Therapists in Lancaster, PA

Photo of Hannah Avers, Clinical Social Work/Therapist in Lancaster, PA
Hannah Avers
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
6 Endorsed
Lancaster, PA 17601
I believe that healing and change are possible and my goal is to provide a warm and safe therapeutic environment to help assist you on your journey. I utilize a strengths-based and holistic approach in my work and believe that therapy should be a collaborative process where we are working together to find solutions to the struggles you are facing. I enjoy seeing diverse populations and have worked extensively with women, young adults, teenagers, and survivors of trauma and domestic violence.
I believe that healing and change are possible and my goal is to provide a warm and safe therapeutic environment to help assist you on your journey. I utilize a strengths-based and holistic approach in my work and believe that therapy should be a collaborative process where we are working together to find solutions to the struggles you are facing. I enjoy seeing diverse populations and have worked extensively with women, young adults, teenagers, and survivors of trauma and domestic violence.
(717) 308-5263 View (717) 308-5263
Photo of Megan Prevoznik, Marriage & Family Therapist in Lancaster, PA
Megan Prevoznik
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Lancaster, PA 17603
Hi, I'm Megan. (I am accepting new clients March 2024!) I am passionate about making therapy approachable, effective, and possibly even enjoyable! Maybe you're feeling anxious, sad, frustrated, unmotivated, or disconnected. Maybe you're experiencing relationship challenges with your partner, friends, family, or colleagues. Maybe you're feeling at an impasse in life, struggling with a transition, grieving a loss, or hoping for change. Whether you come to therapy by yourself or with a partner, I am dedicated to connecting, collaborating, and supporting you in creating a positive shift.
Hi, I'm Megan. (I am accepting new clients March 2024!) I am passionate about making therapy approachable, effective, and possibly even enjoyable! Maybe you're feeling anxious, sad, frustrated, unmotivated, or disconnected. Maybe you're experiencing relationship challenges with your partner, friends, family, or colleagues. Maybe you're feeling at an impasse in life, struggling with a transition, grieving a loss, or hoping for change. Whether you come to therapy by yourself or with a partner, I am dedicated to connecting, collaborating, and supporting you in creating a positive shift.
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Photo of Carol Lynn Geiger, Licensed Professional Counselor in Lancaster, PA
Carol Lynn Geiger
Licensed Professional Counselor, MA, MEd, LPC
Verified Verified
2 Endorsed
Lancaster, PA 17601
Helping individuals, couples, and families successfully manage their challenges and develop strong, positive relationships is the main focus of my practice. I believe in using a variety of approaches and tailoring these to my client's needs to produce the changes and growth my client is seeking.
Helping individuals, couples, and families successfully manage their challenges and develop strong, positive relationships is the main focus of my practice. I believe in using a variety of approaches and tailoring these to my client's needs to produce the changes and growth my client is seeking.
(717) 915-5713 View (717) 915-5713
Photo of Julie Saragosa, Pre-Licensed Professional in Lancaster, PA
Julie Saragosa
Pre-Licensed Professional, MC
Verified Verified
Lancaster, PA 17608
As your therapist, my goal is to provide a comfortable and safe environment for you to express your feelings and help you gain perspective with challenges you may be facing. My clients learn healthy coping skills and tools to better navigate life's difficult moments. My role is to walk alongside you through this journey to your most empowered and best self. By challenging beliefs and emotions that no longer serve you, in addition to improving intra and interpersonal relationships, personal growth and symptom relief are my goals for you. You are not alone; allow me to help you through challenges and find hope and happiness again.
As your therapist, my goal is to provide a comfortable and safe environment for you to express your feelings and help you gain perspective with challenges you may be facing. My clients learn healthy coping skills and tools to better navigate life's difficult moments. My role is to walk alongside you through this journey to your most empowered and best self. By challenging beliefs and emotions that no longer serve you, in addition to improving intra and interpersonal relationships, personal growth and symptom relief are my goals for you. You are not alone; allow me to help you through challenges and find hope and happiness again.
(223) 215-4336 View (223) 215-4336
Photo of Sarah Krick, Clinical Social Work/Therapist in Lancaster, PA
Sarah Krick
Clinical Social Work/Therapist, LCSW
Verified Verified
Lancaster, PA 17601  (Online Only)
