Therapists in San Diego, CA

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Photo of Greg Piken, Marriage & Family Therapist Associate in San Diego, CA
Greg Piken
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
3 Endorsed
San Diego, CA 92108
Have you ever wrestled with questions like… "If people really knew me, would they really love me? Why do I feel so stressed/ ashamed/ lost/ angry/ hopeless/ lonely/ stuck? Am I the only one who feels like this? Will I always feel this bad?" You’d be amazed how many people like you and like me, have bravely asked those questions and found real answers and real hope. I really care about people, and whether I work with you individually, in a group, or as a couple, my hope is that therapy will be the safest and most inspiring place to discover that you are someone with an important story that deserves to be shared.
Have you ever wrestled with questions like… "If people really knew me, would they really love me? Why do I feel so stressed/ ashamed/ lost/ angry/ hopeless/ lonely/ stuck? Am I the only one who feels like this? Will I always feel this bad?" You’d be amazed how many people like you and like me, have bravely asked those questions and found real answers and real hope. I really care about people, and whether I work with you individually, in a group, or as a couple, my hope is that therapy will be the safest and most inspiring place to discover that you are someone with an important story that deserves to be shared.
(619) 387-7427 View (619) 387-7427
Photo of Jennifer Jean James, Marriage & Family Therapist in San Diego, CA
Jennifer Jean James
Marriage & Family Therapist, MA, MFT
Verified Verified
San Diego, CA 92110  (Online Only)
As a therapist, I have experience in working with adults who have been experiencing depression and anxiety. I also have experience working with trauma and Intimate Partner Violence.
As a therapist, I have experience in working with adults who have been experiencing depression and anxiety. I also have experience working with trauma and Intimate Partner Violence.
(619) 738-6751 View (619) 738-6751
Photo of Monica Arellano, Marriage & Family Therapist in San Diego, CA
Monica Arellano
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92102
We can accumulate distress, emotional pain, fear and worry to the point where we can no longer function in our daily lives, at work or in our relationships with one another. Yet we all have the mechanisms and capacity to expend our distress, heal our pain and master a sense of internal safety and calm.
We can accumulate distress, emotional pain, fear and worry to the point where we can no longer function in our daily lives, at work or in our relationships with one another. Yet we all have the mechanisms and capacity to expend our distress, heal our pain and master a sense of internal safety and calm.
(858) 879-3816 View (858) 879-3816
Photo of Anna de la Paz Roberts, Marriage & Family Therapist in San Diego, CA
Anna de la Paz Roberts
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Diego, CA 92116
Not accepting new clients
You are only human. This means needing secure, safe attachments with others in order to thrive. You want freedom from addiction, anxiety, depression, or trauma. You’re experiencing conflicts in your most important relationships. These problems often block us from feeling confident or thinking clearly. You may be out of energy trying to fix what's not working and need a new perspective to resolve these difficulties. As a Licensed Marriage and Family Therapist, I support individuals and relationships through solution-focused and strengths-based approaches.
You are only human. This means needing secure, safe attachments with others in order to thrive. You want freedom from addiction, anxiety, depression, or trauma. You’re experiencing conflicts in your most important relationships. These problems often block us from feeling confident or thinking clearly. You may be out of energy trying to fix what's not working and need a new perspective to resolve these difficulties. As a Licensed Marriage and Family Therapist, I support individuals and relationships through solution-focused and strengths-based approaches.
(619) 722-3329 View (619) 722-3329
Photo of Melissa Munoz, Marriage & Family Therapist in San Diego, CA
Melissa Munoz
Marriage & Family Therapist
Verified Verified
San Diego, CA 92122
I use empathy and structure to help you gain skills to manage your anxiety. I use principles and techniques from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Attachment Theory to help you revive a secure relationship with yourself so that you can live more aligned with your values, while also managing blockages (such as negative thoughts and emotions) in a healthy way.
I use empathy and structure to help you gain skills to manage your anxiety. I use principles and techniques from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Attachment Theory to help you revive a secure relationship with yourself so that you can live more aligned with your values, while also managing blockages (such as negative thoughts and emotions) in a healthy way.
