Therapists in Bergen-Lafayette, Jersey City, NJ

Photo of Leonette Walker, MSW, LCSW, Clinical Social Work/Therapist
Leonette Walker
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Bergen-Lafayette, Jersey City, NJ 07304  (Online Only)
I believe every person was created with an innate ability to overcome and thrive. I facilitate the process of you coming into that awareness, believing it for yourself, and implementing strategies for long-term change.
I believe every person was created with an innate ability to overcome and thrive. I facilitate the process of you coming into that awareness, believing it for yourself, and implementing strategies for long-term change.
(862) 244-1488 View (862) 244-1488
Photo of Yolanda Rambert, MA, LPC, Licensed Professional Counselor
Yolanda Rambert
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Bergen-Lafayette, Jersey City, NJ 07304  (Online Only)
Are you feeling stuck, overwhelmed, or stressed while trying to keep up with everyday life? Do you find yourself becoming anxious or depressed while trying to figure out your next move in life? I'm here to help you navigate through the next chapter of your life and help you become your best self. Seeking help can be difficult but I'm here to listen, guide, and support you on your journey. I have ten years of professional experience in various settings within the community and in schools. I have training in Cognitive Behavioral Therapy, strength based approaches, and utilize a collaborative approach to therapy.
Are you feeling stuck, overwhelmed, or stressed while trying to keep up with everyday life? Do you find yourself becoming anxious or depressed while trying to figure out your next move in life? I'm here to help you navigate through the next chapter of your life and help you become your best self. Seeking help can be difficult but I'm here to listen, guide, and support you on your journey. I have ten years of professional experience in various settings within the community and in schools. I have training in Cognitive Behavioral Therapy, strength based approaches, and utilize a collaborative approach to therapy.
(201) 808-3805 View (201) 808-3805
Photo of Angela Bracey, MA, LAC, Counselor
Angela Bracey
Counselor, MA, LAC
Verified Verified
Bergen-Lafayette, Jersey City, NJ 07304  (Online Only)
Hello! My name is Angela, and I want to thank you for prioritizing your mental health and wellness. I enjoy working with people who need support in managing their anxiety and depression, healing trauma and relationship issues, and accepting themselves fully. We live in a world that constantly tells us we are not enough, and I understand how disheartening that can be. My power lies in my ability to listen to my clients with a non-judgmental ear, guiding them through their struggles and hardships and helping them find clarity. It is rewarding to be able to serve others in this way.
Hello! My name is Angela, and I want to thank you for prioritizing your mental health and wellness. I enjoy working with people who need support in managing their anxiety and depression, healing trauma and relationship issues, and accepting themselves fully. We live in a world that constantly tells us we are not enough, and I understand how disheartening that can be. My power lies in my ability to listen to my clients with a non-judgmental ear, guiding them through their struggles and hardships and helping them find clarity. It is rewarding to be able to serve others in this way.
(848) 222-3780 View (848) 222-3780
Photo of Caitlin Northern, LCSW, Clinical Social Work/Therapist
Caitlin Northern
Clinical Social Work/Therapist, LCSW
Verified Verified
Bergen-Lafayette, Jersey City, NJ 07305
Caitlin is a seasoned therapist with over a decade of experience who is dedicated to help guide you on your journey to healing and personal growth. She specializes in helping children, adults, and families to not only address issues like anxiety, depression, OCD, ADHD, behavioral problems (child/teen), and autism, but to find their overall path towards happiness and well-being. Her expertise further extends to complex trauma and loss with a deep understanding of attachment-related issues. Her understanding of Child and Family Studies makes her exceptionally well-prepared to address issues at the individual and environmental levels.
Caitlin is a seasoned therapist with over a decade of experience who is dedicated to help guide you on your journey to healing and personal growth. She specializes in helping children, adults, and families to not only address issues like anxiety, depression, OCD, ADHD, behavioral problems (child/teen), and autism, but to find their overall path towards happiness and well-being. Her expertise further extends to complex trauma and loss with a deep understanding of attachment-related issues. Her understanding of Child and Family Studies makes her exceptionally well-prepared to address issues at the individual and environmental levels.
