Therapists in Gates, NY

Photo of Scott Gaskill, LCSW-R, Clinical Social Work/Therapist
Scott Gaskill
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Gates, NY 14624
Do Anxiety, Panic, Obsessions or Worry keep you from living the life you want? Are your relationships, your work or happiness effected? I specialize in helping younger adults (18-39) work through these and other challenges such as OCD, Panic, Bipolar Disorder, Low Self Esteem or Depression. In sessions you will be heard, supported and won't be judged. I have a down to earth approach that focuses on what will be the most effective approach in your particular situation. The goal is for you to feel better, to be stronger and to no longer feel the need for therapy.
Do Anxiety, Panic, Obsessions or Worry keep you from living the life you want? Are your relationships, your work or happiness effected? I specialize in helping younger adults (18-39) work through these and other challenges such as OCD, Panic, Bipolar Disorder, Low Self Esteem or Depression. In sessions you will be heard, supported and won't be judged. I have a down to earth approach that focuses on what will be the most effective approach in your particular situation. The goal is for you to feel better, to be stronger and to no longer feel the need for therapy.
(585) 318-8581 View (585) 318-8581
Photo of Morgan Camman, LMHC
Morgan Camman
Mental Health Counselor, LMHC
Verified Verified
4 Endorsed
Gates, NY 14624
Waitlist for new clients
Welcome, I'm Morgan (they/she)! Since 2019, I've been working in community mental health and now have decided to take my experiences into a private setting. I enjoy serving those in the queer community, non-monogamous relationship structures, and BDSM/kink dynamics. I also enjoy working with young people (ages 12+) by giving them a safe space in which to explore their identity. My additional passion is supervising/guiding new therapists in the field to develop as professionals.
Welcome, I'm Morgan (they/she)! Since 2019, I've been working in community mental health and now have decided to take my experiences into a private setting. I enjoy serving those in the queer community, non-monogamous relationship structures, and BDSM/kink dynamics. I also enjoy working with young people (ages 12+) by giving them a safe space in which to explore their identity. My additional passion is supervising/guiding new therapists in the field to develop as professionals.
(585) 572-7017 View (585) 572-7017
Photo of Rob Riechel, MS, LMHC, Counselor
Rob Riechel
Counselor, MS, LMHC
Verified Verified
3 Endorsed
Gates, NY 14624  (Online Only)
Hey there! I'm Rob Riechel, a licensed Psychotherapist here to create a safe and authentic space for your mental well-being journey. Whether you're an individual navigating life's twists and turns, a couple seeking connection, or a teen or adult exploring personal growth, I've got your back. My approach is all about being yourself – no pretenses, no judgment and genuine connection. Let's work together to rewrite your story and pen a narrative toward a more relaxed, fulfilled you.
Hey there! I'm Rob Riechel, a licensed Psychotherapist here to create a safe and authentic space for your mental well-being journey. Whether you're an individual navigating life's twists and turns, a couple seeking connection, or a teen or adult exploring personal growth, I've got your back. My approach is all about being yourself – no pretenses, no judgment and genuine connection. Let's work together to rewrite your story and pen a narrative toward a more relaxed, fulfilled you.
(585) 312-6759 View (585) 312-6759
Photo of Louise Dottaviano, LMSW
Louise Dottaviano
LMSW
Verified Verified
1 Endorsed
Gates, NY 14624
Hi, my name is Louise D'Ottaviano, I'm a licensed Masters Social Worker. I earned my Masters Degree in Social Work at Bryn Mawr College in Pennsylvania. I have experience with treating anxiety, depression, suicidality, self-injurious behaviors, and trauma and stressor related disorders. I have a passion for working with the entire family system and believe that parents/guardians/caregivers should be involved in treatment.
Hi, my name is Louise D'Ottaviano, I'm a licensed Masters Social Worker. I earned my Masters Degree in Social Work at Bryn Mawr College in Pennsylvania. I have experience with treating anxiety, depression, suicidality, self-injurious behaviors, and trauma and stressor related disorders. I have a passion for working with the entire family system and believe that parents/guardians/caregivers should be involved in treatment.
