Therapists in Rancho Mirage, CA

Photo of Paula Comm, Licensed Professional Counselor, LPCC
Paula Comm
Licensed Professional Counselor, LPCC
Online Only
Hi, my name is Paula, and I am a licensed professional clinical counselor. I have extensive experience in management, executive coaching, addictions, co-dependency, family systems, organizational development, anxiety disorders, and mood disorders. My approach to treatment is collaborative - one in which the process is directed by the goals of the clients and tools are explored, learned, and practiced to move toward desired change. In order for change to occur, I believe its important to build a trusting relationship that offers support, empathy and validation for past experiences and feelings.
Hi, my name is Paula, and I am a licensed professional clinical counselor. I have extensive experience in management, executive coaching, addictions, co-dependency, family systems, organizational development, anxiety disorders, and mood disorders. My approach to treatment is collaborative - one in which the process is directed by the goals of the clients and tools are explored, learned, and practiced to move toward desired change. In order for change to occur, I believe its important to build a trusting relationship that offers support, empathy and validation for past experiences and feelings.
(760) 276-5472 View (760) 276-5472
Photo of Aleena Commandeur, Clinical Social Work/Therapist
Aleena Commandeur
Clinical Social Work/Therapist
Online Only
I believe that therapy is a collaborative process built on trust, mutual respect, and a shared commitment to growth. The quality and nature of the therapeutic alliance is, in my view, one of the most critical components of successful therapy. I strive to create a safe and empowering environment where clients feel seen, heard and valued as they navigate their unique journeys. Whether helping clients overcome personal struggles, navigate life transitions, or explore deeper emotional patterns, I am dedicated to fostering resilience and empowering individuals to achieve the growth they seek.
I believe that therapy is a collaborative process built on trust, mutual respect, and a shared commitment to growth. The quality and nature of the therapeutic alliance is, in my view, one of the most critical components of successful therapy. I strive to create a safe and empowering environment where clients feel seen, heard and valued as they navigate their unique journeys. Whether helping clients overcome personal struggles, navigate life transitions, or explore deeper emotional patterns, I am dedicated to fostering resilience and empowering individuals to achieve the growth they seek.
(760) 350-3463 View (760) 350-3463
Photo of Sherry Ellison, Psychologist, PhD
Sherry Ellison
Psychologist, PhD
Rancho Mirage, CA 92270
If you you feeling overwhelmed, depressed or stressed out and are having difficulty mananging your everyday life there are positive solutions to move forward. My approach is Solution Focused and Positive Psychology. What that means is: We focus on the present, collaborate to develop a plan of how to address the issues, then work towards resolving the difficulties you are experiencing in your life. Verbalization precedes resolution. I have been treating individuals with depression, anxiety, Bi Polar disorder and substance abuse for 20 yrs. I enjoy working with all types of individuals and their unique challenges.
If you you feeling overwhelmed, depressed or stressed out and are having difficulty mananging your everyday life there are positive solutions to move forward. My approach is Solution Focused and Positive Psychology. What that means is: We focus on the present, collaborate to develop a plan of how to address the issues, then work towards resolving the difficulties you are experiencing in your life. Verbalization precedes resolution. I have been treating individuals with depression, anxiety, Bi Polar disorder and substance abuse for 20 yrs. I enjoy working with all types of individuals and their unique challenges.
(760) 237-4312 View (760) 237-4312
Photo of Jillianna Clupper, Clinical Social Work/Therapist, LCSW
Jillianna Clupper
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I have specialized training in women’s mental health - pregnancy, postpartum, reproductive challenges/infertility, hormonal shifts, identity, body image, and the emotional transitions that often accompany these shifts in life. These life stages can bring profound changes and I am honored to support you through this journey. Wherever you are at in your journey to wholeness, I create a space where clients can feel seen, heard, understood, and supported as they unpack old narratives, heal emotional wounds, and step into greater self-trust, self-love, and compassion in their healing journey.
I have specialized training in women’s mental health - pregnancy, postpartum, reproductive challenges/infertility, hormonal shifts, identity, body image, and the emotional transitions that often accompany these shifts in life. These life stages can bring profound changes and I am honored to support you through this journey. Wherever you are at in your journey to wholeness, I create a space where clients can feel seen, heard, understood, and supported as they unpack old narratives, heal emotional wounds, and step into greater self-trust, self-love, and compassion in their healing journey.
