Therapists in Ocean County, NJ

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Photo of Gershon (Gary) Basch, MSW, LCSW, Clinical Social Work/Therapist
Gershon (Gary) Basch
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Lakewood, NJ 08701  (Online Only)
Waitlist for new clients
You’re feeling overwhelmed and anxious all the time. It’s leaving you sad, unmotivated, without any energy, and it is sapping all the confidence out of you. And you’re going crazy from all the overthinking about your problems the whole day. Maybe some even think you are confident and successful, but you know that deep down you are insecure, indecisive, and feel like an imposter and if people knew you, you doubt that they would still like you or respect you. It seems like the difficulties in your life and past traumas have overtaken you and are holding you back.
You’re feeling overwhelmed and anxious all the time. It’s leaving you sad, unmotivated, without any energy, and it is sapping all the confidence out of you. And you’re going crazy from all the overthinking about your problems the whole day. Maybe some even think you are confident and successful, but you know that deep down you are insecure, indecisive, and feel like an imposter and if people knew you, you doubt that they would still like you or respect you. It seems like the difficulties in your life and past traumas have overtaken you and are holding you back.
(732) 554-1918 View (732) 554-1918
Photo of Jennifer Constanos, LCSW, Clinical Social Work/Therapist
Jennifer Constanos
Clinical Social Work/Therapist, LCSW
Verified Verified
Toms River, NJ 08753  (Online Only)
We're here to help you reach your therapy goals! At Lifebulb, we’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
We're here to help you reach your therapy goals! At Lifebulb, we’ll connect you with the best possible therapist for your unique goals, someone who genuinely cares about helping you. We’re all about making therapy enjoyable for both therapists and clients. Our team consists of highly trained and licensed clinicians who are passionate about the therapy process. Let's work together to achieve your goals!
(848) 266-6485 View (848) 266-6485
Photo of Krystyna Cechulski, LCSW, Clinical Social Work/Therapist
Krystyna Cechulski
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Toms River, NJ 08753
“Change is painful, but nothing is as painful as staying stuck somewhere you don't belong.” It is easy to feel stuck when the negative self talk, and the painful memories consistently show up. People tell you you look like you have it all together, but inside you feel overwhelmed, irritable, anxious and burnt out. I help women break free from these pain points to live the lifestyle they desire. Our sessions together would be tailored to your needs to break through anxieties, negative cycles, traumas, and to create a lifestyle design that meets your needs through a holistic lens.
“Change is painful, but nothing is as painful as staying stuck somewhere you don't belong.” It is easy to feel stuck when the negative self talk, and the painful memories consistently show up. People tell you you look like you have it all together, but inside you feel overwhelmed, irritable, anxious and burnt out. I help women break free from these pain points to live the lifestyle they desire. Our sessions together would be tailored to your needs to break through anxieties, negative cycles, traumas, and to create a lifestyle design that meets your needs through a holistic lens.
(848) 356-4512 View (848) 356-4512
Matt Talbot Institute
Drug & Alcohol Counselor, PhD, LCADC, CCS
Verified Verified
Toms River, NJ 08753
MTI is an outpatient addiction counseling center which uses evidence based treatment as well as "time tested recovery programs" to assist our patients to find and maintain their approach to recovery. Rev. Dr. Ed Reading, is in the addiction field since 1969, & uses spiritually (not religious) orientated in approaches to counseling. Our patients are referred to medical care if needed, & more intensive levels of care, if outpatient is not successful. We DO NOT accept insurance, so your treatment is kept COMPLETELY confidential. Your records will not be shared without your permission--including placing your records "in the cloud"
MTI is an outpatient addiction counseling center which uses evidence based treatment as well as "time tested recovery programs" to assist our patients to find and maintain their approach to recovery. Rev. Dr. Ed Reading, is in the addiction field since 1969, & uses spiritually (not religious) orientated in approaches to counseling. Our patients are referred to medical care if needed, & more intensive levels of care, if outpatient is not successful. We DO NOT accept insurance, so your treatment is kept COMPLETELY confidential. Your records will not be shared without your permission--including placing your records "in the cloud"
(848) 251-0914 View (848) 251-0914
