Therapists in San Diego, CA

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Photo of Jeff Pellegrino, Associate Professional Clinical Counselor in San Diego, CA
Jeff Pellegrino
Associate Professional Clinical Counselor, APCC
Verified Verified
San Diego, CA 92109
My specialties include anxiety, depression, behavioral/ lifestyle issues, performance, and interpersonal communications. My goal is to help clients gain insight and understanding about themselves and others, helping them take back the power to live the fulfilling and meaningful life they were meant to live. Teamwork is key in this process and I believe together we can identify and conquer the challenges you are facing.
My specialties include anxiety, depression, behavioral/ lifestyle issues, performance, and interpersonal communications. My goal is to help clients gain insight and understanding about themselves and others, helping them take back the power to live the fulfilling and meaningful life they were meant to live. Teamwork is key in this process and I believe together we can identify and conquer the challenges you are facing.
(619) 486-3024 View (619) 486-3024
Photo of Mona Klausing, Marriage & Family Therapist in San Diego, CA
Mona Klausing
Marriage & Family Therapist, MS, LMFT, AS
Verified Verified
3 Endorsed
San Diego, CA 92108
Our society teaches us to value independence, confidence and productivity – sometimes to the detriment of personal relationships and our own sense of self-worth. Almost daily we are bombarded with narrowly defined gender roles, and ‘rules’ around how we should look, act, think and feel. I enjoy collaborating with clients to reconsider the boundaries of their lives, how they create meaningful relationships, and in doing so, identify their preferred ways of engaging with the world around them. I have been a therapist for 10 years and in 2023 founded Avani Counseling, which serves clients all over California.
Our society teaches us to value independence, confidence and productivity – sometimes to the detriment of personal relationships and our own sense of self-worth. Almost daily we are bombarded with narrowly defined gender roles, and ‘rules’ around how we should look, act, think and feel. I enjoy collaborating with clients to reconsider the boundaries of their lives, how they create meaningful relationships, and in doing so, identify their preferred ways of engaging with the world around them. I have been a therapist for 10 years and in 2023 founded Avani Counseling, which serves clients all over California.
(619) 724-4725 View (619) 724-4725
Photo of Carol Bateman, Psychologist in San Diego, CA
Carol Bateman
Psychologist, PsyD
Verified Verified
San Diego, CA 92138
I am a licensed Clinical Psychologist with over 20 years of experience working with individuals, couples, and families. I am committed to providing a safe,supportive and healing environment. During the course of treatment I will work collaboratively to help clarify issues, set goals, gain insight and understanding, and create more effective and satisfying methods of moving forward in your life. Depending on your needs, the course of therapy can range from short to longer term.
I am a licensed Clinical Psychologist with over 20 years of experience working with individuals, couples, and families. I am committed to providing a safe,supportive and healing environment. During the course of treatment I will work collaboratively to help clarify issues, set goals, gain insight and understanding, and create more effective and satisfying methods of moving forward in your life. Depending on your needs, the course of therapy can range from short to longer term.
(619) 324-3812 View (619) 324-3812
Photo of Mindful Matters Counseling, Marni Goldberg, Counselor in San Diego, CA
Mindful Matters Counseling, Marni Goldberg
Counselor, EdS, MA, LMFT, LPCC
Verified Verified
6 Endorsed
San Diego, CA 92109
Are you ready to finally feel in control of your life? I know how hard it can be to take the first step in finding a therapist who is a good fit for you, but you deserve happiness! Anxiety and stress can get in the way of having a happy and fulfilling life. If you or your teen/young adult are struggling with thoughts, feelings, or relationships, we can work together to look at what has been bothering you and figure out how to make changes that can benefit all aspects of your life. Receiving nonjudgemental support and some new skills may be the answer! Special focus on Highly Sensitive People. Telehealth sessions only at this time.
