Therapists in Worcester, MA

Photo of Dan D'Amelio, Counselor in Worcester, MA
Dan D'Amelio
Counselor, LMHC
Verified Verified
Worcester, MA 01606  (Online Only)
Initiating therapy can be a challenging process. Whether this is your first time looking for a counselor, or you've had one before, picking who you want to work with can be daunting. The initial sessions are meant to build trust and rapport, setting the foundation for a comfortable environment to open up and share your experience.
Initiating therapy can be a challenging process. Whether this is your first time looking for a counselor, or you've had one before, picking who you want to work with can be daunting. The initial sessions are meant to build trust and rapport, setting the foundation for a comfortable environment to open up and share your experience.
(774) 504-2783 View (774) 504-2783
Photo of Dr Claudia P Osorio Psychological Services, Psychologist in Worcester, MA
Dr Claudia P Osorio Psychological Services
Psychologist, PsyD
Verified Verified
Worcester, MA 01605  (Online Only)
Providing Answers on Your Journey! Sometimes, we need another person to listen to us, provide encouragement, remind us of our potential, and help keep us on track. At Dr. Claudia P. Osorio Psychological Services, you can find a collaborative approach to help you explore your journey and support you in the process of growth. We are committed to providing you with the highest quality care possible.
Providing Answers on Your Journey! Sometimes, we need another person to listen to us, provide encouragement, remind us of our potential, and help keep us on track. At Dr. Claudia P. Osorio Psychological Services, you can find a collaborative approach to help you explore your journey and support you in the process of growth. We are committed to providing you with the highest quality care possible.
(339) 300-1241 View (339) 300-1241
Photo of Adam Nicholson, Pre-Licensed Professional in Worcester, MA
Adam Nicholson
Pre-Licensed Professional, CMHC
Verified Verified
1 Endorsed
Worcester, MA 01605
Not accepting new clients
Welcome! Since you are reading this, you may have identified aspects of your life that could be better; I want to assure you that beginning therapy is courageous. Therapy is a self-directed process where you can walk away knowing that you took the first step in participating with your life. If presented with the opportunity, I will work with you to connect with your strengths while utilizing your truth, comfortability, and resilience to support you during your journey of self-development.
Welcome! Since you are reading this, you may have identified aspects of your life that could be better; I want to assure you that beginning therapy is courageous. Therapy is a self-directed process where you can walk away knowing that you took the first step in participating with your life. If presented with the opportunity, I will work with you to connect with your strengths while utilizing your truth, comfortability, and resilience to support you during your journey of self-development.
(508) 978-5705 View (508) 978-5705
Photo of Alice Litter, Clinical Social Work/Therapist in Worcester, MA
Alice Litter
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Worcester, MA 01605  (Online Only)
Let's have a conversation. I'll offer a fresh perspective and strategies for managing anxiety, reducing relationship tensions, and coping with change. Together, we’ll focus on your strengths and explore next steps toward feeling more hopeful. I use a blend of therapeutic approaches, including cognitive behavioral and conflict resolution techniques,
Let's have a conversation. I'll offer a fresh perspective and strategies for managing anxiety, reducing relationship tensions, and coping with change. Together, we’ll focus on your strengths and explore next steps toward feeling more hopeful. I use a blend of therapeutic approaches, including cognitive behavioral and conflict resolution techniques,
(978) 716-2785 View (978) 716-2785
Photo of Amanda Shaw, Clinical Social Work/Therapist in Worcester, MA
Amanda Shaw
Clinical Social Work/Therapist, LICSW, LADC-1
Verified Verified
2 Endorsed
Worcester, MA 01605
Not accepting new clients
Currently accepting new clients that are first responders and individuals seeking support around substance use (10/2/23). What if I told you recovery is more than sobriety and is a completely unique process? I believe everyone is in recovery from something. I support individuals in exploring, identifying, and building compassion for all parts of self allowing them to heAl. My therapeutic perspective is strongly influenced by Internal Family Systems, a non-pathologizing approach. I utilize a range of therapeutic modalities including cognitive behavioral therapy and motivational interviewing and am also trained in EMDR.
Currently accepting new clients that are first responders and individuals seeking support around substance use (10/2/23). What if I told you recovery is more than sobriety and is a completely unique process? I believe everyone is in recovery from something. I support individuals in exploring, identifying, and building compassion for all parts of self allowing them to heAl. My therapeutic perspective is strongly influenced by Internal Family Systems, a non-pathologizing approach. I utilize a range of therapeutic modalities including cognitive behavioral therapy and motivational interviewing and am also trained in EMDR.
