Therapists in San Diego, CA

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Photo of Jeanne Serra, Marriage & Family Therapist in San Diego, CA
Jeanne Serra
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92115  (Online Only)
You are exhausted. You recognize there is a problem, but don't know how to solve it. You are caught in the cycle of overwhelm. If you continue down this road all you will find is powerlessness and hopelessness. You don't have to stay trapped. My focus is to empower you to take back control of your life & become the best version of yourself. I provide relief to adults in California and Texas experiencing anxiety and overwhelm through a relationally based approach. I use my empathic style to connect to the suffering of my clients and help them move through this to a place of healing.
You are exhausted. You recognize there is a problem, but don't know how to solve it. You are caught in the cycle of overwhelm. If you continue down this road all you will find is powerlessness and hopelessness. You don't have to stay trapped. My focus is to empower you to take back control of your life & become the best version of yourself. I provide relief to adults in California and Texas experiencing anxiety and overwhelm through a relationally based approach. I use my empathic style to connect to the suffering of my clients and help them move through this to a place of healing.
(619) 356-2563 View (619) 356-2563
Photo of Brittany Connor, Clinical Social Work/Therapist in San Diego, CA
Brittany Connor
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Diego, CA 92123  (Online Only)
Are you feeling lost, stuck, or overwhelmed? Our various experiences can have an impact on this; from day to day stressors to trauma, our emotions can become difficult to manage, resulting in difficulty in our lives, including in our relationships, in managing emotions, in our thoughts, in our goals, and in our responsibilities.
Are you feeling lost, stuck, or overwhelmed? Our various experiences can have an impact on this; from day to day stressors to trauma, our emotions can become difficult to manage, resulting in difficulty in our lives, including in our relationships, in managing emotions, in our thoughts, in our goals, and in our responsibilities.
(858) 946-4389 View (858) 946-4389
Photo of Sarah Mace, Clinical Social Work/Therapist in San Diego, CA
Sarah Mace
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Diego, CA 92102  (Online Only)
Whether you're adjusting to grief and loss, a major change in your life or healing from trauma, I can support you in breaking cycles that are keeping you stuck. I've worked with patients from different backgrounds and have seen that we can not only heal trauma, but THRIVE after it. Post traumatic growth is achievable through therapy and gaining healthy coping skills. Together we can look at things like family of origin and life history patterns that may be impeding your happiness and growth. I offer a warm, safe space for you to process what needs to be resolved and help you learn new ways to cope.
Whether you're adjusting to grief and loss, a major change in your life or healing from trauma, I can support you in breaking cycles that are keeping you stuck. I've worked with patients from different backgrounds and have seen that we can not only heal trauma, but THRIVE after it. Post traumatic growth is achievable through therapy and gaining healthy coping skills. Together we can look at things like family of origin and life history patterns that may be impeding your happiness and growth. I offer a warm, safe space for you to process what needs to be resolved and help you learn new ways to cope.
(619) 658-7081 View (619) 658-7081
Photo of Silver Lake Psychology, Psychologist in San Diego, CA
Silver Lake Psychology
Psychologist, PsyD
Verified Verified
San Diego, CA 92101  (Online Only)
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(619) 292-0387 View (619) 292-0387
Photo of Diane Lass, Psychologist in San Diego, CA
Diane Lass
Psychologist, PhD
Verified Verified
San Diego, CA 92107
I am a Licensed Clinical Psychologist located in the Ocean Beach and Palm Desert area. I provide individual and couples therapy as well as empowerment support groups. My approach is non-judgmental and compassionate. I believe we can all use support at various times throughout our lives. Change can be difficult. Even positive changes can bring about uncertainties. My focus is on the whole person: mind, body and spirit.
I am a Licensed Clinical Psychologist located in the Ocean Beach and Palm Desert area. I provide individual and couples therapy as well as empowerment support groups. My approach is non-judgmental and compassionate. I believe we can all use support at various times throughout our lives. Change can be difficult. Even positive changes can bring about uncertainties. My focus is on the whole person: mind, body and spirit.
