Therapists in San Diego, CA

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Photo of Hudson Jones, Psychological Associate in San Diego, CA
Hudson Jones
Psychological Associate, PsyD
Verified Verified
San Diego, CA 92121
At the Center for Men’s Excellence, Dr. Jones provides therapy to adults, couples, and teens aged 13 and up. He also offers group therapy with men. Common areas of concern for Dr. Jones’ patients include stress and anxiety, relationship difficulties, work-life balance, reproductive/perinatal mental health, teen development, and depression. His background as a musician along with his extensive travel and dedication to cultural and spiritual exploration all inform his perspective as well as his intuitive attunement with his clients.
At the Center for Men’s Excellence, Dr. Jones provides therapy to adults, couples, and teens aged 13 and up. He also offers group therapy with men. Common areas of concern for Dr. Jones’ patients include stress and anxiety, relationship difficulties, work-life balance, reproductive/perinatal mental health, teen development, and depression. His background as a musician along with his extensive travel and dedication to cultural and spiritual exploration all inform his perspective as well as his intuitive attunement with his clients.
(858) 544-1116 View (858) 544-1116
Photo of Tori Palliccia, Marriage & Family Therapist in San Diego, CA
Tori Palliccia
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92101  (Online Only)
I am Cognitive Behavioral Therapist and believe that the way we talk to ourselves will determine how we feel and act. I want to know what you believe about yourself and how you feel about others and help you adjust your unhealthy thinking and replace your unhealthy acting out behaviors. With that, it is important to know your story and how your early life influenced these thoughts and beliefs, so I also use psychodynamic. I explore the unresolved issues that have contributed to unhealthy relationship patterns, self-destructive behaviors and poor self-worth so that the wounds of the past can be healed.
I am Cognitive Behavioral Therapist and believe that the way we talk to ourselves will determine how we feel and act. I want to know what you believe about yourself and how you feel about others and help you adjust your unhealthy thinking and replace your unhealthy acting out behaviors. With that, it is important to know your story and how your early life influenced these thoughts and beliefs, so I also use psychodynamic. I explore the unresolved issues that have contributed to unhealthy relationship patterns, self-destructive behaviors and poor self-worth so that the wounds of the past can be healed.
(510) 617-5836 View (510) 617-5836
Photo of Rose Bloomberg-Rissman, Clinical Social Work/Therapist in San Diego, CA
Rose Bloomberg-Rissman
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Diego, CA 92103  (Online Only)
Are you struggling emotionally during the process of trying to build your family? Has the experience of trying to get pregnant, stay pregnant, and become a parent been much harder or more complicated than you expected? This is so common, and so difficult to talk about. The grief, loss, frustration, anger, and deep sadness can be hard to navigate. I can help. Sometimes life is hard for reasons we can't identify, or we can identify but don't know how to change. If you are feeling anxious, depressed, or struggling to adjust to changes in your life, let's work together to find a way back to balance and peace.
Are you struggling emotionally during the process of trying to build your family? Has the experience of trying to get pregnant, stay pregnant, and become a parent been much harder or more complicated than you expected? This is so common, and so difficult to talk about. The grief, loss, frustration, anger, and deep sadness can be hard to navigate. I can help. Sometimes life is hard for reasons we can't identify, or we can identify but don't know how to change. If you are feeling anxious, depressed, or struggling to adjust to changes in your life, let's work together to find a way back to balance and peace.
(619) 650-6363 View (619) 650-6363
Photo of Daniel Carr, Marriage & Family Therapist in San Diego, CA
Daniel Carr
Marriage & Family Therapist, MFT
Verified Verified
3 Endorsed
San Diego, CA 92101
In my work with families, couples and individuals, I have found that happiness lies in having rich, caring relationships with people that we love. To develop loving and caring relationships requires skill and compassion. My job is to offer insight and awareness as to ways to develop these kinds of relationships. I find that my clients demonstrate an openness, courageous spirit and perseverance to achieve this goal. I have been blessed to work with many people who have taught me what it is to be human. It has always been my desire to give back what I have received.