(508) 719-6656 View (508) 719-6656
Photo of Amber Considine, Pre-Licensed Professional in Worcester, MA
Amber Considine
Pre-Licensed Professional
Verified Verified
3 Endorsed
Worcester, MA 01603  (Online Only)
I am a pre-Licensed Mental Health Counselor specializing in relationship and sex therapy. Many people tell me that I am the first person they have ever talked to about "this stuff". I primarily enjoy working with motivated clients who are interested in navigating the complexities of their intimate lives with openness and honesty. I enjoy working with individuals, couples, and multi partner relationships exploring intimacy, sexual functioning, power dynamics, and communication. My passion lies with helping others feel empowered by their sexuality and supporting the creation of sexual authenticity.
I am a pre-Licensed Mental Health Counselor specializing in relationship and sex therapy. Many people tell me that I am the first person they have ever talked to about "this stuff". I primarily enjoy working with motivated clients who are interested in navigating the complexities of their intimate lives with openness and honesty. I enjoy working with individuals, couples, and multi partner relationships exploring intimacy, sexual functioning, power dynamics, and communication. My passion lies with helping others feel empowered by their sexuality and supporting the creation of sexual authenticity.
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Photo of Dr. Jennifer James, Psychologist in Worcester, MA
Dr. Jennifer James
Psychologist, PsyD
Verified Verified
Worcester, MA 01609
Waitlist for new clients
Life can often times make us feel like a crab without a shell, being thrown around by the waves into the rocks of the jetty. For many of us, there was never a "before" period - rather, the struggle has been all one has known. Individuals born into dysfunctional family systems often find that vulnerabilities from childhood not only fail to leave us as we become adults, but often make frequent and unwelcome appearances in the form of insecurity, shame, misplaced guilt and difficulty in relationships, to name a few.
Life can often times make us feel like a crab without a shell, being thrown around by the waves into the rocks of the jetty. For many of us, there was never a "before" period - rather, the struggle has been all one has known. Individuals born into dysfunctional family systems often find that vulnerabilities from childhood not only fail to leave us as we become adults, but often make frequent and unwelcome appearances in the form of insecurity, shame, misplaced guilt and difficulty in relationships, to name a few.
(508) 456-9370 View (508) 456-9370
Photo of Karen Spinks, Counselor in Worcester, MA
Karen Spinks
Counselor, LMHC
Verified Verified
1 Endorsed
Worcester, MA 01609
I counsel both individuals and couples coping with stress, anxiety and a history of trauma. LGBTQ community welcome. Stress can trigger anger and irritability or perhaps generally feeling lost, empty, isolated or disconnected. My goal for my clients is to begin by feeling less isolated and then generally more able to navigate life’s inevitable ups and downs. We will work together to improve your communication, strengthen (and heal where necessary) interpersonal relationships and devise some coping skills that will be useful moving forward. Contemplating change takes courage but all things are possible.
I counsel both individuals and couples coping with stress, anxiety and a history of trauma. LGBTQ community welcome. Stress can trigger anger and irritability or perhaps generally feeling lost, empty, isolated or disconnected. My goal for my clients is to begin by feeling less isolated and then generally more able to navigate life’s inevitable ups and downs. We will work together to improve your communication, strengthen (and heal where necessary) interpersonal relationships and devise some coping skills that will be useful moving forward. Contemplating change takes courage but all things are possible.
(781) 336-0091 View (781) 336-0091
Photo of Cassandra Elliot, Clinical Social Work/Therapist in Worcester, MA
Cassandra Elliot
Clinical Social Work/Therapist, LCSW
Verified Verified
Worcester, MA 01605
I enjoy working with youth and young adults (ages 15-22) who are trying to make good choices and move forward in life but encounter barriers such as mental health difficulties or extenuating circumstances that can interfere with progress. Goals for the clients I’d like to serve could look like attending school regularly, graduating high school, applying to college, learning a vocation, entering the workforce, living independently, or having healthy relationships. Clients may be seeking mental health services to help them navigate and adjust to life changes in productive ways that promote personal growth.
