Therapists in Philadelphia, PA
![Photo of Valerie Anne Davis](https://photos.psychologytoday.com/3c76e05f-46cd-11ea-a6ad-06142c356176/8/320x400.jpeg)
I specialize in helping clients to become focused as they set their goals through the challenging events that is taking place in their lives.
I help them to see that they do not have to be in fear when it comes to setting their goals. They can relax while setting their goals one at a time at a pace that is comfortable for them.
I specialize in helping clients to become focused as they set their goals through the challenging events that is taking place in their lives.
I help them to see that they do not have to be in fear when it comes to setting their goals. They can relax while setting their goals one at a time at a pace that is comfortable for them.
![Photo of Cara Long, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/f3fdcfbe-f539-49e3-9c83-ffae313a3199/1/320x400.jpeg)
Cara Long
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Philadelphia, PA 19103 (Online Only)
Cara Long, MA, ATR-BC, LPC, is a Licensed Professional Counselor in Pennsylvania and South Carolina and a Board Certified Art Therapist in Pennsylvania. Cara received her MA from Drexel University in 2006 with focus in Art Therapy. She uses an eclectic mix of therapy approaches in working with her clients. Cara is focused on providing holistic care and a safe space for the people whom she counsels. Cara enjoys providing support and encouragement to clients in a nurturing environment while giving them tools to move forward with their own goals. She is focused on supporting clients towards personal growth, life balance, and discovery.
Cara Long, MA, ATR-BC, LPC, is a Licensed Professional Counselor in Pennsylvania and South Carolina and a Board Certified Art Therapist in Pennsylvania. Cara received her MA from Drexel University in 2006 with focus in Art Therapy. She uses an eclectic mix of therapy approaches in working with her clients. Cara is focused on providing holistic care and a safe space for the people whom she counsels. Cara enjoys providing support and encouragement to clients in a nurturing environment while giving them tools to move forward with their own goals. She is focused on supporting clients towards personal growth, life balance, and discovery.
![Photo of Chelsea Lightbourn, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/d5c353bb-6c33-4084-bdfe-1d739979e5f5/1/320x400.png)
Chelsea Lightbourn is a Licensed Professional Counselor (LPC) in the state of Pennsylvania with 4 years of experience in providing counseling services to teens and adults who are struggling with LGBTQIA+ issues, depression, anxiety, gender, sexual identity issues, trauma, chronic pain, and more. She is a caring and understanding counselor who looks forward to using all of her techniques to aid you in your journey towards self-discovery and empowerment.
Chelsea Lightbourn is a Licensed Professional Counselor (LPC) in the state of Pennsylvania with 4 years of experience in providing counseling services to teens and adults who are struggling with LGBTQIA+ issues, depression, anxiety, gender, sexual identity issues, trauma, chronic pain, and more. She is a caring and understanding counselor who looks forward to using all of her techniques to aid you in your journey towards self-discovery and empowerment.
![Photo of Christine Cremonni, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/28d06a14-8b19-499c-98be-212fe4fb0215/2/320x400.png)
My ideal candidate is struggling with intrusive thoughts and anxiety; they need both a safe space to share their thoughts and emotions, as well as guidance; their goals are to develop a healthier relationship with themself, as well as develop coping skills and tools to manage their mental health concerns better.
My ideal candidate is struggling with intrusive thoughts and anxiety; they need both a safe space to share their thoughts and emotions, as well as guidance; their goals are to develop a healthier relationship with themself, as well as develop coping skills and tools to manage their mental health concerns better.
![Photo of Asher Eli Volkens, MS](https://photos.psychologytoday.com/4452d454-80b9-4730-825c-debc09214ea3/3/320x400.jpeg)
I have 20 years experience in the field of psychology. I have worked as a therapist in private practice, prisons, and clinics in the Philadelphia area. I am a United States Veteran, who served my country honorably, and now honorably serves the community. I specialize in couples and family therapy, religious abuse, depression and anxiety, and Post-Traumatic Stress Disorder (PTSD). I strive to support the Client to achieve their goals and live healthy, productive, and fulfilling lives.
