Therapists in Sebastopol, CA
Bob Engel
Marriage & Family Therapist, MA, MFT
Verified Verified
Sebastopol, CA 95472
Not accepting new clients
I always begin with careful listening to your needs. Our relationship, and your understanding of yourself, are the keystones. These are much more important than the labels which have been placed on your problem. You may have already received "good advice" from friends and family. A trained and caring professional can help move you beyond the cycles you are stuck in. This is true whether you are seeking couple's counseling or individual therapy. My primary therapeutic perspective is Internal Family Systems (IFS), which is not about external family, but rather your internal family of parts.
I always begin with careful listening to your needs. Our relationship, and your understanding of yourself, are the keystones. These are much more important than the labels which have been placed on your problem. You may have already received "good advice" from friends and family. A trained and caring professional can help move you beyond the cycles you are stuck in. This is true whether you are seeking couple's counseling or individual therapy. My primary therapeutic perspective is Internal Family Systems (IFS), which is not about external family, but rather your internal family of parts.
Harriet Katz
Clinical Social Work/Therapist, LCSW
Verified Verified
Sebastopol, CA 95472 (Online Only)
I offer a unique effective approach working with your psyche-body-soul through somatic and spiritually based inquiry. We start with wherever you are and whatever your particular issues are. All you need is curiosity and a desire to know yourself in a real way. Our work together is experiential which allows you to holistically understand and deepen your connection with your most precious inner self. naturally unfold and your perspective of yourself and who you are and your concerns are transformed in this process. It truly becomes an adventure of discovery. You are held in a compassionate and heartfelt way which allows your psychological body tension armor and defenses to relax enough so your inquiry explorations can deepen. You come to know yourself in an authentic way. I incorporate the great heart wisdom of the Spiritual Dimension of the Enneagram which potentiates our work together. You need not know anything about the enneagram to benefit from our work together. Give me a call and we can see if this approach and if I am the right person for your journey. I work with individuals, couples and coming soon an Enneagram Inquiry Group.
I offer a unique effective approach working with your psyche-body-soul through somatic and spiritually based inquiry. We start with wherever you are and whatever your particular issues are. All you need is curiosity and a desire to know yourself in a real way. Our work together is experiential which allows you to holistically understand and deepen your connection with your most precious inner self. naturally unfold and your perspective of yourself and who you are and your concerns are transformed in this process. It truly becomes an adventure of discovery. You are held in a compassionate and heartfelt way which allows your psychological body tension armor and defenses to relax enough so your inquiry explorations can deepen. You come to know yourself in an authentic way. I incorporate the great heart wisdom of the Spiritual Dimension of the Enneagram which potentiates our work together. You need not know anything about the enneagram to benefit from our work together. Give me a call and we can see if this approach and if I am the right person for your journey. I work with individuals, couples and coming soon an Enneagram Inquiry Group.
Joaquin Lopez de San Roman
Marriage & Family Therapist, LMFT
Verified Verified
Sebastopol, CA 95472
I have been a licensed bilingual therapist for the last 10 years, offering a mindful approach with experience in a wide range of settings and different populations. I find it incredibly rewarding to sit with people and witness their transformation. I create a space of emotional safety where the totality of yourself is welcome. Through mindfulness and other ways of dropping in, we will explore what is important for you: the connection to the different resources that can help you, and when ready, we will delve into other aspects such as fear, anxiety, or grief.
I have been a licensed bilingual therapist for the last 10 years, offering a mindful approach with experience in a wide range of settings and different populations. I find it incredibly rewarding to sit with people and witness their transformation. I create a space of emotional safety where the totality of yourself is welcome. Through mindfulness and other ways of dropping in, we will explore what is important for you: the connection to the different resources that can help you, and when ready, we will delve into other aspects such as fear, anxiety, or grief.
Adrine B Prichard
Psychologist, PhD
Verified Verified
Sebastopol, CA 95472 (Online Only)
Not accepting new clients
Pregnancy and the postpartum period can be a joyous, fulfilling time for some women. For many others, it is riddled with feelings of depression, anxiety, and confusion. These stressful emotional experiences can be unexpected and unfamiliar, or they can be a return of past symptoms; whatever the case, they interfere with a woman's ability to function and experience daily fulfillment. As a Psychologist and member of Postpartum Support International, I aim to instill hope in women who are suffering that these symptoms are temporary and treatable.