I enjoy working with youth and young adults (ages 15-22) who are trying to make good choices and move forward in life but encounter barriers such as mental health difficulties or extenuating circumstances that can interfere with progress. Goals for the clients I’d like to serve could look like attending school regularly, graduating high school, applying to college, learning a vocation, entering the workforce, living independently, or having healthy relationships. Clients may be seeking mental health services to help them navigate and adjust to life changes in productive ways that promote personal growth.
(508) 501-6614 View (508) 501-6614
Photo of Kasey Pendexter, Marriage & Family Therapist in Worcester, MA
Kasey Pendexter
Marriage & Family Therapist, LMFT, LMHC, CCTP-II
Verified Verified
3 Endorsed
Worcester, MA 01609
Not accepting new clients
With an extensive history of working with trauma-impacted youth and adults, I look to bring peace and healing using a multi-faceted approach. Most of us go through life with our bodies and minds disengaged from one another; I believe we must bridge that gap in order to build & protect our internal peace. As an RPCV in West Africa to working with Deaf youth, I have been humbled to to align and ally myself with beautiful populations and cultures and believe that therapeutic rapport is the key to working towards goals set by my clients.
With an extensive history of working with trauma-impacted youth and adults, I look to bring peace and healing using a multi-faceted approach. Most of us go through life with our bodies and minds disengaged from one another; I believe we must bridge that gap in order to build & protect our internal peace. As an RPCV in West Africa to working with Deaf youth, I have been humbled to to align and ally myself with beautiful populations and cultures and believe that therapeutic rapport is the key to working towards goals set by my clients.
(774) 425-7451 View (774) 425-7451
Photo of Perseverance Clinical Services, LLC , Counselor in Worcester, MA
Perseverance Clinical Services, LLC
Counselor, LMHC
Verified Verified
1 Endorsed
Worcester, MA 01605
" I am a dedicated and skilled Christian counselor with experience providing care for children, teenagers, and adults. I have experience treating individuals diagnosed with anxiety, trauma-related issues, depression, borderline personality, attention deficit disorder, oppositional defiant disorder, bipolar disorder, and adjustment disorders. I have experience providing individual and couples therapy. I recognize that my clients are able to make progress in treatment when they are open, ready, and able to commit to making changes in their lives. I am trained, experienced, and prepared to help my clients function better physically, emotionally, and spiritually."
" I am a dedicated and skilled Christian counselor with experience providing care for children, teenagers, and adults. I have experience treating individuals diagnosed with anxiety, trauma-related issues, depression, borderline personality, attention deficit disorder, oppositional defiant disorder, bipolar disorder, and adjustment disorders. I have experience providing individual and couples therapy. I recognize that my clients are able to make progress in treatment when they are open, ready, and able to commit to making changes in their lives. I am trained, experienced, and prepared to help my clients function better physically, emotionally, and spiritually."
(508) 507-8461 View (508) 507-8461
Photo of Theodore Ng, Clinical Social Work/Therapist in Worcester, MA
Theodore Ng
Clinical Social Work/Therapist, LICSW
Verified Verified
Worcester, MA 01601  (Online Only)
Life can be challenging, but everyone deserves a listening ear. Whether you are going through a personal loss, relationship struggle, job transition, or difficulty managing your individual circumstances; I want to be that support for you.
Life can be challenging, but everyone deserves a listening ear. Whether you are going through a personal loss, relationship struggle, job transition, or difficulty managing your individual circumstances; I want to be that support for you.
(508) 501-0235 View (508) 501-0235
Photo of W Rachel Krenis, Counselor in Worcester, MA
W Rachel Krenis
Counselor, MA, LMHC
Verified Verified
Worcester, MA 01603  (Online Only)
Are you looking for culturally sensitive, creative therapy? I provide culturally sensitive support to individuals seeking virtual counseling for depression, anxiety, transitions, inner peace-finding, and life coaching and planning. I help my clients feel more comfortable within their own bodies and life. I specialize in women's issues, stress and relationship issues. I also support art therapy and helping clients create safe comfortable spaces for everyday living through home design planning. I also provide support to other mental health LMHC professionals who need supervision towards licensure.
