Therapists in San Antonio, TX

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Photo of Kathryn R Campbell, Licensed Professional Counselor in San Antonio, TX
Kathryn R Campbell
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78209
My training as a healer began with my own in-depth psychotherapy. Subsequently, I have worked with adults, teens and kids in the areas of substance and sexual abuse, depression and anxiety, fear and grief. I attended a six months professional training program in DreamTending at Pacifica Graduate Institute where I deepened my understanding of archetypal medicine and indigenous methods of healing through the use of dreams and all that surrounds us in the natural world. My approach is holistic, helping my clients integrate mind, body and spirit.
My training as a healer began with my own in-depth psychotherapy. Subsequently, I have worked with adults, teens and kids in the areas of substance and sexual abuse, depression and anxiety, fear and grief. I attended a six months professional training program in DreamTending at Pacifica Graduate Institute where I deepened my understanding of archetypal medicine and indigenous methods of healing through the use of dreams and all that surrounds us in the natural world. My approach is holistic, helping my clients integrate mind, body and spirit.
(210) 429-8066 View (210) 429-8066
Photo of Michael Owen, Marriage & Family Therapist Associate in San Antonio, TX
Michael Owen
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
San Antonio, TX 78204
manifestwellnesstx.com When people ask you how you’re doing, is the first thing you say, “I’m tired but I’m good” but you know you’re really not. Whether at work or in your home life, when anyone needs help or support of any kind, people rely on you because they know they can count on you. You’ve always prided yourself on being there for the people in your life and putting everyone else first. But lately, you’ve noticed how exhausted you are all the time, how you really need to learn to say no and set some boundaries but you don’t even know where to start. The thought of it makes you feel paralyzed with guilt.
manifestwellnesstx.com When people ask you how you’re doing, is the first thing you say, “I’m tired but I’m good” but you know you’re really not. Whether at work or in your home life, when anyone needs help or support of any kind, people rely on you because they know they can count on you. You’ve always prided yourself on being there for the people in your life and putting everyone else first. But lately, you’ve noticed how exhausted you are all the time, how you really need to learn to say no and set some boundaries but you don’t even know where to start. The thought of it makes you feel paralyzed with guilt.
(210) 871-1172 View (210) 871-1172
Photo of Trina Bolden, Licensed Professional Counselor in San Antonio, TX
Trina Bolden
Licensed Professional Counselor, MA, LPC , LCDC
Verified Verified
1 Endorsed
San Antonio, TX 78253
With an understanding that you can't do it on your own, you’ve decided to seek help. If the weight of anxiety, grief or health concerns are becoming too much, I'd like to work with you to help you become your best self. If you are beginning to feel overwhelmed with life's challenges and don't know where to start, perhaps we can partner to develop personalized goals that meet your needs.
With an understanding that you can't do it on your own, you’ve decided to seek help. If the weight of anxiety, grief or health concerns are becoming too much, I'd like to work with you to help you become your best self. If you are beginning to feel overwhelmed with life's challenges and don't know where to start, perhaps we can partner to develop personalized goals that meet your needs.
(210) 405-6911 View (210) 405-6911
Photo of Rhonda Katan in San Antonio, TX
Rhonda Katan
RN, FMP, BCBC, CLC, Lic Min
Verified Verified
San Antonio, TX 78254
I completed the following degrees, licenses, & certifications to provide comprehensive care for clients: Registered Nurse, Functional Medicine Practitioner, Board-Certified Faith-Based Therapist, Psychology Graduate, Licensed Minister, & Certified Life/Wellness Coach. I am fundamentally motivated to lead others to overcome challenges & odds as I serve them by offering advice, education, treatment & emotional support helping to make an impact that produces positive substantial changes in their lives. In addition, I utilize labs and licensed pharmaceutical-grade nutraceuticals to help my clients achieve better health.
I completed the following degrees, licenses, & certifications to provide comprehensive care for clients: Registered Nurse, Functional Medicine Practitioner, Board-Certified Faith-Based Therapist, Psychology Graduate, Licensed Minister, & Certified Life/Wellness Coach. I am fundamentally motivated to lead others to overcome challenges & odds as I serve them by offering advice, education, treatment & emotional support helping to make an impact that produces positive substantial changes in their lives. In addition, I utilize labs and licensed pharmaceutical-grade nutraceuticals to help my clients achieve better health.
