Therapists in El Cajon, CA

Photo of Dyana Michelle Clark, MA, LPCC, LPC, Licensed Professional Counselor
Dyana Michelle Clark
Licensed Professional Counselor, MA, LPCC, LPC
Verified Verified
El Cajon, CA 92020
I am a Licensed Professional Clinical Counselor licensed in California and Texas, with over 9 years of experience. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, confidence and self esteem issues, OCD and ADHD. I am also certified in Trauma Counseling and have helped many people who have experienced physical trauma or emotional abuse, and various traumatic life experiences.
I am a Licensed Professional Clinical Counselor licensed in California and Texas, with over 9 years of experience. I have worked with clients with a wide range of concerns including depression, anxiety, relationship issues, parenting problems, confidence and self esteem issues, OCD and ADHD. I am also certified in Trauma Counseling and have helped many people who have experienced physical trauma or emotional abuse, and various traumatic life experiences.
(619) 489-1030 View (619) 489-1030
Photo of Jamie Onstott, LMFT, Marriage & Family Therapist
Jamie Onstott
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
I am a Licensed Marriage and Family Therapist with 18 years of experience in the mental health field. I use a very humanistic and client-centered approach to help clients to feel they can share thoughts and feelings safely and free from judgment. I understand that asking for help and facilitating change in your life takes a lot of courage. I have considerable experience working with clients who have experienced anxiety, depression, and trauma. One of my greatest strengths is to help clients recognize their strengths and to use them as a tool to help them through the current challenges they are facing.
I am a Licensed Marriage and Family Therapist with 18 years of experience in the mental health field. I use a very humanistic and client-centered approach to help clients to feel they can share thoughts and feelings safely and free from judgment. I understand that asking for help and facilitating change in your life takes a lot of courage. I have considerable experience working with clients who have experienced anxiety, depression, and trauma. One of my greatest strengths is to help clients recognize their strengths and to use them as a tool to help them through the current challenges they are facing.
(619) 558-1341 View (619) 558-1341
Photo of Brande Vargas, LCSW, Clinical Social Work/Therapist
Brande Vargas
Clinical Social Work/Therapist, LCSW
Verified Verified
El Cajon, CA 92020
I am passionate about my work and consider it an honor to help people navigate and move forward to lead happier and more fulfilled lives. My goal as a therapist is to provide a safe environment to help guide you through life's challenges and the often-unpredictable ups and downs. I utilize a variety of treatment modalities and adapt treatment to fit your individual needs. I work from a strengths-based perspective and have a warm, gentle, supportive, non-judgmental, therapeutic style.
I am passionate about my work and consider it an honor to help people navigate and move forward to lead happier and more fulfilled lives. My goal as a therapist is to provide a safe environment to help guide you through life's challenges and the often-unpredictable ups and downs. I utilize a variety of treatment modalities and adapt treatment to fit your individual needs. I work from a strengths-based perspective and have a warm, gentle, supportive, non-judgmental, therapeutic style.
(619) 308-6354 View (619) 308-6354
Photo of Matthew Fava, LMFT, Marriage & Family Therapist
Matthew Fava
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Hello, my name is Matthew Fava, Psy.D, LMFT , license 47392. My approach to therapy is helping improve the client's ability to both establish, maintain, and improve relationships. Helping the client develop and utilize positive coping skills that best fit their lifestyle. Helping promote the decision-making process while facilitating client potential. My areas of focus are Anxiety disorders, Depression and Post Traumatic Stress Disorder (PTSD). For the past 27 years I have been working with clients that struggle with Depression, Anxiety and Post Traumatic Stress Disorder.
Hello, my name is Matthew Fava, Psy.D, LMFT , license 47392. My approach to therapy is helping improve the client's ability to both establish, maintain, and improve relationships. Helping the client develop and utilize positive coping skills that best fit their lifestyle. Helping promote the decision-making process while facilitating client potential. My areas of focus are Anxiety disorders, Depression and Post Traumatic Stress Disorder (PTSD). For the past 27 years I have been working with clients that struggle with Depression, Anxiety and Post Traumatic Stress Disorder.
(619) 648-4912 View (619) 648-4912
