Therapists in 91942

Photo of Shirley Smith, Marriage & Family Therapist, LMFT
Shirley Smith
Marriage & Family Therapist, LMFT
La Mesa, CA 91942
Hello and welcome! As you consider coming for personal therapy, here are five questions to ask yourself: (1) Do I often feel sad, self-critical, or lonely? (2) Do I frequently find myself feeling anxious or unable to stop worrying about the future? (3) Do I often feel unhappy about how an important relationship in my life is going? (4) Do I feel trapped in a stressful cycle of unending personal or work obligations? (5) Am I struggling with a difficult decision that seems right, but may change my life in unwanted ways? If you answered "yes" to one or more of these questions, come in and let's talk about how to begin feeling better.
Hello and welcome! As you consider coming for personal therapy, here are five questions to ask yourself: (1) Do I often feel sad, self-critical, or lonely? (2) Do I frequently find myself feeling anxious or unable to stop worrying about the future? (3) Do I often feel unhappy about how an important relationship in my life is going? (4) Do I feel trapped in a stressful cycle of unending personal or work obligations? (5) Am I struggling with a difficult decision that seems right, but may change my life in unwanted ways? If you answered "yes" to one or more of these questions, come in and let's talk about how to begin feeling better.
(619) 736-8206 View (619) 736-8206
Photo of Karli Cirovski, Associate Professional Clinical Counselor, APCC
Karli Cirovski
Associate Professional Clinical Counselor, APCC
1 Endorsed
La Mesa, CA 91942
Hello, I'm Karli, a registered Associate Professional Clinical Counselor who is passionate about helping teens, adults, and couples navigate life’s ups and downs. I strive to create a warm, welcoming space where clients feel truly seen, supported, and safe to explore both challenges and growth. My goal is to help clients connect with their values, build insight, and move toward a more fulfilling life.
Hello, I'm Karli, a registered Associate Professional Clinical Counselor who is passionate about helping teens, adults, and couples navigate life’s ups and downs. I strive to create a warm, welcoming space where clients feel truly seen, supported, and safe to explore both challenges and growth. My goal is to help clients connect with their values, build insight, and move toward a more fulfilling life.
(619) 815-3968 View (619) 815-3968
Photo of Amber Michelle Monroe - Healing Balance Therapy Inc. , Marriage & Family Therapist, LMFT
Healing Balance Therapy Inc.
Marriage & Family Therapist, LMFT
La Mesa, CA 91942
Our clients typically struggle with people pleasing, perfectionist patterns, over thinking, increased worry or irritation and excessively caretaking. Others suffer with self worth, feeling like an imposture, avoidance of conflict and using their voice. Often clients have painful childhoods or adult traumas that can present with upsetting thoughts or images. These symptoms can often result in destructive coping strategies such as eating disorders, codependency, isolation or outbursts. Our clients are looking to learn, heal and grow into their most authentic selves. They need to be seen, known, taught and supported.
Our clients typically struggle with people pleasing, perfectionist patterns, over thinking, increased worry or irritation and excessively caretaking. Others suffer with self worth, feeling like an imposture, avoidance of conflict and using their voice. Often clients have painful childhoods or adult traumas that can present with upsetting thoughts or images. These symptoms can often result in destructive coping strategies such as eating disorders, codependency, isolation or outbursts. Our clients are looking to learn, heal and grow into their most authentic selves. They need to be seen, known, taught and supported.
(619) 382-3154 View (619) 382-3154
Photo of Saranne Wilson, Marriage & Family Therapist, LMFT
Saranne Wilson
Marriage & Family Therapist, LMFT
1 Endorsed
La Mesa, CA 91942
I believe that everyone has wounded places in their hearts that could benefit from counseling. Many people at some point realize that the challenges of life are too much to manage on their own and decide to seek help from a professional that can support them as they navigate the challenges that life can bring at times. My work is based on helping people to heal from the wounds of the past and deal with present stressors in an environment of safety and acceptance. My passion is to provide support as they work toward fulfillment in their lives.
I believe that everyone has wounded places in their hearts that could benefit from counseling. Many people at some point realize that the challenges of life are too much to manage on their own and decide to seek help from a professional that can support them as they navigate the challenges that life can bring at times. My work is based on helping people to heal from the wounds of the past and deal with present stressors in an environment of safety and acceptance. My passion is to provide support as they work toward fulfillment in their lives.