Pregnancy and the postpartum period can be a joyous, fulfilling time for some women. For many others, it is riddled with feelings of depression, anxiety, and confusion. These stressful emotional experiences can be unexpected and unfamiliar, or they can be a return of past symptoms; whatever the case, they interfere with a woman's ability to function and experience daily fulfillment. As a Psychologist and member of Postpartum Support International, I aim to instill hope in women who are suffering that these symptoms are temporary and treatable.
Casandra McGee
Marriage & Family Therapist, MS, LMFT
Verified Verified
Sebastopol, CA 95472 (Online Only)
Deciding to start seeing a therapist can be a difficult choice in anyone's life. I provide a service that aims to put clients at ease while challenging themselves to understand difficult topics in order to positively move forward. I provide an authentic, caring, and transparent therapeutic style for my clients, being their empathetic guide toward increased self-awareness. I strive to listen, understand, and help people find new perspectives to positively move forward.
Deciding to start seeing a therapist can be a difficult choice in anyone's life. I provide a service that aims to put clients at ease while challenging themselves to understand difficult topics in order to positively move forward. I provide an authentic, caring, and transparent therapeutic style for my clients, being their empathetic guide toward increased self-awareness. I strive to listen, understand, and help people find new perspectives to positively move forward.
Danielle Saunders
Marriage & Family Therapist, MFT
Verified Verified
Sebastopol, CA 95472
Experience compassion and open-heartedness in everyday life and freedom from patterns of the past. I see individuals, couples and families with issues of integrating trauma, communication/knowing your truth, healing sexuality/deep connection, infidelity, addiction and family concerns. I help clients find a fuller, more alive life, in partnership with the people and family, chosen or from birth, around them.
Experience compassion and open-heartedness in everyday life and freedom from patterns of the past. I see individuals, couples and families with issues of integrating trauma, communication/knowing your truth, healing sexuality/deep connection, infidelity, addiction and family concerns. I help clients find a fuller, more alive life, in partnership with the people and family, chosen or from birth, around them.
Susan MacDonald
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
Sebastopol, CA 95472
Not accepting new clients
I believe that our moments of greatest struggle can also hold the most potential for growth and self-discovery. By giving ourselves a supportive space to explore the places that feel painful or stuck, we open ourselves to a wealth of information about our deepest desires, strengths, and wisdom. This makes it possible to live with greater self-compassion, freedom in our actions, and ease in our relationships. Whether you are navigating a significant life transition, suffering from anxiety, depression, or trauma, I am dedicated to providing a safe and respectful space to embark on this journey.
I believe that our moments of greatest struggle can also hold the most potential for growth and self-discovery. By giving ourselves a supportive space to explore the places that feel painful or stuck, we open ourselves to a wealth of information about our deepest desires, strengths, and wisdom. This makes it possible to live with greater self-compassion, freedom in our actions, and ease in our relationships. Whether you are navigating a significant life transition, suffering from anxiety, depression, or trauma, I am dedicated to providing a safe and respectful space to embark on this journey.
Jill C Rees
Psychologist, PhD
Verified Verified
Sebastopol, CA 95472
I have been working in Sonoma County with teens, adults, partners, and families for over 20 years and have recently joined the Quest Family Therapy team. With a collaborative and playful approach, I strive to support people to live more authentic lives and find their way to the change they are seeking, whether it is improving their mood, deepening their connection with themselves and loved ones, or finding and expressing their authentic selves. My work is strongly rooted in attachment theory, depth psychology, mindfulness, and somatic practices.
I have been working in Sonoma County with teens, adults, partners, and families for over 20 years and have recently joined the Quest Family Therapy team. With a collaborative and playful approach, I strive to support people to live more authentic lives and find their way to the change they are seeking, whether it is improving their mood, deepening their connection with themselves and loved ones, or finding and expressing their authentic selves. My work is strongly rooted in attachment theory, depth psychology, mindfulness, and somatic practices.
