Therapists in San Antonio, TX

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Photo of Brenda Martinez Counseling Services, Licensed Professional Counselor in San Antonio, TX
Brenda Martinez Counseling Services
Licensed Professional Counselor, MA, LPC-S, LSOTP
Verified Verified
San Antonio, TX 78209
I have always been interested in the effects of trauma on one's life. Trauma has many effects that most don't consider. I have learned how to assist people in creating a loved life in spite of any trauma they have experienced.
I have always been interested in the effects of trauma on one's life. Trauma has many effects that most don't consider. I have learned how to assist people in creating a loved life in spite of any trauma they have experienced.
(210) 585-2616 View (210) 585-2616
Photo of Ashleigh Fellows, Psychologist in San Antonio, TX
Ashleigh Fellows
Psychologist, PsyD
Verified Verified
San Antonio, TX 78230  (Online Only)
I view clients as experts of their own experience and it is my role to provide support and facilitate growth. Therapy is a collaborative process in which we work together to identify existing strengths as well as learn new skills to help you effectively cope with life’s inevitable challenges. I work with concerns such as self-esteem, relationships, social skills, assertiveness/boundary-setting, perfectionism, anxiety, obsessive-compulsive disorder, panic disorder, and insomnia.
I view clients as experts of their own experience and it is my role to provide support and facilitate growth. Therapy is a collaborative process in which we work together to identify existing strengths as well as learn new skills to help you effectively cope with life’s inevitable challenges. I work with concerns such as self-esteem, relationships, social skills, assertiveness/boundary-setting, perfectionism, anxiety, obsessive-compulsive disorder, panic disorder, and insomnia.
(210) 794-7939 View (210) 794-7939
Photo of Natalina Vélez, Clinical Social Work/Therapist in San Antonio, TX
Natalina Vélez
Clinical Social Work/Therapist, LMSW
Verified Verified
1 Endorsed
San Antonio, TX 78249  (Online Only)
My name is Natalina Vélez and I'm a Licensed Master Social Worker (LMSW). I am an AuDHD queer person of color and I'm thrilled to be a part of your journey. My approach to not only therapy but also building connections with people is through a deep understanding for empathy, accountability, and harm reduction. I have built my life around being a restorative practice practitioner with a love for social justice and creating safe and affirming spaces that are built on consent and trust.
My name is Natalina Vélez and I'm a Licensed Master Social Worker (LMSW). I am an AuDHD queer person of color and I'm thrilled to be a part of your journey. My approach to not only therapy but also building connections with people is through a deep understanding for empathy, accountability, and harm reduction. I have built my life around being a restorative practice practitioner with a love for social justice and creating safe and affirming spaces that are built on consent and trust.
(830) 582-9593 View (830) 582-9593
Photo of Kristine Sung, Licensed Professional Counselor in San Antonio, TX
Kristine Sung
Licensed Professional Counselor, LPC, MA
Verified Verified
1 Endorsed
San Antonio, TX 78260  (Online Only)
If you are ready to overcome your struggles with OCD, anxiety or panic, I offer specialized expertise as an anxiety specialist. With a foundation in faith paired with in-depth training in evidence-based therapies like ERP, CBT and ACT I am here to equip and empower you on your journey towards healing and peace of mind. I am committed to providing you with effective strategies and support as you overcome obstacles and reclaim control over your mental health.
If you are ready to overcome your struggles with OCD, anxiety or panic, I offer specialized expertise as an anxiety specialist. With a foundation in faith paired with in-depth training in evidence-based therapies like ERP, CBT and ACT I am here to equip and empower you on your journey towards healing and peace of mind. I am committed to providing you with effective strategies and support as you overcome obstacles and reclaim control over your mental health.
(210) 899-5188 View (210) 899-5188
Photo of Kennedy Sanchez, Licensed Professional Counselor Associate in San Antonio, TX
Kennedy Sanchez
Licensed Professional Counselor Associate, MS, NCC
Verified Verified
San Antonio, TX 78228  (Online Only)
Change can be scary. With change comes new beginnings, new responsibilities, and new relationships; which can be overwhelming. You tend to question, "Am I good enough," "Am I ready," and "Will I be accepted?" These negative thought loops can cause anxiousness. This way of thinking can cause you to avoid thriving forward and reaching your full potential. It can also keep you from meeting amazing people and experiencing the good things in life.
