Therapists in 78224

Photo of Damaris Ybarra, Licensed Professional Counselor, MA, LPC
Damaris Ybarra
Licensed Professional Counselor, MA, LPC
San Antonio, TX 78224
As a Licensed Professional Counselor, I create a warm and collaborative space where clients can feel safe to explore, heal, and grow. I work with adolescents and adults navigating anxiety, trauma, self-worth concerns, and relationship challenges. My experience includes supporting survivors of domestic violence and clients from a wide range of cultural and personal backgrounds. My goal is to create a safe, affirming environment where you can explore your story without judgment.
As a Licensed Professional Counselor, I create a warm and collaborative space where clients can feel safe to explore, heal, and grow. I work with adolescents and adults navigating anxiety, trauma, self-worth concerns, and relationship challenges. My experience includes supporting survivors of domestic violence and clients from a wide range of cultural and personal backgrounds. My goal is to create a safe, affirming environment where you can explore your story without judgment.
(210) 405-8780 View (210) 405-8780
Photo of Dr. Michelle Francis, Clinical Social Work/Therapist, DBH, LCSW, LICSW, QS
Dr. Michelle Francis
Clinical Social Work/Therapist, DBH, LCSW, LICSW, QS
2 Endorsed
Serves Area
Hi! I'm Dr. Francis, a Doctor of Behavioral Health and licensed therapist. Are you feeling stuck, overwhelmed, or unsure of your next step? Whether it’s a relationship issue, a major life change, or a struggle with substance use, you're in the right place. I provide services to indivuals who are 14 years and older. I offer a warm, supportive space where you can speak openly, gain insight, and begin to heal. Whether your goals involve building self-esteem, improving relationships, or navigating life transitions, I’m here to help. Let’s work together to help you feel more confident, balanced, and aligned with your life.
Hi! I'm Dr. Francis, a Doctor of Behavioral Health and licensed therapist. Are you feeling stuck, overwhelmed, or unsure of your next step? Whether it’s a relationship issue, a major life change, or a struggle with substance use, you're in the right place. I provide services to indivuals who are 14 years and older. I offer a warm, supportive space where you can speak openly, gain insight, and begin to heal. Whether your goals involve building self-esteem, improving relationships, or navigating life transitions, I’m here to help. Let’s work together to help you feel more confident, balanced, and aligned with your life.
(954) 479-9709 View (954) 479-9709
Photo of Allison K Melkie, Licensed Professional Counselor, MA, LPC
Allison K Melkie
Licensed Professional Counselor, MA, LPC
6 Endorsed
Serves Area
For as long as I can remember, I’ve wanted to be a counselor. I have no idea why, but even as an adolescent, I was drawn to people and trying to help figure out what makes them tick. I believe that the therapeutic relationship is the most important part of the counseling experience. In that relationship, it’s very important for me to hold the space for the client. Both client and counselor need to feel that the environment is a safe space, allowing the therapeutic process to take place. That starts at the beginning, where it’s key that the client, whether new or established, feels that trust and can begin opening up.
For as long as I can remember, I’ve wanted to be a counselor. I have no idea why, but even as an adolescent, I was drawn to people and trying to help figure out what makes them tick. I believe that the therapeutic relationship is the most important part of the counseling experience. In that relationship, it’s very important for me to hold the space for the client. Both client and counselor need to feel that the environment is a safe space, allowing the therapeutic process to take place. That starts at the beginning, where it’s key that the client, whether new or established, feels that trust and can begin opening up.
(210) 361-9677 View (210) 361-9677
Photo of Kayana Christine Garza, Licensed Professional Counselor, MS, LPC
Kayana Christine Garza
Licensed Professional Counselor, MS, LPC
2 Endorsed
Serves Area
As a dedicated therapist I specialize in working with transitional-aged youth, guiding them through the unique challenges of this critical stage in life. My approach blends Cognitive Behavioral Therapy (CBT) with Person-Centered Therapy, ensuring that your session is both structured and empathetically attuned to each individual's needs. I am committed to providing a non-judgmental space where you can explore your thoughts and feelings freely, knowing you will be met with understanding and support. Whether you're navigating life transitions, dealing with stress, or seeking to improve your mental well-being I can help on this journey.
As a dedicated therapist I specialize in working with transitional-aged youth, guiding them through the unique challenges of this critical stage in life. My approach blends Cognitive Behavioral Therapy (CBT) with Person-Centered Therapy, ensuring that your session is both structured and empathetically attuned to each individual's needs. I am committed to providing a non-judgmental space where you can explore your thoughts and feelings freely, knowing you will be met with understanding and support. Whether you're navigating life transitions, dealing with stress, or seeking to improve your mental well-being I can help on this journey.
(726) 262-9048 View (726) 262-9048
Photo of Patricia Hernandez, Licensed Professional Counselor, LPC
Patricia Hernandez
Licensed Professional Counselor, LPC
Online Only
My name is Patricia Hernandez, M.Ed., LPC, CSTIP, MBIP. I am fully licensed as an LPC (Licensed Professional Counselor) with 3 years of experience helping adults, teens, elderly, children, and families in crisis anywhere in the state of Texas (Ah … the wonderful power of teletherapy!). Most of my life has been spent in Texas, which includes my master’s level counselor training from Sul Ross State University in Uvalde, Texas.
