Therapists in Bronx County, NY

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Photo of Scott Altabet, Clinical Social Work/Therapist in Bronx County, NY
Scott Altabet
Clinical Social Work/Therapist, LCSW, DCSW, ACSW
Verified Verified
Bronx, NY 10469
I have seen clients in the Pelham Parkway section of the Bronx for over 20 years. Do you have a child struggling with academic and/or behavioral issues? Are you the parent of a child with difficulties trying to enhance your parenting skills or get help for your own emotional needs? Are you an adult trying to cope with your own work or life stresses, or other emotional issues? I have a very consumer-oriented focus--you are coming to me for help and we are going to work together as a team to deal with your concerns. Call me.
I have seen clients in the Pelham Parkway section of the Bronx for over 20 years. Do you have a child struggling with academic and/or behavioral issues? Are you the parent of a child with difficulties trying to enhance your parenting skills or get help for your own emotional needs? Are you an adult trying to cope with your own work or life stresses, or other emotional issues? I have a very consumer-oriented focus--you are coming to me for help and we are going to work together as a team to deal with your concerns. Call me.
(917) 521-6770 View (917) 521-6770
Photo of Ariella Perkes-Schreiber, Clinical Social Work/Therapist in Bronx County, NY
Ariella Perkes-Schreiber
Clinical Social Work/Therapist, LCSW
Verified Verified
Bronx, NY 10471  (Online Only)
Life often presents us with challenges, but no difficult experience is meaningless if we use it to grow. I support teens and adults work through issues including depression, anxiety, disordered eating, trauma and adjustment issues including pregnancy and postpartum related concerns. Whether your concern is current or pervasive, we can work towards your healing and growth. Clients come for help with feelings of powerlessness, stress, sadness, hopelessness, low self-esteem, grief, anxiety, confusion, guilt, shame as well as relationship troubles. My goal is that you gain hope and clarity as well as tools to support ongoing change.
Life often presents us with challenges, but no difficult experience is meaningless if we use it to grow. I support teens and adults work through issues including depression, anxiety, disordered eating, trauma and adjustment issues including pregnancy and postpartum related concerns. Whether your concern is current or pervasive, we can work towards your healing and growth. Clients come for help with feelings of powerlessness, stress, sadness, hopelessness, low self-esteem, grief, anxiety, confusion, guilt, shame as well as relationship troubles. My goal is that you gain hope and clarity as well as tools to support ongoing change.
(631) 619-5622 View (631) 619-5622
Photo of Lydia Vazquez, Clinical Social Work/Therapist in Bronx County, NY
Lydia Vazquez
Clinical Social Work/Therapist, LCSW
Verified Verified
Bronx, NY 10462  (Online Only)
Sometimes there are areas in our life we would to grow, from but feel stifled by various personal barriers. My eclectic approach is to follow one's narrative in the moment and prioritize the needs of my clients. Currently, I am expanding my practice to work with folks that are homebound due to chronic illness or by the journey of getting older. I am welcoming clients particularly in the Bronx, where I can come for home visits. I am also fluent in Spanish, and have a bicultural understanding of the Latino/a experience.
Sometimes there are areas in our life we would to grow, from but feel stifled by various personal barriers. My eclectic approach is to follow one's narrative in the moment and prioritize the needs of my clients. Currently, I am expanding my practice to work with folks that are homebound due to chronic illness or by the journey of getting older. I am welcoming clients particularly in the Bronx, where I can come for home visits. I am also fluent in Spanish, and have a bicultural understanding of the Latino/a experience.
(929) 470-4035 View (929) 470-4035
Photo of Michael Schreiber, Clinical Social Work/Therapist in Bronx County, NY
Michael Schreiber
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Bronx, NY 10463
I am experienced in helping clients recapture the person they previously were. Many clients say to me, "I just want to go back to being the person I used to be", and that's exactly what we focus on. Clients also often say to me, "I just don't know what to do or what I want", and we work together until we figure out how to alleviate their confusion. We achieve this in various ways, most often through exploration of the presenting issues, examination of past relationships and significant experiences as well as decision-making and behavioral patterns.
