Therapists in Rochester, NY

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Photo of Durdane Hatun Guler, Counselor in Rochester, NY
Durdane Hatun Guler
Counselor, LMHC
Verified Verified
Rochester, NY 14618
Is it hard for you to open up to others? Do you want to reach inner peace and learn to balance your life overall? I'm passionate about working with individuals who are truly committed to personal growth and transformation. I believe in providing a safe and supportive space for them to explore their needs, address their issues, and achieve their goals. We'll work side by side to help you create the life you desire.
Is it hard for you to open up to others? Do you want to reach inner peace and learn to balance your life overall? I'm passionate about working with individuals who are truly committed to personal growth and transformation. I believe in providing a safe and supportive space for them to explore their needs, address their issues, and achieve their goals. We'll work side by side to help you create the life you desire.
(585) 310-2022 View (585) 310-2022
Photo of Trica Peterson, Psychologist in Rochester, NY
Trica Peterson
Psychologist, PhD, ABPP
Verified Verified
Rochester, NY 14618
The current focus in my practice is on forensic evaluation, consultation, and expert testimony for various court related issues.
The current focus in my practice is on forensic evaluation, consultation, and expert testimony for various court related issues.
(585) 563-8284 View (585) 563-8284
Photo of Serenity Cove Pediatrics in Rochester, NY
Serenity Cove Pediatrics
DNP, CPNP-PC, PMHS, IMH-E, RN-BC
Verified Verified
Rochester, NY 14607  (Online Only)
The mission of Serenity Cove Pediatrics (SCP) is to provide integrated holistic mental and behavioral health care for children and families while valuing safety and inclusivity. During my fifteen plus years of pediatric practice, I received specialized mental and behavioral health training to care for children and families with trauma. This includes special experience with children/teens with a history of trauma, foster children, adoptive children, pediatric refugees, kinship care, and high risk vulnerable children. ​ Currently, providing Telehealth assistance with specialized pediatric focused medication management in NY and VA.
The mission of Serenity Cove Pediatrics (SCP) is to provide integrated holistic mental and behavioral health care for children and families while valuing safety and inclusivity. During my fifteen plus years of pediatric practice, I received specialized mental and behavioral health training to care for children and families with trauma. This includes special experience with children/teens with a history of trauma, foster children, adoptive children, pediatric refugees, kinship care, and high risk vulnerable children. ​ Currently, providing Telehealth assistance with specialized pediatric focused medication management in NY and VA.
(845) 576-9893 View (845) 576-9893
Photo of Erin F Weingart- Ketamine Assisted Psychotherapy, Clinical Social Work/Therapist in Rochester, NY
Erin F Weingart- Ketamine Assisted Psychotherapy
Clinical Social Work/Therapist, LCSW-R
Verified Verified
Rochester, NY 14618
I’ve provided traditional talk therapy for many years and I am excited to offer a different approach! Ketamine Assisted Psychotherapy (KAP) is an innovative approach that combines the use of ketamine with therapy to facilitate healing and therapeutic breakthroughs. KAP has been shown to be effective in treating various issues, especially when traditional treatments have been unsuccessful. Ketamine helps clients explore their thoughts, emotions, and traumatic experiences more deeply, while I support and heal with the psychotherapy piece in a safe space. PLEASE note: this is a specialized service as an adjunct to your current therapy
I’ve provided traditional talk therapy for many years and I am excited to offer a different approach! Ketamine Assisted Psychotherapy (KAP) is an innovative approach that combines the use of ketamine with therapy to facilitate healing and therapeutic breakthroughs. KAP has been shown to be effective in treating various issues, especially when traditional treatments have been unsuccessful. Ketamine helps clients explore their thoughts, emotions, and traumatic experiences more deeply, while I support and heal with the psychotherapy piece in a safe space. PLEASE note: this is a specialized service as an adjunct to your current therapy
(585) 572-7285 View (585) 572-7285
Photo of Moira Stewart, Clinical Social Work/Therapist in Rochester, NY
Moira Stewart
Clinical Social Work/Therapist, LCSWR
Verified Verified
Rochester, NY 14618
I know things are not easy for you, and that getting through life is hard. I am honored to help you figure it out. Imagine you coping better. Imagine enjoying and managing transitions. Imagine being the most effective parent you can be. I specialize in working with individuals as young as 4 through 25 years old. I understand the importance of supporting parents when their kids are struggling, and supporting young adults to be independent. I love my work and watching you improve, honestly. You can expect a welcoming place to land with me, give it a try.
