Therapists in 91911

Photo of Miriam Guillen-Ibarra, Marriage & Family Therapist, LMFT
Miriam Guillen-Ibarra
Marriage & Family Therapist, LMFT
Chula Vista, CA 91911
Miriam Guillen-Ibarrra, LMFT My approach to therapy is client-centered. Much of my work focused on helping adult individuals navigate a range of emotional, behavioral, and social difficulties. I utilized effective evidence-based treatment, Cognitive -behavioral therapy, mindfulness, and person-centered therapy. I create a confiable counseling environment where patients can feel a sense of safety and recognize their strengths and tools to navigate challenges effectively. I offer practical strategies to help patients to implement changes in their lives.
Miriam Guillen-Ibarrra, LMFT My approach to therapy is client-centered. Much of my work focused on helping adult individuals navigate a range of emotional, behavioral, and social difficulties. I utilized effective evidence-based treatment, Cognitive -behavioral therapy, mindfulness, and person-centered therapy. I create a confiable counseling environment where patients can feel a sense of safety and recognize their strengths and tools to navigate challenges effectively. I offer practical strategies to help patients to implement changes in their lives.
(925) 633-6094 View (925) 633-6094
Photo of Don Edward Miller, Psychologist, P, h, D
Don Edward Miller
Psychologist, P, h, D
Chula Vista, CA 91911
A client seeks counseling because something is not right in their lives. Each client is unique, an enigma or a puzzle. Together, we solve the puzzle. One piece of the puzzlemight be childhood. Was the client yelled at growing up? Do they have a fear of failure? Those pieces of the puzzle tie in nicely. Next, affirmations "I am okay," rehearsing new behavior.
A client seeks counseling because something is not right in their lives. Each client is unique, an enigma or a puzzle. Together, we solve the puzzle. One piece of the puzzlemight be childhood. Was the client yelled at growing up? Do they have a fear of failure? Those pieces of the puzzle tie in nicely. Next, affirmations "I am okay," rehearsing new behavior.
(619) 332-2433 View (619) 332-2433
Photo of Elena Manucharyan, Clinical Social Work/Therapist, LCSW
Elena Manucharyan
Clinical Social Work/Therapist, LCSW
Chula Vista, CA 91911
My name is Elena Manucharyan and I am a Licensed Clinical Social Worker (LCSW) based in Fresno, California and work with clients via telehealth. I have experience working with adolescents and foster youth with high needs and specialize in anxiety, trauma, stress, and depressive disorders, using Trauma Focused Cognitive Behavioral Therapy and Client Centered Therapy to help my clients process their life events and progress forward. I have found that my approach and style is a good fit for youth and adults who may be dealing with challenges of life and social pressures or have experienced criticism or disapproval for choices made.
My name is Elena Manucharyan and I am a Licensed Clinical Social Worker (LCSW) based in Fresno, California and work with clients via telehealth. I have experience working with adolescents and foster youth with high needs and specialize in anxiety, trauma, stress, and depressive disorders, using Trauma Focused Cognitive Behavioral Therapy and Client Centered Therapy to help my clients process their life events and progress forward. I have found that my approach and style is a good fit for youth and adults who may be dealing with challenges of life and social pressures or have experienced criticism or disapproval for choices made.
(626) 667-2858 View (626) 667-2858
Photo of Regine Lanfranco, Licensed Professional Counselor, LPC
Regine Lanfranco
Licensed Professional Counselor, LPC
Chula Vista, CA 91911
I believe in mistakes and difficult times. I believe they are often the first signs that someone is trying, reaching, learning, or simply surviving. My work is rooted in the understanding that behind every struggle—addiction, criminal thinking, anxiety, or the overwhelming stress of daily life—there is a human being searching for something better. I provide care that is person-centered, focusing on each individual’s unique needs. I take time to listen, understand what matters most to the person, and, non-judgmentally, we will find a way to thrive.
I believe in mistakes and difficult times. I believe they are often the first signs that someone is trying, reaching, learning, or simply surviving. My work is rooted in the understanding that behind every struggle—addiction, criminal thinking, anxiety, or the overwhelming stress of daily life—there is a human being searching for something better. I provide care that is person-centered, focusing on each individual’s unique needs. I take time to listen, understand what matters most to the person, and, non-judgmentally, we will find a way to thrive.
(619) 268-6452 View (619) 268-6452
Photo of Abigail Gonzalez, Marriage & Family Therapist, LMFT
Abigail Gonzalez
Marriage & Family Therapist, LMFT
Chula Vista, CA 91911
