Therapists in Mount Snow, VT

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Photo of Norm Skorstad, MA, LCMHC, Counselor
Norm Skorstad
Counselor, MA, LCMHC
Verified Verified
1 Endorsed
Wilmington, VT 05363
Not accepting new clients
I work collaboratively with adults and children dealing with issues such as trauma and loss, ADHD, anxiety and depression, and chronic pain, utilizing a pragmatic strength-based approach. Certified in EMDR, I also draw upon other mind-body modalities, such as Mindfulness Meditation, DBT, and attachment theory. My approach is grounded in spirituality and informed by over 30 years of participating in and leading mens groups. And it is characterized by a compassionate problem-solving attitude, and fueled by dogged determination and persistant stick-to-it-iveness. I teach clients stress-reduction techniques they can practice at home.
I work collaboratively with adults and children dealing with issues such as trauma and loss, ADHD, anxiety and depression, and chronic pain, utilizing a pragmatic strength-based approach. Certified in EMDR, I also draw upon other mind-body modalities, such as Mindfulness Meditation, DBT, and attachment theory. My approach is grounded in spirituality and informed by over 30 years of participating in and leading mens groups. And it is characterized by a compassionate problem-solving attitude, and fueled by dogged determination and persistant stick-to-it-iveness. I teach clients stress-reduction techniques they can practice at home.
(802) 257-0700 View (802) 257-0700
Photo of Melinda K Williams, LMHC, Counselor
Melinda K Williams
Counselor, LMHC
Verified Verified
1 Endorsed
Brattleboro, VT 05301  (Online Only)
Not accepting new clients
I believe we are all on a journey to know ourselves. What do you care about in this life? Are you living in a way that is in harmony with your values? Are there areas of you life that feel out of balance? Do you respond thoughtfully to life's challenges or do you react impulsively? These are meaningful and growth inspiring questions. Let's get to work!
I believe we are all on a journey to know ourselves. What do you care about in this life? Are you living in a way that is in harmony with your values? Are there areas of you life that feel out of balance? Do you respond thoughtfully to life's challenges or do you react impulsively? These are meaningful and growth inspiring questions. Let's get to work!
(802) 449-0158 View (802) 449-0158
Photo of Kristi Beck, LICSW, Clinical Social Work/Therapist
Kristi Beck
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Newfane, VT 05345
Waitlist for new clients
Do you consider yourself to be a people pleaser? You may feel anxiety at the idea of others being upset with you. You might feel as if you have no time for yourself or your needs. You are finally ready to make a shift & make space for yourself in your life. You can gain the freedom to no longer need to walk on eggshells and control others feelings. People pleasing is a learned behaviors that many have been conditioned to believe is the way to get love & acceptance. Together we can help you relearn your inherent worth and include yourself in the kindness & care you give to others.
Do you consider yourself to be a people pleaser? You may feel anxiety at the idea of others being upset with you. You might feel as if you have no time for yourself or your needs. You are finally ready to make a shift & make space for yourself in your life. You can gain the freedom to no longer need to walk on eggshells and control others feelings. People pleasing is a learned behaviors that many have been conditioned to believe is the way to get love & acceptance. Together we can help you relearn your inherent worth and include yourself in the kindness & care you give to others.
(802) 348-2500 View (802) 348-2500
Photo of Gail Peach, LCMHC, RNBC, NCC, Counselor
Gail Peach
Counselor, LCMHC, RNBC, NCC
Verified Verified
1 Endorsed
Newfane, VT 05345  (Online Only)
Welcome into my virtual office! We can talk together in confidence, discovering new approaches to whatever challenge brings you to therapy now. My focus is to mindfully assist you towards well being including, but not limited to, freedom from anxiety, depression, addiction symptoms, trauma, physical pain, impulsivity and the resolution of grief. Self confidence, self knowledge, skillfulness and the personal freedom that comes from letting go of the past and moving forward in your life is the reward you can look forward to by engaging in therapy. I am queer welcoming and enjoy helping trans folk.
Welcome into my virtual office! We can talk together in confidence, discovering new approaches to whatever challenge brings you to therapy now. My focus is to mindfully assist you towards well being including, but not limited to, freedom from anxiety, depression, addiction symptoms, trauma, physical pain, impulsivity and the resolution of grief. Self confidence, self knowledge, skillfulness and the personal freedom that comes from letting go of the past and moving forward in your life is the reward you can look forward to by engaging in therapy. I am queer welcoming and enjoy helping trans folk.
