Therapists in San Antonio, TX

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Photo of John Amundson, Licensed Professional Counselor in San Antonio, TX
John Amundson
Licensed Professional Counselor, MA, NCC, LPC
Verified Verified
3 Endorsed
San Antonio, TX 78213
It's hard to get up in the mornings. Life is heavy right now because work is stressful, you're struggling in your relationships, it's hard to get a good night's sleep, and/or you never seem to have time to focus on yourself. You may also be struggling with grief from the loss of a loved one, low self-esteem, or feeling disconnected from the world.
It's hard to get up in the mornings. Life is heavy right now because work is stressful, you're struggling in your relationships, it's hard to get a good night's sleep, and/or you never seem to have time to focus on yourself. You may also be struggling with grief from the loss of a loved one, low self-esteem, or feeling disconnected from the world.
(512) 855-6730 View (512) 855-6730
Photo of Shannon Lyn Sorensen, Licensed Professional Counselor in San Antonio, TX
Shannon Lyn Sorensen
Licensed Professional Counselor, LPC, LCDC
Verified Verified
San Antonio, TX 78242  (Online Only)
In the intricate tapestry of human experiences, each individual carries a unique story, woven with threads of joy, sorrow, triumphs, and challenges. As a therapist, I am committed to creating a safe and empathetic space where clients can unravel the layers of their inner self, fostering a journey toward self-awareness and personal growth. With a deep-rooted passion for understanding the complexities of the human mind, my therapeutic approach is rooted in empathy, respect, and collaboration, recognizing that each individual's journey is unique.
In the intricate tapestry of human experiences, each individual carries a unique story, woven with threads of joy, sorrow, triumphs, and challenges. As a therapist, I am committed to creating a safe and empathetic space where clients can unravel the layers of their inner self, fostering a journey toward self-awareness and personal growth. With a deep-rooted passion for understanding the complexities of the human mind, my therapeutic approach is rooted in empathy, respect, and collaboration, recognizing that each individual's journey is unique.
(210) 742-5115 View (210) 742-5115
Photo of Carolyn Tubbs, Marriage & Family Therapist in San Antonio, TX
Carolyn Tubbs
Marriage & Family Therapist, PhD, LMFT, LMFT-S
Verified Verified
1 Endorsed
San Antonio, TX 78213
I have been a family therapist over 20 years; and such, I work from a systemic or relational orientation, which focuses on mental health concerns within the contexts they occur. I work with individuals, couples and families experiencing a variety of mental health and relational concerns, such as depression, important life decisions, spiritual struggles, premarital counseling, marital conflict, communication problems, parenting challenges, family transitions, relationship enhancement, domestic violence, family violence and mid-life transitions.
I have been a family therapist over 20 years; and such, I work from a systemic or relational orientation, which focuses on mental health concerns within the contexts they occur. I work with individuals, couples and families experiencing a variety of mental health and relational concerns, such as depression, important life decisions, spiritual struggles, premarital counseling, marital conflict, communication problems, parenting challenges, family transitions, relationship enhancement, domestic violence, family violence and mid-life transitions.
(210) 981-3983 View (210) 981-3983
Photo of Kimberly Ann Alaniz, Clinical Social Work/Therapist in San Antonio, TX
Kimberly Ann Alaniz
Clinical Social Work/Therapist, LCSW-S, ASDCS
Verified Verified
San Antonio, TX 78257
Kimberly Alaniz is a Licensed Clinical Social Worker-Supervisor. She received her Masters of Social Work from Our Lady of the Lake University. Kimberly received clinical supervision post licensure in psychodynamic psychotherapy and family therapy at Clarity Child Guidance Center. She obtained specialized training designating her as a Autism Spectrum Disorder Clinical Specialist through Evergreen Certifications.
Kimberly Alaniz is a Licensed Clinical Social Worker-Supervisor. She received her Masters of Social Work from Our Lady of the Lake University. Kimberly received clinical supervision post licensure in psychodynamic psychotherapy and family therapy at Clarity Child Guidance Center. She obtained specialized training designating her as a Autism Spectrum Disorder Clinical Specialist through Evergreen Certifications.