(210) 796-2644 View (210) 796-2644
Photo of Steff Brand, Licensed Professional Counselor in San Antonio, TX
Steff Brand
Licensed Professional Counselor, MS, LPC, NCC, CCATP
Verified Verified
2 Endorsed
San Antonio, TX 78209
As a counselor, I believe in empathy and open-minded approaches that are receptive to situational changes. I strive to demonstrate unconditional positive regard for all of humankind, so clients can have the space they need to write the next chapter of their story, regardless of how messy it started. I believe individuals best overcome negative changes through the support of secondary sources, and people need both intrinsic and extrinsic motivation to thrive.
As a counselor, I believe in empathy and open-minded approaches that are receptive to situational changes. I strive to demonstrate unconditional positive regard for all of humankind, so clients can have the space they need to write the next chapter of their story, regardless of how messy it started. I believe individuals best overcome negative changes through the support of secondary sources, and people need both intrinsic and extrinsic motivation to thrive.
(281) 502-8995 View (281) 502-8995
Photo of Dr. Rachelle Morales, Licensed Professional Counselor in San Antonio, TX
Dr. Rachelle Morales
Licensed Professional Counselor, PhD, LPC, EMDR-C
Verified Verified
2 Endorsed
San Antonio, TX 78216  (Online Only)
Life can be difficult in many ways. Perhaps you are changing jobs, entering a new life stage, or making a life altering transition. Or maybe you are struggling more with day to day challenges, such as stress, anxiety, or even depression. When it comes to life, there is no clear straight path to take, it is full of ups, downs, twists, and turns. Whatever you may be struggling with, let's work together to help you get to where you would like to be in life. While we can't change the past, we can learn to understand it and grow from it!
Life can be difficult in many ways. Perhaps you are changing jobs, entering a new life stage, or making a life altering transition. Or maybe you are struggling more with day to day challenges, such as stress, anxiety, or even depression. When it comes to life, there is no clear straight path to take, it is full of ups, downs, twists, and turns. Whatever you may be struggling with, let's work together to help you get to where you would like to be in life. While we can't change the past, we can learn to understand it and grow from it!
(210) 879-9918 View (210) 879-9918
Photo of Deborah M Daily, Licensed Professional Counselor in San Antonio, TX
Deborah M Daily
Licensed Professional Counselor, MEd, LPC, EMDR
Verified Verified
3 Endorsed
San Antonio, TX 78213
In order to build a mutually cooperative relationship, I develop a safe environment that is supportive, trustworthy, and accepting. I will help you envision a future where today's problems seem manageable, using your personal strengths and experiences to bring about reasonable and realistic outcomes. I believe that individuals have the potential to create solutions suited for them. I will assist you in seeing what may not be working for you, what practices to do more of, as well as celebrate your successes. I will also encourage you to experiment with new approaches to problems and entertain new possibilities for your life.
In order to build a mutually cooperative relationship, I develop a safe environment that is supportive, trustworthy, and accepting. I will help you envision a future where today's problems seem manageable, using your personal strengths and experiences to bring about reasonable and realistic outcomes. I believe that individuals have the potential to create solutions suited for them. I will assist you in seeing what may not be working for you, what practices to do more of, as well as celebrate your successes. I will also encourage you to experiment with new approaches to problems and entertain new possibilities for your life.
(210) 741-8521 View (210) 741-8521
Photo of Shakiya Gadson in San Antonio, TX
Shakiya Gadson
MS
Verified Verified
San Antonio, TX 78255
I am solution-based coach. My clients are finding their voices, establish safe boundaries, effectively communicating their wants and desires, while learning to read and handle situations or relationships impacted by shame, guilty, trauma, religious/ social conflicts, health restrictions, aging, confusion, misinformation, and mental health hurdles. Seeing beyond the mask is my “Super Power”. It helps people to feel seen, safe and supported.
I am solution-based coach. My clients are finding their voices, establish safe boundaries, effectively communicating their wants and desires, while learning to read and handle situations or relationships impacted by shame, guilty, trauma, religious/ social conflicts, health restrictions, aging, confusion, misinformation, and mental health hurdles. Seeing beyond the mask is my “Super Power”. It helps people to feel seen, safe and supported.
