Therapists in San Antonio, TX

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Photo of Jennifer Cleveland, Psychologist in San Antonio, TX
Jennifer Cleveland
Psychologist, PhD
Verified Verified
San Antonio, TX 78213
Waitlist for new clients
Are you struggling? I can help. I am a licensed psychologist with over 20 years of experience helping individuals with a variety of issues ranging from depression and anxiety to executive functioning and parenting issues. Often, my clients tell me that they struggle for too long before seeking help because they hope things will improve or they are ashamed of their issues. I am non-judgmental and can offer you the professional help you've been looking for. I hope you reach out today and start your journey of change, hope, and improved mental health.
Are you struggling? I can help. I am a licensed psychologist with over 20 years of experience helping individuals with a variety of issues ranging from depression and anxiety to executive functioning and parenting issues. Often, my clients tell me that they struggle for too long before seeking help because they hope things will improve or they are ashamed of their issues. I am non-judgmental and can offer you the professional help you've been looking for. I hope you reach out today and start your journey of change, hope, and improved mental health.
(210) 934-3683 View (210) 934-3683
Photo of Jennifer Van Ness, Licensed Professional Counselor in San Antonio, TX
Jennifer Van Ness
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230
My clients often see me for crisis intervention, depression, anxiety and other mental illnesses, addiction, trauma focused care, life transitions, patterns that produce barriers in life, family and couples counseling.
My clients often see me for crisis intervention, depression, anxiety and other mental illnesses, addiction, trauma focused care, life transitions, patterns that produce barriers in life, family and couples counseling.
(210) 791-7203 View (210) 791-7203
Photo of David Roper, Licensed Professional Counselor in San Antonio, TX
David Roper
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
San Antonio, TX 78232  (Online Only)
Day, evening, & weekend appointments available! Life can be hard; I'm happy to help. Whether you are dealing with depression, anxiety, relationship issues, etc., I would be honored to guide you to have the life that you want.
Day, evening, & weekend appointments available! Life can be hard; I'm happy to help. Whether you are dealing with depression, anxiety, relationship issues, etc., I would be honored to guide you to have the life that you want.
(210) 405-1747 View (210) 405-1747
Photo of Dr. Julie Landry, Psychologist in San Antonio, TX
Dr. Julie Landry
Psychologist, PsyD, ABPP
Verified Verified
1 Endorsed
San Antonio, TX 78248  (Online Only)
Hi, I’m Julie. I’m a licensed clinical psychologist, a veteran, and a mom of 2 neurodivergent boys. Raising my kids is like looking in a mirror﹣ it led me to pursue a formal evaluation for myself, and when I was diagnosed with ADHD, it helped me make sense of things in my own life. My advocacy for the neurodivergent community initially began with my children’s diagnoses but has continued as I've found myself inspired by my amazing resilient clients.
Hi, I’m Julie. I’m a licensed clinical psychologist, a veteran, and a mom of 2 neurodivergent boys. Raising my kids is like looking in a mirror﹣ it led me to pursue a formal evaluation for myself, and when I was diagnosed with ADHD, it helped me make sense of things in my own life. My advocacy for the neurodivergent community initially began with my children’s diagnoses but has continued as I've found myself inspired by my amazing resilient clients.
(210) 934-9217 View (210) 934-9217
Photo of Kathleen Frank, Licensed Professional Counselor in San Antonio, TX
Kathleen Frank
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78258
Going to therapy and talking to a stranger about your inner most thoughts and feelings is difficult. So, congrats on taking this first step. My name is Kathleen and I am a licensed counselor in the states of Texas. I approach each client based on their needs, situation, culture, lived experiences, and goals. I tend to move fluidly through the following approaches: Cognitive-Behavioral Therapy (CBT), Motivational Interviewing, Client-Centered, Dialectic-Behavioral Therapy (DBT), Gestalt, and Psychodynamic. What does that all mean? I try to bend and move with my clients' needs and where they are in their therapeutic process.
