Therapists in San Antonio, TX

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Photo of Senovio C Sparrow, Licensed Professional Counselor in San Antonio, TX
Senovio C Sparrow
Licensed Professional Counselor, LPC-S
Verified Verified
San Antonio, TX 78216  (Online Only)
From methods grounded in evidenced based modalities, DBT and CBT to name a few, I specialize in working with highly empathic individuals navigate internal dialogues and external circumstances to manifest personal happiness.
From methods grounded in evidenced based modalities, DBT and CBT to name a few, I specialize in working with highly empathic individuals navigate internal dialogues and external circumstances to manifest personal happiness.
(210) 465-1799 View (210) 465-1799
Photo of Bonnie N Valles, Licensed Master Social Worker in San Antonio, TX
Bonnie N Valles
Licensed Master Social Worker, LMSW
Verified Verified
1 Endorsed
San Antonio, TX 78258
Bonnie is well versed in mental health and addiction giving her the experience to work in dual diagnosis environment. Her experience is diverse, and includes working with Veterans, children/adolescents, school settings, families and couples, as well as with the courts as a Liaison and an evaluator.
Bonnie is well versed in mental health and addiction giving her the experience to work in dual diagnosis environment. Her experience is diverse, and includes working with Veterans, children/adolescents, school settings, families and couples, as well as with the courts as a Liaison and an evaluator.
(210) 405-7658 View (210) 405-7658
Photo of Northeast Counseling Center, PLLC, Licensed Professional Counselor in San Antonio, TX
Northeast Counseling Center, PLLC
Licensed Professional Counselor, LPC-S, LCSW, LCSW-S, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78247
Our group of clinicians work with a diverse group of clients at different stages in life- from adolescence to older adulthood (age 10 and up.) Collectively we offer decades of experience and assistance with individuals who struggle with anxiety, depression, life stress, grief, body image and weight, and negative symptoms related to trauma. We utilize a variety of theories and techniques to help clients identify challenges, and will work through barriers that prevent optimal mental and emotional health.
Our group of clinicians work with a diverse group of clients at different stages in life- from adolescence to older adulthood (age 10 and up.) Collectively we offer decades of experience and assistance with individuals who struggle with anxiety, depression, life stress, grief, body image and weight, and negative symptoms related to trauma. We utilize a variety of theories and techniques to help clients identify challenges, and will work through barriers that prevent optimal mental and emotional health.
(210) 970-7808 View (210) 970-7808
Photo of Claudia Barrows, Clinical Social Work/Therapist in San Antonio, TX
Claudia Barrows
Clinical Social Work/Therapist, LPC
Verified Verified
San Antonio, TX 78229
Claudia Barrows is a Licensed Professional Counselor in Texas who has been practicing since 2019. She has a Master of Science in Clinical Mental Health Counseling from The University of Texas at San Antonio and a Bachelor of Science in Psychology from The University of the Incarnate Word. Claudia will help encourage clients to feel their emotions "” and she means actually feel them. Too often we ignore our emotions either by distracting or numbing ourselves. While it can be uncomfortable to sit with the discomfort of difficult emotions, there is growth and healing waiting on the other side.
Claudia Barrows is a Licensed Professional Counselor in Texas who has been practicing since 2019. She has a Master of Science in Clinical Mental Health Counseling from The University of Texas at San Antonio and a Bachelor of Science in Psychology from The University of the Incarnate Word. Claudia will help encourage clients to feel their emotions "” and she means actually feel them. Too often we ignore our emotions either by distracting or numbing ourselves. While it can be uncomfortable to sit with the discomfort of difficult emotions, there is growth and healing waiting on the other side.
(210) 796-5574 View (210) 796-5574
Photo of Cheryl Camarillo, Clinical Social Work/Therapist in San Antonio, TX
Cheryl Camarillo
Clinical Social Work/Therapist, LCSW, CST, AASECT, CSAT, BCIA
Verified Verified
San Antonio, TX 78213
Certified Sex Therapist and Certified Sex Addiction Therapist: Trained professional in sex therapy, infidelity, sex and porn addiction, betrayal trauma, relationship recovery, sexual trauma, erectile difficulties, or other difficult sex issues. Are you seeking a non-judgement zone? No need to be embarrassed or shy. Learn to stop the shame, blame, guilt and anger. Have a clear understanding of the problem and the best options for moving forward. End confusion over what to do and start working on a plan.