I am a bilingual-bicultural therapist helping individuals and families find balance and healing in their lives. I work with clients of all ages seeking to improve their mental health, treating clinical symptoms as well as life challenges that limit quality of life. I bring a holistic approach rooted in traditional therapy and alternative healing, offering unique pathways to emotional and physical wellness. I am dedicated to empowering you to explore deep, transformative growth.
I am a bilingual-bicultural therapist helping individuals and families find balance and healing in their lives. I work with clients of all ages seeking to improve their mental health, treating clinical symptoms as well as life challenges that limit quality of life. I bring a holistic approach rooted in traditional therapy and alternative healing, offering unique pathways to emotional and physical wellness. I am dedicated to empowering you to explore deep, transformative growth.
(619) 824-1090 View (619) 824-1090
Photo of Georgina Anaya, Marriage & Family Therapist, LMFT
Georgina Anaya
Marriage & Family Therapist, LMFT
7 Endorsed
Chula Vista, CA 91911
Watching your child or teen struggle can leave you feeling helpless, overwhelmed, and unsure of what to do next. If school stress, peer relationships, anxiety, depression, OCD, anger, or safety concerns are impacting your child’s well-being, you don’t have to navigate it alone. I work with parents and families to better understand what’s going on beneath the surface and to build effective, compassionate strategies that support real change. Your willingness to seek help is a powerful first step—and one that truly makes a difference.
Watching your child or teen struggle can leave you feeling helpless, overwhelmed, and unsure of what to do next. If school stress, peer relationships, anxiety, depression, OCD, anger, or safety concerns are impacting your child’s well-being, you don’t have to navigate it alone. I work with parents and families to better understand what’s going on beneath the surface and to build effective, compassionate strategies that support real change. Your willingness to seek help is a powerful first step—and one that truly makes a difference.
(619) 473-4226 View (619) 473-4226
Photo of Matthew Opoien, Marriage & Family Therapist Associate, AMFT
Matthew Opoien
Marriage & Family Therapist Associate, AMFT
Serves Area
Sometimes you don't really know what you have until you almost lose it. You might've told yourself that what your partner doesn't know won't hurt them. The truth is, everyone gets caught eventually and secrets can be painful. If you are struggling with the pain that you've caused yourself and someone else through infidelity, sexual addiction, or substance abuse it is not too late to get help. Most people don't recognize that they are struggling with addiction until they try to quit.
Sometimes you don't really know what you have until you almost lose it. You might've told yourself that what your partner doesn't know won't hurt them. The truth is, everyone gets caught eventually and secrets can be painful. If you are struggling with the pain that you've caused yourself and someone else through infidelity, sexual addiction, or substance abuse it is not too late to get help. Most people don't recognize that they are struggling with addiction until they try to quit.
(760) 359-9867 View (760) 359-9867
Photo of Peyman Garakani, Clinical Social Work/Therapist, LCSW
Peyman Garakani
Clinical Social Work/Therapist, LCSW
Serves Area
We all get stuck sometimes, and investment in our mental health is more important than ever. With over 15 years of experience, I have a strong passion helping adults work through their Depression and Anxiety. I utilize an eclectic approach to meet your specific needs.
We all get stuck sometimes, and investment in our mental health is more important than ever. With over 15 years of experience, I have a strong passion helping adults work through their Depression and Anxiety. I utilize an eclectic approach to meet your specific needs.
(949) 990-3217 View (949) 990-3217
Photo of William Dietrich, Pre-Licensed Professional, MA, AMFT, APCC
William Dietrich
Pre-Licensed Professional, MA, AMFT, APCC
4 Endorsed
Serves Area
You are more than just a diagnosis, you're a human being who deserves to feel confident and actualized. I want my clients to look forward to coming into therapy, and enjoy our time together with a mix humor and healing. You may feel like the past is always just under the surface—anxious, on guard, or disconnected even when life seems fine on the outside. My clients often carry trauma they’ve never been able to fully talk about or move past. They want relief from the tension in their minds and bodies, to understand why they feel this way, and to feel whole again—calm, confident, and safe in their own skin.
