Therapists in San Diego, CA

View neighborhoods in San Diego
Photo of Janet Rodriguez, LMFT, Marriage & Family Therapist in San Diego, CA
Janet Rodriguez, LMFT
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92131
Welcome to viewing my profile! I have been in the mental health field for over 15 years. As a Marriage and Family Therapist, I received training and focused on the following modes of treatment: attachment theory, play therapy, strength-based, and trauma-informed, among other evidence-based models. Additionally, I have experience working in multidisciplinary settings providing collaborative quality care and psychotherapeutic treatment.
Welcome to viewing my profile! I have been in the mental health field for over 15 years. As a Marriage and Family Therapist, I received training and focused on the following modes of treatment: attachment theory, play therapy, strength-based, and trauma-informed, among other evidence-based models. Additionally, I have experience working in multidisciplinary settings providing collaborative quality care and psychotherapeutic treatment.
(858) 240-8176 View (858) 240-8176
Photo of Dr. Michele McCarter, Psychologist in San Diego, CA
Dr. Michele McCarter
Psychologist, PhD
Verified Verified
San Diego, CA 92108
Michele primarily practices individual psychotherapy with adults with anxiety and mood disorders. She believes that psychotherapy should be practiced in a caring and empathetic environment.
Michele primarily practices individual psychotherapy with adults with anxiety and mood disorders. She believes that psychotherapy should be practiced in a caring and empathetic environment.
(619) 332-0810 View (619) 332-0810
Photo of Josie Myles, Marriage & Family Therapist in San Diego, CA
Josie Myles
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92121  (Online Only)
I offer virtual therapy, working with individuals, couples, and families with issues related to sexual addiction, intimacy, anxiety, depression, betrayal, and sexual trauma. I also have a background and passion for working with adolescents with histories of involvement in the criminal justice system. I believe in setting goals with my clients as a guide for where we are headed. I use Solution-focused, person-centered therapy techniques to explore one's past and how it affects the now.
I offer virtual therapy, working with individuals, couples, and families with issues related to sexual addiction, intimacy, anxiety, depression, betrayal, and sexual trauma. I also have a background and passion for working with adolescents with histories of involvement in the criminal justice system. I believe in setting goals with my clients as a guide for where we are headed. I use Solution-focused, person-centered therapy techniques to explore one's past and how it affects the now.
(858) 786-0059 View (858) 786-0059
Karem P Smith
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92117  (Online Only)
I work to make you feel safe, heard and validated with what you are going through. I am personable, empathetic and I understand how challenging life experiences can contribute to feelings of anxiety and depression and can leave us with self-doubt, negative thoughts and feelings of insecurity. I collaborate with you to identify previous influential and traumatic experiences that are currently fueling your symptoms and impacting your current functioning. The ultimate goal is for you to decrease your symptoms so that you can live your most authentic, satisfying life and be your best YOU!
I work to make you feel safe, heard and validated with what you are going through. I am personable, empathetic and I understand how challenging life experiences can contribute to feelings of anxiety and depression and can leave us with self-doubt, negative thoughts and feelings of insecurity. I collaborate with you to identify previous influential and traumatic experiences that are currently fueling your symptoms and impacting your current functioning. The ultimate goal is for you to decrease your symptoms so that you can live your most authentic, satisfying life and be your best YOU!
(858) 330-2249 View (858) 330-2249
Photo of Irwin Ford Rosenfarb, Psychologist in San Diego, CA
Irwin Ford Rosenfarb
Psychologist, PhD
Verified Verified
San Diego, CA 92131
Hello and welcome. I offer psychotherapy for adults, couples, families, and teens dealing with relationship difficulties, depression and anxiety, bipolar disorder, personality issues, schizophrenia, and other mental health problems. I also help family members understand their loved one's difficulties and help couples and families communicate more effectively. I believe that change occurs within the context of a positive therapeutic relationship and my focus is on creating a caring, compassionate, and sensitive space where individuals, couples, and families can make significant change in their lives.