I am experienced in helping clients recapture the person they previously were. Many clients say to me, "I just want to go back to being the person I used to be", and that's exactly what we focus on. Clients also often say to me, "I just don't know what to do or what I want", and we work together until we figure out how to alleviate their confusion. We achieve this in various ways, most often through exploration of the presenting issues, examination of past relationships and significant experiences as well as decision-making and behavioral patterns.
(914) 350-4374 View (914) 350-4374
Photo of Viviane Ouedraogo, Mental Health Counselor in Bronx County, NY
Viviane Ouedraogo
Mental Health Counselor, LMHC, LPC
Verified Verified
Bronx, NY 10452  (Online Only)
My Ideal Client is one who continuously struggles to understand why so many open wounds in their lives. One who wants their pains to be heard and their unclosed issues addressed. It may not be completely flushed out; however, during our time together I would like to support with various skills and interventions . My main focus throughout this entire process will be around supporting the client’s thoughts, feelings and overall understanding that comes attached to the hurt that has been a barrier in their lives. This is a journey of discovery and healing until goal/goals has been obtained.
My Ideal Client is one who continuously struggles to understand why so many open wounds in their lives. One who wants their pains to be heard and their unclosed issues addressed. It may not be completely flushed out; however, during our time together I would like to support with various skills and interventions . My main focus throughout this entire process will be around supporting the client’s thoughts, feelings and overall understanding that comes attached to the hurt that has been a barrier in their lives. This is a journey of discovery and healing until goal/goals has been obtained.
(347) 625-8944 View (347) 625-8944
Photo of Barbara H Gold, Clinical Social Work/Therapist in Bronx County, NY
Barbara H Gold
Clinical Social Work/Therapist, LCSW
Verified Verified
Bronx, NY 10464  (Online Only)
Anxiety and Depression are on the rise in our current era of unprecedented stress. Do you need someone to talk to about your worries - someone well trained, compassionate and objective? It's often best not to burden friends and family who are not trained to offer more than love and support, also essential. And, of course, you may also want help accomplishing your personal goals. Perhaps your efforts are thwarted by remnants of the past - neglect, abuse, trauma.
Anxiety and Depression are on the rise in our current era of unprecedented stress. Do you need someone to talk to about your worries - someone well trained, compassionate and objective? It's often best not to burden friends and family who are not trained to offer more than love and support, also essential. And, of course, you may also want help accomplishing your personal goals. Perhaps your efforts are thwarted by remnants of the past - neglect, abuse, trauma.
(646) 606-2675 View (646) 606-2675
Applied Behavioral Sciences
Clinical Social Work/Therapist
Verified Verified
Bronx, NY 10457
The team of doctors therapists & counselors & ABS have decades of experience developing and leading healthcare and social service programs throughout New York and surrounding tri state areas. The clinicians at ABS have helped many 10's of thousands of people overcome extreme impulsive behaviors such as impulsive anger, impulsive aggression, impulsive sexual behavior, impulsive eating, impulsive shopping, impulsive gambling, domestic violence. Your therapy is held in strict confidence.
The team of doctors therapists & counselors & ABS have decades of experience developing and leading healthcare and social service programs throughout New York and surrounding tri state areas. The clinicians at ABS have helped many 10's of thousands of people overcome extreme impulsive behaviors such as impulsive anger, impulsive aggression, impulsive sexual behavior, impulsive eating, impulsive shopping, impulsive gambling, domestic violence. Your therapy is held in strict confidence.
(929) 209-7279 View (929) 209-7279
Photo of Philip Kawesch, Clinical Social Work/Therapist in Bronx County, NY
Philip Kawesch
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Riverdale, NY 10471  (Online Only)
For more than 20 years, I have been able to provide my patients with the highest quality of counseling and psychotherapy. If you are feeling stuck, held back or burdened, please call me. I will help you to understand your feelings, your thoughts... your life. I believe that each person's strength resides in their uniqueness and individuality. You have the potential to transform your life, to achieve greater inner peace, and to feel closer to other people.
For more than 20 years, I have been able to provide my patients with the highest quality of counseling and psychotherapy. If you are feeling stuck, held back or burdened, please call me. I will help you to understand your feelings, your thoughts... your life. I believe that each person's strength resides in their uniqueness and individuality. You have the potential to transform your life, to achieve greater inner peace, and to feel closer to other people.