You are more than just a diagnosis, you're a human being who deserves to feel confident and actualized. I want my clients to look forward to coming into therapy, and enjoy our time together with a mix humor and healing. You may feel like the past is always just under the surface—anxious, on guard, or disconnected even when life seems fine on the outside. My clients often carry trauma they’ve never been able to fully talk about or move past. They want relief from the tension in their minds and bodies, to understand why they feel this way, and to feel whole again—calm, confident, and safe in their own skin.
(619) 614-8104 View (619) 614-8104
Photo of Dr. Mitchell Sanabria, Registered Psychological Associate, Psy.D.
Dr. Mitchell Sanabria
Registered Psychological Associate, Psy.D.
1 Endorsed
Serves Area
Many of the children, teens, and families we work with feel overwhelmed, misunderstood, or stuck. Some are navigating big feelings, trauma, behavioral challenges, identity questions, or the pressure to “be okay” when they’re not. Others need support making sense of confusing experiences or rebuilding safety and trust. Our ideal client wants clarity, relief, and a path forward—someone who listens without judgment, understands their world, and helps them feel capable, supported, and less alone.
Many of the children, teens, and families we work with feel overwhelmed, misunderstood, or stuck. Some are navigating big feelings, trauma, behavioral challenges, identity questions, or the pressure to “be okay” when they’re not. Others need support making sense of confusing experiences or rebuilding safety and trust. Our ideal client wants clarity, relief, and a path forward—someone who listens without judgment, understands their world, and helps them feel capable, supported, and less alone.
(619) 815-3214 View (619) 815-3214
Photo of Dr. Ericka Wray, Psychologist, PsyD
Dr. Ericka Wray
Psychologist, PsyD
Serves Area
Golden Hour Psychology. You’ve carried it long enough—the anxiety that won’t quiet, the trauma that lingers, the patterns that keep repeating. Maybe you feel stuck, unsure why things aren’t changing, or exhausted from holding it all together. You want relief, but more than that, you want clarity. You’re ready to understand, heal, and move forward. We can help.
Golden Hour Psychology. You’ve carried it long enough—the anxiety that won’t quiet, the trauma that lingers, the patterns that keep repeating. Maybe you feel stuck, unsure why things aren’t changing, or exhausted from holding it all together. You want relief, but more than that, you want clarity. You’re ready to understand, heal, and move forward. We can help.
(619) 824-1210 View (619) 824-1210
Photo of Vincent Oviedo, Clinical Social Work/Therapist, LCSW, DSW-C
Vincent Oviedo
Clinical Social Work/Therapist, LCSW, DSW-C
1 Endorsed
Serves Area
I provide a warm, collaborative space for self-discovery and healing. My approach combines coaching with evidence-based therapies like Cognitive Behavioral Therapy (CBT), EMDR, Positive Psychology, and Person-Centered Therapy, all tailored to your needs. I work with individuals on issues such as anxiety, depression, trauma, relationship challenges, men’s issues, and life transitions. Together, we'll identify your strengths, set achievable goals, and foster lasting change. My goal is to create a nonjudgmental space where you feel heard, empowered, and supported on your journey to growth and meaningful change. Let's get started!
I provide a warm, collaborative space for self-discovery and healing. My approach combines coaching with evidence-based therapies like Cognitive Behavioral Therapy (CBT), EMDR, Positive Psychology, and Person-Centered Therapy, all tailored to your needs. I work with individuals on issues such as anxiety, depression, trauma, relationship challenges, men’s issues, and life transitions. Together, we'll identify your strengths, set achievable goals, and foster lasting change. My goal is to create a nonjudgmental space where you feel heard, empowered, and supported on your journey to growth and meaningful change. Let's get started!
(831) 264-0361 View (831) 264-0361
Photo of Eileen Callahan, Psychologist, PhD
Eileen Callahan
Psychologist, PhD
Serves Area
We have all had life experiences that have caused us to lose connection with our true self - the person we were born to be. These experiences include traumas, stressful life circumstances and dysfunctional childhood families of origin. What these experiences have in common is that they all cause us to cut off certain parts of our true self in order to adapt to the circumstances that we have had to endure. I enjoy helping people re-discover those lost parts of themself and break down the invisible walls that have been limiting their lives, so that they can become their genuine self - full of love, joy and peace.
We have all had life experiences that have caused us to lose connection with our true self - the person we were born to be. These experiences include traumas, stressful life circumstances and dysfunctional childhood families of origin. What these experiences have in common is that they all cause us to cut off certain parts of our true self in order to adapt to the circumstances that we have had to endure. I enjoy helping people re-discover those lost parts of themself and break down the invisible walls that have been limiting their lives, so that they can become their genuine self - full of love, joy and peace.
