Therapists in Portsmouth, NH

Photo of Kimberly Meurillon, LCMHC, PMH-C, Counselor
Kimberly Meurillon
Counselor, LCMHC, PMH-C
Verified Verified
1 Endorsed
Portsmouth, NH 03801
I'm passionate about working with individuals navigating depression, anxiety, mania, and perinatal mental health concerns. Engaging in therapy can be particularly meaningful when experiencing interpersonal conflicts and going through major life events: such as the onset of a mood disorder, preparing for life after high school and college, moving to a new community, adjusting to early parenthood, or coping with pregnancy loss.
I'm passionate about working with individuals navigating depression, anxiety, mania, and perinatal mental health concerns. Engaging in therapy can be particularly meaningful when experiencing interpersonal conflicts and going through major life events: such as the onset of a mood disorder, preparing for life after high school and college, moving to a new community, adjusting to early parenthood, or coping with pregnancy loss.
(603) 691-3745 View (603) 691-3745
Photo of Seth Wizwer, LCMHC, LCPC, Counselor
Seth Wizwer
Counselor, LCMHC, LCPC
Verified Verified
1 Endorsed
Portsmouth, NH 03801
I find that a client is best served when they are listened to, validated, but also challenged to make positive change. That is why I take a cognitive behavioral approach to the counseling I do. Whether the client is a child or adult we all have the ability to learn from the past and make different choices for the future.
I find that a client is best served when they are listened to, validated, but also challenged to make positive change. That is why I take a cognitive behavioral approach to the counseling I do. Whether the client is a child or adult we all have the ability to learn from the past and make different choices for the future.
(603) 244-3370 View (603) 244-3370
Photo of Wendy Quinn, PsyD, LADC, ADTR, Psychologist
Wendy Quinn
Psychologist, PsyD, LADC, ADTR
Verified Verified
Portsmouth, NH 03801
During this medical crisis, Dr. Quinn is providing TelePsychology through a secure web portal. With thirty-five years of experience in the field of mental health, Dr. Quinn specializes in the effective treatment of eating disorders, addictions & trauma through individual, couples & family therapy for adults, children and adolescents. In treating clients with eating disorders, Dr. Quinn works closely with families, primary care physicians, psychiatrists and inpatient facilities to coordinate treatment. Dr. Quinn also incorporates expressive therapies (art & movement) with verbal therapy to access inner pain and promote deep healing.
During this medical crisis, Dr. Quinn is providing TelePsychology through a secure web portal. With thirty-five years of experience in the field of mental health, Dr. Quinn specializes in the effective treatment of eating disorders, addictions & trauma through individual, couples & family therapy for adults, children and adolescents. In treating clients with eating disorders, Dr. Quinn works closely with families, primary care physicians, psychiatrists and inpatient facilities to coordinate treatment. Dr. Quinn also incorporates expressive therapies (art & movement) with verbal therapy to access inner pain and promote deep healing.
(603) 685-3145 View (603) 685-3145
Photo of Matthew Fowler, LMFT, Marriage & Family Therapist
Matthew Fowler
Marriage & Family Therapist, LMFT
Verified Verified
Portsmouth, NH 03801
Waitlist for new clients
I am a licensed Marriage and Family Therapist in Portsmouth, New Hampshire. I help children, parents, and couples overcome obstacles, improve relationships, and better their lives. Starting a family can be one of the most exciting and fulfilling experiences, but when things do not go according to plan, this can be one of the biggest struggles for parents and children. I help families uncover the issues that contribute to the problem and find solutions to help you obtain the vision you always wanted for your child and your family.
I am a licensed Marriage and Family Therapist in Portsmouth, New Hampshire. I help children, parents, and couples overcome obstacles, improve relationships, and better their lives. Starting a family can be one of the most exciting and fulfilling experiences, but when things do not go according to plan, this can be one of the biggest struggles for parents and children. I help families uncover the issues that contribute to the problem and find solutions to help you obtain the vision you always wanted for your child and your family.
(603) 531-8811 View (603) 531-8811
Photo of Jennifer L Gray, PsyD, Psychologist
Jennifer L Gray
Psychologist, PsyD
Verified Verified
Portsmouth, NH 03801
Welcome! I am a licensed clinical psychologist with 17+ years of experience providing assessment and therapy to adolescents, young adults, and families who are seeking to process and heal from a variety of issues including: depression, anxiety, anger, suicide/self-harm, trauma, impulsivity, gender identity issues, and problematic sexual behavior. Adolescence is a period of significant development that presents major social and emotional challenges. My goal is to provide a nurturing and accepting environment where clients can grow to appreciate the therapeutic process and learn new skills necessary to reach their identified goals.
