Therapists in State College, PA

Photo of Jessica N Namias, Licensed Professional Counselor in State College, PA
Jessica N Namias
Licensed Professional Counselor, LPC
Verified Verified
State College, PA 16801
I have 15 years of experience working with children and adults of diverse backgrounds. I have helped clients with issues including, but not limited to, depression, anxiety, anger management, addiction, stress & time management, relationship concerns, general communication skills, and spiritual and religious concerns/inquiry.
I have 15 years of experience working with children and adults of diverse backgrounds. I have helped clients with issues including, but not limited to, depression, anxiety, anger management, addiction, stress & time management, relationship concerns, general communication skills, and spiritual and religious concerns/inquiry.
(814) 250-8169 View (814) 250-8169
Photo of Cody D Bair, Clinical Social Work/Therapist in State College, PA
Cody D Bair
Clinical Social Work/Therapist, LCSW
Verified Verified
State College, PA 16801
Not accepting new clients
Life is like a nature hike and sometimes, depending on the terrain, we need a walking stick. I view my role as a therapist as that of the walking stick. I am here to assist you on your journey and offer support in achieving your goal(s). We may examine a variety of issues such as anxiety, depression, divorce reaction, LGBTQ2S+, anger, grief boundary-setting and more. My goal is to create a comfortable environment where you feel heard, deeply understood and supported to do the work that will provide you with a firmer sense of self.
Life is like a nature hike and sometimes, depending on the terrain, we need a walking stick. I view my role as a therapist as that of the walking stick. I am here to assist you on your journey and offer support in achieving your goal(s). We may examine a variety of issues such as anxiety, depression, divorce reaction, LGBTQ2S+, anger, grief boundary-setting and more. My goal is to create a comfortable environment where you feel heard, deeply understood and supported to do the work that will provide you with a firmer sense of self.
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Photo of Jessica Jemmott | The Lamp Counseling Center, Licensed Professional Counselor in State College, PA
Jessica Jemmott | The Lamp Counseling Center
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
State College, PA 16801  (Online Only)
Welcome to The Lamp Counseling Center. We strive to create a caring environment where you feel safe, seen, and heard during your journey of healing and personal growth. We will collaboratively engage in a variety of traditional and non-traditional approaches including culturally affirming Cognitive Therapy (CBT), Expressive Therapies and Trauma-Informed Mindfulness. Healing starts here.
Welcome to The Lamp Counseling Center. We strive to create a caring environment where you feel safe, seen, and heard during your journey of healing and personal growth. We will collaboratively engage in a variety of traditional and non-traditional approaches including culturally affirming Cognitive Therapy (CBT), Expressive Therapies and Trauma-Informed Mindfulness. Healing starts here.
(610) 756-1539 View (610) 756-1539
Photo of Heidi Christy, Clinical Social Work/Therapist in State College, PA
Heidi Christy
Clinical Social Work/Therapist, LCSW
Verified Verified
State College, PA 16803
My primary areas of interest include anxiety, depression, and Anxiety related to sports performance. I use a mindfulness-based holistic approach to assist in goal achievement. I believe in the impact that a healthy lifestyle has in every area of life. I promote empowerment, dignity, and respect for all clients, regardless of age, race, gender, background or sexual orientation.
My primary areas of interest include anxiety, depression, and Anxiety related to sports performance. I use a mindfulness-based holistic approach to assist in goal achievement. I believe in the impact that a healthy lifestyle has in every area of life. I promote empowerment, dignity, and respect for all clients, regardless of age, race, gender, background or sexual orientation.
(412) 903-9646 View (412) 903-9646
Photo of Mary Ann Gastiger, Clinical Social Work/Therapist in State College, PA
Mary Ann Gastiger
Clinical Social Work/Therapist, MSW, LCSW, CCTP
Verified Verified
State College, PA 16801
My experience in the field of mental health extends over thirty years. I specialize in working with those who suffer from anxiety, depression, mood disorders, ADHD, and trauma, but also, a number of other issues which brings people to treatment who are looking for relief from their symptoms.
My experience in the field of mental health extends over thirty years. I specialize in working with those who suffer from anxiety, depression, mood disorders, ADHD, and trauma, but also, a number of other issues which brings people to treatment who are looking for relief from their symptoms.
(814) 324-9540 View (814) 324-9540
