Therapists in Albany, NY

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Photo of Thelma Costello,MS,LMHC, SAP, PC, Counselor in Albany, NY
Thelma Costello,MS,LMHC, SAP, PC
Counselor, MS, LMHC, PC, MAC, SAP
Verified Verified
Albany, NY 12205
If you would like to Book an appointment please visit my website at.... www.thelmacostello.com I work with a wide range of behavioral approaches that provide and improve the quality of life people are looking for in their lives. In a quiet comfortable and supportive office, I offer an advanced personalized approach tailored to each individuals needs to help attain the individual growth people are striving for. At the present time in addition to face to face counseling , I am now available for Virtual and Telehealth sessions.at www.thelmacostello.com
If you would like to Book an appointment please visit my website at.... www.thelmacostello.com I work with a wide range of behavioral approaches that provide and improve the quality of life people are looking for in their lives. In a quiet comfortable and supportive office, I offer an advanced personalized approach tailored to each individuals needs to help attain the individual growth people are striving for. At the present time in addition to face to face counseling , I am now available for Virtual and Telehealth sessions.at www.thelmacostello.com
(518) 255-8788 View (518) 255-8788
Photo of Jesse Sturtz, Pre-Licensed Professional in Albany, NY
Jesse Sturtz
Pre-Licensed Professional, MS, MHC-LP
Verified Verified
Albany, NY 12205
I am a strong believer that nobody should need to suffer alone, and that a safe space to share your experiences is essential for wellbeing. All people are the experts on their own lives, and it is the job of the therapist to help people make whatever decisions are best for themselves. Because of this, the way I work with every client is custom-fit to their needs.
I am a strong believer that nobody should need to suffer alone, and that a safe space to share your experiences is essential for wellbeing. All people are the experts on their own lives, and it is the job of the therapist to help people make whatever decisions are best for themselves. Because of this, the way I work with every client is custom-fit to their needs.
(518) 855-2974 View (518) 855-2974
Photo of Margarita Lorence, Psychologist in Albany, NY
Margarita Lorence
Psychologist, PhD
Verified Verified
Albany, NY 12208  (Online Only)
I help people 20 and older manage exhausting emotions that torture, pressure them into knee jerk reactions, and make relationships difficult. Using evidence-based practical techniques, with a dash of warmth and humor, we'll work together to see the big picture, map a path, and manage what's in the way of getting some peace.
I help people 20 and older manage exhausting emotions that torture, pressure them into knee jerk reactions, and make relationships difficult. Using evidence-based practical techniques, with a dash of warmth and humor, we'll work together to see the big picture, map a path, and manage what's in the way of getting some peace.
(925) 289-9307 View (925) 289-9307
Photo of Emily Smith, Clinical Social Work/Therapist in Albany, NY
Emily Smith
Clinical Social Work/Therapist, LCSW-R, BCD
Verified Verified
1 Endorsed
Albany, NY 12211
Emily is the Co-Founder and one of the owners of Northpointe Integrative, Inc. - a group behavioral health practice located in the heart of The Capital Region. This practice is committed to the health and wellness of its clients and community by providing the highest quality of individualized care to individuals, couples and families. The therapists at Northpointe Integrative, Inc., value healing, compassion, empowerment, acceptance, growth, and connectedness. The hand-selected therapists who work at this practice offer care and treatment to people of all ages with both diverse backgrounds and experiences.
Emily is the Co-Founder and one of the owners of Northpointe Integrative, Inc. - a group behavioral health practice located in the heart of The Capital Region. This practice is committed to the health and wellness of its clients and community by providing the highest quality of individualized care to individuals, couples and families. The therapists at Northpointe Integrative, Inc., value healing, compassion, empowerment, acceptance, growth, and connectedness. The hand-selected therapists who work at this practice offer care and treatment to people of all ages with both diverse backgrounds and experiences.
(518) 873-4679 View (518) 873-4679
Photo of Ashley C. Whiteside, Clinical Social Work/Therapist in Albany, NY
Ashley C. Whiteside
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Albany, NY 12206
My name is Ashley and I am a healer, therapist, doula, and educator. I am fueled by my charge: to walk alongside Black and Brown femmes as they continue on the ever-evolving process of self-discovery, making adjustments to live in alignment with their desires and express themselves the most authentically. I believe that choosing to heal is a radical act of self-love. I am a Licensed Social Worker and in my practice, I center and prioritize the experiences and healing of Black and Brown Femmes (women, girls). I serve as a guide as clients navigate back to a space of remembering the inherent truths of who they are and desire to be.
