Therapists in Otay Ranch, Chula Vista, CA

Photo of Maria Solis-Espinoza, LMFT, Marriage & Family Therapist in Otay Ranch, Chula Vista, CA
Maria Solis-Espinoza, LMFT
Marriage & Family Therapist, LMFT
Verified Verified
Otay Ranch, Chula Vista, CA 91913  (Online Only)
The world has continues to go through many changes but we have the resilience to face them, we just need to have the resources.
The world has continues to go through many changes but we have the resilience to face them, we just need to have the resources.
(619) 365-4667 View (619) 365-4667
Photo of Momilana Aikens, Marriage & Family Therapist in Otay Ranch, Chula Vista, CA
Momilana Aikens
Marriage & Family Therapist, MS, LMFT
Verified Verified
Otay Ranch, Chula Vista, CA 91913
Hi There! Thanks for visiting my profile. I don't need to tell you that I am a Licensed Marriage and Family Therapist because I am sure you have already read that in the heading of my profile. What that heading doesn't say is that I am a wife and a mom and I completely understand the rewards and challenges we face daily in both those roles. While I do work with various populations, it is my role as a wife and a mom that have lead me to specialize in working with children and families in various capacities. .
Hi There! Thanks for visiting my profile. I don't need to tell you that I am a Licensed Marriage and Family Therapist because I am sure you have already read that in the heading of my profile. What that heading doesn't say is that I am a wife and a mom and I completely understand the rewards and challenges we face daily in both those roles. While I do work with various populations, it is my role as a wife and a mom that have lead me to specialize in working with children and families in various capacities. .
(619) 432-6651 View (619) 432-6651
Photo of Malia Guillaume-Wilson, Clinical Social Work/Therapist in Otay Ranch, Chula Vista, CA
Malia Guillaume-Wilson
Clinical Social Work/Therapist, LCSW
Verified Verified
Otay Ranch, Chula Vista, CA 91913  (Online Only)
Hello and welcome! My name is Malia and I am originally from Haiti. I am very outgoing and down to earth.
Hello and welcome! My name is Malia and I am originally from Haiti. I am very outgoing and down to earth.
(619) 943-3049 View (619) 943-3049
Photo of Kelsey Barbieri, Clinical Social Work/Therapist in Otay Ranch, Chula Vista, CA
Kelsey Barbieri
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Otay Ranch, Chula Vista, CA 91915  (Online Only)
You can't stop thinking about that moment... the words that were said and the way it made you feel. Whether it was years ago or yesterday, it still feels fresh. Maybe it was a comment your mother made or the words of an Ex. Either way, it stung, and it won't stop ringing in your ears. Why can't you get it out of your head? You've tried ignoring it, pushing it down, screaming at it and nothing has worked. It continues to creep in day in and day out. Chipping away at your self-esteem & self-worth. Affecting so much of your life and your ability to trust. You don't just want relief, you need it. You need to find a way to truly move on.
You can't stop thinking about that moment... the words that were said and the way it made you feel. Whether it was years ago or yesterday, it still feels fresh. Maybe it was a comment your mother made or the words of an Ex. Either way, it stung, and it won't stop ringing in your ears. Why can't you get it out of your head? You've tried ignoring it, pushing it down, screaming at it and nothing has worked. It continues to creep in day in and day out. Chipping away at your self-esteem & self-worth. Affecting so much of your life and your ability to trust. You don't just want relief, you need it. You need to find a way to truly move on.
(442) 281-9585 View (442) 281-9585
Photo of Crystal Corona Mendoza, Marriage & Family Therapist in Otay Ranch, Chula Vista, CA
Crystal Corona Mendoza
Marriage & Family Therapist, LMFT, LPCC, PMH-C
Verified Verified
1 Endorsed
Otay Ranch, Chula Vista, CA 91913  (Online Only)
I am a compassionate marriage and family therapist who is dedicated to providing a safe space for youth, adults and families to grow and heal through counseling.
I am a compassionate marriage and family therapist who is dedicated to providing a safe space for youth, adults and families to grow and heal through counseling.
(619) 374-5934 View (619) 374-5934
Photo of Elizabeth Sparks, Associate Clinical Social Worker in Otay Ranch, Chula Vista, CA
Elizabeth Sparks
Associate Clinical Social Worker, MSW, ASW
Verified Verified
1 Endorsed
Otay Ranch, Chula Vista, CA 91915  (Online Only)