Hello and welcome. I offer psychotherapy for adults, couples, families, and teens dealing with relationship difficulties, depression and anxiety, bipolar disorder, personality issues, schizophrenia, and other mental health problems. I also help family members understand their loved one's difficulties and help couples and families communicate more effectively. I believe that change occurs within the context of a positive therapeutic relationship and my focus is on creating a caring, compassionate, and sensitive space where individuals, couples, and families can make significant change in their lives.
(858) 943-4693 View (858) 943-4693
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 Lifeskills Counseling in San Diego, CA
Lifeskills Counseling
LCSW
Verified Verified
San Diego, CA 92108
Do you have anxiety or even panic daily? Are your compulsions becoming difficult to manage? Is your anger out of control? Is your sadness too much to bear? Cost is not always measured in dollars and cents, it is spent emotions or wasted energy or lost time; maybe it is time for help!
Do you have anxiety or even panic daily? Are your compulsions becoming difficult to manage? Is your anger out of control? Is your sadness too much to bear? Cost is not always measured in dollars and cents, it is spent emotions or wasted energy or lost time; maybe it is time for help!
(619) 373-1099 View (619) 373-1099
Photo of EQ Psychological Services, Psychologist in San Diego, CA
EQ Psychological Services
Psychologist, PhD
Verified Verified
San Diego, CA 92106
EQ Psychological Services focuses on achieving emotional equilibrium through comprehensive testing evaluations that pinpoint areas for growth and support for you or your child. Assessments include developmental evaluations, general mental health, twice exceptional and Independent Educational Evaluations (comprehensive and ERMHS). Emotional intelligence is encouraged by teaching skills to understand and effectively manage emotions. I look forward to working with you in a collaborative format to fully understand your needs and develop obtainable goals.
EQ Psychological Services focuses on achieving emotional equilibrium through comprehensive testing evaluations that pinpoint areas for growth and support for you or your child. Assessments include developmental evaluations, general mental health, twice exceptional and Independent Educational Evaluations (comprehensive and ERMHS). Emotional intelligence is encouraged by teaching skills to understand and effectively manage emotions. I look forward to working with you in a collaborative format to fully understand your needs and develop obtainable goals.
(619) 492-4804 View (619) 492-4804
Photo of Anita Prasad-Aguilera, Clinical Social Work/Therapist in San Diego, CA
Anita Prasad-Aguilera
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92109
My name is Anita Prasad-Aguilera, Licensed Clinical Social Worker (LCSW), based in Fresno, California. I am providing therapy statewide via telehealth. I work with adults of all ages specializing in anxiety, depression, grief, trauma, and life transitions. I have found that my style and approach are a good fit for adults whose struggles are keeping them from the life they want. I am offering you a safe place to talk, space to heal, and strategies to cope with the difficult side of life. I will be with you as you navigate stressful situations, foster healthy connections, and work through past trauma.
My name is Anita Prasad-Aguilera, Licensed Clinical Social Worker (LCSW), based in Fresno, California. I am providing therapy statewide via telehealth. I work with adults of all ages specializing in anxiety, depression, grief, trauma, and life transitions. I have found that my style and approach are a good fit for adults whose struggles are keeping them from the life they want. I am offering you a safe place to talk, space to heal, and strategies to cope with the difficult side of life. I will be with you as you navigate stressful situations, foster healthy connections, and work through past trauma.
(619) 473-7533 View (619) 473-7533
Photo of Jessica Taverniti, Psychologist in San Diego, CA
Jessica Taverniti
Psychologist, PSY, BCBA-D, LBA
Verified Verified
San Diego, CA 92121
Waitlist for new clients
I am a a Licensed Clinical Psychologist, Board Certified Behavior Analyst, and  Licensed Behavior Analyst. Clinically, I have been working in the field of Neurodiversity and TAY (Transitional Aged Youth Population), and young adults in a diversity of settings for many years. I am passionate about helping individuals and families work through life’s challenges, transition, and personal growth leading to maximizing potential personally and professionally.
