Therapists in Leverett, MA

Photo of Mark Nickels, Counselor in Leverett, MA
Mark Nickels
Counselor, LMHC
Verified Verified
1 Endorsed
Leverett, MA 01054  (Online Only)
Working in community mental health since 2016, I've learned that change doesn't come from a manual, or from me, but from you. You are someone who feels they've lost the thread of their life story, or is plagued by anxiety, a necessary adaptation to the world, but also a thief of life if not comprehended & taken in hand. You are a creative person who is stuck in an arid place, or someone managing a difficult transition in life, with health problems. It has come to pass that your relationships are not what you wish, & you're vexed in your relationship with yourself as well...
Working in community mental health since 2016, I've learned that change doesn't come from a manual, or from me, but from you. You are someone who feels they've lost the thread of their life story, or is plagued by anxiety, a necessary adaptation to the world, but also a thief of life if not comprehended & taken in hand. You are a creative person who is stuck in an arid place, or someone managing a difficult transition in life, with health problems. It has come to pass that your relationships are not what you wish, & you're vexed in your relationship with yourself as well...
(413) 207-9614 View (413) 207-9614
Photo of Carolyn McGill, Clinical Social Work/Therapist in Leverett, MA
Carolyn McGill
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Leverett, MA 01054  (Online Only)
Waitlist for new clients
I work with adult clients experiencing symptoms of depression, anxiety, post traumatic stress and adjustment issues related to life stressors. I have extensive experience working with individuals impacted by trauma,issues of loss, disability, chronic illness and pain. My work includes assisting individuals who have survived trauma and abuse, as well as those who struggle with addiction. I blend introspective exploration of one self with cognitive, behavioral, supportive and problem-solving approaches. My goal is to create a safe setting where one is able to explore and create a path towards healing and growth.
I work with adult clients experiencing symptoms of depression, anxiety, post traumatic stress and adjustment issues related to life stressors. I have extensive experience working with individuals impacted by trauma,issues of loss, disability, chronic illness and pain. My work includes assisting individuals who have survived trauma and abuse, as well as those who struggle with addiction. I blend introspective exploration of one self with cognitive, behavioral, supportive and problem-solving approaches. My goal is to create a safe setting where one is able to explore and create a path towards healing and growth.
(413) 241-5491 View (413) 241-5491
Photo of Heart's Journey Counseling w/Spiritual Perspective in Leverett, MA
Heart's Journey Counseling w/Spiritual Perspective
Abriete, Medore, MEd
Verified Verified
Leverett, MA 01054
What happened to the joy you used to feel? When did you and your partner start living parallel lives? Sometimes you wonder if you can find your way back. You want to feel happy again. When things are going well, contentment and a sense of well-being flow. Sometimes life begins to feel too much to deal with alone. What felt easy can begin to feel difficult. What used to bring you joy now leaves you feeling indifferent. Your relationship may not be getting the attention it needs. Counseling held within a spiritual perspective can help.
What happened to the joy you used to feel? When did you and your partner start living parallel lives? Sometimes you wonder if you can find your way back. You want to feel happy again. When things are going well, contentment and a sense of well-being flow. Sometimes life begins to feel too much to deal with alone. What felt easy can begin to feel difficult. What used to bring you joy now leaves you feeling indifferent. Your relationship may not be getting the attention it needs. Counseling held within a spiritual perspective can help.
(413) 923-6059 View (413) 923-6059
Photo of Chuck Genre, Counselor in Leverett, MA
Chuck Genre
Counselor, LMHC, LPC, MCCS
Verified Verified
Leverett, MA 01054
My work focuses on adults, especially men (28 yo+), who seek healing, growth and a better relationship with this stage of their life. They want more than mere symptom relief and book recommendations. They are tired of the fears and disconnection and unhelpful core beliefs. They want to love and connect more easily. They want a path forward. Our work together encourages action, engagement, creativity, and it aims to revive the joy of learning something new and useful. (website: www.chuckgenre.com)
My work focuses on adults, especially men (28 yo+), who seek healing, growth and a better relationship with this stage of their life. They want more than mere symptom relief and book recommendations. They are tired of the fears and disconnection and unhelpful core beliefs. They want to love and connect more easily. They want a path forward. Our work together encourages action, engagement, creativity, and it aims to revive the joy of learning something new and useful. (website: www.chuckgenre.com)
(413) 299-2726 View (413) 299-2726