(619) 493-4402 View (619) 493-4402
Photo of Courtney Moore, Clinical Social Work/Therapist in San Diego, CA
Courtney Moore
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
San Diego, CA 92120
Courtney Moore is a Licensed Clinical Social Worker in California with more than three years of experience. She holds a Master of Social Work from the University of Southern California. Courtney believes in a treatment philosophy that is client-centered, biopsychosocial-spiritual, person in environment, and includes holistic healing. In her free time, Courtney enjoys yoga, hiking, the beach, tennis, traveling, and meditation.
Courtney Moore is a Licensed Clinical Social Worker in California with more than three years of experience. She holds a Master of Social Work from the University of Southern California. Courtney believes in a treatment philosophy that is client-centered, biopsychosocial-spiritual, person in environment, and includes holistic healing. In her free time, Courtney enjoys yoga, hiking, the beach, tennis, traveling, and meditation.
(858) 463-3611 View (858) 463-3611
Photo of Myles Childs, Marriage & Family Therapist in San Diego, CA
Myles Childs
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92123
Waitlist for new clients
Reaching out for help? In a time of need, it can be overwhelming. I want to commend you for acknowledging that you would like some support. Through individual, couple, family, group, and other relational therapy, I provide emotional and mental support to help my clients gain, regain, and maintain a healthy life. As a therapist of color, I'm intentional about creating a safe space where diversity and cultural differences are respected and valued. I'm passionate about my clients’ wellness and aim to provide clients with space and time to be their most authentic and unapologetic selves without fear of judgment.
Reaching out for help? In a time of need, it can be overwhelming. I want to commend you for acknowledging that you would like some support. Through individual, couple, family, group, and other relational therapy, I provide emotional and mental support to help my clients gain, regain, and maintain a healthy life. As a therapist of color, I'm intentional about creating a safe space where diversity and cultural differences are respected and valued. I'm passionate about my clients’ wellness and aim to provide clients with space and time to be their most authentic and unapologetic selves without fear of judgment.
(858) 758-8038 View (858) 758-8038
Photo of Briana Perez, Clinical Social Work/Therapist in San Diego, CA
Briana Perez
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92101  (Online Only)
I believe in getting to know my clients, building a relationship with them and earning their trust through the therapeutic process. I understand that everyone's healing journey is the not the same and I want to be able to meet clients where they are in their journey. I strive to provide my clients with a safe space to assist them with processing traumas, identifying triggers, and most importantly different techniques/interventions for coping in order to have a life worth living.
I believe in getting to know my clients, building a relationship with them and earning their trust through the therapeutic process. I understand that everyone's healing journey is the not the same and I want to be able to meet clients where they are in their journey. I strive to provide my clients with a safe space to assist them with processing traumas, identifying triggers, and most importantly different techniques/interventions for coping in order to have a life worth living.
(510) 257-9486 View (510) 257-9486
Photo of Mártir Therapy – Helping Families, Couples, Adults, Marriage & Family Therapist in San Diego, CA
Mártir Therapy – Helping Families, Couples, Adults
Marriage & Family Therapist, MS, LMFT, AAMFT, 98858
Verified Verified
1 Endorsed
San Diego, CA 92101
Are you or your family having a difficult time? Have you been affected by sexual assault or community- level violence? Are you feeling stuck, overwhelmed, or unable to move forward in your life or your relationships? Anxiety, marital problems, family conflict, relationship difficulties, depression, and other emotional challenges can be the result of abuse or violence that you or your family experienced. In therapy, we will build towards empowerment, meaning, and identity so that you can achieve your goals. You can function better at work and at home. Contact me via phone, text, or email. I am looking forward to helping!