Going to therapy and talking to a stranger about your inner most thoughts and feelings is difficult. So, congrats on taking this first step. My name is Kathleen and I am a licensed counselor in the states of Texas. I approach each client based on their needs, situation, culture, lived experiences, and goals. I tend to move fluidly through the following approaches: Cognitive-Behavioral Therapy (CBT), Motivational Interviewing, Client-Centered, Dialectic-Behavioral Therapy (DBT), Gestalt, and Psychodynamic. What does that all mean? I try to bend and move with my clients' needs and where they are in their therapeutic process.
(708) 729-5880 View (708) 729-5880
Photo of Carmelle S Williams, Licensed Professional Counselor in San Antonio, TX
Carmelle S Williams
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78229  (Online Only)
Have there been times when you feel off? Overwhelmed or stressed about your relationships, your parenting, job, school and so on? Life can take us on an emotional roller-coaster at times. It is easy to feel like everything you are doing is wrong or even feel as if you have no one to express your true feelings to without feeling judged. Asking for help can be tough. Healing is a process and there is no due date on it. I have experience working with adults, adolescents, and children in psychiatric settings. I have a background in Child Protective Services working with families and finding long term permanency for the children.
Have there been times when you feel off? Overwhelmed or stressed about your relationships, your parenting, job, school and so on? Life can take us on an emotional roller-coaster at times. It is easy to feel like everything you are doing is wrong or even feel as if you have no one to express your true feelings to without feeling judged. Asking for help can be tough. Healing is a process and there is no due date on it. I have experience working with adults, adolescents, and children in psychiatric settings. I have a background in Child Protective Services working with families and finding long term permanency for the children.
(210) 794-8371 View (210) 794-8371
Photo of Gladys Vazquez, Licensed Professional Counselor in San Antonio, TX
Gladys Vazquez
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78232
Waitlist for new clients
It is an honor to accompany individuals and families in their journey for insight, change, healing, and growth in the midst of life's most challenging moments.
It is an honor to accompany individuals and families in their journey for insight, change, healing, and growth in the midst of life's most challenging moments.
(210) 942-6841 View (210) 942-6841
Photo of James Denning, Licensed Professional Counselor in San Antonio, TX
James Denning
Licensed Professional Counselor, LPC, LCDC
Verified Verified
San Antonio, TX 78217
Does life feel really "heavy" right now? Have you been too strong for too long? You do not have to live this way. You do not have to accept a “new normal”. Depression, anxiety, and Post Traumatic Stress can be managed and hopefully eliminated from your life. You can love your life again or maybe for the first time. I utilize traditional talk therapy and Accelerated Resolution Therapy to find the root cause of the problem and address it at the source. My approach is to teach you the how and the why of depression, anxiety and post-traumatic stress and then work together to figure out how to help you live your best life possible.
Does life feel really "heavy" right now? Have you been too strong for too long? You do not have to live this way. You do not have to accept a “new normal”. Depression, anxiety, and Post Traumatic Stress can be managed and hopefully eliminated from your life. You can love your life again or maybe for the first time. I utilize traditional talk therapy and Accelerated Resolution Therapy to find the root cause of the problem and address it at the source. My approach is to teach you the how and the why of depression, anxiety and post-traumatic stress and then work together to figure out how to help you live your best life possible.
(210) 405-4341 View (210) 405-4341
Photo of Shelby Walter in San Antonio, TX
Shelby Walter
LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78228
I am a licensed clinical social worker (LCSW). I started my educational journey working with children who have special needs, focusing on Autism. The last few years, I have emphasized on working with young children, adolescents, and parents who have experienced multiple traumas. My outlook on working with clients' who have experienced trauma is focusing around the question of "What has happened to you". Assisting the client overcome their personal traumas and seeing the growth and positive outcomes of healing, has to be the most rewarding part of the therapeutic process.
I am a licensed clinical social worker (LCSW). I started my educational journey working with children who have special needs, focusing on Autism. The last few years, I have emphasized on working with young children, adolescents, and parents who have experienced multiple traumas. My outlook on working with clients' who have experienced trauma is focusing around the question of "What has happened to you". Assisting the client overcome their personal traumas and seeing the growth and positive outcomes of healing, has to be the most rewarding part of the therapeutic process.