I'm dedicated and deeply committed to helping individuals navigate the challenges of anxiety, depression, trauma and life stressors. With a compassionate and client-centered approach, I provide support and guidance to adults seeking to reclaim their mental well-being and thrive in their daily lives. Whether you are grappling with past traumas, navigating life transitions or seeking relief from overwhelming stress, I am here to walk alongside you every step of the way. Together, we will work collaboratively to uncover underlying issues, challenge negative thought patterns and cultivate a sense of hope.
I'm dedicated and deeply committed to helping individuals navigate the challenges of anxiety, depression, trauma and life stressors. With a compassionate and client-centered approach, I provide support and guidance to adults seeking to reclaim their mental well-being and thrive in their daily lives. Whether you are grappling with past traumas, navigating life transitions or seeking relief from overwhelming stress, I am here to walk alongside you every step of the way. Together, we will work collaboratively to uncover underlying issues, challenge negative thought patterns and cultivate a sense of hope.
(619) 745-4797 View (619) 745-4797
Photo of Nadia Braun in Otay Ranch, Chula Vista, CA
Nadia Braun
MS, LEP, BCBA, ABSNP
Verified Verified
Otay Ranch, Chula Vista, CA 91921
I’m an English/Spanish bilingual Licensed Educational Psychologist (LEP) and Board Certified Behavior Analyst (BCBA) with over 20-years of experience working with students with autism and other disabilities in the public school and home setting. My passion is working with students of various ability levels to help them reach maximum independence and success within their unique skill repertoire.
I’m an English/Spanish bilingual Licensed Educational Psychologist (LEP) and Board Certified Behavior Analyst (BCBA) with over 20-years of experience working with students with autism and other disabilities in the public school and home setting. My passion is working with students of various ability levels to help them reach maximum independence and success within their unique skill repertoire.
(619) 279-5739 View (619) 279-5739
Photo of Minion (C.) Garner in Otay Ranch, Chula Vista, CA
Minion (C.) Garner
LMSW
Verified Verified
Otay Ranch, Chula Vista, CA 91915  (Online Only)
If you, like many, are feeling any mixture of difficult emotions, struggles, anxiety, isolation, prolonged sadness, depression, or struggling with addiction or mental health diagnosis, you are not alone. We have all collectively experienced a once in a lifetime pandemic and it’s taken its toll. Whatever your struggle- you want to feel better: whether working in a coaching capacity to achieve your goals, therapeutically to address current difficulties, symptoms or trauma (past/ present), relationship issues, general stress… This is the 1st step to FEEL the FULL joy of life again: you’ve found the right place! Take that first step.
If you, like many, are feeling any mixture of difficult emotions, struggles, anxiety, isolation, prolonged sadness, depression, or struggling with addiction or mental health diagnosis, you are not alone. We have all collectively experienced a once in a lifetime pandemic and it’s taken its toll. Whatever your struggle- you want to feel better: whether working in a coaching capacity to achieve your goals, therapeutically to address current difficulties, symptoms or trauma (past/ present), relationship issues, general stress… This is the 1st step to FEEL the FULL joy of life again: you’ve found the right place! Take that first step.
(619) 329-8391 View (619) 329-8391
Photo of Ashley Rhiannon Gomez-Hotko, Marriage & Family Therapist in Otay Ranch, Chula Vista, CA
Ashley Rhiannon Gomez-Hotko
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Otay Ranch, Chula Vista, CA 91915  (Online Only)
Pleased to meet you! My name is Ashley Gomez-Hotko LMFT. I provide individual telehealth therapy to adult clients within the state of California. If you are experiencing symptoms of trauma, depression, anxiety, self-esteem issues, grief and loss, family or relationship issues, or enduring a difficult life transition, I would love the opportunity to hear your story and support you. Carrying our pain without addressing it may not only make life less satisfying, but it can take a toll on other aspects of our health. Mental health IS health, and therapy can be medicinal for untangling the mind and heart.
Pleased to meet you! My name is Ashley Gomez-Hotko LMFT. I provide individual telehealth therapy to adult clients within the state of California. If you are experiencing symptoms of trauma, depression, anxiety, self-esteem issues, grief and loss, family or relationship issues, or enduring a difficult life transition, I would love the opportunity to hear your story and support you. Carrying our pain without addressing it may not only make life less satisfying, but it can take a toll on other aspects of our health. Mental health IS health, and therapy can be medicinal for untangling the mind and heart.
