Therapists in 92058

Photo of Annette Conway - #1 Psychological Evaluations & Testing Service, Psychologist, PsyD
#1 Psychological Evaluations & Testing Service
Psychologist, PsyD
1 Endorsed
Oceanside, CA 92058
Established in 1993, Help Therapy features over 50 licensed neuropsychologists and psychologists for comprehensive evaluations, and over 100 LCSWs, LMFTs, and NPs offering therapy and medication management. Patients are carefully matched with providers suited to their unique needs and preferences. Our experienced clinicians serve seniors, adults, families, couples and youth (age 7+) across California, ensuring personalized care for a diverse range of psychological needs.
Established in 1993, Help Therapy features over 50 licensed neuropsychologists and psychologists for comprehensive evaluations, and over 100 LCSWs, LMFTs, and NPs offering therapy and medication management. Patients are carefully matched with providers suited to their unique needs and preferences. Our experienced clinicians serve seniors, adults, families, couples and youth (age 7+) across California, ensuring personalized care for a diverse range of psychological needs.
(619) 815-7016 View (619) 815-7016
Linda Rick
Marriage & Family Therapist, MA, LMFT
Oceanside, CA 92058
As a psychotherapist, I create a safe and supportive environment for my clients. I am passionate about helping those who are struggling and want to provide the unique tools and techniques to empower them to make positive changes. I believe that by building trust and a strong therapeutic relationship, we can work together to help the client reach their goals and find a sense of peace and balance in life. I encourage clients to take an active role in their treatment process by engaging in self-reflection , and identifying areas of growth.
As a psychotherapist, I create a safe and supportive environment for my clients. I am passionate about helping those who are struggling and want to provide the unique tools and techniques to empower them to make positive changes. I believe that by building trust and a strong therapeutic relationship, we can work together to help the client reach their goals and find a sense of peace and balance in life. I encourage clients to take an active role in their treatment process by engaging in self-reflection , and identifying areas of growth.
(442) 250-4073 View (442) 250-4073
Photo of Jacob Kern, Pre-Licensed Professional, AMFT, MA
Jacob Kern
Pre-Licensed Professional, AMFT, MA
1 Endorsed
Oceanside, CA 92058
You’re starting to feel the distance growing between you and your teen. Conversations turn into arguments, silence, or shutdown. Things used to feel easier now even small conversations can turn into conflict, and you’re not sure where things shifted. Between school pressure, social stress, and constant online noise, emotions spike quickly, and even small moments turn into arguments or shutdown. You may be seeing behaviors that scare you or leave you feeling powerless: withdrawal, anger, numbing, or pushing you away. You’re trying to help but nothing seems to land. You know your teen is in there but finding it difficult to connect.
You’re starting to feel the distance growing between you and your teen. Conversations turn into arguments, silence, or shutdown. Things used to feel easier now even small conversations can turn into conflict, and you’re not sure where things shifted. Between school pressure, social stress, and constant online noise, emotions spike quickly, and even small moments turn into arguments or shutdown. You may be seeing behaviors that scare you or leave you feeling powerless: withdrawal, anger, numbing, or pushing you away. You’re trying to help but nothing seems to land. You know your teen is in there but finding it difficult to connect.
(442) 239-6265 View (442) 239-6265
Photo of Hallie Miller, Clinical Social Work/Therapist, LCSW, PMH-C, RPT
Hallie Miller
Clinical Social Work/Therapist, LCSW, PMH-C, RPT
1 Endorsed
Oceanside, CA 92058
Hello! I am Hallie. I am licensed in both California and Minnesota. I specialize in children, more specifically play therapy, tweens and teens, adult and pediatric OCD/BFRBs, perinatal mental health, and trauma related disorders. I am a psychotherapist located in San Diego and Orange County, CA and offers virtual therapy in MN, who brings 15 years of experience in the field of mental health. You came across my profile because either yourself or loved one is in need of help. Reaching out takes a significant amount of courage, and I am glad you did. I am here to offer my help and support.
Hello! I am Hallie. I am licensed in both California and Minnesota. I specialize in children, more specifically play therapy, tweens and teens, adult and pediatric OCD/BFRBs, perinatal mental health, and trauma related disorders. I am a psychotherapist located in San Diego and Orange County, CA and offers virtual therapy in MN, who brings 15 years of experience in the field of mental health. You came across my profile because either yourself or loved one is in need of help. Reaching out takes a significant amount of courage, and I am glad you did. I am here to offer my help and support.
(442) 200-2682 View (442) 200-2682
Photo of Gillian Steffey, Pre-Licensed Professional, MS, AMFT
Gillian Steffey
Pre-Licensed Professional, MS, AMFT
3 Endorsed
Oceanside, CA 92058
Something isn’t working in your family, especially when it comes to your child. Emotions run high, behaviors are intense, and everyday moments turn into power struggles, shutdowns, or disconnection. The tension ripples through the entire household, affecting relationships between siblings, caregivers, and parents. You can see they’re struggling to express their feelings, but you’re unsure how to help. It’s frustrating… and you’re starting to worry. You want your child to feel safe, understood, and supported – but you don’t know how to get there. What you’re ultimately seeking is connection, trust, and stability within your family.
