Therapists in San Antonio, TX

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Photo of Corey J Lohr, Licensed Professional Counselor Associate in San Antonio, TX
Corey J Lohr
Licensed Professional Counselor Associate, MA, LPC-A, CCTP, C-DBT
Verified Verified
San Antonio, TX 78216
My passion is to help people see and be their best versions. I am a Veteran and know my strengths lay with Veterans and First Responders, but my skills can assist anyone that is in need. My focus has been trauma and addiction. I believe the client is the expert and I am a team member that collaborate with client, and medication management team to assist in the best path forward.
My passion is to help people see and be their best versions. I am a Veteran and know my strengths lay with Veterans and First Responders, but my skills can assist anyone that is in need. My focus has been trauma and addiction. I believe the client is the expert and I am a team member that collaborate with client, and medication management team to assist in the best path forward.
(210) 666-9138 View (210) 666-9138
Photo of Maria Winsborough, Licensed Professional Counselor in San Antonio, TX
Maria Winsborough
Licensed Professional Counselor, MA, LPC, NCC, LMA
Not Verified Not Verified
San Antonio, TX 78232
The clinical approach I use to counseling is targeted to attend my client's needs. My preference is the Psychodynamic approach where the client and I explore the origins of their psychological discomfort and use the insights to the healing process incorporating changes in the present. Some clients however come to counseling with a sense of urgency, a need to work objectively in a specific problem with the aim of a faster solution focused to their crisis, and in these cases I support and stay present with the client's needs.
The clinical approach I use to counseling is targeted to attend my client's needs. My preference is the Psychodynamic approach where the client and I explore the origins of their psychological discomfort and use the insights to the healing process incorporating changes in the present. Some clients however come to counseling with a sense of urgency, a need to work objectively in a specific problem with the aim of a faster solution focused to their crisis, and in these cases I support and stay present with the client's needs.
(210) 544-1711 View (210) 544-1711
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 Amanda Almendarez, Licensed Professional Counselor in San Antonio, TX
Amanda Almendarez
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78257
Amanda Almendarez is a Licensed Professional Counselor with 4 years of experience in clinical mental health. Amanda has experience in both private practice and agencies. She is passionate about helping adults and adolescents take steps to stop simply surviving and begin thriving in life. Amanda specializes in trauma, domestic violence, sexual assault, grief/loss, depression, and anxiety. She also has experience with personality disorders, life transitions, and stress management. Amanda received her Master’s in Science in Clinical Mental Health Counseling from Texas A&M University-Corpus Christi.
Amanda Almendarez is a Licensed Professional Counselor with 4 years of experience in clinical mental health. Amanda has experience in both private practice and agencies. She is passionate about helping adults and adolescents take steps to stop simply surviving and begin thriving in life. Amanda specializes in trauma, domestic violence, sexual assault, grief/loss, depression, and anxiety. She also has experience with personality disorders, life transitions, and stress management. Amanda received her Master’s in Science in Clinical Mental Health Counseling from Texas A&M University-Corpus Christi.
(830) 460-5174 View (830) 460-5174
Photo of Martin V Bendernagel, Licensed Professional Counselor in San Antonio, TX
Martin V Bendernagel
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
San Antonio, TX 78217
Many people are hurting and seek help with relationship issues, with their spouse, and other family members; I strive to help restore marriage and family relationships. Common problems that clients bring to me include relationship problems, depression, anxiety, grief, past trauma, child behavior problems, addictions, and having problems adjusting to changes in life. I practice spiritually-integrated counseling from a Christian worldview.
Many people are hurting and seek help with relationship issues, with their spouse, and other family members; I strive to help restore marriage and family relationships. Common problems that clients bring to me include relationship problems, depression, anxiety, grief, past trauma, child behavior problems, addictions, and having problems adjusting to changes in life. I practice spiritually-integrated counseling from a Christian worldview.