(619) 762-3742 View (619) 762-3742
Photo of Seima Diaz - Seima Diaz- Holistic Healing & Trauma Recovery , Marriage & Family Therapist, EdD, LMFT
Seima Diaz- Holistic Healing & Trauma Recovery
Marriage & Family Therapist, EdD, LMFT
Serves Area
Are you a high-functioning individual who looks like they have it all together - but internally feels anxious, overwhelmed, or stuck emotionally? On the outside, you're responsible and capable. On the inside, you overthink conversations, fear rejection, take on too much in relationships, or feel hurt more deeply than you'd like to admit. I help my clients address their anxiety, perfectionism, body image concerns, emotional reactivity, and/or relationship patterns that leave them feeling unseen or over extended. I help you understand how early dynamics and experiences shaped your self-worth, attachment style, and boundaries.
Are you a high-functioning individual who looks like they have it all together - but internally feels anxious, overwhelmed, or stuck emotionally? On the outside, you're responsible and capable. On the inside, you overthink conversations, fear rejection, take on too much in relationships, or feel hurt more deeply than you'd like to admit. I help my clients address their anxiety, perfectionism, body image concerns, emotional reactivity, and/or relationship patterns that leave them feeling unseen or over extended. I help you understand how early dynamics and experiences shaped your self-worth, attachment style, and boundaries.
(657) 679-5173 View (657) 679-5173
Photo of Matthew H. Koch - Matthew H. Koch, Marriage & Family Therapist, Inc., Marriage & Family Therapist, LMFT
Matthew H. Koch, Marriage & Family Therapist, Inc.
Marriage & Family Therapist, LMFT
Serves Area
Confronting the challenges that accompany our lives can be daunting and result in a deviation from the expectations we have of ourselves and those with whom we interact. I am here to assist you in the process to heighten awareness and gain more meaningful and fulfilling experiences in your life through psychotherapy. I utilize the DAFT (Depth & Freedom Therapy) approach that combines various counseling theories and techniques, philosophical tenets, and spiritual teachings to collaborate with clients in order to strengthen individual identity while considering the impact of past experiences, modern day socio-cultural influences, and current personal issues.
Confronting the challenges that accompany our lives can be daunting and result in a deviation from the expectations we have of ourselves and those with whom we interact. I am here to assist you in the process to heighten awareness and gain more meaningful and fulfilling experiences in your life through psychotherapy. I utilize the DAFT (Depth & Freedom Therapy) approach that combines various counseling theories and techniques, philosophical tenets, and spiritual teachings to collaborate with clients in order to strengthen individual identity while considering the impact of past experiences, modern day socio-cultural influences, and current personal issues.
(619) 376-1244 View (619) 376-1244
Photo of Mia Willard, Clinical Social Work/Therapist, LCSW
Mia Willard
Clinical Social Work/Therapist, LCSW
Serves Area
Welcome! I'm Mia Grajeda-Willard, LCSW. I am the proud spouse of a Marine Corp. veteran and the granddaughter of a World War II veteran. These amazing humans are proud of their military service and the legacy it provides their families for generations to come. While that is true, what is also true is that transitioning from military life back to civilian life was a struggle for them, as I know it is for many veterans and their families.
Welcome! I'm Mia Grajeda-Willard, LCSW. I am the proud spouse of a Marine Corp. veteran and the granddaughter of a World War II veteran. These amazing humans are proud of their military service and the legacy it provides their families for generations to come. While that is true, what is also true is that transitioning from military life back to civilian life was a struggle for them, as I know it is for many veterans and their families.
(619) 648-3106 View (619) 648-3106
Photo of Nasheili González Reihling, Marriage & Family Therapist, LMFT, PPS, MA
Nasheili González Reihling
Marriage & Family Therapist, LMFT, PPS, MA
1 Endorsed
Serves Area
Hello, I’m Nasheili, a licensed Marriage and Family Therapist. I specialize in providing culturally affirming therapy to individuals from mixed, international, and immigrant families. My work is centered around helping people navigate the complexities of relationship issues, anxiety, depression, stress, grief, self-esteem challenges, and trauma. I also have vast experience and love working with children and supporting families whose child or teen is struggling at school or/and home due to trauma, emotional regulation, grief, anxiety, low self-esteem, ADHD, autism, or LGBTQ + identity concerns.