Are you or your family having a difficult time? Have you been affected by sexual assault or community- level violence? Are you feeling stuck, overwhelmed, or unable to move forward in your life or your relationships? Anxiety, marital problems, family conflict, relationship difficulties, depression, and other emotional challenges can be the result of abuse or violence that you or your family experienced. In therapy, we will build towards empowerment, meaning, and identity so that you can achieve your goals. You can function better at work and at home. Contact me via phone, text, or email. I am looking forward to helping!
(858) 751-4392 View (858) 751-4392
Photo of Blooming Behavior Services in San Diego, CA
Blooming Behavior Services
Michelle Felix, MEd , BCBA
Verified Verified
2 Endorsed
San Diego, CA 92103
Was your child recently diagnosed with Autism, at risk for Autism, intellectual, developmental, neurological disability, and/or has comorbidity diagnosis? Do they have difficulty completing daily life skills, in school, or making friends? If so we would love to help you and your family by creating tailored treatment goals that have lasting change.
Was your child recently diagnosed with Autism, at risk for Autism, intellectual, developmental, neurological disability, and/or has comorbidity diagnosis? Do they have difficulty completing daily life skills, in school, or making friends? If so we would love to help you and your family by creating tailored treatment goals that have lasting change.
(858) 244-9320 View (858) 244-9320
Angela Copeland
Psychologist, PsyD
Verified Verified
San Diego, CA 92108
Working in the field of psychology for over 25 years, I’ve gained both professional and life experience. My specialties include both couple and individual therapy. I was born and raised in Palm Springs. In the past 20+ years, I’ve also become established in San Diego from Los Angeles where I completed my schooling, training and early career. I began as a social worker with in-home foster care, expanding to mental health therapy for children and family systems. Treating individuals struggling with trauma, anxiety, and depression has developed into deeper work with couples improving communication and security in their relationships.
Working in the field of psychology for over 25 years, I’ve gained both professional and life experience. My specialties include both couple and individual therapy. I was born and raised in Palm Springs. In the past 20+ years, I’ve also become established in San Diego from Los Angeles where I completed my schooling, training and early career. I began as a social worker with in-home foster care, expanding to mental health therapy for children and family systems. Treating individuals struggling with trauma, anxiety, and depression has developed into deeper work with couples improving communication and security in their relationships.
(619) 648-2790 View (619) 648-2790
Photo of Immigrant Therapist - Asuka Garcia, Clinical Social Work/Therapist in San Diego, CA
Immigrant Therapist - Asuka Garcia
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92111  (Online Only)
Hello! I’m Asuka and I am here to help you create the life that you’ve always wanted for yourself. Living in a foreign country as a first-generation immigrant is both thrilling and daunting. The pressure to navigate a life without familiar guidance in a new setting can lead to feelings of frustration, challenge, and isolation. Whether you've been in the US for a short while or longer, the sense of not fully belonging can linger and impact your quality of life. Discovering your true identity, navigating challenges by yourself, and honoring your cultural roots in a foreign land is a perpetual voyage.
Hello! I’m Asuka and I am here to help you create the life that you’ve always wanted for yourself. Living in a foreign country as a first-generation immigrant is both thrilling and daunting. The pressure to navigate a life without familiar guidance in a new setting can lead to feelings of frustration, challenge, and isolation. Whether you've been in the US for a short while or longer, the sense of not fully belonging can linger and impact your quality of life. Discovering your true identity, navigating challenges by yourself, and honoring your cultural roots in a foreign land is a perpetual voyage.
(619) 314-5169 View (619) 314-5169
Photo of Sarah Cook Ruggera, LMFT, Marriage & Family Therapist in San Diego, CA
Sarah Cook Ruggera, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92121
Do You Find It Impossible To Communicate Without Fighting? Have You Thought, Said Or Heard, "I Love You, But I'm Not In Love With You Anymore?" Has An Affair Already Happened? Need Help In Making A Decision? Helping People Who Ask The Question.... "Should I Stay or Should I Go?" Do you lie awake at night thinking about whether or not you should stay in your relationship? Do thoughts go through your mind over and over again worrying that leaving would hurt someone you care about and you could end up alone if you did?
