Photo of Amanda Almendarez, LPC, Licensed Professional Counselor
Amanda Almendarez
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78257
Amanda Almendarez is a Licensed Professional Counselor with 4 years of experience in clinical mental health. Amanda has experience in both private practice and agencies. She is passionate about helping adults and adolescents take steps to stop simply surviving and begin thriving in life. Amanda specializes in trauma, domestic violence, sexual assault, grief/loss, depression, and anxiety. She also has experience with personality disorders, life transitions, and stress management. Amanda received her Master’s in Science in Clinical Mental Health Counseling from Texas A&M University-Corpus Christi.
Amanda Almendarez is a Licensed Professional Counselor with 4 years of experience in clinical mental health. Amanda has experience in both private practice and agencies. She is passionate about helping adults and adolescents take steps to stop simply surviving and begin thriving in life. Amanda specializes in trauma, domestic violence, sexual assault, grief/loss, depression, and anxiety. She also has experience with personality disorders, life transitions, and stress management. Amanda received her Master’s in Science in Clinical Mental Health Counseling from Texas A&M University-Corpus Christi.
(830) 460-5174 View (830) 460-5174
Photo of Jeremyra Cross, MA, LMFT, Marriage & Family Therapist
Jeremyra Cross
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Antonio, TX 78257  (Online Only)
Are you tired of struggling in your relationships with others? Is stress, anxiety, and/or depression keeping you from building and maintaining meaningful relationships with friends and family? Have you tried couples counseling only to find that your own internal battles are impacting your ability to communicate and connect with your partner? Research shows that the quality of our relationships affects our mental, emotional, and physical well-being. I aim to create a warm, non-judgmental space where you can explore your thoughts, feelings, and behaviors with the goal of strengthening your connection to others.
Are you tired of struggling in your relationships with others? Is stress, anxiety, and/or depression keeping you from building and maintaining meaningful relationships with friends and family? Have you tried couples counseling only to find that your own internal battles are impacting your ability to communicate and connect with your partner? Research shows that the quality of our relationships affects our mental, emotional, and physical well-being. I aim to create a warm, non-judgmental space where you can explore your thoughts, feelings, and behaviors with the goal of strengthening your connection to others.
(210) 761-5042 View (210) 761-5042
Photo of Nelly Vela, MEd, NCC, LPC A
Nelly Vela
Licensed Professional Counselor Associate, MEd, NCC, LPC A
Verified Verified
1 Endorsed
San Antonio, TX 78257  (Online Only)
Hi there! My name is Nelly Vela, and I am a Licensed Professional Counselor Associate with over 20 years of experience in education and school counseling. Through my work, I have gained a deep understanding of the challenges faced by children, adolescents, and young adults. I am passionate about inspiring and empowering individuals to overcome obstacles and live their best lives. My passion for helping people drives my therapy sessions. Every individual needs someone they can confide in, someone who can validate and appreciate them. That's where I come in. I am committed to building a strong client-therapist relationship.
Hi there! My name is Nelly Vela, and I am a Licensed Professional Counselor Associate with over 20 years of experience in education and school counseling. Through my work, I have gained a deep understanding of the challenges faced by children, adolescents, and young adults. I am passionate about inspiring and empowering individuals to overcome obstacles and live their best lives. My passion for helping people drives my therapy sessions. Every individual needs someone they can confide in, someone who can validate and appreciate them. That's where I come in. I am committed to building a strong client-therapist relationship.
(210) 549-7793 View (210) 549-7793
Photo of Monica Pinzon, LPC, Licensed Professional Counselor
Monica Pinzon
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78257
I am a Licensed Professional Counselor with experience helping families with generational trauma, cultural issues, youth-specific trauma, challenges as an immigrant, life adjustments, and family conflict. As an immigrant myself, I have a strong understanding of the impact that life adjustments can have on a person's mental health and overall sense of well-being. I connect easily with youth and use unconditional positive regard with all my clients. I completed my Master of Science in Clinical Mental Health Counseling at the University of Texas at San Antonio.