I know things are not easy for you, and that getting through life is hard. I am honored to help you figure it out. Imagine you coping better. Imagine enjoying and managing transitions. Imagine being the most effective parent you can be. I specialize in working with individuals as young as 4 through 25 years old. I understand the importance of supporting parents when their kids are struggling, and supporting young adults to be independent. I love my work and watching you improve, honestly. You can expect a welcoming place to land with me, give it a try.
(585) 601-1312 View (585) 601-1312
Photo of Allison Mills, Clinical Social Work/Therapist in Rochester, NY
Allison Mills
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Rochester, NY 14626  (Online Only)
Waitlist for new clients
Life can feel overwhelming and confusing when we are met with expectations that do not align with authentic self. I believe positive and effective change can happen once we become more confident and empowered within ourselves. I work with individuals to feel confident to make effective change within their life in order meet their personal and therapeutic goals. I primarily work individuals with disrupted attachments related to childhood trauma, and sexual trauma; in addition to depression, anxiety, OCD (specifically, Relationship-OCD, Contamination-OCD, Perfectionism-OCD), and personality disorders.
Life can feel overwhelming and confusing when we are met with expectations that do not align with authentic self. I believe positive and effective change can happen once we become more confident and empowered within ourselves. I work with individuals to feel confident to make effective change within their life in order meet their personal and therapeutic goals. I primarily work individuals with disrupted attachments related to childhood trauma, and sexual trauma; in addition to depression, anxiety, OCD (specifically, Relationship-OCD, Contamination-OCD, Perfectionism-OCD), and personality disorders.
(585) 476-1997 View (585) 476-1997
Photo of Ross Griswold, Clinical Social Work/Therapist in Rochester, NY
Ross Griswold
Clinical Social Work/Therapist, LCSW, CCTP-II, CCS
Verified Verified
2 Endorsed
Rochester, NY 14619
Not accepting new clients
Therapy is most meaningful when you have a clear understanding of the work being done, and can see how a specific approach aligns with your values and goals. Since there are no one-size-fits-all solutions, we'll try and track approaches tailored to your individual needs, keep the ones that help, and avoid painful repetition of strategies that don't help. Together, we will aim to build a process that works, and move at a mutually agreed upon pace and direction toward clarity, understanding, and change.
Therapy is most meaningful when you have a clear understanding of the work being done, and can see how a specific approach aligns with your values and goals. Since there are no one-size-fits-all solutions, we'll try and track approaches tailored to your individual needs, keep the ones that help, and avoid painful repetition of strategies that don't help. Together, we will aim to build a process that works, and move at a mutually agreed upon pace and direction toward clarity, understanding, and change.
(585) 440-3867 View (585) 440-3867
Photo of Julie Gardner, Licensed Master Social Worker in Rochester, NY
Julie Gardner
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Rochester, NY 14618
Are you struggling with depression, anxiety, ADHD, or trying to work through past traumas? Are you going through stressful transitions and are unsure what to do next? Sometimes it feels like the weight of the world is on your shoulders and you don’t know where to turn. I offer a warm and welcoming environment where I believe building a rapport with whom I’m working with is important to help you on your journey. Together we will make strides by helping you learn about yourself and ways to manage the challenges you’re facing. I’m here to support and guide you in whatever way to help you live a happy and healthy life you deserve.
Are you struggling with depression, anxiety, ADHD, or trying to work through past traumas? Are you going through stressful transitions and are unsure what to do next? Sometimes it feels like the weight of the world is on your shoulders and you don’t know where to turn. I offer a warm and welcoming environment where I believe building a rapport with whom I’m working with is important to help you on your journey. Together we will make strides by helping you learn about yourself and ways to manage the challenges you’re facing. I’m here to support and guide you in whatever way to help you live a happy and healthy life you deserve.
(585) 531-6821 View (585) 531-6821
Photo of Tammy Piotter, Counselor in Rochester, NY
Tammy Piotter