Photo of Kescy M. Mathurin, MSEd, LPC, Licensed Professional Counselor
Kescy M. Mathurin
Licensed Professional Counselor, MSEd, LPC
Verified Verified
Jackson, NJ 08527  (Online Only)
My primary focus is to encourage and empower you to become the best version of yourself through talk therapy and progressive healing. It can be terrifying to face struggles and adversities, but you are not alone. Not to mention, taking the first step to seek help takes tremendous amount of courage. I am here to empower you, my clients, to overcome life’s adversities with an eclectic approach to therapy supported my compassion and empathy.
My primary focus is to encourage and empower you to become the best version of yourself through talk therapy and progressive healing. It can be terrifying to face struggles and adversities, but you are not alone. Not to mention, taking the first step to seek help takes tremendous amount of courage. I am here to empower you, my clients, to overcome life’s adversities with an eclectic approach to therapy supported my compassion and empathy.
(848) 800-4083 View (848) 800-4083
Photo of Kasey Ramoth, MS, LPC, Counselor
Kasey Ramoth
Counselor, MS, LPC
Verified Verified
Brick, NJ 08723  (Online Only)
Feeling isolated from others and struggling to connect in a virtual and digital world? Are you conflicted about major life decisions that need to be made?  Are you in that weird place between college and "the real world"?  Whether it's anxiety, depression, transitions (marriage, college, being a new parent, new job), relationship problems, or other issues, let’s talk about it, together. You're here because life feels unmanageable and you might need some changing your negative thinking, building resilience, and increasing accountability. I'd be honored to help you with those things. Life is tough and not meant to be done alone.
Feeling isolated from others and struggling to connect in a virtual and digital world? Are you conflicted about major life decisions that need to be made?  Are you in that weird place between college and "the real world"?  Whether it's anxiety, depression, transitions (marriage, college, being a new parent, new job), relationship problems, or other issues, let’s talk about it, together. You're here because life feels unmanageable and you might need some changing your negative thinking, building resilience, and increasing accountability. I'd be honored to help you with those things. Life is tough and not meant to be done alone.
(732) 889-5331 View (732) 889-5331
Photo of Nicole Komenda, LPC, Licensed Professional Counselor
Nicole Komenda
Licensed Professional Counselor, LPC
Verified Verified
Brick, NJ 08723
I am licensed in New Jersey with 12 years of work experience. I have experience in helping clients with depression, stress and anxiety, coping with addictions, relationship issues, & trauma and abuse. I believe in treating everyone with respect, sensitivity, and compassion. My pronouns are she and her and I would be more than happy to call you by whatever pronouns refer, your legal name, or the names would like to be called other than your (dead) name.
I am licensed in New Jersey with 12 years of work experience. I have experience in helping clients with depression, stress and anxiety, coping with addictions, relationship issues, & trauma and abuse. I believe in treating everyone with respect, sensitivity, and compassion. My pronouns are she and her and I would be more than happy to call you by whatever pronouns refer, your legal name, or the names would like to be called other than your (dead) name.
(732) 355-3825 View (732) 355-3825
Photo of Evan Zurawski - Evan Zurawski - Anxiety, Anger & Resilience , LSW
Evan Zurawski - Anxiety, Anger & Resilience
Licensed Social Worker, LSW
Verified Verified
1 Endorsed
Brick, NJ 08723
I am a dedicated Licensed Social Worker. I may not have all the answers, but I would love to collaborate with you to work towards a better tomorrow. Every person is unique, and I understand that it can be difficult to trust others. I invite you to a safe place to share your story. I am kind, patient, empathetic, and hard-working. My motto is to learn from the past, plan for the future, and live for the present.
I am a dedicated Licensed Social Worker. I may not have all the answers, but I would love to collaborate with you to work towards a better tomorrow. Every person is unique, and I understand that it can be difficult to trust others. I invite you to a safe place to share your story. I am kind, patient, empathetic, and hard-working. My motto is to learn from the past, plan for the future, and live for the present.
(732) 686-0845 View (732) 686-0845
Photo of Stacey Spina, LCSW, Clinical Social Work/Therapist
Stacey Spina
Clinical Social Work/Therapist, LCSW
Verified Verified
Toms River, NJ 08753
Waitlist for new clients
