Therapists in Albany, NY

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Photo of Jessica Iagrossi, LMSW, Clinical Social Work/Therapist
Jessica Iagrossi
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
Albany, NY 12203  (Online Only)
Waitlist for new clients
Thank you for taking the first step and reading my profile. Choosing a therapist can be a scary and intimidating process. Hopefully, the below information will help you determine if I am the right fit for you.
Thank you for taking the first step and reading my profile. Choosing a therapist can be a scary and intimidating process. Hopefully, the below information will help you determine if I am the right fit for you.
(518) 278-7421 View (518) 278-7421
Photo of Sandra Estimable, LMHC, Counselor
Sandra Estimable
Counselor, LMHC
Verified Verified
Albany, NY 12203
Do you struggle with anxiety/depressive-like symptoms? Do you have changes within your workplace or relationships? You may have goals to improve communication within the workplace and social/ family relationships, develop coping skills such as mindfulness and distress tolerance, and reframe thinking and response effectively within interpersonal settings. Achieving these goals would benefit you by improving self-esteem and attachment issues and obtaining a better quality of life.
Do you struggle with anxiety/depressive-like symptoms? Do you have changes within your workplace or relationships? You may have goals to improve communication within the workplace and social/ family relationships, develop coping skills such as mindfulness and distress tolerance, and reframe thinking and response effectively within interpersonal settings. Achieving these goals would benefit you by improving self-esteem and attachment issues and obtaining a better quality of life.
(518) 662-5245 View (518) 662-5245
Photo of Sophia DeVito, LMSW
Sophia DeVito
Master Social Work, LMSW
Verified Verified
Albany, NY 12208
I believe that healing of self lays the foundation for showing up authentically in relationships, doing fulfilling work, raising courageous and caring children, and building a more just and safer world for all. I believe that healing of self requires cultivating mind/body states that allow for joy, play, curiosity, and connection. I believe healing of self often means recognizing the ways in which we have been misled, harmed, and/or abused by larger social systems which were not designed for human thriving.
I believe that healing of self lays the foundation for showing up authentically in relationships, doing fulfilling work, raising courageous and caring children, and building a more just and safer world for all. I believe that healing of self requires cultivating mind/body states that allow for joy, play, curiosity, and connection. I believe healing of self often means recognizing the ways in which we have been misled, harmed, and/or abused by larger social systems which were not designed for human thriving.
(518) 989-0982 View (518) 989-0982
Photo of Tom D'Agostino, PhD, Psychologist
Tom D'Agostino
Psychologist, PhD
Verified Verified
1 Endorsed
Albany, NY 12205
Not accepting new clients
I work best with patients who feel stuck, confused, lost, guilty, scared and frustrated. These are common feelings that tend to surface most when we face challenges and limitations in life. My goal is to help you better understand yourself so that you can make choices to bring peace and a greater sense of meaning to your days. I value building a strong relationship with my patients and will work collaboratively to create a treatment plan that fits with your goals.
I work best with patients who feel stuck, confused, lost, guilty, scared and frustrated. These are common feelings that tend to surface most when we face challenges and limitations in life. My goal is to help you better understand yourself so that you can make choices to bring peace and a greater sense of meaning to your days. I value building a strong relationship with my patients and will work collaboratively to create a treatment plan that fits with your goals.
(914) 996-6834 View (914) 996-6834
Photo of Jenny Love - Jenny Love Ketamine Assisted Psychotherapy, LMHC, Counselor
Jenny Love Ketamine Assisted Psychotherapy
Counselor, LMHC
Verified Verified
Albany, NY 12203
I am currently accepting clients for Ketamine Assisted Psychotherapy! Have you tried traditional psychotherapy, but still find yourself feeling stuck in the same thought patterns and behaviors? I offer a diverse range of psychotherapy services, including EMDR therapy and cutting-edge Ketamine-Assisted Psychotherapy. Ketamine Assisted Psychotherapy (KAP) uses ketamine's psychedelic properties to amplify therapy. When ketamine is paired with psychotherapy, ketamine allows one to dig deeper and address their difficulties like never before.
