Therapists in Erie County, NY

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Photo of Megan Brautlacht, LMHC, Counselor
Megan Brautlacht
Counselor, LMHC
Verified Verified
2 Endorsed
Buffalo, NY 14203
Admitting you need help is difficult, I'm glad you have found yourself here. I'm Megan, a Licensed Mental Health Counselor in the Buffalo area. Life brings us too much to do it alone - let me provide you with a safe and supportive place where we can work together on addressing your struggles and develop skills to move forward. In addition to addressing every day stressors, I am passionate about exploring how our past impacts our current and future selves.
Admitting you need help is difficult, I'm glad you have found yourself here. I'm Megan, a Licensed Mental Health Counselor in the Buffalo area. Life brings us too much to do it alone - let me provide you with a safe and supportive place where we can work together on addressing your struggles and develop skills to move forward. In addition to addressing every day stressors, I am passionate about exploring how our past impacts our current and future selves.
(716) 356-3916 View (716) 356-3916
Photo of Connolly A Harrigan, MA, LMHC, Counselor
Connolly A Harrigan
Counselor, MA, LMHC
Verified Verified
Tonawanda, NY 14150
Hello, my name is Connolly Harrigan, and I am a Licensed Mental Health Counselor. I specialize in working with adolescents, teens, and adults. I have a background in working with individuals who struggle with behavioral challenges and social/emotional barriers. I am also able to provide services for those who struggle with anxiety and depression symptoms. I also have a strong background working with individuals who struggle with substance abuse and addiction.
Hello, my name is Connolly Harrigan, and I am a Licensed Mental Health Counselor. I specialize in working with adolescents, teens, and adults. I have a background in working with individuals who struggle with behavioral challenges and social/emotional barriers. I am also able to provide services for those who struggle with anxiety and depression symptoms. I also have a strong background working with individuals who struggle with substance abuse and addiction.
(716) 317-5752 View (716) 317-5752
Photo of Shay Kahani, LCSW, LISW-S, CST, Clinical Social Work/Therapist
Shay Kahani
Clinical Social Work/Therapist, LCSW, LISW-S, CST
Verified Verified
1 Endorsed
Buffalo, NY 14209  (Online Only)
Sometimes we can feel stress and lost with relationships, our families, and ourselves. We all need help. Someone to listen to up. You might wish you could improve your sex life in your romantic relationships, or change your family and relationships interactions. Maybe you want to live a calm and peaceful life and overcome past traumas that don't let you move on. Replaying your history over and over, wishing things were different. It might be the way you think and treat yourself that brought you here. Maybe you want to discover more about yourself and never knew how.
Sometimes we can feel stress and lost with relationships, our families, and ourselves. We all need help. Someone to listen to up. You might wish you could improve your sex life in your romantic relationships, or change your family and relationships interactions. Maybe you want to live a calm and peaceful life and overcome past traumas that don't let you move on. Replaying your history over and over, wishing things were different. It might be the way you think and treat yourself that brought you here. Maybe you want to discover more about yourself and never knew how.
(716) 466-9608 View (716) 466-9608
Photo of Valerie Nowak - Harmonia Collaborative Care, LMHC, MPA, Counselor
Harmonia Collaborative Care
Counselor, LMHC, MPA
Verified Verified
Derby, NY 14047
Harmonia Collaborative Care provides assistance for a variety of issues and concerns, from moderate life adjustments to more severe mental health disorders. Our treatment team includes Clinical Psychologists, Clinical Social Workers, and Licensed Mental Health Counselors. They are diverse in training and offer years of experience.
Harmonia Collaborative Care provides assistance for a variety of issues and concerns, from moderate life adjustments to more severe mental health disorders. Our treatment team includes Clinical Psychologists, Clinical Social Workers, and Licensed Mental Health Counselors. They are diverse in training and offer years of experience.
(716) 419-3110 x121 View (716) 419-3110 x121
Photo of Nancy Sabatini, MS, LMHC, RPT, Counselor
Nancy Sabatini
Counselor, MS, LMHC, RPT
Verified Verified
Hamburg, NY 14075
If you have the courage to reach out for therapeutic help & support, you can change your life for the better. Taking action is the first step towards healing & self discovery. You can count on me to provide understanding, support, insight and practical feedback to help you address any specific issue or life challenge either you, or your family is facing. I will help you build on your strengths & find solutions in the process of personal growth, change, and attaining goals that are important to you. It is my privilege to have the opportunity to work with you on this journey.