In my work with families, couples and individuals, I have found that happiness lies in having rich, caring relationships with people that we love. To develop loving and caring relationships requires skill and compassion. My job is to offer insight and awareness as to ways to develop these kinds of relationships. I find that my clients demonstrate an openness, courageous spirit and perseverance to achieve this goal. I have been blessed to work with many people who have taught me what it is to be human. It has always been my desire to give back what I have received.
(619) 377-8922 View (619) 377-8922
Photo of Paul R Sussman, Psychologist in San Diego, CA
Paul R Sussman
Psychologist, PhD
Verified Verified
3 Endorsed
San Diego, CA 92103
Not accepting new clients
Feeling good matters! I am a clinical psychologist and marriage family therapist with 30+ years of professional experience working with individuals, couples and groups close to Balboa Park, San Diego. I love psychology and my work. I specialize in the areas of intimacy and relationships, sexuality, self-esteem, trauma and coping, sexuality/sexual orientation, anxiety and mood. I work well with motivated, higher functioning individuals and couples committed to learning, growth and development. My style is direct, empathic and action-oriented.
Feeling good matters! I am a clinical psychologist and marriage family therapist with 30+ years of professional experience working with individuals, couples and groups close to Balboa Park, San Diego. I love psychology and my work. I specialize in the areas of intimacy and relationships, sexuality, self-esteem, trauma and coping, sexuality/sexual orientation, anxiety and mood. I work well with motivated, higher functioning individuals and couples committed to learning, growth and development. My style is direct, empathic and action-oriented.
(619) 663-5916 View (619) 663-5916
Photo of #1 Psychological Evaluations & Testing Service, Psychologist in San Diego, CA
#1 Psychological Evaluations & Testing Service
Psychologist, PsyD, PhD
Verified Verified
San Diego, CA 92103
Founded in 1993, Help Therapy has a team of over 50 licensed neuropsychologists and psychologists who offer a wide range of psychological evaluations. For patients who need extra support, therapy is also offered. Patients are matched to a provider of their choice based on their specific needs and preferences. Clinicians work with seniors, adults and youth (age 7+) all throughout California.
Founded in 1993, Help Therapy has a team of over 50 licensed neuropsychologists and psychologists who offer a wide range of psychological evaluations. For patients who need extra support, therapy is also offered. Patients are matched to a provider of their choice based on their specific needs and preferences. Clinicians work with seniors, adults and youth (age 7+) all throughout California.
(619) 492-4586 View (619) 492-4586
Photo of Dr. Ruth Millican Neurodiversity Infomed Therapist, Psychologist in San Diego, CA
Dr. Ruth Millican Neurodiversity Infomed Therapist
Psychologist, PsyD
Verified Verified
1 Endorsed
San Diego, CA 92102
Welcome! My client’s often tell me that I am genuine, kind and put them at ease, while also challenging them at the times when they need to be pushed. I strike a balance between therapy always feeling safe and comfortable, but also a place where you can be pushed to re-evaluate you needs and actions. I specialize in working with the LGBTQIA+ community, as I am a part of this community and this is a passion of mine. The primary focus of my practice is trauma therapy, neurodiversity (ADHD, Autism), and the LGBTQIA+ community. I am also an affirming provider of all relationship configurations (polyamory, ENM, kink, BDSM).
Welcome! My client’s often tell me that I am genuine, kind and put them at ease, while also challenging them at the times when they need to be pushed. I strike a balance between therapy always feeling safe and comfortable, but also a place where you can be pushed to re-evaluate you needs and actions. I specialize in working with the LGBTQIA+ community, as I am a part of this community and this is a passion of mine. The primary focus of my practice is trauma therapy, neurodiversity (ADHD, Autism), and the LGBTQIA+ community. I am also an affirming provider of all relationship configurations (polyamory, ENM, kink, BDSM).
(619) 340-2715 View (619) 340-2715
Photo of Susan Quillman: Hope Therapy Group, Clinical Social Work/Therapist in San Diego, CA
Susan Quillman: Hope Therapy Group
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Diego, CA 92117  (Online Only)
“The greatest glory in living lies not in never falling, but in rising every time we fall," Nelson Mandela. It is never fun to fall, yet it is something we all experience. If life has you in the midst of difficult challenges and you feel overwhelmed, know that you are not alone. Reaching out for support is an act of strength and courage, and is the first step in getting up again. I work with adults of all ages who are experiencing difficulties including anxiety, depression, grief, life transitions, and stress.