I am currently accepting clients for Ketamine Assisted Psychotherapy! Have you tried traditional psychotherapy, but still find yourself feeling stuck in the same thought patterns and behaviors? I offer a diverse range of psychotherapy services, including EMDR therapy and cutting-edge Ketamine-Assisted Psychotherapy. Ketamine Assisted Psychotherapy (KAP) uses ketamine's psychedelic properties to amplify therapy. When ketamine is paired with psychotherapy, ketamine allows one to dig deeper and address their difficulties like never before.
(518) 333-9705 View (518) 333-9705
Photo of Lillian Ankrah, ATR-BC, LCAT, Art Therapist
Lillian Ankrah
Art Therapist, ATR-BC, LCAT
Verified Verified
2 Endorsed
Albany, NY 12207  (Online Only)
Clients come to me when they are questioning the health and safety of their intimate relationships, when they are confused and overwhelmed about how to manage people in their life who continue to hurt them, when they are dealing with the difficult decision of leaving a dysfunctional and unsafe job environment for their emotional stability…. My clients want to live peacefully, love abundantly and feel empowered! Hi! I’m Lillian. I’m an Art Therapist and I specialize in helping ambitious women who are healing from abusive or unhealthy relationships find more joy, peace, satisfaction and fulfillment.
Clients come to me when they are questioning the health and safety of their intimate relationships, when they are confused and overwhelmed about how to manage people in their life who continue to hurt them, when they are dealing with the difficult decision of leaving a dysfunctional and unsafe job environment for their emotional stability…. My clients want to live peacefully, love abundantly and feel empowered! Hi! I’m Lillian. I’m an Art Therapist and I specialize in helping ambitious women who are healing from abusive or unhealthy relationships find more joy, peace, satisfaction and fulfillment.
(518) 621-3198 View (518) 621-3198
Photo of Emilia Hahn-Zollo, LMSW, Pre-Licensed Professional
Emilia Hahn-Zollo
Pre-Licensed Professional, LMSW
Verified Verified
Albany, NY 12205
Sometimes we know exactly what the change we want is, it seems right in arm's reach, yet, we find ourselves struggling and confused to bridge the gap. My goal is to assist you in identifying the life you want, finding the path, and supporting you while you place your feet on that path. Our emotional struggles, including mental health symptoms, can be very challenging to overcome alone. Let's work together to come up with ways to cope, and ways to excel.
Sometimes we know exactly what the change we want is, it seems right in arm's reach, yet, we find ourselves struggling and confused to bridge the gap. My goal is to assist you in identifying the life you want, finding the path, and supporting you while you place your feet on that path. Our emotional struggles, including mental health symptoms, can be very challenging to overcome alone. Let's work together to come up with ways to cope, and ways to excel.
(518) 405-6069 View (518) 405-6069
Photo of Elizabeth Seguinot, MS, LMHC, Counselor
Elizabeth Seguinot
Counselor, MS, LMHC
Verified Verified
Albany, NY 12203  (Online Only)
As a licensed mental health therapist with over a decade of experience, I am dedicated to providing compassionate, culturally sensitive care to individuals and families from all walks of life. My background includes working with children, adolescents, and adults in various settings, including schools, community clinics, and private practice. Throughout my career, I have been committed to addressing the unique challenges faced by communities of color, striving to create a safe, supportive space where clients feel heard, understood, and empowered.
As a licensed mental health therapist with over a decade of experience, I am dedicated to providing compassionate, culturally sensitive care to individuals and families from all walks of life. My background includes working with children, adolescents, and adults in various settings, including schools, community clinics, and private practice. Throughout my career, I have been committed to addressing the unique challenges faced by communities of color, striving to create a safe, supportive space where clients feel heard, understood, and empowered.
(518) 667-9764 View (518) 667-9764
Photo of Afifa Barone, LICSW, LCSW, MSW, Clinical Social Work/Therapist
Afifa Barone
Clinical Social Work/Therapist, LICSW, LCSW, MSW
Verified Verified
2 Endorsed
Albany, NY 12205  (Online Only)
