Therapists in San Diego, CA

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Photo of Nathan Smith, Marriage & Family Therapist Associate in San Diego, CA
Nathan Smith
Marriage & Family Therapist Associate, AMFT
Verified Verified
3 Endorsed
San Diego, CA 92123
Do you feel stuck in your patterns of thought and behavior? Do you feel like there must be a better way to live as an individual and in relationships? Do you struggle to live with the impacts of depression, anxiety, or ADHD? You are not alone and I'm here to help. So much of how you experience yourself, others, and the world can be understood through experiences you had within your family, school, and culture. Understanding these influences and the ideas that they made reality, can free up space for you to choose your own experiences and relationships.
Do you feel stuck in your patterns of thought and behavior? Do you feel like there must be a better way to live as an individual and in relationships? Do you struggle to live with the impacts of depression, anxiety, or ADHD? You are not alone and I'm here to help. So much of how you experience yourself, others, and the world can be understood through experiences you had within your family, school, and culture. Understanding these influences and the ideas that they made reality, can free up space for you to choose your own experiences and relationships.
(760) 924-9402 View (760) 924-9402
Photo of Jillian Mayer, Marriage & Family Therapist Associate in San Diego, CA
Jillian Mayer
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
San Diego, CA 92107  (Online Only)
Not accepting new clients
My passion lies in working with clients who have experienced complex trauma, understanding the unique challenges they face and providing them with the support and tools they need to heal. I believe that every individual has the innate capacity to overcome their past and create a life and relationships they truly prefer. Together, we will uncover the narratives that have influenced your perception of self and others. Through compassionate listening, reflection, and collaborative dialogue, we will challenge and reframe those narratives, empowering you to embrace your strengths, values, and aspirations.
My passion lies in working with clients who have experienced complex trauma, understanding the unique challenges they face and providing them with the support and tools they need to heal. I believe that every individual has the innate capacity to overcome their past and create a life and relationships they truly prefer. Together, we will uncover the narratives that have influenced your perception of self and others. Through compassionate listening, reflection, and collaborative dialogue, we will challenge and reframe those narratives, empowering you to embrace your strengths, values, and aspirations.
(619) 450-1265 View (619) 450-1265
Photo of Heather Glover, Marriage & Family Therapist in San Diego, CA
Heather Glover
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
San Diego, CA 92106
If you're ready for change, or contemplating change, I'm ready to help you achieve it! Together, we can take your biggest challenges and use them as opportunities to thrive. My focus is providing support to individuals, couples, and families in need of healing and positive change. I will provide a compassionate and comfortable space to help you manage and resolve life challenges including binge eating/compulsive overeating, stress, low self-esteem, anxiety, depression, weathering change, anger management, and conflict in relationships!
If you're ready for change, or contemplating change, I'm ready to help you achieve it! Together, we can take your biggest challenges and use them as opportunities to thrive. My focus is providing support to individuals, couples, and families in need of healing and positive change. I will provide a compassionate and comfortable space to help you manage and resolve life challenges including binge eating/compulsive overeating, stress, low self-esteem, anxiety, depression, weathering change, anger management, and conflict in relationships!
(858) 309-4632 View (858) 309-4632
Photo of Therapy Changes, Psychologist in San Diego, CA
Therapy Changes
Psychologist, PhD, PsyD
Verified Verified
7 Endorsed
San Diego, CA 92108
The team at Therapy Changes is committed to providing focused guidance when you need it most - when going it alone can feel overwhelming and hopeless. Our therapists are all Licensed Clinical Psychologists in the state of California who have received extensive training to make assessments and guide treatment in a professional caring environment. Therapists at Therapy Changes believe in a positive, action-oriented approach to therapy. This approach begins by providing you with relief from the symptoms that negatively impact your life, teaching you tools and techniques to help you feel more like you again.
The team at Therapy Changes is committed to providing focused guidance when you need it most - when going it alone can feel overwhelming and hopeless. Our therapists are all Licensed Clinical Psychologists in the state of California who have received extensive training to make assessments and guide treatment in a professional caring environment. Therapists at Therapy Changes believe in a positive, action-oriented approach to therapy. This approach begins by providing you with relief from the symptoms that negatively impact your life, teaching you tools and techniques to help you feel more like you again.