Certified Sex Therapist and Certified Sex Addiction Therapist: Trained professional in sex therapy, infidelity, sex and porn addiction, betrayal trauma, relationship recovery, sexual trauma, erectile difficulties, or other difficult sex issues. Are you seeking a non-judgement zone? No need to be embarrassed or shy. Learn to stop the shame, blame, guilt and anger. Have a clear understanding of the problem and the best options for moving forward. End confusion over what to do and start working on a plan.
(210) 625-7873 View (210) 625-7873
Photo of Antoinette R Allen, Clinical Social Work/Therapist in San Antonio, TX
Antoinette R Allen
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78229
Greetings! My name is Antoinette Allen, a Licensed Clinical Social Worker (LCSW). I am passionate about therapy and enthusiastic about internal healing. Any individual can benefit from the power of therapy as it helps us to face the challenges of this life and helps us to grow. In my career I have served in various settings such as a residential treatment centers, School settings, foster care and adoption, safe shelthers, psychiatric hospital and private practice. I have served all age groups. I have provided individual, family, and group therapy for over 10 years. Looking forward to being of service!
Greetings! My name is Antoinette Allen, a Licensed Clinical Social Worker (LCSW). I am passionate about therapy and enthusiastic about internal healing. Any individual can benefit from the power of therapy as it helps us to face the challenges of this life and helps us to grow. In my career I have served in various settings such as a residential treatment centers, School settings, foster care and adoption, safe shelthers, psychiatric hospital and private practice. I have served all age groups. I have provided individual, family, and group therapy for over 10 years. Looking forward to being of service!
(210) 361-5033 View (210) 361-5033
Photo of Fay H Green, Licensed Professional Counselor in San Antonio, TX
Fay H Green
Licensed Professional Counselor, MAC, LPC, LMFT
Verified Verified
San Antonio, TX 78258
Life is a journey comprised of various relationships which are often challenged by change. Changes in relationships are often overwhelming and cause stress, anxiety, quilt, grief, or trauma. The diagnosis of a life-limiting illness, a death, being the caregiver for someone with a chronic illness, dealing with end-of-life issues, or divorce at times is overwhelming and frustrating. During these experiences, it is important to have someone who will listen to understand your experience. I have training and experience in companioning those who are navigating a stressful time in a relationship changed by loss or illness.
Life is a journey comprised of various relationships which are often challenged by change. Changes in relationships are often overwhelming and cause stress, anxiety, quilt, grief, or trauma. The diagnosis of a life-limiting illness, a death, being the caregiver for someone with a chronic illness, dealing with end-of-life issues, or divorce at times is overwhelming and frustrating. During these experiences, it is important to have someone who will listen to understand your experience. I have training and experience in companioning those who are navigating a stressful time in a relationship changed by loss or illness.
(210) 468-1309 View (210) 468-1309
Photo of Ivette Soto, Licensed Professional Counselor in San Antonio, TX
Ivette Soto
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78253  (Online Only)
Hola y Bienvenidos! My name is Ivette Soto, and I am a Licensed Professional Counselor offering tele-health services to individuals above the age of 12. My services are available in both English and Spanish. I work with individuals experiencing anxiety, depression, grief, and life adjustments, and I have extensive experience working with children with autism, attention-deficit/hyperactivity disorder, behavioral concerns, and other related disabilities as a Registered Behavioral Therapist.
Hola y Bienvenidos! My name is Ivette Soto, and I am a Licensed Professional Counselor offering tele-health services to individuals above the age of 12. My services are available in both English and Spanish. I work with individuals experiencing anxiety, depression, grief, and life adjustments, and I have extensive experience working with children with autism, attention-deficit/hyperactivity disorder, behavioral concerns, and other related disabilities as a Registered Behavioral Therapist.
