Therapists in Pasadena, CA
Janelle De Veyra
Marriage & Family Therapist, LMFT
Verified Verified
Pasadena, CA 91101
Do you struggle with depression, anxiety, and trauma? Do you experience difficulties managing family and relationship issues? I believe that healing happens when we pay attention to all the parts that make us whole—our mind, body, and soul. The subconscious mind controls most of our reality and choices, so building awareness and active presence can improve the quality of daily living and assist in not only surviving but thriving through life. As an intuitive & holistic therapist, I will assist you in strengthening your inner psyche and developing new tools to manage negative feelings and thoughts.
Do you struggle with depression, anxiety, and trauma? Do you experience difficulties managing family and relationship issues? I believe that healing happens when we pay attention to all the parts that make us whole—our mind, body, and soul. The subconscious mind controls most of our reality and choices, so building awareness and active presence can improve the quality of daily living and assist in not only surviving but thriving through life. As an intuitive & holistic therapist, I will assist you in strengthening your inner psyche and developing new tools to manage negative feelings and thoughts.
Arianne Tang
Registered Psychological Associate , PsyD
Verified Verified
2 Endorsed
Pasadena, CA 91101 (Online Only)
Navigating life during these incredibly stressful times can be overwhelming and isolating. But you are not alone. I specialize in working with teens and adults, and can help you navigate issues such as depression, anxiety, trauma, ADHD, peer/romantic relations, academic/work stress, school problems, low self-esteem, self-harm, and unhealthy coping mechanisms. I am here to help you work through them in a safe, compassionate, and collaborative space. Engaging in a holistic and integrative approach is of utmost importance to me, and I pride myself on providing therapy that helps to improve every aspect of a person's well-being.
Navigating life during these incredibly stressful times can be overwhelming and isolating. But you are not alone. I specialize in working with teens and adults, and can help you navigate issues such as depression, anxiety, trauma, ADHD, peer/romantic relations, academic/work stress, school problems, low self-esteem, self-harm, and unhealthy coping mechanisms. I am here to help you work through them in a safe, compassionate, and collaborative space. Engaging in a holistic and integrative approach is of utmost importance to me, and I pride myself on providing therapy that helps to improve every aspect of a person's well-being.
Kaitlin Kay
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pasadena, CA 91106 (Online Only)
Waitlist for new clients
I am a Licensed Clinical Social Worker (LCSW) with over 10 years of experience in the field. I practice focusing on client self-awareness and their understanding of how the past has influenced the present. It is my goal to provide a safe environment for us to explore what it is you need to move forward in your personal journey. While it is not always easy, we will work together towards self reflection and empowerment identifying strengths and abilities to build a foundation for a more enriched life.
I am a Licensed Clinical Social Worker (LCSW) with over 10 years of experience in the field. I practice focusing on client self-awareness and their understanding of how the past has influenced the present. It is my goal to provide a safe environment for us to explore what it is you need to move forward in your personal journey. While it is not always easy, we will work together towards self reflection and empowerment identifying strengths and abilities to build a foundation for a more enriched life.
Rebecca Sales
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Pasadena, CA 91106
Each person has their own story and own experiences that are unique to them. As we navigate life, our relationships and daily live's can be impacted by these experiences and past experiences. My goal is to create a safe and supportive environment to help you navigate feelings and experiences that may cause discomfort, pain, sadness, happiness, and joy along with other emotions. It is my goal to meet each client where they are and create safety to help your inner self take up space in your mind and body, to allow for growth. I am also trained in EMDR and specialize in attachment work. www.catherapycollective.com
Each person has their own story and own experiences that are unique to them. As we navigate life, our relationships and daily live's can be impacted by these experiences and past experiences. My goal is to create a safe and supportive environment to help you navigate feelings and experiences that may cause discomfort, pain, sadness, happiness, and joy along with other emotions. It is my goal to meet each client where they are and create safety to help your inner self take up space in your mind and body, to allow for growth. I am also trained in EMDR and specialize in attachment work. www.catherapycollective.com
Kelly O'Phelan
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
4 Endorsed
Pasadena, CA 91101
Are you tired of struggling? Are you seeking someone to help you navigate life's challenges and reauthor your own story? I'm Kelly, an Associate Marriage and Family Therapist (AMFT) with a passion for helping people access their full potential. I specialize in working with children, teens, adults and LGBTQ individuals, helping them discover new perspectives and foster positive change. I use an integrative approach to therapy, combining narrative therapy, EMDR, creative arts therapy, DBT, person centered, and LGBTQ+ affirmative therapy to help you meet your individual goals.