Photo of Anxiety and Burnout Therapist , Pre-Licensed Professional in State College, PA
Anxiety and Burnout Therapist
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
State College, PA 16801  (Online Only)
Welcome to a space where your ambitions are not just acknowledged but celebrated. Life is fast-paced, and for those who are constantly on the move, finding time for self-care and personal growth can be challenging. As your therapist, I understand the demands of a busy life and offer non-traditional hours to ensure that you can prioritize your mental well-being in a way that fits the needs of your schedule.
Welcome to a space where your ambitions are not just acknowledged but celebrated. Life is fast-paced, and for those who are constantly on the move, finding time for self-care and personal growth can be challenging. As your therapist, I understand the demands of a busy life and offer non-traditional hours to ensure that you can prioritize your mental well-being in a way that fits the needs of your schedule.
(267) 429-4687 View (267) 429-4687
Photo of Antoinette Donofrio, Pre-Licensed Professional in State College, PA
Antoinette Donofrio
Pre-Licensed Professional, MA
Verified Verified
State College, PA 16803  (Online Only)
Not accepting new clients
Have you been wanting to address difficult feelings or make needed changes? Struggling to identify barriers or cope with anxiety, depression, or other distressing transitions keeping you from your best life? I offer an open and nonjudgmental space to explore what has been and co-create what could be through self-awareness. I utilize a variety of therapeutic and creative methods to help untangle life’s branches and uncover the root of your suffering. As a current masters-level clinician and doctoral candidate, I am a compassionate thought partner helping to carve a trail towards liberation, healing, and wholeness.
Have you been wanting to address difficult feelings or make needed changes? Struggling to identify barriers or cope with anxiety, depression, or other distressing transitions keeping you from your best life? I offer an open and nonjudgmental space to explore what has been and co-create what could be through self-awareness. I utilize a variety of therapeutic and creative methods to help untangle life’s branches and uncover the root of your suffering. As a current masters-level clinician and doctoral candidate, I am a compassionate thought partner helping to carve a trail towards liberation, healing, and wholeness.
(412) 275-5240 View (412) 275-5240
Photo of Shawna L McKean, Licensed Professional Counselor in State College, PA
Shawna L McKean
Licensed Professional Counselor, LPC, MEd, NCC
Verified Verified
State College, PA 16801
I employ a holistic approach enabling the client to heal in their own time within a safe, understanding and caring environment. In relationship therapy, I assist couples in doing the work needed to heal their relationship and move forward, with healthier communication and expectations. Healing from sexual abuse is a painful journey. I have experience in working with both victims and perpetrators, which gives me a unique perspective and understanding to assist you in your healing journey.
I employ a holistic approach enabling the client to heal in their own time within a safe, understanding and caring environment. In relationship therapy, I assist couples in doing the work needed to heal their relationship and move forward, with healthier communication and expectations. Healing from sexual abuse is a painful journey. I have experience in working with both victims and perpetrators, which gives me a unique perspective and understanding to assist you in your healing journey.
(814) 359-7244 View (814) 359-7244
Photo of Molly St. Cyr, Licensed Professional Counselor in State College, PA
Molly St. Cyr
Licensed Professional Counselor, MEd, LPC
Verified Verified
State College, PA 16802  (Online Only)
You don't have to be at "rock bottom" to start therapy. I help men and women make space for healing & growth within a busy week. My clients are often looking to find new direction within their career or relationship, heal their inner wounds, make meaning out of a difficult change they’re facing, or trying to uncover what's really going on. You may be feeling “okay,” but imagine the possibility of feeling even more like your true self. Therapy does not require a formal mental health diagnosis or crisis situation. Everyone deserves the opportunity to explore themselves and therapy is a good place to start.
You don't have to be at "rock bottom" to start therapy. I help men and women make space for healing & growth within a busy week. My clients are often looking to find new direction within their career or relationship, heal their inner wounds, make meaning out of a difficult change they’re facing, or trying to uncover what's really going on. You may be feeling “okay,” but imagine the possibility of feeling even more like your true self. Therapy does not require a formal mental health diagnosis or crisis situation. Everyone deserves the opportunity to explore themselves and therapy is a good place to start.