I have 20 years experience in the field of psychology. I have worked as a therapist in private practice, prisons, and clinics in the Philadelphia area. I am a United States Veteran, who served my country honorably, and now honorably serves the community. I specialize in couples and family therapy, religious abuse, depression and anxiety, and Post-Traumatic Stress Disorder (PTSD). I strive to support the Client to achieve their goals and live healthy, productive, and fulfilling lives.
![Photo of Danielle Allen, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/80cd5813-6ac2-41c9-bc1a-2b989370c10d/2/320x400.png)
As a Licensed Clinical Social Worker in Pennsylvania and Maine, I've dedicated over 18 years to supporting clients grappling with mental health challenges. Throughout my career, I've served diverse populations and honed expertise in addressing depression, anxiety, stress, aging concerns, and navigating life transitions. Additionally, I've contributed as a hospice social worker, facilitating grief and loss support groups.
As a Licensed Clinical Social Worker in Pennsylvania and Maine, I've dedicated over 18 years to supporting clients grappling with mental health challenges. Throughout my career, I've served diverse populations and honed expertise in addressing depression, anxiety, stress, aging concerns, and navigating life transitions. Additionally, I've contributed as a hospice social worker, facilitating grief and loss support groups.
![Photo of Meg Costa, Pre-Licensed Professional](https://photos.psychologytoday.com/1232d689-4ad6-4807-ac3a-86a7ccf1f9db/2/320x400.jpeg)
My approach to therapy is client-centered, humanistic, integrative, narrative, and trauma-informed. Together, we can work to uncover and retell the narratives of your life. We will in no way dismiss the hardships you have faced, rather, we can honor these experiences through thoughtful reflection. Through this process, we can also collaborate to cultivate more balance, purpose, passion, and growth in your life. I also strive to always acknowledge how systemic oppression can affect my clients lives. Therapy is absolutely a space where one should feel comfortable processing the impact of oppression.
My approach to therapy is client-centered, humanistic, integrative, narrative, and trauma-informed. Together, we can work to uncover and retell the narratives of your life. We will in no way dismiss the hardships you have faced, rather, we can honor these experiences through thoughtful reflection. Through this process, we can also collaborate to cultivate more balance, purpose, passion, and growth in your life. I also strive to always acknowledge how systemic oppression can affect my clients lives. Therapy is absolutely a space where one should feel comfortable processing the impact of oppression.
![Photo of Kianna Morgan, MSW, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3d92b91d-e230-4124-8d4e-5e95915bd1fc/3/320x400.jpeg)
You find yourself hoping for stillness and peace of mind. You want to be grounded and present. You strive to fully embrace life and the people you love. You can make this a reality with the right support! You are designed to heal and grow. You are capable of embracing joy and peace. You deserve to tap into self-love and be immersed in belonging and connection. You can calm your body and mind while embracing self-compassion with support.
You find yourself hoping for stillness and peace of mind. You want to be grounded and present. You strive to fully embrace life and the people you love. You can make this a reality with the right support! You are designed to heal and grow. You are capable of embracing joy and peace. You deserve to tap into self-love and be immersed in belonging and connection. You can calm your body and mind while embracing self-compassion with support.
![Photo of Amy DeSmidt, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/b9a50ec8-0924-4710-bcae-b73720705916/2/320x400.jpeg)
I work with clients struggling with depression, anxiety, PTSD, life transitions, and relationship issues. I understand how trauma, childhood attachment, family of origin dynamics, and harm within our social/cultural/political systems underly many of these struggles. And I know how these painful experiences can disconnect you from yourself, your loved ones, and the joys of life. Together, we will explore the patterns that keep you stuck, understand their roots, and learn new ways of navigating life's challenges. Our work will help you restore a sense of agency and reconnection to your authentic, grounded Self that's innate to us all.
