Therapists in San Antonio, TX

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Photo of Mia Johnson, Licensed Professional Counselor in San Antonio, TX
Mia Johnson
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78232
Life isn’t always easy. Sometimes, even the strongest people among us need some help to work through some of life’s more challenging problems. Everyone has battles to fight and hurdles to overcome at some point. Whether you struggle with anxiety, depression, self-esteem, or any other challenge, you should know that this is the interactive “story" of your Life. At any given time, you can jump in and rewrite the way the following chapters will go.
Life isn’t always easy. Sometimes, even the strongest people among us need some help to work through some of life’s more challenging problems. Everyone has battles to fight and hurdles to overcome at some point. Whether you struggle with anxiety, depression, self-esteem, or any other challenge, you should know that this is the interactive “story" of your Life. At any given time, you can jump in and rewrite the way the following chapters will go.
(830) 283-7377 View (830) 283-7377
Photo of Evolucion Counseling Practice, PLLC , Licensed Professional Counselor in San Antonio, TX
Evolucion Counseling Practice, PLLC
Licensed Professional Counselor
Verified Verified
San Antonio, TX 78240
Evolución Counseling Group is a special space tailored just for you! We provide mental health support for navigating life’s challenges, whether it's relationship struggles, clarifying your life purpose, or finding your direction. Our mission at Evolución Counseling Group is to promote optimal wellness, ensuring you leave each session feeling confident about your next steps towards achieving your goals.
Evolución Counseling Group is a special space tailored just for you! We provide mental health support for navigating life’s challenges, whether it's relationship struggles, clarifying your life purpose, or finding your direction. Our mission at Evolución Counseling Group is to promote optimal wellness, ensuring you leave each session feeling confident about your next steps towards achieving your goals.
(726) 227-2370 View (726) 227-2370
Photo of Patricia McATEE, Licensed Professional Counselor in San Antonio, TX
Patricia McATEE
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
1 Endorsed
San Antonio, TX 78207  (Online Only)
I completed my Masters; degree in Counseling Psychology. I also have a substance abuse certification. Since my start in counseling in 2012. I have built up a diverse background of counseling experience working with men, women, young and old, deeply challenged by depression, anxiety, and annoying intrusive thoughts. I have an eclectic style. My counseling philosophy entails taking a personalized therapy approach, developing the appropriate coping skills, gaining strength, inner knowledge of self and insight on how your mind works the way it does and finally making good use of community resources and apply individual reinforcements.
I completed my Masters; degree in Counseling Psychology. I also have a substance abuse certification. Since my start in counseling in 2012. I have built up a diverse background of counseling experience working with men, women, young and old, deeply challenged by depression, anxiety, and annoying intrusive thoughts. I have an eclectic style. My counseling philosophy entails taking a personalized therapy approach, developing the appropriate coping skills, gaining strength, inner knowledge of self and insight on how your mind works the way it does and finally making good use of community resources and apply individual reinforcements.
(210) 972-8422 View (210) 972-8422
Photo of Tranquill Creative Counseling, PLLC, LPC Associate in San Antonio, TX
Tranquill Creative Counseling, PLLC
LPC Associate, MS, ATR
Verified Verified
1 Endorsed
San Antonio, TX 78232
I am a Provisional Licensed Professional Counselor (LPC-Associate) and a registered Art Therapist (ATR). I provide Christian counseling and Art Therapy services to children, adults, and couples.
I am a Provisional Licensed Professional Counselor (LPC-Associate) and a registered Art Therapist (ATR). I provide Christian counseling and Art Therapy services to children, adults, and couples.
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Photo of Matthew Steph Schultz, Licensed Professional Counselor in San Antonio, TX
Matthew Steph Schultz
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230
Hello and welcome to my page! My name is Steph, and I'm a licensed professional counselor passionate about serving the community! I first served as a case manager until fully licensed, learning about not only how to address a client’s mental health needs but for everything from resource assistance to medication stability. Once licensed as an LPC, I started with servicing young adults with first-episode psychosis, showcasing them the road to recovery is possible right at the starting point. I seek a collaborative and compassionate approach to counseling in an effort to foster hope, healing, and resilience.