Welcome! I am a licensed clinical psychologist with 17+ years of experience providing assessment and therapy to adolescents, young adults, and families who are seeking to process and heal from a variety of issues including: depression, anxiety, anger, suicide/self-harm, trauma, impulsivity, gender identity issues, and problematic sexual behavior. Adolescence is a period of significant development that presents major social and emotional challenges. My goal is to provide a nurturing and accepting environment where clients can grow to appreciate the therapeutic process and learn new skills necessary to reach their identified goals.
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Photo of Jennifer Gaudreau, LICSW, Clinical Social Work/Therapist
Jennifer Gaudreau
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
Jennifer Gaudreau is a Licensed Independent Clinical Social Worker in New Hampshire. She currently works with adults aged 27-64 seeking individual therapy for a variety of issues including life transitions, anxiety, relationship struggles, grief and loss. Jennifer obtained a Bachelor of Arts in Psychology from St. Mary’s College of Maryland in 1986 and a Master’s in Social work from University of Maryland, Baltimore in 1988. She obtained her independent clinical license in Maryland in 1990 and in New Hampshire in 1997.
Jennifer Gaudreau is a Licensed Independent Clinical Social Worker in New Hampshire. She currently works with adults aged 27-64 seeking individual therapy for a variety of issues including life transitions, anxiety, relationship struggles, grief and loss. Jennifer obtained a Bachelor of Arts in Psychology from St. Mary’s College of Maryland in 1986 and a Master’s in Social work from University of Maryland, Baltimore in 1988. She obtained her independent clinical license in Maryland in 1990 and in New Hampshire in 1997.
(603) 691-3767 View (603) 691-3767
Photo of Sandra Yarne, PhD, Psychologist
Sandra Yarne
Psychologist, PhD
Verified Verified
Portsmouth, NH 03801
I work best with individuals who prefer a therapist to be interactive and collaborative. I strive to support you emotionally and challenge you to experiment with new ways of thinking and behaving which increase happiness and life satisfaction. The nature of your presenting problem can vary from a recent disruption in a significant relationship to life-long difficulties with anxiety, depression, mood swings or childhood trauma. All these problems can be helped with self understanding and acceptance along with specific behavioral interventions to ease your pain and suffering.
I work best with individuals who prefer a therapist to be interactive and collaborative. I strive to support you emotionally and challenge you to experiment with new ways of thinking and behaving which increase happiness and life satisfaction. The nature of your presenting problem can vary from a recent disruption in a significant relationship to life-long difficulties with anxiety, depression, mood swings or childhood trauma. All these problems can be helped with self understanding and acceptance along with specific behavioral interventions to ease your pain and suffering.
(603) 685-3062 View (603) 685-3062
Photo of Ellen Ronka, LCMHC, Counselor
Ellen Ronka
Counselor, LCMHC
Verified Verified
Portsmouth, NH 03801  (Online Only)
Compassion and safety, metaphors and stories, laughter and creativity, brainstorming and education are some of the tools I will combine to help you feel understood, heal, and then grow. I will adjust my style to what I sense you need as a whole person: body, mind, and spirit. I frame my work in psychodynamic theory, while using cognitive-behavioral and experiential techniques. I infuse all sessions with the principles of mindfulness. I can help you organize your thoughts on difficult decisions, coach you to be more assertive, and help you establish better boundaries. I will teach you a variety of coping skills for managing stress.
Compassion and safety, metaphors and stories, laughter and creativity, brainstorming and education are some of the tools I will combine to help you feel understood, heal, and then grow. I will adjust my style to what I sense you need as a whole person: body, mind, and spirit. I frame my work in psychodynamic theory, while using cognitive-behavioral and experiential techniques. I infuse all sessions with the principles of mindfulness. I can help you organize your thoughts on difficult decisions, coach you to be more assertive, and help you establish better boundaries. I will teach you a variety of coping skills for managing stress.
(603) 392-7340 View (603) 392-7340
Photo of Meredith Orchard-Blowen, MS, LCMHC, MLADC, LLC, Counselor
Meredith Orchard-Blowen
Counselor, MS, LCMHC, MLADC, LLC
Verified Verified
Portsmouth, NH 03801  (Online Only)
