Therapists in Westport, CT

Photo of Penelope Wilson, Clinical Social Work/Therapist in Westport, CT
Penelope Wilson
Clinical Social Work/Therapist, LCSW, EDM
Verified Verified
Westport, CT 06880
With over 20 years of experience treating adolescents and adults, I am fully committed to helping my clients explore what is most meaningful to their lives and how to move forward to realize their goals. I have worked with clients to treat a wide variety of symptoms, specializing in anxiety and mood disorders, and with life transitions such as grief and loss, relationship ruptures, and processing traumatic events.
With over 20 years of experience treating adolescents and adults, I am fully committed to helping my clients explore what is most meaningful to their lives and how to move forward to realize their goals. I have worked with clients to treat a wide variety of symptoms, specializing in anxiety and mood disorders, and with life transitions such as grief and loss, relationship ruptures, and processing traumatic events.
(475) 250-2494 View (475) 250-2494
Photo of Yehuda Roberts, Clinical Social Work/Therapist in Westport, CT
Yehuda Roberts
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Westport, CT 06880
I am a child and family therapist who prefers to work with children who show oppositional behavior and other problematic behaviors. Are you experiencing difficulty communicating with your child? Do you feel like you're trying to help your child but your child doesn't recognize this? Perhaps you are aware that something is bothering your child but you and your child can't put your finger on it. You may have heard from the school that your child is having difficulty in school and your having trouble identifying what is causing this.
I am a child and family therapist who prefers to work with children who show oppositional behavior and other problematic behaviors. Are you experiencing difficulty communicating with your child? Do you feel like you're trying to help your child but your child doesn't recognize this? Perhaps you are aware that something is bothering your child but you and your child can't put your finger on it. You may have heard from the school that your child is having difficulty in school and your having trouble identifying what is causing this.
(203) 405-9245 View (203) 405-9245
Photo of Janeen Savini, Licensed Professional Counselor in Westport, CT
Janeen Savini
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Westport, CT 06880  (Online Only)
You deserve to be happy and in control of your life. Sometimes feelings of worry or sadness get to be great enough that they overwhelm us and our normal coping skills. Anxiety can range from a constant worry to panic attacks. Depressive feelings of sadness, feeling worthless, and lack of enjoyment in activities can cause helplessness. Whether your anxiety or depressive symptoms are about a current relationship challenge, health or a life transition to name a few, we will explore where your thoughts and feelings come from and learn skills to decrease these feelings, feel in control of your life, and live joyfully.
You deserve to be happy and in control of your life. Sometimes feelings of worry or sadness get to be great enough that they overwhelm us and our normal coping skills. Anxiety can range from a constant worry to panic attacks. Depressive feelings of sadness, feeling worthless, and lack of enjoyment in activities can cause helplessness. Whether your anxiety or depressive symptoms are about a current relationship challenge, health or a life transition to name a few, we will explore where your thoughts and feelings come from and learn skills to decrease these feelings, feel in control of your life, and live joyfully.
(475) 267-2808 View (475) 267-2808
Photo of Susan G Raphael, Marriage & Family Therapist in Westport, CT
Susan G Raphael
Marriage & Family Therapist, LMFT
Verified Verified
Westport, CT 06880
Clients come to me with many different issues: from parenting to personal and from relationships to reentering the work force. You may be experiencing concerns in these facets of your life or you may be struggling with the particular demands of your own life. But the foundation of my practice is that you can most effectively face and overcome your challenges in a nonjudgmental environment where you can build a trusting and respectful relationship with your therapist. By building that connection, you can begin reconnecting with those you love and moving your own life forward.
Clients come to me with many different issues: from parenting to personal and from relationships to reentering the work force. You may be experiencing concerns in these facets of your life or you may be struggling with the particular demands of your own life. But the foundation of my practice is that you can most effectively face and overcome your challenges in a nonjudgmental environment where you can build a trusting and respectful relationship with your therapist. By building that connection, you can begin reconnecting with those you love and moving your own life forward.
(203) 856-5047 View (203) 856-5047