You don’t have to handle everything on your own. Working with a therapist who you feel comfortable talking to, who makes you feel you are not alone, and who listens to you with authentic compassion and respect can help you see options and pathways you did not realize were there. We all can benefit from a guide to walk with us through the more difficult and confusing times of our lives.
You don’t have to handle everything on your own. Working with a therapist who you feel comfortable talking to, who makes you feel you are not alone, and who listens to you with authentic compassion and respect can help you see options and pathways you did not realize were there. We all can benefit from a guide to walk with us through the more difficult and confusing times of our lives.
(848) 204-0877 View (848) 204-0877
Photo of Christine Genovese, LPC, Licensed Professional Counselor
Christine Genovese
Licensed Professional Counselor, LPC
Verified Verified
Tuckerton, NJ 08087  (Online Only)
The focus of this practice is structured to support highly motivated adults including health care providers and educational professionals who are experiencing stress, grief, anxiety, depression and major life change. Working through life changing experiences, no matter how great or small, can be difficult especially when navigating multiple situations at once. I use a variety of resources including blogs, authors, TED talks and podcasts. I am passionate about healing and providing clients with coping skills in a creative and empathetic manner.
The focus of this practice is structured to support highly motivated adults including health care providers and educational professionals who are experiencing stress, grief, anxiety, depression and major life change. Working through life changing experiences, no matter how great or small, can be difficult especially when navigating multiple situations at once. I use a variety of resources including blogs, authors, TED talks and podcasts. I am passionate about healing and providing clients with coping skills in a creative and empathetic manner.
(640) 214-5639 View (640) 214-5639
Photo of Mary T Dugan, LCSW, CAS, ACH, Clinical Social Work/Therapist
Mary T Dugan
Clinical Social Work/Therapist, LCSW, CAS, ACH
Verified Verified
1 Endorsed
Toms River, NJ 08755
Not accepting new clients
"I am a Licensed Clinical Social Worker(LCSW) and Certified Addiction Specialist(CAS) with 29+ years of experience working with individuals, couples and families. I counsel individuals when they are facing difficulties related to anxiety, depression, substance abuse, and marital issues to name a few. I provide respectful, caring, and trusting treatment in a safe, comfortable environment. My areas of specialization include: depression, anxiety, substance abuse, separation/divorce issues, and loss/ bereavement issues. Sometimes when we face difficult situations, we feel no one could understand. LET ME HELP! You are not ALONE!!!
"I am a Licensed Clinical Social Worker(LCSW) and Certified Addiction Specialist(CAS) with 29+ years of experience working with individuals, couples and families. I counsel individuals when they are facing difficulties related to anxiety, depression, substance abuse, and marital issues to name a few. I provide respectful, caring, and trusting treatment in a safe, comfortable environment. My areas of specialization include: depression, anxiety, substance abuse, separation/divorce issues, and loss/ bereavement issues. Sometimes when we face difficult situations, we feel no one could understand. LET ME HELP! You are not ALONE!!!
(732) 806-7222 View (732) 806-7222
Photo of Tiffany Hauptman, MS, LPC, Licensed Professional Counselor
Tiffany Hauptman
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Manchester, NJ 08759  (Online Only)
Have you noticed something within yourself that isn’t sitting right? Are you searching for something different but not quite sure what or where to start? I can help! Whether you are experiencing symptoms of anxiety, depression, or struggling to adjust to certain changes in your life, I encourage you to reach out! I believe in a client centered approach where we can explore your thoughts, feelings, and responses in order to identify and achieve your goals.
Have you noticed something within yourself that isn’t sitting right? Are you searching for something different but not quite sure what or where to start? I can help! Whether you are experiencing symptoms of anxiety, depression, or struggling to adjust to certain changes in your life, I encourage you to reach out! I believe in a client centered approach where we can explore your thoughts, feelings, and responses in order to identify and achieve your goals.
(732) 785-4960 View (732) 785-4960
Photo of Rosemarie Poverman, LCSW, Clinical Social Work/Therapist
Rosemarie Poverman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Point Pleasant Beach, NJ 08742  (Online Only)
My counseling practice offers a warm and confidential atmosphere where the services are client centered and the aim is to aid those coming for help to reach a resolution of their issues and improve the quality of life as soon as possible.