(917) 727-2967 View (917) 727-2967
Photo of Arlene Giagrande, Clinical Social Work/Therapist in Bronx County, NY
Arlene Giagrande
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
1 Endorsed
Bronx, NY 10471
Are you waking up and going to sleep feeling anxious and/or depressed with thoughts swirling around in your head? Are you facing one or possibly multiple life transitions such as attempting to start a new family, pregnancy, postpartum, moving to a new home, relationship issues, or feeling stuck in your life? You are not alone. I understand, will listen, and provide the tools you need to find relief.
Are you waking up and going to sleep feeling anxious and/or depressed with thoughts swirling around in your head? Are you facing one or possibly multiple life transitions such as attempting to start a new family, pregnancy, postpartum, moving to a new home, relationship issues, or feeling stuck in your life? You are not alone. I understand, will listen, and provide the tools you need to find relief.
(914) 810-9943 View (914) 810-9943
Photo of Grace Cortijo, Clinical Social Work/Therapist in Bronx County, NY
Grace Cortijo
Clinical Social Work/Therapist, LCSW
Verified Verified
Bronx, NY 10463  (Online Only)
Not accepting new clients
As a bilingual (Spa/Eng), Afro-Latina Licensed Clinical Social Worker I have a unique understanding of the multiple identities and systems that may be affecting you as an individual, a couple or a family. Working together, I will help you understand your symptoms and work with the unhelpful thoughts that are keeping you stuck. You'll learn about yourself and build the coping skills you need to grow through your challenges.
As a bilingual (Spa/Eng), Afro-Latina Licensed Clinical Social Worker I have a unique understanding of the multiple identities and systems that may be affecting you as an individual, a couple or a family. Working together, I will help you understand your symptoms and work with the unhelpful thoughts that are keeping you stuck. You'll learn about yourself and build the coping skills you need to grow through your challenges.
(646) 762-6031 View (646) 762-6031
Photo of Kate Denihan, Clinical Social Work/Therapist in Bronx County, NY
Kate Denihan
Clinical Social Work/Therapist, LCSW-R, ACSW, BC-TMH
Verified Verified
2 Endorsed
Bronx, NY 10465  (Online Only)
Waitlist for new clients
I have a life long dedication to helping others.. I have been a clinician for over 15 years and have helped many people with a multitude of issues. My career has focused on assisting clients with various methods, I am extremely person centered and tailor each treatment for the client's needs. I have experiences and overcome many life challenges myself, and only use these to fuel my drive to help others.
I have a life long dedication to helping others.. I have been a clinician for over 15 years and have helped many people with a multitude of issues. My career has focused on assisting clients with various methods, I am extremely person centered and tailor each treatment for the client's needs. I have experiences and overcome many life challenges myself, and only use these to fuel my drive to help others.
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Photo of Thomas A. Wilkie, Counselor in Bronx County, NY
Thomas A. Wilkie
Counselor, BA, MS, LMHC
Verified Verified
Bronx, NY 10455  (Online Only)
Allow me to acknowledge the incredible strength it takes to start a journey to wellness. It is a badge of honor to be a part of this journey with you. I have over 14 years of experience working in the mental health field in different roles, from mental health policy development/implementation to providing 1:1 counseling for diverse groups of people. I am skilled and passionate about working with people who are experiencing depression, anxiety, general mental health issues, and personal growth and self-esteem. Your wellness is achievable and helping you get there is the ultimate goal.
Allow me to acknowledge the incredible strength it takes to start a journey to wellness. It is a badge of honor to be a part of this journey with you. I have over 14 years of experience working in the mental health field in different roles, from mental health policy development/implementation to providing 1:1 counseling for diverse groups of people. I am skilled and passionate about working with people who are experiencing depression, anxiety, general mental health issues, and personal growth and self-esteem. Your wellness is achievable and helping you get there is the ultimate goal.
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Sobeira A. Guillen
Clinical Social Work/Therapist, MSW, LCSW, BCD
Verified Verified
Bronx, NY 10451
My practice style is psychodynamic and interactive with the infusion of Cognitive-Behavioral Therapy, Eye Movement Desensitization and Reprocessing, and Sensorimotor Psychotherapy. I provide support and continuous feedback to clients, as well as, assist them in resolving current issues and long-standing dysfunctional patterns. I work collaboratively to alleviate symptoms, cultivate skills, mitigate problematic behaviors, and gain understanding to their origins. I am a bilingual (Spanish), bicultural psychotherapist. I am particularly respectful and sensitive to ethnic-cultural issues.
