Therapists in New York, NY

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Photo of Stephanie Tong, LMHC, Licensed Professional Counselor
Stephanie Tong
Licensed Professional Counselor, LMHC
Verified Verified
New York, NY 10018  (Online Only)
As a therapist I am here to create a space for you so we can work together on what’s most important: your wellbeing. Whether you are experiencing stress or feelings of depression and anxiety from interpersonal issues and/or a life transition. I welcome you to bring your concerns and goals for therapy. Opportunities we can work on together are recognizing your triggers by being aware of how your mind and body reacts to different situations, building your understanding of how your thoughts and emotions impact you, and enhancing your tools in recognizing the choices you have in stressful and complicated situations.
As a therapist I am here to create a space for you so we can work together on what’s most important: your wellbeing. Whether you are experiencing stress or feelings of depression and anxiety from interpersonal issues and/or a life transition. I welcome you to bring your concerns and goals for therapy. Opportunities we can work on together are recognizing your triggers by being aware of how your mind and body reacts to different situations, building your understanding of how your thoughts and emotions impact you, and enhancing your tools in recognizing the choices you have in stressful and complicated situations.
(929) 810-1224 View (929) 810-1224
Photo of Tara Lombardo, MA, LMHC, Counselor
Tara Lombardo
Counselor, MA, LMHC
Verified Verified
New York, NY 10001
Waitlist for new clients
Coming to therapy takes a lot of courage, and it also probably means you have been doing your best to address your personal issues for some time now. I work from the vantage point that growth is always possible no matter how dire or stuck you may feel. In my practice, I use an eclectic therapeutic approach that stresses reflection, support, validation, collaboration, and aims to foster the insights and behaviors needed for change.
Coming to therapy takes a lot of courage, and it also probably means you have been doing your best to address your personal issues for some time now. I work from the vantage point that growth is always possible no matter how dire or stuck you may feel. In my practice, I use an eclectic therapeutic approach that stresses reflection, support, validation, collaboration, and aims to foster the insights and behaviors needed for change.
(347) 846-0173 View (347) 846-0173
Photo of Rachel Damin, LMHC, MSEd
Rachel Damin
LMHC, MSEd
Verified Verified
4 Endorsed
New York, NY 10016
I help individuals who struggle with self-image find acceptance in the therapy room. If you are hoping to work on disordered eating, low self-confidence, or difficulties related to body image - I am here to help! I am also extremely passionate about helping individuals who struggle with intrusive thoughts and challenges related to obsessive compulsive disorder (OCD).
I help individuals who struggle with self-image find acceptance in the therapy room. If you are hoping to work on disordered eating, low self-confidence, or difficulties related to body image - I am here to help! I am also extremely passionate about helping individuals who struggle with intrusive thoughts and challenges related to obsessive compulsive disorder (OCD).
(929) 242-6574 View (929) 242-6574
Photo of Kim Davis, LCSW-R, MS, Clinical Social Work/Therapist
Kim Davis
Clinical Social Work/Therapist, LCSW-R, MS
Verified Verified
2 Endorsed
New York, NY 10012
Finding a therapist can be a daunting process. I believe it is important to feel at ease in order to do the work therapy entails. I provide a comfortable, down-to-earth environment that will allow you to develop insight, find more choices in your life, and to build self confidence. I have advanced training in psychoanalysis and psychodynamic psychotherapy, however unlike classical analysis I do not act as a blank screen and have a contemporary approach. I provide feedback and believe in mutual collaboration between patient and therapist.
Finding a therapist can be a daunting process. I believe it is important to feel at ease in order to do the work therapy entails. I provide a comfortable, down-to-earth environment that will allow you to develop insight, find more choices in your life, and to build self confidence. I have advanced training in psychoanalysis and psychodynamic psychotherapy, however unlike classical analysis I do not act as a blank screen and have a contemporary approach. I provide feedback and believe in mutual collaboration between patient and therapist.
(917) 725-4007 View (917) 725-4007
Photo of Zoe Boggs, Pre-Licensed Professional
Zoe Boggs
Pre-Licensed Professional
Verified Verified
1 Endorsed
New York, NY 10001