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Rochester, NY 14606  (Online Only)
Waitlist for new clients
As a mature results oriented counselor, I believe in the value of focused listening to connect with my clients. This approach provides the foundation for creating genuinely personalized therapeutic interventions for individuals, couples and families. My philosophy is that counseling should be inviting, accessible and deliver outcomes. Therefore, my mission is to provide therapeutic services that reflect your uniqueness and supports your personal values. Services are offered evenings and weekends to accommodate the needs of those who find it more convenient to meet outside of normal business hours.
As a mature results oriented counselor, I believe in the value of focused listening to connect with my clients. This approach provides the foundation for creating genuinely personalized therapeutic interventions for individuals, couples and families. My philosophy is that counseling should be inviting, accessible and deliver outcomes. Therefore, my mission is to provide therapeutic services that reflect your uniqueness and supports your personal values. Services are offered evenings and weekends to accommodate the needs of those who find it more convenient to meet outside of normal business hours.
(585) 209-5291 View (585) 209-5291
Photo of Brianna M Diaz, Psychologist in Rochester, NY
Brianna M Diaz
Psychologist, PsyD
Verified Verified
1 Endorsed
Rochester, NY 14620
Welcome to your healing journey. My goal in providing therapy is to create a safe space for clients to better understand themselves, their relationships, and the world around them. I have a passion for destigmatizing and decolonizing mental health treatment, as I believe all people can benefit from an empathic, collaborative, and genuine therapeutic relationship.
Welcome to your healing journey. My goal in providing therapy is to create a safe space for clients to better understand themselves, their relationships, and the world around them. I have a passion for destigmatizing and decolonizing mental health treatment, as I believe all people can benefit from an empathic, collaborative, and genuine therapeutic relationship.
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Photo of Family & Personal Counseling, Counselor in Rochester, NY
Family & Personal Counseling
Counselor, MS, LMHC, ASAC, CCH
Verified Verified
Rochester, NY 14618
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start...and we will answer your call TODAY. We have 5 locations on Long Island and offer Telehealth to all of New York State.
We are by your side! No matter the issue that you are facing... anxiety, depression, life issues, family issues, grief, couples therapy, stress relief, etc... we are ready to help. In this widely acclaimed practice, Ron Villano, M.S., LMHC, ASAC, CCH has assembled an elite team of over 35 providers. Our decades of success in talk therapy comes from creating a customized approach designed to encourage you to face your challenges with new life skills and professional support. You are here looking for that fresh start...and we will answer your call TODAY. We have 5 locations on Long Island and offer Telehealth to all of New York State.
(718) 215-9575 View (718) 215-9575
Photo of Kelly Mae McHargue, Clinical Social Work/Therapist in Rochester, NY
Kelly Mae McHargue
Clinical Social Work/Therapist, LCSW
Verified Verified
Rochester, NY 14618  (Online Only)
My mission is to empower adolescents, families and young adults as they navigate the complexities of emotional well-being. We all experience struggles and challenges as a result of life’s ups and downs. I am able to offer support for a wide array of issues relating but not limited to, anxiety, depression, adjustment, anger management, artists & creatives struggles, attention deficit (ADHD), behavioral Issues, body image, burnout, career counseling, caregiver issues, stress, adolescent issues, codependency, communication problems, coping mechanisms, and couples/marriage/relationships issues.
My mission is to empower adolescents, families and young adults as they navigate the complexities of emotional well-being. We all experience struggles and challenges as a result of life’s ups and downs. I am able to offer support for a wide array of issues relating but not limited to, anxiety, depression, adjustment, anger management, artists & creatives struggles, attention deficit (ADHD), behavioral Issues, body image, burnout, career counseling, caregiver issues, stress, adolescent issues, codependency, communication problems, coping mechanisms, and couples/marriage/relationships issues.
(585) 501-2298 View (585) 501-2298
Photo of Sustainable Wellness, Clinical Social Work/Therapist in Rochester, NY
Sustainable Wellness
Clinical Social Work/Therapist
Verified Verified
4 Endorsed
Rochester, NY 14607