(210) 714-1805 View (210) 714-1805
Photo of Nelly Vela, Licensed Professional Counselor Associate in San Antonio, TX
Nelly Vela
Licensed Professional Counselor Associate, MEd, NCC, LPC A
Verified Verified
1 Endorsed
San Antonio, TX 78255  (Online Only)
Hi there! My name is Nelly Vela, and I am a Bilingual Certified Professional Counselor Associate with over 20 years of experience in education and school counseling. Through my work, I have gained a deep understanding of the challenges faced by children, adolescents, and young adults. I am passionate about inspiring and empowering individuals to overcome obstacles and live their best lives. My passion for helping people drives my therapy sessions. Every individual needs someone they can confide in, someone who can validate and appreciate them. That's where I come in. I am committed to building a strong client-therapist relationship.
Hi there! My name is Nelly Vela, and I am a Bilingual Certified Professional Counselor Associate with over 20 years of experience in education and school counseling. Through my work, I have gained a deep understanding of the challenges faced by children, adolescents, and young adults. I am passionate about inspiring and empowering individuals to overcome obstacles and live their best lives. My passion for helping people drives my therapy sessions. Every individual needs someone they can confide in, someone who can validate and appreciate them. That's where I come in. I am committed to building a strong client-therapist relationship.
(210) 549-7793 View (210) 549-7793
Photo of Josephine Langham, LPC Associate in San Antonio, TX
Josephine Langham
LPC Associate, LPC-A
Verified Verified
2 Endorsed
San Antonio, TX 78232  (Online Only)
Sharing your story and asking for help can feel scary, and thats okay! I am here to listen. You may feel overwhelmed, discouraged, or lost in connecting to your authentic self. Feelings of guilt and shame may be making it hard to forgive yourself. Or difficulty finding motivation or a life transition has left you at a loss of control over your environment—unsaid expectations about how you "should" look or feel left you exhausted. Or perhaps fear and anxiety are holding you back, making you feel stuck. If so, I am here to help. I provide a safe, non-judgmental space where you can feel heard and understood while you heal.
Sharing your story and asking for help can feel scary, and thats okay! I am here to listen. You may feel overwhelmed, discouraged, or lost in connecting to your authentic self. Feelings of guilt and shame may be making it hard to forgive yourself. Or difficulty finding motivation or a life transition has left you at a loss of control over your environment—unsaid expectations about how you "should" look or feel left you exhausted. Or perhaps fear and anxiety are holding you back, making you feel stuck. If so, I am here to help. I provide a safe, non-judgmental space where you can feel heard and understood while you heal.
(512) 601-8982 View (512) 601-8982
Photo of Rebecca J. Ash, Licensed Professional Counselor in San Antonio, TX
Rebecca J. Ash
Licensed Professional Counselor, MA, LPC, LCDC, EMDR
Verified Verified
4 Endorsed
San Antonio, TX 78259
Not accepting new clients
Do you feel emotionally disconnected? Are past life experiences causing you to feel anxious or depressed? Do you find yourself mentally re-playing traumatic experiences back in your mind as if you were watching a movie? Labeling how you feel can be difficult and you often find yourself feeling stuck, confused, angry or irritable. You fake a smile or withdraw from others feeling completely empty and numb. You are physically exhausted, drained, and on edge, but continue to fear what may happen if painful memories overwhelm you. You are ready to feel again and go on without thinking about terrible things that have happened to you.
Do you feel emotionally disconnected? Are past life experiences causing you to feel anxious or depressed? Do you find yourself mentally re-playing traumatic experiences back in your mind as if you were watching a movie? Labeling how you feel can be difficult and you often find yourself feeling stuck, confused, angry or irritable. You fake a smile or withdraw from others feeling completely empty and numb. You are physically exhausted, drained, and on edge, but continue to fear what may happen if painful memories overwhelm you. You are ready to feel again and go on without thinking about terrible things that have happened to you.
