Therapists in San Jose, CA

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Photo of Dr. Invia A. Betjoseph, Marriage & Family Therapist in San Jose, CA
Dr. Invia A. Betjoseph
Marriage & Family Therapist, PsyD, LMFT, CSAT
Verified Verified
12 Endorsed
San Jose, CA 95124  (Online Only)
Do you find yourself making excuses for your secret, compulsive sexual behaviors, thinking that you can stop at any time? You may think that watching porn is not a big deal, because "Everybody does it." The truth is you have been saying, "This is the last time" for years now, and if you are in a committed relationship, then your partner is feeling angry, betrayed and confused. Problematic sexual behaviors can leave you feeling shame and guilt fraught with fear and anxiety. For 15 years, by creating a safe and confidential environment, using specific tools, I have helped distressed people move past their damaging choices and heal.
Do you find yourself making excuses for your secret, compulsive sexual behaviors, thinking that you can stop at any time? You may think that watching porn is not a big deal, because "Everybody does it." The truth is you have been saying, "This is the last time" for years now, and if you are in a committed relationship, then your partner is feeling angry, betrayed and confused. Problematic sexual behaviors can leave you feeling shame and guilt fraught with fear and anxiety. For 15 years, by creating a safe and confidential environment, using specific tools, I have helped distressed people move past their damaging choices and heal.
(408) 809-1063 View (408) 809-1063
Photo of Dr. Kathlyn Clementelli, Psychologist in San Jose, CA
Dr. Kathlyn Clementelli
Psychologist, PhD
Verified Verified
San Jose, CA 95125
Dr. Clementelli is a licensed clinical psychologist with over 15 years of experience working with a variety of populations as a life coach and psychologist. Her areas of expertise include mood and anxiety disorders, trauma, communication, relationship and work issues. She has worked in various settings throughout California. Dr. Clementelli is currently doing her coaching, consulting, and psychotherapy work alongside with a group of multidisciplinary mental health professionals in the Bay Area. Her work has impacted many lives and received great reviews on healthgrades.com.
Dr. Clementelli is a licensed clinical psychologist with over 15 years of experience working with a variety of populations as a life coach and psychologist. Her areas of expertise include mood and anxiety disorders, trauma, communication, relationship and work issues. She has worked in various settings throughout California. Dr. Clementelli is currently doing her coaching, consulting, and psychotherapy work alongside with a group of multidisciplinary mental health professionals in the Bay Area. Her work has impacted many lives and received great reviews on healthgrades.com.
(408) 677-2732 View (408) 677-2732
Photo of Sandy Elder, Clinical Social Work/Therapist in San Jose, CA
Sandy Elder
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Jose, CA 95129  (Online Only)
I am a Licensed Clinical Social Worker. I’ve been working in the field of Social Services for around 10 years. I have experience in working with clients aged 18- end of life. I empathize with individuals living the human experience. I am solution focused and client centered.
I am a Licensed Clinical Social Worker. I’ve been working in the field of Social Services for around 10 years. I have experience in working with clients aged 18- end of life. I empathize with individuals living the human experience. I am solution focused and client centered.
(408) 668-1511 View (408) 668-1511
Photo of La Wanda Marrero, Marriage & Family Therapist in San Jose, CA
La Wanda Marrero
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95111
Hello, I am La Wanda Marrero, Licensed Marriage & Family Therapist LMFT139411. I have been in practice for over 10 years. My approach is strength-based, to meet you, the client, right where you are. My area of focus is stress reduction and client goal orientation. I work with clients who have made a decision to support themselves in making realistic changes and lifestyle improvements that decrease stress, depression, and anxiety with a trauma-informed informed and natural heart approach.
Hello, I am La Wanda Marrero, Licensed Marriage & Family Therapist LMFT139411. I have been in practice for over 10 years. My approach is strength-based, to meet you, the client, right where you are. My area of focus is stress reduction and client goal orientation. I work with clients who have made a decision to support themselves in making realistic changes and lifestyle improvements that decrease stress, depression, and anxiety with a trauma-informed informed and natural heart approach.