(619) 932-4887 View (619) 932-4887
Photo of Danielle Saliman, Clinical Social Work/Therapist in Otay Ranch, Chula Vista, CA
Danielle Saliman
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Otay Ranch, Chula Vista, CA 91915  (Online Only)
You feel stuck. Day in and day out, the monotony of your life is so draining. You know you want to make a change, but what kind of change? A new job, new location, going to school, a different relationship... It is all so overwhelming. Where do you even start? And that's where you get stuck. Knowing you want this change but feeling paralyzed by the anxiety of the unknown. Or maybe even worse, the fear of making the WRONG decision. So you keep trudging along. Day after day. Stuck in this constant loop. You want to escape this, but you just need help!
You feel stuck. Day in and day out, the monotony of your life is so draining. You know you want to make a change, but what kind of change? A new job, new location, going to school, a different relationship... It is all so overwhelming. Where do you even start? And that's where you get stuck. Knowing you want this change but feeling paralyzed by the anxiety of the unknown. Or maybe even worse, the fear of making the WRONG decision. So you keep trudging along. Day after day. Stuck in this constant loop. You want to escape this, but you just need help!
(619) 492-4356 View (619) 492-4356
Photo of Thrive In Life Therapy Group Practice, Clinical Social Work/Therapist in Otay Ranch, Chula Vista, CA
Thrive In Life Therapy Group Practice
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Otay Ranch, Chula Vista, CA 91915  (Online Only)
Does life feel difficult to navigate, whether it's personal relationships, career or finding purpose? Are you feeling stuck, lack of energy and low motivation? Do you struggle with overthinking, rumination, spiraling, impeding your ability to make lasting changes? In today's climate, many are struggling with heightened levels of anxiety, depression, feeling overwhelmed, and facing uncertainty in navigating the complexities of relationships, careers, and overall life. Neglecting your own needs, lack of purpose, & past trauma can potentially result in enduring challenges for both your mental and physical well-being.
Does life feel difficult to navigate, whether it's personal relationships, career or finding purpose? Are you feeling stuck, lack of energy and low motivation? Do you struggle with overthinking, rumination, spiraling, impeding your ability to make lasting changes? In today's climate, many are struggling with heightened levels of anxiety, depression, feeling overwhelmed, and facing uncertainty in navigating the complexities of relationships, careers, and overall life. Neglecting your own needs, lack of purpose, & past trauma can potentially result in enduring challenges for both your mental and physical well-being.
(619) 333-7703 View (619) 333-7703
Photo of BLK Haven Corp , Counselor in Otay Ranch, Chula Vista, CA
BLK Haven Corp
Counselor, MHC-891
Verified Verified
Otay Ranch, Chula Vista, CA 91913  (Online Only)
BLK Haven is an online mental health platform connecting Black people to Black clinicians and empowering Black clinicians to launch and grow thriving private practices.Apply NOW: www.blkhaven.com
BLK Haven is an online mental health platform connecting Black people to Black clinicians and empowering Black clinicians to launch and grow thriving private practices.Apply NOW: www.blkhaven.com
(808) 720-2521 View (808) 720-2521
Photo of Rebecca Bernstein, Clinical Social Work/Therapist in Otay Ranch, Chula Vista, CA
Rebecca Bernstein
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Otay Ranch, Chula Vista, CA 91915  (Online Only)
You wake up each morning feeling stuck and alone. The anxious thoughts just won't go away. Perhaps they are related to things going on in your life, or maybe they feel like they are coming out of nowhere. Either way, these feelings overwhelm you and you're just not sure what to do about it anymore. You notice that your relationships, work and even your ability to care for yourself are starting to be affected. You set goals in an effort to make a positive change, but quickly give up because you just don't have the energy. You are starting to lose hope that you can get yourself out of this.
You wake up each morning feeling stuck and alone. The anxious thoughts just won't go away. Perhaps they are related to things going on in your life, or maybe they feel like they are coming out of nowhere. Either way, these feelings overwhelm you and you're just not sure what to do about it anymore. You notice that your relationships, work and even your ability to care for yourself are starting to be affected. You set goals in an effort to make a positive change, but quickly give up because you just don't have the energy. You are starting to lose hope that you can get yourself out of this.