I am a a Licensed Clinical Psychologist, Board Certified Behavior Analyst, and  Licensed Behavior Analyst. Clinically, I have been working in the field of Neurodiversity and TAY (Transitional Aged Youth Population), and young adults in a diversity of settings for many years. I am passionate about helping individuals and families work through life’s challenges, transition, and personal growth leading to maximizing potential personally and professionally.
(858) 251-9503 View (858) 251-9503
Photo of Benjamin Ballou, Counselor in San Diego, CA
Benjamin Ballou
Counselor, LPCC, LAADC
Verified Verified
San Diego, CA 92109  (Online Only)
It may feel like many people in your life have an agenda. Whether that’s related to what you do, how you dress, how you act, the relationships you choose- it is easy to feel judged in our lives by the people that surround us. It may be difficult to seek support from a therapist when this has been your experience. I’m here to show you that my only agenda is supporting you in your journey to reach your goals. Through a nonjudgmental and empathic approach, I will offer you guidance and perspective in how you see your life moving forward. I utilize a holistic perspective, engaging in the therapeutic relationship to help you reach goals.
It may feel like many people in your life have an agenda. Whether that’s related to what you do, how you dress, how you act, the relationships you choose- it is easy to feel judged in our lives by the people that surround us. It may be difficult to seek support from a therapist when this has been your experience. I’m here to show you that my only agenda is supporting you in your journey to reach your goals. Through a nonjudgmental and empathic approach, I will offer you guidance and perspective in how you see your life moving forward. I utilize a holistic perspective, engaging in the therapeutic relationship to help you reach goals.
(619) 567-1340 View (619) 567-1340
Photo of Alex Urrutia, Clinical Social Work/Therapist in San Diego, CA
Alex Urrutia
Clinical Social Work/Therapist, LCSW, MSW , EMDR
Verified Verified
San Diego, CA 92103
I have worked in several areas of mental health care and have truly found my purpose and passion in assisting those who struggle with trauma and/or addiction. I understand how trauma has been locked within the psyche and having an individual feel as though they are stuck within themselves. I understand that addiction was a solution to several problems at the time because it allowed relief but in reality it only masked the underlying issues. My goal for each of my clients is to have them recognize their own strengths and abilities so they may continue or begin to live meaningful lives.
I have worked in several areas of mental health care and have truly found my purpose and passion in assisting those who struggle with trauma and/or addiction. I understand how trauma has been locked within the psyche and having an individual feel as though they are stuck within themselves. I understand that addiction was a solution to several problems at the time because it allowed relief but in reality it only masked the underlying issues. My goal for each of my clients is to have them recognize their own strengths and abilities so they may continue or begin to live meaningful lives.
(619) 393-2961 View (619) 393-2961
Photo of Diane F Gaston, Clinical Social Work/Therapist in San Diego, CA
Diane F Gaston
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92131
What motivates me to be a therapist is my desire to help clients maximize their potential for personal growth. I work with individuals, families and couples to help them in their journey of discovering their innate abilities of solving their own problems. In this way I will direct them in learning what obstacles they create for themselves and how to use their abilities to evoke change. My preference is in-person, but am willing to do Telehealth, as needed, after initial in-person assessment, in-person offers valuable energy exchange necessary for the human connection between therapist and client. I'm fully vaccinated.
What motivates me to be a therapist is my desire to help clients maximize their potential for personal growth. I work with individuals, families and couples to help them in their journey of discovering their innate abilities of solving their own problems. In this way I will direct them in learning what obstacles they create for themselves and how to use their abilities to evoke change. My preference is in-person, but am willing to do Telehealth, as needed, after initial in-person assessment, in-person offers valuable energy exchange necessary for the human connection between therapist and client. I'm fully vaccinated.