Photo of Veronica Wahba, PsyD, LCP, Psychologist
Veronica Wahba
Psychologist, PsyD, LCP
Verified Verified
Online Only
I am a licensed clinical psychologist with over 17 years of experience in treating adult clients with a variety of difficulties including anxiety & panic, mood disorders, grief & loss, ADHD, relationship problems, stress management, & personal growth & development. I have a passion for helping my clients gain a better understanding of themselves, triumph over obstacles in their lives, & lead healthier, happier, & more fulfilling lives overall. My treatment approaches are integrative & holistic & include various somatic (mind-body) therapy, solution-focused, positive psychology, & cognitive behavior therapy techniques.
I am a licensed clinical psychologist with over 17 years of experience in treating adult clients with a variety of difficulties including anxiety & panic, mood disorders, grief & loss, ADHD, relationship problems, stress management, & personal growth & development. I have a passion for helping my clients gain a better understanding of themselves, triumph over obstacles in their lives, & lead healthier, happier, & more fulfilling lives overall. My treatment approaches are integrative & holistic & include various somatic (mind-body) therapy, solution-focused, positive psychology, & cognitive behavior therapy techniques.
(619) 458-3553 View (619) 458-3553
Photo of Leticia Estrada, LMFT, Marriage & Family Therapist
Leticia Estrada
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Hello, I am Leticia Estrada, Licensed Marriage & Family Therapist, together we will utilize strengths you already possess and develop new tools for healthy coping mechanism to reach your goals. You will find a safe empathetic space to embark on a journey of self-awareness healing. We will explore trauma, navigate challenges with relationships and overcome negative core beliefs. I specialize working with individuals who are dealing with depression, grief, anxiety, trauma, and life stressors. I work best with people who are ready and motivated to make a change in their lives and need some added support.
Hello, I am Leticia Estrada, Licensed Marriage & Family Therapist, together we will utilize strengths you already possess and develop new tools for healthy coping mechanism to reach your goals. You will find a safe empathetic space to embark on a journey of self-awareness healing. We will explore trauma, navigate challenges with relationships and overcome negative core beliefs. I specialize working with individuals who are dealing with depression, grief, anxiety, trauma, and life stressors. I work best with people who are ready and motivated to make a change in their lives and need some added support.
(619) 932-4472 View (619) 932-4472
Photo of Brittany Drnek, Clinical Social Work/Therapist
Brittany Drnek
Clinical Social Work/Therapist
Verified Verified
El Cajon, CA 92021
My name is Brittany Drnek. I am a Licensed Clinical Social Worker who has been working in the mental health field for over ten years.My area of expertise is helping people manage anxiety and panic, depression and mood disorders, OCD, trauma symptoms, parenting and family challenges, and relationship issues. My therapeutic technique is rooted in a combination of CBT, ACT, DBT, psychodynamic theory, attachment theory, and mindfulness practice. My clinical experience has made me a firm believer in the importance of treating the whole person and I work to support my clients in learning to care for themselves in all areas of their life.
My name is Brittany Drnek. I am a Licensed Clinical Social Worker who has been working in the mental health field for over ten years.My area of expertise is helping people manage anxiety and panic, depression and mood disorders, OCD, trauma symptoms, parenting and family challenges, and relationship issues. My therapeutic technique is rooted in a combination of CBT, ACT, DBT, psychodynamic theory, attachment theory, and mindfulness practice. My clinical experience has made me a firm believer in the importance of treating the whole person and I work to support my clients in learning to care for themselves in all areas of their life.
(619) 768-2751 View (619) 768-2751
Photo of Deatria Davis, LMFT, Marriage & Family Therapist
Deatria Davis
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
My name is Deatria Davis and I'm an LMFT. My approach to therapy is rooted in empathy, compassion, and non-judgment. I strive to create a safe and supportive environment where clients feel comfortable exploring their thoughts and feelings while moving toward a journey of self-awareness, cultivating resilience, developing interpersonal skills, and the healing needed to form and sustain relationships with oneself and others. I use an integrative approach of CBT, DBT, ACT, Mindfulness, Expressive Arts, and other theoretical approaches depending on the client's needs.