More Therapists Nearby

Photo of Liz Larkin, Clinical Social Work/Therapist in Leverett, MA
Liz Larkin
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Amherst, MA 01002
Compassionate, engaged therapist available for teens (15+), emerging adults, and adults.
Compassionate, engaged therapist available for teens (15+), emerging adults, and adults.
(413) 402-6749 View (413) 402-6749
Photo of Maia Kolchin-Miller, Clinical Social Work/Therapist in Leverett, MA
Maia Kolchin-Miller
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Hadley, MA 01035  (Online Only)
Not accepting new clients
Therapy offers the opportunity to develop ways of responding more authentically and effectively to life’s challenges. I recognize that seeking therapy is in itself a sign of strength and courage, as it can seem easier to try to ignore difficult and repetitive thoughts, emotions, or experiences. I aim to create a warm and supportive space for self-exploration, helping to bring old, unconscious patterns to light and thus begin loosening the hold of self limiting beliefs. In spite of all we cannot control, in learning to relate to our experiences in new ways we can become more grounded and compassionate with ourselves and others.
Therapy offers the opportunity to develop ways of responding more authentically and effectively to life’s challenges. I recognize that seeking therapy is in itself a sign of strength and courage, as it can seem easier to try to ignore difficult and repetitive thoughts, emotions, or experiences. I aim to create a warm and supportive space for self-exploration, helping to bring old, unconscious patterns to light and thus begin loosening the hold of self limiting beliefs. In spite of all we cannot control, in learning to relate to our experiences in new ways we can become more grounded and compassionate with ourselves and others.
(413) 331-6895 View (413) 331-6895
Photo of Dr. Mitch and Lisa Marriages/Couples Workshops in Leverett, MA
Dr. Mitch and Lisa Marriages/Couples Workshops
PsyD, MSW, Life, Coach
Verified Verified
Greenfield, MA 01301
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
Relationships in Crisis: We Have Several Private Couples/Marriage Workshops & Individual Sessions, in order to Rapidly Accelerate Your Healing & Your Communication Process (Traditional 45 min. session Simply Does Not Work). During these 2 to 4 weeks, we will see both of you Together & Individually, as well as Help each of you Learn the Art of Empathy, Sensitivity & Compassion. These Workshops are Informative & Powerful, in order to Accelerate the Healing Process & Stop any further Damage from Occurring. In Addition, Our Success RATE is 85% of Our Couples that have Successfully Completed Our Couples Workshops or Alcohol Treatment.
(413) 359-6997 View (413) 359-6997
Photo of Serena Torrey, Clinical Social Work/Therapist in Leverett, MA
Serena Torrey
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Greenfield, MA 01301
Welcome! I currently have space in my online Internal Family Systems (IFS) Practice Groups, and some openings for couples. I approach couples and group work with the intention of exploring each person's complexity and internal conflict. IFS lets us view conflicting parts with open-hearted curiosity. The groups offer hands-on IFS activities to strengthen your relationship with all parts of you. To learn more please contact me via the email link. I currently only see new individual clients who have completed an IFS group.
Welcome! I currently have space in my online Internal Family Systems (IFS) Practice Groups, and some openings for couples. I approach couples and group work with the intention of exploring each person's complexity and internal conflict. IFS lets us view conflicting parts with open-hearted curiosity. The groups offer hands-on IFS activities to strengthen your relationship with all parts of you. To learn more please contact me via the email link. I currently only see new individual clients who have completed an IFS group.
(413) 314-2546 View (413) 314-2546
Photo of Maggie Beauvais, Clinical Social Work/Therapist in Leverett, MA
Maggie Beauvais
Clinical Social Work/Therapist, LICSW
Verified Verified
Turners Falls, MA 01376  (Online Only)
So much of life--its changes, its challenges, its day-to-day stressors--can feel overwhelming at times. This overwhelm can create feelings of stuckness, aloneness, or hopelessness that inhibit us from living the lives we wish to live. The wonderful news is these are not permanent conditions. I believe deeply in the healing potential of therapy to free us from emotional overwhelm, reconnect us with our inherent power and inner peace, and grow us in profoundly energizing ways.