Change can be scary. With change comes new beginnings, new responsibilities, and new relationships; which can be overwhelming. You tend to question, "Am I good enough," "Am I ready," and "Will I be accepted?" These negative thought loops can cause anxiousness. This way of thinking can cause you to avoid thriving forward and reaching your full potential. It can also keep you from meeting amazing people and experiencing the good things in life.
(281) 326-9039 View (281) 326-9039
Photo of Brandon Lucio, Licensed Professional Counselor in San Antonio, TX
Brandon Lucio
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78251  (Online Only)
This is your world, I'm just the therapist to help you navigate through it. Hi, I'm Brandon! Thank you for checking out my bio. I use an eclectic therapeutic approach tailored to YOUR individual needs and wants. In the words of Michael Jordan, "Some people want it to happen, some wish it would happen, others make it happen". Let's start to "make it happen" today. I'm always eager to work with new individuals and have over 8 years of experience. Some of that experience includes working with individuals who have experienced symptoms of depression, anxiety, bullying, PTSD, bipolar disorder, marital concerns, childhood trauma and others
This is your world, I'm just the therapist to help you navigate through it. Hi, I'm Brandon! Thank you for checking out my bio. I use an eclectic therapeutic approach tailored to YOUR individual needs and wants. In the words of Michael Jordan, "Some people want it to happen, some wish it would happen, others make it happen". Let's start to "make it happen" today. I'm always eager to work with new individuals and have over 8 years of experience. Some of that experience includes working with individuals who have experienced symptoms of depression, anxiety, bullying, PTSD, bipolar disorder, marital concerns, childhood trauma and others
(210) 939-9286 View (210) 939-9286
Photo of Victoria Turner, Licensed Professional Counselor Associate in San Antonio, TX
Victoria Turner
Licensed Professional Counselor Associate, MS, LPC-A
Verified Verified
3 Endorsed
San Antonio, TX 78218  (Online Only)
Therapy isn’t what it used to be! It doesn’t have to be stuffy or scary. I want you to feel comfortable, safe, and enjoy the process! This is your journey, your time, and your money, so I want to make sure the experience is tailored to you and your needs. Whether you want to talk about a traumatic event or just process every day life, I’m here for you.
Therapy isn’t what it used to be! It doesn’t have to be stuffy or scary. I want you to feel comfortable, safe, and enjoy the process! This is your journey, your time, and your money, so I want to make sure the experience is tailored to you and your needs. Whether you want to talk about a traumatic event or just process every day life, I’m here for you.
(830) 854-4537 View (830) 854-4537
Photo of Sarah Picken, Clinical Social Work/Therapist in San Antonio, TX
Sarah Picken
Clinical Social Work/Therapist
Verified Verified
San Antonio, TX 78228  (Online Only)
Whether it is your first time in therapy or a you are a lifelong therapy fan, I strive to make everyone feel comfortable and accepted in my (virtual) office. In therapy sessions, I am flexible to client’s needs both in their goals and how they want to get there. I have some clients who prefer to be more structured and practice certain skills while I have other clients who prefer to make the session feel more like a free-flowing conversation. Some issues that I speciailze in are PTSD, Anxiety, Depression, veteran's issues, and life adjustment issues.
Whether it is your first time in therapy or a you are a lifelong therapy fan, I strive to make everyone feel comfortable and accepted in my (virtual) office. In therapy sessions, I am flexible to client’s needs both in their goals and how they want to get there. I have some clients who prefer to be more structured and practice certain skills while I have other clients who prefer to make the session feel more like a free-flowing conversation. Some issues that I speciailze in are PTSD, Anxiety, Depression, veteran's issues, and life adjustment issues.
(210) 791-6215 View (210) 791-6215
Photo of Maria Ramirez, Licensed Professional Counselor in San Antonio, TX
Maria Ramirez
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78217
My name is Maria Ramirez, an English/Spanish LPC focused on building strong therapeutic relationships and using proven effective interventions to help my clients identify, challenge, and replace unhealthy thinking patterns and behaviors that hold them back or prevent them from achieving wellness. When you're feeling stuck and unsure of where to start, taking the first step toward healing can be one of the most difficult things to do. Know that by being here you have already accomplished so much. If you allow me, I'd like to help you through the next steps of the process in a safe, nonjudgmental, honest, and fully supportive space.