I am a Licensed Professional Counselor with experience helping families with generational trauma, cultural issues, youth-specific trauma, challenges as an immigrant, life adjustments, and family conflict. As an immigrant myself, I have a strong understanding of the impact that life adjustments can have on a person's mental health and overall sense of well-being. I connect easily with youth and use unconditional positive regard with all my clients. I completed my Master of Science in Clinical Mental Health Counseling at the University of Texas at San Antonio.
(830) 971-0992 View (830) 971-0992
Photo of Christine M Hefel, LPC, NCC, Licensed Professional Counselor
Christine M Hefel
Licensed Professional Counselor, LPC, NCC
Verified Verified
2 Endorsed
San Antonio, TX 78257  (Online Only)
Navigating Life's obstacles can be overwhelming. I work with individuals, couples and families to help provide the guidance and direction they need. I am a Licensed Professional Counselor (LPC), a Nationally Certified Counselor (NCC), and a Professional Life Coach with over twenty years of clinical experience. Whether you are struggling to resolve past hurts, feeling stuck in the present, or are exploring ways to shape your future, I can help.
Navigating Life's obstacles can be overwhelming. I work with individuals, couples and families to help provide the guidance and direction they need. I am a Licensed Professional Counselor (LPC), a Nationally Certified Counselor (NCC), and a Professional Life Coach with over twenty years of clinical experience. Whether you are struggling to resolve past hurts, feeling stuck in the present, or are exploring ways to shape your future, I can help.
(210) 698-8818 View (210) 698-8818
Photo of Tamika Maria Davis, MA, LPC, NCC, CCTP, Licensed Professional Counselor
Tamika Maria Davis
Licensed Professional Counselor, MA, LPC, NCC, CCTP
Verified Verified
1 Endorsed
San Antonio, TX 78257  (Online Only)
It is my privilege and gift to empower couples and individuals as they navigate life. My background as a school counselor, substance abuse, drug court and corrections counselor along with community behavioral health counseling and assessing lends to a full service therapeutic process with me. Considering marriage? Married and feeling stuck/frustrated? Do you have a child with behavioral/emotional challenges? Want to boost your self-esteem and become the most empowered version of self? Together we can create realistic and attainable treatment goals to unlock your desires.
It is my privilege and gift to empower couples and individuals as they navigate life. My background as a school counselor, substance abuse, drug court and corrections counselor along with community behavioral health counseling and assessing lends to a full service therapeutic process with me. Considering marriage? Married and feeling stuck/frustrated? Do you have a child with behavioral/emotional challenges? Want to boost your self-esteem and become the most empowered version of self? Together we can create realistic and attainable treatment goals to unlock your desires.
(830) 971-0124 View (830) 971-0124
Photo of Jennifer Ferguson, MS, LPC, Licensed Professional Counselor
Jennifer Ferguson
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78257  (Online Only)
Taking the first step toward mental health support can feel daunting, but you don’t have to go it alone. Reaching out for help is a true act of courage, and I’m here to make sure you feel heard, understood, and supported. With me, you’ll have someone who listens without judgment, offers guidance when needed, and isn’t afraid to gently challenge you to grow. My goal is to help you build the skills to face life’s challenges confidently and, when you’re ready, move forward on your own—knowing I’m here as a safety net if needed.
Taking the first step toward mental health support can feel daunting, but you don’t have to go it alone. Reaching out for help is a true act of courage, and I’m here to make sure you feel heard, understood, and supported. With me, you’ll have someone who listens without judgment, offers guidance when needed, and isn’t afraid to gently challenge you to grow. My goal is to help you build the skills to face life’s challenges confidently and, when you’re ready, move forward on your own—knowing I’m here as a safety net if needed.
(855) 460-4111 View (855) 460-4111
Photo of Desiree Medina, MS, LPC, Licensed Professional Counselor
Desiree Medina
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
San Antonio, TX 78257