(858) 500-1790 View (858) 500-1790
Photo of Alliant Couple and Family Clinic, Marriage & Family Therapist Intern in San Diego, CA
Alliant Couple and Family Clinic
Marriage & Family Therapist Intern
Verified Verified
San Diego, CA 92131
Welcome to Alliant Couple and Family Clinic! We offer mental health services to the community on a sliding fee scale. Services provided in-person in San Diego and Long Beach or virtually throughout California. Our team of pre-licensed therapists are available to treat mental health issues with individuals, couples, and families while receiving clinical supervision from highly experienced clinicians.
Welcome to Alliant Couple and Family Clinic! We offer mental health services to the community on a sliding fee scale. Services provided in-person in San Diego and Long Beach or virtually throughout California. Our team of pre-licensed therapists are available to treat mental health issues with individuals, couples, and families while receiving clinical supervision from highly experienced clinicians.
(858) 422-3618 View (858) 422-3618
Photo of Jadelyn Wang, Marriage & Family Therapist in San Diego, CA
Jadelyn Wang
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92128
I assist individuals build a greater sense of fulfillment, connectedness, and satisfaction to thrive in their personal lives and feel satisfied in their relationships. I help children feel safe, connected, and secure in their relationships so they may grow to their fullest potential. The matters I work with are from depression, anxiety, codependency, conflict resolution, communication skills, substance abuse, domestic violence, child abuse, family conflicts, anger management, and more. It is my goal to help individuals break free from negative thought, create positive bonds, increase awareness, and to achieve empowerment.
I assist individuals build a greater sense of fulfillment, connectedness, and satisfaction to thrive in their personal lives and feel satisfied in their relationships. I help children feel safe, connected, and secure in their relationships so they may grow to their fullest potential. The matters I work with are from depression, anxiety, codependency, conflict resolution, communication skills, substance abuse, domestic violence, child abuse, family conflicts, anger management, and more. It is my goal to help individuals break free from negative thought, create positive bonds, increase awareness, and to achieve empowerment.
(858) 330-6738 View (858) 330-6738
Photo of Sean Stiller, Clinical Social Work/Therapist in San Diego, CA
Sean Stiller
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92130
Are there challenges in your life that seem so overwhelming that it seems you can't deal with them? Have you tried to make changes in your life, but haven't been able to do it on your own? Congratulations on taking the first step towards feeling better! I have extensive training in helping overwhelmed, stressed, and anxious clients and couples. I make it my goal to really understand and empathize with the challenges you are facing, and always come from a non-judgmental and warm place. I also enjoy working with men, helping men understand their feelings and their partners feelings so they can have the relationship they desire.
Are there challenges in your life that seem so overwhelming that it seems you can't deal with them? Have you tried to make changes in your life, but haven't been able to do it on your own? Congratulations on taking the first step towards feeling better! I have extensive training in helping overwhelmed, stressed, and anxious clients and couples. I make it my goal to really understand and empathize with the challenges you are facing, and always come from a non-judgmental and warm place. I also enjoy working with men, helping men understand their feelings and their partners feelings so they can have the relationship they desire.
(858) 221-9419 View (858) 221-9419
Photo of Christiana Silva, Psychologist in San Diego, CA
Christiana Silva
Psychologist, PhD
Verified Verified
San Diego, CA 92101
Dr. Silva is the Chief Behavior Health Officer for San Diego based mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
Dr. Silva is the Chief Behavior Health Officer for San Diego based mental healthcare provider Fusion Care Group. Fusion Care Group is changing the way people think about and receive mental health service and support. We offer a welcoming and accepting environment where you can feel calm and comfortable while in our care. Our relaxed, modern atmosphere and our amazing, highly trained Psychologists, Psychiatrists and therapists are here for you. Our hope is to provide a place to help our clients achieve their life goals, explore life-circumstances, move through difficult life transitions.
(619) 916-4099 View (619) 916-4099