(858) 762-9387 View (858) 762-9387
Photo of Brian Brosnan, Clinical Social Work/Therapist in San Diego, CA
Brian Brosnan
Clinical Social Work/Therapist, LCSW, LCAS, ICAADC
Verified Verified
2 Endorsed
San Diego, CA 92123  (Online Only)
Looking for help can be daunting. Life brings us challenges, decisions and transitions where we need some guidance, perspective and support. Together, we will create a fun, yet straight forward and solution - based environment for managing life’s challenges and thrive while overcoming them.
Looking for help can be daunting. Life brings us challenges, decisions and transitions where we need some guidance, perspective and support. Together, we will create a fun, yet straight forward and solution - based environment for managing life’s challenges and thrive while overcoming them.
(213) 855-3551 View (213) 855-3551
Photo of Michal ‘Mica’ Levi, Psychologist in San Diego, CA
Michal ‘Mica’ Levi
Psychologist, PhD
Verified Verified
San Diego, CA 92130
Do your feelings of sadness, anxiety, shame, irritability or jealousy overwhelm you? Do you feel stuck or doubtful of yourself? You are not alone! In treatment, I aim to provide a safe and non-judgmental space, where we can identify your goals, work through the challenges in your life, and practice acceptance, self care, and self validation. Accepting the process of change may feel frightening and overwhelming, it is my goal to be beside you as you embark on a journey of growth and clarity.
Do your feelings of sadness, anxiety, shame, irritability or jealousy overwhelm you? Do you feel stuck or doubtful of yourself? You are not alone! In treatment, I aim to provide a safe and non-judgmental space, where we can identify your goals, work through the challenges in your life, and practice acceptance, self care, and self validation. Accepting the process of change may feel frightening and overwhelming, it is my goal to be beside you as you embark on a journey of growth and clarity.
(858) 358-6577 View (858) 358-6577
Photo of Courtney Miller, Clinical Social Work/Therapist in San Diego, CA
Courtney Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92103  (Online Only)
Courtney Miller is a Licensed Clinical Social Worker offering behavioral health services to adults. She has over 11 years of experience as a social worker in home health, hospice, skilled nursing homes, hospitals, private practice, medical managed care and foster family agency settings. She treats a full list of problems; however; her specialties include anxiety disorders, stress disorders, trauma, depression, chronic pain/health, grief, trauma or abuse and career/school issues.She utilizes evidenced based practices such as: Cognitive Behavioral Therapies, Dialectical Behavioral Therapy, Motivational Interviewing, Grief Therapy and
Courtney Miller is a Licensed Clinical Social Worker offering behavioral health services to adults. She has over 11 years of experience as a social worker in home health, hospice, skilled nursing homes, hospitals, private practice, medical managed care and foster family agency settings. She treats a full list of problems; however; her specialties include anxiety disorders, stress disorders, trauma, depression, chronic pain/health, grief, trauma or abuse and career/school issues.She utilizes evidenced based practices such as: Cognitive Behavioral Therapies, Dialectical Behavioral Therapy, Motivational Interviewing, Grief Therapy and
(619) 762-2566 View (619) 762-2566
Photo of Kristin Flowers, Marriage & Family Therapist in San Diego, CA
Kristin Flowers
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92128
Hi! My name is Kristin Flowers and I'm a licensed marriage and family therapist here in beautiful California. I specialize in helping anxious people to heal and recover from perfectionism, gas lighting, and toxic relationships, as well as past events or memories that may still be impacting life in a negative way. I help people who are trying to be perfect and feel exhausted and wondering who they are anymore. The people I help are feeling anxious, lonely, and stressed out to the breaking point. Sleep is difficult if not impossible. Asking for help is so hard because you're so used to fixing everything yourself.