(408) 869-5676 View (408) 869-5676
Photo of Becca Pele, Marriage & Family Therapist Associate in San Jose, CA
Becca Pele
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Jose, CA 95123  (Online Only)
Hi and welcome! I combine traditional and holistic therapeutic approaches to support and facilitate client curiosity, exploration, and growth. My therapy practice is oriented as anti-oppression, anti-racist, community oriented, feminist, wherein I view therapy as social justice work. I am dedicated to maintaining a strength-based, compassionate, light-hearted space to support clients in strengthening their self-awareness, self-advocacy and connecting them with the wisdom that is already there. My goal is to meet my clients 'where' they are and maintain unconditional positive regard for clients, and their loved ones.
Hi and welcome! I combine traditional and holistic therapeutic approaches to support and facilitate client curiosity, exploration, and growth. My therapy practice is oriented as anti-oppression, anti-racist, community oriented, feminist, wherein I view therapy as social justice work. I am dedicated to maintaining a strength-based, compassionate, light-hearted space to support clients in strengthening their self-awareness, self-advocacy and connecting them with the wisdom that is already there. My goal is to meet my clients 'where' they are and maintain unconditional positive regard for clients, and their loved ones.
(408) 351-8234 View (408) 351-8234
Photo of Amy Martin, Marriage & Family Therapist in San Jose, CA
Amy Martin
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Jose, CA 95117
Hello! Life is often challenging and many people struggle on their own. I understand it can be a difficult decision to ask for help, but therapy is a great way to find support. It is my desire to work with you to help identify goals and develop a plan together to address and resolve your current struggles. I am a trauma-informed therapist, and have specialized training in this area. I work with a variety of issues, such as trauma, PTSD, anxiety, depression, life transitions, or assisting people in connecting more deeply with others and increasing satisfaction in their relationships.
Hello! Life is often challenging and many people struggle on their own. I understand it can be a difficult decision to ask for help, but therapy is a great way to find support. It is my desire to work with you to help identify goals and develop a plan together to address and resolve your current struggles. I am a trauma-informed therapist, and have specialized training in this area. I work with a variety of issues, such as trauma, PTSD, anxiety, depression, life transitions, or assisting people in connecting more deeply with others and increasing satisfaction in their relationships.
(408) 400-7457 View (408) 400-7457
Photo of Meggie Zanger, Licensed Professional Clinical Counselor in San Jose, CA
Meggie Zanger
Licensed Professional Clinical Counselor, MA, LPCC, PMH-C
Verified Verified
San Jose, CA 95153
You may have found that due to some recent life circumstance, you are feeling stressed, anxious, lonely, overwhelmed, or even ashamed. These are natural, human emotions, which can arise from a host of reasons including fertility challenges, reproductive loss, adjusting to parenthood, work-related stress, starting college, or relationship issues. It can feel isolating, and you deserve to be seen and understood. The good news is you don’t have to go through it alone, and you were never meant to.
You may have found that due to some recent life circumstance, you are feeling stressed, anxious, lonely, overwhelmed, or even ashamed. These are natural, human emotions, which can arise from a host of reasons including fertility challenges, reproductive loss, adjusting to parenthood, work-related stress, starting college, or relationship issues. It can feel isolating, and you deserve to be seen and understood. The good news is you don’t have to go through it alone, and you were never meant to.
(831) 249-9898 View (831) 249-9898
Photo of Catherine ( Pei-Fang) Chiu, Marriage & Family Therapist in San Jose, CA
Catherine ( Pei-Fang) Chiu
Marriage & Family Therapist, LMFT, 113185, ATR-BC, 17-232
Verified Verified
San Jose, CA 95128
Waitlist for new clients
As an experienced and culturally-aware board-certified marriage and family therapist, I am here to guide you through your unique life challenges. My goal is to help you identify how therapy can best support your individual needs, empowering you to overcome the obstacles that may be holding you back from living a more fulfilling and happier life. I strongly believe that you are the expert of your story, and my role as your therapist is to create a safe, supportive, and non-judgmental space for you to share your thoughts and emotions.
As an experienced and culturally-aware board-certified marriage and family therapist, I am here to guide you through your unique life challenges. My goal is to help you identify how therapy can best support your individual needs, empowering you to overcome the obstacles that may be holding you back from living a more fulfilling and happier life. I strongly believe that you are the expert of your story, and my role as your therapist is to create a safe, supportive, and non-judgmental space for you to share your thoughts and emotions.