(717) 910-6627 View (717) 910-6627
Photo of Kiersten E. Carper, Pre-Licensed Professional in State College, PA
Kiersten E. Carper
Pre-Licensed Professional, MA
Verified Verified
State College, PA 16801  (Online Only)
Immediate availability for AETNA and SELF-PAY clients. Not feeling comfortable in your own skin? Struggling to adjust to life changes? These are normal parts of the human experience, but sometimes they strain our typical ability to cope. Too often, we blame ourselves for our own suffering. But in blaming ourselves, we miss plenty of nuance and deny the real causes of pain. My passion is to support you as you grow into the best version of yourself. Together, we’ll explore your story. As we go down this exciting road, I’ll help you create your own life narrative which works for you.
Immediate availability for AETNA and SELF-PAY clients. Not feeling comfortable in your own skin? Struggling to adjust to life changes? These are normal parts of the human experience, but sometimes they strain our typical ability to cope. Too often, we blame ourselves for our own suffering. But in blaming ourselves, we miss plenty of nuance and deny the real causes of pain. My passion is to support you as you grow into the best version of yourself. Together, we’ll explore your story. As we go down this exciting road, I’ll help you create your own life narrative which works for you.
(412) 776-0249 View (412) 776-0249
Photo of Tiffany Song, Clinical Social Work/Therapist in State College, PA
Tiffany Song
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
State College, PA 16801
I have a waitlist. Are you looking to free yourself from anxiety? Are you avoiding places, things, or situations because you might have a panic attack? Are obsessive thoughts and compulsions pulling you further and further away from enjoining your life? Anxiety seems to have a way of creating rules that people need to follow just to keep it all together. The problem is, the more we follow anxiety's rules, the more powerful it becomes. It can start to feel like your life has gotten smaller, more rigid, even less fun as the anxiety continues to grow. If you have found my page, then you are likely hoping to take your life back.
I have a waitlist. Are you looking to free yourself from anxiety? Are you avoiding places, things, or situations because you might have a panic attack? Are obsessive thoughts and compulsions pulling you further and further away from enjoining your life? Anxiety seems to have a way of creating rules that people need to follow just to keep it all together. The problem is, the more we follow anxiety's rules, the more powerful it becomes. It can start to feel like your life has gotten smaller, more rigid, even less fun as the anxiety continues to grow. If you have found my page, then you are likely hoping to take your life back.
(412) 844-5460 View (412) 844-5460
Photo of Jenna Mueller, Licensed Professional Counselor in State College, PA
Jenna Mueller
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
State College, PA 16803
Are you feeling overwhelmed, anxious, and struggling to manage the day-to-day stressors? Are you feeling upset or overwhelmed regarding the state of change currently surrounding us? Do you feel like the day-to-day stressors are overtaking your ability to cope and utilize effective coping strategies? Are you interested in wanting to learn more about yourself, your talents, meeting your own goals and dreams and getting out of the feelings of being stuck?
Are you feeling overwhelmed, anxious, and struggling to manage the day-to-day stressors? Are you feeling upset or overwhelmed regarding the state of change currently surrounding us? Do you feel like the day-to-day stressors are overtaking your ability to cope and utilize effective coping strategies? Are you interested in wanting to learn more about yourself, your talents, meeting your own goals and dreams and getting out of the feelings of being stuck?
(814) 250-8359 View (814) 250-8359
Photo of Emily Askin, Psychologist in State College, PA
Emily Askin
Psychologist, PhD
Verified Verified
1 Endorsed
State College, PA 16803
As a licensed psychologist and clinical neuropsychologist, I have over 22 years of experience working as a therapist, evaluator, and consultant. My work with Hope and Healing involves providing support to individuals aged 16 and up who are experiencing a range of issues such as anxiety, depression, stress, loneliness, and major life transitions. With a firm grounding in Cognitive Behavioral Therapy (CBT), I believe that effective therapy is only possible through the establishment of a mutually respectful, honest, and nonjudgmental therapeutic partnership.