Are you tired of having the same argument with your partner and not feeling heard? Are you stressed and overwhelmed feeling like no matter what you do, nothing is ever good enough? Anxiety, comparison, and trying to keep it together is draining. You’ve realized all the people pleasing and unrealistic expectations to be perfect isn’t serving you anymore. Whether you need help adjusting to life transitions, communicating within your relationships, or want to work through some negative past experiences, together we can figure out what's getting in the way and rekindle the hope that's been lost.
Are you tired of having the same argument with your partner and not feeling heard? Are you stressed and overwhelmed feeling like no matter what you do, nothing is ever good enough? Anxiety, comparison, and trying to keep it together is draining. You’ve realized all the people pleasing and unrealistic expectations to be perfect isn’t serving you anymore. Whether you need help adjusting to life transitions, communicating within your relationships, or want to work through some negative past experiences, together we can figure out what's getting in the way and rekindle the hope that's been lost.
(210) 941-2597 View (210) 941-2597
Photo of Lisa Cantu, LPC, Licensed Professional Counselor
Lisa Cantu
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78257
I firmly believe in the healing potential of therapy and am passionate about helping individuals develop the skills needed to lead functional and fulfilling lives. Together, we will embark on a healing journey tailored to your unique needs and goals.
I firmly believe in the healing potential of therapy and am passionate about helping individuals develop the skills needed to lead functional and fulfilling lives. Together, we will embark on a healing journey tailored to your unique needs and goals.
(210) 981-4396 View (210) 981-4396
Photo of Martha Alicia Livingston - San Antonio Counseling and Behavioral Center, PhD, LPC, Licensed Professional Counselor
San Antonio Counseling and Behavioral Center
Licensed Professional Counselor, PhD, LPC
Verified Verified
23 Endorsed
San Antonio, TX 78257
San Antonio Counseling & Behavioral Center provides psychotherapy services to all age groups. Our mission is to improve the quality of life for children, adolescents, adults and families through exceptional and discreet mental health counseling.
San Antonio Counseling & Behavioral Center provides psychotherapy services to all age groups. Our mission is to improve the quality of life for children, adolescents, adults and families through exceptional and discreet mental health counseling.
(210) 625-8034 View (210) 625-8034
Photo of Tristi Patterson, MS, LPC-S, Licensed Professional Counselor
Tristi Patterson
Licensed Professional Counselor, MS, LPC-S
Verified Verified
3 Endorsed
San Antonio, TX 78257  (Online Only)
Not accepting new clients
Are you feeling like life's throwing out more than you can handle, or that you are never quite good enough no matter how hard you try? Maybe you've experienced trauma, a lack of emotional attunement, struggle in relationships, feel anxious, depressed, or perhaps you don't know what's off! I'm honored to work with courageous people (like you) who are "in it" and searching for healing, connection, and a better life. Together, we'll explore and make sense of your struggles as we figure out what you need to feel better. The first step may be a scary one, but you're worth it!
Are you feeling like life's throwing out more than you can handle, or that you are never quite good enough no matter how hard you try? Maybe you've experienced trauma, a lack of emotional attunement, struggle in relationships, feel anxious, depressed, or perhaps you don't know what's off! I'm honored to work with courageous people (like you) who are "in it" and searching for healing, connection, and a better life. Together, we'll explore and make sense of your struggles as we figure out what you need to feel better. The first step may be a scary one, but you're worth it!
(325) 335-7021 View (325) 335-7021
Photo of Kimberly Ann Alaniz, LCSW-S, ASDCS, Clinical Social Work/Therapist
Kimberly Ann Alaniz
Clinical Social Work/Therapist, LCSW-S, ASDCS
Verified Verified
San Antonio, TX 78257
Kimberly Alaniz is a Licensed Clinical Social Worker-Supervisor. She received her Masters of Social Work from Our Lady of the Lake University. Kimberly received clinical supervision post licensure in psychodynamic psychotherapy and family therapy at Clarity Child Guidance Center. She obtained specialized training designating her as a Autism Spectrum Disorder Clinical Specialist through Evergreen Certifications.
Kimberly Alaniz is a Licensed Clinical Social Worker-Supervisor. She received her Masters of Social Work from Our Lady of the Lake University. Kimberly received clinical supervision post licensure in psychodynamic psychotherapy and family therapy at Clarity Child Guidance Center. She obtained specialized training designating her as a Autism Spectrum Disorder Clinical Specialist through Evergreen Certifications.