Are you tired of struggling? Are you seeking someone to help you navigate life's challenges and reauthor your own story? I'm Kelly, an Associate Marriage and Family Therapist (AMFT) with a passion for helping people access their full potential. I specialize in working with children, teens, adults and LGBTQ individuals, helping them discover new perspectives and foster positive change. I use an integrative approach to therapy, combining narrative therapy, EMDR, creative arts therapy, DBT, person centered, and LGBTQ+ affirmative therapy to help you meet your individual goals.
Kenneth T Wang
Psychologist, PhD
Verified Verified
8 Endorsed
Pasadena, CA 91101
"I'm not enough" - smart enough, attractive enough, successful enough, popular enough, loved enough, or happy enough. Have you ever had these thoughts? Sometimes our stories are full of shame and scarcity. We feel unworthy, but don't understand where these feelings come from, what drives them, and how to let them go. Therapy is a process of uncovering underlying issues and finding practical ways to provoke change. I will walk alongside you in your loneliness, challenge, or fear, and help you safely overcome struggles.
"I'm not enough" - smart enough, attractive enough, successful enough, popular enough, loved enough, or happy enough. Have you ever had these thoughts? Sometimes our stories are full of shame and scarcity. We feel unworthy, but don't understand where these feelings come from, what drives them, and how to let them go. Therapy is a process of uncovering underlying issues and finding practical ways to provoke change. I will walk alongside you in your loneliness, challenge, or fear, and help you safely overcome struggles.
Dedicato Treatment Center (Intensive Outpatient)
Drug & Alcohol Counselor, PsyD, MHD, CATC-V, SUDCC, LAADC
Verified Verified
Pasadena, CA 91107
Our Mission At Dedicato Outpatient Services is to provide responsible and comprehensive Intensive Substance Abuse Treatment that will enhance our patient’s ability to achieve optimal mental health and recovery from chemical dependency. We are dedicated to treat the whole person as well as the primary problem. We treat every patient, family, friend, and staff, with dignity and respect. We are licensed by the California Department of Health Care Services and accredited by the Joint Commission. We are among only 6% in the United States with this highest level of accreditation.
Our Mission At Dedicato Outpatient Services is to provide responsible and comprehensive Intensive Substance Abuse Treatment that will enhance our patient’s ability to achieve optimal mental health and recovery from chemical dependency. We are dedicated to treat the whole person as well as the primary problem. We treat every patient, family, friend, and staff, with dignity and respect. We are licensed by the California Department of Health Care Services and accredited by the Joint Commission. We are among only 6% in the United States with this highest level of accreditation.
Jenny Haderlein
Associate Marriage & Family Therapist, MA, AMFT
Verified Verified
Pasadena, CA 91101
I view therapy as a collaborative journey, and I am committed to walking alongside you. Through the therapeutic process, my goal is to create a safe and supportive space where clients feel truly seen and understood. It is within this space of acceptance and empathy that profound shifts can occur – where difficult emotions can be explored, understood, and ultimately transformed. Whether grappling with past traumas, navigating life transitions, or managing mental health, I am committed to accompanying my clients on their journey towards self-discovery and empowerment.
I view therapy as a collaborative journey, and I am committed to walking alongside you. Through the therapeutic process, my goal is to create a safe and supportive space where clients feel truly seen and understood. It is within this space of acceptance and empathy that profound shifts can occur – where difficult emotions can be explored, understood, and ultimately transformed. Whether grappling with past traumas, navigating life transitions, or managing mental health, I am committed to accompanying my clients on their journey towards self-discovery and empowerment.