So much of life--its changes, its challenges, its day-to-day stressors--can feel overwhelming at times. This overwhelm can create feelings of stuckness, aloneness, or hopelessness that inhibit us from living the lives we wish to live. The wonderful news is these are not permanent conditions. I believe deeply in the healing potential of therapy to free us from emotional overwhelm, reconnect us with our inherent power and inner peace, and grow us in profoundly energizing ways.
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Photo of Grant D Bialek, Clinical Social Work/Therapist in Leverett, MA
Grant D Bialek
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
South Deerfield, MA 01373  (Online Only)
Suffering from depression and anxiety? Struggling with your relationship? Are you looking to connect with your values and move toward your goals? Would you like to improve your relationships with yourself and others? I'm now accepting telehealth clients, age 16+, scheduling limited afternoon and early evening appointments. Blue Cross Blue Shield, Optum, United Health, United Behavioral Health, Harvard Pilgrim, private pay accepted. If you need support for depression, anxiety, mood disorder, or relationship problems please contact me to schedule a short phone consultation.
Suffering from depression and anxiety? Struggling with your relationship? Are you looking to connect with your values and move toward your goals? Would you like to improve your relationships with yourself and others? I'm now accepting telehealth clients, age 16+, scheduling limited afternoon and early evening appointments. Blue Cross Blue Shield, Optum, United Health, United Behavioral Health, Harvard Pilgrim, private pay accepted. If you need support for depression, anxiety, mood disorder, or relationship problems please contact me to schedule a short phone consultation.
(413) 307-3828 View (413) 307-3828
Photo of Faith Burrington Jones, Counselor in Leverett, MA
Faith Burrington Jones
Counselor, MA, LMHC, CADCII
Verified Verified
Greenfield, MA 01301
Many who have worked with me have said that I provide a warm, safe, and understanding healing presence. I believe it is a privilege to work with those who are willing to work at healing their emotional selves. I call myself a mind, body, spirit therapist as I believe it is important to explore all parts of the "self" in order to heal into wholeness. I team with the person I am working with to arrive at the best possible course of treatment for cognitive, emotional and spiritual imbalance. My specialties are: Addictions (dual-diagnosis); PTSD; Relationship Issues; Anxiety disorders; Bereavement; Spiritual Development.
Many who have worked with me have said that I provide a warm, safe, and understanding healing presence. I believe it is a privilege to work with those who are willing to work at healing their emotional selves. I call myself a mind, body, spirit therapist as I believe it is important to explore all parts of the "self" in order to heal into wholeness. I team with the person I am working with to arrive at the best possible course of treatment for cognitive, emotional and spiritual imbalance. My specialties are: Addictions (dual-diagnosis); PTSD; Relationship Issues; Anxiety disorders; Bereavement; Spiritual Development.
(413) 357-1792 View (413) 357-1792
Photo of Anne Curtis, Clinical Social Work/Therapist in Leverett, MA
Anne Curtis
Clinical Social Work/Therapist, MSW, LICSW, CPT
Verified Verified
Amherst, MA 01002
Do you want to make changes in your life but feel too stuck to see a way forward? Do you have a complicated relationship with your body? You’re not alone and making change is possible.
Do you want to make changes in your life but feel too stuck to see a way forward? Do you have a complicated relationship with your body? You’re not alone and making change is possible.
(413) 359-6829 View (413) 359-6829
Photo of Laurie Sugarman-Whittier, Clinical Social Work/Therapist in Leverett, MA
Laurie Sugarman-Whittier
Clinical Social Work/Therapist, LICSW
Verified Verified
South Deerfield, MA 01373
Not accepting new clients
Welcome! I am a clinical social worker with over 30 years experience. I work with adults of all ages. Many of my clients are struggling with anxiety, depression, relationship issues, and/or traumatic histories. I also have experience assisting people with many other issues. I see my first job as therapist to be establishing a relationship with you, within which you will feel accepted, comfortable, and safe. I will work to ask good questions, and to assist and empower you in discovering how to create the positive changes you seek.