(619) 259-5145 View (619) 259-5145
Photo of Erin Robertson - Cozy Nest Counseling, Marriage & Family Therapist, MA, LMFT
Cozy Nest Counseling
Marriage & Family Therapist, MA, LMFT
La Mesa, CA 91942
Hey there! Welcome to Cozy Nest Counseling—I’m so glad you’re here. If you’re a new or expecting parent, you may be feeling overwhelmed, anxious, or sad as you adjust to the big changes of pregnancy, postpartum, and parenthood. Maybe you’re dealing with intrusive thoughts, sleepless nights, exhaustion, constant worry, guilt, or the weight of birth trauma or loss. You don’t have to carry it all alone. Together, we’ll create a safe and supportive space where you can share openly, learn practical ways to cope, and rediscover balance—so you can feel calmer, more grounded, and more connected to yourself and your family.
Hey there! Welcome to Cozy Nest Counseling—I’m so glad you’re here. If you’re a new or expecting parent, you may be feeling overwhelmed, anxious, or sad as you adjust to the big changes of pregnancy, postpartum, and parenthood. Maybe you’re dealing with intrusive thoughts, sleepless nights, exhaustion, constant worry, guilt, or the weight of birth trauma or loss. You don’t have to carry it all alone. Together, we’ll create a safe and supportive space where you can share openly, learn practical ways to cope, and rediscover balance—so you can feel calmer, more grounded, and more connected to yourself and your family.
(619) 825-2307 View (619) 825-2307
Photo of Cinzia Freni Sterrantino, Licensed Professional Counselor, LPCC
Cinzia Freni Sterrantino
Licensed Professional Counselor, LPCC
La Mesa, CA 91942
If you feel that negative thoughts, anxiety and toxic relationships make you feel stuck and unable of reaching your goals, unlocking your potential and living a happier life, I can help you. My goal is supporting you overcoming your struggles and meeting your needs for love, safety and growth. Psychotherapy can help you decreasing suffering, improving your response to stressful events, experiencing less anxiety, improving self esteem, creating and maintaining meaningful relationships. Change takes work, but it's possible and I will be there with you along the way.
If you feel that negative thoughts, anxiety and toxic relationships make you feel stuck and unable of reaching your goals, unlocking your potential and living a happier life, I can help you. My goal is supporting you overcoming your struggles and meeting your needs for love, safety and growth. Psychotherapy can help you decreasing suffering, improving your response to stressful events, experiencing less anxiety, improving self esteem, creating and maintaining meaningful relationships. Change takes work, but it's possible and I will be there with you along the way.
(619) 439-1857 View (619) 439-1857
Photo of Jennifer Leonard, Marriage & Family Therapist, MA, LMFT
Jennifer Leonard
Marriage & Family Therapist, MA, LMFT
1 Endorsed
La Mesa, CA 91942
Is your teenager acting differently or struggling with mood changes? Is the whole family being negatively affected by their behavior? I have 20 years of experience helping teens, couples and families learn how to manage and communicate their emotions effectively and respectfully. Reaching out for support is a sign of strength, not weakness. You don’t have to be “messed up” or in total crisis to seek help from a therapist.... Sometimes it only takes a few sessions to get on track so please call today for a free 15-minute phone consultation.
Is your teenager acting differently or struggling with mood changes? Is the whole family being negatively affected by their behavior? I have 20 years of experience helping teens, couples and families learn how to manage and communicate their emotions effectively and respectfully. Reaching out for support is a sign of strength, not weakness. You don’t have to be “messed up” or in total crisis to seek help from a therapist.... Sometimes it only takes a few sessions to get on track so please call today for a free 15-minute phone consultation.
(619) 597-2994 View (619) 597-2994
Photo of Darryl Moore, Psychologist, CP
Darryl Moore
Psychologist, CP
La Mesa, CA 91942
HI, I'm Darryl Moore, clinical psychologist focusing on treatment of and recovery for those effected by the consequences of compulsive sexual behaviors. I use a practical systematic and individualized approach from the Patrick Carnes recovery methods. My specialty is working with addiction and in particular harmful compulsive sexual behaviors or sex addiction. This includes working with both the addict and with the partner.
HI, I'm Darryl Moore, clinical psychologist focusing on treatment of and recovery for those effected by the consequences of compulsive sexual behaviors. I use a practical systematic and individualized approach from the Patrick Carnes recovery methods. My specialty is working with addiction and in particular harmful compulsive sexual behaviors or sex addiction. This includes working with both the addict and with the partner.
(530) 684-1678 View (530) 684-1678