Hi! My name is Kristin Flowers and I'm a licensed marriage and family therapist here in beautiful California. I specialize in helping anxious people to heal and recover from perfectionism, gas lighting, and toxic relationships, as well as past events or memories that may still be impacting life in a negative way. I help people who are trying to be perfect and feel exhausted and wondering who they are anymore. The people I help are feeling anxious, lonely, and stressed out to the breaking point. Sleep is difficult if not impossible. Asking for help is so hard because you're so used to fixing everything yourself.
(858) 201-5862 View (858) 201-5862
Photo of Dr. Tahirih Moffett, Psychologist in San Diego, CA
Dr. Tahirih Moffett
Psychologist, PsyD, MSSW, BSN
Verified Verified
3 Endorsed
San Diego, CA 92103  (Online Only)
Waitlist for new clients
Let’s say it – life can be hard! It takes courage to ask for help and I’m here to help you develop greater self-understanding and cope with your concerns better. Family and relationship problems, microaggressions/discriminations, financial stress, work and academic demands can sometimes feel overwhelming. Unmanaged self-critical thoughts and rejection of our natural emotions make it worse and can lead to depression and excess anxiety. You may find that the coping strategies you’ve used in the past are no longer working for you. Well, I am here to help support your journey towards building the sort of life you want.
Let’s say it – life can be hard! It takes courage to ask for help and I’m here to help you develop greater self-understanding and cope with your concerns better. Family and relationship problems, microaggressions/discriminations, financial stress, work and academic demands can sometimes feel overwhelming. Unmanaged self-critical thoughts and rejection of our natural emotions make it worse and can lead to depression and excess anxiety. You may find that the coping strategies you’ve used in the past are no longer working for you. Well, I am here to help support your journey towards building the sort of life you want.
(619) 489-1534 View (619) 489-1534
Photo of Michael Toohey, Psychologist in San Diego, CA
Michael Toohey
Psychologist, PsyD
Verified Verified
San Diego, CA 92108
I recognize that coming to therapy is a courageous first step and that you are taking a chance when you make that first appointment, especially when you are struggling. I consider it an honor to be entrusted by one seeking help. I demonstrate that honor by being committed to providing you with practical feedback in an empathetic and compassionate manner. With cognitive behavioral strategies, I provide techniques to manage and reduce negative symptoms by tailoring treatment to each individual’s needs.
I recognize that coming to therapy is a courageous first step and that you are taking a chance when you make that first appointment, especially when you are struggling. I consider it an honor to be entrusted by one seeking help. I demonstrate that honor by being committed to providing you with practical feedback in an empathetic and compassionate manner. With cognitive behavioral strategies, I provide techniques to manage and reduce negative symptoms by tailoring treatment to each individual’s needs.
(619) 853-6745 View (619) 853-6745
Photo of Mártir Therapy – Helping Families, Couples, Adults, Marriage & Family Therapist in San Diego, CA
Mártir Therapy – Helping Families, Couples, Adults
Marriage & Family Therapist, MS, LMFT, AAMFT, 98858
Verified Verified
1 Endorsed
San Diego, CA 92101
Are you or your family having a difficult time? Have you been affected by sexual assault or community- level violence? Are you feeling stuck, overwhelmed, or unable to move forward in your life or your relationships? Anxiety, marital problems, family conflict, relationship difficulties, depression, and other emotional challenges can be the result of abuse or violence that you or your family experienced. In therapy, we will build towards empowerment, meaning, and identity so that you can achieve your goals. You can function better at work and at home. Contact me via phone, text, or email. I am looking forward to helping!
Are you or your family having a difficult time? Have you been affected by sexual assault or community- level violence? Are you feeling stuck, overwhelmed, or unable to move forward in your life or your relationships? Anxiety, marital problems, family conflict, relationship difficulties, depression, and other emotional challenges can be the result of abuse or violence that you or your family experienced. In therapy, we will build towards empowerment, meaning, and identity so that you can achieve your goals. You can function better at work and at home. Contact me via phone, text, or email. I am looking forward to helping!
(858) 751-4392 View (858) 751-4392

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

12 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.