(210) 796-6645 View (210) 796-6645
Photo of Jan Braun, Licensed Professional Counselor in San Antonio, TX
Jan Braun
Licensed Professional Counselor, MS, LPC, SEP
Verified Verified
San Antonio, TX 78209
Somatic Experiencing Practitioner. Are you feeling stuck and anxious? Need some extra support to get through a transition? Perhaps you've had a difficult experience you need help to overcome? My first objective is to offer you a safe, supportive space in which you can feel free to explore, grow and heal. By honoring your direct experience we can begin to alter the habitual reactions, limitations, and outdated stories that may prevent you from feeling the full richness of life. Engaging your moment to moment experience may help you to develop a deeper appreciation of who you are and move you toward a more vibrant life.
Somatic Experiencing Practitioner. Are you feeling stuck and anxious? Need some extra support to get through a transition? Perhaps you've had a difficult experience you need help to overcome? My first objective is to offer you a safe, supportive space in which you can feel free to explore, grow and heal. By honoring your direct experience we can begin to alter the habitual reactions, limitations, and outdated stories that may prevent you from feeling the full richness of life. Engaging your moment to moment experience may help you to develop a deeper appreciation of who you are and move you toward a more vibrant life.
(210) 741-9546 View (210) 741-9546
Photo of Erica Edmonds, Licensed Professional Counselor in San Antonio, TX
Erica Edmonds
Licensed Professional Counselor, MA, LPC, RPT
Verified Verified
San Antonio, TX 78247
There are moments in life when you feel stuck making life altering decisions, you are emotionally drained due to previous or present experiences, you worry about the future, or you feel grief due to a loss. It is these moments, and all in between, that create the pathways of your life. The realizations, epiphanies, or catalysts for change are often times not visible through a black and white perspective because of the intricacies of ourselves and our relation to others. This is a place where you are able to be vulnerable with yourself, enhance your strengths, continue your road of resilience, and discuss all that lies in gray.
There are moments in life when you feel stuck making life altering decisions, you are emotionally drained due to previous or present experiences, you worry about the future, or you feel grief due to a loss. It is these moments, and all in between, that create the pathways of your life. The realizations, epiphanies, or catalysts for change are often times not visible through a black and white perspective because of the intricacies of ourselves and our relation to others. This is a place where you are able to be vulnerable with yourself, enhance your strengths, continue your road of resilience, and discuss all that lies in gray.
(210) 941-1825 View (210) 941-1825
Photo of Terri Lee Stowe, Licensed Professional Counselor in San Antonio, TX
Terri Lee Stowe
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78240
Life can be messy and leave you stuck in your feelings of anxiety, shame or depression. You may feel like you are drowning in your emotions and feelings, while having thoughts that are hard to handle alone. Maybe you have been isolating, acting out or making bad choices, leaving your parents, friends, and teachers struggling with how to help you. You might find yourself shutting down out of frustration when everyone around you just doesn't seem to get it.
Life can be messy and leave you stuck in your feelings of anxiety, shame or depression. You may feel like you are drowning in your emotions and feelings, while having thoughts that are hard to handle alone. Maybe you have been isolating, acting out or making bad choices, leaving your parents, friends, and teachers struggling with how to help you. You might find yourself shutting down out of frustration when everyone around you just doesn't seem to get it.
(210) 236-0708 View (210) 236-0708
Photo of Tiffany Ford, Licensed Professional Counselor in San Antonio, TX
Tiffany Ford
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78258  (Online Only)
Not accepting new clients
Do you have trouble just getting out of bed? Is it a challenge to fall asleep? Are you feeling tired, unmotivated or directionless? Have you been avoiding people or activities that once brought you joy? Imagine if you didn’t have to feel this way. It can be a challenge, but people do find their joy again. I offer effective counseling using a combination of techniques derived from Humanistic and Cognitive Behavior Therapy (CBT) approaches. I help you explore how your worldview affects the choices you make, especially choices that cause distress.