Hello and welcome to my page! My name is Steph, and I'm a licensed professional counselor passionate about serving the community! I first served as a case manager until fully licensed, learning about not only how to address a client’s mental health needs but for everything from resource assistance to medication stability. Once licensed as an LPC, I started with servicing young adults with first-episode psychosis, showcasing them the road to recovery is possible right at the starting point. I seek a collaborative and compassionate approach to counseling in an effort to foster hope, healing, and resilience.
(210) 972-3751 View (210) 972-3751
Photo of Dr. Steven D. Gomez, Clinical Social Work/Therapist in San Antonio, TX
Dr. Steven D. Gomez
Clinical Social Work/Therapist, PhD, LCSW-S
Verified Verified
San Antonio, TX 78258  (Online Only)
I have over 10 years of experience providing mental health care to a wide variety of populations, from children to adults. I use an array of different psychotherapy approaches, specific techniques, and interventions, from modalities like cognitive behavioral therapy, acceptance and commitment therapy, solution focused therapy, dialectical behavior therapy, and motivational interviewing. I also utilize the corrective, healing power of the interpersonal process in psychotherapy. I enjoy getting to know my clients and finding a style and approach that works best for their needs during our time together in the therapeutic relationship.
I have over 10 years of experience providing mental health care to a wide variety of populations, from children to adults. I use an array of different psychotherapy approaches, specific techniques, and interventions, from modalities like cognitive behavioral therapy, acceptance and commitment therapy, solution focused therapy, dialectical behavior therapy, and motivational interviewing. I also utilize the corrective, healing power of the interpersonal process in psychotherapy. I enjoy getting to know my clients and finding a style and approach that works best for their needs during our time together in the therapeutic relationship.
(210) 796-9151 View (210) 796-9151
Photo of Svetlana Rangel, Licensed Professional Counselor in San Antonio, TX
Svetlana Rangel
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78228
Waitlist for new clients
Hi there! Do you often find yourself feeling tired, overwhelmed, or stuck? Is your life spinning out of control and you find yourself staring at the ceiling in the middle of the night, trying to piece it back? I know how it feels, I been there myself. My hope is that therapy will help you feel more connected to your self and others, to create boundaries, to strengthen relationships, and find more creativity, joy, and peace in your life.
Hi there! Do you often find yourself feeling tired, overwhelmed, or stuck? Is your life spinning out of control and you find yourself staring at the ceiling in the middle of the night, trying to piece it back? I know how it feels, I been there myself. My hope is that therapy will help you feel more connected to your self and others, to create boundaries, to strengthen relationships, and find more creativity, joy, and peace in your life.
(210) 972-1556 View (210) 972-1556
Photo of Rachelle Renee Mellieon, Licensed Professional Counselor in San Antonio, TX
Rachelle Renee Mellieon
Licensed Professional Counselor, MA, LPC, LPHA
Verified Verified
San Antonio, TX 78215
Life can hurt. My passion is to help others navigate through those daily life issues. I believe that a genuine, therapeutic relationship is fundamental to its success. Thus, I strive to foster a calm, caring environment. I combine warmth, empathy, and gentle challenges designed to lead you towards new ways of thinking and acting on your circumstances. The strategies I use are dependent upon the needs of each client. For those seeking a Biblical approach in sessions, I incorporate Christian counseling...
Life can hurt. My passion is to help others navigate through those daily life issues. I believe that a genuine, therapeutic relationship is fundamental to its success. Thus, I strive to foster a calm, caring environment. I combine warmth, empathy, and gentle challenges designed to lead you towards new ways of thinking and acting on your circumstances. The strategies I use are dependent upon the needs of each client. For those seeking a Biblical approach in sessions, I incorporate Christian counseling...
(210) 683-1696 View (210) 683-1696
Photo of Tiffany Frias, Licensed Professional Counselor in San Antonio, TX
Tiffany Frias
Licensed Professional Counselor, MA, LPC
Verified Verified
7 Endorsed
San Antonio, TX 78247
Let's be honest for a minute - you are currently reading this because there is something in your life that is causing you pain. That "something" may be a major life transition; such as a divorce, the growing pains of new parenthood, or a major career change. Maybe its some sort of repeating pattern you experience in relationships. It could be that the sheer weight of our current world feels heavy each day. Depression, anxiety, and grief are other common pain points; perhaps you are struggling with one of these.