Are you ready to finally feel in control of your life? I know how hard it can be to take the first step in finding a therapist who is a good fit for you, but you deserve happiness! Anxiety and stress can get in the way of having a happy and fulfilling life. If you or your teen/young adult are struggling with thoughts, feelings, or relationships, we can work together to look at what has been bothering you and figure out how to make changes that can benefit all aspects of your life. Receiving nonjudgemental support and some new skills may be the answer! Special focus on Highly Sensitive People. Telehealth sessions only at this time.
(858) 367-3967 View (858) 367-3967
Photo of Richard George Kastanias, Marriage & Family Therapist in San Diego, CA
Richard George Kastanias
Marriage & Family Therapist, Richard Kastanias, MS, LMFT
Verified Verified
San Diego, CA 92108
Only 18% of Therapists in the United States performing Couple Therapy have actual training in how to do Couple Therapy. Most Therapists claiming to be competent in working with Couples are applying training they received in working with individuals to the Couple's behaviors and believe that this will work. It Doesn't! And with couples Divorcing at the highest rate in modern times, quality Couple Therapy is a Must! Finding a Qualified Couple Therapist is Essential! Extensive research has shown that Emotionally Focused therapy for couples has the highest success rate of any form of couple therapy and relationship satisfaction!
Only 18% of Therapists in the United States performing Couple Therapy have actual training in how to do Couple Therapy. Most Therapists claiming to be competent in working with Couples are applying training they received in working with individuals to the Couple's behaviors and believe that this will work. It Doesn't! And with couples Divorcing at the highest rate in modern times, quality Couple Therapy is a Must! Finding a Qualified Couple Therapist is Essential! Extensive research has shown that Emotionally Focused therapy for couples has the highest success rate of any form of couple therapy and relationship satisfaction!
(619) 483-2886 View (619) 483-2886
Photo of Josho R Malfavon, Marriage & Family Therapist in San Diego, CA
Josho R Malfavon
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92129  (Online Only)
Life will consistently throw challenges at you. Most of them you get through on your own or with the help of your support system. Sometimes, challenges can be overwhelming and difficult to navigate. The good thing is you’re not alone. I am here as a companion on your journey to explore and resolve those sticky challenges. The journey can be painful and arduous. The choices on your journey are yours to make, but I will help you find clarity in uncertainty. I’m ready to start your journey when you are.
Life will consistently throw challenges at you. Most of them you get through on your own or with the help of your support system. Sometimes, challenges can be overwhelming and difficult to navigate. The good thing is you’re not alone. I am here as a companion on your journey to explore and resolve those sticky challenges. The journey can be painful and arduous. The choices on your journey are yours to make, but I will help you find clarity in uncertainty. I’m ready to start your journey when you are.
(858) 345-4071 View (858) 345-4071
Photo of Melody Hovsepian, Marriage & Family Therapist in San Diego, CA
Melody Hovsepian
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92154
Hi there! My name is Melody Hovsepian. I am a Licensed Marriage and Family Therapist (LMFT) based in Glendale, California and working with clients statewide via telehealth. I work with adult individuals, adolescents and couples and specialize in depression, anxiety, grief, trauma, adjustment and relational issues, using Emotionally Focused Therapy and Cognitive Behavioral Therapy, to help my clients reach their inner strengths, gain control over their struggles and live their lives to the fullest.
Hi there! My name is Melody Hovsepian. I am a Licensed Marriage and Family Therapist (LMFT) based in Glendale, California and working with clients statewide via telehealth. I work with adult individuals, adolescents and couples and specialize in depression, anxiety, grief, trauma, adjustment and relational issues, using Emotionally Focused Therapy and Cognitive Behavioral Therapy, to help my clients reach their inner strengths, gain control over their struggles and live their lives to the fullest.