(619) 438-0953 View (619) 438-0953
Photo of William (Billy) Hale, Marriage & Family Therapist in San Diego, CA
William (Billy) Hale
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92127
Hello, I'm Billy. I'm passionate about supporting teens, couples, families, and adult individuals. I strive to create a safe space using warmth, humor, and unconditional positive regard where clients can be their true, authentic selves. I completed a dual master’s degree in Marriage Family Therapy and School Counseling from St. Mary’s College of California. I then relocated to Southern California in 2021 and could not be happier to have discovered the paradise of San Diego.
Hello, I'm Billy. I'm passionate about supporting teens, couples, families, and adult individuals. I strive to create a safe space using warmth, humor, and unconditional positive regard where clients can be their true, authentic selves. I completed a dual master’s degree in Marriage Family Therapy and School Counseling from St. Mary’s College of California. I then relocated to Southern California in 2021 and could not be happier to have discovered the paradise of San Diego.
(858) 544-5094 View (858) 544-5094
Photo of Nicole M Charara, Marriage & Family Therapist in San Diego, CA
Nicole M Charara
Marriage & Family Therapist, MA, MFT
Verified Verified
San Diego, CA 92131  (Online Only)
I am a licensed marriage and family therapist. I am currently licensed in California and Florida. I have over 15 years of experience in providing services to children, adults, and families. I specialize in working with children and adolescents, as well as, adult anxiety, depression, infertility/pre and post partum issues, PTSD, trauma, and family relationship issues. I am also bilingual and able to conduct sessions in Spanish. I am trained in Trauma-Focused CBT and EMDR and am currently available for online therapy services only. Please see my website at www.nicolecharara.com for more information regarding my services.
I am a licensed marriage and family therapist. I am currently licensed in California and Florida. I have over 15 years of experience in providing services to children, adults, and families. I specialize in working with children and adolescents, as well as, adult anxiety, depression, infertility/pre and post partum issues, PTSD, trauma, and family relationship issues. I am also bilingual and able to conduct sessions in Spanish. I am trained in Trauma-Focused CBT and EMDR and am currently available for online therapy services only. Please see my website at www.nicolecharara.com for more information regarding my services.
(858) 707-7512 View (858) 707-7512
Photo of Daniel J Sharer, Marriage & Family Therapist in San Diego, CA
Daniel J Sharer
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92119  (Online Only)
When problems come up in our lives, they often make up us feel alone. It’s not that we can’t handle the problems, but sometimes it just feels overwhelming. Often, we feel like the problems are not going away or that everybody else is living a better life; however, I can assure you that you’re not alone.
When problems come up in our lives, they often make up us feel alone. It’s not that we can’t handle the problems, but sometimes it just feels overwhelming. Often, we feel like the problems are not going away or that everybody else is living a better life; however, I can assure you that you’re not alone.
(619) 821-5485 View (619) 821-5485
Photo of Asher I Johnson PhD Prof Corp Psychologist, Psychologist in San Diego, CA
Asher I Johnson PhD Prof Corp Psychologist
Psychologist, PhD
Verified Verified
3 Endorsed
San Diego, CA 92101
If you struggle with anger management, sexual aggression, sex/pornography addiction, poor self-regulation/impulse control, anxiety, depression, trauma, antisocial, narcissistic, and psychopathic/sociopathic personalities, in need of a forensic psychological evaluation or testing, have a criminal record and/or required to register as a sex offender, have adult ADHD, difficulty with maintaining healthy relationships, low self-esteem, problems with healthy masculine expression, then you have found someone with the expertise, ability, and willingness to help.
If you struggle with anger management, sexual aggression, sex/pornography addiction, poor self-regulation/impulse control, anxiety, depression, trauma, antisocial, narcissistic, and psychopathic/sociopathic personalities, in need of a forensic psychological evaluation or testing, have a criminal record and/or required to register as a sex offender, have adult ADHD, difficulty with maintaining healthy relationships, low self-esteem, problems with healthy masculine expression, then you have found someone with the expertise, ability, and willingness to help.