My name is Maria Ramirez, an English/Spanish LPC focused on building strong therapeutic relationships and using proven effective interventions to help my clients identify, challenge, and replace unhealthy thinking patterns and behaviors that hold them back or prevent them from achieving wellness. When you're feeling stuck and unsure of where to start, taking the first step toward healing can be one of the most difficult things to do. Know that by being here you have already accomplished so much. If you allow me, I'd like to help you through the next steps of the process in a safe, nonjudgmental, honest, and fully supportive space.
(210) 934-7576 View (210) 934-7576
Photo of Jennifer Ann Williams, Licensed Professional Counselor in San Antonio, TX
Jennifer Ann Williams
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78209  (Online Only)
Moving forward in life can be difficult when hurdles exist that haven't been overcome. These hurdles may serve as roadblocks, which can challenge even the most resilient person. I want to help you overcome these roadblocks in life.
Moving forward in life can be difficult when hurdles exist that haven't been overcome. These hurdles may serve as roadblocks, which can challenge even the most resilient person. I want to help you overcome these roadblocks in life.
(210) 761-5025 View (210) 761-5025
Photo of Javier (Javi) Villanueva, Psychologist in San Antonio, TX
Javier (Javi) Villanueva
Psychologist, PhD
Verified Verified
2 Endorsed
San Antonio, TX 78229
First, thank you so much for taking the time to view my page. I know you have many options, and your time is meaningful. I believe you care about quality. You want someone to provide care for yourself or your loved one, someone you feel comfortable with, someone you can come to trust. My approach to treatment is twofold: address the symptoms of distress, and seek resolution for the root cause of that distress. By helping me understand your life conditions, we can create your path to both immediate and lasting relief.
First, thank you so much for taking the time to view my page. I know you have many options, and your time is meaningful. I believe you care about quality. You want someone to provide care for yourself or your loved one, someone you feel comfortable with, someone you can come to trust. My approach to treatment is twofold: address the symptoms of distress, and seek resolution for the root cause of that distress. By helping me understand your life conditions, we can create your path to both immediate and lasting relief.
(210) 849-1244 View (210) 849-1244
Photo of Natalie Renée Arredondo in San Antonio, TX
Natalie Renée Arredondo
MS
Verified Verified
San Antonio, TX 78228
Not accepting new clients
I graduated from Walden University, where I received a Master’s in Science in Clinical Mental Health Counseling. I use an existential approach to obstacles in life, but believe therapy should be shaped and molded to the needs of my clients. I help individuals who have experienced disturbing life events find their inner peace by providing techniques and tools to overcome their trauma to live rewarding lives. I also help women and those within the LGBTQ+ community who struggle with their self-esteem find their voice through a non-judgmental environment to help empower them to reach their full and maximum potential.
I graduated from Walden University, where I received a Master’s in Science in Clinical Mental Health Counseling. I use an existential approach to obstacles in life, but believe therapy should be shaped and molded to the needs of my clients. I help individuals who have experienced disturbing life events find their inner peace by providing techniques and tools to overcome their trauma to live rewarding lives. I also help women and those within the LGBTQ+ community who struggle with their self-esteem find their voice through a non-judgmental environment to help empower them to reach their full and maximum potential.
(210) 953-5668 View (210) 953-5668
Photo of Beth Stanley, Licensed Professional Counselor in San Antonio, TX
Beth Stanley
Licensed Professional Counselor, LPC-S
Verified Verified
San Antonio, TX 78212
Wholeness. Consciousness. Self-Compassion. Creativity. Clarity. Courage. These describe healing experiences possible through the counseling journey. By collecting your stories, hopes, concerns and visions, I will tailor therapy to fit your needs. It is an honor to walk with fellow strugglers striving for peace and transformation. I have worked in the field of psychology for thirty years. I am a Psychotherapist, Supervisor to LPC-Associates, Certified Conscious Parenting Coach and have worked as a Chaplain and Counselor for hospice patients and their families. I am laser focused, using suffering to cultivate more in your life.
