Therapists in Neffs, PA
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Check out therapists located nearby or offering teletherapy in Pennsylvania below.More Therapists Nearby
![Photo of Courtney Pursell, LPC, NCC, C-DBT, CCTP, Licensed Professional Counselor](https://photos.psychologytoday.com/9ed6c5a5-74dc-4d39-aaa5-e7b0dd0e0743/2/320x400.jpeg)
Courtney Pursell
Licensed Professional Counselor, LPC, NCC, C-DBT, CCTP
Verified Verified
Fogelsville, PA 18051
Struggling with overwhelming emotions or constant anxiety? Are you finding it hard to break free from negative thinking patterns & triggers? I’m here to help. As a Licensed Professional Counselor and Certified Clinical Trauma Professional, I specialize in treating Anxiety, Depression, Bipolar Disorder, and Borderline Personality Disorder. My goal is to support you in managing your thoughts & feelings, reducing distress, and achieving a sense of inner calm and happiness. I understand that navigating life’s challenges can feel daunting, especially if you’re unsure where to start.
Struggling with overwhelming emotions or constant anxiety? Are you finding it hard to break free from negative thinking patterns & triggers? I’m here to help. As a Licensed Professional Counselor and Certified Clinical Trauma Professional, I specialize in treating Anxiety, Depression, Bipolar Disorder, and Borderline Personality Disorder. My goal is to support you in managing your thoughts & feelings, reducing distress, and achieving a sense of inner calm and happiness. I understand that navigating life’s challenges can feel daunting, especially if you’re unsure where to start.
![Photo of Stephanie Compton, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/6a6a4cec-05da-4e87-9cec-7aa7851d4f00/1/320x400.jpeg)
Stephanie Compton
Licensed Professional Counselor, LPC
Verified Verified
Allentown, PA 18104 (Online Only)
Stephanie Corinne Compton-Bain is a Licensed Professional Counselor (LPC) with over 10 years of experience working with clients experiencing anxiety, depression, autism, ADHD, relationship conflicts, life transitions, trauma, abuse, and more.
Stephanie Corinne Compton-Bain is a Licensed Professional Counselor (LPC) with over 10 years of experience working with clients experiencing anxiety, depression, autism, ADHD, relationship conflicts, life transitions, trauma, abuse, and more.
![Photo of Paul Basenfelder, LCSW, CMDP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4238f6db-2619-442e-bc54-96c9936177e1/1/320x400.jpeg)
Paul Basenfelder
Clinical Social Work/Therapist, LCSW, CMDP
Verified Verified
Allentown, PA 18103 (Online Only)
I love being a therapist, and I have several beliefs about therapy that embody my therapeutic philosophy. First, I believe that the therapist-client relationship is sacred, and that only meaningful therapeutic work can occur through a strong alliance built on trust and free of shame and judgment. Secondly, I believe that therapy is a portal to healing wounds that loneliness and isolation worsen. Thirdly, I believe it is important to support and guide clients in living lives that are true to their own values and reflective of their authentic selves.
I love being a therapist, and I have several beliefs about therapy that embody my therapeutic philosophy. First, I believe that the therapist-client relationship is sacred, and that only meaningful therapeutic work can occur through a strong alliance built on trust and free of shame and judgment. Secondly, I believe that therapy is a portal to healing wounds that loneliness and isolation worsen. Thirdly, I believe it is important to support and guide clients in living lives that are true to their own values and reflective of their authentic selves.
![Photo of Jonathan Michael Getz, MS, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/3d17eefe-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jonathan Michael Getz
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Allentown, PA 18106
I have spent two decades helping adults, families and adolescents. I feel everyone has the opportunity to better their situation, and I offer hope and support in each client's journey. I do not enter any session with pre-planned ideas, and I feel adaptability and knowledge are my strengths. Although I may be the "expert" in psychology, I feel each client is the "expert" on themselves. I look forward to joining you in your journey, wherever you may wish to go. I have evening hours available.