I work with clients struggling with depression, anxiety, PTSD, life transitions, and relationship issues. I understand how trauma, childhood attachment, family of origin dynamics, and harm within our social/cultural/political systems underly many of these struggles. And I know how these painful experiences can disconnect you from yourself, your loved ones, and the joys of life. Together, we will explore the patterns that keep you stuck, understand their roots, and learn new ways of navigating life's challenges. Our work will help you restore a sense of agency and reconnection to your authentic, grounded Self that's innate to us all.
![Photo of Zora Wesley, LSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/27acb6a1-2919-4e8f-a388-35628fee55ad/2/320x400.png)
Do you struggle with self-esteem issues and want to be more confident? Are you dealing with a major depressive disorder and have poor sleep & hygiene? Do you want a better life so you can keep your job and have a thriving life? I can help you identify where negative thoughts about yourself and your identity stem from. We will work on identifying negative thoughts and stress triggers. We will review what interventions have worked and have not worked for your mental health. I provide psychoeducation & may give some mini exercises, such as using positive affirmations, coming up with a nighttime routine, & relaxation techniques.
Do you struggle with self-esteem issues and want to be more confident? Are you dealing with a major depressive disorder and have poor sleep & hygiene? Do you want a better life so you can keep your job and have a thriving life? I can help you identify where negative thoughts about yourself and your identity stem from. We will work on identifying negative thoughts and stress triggers. We will review what interventions have worked and have not worked for your mental health. I provide psychoeducation & may give some mini exercises, such as using positive affirmations, coming up with a nighttime routine, & relaxation techniques.
Seeking an intentional space for healing and discovery is a meaningful choice. Through curiosity, warmth, and honesty, I work collaboratively to support clients in connecting their history, relationships, environment, to their current challenges and future goals. I believe that all of our stories are contextual, therefore I work towards identifying oppression-based barriers and explore the environmental impact through an anti-oppressive and liberation lens. My focus is to create a space where you can be empowered, express your pain, learn new ways of coping, and continue to grow into your most authentic self.
Seeking an intentional space for healing and discovery is a meaningful choice. Through curiosity, warmth, and honesty, I work collaboratively to support clients in connecting their history, relationships, environment, to their current challenges and future goals. I believe that all of our stories are contextual, therefore I work towards identifying oppression-based barriers and explore the environmental impact through an anti-oppressive and liberation lens. My focus is to create a space where you can be empowered, express your pain, learn new ways of coping, and continue to grow into your most authentic self.
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![Photo of Lindsey Kosowicz, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/00bce3e5-4101-4994-a257-2d8d5aef7a03/2/320x400.jpeg)
Lindsey Kosowicz
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19103 (Online Only)
Hello there, If you are reading this, it means that you have reached a point in life where some additional support and guidance could be beneficial. Maybe you are on the fence about therapy, or maybe you are just seeking a new experience with a new therapist, or just wanting to see what this is all about. Whatever your reasoning may be, it has brought you here and I am glad it did.
Hello there, If you are reading this, it means that you have reached a point in life where some additional support and guidance could be beneficial. Maybe you are on the fence about therapy, or maybe you are just seeking a new experience with a new therapist, or just wanting to see what this is all about. Whatever your reasoning may be, it has brought you here and I am glad it did.
![Photo of Maria Sullivan - Meaningful Mental Health, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/89215ec0-b7b8-4512-af1e-4ec71fb55670/2/320x400.jpeg)
Meaningful Mental Health
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19122 (Online Only)
Are you looking for relief from anxiety, depression, grief, or loss? Perhaps you want more ways to cope and manage extreme emotions or moods. You might be feeling 'stuck' right now and are unsure about what to do next. At Meaningful Mental Health, I provide a safe and inclusive space where you can explore your emotions and experiences. Together, we'll develop effective coping strategies for anxiety, depression, grief, and more.
Are you looking for relief from anxiety, depression, grief, or loss? Perhaps you want more ways to cope and manage extreme emotions or moods. You might be feeling 'stuck' right now and are unsure about what to do next. At Meaningful Mental Health, I provide a safe and inclusive space where you can explore your emotions and experiences. Together, we'll develop effective coping strategies for anxiety, depression, grief, and more.