(210) 940-0886 x111 View (210) 940-0886 x111
Photo of Amanda Dee Montoya-Cuellar, Licensed Professional Counselor in San Antonio, TX
Amanda Dee Montoya-Cuellar
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78210  (Online Only)
Life ain't always beautiful but it's a beautiful ride. During the most difficult times of life, you don't have to be alone. As a human, its okay to to not be okay and allow yourself the support you need. We each have a story, and your story is important to me. My goal for all my clients is leave with a sense of clarity, confidence and progression within themselves. I am here for you. Let me be your therapist and lets take this ride together.
Life ain't always beautiful but it's a beautiful ride. During the most difficult times of life, you don't have to be alone. As a human, its okay to to not be okay and allow yourself the support you need. We each have a story, and your story is important to me. My goal for all my clients is leave with a sense of clarity, confidence and progression within themselves. I am here for you. Let me be your therapist and lets take this ride together.
(210) 934-1276 View (210) 934-1276
Photo of Taofeeq Awesu, Counselor in San Antonio, TX
Taofeeq Awesu
Counselor, LPC
Verified Verified
San Antonio, TX 78252  (Online Only)
I'm an empathic licensed professional mental health counselor with proven ability to work independently and collaboratively to at risk diverse population. My unique and diverse backgrounds couples with my multicultural experience helping in crisis intervention, suicide risk evaluation, diagnostic evaluation, psychometric testing, case documentation and biopsychosocial assessment. I work with my population using proven and evidenced based approaches. I am trauma-informed cognitive behavioral therapist with an advanced integrated therapies tailored to meet each client strengths and abilities.
I'm an empathic licensed professional mental health counselor with proven ability to work independently and collaboratively to at risk diverse population. My unique and diverse backgrounds couples with my multicultural experience helping in crisis intervention, suicide risk evaluation, diagnostic evaluation, psychometric testing, case documentation and biopsychosocial assessment. I work with my population using proven and evidenced based approaches. I am trauma-informed cognitive behavioral therapist with an advanced integrated therapies tailored to meet each client strengths and abilities.
(210) 981-4273 View (210) 981-4273
Photo of Dr. Elizabeth Berrocal, Licensed Professional Counselor in San Antonio, TX
Dr. Elizabeth Berrocal
Licensed Professional Counselor, PhD, LPC, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78229
Hello! I am an EMDR certified psychotherapist specializing in Women’s Mental Health, EMDR and Trauma. I am a firm believer that complete mental wellness incorporates both an integrative and holistic approach, emphasizing different modalities, and mind/body connection. I emphasize this precise integrative approach of overall wellness, including exercise and diet, that helps treat both mind and body.
Hello! I am an EMDR certified psychotherapist specializing in Women’s Mental Health, EMDR and Trauma. I am a firm believer that complete mental wellness incorporates both an integrative and holistic approach, emphasizing different modalities, and mind/body connection. I emphasize this precise integrative approach of overall wellness, including exercise and diet, that helps treat both mind and body.
(210) 801-9995 View (210) 801-9995
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 Christina Hoeppner, Licensed Professional Counselor in San Antonio, TX
Christina Hoeppner
Licensed Professional Counselor, MSG, LPC-S
Verified Verified
San Antonio, TX 78258
Are you tired, hurting or lost as to what to do next to change the way your life is going? I want to help you find lasting solutions that will empower you to not only brave your current challenges but also tackle what may come later on. I believe that real change is possible, especially when one explores and maximizes spiritual resources. A sense of power from one's faith can make a significant difference in his/her ability to implement and maintain lasting joy and peace. As a Christian, I enjoy helping individuals access this important personal resource and use it to their advantage.