(210) 405-6024 View (210) 405-6024
Photo of Lindsay Minarovic, Clinical Social Work/Therapist in San Antonio, TX
Lindsay Minarovic
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78228
Waitlist for new clients
Lindsay is a Texas Licensed Clinical Social Worker who believes that everyone can benefit from working with a therapist, and would like the opportunity to work with you to provide support and guidance toward your goals. Lindsay enjoys facilitating therapy groups, educating individuals about financial empowerment, and doing individual therapy.
Lindsay is a Texas Licensed Clinical Social Worker who believes that everyone can benefit from working with a therapist, and would like the opportunity to work with you to provide support and guidance toward your goals. Lindsay enjoys facilitating therapy groups, educating individuals about financial empowerment, and doing individual therapy.
(210) 702-2828 View (210) 702-2828
Photo of South Texas Counseling and Consulting,PA, Licensed Professional Counselor in San Antonio, TX
South Texas Counseling and Consulting,PA
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78249
Since 2007, I've been working as a Licensed Professional Counselor who specializes in helping people cope with their issues and concerns. Many clients merely need assistance in gaining insight, direction, self-compassion and developing practical coping skills to manage stress. In this journey, I strive to walk alongside clients with mercy and wisdom to help achieve self-actualization and goals.
Since 2007, I've been working as a Licensed Professional Counselor who specializes in helping people cope with their issues and concerns. Many clients merely need assistance in gaining insight, direction, self-compassion and developing practical coping skills to manage stress. In this journey, I strive to walk alongside clients with mercy and wisdom to help achieve self-actualization and goals.
(210) 796-6718 View (210) 796-6718
Photo of Teresa Tribett, Licensed Professional Counselor in San Antonio, TX
Teresa Tribett
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
Living with purpose, authenticity, and aligned values is the way out of anxiety, shame, and depression. I want to help you find your way to a more joyful life. I believe in a holistic, human-centered approach that acknowledges the real challenges of the world today, the complexities of each person's experience, and the limited usefulness of one size fits all labels and diagnosis. I believe the therapeutic space should be a safe one, but also one that challenges and encourages growth. Some of my specialties include working with trauma, anxiety, perfectionism, poor boundaries/codependency, and life transitions.
Living with purpose, authenticity, and aligned values is the way out of anxiety, shame, and depression. I want to help you find your way to a more joyful life. I believe in a holistic, human-centered approach that acknowledges the real challenges of the world today, the complexities of each person's experience, and the limited usefulness of one size fits all labels and diagnosis. I believe the therapeutic space should be a safe one, but also one that challenges and encourages growth. Some of my specialties include working with trauma, anxiety, perfectionism, poor boundaries/codependency, and life transitions.
(210) 899-6385 View (210) 899-6385
Photo of Yvette Ramirez, MS, LPC, Licensed Professional Counselor in San Antonio, TX
Yvette Ramirez, MS, LPC
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78239  (Online Only)
Hello and welcome. You have taken a big step towards helping yourself. I hope that I have the privilege of working with you. My name is Yvette Ramirez, and I am a licensed professional counselor. I graduated from Texas State University with a Bachelor of Arts in Psychology. I continued my education at Capella University and graduated with a Master of Science in Mental Health Counseling. I started my counseling career working with clients I visited in their homes and helped them understand their diagnosis, teach them how to cope with their symptoms, and taught the importance of medication adherence.
Hello and welcome. You have taken a big step towards helping yourself. I hope that I have the privilege of working with you. My name is Yvette Ramirez, and I am a licensed professional counselor. I graduated from Texas State University with a Bachelor of Arts in Psychology. I continued my education at Capella University and graduated with a Master of Science in Mental Health Counseling. I started my counseling career working with clients I visited in their homes and helped them understand their diagnosis, teach them how to cope with their symptoms, and taught the importance of medication adherence.