My name is Patricia Hernandez, M.Ed., LPC, CSTIP, MBIP. I am fully licensed as an LPC (Licensed Professional Counselor) with 3 years of experience helping adults, teens, elderly, children, and families in crisis anywhere in the state of Texas (Ah … the wonderful power of teletherapy!). Most of my life has been spent in Texas, which includes my master’s level counselor training from Sul Ross State University in Uvalde, Texas.
(210) 981-6486 View (210) 981-6486
Photo of Anthony Palomo, Licensed Professional Counselor, MS, LCDC, LPC-S
Anthony Palomo
Licensed Professional Counselor, MS, LCDC, LPC-S
1 Endorsed
Online Only
Having spent most of my life in San Antonio, TX, my journey into mental health began with a Bachelors degree from the University of Northern Iowa in Psychology, which inspired me to come back home to San Antonio, TX and pursue a Master's in counseling. My passion lies in helping others, driven by a deep understanding that often, what people need most is a non-judgmental and unbiased person who is willing to listen to them. I strive to be that supportive presence, offering a safe space where individuals can express themselves and feel truly heard.
Having spent most of my life in San Antonio, TX, my journey into mental health began with a Bachelors degree from the University of Northern Iowa in Psychology, which inspired me to come back home to San Antonio, TX and pursue a Master's in counseling. My passion lies in helping others, driven by a deep understanding that often, what people need most is a non-judgmental and unbiased person who is willing to listen to them. I strive to be that supportive presence, offering a safe space where individuals can express themselves and feel truly heard.
(210) 874-7620 View (210) 874-7620
Photo of Luna Dreamer - Shelter in the Rain Counseling, Licensed Professional Counselor Associate, LPC-A
Shelter in the Rain Counseling
Licensed Professional Counselor Associate, LPC-A
Online Only
Affordable Telehealth Counseling, $40 no insurance needed! As of June 2026. Now accepting Minors (12/13+) and Couples $60. Intakes usually scheduled in 1-3 business days! I believe quality mental health care should be made affordable so that more people can get the help they need. My name is Luna Dreamer and I’m an LPC-Associate who specializes in working with the transgender, queer, disabled, and kink populations. I draw from my personal experience as a transgender woman, long time therapy client, and former social work experience to help others process trauma and manage symptoms of various serious mental health diagnosis.
Affordable Telehealth Counseling, $40 no insurance needed! As of June 2026. Now accepting Minors (12/13+) and Couples $60. Intakes usually scheduled in 1-3 business days! I believe quality mental health care should be made affordable so that more people can get the help they need. My name is Luna Dreamer and I’m an LPC-Associate who specializes in working with the transgender, queer, disabled, and kink populations. I draw from my personal experience as a transgender woman, long time therapy client, and former social work experience to help others process trauma and manage symptoms of various serious mental health diagnosis.
(210) 255-3939 View (210) 255-3939
Photo of Ash Martinez, Clinical Social Work/Therapist, LICSW, LCSW, PMH-C
Ash Martinez
Clinical Social Work/Therapist, LICSW, LCSW, PMH-C
1 Endorsed
Online Only
Licensed in WA, IL, and TX, I provide a safe space for navigating life’s transitions—from trauma and grief to gender-affirming care. I specialize in supporting neurodiverse individuals, those exploring identity, and those managing substance dependence. As a Latina therapist, I am committed to anti-racist practice and LGBTQ+ advocacy. My priority is an inclusive, collaborative environment where we work toward the goals that matter most to you. Together, we can explore the support you need to move forward with confidence. Feel free to reach out to see if we are a good fit for your journey.
Licensed in WA, IL, and TX, I provide a safe space for navigating life’s transitions—from trauma and grief to gender-affirming care. I specialize in supporting neurodiverse individuals, those exploring identity, and those managing substance dependence. As a Latina therapist, I am committed to anti-racist practice and LGBTQ+ advocacy. My priority is an inclusive, collaborative environment where we work toward the goals that matter most to you. Together, we can explore the support you need to move forward with confidence. Feel free to reach out to see if we are a good fit for your journey.
(253) 364-1488 View (253) 364-1488
Photo of John LaPoint, Licensed Professional Counselor, LPC, LCDC, CCTP, CGP
John LaPoint
Licensed Professional Counselor, LPC, LCDC, CCTP, CGP
Online Only
Sometimes life can be difficult to navigate. Going through life and experiencing everything that life has to offer is great! But it can also mean that we may be faced with challenges that can cause us stress, hardship, loss and a whole array of other emotions; each of which can negatively impact our mental health and the way we see the world. Without the proper tools, it may even seem impossible to deal with life's stressors and the overwhelming feelings that accompany them. I can help you find your path to better, stronger mental health. Together we can learn to handle whatever life throws your way.
Sometimes life can be difficult to navigate. Going through life and experiencing everything that life has to offer is great! But it can also mean that we may be faced with challenges that can cause us stress, hardship, loss and a whole array of other emotions; each of which can negatively impact our mental health and the way we see the world. Without the proper tools, it may even seem impossible to deal with life's stressors and the overwhelming feelings that accompany them. I can help you find your path to better, stronger mental health. Together we can learn to handle whatever life throws your way.