I have spent two decades helping adults, families and adolescents. I feel everyone has the opportunity to better their situation, and I offer hope and support in each client's journey. I do not enter any session with pre-planned ideas, and I feel adaptability and knowledge are my strengths. Although I may be the "expert" in psychology, I feel each client is the "expert" on themselves. I look forward to joining you in your journey, wherever you may wish to go. I have evening hours available.
![Photo of Alexandra Vandak - ruLiving Institute, MS, LPC, LCMHC, BCC, Licensed Professional Counselor](https://photos.psychologytoday.com/cd36ad0d-e44f-411d-9497-ad7369c8f39f/2/320x400.jpeg)
ruLiving Institute
Licensed Professional Counselor, MS, LPC, LCMHC, BCC
Verified Verified
Fogelsville, PA 18051
You have come here today because there is something on your mind. You may be feeling restless, depressed, or anxious; wishing for something yet not knowing what that ”something” is or how to get it. A life you are not completely satisfied with living. I help people who feel dissatisfied with life improve life satisfaction. Whatever brought you here, counseling and coaching will target, and prioritize the obstacles that have you stuck. We will work collaboratively to recognize your strengths and resources to cope with and resolve the challenges and adversity that are so common to everyday life.
You have come here today because there is something on your mind. You may be feeling restless, depressed, or anxious; wishing for something yet not knowing what that ”something” is or how to get it. A life you are not completely satisfied with living. I help people who feel dissatisfied with life improve life satisfaction. Whatever brought you here, counseling and coaching will target, and prioritize the obstacles that have you stuck. We will work collaboratively to recognize your strengths and resources to cope with and resolve the challenges and adversity that are so common to everyday life.
![Photo of Jane Z Pile, PhD, Psychologist](https://photos.psychologytoday.com/3ed3973f-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jane Z Pile
Psychologist, PhD
Verified Verified
1 Endorsed
Allentown, PA 18104 (Online Only)
Not accepting new clients
I am not able to accept any new patients. I work with adults and seniors and have training and/or significant experience in diagnosing and treating most issues and disorders with the exception of drug/alcohol abuse. I treat people with 'life issues', the psychological version of the flu and people with more serious or complicated problems such as severe OCD, bi polar, eating disorders, and trauma--psychological version of pneumonia....and everything in between. My goal is to help people identify their problem, decide upon treatment goal(s), decide treatment options, and work together to achieve their goals.
I am not able to accept any new patients. I work with adults and seniors and have training and/or significant experience in diagnosing and treating most issues and disorders with the exception of drug/alcohol abuse. I treat people with 'life issues', the psychological version of the flu and people with more serious or complicated problems such as severe OCD, bi polar, eating disorders, and trauma--psychological version of pneumonia....and everything in between. My goal is to help people identify their problem, decide upon treatment goal(s), decide treatment options, and work together to achieve their goals.
![Photo of Justin Morton, BSL](https://photos.psychologytoday.com/96e353e2-9e96-4d31-9104-709065958029/1/320x400.jpeg)
Pain is inevitable, suffering is optional. Come join me on a journey to self-discovery. Whether it's personal relationship problems, neurological disorders, exploring personal identity or creating that set of habits to help you get back on track, I'll be there with you, every step of the way. Whether it's hard to move forward due to a personal block, dealing with a traumatic experience or a block with communication. Let's sit down and talk.
Pain is inevitable, suffering is optional. Come join me on a journey to self-discovery. Whether it's personal relationship problems, neurological disorders, exploring personal identity or creating that set of habits to help you get back on track, I'll be there with you, every step of the way. Whether it's hard to move forward due to a personal block, dealing with a traumatic experience or a block with communication. Let's sit down and talk.
![Photo of Amanda Sellers - Amanda Sellers, Psy.D., LLC, PsyD, Psychologist](https://photos.psychologytoday.com/533cfc57-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Amanda Sellers, Psy.D., LLC
Psychologist, PsyD
Verified Verified
8 Endorsed
Allentown, PA 18104 (Online Only)
I specialize in the treatment of anxiety and OCD, with an emphasis on women's mental health. We'll work together to clarify what's important to you, tap into your strengths, and improve your connections to others and yourself. I look forward to helping you make meaningful changes to build a life you're proud to be living.
