Therapists in San Jose, CA

View neighborhoods in San Jose
Photo of Maritza Noriega, Marriage & Family Therapist in San Jose, CA
Maritza Noriega
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Jose, CA 95124
Hi I’m Maritza Noriega. I’m a licensed marriage and family therapist with seven years of experience providing mental health services to individuals, children, adolescents, and families. I have experience using different therapeutic modalities such as Cognitive Behavioral Therapy and Dialectical Behavioral Therapy to treat anxiety, depression, and trauma. I specialize in working with culturally diverse populations and am fluently bilingual in Spanish. I’m passionate about helping others and am committed to supporting, encouraging, and guiding individuals in addressing their mental health needs.
Hi I’m Maritza Noriega. I’m a licensed marriage and family therapist with seven years of experience providing mental health services to individuals, children, adolescents, and families. I have experience using different therapeutic modalities such as Cognitive Behavioral Therapy and Dialectical Behavioral Therapy to treat anxiety, depression, and trauma. I specialize in working with culturally diverse populations and am fluently bilingual in Spanish. I’m passionate about helping others and am committed to supporting, encouraging, and guiding individuals in addressing their mental health needs.
(408) 539-3501 View (408) 539-3501
Photo of Holly Hopkins Shah, Psychologist in San Jose, CA
Holly Hopkins Shah
Psychologist, PsyD
Verified Verified
San Jose, CA 95128
Thank you for visiting my profile. You're looking for a therapist because either you or a loved one is in some distress. I can help. I have experience in treating many issues one faces that produces some distress from relationship problems, trauma or family difficulties to depression, anxiety and grief.
Thank you for visiting my profile. You're looking for a therapist because either you or a loved one is in some distress. I can help. I have experience in treating many issues one faces that produces some distress from relationship problems, trauma or family difficulties to depression, anxiety and grief.
(408) 628-1618 View (408) 628-1618
Photo of Lisa Thanh Thu Gleason, Marriage & Family Therapist in San Jose, CA
Lisa Thanh Thu Gleason
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Jose, CA 95125
Life can be difficult when we face unexpected circumstances and challenges. Help is available and change IS possible. I believe in a compassionate, genuine and traditional therapy approach - collaborating with you, meeting you where you are at and being a pro-active and supportive companion on your journey to success. By partnering with you, I treat you wholly - not only focusing just on the symptoms - and help you set and achieve all your goals. Together, each session’s intention is to create meaningful progress and change that is inline with your ultimate goal. We can do this in either Vietnamese and/or English.
Life can be difficult when we face unexpected circumstances and challenges. Help is available and change IS possible. I believe in a compassionate, genuine and traditional therapy approach - collaborating with you, meeting you where you are at and being a pro-active and supportive companion on your journey to success. By partnering with you, I treat you wholly - not only focusing just on the symptoms - and help you set and achieve all your goals. Together, each session’s intention is to create meaningful progress and change that is inline with your ultimate goal. We can do this in either Vietnamese and/or English.
(408) 688-9165 View (408) 688-9165
Photo of Diane Patton Gaither, Marriage & Family Therapist in San Jose, CA
Diane Patton Gaither
Marriage & Family Therapist, MA, LMFT, CEDS
Verified Verified
2 Endorsed
San Jose, CA 95124
Relationship issues? Do you suffer from anxiety? Does low self-esteem get in the way for you of having the life you really want? Maybe you are seeking insight into why you can't let go of past events that have impacted you. I can help. I believe strongly in the idea that everyone has the ability to heal themselves and at times may need additional support or guidance along the way. At the core of my therapeutic style, is the belief that a foundation of mindfulness and cultivating a healthy relationship to self is where healing and wholeness begin.
Relationship issues? Do you suffer from anxiety? Does low self-esteem get in the way for you of having the life you really want? Maybe you are seeking insight into why you can't let go of past events that have impacted you. I can help. I believe strongly in the idea that everyone has the ability to heal themselves and at times may need additional support or guidance along the way. At the core of my therapeutic style, is the belief that a foundation of mindfulness and cultivating a healthy relationship to self is where healing and wholeness begin.
(408) 260-5008 View (408) 260-5008