(802) 459-1270 View (802) 459-1270
Photo of Mark Joseph Kilgallon, LICSW, Clinical Social Work/Therapist
Mark Joseph Kilgallon
Clinical Social Work/Therapist, LICSW
Verified Verified
Wilmington, VT 05363
I have have been a Clinical Social Worker for 23 years in addition to being a Drug and Alcohol Counselor for 6 years. I believe in harm reduction as well as 12 Step Programs. l have been working with at risk populations and oppositional teens for 35 years and have a broad spectrum of clients. I work with Depression, PTSD, Anxiety and Anger. I believe we all have a story to tell and I try to help my clients separate fact from fiction. My goal is to help clients feel authentic and live comfortably in their own skin.
I have have been a Clinical Social Worker for 23 years in addition to being a Drug and Alcohol Counselor for 6 years. I believe in harm reduction as well as 12 Step Programs. l have been working with at risk populations and oppositional teens for 35 years and have a broad spectrum of clients. I work with Depression, PTSD, Anxiety and Anger. I believe we all have a story to tell and I try to help my clients separate fact from fiction. My goal is to help clients feel authentic and live comfortably in their own skin.
(802) 465-3781 View (802) 465-3781
Photo of Traci Bartlett, MSM, MA, LCMHC, Counselor
Traci Bartlett
Counselor, MSM, MA, LCMHC
Verified Verified
West Dover, VT 05356  (Online Only)
Waitlist for new clients
Are you or someone you care about facing some unexpected challenges and are looking for support to manage them? Have you noticed that you or a loved one are worrying more than usual? Do you or a loved one need assistance to build communication skills to help express your thoughts and feelings to others? As a parent are you noticing a change in your child's behavior, related to changes at home or school?
Are you or someone you care about facing some unexpected challenges and are looking for support to manage them? Have you noticed that you or a loved one are worrying more than usual? Do you or a loved one need assistance to build communication skills to help express your thoughts and feelings to others? As a parent are you noticing a change in your child's behavior, related to changes at home or school?
(802) 499-2712 View (802) 499-2712
Photo of Jennifer A Tattersall, LCSW, CCDP, CBIS, Clinical Social Work/Therapist
Jennifer A Tattersall
Clinical Social Work/Therapist, LCSW, CCDP, CBIS
Verified Verified
West Dover, VT 05356
Despite difficulties in life, I believe people have an amazing amount of resilience and strength. I work to enhance their strength that gets lost when overwhelmed by challenges. Using multiple modalities, individuals move beyond their old story and into the life they desire. I have heard from clients that "therapy has never helped me" and clients of mine have achieved their goals. I have specialty training with trauma which, by definition is "a deeply distressing or disturbing experience". I assist people in trusting their innate abilities to make decisions from a healthy perspective.
Despite difficulties in life, I believe people have an amazing amount of resilience and strength. I work to enhance their strength that gets lost when overwhelmed by challenges. Using multiple modalities, individuals move beyond their old story and into the life they desire. I have heard from clients that "therapy has never helped me" and clients of mine have achieved their goals. I have specialty training with trauma which, by definition is "a deeply distressing or disturbing experience". I assist people in trusting their innate abilities to make decisions from a healthy perspective.
(860) 946-4120 View (860) 946-4120
Photo of Linda D. Anderberg, LISCW, Clinical Social Work/Therapist
Linda D. Anderberg
Clinical Social Work/Therapist, LISCW
Verified Verified
5 Endorsed
Newfane, VT 05345  (Online Only)
Life is messy, beautiful, heartbreaking, and hopeful. So is the process of change. To be honest about this takes courage and vulnerability. It is also the first step in the process of personal transformation. By working with me, you do me the honor of sharing these experiences for the purpose of healing and personal growth. I believe in a collaborative model of therapy that is centered on your experiences and relational. By sharing together from a place of authenticity my goal is to listen, support, and challenge you in order to face and overcome obstacles standing between you and the fullness of the life you were meant to live.
Life is messy, beautiful, heartbreaking, and hopeful. So is the process of change. To be honest about this takes courage and vulnerability. It is also the first step in the process of personal transformation. By working with me, you do me the honor of sharing these experiences for the purpose of healing and personal growth. I believe in a collaborative model of therapy that is centered on your experiences and relational. By sharing together from a place of authenticity my goal is to listen, support, and challenge you in order to face and overcome obstacles standing between you and the fullness of the life you were meant to live.