(210) 571-7270 View (210) 571-7270
Photo of Dr. Tamara Jade Hinojosa, Licensed Professional Counselor in San Antonio, TX
Dr. Tamara Jade Hinojosa
Licensed Professional Counselor, PhD, LPC
Verified Verified
San Antonio, TX 78210
Sometimes the most subtle of changes can be the most profound, which is a concept at the heart of my counseling approach. While counseling often includes relief of challenging symptoms related to anxiety or feeling stuck, I also help clients navigate challenging life turning points, such as sudden career changes or unexpected medical diagnoses. For clients seeking further self-exploration, I provide a depth counseling approach in which we reflect on conscious and unconscious emotions to increase self-awareness and improve unhelpful psychological patterns.
Sometimes the most subtle of changes can be the most profound, which is a concept at the heart of my counseling approach. While counseling often includes relief of challenging symptoms related to anxiety or feeling stuck, I also help clients navigate challenging life turning points, such as sudden career changes or unexpected medical diagnoses. For clients seeking further self-exploration, I provide a depth counseling approach in which we reflect on conscious and unconscious emotions to increase self-awareness and improve unhelpful psychological patterns.
(726) 224-7427 View (726) 224-7427
Photo of Lourdes Durham, Licensed Professional Counselor in San Antonio, TX
Lourdes Durham
Licensed Professional Counselor, LPC-S, RPT-S
Verified Verified
San Antonio, TX 78216
Weekend Appointments and some afternoons at this time ONLY. Have you ever felt lost? Misunderstood? Alone? You are not the only one and I'm here to walk the healing journey with you. I’ve been a Licensed Professional Counselor for more than 14 years. My experience include different populations and age groups with a variety of challenges. I have worked in a variety of settings from hospital ,residential and partial for children, adolescents and adults, and private practice among others, including veterans, military personnel, first responders and their families.
Weekend Appointments and some afternoons at this time ONLY. Have you ever felt lost? Misunderstood? Alone? You are not the only one and I'm here to walk the healing journey with you. I’ve been a Licensed Professional Counselor for more than 14 years. My experience include different populations and age groups with a variety of challenges. I have worked in a variety of settings from hospital ,residential and partial for children, adolescents and adults, and private practice among others, including veterans, military personnel, first responders and their families.
(210) 972-8100 View (210) 972-8100
Photo of Cait Martinez, Marriage & Family Therapist Associate in San Antonio, TX
Cait Martinez
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
1 Endorsed
San Antonio, TX 78247
You look around and everything seems broken or merely hanging on by a thread. No matter what you've tried, the promise of a better life seems further and further away. Constantly fighting against the things weighing you down only leads to more devastation and hopelessness. You feel lost in this nightmare of day-to-day living and struggle with feeling everything and nothing all at the same time. You’ve began to wonder how much longer you can go on like this, but the idea of true happiness seems so far from reach. Despite it all, you know that you deserve to experience real, sustainable change.
You look around and everything seems broken or merely hanging on by a thread. No matter what you've tried, the promise of a better life seems further and further away. Constantly fighting against the things weighing you down only leads to more devastation and hopelessness. You feel lost in this nightmare of day-to-day living and struggle with feeling everything and nothing all at the same time. You’ve began to wonder how much longer you can go on like this, but the idea of true happiness seems so far from reach. Despite it all, you know that you deserve to experience real, sustainable change.
(830) 445-2419 View (830) 445-2419
Photo of Brooke Bucher-Delossantos, Marriage & Family Therapist in San Antonio, TX
Brooke Bucher-Delossantos
Marriage & Family Therapist, LMFT
Verified Verified
San Antonio, TX 78216  (Online Only)
Finding the right therapist can be difficult as it is important the client feels like they are in a safe place; which is why I focus on building a trusting, nonjudgmental, and safe environment for the client. The therapeutic alliance between therapist and client is so important in therapy. I am a Licensed Marriage and Family Therapist so I am trained in Family Systems and utilize these models in counseling. Through counseling my clients have learned effective communication methods, coping skills, boundary setting, assistance in addiction counseling, and rebuilding healthy relationships.