Sustainable Wellness is a trauma-based therapy and wellness practice focused on providing a holistic approach to healing. We offer specialized mental health services for PTSD and other trauma disorders, along with trauma-informed care for communities exposed to high levels of chronic stressors. We're passionate about resolving and healing attachment wounds while striving to create a therapeutic environment based in trust and authenticity. We work closely with clients to help them feel more comfortable in their bodies and more connected to the moment in order to build self-compassion and move toward healing.
Sustainable Wellness is a trauma-based therapy and wellness practice focused on providing a holistic approach to healing. We offer specialized mental health services for PTSD and other trauma disorders, along with trauma-informed care for communities exposed to high levels of chronic stressors. We're passionate about resolving and healing attachment wounds while striving to create a therapeutic environment based in trust and authenticity. We work closely with clients to help them feel more comfortable in their bodies and more connected to the moment in order to build self-compassion and move toward healing.
(585) 302-2431 View (585) 302-2431
Photo of Eric Schantz, Counselor in Rochester, NY
Eric Schantz
Counselor, MA, MS, LMHC
Verified Verified
3 Endorsed
Rochester, NY 14618
Currently accepting new clients telehealth and in-person. Are you a burned-out therapist? Someone who is anxious or depressed? An unhappy student, perhaps? Frustrated with relationships, or life itself, trying to find meaning? Whoever you are, whatever your life's journey, psychotherapy can be the most important relationship you'll ever have. You need to share your stories with someone who understands completely and cares deeply. If you're suffering, I can help you find growth and most importantly, insight; By looking within, by sharing your life's story and relationships, you will find meaning and hope from a therapist who cares.
Currently accepting new clients telehealth and in-person. Are you a burned-out therapist? Someone who is anxious or depressed? An unhappy student, perhaps? Frustrated with relationships, or life itself, trying to find meaning? Whoever you are, whatever your life's journey, psychotherapy can be the most important relationship you'll ever have. You need to share your stories with someone who understands completely and cares deeply. If you're suffering, I can help you find growth and most importantly, insight; By looking within, by sharing your life's story and relationships, you will find meaning and hope from a therapist who cares.
(585) 351-2861 View (585) 351-2861
Photo of Shandi Renee Temperato in Rochester, NY
Shandi Renee Temperato
LMSW
Verified Verified
Rochester, NY 14613
I have an all women faith based practice in Rochester, NY and I've found my passion working to help women overcome their greatest obstacles! Whether you've experienced a crisis, struggling with an addiction, depression, anxiety, low self-esteem, poor body image, experienced trauma, or having relational problems, I would love the opportunity come alongside you and work through these challenges together. We will work on identifying the root issue, create healthy coping skills, and establish lasting solutions in your healing journey! You are one decision away from receiving your breakthrough.
I have an all women faith based practice in Rochester, NY and I've found my passion working to help women overcome their greatest obstacles! Whether you've experienced a crisis, struggling with an addiction, depression, anxiety, low self-esteem, poor body image, experienced trauma, or having relational problems, I would love the opportunity come alongside you and work through these challenges together. We will work on identifying the root issue, create healthy coping skills, and establish lasting solutions in your healing journey! You are one decision away from receiving your breakthrough.
(585) 252-5099 View (585) 252-5099
Photo of Morgan Kennell, Clinical Social Work/Therapist in Rochester, NY
Morgan Kennell
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Rochester, NY 14618
Hello and welcome! If you’ve landed here, you’ve taken the first step in seeking support for yourself or a loved one, and that effort should be celebrated. The idea of sharing details about personal lives with a stranger can be scary. Many people make the choice to connect with a trained therapist and end up finding value in having an unbiased person outside of their friend/family group listen, validate, and share helpful strategies. I have been practicing as a licensed therapist since 2016 and I find great meaning in being able to partner with people as they move closer towards healing and growth.
Hello and welcome! If you’ve landed here, you’ve taken the first step in seeking support for yourself or a loved one, and that effort should be celebrated. The idea of sharing details about personal lives with a stranger can be scary. Many people make the choice to connect with a trained therapist and end up finding value in having an unbiased person outside of their friend/family group listen, validate, and share helpful strategies. I have been practicing as a licensed therapist since 2016 and I find great meaning in being able to partner with people as they move closer towards healing and growth.