My name is Ashley and I am a healer, therapist, doula, and educator. I am fueled by my charge: to walk alongside Black and Brown femmes as they continue on the ever-evolving process of self-discovery, making adjustments to live in alignment with their desires and express themselves the most authentically. I believe that choosing to heal is a radical act of self-love. I am a Licensed Social Worker and in my practice, I center and prioritize the experiences and healing of Black and Brown Femmes (women, girls). I serve as a guide as clients navigate back to a space of remembering the inherent truths of who they are and desire to be.
(518) 625-8425 View (518) 625-8425
Photo of Aimee O’Keefe, Clinical Social Work/Therapist in Albany, NY
Aimee O’Keefe
Clinical Social Work/Therapist, LCSW-R, BCD
Verified Verified
Albany, NY 12205
Aimee is a Licensed Clinical Social Worker, Board Certified Diplomate and Certified School Social Worker. Aimee has met the highest standards in clinical education, training and experience. She has been a Clinical Social Worker for 25 years. She has extensive experience working with children, adolescents, adults and families. Aimee’s clinical focus is on anxiety, depression, interpersonal, adjustment and family issues.
Aimee is a Licensed Clinical Social Worker, Board Certified Diplomate and Certified School Social Worker. Aimee has met the highest standards in clinical education, training and experience. She has been a Clinical Social Worker for 25 years. She has extensive experience working with children, adolescents, adults and families. Aimee’s clinical focus is on anxiety, depression, interpersonal, adjustment and family issues.
(518) 413-1298 View (518) 413-1298
Photo of Richard E Madden, PhD, LCSW, Clinical Social Work/Therapist in Albany, NY
Richard E Madden, PhD, LCSW
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Albany, NY 12205  (Online Only)
PERSONAL THERAPY... most any therapist will do if you only want to talk things out and have someone listen without judging. But if you are looking for more, my post-graduate training and advanced credentials in Rational-Emotive-Behavior Therapy (REBT) and Cognitive-Behavioral Therapy (CBT), enable me to teach you how to effectively manage your stress, sleep, unhealthy emotions and self-defeating behaviors--something I've successfully done for myself and thousands of clients for more than 40 years. Please visit website: www.theSTRESSdoc.com BEFORE calling me, anytime, to discuss your needs.
PERSONAL THERAPY... most any therapist will do if you only want to talk things out and have someone listen without judging. But if you are looking for more, my post-graduate training and advanced credentials in Rational-Emotive-Behavior Therapy (REBT) and Cognitive-Behavioral Therapy (CBT), enable me to teach you how to effectively manage your stress, sleep, unhealthy emotions and self-defeating behaviors--something I've successfully done for myself and thousands of clients for more than 40 years. Please visit website: www.theSTRESSdoc.com BEFORE calling me, anytime, to discuss your needs.
(518) 225-7707 View (518) 225-7707
Photo of Suveyda Dumanli, Counselor in Albany, NY
Suveyda Dumanli
Counselor, LMHC
Verified Verified
Albany, NY 12203  (Online Only)
Do you feel like you're stuck and finding it hard to motivate yourself? Do you notice yourself feeling worried, disconnected, or on edge often? Are you looking for support as you navigate a major life change? I specialize in working with individuals who are looking for ways to bring positive changes into their lives, even if they may be unsure of the steps they need to take to achieve them. You may be experiencing stressors that are making it challenging for you to feel in control of your thoughts, emotions, and behaviors. Together, we can work towards empowering you to overcome these challenges and live a more fulfilling life.
Do you feel like you're stuck and finding it hard to motivate yourself? Do you notice yourself feeling worried, disconnected, or on edge often? Are you looking for support as you navigate a major life change? I specialize in working with individuals who are looking for ways to bring positive changes into their lives, even if they may be unsure of the steps they need to take to achieve them. You may be experiencing stressors that are making it challenging for you to feel in control of your thoughts, emotions, and behaviors. Together, we can work towards empowering you to overcome these challenges and live a more fulfilling life.
(518) 750-6403 View (518) 750-6403
Photo of Timothy (Tas) Steiner, Marriage & Family Therapist in Albany, NY
Timothy (Tas) Steiner
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Albany, NY 12205