Finding the right therapist can be difficult as it is important the client feels like they are in a safe place; which is why I focus on building a trusting, nonjudgmental, and safe environment for the client. The therapeutic alliance between therapist and client is so important in therapy. I am a Licensed Marriage and Family Therapist so I am trained in Family Systems and utilize these models in counseling. Through counseling my clients have learned effective communication methods, coping skills, boundary setting, assistance in addiction counseling, and rebuilding healthy relationships.
(737) 250-6696 View (737) 250-6696
Photo of Jeffrey Weichert, Licensed Professional Counselor in San Antonio, TX
Jeffrey Weichert
Licensed Professional Counselor, MS, MBA, LPC-S, LMFT
Verified Verified
San Antonio, TX 78232
Not accepting new clients
Counseling not only helps people deal with problems, but can also help people maximize their potential and get more out of life. You may be looking for a solution to a specific issue, wanting support during a crisis, seeking helpful support with personal/workplace skills, or anything in between. You may not even know what is exactly wrong but feel like you need help figuring it all out - it's different for everyone.
Counseling not only helps people deal with problems, but can also help people maximize their potential and get more out of life. You may be looking for a solution to a specific issue, wanting support during a crisis, seeking helpful support with personal/workplace skills, or anything in between. You may not even know what is exactly wrong but feel like you need help figuring it all out - it's different for everyone.
(210) 255-2016 View (210) 255-2016
Photo of Nidia I. Valadez, Licensed Professional Counselor in San Antonio, TX
Nidia I. Valadez
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
San Antonio, TX 78248  (Online Only)
Waitlist for new clients
Are you experiencing challenges with fear, self-doubt, or painful memories from a traumatic event? I am here to offer assistance. Together, we can explore your strengths, understand the root of your difficulties, and awaken a more confident and resilient version of yourself. Life can be overwhelming, hindering our ability to give and receive love and experience happiness. Let's collaborate on a journey towards the fulfilling life you truly deserve.
Are you experiencing challenges with fear, self-doubt, or painful memories from a traumatic event? I am here to offer assistance. Together, we can explore your strengths, understand the root of your difficulties, and awaken a more confident and resilient version of yourself. Life can be overwhelming, hindering our ability to give and receive love and experience happiness. Let's collaborate on a journey towards the fulfilling life you truly deserve.
(210) 384-2931 View (210) 384-2931
Photo of Poonam Sharma, Psychologist in San Antonio, TX
Poonam Sharma
Psychologist, PhD
Verified Verified
1 Endorsed
San Antonio, TX 78230
The hardest times in our lives can be huge turning points if managed well. If you are struggling, please consider psychotherapy. There are many wonderful psychological tools that can help you become healthier so you can live your life with more clarity, confidence, and purpose. Contrary to the stereotype, most people seeking counseling are "normal," just happen to be stuck, and realize they need help to move forward. Whether it's a health problem, infertility, a loss, work-life imbalance, or just plain stress that has you down, let's work together to help you take charge of your life.
The hardest times in our lives can be huge turning points if managed well. If you are struggling, please consider psychotherapy. There are many wonderful psychological tools that can help you become healthier so you can live your life with more clarity, confidence, and purpose. Contrary to the stereotype, most people seeking counseling are "normal," just happen to be stuck, and realize they need help to move forward. Whether it's a health problem, infertility, a loss, work-life imbalance, or just plain stress that has you down, let's work together to help you take charge of your life.