(858) 786-0504 View (858) 786-0504
Photo of Dr. Jodi Stanley, Marriage & Family Therapist in San Diego, CA
Dr. Jodi Stanley
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
San Diego, CA 92128
I am genuinely passionate about supporting people through stressful life experiences to live healthier, happier lives. I help couples and families overcome disconnection to rebuild and strengthen their closeness. I also specialize in treating individuals, including, children, adolescents, and adults, who are struggling with anxiety, depression, stress, and low self-esteem. I work collaboratively with clients to enhance quality of life by combining insight, emotional exploration, and direction. I provide neutral support, guidance, and relief to develop healthy ways of coping, to expand inner growth, and to restore relational bonds.
I am genuinely passionate about supporting people through stressful life experiences to live healthier, happier lives. I help couples and families overcome disconnection to rebuild and strengthen their closeness. I also specialize in treating individuals, including, children, adolescents, and adults, who are struggling with anxiety, depression, stress, and low self-esteem. I work collaboratively with clients to enhance quality of life by combining insight, emotional exploration, and direction. I provide neutral support, guidance, and relief to develop healthy ways of coping, to expand inner growth, and to restore relational bonds.
(619) 452-3863 View (619) 452-3863
Photo of Dana Terrell, Clinical Social Work/Therapist in San Diego, CA
Dana Terrell
Clinical Social Work/Therapist, LCSW, EAC
Verified Verified
2 Endorsed
San Diego, CA 92104
I serve people who are anxious, depressed, overwhelmed. They see it affects their ability to attain personal, business or relationship goals. It's hard to access their talents and strengths. I enjoy helping you find enhanced well-being and success in the direction you seek. My dual specialties in Bowen and EMDR Therapies help with inner stresses as well as relationship stresses. I find it a joy and privilege to watch my clients grow towards health through these amazing approaches. I look forward to learning what you want to accomplish through our work together at my comfortable office in North Park.
I serve people who are anxious, depressed, overwhelmed. They see it affects their ability to attain personal, business or relationship goals. It's hard to access their talents and strengths. I enjoy helping you find enhanced well-being and success in the direction you seek. My dual specialties in Bowen and EMDR Therapies help with inner stresses as well as relationship stresses. I find it a joy and privilege to watch my clients grow towards health through these amazing approaches. I look forward to learning what you want to accomplish through our work together at my comfortable office in North Park.
(619) 268-6627 View (619) 268-6627
Photo of Heather Swisher, Marriage & Family Therapist in San Diego, CA
Heather Swisher
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92130  (Online Only)
Welcome! My name is Heather Swisher and I am a Licensed Marriage & Family Therapist. I believe that therapy should be collaborative and organic.  I specialize in treating adults with individual therapy and EMDR Therapy. I utilize a variety of therapeutic modalities and tailor treatment according to the needs of each client. It is my goal to ensure your comfort and to create a safe space filled with warmth, authenticity, and empathy for each person who walks through my door. As a therapist, I feel honored to be able to hear each person's story and join them on their journey towards healing and growth,
Welcome! My name is Heather Swisher and I am a Licensed Marriage & Family Therapist. I believe that therapy should be collaborative and organic.  I specialize in treating adults with individual therapy and EMDR Therapy. I utilize a variety of therapeutic modalities and tailor treatment according to the needs of each client. It is my goal to ensure your comfort and to create a safe space filled with warmth, authenticity, and empathy for each person who walks through my door. As a therapist, I feel honored to be able to hear each person's story and join them on their journey towards healing and growth,
(619) 900-6966 View (619) 900-6966
Photo of Angel Chou, Marriage & Family Therapist Associate in San Diego, CA
Angel Chou
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Diego, CA 92128
As a dedicated and compassionate trauma therapist, my professional journey has been fueled by an unwavering commitment to healing and empowering individuals from early childhood adversity. My passion stems from understanding of how trauma, early childhood adversity, losses, and life transitions can have enduring impact on one’s mental, emotional, and physical well-being. I strive to create a safe space to extend empathy and unconditional regards to individuals and collaborate with parents to prevent generational trauma.