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Photo of Kate F Sitrin, Clinical Social Work/Therapist
Kate F Sitrin
Clinical Social Work/Therapist
Verified Verified
Bergen-Lafayette, Jersey City, NJ 07304
Long lasting change comes from developing a deeper understanding of ourselves. It can be incredibly challenging to focus on our own emotional life and internal experience. I provide a warm, supportive space to explore and process whatever is on your mind. I have extensive experience engaging in psychotherapy with adults facing a wide range of life experiences, from managing depression, to adapting to major life changes, to facing grief after loss of a loved one.
Long lasting change comes from developing a deeper understanding of ourselves. It can be incredibly challenging to focus on our own emotional life and internal experience. I provide a warm, supportive space to explore and process whatever is on your mind. I have extensive experience engaging in psychotherapy with adults facing a wide range of life experiences, from managing depression, to adapting to major life changes, to facing grief after loss of a loved one.
(201) 844-8174 View (201) 844-8174
Photo of Dale Singh Psy D, PsyD, Psychologist
Dale Singh Psy D
Psychologist, PsyD
Verified Verified
Bergen-Lafayette, Jersey City, NJ 07305  (Online Only)
I believe that the process of psychotherapy is reparative and restorative. Working together, therapy provides an authentic human connection allowing for change to occur towards a healthy, balanced and genuine way of living. I provide a therapeutic space that is safe, warm, non-judgmental, empathic and respectful. My approach is integrative and holistic involving psychodynamic, cognitive/behavioral, humanistic and social justice elements. I understand that people and life in general are complex and in therapy we will work together to determine the best approach for the our therapeutic process.
I believe that the process of psychotherapy is reparative and restorative. Working together, therapy provides an authentic human connection allowing for change to occur towards a healthy, balanced and genuine way of living. I provide a therapeutic space that is safe, warm, non-judgmental, empathic and respectful. My approach is integrative and holistic involving psychodynamic, cognitive/behavioral, humanistic and social justice elements. I understand that people and life in general are complex and in therapy we will work together to determine the best approach for the our therapeutic process.
(201) 627-9626 View (201) 627-9626
Photo of Kate Zander, MA, LAC
Kate Zander
MA, LAC
Verified Verified
Bergen-Lafayette, Jersey City, NJ 07304  (Online Only)
Kate specializes in helping individuals and couples overcome mental health challenges, create and maintain healthy boundaries, and prioritize themselves.
Kate specializes in helping individuals and couples overcome mental health challenges, create and maintain healthy boundaries, and prioritize themselves.
(862) 626-2845 View (862) 626-2845
Photo of Janine Elliott, LCSW, Clinical Social Work/Therapist
Janine Elliott
Clinical Social Work/Therapist, LCSW
Verified Verified
Bergen-Lafayette, Jersey City, NJ 07305
Janine Elliott takes a collaborative approach to building relationships with clients that empower them to thrive in their relationships, school/workplace, and community. She uses evidence-based treatments including CBT, DBT, ERP and HRT to help reframe unhelpful behaviors and thoughts, increase emotional regulation, and improve resiliency. Janine received her MSW from Rutgers with a focus in family systems and attachment theory. She has also trained extensively with pioneers in the field at the Beck Institute, UPenn Department of Psychiatry, Center for Treatment and Study of Anxiety, and Minuchin Center for the Family.
Janine Elliott takes a collaborative approach to building relationships with clients that empower them to thrive in their relationships, school/workplace, and community. She uses evidence-based treatments including CBT, DBT, ERP and HRT to help reframe unhelpful behaviors and thoughts, increase emotional regulation, and improve resiliency. Janine received her MSW from Rutgers with a focus in family systems and attachment theory. She has also trained extensively with pioneers in the field at the Beck Institute, UPenn Department of Psychiatry, Center for Treatment and Study of Anxiety, and Minuchin Center for the Family.
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Photo of Rosa Gomez, LMFT, Marriage & Family Therapist
Rosa Gomez
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Bergen-Lafayette, Jersey City, NJ 07304  (Online Only)