Let's be honest for a minute - you are currently reading this because there is something in your life that is causing you pain. That "something" may be a major life transition; such as a divorce, the growing pains of new parenthood, or a major career change. Maybe its some sort of repeating pattern you experience in relationships. It could be that the sheer weight of our current world feels heavy each day. Depression, anxiety, and grief are other common pain points; perhaps you are struggling with one of these.
(210) 774-6627 View (210) 774-6627
Photo of Counseling Connections of San Antonio, Licensed Professional Counselor in San Antonio, TX
Counseling Connections of San Antonio
Licensed Professional Counselor, LPC-S, NCC, CCMHC, ACS, CCM
Verified Verified
14 Endorsed
San Antonio, TX 78216
Visit us at www.counselingconnectionsofsa.com to find out more and/or request an appointment. The practice has over two decades of combined clinical experience helping those needing clinical assessments, family therapy, pre-marital or relationship counseling individuals suffering from depression or anxiety, and unplanned life issues. We are a practice that seeks to provide traditional treatment and treatment that would be identified as "outside the box." Note: We do offer other options for low cost, affordable services if you cannot afford your co-pay, deductible, etc. Contact us for more info.
Visit us at www.counselingconnectionsofsa.com to find out more and/or request an appointment. The practice has over two decades of combined clinical experience helping those needing clinical assessments, family therapy, pre-marital or relationship counseling individuals suffering from depression or anxiety, and unplanned life issues. We are a practice that seeks to provide traditional treatment and treatment that would be identified as "outside the box." Note: We do offer other options for low cost, affordable services if you cannot afford your co-pay, deductible, etc. Contact us for more info.
(210) 853-5912 View (210) 853-5912
Photo of Stacey Schwab, Licensed Professional Counselor Associate in San Antonio, TX
Stacey Schwab
Licensed Professional Counselor Associate
Verified Verified
1 Endorsed
San Antonio, TX 78231  (Online Only)
What is a survivor? Simply put, a survivor is someone who has experienced difficulty in their life. This could be the loss of a loved one, childhood neglect, multiple types of abuse, traumas, or violence. Whatever difficulty is being experienced, my role is to come alongside you, supporting you as you navigate your healing journey. Every individual is unique, so finding the tools, techniques, and therapeutic modalities to best fit for you is part of journey we will take together. I offer teletherapy services only at this time.
What is a survivor? Simply put, a survivor is someone who has experienced difficulty in their life. This could be the loss of a loved one, childhood neglect, multiple types of abuse, traumas, or violence. Whatever difficulty is being experienced, my role is to come alongside you, supporting you as you navigate your healing journey. Every individual is unique, so finding the tools, techniques, and therapeutic modalities to best fit for you is part of journey we will take together. I offer teletherapy services only at this time.
(210) 774-6795 View (210) 774-6795
Photo of Bioenergetic Healing Psychotherapist, Licensed Professional Counselor in San Antonio, TX
Bioenergetic Healing Psychotherapist
Licensed Professional Counselor, LPC, NCC, CHT
Verified Verified
San Antonio, TX 78228
My role in psychotherapy is simple. I work as a guide to help lead clients from 3rd dimensional consciousness to new levels of awareness. With the support of my guiding system and those of my clients', I act as a conduit to bring the information and energies that are needed in that point in time for the client's highest good. My approach is spiritual and energy psychology. It is based on the premise that all illness is mental illness and all healing must begin in psychotherapy.
My role in psychotherapy is simple. I work as a guide to help lead clients from 3rd dimensional consciousness to new levels of awareness. With the support of my guiding system and those of my clients', I act as a conduit to bring the information and energies that are needed in that point in time for the client's highest good. My approach is spiritual and energy psychology. It is based on the premise that all illness is mental illness and all healing must begin in psychotherapy.