My counseling practice offers a warm and confidential atmosphere where the services are client centered and the aim is to aid those coming for help to reach a resolution of their issues and improve the quality of life as soon as possible.
(732) 289-9778 View (732) 289-9778
Photo of Jennifer Lynn Keen, MSW, LCSW, CCS, Clinical Social Work/Therapist
Jennifer Lynn Keen
Clinical Social Work/Therapist, MSW, LCSW, CCS
Verified Verified
1 Endorsed
Little Egg Harbor, NJ 08087  (Online Only)
It is my personal and professional goal to assist you in attaining your full potential and goals in the therapeutic process. I am a firm believer in the therapeutic relationship as one of the most important tools in overcoming difficulties. I understand it is difficult to ask for help and I view this as a courageous act. We will work together to help you in working through your difficulties at your own pace and in your time. My typical client would be an adult seeking help with substance/alcohol use, co-occurring diagnosis, depression, anxiety, relationship problems, trauma/abuse, PTSD.
It is my personal and professional goal to assist you in attaining your full potential and goals in the therapeutic process. I am a firm believer in the therapeutic relationship as one of the most important tools in overcoming difficulties. I understand it is difficult to ask for help and I view this as a courageous act. We will work together to help you in working through your difficulties at your own pace and in your time. My typical client would be an adult seeking help with substance/alcohol use, co-occurring diagnosis, depression, anxiety, relationship problems, trauma/abuse, PTSD.
(732) 520-2795 View (732) 520-2795
Photo of Kathy Marshall King, LCADC, LPAT, ATR-BC, Drug & Alcohol Counselor
Kathy Marshall King
Drug & Alcohol Counselor, LCADC, LPAT, ATR-BC
Verified Verified
Beach Haven, NJ 08008
My ideal client could be in any stage of addiction awareness. They might be considering whether they have a problem, whether they can stop on their own but need support, are ready to do what is necessary to stop drinking or using and sustained recovery support. There really is no ideal client, it is what the person needs at the time they are ready to ask for some help. Then we sit down and talk, and come up with an initial plan always remembering that it will probably change. I want to meet every client where he or she is in the path of recovery from addiction.
My ideal client could be in any stage of addiction awareness. They might be considering whether they have a problem, whether they can stop on their own but need support, are ready to do what is necessary to stop drinking or using and sustained recovery support. There really is no ideal client, it is what the person needs at the time they are ready to ask for some help. Then we sit down and talk, and come up with an initial plan always remembering that it will probably change. I want to meet every client where he or she is in the path of recovery from addiction.
(640) 223-7867 View (640) 223-7867
Photo of William J Trub, LMFT, LCSW, Clinical Social Work/Therapist
William J Trub
Clinical Social Work/Therapist, LMFT, LCSW
Verified Verified
Brick, NJ 08724
When presented with challenges, adjustments or very personal issues, I am highly skilled in relating and empathizing with people from all walks of life. Feeling accepted in an objective and a non-judge mental way, makes starting counseling or therapy a much easier step towards positive life changes. Marital and relationship conflicts are a very common reason to seek help and a specialty of my practice. I have helped couples as a Licensed Marital Therapist since 1985. This work includes improving communication, constructive arguments, conflict resolution and increased intimacy.
When presented with challenges, adjustments or very personal issues, I am highly skilled in relating and empathizing with people from all walks of life. Feeling accepted in an objective and a non-judge mental way, makes starting counseling or therapy a much easier step towards positive life changes. Marital and relationship conflicts are a very common reason to seek help and a specialty of my practice. I have helped couples as a Licensed Marital Therapist since 1985. This work includes improving communication, constructive arguments, conflict resolution and increased intimacy.
(732) 217-7996 View (732) 217-7996
Photo of Tamara Leah Sauer-Diner - BetterWay Counseling Tamara Leah Sauer-Diner LMFT, LMFT, Marriage & Family Therapist
BetterWay Counseling Tamara Leah Sauer-Diner LMFT
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Toms River, NJ 08753  (Online Only)
Waitlist for new clients