My approach is integrative and concentrates on assisting individuals to explore and challenge habits/thoughts/patterns which impact emotions, behaviors, relationships, sleep, work, energy, motivation, and goals. Work through the environmental, psychological, behavioral, interpersonal and situational contributors to wellness. Assist with Identifying negative or distorted thinking patterns that often lead to feelings of hopelessness and helplessness. Provide psycho-education on specific life problems that may increase depression and help patients understand how to solve or improve on those problems.
My approach is integrative and concentrates on assisting individuals to explore and challenge habits/thoughts/patterns which impact emotions, behaviors, relationships, sleep, work, energy, motivation, and goals. Work through the environmental, psychological, behavioral, interpersonal and situational contributors to wellness. Assist with Identifying negative or distorted thinking patterns that often lead to feelings of hopelessness and helplessness. Provide psycho-education on specific life problems that may increase depression and help patients understand how to solve or improve on those problems.
(518) 520-4225 View (518) 520-4225
Photo of Karen Johnson-Williams, LCSW-R, Clinical Social Work/Therapist
Karen Johnson-Williams
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Albany, NY 12205
Over the course of the past 20 years, I have had the honor of treating youth, adults, families, and couples who have worked through adjustment issues, grief, trauma, anxiety, depression, identity, relationship challenges, infertility, coping with a chronic illness, and conflict resolution.
Over the course of the past 20 years, I have had the honor of treating youth, adults, families, and couples who have worked through adjustment issues, grief, trauma, anxiety, depression, identity, relationship challenges, infertility, coping with a chronic illness, and conflict resolution.
(518) 760-6632 View (518) 760-6632
Photo of Kerri Kenyon, LMHC, Counselor
Kerri Kenyon
Counselor, LMHC
Verified Verified
Albany, NY 12203  (Online Only)
My clinical areas of expertise include anxiety, depression, martial issues, codependency, self-esteem, women’s issues, substance abuse, harm reduction, grief, and transitional concerns. Through evidenced based approaches, I aim to tailor my treatment approach specific to the needs of each individual. I believe in helping individuals build on their strengths, gain insight, and develop effective coping skills.
My clinical areas of expertise include anxiety, depression, martial issues, codependency, self-esteem, women’s issues, substance abuse, harm reduction, grief, and transitional concerns. Through evidenced based approaches, I aim to tailor my treatment approach specific to the needs of each individual. I believe in helping individuals build on their strengths, gain insight, and develop effective coping skills.
(518) 808-2796 View (518) 808-2796
Photo of Ronald Villano - Family and Personal Counseling, LMHC
Family and Personal Counseling
Mental Health Counselor, LMHC
Verified Verified
Albany, NY 12203
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start...and we will answer your call TODAY. We have 5 locations in Long Island and offer Telehealth to all of New York State.
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start...and we will answer your call TODAY. We have 5 locations in Long Island and offer Telehealth to all of New York State.
(518) 520-3766 View (518) 520-3766
Photo of Jonathan Caputo At Nassau Psychology Pc, MFT-LP
Jonathan Caputo At Nassau Psychology Pc
MFT-LP
Verified Verified
Albany, NY 12208  (Online Only)
Book an appointment online through our website www.nassaupsychology.org! Jonathan graduated with a master’s degree in Marriage and Family Therapy from Hofstra and is currently a PhD student at Antioch University New England pursuing his doctorate of Philosophy in Couples and Family Therapy. He has two years of counseling experience specializing in adolescents and family therapy. He has gained his experiences by providing clinical services at a college community clinic and a drug rehabilitation center for adolescents. The theory that resonates with him the most is Narrative Therapy, however he also finds value in (CBT) and (ACT).
Book an appointment online through our website www.nassaupsychology.org! Jonathan graduated with a master’s degree in Marriage and Family Therapy from Hofstra and is currently a PhD student at Antioch University New England pursuing his doctorate of Philosophy in Couples and Family Therapy. He has two years of counseling experience specializing in adolescents and family therapy. He has gained his experiences by providing clinical services at a college community clinic and a drug rehabilitation center for adolescents. The theory that resonates with him the most is Narrative Therapy, however he also finds value in (CBT) and (ACT).