Photo of Dennis Le, Marriage & Family Therapist, LMFT
Dennis Le
Marriage & Family Therapist, LMFT
La Mesa, CA 91942
Hello, I am glad you are seeking support during this time. I see therapy as an honor to be a guest in your life and hope that we can share stories of resilience and strengths to help guide you to where you want to be in your life.
Hello, I am glad you are seeking support during this time. I see therapy as an honor to be a guest in your life and hope that we can share stories of resilience and strengths to help guide you to where you want to be in your life.
(951) 338-8580 View (951) 338-8580
Photo of Gary D Hittle, Marriage & Family Therapist, PhD
Gary D Hittle
Marriage & Family Therapist, PhD
La Mesa, CA 91942
I have been in private psychological practice for over 30 years with extensive experience specializing in marital, family and relationship therapy. I specialize in change of life, grief, aging, chronic pain, multiple health issues and terminal illness. I have extensive experience working with fire fighters, military active duty, veterans and their families. I use a broad range of multiple modalities in the course of assisting my clients toward growth and personal change. I also have a Christian background and can assist clients with value related questions. I look forward to assisting you in your personal growth.
I have been in private psychological practice for over 30 years with extensive experience specializing in marital, family and relationship therapy. I specialize in change of life, grief, aging, chronic pain, multiple health issues and terminal illness. I have extensive experience working with fire fighters, military active duty, veterans and their families. I use a broad range of multiple modalities in the course of assisting my clients toward growth and personal change. I also have a Christian background and can assist clients with value related questions. I look forward to assisting you in your personal growth.
(619) 377-3720 View (619) 377-3720
Photo of Teresa Lowe, Marriage & Family Therapist, MA, LMFT
Teresa Lowe
Marriage & Family Therapist, MA, LMFT
La Mesa, CA 91942
When we deal with challenges, it can be a difficult undertaking. My approach is to allow you the therapeutic space to be seen, heard, and acquire a sense of belonging. I rely on you as being the expert as I offer guidance. My experience ranges from an Intensive Outpatient Treatment program, working with military families and their children, first responders, substance abuse disorders, domestic violence, and trauma related stress and depression. I work with all ages with specialization in working with children through play and recreational therapy.
When we deal with challenges, it can be a difficult undertaking. My approach is to allow you the therapeutic space to be seen, heard, and acquire a sense of belonging. I rely on you as being the expert as I offer guidance. My experience ranges from an Intensive Outpatient Treatment program, working with military families and their children, first responders, substance abuse disorders, domestic violence, and trauma related stress and depression. I work with all ages with specialization in working with children through play and recreational therapy.
(619) 789-1251 View (619) 789-1251
Photo of Christine Alvarenga, Licensed Professional Clinical Counselor, LPCC
Christine Alvarenga
Licensed Professional Clinical Counselor, LPCC
1 Endorsed
La Mesa, CA 91942
I am an EMDR certified therapist and consultant- in- training. I strive to empower clients with insight, education, and skills to help make sense of what transpires in the brain and the body while navigating life with unhealed trauma and/or an eating disorder. Through this process, clients are able to work through content that has created a disruption between the brain-body connection. This therapeutic work, while challenging, can be transformative and helps bring a more present, regulated, open, and authentic self to clients daily lives.
I am an EMDR certified therapist and consultant- in- training. I strive to empower clients with insight, education, and skills to help make sense of what transpires in the brain and the body while navigating life with unhealed trauma and/or an eating disorder. Through this process, clients are able to work through content that has created a disruption between the brain-body connection. This therapeutic work, while challenging, can be transformative and helps bring a more present, regulated, open, and authentic self to clients daily lives.
(619) 489-9836 View (619) 489-9836
Photo of Stephanie Danial, Marriage & Family Therapist, LMFT
Stephanie Danial
Marriage & Family Therapist, LMFT
La Mesa, CA 91942
Many people struggle with complex emotional issues and negative patterns of behavior and thought. I believe my clients are very powerful and brave to begin the journey of self-discovery and healing. As your therapist and partner in this work, I hold a safe space for you to approach your struggles by working together to understand your goals, develop greater insight and create the coping skills and strategies for a more satisfying and emotionally harmonious life.