Do you, your boyfriends, girlfriends, spouses, or family members disagree about too many things, communication styles, control issues, do you argue too often? Do you struggle with low self-esteem, self-doubt, depression, and anxiety? Perhaps you, a friend or family member drink too much or have a drug problem, financial inequities, impatience, short temper, or anger management issues. Do you feel manipulated or coerced or that your wishes or your feelings are discounted and rejected by others? Are there too many upsets in your own day or do others make your days more complicated?
Do you, your boyfriends, girlfriends, spouses, or family members disagree about too many things, communication styles, control issues, do you argue too often? Do you struggle with low self-esteem, self-doubt, depression, and anxiety? Perhaps you, a friend or family member drink too much or have a drug problem, financial inequities, impatience, short temper, or anger management issues. Do you feel manipulated or coerced or that your wishes or your feelings are discounted and rejected by others? Are there too many upsets in your own day or do others make your days more complicated?
(518) 348-4417 View (518) 348-4417
Photo of Kayla Ann Carol Bain, Pre-Licensed Professional in Albany, NY
Kayla Ann Carol Bain
Pre-Licensed Professional
Verified Verified
Albany, NY 12207  (Online Only)
My name is Kayla Bain and I am a mental health counselor in New York State. The approach to therapy I take is based on the belief that each person is their own unique individual; therefore, everyone's treatment might look different in order to fulfill your own personal goals. I place value in the idea that in order to grow, it is important to share your story. How did your life story make you who you are right now? What do you want your life to look like in the future? As your therapist, i will allow you the space and time to share your story, and together, we will work towards reaching your goals!
My name is Kayla Bain and I am a mental health counselor in New York State. The approach to therapy I take is based on the belief that each person is their own unique individual; therefore, everyone's treatment might look different in order to fulfill your own personal goals. I place value in the idea that in order to grow, it is important to share your story. How did your life story make you who you are right now? What do you want your life to look like in the future? As your therapist, i will allow you the space and time to share your story, and together, we will work towards reaching your goals!
(518) 241-4572 View (518) 241-4572
Photo of Natacha Moten At Nassau Psychology Pc, Licensed Master Social Worker in Albany, NY
Natacha Moten At Nassau Psychology Pc
Licensed Master Social Worker, LMSW
Verified Verified
Albany, NY 12208  (Online Only)
Book an appointment online through our website www.nassaupsychology.org! Natacha graduated with a Master of Social Work from Syracuse University with a focus on child development and family systems. She trained in a variety of settings such as high schools, group homes and foster care while working with adolescents in crisis due to trauma. Natacha has 20+ years of experience supporting women, children and families in various applications of therapy.
Book an appointment online through our website www.nassaupsychology.org! Natacha graduated with a Master of Social Work from Syracuse University with a focus on child development and family systems. She trained in a variety of settings such as high schools, group homes and foster care while working with adolescents in crisis due to trauma. Natacha has 20+ years of experience supporting women, children and families in various applications of therapy.
(518) 989-5851 View (518) 989-5851
Photo of Afifa Barone, Clinical Social Work/Therapist in Albany, NY
Afifa Barone
Clinical Social Work/Therapist, LICSW, LCSW, MSW
Verified Verified
2 Endorsed
Albany, NY 12205  (Online Only)
My approach is integrative and concentrates on assisting individuals to explore and challenge habits/thoughts/patterns which impact emotions, behaviors, relationships, sleep, work, energy, motivation, and goals. Work through the environmental, psychological, behavioral, interpersonal and situational contributors to wellness. Assist with Identifying negative or distorted thinking patterns that often lead to feelings of hopelessness and helplessness. Provide psycho-education on specific life problems that may increase depression and help patients understand how to solve or improve on those problems.
My approach is integrative and concentrates on assisting individuals to explore and challenge habits/thoughts/patterns which impact emotions, behaviors, relationships, sleep, work, energy, motivation, and goals. Work through the environmental, psychological, behavioral, interpersonal and situational contributors to wellness. Assist with Identifying negative or distorted thinking patterns that often lead to feelings of hopelessness and helplessness. Provide psycho-education on specific life problems that may increase depression and help patients understand how to solve or improve on those problems.