![Photo of Nancy K. Law, MA, LAPC, Pre-Licensed Professional](https://photos.psychologytoday.com/3af42638-80eb-45f5-9680-335b8697cc37/2/320x400.jpeg)
Relationships, new life stages, career changes, can be challenging. I specialize in helping individuals transition into their new life status with confidence and perspective. We all look to increase our happiness and joy, reduce our stress , frustrations and and suffering, improve our relationships and accomplish our goals. The dilemma to many of us is that we would like these things to happen without changing too much of ourselves. My aim is to help people move through the process of change, while helping you process and cope with your current life challenges.
Relationships, new life stages, career changes, can be challenging. I specialize in helping individuals transition into their new life status with confidence and perspective. We all look to increase our happiness and joy, reduce our stress , frustrations and and suffering, improve our relationships and accomplish our goals. The dilemma to many of us is that we would like these things to happen without changing too much of ourselves. My aim is to help people move through the process of change, while helping you process and cope with your current life challenges.
![Photo of Rosalie Knecht, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/533f7d0a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Rosalie Knecht
Clinical Social Work/Therapist, LCSW
Verified Verified
Philadelphia, PA 19107 (Online Only)
Waitlist for new clients
Joan Didion said that we tell ourselves stories in order to live. The narratives we use to understand our lives-- who we are, what we're capable of, what has happened to us-- can be immensely powerful. Do you feel stuck in yours? Do you need help thinking of your life in a new way? I will work to create an empathetic, curious, open space where you can better understand who you are and what you need.
Joan Didion said that we tell ourselves stories in order to live. The narratives we use to understand our lives-- who we are, what we're capable of, what has happened to us-- can be immensely powerful. Do you feel stuck in yours? Do you need help thinking of your life in a new way? I will work to create an empathetic, curious, open space where you can better understand who you are and what you need.
![Photo of Jeffrey Johnson, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/6a1a03ca-4440-4d0e-810f-9f6b1224639a/1/320x400.jpeg)
Jeffrey Johnson
Marriage & Family Therapist, MS, LMFT
Verified Verified
Philadelphia, PA 19106 (Online Only)
If you are looking to transform yourself or your relationship and have healthier forms of communication, more intimate and emotional forms of connection and ,overall, improve your sense of self and relationships let your journey begin. With over 20 years of mental health experience and 14 years practicing therapy, I have learned to specialize in relationship/couples therapy and work as well as individuals struggling with anxiety, depression, and other life and circumstantial issues. If you are looking to repair, strengthen, regain connection, improve intimacy, or generally work on your relationships or your mental health I can help.
If you are looking to transform yourself or your relationship and have healthier forms of communication, more intimate and emotional forms of connection and ,overall, improve your sense of self and relationships let your journey begin. With over 20 years of mental health experience and 14 years practicing therapy, I have learned to specialize in relationship/couples therapy and work as well as individuals struggling with anxiety, depression, and other life and circumstantial issues. If you are looking to repair, strengthen, regain connection, improve intimacy, or generally work on your relationships or your mental health I can help.
![Photo of Crystal Beckwith, LPC, Licensed Professional Counselor](https://photos.psychologytoday.com/10bc28b4-6fb8-47d8-8337-b6252f8a2375/2/320x400.png)
Crystal Beckwith
Licensed Professional Counselor, LPC
Verified Verified
Philadelphia, PA 19148 (Online Only)
Are you or your child struggling with worry and panic? Do you find emotions and coping with life overwhelming? When anxiety feels out of control, it can take it's toll on every aspect of life. I specialize in Anxiety, Autism, ADHD, Depression, Trauma/PTSD. Whether you are struggling with social anxiety or the parent of child with high stress levels; now might be the time to get help. Let us work together to develop a plan tailored to your unique needs that allows you and your family to find relief, peace, and balance.