Photo of Cheri Neadle, Marriage & Family Therapist in Westport, CT
Cheri Neadle
Marriage & Family Therapist, MS, LMFT
Verified Verified
Westport, CT 06880
Waitlist for new clients
Our emotions can feel so overwhelming sometimes and I am here to help you gain control back over your life. My background in marital and family therapy coupled with intensive training in Dialectical Behavioral Therapy (DBT) helps my clients to strengthen their skill sets to feel more in control of their emotions while increasing positive interpersonal relationships. My areas of expertise are in working with clients with eating disorders, family discord, anxiety, difficulties with regulating emotions, self-injury, depression, interpersonal problems, and impulsivity.
Our emotions can feel so overwhelming sometimes and I am here to help you gain control back over your life. My background in marital and family therapy coupled with intensive training in Dialectical Behavioral Therapy (DBT) helps my clients to strengthen their skill sets to feel more in control of their emotions while increasing positive interpersonal relationships. My areas of expertise are in working with clients with eating disorders, family discord, anxiety, difficulties with regulating emotions, self-injury, depression, interpersonal problems, and impulsivity.
(203) 936-6284 View (203) 936-6284
Photo of CT Youth Therapy, Marriage & Family Therapist in Westport, CT
CT Youth Therapy
Marriage & Family Therapist, LMFT, MEd, MA
Verified Verified
Westport, CT 06880
As a former educator in the public school system, I bring a wealth of experience and passion to my work as a behavioral therapist. My journey has taught me the importance of understanding and addressing the diverse needs of children of all ages and backgrounds. I am deeply committed to providing compassionate support and guidance to help children overcome behavioral challenges and thrive. With a genuine love for working with young minds, I am dedicated to making a positive impact on the lives of those I serve as a behavioral therapist.
As a former educator in the public school system, I bring a wealth of experience and passion to my work as a behavioral therapist. My journey has taught me the importance of understanding and addressing the diverse needs of children of all ages and backgrounds. I am deeply committed to providing compassionate support and guidance to help children overcome behavioral challenges and thrive. With a genuine love for working with young minds, I am dedicated to making a positive impact on the lives of those I serve as a behavioral therapist.
(203) 794-7077 View (203) 794-7077
Photo of Dr. Margaret Maher, Psychologist in Westport, CT
Dr. Margaret Maher
Psychologist, PhD
Verified Verified
Westport, CT 06880
I have 21 years of experience in various settings, ranging from medical clinics, inpatient hospitals, and private practice. I specialize in helping adults, teens, and children emotionally cope with medical conditions, chronic pain, and eating issues. I can help with anxiety, panic attacks, depression, trauma, and parenting. Another specialty is sport psychology- I help athletes manage serious injury and stress. I help all clients develop an understanding of how physical and mental health are deeply related. You will discover specific ways to cope with your emotional issues, and you will achieve positive changes.
I have 21 years of experience in various settings, ranging from medical clinics, inpatient hospitals, and private practice. I specialize in helping adults, teens, and children emotionally cope with medical conditions, chronic pain, and eating issues. I can help with anxiety, panic attacks, depression, trauma, and parenting. Another specialty is sport psychology- I help athletes manage serious injury and stress. I help all clients develop an understanding of how physical and mental health are deeply related. You will discover specific ways to cope with your emotional issues, and you will achieve positive changes.
(475) 256-5317 View (475) 256-5317
Neurotrain
BSN, RN
Verified Verified
Westport, CT 06880
Many people struggle with at least one cognitive disorder, (ex. depression, anxiety, PTSD, ADHD, insomnia, seizures, concussion, etc.). The root of these mental health struggles usually exist on the unconscious level which is difficult to access. No matter how much education or information an individual has their goals continue to seem unattainable. This can lead to a repetitive cycle that impacts their ability to reach their goals and their quality of life.
Many people struggle with at least one cognitive disorder, (ex. depression, anxiety, PTSD, ADHD, insomnia, seizures, concussion, etc.). The root of these mental health struggles usually exist on the unconscious level which is difficult to access. No matter how much education or information an individual has their goals continue to seem unattainable. This can lead to a repetitive cycle that impacts their ability to reach their goals and their quality of life.
(475) 348-8789 View (475) 348-8789
Photo of Diane Greenhill, Clinical Social Work/Therapist in Westport, CT
Diane Greenhill