(760) 465-0290 View (760) 465-0290
Photo of William Rose, Psychologist, PhD
William Rose
Psychologist, PhD
2 Endorsed
Rancho Mirage, CA 92270
Waitlist for new clients
I enjoy working with a wide range of emotional and behavioral issues providing psychotherapy for, depression, anxiety disorders, relationships, aging and health related issues. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to each of my clients individual needs to help attain the personal growth they're striving for. I utilize evidence based treatment principles and modalities tailored for each of my client's personal needs.
I enjoy working with a wide range of emotional and behavioral issues providing psychotherapy for, depression, anxiety disorders, relationships, aging and health related issues. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to each of my clients individual needs to help attain the personal growth they're striving for. I utilize evidence based treatment principles and modalities tailored for each of my client's personal needs.
(760) 621-5367 View (760) 621-5367
Photo of Nicholas Casper Aliotti, Psychologist, PhD
Nicholas Casper Aliotti
Psychologist, PhD
1 Endorsed
Rancho Mirage, CA 92270
I am a experienced clinical psychologist with over 30 years In addition to private practice I have consulted with local, state, and federal agencies as well as Fortune 500 companies . As a University Professor I trained and supervised graduate students in New York, Texas and California. I genuinely enjoyed problem solving with my patients and improving the quality of their lives. The most important factor is to provide a safe, positive environment. I am skilled in testing, identifying areas of concern, making proper diagnoses, and assessing growth in therapy. My practice has included children, adults and families.
I am a experienced clinical psychologist with over 30 years In addition to private practice I have consulted with local, state, and federal agencies as well as Fortune 500 companies . As a University Professor I trained and supervised graduate students in New York, Texas and California. I genuinely enjoyed problem solving with my patients and improving the quality of their lives. The most important factor is to provide a safe, positive environment. I am skilled in testing, identifying areas of concern, making proper diagnoses, and assessing growth in therapy. My practice has included children, adults and families.
(760) 284-5095 View (760) 284-5095
Photo of Dorothy Drew Stenehjem, Clinical Social Work/Therapist, LCSW, LICSW
Dorothy Drew Stenehjem
Clinical Social Work/Therapist, LCSW, LICSW
Online Only
Hello, I’m Dorothy Drew Stenehjem, LICSW. I’m a licensed therapist offering virtual couples therapy in California. With more than 15years of clinical experience, I provide a compassionate, grounded space for reflection, healing, and meaningful growth.
Hello, I’m Dorothy Drew Stenehjem, LICSW. I’m a licensed therapist offering virtual couples therapy in California. With more than 15years of clinical experience, I provide a compassionate, grounded space for reflection, healing, and meaningful growth.
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Photo of Rory D Goshorn, Marriage & Family Therapist, MA, PsyD, LMFT
Rory D Goshorn
Marriage & Family Therapist, MA, PsyD, LMFT
1 Endorsed
Rancho Mirage, CA 92270
Are you feeling sad, overwhelmed, uncertain, anxious, or confused about who you are and what you want? Stuck in a rut? Want to feel good about yourself and your life but unable to either access or sustain it? I am experienced and skilled in working with these issues. I will focus on understanding you in breadth and depth in an atmosphere of unconditional acceptance geared to enabling you to enhance your ability to lead a productive, satisfactory, and creative life. Empathy, Safety and Genuine Concern capture the quality of counseling I provide.
Are you feeling sad, overwhelmed, uncertain, anxious, or confused about who you are and what you want? Stuck in a rut? Want to feel good about yourself and your life but unable to either access or sustain it? I am experienced and skilled in working with these issues. I will focus on understanding you in breadth and depth in an atmosphere of unconditional acceptance geared to enabling you to enhance your ability to lead a productive, satisfactory, and creative life. Empathy, Safety and Genuine Concern capture the quality of counseling I provide.
(760) 354-9439 View (760) 354-9439
Photo of Diane Colman, Marriage & Family Therapist, LMFT, PhD
Diane Colman
Marriage & Family Therapist, LMFT, PhD
Rancho Mirage, CA 92270
Oftentimes people believe that therapy is complicated and/or long term, but it does not always have to be. I believe in solution-oriented therapy which helps my clients obtain insight and clarity so that they are able to move beyond the areas that are keeping them "stuck". I take an active and direct approach to helping my clients develop a true sense of self so that they can live happier and more fulfilled lives.
Oftentimes people believe that therapy is complicated and/or long term, but it does not always have to be. I believe in solution-oriented therapy which helps my clients obtain insight and clarity so that they are able to move beyond the areas that are keeping them "stuck". I take an active and direct approach to helping my clients develop a true sense of self so that they can live happier and more fulfilled lives.