Photo of Ed Gresick, Marriage & Family Therapist in San Jose, CA
Ed Gresick
Marriage & Family Therapist, LMFT, CSAT, LAADC, EMDR(C), CSOTP
Verified Verified
San Jose, CA 95124
My ideal client is motivated to engage in the change process and is willing to follow suggestions and direction that will result in real second order change that is truly life changing. I am uniquely qualified in treating various addictions including alcohol and drug abuse, sex addictions and compulsive behaviors, problem gambling and the many underlying issues involved. I am very effective in getting to and helping my clients resolve the root causes of their addictions. I am very effective in helping clients resolve addiction related issues including self-esteem, codependency, anxiety, anger and trauma using CBT, EMDR and FSAP.
My ideal client is motivated to engage in the change process and is willing to follow suggestions and direction that will result in real second order change that is truly life changing. I am uniquely qualified in treating various addictions including alcohol and drug abuse, sex addictions and compulsive behaviors, problem gambling and the many underlying issues involved. I am very effective in getting to and helping my clients resolve the root causes of their addictions. I am very effective in helping clients resolve addiction related issues including self-esteem, codependency, anxiety, anger and trauma using CBT, EMDR and FSAP.
(408) 498-5610 View (408) 498-5610
Photo of Margot Minnium, Marriage & Family Therapist in San Jose, CA
Margot Minnium
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
San Jose, CA 95128
Good therapy works. It’s not magic but it feels that way as we work together to address the situations or relationships you’re struggling with. Together, we build a trusting relationship where change and insight are possible. Feeling relief and gaining confidence in yourself occurs. As a compassionate listener and experienced clinician, I will create a safe space and be a capable guide for you.
Good therapy works. It’s not magic but it feels that way as we work together to address the situations or relationships you’re struggling with. Together, we build a trusting relationship where change and insight are possible. Feeling relief and gaining confidence in yourself occurs. As a compassionate listener and experienced clinician, I will create a safe space and be a capable guide for you.
(408) 409-8866 View (408) 409-8866
Photo of Anne Gimbel, Marriage & Family Therapist in San Jose, CA
Anne Gimbel
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95125
I am Anne Gimbel, a licensed marriage and family therapist in CA. I begin by meeting you at your place of growth or healing, and whether trauma, abuse, grieving, recovery of life issues, we work together to overcome them. Let me help you reach the goals and connections you deserve. With sensitivity and compassion, we work to determine what might be blocking your full potential and your feelings. I work with teens to adults, individuals, couples, and families.
I am Anne Gimbel, a licensed marriage and family therapist in CA. I begin by meeting you at your place of growth or healing, and whether trauma, abuse, grieving, recovery of life issues, we work together to overcome them. Let me help you reach the goals and connections you deserve. With sensitivity and compassion, we work to determine what might be blocking your full potential and your feelings. I work with teens to adults, individuals, couples, and families.
(408) 617-9125 View (408) 617-9125
Photo of Amanda Walters, Psychologist in San Jose, CA
Amanda Walters
Psychologist, PsyD
Verified Verified
10 Endorsed
San Jose, CA 95131  (Online Only)
Not accepting new clients
I specialize in sex therapy, which means that I enjoy working with individuals and people in relationships who may be struggling with any sex-related issues. The types of issues that people tend to see me for include sexual dysfunctions (like problems with orgasm, erection, or sexual pain), intimate relationship concerns, sexual orientation or gender identity, and sexual trauma. I also see folks who are dealing with other issues, such as anxiety or depression. Some of the people I work with have a very specific goal for treatment, while others need more ongoing treatment for deeper, more lifelong concerns.
I specialize in sex therapy, which means that I enjoy working with individuals and people in relationships who may be struggling with any sex-related issues. The types of issues that people tend to see me for include sexual dysfunctions (like problems with orgasm, erection, or sexual pain), intimate relationship concerns, sexual orientation or gender identity, and sexual trauma. I also see folks who are dealing with other issues, such as anxiety or depression. Some of the people I work with have a very specific goal for treatment, while others need more ongoing treatment for deeper, more lifelong concerns.
(408) 317-1302 View (408) 317-1302
Photo of Christine Lemmon, Marriage & Family Therapist in San Jose, CA