(619) 815-8501 View (619) 815-8501
Photo of Nahied Rahimi, Marriage & Family Therapist Associate in San Diego, CA
Nahied Rahimi
Marriage & Family Therapist Associate, AMFT
Verified Verified
3 Endorsed
San Diego, CA 92122  (Online Only)
Are you unhappy with your relationships, whether they are intimate or social? Are you divorced or grieving a relationship and feel overwhelmed by the experience? I support individuals and couples navigate all of their critical relationships and the challenges that come up within them. I support my clients in better understanding why they are facing such challenges, and support them in moving forward and healing.
Are you unhappy with your relationships, whether they are intimate or social? Are you divorced or grieving a relationship and feel overwhelmed by the experience? I support individuals and couples navigate all of their critical relationships and the challenges that come up within them. I support my clients in better understanding why they are facing such challenges, and support them in moving forward and healing.
(858) 358-7685 View (858) 358-7685
Photo of Shawntae Wright, Clinical Social Work/Therapist in San Diego, CA
Shawntae Wright
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92105
Hello. My name is Shawntae Wright, LCSW. I use an integrative approach to therapy utilizing CBT, Psychodynamic Therapy and DBT skills to create a customized treatment plan that is tailored to the individual, couple, or family's goals. I enjoy working with individuals, couples, families, children and adolescents. It's a privilege to support individuals in treating their depression, anxiety, trauma and relationship challenges.
Hello. My name is Shawntae Wright, LCSW. I use an integrative approach to therapy utilizing CBT, Psychodynamic Therapy and DBT skills to create a customized treatment plan that is tailored to the individual, couple, or family's goals. I enjoy working with individuals, couples, families, children and adolescents. It's a privilege to support individuals in treating their depression, anxiety, trauma and relationship challenges.
(858) 943-6953 View (858) 943-6953
Photo of Hope, Growth & Healing Counseling, Marriage & Family Therapist in San Diego, CA
Hope, Growth & Healing Counseling
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92121  (Online Only)
Offer Telehealth Only - Life provides happiness as well as its share of challenges. I believe individuals and couples are capable of navigating life but sometimes need a little extra help and compassion. Therapy can be that place where a person can discuss, learn and work through any past or present challenges that may be getting in the way of living a happy and hopeful life.
Offer Telehealth Only - Life provides happiness as well as its share of challenges. I believe individuals and couples are capable of navigating life but sometimes need a little extra help and compassion. Therapy can be that place where a person can discuss, learn and work through any past or present challenges that may be getting in the way of living a happy and hopeful life.
(619) 776-3039 View (619) 776-3039
Photo of Natacha Akshoomoff Neuropsychologist, Psychologist in San Diego, CA
Natacha Akshoomoff Neuropsychologist
Psychologist, PhD
Verified Verified
San Diego, CA 92130
A neuropsychological evaluation provides a comprehensive understanding of brain functioning and an individual's strengths and weaknesses. I work with children, teens, and young adults. Neurocognitive skills, academic abilities, social skills, and behavior are assessed as part of each evaluation using gold standard tools. I'm well-known for my expertise in the diagnosis of autism, ADHD, and learning disabilities. My goal is to help each person reach their full potential. I do not offer therapy services.
A neuropsychological evaluation provides a comprehensive understanding of brain functioning and an individual's strengths and weaknesses. I work with children, teens, and young adults. Neurocognitive skills, academic abilities, social skills, and behavior are assessed as part of each evaluation using gold standard tools. I'm well-known for my expertise in the diagnosis of autism, ADHD, and learning disabilities. My goal is to help each person reach their full potential. I do not offer therapy services.
(858) 264-0812 View (858) 264-0812
Photo of Stephanie Byrd, Psychologist in San Diego, CA
Stephanie Byrd
Psychologist, PsyD
Verified Verified
3 Endorsed
San Diego, CA 92101
Getting praised for being so "together", when inside you feel like you're crumbling to pieces? Feeling pressured to change, but don't know where to start? I'd like to help. If you're feeling confused, overwhelmed, anxious or sad and know you need to make some changes, Im here to help. If you and your partner are stuck in negative cycles and get frustrated trying to work through it couples therapy can help. I teach couples like you how to negotiate your needs and how to strengthen and rebuild your bond.