(619) 966-4019 View (619) 966-4019
Photo of Dr Gonzales Therapy, Clinical Social Work/Therapist in Otay Ranch, Chula Vista, CA
Dr Gonzales Therapy
Clinical Social Work/Therapist, DSW, LCSW
Verified Verified
Otay Ranch, Chula Vista, CA 91915  (Online Only)
Not accepting new clients
I am a Licensed Clinical Social Worker and Doctor of Social Work in California with over 15 years of experience in a variety of settings. I have both personal and professional experience dealing with military life stressors and am especially passionate about working with adolescents and young adults experiencing difficult life transitions, learning to navigate complex relationships, and establishing their own personal identities. I have experience treating individuals who struggle with depression, anxiety, oppositional behavior and trauma and enjoy supporting individuals navigate the transition between teen and young adult.
I am a Licensed Clinical Social Worker and Doctor of Social Work in California with over 15 years of experience in a variety of settings. I have both personal and professional experience dealing with military life stressors and am especially passionate about working with adolescents and young adults experiencing difficult life transitions, learning to navigate complex relationships, and establishing their own personal identities. I have experience treating individuals who struggle with depression, anxiety, oppositional behavior and trauma and enjoy supporting individuals navigate the transition between teen and young adult.
(619) 489-6806 View (619) 489-6806
Photo of Dr. Veronica Guerra, Psychologist in Otay Ranch, Chula Vista, CA
Dr. Veronica Guerra
Psychologist, PsyD
Verified Verified
2 Endorsed
Otay Ranch, Chula Vista, CA 91921  (Online Only)
A veces todos necesitamos apoyo para superar los acontecimientos de la vida. Como psicóloga estoy aquí para ayudar. Tengo experiencia trabajando con depresión, ansiedad, estrés académico y laboral, transiciones de vida y relaciones. También tengo he liderando grupos y dado clases a estudiantes universitarios. Mi enfoque terapéutico es colaborativo y holístico, centrándose en la experiencia de la persona y los factores sociales que afectan su vida. Mi objetivo es proporcionar un espacio seguro para identificar y comprender los factores estresantes y aprender formas saludables de sobrellevar una vida más satisfactoria.
A veces todos necesitamos apoyo para superar los acontecimientos de la vida. Como psicóloga estoy aquí para ayudar. Tengo experiencia trabajando con depresión, ansiedad, estrés académico y laboral, transiciones de vida y relaciones. También tengo he liderando grupos y dado clases a estudiantes universitarios. Mi enfoque terapéutico es colaborativo y holístico, centrándose en la experiencia de la persona y los factores sociales que afectan su vida. Mi objetivo es proporcionar un espacio seguro para identificar y comprender los factores estresantes y aprender formas saludables de sobrellevar una vida más satisfactoria.
(619) 393-7992 View (619) 393-7992
Photo of Monica Flores, LMFT- Clear Paths Counseling, Marriage & Family Therapist in Otay Ranch, Chula Vista, CA
Monica Flores, LMFT- Clear Paths Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Otay Ranch, Chula Vista, CA 91913  (Online Only)
“Telehealth (VIDEO) ONLY.”. You are probably here today in search for help managing current life’s difficulties, help with learning new tools and coping strategies, guidance to process difficult emotions, or maybe you just want to talk. With over 8 years of experience, I can guide you through these difficult times, whether it comes from anxiety, depression, stress, life transitions, family and/or relationship conflicts, or adjustments. Among these difficulties, maybe you just want to process every day to day struggles, and I’m here for that too.
“Telehealth (VIDEO) ONLY.”. You are probably here today in search for help managing current life’s difficulties, help with learning new tools and coping strategies, guidance to process difficult emotions, or maybe you just want to talk. With over 8 years of experience, I can guide you through these difficult times, whether it comes from anxiety, depression, stress, life transitions, family and/or relationship conflicts, or adjustments. Among these difficulties, maybe you just want to process every day to day struggles, and I’m here for that too.
(619) 457-4181 View (619) 457-4181
Photo of Courtney R Cornick, Psychologist in Otay Ranch, Chula Vista, CA
Courtney R Cornick