“The greatest glory in living lies not in never falling, but in rising every time we fall," Nelson Mandela. It is never fun to fall, yet it is something we all experience. If life has you in the midst of difficult challenges and you feel overwhelmed, know that you are not alone. Reaching out for support is an act of strength and courage, and is the first step in getting up again. I work with adults of all ages who are experiencing difficulties including anxiety, depression, grief, life transitions, and stress.
(619) 558-1288 View (619) 558-1288
Photo of Katharine Lacefield, Psychologist in San Diego, CA
Katharine Lacefield
Psychologist, PhD, ABPP
Verified Verified
San Diego, CA 92102
After experiencing a traumatic or stressful event, you may find that you feel different: perhaps you move between feeling overwhelmed by fear, shame, anger, or sadness, to numbing out; maybe your world has gotten smaller as you avoid doing things you used to love; or you may have noticed your thoughts about yourself, the world, and other people start to change such that control, trust, and safety have become difficult themes for you. Additionally, maybe you notice your sleep has worsened, making everything harder. Trauma and stress take a toll on all aspects of your life, but you don't have to battle it alone.
After experiencing a traumatic or stressful event, you may find that you feel different: perhaps you move between feeling overwhelmed by fear, shame, anger, or sadness, to numbing out; maybe your world has gotten smaller as you avoid doing things you used to love; or you may have noticed your thoughts about yourself, the world, and other people start to change such that control, trust, and safety have become difficult themes for you. Additionally, maybe you notice your sleep has worsened, making everything harder. Trauma and stress take a toll on all aspects of your life, but you don't have to battle it alone.
(619) 485-6959 View (619) 485-6959
Photo of Ryanne Giorgione, Pre-Licensed Professional in San Diego, CA
Ryanne Giorgione
Pre-Licensed Professional, APCC
Verified Verified
1 Endorsed
San Diego, CA 92108  (Online Only)
Sometimes our inner world seems chaotic and stressful. Sometimes we feel like we are going through life surrounded by a fog and can’t see a way out. Sometimes we experience something so significant that our life is turned upside down and we have a hard time coping. Regardless of what you are experiencing right now, it does not reflect anything about your worth and you do not have to navigate it alone. My goal as a therapist is to provide opportunities for you to work through the challenges of life while reconnecting with your authentic self and embracing your inner-knowing.
Sometimes our inner world seems chaotic and stressful. Sometimes we feel like we are going through life surrounded by a fog and can’t see a way out. Sometimes we experience something so significant that our life is turned upside down and we have a hard time coping. Regardless of what you are experiencing right now, it does not reflect anything about your worth and you do not have to navigate it alone. My goal as a therapist is to provide opportunities for you to work through the challenges of life while reconnecting with your authentic self and embracing your inner-knowing.
(619) 505-0169 View (619) 505-0169
Photo of Shibley Psychology, Psychologist in San Diego, CA
Shibley Psychology
Psychologist, PsyD
Verified Verified
1 Endorsed
San Diego, CA 92108
Shibley Psychology is a private practice where we provide individual, couples, and group psychotherapy. We also specialize in conducting psychological evaluations for immigration cases (such as extreme hardship, VAWA, U-Visas, asylum, competency, etc.) and forensic evaluations for State and Federal Court.
Shibley Psychology is a private practice where we provide individual, couples, and group psychotherapy. We also specialize in conducting psychological evaluations for immigration cases (such as extreme hardship, VAWA, U-Visas, asylum, competency, etc.) and forensic evaluations for State and Federal Court.
(619) 598-1626 View (619) 598-1626
Photo of Brittney France, Marriage & Family Therapist in San Diego, CA
Brittney France
Marriage & Family Therapist, PhD, LMFT
Verified Verified
San Diego, CA 92101
I am a licensed Marriage and Family Therapist (111091) in California. I have specialized in the treatment of eating disorders/ disordered eating, emotional and overeating, as well as body image for 16 years through both a clinical and research lens. I believe that all clients have unique strengths and are capable of creating meaningful change in their lives. I enjoy helping clients access these strengths while improving their relationship with food, body, and mind through identifying and connecting with values, learning healthy coping skills, and improving communication.
I am a licensed Marriage and Family Therapist (111091) in California. I have specialized in the treatment of eating disorders/ disordered eating, emotional and overeating, as well as body image for 16 years through both a clinical and research lens. I believe that all clients have unique strengths and are capable of creating meaningful change in their lives. I enjoy helping clients access these strengths while improving their relationship with food, body, and mind through identifying and connecting with values, learning healthy coping skills, and improving communication.