Tara Galeano
Licensed Professional Counselor, LPC, CST
Verified Verified
Sebastopol, CA 95472
I trained as a contemplative psychotherapist at Naropa University, where meditation and mindfulness were foundational elements of my studies. As my mentor used to say, “Therapy is about creating more choices." I teach mindfulness skills integrated with a cognitive-behavioral approach. I will support you in having more awareness of your behaviors and cognitions, so that you can move past your limitations to create more satisfaction with yourself, your life, and your sexual relations. If you are interested in learning more about how sex therapy may help you, sign-up for a free consultation below. I’d love to learn how I may help you.
I trained as a contemplative psychotherapist at Naropa University, where meditation and mindfulness were foundational elements of my studies. As my mentor used to say, “Therapy is about creating more choices." I teach mindfulness skills integrated with a cognitive-behavioral approach. I will support you in having more awareness of your behaviors and cognitions, so that you can move past your limitations to create more satisfaction with yourself, your life, and your sexual relations. If you are interested in learning more about how sex therapy may help you, sign-up for a free consultation below. I’d love to learn how I may help you.
Carolyn McAleavy
Marriage & Family Therapist, MFT
Verified Verified
Sebastopol, CA 95472 (Online Only)
Waitlist for new clients
I provide a safe, caring place to help you find more satisfying ways of being in relationship with your partner, teen, yourself or your life. I believe we all have the capacity to be healthy and whole. Often, our upbringing or harmful experiences leave us with habits that no longer serve our growth and well-being. I bring a warm, compassionate presence to help you locate and heal the sources of suffering. I have worked with teens and parents for 37 years, and adults for 20 years, assisting people in learning self-nurturance, and skillful communication, to honor their heart's desires.
I provide a safe, caring place to help you find more satisfying ways of being in relationship with your partner, teen, yourself or your life. I believe we all have the capacity to be healthy and whole. Often, our upbringing or harmful experiences leave us with habits that no longer serve our growth and well-being. I bring a warm, compassionate presence to help you locate and heal the sources of suffering. I have worked with teens and parents for 37 years, and adults for 20 years, assisting people in learning self-nurturance, and skillful communication, to honor their heart's desires.
Jordan Pelot
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Sebastopol, CA 95472
Not accepting new clients
My main approach to counseling is establishing a collaborative, strength-based, and goal-focused relationship. I believe we all have the capacity within ourselves to address roadblocks in our lives, heal from emotional wounds, and move towards growth and contentment. We also all feel stuck at times along the way and can use a little help. I work alongside my clients on identifying clear goals to strive for and by which to measure success. I highlight my clients’ strengths and areas of progress during this work, as a large part of that feeling stuck is the harsh perceptions we tend to have about ourselves.
My main approach to counseling is establishing a collaborative, strength-based, and goal-focused relationship. I believe we all have the capacity within ourselves to address roadblocks in our lives, heal from emotional wounds, and move towards growth and contentment. We also all feel stuck at times along the way and can use a little help. I work alongside my clients on identifying clear goals to strive for and by which to measure success. I highlight my clients’ strengths and areas of progress during this work, as a large part of that feeling stuck is the harsh perceptions we tend to have about ourselves.
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Counselor, MA, CMT, CWT
Verified Verified
1 Endorsed
Sebastopol, CA 95472
Empowering Change coaching & counseling services meets you where you are and takes you where you want to go. We focus on the core issues that bring you here today. Some of these core issues are under the surface (shadow) and show up as anger, depression, self-doubt, dis-trust & anxiety. Often these emotional patterns are caused by old wounds that are calling for your attention. Understanding why these responses were formed takes them out of the shadows, freeing you from the power they have over you.
Empowering Change coaching & counseling services meets you where you are and takes you where you want to go. We focus on the core issues that bring you here today. Some of these core issues are under the surface (shadow) and show up as anger, depression, self-doubt, dis-trust & anxiety. Often these emotional patterns are caused by old wounds that are calling for your attention. Understanding why these responses were formed takes them out of the shadows, freeing you from the power they have over you.
Ilene English
Marriage & Family Therapist, MA, MFT
Verified Verified
Sebastopol, CA 95472 (Online Only)
Waitlist for new clients
When you repeatedly find yourself in the same type of negative relationship, counseling can offer insight and support. If your relationships are causing you stress or impacting your daily life, it's a sign you may need some help. Even though relationships involve more than one person, ultimately, the only person you can change is you. With the tools and support of a trusted therapist, you can learn to set healthy boundaries and release unrealistic expectations. Oftentimes, simply gaining a new perspective on your own behavior can open the door to healthier and more satisfying relationships.
