Therapists in Anaheim, CA

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Photo of Justin Womer, Clinical Social Work/Therapist in Anaheim, CA
Justin Womer
Clinical Social Work/Therapist, LCSW
Verified Verified
Anaheim, CA 92807
Allow me to introduce myself. My name is Justin, and I am a Licensed Clinical Social Worker and Certified Addictions Treatment Counselor in California. I have worked in and around the field of Addictions for over a decade. Addictions grow and thrive in elements of shame and guilt, leading people to believe that they are alone and unloved in a cold, heartless and unforgiving world. However, these beliefs are a part of the illness's effect.
Allow me to introduce myself. My name is Justin, and I am a Licensed Clinical Social Worker and Certified Addictions Treatment Counselor in California. I have worked in and around the field of Addictions for over a decade. Addictions grow and thrive in elements of shame and guilt, leading people to believe that they are alone and unloved in a cold, heartless and unforgiving world. However, these beliefs are a part of the illness's effect.
(657) 837-3473 View (657) 837-3473
Photo of Linda L Schnaible, Marriage & Family Therapist in Anaheim, CA
Linda L Schnaible
Marriage & Family Therapist, PhD, LMFT, SAP
Verified Verified
Anaheim, CA 92802
Not accepting new clients
It is difficult to walk into someone's office and immediately trust the therapist and allow yourself to be vulnerable. It is very important to help instill calmness and trust for clients in the first few sessions. I like to treat the initial crisis situation to get it under manageability and proceed from there to the immediate issues that created the crisis situation. It takes a lot of courage to ask for help and I applaud you for asking and I am here to help. This profession is my passion.
It is difficult to walk into someone's office and immediately trust the therapist and allow yourself to be vulnerable. It is very important to help instill calmness and trust for clients in the first few sessions. I like to treat the initial crisis situation to get it under manageability and proceed from there to the immediate issues that created the crisis situation. It takes a lot of courage to ask for help and I applaud you for asking and I am here to help. This profession is my passion.
(714) 464-6011 View (714) 464-6011
Photo of Serenity Journey LLC, Marriage & Family Therapist in Anaheim, CA
Serenity Journey LLC
Marriage & Family Therapist, PsyD, LMFT, CATC-IV, CCTP
Verified Verified
Anaheim, CA 92808  (Online Only)
Dr. Ixchel Tellez Fonseca is a Licensed Marriage and Family Therapist (LMFT) with over eleven years of experience working with children, adolescents, and adults who have endured trauma who are adjusting to life stressors such as relational issues, family changes, life transitions, bullying, post-traumatic stress, depression, anxiety, school, and work stressors. Additionally, she has worked with adults struggling with mood disorders and dual diagnoses through various treatment modalities. She strives to provide services that focus on each individual’s natural resilience and believes that positive change is possible.
Dr. Ixchel Tellez Fonseca is a Licensed Marriage and Family Therapist (LMFT) with over eleven years of experience working with children, adolescents, and adults who have endured trauma who are adjusting to life stressors such as relational issues, family changes, life transitions, bullying, post-traumatic stress, depression, anxiety, school, and work stressors. Additionally, she has worked with adults struggling with mood disorders and dual diagnoses through various treatment modalities. She strives to provide services that focus on each individual’s natural resilience and believes that positive change is possible.
(714) 844-5015 View (714) 844-5015
Photo of Neda Rivera, Marriage & Family Therapist in Anaheim, CA
Neda Rivera
Marriage & Family Therapist, LMFT
Verified Verified
Anaheim, CA 92804
Neda G Rivera Licensed Marriage and Family Therapist We all can suffer from trauma, stress, loss, pain, relationship, and work issues. Sometimes it is very difficult to ask for help. Seeking counseling does not mean that there is something wrong with us. Seeking counseling helps us to process those feelings and manage symptoms. do not like to label my clients. I am more interested in guiding my clients and helping them during that process. Helping you during those difficult times to manage and cope are my top priorities.
Neda G Rivera Licensed Marriage and Family Therapist We all can suffer from trauma, stress, loss, pain, relationship, and work issues. Sometimes it is very difficult to ask for help. Seeking counseling does not mean that there is something wrong with us. Seeking counseling helps us to process those feelings and manage symptoms. do not like to label my clients. I am more interested in guiding my clients and helping them during that process. Helping you during those difficult times to manage and cope are my top priorities.
(714) 276-8730 View (714) 276-8730