(210) 905-9581 View (210) 905-9581
Photo of Alexander Leerburger-Mahl, Licensed Professional Counselor, MHS, LPC, NCC
Alexander Leerburger-Mahl
Licensed Professional Counselor, MHS, LPC, NCC
3 Endorsed
Online Only
Hey there! Do you often feel bogged down by feelings of depression, anxiety, or just overthinking things? If you find it tough to stand up for yourself, I’d love for you to reach out! Whether you’re looking for support around those feelings, impacts on our Queer community, feeling stuck, career challenges, or just need a space to process, I’m here to help! Together, we can develop some great strategies to tackle the root causes of what you’re experiencing help you build meaningful connections, and boost your confidence.
Hey there! Do you often feel bogged down by feelings of depression, anxiety, or just overthinking things? If you find it tough to stand up for yourself, I’d love for you to reach out! Whether you’re looking for support around those feelings, impacts on our Queer community, feeling stuck, career challenges, or just need a space to process, I’m here to help! Together, we can develop some great strategies to tackle the root causes of what you’re experiencing help you build meaningful connections, and boost your confidence.
(512) 399-8661 View (512) 399-8661
Photo of Alexandra Garza, Clinical Social Work/Therapist, LCSW
Alexandra Garza
Clinical Social Work/Therapist, LCSW
Online Only
My goal is to create a warm and safe environment where you can be vulnerable and feel empowered. I’m here to listen, support, and gently challenge you as you move toward meaningful change related to identified goals. Se habla Español.
My goal is to create a warm and safe environment where you can be vulnerable and feel empowered. I’m here to listen, support, and gently challenge you as you move toward meaningful change related to identified goals. Se habla Español.
(210) 571-7661 View (210) 571-7661
Photo of Juan Pablo Hernandez, Licensed Professional Counselor, LPC
Juan Pablo Hernandez
Licensed Professional Counselor, LPC
Online Only
Hi there, I'm Juan Pablo. I am a compassionate and dedicated Mental Health Therapist, committed to helping individuals achieve emotional well-being and inner harmony. With a deep passion for mental health, i have cultivated a wealth of experience in providing empathetic and evidence-based therapeutic support to my clients.
Hi there, I'm Juan Pablo. I am a compassionate and dedicated Mental Health Therapist, committed to helping individuals achieve emotional well-being and inner harmony. With a deep passion for mental health, i have cultivated a wealth of experience in providing empathetic and evidence-based therapeutic support to my clients.
(915) 800-7454 View (915) 800-7454
Photo of Elizabeth Woodruff, Licensed Professional Counselor, MA
Elizabeth Woodruff
Licensed Professional Counselor, MA
Online Only
Life is unpredictable. Challenges are presented in our lives and despite our efforts to overcome them, we may feel overwhelmed or even hopeless in our efforts. Do you feel like you have lost yourself, even though you have tried so hard to stay afloat? Maybe you feel disconnected from the relationships in your life, leaving you feeling isolated or not heard. No one should have to go through tough times feeling like they are all alone. My goal is to be present with my clients and assist them in regaining their voice, build confidence, and create balance in their lives. I offer support for adults, teens 17 and up, and couples.
Life is unpredictable. Challenges are presented in our lives and despite our efforts to overcome them, we may feel overwhelmed or even hopeless in our efforts. Do you feel like you have lost yourself, even though you have tried so hard to stay afloat? Maybe you feel disconnected from the relationships in your life, leaving you feeling isolated or not heard. No one should have to go through tough times feeling like they are all alone. My goal is to be present with my clients and assist them in regaining their voice, build confidence, and create balance in their lives. I offer support for adults, teens 17 and up, and couples.
(210) 985-7992 View (210) 985-7992
Photo of Blanca Hinojosa, Licensed Professional Counselor, LPC-S
Blanca Hinojosa
Licensed Professional Counselor, LPC-S
2 Endorsed
Online Only
I am a bilingual and bicultural Mexican American therapist who understands the unique challenges that come with navigating cultural identity, relationships, and life transitions. I provide a supportive space for individuals experiencing depression, anxiety, trauma, or maternal mental health concerns to explore their experiences and move toward healing. My goal is to help clients find clarity, build resilience, and feel more grounded as they navigate difficult times. Together, we work toward strengthening emotional well-being and creating meaningful, lasting change.
I am a bilingual and bicultural Mexican American therapist who understands the unique challenges that come with navigating cultural identity, relationships, and life transitions. I provide a supportive space for individuals experiencing depression, anxiety, trauma, or maternal mental health concerns to explore their experiences and move toward healing. My goal is to help clients find clarity, build resilience, and feel more grounded as they navigate difficult times. Together, we work toward strengthening emotional well-being and creating meaningful, lasting change.
(737) 238-0785 View (737) 238-0785
Robert Charles Wesley
Licensed Professional Counselor, MS, LPC
San Antonio, TX 78224
(210) 405-5919 View (210) 405-5919