(860) 269-9405 View (860) 269-9405
Photo of Ruth C Kenrick - Ruth Kenrick, M.A., L.I.C.S.W., B.C.D., MA, LICSW, BCD, Clinical Social Work/Therapist
Ruth Kenrick, M.A., L.I.C.S.W., B.C.D.
Clinical Social Work/Therapist, MA, LICSW, BCD
Verified Verified
Brattleboro, VT 05301  (Online Only)
Waitlist for new clients
An effective, compassionate therapist helps you connect to your own wisdom and harness the energy to thrive. Though life can be hard sometimes, extreme suffering need not persist. I will help you escape stuck patterns or traumas that stop you from enjoying life and doing what matters most to you. It's common to have to rediscover, or even learn for the first time, how to live well. During difficult times, we may just need a little assistance. I have twenty-five years of experience supporting clients as they eliminate obstacles, reach cherished goals & attain enduring satisfaction.
An effective, compassionate therapist helps you connect to your own wisdom and harness the energy to thrive. Though life can be hard sometimes, extreme suffering need not persist. I will help you escape stuck patterns or traumas that stop you from enjoying life and doing what matters most to you. It's common to have to rediscover, or even learn for the first time, how to live well. During difficult times, we may just need a little assistance. I have twenty-five years of experience supporting clients as they eliminate obstacles, reach cherished goals & attain enduring satisfaction.
(802) 466-4198 View (802) 466-4198
Photo of Christopher M Wesolowski, MSW, LICSW, LADC, Clinical Social Work/Therapist
Christopher M Wesolowski
Clinical Social Work/Therapist, MSW, LICSW, LADC
Verified Verified
Brattleboro, VT 05301
I have had the privilege of over 25 years of working with people providing psychotherapy and addiction and substance abuse treatment. My approach to assisting people having a fuller life and gain mastery over their obstacles is a blend of dynamic/insight and cognitive behavioral approaches.
I have had the privilege of over 25 years of working with people providing psychotherapy and addiction and substance abuse treatment. My approach to assisting people having a fuller life and gain mastery over their obstacles is a blend of dynamic/insight and cognitive behavioral approaches.
(802) 779-9106 View (802) 779-9106
Photo of Jacqueline Diaz Maldonado, LMHC MA, LMHC CT, LMHC VT, LMHC NV, LPC/JD, Counselor
Jacqueline Diaz Maldonado
Counselor, LMHC MA, LMHC CT, LMHC VT, LMHC NV, LPC/JD
Verified Verified
West Dover, VT 05356  (Online Only)
Telehealth sessions only. I use experiential techniques and integrative psychotherapy: Attachment Focus EMDR, Creative Arts EMDR, Internal Family Systems, ACT, Schema Therapy, Child Work, Integral Deep Listening, Ego States, DBT and STAIR. I offer dating, premarital, couples and Family Counseling. If you are looking understand and manage traumatic experiences, child wounds and to improve your relationships I am here to help you go deep into those problems. I offer supportive counseling using Christian concepts and ! accept clients of all religions and beliefs. Hypnosis services ( check your insurance and condition first)
Telehealth sessions only. I use experiential techniques and integrative psychotherapy: Attachment Focus EMDR, Creative Arts EMDR, Internal Family Systems, ACT, Schema Therapy, Child Work, Integral Deep Listening, Ego States, DBT and STAIR. I offer dating, premarital, couples and Family Counseling. If you are looking understand and manage traumatic experiences, child wounds and to improve your relationships I am here to help you go deep into those problems. I offer supportive counseling using Christian concepts and ! accept clients of all religions and beliefs. Hypnosis services ( check your insurance and condition first)
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Photo of Stefanie Rosso, MA, Counselor
Stefanie Rosso
Counselor, MA
Verified Verified
Wilmington, VT 05363
I believe in creating a warm, safe, and therapeutic environment where clients feel comfortable exploring challenges, emotions, and life’s difficulties. I aim to build a strong therapeutic rapport with clients which aids in finding the appropriate treatment approach. This can be helpful for individuals struggling with, but not limited to, anxiety, self esteem, and/or depression.
I believe in creating a warm, safe, and therapeutic environment where clients feel comfortable exploring challenges, emotions, and life’s difficulties. I aim to build a strong therapeutic rapport with clients which aids in finding the appropriate treatment approach. This can be helpful for individuals struggling with, but not limited to, anxiety, self esteem, and/or depression.
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Online Therapists