(518) 520-4225 View (518) 520-4225
Photo of Melissa M. Ten Eyck Hall, Counselor in Albany, NY
Melissa M. Ten Eyck Hall
Counselor, LMHC
Verified Verified
3 Endorsed
Albany, NY 12205
"Never say never" is one of my favorite expressions. No matter where you are in your life, it is never too late to ask for help and take the necessary steps to make your life better. No matter what you are experiencing, there is a safe place to talk about it and make changes for yourself. I have experience working with children, families and adults. If you want to be supported and empowered to make better choices in your life, please call me. I am here to listen and help you achieve your goals!
"Never say never" is one of my favorite expressions. No matter where you are in your life, it is never too late to ask for help and take the necessary steps to make your life better. No matter what you are experiencing, there is a safe place to talk about it and make changes for yourself. I have experience working with children, families and adults. If you want to be supported and empowered to make better choices in your life, please call me. I am here to listen and help you achieve your goals!
(518) 531-3957 View (518) 531-3957
Photo of Kelly Lefsyk, Clinical Social Work/Therapist in Albany, NY
Kelly Lefsyk
Clinical Social Work/Therapist, LMSW
Verified Verified
Albany, NY 12205
Healing is rarely a linear process, and no one should have to address life's many challenges alone. I hope to assist you in navigating these challenges, and I believe this starts with building and maintaining a supportive and collaborative therapeutic relationship. My goal is to provide a safe space for you to express yourself, free of judgment. I am passionate about empowering others to learn healthy coping and communication skills, manage stress and anxiety, address traumatic experiences, and improve relationships with both oneself and others.
Healing is rarely a linear process, and no one should have to address life's many challenges alone. I hope to assist you in navigating these challenges, and I believe this starts with building and maintaining a supportive and collaborative therapeutic relationship. My goal is to provide a safe space for you to express yourself, free of judgment. I am passionate about empowering others to learn healthy coping and communication skills, manage stress and anxiety, address traumatic experiences, and improve relationships with both oneself and others.
(518) 532-3395 View (518) 532-3395
Photo of D. Catherine Walker, Ph.D. Psychology PLLC, Psychologist in Albany, NY
D. Catherine Walker, Ph.D. Psychology PLLC
Psychologist, PhD
Verified Verified
Albany, NY 12208  (Online Only)
I believe that a good relationship with my clients is a necessary precondition to good therapy. I balance compassion and acceptance with a firm, challenging stance. After all, we don't grow from sitting in our comfort zones! My areas of expertise include treating eating, weight, and body image issues, mood and anxiety disorders, and helping people through difficult life transitions. While women's issues are a specialty, I have worked with clients with a range of gender identifications and I aim to provide gender affirming care. My clients are diverse by age, gender identity, sexual orientation, religion, race, and ethnicity.
I believe that a good relationship with my clients is a necessary precondition to good therapy. I balance compassion and acceptance with a firm, challenging stance. After all, we don't grow from sitting in our comfort zones! My areas of expertise include treating eating, weight, and body image issues, mood and anxiety disorders, and helping people through difficult life transitions. While women's issues are a specialty, I have worked with clients with a range of gender identifications and I aim to provide gender affirming care. My clients are diverse by age, gender identity, sexual orientation, religion, race, and ethnicity.
(838) 206-4793 View (838) 206-4793
Photo of Carola T. Alden, Marriage & Family Therapist in Albany, NY
Carola T. Alden
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Albany, NY 12203
Are you having difficulty in your relationships and wondering, "how do I make things better?" Are you experiencing a loss of self, feeling confused and/or depressed? Is it difficult to identify your feelings? Have your feelings become too painful to experience on your own? It is only natural to want to avoid feelings that are painful. It is our basic human instinct to avoid anything that is painful especially emotional pain. Unfortunately, avoiding pain results in maladaptive behavior and difficulties within relationships. Avoiding feelings can result in feeling numb and/or loss of self.
Are you having difficulty in your relationships and wondering, "how do I make things better?" Are you experiencing a loss of self, feeling confused and/or depressed? Is it difficult to identify your feelings? Have your feelings become too painful to experience on your own? It is only natural to want to avoid feelings that are painful. It is our basic human instinct to avoid anything that is painful especially emotional pain. Unfortunately, avoiding pain results in maladaptive behavior and difficulties within relationships. Avoiding feelings can result in feeling numb and/or loss of self.