(585) 601-2687 View (585) 601-2687
Photo of Dr. Nina Ruffin, Clinical Social Work/Therapist in Rochester, NY
Dr. Nina Ruffin
Clinical Social Work/Therapist, DSW, LCSW-R
Verified Verified
2 Endorsed
Rochester, NY 14626
I am at capacity and unable to accept new clients at this time. My private practice group - Life Strategies Counseling Services - is currently accepting clients using Fidelis, MVP, Aetna and Private Pay. Visit the Life Strategies Counseling Services profile page on Psychology Today OR the website at www.lifestrategiescounselingservices.com for more info and to book a therapy intake session.
I am at capacity and unable to accept new clients at this time. My private practice group - Life Strategies Counseling Services - is currently accepting clients using Fidelis, MVP, Aetna and Private Pay. Visit the Life Strategies Counseling Services profile page on Psychology Today OR the website at www.lifestrategiescounselingservices.com for more info and to book a therapy intake session.
(585) 415-3760 View (585) 415-3760
Photo of Shantel Giles, Counselor in Rochester, NY
Shantel Giles
Counselor, LMHC
Verified Verified
1 Endorsed
Rochester, NY 14613  (Online Only)
Welcome to IMatterHealing, the care you deserve ! “ Our greatest weakness lies in giving up. The most certain way to succeed is to always try just one more time. " Thomas Edison
Welcome to IMatterHealing, the care you deserve ! “ Our greatest weakness lies in giving up. The most certain way to succeed is to always try just one more time. " Thomas Edison
(585) 628-2014 View (585) 628-2014
Photo of Sheilagh McGreal, Art Therapist in Rochester, NY
Sheilagh McGreal
Art Therapist, MS, ATR, LCAT
Verified Verified
Rochester, NY 14610
Have you been questioning if you're neurodivergent, Autistic, ADHD, or highly sensitive? Struggling to manage anxiety and overwhelm? Sometimes these things can make socializing, career, or school challenging so it's important to find ways to thrive. The world can also be super confusing at times and it's easy to default to self doubt. You might be asking how or where you fit in the world and ready to start finding answers. If you've been looking for how to take the next steps forward, it might be time to discover and embrace your authentic self. You're worth the time and energy- I'm here to take those steps with you.
Have you been questioning if you're neurodivergent, Autistic, ADHD, or highly sensitive? Struggling to manage anxiety and overwhelm? Sometimes these things can make socializing, career, or school challenging so it's important to find ways to thrive. The world can also be super confusing at times and it's easy to default to self doubt. You might be asking how or where you fit in the world and ready to start finding answers. If you've been looking for how to take the next steps forward, it might be time to discover and embrace your authentic self. You're worth the time and energy- I'm here to take those steps with you.
(585) 376-5039 View (585) 376-5039
Photo of Deborah Lewin, Counselor in Rochester, NY
Deborah Lewin
Counselor, MA, LMHC, NCC
Verified Verified
Rochester, NY 14618
Everyone deserves to be seen, heard, and understood. I work with a wide variety of clients but what they all have in common is the courage it takes to show up and tell their stories. We all struggle with various inner parts that hijack us sometimes. You may be quite familiar with your own inner Judge, Critic, or Taskmaster (to name a few of the most ubiquitous hijackers). I truly admire clients who share their often messy, sometimes aching, always-in-progress stories. I believe there is tremendous power in the act of speaking our truths aloud.
Everyone deserves to be seen, heard, and understood. I work with a wide variety of clients but what they all have in common is the courage it takes to show up and tell their stories. We all struggle with various inner parts that hijack us sometimes. You may be quite familiar with your own inner Judge, Critic, or Taskmaster (to name a few of the most ubiquitous hijackers). I truly admire clients who share their often messy, sometimes aching, always-in-progress stories. I believe there is tremendous power in the act of speaking our truths aloud.
(585) 591-6940 View (585) 591-6940

How does your Therapist compare?

Number of Therapists in Rochester, NY

800+

Average cost per session

$125

Therapists in Rochester, NY who prioritize treating:

93% Anxiety
86% Depression
81% Relationship Issues
76% Self Esteem
71% Stress
70% Coping Skills
69% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

79% Aetna
57% Cigna and Evernorth
52% UnitedHealthcare UHC | UBH

How Therapists in Rochester, NY see their clients

70% In Person and Online
30% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Rochester?

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.