If you have the courage to reach out for therapeutic help & support, you can change your life for the better. Taking action is the first step towards healing & self discovery. You can count on me to provide understanding, support, insight and practical feedback to help you address any specific issue or life challenge either you, or your family is facing. I will help you build on your strengths & find solutions in the process of personal growth, change, and attaining goals that are important to you. It is my privilege to have the opportunity to work with you on this journey.
(716) 406-3468 View (716) 406-3468
Photo of Amanda Shea, LMHC, Counselor
Amanda Shea
Counselor, LMHC
Verified Verified
1 Endorsed
Orchard Park, NY 14127
Amanda is a graduate of Medaille College. She has six years of experience working with adults and children in outpatient, community based, and inpatient settings. Amanda uses a combination of therapeutic approaches including Cognitive Behavioral Therapy, Motivational interviewing, Dialectical Behavioral Therapy, and psychodynamic theory . Amanda believes it is important for everyone to have a safe and non judgmental space to work through life challenges. If you or your child are struggling with anxiety, depression, family conflict, or life transitions/challenges, Amanda would like to help you become a healthier version of yourself
Amanda is a graduate of Medaille College. She has six years of experience working with adults and children in outpatient, community based, and inpatient settings. Amanda uses a combination of therapeutic approaches including Cognitive Behavioral Therapy, Motivational interviewing, Dialectical Behavioral Therapy, and psychodynamic theory . Amanda believes it is important for everyone to have a safe and non judgmental space to work through life challenges. If you or your child are struggling with anxiety, depression, family conflict, or life transitions/challenges, Amanda would like to help you become a healthier version of yourself
(716) 670-4671 View (716) 670-4671
Photo of Lisa Marek, LMHC, Counselor
Lisa Marek
Counselor, LMHC
Verified Verified
1 Endorsed
Kenmore, NY 14217  (Online Only)
Currently accepting new clients! I am a licensed mental health counselor in New York. I am trained in Dialectical Behavioral Therapy (DBT) and have additional training in Grief and Loss, and Cognitive Behavioral Therapy to treat anxiety and depression. I believe good mental health is equally as important as good physical health. I am enthusiastic about helping people to achieve and maintain balance in their lives. Primary to my approach is a good therapeutic alliance between myself and the people I provide therapy to. I try to meet you where you are at, by listening and seeking to understand your needs and desires.
Currently accepting new clients! I am a licensed mental health counselor in New York. I am trained in Dialectical Behavioral Therapy (DBT) and have additional training in Grief and Loss, and Cognitive Behavioral Therapy to treat anxiety and depression. I believe good mental health is equally as important as good physical health. I am enthusiastic about helping people to achieve and maintain balance in their lives. Primary to my approach is a good therapeutic alliance between myself and the people I provide therapy to. I try to meet you where you are at, by listening and seeking to understand your needs and desires.
(716) 217-0010 View (716) 217-0010
Photo of Lynette Lex, PhD, LCAT, CASAC, Art Therapist
Lynette Lex
Art Therapist, PhD, LCAT, CASAC
Verified Verified
Lake View, NY 14085
Lynette Lex has a unique Art Therapy Studio, Life is Art, where Art Therapy, EMDR and a holistic wellness approach to therapy are combined. Meditation, Mindfulness, Reiki and Aromatherapy are often included in sessions. Art Therapy gives a non-verbal means for expression when words are not enough. This Art Therapy Studio has a large space where both individuals and groups are able to create. This is a safe and inviting atmosphere where trauma can be addressed and healing is possible. Tela Health appointments are also available. Private pay and Cigna/ Evernorth.
Lynette Lex has a unique Art Therapy Studio, Life is Art, where Art Therapy, EMDR and a holistic wellness approach to therapy are combined. Meditation, Mindfulness, Reiki and Aromatherapy are often included in sessions. Art Therapy gives a non-verbal means for expression when words are not enough. This Art Therapy Studio has a large space where both individuals and groups are able to create. This is a safe and inviting atmosphere where trauma can be addressed and healing is possible. Tela Health appointments are also available. Private pay and Cigna/ Evernorth.
(716) 219-0728 View (716) 219-0728
Abby Heineman
Counselor, LMHC
Verified Verified
2 Endorsed
Buffalo, NY 14228
Waitlist for new clients