Are you looking for culturally sensitive, creative therapy? I provide culturally sensitive support to individuals seeking virtual counseling for depression, anxiety, transitions, inner peace-finding, and life coaching and planning. I help my clients feel more comfortable within their own bodies and life. I specialize in women's issues, stress and relationship issues. I also support art therapy and helping clients create safe comfortable spaces for everyday living through home design planning. I also provide support to other mental health LMHC professionals who need supervision towards licensure.
(774) 479-4199 View (774) 479-4199
Photo of Christina Comeau, Pre-Licensed Professional in Worcester, MA
Christina Comeau
Pre-Licensed Professional
Verified Verified
Worcester, MA 01605
Christina Comeau is a Licensed Mental Health Counselor candidate with 6 years of mental and behavioral health experience. She has provided in-home services for children with behavioral issues, performing family therapy, some couples counseling, and individual therapy. She also has training and experience in treating OCD. She is most passionate about helping adolescents, young adults, and families recognize unhealthy patterns and improve their daily functioning. Christina has a Master of Science in Counseling from Fitchburg State University and a Bachelor's in Early Childhood Education and Master of Education from Lesley University.
Christina Comeau is a Licensed Mental Health Counselor candidate with 6 years of mental and behavioral health experience. She has provided in-home services for children with behavioral issues, performing family therapy, some couples counseling, and individual therapy. She also has training and experience in treating OCD. She is most passionate about helping adolescents, young adults, and families recognize unhealthy patterns and improve their daily functioning. Christina has a Master of Science in Counseling from Fitchburg State University and a Bachelor's in Early Childhood Education and Master of Education from Lesley University.
(508) 709-1709 View (508) 709-1709
Photo of Brittany Ford Petty, Clinical Social Work/Therapist in Worcester, MA
Brittany Ford Petty
Clinical Social Work/Therapist, LICSW, E-RYT, IINHC
Verified Verified
Worcester, MA 01609
Waitlist for new clients
It is with gratitude that I hold space for you. The therapeutic relationship is an important tool used to build a solid and trusting relationship with yourself, the world around you, and the people within it. I work with humans who may be struggling to cope with life's unpredictable and impermanent nature, with life transitions, anxiety, grief, trauma, and other forms of emotional pain. I provide a safe, non-judgmental space to explore patterns of thinking and living that have hindered your growth and prevented you from engaging wholeheartedly in your life.
It is with gratitude that I hold space for you. The therapeutic relationship is an important tool used to build a solid and trusting relationship with yourself, the world around you, and the people within it. I work with humans who may be struggling to cope with life's unpredictable and impermanent nature, with life transitions, anxiety, grief, trauma, and other forms of emotional pain. I provide a safe, non-judgmental space to explore patterns of thinking and living that have hindered your growth and prevented you from engaging wholeheartedly in your life.
(508) 978-6170 View (508) 978-6170
Photo of Kayla Christie, Clinical Social Work/Therapist in Worcester, MA
Kayla Christie
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Worcester, MA 01604  (Online Only)
I am a dedicated social worker passionate about working with adolescents, adults, and those struggling with chronic pain. Chronic pain can be persistent and debilitating which deeply impacts our mental health. As a person living with fibromyalgia, I am acutely aware to the day to day struggles chronic pain can bring. It’s important to me that I work with a comprehensive approach to treatment that addresses both aspects of well being. Additionally, I use evidence based techniques such as Cognitive Behavioral Therapy, trauma-informed care, and a focus on strengths to guide my practice.
I am a dedicated social worker passionate about working with adolescents, adults, and those struggling with chronic pain. Chronic pain can be persistent and debilitating which deeply impacts our mental health. As a person living with fibromyalgia, I am acutely aware to the day to day struggles chronic pain can bring. It’s important to me that I work with a comprehensive approach to treatment that addresses both aspects of well being. Additionally, I use evidence based techniques such as Cognitive Behavioral Therapy, trauma-informed care, and a focus on strengths to guide my practice.
(508) 978-1004 View (508) 978-1004
Photo of Jamiere Trifilio, Counselor in Worcester, MA
Jamiere Trifilio
Counselor, LMHC
Verified Verified
Worcester, MA 01605  (Online Only)
Jamiere Trifilio is a Licensed Mental Health Counselor with 5 years of experience in outpatient therapy. Jamiere believes in client-centered therapy where clients are actively involved in their treatment. Jamiere also believes in an empathetic approach to therapy where a client feels safe, heard, and seen. Being a black woman in America gives Jamiere a unique perspective on life and growth. It has helped her grow as a therapist and have compassion toward humanity. Jamiere specializes in women's mental health for depression, anxiety, mood disorders, post-traumatic stress disorder, LGBTQ+ issues, pregnancy, postpartum, and stress.