(210) 940-0886 x111 View (210) 940-0886 x111
Photo of Gabriela Sierra, MS, LPC-A
Gabriela Sierra
Licensed Professional Counselor Associate , MS, LPC-A
Verified Verified
San Antonio, TX 78257
As a mental health counselor, I am dedicated to supporting individuals on their journey toward emotional well-being and personal growth. Through my experience, I have facilitated group therapy sessions, conducted individual/couples/family counseling sessions, and implemented evidence-based interventions to help clients overcome various mental health issues.
As a mental health counselor, I am dedicated to supporting individuals on their journey toward emotional well-being and personal growth. Through my experience, I have facilitated group therapy sessions, conducted individual/couples/family counseling sessions, and implemented evidence-based interventions to help clients overcome various mental health issues.
(830) 689-8862 View (830) 689-8862
Photo of Andrea Tristan, MEd, LPC-S, CCTP, Licensed Professional Counselor
Andrea Tristan
Licensed Professional Counselor, MEd, LPC-S, CCTP
Verified Verified
San Antonio, TX 78257
Hi there! I’m Andrea and I’m a Licensed Professional Counselor Supervisor (LPC-S) in San Antonio, Texas. I’ve been working as a therapist for the last 11 years in a variety of settings, collecting a broad range of experience with diverse clients. I'm passionate about working with individuals who have often felt misunderstood & mistreated by systems in their lives. I strive to build trusting & safe relationships with each client I see. My clinical training has afforded me the ability to work with a variety of issues including anxiety, depression, relationship issues, family conflict, personality disorders, and trauma.
Hi there! I’m Andrea and I’m a Licensed Professional Counselor Supervisor (LPC-S) in San Antonio, Texas. I’ve been working as a therapist for the last 11 years in a variety of settings, collecting a broad range of experience with diverse clients. I'm passionate about working with individuals who have often felt misunderstood & mistreated by systems in their lives. I strive to build trusting & safe relationships with each client I see. My clinical training has afforded me the ability to work with a variety of issues including anxiety, depression, relationship issues, family conflict, personality disorders, and trauma.
(210) 903-9197 x113 View (210) 903-9197 x113
Photo of Tiffany D. Bridgers, MS, LPC, Licensed Professional Counselor
Tiffany D. Bridgers
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78257
Not accepting new clients
Tiffany D. Bridgers completed her education, in Master's of Clinical and Mental Health Counseling, at Lubbock Christian University. Tiffany has worked with individuals of all ages. She started her work with foster care and CPS kids, at Texas Boys Ranch, where she also received training in Trauma-Focused Cognitive Behavioral Therapy. She has worked in substance abuse, helping individuals overcome mental health concerns and severe addiction issues. She is fully licensed as a Professional Therapist, and she has most recently been working in private practice, helping clients work through individualized needs and goals.
Tiffany D. Bridgers completed her education, in Master's of Clinical and Mental Health Counseling, at Lubbock Christian University. Tiffany has worked with individuals of all ages. She started her work with foster care and CPS kids, at Texas Boys Ranch, where she also received training in Trauma-Focused Cognitive Behavioral Therapy. She has worked in substance abuse, helping individuals overcome mental health concerns and severe addiction issues. She is fully licensed as a Professional Therapist, and she has most recently been working in private practice, helping clients work through individualized needs and goals.
(210) 934-0635 View (210) 934-0635
Photo of Sandy Zamora, MS, LPC-S, PMH-C, Licensed Professional Counselor
Sandy Zamora
Licensed Professional Counselor, MS, LPC-S, PMH-C
Verified Verified
San Antonio, TX 78257  (Online Only)
Life can bring unexpected challenges that can make it difficult to adjust. I want to work together to help build the confidence and healthy coping mechanisms you need to move forward. I believe in promoting emotional growth and development. The therapy process is tailored to each client's presenting issues.
Life can bring unexpected challenges that can make it difficult to adjust. I want to work together to help build the confidence and healthy coping mechanisms you need to move forward. I believe in promoting emotional growth and development. The therapy process is tailored to each client's presenting issues.
(210) 942-9653 View (210) 942-9653
Photo of Carlos Angueira, LPC, Licensed Professional Counselor
Carlos Angueira
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78257
