Therapists in Long Beach, CA
Kimber Del Valle
Psychologist, PsyD
Verified Verified
Long Beach, CA 90807
I am a licensed psychologist conducting therapy and counseling. I specialize in working with adults. I have specialties in the areas of grief, traumas, depression and anxiety however have seen clients for a variety of issues. My primary approach to therapy is based on an insight-oriented relational model to treatment however, I supplement my work with Somatic Experiencing, a trauma treatment informed by the mind and body connection. My clinical work is informed by the understanding that a therapeutic relationship can help restructure one's internal emotional world and cognitive functioning, which is supported by attachment and neuropsychology research.
I am a licensed psychologist conducting therapy and counseling. I specialize in working with adults. I have specialties in the areas of grief, traumas, depression and anxiety however have seen clients for a variety of issues. My primary approach to therapy is based on an insight-oriented relational model to treatment however, I supplement my work with Somatic Experiencing, a trauma treatment informed by the mind and body connection. My clinical work is informed by the understanding that a therapeutic relationship can help restructure one's internal emotional world and cognitive functioning, which is supported by attachment and neuropsychology research.
Kathy Tanner
Marriage & Family Therapist, LMFT
Verified Verified
Long Beach, CA 90804
Congratulations on taking steps toward creating the life and the relationships you desire. My name is Kathy Tanner, and I have been a Licensed Marriage & Family Therapist in California since 2002. I am passionate about working with people who want to heal, grow, and live their best life. Throughout my career, I have specialized in working with children, teenagers, and adults with anxiety, depression, trauma, and relationship issues. I understand and appreciate the complexities of relationships, marriage, parenting, co-parenting, and life transitions.
Congratulations on taking steps toward creating the life and the relationships you desire. My name is Kathy Tanner, and I have been a Licensed Marriage & Family Therapist in California since 2002. I am passionate about working with people who want to heal, grow, and live their best life. Throughout my career, I have specialized in working with children, teenagers, and adults with anxiety, depression, trauma, and relationship issues. I understand and appreciate the complexities of relationships, marriage, parenting, co-parenting, and life transitions.
Mateo Leonardo
Marriage & Family Therapist Associate, AMFT, ASAT
Verified Verified
3 Endorsed
Long Beach, CA 90803
My ideal client is seeking support for compulsive sexual behaviors or pornography addiction to the point it is negatively affecting their lives. I am fluent in Spanish and help clients and couples struggling with self-confidence issues and relationship frustrations. I am able to work individually, in group therapy and also provide psycho-eduction as part of a comprehensive intensive treatment program if needed. At Novus Mindful Life Institute, I work closely with my colleagues to care for our clients whose lives have been affected by sex addiction, porn addiction and betrayal in at a pace that feels right for you!
My ideal client is seeking support for compulsive sexual behaviors or pornography addiction to the point it is negatively affecting their lives. I am fluent in Spanish and help clients and couples struggling with self-confidence issues and relationship frustrations. I am able to work individually, in group therapy and also provide psycho-eduction as part of a comprehensive intensive treatment program if needed. At Novus Mindful Life Institute, I work closely with my colleagues to care for our clients whose lives have been affected by sex addiction, porn addiction and betrayal in at a pace that feels right for you!
Ashley Rendon
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
2 Endorsed
Long Beach, CA 90803 (Online Only)
It’s time to start prioritizing your mental health, you deserve it! Life can be so overwhelming, that finding a peace of mind can feel unattainable. I make sure my sessions are a time and space for you to feel at peace and safe to be yourself. My ultimate goal is to help each person feel heard, accepted, and comforted. I believe therapy with me can benefit those who are ready to embark on a journey to learn about themselves and truly heal. My specialty is working with teens and individuals in early-mid adulthood who are dealing with anxiety, trauma, and/or depression and couples
It’s time to start prioritizing your mental health, you deserve it! Life can be so overwhelming, that finding a peace of mind can feel unattainable. I make sure my sessions are a time and space for you to feel at peace and safe to be yourself. My ultimate goal is to help each person feel heard, accepted, and comforted. I believe therapy with me can benefit those who are ready to embark on a journey to learn about themselves and truly heal. My specialty is working with teens and individuals in early-mid adulthood who are dealing with anxiety, trauma, and/or depression and couples
Daniel W McQuoid
Psychologist, PsyD
Verified Verified
Long Beach, CA 90803
I have over 30 years experience in individual, marital, family, and group counseling, working with those who have faced a variety of issues in life. Counseling will guide you through a healing process to find a profound sense of your purpose. You will find a warm, healing environment that will impact you intellectually, emotionally, relationally and spiritually. Tools will be provided to increase your sense of well being, your ability to cope with adversity, and your understanding of your brain chemistry as it relates to your emotional struggles along with exploring how one's faith can impact their transformation.