(830) 452-0168 View (830) 452-0168
Photo of Janelle Carson, Licensed Professional Counselor in San Antonio, TX
Janelle Carson
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78230
I strongly believe in the power of transformation and ability to heal. As a therapist, my goal is to develop meaningful relationships with my clients in an effort to create an emotionally safe space. I am passionate about offering support to those who are looking to work on self improvement or having difficulty adjusting to life changes, experiencing a loss of any kind, infertility, divorce, chronic health/pain condition or caring for a loved one with a disability. Counseling can offer you a safe and supportive environment for you to explore your thoughts, feelings as well as empower you to learn more about yourself.
I strongly believe in the power of transformation and ability to heal. As a therapist, my goal is to develop meaningful relationships with my clients in an effort to create an emotionally safe space. I am passionate about offering support to those who are looking to work on self improvement or having difficulty adjusting to life changes, experiencing a loss of any kind, infertility, divorce, chronic health/pain condition or caring for a loved one with a disability. Counseling can offer you a safe and supportive environment for you to explore your thoughts, feelings as well as empower you to learn more about yourself.
(210) 625-7701 View (210) 625-7701
Photo of Stacy McMillan, Clinical Social Work/Therapist in San Antonio, TX
Stacy McMillan
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78248  (Online Only)
Do you feel trapped by painful memories of the past or ruminate about current problems? Do you feel misunderstood in relationships and not able to effectively communicate but desperately wish you could? It might be hard to believe, but you can learn to cope with current stressors and past events to create a fulfilling life according to your values and priorities. You can develop communication skills that build trust and intimacy in your relationships. You can set and reach goals that give your life meaning and purpose.
Do you feel trapped by painful memories of the past or ruminate about current problems? Do you feel misunderstood in relationships and not able to effectively communicate but desperately wish you could? It might be hard to believe, but you can learn to cope with current stressors and past events to create a fulfilling life according to your values and priorities. You can develop communication skills that build trust and intimacy in your relationships. You can set and reach goals that give your life meaning and purpose.
(469) 529-5191 View (469) 529-5191
Photo of Rachel Saenz, Licensed Professional Counselor in San Antonio, TX
Rachel Saenz
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78229
Hello, my name is Rachel Saenz. I am a licensed professional counselor (LPC) and I'm passionate about helping people of all ages with bereavement and grief. I help clients through their grief journey and help them move through their grief while also providing a safe space for them to express their thoughts and feelings. The majority of my practice focuses on grief/bereavement, trauma/PTSD and C-PTSD symptoms, anxiety, depression, and prenatal and postpartum issues. My approaches include person centered therapy and CBT.
Hello, my name is Rachel Saenz. I am a licensed professional counselor (LPC) and I'm passionate about helping people of all ages with bereavement and grief. I help clients through their grief journey and help them move through their grief while also providing a safe space for them to express their thoughts and feelings. The majority of my practice focuses on grief/bereavement, trauma/PTSD and C-PTSD symptoms, anxiety, depression, and prenatal and postpartum issues. My approaches include person centered therapy and CBT.
(210) 903-5842 View (210) 903-5842
Photo of Amber Bailey, Licensed Professional Counselor in San Antonio, TX
Amber Bailey
Licensed Professional Counselor, LPC-S, LMFT-S, CHST
Verified Verified
2 Endorsed
San Antonio, TX 78249
It's not easy to ask for help. Maybe you've shared your situation with close friends or family and received support and advice, but things aren't really getting better. Maybe you've been hesitant to seek out a therapist. The fact that you're here now is a demonstration of your commitment and dedication to your own personal growth and your relationships. Whether you're experiencing anxiety or depression, or you're looking for a relationship, healing from a relationship that's ended, or are in a relationship you want to strengthen or repair, you're in the right place.
It's not easy to ask for help. Maybe you've shared your situation with close friends or family and received support and advice, but things aren't really getting better. Maybe you've been hesitant to seek out a therapist. The fact that you're here now is a demonstration of your commitment and dedication to your own personal growth and your relationships. Whether you're experiencing anxiety or depression, or you're looking for a relationship, healing from a relationship that's ended, or are in a relationship you want to strengthen or repair, you're in the right place.