(518) 293-4355 View (518) 293-4355
Photo of Ilse Jimenez, Counselor in Albany, NY
Ilse Jimenez
Counselor, LPC, EMDR, Somatic, Psyched, Spanish
Verified Verified
Albany, NY 12205  (Online Only)
Welcome to Maya Moon. I am a Holistic and Somatic Trauma Informed Care Clinician. My mission is to provide with a compassionate heart and caring space for your trauma healing. This new exciting approach supported by the American Psychological Association (APA), the United States Body Psychotherapy Association (USABPA), and the National Center for Complementary and Integrative Health (NCCIH). My practice offers mindfulness grounding treatment that avoids the risk for re-traumatization.
Welcome to Maya Moon. I am a Holistic and Somatic Trauma Informed Care Clinician. My mission is to provide with a compassionate heart and caring space for your trauma healing. This new exciting approach supported by the American Psychological Association (APA), the United States Body Psychotherapy Association (USABPA), and the National Center for Complementary and Integrative Health (NCCIH). My practice offers mindfulness grounding treatment that avoids the risk for re-traumatization.
(518) 633-4256 View (518) 633-4256
Photo of Emily Trumpfheller, Licensed Master Social Worker in Albany, NY
Emily Trumpfheller
Licensed Master Social Worker, LMSW
Verified Verified
Albany, NY 12205  (Online Only)
I especially enjoy helping teens and young adults navigate transitional phases, LGBTQ+ youth and adults and anyone establishing their identity, anyone looking to explore their beliefs and behaviors with money.
I especially enjoy helping teens and young adults navigate transitional phases, LGBTQ+ youth and adults and anyone establishing their identity, anyone looking to explore their beliefs and behaviors with money.
(518) 632-7694 View (518) 632-7694
Photo of Susan Hart, Clinical Social Work/Therapist in Albany, NY
Susan Hart
Clinical Social Work/Therapist, LCSW
Verified Verified
Albany, NY 12208
I treat anxiety, depression, narcissism, couples, adults and more with science and care. I focus on comfort, precision and thoroughness to strengthen the dynamics and boundaries of life, event and issue strategies. Learn specific skills and understand how education, career, boundaries and justice combine to express themselves into human behavior and thought. All ages, experiences, education and careers, individual, marriage, family, career, sport, and court. Decades as a therapist, teacher, coach, and in investigation and research. Best performance outcomes in a diversity of settings and factors. CBT if desired. Private.
I treat anxiety, depression, narcissism, couples, adults and more with science and care. I focus on comfort, precision and thoroughness to strengthen the dynamics and boundaries of life, event and issue strategies. Learn specific skills and understand how education, career, boundaries and justice combine to express themselves into human behavior and thought. All ages, experiences, education and careers, individual, marriage, family, career, sport, and court. Decades as a therapist, teacher, coach, and in investigation and research. Best performance outcomes in a diversity of settings and factors. CBT if desired. Private.
(518) 401-0814 View (518) 401-0814
Photo of Alexandra Dorsi, Clinical Social Work/Therapist in Albany, NY
Alexandra Dorsi
Clinical Social Work/Therapist, LMSW
Verified Verified
Albany, NY 12205
Everyone faces the struggles of being human, but you don’t have to struggle alone. I am a fellow traveler in life’s adventure here to support you through the difficult navigation of the peaks, valleys, and everything in between. My practice is holistic and person centered. I approach my work with a warm, non-judgmental, and curious point of view.
Everyone faces the struggles of being human, but you don’t have to struggle alone. I am a fellow traveler in life’s adventure here to support you through the difficult navigation of the peaks, valleys, and everything in between. My practice is holistic and person centered. I approach my work with a warm, non-judgmental, and curious point of view.
(518) 425-9368 View (518) 425-9368

How does your Therapist compare?

Number of Therapists in Albany, NY

500+

Average cost per session

$130

Therapists in Albany, NY who prioritize treating:

94% Anxiety
87% Depression
77% Relationship Issues
75% Self Esteem
74% Trauma and PTSD
74% Stress
69% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

68% Aetna
57% UnitedHealthcare UHC | UBH
51% Cigna and Evernorth

How Therapists in Albany, NY see their clients

50% In Person and Online
50% Online Only

Gender breakdown

74% Female
24% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Albany?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.