I specialize in helping couples heal from infidelity and challenge patterns of miscommunication and disconnection; in empowering individuals who have experienced childhood abuse, sexual violence, and racial trauma; and in reconnecting families who are grappling with estrangement, unresolved trauma, or grief. I have experience working with diverse populations, and my approach is always culturally informed. I am also an approved supervisor for those seeking LPC licensure in the state of New Jersey.
I specialize in helping couples heal from infidelity and challenge patterns of miscommunication and disconnection; in empowering individuals who have experienced childhood abuse, sexual violence, and racial trauma; and in reconnecting families who are grappling with estrangement, unresolved trauma, or grief. I have experience working with diverse populations, and my approach is always culturally informed. I am also an approved supervisor for those seeking LPC licensure in the state of New Jersey.
(201) 340-9178 View (201) 340-9178
Photo of Margaret Nichols, PhD, Psychologist
Margaret Nichols
Psychologist, PhD
Verified Verified
2 Endorsed
Bergen-Lafayette, Jersey City, NJ 07304
My work is a vocation, not a job. I love being a therapist because it allows me to connect with diverse people in a deep, meaningful way and to have the privilege of trying to help them on their unique journeys. I'm a diplomate in sex therapy as well as a licensed psychologist, and I am trained in EMDR, hypnotherapy,and two methods of couples counseling as well. I pride myself on keeping up with the most current developments in my field because I owe it to the people I'm trying to help.
My work is a vocation, not a job. I love being a therapist because it allows me to connect with diverse people in a deep, meaningful way and to have the privilege of trying to help them on their unique journeys. I'm a diplomate in sex therapy as well as a licensed psychologist, and I am trained in EMDR, hypnotherapy,and two methods of couples counseling as well. I pride myself on keeping up with the most current developments in my field because I owe it to the people I'm trying to help.
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Photo of Lexie Levin - Lexie Levin, LPC, LPC, Licensed Professional Counselor
Lexie Levin, LPC
Licensed Professional Counselor, LPC
Verified Verified
Bergen-Lafayette, Jersey City, NJ 07304  (Online Only)
I am a licensed professional counselor in New Jersey who works with adults, adolescents, children, couples, and families. I work to meet each person where they are and be inclusive, accessible, and supportive of all. I have extensive experience with families and children in crisis. I primarily use a person-centered approach to let each person lead the therapeutic process, but include many techniques and approaches to best meet the needs of each person. I have been a client too, so I know therapy can be hard work and scary at first, but also, can bring profound relief and change, and one of the best things we can do for ourselves.
I am a licensed professional counselor in New Jersey who works with adults, adolescents, children, couples, and families. I work to meet each person where they are and be inclusive, accessible, and supportive of all. I have extensive experience with families and children in crisis. I primarily use a person-centered approach to let each person lead the therapeutic process, but include many techniques and approaches to best meet the needs of each person. I have been a client too, so I know therapy can be hard work and scary at first, but also, can bring profound relief and change, and one of the best things we can do for ourselves.
(201) 817-9625 View (201) 817-9625
Photo of Dr. Wendy Gonzalez-Canal, PhD, MA, Psychologist
Dr. Wendy Gonzalez-Canal
Psychologist, PhD, MA
Verified Verified
3 Endorsed
Bergen-Lafayette, Jersey City, NJ 07304  (Online Only)
Do you feel angry, sad, or anxious, but don’t know why? Do your relationships feel draining, superficial, or just overall unsatisfying? Are you suddenly struggling with how to manage going back to school, transitioning into a new job, or exploring part of your identity? I get it, you feel overwhelmed and don’t even know where to start or how to manage this. Maybe you’re used to things being easier. Maybe it has always been this hard and your way of dealing with it just isn’t working anymore. Regardless, you are ready to make a change so you can feel better. I'm here to help you in this process.
Do you feel angry, sad, or anxious, but don’t know why? Do your relationships feel draining, superficial, or just overall unsatisfying? Are you suddenly struggling with how to manage going back to school, transitioning into a new job, or exploring part of your identity? I get it, you feel overwhelmed and don’t even know where to start or how to manage this. Maybe you’re used to things being easier. Maybe it has always been this hard and your way of dealing with it just isn’t working anymore. Regardless, you are ready to make a change so you can feel better. I'm here to help you in this process.
(201) 975-5054 View (201) 975-5054