Welcome to my page. I offer online therapy through Behavioral Health Care Consultants P.C. You have already started your journey by reaching out for help. Therapy can be intimidating; my goal is to help you feel comfortable and supported as we work together to achieve your goals. I work best with clients ages 18 and older who are looking for a therapist to support them in times of change, identity exploration, loss, new life stages, relationship changes and more. I've worked well with clients from all backgrounds, faith/spirituality, gender, and sexuality. I offer a safe, supportive, trauma informed, and affirming environment.
Welcome to my page. I offer online therapy through Behavioral Health Care Consultants P.C. You have already started your journey by reaching out for help. Therapy can be intimidating; my goal is to help you feel comfortable and supported as we work together to achieve your goals. I work best with clients ages 18 and older who are looking for a therapist to support them in times of change, identity exploration, loss, new life stages, relationship changes and more. I've worked well with clients from all backgrounds, faith/spirituality, gender, and sexuality. I offer a safe, supportive, trauma informed, and affirming environment.
(717) 837-3753 View (717) 837-3753
Photo of Angela Miller, Licensed Professional Counselor in Lancaster, PA
Angela Miller
Licensed Professional Counselor, LCSW
Verified Verified
Lancaster, PA 17601  (Online Only)
I enjoy working with children, teenagers, young adults, their families, and adults. My goal is to help you work toward your personal goals, all while recognizing and respecting where you are in your journey and your current environment. I can also help you manage mental health challenges you may be facing alone, including anxiety, depression, trauma, life transitions, and motherhood.
I enjoy working with children, teenagers, young adults, their families, and adults. My goal is to help you work toward your personal goals, all while recognizing and respecting where you are in your journey and your current environment. I can also help you manage mental health challenges you may be facing alone, including anxiety, depression, trauma, life transitions, and motherhood.
(717) 993-1646 x1 View (717) 993-1646 x1
Photo of Latinia M. Shell, Licensed Professional Counselor in Lancaster, PA
Latinia M. Shell
Licensed Professional Counselor, EdD, LPC, NCC, CCMHC, ACS
Verified Verified
2 Endorsed
Lancaster, PA 17603
I provide individual therapy for adolescents, teens, adults, as well as couples, families, and group counseling. Through a highly personalized approach tailored to each client's individual needs, I assist clients in identifying limiting beliefs and outmoded coping mechanisms that may be standing in the way. I work with a wide range of emotional and behavioral issues. Services provided span from therapy for depression and anxiety to relationship and family counseling, stress management, anger management and beyond. In a comfortable and supportive atmosphere, I hope to help clients attain the personal growth they're striving for.
I provide individual therapy for adolescents, teens, adults, as well as couples, families, and group counseling. Through a highly personalized approach tailored to each client's individual needs, I assist clients in identifying limiting beliefs and outmoded coping mechanisms that may be standing in the way. I work with a wide range of emotional and behavioral issues. Services provided span from therapy for depression and anxiety to relationship and family counseling, stress management, anger management and beyond. In a comfortable and supportive atmosphere, I hope to help clients attain the personal growth they're striving for.
(717) 801-1159 View (717) 801-1159
Photo of Britany Miley Anderson, Licensed Professional Counselor in Lancaster, PA
Britany Miley Anderson
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17601
I specialize in working with adolescents, families, and couples. My training is largely systems focused and I prefer to focus on strengthening relationships as a tool to healing. I specialize in post-traumatic stress disorder, attachment difficulties, relationship issues, and grief/bereavement.
I specialize in working with adolescents, families, and couples. My training is largely systems focused and I prefer to focus on strengthening relationships as a tool to healing. I specialize in post-traumatic stress disorder, attachment difficulties, relationship issues, and grief/bereavement.
(717) 745-8301 View (717) 745-8301
Photo of Rachel Stout, Licensed Professional Counselor in Lancaster, PA
Rachel Stout
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17601  (Online Only)
Life can be overwhelming. Whether you’re feeling stressed, struggling with anxiety, feeling stuck in depression, or unable to break free from obsessive thoughts, therapy can help you move forward. When we experience trauma, life transitions, difficult relationships, and even everyday stressors, it impacts how we think, what we feel, how we see ourselves, and ultimately our ability to thrive. It is my mission to create a safe space where you can begin to see yourself differently, overcome challenges, and find hope and freedom!