Psychologist, PhD
Verified Verified
Otay Ranch, Chula Vista, CA 91915
Not accepting new clients
Deciding to change your life is a major step, and CAYA Wellness is happy to join you on your path to wellness. No matter where you are today, CAYA Wellness is here to help you live a fulfilled life with optimal mental health and wellness. CAYA wellness offers a wide range of services for individuals seeking to treat mental health conditions, achieve goals, and enhance wellness.
Deciding to change your life is a major step, and CAYA Wellness is happy to join you on your path to wellness. No matter where you are today, CAYA Wellness is here to help you live a fulfilled life with optimal mental health and wellness. CAYA wellness offers a wide range of services for individuals seeking to treat mental health conditions, achieve goals, and enhance wellness.
(619) 374-4613 View (619) 374-4613
Photo of Shanekwa Pruitt, Marriage & Family Therapist in Otay Ranch, Chula Vista, CA
Shanekwa Pruitt
Marriage & Family Therapist, MS, LMFT
Verified Verified
Otay Ranch, Chula Vista, CA 91913  (Online Only)
Not accepting new clients
If you’re looking for a refuge from loss and to heal from reproductive, perinatal, and family building issues, I can help. Are you having trouble grasping, understanding, or dealing with Trauma or a recent life change, I have specialized in these areas since the beginning of my career. Struggling to find self-love, your true identity, or growth, I offer a safe space to explore these aspects and more. If you are ready, you can feel: seen, heard, understood, like yourself again, more satisfied, hopeful and empowered.
If you’re looking for a refuge from loss and to heal from reproductive, perinatal, and family building issues, I can help. Are you having trouble grasping, understanding, or dealing with Trauma or a recent life change, I have specialized in these areas since the beginning of my career. Struggling to find self-love, your true identity, or growth, I offer a safe space to explore these aspects and more. If you are ready, you can feel: seen, heard, understood, like yourself again, more satisfied, hopeful and empowered.
(619) 775-1420 View (619) 775-1420
Photo of David Kim, Marriage & Family Therapist in Otay Ranch, Chula Vista, CA
David Kim
Marriage & Family Therapist, LMFT
Verified Verified
Otay Ranch, Chula Vista, CA 91915  (Online Only)
My therapeutic style and approach are a good fit for young adults, individuals, and couples who may be struggling with the challenges of life, mental health well-being, and relational/marital issues for couples. I put much effort into helping my clients navigate through these difficult chapters and build skills to allow them to feel better about themselves and develop a more positive outlook on life.
My therapeutic style and approach are a good fit for young adults, individuals, and couples who may be struggling with the challenges of life, mental health well-being, and relational/marital issues for couples. I put much effort into helping my clients navigate through these difficult chapters and build skills to allow them to feel better about themselves and develop a more positive outlook on life.
(619) 304-9013 View (619) 304-9013
Photo of Tiffany McCullum, Psychologist in Otay Ranch, Chula Vista, CA
Tiffany McCullum
Psychologist, PsyD
Verified Verified
Otay Ranch, Chula Vista, CA 91913  (Online Only)
My name is Dr. Tiffany McCullum. I have been in practice for 11 years, specializing in adult psychotherapy. I enjoy helping people through relationship issues, transitional periods in life, and daily stressors. I have experience working with all mood disorders, psychotic disorders, substance use disorders, and trauma.
My name is Dr. Tiffany McCullum. I have been in practice for 11 years, specializing in adult psychotherapy. I enjoy helping people through relationship issues, transitional periods in life, and daily stressors. I have experience working with all mood disorders, psychotic disorders, substance use disorders, and trauma.
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How does your Therapist compare?

Number of Therapists in Otay Ranch, Chula Vista, CA

20+

Average cost per session

$135

Therapists in Otay Ranch, Chula Vista, CA who prioritize treating:

96% Anxiety
96% Self Esteem
92% Depression
84% Coping Skills
72% Relationship Issues
72% Women's Issues
72% Stress

Average years in practice

12 Years

Top 3 insurances accepted

75% Aetna
75% UnitedHealthcare UHC | UBH
60% Cigna and Evernorth

How Therapists in Otay Ranch, Chula Vista, CA see their clients

72% Online Only
28% In Person and Online

Gender breakdown

92% Female
4% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Otay Ranch, Chula Vista?

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.