(669) 322-2723 View (669) 322-2723
Photo of Megan Brubaker, Psychologist in San Jose, CA
Megan Brubaker
Psychologist, PhD
Verified Verified
San Jose, CA 95124
I specialize in anxiety disorders and psychological assessments for ADHD and ASD. My ideal client is someone grappling with anxiety's grip, whether it's generalized anxiety, social anxiety, panic, OCD, or specific phobias. They seek relief from worry and irrational fears, desiring a life unburdened by anxiety's limitations. Additionally, clients may need assessments for ADHD or ASD, wanting clarity and strategies to navigate life effectively. My role is to provide tailored support, evidence-based interventions, and a safe space for clients to reclaim control over their lives. Together, we navigate the path to a brighter future.
I specialize in anxiety disorders and psychological assessments for ADHD and ASD. My ideal client is someone grappling with anxiety's grip, whether it's generalized anxiety, social anxiety, panic, OCD, or specific phobias. They seek relief from worry and irrational fears, desiring a life unburdened by anxiety's limitations. Additionally, clients may need assessments for ADHD or ASD, wanting clarity and strategies to navigate life effectively. My role is to provide tailored support, evidence-based interventions, and a safe space for clients to reclaim control over their lives. Together, we navigate the path to a brighter future.
(408) 549-7446 View (408) 549-7446
Photo of Jj Medina, Marriage & Family Therapist in San Jose, CA
Jj Medina
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Jose, CA 95128  (Online Only)
The decision to start therapy can be intensely personal when the sum of your experiences messages to you that nothing can, or will change. Therapy isn't just a space where we develop insight into how we got to where we are, but a space that we take to consider who we want to move forward into becoming. You make sense in context, and it's in that context that we'll work together to support you in overcoming barriers to becoming the version of yourself you strive to be.
The decision to start therapy can be intensely personal when the sum of your experiences messages to you that nothing can, or will change. Therapy isn't just a space where we develop insight into how we got to where we are, but a space that we take to consider who we want to move forward into becoming. You make sense in context, and it's in that context that we'll work together to support you in overcoming barriers to becoming the version of yourself you strive to be.
(408) 317-7362 View (408) 317-7362
Photo of Antonio Smith, Marriage & Family Therapist Associate in San Jose, CA
Antonio Smith
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
San Jose, CA 95126
Not accepting new clients
I help people with low self-esteem, anxiety, depression, grief, trauma/complex trauma, indecision/stuckness/failure to launch, find the roots of their condition, process them and transition to resilience, personal growth and fulfilment. I help couples connect with themselves, their values and intentions, communicate authentically & safely and either experience the peace, happiness, and satisfaction they once knew and more, or recognize the truth that it is not meant to be, part on the best terms possible and begin new lives. I have lived in three countries and have deep empathy for immigrants but use mainly English for sessions.
I help people with low self-esteem, anxiety, depression, grief, trauma/complex trauma, indecision/stuckness/failure to launch, find the roots of their condition, process them and transition to resilience, personal growth and fulfilment. I help couples connect with themselves, their values and intentions, communicate authentically & safely and either experience the peace, happiness, and satisfaction they once knew and more, or recognize the truth that it is not meant to be, part on the best terms possible and begin new lives. I have lived in three countries and have deep empathy for immigrants but use mainly English for sessions.
(408) 418-2446 View (408) 418-2446
Photo of Alisa Flakes, Marriage & Family Therapist in San Jose, CA
Alisa Flakes
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95111
Hello, my name is Alisa Flakes and I am a Licensed Marriage and Family Therapist in the state of California. I work with individuals ages 13+, couples, and families in a variety of areas including addiction, anger management, anxiety, behavioral issues, coping skills, cultural stress, depression, relationship issues, family conflict, grief, and trauma & PTSD, amongst others. My approach is strength-based, solution focused and utilizes several modalities such as ACT, CBT, DBT, Family Systems, Gottman Method, Gestalt, and more.