(210) 903-5769 View (210) 903-5769
Photo of Celina Alexis Lopez, Licensed Professional Counselor in San Antonio, TX
Celina Alexis Lopez
Licensed Professional Counselor, MS, LPC-S
Verified Verified
2 Endorsed
San Antonio, TX 78205
Welcome to my counseling practice! Are you struggling with feelings of overwhelm, low self-esteem, perfectionism, burned out by life or relationships, or just not good enough? If so, give me a call, send me an email, or go to my website and submit an form and we can schedule a free phone consultation. I have helped hundreds of clients overcome these struggles and more. My office (in person or virtual), is a safe place to explore your thoughts, emotions, and experiences in order to be the best version of yourself.
Welcome to my counseling practice! Are you struggling with feelings of overwhelm, low self-esteem, perfectionism, burned out by life or relationships, or just not good enough? If so, give me a call, send me an email, or go to my website and submit an form and we can schedule a free phone consultation. I have helped hundreds of clients overcome these struggles and more. My office (in person or virtual), is a safe place to explore your thoughts, emotions, and experiences in order to be the best version of yourself.
(210) 742-5445 View (210) 742-5445
Photo of Amy Kipp, Marriage & Family Therapist in San Antonio, TX
Amy Kipp
Marriage & Family Therapist, MEd, LMFT
Verified Verified
3 Endorsed
San Antonio, TX 78230
In therapy, I will work with you to examine patterns of thought and behavior which are no longer useful in your life. We will work together to help you develop a deeper understanding and empathy for yourself in addition to genuine, compassionate interaction with others that will lead you to your goals. I believe the relationships that are most important in our lives are an integral part of making lasting change. In therapy, I support you in improving these relationships in order to achieve healing and change.
In therapy, I will work with you to examine patterns of thought and behavior which are no longer useful in your life. We will work together to help you develop a deeper understanding and empathy for yourself in addition to genuine, compassionate interaction with others that will lead you to your goals. I believe the relationships that are most important in our lives are an integral part of making lasting change. In therapy, I support you in improving these relationships in order to achieve healing and change.
(210) 405-8628 View (210) 405-8628
Photo of Ciatta Spears, LPC Associate in San Antonio, TX
Ciatta Spears
LPC Associate, MS
Verified Verified
San Antonio, TX 78254
You're the "strong" friend, aren't you? The one everyone is so incredibly grateful for because you're always so helpful, thoughtful, and giving. Don't get me wrong! Those are signs of great character, but when do YOU get to be insecure, uncertain, and "soft?" I am here to offer you that space. The space where you get to explore yourself in an atmosphere where nothing is off limits and you can figure "you" out. You don't have to be strong here, you just have to be you - and we can find your unique path to healing together.
You're the "strong" friend, aren't you? The one everyone is so incredibly grateful for because you're always so helpful, thoughtful, and giving. Don't get me wrong! Those are signs of great character, but when do YOU get to be insecure, uncertain, and "soft?" I am here to offer you that space. The space where you get to explore yourself in an atmosphere where nothing is off limits and you can figure "you" out. You don't have to be strong here, you just have to be you - and we can find your unique path to healing together.
(512) 359-3866 View (512) 359-3866
Bloodstone Counseling
Licensed Professional Counselor, MA
Verified Verified
San Antonio, TX 78258  (Online Only)
I am passionate about taking an integrative and holistic approach using Cognitive Behavioral Therapy (CBT), Rational Emotive Behavior Therapy (REBT), Reality Therapy, and Solution Focused Brief Therapy (SFBT). I will tailor our dialog and treatment plan to meet your unique and specific needs.
I am passionate about taking an integrative and holistic approach using Cognitive Behavioral Therapy (CBT), Rational Emotive Behavior Therapy (REBT), Reality Therapy, and Solution Focused Brief Therapy (SFBT). I will tailor our dialog and treatment plan to meet your unique and specific needs.