My name is Deatria Davis and I'm an LMFT. My approach to therapy is rooted in empathy, compassion, and non-judgment. I strive to create a safe and supportive environment where clients feel comfortable exploring their thoughts and feelings while moving toward a journey of self-awareness, cultivating resilience, developing interpersonal skills, and the healing needed to form and sustain relationships with oneself and others. I use an integrative approach of CBT, DBT, ACT, Mindfulness, Expressive Arts, and other theoretical approaches depending on the client's needs.
(323) 643-8569 View (323) 643-8569
Photo of Shannan Oconnor, LMFT, Marriage & Family Therapist
Shannan Oconnor
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
I am licensed in California, and I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & intimacy related issues. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey. Stress and anxiety, relationship issues, family conflicts, intimacy related issues, low self-esteem, low/depressed mood, and emotional dysregulation.
I am licensed in California, and I have experience in helping clients with stress and anxiety, relationship issues, family conflicts, & intimacy related issues. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey. Stress and anxiety, relationship issues, family conflicts, intimacy related issues, low self-esteem, low/depressed mood, and emotional dysregulation.
(858) 358-6161 View (858) 358-6161
Photo of Ronald Offenstein, LCP, Psychologist
Ronald Offenstein
Psychologist, LCP
Verified Verified
Online Only
Hello, my name is Ron Offenstein, I am a California Licensed Psychologist, and I am trained and experienced in the evaluation and treatment of mood, anxiety, attention, and other psychological conditions arising from relationship and occupational experiences. I typically work with adults attempting to navigate relationships, family, and occupational conditions that have become overwhelming. I generally focus on reducing distress through finding coping strategies that work for an individual while increasing self-understanding.
Hello, my name is Ron Offenstein, I am a California Licensed Psychologist, and I am trained and experienced in the evaluation and treatment of mood, anxiety, attention, and other psychological conditions arising from relationship and occupational experiences. I typically work with adults attempting to navigate relationships, family, and occupational conditions that have become overwhelming. I generally focus on reducing distress through finding coping strategies that work for an individual while increasing self-understanding.
(619) 848-5574 View (619) 848-5574
Photo of Nancy Herrera-Cheng, LCSW, Clinical Social Work/Therapist
Nancy Herrera-Cheng
Clinical Social Work/Therapist, LCSW
Verified Verified
El Cajon, CA 92020
My name is Nancy Herrera-Cheng, and I am a Licensed Clinical Social Worker (LCSW) working with clients in California via telehealth. I work with adult individuals to develop coping strategies for anxiety and stress, improve relationships, develop communication skills, and set boundaries to gain peace. I am also trauma-informed. My theoretical approach is built on a foundation of the Person-Centered approach integrating other evidence-based modalities to meet the individual's needs. I work in partnership with my clients to develop and prioritize goals. Together, we will track progress as we work to accomplish their goals.
My name is Nancy Herrera-Cheng, and I am a Licensed Clinical Social Worker (LCSW) working with clients in California via telehealth. I work with adult individuals to develop coping strategies for anxiety and stress, improve relationships, develop communication skills, and set boundaries to gain peace. I am also trauma-informed. My theoretical approach is built on a foundation of the Person-Centered approach integrating other evidence-based modalities to meet the individual's needs. I work in partnership with my clients to develop and prioritize goals. Together, we will track progress as we work to accomplish their goals.
(619) 815-8231 View (619) 815-8231
Photo of Jennifer Leonard, MA, LMFT, Marriage & Family Therapist
Jennifer Leonard
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
El Cajon, CA 92020
Is your teenager acting differently or struggling with mood changes? Is the whole family being negatively affected by their behavior? I have 20 years of experience helping teens, couples and families learn how to manage and communicate their emotions effectively and respectfully. Reaching out for support is a sign of strength, not weakness. You don’t have to be “messed up” or in total crisis to seek help from a therapist.... Sometimes it only takes a few sessions to get on track so please call today for a free 15-minute phone consultation.