Welcome to my 100 % telehealth practice. I provide psychotherapy and substance use services to individuals, couples and families. I am committed to working with diverse individuals (LGBTQ+), ages 14 and older, tailoring varied therapeutic methods as needed to best support them in creating meaningful change in their lives. I also work with couples; providing space and support to deepen their connection, further their communication skills and enable them to move more successfully through conflict. Additionally, I provide court ordered substance use treatment and evaluations.
Welcome to my 100 % telehealth practice. I provide psychotherapy and substance use services to individuals, couples and families. I am committed to working with diverse individuals (LGBTQ+), ages 14 and older, tailoring varied therapeutic methods as needed to best support them in creating meaningful change in their lives. I also work with couples; providing space and support to deepen their connection, further their communication skills and enable them to move more successfully through conflict. Additionally, I provide court ordered substance use treatment and evaluations.
(603) 678-4304 View (603) 678-4304
Photo of Anita Remig, EdD, Psychologist
Anita Remig
Psychologist, EdD
Verified Verified
Portsmouth, NH 03801  (Online Only)
Not accepting new clients
Psychotherapy supports personal growth and emotional strength; it helps people solve problems and it builds motivation to get life-work done. I meet each person at their unique place on life's journey to discover how they want to grow. I support and promote growth. My specialty is psychotherapy with all adults. I work with people who have depression, bipolar, anxiety, insomnia, ADHD, PTSD, Eating Disorders. I have skills helping those with emotional problems, family conflict and relationship stress. A trusting relationship with a psychologist can help you know yourself better, set goals and create change. No Advantage Plans.
Psychotherapy supports personal growth and emotional strength; it helps people solve problems and it builds motivation to get life-work done. I meet each person at their unique place on life's journey to discover how they want to grow. I support and promote growth. My specialty is psychotherapy with all adults. I work with people who have depression, bipolar, anxiety, insomnia, ADHD, PTSD, Eating Disorders. I have skills helping those with emotional problems, family conflict and relationship stress. A trusting relationship with a psychologist can help you know yourself better, set goals and create change. No Advantage Plans.
(603) 605-1249 View (603) 605-1249
Photo of Wendy Rowe, MEd, LCMHC, Counselor
Wendy Rowe
Counselor, MEd, LCMHC
Verified Verified
Portsmouth, NH 03801
Not accepting new clients
Therapy is a way for you to express your feelings, struggles, and experiences in a place where you feel safe, comfortable and accepted for who you are. I am client led and offer support and guidance as you process feelings related to issues that are getting in the way of you living a full and balanced life. Through the counseling process, my objective is for you to discover or re-discover your own power and ability to make the changes necessary for greater life satisfaction, balance and happiness.
Therapy is a way for you to express your feelings, struggles, and experiences in a place where you feel safe, comfortable and accepted for who you are. I am client led and offer support and guidance as you process feelings related to issues that are getting in the way of you living a full and balanced life. Through the counseling process, my objective is for you to discover or re-discover your own power and ability to make the changes necessary for greater life satisfaction, balance and happiness.
(603) 580-3055 View (603) 580-3055
Photo of Kristin Trapane-Otis, LICSW, Clinical Social Work/Therapist
Kristin Trapane-Otis
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
I am a licensed social worker in the state of NH. My true love is working with children and families. My main goal is to develop a positive rapport with all members. Good work can not begin until all are comfortable. I specialize in treating children with anxiety, depression, ADHD and ODD as well as family conflict that often accompanies these issues. I work to give parents the support needed to better relate to their children, at the same time giving the child the opportunity to have the confidential and secure environment to explore their own feelings, behaviors and goals.
I am a licensed social worker in the state of NH. My true love is working with children and families. My main goal is to develop a positive rapport with all members. Good work can not begin until all are comfortable. I specialize in treating children with anxiety, depression, ADHD and ODD as well as family conflict that often accompanies these issues. I work to give parents the support needed to better relate to their children, at the same time giving the child the opportunity to have the confidential and secure environment to explore their own feelings, behaviors and goals.
(603) 303-2090 View (603) 303-2090