My practice style is psychodynamic and interactive with the infusion of Cognitive-Behavioral Therapy, Eye Movement Desensitization and Reprocessing, and Sensorimotor Psychotherapy. I provide support and continuous feedback to clients, as well as, assist them in resolving current issues and long-standing dysfunctional patterns. I work collaboratively to alleviate symptoms, cultivate skills, mitigate problematic behaviors, and gain understanding to their origins. I am a bilingual (Spanish), bicultural psychotherapist. I am particularly respectful and sensitive to ethnic-cultural issues.
(551) 333-5935 View (551) 333-5935
Photo of Jane Burbank, LCSW-R, Clinical Social Work/Therapist in Bronx County, NY
Jane Burbank, LCSW-R
Clinical Social Work/Therapist, LCSW-R
Verified Verified
2 Endorsed
Riverdale, NY 10463  (Online Only)
Tired of all the "talk, talk" therapy? Couples and Individuals - Thoughts, without knowing what you're feeling or being aware of body sensations is often a false narrative. Lasting change requires accessing the whole body. The body's expression of feelings and emotions may conflict with what we "think" we believe or feel. A whole-person approach is a more present moment indicator of feelings, emotions and thoughts. I can help you learn to access that important mind/body connection. This approach will guide you towards a deeper understanding of yourself and help you to mindfully experience a more fulfilling and happier life.
Tired of all the "talk, talk" therapy? Couples and Individuals - Thoughts, without knowing what you're feeling or being aware of body sensations is often a false narrative. Lasting change requires accessing the whole body. The body's expression of feelings and emotions may conflict with what we "think" we believe or feel. A whole-person approach is a more present moment indicator of feelings, emotions and thoughts. I can help you learn to access that important mind/body connection. This approach will guide you towards a deeper understanding of yourself and help you to mindfully experience a more fulfilling and happier life.
(646) 351-1823 View (646) 351-1823
Photo of Lillian Osaigbovo, Clinical Social Work/Therapist in Bronx County, NY
Lillian Osaigbovo
Clinical Social Work/Therapist, LMSW
Verified Verified
Bronx, NY 10456  (Online Only)
Providing clients with a safe and supportive space where they can come as their "TRUE AUTHENTIC SELF", while overcoming their barriers has always been my prime mission. Hello, I'm Lillian. Licensed Master Social Worker with a strong background with working with individuals of the mental health population. My focus is strength- based, which utilizes an eclectic approach to treatment . We all need assistance in remembering our greatness from within, along with the areas in which we could improve.
Providing clients with a safe and supportive space where they can come as their "TRUE AUTHENTIC SELF", while overcoming their barriers has always been my prime mission. Hello, I'm Lillian. Licensed Master Social Worker with a strong background with working with individuals of the mental health population. My focus is strength- based, which utilizes an eclectic approach to treatment . We all need assistance in remembering our greatness from within, along with the areas in which we could improve.
(347) 572-7943 View (347) 572-7943
Photo of Timmons Therapy Solutions, Clinical Social Work/Therapist in Bronx County, NY
Timmons Therapy Solutions
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Bronx, NY 10462  (Online Only)
The journey of well-being as a person in the BIPOC community it can be difficult for many reasons but you do not have to do it alone. You don’t have to be hesitant or ashamed of your struggles as they are a part of your path to self-awareness, self-love, healing and emotional freedom. We work to help clients feel seen, heard, comfortable and free to share while they move toward better version of themselves. We acknowledge the complexity of being a person of color and this is a space to feel empowered to move through all environments as yourself. We offer teletherapy services to meet your specific therapeutic needs.
The journey of well-being as a person in the BIPOC community it can be difficult for many reasons but you do not have to do it alone. You don’t have to be hesitant or ashamed of your struggles as they are a part of your path to self-awareness, self-love, healing and emotional freedom. We work to help clients feel seen, heard, comfortable and free to share while they move toward better version of themselves. We acknowledge the complexity of being a person of color and this is a space to feel empowered to move through all environments as yourself. We offer teletherapy services to meet your specific therapeutic needs.
(929) 238-8964 View (929) 238-8964
Photo of Lisa Richardson, Pre-Licensed Professional in Bronx County, NY