Clinical Social Work/Therapist, LCSW
Verified Verified
Westport, CT 06880
Hello! Deciding to get help takes courage and a desire to feel better. You are very welcome here. I am a clinical psychotherapist offering both in-person and telemedicine appointments. I have extensive experience in both private practice and acute-inpatient settings. I specialize in treating depression, anxiety, grief and adjustment issues around life transitions such as divorce and loss. My work is trauma-informed and mindfulness-based. My approach is practical, realistic and sustainable, so that you can start feeling better soon.
Hello! Deciding to get help takes courage and a desire to feel better. You are very welcome here. I am a clinical psychotherapist offering both in-person and telemedicine appointments. I have extensive experience in both private practice and acute-inpatient settings. I specialize in treating depression, anxiety, grief and adjustment issues around life transitions such as divorce and loss. My work is trauma-informed and mindfulness-based. My approach is practical, realistic and sustainable, so that you can start feeling better soon.
(475) 250-2530 View (475) 250-2530
Photo of Eve M Applebaum, LCSW, Clinical Social Work/Therapist in Westport, CT
Eve M Applebaum, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Westport, CT 06880
In April 2022, I completed my EMDR training & I am ready to provide EMDR sessions. I see all individuals as unique & my approach in our journey in therapy together is holistic & respectful, creating an authentic relationship between therapist & client in a safe environment to explore your feelings, thoughts & goals. I believe together, we can focus on healthy ways to find clarity & resolve struggles that will give relief from grief, frustration & anger. Talking & opening up the necessary portals, then learning coping skills can help to get wheels moving (again in many cases) improve decision-making for self growth, change, ...
In April 2022, I completed my EMDR training & I am ready to provide EMDR sessions. I see all individuals as unique & my approach in our journey in therapy together is holistic & respectful, creating an authentic relationship between therapist & client in a safe environment to explore your feelings, thoughts & goals. I believe together, we can focus on healthy ways to find clarity & resolve struggles that will give relief from grief, frustration & anger. Talking & opening up the necessary portals, then learning coping skills can help to get wheels moving (again in many cases) improve decision-making for self growth, change, ...
(475) 252-8938 View (475) 252-8938
Photo of Matthew Maynard, Marriage & Family Therapist in Westport, CT
Matthew Maynard
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Westport, CT 06880  (Online Only)
Happiness and fulfillment in life is achieved when the relationships with our inner self, our partner, and our family members are harmonious. Harmony is a process, not a result. I strategize with my clients, who are sick of the status quo, to help them identify areas in their individual, marital, and familial lives that can facilitate peaceful resolutions.
Happiness and fulfillment in life is achieved when the relationships with our inner self, our partner, and our family members are harmonious. Harmony is a process, not a result. I strategize with my clients, who are sick of the status quo, to help them identify areas in their individual, marital, and familial lives that can facilitate peaceful resolutions.
(978) 525-0283 View (978) 525-0283
Photo of Michaela D'Urso, Pre-Licensed Professional in Westport, CT
Michaela D'Urso
Pre-Licensed Professional, MS
Verified Verified
Westport, CT 06880
Michaela is a passionate Cognitive Behavioral therapist (which is the most effective, researched, and validated therapy to date). She will work with you to identify and change overly negative thinking and unhelpful behaviors that interfere with your mood, reaching your goals, or hampering interpersonal relationships. She works with those struggling with depression, anxiety, worry, phobias, stress, body image issues, performance anxiety, defiant behavior in children, relationship struggles, and work/school issues.
Michaela is a passionate Cognitive Behavioral therapist (which is the most effective, researched, and validated therapy to date). She will work with you to identify and change overly negative thinking and unhelpful behaviors that interfere with your mood, reaching your goals, or hampering interpersonal relationships. She works with those struggling with depression, anxiety, worry, phobias, stress, body image issues, performance anxiety, defiant behavior in children, relationship struggles, and work/school issues.
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Photo of Heather Louise Parenti, Clinical Social Work/Therapist in Westport, CT
Heather Louise Parenti
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Westport, CT 06880