Getting praised for being so "together", when inside you feel like you're crumbling to pieces? Feeling pressured to change, but don't know where to start? I'd like to help. If you're feeling confused, overwhelmed, anxious or sad and know you need to make some changes, Im here to help. If you and your partner are stuck in negative cycles and get frustrated trying to work through it couples therapy can help. I teach couples like you how to negotiate your needs and how to strengthen and rebuild your bond.
(727) 498-5874 View (727) 498-5874
Photo of Kathryn Anderson, Marriage & Family Therapist in San Diego, CA
Kathryn Anderson
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92128
Do you remember that children's song about going on a bear hunt? Can't go over it! Can't go under it! We've got to go through it! Life is full of situations that can leave us feeling much like this song. In working with individuals and families, including children (ages 4+) and adolescents, adults, and their caregivers, my hope is for you to find new solutions to the challenges you are facing every day. I may not be able to get you over it or under it, but I am here to help you through it.
Do you remember that children's song about going on a bear hunt? Can't go over it! Can't go under it! We've got to go through it! Life is full of situations that can leave us feeling much like this song. In working with individuals and families, including children (ages 4+) and adolescents, adults, and their caregivers, my hope is for you to find new solutions to the challenges you are facing every day. I may not be able to get you over it or under it, but I am here to help you through it.
(858) 736-9990 View (858) 736-9990
Photo of Gregory Bendau, Marriage & Family Therapist Associate in San Diego, CA
Gregory Bendau
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Diego, CA 92103
Do you struggle with feelings of anxiety, depression, guilt, or low self-esteem? Do you find yourself avoiding social engagements or so preoccupied with excessive worrying? Finding ways to navigate these difficult feelings can help you get back on track. I use a psychodynamic approach and CBT that focuses on uncovering patterns of behavior and ways of relating to ourselves and others that are often outside of our awareness. I also consider how our past impacts who we are today. Through acceptance and empathy, we will establish a trusting therapeutic relationship and work together toward your personal growth and self-discovery.
Do you struggle with feelings of anxiety, depression, guilt, or low self-esteem? Do you find yourself avoiding social engagements or so preoccupied with excessive worrying? Finding ways to navigate these difficult feelings can help you get back on track. I use a psychodynamic approach and CBT that focuses on uncovering patterns of behavior and ways of relating to ourselves and others that are often outside of our awareness. I also consider how our past impacts who we are today. Through acceptance and empathy, we will establish a trusting therapeutic relationship and work together toward your personal growth and self-discovery.
(760) 263-6885 View (760) 263-6885
Photo of Claire Muller, Marriage & Family Therapist in San Diego, CA
Claire Muller
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92111  (Online Only)
Not accepting new clients
There are many reasons why someone chooses to explore therapy. Some want support navigating relationships at home, school, or work. Others are interested in gaining confidence in advocating for themselves and their identity. Some may be feeling stuck or want to talk through different options or choices. Others want to have a safe, nonjudgemental space to express themselves while feeling heard, understood, and accepted. Whatever your reason, I would love the opportunity to talk and see if we can discover some ways to help you feel grounded. I’m committed to honoring your unique experiences, hopes, values, expertise, and needs.
There are many reasons why someone chooses to explore therapy. Some want support navigating relationships at home, school, or work. Others are interested in gaining confidence in advocating for themselves and their identity. Some may be feeling stuck or want to talk through different options or choices. Others want to have a safe, nonjudgemental space to express themselves while feeling heard, understood, and accepted. Whatever your reason, I would love the opportunity to talk and see if we can discover some ways to help you feel grounded. I’m committed to honoring your unique experiences, hopes, values, expertise, and needs.