Is your teenager acting differently or struggling with mood changes? Is the whole family being negatively affected by their behavior? I have 20 years of experience helping teens, couples and families learn how to manage and communicate their emotions effectively and respectfully. Reaching out for support is a sign of strength, not weakness. You don’t have to be “messed up” or in total crisis to seek help from a therapist.... Sometimes it only takes a few sessions to get on track so please call today for a free 15-minute phone consultation.
(619) 597-2994 View (619) 597-2994
Photo of Aliya Fonseca - WUOTT Counseling & Psychiatry Center, PhD, LMFT, CAC, Marriage & Family Therapist
WUOTT Counseling & Psychiatry Center
Marriage & Family Therapist, PhD, LMFT, CAC
Verified Verified
El Cajon, CA 92021
Are you waking up on the toilet? Are you emotionally constipated? Do you need to purge yourself from past issues that are blocking you from reaching your goals? Together we can flush those issues & create a free flowing healthier lifestyle for you, your family, and your marriage. Our areas of expertise include depression, anxiety, couples & family therapy, relationship and intimacy issues, addictions and recovery, stress and anger management, work-related, immigration, and life-transition issues. Our focus is on health, well-being, growth and healing as well as problem prevention, rather than on a "mental illness" orientation.
Are you waking up on the toilet? Are you emotionally constipated? Do you need to purge yourself from past issues that are blocking you from reaching your goals? Together we can flush those issues & create a free flowing healthier lifestyle for you, your family, and your marriage. Our areas of expertise include depression, anxiety, couples & family therapy, relationship and intimacy issues, addictions and recovery, stress and anger management, work-related, immigration, and life-transition issues. Our focus is on health, well-being, growth and healing as well as problem prevention, rather than on a "mental illness" orientation.
(619) 935-3609 View (619) 935-3609
Photo of Tarina Griffin, LMFT, Marriage & Family Therapist
Tarina Griffin
Marriage & Family Therapist, LMFT
Verified Verified
El Cajon, CA 92021
What is stopping you from reaching your fullest potential? Sometimes we as human beings need to confront our past in order to regain our future in an assertive way. Therapy can be a helpful tool in empowering your life.
What is stopping you from reaching your fullest potential? Sometimes we as human beings need to confront our past in order to regain our future in an assertive way. Therapy can be a helpful tool in empowering your life.
(858) 375-5693 View (858) 375-5693
Photo of Kathleen Funes, LMFT, Marriage & Family Therapist
Kathleen Funes
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Hello, My name is Kathleen Funes. I am a Licensed Marriage and Family Therapist who is passionate about working alongside you to help create a pathway toward self-awareness, healing, joy, and fulfillment. I work from a relational, client-centered, and psychodynamic approach. I believe that one’s past provides a pathway for what they may be experiencing in the present. I believe that it is essential to have a trusting relationship in a safe and therapeutic space. My hope is for you to feel both heard and known during our time together.
Hello, My name is Kathleen Funes. I am a Licensed Marriage and Family Therapist who is passionate about working alongside you to help create a pathway toward self-awareness, healing, joy, and fulfillment. I work from a relational, client-centered, and psychodynamic approach. I believe that one’s past provides a pathway for what they may be experiencing in the present. I believe that it is essential to have a trusting relationship in a safe and therapeutic space. My hope is for you to feel both heard and known during our time together.
(619) 815-3943 View (619) 815-3943
Photo of Clara Robles-Guerrero, MS, LMFT, Marriage & Family Therapist
Clara Robles-Guerrero
Marriage & Family Therapist, MS, LMFT
Verified Verified
Online Only
Cultivating mindful awareness, embracing our needs and strengths, and connecting to the opportunities around us can help increase our sense of peace and joy in our life. I am a client-centered therapist, I see my role as that of an empowering support and an ally in this process. I specialize in individual work with adults who are dealing with a mental health condition or who seek support for parenting, relationship conflict or transition into adulthood (single life, dating, career, relocation, cultural identity).
Cultivating mindful awareness, embracing our needs and strengths, and connecting to the opportunities around us can help increase our sense of peace and joy in our life. I am a client-centered therapist, I see my role as that of an empowering support and an ally in this process. I specialize in individual work with adults who are dealing with a mental health condition or who seek support for parenting, relationship conflict or transition into adulthood (single life, dating, career, relocation, cultural identity).