I specialize in the treatment of anxiety and OCD, with an emphasis on women's mental health. We'll work together to clarify what's important to you, tap into your strengths, and improve your connections to others and yourself. I look forward to helping you make meaningful changes to build a life you're proud to be living.
![Photo of Rachel Kelly, MACP, NCC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/a3a4fb53-d044-4fb1-bfb7-d0af2ab64a24/3/320x400.jpeg)
Rachel Kelly
Licensed Professional Counselor, MACP, NCC, LPC
Verified Verified
1 Endorsed
Allentown, PA 18102 (Online Only)
Rachel Kelly is a Licensed Professional Counselor with 14 years in the mental health and addictions field. Rachel works with adults who are seeking help for trauma, addiction, anxiety, depression, Women’s issues, and life transitions. She completed her Bachelor of Arts in Psychology from Lock Haven University and received her Master of Arts in Counseling Psychology from Arcadia University.
Rachel Kelly is a Licensed Professional Counselor with 14 years in the mental health and addictions field. Rachel works with adults who are seeking help for trauma, addiction, anxiety, depression, Women’s issues, and life transitions. She completed her Bachelor of Arts in Psychology from Lock Haven University and received her Master of Arts in Counseling Psychology from Arcadia University.
![Photo of Taryn Tross, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/42ae5782-061a-4a86-93cb-4c30da7f0f4e/1/320x400.jpeg)
I’m a Masters level clinician with expertise in working with adolescents, adults, and couples. I have experience in treating and working with mental health diagnoses such as Depression, Anxiety, Posttraumatic Stress Disorder, Bipolar Disorder, Autism Spectrum Disorder, and specializing in substance use disorders and substance use related issues. I also have experience working with people with developmental and intellectual disabilities with comorbid mental health diagnoses.
I’m a Masters level clinician with expertise in working with adolescents, adults, and couples. I have experience in treating and working with mental health diagnoses such as Depression, Anxiety, Posttraumatic Stress Disorder, Bipolar Disorder, Autism Spectrum Disorder, and specializing in substance use disorders and substance use related issues. I also have experience working with people with developmental and intellectual disabilities with comorbid mental health diagnoses.
![Photo of Jonathan E Masters Psy.d. Psy.d., PsyD, Psychologist](https://photos.psychologytoday.com/52df6ad9-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Jonathan E Masters Psy.d. Psy.d.
Psychologist, PsyD
Verified Verified
Allentown, PA 18104
Waitlist for new clients
Jonathan Masters, Psy.D., Psy.D. is a Licensed Clinical Psychologist and Certified Psychoanalyst who has earned doctoral degrees in both fields. He has experience in private practice, community mental health, residential, and inpatient settings. He strives to combine these backgrounds in order to facilitate an approach uniquely tailored to the individual needs of each person he works with. He is highly collaborative in his approach and draws upon the most recent developments in the fields he is trained in.
Jonathan Masters, Psy.D., Psy.D. is a Licensed Clinical Psychologist and Certified Psychoanalyst who has earned doctoral degrees in both fields. He has experience in private practice, community mental health, residential, and inpatient settings. He strives to combine these backgrounds in order to facilitate an approach uniquely tailored to the individual needs of each person he works with. He is highly collaborative in his approach and draws upon the most recent developments in the fields he is trained in.
![Photo of Tanya R Waters, PsyD, NCSP, Psychologist](https://photos.psychologytoday.com/3deb1500-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Children are a precious aspect of many people's lives. Despite having loving, caring families, even children need a trusting, caring adult with whom they can share their thoughts, feelings, and emotions. My career pursuit and passion in life has always been to help others, particularly children. As a therapist, my role is to assist children and their families in using their inner resources and strengths to help them understand their full potentials. By understanding how thoughts, feelings, and actions are interrelated and by building their coping skills, children can improve their relationships with others, behaviors at home and at school, and overall resilience.