I offer low-fee sessions both virtually and in-person, and I specialize in queer/LGBTQ+ subjects! You are the expert in your own experiences, but I’m here to offer warm acceptance and support, along with strategies to help you clarify what you want and how to get there. My priority is to build a strong relationship with you in which you can feel safe to explore your emotions, try new approaches to your relationships, and work towards positive change. I approach therapy with a client-centered and radically accepting lens, incorporating intersectional feminist, emotionally-focused, and psychodynamic therapies.
I offer low-fee sessions both virtually and in-person, and I specialize in queer/LGBTQ+ subjects! You are the expert in your own experiences, but I’m here to offer warm acceptance and support, along with strategies to help you clarify what you want and how to get there. My priority is to build a strong relationship with you in which you can feel safe to explore your emotions, try new approaches to your relationships, and work towards positive change. I approach therapy with a client-centered and radically accepting lens, incorporating intersectional feminist, emotionally-focused, and psychodynamic therapies.
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Photo of Liz (Anne Elizabeth) Hirky, PhD, Psychologist
Liz (Anne Elizabeth) Hirky
Psychologist, PhD
Verified Verified
New York, NY 10025
Is this one of those times you might need some extra help to manage what life has thrown at you? If so, you'll find me to be warm, empathic, and down-to-earth, with extensive training, skill, and experience. We'll be collaborative and flexible as we work to identify and shift those habits that have outlived their usefulness and now create obstacles to you living a fuller and more satisfying life. I work well with those seeking either or both problem-solving and insight-oriented approaches.
Is this one of those times you might need some extra help to manage what life has thrown at you? If so, you'll find me to be warm, empathic, and down-to-earth, with extensive training, skill, and experience. We'll be collaborative and flexible as we work to identify and shift those habits that have outlived their usefulness and now create obstacles to you living a fuller and more satisfying life. I work well with those seeking either or both problem-solving and insight-oriented approaches.
(917) 794-3554 View (917) 794-3554
Photo of Stephen Mcfadden, LCSW, Clinical Social Work/Therapist
Stephen Mcfadden
Clinical Social Work/Therapist, LCSW
Verified Verified
New York, NY 10011  (Online Only)
My commitment is to help you feel better and learn ways to change problematic patterns within the first few sessions. I combine different methods (talk therapy, hypnosis, EMDR and Somatic Experiencing) to help people make positive changes in their lives. I have 30+ years experience, with specialization in relationship problems, sexuality issues, and recovery from childhood and adult trauma. My approach is highly interactive. Sessions involve feedback and teaching of methods and skills to help you get your life back on track.
My commitment is to help you feel better and learn ways to change problematic patterns within the first few sessions. I combine different methods (talk therapy, hypnosis, EMDR and Somatic Experiencing) to help people make positive changes in their lives. I have 30+ years experience, with specialization in relationship problems, sexuality issues, and recovery from childhood and adult trauma. My approach is highly interactive. Sessions involve feedback and teaching of methods and skills to help you get your life back on track.
(646) 699-3926 View (646) 699-3926
Photo of Wyatt Okeefe, MA, LMHC, LPC, LPCC, Counselor
Wyatt Okeefe
Counselor, MA, LMHC, LPC, LPCC
Verified Verified
New York, NY 10011  (Online Only)
Accepting new clients as of 9/26/24. Hi My name is Wyatt Okeefe I identify as queer / transmasc, my focus is on fostering a welcoming and inclusive space for individuals across the LGBTQ+ spectrum, as well as those who are neurodivergent, straight, or gender conforming. My goal is to ensure that everyone feels valued and supported in my practice. I have over 20 years experience, and offer private online sessions, holding licenses in Washington, Oregon, Georgia, Florida, California and New York.
Accepting new clients as of 9/26/24. Hi My name is Wyatt Okeefe I identify as queer / transmasc, my focus is on fostering a welcoming and inclusive space for individuals across the LGBTQ+ spectrum, as well as those who are neurodivergent, straight, or gender conforming. My goal is to ensure that everyone feels valued and supported in my practice. I have over 20 years experience, and offer private online sessions, holding licenses in Washington, Oregon, Georgia, Florida, California and New York.
(646) 663-5658 View (646) 663-5658
Photo of Julie Siegel, LCSW-R, Clinical Social Work/Therapist
Julie Siegel
Clinical Social Work/Therapist, LCSW-R
Verified Verified
6 Endorsed
New York, NY 10021  (Online Only)