Are you tired, hurting or lost as to what to do next to change the way your life is going? I want to help you find lasting solutions that will empower you to not only brave your current challenges but also tackle what may come later on. I believe that real change is possible, especially when one explores and maximizes spiritual resources. A sense of power from one's faith can make a significant difference in his/her ability to implement and maintain lasting joy and peace. As a Christian, I enjoy helping individuals access this important personal resource and use it to their advantage.
(210) 801-9154 View (210) 801-9154
Photo of Shirley Gutierrez, Clinical Social Work/Therapist in San Antonio, TX
Shirley Gutierrez
Clinical Social Work/Therapist, LCSW, CCTP-II
Verified Verified
1 Endorsed
San Antonio, TX 78247
Is this the life you thought you would have? Do you feel as if nothing you do is good enough? Are you feeling stuck in where you're at? Is this impacting your work, relationships, self-esteem and health? Does this hold you back from living your best life, applying for that promotion, or going after the goals you have held in your heart for so long? That feeling of "there has to be more to life" is there, but you're unsure how to begin? Are you ready to move forward and accomplish your goals to become your best self with a helper that "gets it"?
Is this the life you thought you would have? Do you feel as if nothing you do is good enough? Are you feeling stuck in where you're at? Is this impacting your work, relationships, self-esteem and health? Does this hold you back from living your best life, applying for that promotion, or going after the goals you have held in your heart for so long? That feeling of "there has to be more to life" is there, but you're unsure how to begin? Are you ready to move forward and accomplish your goals to become your best self with a helper that "gets it"?
(210) 794-6874 View (210) 794-6874
Photo of Edith (Edie) Blake, Licensed Professional Counselor in San Antonio, TX
Edith (Edie) Blake
Licensed Professional Counselor, MS, LSSP, LPC
Verified Verified
San Antonio, TX 78249  (Online Only)
Living life is a journey that is sometimes wonderful and other times very difficult. By walking with you on your journey, helping you through these times when the way is tough, so here to support and empower you on your journey. you do not have to face it alone. I'd like to help you! I have worked in a variety of settings helping individuals, and families experience emotional healing. I have assisted those struggling with a wide range of mood disorders, including trauma, anxiety, stress, depression relationship problems, parenting problems, career challenges, and ADHD.
Living life is a journey that is sometimes wonderful and other times very difficult. By walking with you on your journey, helping you through these times when the way is tough, so here to support and empower you on your journey. you do not have to face it alone. I'd like to help you! I have worked in a variety of settings helping individuals, and families experience emotional healing. I have assisted those struggling with a wide range of mood disorders, including trauma, anxiety, stress, depression relationship problems, parenting problems, career challenges, and ADHD.
(210) 361-8041 View (210) 361-8041
Photo of Anthony James Washington, Licensed Professional Counselor in San Antonio, TX
Anthony James Washington
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
San Antonio, TX 78253
Not accepting new clients
The struggles that we deal with on a daily basis can be a heavy enough burden to carry, and when we compound these with life transitions, or any other past trauma, it can be completely overwhelming. Stressors at home with family or loved ones, difficulties at school, challenges at work, or life transitions are difficult to navigate, and sometimes we may benefit from seeking help professionally. I'm here to help.
The struggles that we deal with on a daily basis can be a heavy enough burden to carry, and when we compound these with life transitions, or any other past trauma, it can be completely overwhelming. Stressors at home with family or loved ones, difficulties at school, challenges at work, or life transitions are difficult to navigate, and sometimes we may benefit from seeking help professionally. I'm here to help.
(210) 762-4717 View (210) 762-4717
Photo of Victor Taylor, Licensed Professional Counselor in San Antonio, TX
Victor Taylor
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78258
I provide individual and family sessions. I am licensed in the state of Texas with many years of experience working as a professional counselor. I have worked with a wide range of clients addressing mental health issues including depression, anxiety, relationship issues, parenting problems, anger issues and substance abuse problems. My counseling style is open and engaging. I believe in treating anyone with respect, dignity and compassion.