Children are a precious aspect of many people's lives. Despite having loving, caring families, even children need a trusting, caring adult with whom they can share their thoughts, feelings, and emotions. My career pursuit and passion in life has always been to help others, particularly children. As a therapist, my role is to assist children and their families in using their inner resources and strengths to help them understand their full potentials. By understanding how thoughts, feelings, and actions are interrelated and by building their coping skills, children can improve their relationships with others, behaviors at home and at school, and overall resilience.
![Photo of Kim McCue, MA, Pre-Licensed Professional](https://photos.psychologytoday.com/59284e18-0630-4d6a-9e2d-d76503bb1d09/1/320x400.jpeg)
When feelings become overwhelming, talking to someone who understands can help. My approach to therapy involves creating a safe, nonjudgmental space for you or your loved one to explore difficult emotions and situations. I strive to build a strong connection through respect, active listening, and focusing on what is most important to each client.
When feelings become overwhelming, talking to someone who understands can help. My approach to therapy involves creating a safe, nonjudgmental space for you or your loved one to explore difficult emotions and situations. I strive to build a strong connection through respect, active listening, and focusing on what is most important to each client.
![Photo of Heather Moore, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/eb641376-33a6-43bd-8bdc-123c9c93e17a/1/320x400.jpeg)
I look forward to helping you meet your personal goals. As each person is unique, I tailor my counseling approach to your needs, while providing a safe, caring, and accepting environment. Whether you are new to counseling or have had counseling in the past but were unable to achieve your goals, let’s work together so you can be the best version of you. If your child or teen is struggling due to Covid-19 or other issues, let’s partner to teach them the skills they need to be successful.
I look forward to helping you meet your personal goals. As each person is unique, I tailor my counseling approach to your needs, while providing a safe, caring, and accepting environment. Whether you are new to counseling or have had counseling in the past but were unable to achieve your goals, let’s work together so you can be the best version of you. If your child or teen is struggling due to Covid-19 or other issues, let’s partner to teach them the skills they need to be successful.
![Photo of Elizabeth Vegetabile, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/fd2653fd-c598-42d1-ade7-1bbc75e4be09/1/320x400.jpeg)
Elizabeth Vegetabile
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Allentown, PA 18109
As a dedicated professional counselor, my passion lies in creating a safe and supportive space for individuals to embark on their journey toward personal growth and flourishing. Guiding clients through life's challenges is not just a job for me; it's a calling. There's something incredibly rewarding about witnessing the transformative power of self-discovery and empowerment.
As a dedicated professional counselor, my passion lies in creating a safe and supportive space for individuals to embark on their journey toward personal growth and flourishing. Guiding clients through life's challenges is not just a job for me; it's a calling. There's something incredibly rewarding about witnessing the transformative power of self-discovery and empowerment.
![Photo of Katherine Anderson, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/b2d997e7-e2ef-4edf-b44b-6829a21abc3b/1/320x400.jpeg)
Katherine Anderson
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Allentown, PA 18103 (Online Only)
Hello! I am a Licensed Clinical Social Worker based in Pennsylvania. I received my degree from the University of Pennsylvania, and since then have worked with children and adolescents in schools, outpatient, and in-home therapy settings. My clients are working through the stress that comes from growing up and learning to navigate childhood and adolescence to become their best selves.
Hello! I am a Licensed Clinical Social Worker based in Pennsylvania. I received my degree from the University of Pennsylvania, and since then have worked with children and adolescents in schools, outpatient, and in-home therapy settings. My clients are working through the stress that comes from growing up and learning to navigate childhood and adolescence to become their best selves.
![Photo of Chelsea E DiMarco, MA, NCC, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/a97b2699-73d7-47fb-9790-faca3932f169/1/320x400.jpeg)
Chelsea E DiMarco
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
1 Endorsed
Allentown, PA 18104 (Online Only)
Are you struggling with your past? Anxiety? Depression? Many people believe trauma is limited to large events such as sexual assault, domestic violence, or natural disasters. What they don't realize is that trauma comes in all sizes, little "t"s and big "T"s. Experiences like shame, humiliation, bullying, and family dynamics, are often not taken into account but can cause similar harm.