Photo of Sherry Ellis, Clinical Social Work/Therapist in San Diego, CA
Sherry Ellis
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92126
You haven’t had time to just stop and self-explore. Maybe all your energy has went into your career, your family, others, and you often forget about an important person, You. With so many challenges and roadblock you find yourself in a repeated cycle of unhappiness, uncertainty, or self-doubt. All these circumstances have prevented you from asking yourself Am I living the life I want? Others may think you have it all together but inside you’re exhausted, tired of being in survival mode, and are ready to live.
You haven’t had time to just stop and self-explore. Maybe all your energy has went into your career, your family, others, and you often forget about an important person, You. With so many challenges and roadblock you find yourself in a repeated cycle of unhappiness, uncertainty, or self-doubt. All these circumstances have prevented you from asking yourself Am I living the life I want? Others may think you have it all together but inside you’re exhausted, tired of being in survival mode, and are ready to live.
(858) 365-8065 View (858) 365-8065
Photo of Grow Through Life Counseling Mission Valley, Marriage & Family Therapist in San Diego, CA
Grow Through Life Counseling Mission Valley
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
San Diego, CA 92108
Hello and welcome! Grow Through Life Counseling is a group private practice welcoming both in person clients in Mission Valley, CA and via Telehealth in CA. We have immediate openings and are accepting new clients. Our Mission is to provide quality counseling for all ages throughout life. We provide culturally sensitive and inclusive care for all children, teens, adults, couples and families. We respect each family member's unique identities, perspectives and experiences in life. With effective and creative psychotherapeutic interventions, we support emotional growth and development during the various stages of life to be healthier.
Hello and welcome! Grow Through Life Counseling is a group private practice welcoming both in person clients in Mission Valley, CA and via Telehealth in CA. We have immediate openings and are accepting new clients. Our Mission is to provide quality counseling for all ages throughout life. We provide culturally sensitive and inclusive care for all children, teens, adults, couples and families. We respect each family member's unique identities, perspectives and experiences in life. With effective and creative psychotherapeutic interventions, we support emotional growth and development during the various stages of life to be healthier.
(619) 378-7281 View (619) 378-7281
Photo of Lukasz Urban, Psychologist in San Diego, CA
Lukasz Urban
Psychologist, PsyD, LP
Verified Verified
San Diego, CA 92117
My passion in life is helping people heal from trauma and depression through warm, authentic, and professional care. Through my clinical training, I discovered that I have a natural talent for working with children and adolescents. I am fascinated by new technologies and like to incorporate them into treatment whenever it can help an individual live a healthier and more fulfilling life.
My passion in life is helping people heal from trauma and depression through warm, authentic, and professional care. Through my clinical training, I discovered that I have a natural talent for working with children and adolescents. I am fascinated by new technologies and like to incorporate them into treatment whenever it can help an individual live a healthier and more fulfilling life.
(619) 387-7621 View (619) 387-7621
Photo of Lodovica Guidarelli, Marriage & Family Therapist in San Diego, CA
Lodovica Guidarelli
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Diego, CA 92192  (Online Only)
Waitlist for new clients
Do you feel constrained by the demands of your problem? Is it affecting your relationships, your profession, or your overall satisfaction with life? You hold the power to bring the change you seek. I work collaboratively with individuals, couples, and families on a wide variety of issues, including relationship issues, anxiety, depression, PTSD, parenting, academic/work-related stress, identity development, acculturation, couple and family dynamics.
Do you feel constrained by the demands of your problem? Is it affecting your relationships, your profession, or your overall satisfaction with life? You hold the power to bring the change you seek. I work collaboratively with individuals, couples, and families on a wide variety of issues, including relationship issues, anxiety, depression, PTSD, parenting, academic/work-related stress, identity development, acculturation, couple and family dynamics.
(858) 465-7008 View (858) 465-7008
Photo of Cheryll Putt - EMDR and Trauma Therapist for Women, Marriage & Family Therapist in San Diego, CA
Cheryll Putt - EMDR and Trauma Therapist for Women
