniel Gaztambide, PsyD, MA, Psychologist
Daniel Gaztambide
Psychologist, PsyD, MA
Verified Verified
4 Endorsed
Flushing, NY 11367  (Online Only)
Not accepting new clients
You want to move forward with your life, but you're having a hard time with anxiety. So what's getting in the way? Overthinking holds you back at work and in your relationships, where worry feels like a constant companion. Confrontation makes you nervous, so you don't really talk about what's bothering you. Your boundaries keep getting pushed, but saying "no" doesn't get any easier. It's this constant bottling things up so that even friends and family don't have the full story. At the end of the day, you're just hoping people will listen.
You want to move forward with your life, but you're having a hard time with anxiety. So what's getting in the way? Overthinking holds you back at work and in your relationships, where worry feels like a constant companion. Confrontation makes you nervous, so you don't really talk about what's bothering you. Your boundaries keep getting pushed, but saying "no" doesn't get any easier. It's this constant bottling things up so that even friends and family don't have the full story. At the end of the day, you're just hoping people will listen.
(917) 809-7294 View (917) 809-7294
Photo of Rabin Bhagwandas, LMHC, Casac-T, Counselor
Rabin Bhagwandas
Counselor, LMHC, Casac-T
Verified Verified
2 Endorsed
Flushing, NY 11385
Waitlist for new clients
I am a Licensed mental health counselor who offers an open-minded, empathetic perspective, that helps strengthen one's individuality. I have been in the field for about 9 years as a mental health advocate and practitioner and have a passion for working with individuals of all ages/races/communities who are burdened with anxiety, depression, trauma, addictions and personality disorders. We can work together to create a place where you can focus on your well-being while talking through your life challenges. We will look at the problem patterns preventing you from having the life you want, the love you crave and the desire you miss.
I am a Licensed mental health counselor who offers an open-minded, empathetic perspective, that helps strengthen one's individuality. I have been in the field for about 9 years as a mental health advocate and practitioner and have a passion for working with individuals of all ages/races/communities who are burdened with anxiety, depression, trauma, addictions and personality disorders. We can work together to create a place where you can focus on your well-being while talking through your life challenges. We will look at the problem patterns preventing you from having the life you want, the love you crave and the desire you miss.
(718) 831-6153 View (718) 831-6153
Photo of Carole M Filangieri, PhD, Psychologist
Carole M Filangieri
Psychologist, PhD
Verified Verified
Flushing, NY 11379  (Online Only)
Not accepting new clients
If you are feeling overwhelmed, you are not alone. For many, our lives and the lives of our loved ones have changed drastically since the pandemic, and we continue to feel distressed. My approach to therapy is eclectic and collaborative. I offer a nonjudgmental, warm, accepting, safe space in which we work together to build understanding and, ultimately, to find the path that leads to your genuine self and living authentically.
If you are feeling overwhelmed, you are not alone. For many, our lives and the lives of our loved ones have changed drastically since the pandemic, and we continue to feel distressed. My approach to therapy is eclectic and collaborative. I offer a nonjudgmental, warm, accepting, safe space in which we work together to build understanding and, ultimately, to find the path that leads to your genuine self and living authentically.
(516) 226-7928 View (516) 226-7928
Photo of Ari J Perl, LCSW, Clinical Social Work/Therapist
Ari J Perl
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Flushing, NY 11367
Have you tried learning strategies and tools to help you manage better, but you have been frustrated by something getting in the way? You can transcend blocks, to then use tools and strategies effectively. You can gain access to your innate calming, understanding, capable, loving, self-confidence. Sometimes there are roadblocks that need to be removed or wounds that need to be healed in order to proceed. Let's make roadblocks such as anxiety, depression, addiction, impulsivity, and trauma into steppingstones! Don't let it define you. Let's define it, understand it and make way for opportunities and a better future.