I provide individual and family sessions. I am licensed in the state of Texas with many years of experience working as a professional counselor. I have worked with a wide range of clients addressing mental health issues including depression, anxiety, relationship issues, parenting problems, anger issues and substance abuse problems. My counseling style is open and engaging. I believe in treating anyone with respect, dignity and compassion.
(210) 853-2164 View (210) 853-2164
Photo of Bob Stead, Licensed Professional Counselor in San Antonio, TX
Bob Stead
Licensed Professional Counselor, MS, NCC, LPC, CCTP-II
Verified Verified
2 Endorsed
San Antonio, TX 78249
Thank you for taking the time to review my profile. I am NOT your typical Psychotherapist, and I am looking for NOT your typical client. If you believe in the healing power of community and are eager to take control of your bubble, (because that's really all we can control), Don't hesitate to smile in my direction, let's change something meaningful! Also providing Ketamine Assisted Psychotherapy, Preparation, and Integration.
Thank you for taking the time to review my profile. I am NOT your typical Psychotherapist, and I am looking for NOT your typical client. If you believe in the healing power of community and are eager to take control of your bubble, (because that's really all we can control), Don't hesitate to smile in my direction, let's change something meaningful! Also providing Ketamine Assisted Psychotherapy, Preparation, and Integration.
(210) 791-6580 View (210) 791-6580
Photo of Elizabeth Woodruff, Licensed Professional Counselor Associate in San Antonio, TX
Elizabeth Woodruff
Licensed Professional Counselor Associate, MA
Verified Verified
1 Endorsed
San Antonio, TX 78228
Life is unpredictable. Challenges are presented in our lives and despite our efforts to overcome them, we may become overwhelmed or feel hopeless in our efforts. Do you feel like you have lost yourself, even though you have tried so hard to stay afloat? Maybe you feel disconnected from the relationships in your life, leaving you feeling isolated or not heard. No one should have to go through tough times feeling like they are all alone. My goal is to be present with my clients and assist them in regaining their voice, build confidence, and create balance in their lives. I offer support for adults, teenagers, and couples.
Life is unpredictable. Challenges are presented in our lives and despite our efforts to overcome them, we may become overwhelmed or feel hopeless in our efforts. Do you feel like you have lost yourself, even though you have tried so hard to stay afloat? Maybe you feel disconnected from the relationships in your life, leaving you feeling isolated or not heard. No one should have to go through tough times feeling like they are all alone. My goal is to be present with my clients and assist them in regaining their voice, build confidence, and create balance in their lives. I offer support for adults, teenagers, and couples.
(210) 985-7992 View (210) 985-7992
Photo of Brooke Gilliland, Licensed Professional Counselor in San Antonio, TX
Brooke Gilliland
Licensed Professional Counselor, MA, LPC, RPT, NCC
Verified Verified
San Antonio, TX 78258
Waitlist for new clients
You may be nervous just thinking about starting the therapy process. So here's a little bit about how I do therapy. I specialize in Christian counseling and play therapy, as well as using expressive/sandtray therapy in sessions. What does this mean? It means that I believe it's super helpful to use many things within the therapy context. The image of sitting on a couch talking is not the only way counseling services are provided. Therapy can include using your faith to understand how to do things differently. It can also include using forms of creativity (art, sandtray) to identify points of being stuck and find new ways to heal!
You may be nervous just thinking about starting the therapy process. So here's a little bit about how I do therapy. I specialize in Christian counseling and play therapy, as well as using expressive/sandtray therapy in sessions. What does this mean? It means that I believe it's super helpful to use many things within the therapy context. The image of sitting on a couch talking is not the only way counseling services are provided. Therapy can include using your faith to understand how to do things differently. It can also include using forms of creativity (art, sandtray) to identify points of being stuck and find new ways to heal!