You enjoy being introspective and curious about your own patterns and behavior. More than addressing symptoms, you would like to find the root of where your concerns came from so you can begin to heal at a deeper level.
You enjoy being introspective and curious about your own patterns and behavior. More than addressing symptoms, you would like to find the root of where your concerns came from so you can begin to heal at a deeper level.
(716) 265-4798 View (716) 265-4798
Photo of Marcy Abramsky - Marcy Abramsky, LCSW Counseling and InspireAmind®, LCSW, Clinical Social Work/Therapist
Marcy Abramsky, LCSW Counseling and InspireAmind®
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Buffalo, NY 14225  (Online Only)
Be the change you want to see! A licensed clinical social worker (LCSW); my passion is to assist clients w/ unwanted symptoms & gain skills via Teletherapy or Coaching. I build trust and a therapeutic alliance; fostering a safe space to share “tough stuff” work on goals. Offering 18+ yrs. in the field (homes, schools, agency, private practice) in NYC, Bronx, Buffalo & suburbs- this is for you! Utilize my skills to gain self-awareness, visualize goals, capture skills to grow beyond. Whether a teen, adult, parent, MD., Ed, writer, caregiver begin seeing challenges as opportunities.Think motivation + inspiration. InspireAmind.
Be the change you want to see! A licensed clinical social worker (LCSW); my passion is to assist clients w/ unwanted symptoms & gain skills via Teletherapy or Coaching. I build trust and a therapeutic alliance; fostering a safe space to share “tough stuff” work on goals. Offering 18+ yrs. in the field (homes, schools, agency, private practice) in NYC, Bronx, Buffalo & suburbs- this is for you! Utilize my skills to gain self-awareness, visualize goals, capture skills to grow beyond. Whether a teen, adult, parent, MD., Ed, writer, caregiver begin seeing challenges as opportunities.Think motivation + inspiration. InspireAmind.
(646) 798-4701 View (646) 798-4701
Photo of Lynn Marie Lauria, MA, LMHC, Counselor
Lynn Marie Lauria
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Orchard Park, NY 14127  (Online Only)
Lynn M. Lauria MA, LMHC is a practicing clinician who works with adults (17 and up), couples and families. Lynn provides a compassionate and non-judgmental atmosphere in which you can safely explore and work through thoughts, feelings and beliefs, unconscious or conscious, that may have you feeling stuck. Lynn offers an eclectic orientation as well as a holistic, integrative approach to person- centered therapy. In addition, she offers traditional cognitive behavioral therapy, family systems,mindfulness/meditationand solution focused therapy. Lynn has extensive knowledge and experience in trauma focused counseling.
Lynn M. Lauria MA, LMHC is a practicing clinician who works with adults (17 and up), couples and families. Lynn provides a compassionate and non-judgmental atmosphere in which you can safely explore and work through thoughts, feelings and beliefs, unconscious or conscious, that may have you feeling stuck. Lynn offers an eclectic orientation as well as a holistic, integrative approach to person- centered therapy. In addition, she offers traditional cognitive behavioral therapy, family systems,mindfulness/meditationand solution focused therapy. Lynn has extensive knowledge and experience in trauma focused counseling.
(716) 257-4296 View (716) 257-4296
Photo of Robin Carter, LMHC, Counselor
Robin Carter
Counselor, LMHC
Verified Verified
2 Endorsed
Orchard Park, NY 14127
I am someone who is fortunate enough to love my job! It is very rewarding to watch my clients grow as they work through anxious thoughts, depressed moods, traumatic memories, relationship challenges and complicated childhood experiences. If you think I might be the right fit for you and you are ready to take that next step, It would be my privilege to help you to figure out a plan in creating positive change in your life. We will work together to sort through your thoughts and behaviors, while learning positive coping strategies for symptom management.
I am someone who is fortunate enough to love my job! It is very rewarding to watch my clients grow as they work through anxious thoughts, depressed moods, traumatic memories, relationship challenges and complicated childhood experiences. If you think I might be the right fit for you and you are ready to take that next step, It would be my privilege to help you to figure out a plan in creating positive change in your life. We will work together to sort through your thoughts and behaviors, while learning positive coping strategies for symptom management.
(716) 222-8957 View (716) 222-8957
Photo of Amanda Wilton, LMSW, CFSW, CHC, CLC
Amanda Wilton
LMSW, CFSW, CHC, CLC
Verified Verified
2 Endorsed
West Seneca, NY 14224  (Online Only)