(619) 955-1309 View (619) 955-1309
Photo of Kelli Raymond, Associate Professional Clinical Counselor in San Diego, CA
Kelli Raymond
Associate Professional Clinical Counselor, APCC
Verified Verified
2 Endorsed
San Diego, CA 92110  (Online Only)
I help clients interrupt patterns in relationships, set boundaries, confront codependency and learn to have healthy intimacy. My ideal client is someone willing to make healthy changes to their lives in order to improve their overall wellbeing. I have experience working with clients who have depression, anxiety and are struggling with intimacy issues and trauma. I enjoy helping clients learn how to set healthy boundaries so they can have more fulfilling relationships. I take particular interest in helping women develop healthy relationship patterns and fully process prior relationships.
I help clients interrupt patterns in relationships, set boundaries, confront codependency and learn to have healthy intimacy. My ideal client is someone willing to make healthy changes to their lives in order to improve their overall wellbeing. I have experience working with clients who have depression, anxiety and are struggling with intimacy issues and trauma. I enjoy helping clients learn how to set healthy boundaries so they can have more fulfilling relationships. I take particular interest in helping women develop healthy relationship patterns and fully process prior relationships.
(619) 514-2463 View (619) 514-2463
Photo of Katherine Pica, Clinical Social Work/Therapist in San Diego, CA
Katherine Pica
Clinical Social Work/Therapist, Katherine Pica, LCSW
Verified Verified
San Diego, CA 92121
Feeling overwhelmed and stuck? Have you tried therapy before with no success? There is hope and you are not alone. I specialize in compassionate evidenced based therapy for Anxiety, OCD and Trauma. I am trained in ERP, CBT, EMDR and Mindfulness Skills. These are tools that we can work on together, to help you live a more fulfilled life. Therapy can help you get freedom over issues that are holding you back from your true potential and goals in life. With over 15 years of experience I can help and guide you to learn to break free from old patterns and negative thoughts to tune into our true resilience.
Feeling overwhelmed and stuck? Have you tried therapy before with no success? There is hope and you are not alone. I specialize in compassionate evidenced based therapy for Anxiety, OCD and Trauma. I am trained in ERP, CBT, EMDR and Mindfulness Skills. These are tools that we can work on together, to help you live a more fulfilled life. Therapy can help you get freedom over issues that are holding you back from your true potential and goals in life. With over 15 years of experience I can help and guide you to learn to break free from old patterns and negative thoughts to tune into our true resilience.
(858) 266-9613 View (858) 266-9613
Photo of Caroline Myra Loretan, Marriage & Family Therapist in San Diego, CA
Caroline Myra Loretan
Marriage & Family Therapist, MFT
Verified Verified
San Diego, CA 92117
Waitlist for new clients
It does take courage to set up that first appointment, and the fit between therapist and client is an important one for the success of therapy. I encourage my clients to ask questions and express concerns about therapy and determine whether my approach and style are a good fit for you. Some common reasons people seek therapy have to do with self-exploration, how to communicate better with people, and how to cope with stressful life situations. My approach is a collaborative one and goal oriented. My focus is to support you find healthier coping skills to manage the challenging situations life might bring.
It does take courage to set up that first appointment, and the fit between therapist and client is an important one for the success of therapy. I encourage my clients to ask questions and express concerns about therapy and determine whether my approach and style are a good fit for you. Some common reasons people seek therapy have to do with self-exploration, how to communicate better with people, and how to cope with stressful life situations. My approach is a collaborative one and goal oriented. My focus is to support you find healthier coping skills to manage the challenging situations life might bring.
(619) 722-3315 View (619) 722-3315
Photo of Center for Mental Wellness, Psychologist in San Diego, CA
Center for Mental Wellness
Psychologist, PhD
Verified Verified
San Diego, CA 92130
Whether you've had a long struggle with your emotions, or just want a little help overcoming a recent difficulty, finding the right person to help makes a big difference. We believe in combining compassion and empathy, with therapies that have been proven to work by clinical researchers. We teach children, teens, and adults effective skills for changing behaviors, and provide the support and encouragement needed along the way. Through this process, you can overcome feelings of depression, isolation, shame, and fear while also building confidence in your strengths and gaining tools to overcome future challenges.