As a licensed psychologist and clinical neuropsychologist, I have over 22 years of experience working as a therapist, evaluator, and consultant. My work with Hope and Healing involves providing support to individuals aged 16 and up who are experiencing a range of issues such as anxiety, depression, stress, loneliness, and major life transitions. With a firm grounding in Cognitive Behavioral Therapy (CBT), I believe that effective therapy is only possible through the establishment of a mutually respectful, honest, and nonjudgmental therapeutic partnership.
(814) 501-5418 View (814) 501-5418
Photo of Dr. Jennifer Harp, Psychologist in State College, PA
Dr. Jennifer Harp
Psychologist, PhD, CGP
Verified Verified
State College, PA 16801
Waitlist for new clients
Dr. Jennifer Harp provides depth-oriented, psychodynamic consultation and psychotherapy that includes respectful and sensitive exploration of your concerns and related areas of challenge or difficulty. While providing focus and structure for therapeutic work, Dr. Harp also values and emphasizes your unique contributions to the process including your own particular insights, perspectives, and experiences. Treatment approaches include Individual, Couple, and Group Psychotherapy. Dr. Harp is also a Certified Group Psychotherapist and a practitioner of Mindfulness-based and Contemplative Psychotherapy.
Dr. Jennifer Harp provides depth-oriented, psychodynamic consultation and psychotherapy that includes respectful and sensitive exploration of your concerns and related areas of challenge or difficulty. While providing focus and structure for therapeutic work, Dr. Harp also values and emphasizes your unique contributions to the process including your own particular insights, perspectives, and experiences. Treatment approaches include Individual, Couple, and Group Psychotherapy. Dr. Harp is also a Certified Group Psychotherapist and a practitioner of Mindfulness-based and Contemplative Psychotherapy.
(814) 813-2450 View (814) 813-2450
Photo of Andrew J Kohlhepp, Licensed Professional Counselor in State College, PA
Andrew J Kohlhepp
Licensed Professional Counselor, LPC, MS
Verified Verified
State College, PA 16801
Are you trying to find purpose and meaning in your iife? Are you trying to overcome some sort of loss? Is anxiety and depression have a grip and just won't release? Does addiction have a grip? Have you experienced trama? Give me a call and we can figure out a plan and course of recovery....so you can find happiness and contentment again..
Are you trying to find purpose and meaning in your iife? Are you trying to overcome some sort of loss? Is anxiety and depression have a grip and just won't release? Does addiction have a grip? Have you experienced trama? Give me a call and we can figure out a plan and course of recovery....so you can find happiness and contentment again..
(814) 200-1618 View (814) 200-1618
Photo of Brain Advances LLC, Clinical Social Work/Therapist in State College, PA
Brain Advances LLC
Clinical Social Work/Therapist, LCSW, BCN, QEEG-DL, MEd
Verified Verified
State College, PA 16801
With over thirty years of experience in working with a broad range of mental health issues, Rhonda Mateer Ross is a skilled provider of psychotherapy and neurofeedback. Infra Slow Fluctuation Neurofeedback (Google Mark Smith) is especially powerful with autism, bowel issues, migraines, Raynauld's Syndrome, anxiety, sleep disturbances and mood disorders. She is also certified in the Polyvagal Safe and Sound Protocol (SSP) which is especially helpful with autism, trauma and anxiety.
With over thirty years of experience in working with a broad range of mental health issues, Rhonda Mateer Ross is a skilled provider of psychotherapy and neurofeedback. Infra Slow Fluctuation Neurofeedback (Google Mark Smith) is especially powerful with autism, bowel issues, migraines, Raynauld's Syndrome, anxiety, sleep disturbances and mood disorders. She is also certified in the Polyvagal Safe and Sound Protocol (SSP) which is especially helpful with autism, trauma and anxiety.
(814) 209-4623 View (814) 209-4623
Photo of Open Space Counseling, Consulting & Wellness, Licensed Professional Counselor in State College, PA
Open Space Counseling, Consulting & Wellness
Licensed Professional Counselor, MSW
Verified Verified
1 Endorsed
State College, PA 16801
Open Space CCW is a LGBTQIA+ competent, relationship minority affirming, and social justice-oriented practice. Our goal is to eliminate fear of judgement as a barrier to personal growth and wellness. We help people move from merely surviving their lives—to truly thriving. FINALLY. We want people to walk in and feel—in their gut—genuinely welcomed with open arms and open minds. We want people to finally LET GO of the things that have been weighing them down—unabashedly and without hesitation. Our clinicians show up authentically, so that you feel like you can, too. NOTHING is off limits around here. We are holding this space for you.
Open Space CCW is a LGBTQIA+ competent, relationship minority affirming, and social justice-oriented practice. Our goal is to eliminate fear of judgement as a barrier to personal growth and wellness. We help people move from merely surviving their lives—to truly thriving. FINALLY. We want people to walk in and feel—in their gut—genuinely welcomed with open arms and open minds. We want people to finally LET GO of the things that have been weighing them down—unabashedly and without hesitation. Our clinicians show up authentically, so that you feel like you can, too. NOTHING is off limits around here. We are holding this space for you.