(619) 648-4157 View (619) 648-4157
Photo of Greg Good, LMFT, Marriage & Family Therapist
Greg Good
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
We live in an increasingly isolated world in which we are convinced on all sides that connection, meaning, and value can be shipped, swiped-on, liked, and plugged in. Social Media's benefits have allowed for unprecedented world-wide connection, but often at the cost of the life experiences that cultivate self-knowledge, character, confidence, and purpose. This leaves many people feeling paradoxically lonely, anxious, depressed, and without a sense of meaning or direction. Regardless of what may be causing your distress, talking with a therapist can help.
We live in an increasingly isolated world in which we are convinced on all sides that connection, meaning, and value can be shipped, swiped-on, liked, and plugged in. Social Media's benefits have allowed for unprecedented world-wide connection, but often at the cost of the life experiences that cultivate self-knowledge, character, confidence, and purpose. This leaves many people feeling paradoxically lonely, anxious, depressed, and without a sense of meaning or direction. Regardless of what may be causing your distress, talking with a therapist can help.
(619) 762-2908 View (619) 762-2908
Photo of Maricsa Evans, LMFT, Marriage & Family Therapist
Maricsa Evans
Marriage & Family Therapist, LMFT
Verified Verified
Online Only
Hello and Welcome! Maricsa Evans, M.A., LMFT I am a licensed marriage and family therapist eager to provide holistic treatment to clients struggling with depression, anxiety and life stressors. Maricsa uses a person-centered approach when providing therapy and takes time to build rapport in order to develop a healthy therapeutic relationship with clients. Maricsa currently works with individuals and couples to create and implement effective and individualized treatment plans. In addition, she has foundational coursework and training in cognitive behavioral and solution-focused therapies.
Hello and Welcome! Maricsa Evans, M.A., LMFT I am a licensed marriage and family therapist eager to provide holistic treatment to clients struggling with depression, anxiety and life stressors. Maricsa uses a person-centered approach when providing therapy and takes time to build rapport in order to develop a healthy therapeutic relationship with clients. Maricsa currently works with individuals and couples to create and implement effective and individualized treatment plans. In addition, she has foundational coursework and training in cognitive behavioral and solution-focused therapies.
(619) 319-9734 View (619) 319-9734
Photo of Krystal Campbell, LCSW, Clinical Social Work/Therapist
Krystal Campbell
Clinical Social Work/Therapist, LCSW
Verified Verified
El Cajon, CA 92020
Hi there, I'm Krystal! I am a service-focused Clinical Social Worker, bringing seven (7) years of social work experience meeting all state certification and licensing requirements. I like to facilitate individual sessions to provide a positive therapeutic experience. I am an honest and compassionate communicator with a knack for building lasting professional relationships in order to best serve my community.
Hi there, I'm Krystal! I am a service-focused Clinical Social Worker, bringing seven (7) years of social work experience meeting all state certification and licensing requirements. I like to facilitate individual sessions to provide a positive therapeutic experience. I am an honest and compassionate communicator with a knack for building lasting professional relationships in order to best serve my community.
(619) 586-5013 View (619) 586-5013
Photo of Dr. Anselmo Brillon Jr, PsyD, LPC, LPCC, MFT
Dr. Anselmo Brillon Jr
Licensed Professional Clinical Counselor, PsyD, LPC, LPCC, MFT
Verified Verified
Online Only
Hello, I am Anselmo. Do you struggle to maintain relationships? Do you suffer from anxiety or depression? Do you need help managing your grief or PTSD?
Hello, I am Anselmo. Do you struggle to maintain relationships? Do you suffer from anxiety or depression? Do you need help managing your grief or PTSD?
(619) 815-3527 View (619) 815-3527
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How does your Therapist compare?

Number of Therapists in El Cajon, CA

100+

Average cost per session

$150

Therapists in El Cajon, CA who prioritize treating:

90% Anxiety
83% Depression
70% Coping Skills
68% Self Esteem
63% Relationship Issues
62% Stress
60% Trauma and PTSD

Average years in practice

14 Years

Top 3 insurances accepted

93% Aetna
86% Cigna and Evernorth
84% UnitedHealthcare UHC | UBH

How Therapists in El Cajon, CA see their clients

85% In Person and Online
15% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in El Cajon?

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.