Melissa Springstead Cahill
Marriage & Family Therapist, MA, MFT, PsyD
Verified Verified
4 Endorsed
Pasadena, CA 91101 (Online Only)
I am an MFT with experience teaching, tutoring and providing psychotherapy to children, adolescents and their families. While I work with clients of all academic levels, I specialize in working with those who struggle academically due to a learning disability and other educational barriers. Along with individual and family psychotherapy, I also offer school consultation and observations. I find collaborating with teachers, school staff and other providers, my clients are able to have success in their academics and emotional/behavioral health.
I am an MFT with experience teaching, tutoring and providing psychotherapy to children, adolescents and their families. While I work with clients of all academic levels, I specialize in working with those who struggle academically due to a learning disability and other educational barriers. Along with individual and family psychotherapy, I also offer school consultation and observations. I find collaborating with teachers, school staff and other providers, my clients are able to have success in their academics and emotional/behavioral health.
Olivia Moses
Pre-Licensed Professional, ACSW
Verified Verified
2 Endorsed
Pasadena, CA 91103 (Online Only)
We all have places in our life where we are blocked. Working together, we will identify those blocks and find ways for you to overcome them. I am a trauma informed therapist and can help you make sense of how your past is showing up in your present. I work with your mind and body to get you in connection with your greatest resource that is your body. We will work to regulate your nervous system and normalize survival mechanisms/strategies that we've used up until this point. This works to complete trauma responses in the body and to also regulate our emotions.
We all have places in our life where we are blocked. Working together, we will identify those blocks and find ways for you to overcome them. I am a trauma informed therapist and can help you make sense of how your past is showing up in your present. I work with your mind and body to get you in connection with your greatest resource that is your body. We will work to regulate your nervous system and normalize survival mechanisms/strategies that we've used up until this point. This works to complete trauma responses in the body and to also regulate our emotions.
Michael Marossy
Psychologist, PhD
Verified Verified
1 Endorsed
Pasadena, CA 91101
My clients often begin therapy feeling lost, confused, stuck, or overwhelmed. Some are dealing with distress from a recent event, while others are hoping to address difficulties they've been struggling with for a long time. Maybe you're in difficult relationships or job situations. You might feel uncertain of who you are or what you really want. Maybe your day-to-day just feels like too much, and you want to make changes to reduce stress and feel more purpose and joy. Whatever the case may be, I'm glad you're seeking help. I'd be honored to listen to your struggles and help you find the path towards a more free and fulfilling life.
My clients often begin therapy feeling lost, confused, stuck, or overwhelmed. Some are dealing with distress from a recent event, while others are hoping to address difficulties they've been struggling with for a long time. Maybe you're in difficult relationships or job situations. You might feel uncertain of who you are or what you really want. Maybe your day-to-day just feels like too much, and you want to make changes to reduce stress and feel more purpose and joy. Whatever the case may be, I'm glad you're seeking help. I'd be honored to listen to your struggles and help you find the path towards a more free and fulfilling life.
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Karinne Robbins
Marriage & Family Therapist Associate, AMFT
Verified Verified
6 Endorsed
Pasadena, CA 91103
When you’re experiencing the full chaos of living, it can be hard to find ways to meaningfully show up for yourself. As an Associate Marriage & Family Therapist, my goal is to open a space for you to pause, take a breath, and feel understood as you connect with who you are and where you are in the moment. I work across the lifespan with children (ages 5+), adolescents, and adults looking for a safe and nurturing environment to explore their multifaceted identities, relationships, and past/current/future lived experiences.
When you’re experiencing the full chaos of living, it can be hard to find ways to meaningfully show up for yourself. As an Associate Marriage & Family Therapist, my goal is to open a space for you to pause, take a breath, and feel understood as you connect with who you are and where you are in the moment. I work across the lifespan with children (ages 5+), adolescents, and adults looking for a safe and nurturing environment to explore their multifaceted identities, relationships, and past/current/future lived experiences.
Amaya Counseling, EMDR Therapist
Clinical Social Work/Therapist, LCSW
Verified Verified
4 Endorsed
Pasadena, CA 91101 (Online Only)
Not accepting new clients
Hello, I'm so glad that you have taken on this journey of growth and healing. My name is Blanca Amaya, and I have been in the helping profession for over 10 years, working with adults using evidence-based and alternatives practices. I work under a multicultural and trauma informed lens that allows me to understand your individual needs and meet you where you are in your journey. Together we will focus on your currents needs and goals. I am excited and honored that you would allow me to accompany you through your healing journey.