Lisa Richardson
Pre-Licensed Professional, QMHP-A
Verified Verified
Bronx, NY 10456  (Online Only)
The experience of sharing your story, truth and life with a stranger can be scary. This is why I approach therapy from a client centered position so that clients feel in control of their therapeutic journey. By interchangeably using various therapeutic styles as needed, I support clients by addressing core concerns as well as guiding them through everyday problems. My primary areas of focus are, anxiety, depression, substance use, relationship patterns, LGBTQ+ barriers, trauma focused care, suicidal ideation and grief.
The experience of sharing your story, truth and life with a stranger can be scary. This is why I approach therapy from a client centered position so that clients feel in control of their therapeutic journey. By interchangeably using various therapeutic styles as needed, I support clients by addressing core concerns as well as guiding them through everyday problems. My primary areas of focus are, anxiety, depression, substance use, relationship patterns, LGBTQ+ barriers, trauma focused care, suicidal ideation and grief.
Photo of Remi Coker, Psychologist in Bronx County, NY
Remi Coker
Psychologist, PhD, MSc
Verified Verified
Bronx, NY 10466  (Online Only)
Not accepting new clients
I specialize in working with clients dealing with trauma, based in gender identity, sexual orientation, and race/ethnicity, that often manifests as anxiety, depression, bipolar disorder, cPTSD, and PTSD. I am driven by a passion to support folks with multiple marginalized identities in utilizing their voices to advocate for better access to services and resources within their communities. This approach also extends to an intersectional and trauma informed approach to ADHD evaluations & Autism screenings those seeking these clinical assessments.
I specialize in working with clients dealing with trauma, based in gender identity, sexual orientation, and race/ethnicity, that often manifests as anxiety, depression, bipolar disorder, cPTSD, and PTSD. I am driven by a passion to support folks with multiple marginalized identities in utilizing their voices to advocate for better access to services and resources within their communities. This approach also extends to an intersectional and trauma informed approach to ADHD evaluations & Autism screenings those seeking these clinical assessments.
(929) 810-4565 View (929) 810-4565
Photo of Shimmy Feintuch, Clinical Social Work/Therapist in Bronx County, NY
Shimmy Feintuch
Clinical Social Work/Therapist, LCSW, CASAC-G
Verified Verified
10 Endorsed
Riverdale, NY 10463
If you are considering starting therapy, congratulations. You have taken the first step on a courageous journey of growth. Please know that while this journey may not be easy, it has the potential to be one of the most rewarding things you will ever do. I would be honored to invite you into this space, where you can confidentially share, explore, heal, and grow.
If you are considering starting therapy, congratulations. You have taken the first step on a courageous journey of growth. Please know that while this journey may not be easy, it has the potential to be one of the most rewarding things you will ever do. I would be honored to invite you into this space, where you can confidentially share, explore, heal, and grow.
(516) 701-2181 View (516) 701-2181
Photo of Jahashia Morrison, Clinical Social Work/Therapist in Bronx County, NY
Jahashia Morrison
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Bronx, NY 10456  (Online Only)
My ideal client wants to feel happier, healthier, and more fulfilled in their life. They may want to develop better coping skills, improve their relationships, or gain a better understanding of themselves and their emotions. They are motivated to make changes because they want to live a more satisfying and meaningful life, and they understand that therapy can help them achieve these goals.
My ideal client wants to feel happier, healthier, and more fulfilled in their life. They may want to develop better coping skills, improve their relationships, or gain a better understanding of themselves and their emotions. They are motivated to make changes because they want to live a more satisfying and meaningful life, and they understand that therapy can help them achieve these goals.
(347) 334-5365 View (347) 334-5365

See more therapy options for Bronx County

How does your Therapist compare?

Number of Therapists in Bronx County, NY

900+

Average cost per session

$150

Therapists in Bronx County, NY who prioritize treating:

94% Anxiety
89% Depression
79% Self Esteem
78% Relationship Issues
73% Coping Skills
70% Stress
64% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

85% Aetna
78% Cigna and Evernorth
78% UnitedHealthcare UHC | UBH

How Therapists in Bronx County, NY see their clients

60% Online Only
40% In Person and Online

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Bronx County?

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.