Hello, my name is Alisa Flakes and I am a Licensed Marriage and Family Therapist in the state of California. I work with individuals ages 13+, couples, and families in a variety of areas including addiction, anger management, anxiety, behavioral issues, coping skills, cultural stress, depression, relationship issues, family conflict, grief, and trauma & PTSD, amongst others. My approach is strength-based, solution focused and utilizes several modalities such as ACT, CBT, DBT, Family Systems, Gottman Method, Gestalt, and more.
(408) 539-8691 View (408) 539-8691
Photo of Jeffrey Ly I Porn Addiction Relationship in San Jose, CA
Jeffrey Ly I Porn Addiction Relationship
LPHA, MA, AMFT
Verified Verified
San Jose, CA 95120  (Online Only)
Pornography addiction can significantly impact your life and relationships but there is hope for recovery. I’m not just a mental health professional, I’ve been “you” for many years. I understand firsthand the personal struggles in your life and committed relationships that come with uncontrollable pornography use. The endless stream of attractive women a few clicks away on Pornhub, Onlyfan or Social Media is hard to quit even with all your willpower and promise to quit for the sake of your relationship
Pornography addiction can significantly impact your life and relationships but there is hope for recovery. I’m not just a mental health professional, I’ve been “you” for many years. I understand firsthand the personal struggles in your life and committed relationships that come with uncontrollable pornography use. The endless stream of attractive women a few clicks away on Pornhub, Onlyfan or Social Media is hard to quit even with all your willpower and promise to quit for the sake of your relationship
(408) 687-4868 View (408) 687-4868
Photo of Aurianne J Dorsay, Psychologist in San Jose, CA
Aurianne J Dorsay
Psychologist, PhD
Verified Verified
San Jose, CA 95125
Adults, children and couples seek my psychotherapy services for a variety of reasons including feeling stuck, anxious, or sad. My clients have reported that they know themselves more deeply and that they experience more fulfilling and meaningful lives through our work together.
Adults, children and couples seek my psychotherapy services for a variety of reasons including feeling stuck, anxious, or sad. My clients have reported that they know themselves more deeply and that they experience more fulfilling and meaningful lives through our work together.
(408) 641-3073 View (408) 641-3073
Photo of Jorge Alvarez, Marriage & Family Therapist in San Jose, CA
Jorge Alvarez
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95117
My name is Jorge J. Alvarez and I am a Licensed Marriage Family Therapist and Licensed Educational Psychologist. I enjoy working with a wide range of people who are interested in improving their lives through in-depth exploration of emotions and behaviors which impact personal, social, occupational, and family relationships. As a Licensed Marriage Family Therapist, I enjoy working with individuals suffering from trauma, anxiety, and depression. I also enjoy helping individuals meet goals through increased focus, motivation, and empowerment.
My name is Jorge J. Alvarez and I am a Licensed Marriage Family Therapist and Licensed Educational Psychologist. I enjoy working with a wide range of people who are interested in improving their lives through in-depth exploration of emotions and behaviors which impact personal, social, occupational, and family relationships. As a Licensed Marriage Family Therapist, I enjoy working with individuals suffering from trauma, anxiety, and depression. I also enjoy helping individuals meet goals through increased focus, motivation, and empowerment.
(408) 762-3078 View (408) 762-3078
Photo of Kacey Truong, Pre-Licensed Professional in San Jose, CA
Kacey Truong
Pre-Licensed Professional, ASW
Verified Verified
San Jose, CA 95125
Do you struggle with anxiety and depression due to your childhood trauma? Are you having problems with your partner or family members due to life transition issues? Are you experiencing increased stress, fears, and doubts around the future? I believe that we all have the capacity to heal our emotional wounds and create meaningful changes. My goal as a therapist is to offer you a safe place in which you can process insights, concerns, and emotions associated with trauma.
Do you struggle with anxiety and depression due to your childhood trauma? Are you having problems with your partner or family members due to life transition issues? Are you experiencing increased stress, fears, and doubts around the future? I believe that we all have the capacity to heal our emotional wounds and create meaningful changes. My goal as a therapist is to offer you a safe place in which you can process insights, concerns, and emotions associated with trauma.