(210) 493-6554 View (210) 493-6554
Photo of Jennive Henry, Licensed Professional Counselor in San Antonio, TX
Jennive Henry
Licensed Professional Counselor, MS, NCC, LPC, CST
Verified Verified
San Antonio, TX 78254  (Online Only)
I expand my counseling services to include and encompass mental and sexual health. My aim is to provide a safe, respectful, supportive, and confidential space to explore and address a wide range of concerns to foster healthy, enhancing, and fulfilling life and relationships. Many of my clients come to me with issues with confidence, self-esteem, depression, intimacy issues, sexual dysfunction, low libido, communication problems, trauma or abuse, sexual identity exploration, infidelity, kink/fetish/BDSM, sexual compulsivity, sexual education, relationship enhancement, and/or preparation for major life changes. Virtual/Telehealth only
I expand my counseling services to include and encompass mental and sexual health. My aim is to provide a safe, respectful, supportive, and confidential space to explore and address a wide range of concerns to foster healthy, enhancing, and fulfilling life and relationships. Many of my clients come to me with issues with confidence, self-esteem, depression, intimacy issues, sexual dysfunction, low libido, communication problems, trauma or abuse, sexual identity exploration, infidelity, kink/fetish/BDSM, sexual compulsivity, sexual education, relationship enhancement, and/or preparation for major life changes. Virtual/Telehealth only
(361) 204-1844 View (361) 204-1844
Photo of Stephanie Torres Rojas, Psychologist in San Antonio, TX
Stephanie Torres Rojas
Psychologist, PsyD
Verified Verified
San Antonio, TX 78216  (Online Only)
Telehealth only. Dr. Stephanie Torres is a bilingual (Spanish) licensed psychologist who provides individual, couple, family, and group therapy. Her approach is inclusive, synergetic, and trauma-informed. She strives to create a safe, warm, and non-judgmental environment where everyone is treated with respect, uniqueness, egalitarianism, and anti-racism. She aims to help clients promote personal growth, overcome challenges, transitions, and difficulties in life, and facilitate the emotional and healing process.
Telehealth only. Dr. Stephanie Torres is a bilingual (Spanish) licensed psychologist who provides individual, couple, family, and group therapy. Her approach is inclusive, synergetic, and trauma-informed. She strives to create a safe, warm, and non-judgmental environment where everyone is treated with respect, uniqueness, egalitarianism, and anti-racism. She aims to help clients promote personal growth, overcome challenges, transitions, and difficulties in life, and facilitate the emotional and healing process.
(210) 934-4597 View (210) 934-4597
Photo of Lindsey Autumn McGehee, Licensed Professional Counselor in San Antonio, TX
Lindsey Autumn McGehee
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78213
Welcome to Therapy! Schedule now: www.sanantoniofamilytherapist.com/booking.html I'm proud of you for considering getting help. I'm here to tell you that anything you're going through in your personal life, your relationship, your work, or your parenting really can change and improve.​​ There can be a beautiful story for you to write in your future. Having someone who can understand you, believe in your best, and help you overcome the challenges you are facing can make all the difference. It is a good day to stop carrying your struggles alone. Reach out for help today. 210-201-4050
Welcome to Therapy! Schedule now: www.sanantoniofamilytherapist.com/booking.html I'm proud of you for considering getting help. I'm here to tell you that anything you're going through in your personal life, your relationship, your work, or your parenting really can change and improve.​​ There can be a beautiful story for you to write in your future. Having someone who can understand you, believe in your best, and help you overcome the challenges you are facing can make all the difference. It is a good day to stop carrying your struggles alone. Reach out for help today. 210-201-4050
(210) 879-7969 View (210) 879-7969
Photo of Jacob Pickard, Psychologist in San Antonio, TX
Jacob Pickard
Psychologist, PhD
Verified Verified
1 Endorsed
San Antonio, TX 78210
I strive to provide you with the tools to build and maintain a more fulfilling life. Each person has unique needs and goals in their therapy. I will not just passively listen, but will engage you, share my thoughts, and challenge you when appropriate. I strive to provide my clients an atmosphere of flexibility, acceptance, compassion, and humor. For 15 years I have successfully helped clients navigate life issues. Many people come to me feeling overwhelmed or lacking meaning in their life, while others are experiencing depression, anxiety, grief/loss, trauma/PTSD, relationship or gender issues.
I strive to provide you with the tools to build and maintain a more fulfilling life. Each person has unique needs and goals in their therapy. I will not just passively listen, but will engage you, share my thoughts, and challenge you when appropriate. I strive to provide my clients an atmosphere of flexibility, acceptance, compassion, and humor. For 15 years I have successfully helped clients navigate life issues. Many people come to me feeling overwhelmed or lacking meaning in their life, while others are experiencing depression, anxiety, grief/loss, trauma/PTSD, relationship or gender issues.
(210) 526-0456 View (210) 526-0456

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
71% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
77% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.