Therapists in Fairport, NY

Photo of Janice Vitale, Clinical Social Work/Therapist in Fairport, NY
Janice Vitale
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Fairport, NY 14450
Accepting New Clients- Do you find yourself longing for change? You may feel disconnected from what brings you joy or a sense of purpose. Perhaps you are feeling overwhelmed with life and the stresses that go with it and you just want to feel calm and centered again. You may be experiencing anxiety or depression and feel like it is time to get help. When we are feeling overwhelmed, stressed, depressed or anxious it can make it hard to feel like a good partner, spouse, parent, employee, family member or friend. When we are in the middle of an emotional storm it can be difficult to find the path out by ourselves.
Accepting New Clients- Do you find yourself longing for change? You may feel disconnected from what brings you joy or a sense of purpose. Perhaps you are feeling overwhelmed with life and the stresses that go with it and you just want to feel calm and centered again. You may be experiencing anxiety or depression and feel like it is time to get help. When we are feeling overwhelmed, stressed, depressed or anxious it can make it hard to feel like a good partner, spouse, parent, employee, family member or friend. When we are in the middle of an emotional storm it can be difficult to find the path out by ourselves.
(585) 580-1199 View (585) 580-1199
Photo of Michele Bowersox, Counselor in Fairport, NY
Michele Bowersox
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Fairport, NY 14450
I feel very blessed to have witnessed healing and growth in many, many clients throughout my career. I believe that counseling is a partnership between the client and therapist to achieve symptom relief and personal growth. I have over twenty years of experience with a significant focus in the area of child abuse and neglect (with both children and adult survivors). Many times, what "happened to you" results in the common stress reactions of anxiety and depression. Whatever brings you to the counseling process, I respect your bravery and willingness to change.
I feel very blessed to have witnessed healing and growth in many, many clients throughout my career. I believe that counseling is a partnership between the client and therapist to achieve symptom relief and personal growth. I have over twenty years of experience with a significant focus in the area of child abuse and neglect (with both children and adult survivors). Many times, what "happened to you" results in the common stress reactions of anxiety and depression. Whatever brings you to the counseling process, I respect your bravery and willingness to change.
(585) 558-3221 View (585) 558-3221
Photo of Paul Schwartzman, Counselor in Fairport, NY
Paul Schwartzman
Counselor, MS, LMHC
Verified Verified
Fairport, NY 14450
"There is no greater reward for working with youth and adults than to see them develop clarity, warmth and power in their own lives."
"There is no greater reward for working with youth and adults than to see them develop clarity, warmth and power in their own lives."
(585) 229-8538 View (585) 229-8538
Photo of Maternal Mental Health Counseling of Rochester, Counselor in Fairport, NY
Maternal Mental Health Counseling of Rochester
Counselor, LMHC, PMH-C
Verified Verified
1 Endorsed
Fairport, NY 14450
"I don't even know who I am anymore since I had a baby." Is this you? I hold a specialized certification in Perinatal Mental Health, which most associate with "Post Partum Depression." While much of my work does focus on post partum mood concerns, I am also able to provide knowledgeable therapeutic support for other concerns, such as: life transitions, parenting, self esteem, relational distress, and mood instability. I enjoy working with adolescents in addition to adults, and like to use whatever forum is most comfortable- face to face, phone or telehealth.
"I don't even know who I am anymore since I had a baby." Is this you? I hold a specialized certification in Perinatal Mental Health, which most associate with "Post Partum Depression." While much of my work does focus on post partum mood concerns, I am also able to provide knowledgeable therapeutic support for other concerns, such as: life transitions, parenting, self esteem, relational distress, and mood instability. I enjoy working with adolescents in addition to adults, and like to use whatever forum is most comfortable- face to face, phone or telehealth.
(585) 598-0559 View (585) 598-0559
Photo of Brian F. Chaffee, Clinical Social Work/Therapist in Fairport, NY
Brian F. Chaffee
Clinical Social Work/Therapist, LCSW-R
Verified Verified
1 Endorsed
Fairport, NY 14450
I have over 25 years of clinical experience providing treatment services to youths, families and adults in outpatient mental health and chemical dependency settings. I am currently offering counseling and wellness services to assist youths and adults who are experiencing life challenges and barriers, including adjustment issues and interpersonal relationship problems. Focus of care is to help guide individuals to recover and manage their lives on a daily basis so they are able to build on their existing strengths and incorporate adaptive coping skills to improve emotional, behavioral, social and occupational functioning.