Something isn’t working in your family, especially when it comes to your child. Emotions run high, behaviors are intense, and everyday moments turn into power struggles, shutdowns, or disconnection. The tension ripples through the entire household, affecting relationships between siblings, caregivers, and parents. You can see they’re struggling to express their feelings, but you’re unsure how to help. It’s frustrating… and you’re starting to worry. You want your child to feel safe, understood, and supported – but you don’t know how to get there. What you’re ultimately seeking is connection, trust, and stability within your family.
(442) 264-3863 View (442) 264-3863
Photo of Joseph Henson - Sunset Coast Family Therapy, Marriage & Family Therapist, LMFT, 143459
Sunset Coast Family Therapy
Marriage & Family Therapist, LMFT, 143459
2 Endorsed
Oceanside, CA 92058
Tension with the people who matter most—your partner, your children, your family—can slowly wear down even strong relationships. The same arguments repeat, conversations escalate, and good intentions get misunderstood. Couples feel stuck in cycles of conflict while parents struggle to stay calm and connected with their children. Often these patterns come from how we learned to handle stress and closeness growing up. Therapy helps families slow these cycles, improve communication, and create a more stable, supportive home.
Tension with the people who matter most—your partner, your children, your family—can slowly wear down even strong relationships. The same arguments repeat, conversations escalate, and good intentions get misunderstood. Couples feel stuck in cycles of conflict while parents struggle to stay calm and connected with their children. Often these patterns come from how we learned to handle stress and closeness growing up. Therapy helps families slow these cycles, improve communication, and create a more stable, supportive home.
(760) 512-8883 View (760) 512-8883
Photo of John (Jack) Boyce, Marriage & Family Therapist, LMFT
John (Jack) Boyce
Marriage & Family Therapist, LMFT
2 Endorsed
Oceanside, CA 92058
My focus is on the treatment of trauma, and how trauma manifests itself in each of my clients' lives. Untreated trauma often shows itself as substance abuse, depression, compulsive overeating, or compulsive sexual behavior. Trauma and substance abuse may make it difficult for us to make vital life transitions and transformations. We get stuck... so to speak. If this sounds like you, I want to provide a safe space to explore your concerns. I have both weekday video sessions and live Saturday sessions available. I primarily use Eye Movement Desensitization & Reprocessing (EMDR) therapy to treat trauma.
My focus is on the treatment of trauma, and how trauma manifests itself in each of my clients' lives. Untreated trauma often shows itself as substance abuse, depression, compulsive overeating, or compulsive sexual behavior. Trauma and substance abuse may make it difficult for us to make vital life transitions and transformations. We get stuck... so to speak. If this sounds like you, I want to provide a safe space to explore your concerns. I have both weekday video sessions and live Saturday sessions available. I primarily use Eye Movement Desensitization & Reprocessing (EMDR) therapy to treat trauma.
(858) 762-9345 View (858) 762-9345
Photo of Chelsea Salas Nightingale, Marriage & Family Therapist, MA, LMFT
Chelsea Salas Nightingale
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Oceanside, CA 92058
There is always hope! Our painful life experiences have a way of making us feeling exhausted and unworthy. We can lose sight of our dreams and our authentic path. Trying something new and opening up seems like the last thing we may want to do, but maybe it is exactly what we need. Spending quality caring time on ourselves with the support of a caring therapist can create healing and movement in our lives. We all need validating safe spaces to remind ourselves how valuable we are. We can't truly give to our loved ones unless we are giving to ourselves.
There is always hope! Our painful life experiences have a way of making us feeling exhausted and unworthy. We can lose sight of our dreams and our authentic path. Trying something new and opening up seems like the last thing we may want to do, but maybe it is exactly what we need. Spending quality caring time on ourselves with the support of a caring therapist can create healing and movement in our lives. We all need validating safe spaces to remind ourselves how valuable we are. We can't truly give to our loved ones unless we are giving to ourselves.
(442) 239-2462 View (442) 239-2462
Photo of Katelin Hanhart, Clinical Social Work/Therapist, MSW, LCSW, LCADC
Katelin Hanhart
Clinical Social Work/Therapist, MSW, LCSW, LCADC
1 Endorsed
Oceanside, CA 92058
Are you a highly sensitive person with an active mind? Do you look like you have it all together while it constantly feels like a fire is burning internally and/or behind the scenes? Do you have a history of trauma including mental, emotional, physical, sexual, or combat related? Are you struggling with addictions to things like alcohol, other substances, or other behaviors. If you are nodding your head yes to these questions thinking "this is me!".. then you are in the right place.
Are you a highly sensitive person with an active mind? Do you look like you have it all together while it constantly feels like a fire is burning internally and/or behind the scenes? Do you have a history of trauma including mental, emotional, physical, sexual, or combat related? Are you struggling with addictions to things like alcohol, other substances, or other behaviors. If you are nodding your head yes to these questions thinking "this is me!".. then you are in the right place.
(951) 800-3084 View (951) 800-3084
Photo of Marla R Elliott, Marriage & Family Therapist, MA, LMFT
Marla R Elliott
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Serves Area
Now accepting multiples insurance programs! When trouble arises in life, the emotions that come with it tend to be overwhelming, and it can be hard to find the words to describe the problem. This can block the decision making process and halt forward movement. Seeking outside helps solve this. Some people are skeptical about the role that therapy could play in their life, and I can sympathize. Whether you’re a skeptic, or looking for counsel, please keep reading. 