My clients come in with many different troubles and often, the troubles lead to a great many other problems that they have or have had in their lives. There is no problem too big and there is a way to live better. I believe we are looking for contentment. To feel "okay" and, today's society tries to warp us into believing we are not okay because we need something else than what we have right now. We all have the capacity to choose a better life, better relationships, better care for ourselves. The answer is not outside of us but within. I work with children, teens and adults that think they're not enough. We are all enough.
My clients come in with many different troubles and often, the troubles lead to a great many other problems that they have or have had in their lives. There is no problem too big and there is a way to live better. I believe we are looking for contentment. To feel "okay" and, today's society tries to warp us into believing we are not okay because we need something else than what we have right now. We all have the capacity to choose a better life, better relationships, better care for ourselves. The answer is not outside of us but within. I work with children, teens and adults that think they're not enough. We are all enough.
(475) 252-4125 View (475) 252-4125
Photo of Jodie Semel, Licensed Professional Counselor in Westport, CT
Jodie Semel
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
Westport, CT 06880  (Online Only)
Human beings live within relationships. These connections are at the center of our lives, and yet they can be so complicated. I help clients understand and heal the past wounds that are activated in the present and improve the relationships which matter most, including the relationship with themselves. Through a collaborative approach clients gain meaning of their thoughts, feelings, and behaviors while moving towards goals and healing. My approach includes evidence-based practices and strength-based skill building, such as Internal Family Systems (IFS) and Dialectical Behavior Therapy (DBT) with a healthy dose of warmth and humor.
Human beings live within relationships. These connections are at the center of our lives, and yet they can be so complicated. I help clients understand and heal the past wounds that are activated in the present and improve the relationships which matter most, including the relationship with themselves. Through a collaborative approach clients gain meaning of their thoughts, feelings, and behaviors while moving towards goals and healing. My approach includes evidence-based practices and strength-based skill building, such as Internal Family Systems (IFS) and Dialectical Behavior Therapy (DBT) with a healthy dose of warmth and humor.
(203) 989-3750 View (203) 989-3750
Photo of Lauren Dobbs, Psychologist in Westport, CT
Lauren Dobbs
Psychologist, PsyD
Verified Verified
1 Endorsed
Westport, CT 06880
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
Dr. Dobbs is an accomplished clinical psychologist with over fifteen years of experience between teaching and clinical work. She specializes in working with children, teens, and adults and has worked across various settings, including private practice, school, residential, and community mental health. Her therapeutic approach is rooted in the gold standard of treatment, Cognitive Behavioral Therapy, which provides faster, more effective results. With children and teens, she goes beyond the traditional confines of therapy by harnessing their natural creativity, integrating art, music, games, journaling, and other creative outlets.
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Photo of Nancy B. Selikoff in Westport, CT
Nancy B. Selikoff
MA, MEd, CRC
Verified Verified
Westport, CT 06880
I believe in EMPOWERING the client. I support and challenge each client to provide insight in what they can and can't control; understanding that thoughts affect emotions and behaviors which can be changed. My practice of psychotherapy involves establishing a collaborative relationship between the client and the therapist. Creating a partnership will help the two of us make progress together and enable you to be aware of your own potential. Together we will build upon your innate strengths and develop practical strategies and techniques to manage your current and future challenges, increase self-confidence, and improve overall life satisfaction.
I believe in EMPOWERING the client. I support and challenge each client to provide insight in what they can and can't control; understanding that thoughts affect emotions and behaviors which can be changed. My practice of psychotherapy involves establishing a collaborative relationship between the client and the therapist. Creating a partnership will help the two of us make progress together and enable you to be aware of your own potential. Together we will build upon your innate strengths and develop practical strategies and techniques to manage your current and future challenges, increase self-confidence, and improve overall life satisfaction.
(203) 666-5206 View (203) 666-5206
Photo of Katie Zezima McCabe, Clinical Social Work/Therapist in Westport, CT
Katie Zezima McCabe
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
Westport, CT 06880