(210) 625-7633 View (210) 625-7633
Photo of Eric Joseph Houin Jr, Clinical Social Work/Therapist in San Antonio, TX
Eric Joseph Houin Jr
Clinical Social Work/Therapist, MSW, LCSW-S
Verified Verified
San Antonio, TX 78251
Eric Houin, Jr. is a Licensed Clinical Social Worker, Texas Board Approved Supervisor, and psychotherapist who is currently Texas licensed as an LCSW and has completed his Masters of Social Work degree from Louisiana State University located in Baton Rouge, Louisiana. Eric has over 20 years of clinical counseling experience and has worked in an outpatient therapy settings with children, adolescents, adults, families, and couples. During his time as a behavioral health therapist Eric has helped: families, couples, adults, men, women, children, and adolescents.
Eric Houin, Jr. is a Licensed Clinical Social Worker, Texas Board Approved Supervisor, and psychotherapist who is currently Texas licensed as an LCSW and has completed his Masters of Social Work degree from Louisiana State University located in Baton Rouge, Louisiana. Eric has over 20 years of clinical counseling experience and has worked in an outpatient therapy settings with children, adolescents, adults, families, and couples. During his time as a behavioral health therapist Eric has helped: families, couples, adults, men, women, children, and adolescents.
(210) 899-6362 View (210) 899-6362
Photo of Kelly Anderson, Licensed Professional Counselor in San Antonio, TX
Kelly Anderson
Licensed Professional Counselor, MA
Verified Verified
San Antonio, TX 78266
I focus on providing a non-judgmental and understanding environment for adults and older adolescents. I feel as if everyone needs a place to express themselves freely. I work with individuals, couples and families who are dealing with a variety of issues such as major life transitions, self-esteem issues, trauma recovery and mental health issues. I take a team-work approach to counseling and believe it takes work by both the client and the counselor to create change.
I focus on providing a non-judgmental and understanding environment for adults and older adolescents. I feel as if everyone needs a place to express themselves freely. I work with individuals, couples and families who are dealing with a variety of issues such as major life transitions, self-esteem issues, trauma recovery and mental health issues. I take a team-work approach to counseling and believe it takes work by both the client and the counselor to create change.
(210) 791-0903 View (210) 791-0903
Photo of Mary Chavez-Harrington, Licensed Professional Counselor in San Antonio, TX
Mary Chavez-Harrington
Licensed Professional Counselor, MD, LPC
Verified Verified
San Antonio, TX 78229  (Online Only)
I conduct on-line-video counseling sessions through a HIPPA compliant platform, which is a secure portal that allows me to see my patients via remote video conferencing. This service is ideal for those that are seeking: Increased comfort with the ability to attend appointments from home; increased anonymity; greater flexibility in appointment times and locations; inclement weather solution; eliminate round-trip travel time. Most people agree that one of the most valuable assets they own is their time.
I conduct on-line-video counseling sessions through a HIPPA compliant platform, which is a secure portal that allows me to see my patients via remote video conferencing. This service is ideal for those that are seeking: Increased comfort with the ability to attend appointments from home; increased anonymity; greater flexibility in appointment times and locations; inclement weather solution; eliminate round-trip travel time. Most people agree that one of the most valuable assets they own is their time.
(210) 672-1192 View (210) 672-1192
Photo of Kadean Ortiz, LPC-Associates in San Antonio, TX
Kadean Ortiz
LPC-Associates, MS, LPCA, NCC
Verified Verified
San Antonio, TX 78230
I strongly believe in the power of resiliency and the ability to heal. “No matter how bleak or menacing a situation may appear, it does not entirely own us. It can’t take away our freedom to respond, our power to take action.” ―Ryder Carroll. I found that many concerns brought to therapy can result from unresolved pain or unhealthy coping strategies from the past. With various therapeutic training, I can help clients find the best pathway for their needs. Fear can sometimes be debilitating, so facing fear and building habitation is essential. “A man who fears suffering is already suffering from what he fears.” ―Michel de Montaig.
I strongly believe in the power of resiliency and the ability to heal. “No matter how bleak or menacing a situation may appear, it does not entirely own us. It can’t take away our freedom to respond, our power to take action.” ―Ryder Carroll. I found that many concerns brought to therapy can result from unresolved pain or unhealthy coping strategies from the past. With various therapeutic training, I can help clients find the best pathway for their needs. Fear can sometimes be debilitating, so facing fear and building habitation is essential. “A man who fears suffering is already suffering from what he fears.” ―Michel de Montaig.