It takes courage to seek out therapy. Whether you are feeling anxious, depressed, stuck in life, or are experiencing relationship issues- you want to build a more satisfying life, with hope for new possibilities. Therapy can help you to not only relieve suffering, but also to make lasting changes that will allow you to grow into a more authentic and empowered person. I will support you as well as challenge you to explore your thoughts, feelings, and behaviors, and develop the tools to change patterns that may be working against you.
It takes courage to seek out therapy. Whether you are feeling anxious, depressed, stuck in life, or are experiencing relationship issues- you want to build a more satisfying life, with hope for new possibilities. Therapy can help you to not only relieve suffering, but also to make lasting changes that will allow you to grow into a more authentic and empowered person. I will support you as well as challenge you to explore your thoughts, feelings, and behaviors, and develop the tools to change patterns that may be working against you.
(347) 751-6409 View (347) 751-6409
Photo of Ashley Pichardo, LMHC, Counselor
Ashley Pichardo
Counselor, LMHC
Verified Verified
New York, NY 10019  (Online Only)
I specialize in relational and attachment issues, anxiety, depression and trauma. I apply a holistic approach which includes incorporating the mind and body in therapy. I am a culturally humble clinician who takes into perspective how different identities and ways of being are often intergenerational and can be reflective of prosperity, survival, and trauma.
I specialize in relational and attachment issues, anxiety, depression and trauma. I apply a holistic approach which includes incorporating the mind and body in therapy. I am a culturally humble clinician who takes into perspective how different identities and ways of being are often intergenerational and can be reflective of prosperity, survival, and trauma.
(646) 904-5572 View (646) 904-5572
Photo of Lydia Valentin-Lane, LMSW
Lydia Valentin-Lane
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
New York, NY 10128  (Online Only)
I specialize in addressing low self-esteem and negative body image. Throughout the course of treatment, we will work together to identify the contributing factors and take the steps to overcome it. I seek to provide support for clients who struggle with managing stress, anxiety, and depression. Life transitions can be difficult, and my job is to provide guidance in identifying roadblocks and finding the best way to remove them. If you are looking to obtain assistance in managing relationships or struggle with conflict resolution, we will analyze the problem and establish a course of action.
I specialize in addressing low self-esteem and negative body image. Throughout the course of treatment, we will work together to identify the contributing factors and take the steps to overcome it. I seek to provide support for clients who struggle with managing stress, anxiety, and depression. Life transitions can be difficult, and my job is to provide guidance in identifying roadblocks and finding the best way to remove them. If you are looking to obtain assistance in managing relationships or struggle with conflict resolution, we will analyze the problem and establish a course of action.
(646) 813-4263 View (646) 813-4263
Photo of Dr. Laurel Steinberg - Dr. Laurel Steinberg, PhD, PROF, Counselor
Dr. Laurel Steinberg
Counselor, PhD, PROF
Verified Verified
2 Endorsed
New York, NY 10017
Do you feel anxious, "less-than" or need help w/ relationships (or finding one), w/ sex, or work stress? Is now your time to live a more elegant life? Are you fearful that your relationship is in trouble or are you trying to recover from infidelity, seek improved intimacy, want to stop arguing (My TED Talk is about this!) or desire to enhance communication? Have health anxiety or want to prevent migraine? (I'm 27+ years migraine free!) If your answer is "Yes!" then I'd LOVE to help. I will help you to examine the thoughts, feelings and behaviors contributing to discomfort and teach you simple tools to secure SUCCESS!
Do you feel anxious, "less-than" or need help w/ relationships (or finding one), w/ sex, or work stress? Is now your time to live a more elegant life? Are you fearful that your relationship is in trouble or are you trying to recover from infidelity, seek improved intimacy, want to stop arguing (My TED Talk is about this!) or desire to enhance communication? Have health anxiety or want to prevent migraine? (I'm 27+ years migraine free!) If your answer is "Yes!" then I'd LOVE to help. I will help you to examine the thoughts, feelings and behaviors contributing to discomfort and teach you simple tools to secure SUCCESS!
(646) 600-8271 View (646) 600-8271
Photo of Vanessa Alpert, MA, LMHC, Counselor
Vanessa Alpert
Counselor, MA, LMHC
Verified Verified
1 Endorsed
New York, NY 10012  (Online Only)
As a Mental Health Counselor, I believe in supporting and empowering clients to focus on their many strengths and become the best version of themselves. My goal as a counselor is to cultivate a warm and safe environment that offers a space for growth and positive change. I utilize an integrative approach, using various techniques that encourage clients to discuss the many emotions and challenges they face in life. I believe in meeting the client where they're at and giving you the space to do the work and reach your personal goals.