I have over 30 years experience in individual, marital, family, and group counseling, working with those who have faced a variety of issues in life. Counseling will guide you through a healing process to find a profound sense of your purpose. You will find a warm, healing environment that will impact you intellectually, emotionally, relationally and spiritually. Tools will be provided to increase your sense of well being, your ability to cope with adversity, and your understanding of your brain chemistry as it relates to your emotional struggles along with exploring how one's faith can impact their transformation.
Kimberly Rodriguez
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Long Beach, CA 90807
Waitlist for new clients
Life can be hard. It can be overwhelming to manage all things life, while feeling stressed and overwhelmed. You're someone that wants to stop overthinking and you crave relief. You're hoping that one day you’ll be able to overcome your worries and live fully in the present. You may have noticed the parts of you that are unhealed, and I am here to remind you that these parts are worthy of healing and nurturing.
Life can be hard. It can be overwhelming to manage all things life, while feeling stressed and overwhelmed. You're someone that wants to stop overthinking and you crave relief. You're hoping that one day you’ll be able to overcome your worries and live fully in the present. You may have noticed the parts of you that are unhealed, and I am here to remind you that these parts are worthy of healing and nurturing.
Sarah Ashley
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Long Beach, CA 90803
As a Licensed Marriage & Family Therapist at Olive Leaf Family Therapy, I specialize in working with relationship issues, marital and premarital counseling, and adult caregivers of elderly and aging parents. I use Emotion Focused Therapy (EFT) in working with my couples. EFT has been shown to be 75% effective in treating couples and 90% report significant improvement in their relationship, nearly twice the success rate of other forms of couple’s therapy. In our EFT sessions, you should expect a focus on exploring your relationship dynamics, improving your emotional connection, and creating new and lasting meaning.
As a Licensed Marriage & Family Therapist at Olive Leaf Family Therapy, I specialize in working with relationship issues, marital and premarital counseling, and adult caregivers of elderly and aging parents. I use Emotion Focused Therapy (EFT) in working with my couples. EFT has been shown to be 75% effective in treating couples and 90% report significant improvement in their relationship, nearly twice the success rate of other forms of couple’s therapy. In our EFT sessions, you should expect a focus on exploring your relationship dynamics, improving your emotional connection, and creating new and lasting meaning.
Alayn Ortiz-Relationship Anxiety Trauma Therapist
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Long Beach, CA 90807
Are your trying to figure out if you want to stay in your current relationship? You feel resentful, anxious and afraid of being hurt again. You don't know who you are or if you can trust yourself after so many years of neglecting yourself. If you're tired of being in this cycle and ready to make a change, together we can explore what keeps you gravitating towards the same person, figure out if staying or leaving your relationship is the best decision for you, learn what to do when your fears are getting the best of you, and learn how to trust yourself so you can have the relationship you deserve.
Are your trying to figure out if you want to stay in your current relationship? You feel resentful, anxious and afraid of being hurt again. You don't know who you are or if you can trust yourself after so many years of neglecting yourself. If you're tired of being in this cycle and ready to make a change, together we can explore what keeps you gravitating towards the same person, figure out if staying or leaving your relationship is the best decision for you, learn what to do when your fears are getting the best of you, and learn how to trust yourself so you can have the relationship you deserve.
Hailey Hause
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Long Beach, CA 90807
Does it feel like your inner voice is your own worst enemy? Maybe you came from a family situation where you always somehow ended up feeling like you were “not good enough.” And now it shows up in your relationships, with you feeling insecure and afraid of being abandoned. In your work life - putting immense pressure on yourself to be “perfect.” And now you’re looking for therapy (and probably putting pressure on yourself to find just the right therapist so you don’t fail horribly at personal growth and confirm all your self-doubts.)