When you repeatedly find yourself in the same type of negative relationship, counseling can offer insight and support. If your relationships are causing you stress or impacting your daily life, it's a sign you may need some help. Even though relationships involve more than one person, ultimately, the only person you can change is you. With the tools and support of a trusted therapist, you can learn to set healthy boundaries and release unrealistic expectations. Oftentimes, simply gaining a new perspective on your own behavior can open the door to healthier and more satisfying relationships.
Susan Kistin
Marriage & Family Therapist, LMFT
Verified Verified
Sebastopol, CA 95472
Whatever has brought you here, I've no doubt it's an opportunity to create something better. I can help you release old, painful patterns that go nowhere, so you can create the life you want. If you're on your knees in transition, grief and loss, I can support you through it. I'm an enthusiastic catalyst for you to be a game changer in your own life! You can rely on my 35 plus years of experience and will find me interactive, compassionate and generous with clear, inspiring feedback. We'll work as collaborators for your best evolution.
Whatever has brought you here, I've no doubt it's an opportunity to create something better. I can help you release old, painful patterns that go nowhere, so you can create the life you want. If you're on your knees in transition, grief and loss, I can support you through it. I'm an enthusiastic catalyst for you to be a game changer in your own life! You can rely on my 35 plus years of experience and will find me interactive, compassionate and generous with clear, inspiring feedback. We'll work as collaborators for your best evolution.
Lucia C Cargill
PhD, MSN, MA, PHN, FNP-C
Verified Verified
Sebastopol, CA 95473
Greetings! Welcome to our multidisciplinary, holistic, integrative mental health coaching practice. We are open to new ideas from Integrative/Functional Medicine, supportive care for your psychiatric needs, drug free care, and nutritional support. We believe whole body health is the best way to good brain health. Good brain health impacts mental health. We invite you to a different approach to brain health and mental health through coaching and support for referrals to the best functional medicine providers sourcing balance, resolution of inflammation & for all your whole body-mind-spirit healing. We invite you to join us for care.
Greetings! Welcome to our multidisciplinary, holistic, integrative mental health coaching practice. We are open to new ideas from Integrative/Functional Medicine, supportive care for your psychiatric needs, drug free care, and nutritional support. We believe whole body health is the best way to good brain health. Good brain health impacts mental health. We invite you to a different approach to brain health and mental health through coaching and support for referrals to the best functional medicine providers sourcing balance, resolution of inflammation & for all your whole body-mind-spirit healing. We invite you to join us for care.
Sivi Ruder
Psychologist, PsyD
Verified Verified
Sebastopol, CA 95472
I believe we are remarkably resilient; have an innate ability to understand ourselves and to repair; are multifaceted and unique; and are made to live in connection. The foundation of my therapeutic approach is based entirely upon being in connection with and curious about clients. A strong and respectful relationship and connection between a therapist and a client is the prerequisite for a positive outcome or positive outcomes for a client.
I believe we are remarkably resilient; have an innate ability to understand ourselves and to repair; are multifaceted and unique; and are made to live in connection. The foundation of my therapeutic approach is based entirely upon being in connection with and curious about clients. A strong and respectful relationship and connection between a therapist and a client is the prerequisite for a positive outcome or positive outcomes for a client.
Tara Stafford
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Sebastopol, CA 95472 (Online Only)
YOU are here! I invite you to take your hands to your heart and sit for a moment to really feel this present moment. In this moment, you have come SO far! You are now in the first step in your healing journey. Acknowledging that you are showing up for yourself here, and looking for support from a therapist, is something to be celebrated! Acknowledging that you need help is a journey. Perhaps you have lost yourself and your mood is impacting your energy and motivation. How we are feeling on the inside effects how we are showing up in the world. By working with me I will help get you get to your desired mood and goals.