Wholeness. Consciousness. Self-Compassion. Creativity. Clarity. Courage. These describe healing experiences possible through the counseling journey. By collecting your stories, hopes, concerns and visions, I will tailor therapy to fit your needs. It is an honor to walk with fellow strugglers striving for peace and transformation. I have worked in the field of psychology for thirty years. I am a Psychotherapist, Supervisor to LPC-Associates, Certified Conscious Parenting Coach and have worked as a Chaplain and Counselor for hospice patients and their families. I am laser focused, using suffering to cultivate more in your life.
(210) 405-1626 View (210) 405-1626
Photo of Esther Heffler, Licensed Professional Counselor in San Antonio, TX
Esther Heffler
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78230
I like to say the counseling profession chose me because I have honestly always had a passion for building connections and having deep conversations about everything from love and joy to heartbreak and hardships. That same passion and undeniable love for San Antonio led me to pursue both my Bachelor of Arts in Psychology and Master of Science in Clinical Mental Health Counseling from UTSA. My journey to becoming the Licensed Professional Counselor I am today has been one I am immensely grateful for.
I like to say the counseling profession chose me because I have honestly always had a passion for building connections and having deep conversations about everything from love and joy to heartbreak and hardships. That same passion and undeniable love for San Antonio led me to pursue both my Bachelor of Arts in Psychology and Master of Science in Clinical Mental Health Counseling from UTSA. My journey to becoming the Licensed Professional Counselor I am today has been one I am immensely grateful for.
(210) 972-7165 View (210) 972-7165
Photo of Natasha Villalobos, Licensed Professional Counselor in San Antonio, TX
Natasha Villalobos
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
San Antonio, TX 78229
Not accepting new clients
I am proud to work with clients whose brains are different, whose ways of looking at and interacting with the world are unique, and who are looking to untangle their authentic selves from the mask society pushed them to wear, learn to love/accept themselves as they are, and use this radical self-love to make the changes they want to see. Creative, brave, bold, spicy, innovative, intelligent, justice-oriented - these are the traits that were already there inside those wonderful human beings I serve, and one way or another the world tried to bury them. But the world didn't know they were seeds.
I am proud to work with clients whose brains are different, whose ways of looking at and interacting with the world are unique, and who are looking to untangle their authentic selves from the mask society pushed them to wear, learn to love/accept themselves as they are, and use this radical self-love to make the changes they want to see. Creative, brave, bold, spicy, innovative, intelligent, justice-oriented - these are the traits that were already there inside those wonderful human beings I serve, and one way or another the world tried to bury them. But the world didn't know they were seeds.
(210) 972-6365 View (210) 972-6365
Photo of Marquia S Caldwell, Licensed Professional Counselor in San Antonio, TX
Marquia S Caldwell
Licensed Professional Counselor, MA, LPC, CCTP
Verified Verified
1 Endorsed
San Antonio, TX 78230
Are you noticing that life is difficult to cope with because of past or recent traumas? Do you feel uncomfortable within your own skin? Do you feel the exhaustion of wearing a "MASK" throughout the day? Do you find it difficult find a sense of normalcy of stability within your daily life? Do you have bouts of feeling undeserving, inadequate, or finding yourself in an emotionally unhealthy space? Do you want to experience living a life free from the burden of self-doubt and negative self-talk? Do you want to be SEEN, HEARD, and feel the support you deserve?
Are you noticing that life is difficult to cope with because of past or recent traumas? Do you feel uncomfortable within your own skin? Do you feel the exhaustion of wearing a "MASK" throughout the day? Do you find it difficult find a sense of normalcy of stability within your daily life? Do you have bouts of feeling undeserving, inadequate, or finding yourself in an emotionally unhealthy space? Do you want to experience living a life free from the burden of self-doubt and negative self-talk? Do you want to be SEEN, HEARD, and feel the support you deserve?