Hello, I'm so glad that you have taken on this journey of growth and healing. My name is Blanca Amaya, and I have been in the helping profession for over 10 years, working with adults using evidence-based and alternatives practices. I work under a multicultural and trauma informed lens that allows me to understand your individual needs and meet you where you are in your journey. Together we will focus on your currents needs and goals. I am excited and honored that you would allow me to accompany you through your healing journey.
Marquita Stokes
Psychologist, PhD
Verified Verified
Pasadena, CA 91101
Do you ever feel broken? Has tragedy taken your ability to feel joy? Has anxiety stolen your peace of mind? Has trauma robbed you of the resiliency you once possessed? Have the dynamics in your relationships grown from compassionate & communicative to conflictual & constricted? Has your identity been tested, oppressed, or discriminated against? If so, then your overall sense of wellness and effectiveness in your life may be wavering. I believe our most optimum level of wholeness is related to the degree of wellness across all areas of life that make us who we are—individual, relational, mental, emotional, spiritual, societal.
Do you ever feel broken? Has tragedy taken your ability to feel joy? Has anxiety stolen your peace of mind? Has trauma robbed you of the resiliency you once possessed? Have the dynamics in your relationships grown from compassionate & communicative to conflictual & constricted? Has your identity been tested, oppressed, or discriminated against? If so, then your overall sense of wellness and effectiveness in your life may be wavering. I believe our most optimum level of wholeness is related to the degree of wellness across all areas of life that make us who we are—individual, relational, mental, emotional, spiritual, societal.
Sheri Lynn Johnson
Marriage & Family Therapist, MS, MA, LMFT
Verified Verified
Pasadena, CA 91107 (Online Only)
To follow my first mind is a Southern expression to explain the power and importance of listening and trusting one's intuition and gut instinct to care for and support oneself. Your first mind is knowing without conscious knowing, a higher power, the universe, you. It reminds you of your worthiness, your strength, and your connectedness. If you desire to experience life more authentically, to fortify your intuition, and to hear your first mind either for the first time or with more clarity. In that case, I welcome the opportunity to work with you.
To follow my first mind is a Southern expression to explain the power and importance of listening and trusting one's intuition and gut instinct to care for and support oneself. Your first mind is knowing without conscious knowing, a higher power, the universe, you. It reminds you of your worthiness, your strength, and your connectedness. If you desire to experience life more authentically, to fortify your intuition, and to hear your first mind either for the first time or with more clarity. In that case, I welcome the opportunity to work with you.
Jenna Torres
Psychologist, PsyD
Verified Verified
Pasadena, CA 91105
Jenna Torres, PsyD is a Clinical Psychologist who has been practicing since 2011. She graduated from The Chicago School of Professional Psychology in Los Angeles, CA with a doctoral degree in Clinical Psychology with an emphasis in Health Psychology. Dr. Torres believes in providing therapy from a person-centered, culturally competent, and trauma-focused lens. She incorporates an eclectic approach to mental health treatment, primarily utilizing Eye Movement Desensitization and Reprocessing (EMDR) and Cognitive Behavioral Therapy (CBT).
Jenna Torres, PsyD is a Clinical Psychologist who has been practicing since 2011. She graduated from The Chicago School of Professional Psychology in Los Angeles, CA with a doctoral degree in Clinical Psychology with an emphasis in Health Psychology. Dr. Torres believes in providing therapy from a person-centered, culturally competent, and trauma-focused lens. She incorporates an eclectic approach to mental health treatment, primarily utilizing Eye Movement Desensitization and Reprocessing (EMDR) and Cognitive Behavioral Therapy (CBT).
Joan Hasibar
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Pasadena, CA 91106
Waitlist for new clients
Are you feeling stuck, numb, or tired all the time? Are you having trouble focusing - on your work, family and friends, your partner, or even YOURSELF? Do you experience anger, guilt, sadness, or hopelessness? Would you like to find a way to overcome this but don't know where to begin? I believe through exploration there can be freedom, from fear, guilt, shame, doubt, and uncertainty. As with all explorations, I will be your guide to walk with you through the frustration, pain, and confusion. Regardless of what we find, I will be committed to doing it with you.