Photo of Virginia Logan, MA, Psychologist
Virginia Logan
Psychologist, MA
Verified Verified
2 Endorsed
Middlebury, VT 05753
I offer videoconference therapy over the HIPPA compliant "zoom" platform and in person sessions when COVID numbers are low. My initial focus is to create a confidential, safe environment for a person to talk about their concerns. I offer psychotherapy that provides a way to understand problems and patterns related to moods, thoughts, behaviors and relationships; to find ways to untangle them; and to develop new ways of seeing and responding. This work will support you in developing self-compassion, accessing your sense of agency, and cultivating effective coping strategies.
I offer videoconference therapy over the HIPPA compliant "zoom" platform and in person sessions when COVID numbers are low. My initial focus is to create a confidential, safe environment for a person to talk about their concerns. I offer psychotherapy that provides a way to understand problems and patterns related to moods, thoughts, behaviors and relationships; to find ways to untangle them; and to develop new ways of seeing and responding. This work will support you in developing self-compassion, accessing your sense of agency, and cultivating effective coping strategies.
(802) 546-0716 View (802) 546-0716
Photo of Cynthia Shaw, PWH, TIST, IPS, CZB
Cynthia Shaw
PWH, TIST, IPS, CZB
Verified Verified
Manchester Center, VT 05255
Are you looking to bring balance and fulfillment into your life? Would you like to be happier, more peaceful and clear in your direction? Would you like to feel that you are living up to your potential? Perhaps improve communication, deepen intimacy, and fun in your relationships? Maybe make better choices for your health or simply feel satisfied as you are? I can help.
Are you looking to bring balance and fulfillment into your life? Would you like to be happier, more peaceful and clear in your direction? Would you like to feel that you are living up to your potential? Perhaps improve communication, deepen intimacy, and fun in your relationships? Maybe make better choices for your health or simply feel satisfied as you are? I can help.
(802) 275-4779 View (802) 275-4779
Photo of Brita S. Reed Lucey, PsyD, MD, MTS, Psychologist
Brita S. Reed Lucey
Psychologist, PsyD, MD, MTS
Verified Verified
Norwich, VT 05055
For over 35 years, as both a fertility psychologist and OB/GYN with a strong interest in infertility, I have loved helping people on their fertility journey. Are you on a fertility journey? Have you experienced obstacles along the way? Perhaps nothing is as disempowering as struggling with fertility. For many of us, issues with fertility mark the first time that we've wanted our bodies to do something that they seem not capable of doing. Challenges with fertility are traumatic experiences. Is it any wonder why we may be struggling?
For over 35 years, as both a fertility psychologist and OB/GYN with a strong interest in infertility, I have loved helping people on their fertility journey. Are you on a fertility journey? Have you experienced obstacles along the way? Perhaps nothing is as disempowering as struggling with fertility. For many of us, issues with fertility mark the first time that we've wanted our bodies to do something that they seem not capable of doing. Challenges with fertility are traumatic experiences. Is it any wonder why we may be struggling?
(470) 828-2085 View (470) 828-2085
Photo of Lindsey Thomas, LCSW, Clinical Social Work/Therapist
Lindsey Thomas
Clinical Social Work/Therapist, LCSW
Verified Verified
Brandon, VT 05733
Waitlist for new clients
Are you or your family struggling with stressful situations, relational difficulties, or feeling overwhelmed and unsure of how to move forward? These things can create significant stress in our lives and are sometimes difficult to move through without professional help. These things can keep us stuck. If you are looking to become unstuck and searching for a way to find freedom and regain or gain for the first time a sense of feeling OK, I can help you.
Are you or your family struggling with stressful situations, relational difficulties, or feeling overwhelmed and unsure of how to move forward? These things can create significant stress in our lives and are sometimes difficult to move through without professional help. These things can keep us stuck. If you are looking to become unstuck and searching for a way to find freedom and regain or gain for the first time a sense of feeling OK, I can help you.
(804) 993-8848 View (804) 993-8848
Photo of Jessica Townsend, MA, LCMHC, Counselor
Jessica Townsend
Counselor, MA, LCMHC
Verified Verified
5 Endorsed
Manchester Center, VT 05255