(518) 809-8132 View (518) 809-8132
Photo of Catherine Walker - D. Catherine Walker, Ph.D. Psychology PLLC, PhD, Psychologist
D. Catherine Walker, Ph.D. Psychology PLLC
Psychologist, PhD
Verified Verified
Albany, NY 12208  (Online Only)
I believe that a good relationship with my clients is a necessary precondition to good therapy. I balance compassion and acceptance with a firm, challenging stance. After all, we don't grow from sitting in our comfort zones! My areas of expertise include treating eating, weight, and body image issues, PTSD, mood and anxiety disorders, women's issues, challenging life transitions, and gender and sexuality-affirming care. My clients are diverse by age, gender identity, sexual orientation, religion, race, and ethnicity.
I believe that a good relationship with my clients is a necessary precondition to good therapy. I balance compassion and acceptance with a firm, challenging stance. After all, we don't grow from sitting in our comfort zones! My areas of expertise include treating eating, weight, and body image issues, PTSD, mood and anxiety disorders, women's issues, challenging life transitions, and gender and sexuality-affirming care. My clients are diverse by age, gender identity, sexual orientation, religion, race, and ethnicity.
(838) 206-4793 View (838) 206-4793
Photo of Jaime Hermann At Nassau Psychology Pc, MHC-LP
Jaime Hermann At Nassau Psychology Pc
MHC-LP
Verified Verified
Albany, NY 12208  (Online Only)
Book an appointment online at nassaupsychology.org! Jaime received her master's degree in mental health counseling at the University of Albany in 2023. Jaime has three years of experience providing counseling with all ages and incarcerated youth. She has gained her experiences by training at behavioral health clinics and private practices and using approaches such as psychodynamic, humanistic, person-centered, and trauma-informed to help her clients with their mental health journey.
Book an appointment online at nassaupsychology.org! Jaime received her master's degree in mental health counseling at the University of Albany in 2023. Jaime has three years of experience providing counseling with all ages and incarcerated youth. She has gained her experiences by training at behavioral health clinics and private practices and using approaches such as psychodynamic, humanistic, person-centered, and trauma-informed to help her clients with their mental health journey.
(518) 665-3566 View (518) 665-3566
Photo of Joshua Radliff, LMHC, Counselor
Joshua Radliff
Counselor, LMHC
Verified Verified
Albany, NY 12207  (Online Only)
One life is One story, is it time to change yours? I aim to help folks take life to the next level, whether it's improving relationships, healing old wounds, or making meaning out of life. I like to integrate both concrete and abstract methods to help folks with work towards their hopes and dreams. Sessions are through telehealth to people across NY and FL. >Appts Avail: Mondays weekly at 3pm, Tuesdays biweekly at 2pm. <
One life is One story, is it time to change yours? I aim to help folks take life to the next level, whether it's improving relationships, healing old wounds, or making meaning out of life. I like to integrate both concrete and abstract methods to help folks with work towards their hopes and dreams. Sessions are through telehealth to people across NY and FL. >Appts Avail: Mondays weekly at 3pm, Tuesdays biweekly at 2pm. <
(518) 255-8338 View (518) 255-8338
Photo of Marjorie S Gill, LMHC
Marjorie S Gill
Mental Health Counselor, LMHC
Verified Verified
1 Endorsed
Albany, NY 12208
I am a Licensed Mental Health Counselor with over 23 years of experience providing therapy and supportive services to adults and older adolescents with anxiety, depression and other mood disorders. I am well versed in interpersonal and relationship issues, trauma, drug/alcohol addiction, stressful life transitions, and grief/loss. Additionally, I provide therapy and skills training for individuals living with OCD, ADHD and ASD.
I am a Licensed Mental Health Counselor with over 23 years of experience providing therapy and supportive services to adults and older adolescents with anxiety, depression and other mood disorders. I am well versed in interpersonal and relationship issues, trauma, drug/alcohol addiction, stressful life transitions, and grief/loss. Additionally, I provide therapy and skills training for individuals living with OCD, ADHD and ASD.
(518) 660-8313 View (518) 660-8313
Photo of Tatiana Taylor, LCSW, LICSW, Clinical Social Work/Therapist
Tatiana Taylor
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Albany, NY 12203  (Online Only)