Online Therapists

Photo of Janine Territo - Janine Territo:  Adults, Teens, Postpartum, MSW, LSW, Clinical Social Work/Therapist
Janine Territo: Adults, Teens, Postpartum
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Jersey City, NJ 07306
I specialize in women navigating infertility, pregnancy, and postpartum challenges, or any adult or teen navigating major life transitions like work/career changes, grief and loss, or family changes like divorce, separation, marriage, or adoption. I draw on interventions like mindfulness, CBT, Acceptance and Commitment (ACT), and DBT to support healing, growth, and change. I also have a certificate in Perinatal Mental Health, training as a birth doula, and my own experiences with parenthood, stepparenthood, adoption, blended and multicultural families. See if I'm accepting new clients and book online at www.resolutioncc.com/team
I specialize in women navigating infertility, pregnancy, and postpartum challenges, or any adult or teen navigating major life transitions like work/career changes, grief and loss, or family changes like divorce, separation, marriage, or adoption. I draw on interventions like mindfulness, CBT, Acceptance and Commitment (ACT), and DBT to support healing, growth, and change. I also have a certificate in Perinatal Mental Health, training as a birth doula, and my own experiences with parenthood, stepparenthood, adoption, blended and multicultural families. See if I'm accepting new clients and book online at www.resolutioncc.com/team
(201) 252-4352 View (201) 252-4352
Photo of Roberto Colangeli, PhD, LP, Licensed Psychoanalyst
Roberto Colangeli
Licensed Psychoanalyst, PhD, LP
Verified Verified
Jersey City, NJ 07302  (Online Only)
The psychotherapeutic relationship can provide help and support for depression, anxiety and relationship issues. My goal is to create a safe and trustworthy atmosphere where judgment is suspended so can work together to understand your needs and explore patterns of your behavior that are counterproductive. I work with adult populations including immigrants and LBGT+ community. I am a licensed psychoanalyst with a scientific background. I have a Ph.D. in Microbiology and Infectious Disease and have been published in both scientific and psychoanalytic journals.
The psychotherapeutic relationship can provide help and support for depression, anxiety and relationship issues. My goal is to create a safe and trustworthy atmosphere where judgment is suspended so can work together to understand your needs and explore patterns of your behavior that are counterproductive. I work with adult populations including immigrants and LBGT+ community. I am a licensed psychoanalyst with a scientific background. I have a Ph.D. in Microbiology and Infectious Disease and have been published in both scientific and psychoanalytic journals.
(862) 212-0868 View (862) 212-0868
Photo of Susan Menahem - Institute for Personal Growth, LCSW, LPC, LMFT, Psychologist
Institute for Personal Growth
Psychologist, LCSW, LPC, LMFT
Verified Verified
1 Endorsed
Jersey City, NJ 07302
Thinking of therapy? Ask us for the first session free, for a limited time. IPG has roughly 30 therapists over three NJ offices: Highland Park, Freehold, and Jersey City. Since 1983 we've combined compassionate care with high-level expertise. We provide individual, family, child, and relationship counseling for concerns ranging from depression to life transitions to marital strife. We have a special focus on the LGBTQ community, including transgender/GNC youth, but we see clients from all walks of life. We also have many other niche specialties such as sex therapy, ketamine-assisted psychotherapy, and eating disorders.
Thinking of therapy? Ask us for the first session free, for a limited time. IPG has roughly 30 therapists over three NJ offices: Highland Park, Freehold, and Jersey City. Since 1983 we've combined compassionate care with high-level expertise. We provide individual, family, child, and relationship counseling for concerns ranging from depression to life transitions to marital strife. We have a special focus on the LGBTQ community, including transgender/GNC youth, but we see clients from all walks of life. We also have many other niche specialties such as sex therapy, ketamine-assisted psychotherapy, and eating disorders.
(732) 487-3688 View (732) 487-3688
Photo of Sherri James, LCSW, Clinical Social Work/Therapist
Sherri James
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Jersey City, NJ 07305  (Online Only)
Hello, there. My name is Sherri James and I am a Licensed Clinical Social Worker having earned my Master of Social Work degree from Fordham University in New York City. I have over 20 years of extensive clinical expertise working with various populations with diverse backgrounds who have depression, anxiety, trauma, grief and loss, and relationship issues.
Hello, there. My name is Sherri James and I am a Licensed Clinical Social Worker having earned my Master of Social Work degree from Fordham University in New York City. I have over 20 years of extensive clinical expertise working with various populations with diverse backgrounds who have depression, anxiety, trauma, grief and loss, and relationship issues.