Christine Lemmon
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
San Jose, CA 95126
I am a psychotherapist providing individual therapy services to adults. Many of clients who come to me are experiencing feelings of grief, sadness, anxiety, confusion about an area of their life, or difficulty in intimate or familial relationships. I also specialize in working with adults who are impacted by trauma. In my work I understand trauma as how we are impacted by the painful experiences in our lives and the ways in which those experiences shape the way we form relationships with others, with ourselves, and the degree to which we are able to find joy.
I am a psychotherapist providing individual therapy services to adults. Many of clients who come to me are experiencing feelings of grief, sadness, anxiety, confusion about an area of their life, or difficulty in intimate or familial relationships. I also specialize in working with adults who are impacted by trauma. In my work I understand trauma as how we are impacted by the painful experiences in our lives and the ways in which those experiences shape the way we form relationships with others, with ourselves, and the degree to which we are able to find joy.
(408) 844-4374 View (408) 844-4374
Photo of Salsabyl Elnadi, Marriage & Family Therapist in San Jose, CA
Salsabyl Elnadi
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95136  (Online Only)
As a dedicated therapist specializing in guiding children, teens, and adults through life's challenges, I understand the significance of a supportive, stigma-free environment in the journey toward healing. My therapeutic approach draws from evidence-based practices such as Cognitive Behavioral Therapy, exposure therapy, solution-focused therapy, emotional-focused therapy, and Trauma Focused CBT. I deeply acknowledge intergenerational struggles, psychosocial stressors, and familial dynamics that profoundly influence mental well-being.
As a dedicated therapist specializing in guiding children, teens, and adults through life's challenges, I understand the significance of a supportive, stigma-free environment in the journey toward healing. My therapeutic approach draws from evidence-based practices such as Cognitive Behavioral Therapy, exposure therapy, solution-focused therapy, emotional-focused therapy, and Trauma Focused CBT. I deeply acknowledge intergenerational struggles, psychosocial stressors, and familial dynamics that profoundly influence mental well-being.
(408) 539-6249 View (408) 539-6249
Photo of Tam T Nguyen, Psychologist in San Jose, CA
Tam T Nguyen
Psychologist, PhD
Verified Verified
San Jose, CA 95124
Navigating the complexities of mental health care can feel overwhelming, and you don't have to face it alone. Whether you are dealing with interpersonal issues, work challenges, depression, anxiety, or trauma, I understand the courage it takes to seek support. My goal is not just to alleviate immediate challenges but to support you to embark on a transformative journey towards personal growth and fulfillment where you can navigate life's complexities with newfound strength and resilience.
Navigating the complexities of mental health care can feel overwhelming, and you don't have to face it alone. Whether you are dealing with interpersonal issues, work challenges, depression, anxiety, or trauma, I understand the courage it takes to seek support. My goal is not just to alleviate immediate challenges but to support you to embark on a transformative journey towards personal growth and fulfillment where you can navigate life's complexities with newfound strength and resilience.
(408) 419-1355 View (408) 419-1355
Photo of Gabriel Cooper, Psychologist in San Jose, CA
Gabriel Cooper
Psychologist, PsyD
Verified Verified
1 Endorsed
San Jose, CA 95124
I welcome a variety of clients, primarily working with adults, couples, and groups. Clients describe me as warm, caring, and direct. My practice focuses on the treatment of trauma, PTSD, Complex PTSD, depression, anxiety, and relational difficulties.
I welcome a variety of clients, primarily working with adults, couples, and groups. Clients describe me as warm, caring, and direct. My practice focuses on the treatment of trauma, PTSD, Complex PTSD, depression, anxiety, and relational difficulties.
(408) 412-7370 View (408) 412-7370
Photo of Taneesha Chambers, Counselor in San Jose, CA
Taneesha Chambers
Counselor, LPCC
Verified Verified
San Jose, CA 95125
Hello, I'm Taneesha! I am a Licensed Professional Counselor who is passionate about assisting people while on their journey toward healing and growth in the face of the challenges they may be currently experiencing and/or past traumas that may be causing distress. I have experience with ages 18-97 and have worked with clients with many different experiences and diagnoses including Anxiety, Depression, PTSD/Trauma, Substance Abuse, Bipolar Disorder, Suicidal Ideation, and more.