Photo of Ann C Bliss, MA, LCMHC, Counselor
Ann C Bliss
Counselor, MA, LCMHC
Verified Verified
Portsmouth, NH 03801
Psychotherapy requires team work. You are the expert in YOU and I am the expert in Psychology, Human Behavior, and Facilitation. Through mutual trust and honesty we can work on the issues you bring to treatment. Understanding your biological family history and current family history will help us uncover patterns and internal narratives which may present obstacles to your reaching your goals and experiencing balance and harmony in your life.
Psychotherapy requires team work. You are the expert in YOU and I am the expert in Psychology, Human Behavior, and Facilitation. Through mutual trust and honesty we can work on the issues you bring to treatment. Understanding your biological family history and current family history will help us uncover patterns and internal narratives which may present obstacles to your reaching your goals and experiencing balance and harmony in your life.
(603) 945-2092 View (603) 945-2092
Photo of Ginny Lougee, LCMHC, LPC, RYT500, Licensed Professional Counselor
Ginny Lougee
Licensed Professional Counselor, LCMHC, LPC, RYT500
Verified Verified
Portsmouth, NH 03801
I am a licensed professional counselor and yoga teacher currently offering in-person and virtual individual and couples counseling for adults. Whether you are living with depression, anxiety, grief, relational issues, traumatic memories, stress or simply wish to invest time in personal inquiry and growth, I would be delighted to talk with you to decide how we can work together.
I am a licensed professional counselor and yoga teacher currently offering in-person and virtual individual and couples counseling for adults. Whether you are living with depression, anxiety, grief, relational issues, traumatic memories, stress or simply wish to invest time in personal inquiry and growth, I would be delighted to talk with you to decide how we can work together.
(603) 821-9009 View (603) 821-9009
Photo of Charlene Curtis - Charlene Curtis LICSW, LICSW, Clinical Social Work/Therapist
Charlene Curtis LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
I see clients of all ages with a variety of needs, my current practice is approximately 50/50 with adults and children who are struggling with anxiety, issues of adjustment, general emotional discomfort, and children with behavioral concerns. In my practice with children, I work closely with parents. I work to develop a comfortable rapport focusing on strengths and supports available to your child. I begin the process by meeting with both parents so that I may learn about your child through your eyes and better understand how the concerns are impacting your child.
I see clients of all ages with a variety of needs, my current practice is approximately 50/50 with adults and children who are struggling with anxiety, issues of adjustment, general emotional discomfort, and children with behavioral concerns. In my practice with children, I work closely with parents. I work to develop a comfortable rapport focusing on strengths and supports available to your child. I begin the process by meeting with both parents so that I may learn about your child through your eyes and better understand how the concerns are impacting your child.
(603) 801-8404 View (603) 801-8404
Photo of Julianne H Farrell, LMFT, MS, Marriage & Family Therapist
Julianne H Farrell
Marriage & Family Therapist, LMFT, MS
Verified Verified
Portsmouth, NH 03801
Waitlist for new clients
Julie is a licensed Marriage and Family Therapist practicing in Portsmouth, NH. Julie is known for her collaborative, non-judgmental and respectful approach. She integrates her professional training with her life experience to help others transform their lives into places where they can not only live but thrive. Julie has acquired extensive training and experience with energy psychology techniques, which she integrates with traditional talk therapy and couple/family therapy models to create rapid and profound change with her clients. Her holistic, integrative approach utilizes some of the most effective and ground-breaking psychological techniques available today to create emotional, psychological, and physical healing.
Julie is a licensed Marriage and Family Therapist practicing in Portsmouth, NH. Julie is known for her collaborative, non-judgmental and respectful approach. She integrates her professional training with her life experience to help others transform their lives into places where they can not only live but thrive. Julie has acquired extensive training and experience with energy psychology techniques, which she integrates with traditional talk therapy and couple/family therapy models to create rapid and profound change with her clients. Her holistic, integrative approach utilizes some of the most effective and ground-breaking psychological techniques available today to create emotional, psychological, and physical healing.
(603) 326-6654 View (603) 326-6654
Photo of Holly Cerny, LCMHC, Counselor
Holly Cerny
Counselor, LCMHC
Verified Verified
1 Endorsed