More Therapists Nearby

Photo of Nic M Ahumada, Marriage & Family Therapist Associate, LMFT-A, LPC-A, NBCC
Nic M Ahumada
Marriage & Family Therapist Associate, LMFT-A, LPC-A, NBCC
2 Endorsed
San Antonio, TX 78212
My ideal clients are adults and older adults, individuals, couples, or families feeling intensely disconnected or stuck in patterns that create distance, conflict, or confusion. They may be navigating intimacy, sex, trust, identity, or communication—sometimes within non-monogamous relationships, sometimes while healing from ruptures or rediscovering emotional closeness. I especially love my work within the alternative, queer, and LGBTQ+ community. People don’t come to me to be "fixed"—they come because they need something different, and they want someone who’s not afraid to be there with them.
My ideal clients are adults and older adults, individuals, couples, or families feeling intensely disconnected or stuck in patterns that create distance, conflict, or confusion. They may be navigating intimacy, sex, trust, identity, or communication—sometimes within non-monogamous relationships, sometimes while healing from ruptures or rediscovering emotional closeness. I especially love my work within the alternative, queer, and LGBTQ+ community. People don’t come to me to be "fixed"—they come because they need something different, and they want someone who’s not afraid to be there with them.
(737) 530-4939 View (737) 530-4939
Photo of Marlene Alvarez, Licensed Professional Counselor, LPC
Marlene Alvarez
Licensed Professional Counselor, LPC
Shavano Park, TX 78249
While in therapy, it is crucial that clients develop an increased understanding about the working relationship between thoughts, feelings, and actions. I enjoy helping clients learn to practice emotion regulation, develop healthy coping skills, and empower them to take an active role in their lives leading to positive outcomes outside of therapy. I recognize the difficulty in talking to a stranger about intimate and personal topics, and I acknowledge the strength that it takes to freely discuss these events in an open manner. I provide an open space, where clients feel at ease sharing their lives in a confidential setting.
While in therapy, it is crucial that clients develop an increased understanding about the working relationship between thoughts, feelings, and actions. I enjoy helping clients learn to practice emotion regulation, develop healthy coping skills, and empower them to take an active role in their lives leading to positive outcomes outside of therapy. I recognize the difficulty in talking to a stranger about intimate and personal topics, and I acknowledge the strength that it takes to freely discuss these events in an open manner. I provide an open space, where clients feel at ease sharing their lives in a confidential setting.
(830) 510-1656 View (830) 510-1656
Photo of Dr. Beatriz Alaniz, Clinical Social Work/Therapist, DSW, LCSW-S
Dr. Beatriz Alaniz
Clinical Social Work/Therapist, DSW, LCSW-S
San Antonio, TX 78229
I’m a licensed clinical social worker with more than 18 years of experience helping individuals and couples heal from trauma, rebuild connection after betrayal, and create relationships that are emotionally safe, resilient, and thriving. I combine evidence-based methods like Gottman Couples Therapy, EMDR, and trauma-informed relational frameworks with a grounded, compassionate presence that meets people where they are. I launched my private practice, Resiliency Trauma and Couples Therapy to support people in seeing themselves as capable, adaptive, and worthy of deep healing. (In-person services will be coming soon)