My job will be to show you just how capable you are. I will teach you how to cope with negative thoughts when they inevitably happen, and help you retrain your brain.
Now accepting multiples insurance programs! When trouble arises in life, the emotions that come with it tend to be overwhelming, and it can be hard to find the words to describe the problem. This can block the decision making process and halt forward movement. Seeking outside helps solve this. Some people are skeptical about the role that therapy could play in their life, and I can sympathize. Whether you’re a skeptic, or looking for counsel, please keep reading. 

My job will be to show you just how capable you are. I will teach you how to cope with negative thoughts when they inevitably happen, and help you retrain your brain.
(442) 275-8842 View (442) 275-8842
Photo of Dawn Herring, Marriage & Family Therapist, LMFT
Dawn Herring
Marriage & Family Therapist, LMFT
2 Endorsed
Serves Area
Are struggling to cope with the sucker punches of life? Wondering why you can't get over "it" or haven't felt like yourself? Do you feel irritable, sad, stuck? Have life's transitions or a traumatic event thrown you and you can't find your footing? Imagine feeling like yourself again, having a safe space in which to make sense of it all and begin to heal, feel, find your motivation, energy and focus again. You deserve to live your best life, filled with purpose and peace.
Are struggling to cope with the sucker punches of life? Wondering why you can't get over "it" or haven't felt like yourself? Do you feel irritable, sad, stuck? Have life's transitions or a traumatic event thrown you and you can't find your footing? Imagine feeling like yourself again, having a safe space in which to make sense of it all and begin to heal, feel, find your motivation, energy and focus again. You deserve to live your best life, filled with purpose and peace.
(442) 200-2087 View (442) 200-2087
Photo of Ida Babakhanyan - Aether Brain Health, Psychologist, PhD
Aether Brain Health
Psychologist, PhD
Serves Area
Many individuals seek support when they notice changes in memory, attention, concentration, mood, or overall cognitive functioning. I am a licensed clinical psychologist and neuropsychologist providing neuropsychological evaluation, cognitive assessment, and therapy for individuals experiencing difficulties related to concussion, traumatic brain injury, stress, trauma, and complex neurological or psychological symptoms. Through careful evaluation, we work to clarify how the brain and emotional health are interacting and identify practical strategies that support recovery, resilience, and long-term brain health.
Many individuals seek support when they notice changes in memory, attention, concentration, mood, or overall cognitive functioning. I am a licensed clinical psychologist and neuropsychologist providing neuropsychological evaluation, cognitive assessment, and therapy for individuals experiencing difficulties related to concussion, traumatic brain injury, stress, trauma, and complex neurological or psychological symptoms. Through careful evaluation, we work to clarify how the brain and emotional health are interacting and identify practical strategies that support recovery, resilience, and long-term brain health.
(760) 359-9588 View (760) 359-9588
Photo of Dr. Stephanie Peoples, Psychologist, PsyD
Dr. Stephanie Peoples
Psychologist, PsyD
Serves Area
I am a licensed psychologist with over 20 years of experience in the behavioral health services field. I graduated with a Doctor of Psychology (Psy.D.) degree from an American Psychological Association (APA) accredited clinical program. Prior to earning a doctoral degree from the California School of Professional Psychology (CSPP), I earned a Bachelor of Arts (B.A.) degree from the University of Buffalo as a psychology major. My educational experiences include an in depth focus on child and family treatment, as well as psychological and neuropsychological testing.
I am a licensed psychologist with over 20 years of experience in the behavioral health services field. I graduated with a Doctor of Psychology (Psy.D.) degree from an American Psychological Association (APA) accredited clinical program. Prior to earning a doctoral degree from the California School of Professional Psychology (CSPP), I earned a Bachelor of Arts (B.A.) degree from the University of Buffalo as a psychology major. My educational experiences include an in depth focus on child and family treatment, as well as psychological and neuropsychological testing.