Portsmouth, NH 03801
Significant loss, sadness or anxiety can impact our functioning at any point in our lives. A good therapeutic relationship can offer support and clarity. Emotions can seem overwhelming, but having a safe place to process them can be life-changing. Holding emotions alone can create an internal experience of overwhelm, but a connection with a therapist can lessen the feelings of isolation, anxiety, depression and/or stress.
Significant loss, sadness or anxiety can impact our functioning at any point in our lives. A good therapeutic relationship can offer support and clarity. Emotions can seem overwhelming, but having a safe place to process them can be life-changing. Holding emotions alone can create an internal experience of overwhelm, but a connection with a therapist can lessen the feelings of isolation, anxiety, depression and/or stress.
(603) 769-3633 View (603) 769-3633
Photo of Gwen Chabot, LICSW, Clinical Social Work/Therapist
Gwen Chabot
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801  (Online Only)
I believe that every individual has the capacity to overcome obstacles and live a fulfilling life, and I am committed to helping my clients achieve their goals. Whether you are dealing with anxiety, depression, life transitions, or other challenges, I am here to support you on your journey to healing and growth.
I believe that every individual has the capacity to overcome obstacles and live a fulfilling life, and I am committed to helping my clients achieve their goals. Whether you are dealing with anxiety, depression, life transitions, or other challenges, I am here to support you on your journey to healing and growth.
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Photo of Emily Woodall, LICSW, Clinical Social Work/Therapist
Emily Woodall
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
My therapy practice is dedicated to creating a safe, affirming space where you can explore self-discovery and personal growth. I believe that therapy should be tailored to each individual's unique journey, rather than a one-size-fits-all approach. My focus is on building a strong therapeutic relationship, ensuring that you feel seen and heard throughout our work together. I integrate techniques from cognitive behavioral therapy (CBT), mindfulness, and strengths-based frameworks. I have a particular passion for supporting young adults and parents of young adults as they navigate the challenges and opportunities of this life stage.
My therapy practice is dedicated to creating a safe, affirming space where you can explore self-discovery and personal growth. I believe that therapy should be tailored to each individual's unique journey, rather than a one-size-fits-all approach. My focus is on building a strong therapeutic relationship, ensuring that you feel seen and heard throughout our work together. I integrate techniques from cognitive behavioral therapy (CBT), mindfulness, and strengths-based frameworks. I have a particular passion for supporting young adults and parents of young adults as they navigate the challenges and opportunities of this life stage.
(603) 782-0480 View (603) 782-0480
Photo of Lisa Lawry, LICSW, Clinical Social Work/Therapist
Lisa Lawry
Clinical Social Work/Therapist, LICSW
Verified Verified
Portsmouth, NH 03801
Lisa Lawry is a Licensed Independent Clinical Social Worker in New Hampshire who has been practicing since 2004. She graduated from The University of Southern Maine with a BA in Comparative Religion Studies and from the University of New England with a Masters in Social Work (MSW) and a graduate certificate in Addiction Studies. She has provided therapy in many settings including Community Mental Health, Crisis Services, Inpatient Mental Health, and outpatient practice. Lisa believes therapy should be a safe and supportive process inspiring and challenging you to be your true self.
Lisa Lawry is a Licensed Independent Clinical Social Worker in New Hampshire who has been practicing since 2004. She graduated from The University of Southern Maine with a BA in Comparative Religion Studies and from the University of New England with a Masters in Social Work (MSW) and a graduate certificate in Addiction Studies. She has provided therapy in many settings including Community Mental Health, Crisis Services, Inpatient Mental Health, and outpatient practice. Lisa believes therapy should be a safe and supportive process inspiring and challenging you to be your true self.
(888) 491-5017 View (888) 491-5017

How does your Therapist compare?

Number of Therapists in Portsmouth, NH

300+

Average cost per session

$150

Therapists in Portsmouth, NH who prioritize treating:

94% Anxiety
85% Depression
78% Relationship Issues
74% Self Esteem
68% Coping Skills
64% Stress
63% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

69% BlueCross and BlueShield
60% Anthem | Elevance
59% UnitedHealthcare UHC | UBH

How Therapists in Portsmouth, NH see their clients

69% In Person and Online
31% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portsmouth?

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.