(585) 536-1374 View (585) 536-1374
Photo of Keegan Johnston, MS, LMHC, Counselor
Keegan Johnston
Counselor, MS, LMHC
Verified Verified
Gates, NY 14624
Do you sometimes feel like life is a story you're reading rather than living? Do concerns like stress, anxiety, relationship challenges, grief/loss, and uncertainty about identity prevent you from being your authentic self? Do you find yourself struggling to express your thoughts to those around you and wish to understand the emotional part of yourself better? If any of these questions resonate with you, then my style of counseling might be an excellent opportunity to work towards a life that is more personally meaningful; in a safe, confidential, and supportive environment.
Do you sometimes feel like life is a story you're reading rather than living? Do concerns like stress, anxiety, relationship challenges, grief/loss, and uncertainty about identity prevent you from being your authentic self? Do you find yourself struggling to express your thoughts to those around you and wish to understand the emotional part of yourself better? If any of these questions resonate with you, then my style of counseling might be an excellent opportunity to work towards a life that is more personally meaningful; in a safe, confidential, and supportive environment.
(585) 632-8257 View (585) 632-8257
Photo of Derek Miller, LCSW, Clinical Social Work/Therapist
Derek Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Gates, NY 14624  (Online Only)
My greatest passion is helping people make lasting change their lives. My approach draws both on my professional and personal experiences with addiction, trauma, first responders, relationships and more. By creating a space and relationship where you feel safe, valued, and respected, we can then work together to overcome the challenges of today and build resiliency for the challenges yet to come. Therapy can be a truly transformative experience, when it is built on human connection and dedication to change. I look forward to walking with you on this journey!
My greatest passion is helping people make lasting change their lives. My approach draws both on my professional and personal experiences with addiction, trauma, first responders, relationships and more. By creating a space and relationship where you feel safe, valued, and respected, we can then work together to overcome the challenges of today and build resiliency for the challenges yet to come. Therapy can be a truly transformative experience, when it is built on human connection and dedication to change. I look forward to walking with you on this journey!
(585) 902-0317 View (585) 902-0317
Photo of Michael J Pernot, LMHC, Counselor
Michael J Pernot
Counselor, LMHC
Verified Verified
Gates, NY 14624
Much of our lives are series of automatic reactions and habits. In between being in these autopilot modes, we can have moments of awareness something isn’t quite right or we envision our life differently. In our work together, I will utilize our relationship to help expand your awareness and move toward acceptance and deciding on an appropriate action. My role is to provide safety, security and honesty for you to use and explore what is most important in your life. One of my personal beliefs is that we all have the capacity to change and that we all are doing the best we can with the tools we have.
Much of our lives are series of automatic reactions and habits. In between being in these autopilot modes, we can have moments of awareness something isn’t quite right or we envision our life differently. In our work together, I will utilize our relationship to help expand your awareness and move toward acceptance and deciding on an appropriate action. My role is to provide safety, security and honesty for you to use and explore what is most important in your life. One of my personal beliefs is that we all have the capacity to change and that we all are doing the best we can with the tools we have.
(585) 312-3617 View (585) 312-3617
Photo of John Brewer, LMHC, Counselor
John Brewer
Counselor, LMHC
Verified Verified
Gates, NY 14624