Are you feeling stuck, numb, or tired all the time? Are you having trouble focusing - on your work, family and friends, your partner, or even YOURSELF? Do you experience anger, guilt, sadness, or hopelessness? Would you like to find a way to overcome this but don't know where to begin? I believe through exploration there can be freedom, from fear, guilt, shame, doubt, and uncertainty. As with all explorations, I will be your guide to walk with you through the frustration, pain, and confusion. Regardless of what we find, I will be committed to doing it with you.
Megan Pitsios
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Pasadena, CA 91107
Are you feeling anxious, irritable, or foggy these days? Do you resent your partner or snap at them over little things? The changes that have come with growing a family feel overwhelming, but it’s hard to admit that you aren’t doing ok. Everyone says this is the best time of your life, but you barely recognize yourself. Your body and mind are exhausted, and you feel like you don’t know where to begin. You want to regain balance, focus, and a sense of who you are now beyond just being a parent or trying to become a parent. Let me help you find your way back to you.
Are you feeling anxious, irritable, or foggy these days? Do you resent your partner or snap at them over little things? The changes that have come with growing a family feel overwhelming, but it’s hard to admit that you aren’t doing ok. Everyone says this is the best time of your life, but you barely recognize yourself. Your body and mind are exhausted, and you feel like you don’t know where to begin. You want to regain balance, focus, and a sense of who you are now beyond just being a parent or trying to become a parent. Let me help you find your way back to you.
Miya Erickson
Psychologist, MSW, MA, PsyD
Verified Verified
1 Endorsed
Pasadena, CA 91101
Therapy is about finding the right fit with someone you trust. I recognize the importance of beginning where you are at through collaboration, empathy, and guided self-examination. If you are feeling stuck in your life or healing from old wounds, I will help you develop new coping skills, healthy boundaries, and turn insight into action. The most courageous moments provide the greatest growth. Collectively, we can add more tools to your toolbox. Through introspection, directive depth work, and a strong working relationship, I will listen to each important detail of your life story and build upon your strengths and abilities.
Therapy is about finding the right fit with someone you trust. I recognize the importance of beginning where you are at through collaboration, empathy, and guided self-examination. If you are feeling stuck in your life or healing from old wounds, I will help you develop new coping skills, healthy boundaries, and turn insight into action. The most courageous moments provide the greatest growth. Collectively, we can add more tools to your toolbox. Through introspection, directive depth work, and a strong working relationship, I will listen to each important detail of your life story and build upon your strengths and abilities.
Amanda Frausto
Associate Marriage & Family Therapist, MS, AMFT
Verified Verified
1 Endorsed
Pasadena, CA 91105
If you are having difficulty regulating emotions, processing trauma, and managing mental health symptoms, I can be the clinician for you. Those seeking services for anxiety, depression, PTSD, severe and persistent mental health issues, gender/sexuality exploration, and processing trauma could be a good fit for treatment with me at Honest Insight Counseling. Your goals and needs are of the upmost importance and will be the centerpiece of treatment.
If you are having difficulty regulating emotions, processing trauma, and managing mental health symptoms, I can be the clinician for you. Those seeking services for anxiety, depression, PTSD, severe and persistent mental health issues, gender/sexuality exploration, and processing trauma could be a good fit for treatment with me at Honest Insight Counseling. Your goals and needs are of the upmost importance and will be the centerpiece of treatment.
See more therapy options for Pasadena
How does your Therapist compare?
Number of Therapists in Pasadena, CA
1,000+
Average cost per session
$175
Therapists in Pasadena, CA who prioritize treating:
93% | Anxiety |
89% | Depression |
80% | Relationship Issues |
74% | Self Esteem |
71% | Trauma and PTSD |
66% | Grief |
65% | Life Transitions |
Average years in practice
11 Years
Top 3 insurances accepted
66% | Aetna |
55% | Cigna and Evernorth |
52% | UnitedHealthcare UHC | UBH |
How Therapists in Pasadena, CA see their clients
67% | In Person and Online | |
33% | Online Only |
Gender breakdown
78% | Female | |
21% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Pasadena?
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.