I have over 25 years of clinical experience providing treatment services to youths, families and adults in outpatient mental health and chemical dependency settings. I am currently offering counseling and wellness services to assist youths and adults who are experiencing life challenges and barriers, including adjustment issues and interpersonal relationship problems. Focus of care is to help guide individuals to recover and manage their lives on a daily basis so they are able to build on their existing strengths and incorporate adaptive coping skills to improve emotional, behavioral, social and occupational functioning.
(585) 682-2860 View (585) 682-2860
Photo of Karin Glans, Marriage & Family Therapist in Fairport, NY
Karin Glans
Marriage & Family Therapist, MA, LMFT
Verified Verified
Fairport, NY 14450  (Online Only)
Hello. My name is Karin Glans, and I offer strength based, compassionate, and non- judgmental therapy for my clients to create the satisfying life and relationships they desire. I focus on empowering individuals, couples, and families to develop their unique potential, explore emotions, unmet needs, and learn life skills that can increase personal and interpersonal growth. Choosing to change is a difficult and courageous choice. I look forward to helping you to develop a deeper, more positive connection with yourself, family, friends, and your life goals. I currently only work with CA clients , via Telehealth sessions. Take care.
Hello. My name is Karin Glans, and I offer strength based, compassionate, and non- judgmental therapy for my clients to create the satisfying life and relationships they desire. I focus on empowering individuals, couples, and families to develop their unique potential, explore emotions, unmet needs, and learn life skills that can increase personal and interpersonal growth. Choosing to change is a difficult and courageous choice. I look forward to helping you to develop a deeper, more positive connection with yourself, family, friends, and your life goals. I currently only work with CA clients , via Telehealth sessions. Take care.
(760) 412-5094 View (760) 412-5094
Photo of Steve Michener, Clinical Social Work/Therapist in Fairport, NY
Steve Michener
Clinical Social Work/Therapist, LCSW, SAP
Verified Verified
Fairport, NY 14450
Currently, I only have Monday morning appointments available. Have you been thinking about counseling for awhile? It's not uncommon for people to consider getting help for months before they make the first call. But remember, counseling is just people talking to each other. My goal is to help you to feel comfortable. I strive to create a non-judgmental atmosphere where people can develop the insights and skills they need to grow. My approach to counseling is down to earth and practical. I use a solution-focused approach that builds on the strengths already present in my clients.
Currently, I only have Monday morning appointments available. Have you been thinking about counseling for awhile? It's not uncommon for people to consider getting help for months before they make the first call. But remember, counseling is just people talking to each other. My goal is to help you to feel comfortable. I strive to create a non-judgmental atmosphere where people can develop the insights and skills they need to grow. My approach to counseling is down to earth and practical. I use a solution-focused approach that builds on the strengths already present in my clients.
(585) 444-8257 View (585) 444-8257
Photo of The Queer Wellness Center: Channyn Quinn in Fairport, NY
The Queer Wellness Center: Channyn Quinn
LMHC
Verified Verified
Fairport, NY 14450
My name is Channyn (pronounced Shannon). Congratulations for starting (or restarting) your journey in taking care of yourself. My goal is to assist you with self-discovery, change, and improving your quality of life. I help my clients cope with the psychological and emotional difficulties that underlie unhealthy thoughts, patterns, and behaviors. I am anti-racist & committed to working with people regardless of gender identity, race, religion, or sexual orientation. My therapy style is warm, supportive, empowering, interactive, sometimes funny, and focused on assisting clients in developing mindful awareness.
My name is Channyn (pronounced Shannon). Congratulations for starting (or restarting) your journey in taking care of yourself. My goal is to assist you with self-discovery, change, and improving your quality of life. I help my clients cope with the psychological and emotional difficulties that underlie unhealthy thoughts, patterns, and behaviors. I am anti-racist & committed to working with people regardless of gender identity, race, religion, or sexual orientation. My therapy style is warm, supportive, empowering, interactive, sometimes funny, and focused on assisting clients in developing mindful awareness.