Are you struggling with your past? Anxiety? Depression? Many people believe trauma is limited to large events such as sexual assault, domestic violence, or natural disasters. What they don't realize is that trauma comes in all sizes, little "t"s and big "T"s. Experiences like shame, humiliation, bullying, and family dynamics, are often not taken into account but can cause similar harm.
![Photo of John Driessnack, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/12ef18d7-82ae-4026-ae8c-fdaf2280446d/1/320x400.jpeg)
John Driessnack
Clinical Social Work/Therapist, LCSW
Verified Verified
Allentown, PA 18103 (Online Only)
I am a licensed clinical social worker and specialize in helping people to effectively manage anxiety, depression, and other mental health concerns using cognitive behavioral techniques. I have worked with a range of populations, nearly all ages, and also have experience with couple's counseling and addiction treatment. I work with people to develop insight into the source of their problems, how their core beliefs about the world might be hindering their progress, and focus on their natural strengths to overcome those barriers with practical skills that generate sustainable change.
I am a licensed clinical social worker and specialize in helping people to effectively manage anxiety, depression, and other mental health concerns using cognitive behavioral techniques. I have worked with a range of populations, nearly all ages, and also have experience with couple's counseling and addiction treatment. I work with people to develop insight into the source of their problems, how their core beliefs about the world might be hindering their progress, and focus on their natural strengths to overcome those barriers with practical skills that generate sustainable change.
![Photo of Erin L Sullivan, MA, LPC, NCC, Licensed Professional Counselor](https://photos.psychologytoday.com/f166959e-a748-43a4-9922-b58aedf90c61/1/320x400.jpeg)
Welcome! Deciding to come to therapy and finding a therapist whom you connect with is one of the most important steps you can take. I congratulate you for taking this step towards who you always knew you could be. I specialize in working with children, teens, young adults and adults who may be struggling with anxiety, depression, stress and social/relational concerns, as well as more severe concerns such as self-harm, suicidal ideation, behavioral issues, ADHD, ODD, and other related challenges.
Welcome! Deciding to come to therapy and finding a therapist whom you connect with is one of the most important steps you can take. I congratulate you for taking this step towards who you always knew you could be. I specialize in working with children, teens, young adults and adults who may be struggling with anxiety, depression, stress and social/relational concerns, as well as more severe concerns such as self-harm, suicidal ideation, behavioral issues, ADHD, ODD, and other related challenges.
![Photo of Rebekah Coval, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/63e7cf29-822a-4105-9f02-44c046184a39/1/320x400.jpeg)
Hi there! I am a licensed individual and couples therapist, certified yoga instructor, and birth doula. I am trained in both movement therapy and EMDR. My areas of expertise include anxiety, relationships and couples counseling, grief, trauma, chronic illness/pain, and spirituality. I offer couples counseling for clients wanting to improve their relationship as well as those discerning separation. I have a special interest in clients who are in a season of transition or decision-making, whether related to college, parenthood, new relationship/career, or navigating the last stage of life.
Hi there! I am a licensed individual and couples therapist, certified yoga instructor, and birth doula. I am trained in both movement therapy and EMDR. My areas of expertise include anxiety, relationships and couples counseling, grief, trauma, chronic illness/pain, and spirituality. I offer couples counseling for clients wanting to improve their relationship as well as those discerning separation. I have a special interest in clients who are in a season of transition or decision-making, whether related to college, parenthood, new relationship/career, or navigating the last stage of life.
How does your Therapist compare?
Number of Therapists in Neffs, PA
< 10
Therapists in Neffs, PA who prioritize treating:
How Therapists in Neffs, PA see their clients
2% | Online Only | |
1% | In Person and Online |
FAQs - About Therapy and Counseling
How can I find a therapist in Neffs?
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
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.
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.
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.