Help! I'm feeling overwhelmed by my thoughts. Let's Find Clarity Together! When your thoughts leave you feeling trapped and overwhelmed, it can be hard to know where to turn. Enhancing your coping skills is a powerful first step. I’m here to help you unpack negative thoughts and replace them with positive, affirming ones. Together, we’ll explore your emotions and work toward achieving clarity and peace. I specialize in supporting individuals of all ages dealing with Anxiety, Depression, Mood disorders, Bipolar disorder, and ADHD. As someone who is LGBTQIA+ and BIPOC aligned, I’m committed to providing inclusive, affirming care.
Help! I'm feeling overwhelmed by my thoughts. Let's Find Clarity Together! When your thoughts leave you feeling trapped and overwhelmed, it can be hard to know where to turn. Enhancing your coping skills is a powerful first step. I’m here to help you unpack negative thoughts and replace them with positive, affirming ones. Together, we’ll explore your emotions and work toward achieving clarity and peace. I specialize in supporting individuals of all ages dealing with Anxiety, Depression, Mood disorders, Bipolar disorder, and ADHD. As someone who is LGBTQIA+ and BIPOC aligned, I’m committed to providing inclusive, affirming care.
(845) 439-2062 View (845) 439-2062
Photo of Thomas Wells, LCSW, LICSW, CASAC-M, I-EMDR, CCTP, Clinical Social Work/Therapist
Thomas Wells
Clinical Social Work/Therapist, LCSW, LICSW, CASAC-M, I-EMDR, CCTP
Verified Verified
Albany, NY 12207  (Online Only)
Life can be filled with unexpected challenges, stress, and uncertainty. My passion is to assist children and adolescents in overcoming personal struggles. With over six years of clinical experience, I have helped individuals with anxiety, depression, stress, trauma, grief/loss, work/school issues, and relationship problems. Together, we will identify your unique needs and goals in a safe, non-judgmental therapy setting. You can begin the journey towards feeling better about yourself and your life through therapeutic support.
Life can be filled with unexpected challenges, stress, and uncertainty. My passion is to assist children and adolescents in overcoming personal struggles. With over six years of clinical experience, I have helped individuals with anxiety, depression, stress, trauma, grief/loss, work/school issues, and relationship problems. Together, we will identify your unique needs and goals in a safe, non-judgmental therapy setting. You can begin the journey towards feeling better about yourself and your life through therapeutic support.
(518) 855-6002 View (518) 855-6002
Photo of Emma Thompson - Emma Thompson | ADHD & Self-Esteem Therapy, LMHC, CCTP, Counselor
Emma Thompson | ADHD & Self-Esteem Therapy
Counselor, LMHC, CCTP
Verified Verified
1 Endorsed
Albany, NY 12204
I work with teenage, young adult, and adult women wanting to increase wellness, manage their mental health, and be more confident in their life. I specialize in assisting women who have ADHD and/or, who are struggling with their self-esteem. I help teen girls learn about their mental health and how to cope. I chose Candidly Speaking, because for me it embraces confidence in yourself and being okay with who you are! If you’re feeling confused about how to manage ADHD, struggling with self worth, and don't know where to start- I'm here to help. Self growth can be difficult but having therapeutic support can make that easier.
I work with teenage, young adult, and adult women wanting to increase wellness, manage their mental health, and be more confident in their life. I specialize in assisting women who have ADHD and/or, who are struggling with their self-esteem. I help teen girls learn about their mental health and how to cope. I chose Candidly Speaking, because for me it embraces confidence in yourself and being okay with who you are! If you’re feeling confused about how to manage ADHD, struggling with self worth, and don't know where to start- I'm here to help. Self growth can be difficult but having therapeutic support can make that easier.
(518) 333-7724 View (518) 333-7724
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How does your Therapist compare?

Number of Therapists in Albany, NY

600+

Average cost per session

$140

Therapists in Albany, NY who prioritize treating:

94% Anxiety
89% Depression
77% Relationship Issues
76% Self Esteem
73% Trauma and PTSD
73% Stress
69% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

73% Aetna
59% UnitedHealthcare UHC | UBH
56% Cigna and Evernorth

How Therapists in Albany, NY see their clients

52% Online Only
48% In Person and Online

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Albany?

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.