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92127  (Online Only)
Not accepting new clients
I hear you. You've been going through the motions, avoiding pain, sometimes barely hanging on, and trying to live a "normal," happy life. But, your past keeps creeping up and interrupts your hopes and goals, negatively impacts your day to day life, and creates relationships struggles. A childhood trauma might be coming up or a more recent traumatic event. Either way, your life isn't going the way you want it to. I can help you heal from the past and move beyond the experiences that are wreaking havoc on you, so that you can have the life and future that you want and deserve.
I hear you. You've been going through the motions, avoiding pain, sometimes barely hanging on, and trying to live a "normal," happy life. But, your past keeps creeping up and interrupts your hopes and goals, negatively impacts your day to day life, and creates relationships struggles. A childhood trauma might be coming up or a more recent traumatic event. Either way, your life isn't going the way you want it to. I can help you heal from the past and move beyond the experiences that are wreaking havoc on you, so that you can have the life and future that you want and deserve.
(619) 374-0415 View (619) 374-0415
Photo of Jessie Allendorf - Personal Evolution Psychotherapy, Pre-Licensed Professional in San Diego, CA
Jessie Allendorf - Personal Evolution Psychotherapy
Pre-Licensed Professional, MS, APCC
Verified Verified
San Diego, CA 92108
Is excessive worry or sadness limiting your life? Do you want to feel better and live a life worth living? Helping our clients overcome social anxiety, depression, communication & relationship issues, panic, excessive worry & depression is our primary focus. Visit Us at PersonalEvolutionPsychotherapy.com. By using proven therapy methods (We are Dialectical Behavior Therapy - DBT specialists) we will focus on specific problems, solutions, skills & reachable goals. We provide much more than traditional talk therapy & help you get results to help control your emotions & your life. By doing this we can help more quickly.
Is excessive worry or sadness limiting your life? Do you want to feel better and live a life worth living? Helping our clients overcome social anxiety, depression, communication & relationship issues, panic, excessive worry & depression is our primary focus. Visit Us at PersonalEvolutionPsychotherapy.com. By using proven therapy methods (We are Dialectical Behavior Therapy - DBT specialists) we will focus on specific problems, solutions, skills & reachable goals. We provide much more than traditional talk therapy & help you get results to help control your emotions & your life. By doing this we can help more quickly.
(619) 941-6990 View (619) 941-6990
Photo of Jan Rakoff, Clinical Social Work/Therapist in San Diego, CA
Jan Rakoff
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
San Diego, CA 92130
It can be overwhelming to begin the process of therapy and takes courage to make that first contact. OFFERING VIDEO SESSIONS BECAUSE OF COVID 19. As your therapist I will engage you in becoming comfortable exploring your inner self and learning where do you get stuck and what increases your satisfaction in life. Using a compassionate and collaborative approach, we will develop a plan that addresses your issues. You will learn to look in the mirror and not the magnifying glass to improve both your self image and relationships with others. You will also learn how to set boundaries; this reduces anger and increases self esteem.
It can be overwhelming to begin the process of therapy and takes courage to make that first contact. OFFERING VIDEO SESSIONS BECAUSE OF COVID 19. As your therapist I will engage you in becoming comfortable exploring your inner self and learning where do you get stuck and what increases your satisfaction in life. Using a compassionate and collaborative approach, we will develop a plan that addresses your issues. You will learn to look in the mirror and not the magnifying glass to improve both your self image and relationships with others. You will also learn how to set boundaries; this reduces anger and increases self esteem.
(858) 376-7984 View (858) 376-7984
Photo of Deborah Moyer Counseling, Inc., Marriage & Family Therapist in San Diego, CA
Deborah Moyer Counseling, Inc.
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Diego, CA 92127
There are many different types of “sucker punches” that can cause people to seek counseling. It might be an accident, serious illness or a return from deployment that has set your world off-kilter. It might be a partner who told you he doesn’t love you any more, or it could even be you with that feeling. It may just be the accumulation of anxiety that has you thinking there has got to be a better way. There is hope!