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Photo of Alisha Gunsalus, Clinical Social Work/Therapist in Fairport, NY
Alisha Gunsalus
Clinical Social Work/Therapist, LCSW
Verified Verified
Fairport, NY 14450  (Online Only)
The trauma of infertility is often unimaginable, unpredictable, and unfair. It is full of loss, sacrifice and a desperate desire for an outcome you fear may never come. The anxiety can be overwhelming. Maybe you are feeling exhausted and alone, terrified of not ever having the life you want. Perhaps you are struggling with feelings of guilt, anger or emptiness and a deep longing for a change in your circumstances. Depression is usually not far behind on this journey and compounds an already shattered worldview.
The trauma of infertility is often unimaginable, unpredictable, and unfair. It is full of loss, sacrifice and a desperate desire for an outcome you fear may never come. The anxiety can be overwhelming. Maybe you are feeling exhausted and alone, terrified of not ever having the life you want. Perhaps you are struggling with feelings of guilt, anger or emptiness and a deep longing for a change in your circumstances. Depression is usually not far behind on this journey and compounds an already shattered worldview.
(585) 575-0762 View (585) 575-0762
Photo of Karla Weidman, Art Therapist in Fairport, NY
Karla Weidman
Art Therapist, MS, CASAC, LCAT
Verified Verified
2 Endorsed
Fairport, NY 14450
Life is filled with situations that we experience which are overwhelming and sometimes too much to handle. With my help I believe each person can learn more about themselves and grow to be successful. I have significant experience in working with trauma and substance use issues over the past 15 years. I am a credentialed Art Therapist, Substance Abuse Counselor, and trained in EMDR. I find that my experience and specialize treatment modalities help to create an opportunity for anyone to thrive. I am direct, open minded, and solution-focused.
Life is filled with situations that we experience which are overwhelming and sometimes too much to handle. With my help I believe each person can learn more about themselves and grow to be successful. I have significant experience in working with trauma and substance use issues over the past 15 years. I am a credentialed Art Therapist, Substance Abuse Counselor, and trained in EMDR. I find that my experience and specialize treatment modalities help to create an opportunity for anyone to thrive. I am direct, open minded, and solution-focused.
(585) 765-8699 View (585) 765-8699
Photo of Ellie Restores Hope Psychotherapy & Chronic Pain, Pre-Licensed Professional in Fairport, NY
Ellie Restores Hope Psychotherapy & Chronic Pain
Pre-Licensed Professional, MS, LMHC-P
Verified Verified
Fairport, NY 14450
I have been in the mental health field for five years with a master’s in mental health counseling and, currently, obtaining my doctorate in counselor education. I have worked with a plethora of symptomatic presentations, but my specialties lie in cutting-edge practices of chronic pain and mind-body disorders, sexual disorders, and trauma/PTSD. Prior experience in domestic violence and sexual assault crisis counseling, along with community advocacy for mental health services. I view health holistically: mind, body, and spirit. I have a deep understanding of how our mind and body effect one another; overall health is my priority.
I have been in the mental health field for five years with a master’s in mental health counseling and, currently, obtaining my doctorate in counselor education. I have worked with a plethora of symptomatic presentations, but my specialties lie in cutting-edge practices of chronic pain and mind-body disorders, sexual disorders, and trauma/PTSD. Prior experience in domestic violence and sexual assault crisis counseling, along with community advocacy for mental health services. I view health holistically: mind, body, and spirit. I have a deep understanding of how our mind and body effect one another; overall health is my priority.
(585) 541-2928 View (585) 541-2928
Photo of Linda Casira, Counselor in Fairport, NY
Linda Casira
Counselor, LMHC
Verified Verified
Fairport, NY 14450
Life has many ups and downs. I accept you as you are! Our voices, needs and thoughts matter. Learn, live and strengthen on your path to growth.
Life has many ups and downs. I accept you as you are! Our voices, needs and thoughts matter. Learn, live and strengthen on your path to growth.
(585) 440-5543 View (585) 440-5543
Photo of Johnathan Elliott, Counselor in Fairport, NY
Johnathan Elliott
Counselor, LMHC, NCC
Verified Verified
Fairport, NY 14450
Immediate openings. The difficulties of life grip us in ways both obvious and unseen. Life has a way of happening at inconvenient times and counseling can assist in navigating the emotional difficulties and consequences with someone who is non-judgmental and supportive. I strive to view the world through your lens while helping you recognize your strengths and build resiliency through proven techniques so that you can lead a successful and comfortable life. I hope to have the opportunity to support you through this difficult time.