Do you have trouble just getting out of bed? Is it a challenge to fall asleep? Are you feeling tired, unmotivated or directionless? Have you been avoiding people or activities that once brought you joy? Imagine if you didn’t have to feel this way. It can be a challenge, but people do find their joy again. I offer effective counseling using a combination of techniques derived from Humanistic and Cognitive Behavior Therapy (CBT) approaches. I help you explore how your worldview affects the choices you make, especially choices that cause distress.
(210) 880-3498 View (210) 880-3498
Photo of Rehab Therapy Resources, Inc., Psychologist in San Antonio, TX
Rehab Therapy Resources, Inc.
Psychologist, PhD
Verified Verified
San Antonio, TX 78240
We provide supportive psychotherapy for patients with a serious illness or injury, who now live with chronic pain and impairment. It is not unusual to experience problems with stress, depression, and anxiety after a medical crisis, and to become isolated from the flow of life. You will be given an individual therapist to support you and help you learn about the specific skills, attitudes, and behaviors that help you slowly but steadily "push back" and regain quality of life.
We provide supportive psychotherapy for patients with a serious illness or injury, who now live with chronic pain and impairment. It is not unusual to experience problems with stress, depression, and anxiety after a medical crisis, and to become isolated from the flow of life. You will be given an individual therapist to support you and help you learn about the specific skills, attitudes, and behaviors that help you slowly but steadily "push back" and regain quality of life.
(210) 672-1246 View (210) 672-1246
Photo of Amy Mikulski, Clinical Social Work/Therapist in San Antonio, TX
Amy Mikulski
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78245
Life can be overwhelming at times. Let's figure this out together with kindness and care. I am an anti-diet, intersectional, and trauma-informed social worker that uses an eclectic approach to support your goals, challenge unhelpful patterns, and empower you to be your own therapist and biggest support. I will commit to your experience and my own deconstruction in our work together. I have experience working with children in foster care, families, and individuals from age 2 to 82. I specialize in the treatment of eating disorders, OCD and anxiety disorders, and grief. Grateful to be part of your growth journey!
Life can be overwhelming at times. Let's figure this out together with kindness and care. I am an anti-diet, intersectional, and trauma-informed social worker that uses an eclectic approach to support your goals, challenge unhelpful patterns, and empower you to be your own therapist and biggest support. I will commit to your experience and my own deconstruction in our work together. I have experience working with children in foster care, families, and individuals from age 2 to 82. I specialize in the treatment of eating disorders, OCD and anxiety disorders, and grief. Grateful to be part of your growth journey!
(210) 741-9317 View (210) 741-9317
Photo of Brooke Gilliland, Licensed Professional Counselor in San Antonio, TX
Brooke Gilliland
Licensed Professional Counselor, MA, LPC, RPT, NCC
Verified Verified
San Antonio, TX 78258
Waitlist for new clients
You may be nervous just thinking about starting the therapy process. So here's a little bit about how I do therapy. I specialize in Christian counseling and play therapy, as well as using expressive/sandtray therapy in sessions. What does this mean? It means that I believe it's super helpful to use many things within the therapy context. The image of sitting on a couch talking is not the only way counseling services are provided. Therapy can include using your faith to understand how to do things differently. It can also include using forms of creativity (art, sandtray) to identify points of being stuck and find new ways to heal!
You may be nervous just thinking about starting the therapy process. So here's a little bit about how I do therapy. I specialize in Christian counseling and play therapy, as well as using expressive/sandtray therapy in sessions. What does this mean? It means that I believe it's super helpful to use many things within the therapy context. The image of sitting on a couch talking is not the only way counseling services are provided. Therapy can include using your faith to understand how to do things differently. It can also include using forms of creativity (art, sandtray) to identify points of being stuck and find new ways to heal!
(210) 791-9378 View (210) 791-9378
Photo of Matthew Litaker, Licensed Professional Counselor in San Antonio, TX
Matthew Litaker
Licensed Professional Counselor, MA, LPC-S
Verified Verified
San Antonio, TX 78232
I am offering supervision to LPC-Associates. Please text to set up a consultation so you and I can discuss details. I am not accepting any therapy clients, only supervision.
I am offering supervision to LPC-Associates. Please text to set up a consultation so you and I can discuss details. I am not accepting any therapy clients, only supervision.