Life can be overwhelming. Whether you’re feeling stressed, struggling with anxiety, feeling stuck in depression, or unable to break free from obsessive thoughts, therapy can help you move forward. When we experience trauma, life transitions, difficult relationships, and even everyday stressors, it impacts how we think, what we feel, how we see ourselves, and ultimately our ability to thrive. It is my mission to create a safe space where you can begin to see yourself differently, overcome challenges, and find hope and freedom!
(717) 714-3184 View (717) 714-3184
Photo of Heart for Change Counseling Services, Inc, Clinical Social Work/Therapist in Lancaster, PA
Heart for Change Counseling Services, Inc
Clinical Social Work/Therapist, MSW, LSW, LCSW
Not Verified Not Verified
Lancaster, PA 17602
At Heart for Change Counseling Services, we value finding darkness in the world and bringing light. We treat all people with dignity and respect, maintain an environment free from judgement, and provide a team-approach to ensure those who walk through our doors feel valued, supported, and heard. We believe in making quality services affordable regardless of insurance.
At Heart for Change Counseling Services, we value finding darkness in the world and bringing light. We treat all people with dignity and respect, maintain an environment free from judgement, and provide a team-approach to ensure those who walk through our doors feel valued, supported, and heard. We believe in making quality services affordable regardless of insurance.
(717) 546-9257 View (717) 546-9257
Andrea Walton
Pre-Licensed Professional, MA, MEd, NCC
Verified Verified
Lancaster, PA 17602  (Online Only)
I focus on creating a dynamic, evidence-based, personalized approach in order to help each of my clients. I strive to make sure that every person feels seen, heard, and understood in their lived experiences. I am thankful to be given the opportunity to walk alongside each client and see them experience the kind of growth and transformation they come to therapy for. I am passionate about helping others recognize their own worth, overcome unhealthy and/or unhelpful patterns that keep them feeling stuck, and work towards building a more satisfying life.
I focus on creating a dynamic, evidence-based, personalized approach in order to help each of my clients. I strive to make sure that every person feels seen, heard, and understood in their lived experiences. I am thankful to be given the opportunity to walk alongside each client and see them experience the kind of growth and transformation they come to therapy for. I am passionate about helping others recognize their own worth, overcome unhealthy and/or unhelpful patterns that keep them feeling stuck, and work towards building a more satisfying life.
(223) 218-5070 View (223) 218-5070
Photo of ACTS for Kids, Counselor in Lancaster, PA
ACTS for Kids
Counselor, PsyD, LPC, CSP, ABSNP
Verified Verified
1 Endorsed
Lancaster, PA 17601
Warm weather has arrived & the end of the school year is coming fast. Get help for your child before summer. Need a clinician that specializes in treating & evaluating individuals (preschool through college-aged)? Our therapist really care. ACTS is an evidenced-based practice (therapy proven effective; i.e. Cognitive Behavioral Therapy). We have 2 convenient Locations; Wyomissing (Berks) & Mannheim Township (Lancaster). We want success for your child's cognitive & emotional wellness. We provide solutions for all types of cognitive, emotional or behavioral challenges, call today. We specialize in Counseling, Testing & Neurofeedback.
Warm weather has arrived & the end of the school year is coming fast. Get help for your child before summer. Need a clinician that specializes in treating & evaluating individuals (preschool through college-aged)? Our therapist really care. ACTS is an evidenced-based practice (therapy proven effective; i.e. Cognitive Behavioral Therapy). We have 2 convenient Locations; Wyomissing (Berks) & Mannheim Township (Lancaster). We want success for your child's cognitive & emotional wellness. We provide solutions for all types of cognitive, emotional or behavioral challenges, call today. We specialize in Counseling, Testing & Neurofeedback.
(717) 454-2315 View (717) 454-2315
Photo of Gregg Hammond, Licensed Professional Counselor in Lancaster, PA
Gregg Hammond
Licensed Professional Counselor, MS, LPC, CCBT
Verified Verified
1 Endorsed
Lancaster, PA 17601
My most enjoyable times in therapy are the moments when a person realizes they have it within them to recognize a change to be made, the skills to do it, and feels successful. To experience that life changing moment with them is awe-inspiring. Some call this an "A-ha moment," "light bulb going off," or an "epiphany." Instead, I call this the moment when a person switches the channel of their inner voice from: self-blaming, hyper-critical, guilt driven, and fear-mongering to one that is: self-compassionate, self-forgiving, self-empowering, self-accepting, and value-driven.