(619) 480-2433 View (619) 480-2433
Photo of Stephanie Nguyen, Marriage & Family Therapist in San Diego, CA
Stephanie Nguyen
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
San Diego, CA 92116
Braving the unsteady waters of healing is an act of self-love. I believe in the transformative power of turning our attention inward to shed light on all parts of self—the beautiful, the “ugly,” the shameful, the resilient. From my experience as both a therapist and a fellow human on this path, I have witnessed the profound power of allowing yourself to be seen, truly seen, in the presence of another. It is my commitment to work together to create an environment where you feel safe, honored, and sacred. This is where our “heart-work” begins.
Braving the unsteady waters of healing is an act of self-love. I believe in the transformative power of turning our attention inward to shed light on all parts of self—the beautiful, the “ugly,” the shameful, the resilient. From my experience as both a therapist and a fellow human on this path, I have witnessed the profound power of allowing yourself to be seen, truly seen, in the presence of another. It is my commitment to work together to create an environment where you feel safe, honored, and sacred. This is where our “heart-work” begins.
(619) 598-1329 View (619) 598-1329
Photo of Mariya Kholodova, Psychologist in San Diego, CA
Mariya Kholodova
Psychologist, PhD
Verified Verified
2 Endorsed
San Diego, CA 92103
If you are seeking psychotherapy to improve your self-esteem, process trauma, manage symptoms of anxiety or depression, process divorce or other loss, get a handle on your anger, improve your job performance, learn to be more assertive, or improve your relationships with others, I can help. In a warm and supportive environment we will work together to foster insight and build the skills needed to deal successfully with life's unpredictable stressors.
If you are seeking psychotherapy to improve your self-esteem, process trauma, manage symptoms of anxiety or depression, process divorce or other loss, get a handle on your anger, improve your job performance, learn to be more assertive, or improve your relationships with others, I can help. In a warm and supportive environment we will work together to foster insight and build the skills needed to deal successfully with life's unpredictable stressors.
(858) 914-2658 View (858) 914-2658
Photo of Olivia Stagnaro, Marriage & Family Therapist in San Diego, CA
Olivia Stagnaro
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92102
Do you seem successful on paper, yet feel unfulfilled inside? Maybe you're exhausted from striving for happiness, or your relationships aren’t as rewarding as you'd like. It's possible your past is affecting your current feelings, leading to moments of hopelessness about ever feeling content. You might struggle to recall a time when life felt different. However, you're definitely ready for a change, seeking relief and eager to rebuild your confidence and connect more deeply in your relationships.
Do you seem successful on paper, yet feel unfulfilled inside? Maybe you're exhausted from striving for happiness, or your relationships aren’t as rewarding as you'd like. It's possible your past is affecting your current feelings, leading to moments of hopelessness about ever feeling content. You might struggle to recall a time when life felt different. However, you're definitely ready for a change, seeking relief and eager to rebuild your confidence and connect more deeply in your relationships.
(619) 658-6471 View (619) 658-6471
Photo of Ingrid B Guerrieri, Marriage & Family Therapist in San Diego, CA
Ingrid B Guerrieri
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Diego, CA 92111  (Online Only)
¡Hola! If you are reading this, you are either going through a rough patch, or have been wanting for a preferred version of you/ life/ relationship to be your reality. We usually think of therapy as a space to work on problems, shame, trauma, and diagnoses... as if that is all you've got going for you. What about your hopes, projects, stories, talents, and desires? I believe therapy must include all of you, a space where you can talk about whom you love, how you love, and how you play. I am a licensed marriage and family therapist and expressive arts therapist who says Welcome to all of who you are! Bienvenide a CreArte Counseling.
¡Hola! If you are reading this, you are either going through a rough patch, or have been wanting for a preferred version of you/ life/ relationship to be your reality. We usually think of therapy as a space to work on problems, shame, trauma, and diagnoses... as if that is all you've got going for you. What about your hopes, projects, stories, talents, and desires? I believe therapy must include all of you, a space where you can talk about whom you love, how you love, and how you play. I am a licensed marriage and family therapist and expressive arts therapist who says Welcome to all of who you are! Bienvenide a CreArte Counseling.
(619) 745-5992 View (619) 745-5992

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.