Hello, I’m Nasheili, a licensed Marriage and Family Therapist. I specialize in providing culturally affirming therapy to individuals from mixed, international, and immigrant families. My work is centered around helping people navigate the complexities of relationship issues, anxiety, depression, stress, grief, self-esteem challenges, and trauma. I also have vast experience and love working with children and supporting families whose child or teen is struggling at school or/and home due to trauma, emotional regulation, grief, anxiety, low self-esteem, ADHD, autism, or LGBTQ + identity concerns.
(619) 923-0409 View (619) 923-0409
Photo of Carmen Shelbrack, Clinical Social Work/Therapist, LCSW
Carmen Shelbrack
Clinical Social Work/Therapist, LCSW
Serves Area
Accepting new clients as of 05/2026 for virtual in CA and in-person nature-based in Long Beach - I am here as a safe and inviting collaborator, let’s work together to address life difficulties nonjudgmentally. My role is to assist you in your process, supporting you in navigating your experiences and empowering you to apply the insights gained in therapy to your life. I am passionate about wellness and plan to join you with genuine curiosity and address any difficulties with mental health symptoms, shame and guilt, phases of life, relationships, grief, sense of self, disconnection, decision-making, anxiety, depression, and more.
Accepting new clients as of 05/2026 for virtual in CA and in-person nature-based in Long Beach - I am here as a safe and inviting collaborator, let’s work together to address life difficulties nonjudgmentally. My role is to assist you in your process, supporting you in navigating your experiences and empowering you to apply the insights gained in therapy to your life. I am passionate about wellness and plan to join you with genuine curiosity and address any difficulties with mental health symptoms, shame and guilt, phases of life, relationships, grief, sense of self, disconnection, decision-making, anxiety, depression, and more.
(424) 677-2962 View (424) 677-2962
Photo of Maria Guadalupe Montalvan, Marriage & Family Therapist, LMFT
Maria Guadalupe Montalvan
Marriage & Family Therapist, LMFT
1 Endorsed
Serves Area
My priorities as a Licensed Marriage and Family Therapist are to provide excellent care and professional therapy services to all families. I have been honored to work with exceptional families, adolescents and children in an outpatient psychiatry setting. I have extensive experience in working with children from age 4 to 19 year old adolescents, as well as with their families. My areas of expertise are the treatment of depression, anxiety, OCD, eating disorders, ADHD, and autism. In addition, I'm trained to provide psychotherapy to adults presenting with a variety of difficulties which adversely affect their lives.
My priorities as a Licensed Marriage and Family Therapist are to provide excellent care and professional therapy services to all families. I have been honored to work with exceptional families, adolescents and children in an outpatient psychiatry setting. I have extensive experience in working with children from age 4 to 19 year old adolescents, as well as with their families. My areas of expertise are the treatment of depression, anxiety, OCD, eating disorders, ADHD, and autism. In addition, I'm trained to provide psychotherapy to adults presenting with a variety of difficulties which adversely affect their lives.
(760) 214-9736 View (760) 214-9736
Photo of Dr. Kathryn Wiens, Psychologist, Psy.D.
Dr. Kathryn Wiens
Psychologist, Psy.D.
1 Endorsed
Serves Area
We understand how heavy life can feel when anxiety, loss, or old patterns make it hard to move forward. Together, we’ll explore what’s holding you back and help you reconnect with clarity, confidence, and calm. Our therapy process is collaborative, compassionate, and grounded in science, helping you build lasting change, one meaningful conversation at a time.
We understand how heavy life can feel when anxiety, loss, or old patterns make it hard to move forward. Together, we’ll explore what’s holding you back and help you reconnect with clarity, confidence, and calm. Our therapy process is collaborative, compassionate, and grounded in science, helping you build lasting change, one meaningful conversation at a time.
(619) 304-0787 View (619) 304-0787

See more therapy options for 91911

How does your Therapist compare?

Number of Therapists in 91911

100+

Average cost per session

$160

Therapists in 91911 who prioritize treating:

93% Anxiety
88% Depression
67% Relationship Issues
66% Self Esteem
63% Family Conflict
61% Trauma and PTSD
59% Grief

Average years in practice

9 Years

Top 3 insurances accepted

93% Aetna
75% Cigna and Evernorth
66% UnitedHealthcare UHC | UBH

How Therapists in 91911 see their clients

65% Online Only
35% In Person and Online

Gender breakdown

70% Female
29% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 91911?

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.