I am a Licensed Clinical Social Worker in private practice in Westport, CT. I work with adolescents, adults, and families, and also provide training and consultation to other professionals and the community. I specialize in treating anxiety disorders (including Obsessive Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD)), impulsive behaviors, relationship problems, and mood disorders. I believe in providing only the highest standard of mental health care for psychological disorders-- evidence-based treatments-- and strive to combine the science of research-based therapy with warmth, care, and empathy.
I am a Licensed Clinical Social Worker in private practice in Westport, CT. I work with adolescents, adults, and families, and also provide training and consultation to other professionals and the community. I specialize in treating anxiety disorders (including Obsessive Compulsive Disorder (OCD) and Post-Traumatic Stress Disorder (PTSD)), impulsive behaviors, relationship problems, and mood disorders. I believe in providing only the highest standard of mental health care for psychological disorders-- evidence-based treatments-- and strive to combine the science of research-based therapy with warmth, care, and empathy.
(203) 517-4129 View (203) 517-4129
Photo of Theodore J. Maturo, Clinical Social Work/Therapist in Westport, CT
Theodore J. Maturo
Clinical Social Work/Therapist, LCSW
Verified Verified
Westport, CT 06880
I help people cope with challenges that hinder their ability to reach their full potential. Life is full of transitions, and can often become overwhelming when struggling with addiction, anxiety, depression, identity problems, and/or relationship stress. I primarily specialize in working with late-adolescent to adult males struggling to navigate a successful future - one that often times becomes murky through these types of lenses.
I help people cope with challenges that hinder their ability to reach their full potential. Life is full of transitions, and can often become overwhelming when struggling with addiction, anxiety, depression, identity problems, and/or relationship stress. I primarily specialize in working with late-adolescent to adult males struggling to navigate a successful future - one that often times becomes murky through these types of lenses.
(203) 544-2812 View (203) 544-2812
Photo of William Rogers, Marriage & Family Therapist in Westport, CT
William Rogers
Marriage & Family Therapist, DARC, LMFT
Verified Verified
Westport, CT 06880
Depression, anxiety, parenting, substance abuse, infidelity, toxic relationships, trauma-- I have successfully treated clients from 8 to 80 with these problems. I began as a Drug and Alcohol Recovery Counselor. I know that the devastation drugs and alcohol cause individuals and families is rarely overcome without help.
Depression, anxiety, parenting, substance abuse, infidelity, toxic relationships, trauma-- I have successfully treated clients from 8 to 80 with these problems. I began as a Drug and Alcohol Recovery Counselor. I know that the devastation drugs and alcohol cause individuals and families is rarely overcome without help.
(203) 349-9374 View (203) 349-9374
Photo of Lois M Fox, Clinical Social Work/Therapist in Westport, CT
Lois M Fox
Clinical Social Work/Therapist
Verified Verified
Westport, CT 06880
I have worked with the major themes of individuals, couples, and families coming to see a therapist. These are depression, anxiety, stress of all kinds, and problems relating to work. I work such problems quickly and then assess the client's desire to stop or continue on. I have run groups for divorcing clients, assertiveness training, women's issues and vocational issues. I have worked with older clients and enjoy doing so. I have worked on a hospice team and feel comfortable dealing with medical issues of all types. I work to provide a safe and secure environment that is non judgmental and warm.
I have worked with the major themes of individuals, couples, and families coming to see a therapist. These are depression, anxiety, stress of all kinds, and problems relating to work. I work such problems quickly and then assess the client's desire to stop or continue on. I have run groups for divorcing clients, assertiveness training, women's issues and vocational issues. I have worked with older clients and enjoy doing so. I have worked on a hospice team and feel comfortable dealing with medical issues of all types. I work to provide a safe and secure environment that is non judgmental and warm.
(203) 227-9236 View (203) 227-9236

How does your Therapist compare?

Number of Therapists in Westport, CT

500+

Average cost per session

$200

Therapists in Westport, CT who prioritize treating:

96% Anxiety
88% Depression
83% Relationship Issues
80% Self Esteem
72% Coping Skills
65% Family Conflict
63% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

62% Aetna
57% UnitedHealthcare UHC | UBH
53% Cigna and Evernorth

How Therapists in Westport, CT see their clients

80% In Person and Online
20% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Westport?

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.