(210) 934-3606 View (210) 934-3606
Photo of Sugey Duarte, Pre-Licensed Professional in San Antonio, TX
Sugey Duarte
Pre-Licensed Professional, LPC-A
Verified Verified
San Antonio, TX 78258
I am a LPC-Associate (License #86681) is supervised by Kimberly VanBuren, PhD, LMFT-S, LPC-S. I earned my Bachelor of Arts in Spanish from Towson University in Maryland and Master of Science in Clinical Mental Health Counseling from The University of Texas at San Antonio. I provide individual, couples and adolescent therapy to those struggling with stress, depression, anxiety, relationship and parenting issues. My therapy approach is person-centered and collaborative.
I am a LPC-Associate (License #86681) is supervised by Kimberly VanBuren, PhD, LMFT-S, LPC-S. I earned my Bachelor of Arts in Spanish from Towson University in Maryland and Master of Science in Clinical Mental Health Counseling from The University of Texas at San Antonio. I provide individual, couples and adolescent therapy to those struggling with stress, depression, anxiety, relationship and parenting issues. My therapy approach is person-centered and collaborative.
(210) 585-2581 View (210) 585-2581
Photo of Tammy Wicker, Counselor in San Antonio, TX
Tammy Wicker
Counselor, LPC
Verified Verified
San Antonio, TX 78216
Hello. I am Tammy. I recently retired from school counseling. As a counselor in public schools, I have experience with children of ages 5-12. Although I have worked with children in the schools for 29 years and they are near and dear to my heart, I welcome a chance to also be able to counsel adults in private practice. Throughout the years I have noticed that the counselor and client relationship of trust and support favorably contributes to success.
Hello. I am Tammy. I recently retired from school counseling. As a counselor in public schools, I have experience with children of ages 5-12. Although I have worked with children in the schools for 29 years and they are near and dear to my heart, I welcome a chance to also be able to counsel adults in private practice. Throughout the years I have noticed that the counselor and client relationship of trust and support favorably contributes to success.
(210) 796-7996 View (210) 796-7996
Photo of Jenel Sanchez Ramos PLLC, Psychologist in San Antonio, TX
Jenel Sanchez Ramos PLLC
Psychologist, PsyD, MA, MAT, BA
Verified Verified
San Antonio, TX 78260
Every person has a unique story and my open, compassionate approach reflects my respect and desire to help. Together we will collaborate on an individualized treatment plan tailored around your coping style, relational patterns, and personal goals. Regardless of your presenting concern (anxiety, stress, relational issues, trauma, spiritual/cultural concerns, personal & professional growth, communication problems, grief, body image issues, etc.), I will meet you where you are and strive to understand your situation so we can create a suitable treatment plan. I have worked with a variety of mental health issues, both in brief therapy and long-term therapy.
Every person has a unique story and my open, compassionate approach reflects my respect and desire to help. Together we will collaborate on an individualized treatment plan tailored around your coping style, relational patterns, and personal goals. Regardless of your presenting concern (anxiety, stress, relational issues, trauma, spiritual/cultural concerns, personal & professional growth, communication problems, grief, body image issues, etc.), I will meet you where you are and strive to understand your situation so we can create a suitable treatment plan. I have worked with a variety of mental health issues, both in brief therapy and long-term therapy.
(210) 529-7187 View (210) 529-7187
Photo of Anastacia Granado, Licensed Professional Counselor in San Antonio, TX
Anastacia Granado
Licensed Professional Counselor
Verified Verified
2 Endorsed
San Antonio, TX 78216
Are you struggling with intense anxiety or OCD-like symptoms? Do you ever feel "stuck" and overwhelmed by life's stressors? If you find yourself struggling with dysfunctional behavior, intrusive thoughts, and/or intense emotional responses, you're in the right place. Anxiety disorders can often cause immense pain in one's emotional, personal, and work/school life. If you're ready to overcome your self-doubt, feel empowered to take charge of your anxieties, and live life in the present, let's get started!
Are you struggling with intense anxiety or OCD-like symptoms? Do you ever feel "stuck" and overwhelmed by life's stressors? If you find yourself struggling with dysfunctional behavior, intrusive thoughts, and/or intense emotional responses, you're in the right place. Anxiety disorders can often cause immense pain in one's emotional, personal, and work/school life. If you're ready to overcome your self-doubt, feel empowered to take charge of your anxieties, and live life in the present, let's get started!
(210) 791-6957 View (210) 791-6957

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.