Does it feel like your inner voice is your own worst enemy? Maybe you came from a family situation where you always somehow ended up feeling like you were “not good enough.” And now it shows up in your relationships, with you feeling insecure and afraid of being abandoned. In your work life - putting immense pressure on yourself to be “perfect.” And now you’re looking for therapy (and probably putting pressure on yourself to find just the right therapist so you don’t fail horribly at personal growth and confirm all your self-doubts.)
Melissa Bryant
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Long Beach, CA 90802 (Online Only)
I'm a Social Worker licensed to practice in the states of Massachusetts and California trained in treating anxiety, OCD, mood disorders, life transitions, trauma, grief & loss. I am a strong advocate for social justice issues and have a commitment to working with marginalized communities over my 10+ years in the social services field. I have acquired specialized training in working with LGBTQ+ and Aging folks.
I'm a Social Worker licensed to practice in the states of Massachusetts and California trained in treating anxiety, OCD, mood disorders, life transitions, trauma, grief & loss. I am a strong advocate for social justice issues and have a commitment to working with marginalized communities over my 10+ years in the social services field. I have acquired specialized training in working with LGBTQ+ and Aging folks.
Shawntae Stevenson
Clinical Social Work/Therapist, LCSW
Verified Verified
Long Beach, CA 90807
Hi, my name is Shawntae Stevenson and I am a Licensed Clinical Social Worker. I like to focus on an individual's thoughts because our words are indeed very powerful. My area of focus is mostly depression, anxiety, adjustment disorders, and family planning stages. My clients are typically experiencing depression (single-episode, recurrent, or dysthymia), anxiety, adjustment disorders, and concerns in their family planning stages (infertility, death, postpartum depression, etc). My usual clients are usually 18 years old and older. They are of different ethnicities, professions, and personal beliefs.
Hi, my name is Shawntae Stevenson and I am a Licensed Clinical Social Worker. I like to focus on an individual's thoughts because our words are indeed very powerful. My area of focus is mostly depression, anxiety, adjustment disorders, and family planning stages. My clients are typically experiencing depression (single-episode, recurrent, or dysthymia), anxiety, adjustment disorders, and concerns in their family planning stages (infertility, death, postpartum depression, etc). My usual clients are usually 18 years old and older. They are of different ethnicities, professions, and personal beliefs.
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Angie Pelletier -Juarez
Psychologist, CP
Verified Verified
Long Beach, CA 90815
Dr. PJ, also known as Dr. Angie Pelletier, is a clinical psychologist with over a decade of experience. She applies a holistic methodology that takes into account mental, emotional, physical, and spiritual considerations to help people gain a better understanding of themselves. Her focus areas include trauma, grief and loss, depression, anxiety, intimate partner violence (IPV)/Domestic Violence (DV) victims, life and career transitions, and relationship issues, among others. Dr. PJ stresses the importance of identifying personal strengths and cultivating coping strategies to meet life's challenges.
Dr. PJ, also known as Dr. Angie Pelletier, is a clinical psychologist with over a decade of experience. She applies a holistic methodology that takes into account mental, emotional, physical, and spiritual considerations to help people gain a better understanding of themselves. Her focus areas include trauma, grief and loss, depression, anxiety, intimate partner violence (IPV)/Domestic Violence (DV) victims, life and career transitions, and relationship issues, among others. Dr. PJ stresses the importance of identifying personal strengths and cultivating coping strategies to meet life's challenges.
Teela Allen
Marriage & Family Therapist, LMFT, CMHIMP, RYT-200
Verified Verified
Long Beach, CA 90802
Waitlist for new clients
How hard is it for you to create balance and focus in a world full of distractions, dishonesty, & dis-ease? And if what I call the "detrimental D's" as stated above contributes to how you act/think/feel, then who or what is really controlling your life & wellbeing? Let me guess: social media, unaddressed trauma, grief & loss, emotional dysregulation, unhealthy boundaries, passiveness, impulsivity, mood or eating disorders, chronic fatigue, aches/pain, anxiety, depression, digestive discomfort, pH imbalances, etc. Talk therapy alone may be unsuccessful or even unappealing, are you interested in exploring something more effective?