(210) 802-7308 View (210) 802-7308
Photo of Amanda Jones, Clinical Social Work/Therapist in San Antonio, TX
Amanda Jones
Clinical Social Work/Therapist, LCSW-S, C-SWHC
Verified Verified
1 Endorsed
San Antonio, TX 78249  (Online Only)
Are you a woman juggling life's demands, feeling stuck or underappreciated? Whether you're a mom, caregiver, or professional woman, I'm here to help. I value healing, inner peace, and security. My expertise includes women's issues, trauma, chronic illness, and more. Seeking EMDR, psychedelics, couples therapy, or traditional therapy? I offer individual and group sessions from your own home. I now offer clinical supervision for aspiring therapists too. Let's embark on this healing journey together.
Are you a woman juggling life's demands, feeling stuck or underappreciated? Whether you're a mom, caregiver, or professional woman, I'm here to help. I value healing, inner peace, and security. My expertise includes women's issues, trauma, chronic illness, and more. Seeking EMDR, psychedelics, couples therapy, or traditional therapy? I offer individual and group sessions from your own home. I now offer clinical supervision for aspiring therapists too. Let's embark on this healing journey together.
(210) 633-8756 View (210) 633-8756
Photo of PSR Counseling, Marriage & Family Therapist in San Antonio, TX
PSR Counseling
Marriage & Family Therapist, MS, LMFT-S
Verified Verified
1 Endorsed
San Antonio, TX 78261  (Online Only)
Are you struggling to communicate in your relationships? Is it difficult to express what you are feeling effectively during periods of emotional stress within your relationship? Does your anxiety or depression keep you from being social or completing everyday tasks? Are negative and/or anxious thoughts causing you to feel stuck and unmotivated?
Are you struggling to communicate in your relationships? Is it difficult to express what you are feeling effectively during periods of emotional stress within your relationship? Does your anxiety or depression keep you from being social or completing everyday tasks? Are negative and/or anxious thoughts causing you to feel stuck and unmotivated?
(210) 987-8352 View (210) 987-8352
Photo of Clifton N. Taylor, Licensed Professional Counselor in San Antonio, TX
Clifton N. Taylor
Licensed Professional Counselor, MA, LPC, LCDC, CSAT, CPTT
Verified Verified
San Antonio, TX 78258
Waitlist for new clients
Are your relationships suffering? Is your sexual behavior out of control? Are you spending way too much time on the internet? Are you concerned about your drinking or drug use? If the answer is yes, I can help you. My clinical experience focuses on addiction, trauma, childhood abuse issues, mood disorders, relationship issues, codependency, and unresolved grief and loss. Over the past nine years, I have worked with individuals, couples and families in creating a safe, supportive, and collaborative therapeutic environment. Together, we can begin the journey to a healthier, happier you, with stronger relationships and positive, lasting change.
Are your relationships suffering? Is your sexual behavior out of control? Are you spending way too much time on the internet? Are you concerned about your drinking or drug use? If the answer is yes, I can help you. My clinical experience focuses on addiction, trauma, childhood abuse issues, mood disorders, relationship issues, codependency, and unresolved grief and loss. Over the past nine years, I have worked with individuals, couples and families in creating a safe, supportive, and collaborative therapeutic environment. Together, we can begin the journey to a healthier, happier you, with stronger relationships and positive, lasting change.
(210) 418-1308 View (210) 418-1308
Photo of Lisa Arce, Licensed Professional Counselor in San Antonio, TX
Lisa Arce
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
San Antonio, TX 78217  (Online Only)
I am a Latina Therapist who specializes in relationship concerns, trauma and self worth issues. I practice from an intersectional, relational and social justice point of view and work hard on decolonizing mental health. I am LGBTQIA+ and Poly/CNM/Kink affirming and trained. I also specialize in working with individual adults who are neurodiverse, recovering from religious trauma, suffering from anxiety/depression and those struggling with life transitions.
I am a Latina Therapist who specializes in relationship concerns, trauma and self worth issues. I practice from an intersectional, relational and social justice point of view and work hard on decolonizing mental health. I am LGBTQIA+ and Poly/CNM/Kink affirming and trained. I also specialize in working with individual adults who are neurodiverse, recovering from religious trauma, suffering from anxiety/depression and those struggling with life transitions.