(848) 285-6830 View (848) 285-6830
Seek Serenity, LLC
Counselor, LPC, LMHC, ACS, NCC
Verified Verified
Jersey City, NJ 07310  (Online Only)
Are you longing for a deeper understanding of your emotions and the impact they may have on your life? Perhaps you find yourself wondering how your childhood experiences have shaped your present-day struggles. Allow me to guide you on a journey of self-discovery, where we delve into the roots of emotions and the growth of shame.
Are you longing for a deeper understanding of your emotions and the impact they may have on your life? Perhaps you find yourself wondering how your childhood experiences have shaped your present-day struggles. Allow me to guide you on a journey of self-discovery, where we delve into the roots of emotions and the growth of shame.
(201) 748-2977 View (201) 748-2977
Photo of Jenny Choi - Jenny Choi: Couples, Adults, Teens and Kids, MSW, LSW, Clinical Social Work/Therapist
Jenny Choi: Couples, Adults, Teens and Kids
Clinical Social Work/Therapist, MSW, LSW
Verified Verified
Jersey City, NJ 07306
I support clients navigating anxiety, depression, trauma, conflict, and addiction. I combine my belief in your unique strengths to adjust and heal with methods like mindfulness, coping skills, DBT-based emotion regulation, and Cognitive Behavioral Therapy. With couples, I use Gottman Method couples counseling to increase emotional connection and resolve conflict. I also draw on my addiction treatment background to support clients and family members on recovery journeys. Healing doesn’t have to be lonely. See if I'm accepting new clients and book online at www.resolutioncc.com/team
I support clients navigating anxiety, depression, trauma, conflict, and addiction. I combine my belief in your unique strengths to adjust and heal with methods like mindfulness, coping skills, DBT-based emotion regulation, and Cognitive Behavioral Therapy. With couples, I use Gottman Method couples counseling to increase emotional connection and resolve conflict. I also draw on my addiction treatment background to support clients and family members on recovery journeys. Healing doesn’t have to be lonely. See if I'm accepting new clients and book online at www.resolutioncc.com/team
(973) 858-5973 View (973) 858-5973
Photo of Tracy Bowens, LPCC, Licensed Professional Counselor
Tracy Bowens
Licensed Professional Counselor, LPCC
Verified Verified
Jersey City, NJ 07302  (Online Only)
I believe we are all powerfully equipped to improve our overall well-being. My approach is person-centered and Solution-focused. No two people are the same, and as such, responses to different treatment approaches and modalities may differ. Therefore, I meet you where you are and work with you to determine what will work best to achieve desired outcomes.
I believe we are all powerfully equipped to improve our overall well-being. My approach is person-centered and Solution-focused. No two people are the same, and as such, responses to different treatment approaches and modalities may differ. Therefore, I meet you where you are and work with you to determine what will work best to achieve desired outcomes.
(551) 282-1319 View (551) 282-1319
Photo of Christine Forte, PsyD, LMHC, Counselor
Christine Forte
Counselor, PsyD, LMHC
Verified Verified
Jersey City, NJ 07302
Christine Forte has more than a decade of experience working as a helping professional and is passionate in her quest to inspire others. She believes firmly that within every individual lie all of the capabilities that they need to live their fullest life. As such, throughout her career she has sought further ways to advance the well-being, healing and happiness of those she works with.
Christine Forte has more than a decade of experience working as a helping professional and is passionate in her quest to inspire others. She believes firmly that within every individual lie all of the capabilities that they need to live their fullest life. As such, throughout her career she has sought further ways to advance the well-being, healing and happiness of those she works with.
(929) 556-4935 View (929) 556-4935

See more therapy options for Bergen-Lafayette, Jersey City

How does your Therapist compare?

Number of Therapists in Bergen-Lafayette, Jersey City, NJ

10+

Average cost per session

$150

Therapists in Bergen-Lafayette, Jersey City, NJ who prioritize treating:

100% Depression
100% Anxiety
92% Self Esteem
83% Grief
83% Trauma and PTSD
83% Stress
75% Relationship Issues

Average years in practice

6 Years

Top 3 insurances accepted

75% Aetna
50% Cigna and Evernorth
50% UnitedHealthcare UHC | UBH

How Therapists in Bergen-Lafayette, Jersey City, NJ see their clients

66% Online Only
34% In Person and Online

Gender breakdown

91% Female
9% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Bergen-Lafayette, Jersey City?

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.