Immediate openings. The difficulties of life grip us in ways both obvious and unseen. Life has a way of happening at inconvenient times and counseling can assist in navigating the emotional difficulties and consequences with someone who is non-judgmental and supportive. I strive to view the world through your lens while helping you recognize your strengths and build resiliency through proven techniques so that you can lead a successful and comfortable life. I hope to have the opportunity to support you through this difficult time.
(585) 598-1916 View (585) 598-1916
Photo of Jenesis Troche, Pre-Licensed Professional in Fairport, NY
Jenesis Troche
Pre-Licensed Professional, MHC-LP
Verified Verified
Fairport, NY 14450  (Online Only)
Hello everyone, Greetings! My name is Jenesis Troche and I'm dedicated to helping you discover your inner strength and embrace self-compassion. My approach draws from a blend of effective therapies, including Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Compassion Focused Therapy (CFT). Through these techniques, we'll work together to create positive change.
Hello everyone, Greetings! My name is Jenesis Troche and I'm dedicated to helping you discover your inner strength and embrace self-compassion. My approach draws from a blend of effective therapies, including Cognitive-Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Compassion Focused Therapy (CFT). Through these techniques, we'll work together to create positive change.
(631) 526-7546 View (631) 526-7546
Photo of Jennifer L Smithling, Counselor in Fairport, NY
Jennifer L Smithling
Counselor, MA, LMHC
Verified Verified
Fairport, NY 14450  (Online Only)
During this difficult time, we can all use extra support.. I am a client-centered, multi-disciplinary therapist who has been working in the field for over 13 years. My experience allows me to meet a person where they are and provide support and strategies to guide them to achieving their therapeutic goals. I am currently accepting new patients and have several slots available at this time. However, I am now only able to offer telehealth (video or phone). Email only for new client inquiries please, and please check insurance information below before contacting- all accepted insurances listed.
During this difficult time, we can all use extra support.. I am a client-centered, multi-disciplinary therapist who has been working in the field for over 13 years. My experience allows me to meet a person where they are and provide support and strategies to guide them to achieving their therapeutic goals. I am currently accepting new patients and have several slots available at this time. However, I am now only able to offer telehealth (video or phone). Email only for new client inquiries please, and please check insurance information below before contacting- all accepted insurances listed.
(585) 294-0268 View (585) 294-0268
Photo of Camille Simonetti, Psychologist in Fairport, NY
Camille Simonetti
Psychologist, PhD
Verified Verified
Fairport, NY 14450  (Online Only)
Not accepting new clients
I am a licensed psychologist who works with older adolescents and adults on a variety of mental health issues. I specialize in anxiety, depression, stress management, relationship issues, life transitions, and identity concerns. As a former college athlete, I also have a special interest in working with current and former athletes around mental health issues. I enjoy working with my clients to explore how their problems developed, build understanding around why their problematic patterns continue, and empower them to make meaningful changes in their lives.
I am a licensed psychologist who works with older adolescents and adults on a variety of mental health issues. I specialize in anxiety, depression, stress management, relationship issues, life transitions, and identity concerns. As a former college athlete, I also have a special interest in working with current and former athletes around mental health issues. I enjoy working with my clients to explore how their problems developed, build understanding around why their problematic patterns continue, and empower them to make meaningful changes in their lives.
(585) 481-8292 View (585) 481-8292
Photo of Audrey Bowers, Licensed Master Social Worker in Fairport, NY
Audrey Bowers
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Fairport, NY 14450  (Online Only)
Do you ever feel you have lost your voice and just want to be heard? Thats where I come in. I work clinically with both individuals and couples in a collaborative and compassionate environment tailored specifically to my clients to provide a safe and comfortable space. I am committed to working alongside my clients to build connections and trust. I work with individuals and couples experiencing anxiety, depression, grief/loss, low self-esteem, and life transitions.
Do you ever feel you have lost your voice and just want to be heard? Thats where I come in. I work clinically with both individuals and couples in a collaborative and compassionate environment tailored specifically to my clients to provide a safe and comfortable space. I am committed to working alongside my clients to build connections and trust. I work with individuals and couples experiencing anxiety, depression, grief/loss, low self-esteem, and life transitions.