As a Mental Health Counselor, I believe in supporting and empowering clients to focus on their many strengths and become the best version of themselves. My goal as a counselor is to cultivate a warm and safe environment that offers a space for growth and positive change. I utilize an integrative approach, using various techniques that encourage clients to discuss the many emotions and challenges they face in life. I believe in meeting the client where they're at and giving you the space to do the work and reach your personal goals.
(914) 300-1862 View (914) 300-1862
Photo of Richard White, LCSW-R, Clinical Social Work/Therapist
Richard White
Clinical Social Work/Therapist, LCSW-R
Verified Verified
New York, NY 10010
Considering therapy? What keeps you from your goals? What gets in the way of satisfying relationships in your personal life and career? We will work together to make a safe space so we can find out what really needs to change. Then we look for solutions you can actually live out in your daily life, the life you want.
Considering therapy? What keeps you from your goals? What gets in the way of satisfying relationships in your personal life and career? We will work together to make a safe space so we can find out what really needs to change. Then we look for solutions you can actually live out in your daily life, the life you want.
(917) 924-3948 View (917) 924-3948
Photo of Eric M Losada, LCSW, CASAC, Clinical Social Work/Therapist
Eric M Losada
Clinical Social Work/Therapist, LCSW, CASAC
Verified Verified
New York, NY 10007
Eric Losada is a compassionate psychotherapist, counselor, and life coach who wants to make a difference in people’s lives. He thrives on empathy and strives to create a safe environment for every client. Eric works tirelessly to empower his clients to reach their goals and create the lives they long for—because he believes every individual has the strength to heal and grow. In private practice, he likes to take a hands-on approach to assist his clients. He also takes a nonjudgmental approach towards clients and accepts them as who they are, while also assisting them to become the people they want to be.
Eric Losada is a compassionate psychotherapist, counselor, and life coach who wants to make a difference in people’s lives. He thrives on empathy and strives to create a safe environment for every client. Eric works tirelessly to empower his clients to reach their goals and create the lives they long for—because he believes every individual has the strength to heal and grow. In private practice, he likes to take a hands-on approach to assist his clients. He also takes a nonjudgmental approach towards clients and accepts them as who they are, while also assisting them to become the people they want to be.
(855) 906-3124 View (855) 906-3124
Photo of Nithyaa Venkataramani, LMSW, Clinical Social Work/Therapist
Nithyaa Venkataramani
Clinical Social Work/Therapist, LMSW
Verified Verified
New York, NY 10003
Do you feel like you are never quite doing enough? Maybe you feel numb and burnt out but don’t know how to let yourself stop or relax. You may have trouble accessing your emotions, or you notice that you’re often on an emotional rollercoaster that gets in the way of being fully present to your life. If you feel trapped by uncertainty, cycling thoughts, self-criticism, making decisions, intense emotions, relationships, or trauma symptoms - you have come to the right place. My therapeutic process seeks to understand who you are, who you want to be, and how we can tap into your inner wisdom to enact the change you desire.
Do you feel like you are never quite doing enough? Maybe you feel numb and burnt out but don’t know how to let yourself stop or relax. You may have trouble accessing your emotions, or you notice that you’re often on an emotional rollercoaster that gets in the way of being fully present to your life. If you feel trapped by uncertainty, cycling thoughts, self-criticism, making decisions, intense emotions, relationships, or trauma symptoms - you have come to the right place. My therapeutic process seeks to understand who you are, who you want to be, and how we can tap into your inner wisdom to enact the change you desire.
(347) 941-0749 View (347) 941-0749
Photo of Alison Cutler, PsyD, MSEd, Psychologist
Alison Cutler
Psychologist, PsyD, MSEd
Verified Verified
1 Endorsed
New York, NY 10013  (Online Only)
Hi there! I'm a Licensed Clinical Psychologist, and I'm here to support you through relationship challenges and life transitions. Through virtual talk therapy, we'll create a comfortable space where you can reflect on your past, your thoughts, and your feelings, and explore how they shape your life today. I approach therapy with an open mind, focusing on understanding your relationships, both past and present, and how they influence your world. Together, we'll uncover more about how you think, feel, and connect with others.