Tamara Leah Sauer-Diner is an experienced therapist licensed in both NJ and California. Tamara tailors her approach to best suit the client and their needs and draws from a variety of evidence-based modalities such as CBT, DBT, Exposure Therapy, Solution Focused Therapy. Tamara has experience with crisis management, trauma, anxiety, eating disorders, depression, body image and relationship issues. Tamara obtained her master’s degree in Marriage And Family Therapy from Touro University Worldwide with Summa Cum Laude. Tamara accepts insurance.
Tamara Leah Sauer-Diner is an experienced therapist licensed in both NJ and California. Tamara tailors her approach to best suit the client and their needs and draws from a variety of evidence-based modalities such as CBT, DBT, Exposure Therapy, Solution Focused Therapy. Tamara has experience with crisis management, trauma, anxiety, eating disorders, depression, body image and relationship issues. Tamara obtained her master’s degree in Marriage And Family Therapy from Touro University Worldwide with Summa Cum Laude. Tamara accepts insurance.
(201) 817-1858 View (201) 817-1858
Photo of Nicole Monroe - Breakthrough Therapy Solutions, LLC, MS, LPC, NCC, ACS, Licensed Professional Counselor
Breakthrough Therapy Solutions, LLC
Licensed Professional Counselor, MS, LPC, NCC, ACS
Verified Verified
7 Endorsed
Toms River, NJ 08753
Have you tried to find a counselor but no one has returned your calls or messages? Look no further. We have availability and are ready to connect with you. Whether you're navigating the 'end of summer blues', anxiety, depression, or relationship challenges, our skilled team of licensed counselors are here to support your mental health needs. We work with children, teens, adults, couples and families. Contact us today to begin your journey toward healing and growth. Call, email or visit our website to complete a quick form and we will contact you right away. www.btstherapy.com. (848) 373-8444.
Have you tried to find a counselor but no one has returned your calls or messages? Look no further. We have availability and are ready to connect with you. Whether you're navigating the 'end of summer blues', anxiety, depression, or relationship challenges, our skilled team of licensed counselors are here to support your mental health needs. We work with children, teens, adults, couples and families. Contact us today to begin your journey toward healing and growth. Call, email or visit our website to complete a quick form and we will contact you right away. www.btstherapy.com. (848) 373-8444.
(848) 346-3234 View (848) 346-3234
Photo of Tracy Wrocklage, MA, LPC, LCADC, Licensed Professional Counselor
Tracy Wrocklage
Licensed Professional Counselor, MA, LPC, LCADC
Verified Verified
Brick, NJ 08723
Not accepting new clients
Is this how you envisioned your life? Do you feel like life threw you a curve ball and you are not sure how to handle it? Do you feel stuck? Self doubt and fear can make you feel as though you are living your life on the sidelines, watching without really engaging in it. This can make you feel as though you are unable to move forward and achieve your goals.
Is this how you envisioned your life? Do you feel like life threw you a curve ball and you are not sure how to handle it? Do you feel stuck? Self doubt and fear can make you feel as though you are living your life on the sidelines, watching without really engaging in it. This can make you feel as though you are unable to move forward and achieve your goals.
(732) 800-5862 View (732) 800-5862
Photo of Jenna Domingo, LPC, Licensed Professional Counselor
Jenna Domingo
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Toms River, NJ 08753  (Online Only)
I work with those struggling with anxiety, ADHD, relationship challenges, feelings of overwhelm, difficulty acclimating to a new phase of life, or uncertainty of what comes next. I like to help my client work through the obstacles that are preventing them from living their best lives and learn the skills to create a life that brings them joy.
I work with those struggling with anxiety, ADHD, relationship challenges, feelings of overwhelm, difficulty acclimating to a new phase of life, or uncertainty of what comes next. I like to help my client work through the obstacles that are preventing them from living their best lives and learn the skills to create a life that brings them joy.
(848) 346-3414 View (848) 346-3414
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See more therapy options for Ocean County

How does your Therapist compare?

Number of Therapists in Ocean County, NJ

1,000+

Average cost per session

$150

Therapists in Ocean County, NJ who prioritize treating:

94% Anxiety
90% Depression
80% Self Esteem
77% Coping Skills
76% Stress
74% Relationship Issues
68% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

90% Aetna
77% Cigna and Evernorth
77% UnitedHealthcare UHC | UBH

How Therapists in Ocean County, NJ see their clients

64% In Person and Online
36% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Ocean County?

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.