Are you or your child struggling with worry and panic? Do you find emotions and coping with life overwhelming? When anxiety feels out of control, it can take it's toll on every aspect of life. I specialize in Anxiety, Autism, ADHD, Depression, Trauma/PTSD. Whether you are struggling with social anxiety or the parent of child with high stress levels; now might be the time to get help. Let us work together to develop a plan tailored to your unique needs that allows you and your family to find relief, peace, and balance.
![Photo of Azaria Crayton, MA, Marriage & Family Therapist Associate](https://photos.psychologytoday.com/9b770d1a-c7bd-4ed4-ab48-a259b881b3c8/2/320x400.jpeg)
Azaria Crayton
Marriage & Family Therapist Associate, MA
Verified Verified
Philadelphia, PA 19107 (Online Only)
I use creativity, humor, and spirituality to guide my very laid back and conversational style of therapy. I specialize in POC, woman identifying, and queer affirming therapy that makes space for marginalized identities to feel rooted in authenticity and challenged on ideologies/perspectives that keep them stuck.
I use creativity, humor, and spirituality to guide my very laid back and conversational style of therapy. I specialize in POC, woman identifying, and queer affirming therapy that makes space for marginalized identities to feel rooted in authenticity and challenged on ideologies/perspectives that keep them stuck.
![Photo of James A Lockwood - Lockwood Wellness Services, Pre-Licensed Professional](https://photos.psychologytoday.com/8cd8b1f3-a92a-4d34-b188-143efc9962db/1/320x400.jpeg)
Lockwood Wellness Services
Pre-Licensed Professional
Verified Verified
1 Endorsed
Philadelphia, PA 19130
Are you a teen, young adult, or working professional seeking practical solutions to life's challenges? Look no further. I'm James, a clinical therapist specializing in CBT with a holistic twist. In search of a compassionate guide who truly understands the complexities of modern life? Juggling the pressures of life, or relationships, or do you just want to become the best you? Together, we'll embark on a journey of self-discovery and growth, addressing immediate concerns while delving deeper into the underlying root of your struggles. Together we will explore, heal, and thrive!
Are you a teen, young adult, or working professional seeking practical solutions to life's challenges? Look no further. I'm James, a clinical therapist specializing in CBT with a holistic twist. In search of a compassionate guide who truly understands the complexities of modern life? Juggling the pressures of life, or relationships, or do you just want to become the best you? Together, we'll embark on a journey of self-discovery and growth, addressing immediate concerns while delving deeper into the underlying root of your struggles. Together we will explore, heal, and thrive!
![Photo of Sheila Japko, LCSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3f5116ab-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
People try everything they can to solve their difficulties on their own before calling a therapist. It's precisely our own personal luggage that disables us from fulfilling our own potential and making the changes we so desire. Finding a therapist who is right for you can help you gain a better understanding of yourself and can be very useful to getting you to where you want to be. What is most important is that you feel free to talk about whatever is currently distressing you the most. For that, you need to ensure that you are a good fit with your therapist.
People try everything they can to solve their difficulties on their own before calling a therapist. It's precisely our own personal luggage that disables us from fulfilling our own potential and making the changes we so desire. Finding a therapist who is right for you can help you gain a better understanding of yourself and can be very useful to getting you to where you want to be. What is most important is that you feel free to talk about whatever is currently distressing you the most. For that, you need to ensure that you are a good fit with your therapist.
See more therapy options for Philadelphia
How does your Therapist compare?
Number of Therapists in Philadelphia, PA
3,000+
Average cost per session
$145
Therapists in Philadelphia, PA who prioritize treating:
92% | Anxiety |
86% | Depression |
72% | Self Esteem |
69% | Relationship Issues |
68% | Trauma and PTSD |
64% | Coping Skills |
60% | Life Transitions |
Average years in practice
10 Years
Top 3 insurances accepted
82% | Aetna |
68% | UnitedHealthcare UHC | UBH |
67% | Cigna and Evernorth |
How Therapists in Philadelphia, PA see their clients
52% | Online Only | |
48% | In Person and Online |
Gender breakdown
77% | Female | |
20% | Male | |
3% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Philadelphia?
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.