(254) 736-6932 View (254) 736-6932
Photo of Belen Anchondo, Redefine Counseling Services PLLC, Licensed Professional Counselor in San Antonio, TX
Belen Anchondo, Redefine Counseling Services PLLC
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
2 Endorsed
San Antonio, TX 78258  (Online Only)
Are you looking for a change but feel stuck? Maybe you're looking to break certain patterns or need guidance on how to cope with stress, anxiety, or depression. Perhaps you have reached a point in your life where you have lost your identity, and need help connecting back to yourself. I am passionate about helping people create a more fulfilling life. A life where they can feel like themselves again.
Are you looking for a change but feel stuck? Maybe you're looking to break certain patterns or need guidance on how to cope with stress, anxiety, or depression. Perhaps you have reached a point in your life where you have lost your identity, and need help connecting back to yourself. I am passionate about helping people create a more fulfilling life. A life where they can feel like themselves again.
(210) 569-0347 View (210) 569-0347
Photo of Jessica Rutowski, Licensed Professional Counselor Associate in San Antonio, TX
Jessica Rutowski
Licensed Professional Counselor Associate, MA, LPCA
Verified Verified
1 Endorsed
San Antonio, TX 78201  (Online Only)
I work with clients with diverse backgrounds and a wide range of mental health conditions. Some of these include, schizophrenia, anxiety, depression, and addiction. Additionally, I have worked with individuals facing homelessness, multicultural backgrounds, experiencing prejudice, and supported LGBT+ individuals.
I work with clients with diverse backgrounds and a wide range of mental health conditions. Some of these include, schizophrenia, anxiety, depression, and addiction. Additionally, I have worked with individuals facing homelessness, multicultural backgrounds, experiencing prejudice, and supported LGBT+ individuals.
(726) 336-2696 View (726) 336-2696
Photo of Abigail G. Csengery, LPC Associate in San Antonio, TX
Abigail G. Csengery
LPC Associate, MA
Verified Verified
2 Endorsed
San Antonio, TX 78257
Hi my name is Abby and I appreciate you considering me as your future mental health counselor. I currently work at Elite Performance Counseling, supervised by Tritia Finley Ph.D., LPC-S, NCC. I am passionate about working with athletes and high performing individuals. I have a background of playing and coaching at the collegiate level for 7 years. If you are feeling anxiety, burnout, stress, anger, low self-esteem, or any other feelings that can be associated with being an athlete or a high performer then I am here to help. My goal is to assist you to become mentally tough, watch you grow and become the best version of yourself.
Hi my name is Abby and I appreciate you considering me as your future mental health counselor. I currently work at Elite Performance Counseling, supervised by Tritia Finley Ph.D., LPC-S, NCC. I am passionate about working with athletes and high performing individuals. I have a background of playing and coaching at the collegiate level for 7 years. If you are feeling anxiety, burnout, stress, anger, low self-esteem, or any other feelings that can be associated with being an athlete or a high performer then I am here to help. My goal is to assist you to become mentally tough, watch you grow and become the best version of yourself.
(830) 742-0398 View (830) 742-0398
Photo of Healing Intimacies, Licensed Professional Counselor in San Antonio, TX
Healing Intimacies
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78216  (Online Only)
Life can be downright sh%tty sometimes. Perhaps there are increasing demands from work, caregiving roles, or relationship turmoil that have you feeling weighed down & exhausted. These dilemmas may seem impossible to overcome while juggling your responsibilities, but the truth is, avoiding your needs and feelings by running on autopilot will never lead to fulfillment in your professional, personal, or romantic relationships.
Life can be downright sh%tty sometimes. Perhaps there are increasing demands from work, caregiving roles, or relationship turmoil that have you feeling weighed down & exhausted. These dilemmas may seem impossible to overcome while juggling your responsibilities, but the truth is, avoiding your needs and feelings by running on autopilot will never lead to fulfillment in your professional, personal, or romantic relationships.
(726) 224-7872 View (726) 224-7872

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

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

Average years in practice

10 Years

Top 3 insurances accepted

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

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

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

How can I find a therapist in San Antonio?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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