My most enjoyable times in therapy are the moments when a person realizes they have it within them to recognize a change to be made, the skills to do it, and feels successful. To experience that life changing moment with them is awe-inspiring. Some call this an "A-ha moment," "light bulb going off," or an "epiphany." Instead, I call this the moment when a person switches the channel of their inner voice from: self-blaming, hyper-critical, guilt driven, and fear-mongering to one that is: self-compassionate, self-forgiving, self-empowering, self-accepting, and value-driven.
(717) 470-8298 View (717) 470-8298
Photo of Dana D'Amicantonio, Licensed Professional Counselor in Lancaster, PA
Dana D'Amicantonio
Licensed Professional Counselor, MA
Verified Verified
3 Endorsed
Lancaster, PA 17601
Therapy allows us to focus on and process through past and present experiences, while finding hope for what life can be like. You may be seeking to achieve new goals, such as decreasing and better managing struggles, tension, "dis-ease", as well as pursuing holistic healing. I hope to provide a safe and comfortable place that helps you to share and process through your story. My goal is to not just help you survive, but to thrive!
Therapy allows us to focus on and process through past and present experiences, while finding hope for what life can be like. You may be seeking to achieve new goals, such as decreasing and better managing struggles, tension, "dis-ease", as well as pursuing holistic healing. I hope to provide a safe and comfortable place that helps you to share and process through your story. My goal is to not just help you survive, but to thrive!
(717) 276-4549 View (717) 276-4549
Photo of Pamela K Haddad, Clinical Social Work/Therapist in Lancaster, PA
Pamela K Haddad
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Lancaster, PA 17603
Not accepting new clients
My practice aligns with the functional approach, which works from a “psychology of growth” and not from a "psychology of illness”. Therapy is a collaborative process through which I empower the individual, couple, or family to implement meaningful change(s) that will improve their well-being. Throughout the process I engage in active listening, problem identification, problem-solving techniques and follow up. As clients gain clarity of their problems, I am able to help them create their own paths to healing.
My practice aligns with the functional approach, which works from a “psychology of growth” and not from a "psychology of illness”. Therapy is a collaborative process through which I empower the individual, couple, or family to implement meaningful change(s) that will improve their well-being. Throughout the process I engage in active listening, problem identification, problem-solving techniques and follow up. As clients gain clarity of their problems, I am able to help them create their own paths to healing.
(717) 769-1894 View (717) 769-1894
Photo of Casie Fisher, Licensed Professional Counselor in Lancaster, PA
Casie Fisher
Licensed Professional Counselor, MA, LPC
Verified Verified
Lancaster, PA 17601
We are not meant to do life alone. I am willing to be a safe, respectful, and collaborative guide for you or your relationship, make sense of your struggles and find your way toward your longings. If you are done relying on attempts at self-improvement, let’s work together to restore personal, emotional, and relational well-being. A specific problem or crisis may have driven you to seek therapy but you may find that “symptom reduction” is only part of the journey we will take toward wholeness.
We are not meant to do life alone. I am willing to be a safe, respectful, and collaborative guide for you or your relationship, make sense of your struggles and find your way toward your longings. If you are done relying on attempts at self-improvement, let’s work together to restore personal, emotional, and relational well-being. A specific problem or crisis may have driven you to seek therapy but you may find that “symptom reduction” is only part of the journey we will take toward wholeness.
(717) 696-0961 View (717) 696-0961
Photo of Lilly Knopic, Licensed Professional Counselor in Lancaster, PA
Lilly Knopic
Licensed Professional Counselor, NCC, LPC
Verified Verified
1 Endorsed
Lancaster, PA 17601  (Online Only)
Many of us experience more unwanted emotions than the preferred ones, which can prompt our unhelpful reactions. If you have difficulty accepting or coping with a problem in life, I welcome you to begin therapy sessions with me. I can also support you if you’re having difficulty managing anxiety, depression, grief, or unhelpful thinking patterns.
Many of us experience more unwanted emotions than the preferred ones, which can prompt our unhelpful reactions. If you have difficulty accepting or coping with a problem in life, I welcome you to begin therapy sessions with me. I can also support you if you’re having difficulty managing anxiety, depression, grief, or unhelpful thinking patterns.