Have you tried learning strategies and tools to help you manage better, but you have been frustrated by something getting in the way? You can transcend blocks, to then use tools and strategies effectively. You can gain access to your innate calming, understanding, capable, loving, self-confidence. Sometimes there are roadblocks that need to be removed or wounds that need to be healed in order to proceed. Let's make roadblocks such as anxiety, depression, addiction, impulsivity, and trauma into steppingstones! Don't let it define you. Let's define it, understand it and make way for opportunities and a better future.
(917) 725-7420 View (917) 725-7420
Photo of Naomi Zauderer, LCSW, Clinical Social Work/Therapist
Naomi Zauderer
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Flushing, NY 11365  (Online Only)
In our therapeutic process, I provide a nurturing space for you to unpack your present challenges, unravel the layers of who you are, and figure out where you are heading. Together, we’ll explore and heal the aspects of yourself that get in your own way and obscure your authentic self.
In our therapeutic process, I provide a nurturing space for you to unpack your present challenges, unravel the layers of who you are, and figure out where you are heading. Together, we’ll explore and heal the aspects of yourself that get in your own way and obscure your authentic self.
(929) 533-2917 View (929) 533-2917
Photo of Manqing Eve He, LMHC, MS, Counselor
Manqing Eve He
Counselor, LMHC, MS
Verified Verified
Flushing, NY 11379  (Online Only)
My name is Manqing 'Eve' He, a multilingual counselor who grew up in China, lived shortly in Malaysia and now staying in New York City. Clinically, I have 7 years of experiences in psychological assessment and psychotherapy, especially with sexual violence, complex trauma, anxiety, relationship issues, self-esteem, and self-identity issues. As a counselor who have immersed herself in both the eastern culture and the western world, my practice focuses on adapting different school of therapy approaches with an emphasis on understanding each individual's complexity in the context of culture, identities, race, and communities.
My name is Manqing 'Eve' He, a multilingual counselor who grew up in China, lived shortly in Malaysia and now staying in New York City. Clinically, I have 7 years of experiences in psychological assessment and psychotherapy, especially with sexual violence, complex trauma, anxiety, relationship issues, self-esteem, and self-identity issues. As a counselor who have immersed herself in both the eastern culture and the western world, my practice focuses on adapting different school of therapy approaches with an emphasis on understanding each individual's complexity in the context of culture, identities, race, and communities.
(929) 357-1733 View (929) 357-1733
Photo of Alisa M Krieger, MA, LP, Licensed Psychoanalyst
Alisa M Krieger
Licensed Psychoanalyst, MA, LP
Verified Verified
1 Endorsed
Flushing, NY 11378
Working with individuals, couples, teens and children I have come to understand that we all want to be heard so that we may experience a healthier, productive life. Often, we experience conflict and troublesome behaviors that prevent us from feeling happy and satisfied. Depression, anxiety and a myriad of other self-defeating conditions or behaviors can emerge that interfere with our everyday relationships and can cause many difficulties in our lives. My approach is to work closely with you, through any issues, in an atmosphere of acceptance and support, designed to address your needs.
Working with individuals, couples, teens and children I have come to understand that we all want to be heard so that we may experience a healthier, productive life. Often, we experience conflict and troublesome behaviors that prevent us from feeling happy and satisfied. Depression, anxiety and a myriad of other self-defeating conditions or behaviors can emerge that interfere with our everyday relationships and can cause many difficulties in our lives. My approach is to work closely with you, through any issues, in an atmosphere of acceptance and support, designed to address your needs.
(347) 468-0944 View (347) 468-0944
Photo of Sunghee Elle Kim, BCBA, LBA
Sunghee Elle Kim
BCBA, LBA
Verified Verified
1 Endorsed
Flushing, NY 11357
As a Board Certified Behavior Analyst (BCBA) and Licensed Behavior Analyst in New York (LBA-NY), I am dedicated to providing personalized, evidence-based Applied Behavior Analysis (ABA) services to individuals with Autism Spectrum Disorder (ASD) and behavioral challenges. My practice is based in Queens, where I work with clients aged 2 to 21, addressing various needs including behavioral support, social and communication skills, daily living skills, and motor development. I am passionate about creating a supportive andindividualized environment where each child can thrive.