(210) 899-7652 View (210) 899-7652
Photo of Anthony Palomo, Licensed Professional Counselor in San Antonio, TX
Anthony Palomo
Licensed Professional Counselor, LCDC, LPC
Verified Verified
San Antonio, TX 78221  (Online Only)
I grew up in San Antonio for most of my life, went to Iowa to get a degree in psychology, came back home to San Antonio to finish a Master's Program in counseling to be able to help people. I enjoy learning about people, i am no stranger to difficult times, and in the end sometimes our regular coping skills don't work and we need someone to talk with. I enjoy being that person and offering a safe space to vent and just be heard.
I grew up in San Antonio for most of my life, went to Iowa to get a degree in psychology, came back home to San Antonio to finish a Master's Program in counseling to be able to help people. I enjoy learning about people, i am no stranger to difficult times, and in the end sometimes our regular coping skills don't work and we need someone to talk with. I enjoy being that person and offering a safe space to vent and just be heard.
(210) 806-7895 View (210) 806-7895
Photo of Jorge Yunes, Clinical Social Work/Therapist in San Antonio, TX
Jorge Yunes
Clinical Social Work/Therapist
Verified Verified
San Antonio, TX 78258
Jorge Yunes, LPC Jorge Yunes is a Licensed Professional Counselor in Texas who started practicing in 2010. Jorge can offer clients a foundation of a healthy relationship. It is from this relationship that change can then be made, be it in the form of exposure, practical interventions, or a challenge to previous ways of thinking. A sense of security is required to enact meaningful, long-term change, as well as the courage to think, feel and behave in new ways. This is the heart and soul of change. In his spare time, Jorge enjoys blacksmithing, psychology, anthropology, PC gaming, and power lifting.
Jorge Yunes, LPC Jorge Yunes is a Licensed Professional Counselor in Texas who started practicing in 2010. Jorge can offer clients a foundation of a healthy relationship. It is from this relationship that change can then be made, be it in the form of exposure, practical interventions, or a challenge to previous ways of thinking. A sense of security is required to enact meaningful, long-term change, as well as the courage to think, feel and behave in new ways. This is the heart and soul of change. In his spare time, Jorge enjoys blacksmithing, psychology, anthropology, PC gaming, and power lifting.
(210) 774-6541 View (210) 774-6541
Photo of Mark B Harris, Clinical Social Work/Therapist in San Antonio, TX
Mark B Harris
Clinical Social Work/Therapist, LCSW-S, LSOTP-S, CCFC, ATSA
Verified Verified
1 Endorsed
San Antonio, TX 78249  (Online Only)
I enjoy working with clients of all ages. I am often referred adolescents who are involved in the Juvenile Justice System. I am qualified to provide sexual education and guidance to all ages within the framework of their family, community, and religious beliefs. I give parents guidance in helping them to navigate through the courts and their children's schools while offering advice and additional resources. I provide psychotherapy for people struggling with family or personal issues. I am available daytime and early evening hours.
I enjoy working with clients of all ages. I am often referred adolescents who are involved in the Juvenile Justice System. I am qualified to provide sexual education and guidance to all ages within the framework of their family, community, and religious beliefs. I give parents guidance in helping them to navigate through the courts and their children's schools while offering advice and additional resources. I provide psychotherapy for people struggling with family or personal issues. I am available daytime and early evening hours.
(210) 255-2021 View (210) 255-2021
Photo of Valerie Lopez, Clinical Social Work/Therapist in San Antonio, TX
Valerie Lopez
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78229
My name is Valerie Lopez and I am a Licensed Clinical Social Worker. As a therapist in San Antonio, I am dedicated to helping individuals and families that may be in need of assistance with achieving short and long-term goals. My passion is to help guide clients through the stressful experiences they are facing.
My name is Valerie Lopez and I am a Licensed Clinical Social Worker. As a therapist in San Antonio, I am dedicated to helping individuals and families that may be in need of assistance with achieving short and long-term goals. My passion is to help guide clients through the stressful experiences they are facing.
(210) 209-8631 View (210) 209-8631

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.