Photo of Dallas Fotinos, Licensed Professional Clinical Counselor in Anaheim, CA
Dallas Fotinos
Licensed Professional Clinical Counselor, LPCC
Verified Verified
Anaheim, CA 92804
Dallas Fotinos a Licensed Professional Clinical Counselor with a focus on a client's centered approach. I worked in various roles exposing me to people from all walks of life though I remained curious about individuals and smaller dynamics and how they function. I approach all areas of therapy through a client-centered and trauma-informed lens utilizing aspects of expressive arts, attachment theory, motivational interviewing, developmental, neurobiological, and polyvagal. I have always been interested in human behavior and how individuals come to behave as they do and I decided mental health was where I belonged.
Dallas Fotinos a Licensed Professional Clinical Counselor with a focus on a client's centered approach. I worked in various roles exposing me to people from all walks of life though I remained curious about individuals and smaller dynamics and how they function. I approach all areas of therapy through a client-centered and trauma-informed lens utilizing aspects of expressive arts, attachment theory, motivational interviewing, developmental, neurobiological, and polyvagal. I have always been interested in human behavior and how individuals come to behave as they do and I decided mental health was where I belonged.
(657) 837-5696 View (657) 837-5696
Photo of Shannon Ashburn, Marriage & Family Therapist in Anaheim, CA
Shannon Ashburn
Marriage & Family Therapist, LMFT
Verified Verified
Anaheim, CA 92805
I am a licensed Marriage and Family Therapist (LMFT) and I have been working in the counseling field since 2010. I have experience working in Child Welfare, non-profit, and private practice settings with individuals, couples, families, and groups who are experiencing a wide range of challenges. Much of my experience has been dedicated to helping those affected by trauma. My experience with this hurting population spans over 12 years. I am trained in Trauma-Informed Practice and have assisted individuals and families in overcoming barriers to personal emotional and psychological safety.
I am a licensed Marriage and Family Therapist (LMFT) and I have been working in the counseling field since 2010. I have experience working in Child Welfare, non-profit, and private practice settings with individuals, couples, families, and groups who are experiencing a wide range of challenges. Much of my experience has been dedicated to helping those affected by trauma. My experience with this hurting population spans over 12 years. I am trained in Trauma-Informed Practice and have assisted individuals and families in overcoming barriers to personal emotional and psychological safety.
(562) 662-8604 View (562) 662-8604
Photo of Nereida Medina, Marriage & Family Therapist in Anaheim, CA
Nereida Medina
Marriage & Family Therapist, LMFT
Verified Verified
Anaheim, CA 92801
My name is Nereida Medina, and I am a Licensed Marriage and Family Therapist (LMFT) based in Redlands, California. I am currently working with clients statewide via telehealth. I work with adults in individual and couple's therapy. I specialize in treating anxiety, depression, and relationship conflicts. My style and approach are a good fit for young adults and adults who may be dealing with the challenges of life transitions and couples who are struggling to communicate through ongoing stressors.
My name is Nereida Medina, and I am a Licensed Marriage and Family Therapist (LMFT) based in Redlands, California. I am currently working with clients statewide via telehealth. I work with adults in individual and couple's therapy. I specialize in treating anxiety, depression, and relationship conflicts. My style and approach are a good fit for young adults and adults who may be dealing with the challenges of life transitions and couples who are struggling to communicate through ongoing stressors.
(657) 837-2201 View (657) 837-2201
Photo of Daniel Crosby, Marriage & Family Therapist in Anaheim, CA
Daniel Crosby
Marriage & Family Therapist, LMFT
Verified Verified
Anaheim, CA 92805
My name is Dan Crosby and I am a Licensed Marriage and Family Therapist. My style of therapy is client driven and more of a partnership focusing on helping you reach your goals. I have extensive experience and training with treatment of trauma, depression, anxiety, and a multitude of other diagnoses which I will use to tailor your specific treatment to your needs and goals. I have been working in the field for over 15 years with a variety of clientele ranging from kids, adolescents, and adults. I have worked with a vast variety of diagnoses, trauma histories, life changes, and other stressors that a person may be going through.