Many people struggle with complex emotional issues and negative patterns of behavior and thought. I believe my clients are very powerful and brave to begin the journey of self-discovery and healing. As your therapist and partner in this work, I hold a safe space for you to approach your struggles by working together to understand your goals, develop greater insight and create the coping skills and strategies for a more satisfying and emotionally harmonious life.
(619) 724-4184 View (619) 724-4184
Photo of Terri Kisselovich, Clinical Social Work/Therapist, MSW, LCSW
Terri Kisselovich
Clinical Social Work/Therapist, MSW, LCSW
La Mesa, CA 91942
No telehealth appointments offered for ages 10-16, only in office appointments. Terri believes the connection between herself, and the client is crucial in treatment, and strives to create an atmosphere of safety, trust, acceptance, and compassion that can help a client along their path to healing. Outside of work, Terri is an avid reader with an eclectic style in books. Some of her favorite authors include Stephen King and Fredrick Backman. In 2023, she is improving her own self-care goals, which includes journaling, spa treatments, going to the gym, and walking around her beautiful city with friends or her husband.
No telehealth appointments offered for ages 10-16, only in office appointments. Terri believes the connection between herself, and the client is crucial in treatment, and strives to create an atmosphere of safety, trust, acceptance, and compassion that can help a client along their path to healing. Outside of work, Terri is an avid reader with an eclectic style in books. Some of her favorite authors include Stephen King and Fredrick Backman. In 2023, she is improving her own self-care goals, which includes journaling, spa treatments, going to the gym, and walking around her beautiful city with friends or her husband.
(619) 332-2091 View (619) 332-2091
Photo of Rosolyn Harper, Marriage & Family Therapist, PsyD, LMFT, CSC
Rosolyn Harper
Marriage & Family Therapist, PsyD, LMFT, CSC
La Mesa, CA 91942
Rosolyn holds her doctoral and master’s degrees in clinical psychology. Currently, she is the Clinical Director for Genesis Recovery and serves as a clinical supervisor for practicum and associate therapists. Working with diverse populations for over fifteen years, including children, adolescents, adults, couples, and families. I am trained in well-researched, scientifically proven approaches for individuals, couples, and families to assist you in gaining control back over your life. I am a certified Domestic Violence counselor, Specializing in EMDR, CBT, DBT, MI, Brain spotting Trauma Informed Care and Self-Compassion Therapies.
Rosolyn holds her doctoral and master’s degrees in clinical psychology. Currently, she is the Clinical Director for Genesis Recovery and serves as a clinical supervisor for practicum and associate therapists. Working with diverse populations for over fifteen years, including children, adolescents, adults, couples, and families. I am trained in well-researched, scientifically proven approaches for individuals, couples, and families to assist you in gaining control back over your life. I am a certified Domestic Violence counselor, Specializing in EMDR, CBT, DBT, MI, Brain spotting Trauma Informed Care and Self-Compassion Therapies.
(619) 345-4854 View (619) 345-4854
Photo of Dena Nelson O'Connor, Marriage & Family Therapist, MA, LMFT, EMDR
Dena Nelson O'Connor
Marriage & Family Therapist, MA, LMFT, EMDR
La Mesa, CA 91942
I am a Certified EMDR therapist. My focus is working with individuals who have experienced trauma that they have not been able to resolve on their own. We have all experienced some type of trauma in our lives that could be from childhood abuse, neglect, relationship abuse, accidents, injuries or even small traumas from not receiving something that we needed in order to feel safe and loved . Sometimes we are able to resolve these traumas on our own and sometimes we get stuck. Working together using tools individual to your needs is how we heal those traumas.
I am a Certified EMDR therapist. My focus is working with individuals who have experienced trauma that they have not been able to resolve on their own. We have all experienced some type of trauma in our lives that could be from childhood abuse, neglect, relationship abuse, accidents, injuries or even small traumas from not receiving something that we needed in order to feel safe and loved . Sometimes we are able to resolve these traumas on our own and sometimes we get stuck. Working together using tools individual to your needs is how we heal those traumas.
(619) 514-1501 View (619) 514-1501
Photo of Julie Hayden - New Vision Counseling Center, Psychologist, MACP, PsyD
New Vision Counseling Center
Psychologist, MACP, PsyD
2 Endorsed
La Mesa, CA 91942
New Vision Counseling Center is a nonprofit organization offering low fee therapy to those who cannot afford traditional therapy costs. The prelicensed therapists are under the direct supervision and guidance of experienced therapists.