Hello, I'm Taneesha! I am a Licensed Professional Counselor who is passionate about assisting people while on their journey toward healing and growth in the face of the challenges they may be currently experiencing and/or past traumas that may be causing distress. I have experience with ages 18-97 and have worked with clients with many different experiences and diagnoses including Anxiety, Depression, PTSD/Trauma, Substance Abuse, Bipolar Disorder, Suicidal Ideation, and more.
(408) 763-4866 View (408) 763-4866
Photo of Christi Bell, Clinical Social Work/Therapist in San Jose, CA
Christi Bell
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95127
Hello! My name is Christi Bell. I am a Licensed Clinical Social Worker and I'm looking forward to working with you! I believe that the best therapy happens in partnership between the therapist and the client. My focus of clinical practice is working with teenagers and adults in the LGBTQIA2S+ community and survivors of trauma. I look forward to getting to know you better! I enjoy working with adolescents and adults up to age 50 who have been diagnosed with depression, anxiety, panic disorder, bipolar disorder, body dysmorphia, and PTSD. I specialize in working with members of the LGBTQIA2S+ community and survivors of trauma.
Hello! My name is Christi Bell. I am a Licensed Clinical Social Worker and I'm looking forward to working with you! I believe that the best therapy happens in partnership between the therapist and the client. My focus of clinical practice is working with teenagers and adults in the LGBTQIA2S+ community and survivors of trauma. I look forward to getting to know you better! I enjoy working with adolescents and adults up to age 50 who have been diagnosed with depression, anxiety, panic disorder, bipolar disorder, body dysmorphia, and PTSD. I specialize in working with members of the LGBTQIA2S+ community and survivors of trauma.
(650) 663-4273 View (650) 663-4273
Photo of Meera Kali Tanikella, Marriage & Family Therapist in San Jose, CA
Meera Kali Tanikella
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95126
Accepting NEW clients! As human beings, we are told that we're broken, flawed, and unworthy. But my lived experience has been absolutely the opposite--we are whole, intentional, and powerful beings. This truth has been clouded by our traumas, histories, and social beliefs. External disapproval, hate, and cultural forces have often been deterrents in my own journey. With support from my community, and finding the strength to heal my traumas, I have been able to find my path--both connected to others but also uniquely mine.
Accepting NEW clients! As human beings, we are told that we're broken, flawed, and unworthy. But my lived experience has been absolutely the opposite--we are whole, intentional, and powerful beings. This truth has been clouded by our traumas, histories, and social beliefs. External disapproval, hate, and cultural forces have often been deterrents in my own journey. With support from my community, and finding the strength to heal my traumas, I have been able to find my path--both connected to others but also uniquely mine.
(650) 675-2603 View (650) 675-2603
Photo of Lauren Consul - Sex And Relationship Therapist, Marriage & Family Therapist in San Jose, CA
Lauren Consul - Sex And Relationship Therapist
Marriage & Family Therapist, LMFT, JD
Verified Verified
13 Endorsed
San Jose, CA 95120  (Online Only)
Are you feeling disconnected from your partner? Are you struggling with sexual intimacy? Are you wondering if you can actually heal from infidelity or past hurts? Are you curious about non-monogamy or expanding your sexual horizons? You’re not alone. You deserve to feel seen and heard in your relationships. You deserve a sex life in alignment with your desires. Navigating the complexities of relationships and sexuality can feel overwhelming, as we carry the weight of past experiences and personal narratives. You don’t have to stay stuck. You can break free from unhelpful patterns and blocks that are holding you back.
Are you feeling disconnected from your partner? Are you struggling with sexual intimacy? Are you wondering if you can actually heal from infidelity or past hurts? Are you curious about non-monogamy or expanding your sexual horizons? You’re not alone. You deserve to feel seen and heard in your relationships. You deserve a sex life in alignment with your desires. Navigating the complexities of relationships and sexuality can feel overwhelming, as we carry the weight of past experiences and personal narratives. You don’t have to stay stuck. You can break free from unhelpful patterns and blocks that are holding you back.
(562) 526-1532 View (562) 526-1532
Photo of Shannon Wilkowski, Marriage & Family Therapist in San Jose, CA
Shannon Wilkowski
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Jose, CA 95128