Do You Find It Impossible To Communicate Without Fighting? Have You Thought, Said Or Heard, "I Love You, But I'm Not In Love With You Anymore?" Has An Affair Already Happened? Need Help In Making A Decision? Helping People Who Ask The Question.... "Should I Stay or Should I Go?" Do you lie awake at night thinking about whether or not you should stay in your relationship? Do thoughts go through your mind over and over again worrying that leaving would hurt someone you care about and you could end up alone if you did?
(858) 735-1139 View (858) 735-1139
Photo of Julia Rosengren, Psychologist in San Diego, CA
Julia Rosengren
Psychologist, PsyD
Verified Verified
15 Endorsed
San Diego, CA 92117
I specialize in addiction/dual diagnosis, but treat various mental health problems as well (depression, anxiety, relationship problems, etc.). I utilize Cognitive Behavioral Therapy and a psychodynamic approach, but I alter treatment depending on your needs. Feeling stagnant as well as drug and alcohol concerns are often a result of deeper struggles such as depression, anxiety, self-esteem, trauma, and obstacles in your daily life. If you are feeling stuck and are grappling with how to move forward I can help guide you through it. *Please say your name when prompted when you call, otherwise your call will not go through.*
I specialize in addiction/dual diagnosis, but treat various mental health problems as well (depression, anxiety, relationship problems, etc.). I utilize Cognitive Behavioral Therapy and a psychodynamic approach, but I alter treatment depending on your needs. Feeling stagnant as well as drug and alcohol concerns are often a result of deeper struggles such as depression, anxiety, self-esteem, trauma, and obstacles in your daily life. If you are feeling stuck and are grappling with how to move forward I can help guide you through it. *Please say your name when prompted when you call, otherwise your call will not go through.*
(858) 609-8405 View (858) 609-8405
Photo of Nevena Assenova, Clinical Social Work/Therapist in San Diego, CA
Nevena Assenova
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Diego, CA 92110  (Online Only)
Are life’s burdens wearing you down? Are you a young adult struggling to find your way? Do you find yourself missing a sense of purpose? When you get stuck on a difficult chapter in your life, hope can be tough to come by. If you are considering therapy, you have good reason to be hopeful. By coming face to face with your depression, burnout, or anxiety, you can tap into your inner strength and wisdom. As your therapist, my job is to walk alongside you while we help you face and remove the obstacles in your way as you begin writing the next chapter in your life.
Are life’s burdens wearing you down? Are you a young adult struggling to find your way? Do you find yourself missing a sense of purpose? When you get stuck on a difficult chapter in your life, hope can be tough to come by. If you are considering therapy, you have good reason to be hopeful. By coming face to face with your depression, burnout, or anxiety, you can tap into your inner strength and wisdom. As your therapist, my job is to walk alongside you while we help you face and remove the obstacles in your way as you begin writing the next chapter in your life.
(619) 393-5905 View (619) 393-5905
Photo of Talia Morrison, Marriage & Family Therapist in San Diego, CA
Talia Morrison
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92123
It’s true that change starts with the choice to seek support - and here you are! Let’s take the next step together. I am a licensed Marriage and Family Therapist with extensive private practice and non-profit experience working with youth, couples, and families who have experienced relationship challenges, trauma, grief and loss, caring for family members with mental health or developmental and intellectual disabilities, as well as addiction and recovery from substance use disorders.
It’s true that change starts with the choice to seek support - and here you are! Let’s take the next step together. I am a licensed Marriage and Family Therapist with extensive private practice and non-profit experience working with youth, couples, and families who have experienced relationship challenges, trauma, grief and loss, caring for family members with mental health or developmental and intellectual disabilities, as well as addiction and recovery from substance use disorders.
(562) 632-5416 View (562) 632-5416
Photo of Teena Barbre, Marriage & Family Therapist in San Diego, CA
Teena Barbre
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92101  (Online Only)
I have been licensed and practicing for 18 years and use an integrated approach for each person. Some of my experience includes; in-patient psychiatric facilities, private practice, court-ordered child custody evaluations, County employment working with substance use disorders, and in jail settings.