How hard is it for you to create balance and focus in a world full of distractions, dishonesty, & dis-ease? And if what I call the "detrimental D's" as stated above contributes to how you act/think/feel, then who or what is really controlling your life & wellbeing? Let me guess: social media, unaddressed trauma, grief & loss, emotional dysregulation, unhealthy boundaries, passiveness, impulsivity, mood or eating disorders, chronic fatigue, aches/pain, anxiety, depression, digestive discomfort, pH imbalances, etc. Talk therapy alone may be unsuccessful or even unappealing, are you interested in exploring something more effective?
Elizabeth Ruiz
Marriage & Family Therapist, LMFT , 104668
Verified Verified
Long Beach, CA 90807
If you are experiencing struggles with managing day to day stressors and keeping up with life expectations, you would benefit from addressing your personal challenges through therapy. You may not understand why you’re feeling a specific way or you continuously have memories, which you’d rather not have or perhaps find yourself having intrusive thoughts. If you have found these things to be an issue for you, I can support you in finding peace of mind.
If you are experiencing struggles with managing day to day stressors and keeping up with life expectations, you would benefit from addressing your personal challenges through therapy. You may not understand why you’re feeling a specific way or you continuously have memories, which you’d rather not have or perhaps find yourself having intrusive thoughts. If you have found these things to be an issue for you, I can support you in finding peace of mind.
Daniya Ahmed
Marriage & Family Therapist Associate, MS
Verified Verified
3 Endorsed
Long Beach, CA 90840 (Online Only)
If you’re reading this right now, you might be feeling down, confused, and maybe even stuck with what to do or where to go. Life IS tough, and I want you to know that you don’t have to go through it alone. I feel deeply honored to help people explore, understand, and learn to accept themselves. I strive to create a casual, comfortable, and authentic feel to our therapy sessions to help us build a safe environment to explore your thoughts, feelings, and vulnerabilities. My clients have commented and shared that they appreciate my genuine and compassionate nature, as well as my curiosity for them and their life stories.
If you’re reading this right now, you might be feeling down, confused, and maybe even stuck with what to do or where to go. Life IS tough, and I want you to know that you don’t have to go through it alone. I feel deeply honored to help people explore, understand, and learn to accept themselves. I strive to create a casual, comfortable, and authentic feel to our therapy sessions to help us build a safe environment to explore your thoughts, feelings, and vulnerabilities. My clients have commented and shared that they appreciate my genuine and compassionate nature, as well as my curiosity for them and their life stories.
Ngina Tobias-Cipolla
Clinical Social Work/Therapist, LCSW, SEP, PPSC
Verified Verified
2 Endorsed
Long Beach, CA 90804
Not accepting new clients
I am a Somatic Psychotherapist with over 25 years of experience in the social service field as an LCSW, 15 years of that time focused on counseling support to children, youth, families and individuals. I specialize in Trauma related issues, specifically Stress Reduction, Life Adjustment s/Grief and Loss, Family/Child-Youth Dynamics and LGBTQAI issues. My work history in school settings included social skill training, violence prevention/ feeling identification education, as well as mental health support services and parenting. This experience has helped shaped the educational and client centered approach to how I practice.
I am a Somatic Psychotherapist with over 25 years of experience in the social service field as an LCSW, 15 years of that time focused on counseling support to children, youth, families and individuals. I specialize in Trauma related issues, specifically Stress Reduction, Life Adjustment s/Grief and Loss, Family/Child-Youth Dynamics and LGBTQAI issues. My work history in school settings included social skill training, violence prevention/ feeling identification education, as well as mental health support services and parenting. This experience has helped shaped the educational and client centered approach to how I practice.
Sayo Matsuda
Marriage & Family Therapist, LMFT
Verified Verified
Long Beach, CA 90802 (Online Only)
I would like to be your support to work on issues that you are facing right now. It may be trauma, it maybe anxiety, or depression. I have worked with people with various issues/stressors that they have experienced. I want you to feel better and learn to cope with issues you are dealing with.