Hi there! I'm a Licensed Clinical Psychologist, and I'm here to support you through relationship challenges and life transitions. Through virtual talk therapy, we'll create a comfortable space where you can reflect on your past, your thoughts, and your feelings, and explore how they shape your life today. I approach therapy with an open mind, focusing on understanding your relationships, both past and present, and how they influence your world. Together, we'll uncover more about how you think, feel, and connect with others.
(646) 916-1384 View (646) 916-1384
Photo of Verdah Kazi, LMHC, MA, EdM, Counselor
Verdah Kazi
Counselor, LMHC, MA, EdM
Verified Verified
2 Endorsed
New York, NY 10016
The struggles many of us face today can lead to feelings of loneliness, anxiety, and hopelessness. Even with the various uncontrollable factors that impact each of our lives, we have a tendency to blame ourselves for our emotional experiences. My goal as your therapist is to hold a supportive and compassionate space for you to process and heal your emotional wounds.
The struggles many of us face today can lead to feelings of loneliness, anxiety, and hopelessness. Even with the various uncontrollable factors that impact each of our lives, we have a tendency to blame ourselves for our emotional experiences. My goal as your therapist is to hold a supportive and compassionate space for you to process and heal your emotional wounds.
(929) 284-2369 View (929) 284-2369
Photo of Juno Wheeler, LMSW, Clinical Social Work/Therapist
Juno Wheeler
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
New York, NY 10011
Welcome! I am so happy that you are taking this step in your healing process. No matter what brings you to the search for a therapist you deserve to be seen in your wholeness, in your pain, in your joy and in all the beautiful messiness in between. You are entitled to your vitality and we will work together to pursue just that. I work from an anti-oppressive lens, acknowledging the impact of interpersonal, systemic, and intergenerational traumas and also come from a mind/ body, emotion-focused, healing-oriented approach. I hope to highlight your innate resilience that brought you to the incredibly brave step of asking for support.
Welcome! I am so happy that you are taking this step in your healing process. No matter what brings you to the search for a therapist you deserve to be seen in your wholeness, in your pain, in your joy and in all the beautiful messiness in between. You are entitled to your vitality and we will work together to pursue just that. I work from an anti-oppressive lens, acknowledging the impact of interpersonal, systemic, and intergenerational traumas and also come from a mind/ body, emotion-focused, healing-oriented approach. I hope to highlight your innate resilience that brought you to the incredibly brave step of asking for support.
(347) 252-9582 View (347) 252-9582
Photo of Dr. Young Ran Kim, PhD, LP, Licensed Psychoanalyst
Dr. Young Ran Kim
Licensed Psychoanalyst, PhD, LP
Verified Verified
New York, NY 10128
Emotional suffering and pain originate from the early childhood experiences which shape our minds. The haunted ghost from our past takes residence in our minds so that we repeat unhealthy patterns and continue suffering and pain. How can we free ourselves from the ghost spell? By providing a holding environment and sharing my genuine curiosity and psychoanalytic understanding, I help my patients sever the tie to the ghost from the past and break the spell. Insights into the root of their symptoms and difficulties and a new experience in a therapeutic relationship lead to psychological change, greater freedom, and enriched lives.
Emotional suffering and pain originate from the early childhood experiences which shape our minds. The haunted ghost from our past takes residence in our minds so that we repeat unhealthy patterns and continue suffering and pain. How can we free ourselves from the ghost spell? By providing a holding environment and sharing my genuine curiosity and psychoanalytic understanding, I help my patients sever the tie to the ghost from the past and break the spell. Insights into the root of their symptoms and difficulties and a new experience in a therapeutic relationship lead to psychological change, greater freedom, and enriched lives.
(646) 798-6182 View (646) 798-6182
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How does your Therapist compare?

Number of Therapists in New York, NY

3,000+

Average cost per session

$200

Therapists in New York, NY who prioritize treating:

94% Anxiety
89% Depression
84% Relationship Issues
78% Self Esteem
67% Trauma and PTSD
66% Stress
64% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

81% Aetna
62% Cigna and Evernorth
59% UnitedHealthcare UHC | UBH

How Therapists in New York, NY see their clients

57% In Person and Online
43% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in New York?

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.