YOU are here! I invite you to take your hands to your heart and sit for a moment to really feel this present moment. In this moment, you have come SO far! You are now in the first step in your healing journey. Acknowledging that you are showing up for yourself here, and looking for support from a therapist, is something to be celebrated! Acknowledging that you need help is a journey. Perhaps you have lost yourself and your mood is impacting your energy and motivation. How we are feeling on the inside effects how we are showing up in the world. By working with me I will help get you get to your desired mood and goals.
Caitlin Steele
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
Sebastopol, CA 95472
Not accepting new clients
Now offering walk and talk therapy in Sebastopol, CA. As a therapist, I aim to help you feel better prepared to address life transitions. To find calm and clarity with the unknown. I hope to help you slow down and focus on achieving positivity and happiness in a safe, non-judgmental space where we can explore feelings of confusion and personal concerns. My goal is to help you feel more fulfilled and content with your life. My approach to therapy is integrative, providing services through a holistic lens.
Now offering walk and talk therapy in Sebastopol, CA. As a therapist, I aim to help you feel better prepared to address life transitions. To find calm and clarity with the unknown. I hope to help you slow down and focus on achieving positivity and happiness in a safe, non-judgmental space where we can explore feelings of confusion and personal concerns. My goal is to help you feel more fulfilled and content with your life. My approach to therapy is integrative, providing services through a holistic lens.
Elena Chieffo
Marriage & Family Therapist, MA, LMFT, CST
Verified Verified
12 Endorsed
Sebastopol, CA 95472
Waitlist for new clients
Life experiences offer us opportunities for healing and self-discovery. I offer a dynamic, compassionate and supportive environment utilizing a strength-based approach. A vital part of my work is to support you in exploring your inner resources and innate wisdom while cultivating practices that will help you deepen into a greater sense of well-being. Exploring long-term objectives or short-term goals, my intention is to provide guidance and practical tools to help you gain greater insight and self-acceptance. I welcome individuals and couples of any gender, ethnicity, sexual orientation and spiritual beliefs.
Life experiences offer us opportunities for healing and self-discovery. I offer a dynamic, compassionate and supportive environment utilizing a strength-based approach. A vital part of my work is to support you in exploring your inner resources and innate wisdom while cultivating practices that will help you deepen into a greater sense of well-being. Exploring long-term objectives or short-term goals, my intention is to provide guidance and practical tools to help you gain greater insight and self-acceptance. I welcome individuals and couples of any gender, ethnicity, sexual orientation and spiritual beliefs.
Micheline Worth
Marriage & Family Therapist, MFT, RYT200
Verified Verified
2 Endorsed
Sebastopol, CA 95472
Do you long to rediscover your connection to passion, fulfillment and purpose? Have the pressure and stress of the past few years become burdens that get in the way of being with what really matters to you? A continuing journey on paths to healing combining somatic, spiritual, creative & communal practices has helped birth a deep wisdom that I'd love to share with you. Tap into the healing power of engaging your personal history, ancestry and intuition with the help of an experienced guide.
Do you long to rediscover your connection to passion, fulfillment and purpose? Have the pressure and stress of the past few years become burdens that get in the way of being with what really matters to you? A continuing journey on paths to healing combining somatic, spiritual, creative & communal practices has helped birth a deep wisdom that I'd love to share with you. Tap into the healing power of engaging your personal history, ancestry and intuition with the help of an experienced guide.
See more therapy options for Sebastopol
Nearby Searches for Sebastopol
- Cotati
- Forestville
- Graton
- Guerneville
- Kenwood
- Larkfield
- Occidental
- Penngrove
- Petaluma
- Rohnert Park
- Santa Rosa
- Windsor
How does your Therapist compare?
Number of Therapists in Sebastopol, CA
200+
Average cost per session
$160
Therapists in Sebastopol, CA who prioritize treating:
90% | Anxiety |
89% | Relationship Issues |
84% | Depression |
79% | Self Esteem |
76% | Trauma and PTSD |
73% | Grief |
63% | Coping Skills |
Average years in practice
16 Years
Top 3 insurances accepted
46% | Other |
40% | Beacon Health Options | Carelon |
28% | Aetna |
How Therapists in Sebastopol, CA see their clients
73% | In Person and Online | |
27% | Online Only |
Gender breakdown
78% | Female | |
20% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Sebastopol?
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
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.
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.
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.