(210) 899-5713 View (210) 899-5713
Photo of Jennifer A. Lemmer, Psychologist in San Antonio, TX
Jennifer A. Lemmer
Psychologist, PhD, MPH, ABPP
Verified Verified
San Antonio, TX 78230
Waitlist for new clients
Trauma and loss can leave you feeling disconnected and alone. You may struggle with anger, depression, and self-blame. You may question who you are or your life's purpose. In therapy, I can help you rediscover your strengths and begin to reconnect. I will compassionately guide you through your most difficult experiences to achieve a new sense of self, strength, and peace.
Trauma and loss can leave you feeling disconnected and alone. You may struggle with anger, depression, and self-blame. You may question who you are or your life's purpose. In therapy, I can help you rediscover your strengths and begin to reconnect. I will compassionately guide you through your most difficult experiences to achieve a new sense of self, strength, and peace.
(210) 529-8570 View (210) 529-8570
Photo of Dr. Lisa C. Holder, Licensed Professional Counselor in San Antonio, TX
Dr. Lisa C. Holder
Licensed Professional Counselor, PhD, LPC , NCC
Verified Verified
San Antonio, TX 78216  (Online Only)
The journey of life can be happy & promising. However, if your life has begun to feel like a never ending battle, circumstances and issues overwhelm you, feelings of depression or anxiety burden you, important relationships have broken down, abuse or traumatic events are robbing you of peace, I am here to offer compassion, guidance and a ‘safe place’ to share your deepest wounds or concerns. In these very uncertain times, many families and individuals are under a great deal of extra stress, putting further strain on relationships and problems that already existed.
The journey of life can be happy & promising. However, if your life has begun to feel like a never ending battle, circumstances and issues overwhelm you, feelings of depression or anxiety burden you, important relationships have broken down, abuse or traumatic events are robbing you of peace, I am here to offer compassion, guidance and a ‘safe place’ to share your deepest wounds or concerns. In these very uncertain times, many families and individuals are under a great deal of extra stress, putting further strain on relationships and problems that already existed.
(941) 269-2958 View (941) 269-2958
Photo of San Antonio Art Therapy, LLC, Licensed Professional Counselor in San Antonio, TX
San Antonio Art Therapy, LLC
Licensed Professional Counselor, MA, LPC, ATR-BC
Verified Verified
San Antonio, TX 78232
I work with individuals who are looking for a different approach to tackling life's challenges. The creative process can offer individuals a unique catalyst for change. Art therapy is an integrative mental health profession that combines the visual and verbal to help people foster insight, experience healing, and create meaningful change. Art therapy is not reserved for professional artists; but is accessible to meet you where ever you are at. Art is an extension of yourself, and a powerful way to communicate when sometimes the words just are not there.
I work with individuals who are looking for a different approach to tackling life's challenges. The creative process can offer individuals a unique catalyst for change. Art therapy is an integrative mental health profession that combines the visual and verbal to help people foster insight, experience healing, and create meaningful change. Art therapy is not reserved for professional artists; but is accessible to meet you where ever you are at. Art is an extension of yourself, and a powerful way to communicate when sometimes the words just are not there.
(210) 791-7174 View (210) 791-7174
Photo of Evelyn McNeel, Licensed Professional Counselor in San Antonio, TX
Evelyn McNeel
Licensed Professional Counselor, MA, CCH, LPC, LCDC, AADC
Verified Verified
San Antonio, TX 78212
I am a Certified Clinical Hypnotherapist, Licensed Professional Counselor and a Licensed Chemical Dependency Counselor. I have more than 15 years' experience as a Licensed Professional Counselor. While I address a wide range of issues through traditional talk psychotherapy including depression, anxiety and substance abuse, I specialize in hypnosis. I am an International Board Certified Clinical Hypnotherapist.
I am a Certified Clinical Hypnotherapist, Licensed Professional Counselor and a Licensed Chemical Dependency Counselor. I have more than 15 years' experience as a Licensed Professional Counselor. While I address a wide range of issues through traditional talk psychotherapy including depression, anxiety and substance abuse, I specialize in hypnosis. I am an International Board Certified Clinical Hypnotherapist.
(210) 899-5164 View (210) 899-5164

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
72% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
78% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.