Welcome! I am a clinical social worker with over 30 years experience. I work with adults of all ages. Many of my clients are struggling with anxiety, depression, relationship issues, and/or traumatic histories. I also have experience assisting people with many other issues. I see my first job as therapist to be establishing a relationship with you, within which you will feel accepted, comfortable, and safe. I will work to ask good questions, and to assist and empower you in discovering how to create the positive changes you seek.
(508) 273-2448 View (508) 273-2448
Photo of Mark Biagini, Counselor in Leverett, MA
Mark Biagini
Counselor, LMHC
Verified Verified
1 Endorsed
South Deerfield, MA 01373
Waitlist for new clients
I am a Licensed Mental Health Counselor and I work with teens and adults who are looking for help to get back on track and feel more in control of their emotions and their life. I have experience helping clients adjust to new life situations, and manage symptoms of anxiety and depression. I currently have a wait list for new clients.
I am a Licensed Mental Health Counselor and I work with teens and adults who are looking for help to get back on track and feel more in control of their emotions and their life. I have experience helping clients adjust to new life situations, and manage symptoms of anxiety and depression. I currently have a wait list for new clients.
(413) 414-5730 View (413) 414-5730
Photo of Derrick McCluskey, Counselor in Leverett, MA
Derrick McCluskey
Counselor, LMHC
Verified Verified
South Deerfield, MA 01373
Hi! I'm a Licensed Mental Health Counselor in the state of Massachusetts. I spent 23 years in the military travelling the world before I retired and decided to commit the rest of my life toward helping others. I have been providing therapy successfully for over six years with many successes for clients who are looking to do the work necessary to live their best life. You can read my reviews on healthgrades.com that have been posted by former clients.
Hi! I'm a Licensed Mental Health Counselor in the state of Massachusetts. I spent 23 years in the military travelling the world before I retired and decided to commit the rest of my life toward helping others. I have been providing therapy successfully for over six years with many successes for clients who are looking to do the work necessary to live their best life. You can read my reviews on healthgrades.com that have been posted by former clients.
(617) 609-1292 View (617) 609-1292
Photo of Joyce Ann Wanivg Blumberg Thatcher in Leverett, MA
Joyce Ann Wanivg Blumberg Thatcher
NCSP, Lic, Ed, Psych
Verified Verified
Amherst, MA 01002
I am trained in EMDR for relief of trauma and both behavioral and psychodynamic/talking therapies which emphasize positive habits, good health and personal insight. Any change starts from within and sometimes we all need another perspective to grasp the whole picture so that problems or obstacles can be sensibly, sensitively and effectively handled. I work from a strengths-based orientation whereby the talents, skills, and interests can be identified. So we go from there, to where the individual learns to utilize those strengths in resolving problems, conflicts, stressors as well as finding sources of comfort, competence and confidence.
I am trained in EMDR for relief of trauma and both behavioral and psychodynamic/talking therapies which emphasize positive habits, good health and personal insight. Any change starts from within and sometimes we all need another perspective to grasp the whole picture so that problems or obstacles can be sensibly, sensitively and effectively handled. I work from a strengths-based orientation whereby the talents, skills, and interests can be identified. So we go from there, to where the individual learns to utilize those strengths in resolving problems, conflicts, stressors as well as finding sources of comfort, competence and confidence.
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Photo of Marissa Singer, Art Therapist in Leverett, MA
Marissa Singer
Art Therapist, MA, ATR
Verified Verified
1 Endorsed
Greenfield, MA 01301
There is no such thing as "bad art" or "bad artists" in art therapy. You are also not too old or too (fill in the blank) to give it a try. Art therapy is highly adaptable and accesses both sides of your brain. The act of creating and altering images, in your own unique way can help to externalize, reorganize and regulate your emotional narrative in a way that words alone may not. I primarily specialize in working with teens and older adults who have emotional dysregulation, disability (cognitive and/or physical), are neurodiverse (ADHD/ASD/HSP), LGBTQIA2S+, PTSD, CPTSD. BUT you do not need a diagnosis to utilize art therapy.