My name is Dan Crosby and I am a Licensed Marriage and Family Therapist. My style of therapy is client driven and more of a partnership focusing on helping you reach your goals. I have extensive experience and training with treatment of trauma, depression, anxiety, and a multitude of other diagnoses which I will use to tailor your specific treatment to your needs and goals. I have been working in the field for over 15 years with a variety of clientele ranging from kids, adolescents, and adults. I have worked with a vast variety of diagnoses, trauma histories, life changes, and other stressors that a person may be going through.
(562) 669-2344 View (562) 669-2344
Photo of Susan Kantharia, Marriage & Family Therapist Associate in Anaheim, CA
Susan Kantharia
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Anaheim, CA 92807
I partner with individuals stuck in unhealthy patterns, self-defeating behaviors, anxiety, addiction, low self-esteem, relational issues, co-dependency, depression and trauma. I utilize evidence-based therapy alongside creating grace filled environment. I strive to develop a trustworthy therapeutic relationship where you can get the safe space to explore and make sense of your thoughts, feelings and emotions. My style is calm, compassionate and solution-based where I provide acceptance and non-judgmental support.
I partner with individuals stuck in unhealthy patterns, self-defeating behaviors, anxiety, addiction, low self-esteem, relational issues, co-dependency, depression and trauma. I utilize evidence-based therapy alongside creating grace filled environment. I strive to develop a trustworthy therapeutic relationship where you can get the safe space to explore and make sense of your thoughts, feelings and emotions. My style is calm, compassionate and solution-based where I provide acceptance and non-judgmental support.
(657) 315-6131 View (657) 315-6131
Photo of Justin Trichter, Marriage & Family Therapist in Anaheim, CA
Justin Trichter
Marriage & Family Therapist, MA, LMFT
Verified Verified
Anaheim, CA 92808  (Online Only)
Seeking change, but having trouble knowing where to start? Need support in your stressful daily life? Looking for a place to gain more insight into yourself or want a place to be able to express yourself and learn about yourself along the way? Struggling with depression, daily life, stress, anxiety, depression, or ongoing cycle of substance abuse. Someone who is motivated to change and wants to learn healthy coping skills to utilize to help or enhance your daily life. Someone open to being challenged and uncomfortable to begin making positive changes in their life.
Seeking change, but having trouble knowing where to start? Need support in your stressful daily life? Looking for a place to gain more insight into yourself or want a place to be able to express yourself and learn about yourself along the way? Struggling with depression, daily life, stress, anxiety, depression, or ongoing cycle of substance abuse. Someone who is motivated to change and wants to learn healthy coping skills to utilize to help or enhance your daily life. Someone open to being challenged and uncomfortable to begin making positive changes in their life.
(657) 837-5234 View (657) 837-5234
Photo of Stephanie Clark, Marriage & Family Therapist in Anaheim, CA
Stephanie Clark
Marriage & Family Therapist, LMFT
Verified Verified
Anaheim, CA 92801
Hi my name is Stephanie Clark, LMFT. I have a depth approach, understanding where you have come from to where you are today. I focus on codependency, grief and loss process, addiction, domestic violence, cognitive distortions, healthy relationship attributes versus toxic attributes, and emotional maturity. I have worked with clients who struggle with anxiety, depression, grief, addiction, and marriage and family difficulties. I typically work with adults 18 and older, couples, and individuals.
Hi my name is Stephanie Clark, LMFT. I have a depth approach, understanding where you have come from to where you are today. I focus on codependency, grief and loss process, addiction, domestic violence, cognitive distortions, healthy relationship attributes versus toxic attributes, and emotional maturity. I have worked with clients who struggle with anxiety, depression, grief, addiction, and marriage and family difficulties. I typically work with adults 18 and older, couples, and individuals.
(657) 837-5997 View (657) 837-5997
Photo of Jaclyn Richardson, Marriage & Family Therapist in Anaheim, CA
Jaclyn Richardson
Marriage & Family Therapist, LMFT
Verified Verified
Anaheim, CA 92804
I am originally from San Diego but moved to Northern California to attend the University of California, Davis, where I graduated with a Bachelor’s degree in Human Development. I then attended National University and obtained my Master’s degree in Counseling Psychology. I am licensed as a Marriage and Family Therapist by the State of California Board of Behavioral Sciences. I began working in the Mental Health field in 2000 in the school system with at-risk children. Since then, I have been passionate about helping people to achieve their greatest potential and live a more authentic life.