(717) 219-2354 View (717) 219-2354
Photo of In Process Counseling, Licensed Professional Counselor in Lancaster, PA
In Process Counseling
Licensed Professional Counselor
Verified Verified
1 Endorsed
Lancaster, PA 17601
In Process Counseling exists to provide quality mental health services and inspire individuals and helping professionals to engage the process of learning, healing, and holistic growth. Our vision is to transform individuals, families, and communities through mental health services, by helping clients develop their full potential to live wholeheartedly and positively impact their personal and professional circles. Our therapists focus on mental health from a holistic perspective meaning that we view people, their problems, and effective treatment from a biological, psychological, social, and spiritual perspective.
In Process Counseling exists to provide quality mental health services and inspire individuals and helping professionals to engage the process of learning, healing, and holistic growth. Our vision is to transform individuals, families, and communities through mental health services, by helping clients develop their full potential to live wholeheartedly and positively impact their personal and professional circles. Our therapists focus on mental health from a holistic perspective meaning that we view people, their problems, and effective treatment from a biological, psychological, social, and spiritual perspective.
(717) 844-9161 x6 View (717) 844-9161 x6
Photo of Katrina Hostetter, Licensed Professional Counselor in Lancaster, PA
Katrina Hostetter
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
Lancaster, PA 17601
Life can overwhelm you and feel out of control. Your life is unfulfilled. Your trust in God has dwindled and you feel passionless and weary. Worries and pressures have deadened your heart. Caring for others has lead to burn-out and lack of balance in your life. You have lost a grip of the dreams that once inspired you. Loss, disappointment, and betrayal hold you back from the life you always wanted and the confidence to grow in healthy relationships. You could join hundreds of individuals who have found hope, courage and boldness to enter life with fresh perspective and vision to become more fully who they were created to be.
Life can overwhelm you and feel out of control. Your life is unfulfilled. Your trust in God has dwindled and you feel passionless and weary. Worries and pressures have deadened your heart. Caring for others has lead to burn-out and lack of balance in your life. You have lost a grip of the dreams that once inspired you. Loss, disappointment, and betrayal hold you back from the life you always wanted and the confidence to grow in healthy relationships. You could join hundreds of individuals who have found hope, courage and boldness to enter life with fresh perspective and vision to become more fully who they were created to be.
(717) 987-6450 View (717) 987-6450
Photo of Balanced Life Counseling, Licensed Professional Counselor in Lancaster, PA
Balanced Life Counseling
Licensed Professional Counselor, LPC, LCSW, LMFT, LMT, NCHC
Verified Verified
1 Endorsed
Lancaster, PA 17601
It is our belief that we all have the capacity to change, heal and recover from all the things that life can throw at us. At Balanced Life Counseling, we strive to create a warm, welcoming, and trusting environment which allows us to work together towards your goals. Are you feeling overwhelmed by the pressures and stress of life? Has communication been difficult lately? Are you looking for support to navigate challenging situations or circumstances? Sometimes, it's about something more than change. It's about growth and we are passionate about joining with our clients in a safe and collaborative space to help empower their growth.
It is our belief that we all have the capacity to change, heal and recover from all the things that life can throw at us. At Balanced Life Counseling, we strive to create a warm, welcoming, and trusting environment which allows us to work together towards your goals. Are you feeling overwhelmed by the pressures and stress of life? Has communication been difficult lately? Are you looking for support to navigate challenging situations or circumstances? Sometimes, it's about something more than change. It's about growth and we are passionate about joining with our clients in a safe and collaborative space to help empower their growth.
(717) 539-4178 View (717) 539-4178

How does your Therapist compare?

Number of Therapists in Lancaster, PA

400+

Average cost per session

$125

Therapists in Lancaster, PA who prioritize treating:

92% Anxiety
89% Depression
81% Relationship Issues
79% Self Esteem
72% Stress
70% Coping Skills
69% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

84% Highmark
68% BlueCross and BlueShield
60% Aetna

How Therapists in Lancaster, PA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

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

How can I find a therapist in Lancaster?

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.