We all experience change, adversity and the need to adapt. Coaching is rooted in forward movement, growth, and habit change in response to our evolving circumstances. The coaching process involves wrapping effective, sustainable actions with support, empathy, and accountability. This creates the potential for meaningful and lasting personal transformation across life domains, including health, personal development and self-esteem, career, finance, love, relationships, and community. I offer coaching for adults utilizing an integrative, culturally sensitive, and strength-based approach.
We all experience change, adversity and the need to adapt. Coaching is rooted in forward movement, growth, and habit change in response to our evolving circumstances. The coaching process involves wrapping effective, sustainable actions with support, empathy, and accountability. This creates the potential for meaningful and lasting personal transformation across life domains, including health, personal development and self-esteem, career, finance, love, relationships, and community. I offer coaching for adults utilizing an integrative, culturally sensitive, and strength-based approach.
(716) 214-2392 View (716) 214-2392
Photo of Alison Lesakowski, MA, CASAC, Drug & Alcohol Counselor
Alison Lesakowski
Drug & Alcohol Counselor, MA, CASAC
Verified Verified
1 Endorsed
West Seneca, NY 14224
Maybe you have already tried traditional talk therapy and wish to explore and know yourself on a deeper level. Maybe you feel like you are carrying past burdens and have a desire to be free from the burdens and traumas of the past. Others may desire a need to identify patterns in behavior and relationships, understand difficult emotions, or challenges that arise with partners, family, or at work. If any of this sounds familiar and if you desire to gain clarity in any of these areas, Internal family systems may be a good fit for you.
Maybe you have already tried traditional talk therapy and wish to explore and know yourself on a deeper level. Maybe you feel like you are carrying past burdens and have a desire to be free from the burdens and traumas of the past. Others may desire a need to identify patterns in behavior and relationships, understand difficult emotions, or challenges that arise with partners, family, or at work. If any of this sounds familiar and if you desire to gain clarity in any of these areas, Internal family systems may be a good fit for you.
(716) 592-6453 View (716) 592-6453
Photo of Elisabeth Burn, LMHC, Counselor
Elisabeth Burn
Counselor, LMHC
Verified Verified
Buffalo, NY 14213
I am currently accepting new clients. Elisabeth Burn is a Licensed Mental Health Counselor in the State of New York. Are you currently feeling anxious, depressed or even stuck? I specialize in supporting individuals and couples in understanding their stories. I hope that I can be supportive to you in identifying the pieces of your story that have brought you to therapy. In doing so, we can work together to uncover patterns that might be keeping you from living the life you desire. Together we can find ways to unlock these past patterns and discover new pathways to promote a better relationship with yourself and with others.
I am currently accepting new clients. Elisabeth Burn is a Licensed Mental Health Counselor in the State of New York. Are you currently feeling anxious, depressed or even stuck? I specialize in supporting individuals and couples in understanding their stories. I hope that I can be supportive to you in identifying the pieces of your story that have brought you to therapy. In doing so, we can work together to uncover patterns that might be keeping you from living the life you desire. Together we can find ways to unlock these past patterns and discover new pathways to promote a better relationship with yourself and with others.
(716) 588-4491 View (716) 588-4491
Photo of Pamela Myers, LCSW, Clinical Social Work/Therapist
Pamela Myers
Clinical Social Work/Therapist, LCSW
Verified Verified
Amherst, NY 14226
What is it like to be growing up in such complicated times? It is no wonder that so many children are suffering from symptoms of anxiety, depression and other challenging behaviors and are in need additional support. Parents and caregivers find themselves in need of assistance to find helpful ways to respond. You are concerned about a child you love who is struggling, and have hope that things can change. I also provide psychotherapy to adults with a variety of mental health issues. There is no need to struggle alone. Let's go forward from here together.
What is it like to be growing up in such complicated times? It is no wonder that so many children are suffering from symptoms of anxiety, depression and other challenging behaviors and are in need additional support. Parents and caregivers find themselves in need of assistance to find helpful ways to respond. You are concerned about a child you love who is struggling, and have hope that things can change. I also provide psychotherapy to adults with a variety of mental health issues. There is no need to struggle alone. Let's go forward from here together.
(716) 271-5265 View (716) 271-5265
Photo of Emily Crowley, LMSW
Emily Crowley
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
Buffalo, NY 14209
Not accepting new clients