(951) 309-9762 View (951) 309-9762
Photo of Mark Jesinoski, Psychologist, PhD
Mark Jesinoski
Psychologist, PhD
1 Endorsed
Serves Area
I have worked extensively with Post Traumatic Stress Disorder, depression, anxiety, and ADHD. I tend to incorporate more traditional forms of psychotherapy with meditation, body movement, yoga, breathwork, and exercise. My primary focus is to help my client's grow through their trauma, grief, and stress while becoming more resilient and confident in their ability to manage, work through, and resolve the emotions, symptoms, and memories that get in the way of thriving in the present moment. I worked at Utah State, University of San Diego, San Diego State, and University of California San Diego before starting my own private practice.
I have worked extensively with Post Traumatic Stress Disorder, depression, anxiety, and ADHD. I tend to incorporate more traditional forms of psychotherapy with meditation, body movement, yoga, breathwork, and exercise. My primary focus is to help my client's grow through their trauma, grief, and stress while becoming more resilient and confident in their ability to manage, work through, and resolve the emotions, symptoms, and memories that get in the way of thriving in the present moment. I worked at Utah State, University of San Diego, San Diego State, and University of California San Diego before starting my own private practice.
(858) 414-1141 View (858) 414-1141
Photo of Mariah Mendoza, Marriage & Family Therapist Associate, MS, AMFT, APCC
Mariah Mendoza
Marriage & Family Therapist Associate, MS, AMFT, APCC
5 Endorsed
Serves Area
Life can feel overwhelming when you’re navigating loss, trauma, anxiety, or depression, and it’s easy to feel stuck in patterns that no longer serve you. You don’t have to face this alone, healing is possible. As a trauma-informed therapist, I walk alongside my clients with compassion, support, and practical tools for lasting change. I work with adults, teens, and couples seeking healing, growth, and emotional restoration.
Life can feel overwhelming when you’re navigating loss, trauma, anxiety, or depression, and it’s easy to feel stuck in patterns that no longer serve you. You don’t have to face this alone, healing is possible. As a trauma-informed therapist, I walk alongside my clients with compassion, support, and practical tools for lasting change. I work with adults, teens, and couples seeking healing, growth, and emotional restoration.
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Photo of April Galligan, Clinical Social Work/Therapist, LCSW, IMHM-C
April Galligan
Clinical Social Work/Therapist, LCSW, IMHM-C
Serves Area
Toddlers! Am I right?! They can be hard and there isn't a lot of support out there for these challenging years. Many parents don't even realize there are therapists who specialize in supporting infants and toddlers. Through play and the relationship you have with your child, we can improve behaviors, improve attachment, increase your confidence as a parent, and relieve your anxiety. The space between a parent and a child can be full of challenge and full of a desire for connection. You love your child and want what's best, but boy that is hard sometimes when you don't understand them or you worry about them a lot.
Toddlers! Am I right?! They can be hard and there isn't a lot of support out there for these challenging years. Many parents don't even realize there are therapists who specialize in supporting infants and toddlers. Through play and the relationship you have with your child, we can improve behaviors, improve attachment, increase your confidence as a parent, and relieve your anxiety. The space between a parent and a child can be full of challenge and full of a desire for connection. You love your child and want what's best, but boy that is hard sometimes when you don't understand them or you worry about them a lot.
(760) 529-8180 View (760) 529-8180
Photo of Lisa Krekler, Clinical Social Work/Therapist, LCSW, DSW, MSW
Lisa Krekler
Clinical Social Work/Therapist, LCSW, DSW, MSW
2 Endorsed
Serves Area