I am originally from San Diego but moved to Northern California to attend the University of California, Davis, where I graduated with a Bachelor’s degree in Human Development. I then attended National University and obtained my Master’s degree in Counseling Psychology. I am licensed as a Marriage and Family Therapist by the State of California Board of Behavioral Sciences. I began working in the Mental Health field in 2000 in the school system with at-risk children. Since then, I have been passionate about helping people to achieve their greatest potential and live a more authentic life.
(657) 571-3224 View (657) 571-3224
Photo of Elsa Jaimes, Clinical Social Work/Therapist in Anaheim, CA
Elsa Jaimes
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
2 Endorsed
Anaheim, CA 92808  (Online Only)
Not accepting new clients
Hello, I am not currently taking on new clients. I provide individualized psychotherapy to adults via Telehealth that promotes healing, personal growth, and confidence in your own identity. By creating a safe space for you to process your experiences, I am able to help you on your journey towards healing. I will customize my therapeutic approach to meet your individual needs. Therapy is not a one size fits all process, so I am intentional about working together and empowering you to take control of your narrative.
Hello, I am not currently taking on new clients. I provide individualized psychotherapy to adults via Telehealth that promotes healing, personal growth, and confidence in your own identity. By creating a safe space for you to process your experiences, I am able to help you on your journey towards healing. I will customize my therapeutic approach to meet your individual needs. Therapy is not a one size fits all process, so I am intentional about working together and empowering you to take control of your narrative.
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Photo of Starr Lee, Marriage & Family Therapist in Anaheim, CA
Starr Lee
Marriage & Family Therapist, LMFT
Verified Verified
Anaheim, CA 92805
My name is Starr Lee, a licensed marriage family therapist (LMFT), working with clients statewide via telehealth. I work with adults and specialize in depression, anxiety, and trauma, using Cognitive Behavioral Therapy and Client-Centered Therapy to help my clients to regain health, wholeness, and wellness. I work to help my clients to develop a more positive and adaptive way of thinking, feeling, behaving and to empower my clients to take an active role in their own lives. My communication style is calm, personable, and collaborative. I want my clients to know I am empathetic and genuine.
My name is Starr Lee, a licensed marriage family therapist (LMFT), working with clients statewide via telehealth. I work with adults and specialize in depression, anxiety, and trauma, using Cognitive Behavioral Therapy and Client-Centered Therapy to help my clients to regain health, wholeness, and wellness. I work to help my clients to develop a more positive and adaptive way of thinking, feeling, behaving and to empower my clients to take an active role in their own lives. My communication style is calm, personable, and collaborative. I want my clients to know I am empathetic and genuine.
(714) 844-7985 View (714) 844-7985
Photo of Honeycutt Wellness, Inc, Marriage & Family Therapist in Anaheim, CA
Honeycutt Wellness, Inc
Marriage & Family Therapist, MA, LMFT, SAP, EAP
Verified Verified
Anaheim, CA 92805
As a private practitioner, I provide psychotherapy with focus on family relationships, women's issues, substance use and addiction concerns. I work with young to senior adults using a person-centered approach. This particularly takes into consideration your own special brand of culture and individuality. I will help guide you into being the best version of you.
As a private practitioner, I provide psychotherapy with focus on family relationships, women's issues, substance use and addiction concerns. I work with young to senior adults using a person-centered approach. This particularly takes into consideration your own special brand of culture and individuality. I will help guide you into being the best version of you.
(562) 414-6476 View (562) 414-6476
Photo of Michael Brown, Marriage & Family Therapist in Anaheim, CA
Michael Brown
Marriage & Family Therapist, LMFT
Verified Verified
Anaheim, CA 92804
Michael Brown is a licensed psychotherapist working with individuals and couples to restore emotional connections. His goal is to help his clients feel better about themselves and their relationships. He works with individuals and couples from all cultures and sexual orientations and he welcomes each to therapy just as they are. Michael has experience working to repair ruptures in relationships. Michael also has experience working in trauma, depression and anxiety. Michael has also worked with children and families.
Michael Brown is a licensed psychotherapist working with individuals and couples to restore emotional connections. His goal is to help his clients feel better about themselves and their relationships. He works with individuals and couples from all cultures and sexual orientations and he welcomes each to therapy just as they are. Michael has experience working to repair ruptures in relationships. Michael also has experience working in trauma, depression and anxiety. Michael has also worked with children and families.