I am Carlos Angueira, a Licensed Professional Counselor with 2 years of experience working with adolescents, adults, and couples to address concerns such as marriage and relationships, men’s issues, anxiety, life transitions, and divorce recovery. My ideal client is someone seeking clarity, validation, and a safe space to explore their thoughts and feelings. Whether your goals involve developing healthier coping mechanisms, improving relationships, or finding a sense of purpose, I combine a deep understanding of various perspectives with a personalized approach, tailoring treatment to meet your unique needs.
I am Carlos Angueira, a Licensed Professional Counselor with 2 years of experience working with adolescents, adults, and couples to address concerns such as marriage and relationships, men’s issues, anxiety, life transitions, and divorce recovery. My ideal client is someone seeking clarity, validation, and a safe space to explore their thoughts and feelings. Whether your goals involve developing healthier coping mechanisms, improving relationships, or finding a sense of purpose, I combine a deep understanding of various perspectives with a personalized approach, tailoring treatment to meet your unique needs.
(855) 303-0225 View (855) 303-0225
Photo of Lesley Esquivel, MA, LPC, NCC, Licensed Professional Counselor
Lesley Esquivel
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78257  (Online Only)
Empathy, trust, shared presence. My belief is the process of therapy helps bring self-awareness to the strengths that one may not realize they have. Being human, we all face challenges and obstacles, but with non-judgmental support and understanding, inner strengths may flourish to face life's stressors in healthier, productive ways.
Empathy, trust, shared presence. My belief is the process of therapy helps bring self-awareness to the strengths that one may not realize they have. Being human, we all face challenges and obstacles, but with non-judgmental support and understanding, inner strengths may flourish to face life's stressors in healthier, productive ways.
(210) 943-9272 View (210) 943-9272
Photo of Prof. Tritia M. Finley, PhD, LPC-S, NCC, Licensed Professional Counselor
Prof. Tritia M. Finley
Licensed Professional Counselor, PhD, LPC-S, NCC
Verified Verified
2 Endorsed
San Antonio, TX 78257
High-achiever struggling to maintain your edge? At Elite Performance Counseling (EPC), we understand the pressures of success. High performance can lead to stress, anxiety, and depression, affecting your quality of life. Discover how to face challenges by leveraging the mind-body connection to optimize performance while maintaining mental health. EPC offers high-quality, tailored support to all clients. Work with us and learn to: 1) Resource and Reconnect; 2) Leverage Personal Power; 3) Execute on your Maximum Potential. EPC's approach ensures you manage stress and maintain peak performance. Thrive & enhance your life with EPC!
High-achiever struggling to maintain your edge? At Elite Performance Counseling (EPC), we understand the pressures of success. High performance can lead to stress, anxiety, and depression, affecting your quality of life. Discover how to face challenges by leveraging the mind-body connection to optimize performance while maintaining mental health. EPC offers high-quality, tailored support to all clients. Work with us and learn to: 1) Resource and Reconnect; 2) Leverage Personal Power; 3) Execute on your Maximum Potential. EPC's approach ensures you manage stress and maintain peak performance. Thrive & enhance your life with EPC!
(830) 268-9212 View (830) 268-9212
Photo of San Juanita Pate, LPC, NCC, Licensed Professional Counselor
San Juanita Pate
Licensed Professional Counselor, LPC, NCC
Verified Verified
San Antonio, TX 78257
Do you struggle with connecting with yourself and others? Do you put your needs at the bottom of the to do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. It shouldn't be so hard to live a better life.
Do you struggle with connecting with yourself and others? Do you put your needs at the bottom of the to do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. It shouldn't be so hard to live a better life.
(726) 227-1372 View (726) 227-1372
1

How does your Therapist compare?

Number of Therapists in 78257

100+

Average cost per session

$145

Therapists in 78257 who prioritize treating:

96% Anxiety
86% Depression
76% Trauma and PTSD
75% Relationship Issues
73% Self Esteem
68% Stress
65% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

87% Aetna
79% UnitedHealthcare UHC | UBH
76% BlueCross and BlueShield

How Therapists in 78257 see their clients

69% In Person and Online
31% Online Only

Gender breakdown

77% Female
23% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 78257?

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.