(585) 636-3437 View (585) 636-3437
Photo of Erin McHugh, Drug & Alcohol Counselor in Fairport, NY
Erin McHugh
Drug & Alcohol Counselor, LMHC, CASAC-T, C-DBT
Verified Verified
Fairport, NY 14450
I would like to first start with saying Congratulations to making the first step in prioritizing your mental health! It is a courageous decision to work on ourselves! Therapy can be the beginning of a life changing endeavor for many and it all begins with you. HI! My name is Erin and I, too, have made that same decision in my life to seek better understanding of myself as well as working through challenges that have gotten me “stuck” at times in my life. I share this because I feel it important for my patients to know that my own personal journey allows me to be empathetic and compassionate to patient’s needs and struggles.
I would like to first start with saying Congratulations to making the first step in prioritizing your mental health! It is a courageous decision to work on ourselves! Therapy can be the beginning of a life changing endeavor for many and it all begins with you. HI! My name is Erin and I, too, have made that same decision in my life to seek better understanding of myself as well as working through challenges that have gotten me “stuck” at times in my life. I share this because I feel it important for my patients to know that my own personal journey allows me to be empathetic and compassionate to patient’s needs and struggles.
(631) 860-6966 View (631) 860-6966
Photo of James Drooz, Pre-Licensed Professional in Fairport, NY
James Drooz
Pre-Licensed Professional, P-MHC
Verified Verified
Fairport, NY 14450
Hi, welcome! My name is James I am white, queer, neutrois, neurodivergent, adopted, chronically ill & a survivor. Where I am, so are my identities, including the work I do as a therapist. As a queer neurodivergent person, I am passionate & committed to supporting folx, through therapy, advocacy & social justice efforts, in the LGBTQIA2S+ & neurodivergent communities (regardless of whether an “official” diagnosis has been obtained). The kind of therapeutic space I aim to provide is one that is safe, affirming, culturally responsive, attuned, trauma-informed & transformational.
Hi, welcome! My name is James I am white, queer, neutrois, neurodivergent, adopted, chronically ill & a survivor. Where I am, so are my identities, including the work I do as a therapist. As a queer neurodivergent person, I am passionate & committed to supporting folx, through therapy, advocacy & social justice efforts, in the LGBTQIA2S+ & neurodivergent communities (regardless of whether an “official” diagnosis has been obtained). The kind of therapeutic space I aim to provide is one that is safe, affirming, culturally responsive, attuned, trauma-informed & transformational.
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Photo of Marnie Bambara, Clinical Social Work/Therapist in Fairport, NY
Marnie Bambara
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Fairport, NY 14450  (Online Only)
I truly believe that anyone can benefit from therapy no matter what you are struggling with, celebrating, or conflicted about. I’m committed to helping individuals be their best selves by providing a comforting and safe environment where you can explore anything you are looking for support with. Whatever your life situation is, you don't have to manage it alone. We can unpack it together. My goal as a psychotherapist is to bring out an individual's ability to thrive at their utmost potential. I combine a personalized therapeutic approach with evidence-based practices like cognitive behavioral therapy.
I truly believe that anyone can benefit from therapy no matter what you are struggling with, celebrating, or conflicted about. I’m committed to helping individuals be their best selves by providing a comforting and safe environment where you can explore anything you are looking for support with. Whatever your life situation is, you don't have to manage it alone. We can unpack it together. My goal as a psychotherapist is to bring out an individual's ability to thrive at their utmost potential. I combine a personalized therapeutic approach with evidence-based practices like cognitive behavioral therapy.
(406) 313-8979 View (406) 313-8979

How does your Therapist compare?

Number of Therapists in Fairport, NY

100+

Average cost per session

$120

Therapists in Fairport, NY who prioritize treating:

93% Anxiety
90% Depression
80% Relationship Issues
75% Self Esteem
70% Stress
68% Coping Skills
63% Trauma and PTSD

Average years in practice

15 Years

Top 3 insurances accepted

80% Aetna
59% Cigna and Evernorth
55% Excellus BlueCross BlueShield

How Therapists in Fairport, NY see their clients

78% In Person and Online
22% Online Only

Gender breakdown

84% Female
14% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fairport?

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.