As a dedicated and compassionate trauma therapist, my professional journey has been fueled by an unwavering commitment to healing and empowering individuals from early childhood adversity. My passion stems from understanding of how trauma, early childhood adversity, losses, and life transitions can have enduring impact on one’s mental, emotional, and physical well-being. I strive to create a safe space to extend empathy and unconditional regards to individuals and collaborate with parents to prevent generational trauma.
(858) 758-7487 x132 View (858) 758-7487 x132
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 Kwilanzo Amitai-Crawford, Marriage & Family Therapist Associate in San Diego, CA
Kwilanzo Amitai-Crawford
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
San Diego, CA 92103
Have you ever felt invisible? Even to the people who matter to you most? Are you interested in making a change in your life? Or finding/creating the new you? I believe that we are all on our own heroic journey in search of our own unique calling. My passion is to assist you in your journey to add definition to your life.
Have you ever felt invisible? Even to the people who matter to you most? Are you interested in making a change in your life? Or finding/creating the new you? I believe that we are all on our own heroic journey in search of our own unique calling. My passion is to assist you in your journey to add definition to your life.
(619) 942-5435 View (619) 942-5435
Photo of Halima S ., Licensed Professional Clinical Counselor in San Diego, CA
Halima S .
Licensed Professional Clinical Counselor, MS, LPCC
Verified Verified
San Diego, CA 92111  (Online Only)
We are currently accepting clients! AMALY is a virtual mental health organization that serves individuals and couples across California. We specialize in providing services to BIPOC clients.
We are currently accepting clients! AMALY is a virtual mental health organization that serves individuals and couples across California. We specialize in providing services to BIPOC clients.
(619) 505-3750 View (619) 505-3750
Photo of Gaelle Carey, Marriage & Family Therapist in San Diego, CA
Gaelle Carey
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92104  (Online Only)
Welcome! My name is Gaëlle Carey and I am a Licensed Marriage and Family Therapist. I have worked with all types of people, from CEOs to stay-at-home parents. My ideal client is anyone who is interested in empowering their life. I am a direct person and like to get right down to business, but I also genuinely care about my clients' success. I have experience providing clinical assessment and therapeutic care to adolescents and adults seeking help with depression, anxiety, trauma, substance use disorders, anger management, Post-traumatic stress disorder, Personality Disorders, ADHD management, and LGBTQ+ issues.
Welcome! My name is Gaëlle Carey and I am a Licensed Marriage and Family Therapist. I have worked with all types of people, from CEOs to stay-at-home parents. My ideal client is anyone who is interested in empowering their life. I am a direct person and like to get right down to business, but I also genuinely care about my clients' success. I have experience providing clinical assessment and therapeutic care to adolescents and adults seeking help with depression, anxiety, trauma, substance use disorders, anger management, Post-traumatic stress disorder, Personality Disorders, ADHD management, and LGBTQ+ issues.
(619) 329-8438 View (619) 329-8438
Photo of Tiffany Lin Lasky, Clinical Social Work/Therapist in San Diego, CA
Tiffany Lin Lasky
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Diego, CA 92101
Is there an aspect of your career, relationships, or identity that needs sorting out? Are you struggling to make decisions as you prepare to take the next step in your life? Maybe you are feeling anxious or depressed and having difficulty managing stress. I'm here to help. I currently specialize in working with individuals and couples who have struggles with depression, anxiety, relationship issues, difficulty managing stress, life adjustment, trauma, grief and loss, and familial conflict. I utilize a trauma-informed, culturally sensitive approach to help you in your journey toward growth and healing.
Is there an aspect of your career, relationships, or identity that needs sorting out? Are you struggling to make decisions as you prepare to take the next step in your life? Maybe you are feeling anxious or depressed and having difficulty managing stress. I'm here to help. I currently specialize in working with individuals and couples who have struggles with depression, anxiety, relationship issues, difficulty managing stress, life adjustment, trauma, grief and loss, and familial conflict. I utilize a trauma-informed, culturally sensitive approach to help you in your journey toward growth and healing.