Offering in-person in VT & telehealth NY Are you feeling disconnected from yourself or others? Does your life feel unbalanced and relationships feel strained? Is this source of unrest and discomfort evident in your daily life; perhaps reflected in relationships with your children, spouse, partner, or friends? Sometimes significant life events can dramatically change the course of your life. Other times you may be confused and unaware of how you ended up on your current path. If you clicked on this page, you recognize that you want change. I believe in your innate ability to heal and achieve a sense of wholeness and wellbeing.
Offering in-person in VT & telehealth NY Are you feeling disconnected from yourself or others? Does your life feel unbalanced and relationships feel strained? Is this source of unrest and discomfort evident in your daily life; perhaps reflected in relationships with your children, spouse, partner, or friends? Sometimes significant life events can dramatically change the course of your life. Other times you may be confused and unaware of how you ended up on your current path. If you clicked on this page, you recognize that you want change. I believe in your innate ability to heal and achieve a sense of wholeness and wellbeing.
(518) 636-0483 View (518) 636-0483
Photo of Eve DesJardins, MA , MHC , DMT, Pre-Licensed Professional
Eve DesJardins
Pre-Licensed Professional, MA , MHC , DMT
Verified Verified
Chelsea, VT 05038
My strength-based practice welcomes children, tweens, primary caregivers - and individual adults. I work with men, women and non binary individuals. In my role as therapist, I act as guide, collaborator, and psycho-educator to help clients learn how to relate to thoughts, feelings, and a new sense of being. I support people to transform struggles into challenges that provide opportunity for growth. In sitting with you and your experiences, I offer validation, radical acceptance and compassion. I also invite clients to speak their truth about how I can best serve them. In these ways we share trust.
My strength-based practice welcomes children, tweens, primary caregivers - and individual adults. I work with men, women and non binary individuals. In my role as therapist, I act as guide, collaborator, and psycho-educator to help clients learn how to relate to thoughts, feelings, and a new sense of being. I support people to transform struggles into challenges that provide opportunity for growth. In sitting with you and your experiences, I offer validation, radical acceptance and compassion. I also invite clients to speak their truth about how I can best serve them. In these ways we share trust.
(802) 866-6599 View (802) 866-6599
Photo of Rebecca Lowe, MA, MHC-LP, Pre-Licensed Professional
Rebecca Lowe
Pre-Licensed Professional, MA, MHC-LP
Verified Verified
1 Endorsed
Montpelier, VT 05602
I am so happy you are here. Are you ready to authentically connect and explore your capacity for change? Whatever brings you to this space, be it stress, relationship concerns, hopelessness, or general feelings of unfulfillment; we will explore the root of these challenges and work together to inspire hope in your life.
I am so happy you are here. Are you ready to authentically connect and explore your capacity for change? Whatever brings you to this space, be it stress, relationship concerns, hopelessness, or general feelings of unfulfillment; we will explore the root of these challenges and work together to inspire hope in your life.
(802) 210-1498 View (802) 210-1498
Photo of Theressa Harrigan, MS, JD, LCMHC, Counselor
Theressa Harrigan
Counselor, MS, JD, LCMHC
Verified Verified
Bradford, VT 05033  (Online Only)
Over the last several years, we have all learned a great deal about our values. We have learned what we do and do not want out of life and our relationships. What is important is much clearer than before. Therapy can help navigate the way to that new life and to healthier relationships. I work with adults and couples of all ages with an emphasis on providing uncomplicated tools and communication skills strongly supported by research. Many clients struggle to stand up for themselves. I can teach that! Client sessions include humor, as it is a coping skill available to all of us.
Over the last several years, we have all learned a great deal about our values. We have learned what we do and do not want out of life and our relationships. What is important is much clearer than before. Therapy can help navigate the way to that new life and to healthier relationships. I work with adults and couples of all ages with an emphasis on providing uncomplicated tools and communication skills strongly supported by research. Many clients struggle to stand up for themselves. I can teach that! Client sessions include humor, as it is a coping skill available to all of us.
(802) 454-3144 View (802) 454-3144

How does your Therapist compare?

Number of Therapists in Mount Snow, VT

< 10

Therapists in Mount Snow, VT who prioritize treating:

How Therapists in Mount Snow, VT see their clients

2% Online Only
1% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Mount Snow?

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.