I’m a licensed clinical social worker with more than 18 years of experience helping individuals and couples heal from trauma, rebuild connection after betrayal, and create relationships that are emotionally safe, resilient, and thriving. I combine evidence-based methods like Gottman Couples Therapy, EMDR, and trauma-informed relational frameworks with a grounded, compassionate presence that meets people where they are. I launched my private practice, Resiliency Trauma and Couples Therapy to support people in seeing themselves as capable, adaptive, and worthy of deep healing. (In-person services will be coming soon)
(210) 361-7685 View (210) 361-7685
Photo of Alison Wynn Tierney, Clinical Social Work/Therapist, LCSW, MA, EMDR, Gottman
Alison Wynn Tierney
Clinical Social Work/Therapist, LCSW, MA, EMDR, Gottman
2 Endorsed
San Antonio, TX 78229
Are you looking for a change? Does your relationship need help? Are you dealing with depression, loss or anxiety? I have 20 years of experience helping adults, couples and people suffering from trauma. I am EMDR and Gottman trained. . I provide an environment of safety, privacy and acceptance where you can express your thoughts, feelings and experiences. I believe that depression and anxiety are major road blocks to success and the quality of an individual's life. Start your journey today!
Are you looking for a change? Does your relationship need help? Are you dealing with depression, loss or anxiety? I have 20 years of experience helping adults, couples and people suffering from trauma. I am EMDR and Gottman trained. . I provide an environment of safety, privacy and acceptance where you can express your thoughts, feelings and experiences. I believe that depression and anxiety are major road blocks to success and the quality of an individual's life. Start your journey today!
(210) 714-1641 View (210) 714-1641
Photo of Michael Owen, Marriage & Family Therapist Associate, LMFT-A
Michael Owen
Marriage & Family Therapist Associate, LMFT-A
San Antonio, TX 78213
When people ask you how you’re doing, is the first thing you say, “I’m tired but I’m good” but you know you’re really not. Whether at work or in your home life, when anyone needs help or support of any kind, people rely on you because they know they can count on you. You’ve always put everyone else first. But lately you're exhausted you are all the time, you really need to learn to say no and set some boundaries but you don’t even know where to start. The thought of it makes you feel paralyzed with guilt. But showing up for everyone else is taking a toll. You’ve been cycling between being anxious and depressed.
When people ask you how you’re doing, is the first thing you say, “I’m tired but I’m good” but you know you’re really not. Whether at work or in your home life, when anyone needs help or support of any kind, people rely on you because they know they can count on you. You’ve always put everyone else first. But lately you're exhausted you are all the time, you really need to learn to say no and set some boundaries but you don’t even know where to start. The thought of it makes you feel paralyzed with guilt. But showing up for everyone else is taking a toll. You’ve been cycling between being anxious and depressed.
(210) 871-1172 View (210) 871-1172

See more therapy options for 78224

How does your Therapist compare?

Number of Therapists in 78224

10+

Average cost per session

$120

Therapists in 78224 who prioritize treating:

71% Depression
71% Anxiety
71% Social Anxiety
71% Health Anxiety
71% Driving Anxiety
64% Relationship Issues
57% Relationship Anxiety

Average years in practice

7 Years

Top 3 insurances accepted

100% BlueCross and BlueShield
92% Aetna
83% Cigna and Evernorth

How Therapists in 78224 see their clients

71% Online Only
29% In Person and Online

Gender breakdown

64% Female
36% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 78224?

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.