(619) 374-3408 View (619) 374-3408
Mary Fox Squire
Psychologist, PhD
Verified Verified
San Diego, CA 92130
Life can be difficult, challenging and often painful. I have been helping adults, teens and kids for over 25 years during emotionally hard times. I provide individual, family and couples therapy using a mix of orientations in a calm, safe environment. Primarily I provide psychodynamic talk therapy that is insight oriented and developmentally based. I also use cognitive behavioral strategies where appropriate. In addition I am able to offer psychological and neuropsychological assessments for ages 6 years and older. Understanding yourself and your loved ones is an essential step towards change.
Life can be difficult, challenging and often painful. I have been helping adults, teens and kids for over 25 years during emotionally hard times. I provide individual, family and couples therapy using a mix of orientations in a calm, safe environment. Primarily I provide psychodynamic talk therapy that is insight oriented and developmentally based. I also use cognitive behavioral strategies where appropriate. In addition I am able to offer psychological and neuropsychological assessments for ages 6 years and older. Understanding yourself and your loved ones is an essential step towards change.
(858) 413-9279 View (858) 413-9279
Photo of Rose Corzine, Clinical Social Work/Therapist in San Diego, CA
Rose Corzine
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Diego, CA 92128
Waitlist for new clients
Hi. I’m Rose Corzine, LCSW. I’m a Child and Family therapist with years of experience. My passion is working with children and families in order to restore harmony in the home. When you are struggling in making a meaningful emotional connection with your child or spouse, it may be time to seek assistance. I offer parent consultations and individual child therapy, 8 years and up, and family therapy. Building healthy relationships with the families I work with allows me to understand their family system better and utilize current strengths to build and repair broken relationships and restore positive functioning.
Hi. I’m Rose Corzine, LCSW. I’m a Child and Family therapist with years of experience. My passion is working with children and families in order to restore harmony in the home. When you are struggling in making a meaningful emotional connection with your child or spouse, it may be time to seek assistance. I offer parent consultations and individual child therapy, 8 years and up, and family therapy. Building healthy relationships with the families I work with allows me to understand their family system better and utilize current strengths to build and repair broken relationships and restore positive functioning.
(858) 221-9039 View (858) 221-9039
Photo of Hinza Berhe, Marriage & Family Therapist in San Diego, CA
Hinza Berhe
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92122  (Online Only)
It is challenging at times to be in our own thoughts and find the motivation we need to achieve the things we want or to accomplish what others expect of us. Despite your attempts to engage in things that bring you happiness, you find you are not completely satisfied with where you are at in life. If you find that some of this resonates with you, do not live life with this fallacy that there is no escape. Know that you have the ability to shape your beliefs and live the life you want.
It is challenging at times to be in our own thoughts and find the motivation we need to achieve the things we want or to accomplish what others expect of us. Despite your attempts to engage in things that bring you happiness, you find you are not completely satisfied with where you are at in life. If you find that some of this resonates with you, do not live life with this fallacy that there is no escape. Know that you have the ability to shape your beliefs and live the life you want.
(858) 289-6288 View (858) 289-6288
Photo of Jenn Eng, Marriage & Family Therapist in San Diego, CA
Jenn Eng
Marriage & Family Therapist, LMFT, ATR
Verified Verified
1 Endorsed
San Diego, CA 92122
Life transitions, both expected and unforeseen, can be challenging. If you're facing changes that feel overwhelming—whether that be a career shift, relational dynamics, or personal growth—and are looking for a way to process and adapt, my practice is here for you. It's important to me that my clients feel safe, understood, and their feelings validated.
Life transitions, both expected and unforeseen, can be challenging. If you're facing changes that feel overwhelming—whether that be a career shift, relational dynamics, or personal growth—and are looking for a way to process and adapt, my practice is here for you. It's important to me that my clients feel safe, understood, and their feelings validated.
(858) 293-1065 View (858) 293-1065

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

11 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.