As a Board Certified Behavior Analyst (BCBA) and Licensed Behavior Analyst in New York (LBA-NY), I am dedicated to providing personalized, evidence-based Applied Behavior Analysis (ABA) services to individuals with Autism Spectrum Disorder (ASD) and behavioral challenges. My practice is based in Queens, where I work with clients aged 2 to 21, addressing various needs including behavioral support, social and communication skills, daily living skills, and motor development. I am passionate about creating a supportive andindividualized environment where each child can thrive.
(929) 416-5706 View (929) 416-5706
Photo of Yogesh Lal, MFT-LP, Marriage & Family Therapist Associate
Yogesh Lal
Marriage & Family Therapist Associate, MFT-LP
Verified Verified
1 Endorsed
Flushing, NY 11374
Are you feeling tired, lost, and unsure about decisions? Have you encountered thoughts of helplessness? Are you ready to reclaim your purpose and take back control of your life? Navigating challenges are not meant to be alone, working in collaboration can get you one step closer to reaching positive well-being. Are you and your partner facing conflicts? If facing strains in intimacy, communication and understanding, a change in perspective and an effort in restoration can lead to healthy replenishment.
Are you feeling tired, lost, and unsure about decisions? Have you encountered thoughts of helplessness? Are you ready to reclaim your purpose and take back control of your life? Navigating challenges are not meant to be alone, working in collaboration can get you one step closer to reaching positive well-being. Are you and your partner facing conflicts? If facing strains in intimacy, communication and understanding, a change in perspective and an effort in restoration can lead to healthy replenishment.
(347) 761-7325 View (347) 761-7325
Photo of Megan Richardson, LCMHC, Counselor
Megan Richardson
Counselor, LCMHC
Verified Verified
Flushing, NY 11355  (Online Only)
I'm Megan Richardson, LMHC. My approach to therapy is solution focused and evidence based. I work collaboratively with my clients to help them rediscover their strength and resiliency. Areas of focus include helping adults navigate life transitions, relationship conflict, stress management, low self-esteem, depression, and anxiety. I work with adults but have and will see older teenagers. I support individuals, couples, and families experiencing a transition (which include attending college), emotion dysregulation, difficulty coping with stress, anxiety and/or depression.
I'm Megan Richardson, LMHC. My approach to therapy is solution focused and evidence based. I work collaboratively with my clients to help them rediscover their strength and resiliency. Areas of focus include helping adults navigate life transitions, relationship conflict, stress management, low self-esteem, depression, and anxiety. I work with adults but have and will see older teenagers. I support individuals, couples, and families experiencing a transition (which include attending college), emotion dysregulation, difficulty coping with stress, anxiety and/or depression.
(646) 466-4752 View (646) 466-4752
Photo of Surrenca T Albert, PsyD, Psychologist
Surrenca T Albert
Psychologist, PsyD
Verified Verified
Flushing, NY 11375
Dr. Albert provides individual, group, family, and couples therapy. She has specialized training in trauma-focused modalities, cognitive-behavioral treatment for anxiety/depression, behavioral interventions for developmentally disabled populations, and supportive case management. Dr. Albert uses a strengths-based approach in unearthing patterns that undermine personal and professional growth.
Dr. Albert provides individual, group, family, and couples therapy. She has specialized training in trauma-focused modalities, cognitive-behavioral treatment for anxiety/depression, behavioral interventions for developmentally disabled populations, and supportive case management. Dr. Albert uses a strengths-based approach in unearthing patterns that undermine personal and professional growth.
(917) 905-6616 View (917) 905-6616
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How does your Therapist compare?

Number of Therapists in Flushing, NY

500+

Average cost per session

$150

Therapists in Flushing, NY who prioritize treating:

95% Anxiety
88% Depression
74% Self Esteem
70% Relationship Issues
66% Trauma and PTSD
63% Coping Skills
63% Stress

Average years in practice

9 Years

Top 3 insurances accepted

90% Aetna
82% Cigna and Evernorth
76% UnitedHealthcare UHC | UBH

How Therapists in Flushing, NY see their clients

63% Online Only
37% In Person and Online

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Flushing?

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.