Welcome! The very fact that you are here exhibits courage. You may be wanting to engage in therapy for a variety of reasons. It could be a life event that you didn’t expect, anxiety, depression, or just simply feeling stuck. Therapy can provide insight and new tools to successfully navigate through life and provide you with purpose and meaning. I will work collaboratively with you to listen and understand your point of view. This will allow me to be your change agent as you are the expert in your own life. You may be wondering about me and my qualifications.
Welcome! The very fact that you are here exhibits courage. You may be wanting to engage in therapy for a variety of reasons. It could be a life event that you didn’t expect, anxiety, depression, or just simply feeling stuck. Therapy can provide insight and new tools to successfully navigate through life and provide you with purpose and meaning. I will work collaboratively with you to listen and understand your point of view. This will allow me to be your change agent as you are the expert in your own life. You may be wondering about me and my qualifications.
(585) 283-2013 View (585) 283-2013
Photo of Rebecca M English - Rebecca English Counseling, LCSW, Clinical Social Work/Therapist
Rebecca English Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Gates, NY 14624
It has been a joy to work as a therapist for the past 20 years. I have been witness to much resilience, strength, healing and growth. My passion is working with individuals, couples and families, helping them to feel supported and validated as they increase peace in their lives, resolve issues and manage stressors and mental health symptoms. I have worked in the settings of my private practice, residential mental health, outpatient mental health, psychiatric emergency department and as a school social worker.
It has been a joy to work as a therapist for the past 20 years. I have been witness to much resilience, strength, healing and growth. My passion is working with individuals, couples and families, helping them to feel supported and validated as they increase peace in their lives, resolve issues and manage stressors and mental health symptoms. I have worked in the settings of my private practice, residential mental health, outpatient mental health, psychiatric emergency department and as a school social worker.
(585) 228-0163 View (585) 228-0163
Photo of Chaynna Clark, LMHC, NCC, Counselor
Chaynna Clark
Counselor, LMHC, NCC
Verified Verified
2 Endorsed
Gates, NY 14624  (Online Only)
Hi, I'm Chaynna Clark, a Licensed Mental Health Therapist. In my work with children adolescents, I've witnessed the resilience and strength of young minds. Helping them navigate the complexities of growing up in today's world is a privilege. For adults, I've seen the transformative power of self-discovery and healing. My goal is to create a safe and non-judgmental space for all my clients, where they can explore their thoughts and feelings at their own pace. Beyond my professional role, I'm passionate about breaking down the stigma surrounding mental health issues.
Hi, I'm Chaynna Clark, a Licensed Mental Health Therapist. In my work with children adolescents, I've witnessed the resilience and strength of young minds. Helping them navigate the complexities of growing up in today's world is a privilege. For adults, I've seen the transformative power of self-discovery and healing. My goal is to create a safe and non-judgmental space for all my clients, where they can explore their thoughts and feelings at their own pace. Beyond my professional role, I'm passionate about breaking down the stigma surrounding mental health issues.
(585) 575-1006 View (585) 575-1006
Photo of Alysa MacMillen, PsyD, Psychologist
Alysa MacMillen
Psychologist, PsyD
Verified Verified
1 Endorsed
Gates, NY 14624
“I’m so tired but I can’t sleep. I lie awake at night feeling paralyzed and unable to breathe…my body feels hot, my stomach hurts and my heart races. I replay every embarrassing or shameful moment of my day…of my life… on repeat in my mind; I feel like a failure. I’m convinced that everyone is judging me. ‘What if…’ thoughts consume me. I never feel good enough!” Sound familiar? If you are tired of avoiding things, people pleasing, numbing, striving for perfection, worrying about everything…you are in the right place. I can help.
“I’m so tired but I can’t sleep. I lie awake at night feeling paralyzed and unable to breathe…my body feels hot, my stomach hurts and my heart races. I replay every embarrassing or shameful moment of my day…of my life… on repeat in my mind; I feel like a failure. I’m convinced that everyone is judging me. ‘What if…’ thoughts consume me. I never feel good enough!” Sound familiar? If you are tired of avoiding things, people pleasing, numbing, striving for perfection, worrying about everything…you are in the right place. I can help.