Whether you've had a long struggle with your emotions, or just want a little help overcoming a recent difficulty, finding the right person to help makes a big difference. We believe in combining compassion and empathy, with therapies that have been proven to work by clinical researchers. We teach children, teens, and adults effective skills for changing behaviors, and provide the support and encouragement needed along the way. Through this process, you can overcome feelings of depression, isolation, shame, and fear while also building confidence in your strengths and gaining tools to overcome future challenges.
(858) 461-9409 View (858) 461-9409
Photo of Dan Loney, Marriage & Family Therapist in San Diego, CA
Dan Loney
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Diego, CA 92103
Hi, I’m Dan. I’m a Licensed Marriage & Family Therapist practicing in San Diego, with in-person locations in Banker's Hill and Carlsbad. Through therapy, I'll give you the tools to move from a state of stuckness to a state of hope, health, and freedom. Through therapy, we’ll bring awareness to stuck patterns, so you will become more empowered in your relationship with yourself, others, and every area of your life.
Hi, I’m Dan. I’m a Licensed Marriage & Family Therapist practicing in San Diego, with in-person locations in Banker's Hill and Carlsbad. Through therapy, I'll give you the tools to move from a state of stuckness to a state of hope, health, and freedom. Through therapy, we’ll bring awareness to stuck patterns, so you will become more empowered in your relationship with yourself, others, and every area of your life.
(619) 914-6970 View (619) 914-6970
Photo of Sarah Minas, Clinical Social Work/Therapist in San Diego, CA
Sarah Minas
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92121  (Online Only)
My philosophy is simple: Make the most of life's transitions and challenges to develop insight and tools for the future. My practice provides a safe and judgment-free space to explore those things most important to you.
My philosophy is simple: Make the most of life's transitions and challenges to develop insight and tools for the future. My practice provides a safe and judgment-free space to explore those things most important to you.
(858) 946-4941 View (858) 946-4941
Photo of Robin M Grossman, Clinical Social Work/Therapist in San Diego, CA
Robin M Grossman
Clinical Social Work/Therapist, LCSW, LMFT
Verified Verified
San Diego, CA 92103
You may be dealing with feelings of low self-esteem, depression or anxiety. You may find yourself repeating unwanted patterns in your work, relationships, or other aspects of your life. Perhaps you are struggling within your current intimate relationship, or are having difficulty finding a satisfying relationship.
You may be dealing with feelings of low self-esteem, depression or anxiety. You may find yourself repeating unwanted patterns in your work, relationships, or other aspects of your life. Perhaps you are struggling within your current intimate relationship, or are having difficulty finding a satisfying relationship.
(619) 377-8616 View (619) 377-8616
Photo of Michael Nelson, Marriage & Family Therapist in San Diego, CA
Michael Nelson
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92120
Mike Nelson graduated from San Diego State University with a Bachelor of Science in Counseling in 2013. This multi-cultural Marriage and Family Therapy program paved the way for the diverse cultural populations he encountered when providing therapy in clinical settings, middle and high school-based counseling, grief work with Hospice, private practice, and work with youths in the foster system. Within these varied groups, Mike has worked with many people who have experienced trauma in their lives.
Mike Nelson graduated from San Diego State University with a Bachelor of Science in Counseling in 2013. This multi-cultural Marriage and Family Therapy program paved the way for the diverse cultural populations he encountered when providing therapy in clinical settings, middle and high school-based counseling, grief work with Hospice, private practice, and work with youths in the foster system. Within these varied groups, Mike has worked with many people who have experienced trauma in their lives.
(858) 326-9482 View (858) 326-9482

How does your Therapist compare?

Number of Therapists in San Diego, CA

3,000+

Average cost per session

$160

Therapists in San Diego, CA who prioritize treating:

93% Anxiety
87% Depression
71% Self Esteem
67% Coping Skills
66% Relationship Issues
65% Trauma and PTSD
62% Stress

Average years in practice

11 Years

Top 3 insurances accepted

77% Aetna
74% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Diego?

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.