(724) 777-1433 View (724) 777-1433
Photo of Dr. Shannon Coleman, Psychologist in State College, PA
Dr. Shannon Coleman
Psychologist, PhD
Verified Verified
2 Endorsed
State College, PA 16801  (Online Only)
Dr. Shannon Coleman is a licensed clinical psychologist who provides virtual psychotherapy to adults and couples. Dr. Coleman received her undergraduate degree from Brown University and her Ph.D. in clinical psychology from Binghamton University (SUNY). With over 15 years of experience, Dr. Coleman specializes in evidence-based treatment of post-traumatic stress disorder (PTSD), grief, anxiety (e.g., social anxiety, OCD), depression, anger, relationship conflict, and coping with life stressors.
Dr. Shannon Coleman is a licensed clinical psychologist who provides virtual psychotherapy to adults and couples. Dr. Coleman received her undergraduate degree from Brown University and her Ph.D. in clinical psychology from Binghamton University (SUNY). With over 15 years of experience, Dr. Coleman specializes in evidence-based treatment of post-traumatic stress disorder (PTSD), grief, anxiety (e.g., social anxiety, OCD), depression, anger, relationship conflict, and coping with life stressors.
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Photo of Dempsey Young, Psychologist in State College, PA
Dempsey Young
Psychologist, PsyD
Verified Verified
2 Endorsed
State College, PA 16803  (Online Only)
I truly believe that one of the bravest things you can do is to begin to understand your own story. From this understanding and processing of your unique story, you can let go of traumas that control you, anxiety and depression road blocks, bad relationships, and overall the emotional pain that may prevent you from living a happy and fulfilling life that gets you excited to wake up to everyday. I want you to be free of that pain so that you can find meaning, excitement, and purpose in work, friendships, relationships, family, and really ALL areas of your life. You DESERVE this and I'm here to help you on this healing journey!
I truly believe that one of the bravest things you can do is to begin to understand your own story. From this understanding and processing of your unique story, you can let go of traumas that control you, anxiety and depression road blocks, bad relationships, and overall the emotional pain that may prevent you from living a happy and fulfilling life that gets you excited to wake up to everyday. I want you to be free of that pain so that you can find meaning, excitement, and purpose in work, friendships, relationships, family, and really ALL areas of your life. You DESERVE this and I'm here to help you on this healing journey!
(814) 831-7352 View (814) 831-7352
Photo of Hillary Goldsmith in State College, PA
Hillary Goldsmith
MSW, LSW
Verified Verified
State College, PA 16801
Whether past trauma or current feelings of anxiety/depression brought you here, assessing your emotional needs and creating boundaries to promote emotional wellness is difficult. Often, it’s even more arduous to maintain that wellness. I center my practice around helping you understand personal accountability in a safe, empathetic, welcoming space. Using your strengths, emotional resilience, and willingness to heal, I will guide you through processing trauma and emotional challenges to make changes that permanently stick. You deserve peace in your own life and relationships; I am ready to make that leap with you.
Whether past trauma or current feelings of anxiety/depression brought you here, assessing your emotional needs and creating boundaries to promote emotional wellness is difficult. Often, it’s even more arduous to maintain that wellness. I center my practice around helping you understand personal accountability in a safe, empathetic, welcoming space. Using your strengths, emotional resilience, and willingness to heal, I will guide you through processing trauma and emotional challenges to make changes that permanently stick. You deserve peace in your own life and relationships; I am ready to make that leap with you.
(814) 791-6751 View (814) 791-6751

See more therapy options for State College

How does your Therapist compare?

Number of Therapists in State College, PA

100+

Average cost per session

$128

Therapists in State College, PA who prioritize treating:

96% Anxiety
91% Depression
82% Self Esteem
78% Relationship Issues
77% Stress
72% Trauma and PTSD
70% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

84% Aetna
77% Highmark
64% BlueCross and BlueShield

How Therapists in State College, PA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

78% Female
18% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in State College?

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.