(585) 540-1861 View (585) 540-1861
Photo of Jamie DiMarco - American Elder Care Mental Health Services, LCSW, MSW, Clinical Social Work/Therapist
American Elder Care Mental Health Services
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Gates, NY 14624
Getting older is part of every person's journey, and it comes with many rewards. But, we recognize that aging can bring unwanted burdens - new limitations, medical concerns, feeling overwhelmed and worried about day to day tasks. Maybe you're caregiving for a loved one, or maybe you are a loved one frustrated with the challenges aging can bring. At American Elder Care, we listen, we work to create realistic goals that improve mood, decrease anxiousness and sadness, while focusing on creating improved quality of life and connection, giving peace of mind.
Getting older is part of every person's journey, and it comes with many rewards. But, we recognize that aging can bring unwanted burdens - new limitations, medical concerns, feeling overwhelmed and worried about day to day tasks. Maybe you're caregiving for a loved one, or maybe you are a loved one frustrated with the challenges aging can bring. At American Elder Care, we listen, we work to create realistic goals that improve mood, decrease anxiousness and sadness, while focusing on creating improved quality of life and connection, giving peace of mind.
(585) 735-0060 View (585) 735-0060
Photo of Matt Kois, LMHC, MS, Licensed Professional Counselor
Matt Kois
Licensed Professional Counselor, LMHC, MS
Verified Verified
2 Endorsed
Gates, NY 14624  (Online Only)
Hey everyone, I'm glad you're here! Life is challenging and overwhelming nowadays, and therapy can be a place to break this cycle. Do you want to feel less stressed or anxious? Do you want more meaningful relationships? Do you think about how to create a more fulfilling life through the ups and downs? We will work together as a team to manage the rollercoaster that life is while finding ways to cope and help identify more about yourself. I ensure my treatment is always individualized and I adapt my approach based upon what will be best for you. I look forward to connecting and to start tackling things together!
Hey everyone, I'm glad you're here! Life is challenging and overwhelming nowadays, and therapy can be a place to break this cycle. Do you want to feel less stressed or anxious? Do you want more meaningful relationships? Do you think about how to create a more fulfilling life through the ups and downs? We will work together as a team to manage the rollercoaster that life is while finding ways to cope and help identify more about yourself. I ensure my treatment is always individualized and I adapt my approach based upon what will be best for you. I look forward to connecting and to start tackling things together!
(716) 526-6240 View (716) 526-6240
Photo of Yezenia (Jess) Hussey, LMHC, NCC, CASAC-T, Counselor
Yezenia (Jess) Hussey
Counselor, LMHC, NCC, CASAC-T
Verified Verified
8 Endorsed
Gates, NY 14624
Thinking about starting therapy or getting your child started? I’m here to give you a little motivational nudge in the right direction. Let's get rid of the outdated stigma: seeking therapy is a sign of strength, not weakness. Therapy isn’t just for when things go wrong; it’s also about personal growth! Let’s be real, we all spend so much time scrolling through social media, comparing ourselves to curated lives. Therapy can help you tune out that noise and focus on what truly matters—your own well-being. You owe it to yourself to invest in your mental health. Trust me, your future self will thank you for it.
Thinking about starting therapy or getting your child started? I’m here to give you a little motivational nudge in the right direction. Let's get rid of the outdated stigma: seeking therapy is a sign of strength, not weakness. Therapy isn’t just for when things go wrong; it’s also about personal growth! Let’s be real, we all spend so much time scrolling through social media, comparing ourselves to curated lives. Therapy can help you tune out that noise and focus on what truly matters—your own well-being. You owe it to yourself to invest in your mental health. Trust me, your future self will thank you for it.
(585) 326-5796 View (585) 326-5796