Jamiere Trifilio is a Licensed Mental Health Counselor with 5 years of experience in outpatient therapy. Jamiere believes in client-centered therapy where clients are actively involved in their treatment. Jamiere also believes in an empathetic approach to therapy where a client feels safe, heard, and seen. Being a black woman in America gives Jamiere a unique perspective on life and growth. It has helped her grow as a therapist and have compassion toward humanity. Jamiere specializes in women's mental health for depression, anxiety, mood disorders, post-traumatic stress disorder, LGBTQ+ issues, pregnancy, postpartum, and stress.
(508) 978-2078 View (508) 978-2078
Photo of Marcia Joan Amarsingh, Drug & Alcohol Counselor in Worcester, MA
Marcia Joan Amarsingh
Drug & Alcohol Counselor, MSc, LADC- 1, CDP, CADC
Verified Verified
Worcester, MA 01608
I am an Independently licensed Substance Abuse Therapist operating and managing a multi-modal group practice. I have extensive experience in evaluating and treating substance abuse and mental illness, detoxification, rehabilitation, in home services and corrections. I believe it is important in treating individuals using a multi-modal approach .
I am an Independently licensed Substance Abuse Therapist operating and managing a multi-modal group practice. I have extensive experience in evaluating and treating substance abuse and mental illness, detoxification, rehabilitation, in home services and corrections. I believe it is important in treating individuals using a multi-modal approach .
(508) 338-4797 View (508) 338-4797
Photo of Amanda Russo-Folco, Counselor in Worcester, MA
Amanda Russo-Folco
Counselor, LMHC
Verified Verified
Worcester, MA 01604  (Online Only)
Waitlist for new clients
Welcome! I am so happy you’re here. I am a licensed mental health counselor working with individuals struggling with a variety of mental health disorders such as anxiety, depression, trauma, low self-esteem, and identity/life challenges. In sessions, we will work together to identify and address any challenges/stressors you may be facing, and develop skills and strategies to manage your symptoms and improve your overall well-being. I also strive to empower my clients to take an active role in their own healing journey, and to help them develop a greater understanding of themselves and their relationships.
Welcome! I am so happy you’re here. I am a licensed mental health counselor working with individuals struggling with a variety of mental health disorders such as anxiety, depression, trauma, low self-esteem, and identity/life challenges. In sessions, we will work together to identify and address any challenges/stressors you may be facing, and develop skills and strategies to manage your symptoms and improve your overall well-being. I also strive to empower my clients to take an active role in their own healing journey, and to help them develop a greater understanding of themselves and their relationships.
(774) 341-4670 View (774) 341-4670
Photo of Tara Ammersen, Clinical Social Work/Therapist in Worcester, MA
Tara Ammersen
Clinical Social Work/Therapist, LICSW, LCSW, CMIP, CCTP
Verified Verified
Worcester, MA 01602  (Online Only)
Whatever the path may be that brought you here, I am ready to listen with an open mind. Whether you are struggling with discontentment in your life, relationships, transitioning careers, seeking balance, or looking to better manage everyday stress, I am here to guide you through the process. Collaboratively, we will work towards balance with your individualized goals as our priority. In today's world especially, meeting virtually via Telehealth can provide a safe, secure, and convenient method to meet the needs of your busy and demanding daily life.
Whatever the path may be that brought you here, I am ready to listen with an open mind. Whether you are struggling with discontentment in your life, relationships, transitioning careers, seeking balance, or looking to better manage everyday stress, I am here to guide you through the process. Collaboratively, we will work towards balance with your individualized goals as our priority. In today's world especially, meeting virtually via Telehealth can provide a safe, secure, and convenient method to meet the needs of your busy and demanding daily life.
(508) 731-8805 View (508) 731-8805

How does your Therapist compare?

Number of Therapists in Worcester, MA

600+

Average cost per session

$150

Therapists in Worcester, MA who prioritize treating:

91% Anxiety
87% Depression
68% Coping Skills
68% Self Esteem
66% Relationship Issues
65% Trauma and PTSD
65% Stress

Average years in practice

12 Years

Top 3 insurances accepted

86% BlueCross and BlueShield
67% UnitedHealthcare UHC | UBH
61% Optum

How Therapists in Worcester, MA see their clients

54% Online Only
46% In Person and Online

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Worcester?

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.