There are many different types of “sucker punches” that can cause people to seek counseling. It might be an accident, serious illness or a return from deployment that has set your world off-kilter. It might be a partner who told you he doesn’t love you any more, or it could even be you with that feeling. It may just be the accumulation of anxiety that has you thinking there has got to be a better way. There is hope!
(858) 223-1840 View (858) 223-1840
Photo of Ashley Halverson, Clinical Social Work/Therapist in San Diego, CA
Ashley Halverson
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
San Diego, CA 92127
Parenthood and family building is shown as this easy goal full of joy and magic, but your experience has been the exact opposite. You are surprised at how you feel: overwhelmed, anxious, angry, alone, devastated. You find yourself consumed with the “what ifs” and guilt. Scary thoughts come up and you feel a deep loss that is difficult to put to words. You wonder: Will you ever feel normal again? And what will normal even look like? In our work together, you can learn coping strategies, examine beliefs that leave us feeling stuck, process trauma, develop self compassion, and build confidence in your parenting abilities.
Parenthood and family building is shown as this easy goal full of joy and magic, but your experience has been the exact opposite. You are surprised at how you feel: overwhelmed, anxious, angry, alone, devastated. You find yourself consumed with the “what ifs” and guilt. Scary thoughts come up and you feel a deep loss that is difficult to put to words. You wonder: Will you ever feel normal again? And what will normal even look like? In our work together, you can learn coping strategies, examine beliefs that leave us feeling stuck, process trauma, develop self compassion, and build confidence in your parenting abilities.
(858) 683-6281 View (858) 683-6281
Photo of Jordan St Pierre, Clinical Social Work/Therapist in San Diego, CA
Jordan St Pierre
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92101  (Online Only)
My therapy style is warm and nonjudgmental as I want all of my clients to feel they are in a safe environment when working with me. I believe in treating everyone as an individual and meeting my clients where they are during sessions. I also work with my clients in identifying their individual goals and completing unique and specific treatment plans. During my years of practice, I have identified the benefits of focusing on one's self esteem in order to improve within themselves, specifically focusing on "the here and now".
My therapy style is warm and nonjudgmental as I want all of my clients to feel they are in a safe environment when working with me. I believe in treating everyone as an individual and meeting my clients where they are during sessions. I also work with my clients in identifying their individual goals and completing unique and specific treatment plans. During my years of practice, I have identified the benefits of focusing on one's self esteem in order to improve within themselves, specifically focusing on "the here and now".
(510) 345-1381 View (510) 345-1381
Photo of Joseph Pando, Psychologist in San Diego, CA
Joseph Pando
Psychologist, PsyD
Verified Verified
San Diego, CA 92123
Waitlist for new clients
It is common to experience bouts of anxiety, depression, grief, or feelings of helplessness and hopelessness during life. However, these are not issues to suffer through for the rest of your life. My aim is to work collaboratively with you to develop insight into your struggles and nurture innate strengths to help overcome these challenges. I have over ten years of clinical experience treating a variety of psychological difficulties such as addiction, depression, anxiety, grief and loss, ADHD, child/adolescent issues, anger management, relationship issues, and performing psychological and learning disability/ADHD assessments.
It is common to experience bouts of anxiety, depression, grief, or feelings of helplessness and hopelessness during life. However, these are not issues to suffer through for the rest of your life. My aim is to work collaboratively with you to develop insight into your struggles and nurture innate strengths to help overcome these challenges. I have over ten years of clinical experience treating a variety of psychological difficulties such as addiction, depression, anxiety, grief and loss, ADHD, child/adolescent issues, anger management, relationship issues, and performing psychological and learning disability/ADHD assessments.
(831) 778-4793 View (831) 778-4793

How does your Therapist compare?

Number of Therapists in San Diego, CA

3,000+

Average cost per session

$160

Therapists in San Diego, CA who prioritize treating:

93% Anxiety
87% Depression
71% Self Esteem
66% Relationship Issues
66% Trauma and PTSD
66% Coping Skills
62% Stress

Average years in practice

11 Years

Top 3 insurances accepted

77% Aetna
74% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in San Diego?

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.