It is my practice, to encourage each client to discover their own inner resources and strengths while gaining personal empowerment. Whether you seek recovery from trauma, depression or anxiety, I will provide you the tools and skills to enhance your self-esteem, develop relationships and establish healthy boundaries and communication. As you learn to cope with life transitions and changes, we will incorporate mindfulness-based techniques, and challenge maladaptive thoughts and beliefs by approaching solutions to engage stressful situations, you will reduce emotional suffering.
It is my practice, to encourage each client to discover their own inner resources and strengths while gaining personal empowerment. Whether you seek recovery from trauma, depression or anxiety, I will provide you the tools and skills to enhance your self-esteem, develop relationships and establish healthy boundaries and communication. As you learn to cope with life transitions and changes, we will incorporate mindfulness-based techniques, and challenge maladaptive thoughts and beliefs by approaching solutions to engage stressful situations, you will reduce emotional suffering.
(760) 307-1947 View (760) 307-1947
Photo of Ann Landers, Marriage & Family Therapist, MFT, SAP
Ann Landers
Marriage & Family Therapist, MFT, SAP
Serves Area
Ann has 20 years experience working with families, individuals and couples. She can help you identify your needs and find the courage to live the life you want. Ann provides a comfortable and warm environment to be yourself without judgement. Ann is the Past President of the San Diego Employee Assistance Program
Ann has 20 years experience working with families, individuals and couples. She can help you identify your needs and find the courage to live the life you want. Ann provides a comfortable and warm environment to be yourself without judgement. Ann is the Past President of the San Diego Employee Assistance Program
(760) 291-8457 View (760) 291-8457
Photo of Veronika Noble, Marriage & Family Therapist, MA, LMFT
Veronika Noble
Marriage & Family Therapist, MA, LMFT
Serves Area
Frustrated or tired of going through the motions? Continually trying and pretending behind a fake smile? Feeling like a failure? Or just not quite good enough?
Frustrated or tired of going through the motions? Continually trying and pretending behind a fake smile? Feeling like a failure? Or just not quite good enough?
(858) 352-7564 View (858) 352-7564
Photo of Marissa Moore, Pre-Licensed Professional, APCC
Marissa Moore
Pre-Licensed Professional, APCC
2 Endorsed
Serves Area
Carrying the weight of difficult thoughts, feelings, and experiences can be incredibly overwhelming. At times, you may find yourself feeling stuck in cycles of intense emotions that feel hard to manage. All of this can be draining and isolating, especially when you’ve been trying to navigate it on your own. If you’re hoping for more clarity and a deeper understanding of yourself, you’re not alone in that. My goal is to meet you with authenticity and care so that together we can move toward the healing and growth you may be seeking.
Carrying the weight of difficult thoughts, feelings, and experiences can be incredibly overwhelming. At times, you may find yourself feeling stuck in cycles of intense emotions that feel hard to manage. All of this can be draining and isolating, especially when you’ve been trying to navigate it on your own. If you’re hoping for more clarity and a deeper understanding of yourself, you’re not alone in that. My goal is to meet you with authenticity and care so that together we can move toward the healing and growth you may be seeking.
(619) 361-7408 View (619) 361-7408

See more therapy options for 92058

How does your Therapist compare?

Number of Therapists in 92058

60+

Average cost per session

$165

Therapists in 92058 who prioritize treating:

98% Anxiety
87% Depression
66% Relationship Issues
66% Trauma and PTSD
64% Grief
64% Self Esteem
62% Stress

Average years in practice

15 Years

Top 3 insurances accepted

88% Aetna
76% Cigna and Evernorth
66% Anthem

How Therapists in 92058 see their clients

66% Online Only
34% In Person and Online

Gender breakdown

87% Female
11% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 92058?

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.