(210) 791-9378 View (210) 791-9378
Photo of Gregorio Lozano, Counselor in San Antonio, TX
Gregorio Lozano
Counselor, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78216  (Online Only)
Hi, my name is Gregorio but people call me Greg. I am a Licensed Professional Counselor in the state of Texas where I offer online counseling. I work with people who are in relationships that make them feel overwhelmed with painful emotions. I help people understand themselves and their partners so that they can be able to connect to them or with each other. Together we will work towards gaining a different perspective, with new tools to help you connect with your partner. My belief is that all behaviors serve a purpose and all behaviors have an origin. This insight about ourselves and others helps us understand our relationships.
Hi, my name is Gregorio but people call me Greg. I am a Licensed Professional Counselor in the state of Texas where I offer online counseling. I work with people who are in relationships that make them feel overwhelmed with painful emotions. I help people understand themselves and their partners so that they can be able to connect to them or with each other. Together we will work towards gaining a different perspective, with new tools to help you connect with your partner. My belief is that all behaviors serve a purpose and all behaviors have an origin. This insight about ourselves and others helps us understand our relationships.
(210) 934-4071 View (210) 934-4071
Photo of Angela Farmer, Licensed Professional Counselor in San Antonio, TX
Angela Farmer
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78245
I am Angela Farmer, a licensed psychologist with five years of clinical experience. I enjoy working with adolescents and young adults going into adulthood or early into adulthood. My therapeutic goals focus on people who are facing Anger Management, Coping Skills, Codependency, Depression, and Anxiety. The modalities I enjoy using are Cognitive Behavioral (CBT), Solution Focused Brief (SFBT), Rational Emotive Behavior (REBT), Motivational Interviewing, and Reality Therapy. My life has not been the easiest, and I feel that helps me to help my clients where they are at that moment.
I am Angela Farmer, a licensed psychologist with five years of clinical experience. I enjoy working with adolescents and young adults going into adulthood or early into adulthood. My therapeutic goals focus on people who are facing Anger Management, Coping Skills, Codependency, Depression, and Anxiety. The modalities I enjoy using are Cognitive Behavioral (CBT), Solution Focused Brief (SFBT), Rational Emotive Behavior (REBT), Motivational Interviewing, and Reality Therapy. My life has not been the easiest, and I feel that helps me to help my clients where they are at that moment.
(254) 503-5249 View (254) 503-5249
Photo of Angela Diehl, Marriage & Family Therapist in San Antonio, TX
Angela Diehl
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Antonio, TX 78230
I am a Licensed Marriage and Family Therapist with over 20 years of experience providing solution focused, brief therapy for those experiencing challenges-personal, professional or interpersonal-at any stage of their lives. Please contact me if you or a loved one are seeking solutions to these challenges.
I am a Licensed Marriage and Family Therapist with over 20 years of experience providing solution focused, brief therapy for those experiencing challenges-personal, professional or interpersonal-at any stage of their lives. Please contact me if you or a loved one are seeking solutions to these challenges.
(210) 908-5844 View (210) 908-5844
Photo of Agnes Zaldivar, Counselor in San Antonio, TX
Agnes Zaldivar
Counselor, LPC
Verified Verified
San Antonio, TX 78228  (Online Only)
Do you ever find yourself struggling just to get through the day? Do you feel overwhelmed and stressed out over minor issues and events? Do you wake up in the morning dreading the day before you? Have you been feeling depressed, anxious, and angry.....lashing out at others which only compounds these bad feelings? Have you had thoughts of just wanting to "run away" or "give up"? Emotions can be wonderful, but they can also get out of hand and lead you to make poor decisions or to act in ways that create more problems.
Do you ever find yourself struggling just to get through the day? Do you feel overwhelmed and stressed out over minor issues and events? Do you wake up in the morning dreading the day before you? Have you been feeling depressed, anxious, and angry.....lashing out at others which only compounds these bad feelings? Have you had thoughts of just wanting to "run away" or "give up"? Emotions can be wonderful, but they can also get out of hand and lead you to make poor decisions or to act in ways that create more problems.
(210) 972-0318 View (210) 972-0318

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

53% In Person and Online
47% 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.