I would like to be your support to work on issues that you are facing right now. It may be trauma, it maybe anxiety, or depression. I have worked with people with various issues/stressors that they have experienced. I want you to feel better and learn to cope with issues you are dealing with.
Jose Luna
Associate Clinical Social Worker, ASW, EMDR
Verified Verified
Long Beach, CA 90814
My therapeutic approach mainly focuses on helping my clients identify their strengths to help alleviate anxiety, depression, and trauma. I am a firm believer that our childhood experiences contribute to our beliefs, behavioral patterns, and selecting a romantic partner. Therapy is a process! To allow ourselves to be intimate and vulnerable with someone about our experiences and trauma can be daunting. As a therapist, it is my goal to help validate, create a safe environment and help understand aspects of lived experiences.
My therapeutic approach mainly focuses on helping my clients identify their strengths to help alleviate anxiety, depression, and trauma. I am a firm believer that our childhood experiences contribute to our beliefs, behavioral patterns, and selecting a romantic partner. Therapy is a process! To allow ourselves to be intimate and vulnerable with someone about our experiences and trauma can be daunting. As a therapist, it is my goal to help validate, create a safe environment and help understand aspects of lived experiences.
Brittney Green
Marriage & Family Therapist, LMFT, EMDR, IFS
Verified Verified
Long Beach, CA 90814
Life can feel impossible to avoid struggling and we often don't feel we have the skills to cope successfully through. Unfortunately, sometimes we don't have all the resources we need for a given situation. Parts of us take on desperate roles trying to help us to survive. This might look like anxiety, depression, PTSD, addiction, and relationship/family issues. I aim to help you process unresolved issues and feelings and find solutions.
Life can feel impossible to avoid struggling and we often don't feel we have the skills to cope successfully through. Unfortunately, sometimes we don't have all the resources we need for a given situation. Parts of us take on desperate roles trying to help us to survive. This might look like anxiety, depression, PTSD, addiction, and relationship/family issues. I aim to help you process unresolved issues and feelings and find solutions.
Michelle Joanne Needham
Marriage & Family Therapist, LMFT
Verified Verified
Long Beach, CA 90808
I am here to help an individual in their journey to being more centered, happier, and filled with tools and skills to handle what life throws at us on our way. Are you tired of not feeling like you're not striving in life, barely hanging? Depressed, anxious, confused, feeling like you don't matter, unclear of your purpose? Do you want to feel better about yourself, more confident, and smile more? I'm no magician and can't make all these wishes come true. But I can provide a safe and unconditionally accepting place for you to explore the inner workings of your heart and soul and rid of old ways no longer serving you.
I am here to help an individual in their journey to being more centered, happier, and filled with tools and skills to handle what life throws at us on our way. Are you tired of not feeling like you're not striving in life, barely hanging? Depressed, anxious, confused, feeling like you don't matter, unclear of your purpose? Do you want to feel better about yourself, more confident, and smile more? I'm no magician and can't make all these wishes come true. But I can provide a safe and unconditionally accepting place for you to explore the inner workings of your heart and soul and rid of old ways no longer serving you.
See more therapy options for Long Beach
Nearby Searches for Long Beach
- Bellflower
- Carson
- Compton
- Cypress
- Harbor City
- Lakewood
- Los Alamitos
- Rossmoor
- San Pedro
- Seal Beach
- Signal Hill
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How does your Therapist compare?
Number of Therapists in Long Beach, CA
1,000+
Average cost per session
$150
Therapists in Long Beach, CA who prioritize treating:
93% | Anxiety |
87% | Depression |
76% | Self Esteem |
70% | Relationship Issues |
70% | Trauma and PTSD |
70% | Coping Skills |
64% | Stress |
Average years in practice
11 Years
Top 3 insurances accepted
71% | Aetna |
70% | Cigna and Evernorth |
69% | UnitedHealthcare UHC | UBH |
How Therapists in Long Beach, CA see their clients
57% | In Person and Online | |
43% | Online Only |
Gender breakdown
80% | Female | |
19% | Male | |
1% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Long Beach?
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.