I have been licensed and practicing for 18 years and use an integrated approach for each person. Some of my experience includes; in-patient psychiatric facilities, private practice, court-ordered child custody evaluations, County employment working with substance use disorders, and in jail settings.
(510) 680-2447 View (510) 680-2447
Photo of Valerie Jennison, Marriage & Family Therapist Associate in San Diego, CA
Valerie Jennison
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Diego, CA 92127  (Online Only)
Do you feel stuck, hopeless, alone? Are you ready to move forward to a happier and more fulfilling life? I believe that with support, growth and change can happen naturally and gradually, and we can evolve into healthier and happier versions of ourselves. My areas of specialty focus on adults and adolescents struggling with substance use, mood disorders, personality disorders, grief and loss, and a variety of other challenges and life transitions. I use Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Mindfulness techniques to aid in therapy.
Do you feel stuck, hopeless, alone? Are you ready to move forward to a happier and more fulfilling life? I believe that with support, growth and change can happen naturally and gradually, and we can evolve into healthier and happier versions of ourselves. My areas of specialty focus on adults and adolescents struggling with substance use, mood disorders, personality disorders, grief and loss, and a variety of other challenges and life transitions. I use Dialectical Behavior Therapy, Cognitive Behavioral Therapy, and Mindfulness techniques to aid in therapy.
(858) 879-3029 View (858) 879-3029
Photo of Jeannette M. Gilmore, Marriage & Family Therapist in San Diego, CA
Jeannette M. Gilmore
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92117  (Online Only)
Are you experiencing emotional and physical problems that seem unmanageable? Life can be challenging when you've endured mental and physical stressors. Know that you are not alone. Together we will create the step-by-step tools needed to heal yourself and take back your life. My holistic nontraditional treatment will get you there. And it works faster than conventional counseling. Without judgment and through empathy you can process life events that are overwhelming. In our journey together my goal is that you will learn how to develop a more peaceful and fulfilling life and create a deeper connection to your genuine self.
Are you experiencing emotional and physical problems that seem unmanageable? Life can be challenging when you've endured mental and physical stressors. Know that you are not alone. Together we will create the step-by-step tools needed to heal yourself and take back your life. My holistic nontraditional treatment will get you there. And it works faster than conventional counseling. Without judgment and through empathy you can process life events that are overwhelming. In our journey together my goal is that you will learn how to develop a more peaceful and fulfilling life and create a deeper connection to your genuine self.
(858) 408-6549 View (858) 408-6549
Photo of Gabriela Quintero, Marriage & Family Therapist in San Diego, CA
Gabriela Quintero
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92108  (Online Only)
I work with clients that have a wide range of mental health challenges including, anxiety, depression, trauma, self-esteem, grief, and relational problems. I enjoy working with diverse populations to address intersectional concepts that impact mental health. I take pleasure in working with young adults, and adults. I believe people deserve to be happy and successful and I strive to help find the strength and motivation to work towards that happiness and success.
I work with clients that have a wide range of mental health challenges including, anxiety, depression, trauma, self-esteem, grief, and relational problems. I enjoy working with diverse populations to address intersectional concepts that impact mental health. I take pleasure in working with young adults, and adults. I believe people deserve to be happy and successful and I strive to help find the strength and motivation to work towards that happiness and success.
(858) 519-8002 View (858) 519-8002

How does your Therapist compare?

Number of Therapists in San Diego, CA

3,000+

Average cost per session

$160

Therapists in San Diego, CA who prioritize treating:

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

Average years in practice

12 Years

Top 3 insurances accepted

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

How Therapists in San Diego, CA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in San Diego?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.