Trauma informed therapy encourages the exploration of connections between life experiences and how our body responds to stress. Your thoughts, behaviors and feelings are all connected. Healing is not linear, it's a journey and I'm passionate about guiding you through this process.
Trauma informed therapy encourages the exploration of connections between life experiences and how our body responds to stress. Your thoughts, behaviors and feelings are all connected. Healing is not linear, it's a journey and I'm passionate about guiding you through this process.
(716) 575-2025 View (716) 575-2025
Photo of Anne Marie McLean, LCSW, Clinical Social Work/Therapist
Anne Marie McLean
Clinical Social Work/Therapist, LCSW
Verified Verified
Buffalo, NY 14228
In my 11 years of experience providing counseling services in schools and in the clinical setting, I have found the importance of connection, building a safe space, and playfulness in work with children, young adults and families. I am passionate about helping clients dealing with anxiety, depression, school avoidance, trauma, ADHD, OCD, and difficult family dynamics. I have worked with many children on strengthening attachment with caregivers and identifying their innate positive qualities and resources to increase a sense of safety and to experience real success.
In my 11 years of experience providing counseling services in schools and in the clinical setting, I have found the importance of connection, building a safe space, and playfulness in work with children, young adults and families. I am passionate about helping clients dealing with anxiety, depression, school avoidance, trauma, ADHD, OCD, and difficult family dynamics. I have worked with many children on strengthening attachment with caregivers and identifying their innate positive qualities and resources to increase a sense of safety and to experience real success.
(716) 899-1443 View (716) 899-1443
Photo of Amy Close - Mindful Healing Connections, LLC, Counselor
Mindful Healing Connections, LLC
Counselor
Verified Verified
Tonawanda, NY 14150
Mindful Healing Connections, LLC was founded in 2022 to honor and address the need of safe and effective holistic care in Western New York. We prioritize collaboration with other providers in order to facilitate interconnectedness of the mind, body, and spirit. While exploring individual needs, our comprehensive approach to therapy considers the many factors influencing mental well-being and emotional healing.
Mindful Healing Connections, LLC was founded in 2022 to honor and address the need of safe and effective holistic care in Western New York. We prioritize collaboration with other providers in order to facilitate interconnectedness of the mind, body, and spirit. While exploring individual needs, our comprehensive approach to therapy considers the many factors influencing mental well-being and emotional healing.
(716) 599-4709 View (716) 599-4709
Photo of Maryann Bavisotto, LMSW, Clinical Social Work/Therapist
Maryann Bavisotto
Clinical Social Work/Therapist, LMSW
Verified Verified
2 Endorsed
Buffalo, NY 14226  (Online Only)
Many of us feel like we don't belong, carry burdens from past traumas, and struggle to balance caring for ourselves with having a fulfilling life. My approach will help you respond to intense emotions and memories with more curiosity and speak to the parts of you that feel self-critical, alienated, and alone in a more compassionate and nurturing voice. We will explore your unmet needs and help you express yourself with more vulnerability, confidence, and authenticity. You will discover that the person most equipped to help with your own healing is you, and you are never truly alone.
Many of us feel like we don't belong, carry burdens from past traumas, and struggle to balance caring for ourselves with having a fulfilling life. My approach will help you respond to intense emotions and memories with more curiosity and speak to the parts of you that feel self-critical, alienated, and alone in a more compassionate and nurturing voice. We will explore your unmet needs and help you express yourself with more vulnerability, confidence, and authenticity. You will discover that the person most equipped to help with your own healing is you, and you are never truly alone.
(716) 296-6430 View (716) 296-6430
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How does your Therapist compare?

Number of Therapists in Erie County, NY

1,000+

Average cost per session

$130

Therapists in Erie County, NY who prioritize treating:

93% Anxiety
88% Depression
75% Self Esteem
74% Relationship Issues
74% Stress
70% Trauma and PTSD
70% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

72% Aetna
59% Cigna and Evernorth
52% UnitedHealthcare UHC | UBH

How Therapists in Erie County, NY see their clients

64% In Person and Online
36% Online Only

Gender breakdown

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

How can I find a therapist in Erie 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.

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