There is no such thing as "bad art" or "bad artists" in art therapy. You are also not too old or too (fill in the blank) to give it a try. Art therapy is highly adaptable and accesses both sides of your brain. The act of creating and altering images, in your own unique way can help to externalize, reorganize and regulate your emotional narrative in a way that words alone may not. I primarily specialize in working with teens and older adults who have emotional dysregulation, disability (cognitive and/or physical), are neurodiverse (ADHD/ASD/HSP), LGBTQIA2S+, PTSD, CPTSD. BUT you do not need a diagnosis to utilize art therapy.
(413) 359-8010 View (413) 359-8010
Photo of Rafe Halsey, Marriage & Family Therapist in Leverett, MA
Rafe Halsey
Marriage & Family Therapist, MA
Verified Verified
Greenfield, MA 01301
Waitlist for new clients
Are you someone that's looking to make changes in your life, to move through a difficult transition, to heal or to grow? Are you looking to increase your ability to connect to others or yourself? Do you need support in the process? Are you looking to shift your feelings and thoughts about a situation, a relationship, your family, substances, vices or your self?
Are you someone that's looking to make changes in your life, to move through a difficult transition, to heal or to grow? Are you looking to increase your ability to connect to others or yourself? Do you need support in the process? Are you looking to shift your feelings and thoughts about a situation, a relationship, your family, substances, vices or your self?
(413) 331-7842 View (413) 331-7842
Photo of Victoria L North, Counselor in Leverett, MA
Victoria L North
Counselor, MA, LMHC, NCC
Verified Verified
Amherst, MA 01002  (Online Only)
Do you ever feel that no matter how hard you try, you just "fail" every time? Do you look at yourself in the mirror with disgust and wonder why you feel so alone? Life is hard without all the challenges that meets us along the way. I am here to walk your journey with you. You are not alone. Together we can meet life's challenges; whether it is a loss of a loved one, nightmares that come from a traumatic event, feelings of loneliness and unworthiness, anxiety, relationship problems, suicidal thoughts and self harming behaviors, brokenness, chronic pain and illness, death and dying. You do not need to journey alone.
Do you ever feel that no matter how hard you try, you just "fail" every time? Do you look at yourself in the mirror with disgust and wonder why you feel so alone? Life is hard without all the challenges that meets us along the way. I am here to walk your journey with you. You are not alone. Together we can meet life's challenges; whether it is a loss of a loved one, nightmares that come from a traumatic event, feelings of loneliness and unworthiness, anxiety, relationship problems, suicidal thoughts and self harming behaviors, brokenness, chronic pain and illness, death and dying. You do not need to journey alone.
(413) 216-4879 View (413) 216-4879
Photo of Scott Dunaisky, Counselor in Leverett, MA
Scott Dunaisky
Counselor, MEd, LMHC
Verified Verified
Greenfield, MA 01301
I work with children, adolescents, adults, and couples using an empathic, mindfulness based approach that is aimed at helping individuals move towards their goals. I help people work through a range of challenges including processing trauma, living with anxiety, living with depression, living with anger/rage, and working through interpersonal or family conflict. In addition, I also support people who may be struggling to achieve a balance and a feeling of control in their world. I offer a relaxed and supportive space that allows individuals to make their own choices in their process of moving towards their specific goals.
I work with children, adolescents, adults, and couples using an empathic, mindfulness based approach that is aimed at helping individuals move towards their goals. I help people work through a range of challenges including processing trauma, living with anxiety, living with depression, living with anger/rage, and working through interpersonal or family conflict. In addition, I also support people who may be struggling to achieve a balance and a feeling of control in their world. I offer a relaxed and supportive space that allows individuals to make their own choices in their process of moving towards their specific goals.
(413) 666-1578 View (413) 666-1578

See more therapy options for Leverett

How does your Therapist compare?

Number of Therapists in Leverett, MA

< 10

Therapists in Leverett, MA who prioritize treating:

100% Anxiety
100% Trauma and PTSD
100% Self Esteem
75% Relationship Issues
75% Depression
75% Life Coaching
75% Spirituality

Average years in practice

7 Years

Top 3 insurances accepted

100% Optum
67% Aetna
67% Harvard Pilgrim

How Therapists in Leverett, MA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

50% Female
50% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Leverett?

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.