Congratulations on taking the first step toward feeling better and living a better life! While it can be overwhelming to contemplate trying therapy, with a little time and energy, therapy can make a positive difference in your life. I look forward to meeting you and supporting you in overcoming challenges and making positive changes in your life. Perhaps you are experiencing anxiety, depression, difficulty connecting with others, or you are navigating a life transition. I love to work with parents and children to help create a more peaceful home life.
Congratulations on taking the first step toward feeling better and living a better life! While it can be overwhelming to contemplate trying therapy, with a little time and energy, therapy can make a positive difference in your life. I look forward to meeting you and supporting you in overcoming challenges and making positive changes in your life. Perhaps you are experiencing anxiety, depression, difficulty connecting with others, or you are navigating a life transition. I love to work with parents and children to help create a more peaceful home life.
(408) 351-4118 View (408) 351-4118
Photo of Andrea Ferriera, Marriage & Family Therapist Associate in San Jose, CA
Andrea Ferriera
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
3 Endorsed
San Jose, CA 95117
You know those thoughts that say "I'm not worthy," or "I'm not good enough?" It is time to remember that you are a human first, and that you deserve to have space to feel safe in exploring the most authentic version of yourself and realize that is way more than "not good enough."
You know those thoughts that say "I'm not worthy," or "I'm not good enough?" It is time to remember that you are a human first, and that you deserve to have space to feel safe in exploring the most authentic version of yourself and realize that is way more than "not good enough."
(408) 317-1652 View (408) 317-1652
Photo of Michelle S. Myers, Marriage & Family Therapist in San Jose, CA
Michelle S. Myers
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Jose, CA 95160  (Online Only)
As your therapist, I'm a working partner with you in the pursuit of truth in healing and eliminating debilitating anxiousness and depressive feelings. I will meet you where you are and follow your lead on your goals. The fact that you're seeking support lets me know that you value your life and you have a wealth of strength within. I hope to be a lantern on your path, shining light on places that might be passed over, painful, or forgotten. We will pace ourselves safely on this journey towards self-knowledge and self-acceptance.
As your therapist, I'm a working partner with you in the pursuit of truth in healing and eliminating debilitating anxiousness and depressive feelings. I will meet you where you are and follow your lead on your goals. The fact that you're seeking support lets me know that you value your life and you have a wealth of strength within. I hope to be a lantern on your path, shining light on places that might be passed over, painful, or forgotten. We will pace ourselves safely on this journey towards self-knowledge and self-acceptance.
(408) 681-8648 View (408) 681-8648
Photo of Juana Fulton, Clinical Social Work/Therapist in San Jose, CA
Juana Fulton
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95123
Hi, my name is Juana Fulton, and I am a bilingual (English & Spanish) Licensed Clinical Social Worker (LCSW) in the state of California providing individual therapy sessions via telehealth. I work with young adults, adults, and seniors from diverse identities, backgrounds, and cultures who experience symptoms of depression, anxiety, stress, mood fluctuations, substance use disorder (SUD), difficulties managing relationships, emotions, and life transition events (school, work, parenting, divorce, and loss). I use a variety of theoretical approaches, each suited to the needs and situations presented by the client.
Hi, my name is Juana Fulton, and I am a bilingual (English & Spanish) Licensed Clinical Social Worker (LCSW) in the state of California providing individual therapy sessions via telehealth. I work with young adults, adults, and seniors from diverse identities, backgrounds, and cultures who experience symptoms of depression, anxiety, stress, mood fluctuations, substance use disorder (SUD), difficulties managing relationships, emotions, and life transition events (school, work, parenting, divorce, and loss). I use a variety of theoretical approaches, each suited to the needs and situations presented by the client.
(408) 882-1972 View (408) 882-1972

How does your Therapist compare?

Number of Therapists in San Jose, CA

1,000+

Average cost per session

$180

Therapists in San Jose, CA who prioritize treating:

92% Anxiety
87% Depression
75% Relationship Issues
73% Self Esteem
70% Stress
67% Coping Skills
65% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
72% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Jose, CA see their clients

70% In Person and Online
30% Online Only

Gender breakdown

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

How can I find a therapist in San Jose?

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.