(323) 643-8569 View (323) 643-8569
Photo of Richard Skaff, Psychologist in Anaheim, CA
Richard Skaff
Psychologist, LCP
Verified Verified
Anaheim, CA 92805
I enjoy working with people and guide them to achieve personal growth. I believe that the purpose of being human is to grow and achieve a better version of ourselves. I facilitate a comfortable and collaborative environment that will allow the client to achieve personal growth and insight, as well as resolve the struggle that brought him or her into therapy.
I enjoy working with people and guide them to achieve personal growth. I believe that the purpose of being human is to grow and achieve a better version of ourselves. I facilitate a comfortable and collaborative environment that will allow the client to achieve personal growth and insight, as well as resolve the struggle that brought him or her into therapy.
(562) 667-2881 View (562) 667-2881
Photo of Alena Kuzmenko, Clinical Social Work/Therapist in Anaheim, CA
Alena Kuzmenko
Clinical Social Work/Therapist, LMFT
Verified Verified
Anaheim, CA 92805
Hello, my name is Alena Kuzmenko, and I am a Licensed Marriage and Family Therapist in California. I am passionate about instilling hope and providing space for healing in the lives of individuals and families. I work with preteens, teens, and adults experiencing anxiety, depression, codependency, postpartum, premenstrual dysphoria, relational issues, life stressors, and/or addiction.
Hello, my name is Alena Kuzmenko, and I am a Licensed Marriage and Family Therapist in California. I am passionate about instilling hope and providing space for healing in the lives of individuals and families. I work with preteens, teens, and adults experiencing anxiety, depression, codependency, postpartum, premenstrual dysphoria, relational issues, life stressors, and/or addiction.
(562) 393-6568 View (562) 393-6568
Photo of Delhia Allen, Marriage & Family Therapist in Anaheim, CA
Delhia Allen
Marriage & Family Therapist, LMFT
Verified Verified
Anaheim, CA 92805
I'm Delhia. I am a licensed Marriage and Family Therapist who has been practicing for over 7 years. I help individuals examine behavior patterns that have maintained struggles within their lives. My approach is strengths-based, collaborative, and intersectional. I provide personalized and culturally relevant strategies to help you accomplish your goals. Please get in touch with me to explore what working together might look and feel like for you.
I'm Delhia. I am a licensed Marriage and Family Therapist who has been practicing for over 7 years. I help individuals examine behavior patterns that have maintained struggles within their lives. My approach is strengths-based, collaborative, and intersectional. I provide personalized and culturally relevant strategies to help you accomplish your goals. Please get in touch with me to explore what working together might look and feel like for you.
(714) 710-8105 View (714) 710-8105
Photo of Martin J Eaton, Psychologist in Anaheim, CA
Martin J Eaton
Psychologist, PhD
Verified Verified
1 Endorsed
Anaheim, CA 92807
Dr. Martin Eaton is a clinical psychologist and former graduate professor at USC who specializes in identifying and providing individualized solutions for students and adults who have experienced learning challenges. Dr. Eaton's unique approach starts with a neurological assessment that identifies how the brain is processing information to discover the strengths and weaknesses for each individual. Coupled with his clinical background and over 25 years of counseling experience, Dr. Eaton will identify what's going on cognitively, emotionally, spiritually, and physically for that individual or family.
Dr. Martin Eaton is a clinical psychologist and former graduate professor at USC who specializes in identifying and providing individualized solutions for students and adults who have experienced learning challenges. Dr. Eaton's unique approach starts with a neurological assessment that identifies how the brain is processing information to discover the strengths and weaknesses for each individual. Coupled with his clinical background and over 25 years of counseling experience, Dr. Eaton will identify what's going on cognitively, emotionally, spiritually, and physically for that individual or family.
(714) 770-8623 View (714) 770-8623

How does your Therapist compare?

Number of Therapists in Anaheim, CA

400+

Average cost per session

$150

Therapists in Anaheim, CA who prioritize treating:

94% Anxiety
90% Depression
77% Self Esteem
76% Coping Skills
75% Relationship Issues
70% Stress
64% Grief

Average years in practice

11 Years

Top 3 insurances accepted

84% Aetna
80% Cigna and Evernorth
74% UnitedHealthcare UHC | UBH

How Therapists in Anaheim, CA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Anaheim?

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.