(210) 940-3796 View (210) 940-3796
Photo of Well Mind Center, Licensed Professional Counselor in San Antonio, TX
Well Mind Center
Licensed Professional Counselor
Verified Verified
San Antonio, TX 78216
The Well Mind Center of San Antonio is an integrative environment for mental health. We utilize powerful evidence-based practices to individualize our approach, addressing your specific needs. The highly skilled clinicians of the Well Mind Center welcome you to call for an appointment.
The Well Mind Center of San Antonio is an integrative environment for mental health. We utilize powerful evidence-based practices to individualize our approach, addressing your specific needs. The highly skilled clinicians of the Well Mind Center welcome you to call for an appointment.
(210) 319-4569 View (210) 319-4569
Photo of Holly E. Schultz, Counselor in San Antonio, TX
Holly E. Schultz
Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
San Antonio, TX 78257
NOW Accepting New Clients. Thoughts and emotions are powerful! While some can be inspiring and motivating, others can be defeating and hinder growth and potential. Maybe you're tired of putting your mental health and wellness on the back burner and are ready for change but don’t know where to start. Unfortunately many of us weren't given the coping skills we need to deal with in everyday life, much less the unexpected. That's ok, because you are here now and we can start today. If you find yourself hoping for more but don’t yet have the tools to get you where you'd like to be, let's talk and work together to get you there.
NOW Accepting New Clients. Thoughts and emotions are powerful! While some can be inspiring and motivating, others can be defeating and hinder growth and potential. Maybe you're tired of putting your mental health and wellness on the back burner and are ready for change but don’t know where to start. Unfortunately many of us weren't given the coping skills we need to deal with in everyday life, much less the unexpected. That's ok, because you are here now and we can start today. If you find yourself hoping for more but don’t yet have the tools to get you where you'd like to be, let's talk and work together to get you there.
(210) 960-8486 View (210) 960-8486
Photo of Marti Stany, Clinical Social Work/Therapist in San Antonio, TX
Marti Stany
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78213  (Online Only)
If you're reading this, you're likely feeling overwhelmed, shame, or alone due to trauma or problems in your sex life or relationship. Perhaps you feel confused about your sexual identity or aren’t accepted and celebrated for who you are. Maybe you are stuck in a negative loop of excessive porn use or a compulsive desire for sex that is ruining your relationships and your life. Together, we'll navigate the parts of your life you've buried deep out of shame and pain. I know it can be terrifying to plunge into these depths alone. I'll be by your side every step of the way, offering a loving and non-judgmental space.
If you're reading this, you're likely feeling overwhelmed, shame, or alone due to trauma or problems in your sex life or relationship. Perhaps you feel confused about your sexual identity or aren’t accepted and celebrated for who you are. Maybe you are stuck in a negative loop of excessive porn use or a compulsive desire for sex that is ruining your relationships and your life. Together, we'll navigate the parts of your life you've buried deep out of shame and pain. I know it can be terrifying to plunge into these depths alone. I'll be by your side every step of the way, offering a loving and non-judgmental space.
View
Photo of Laura Kotlowski, Licensed Professional Counselor in San Antonio, TX
Laura Kotlowski
Licensed Professional Counselor, LPC, LCDC, NCC, CCTP, EMDR
Verified Verified
2 Endorsed
San Antonio, TX 78259
I feel privileged & blessed to witness clients' change processes. I seek to use therapy modalities that work best for individualized client care, & I am grateful to serve in settings that align perfectly with my beliefs in achieving recovery. I am humbled to witness the healing that occurs in therapy where there was previously confusion, pain, & hopelessness. It is my life's passion to support & encourage others.
I feel privileged & blessed to witness clients' change processes. I seek to use therapy modalities that work best for individualized client care, & I am grateful to serve in settings that align perfectly with my beliefs in achieving recovery. I am humbled to witness the healing that occurs in therapy where there was previously confusion, pain, & hopelessness. It is my life's passion to support & encourage others.
(210) 791-6972 View (210) 791-6972

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
87% 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.