(408) 351-4182 View (408) 351-4182
Photo of Samantha Crismond, Clinical Social Work/Therapist in San Jose, CA
Samantha Crismond
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95111
My areas of clinical focus are depression, anxiety, and stress. I have experience with adults from all walks of life. I am also a culturally competent therapist and have experience with the LGBTQIA+ and Veteran populations. I have found that the use of technology has greatly improved the ability of therapists and clients to collaborate in mental health treatment. I will often use multimodal strategies to keep you engaged and to increase the understanding of your patterns of behavior, such as videos and worksheets.
My areas of clinical focus are depression, anxiety, and stress. I have experience with adults from all walks of life. I am also a culturally competent therapist and have experience with the LGBTQIA+ and Veteran populations. I have found that the use of technology has greatly improved the ability of therapists and clients to collaborate in mental health treatment. I will often use multimodal strategies to keep you engaged and to increase the understanding of your patterns of behavior, such as videos and worksheets.
(408) 676-4726 View (408) 676-4726
Photo of Debora Burgard, Psychologist in San Jose, CA
Debora Burgard
Psychologist, PhD, FAED
Verified Verified
San Jose, CA 95160  (Online Only)
Waitlist for new clients
Finding a therapist is such a leap of faith. It is one of life's challenges that at a time when you might feel the most vulnerable, you also have the least information about whether someone can help! I'm told I'm good person to talk to if something is bothering you and you want to figure it out. I try to support that inner flame of resistance and kindness toward yourself in the face of all the challenges. I am one of the founders of the Health at Every Size (HAES) and Body Positive movements. May you find a good match!
Finding a therapist is such a leap of faith. It is one of life's challenges that at a time when you might feel the most vulnerable, you also have the least information about whether someone can help! I'm told I'm good person to talk to if something is bothering you and you want to figure it out. I try to support that inner flame of resistance and kindness toward yourself in the face of all the challenges. I am one of the founders of the Health at Every Size (HAES) and Body Positive movements. May you find a good match!
(650) 321-2606 View (650) 321-2606
Photo of Family & Children's Counseling Services, Inc., Marriage & Family Therapist in San Jose, CA
Family & Children's Counseling Services, Inc.
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95192  (Online Only)
When our children's hearts have been broken, our hearts break, too. Parents often struggle with knowing how to care for a hurting child. The child's behaviors can be challenging. A parent's own unhealed wounds get triggered. Then, there's the parenting guilt! It can be overwhelming. We understand and we are here to help.
When our children's hearts have been broken, our hearts break, too. Parents often struggle with knowing how to care for a hurting child. The child's behaviors can be challenging. A parent's own unhealed wounds get triggered. Then, there's the parenting guilt! It can be overwhelming. We understand and we are here to help.
(530) 451-4151 View (530) 451-4151
Photo of Stacey Alvarez, Marriage & Family Therapist in San Jose, CA
Stacey Alvarez
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95128
Sometimes having compassion for ourselves is much harder than extending compassion to others. It’s difficult when we are dealing with thoughts that convince us we are broken or stuck, or when we are facing issues that seem larger than us, issues that appear beyond what our personal power can handle. Along with these thoughts of uncertainty come feelings such as anxiety, sadness, shame, and grief, all of which we struggle to avoid. This can make living a valued existence appear difficult or impossible. Yet it is. You don’t need to go it alone. I can see that power within you, even if you are unable to see this in yourself.
Sometimes having compassion for ourselves is much harder than extending compassion to others. It’s difficult when we are dealing with thoughts that convince us we are broken or stuck, or when we are facing issues that seem larger than us, issues that appear beyond what our personal power can handle. Along with these thoughts of uncertainty come feelings such as anxiety, sadness, shame, and grief, all of which we struggle to avoid. This can make living a valued existence appear difficult or impossible. Yet it is. You don’t need to go it alone. I can see that power within you, even if you are unable to see this in yourself.
(669) 254-3725 View (669) 254-3725

How does your Therapist compare?

Number of Therapists in San Jose, CA

1,000+

Average cost per session

$180

Therapists in San Jose, CA who prioritize treating:

92% Anxiety
86% Depression
75% Relationship Issues
73% Self Esteem
70% Stress
67% Coping Skills
65% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
72% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Jose, CA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in San Jose?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.