More Therapists Nearby

Photo of Christina Lacey - Chris Lacey Counseling , LMFT, Marriage & Family Therapist
Chris Lacey Counseling
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Rochester, NY 14624
Stress, anxiety, sadness & depression can make our lives difficult & sometimes we need to talk about it. We may need to learn to talk & communicate more effectively to understand each other & relate. As individuals in a relationship or not, we have factors that can contribute & affect our lives that we may not realize. When we make changes to ourselves or changes happen in our lives, it not only affects you, but those around us. Identifying these factors can help bring clarity to you & your family. Changes and life transitions can be tough & can cause depression, anxiety and problems between people. Talking helps change.
Stress, anxiety, sadness & depression can make our lives difficult & sometimes we need to talk about it. We may need to learn to talk & communicate more effectively to understand each other & relate. As individuals in a relationship or not, we have factors that can contribute & affect our lives that we may not realize. When we make changes to ourselves or changes happen in our lives, it not only affects you, but those around us. Identifying these factors can help bring clarity to you & your family. Changes and life transitions can be tough & can cause depression, anxiety and problems between people. Talking helps change.
(585) 286-3358 View (585) 286-3358
Photo of Matthew T Murphy, LCSW, Clinical Social Work/Therapist
Matthew T Murphy
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14624  (Online Only)
I specialize in anxiety, ADHD and helping parents navigate their child's developmental diagnosis. I conduct CBT (cognitive behavioral therapy), ACT (acceptance and commitment therapy), TF-CBT (trauma-focused CBT), ABA (behavioral therapy), solution-focused therapy, and structural and strategic family therapy. I love learning about neurobiology and the effects that stress has on the brain. A client can expect to encounter a warm, compassionate, and encouraging soul who has a dry sense of humor and tends to address problems in a straightforward manner.
I specialize in anxiety, ADHD and helping parents navigate their child's developmental diagnosis. I conduct CBT (cognitive behavioral therapy), ACT (acceptance and commitment therapy), TF-CBT (trauma-focused CBT), ABA (behavioral therapy), solution-focused therapy, and structural and strategic family therapy. I love learning about neurobiology and the effects that stress has on the brain. A client can expect to encounter a warm, compassionate, and encouraging soul who has a dry sense of humor and tends to address problems in a straightforward manner.
(631) 868-5561 View (631) 868-5561
Photo of Justine Gregory, LMSW
Justine Gregory
Licensed Master Social Worker, LMSW
Verified Verified
2 Endorsed
Rochester, NY 14624
Waitlist for new clients
Therapy is not always an easy thing to seek out and I recognize the strength and vulnerability it can take. Whether you're just starting to explore therapy, or have tried it before, we will work together to help you get to where you want to be.
Therapy is not always an easy thing to seek out and I recognize the strength and vulnerability it can take. Whether you're just starting to explore therapy, or have tried it before, we will work together to help you get to where you want to be.
(585) 541-2893 View (585) 541-2893
Photo of Samantha G. Stringer, MS, LMHC, NCC, Counselor
Samantha G. Stringer
Counselor, MS, LMHC, NCC
Verified Verified
Rochester, NY 14624
On life’s journey we are constantly growing and developing. Whether young or old, life is a journey that usually entail efforts of trying to understand divine will. We often question our purpose in life, especially during challenging times. To keep it real, in many cultures/communities, such as the African American (Black) community, we might have been taught to either “pray” about our situations, issues, and emotions or “suck it up and keep it moving.” This can create negative energies such as anxiety, depression, anger, guilt, and other mental health issues that need to be addressed in a healthy manner.
On life’s journey we are constantly growing and developing. Whether young or old, life is a journey that usually entail efforts of trying to understand divine will. We often question our purpose in life, especially during challenging times. To keep it real, in many cultures/communities, such as the African American (Black) community, we might have been taught to either “pray” about our situations, issues, and emotions or “suck it up and keep it moving.” This can create negative energies such as anxiety, depression, anger, guilt, and other mental health issues that need to be addressed in a healthy manner.
(585) 382-1596 View (585) 382-1596
Photo of Jillian G Velekkakan, LCSW, Clinical Social Work/Therapist
Jillian G Velekkakan
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14624
Waitlist for new clients
Welcome! Taking the first steps towards finding a therapist you "click" with can be intimidating (and exhausting) so I give you tons of credit for getting this far. I feel honored to work with my clients because I know how hard it can be to open up about personal things. I believe in the healing power of a strong therapeutic relationship, a relationship where you feel truly "seen" and understood.
Welcome! Taking the first steps towards finding a therapist you "click" with can be intimidating (and exhausting) so I give you tons of credit for getting this far. I feel honored to work with my clients because I know how hard it can be to open up about personal things. I believe in the healing power of a strong therapeutic relationship, a relationship where you feel truly "seen" and understood.
(585) 501-3273 View (585) 501-3273
Photo of William McCale, LCSW-R, Clinical Social Work/Therapist
William McCale
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Rochester, NY 14624
It brings me joy to help clients regain a sense of control, move forward, or make sense of the nonsensical. Life can be ever-so-challenging and we all deserve to be unstuck. I have been a clinician for nearly 11 years and while my approaches to treatment vary, they are based on your choice, engagement, and feedback ... every step of the way.
It brings me joy to help clients regain a sense of control, move forward, or make sense of the nonsensical. Life can be ever-so-challenging and we all deserve to be unstuck. I have been a clinician for nearly 11 years and while my approaches to treatment vary, they are based on your choice, engagement, and feedback ... every step of the way.
(585) 517-2861 View (585) 517-2861

How does your Therapist compare?

Number of Therapists in Gates, NY

10+

Average cost per session

$110

Therapists in Gates, NY who prioritize treating:

100% Anxiety
93% Depression
86% Relationship Issues
86% Trauma and PTSD
79% Coping Skills
79% Self Esteem
71% Peer Relationships

Average years in practice

6 Years

Top 3 insurances accepted

91% Aetna
82% Cigna and Evernorth
64% UnitedHealthcare UHC | UBH

How Therapists in Gates, NY see their clients

72% In Person and Online
28% Online Only

Gender breakdown

50% Male
42% Female
8% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Gates?

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.