New Vision Counseling Center is a nonprofit organization offering low fee therapy to those who cannot afford traditional therapy costs. The prelicensed therapists are under the direct supervision and guidance of experienced therapists.
(619) 736-9741 View (619) 736-9741
Photo of Michelle Lea Van Aken, Counselor, LMHC, LPCC
Michelle Lea Van Aken
Counselor, LMHC, LPCC
La Mesa, CA 91942
As a compassionate and attuned therapist and Brainspotting practitioner, my mission is to provide a safe and supportive space for you to explore and transform the challenges you face. Together, we will unlock the power of your brain's natural healing abilities, leading you towards a more fulfilling and authentic life. I am a dedicated and empathic therapist with a passion for helping navigate emotional landscapes. With specialized training in Brainspotting, a cutting-edge approach in trauma and stress resolution, as well as other modalities, I offer you a unique therapeutic experience tailored to your specific needs.
As a compassionate and attuned therapist and Brainspotting practitioner, my mission is to provide a safe and supportive space for you to explore and transform the challenges you face. Together, we will unlock the power of your brain's natural healing abilities, leading you towards a more fulfilling and authentic life. I am a dedicated and empathic therapist with a passion for helping navigate emotional landscapes. With specialized training in Brainspotting, a cutting-edge approach in trauma and stress resolution, as well as other modalities, I offer you a unique therapeutic experience tailored to your specific needs.
(619) 536-1534 View (619) 536-1534
Photo of Alisha McGovern, Marriage & Family Therapist, LMFT
Alisha McGovern
Marriage & Family Therapist, LMFT
La Mesa, CA 91942
She is especially passionate about helping clients navigate anxiety, depression, and post-traumatic stress, offering a balanced approach that addresses both symptom relief and deeper emotional healing. Alisha also specializes in supporting individuals and couples through life transitions, from midlife and later-life adjustments to postpartum challenges. For those living with obsessive-compulsive disorder (OCD) or ADHD, she integrates proven interventions such as Exposure Therapy and mindfulness practices to help clients develop healthier patterns of thinking and behavior.
She is especially passionate about helping clients navigate anxiety, depression, and post-traumatic stress, offering a balanced approach that addresses both symptom relief and deeper emotional healing. Alisha also specializes in supporting individuals and couples through life transitions, from midlife and later-life adjustments to postpartum challenges. For those living with obsessive-compulsive disorder (OCD) or ADHD, she integrates proven interventions such as Exposure Therapy and mindfulness practices to help clients develop healthier patterns of thinking and behavior.
(619) 566-2092 View (619) 566-2092
Photo of Shirla de Magalhães, Marriage & Family Therapist, LMFT, RPT-S, RSP
Shirla de Magalhães
Marriage & Family Therapist, LMFT, RPT-S, RSP
9 Endorsed
La Mesa, CA 91942
Depth therapy focuses on addressing underlying issues rather than just treating surface symptoms. I offer a holistic, trauma informed approach where we work together to explore internal stressors, attachment styles, childhood wounds, and unconscious beliefs that may be impacting your present choices. Together we'll identify strategies to better navigate life’s challenges, such as grief and loss, divorce, trauma, relationship struggles, career transitions, relocation, acculturation, aging, menopause, empty nesting, retirement, family dynamics, feelings of being lost or lonely, caregiving for aging parents, and dealing with illness.
Depth therapy focuses on addressing underlying issues rather than just treating surface symptoms. I offer a holistic, trauma informed approach where we work together to explore internal stressors, attachment styles, childhood wounds, and unconscious beliefs that may be impacting your present choices. Together we'll identify strategies to better navigate life’s challenges, such as grief and loss, divorce, trauma, relationship struggles, career transitions, relocation, acculturation, aging, menopause, empty nesting, retirement, family dynamics, feelings of being lost or lonely, caregiving for aging parents, and dealing with illness.
(619) 870-1834 View (619) 870-1834

See more therapy options for 91942

How does your Therapist compare?

Number of Therapists in 91942

200+

Average cost per session

$160

Therapists in 91942 who prioritize treating:

89% Anxiety
84% Depression
69% Trauma and PTSD
66% Relationship Issues
66% Self Esteem
64% Coping Skills
63% Stress

Average years in practice

14 Years

Top 3 insurances accepted

84% Aetna
77% Cigna and Evernorth
68% Optum

How Therapists in 91942 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 91942?

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.