(760) 933-4015 View (760) 933-4015
Photo of Shannon McFarlin, Marriage & Family Therapist, MA, LMFT, BC-TMH
Shannon McFarlin
Marriage & Family Therapist, MA, LMFT, BC-TMH
5 Endorsed
Rancho Mirage, CA 92270
Not accepting new clients
I am a licensed marriage and family therapist with a collaborative and straightforward style. My approach is to work with you to understand and identify patterns that are interfering with your interpersonal relationships or blocking your potential, to embrace and own your strengths, and to find healthy ways to change or cope with the parts of your life that aren't working well.
I am a licensed marriage and family therapist with a collaborative and straightforward style. My approach is to work with you to understand and identify patterns that are interfering with your interpersonal relationships or blocking your potential, to embrace and own your strengths, and to find healthy ways to change or cope with the parts of your life that aren't working well.
(206) 535-1767 View (206) 535-1767
Photo of Andreas Konrad Dutzi - Rancho Mirage Hypnotherapy, MA
Rancho Mirage Hypnotherapy
Verified Verified
1 Endorsed
Rancho Mirage, CA 92270
Wolkig with all age groups, I offer my years of experience in helping clients achieve life enhancing changes. The hypnotic state allows a person to be more open to suggestion. So-called "POSTHYPNOTIC SUGGESTIONS" may improve treatments for many conditions, including: phobias, fears, anxiety, sleep disorder, PTSD, grief and loss. Hypnotherapy can help changing a person's behavior, such as smoking, biting nails, alcohol & drug addiction, obesity, low self esteem and relationship problems. Furthermore, hypnotherapy is particularly useful in treating pain and preparing for surgery. Hypnotherapy proves to be an excellent tool to enhance sport specific skills in golf, tennis, football, baseball and others.
Wolkig with all age groups, I offer my years of experience in helping clients achieve life enhancing changes. The hypnotic state allows a person to be more open to suggestion. So-called "POSTHYPNOTIC SUGGESTIONS" may improve treatments for many conditions, including: phobias, fears, anxiety, sleep disorder, PTSD, grief and loss. Hypnotherapy can help changing a person's behavior, such as smoking, biting nails, alcohol & drug addiction, obesity, low self esteem and relationship problems. Furthermore, hypnotherapy is particularly useful in treating pain and preparing for surgery. Hypnotherapy proves to be an excellent tool to enhance sport specific skills in golf, tennis, football, baseball and others.
(760) 994-4309 View (760) 994-4309
Photo of Barbara Shore, Marriage & Family Therapist, PhD, MFT, MFA
Barbara Shore
Marriage & Family Therapist, PhD, MFT, MFA
Online Only
As a Jungian and transpersonal psychotherapist I will use a variety of techniques to work with you.Your feelings of depression, anxiety, or overwhelm will be helped through learning techniques of self-soothing, mindfullness, meditation, and new ways to think through your problems. I believe in the power of your personal narrative and the imagery of your dreams and fantasies as ways to help you explore your own inner truths. I am trained to follow your lead and to pick up on the slightest clues in your telling and retelling of your life, your issues, your struggles.I am interactive in my style.
As a Jungian and transpersonal psychotherapist I will use a variety of techniques to work with you.Your feelings of depression, anxiety, or overwhelm will be helped through learning techniques of self-soothing, mindfullness, meditation, and new ways to think through your problems. I believe in the power of your personal narrative and the imagery of your dreams and fantasies as ways to help you explore your own inner truths. I am trained to follow your lead and to pick up on the slightest clues in your telling and retelling of your life, your issues, your struggles.I am interactive in my style.
(310) 403-8675 View (310) 403-8675
Photo of Aleena Commandeur, Clinical Social Work/Therapist, LCSW
Aleena Commandeur
Clinical Social Work/Therapist, LCSW
Online Only
Aleena Commandeur is a Licensed Clinical Social Worker (LCSW) providing individual psychotherapy. Among some of her areas of expertise are anxiety, depression, bipolar disorder, anger management, mindfulness, chronic pain, self-esteem issues, and communication skills. Aleena also has extensive experience working with all age groups and the LGBTQ community. Aleena is an advocate for social justice, and she believes in the dignity and worth of every person.
Aleena Commandeur is a Licensed Clinical Social Worker (LCSW) providing individual psychotherapy. Among some of her areas of expertise are anxiety, depression, bipolar disorder, anger management, mindfulness, chronic pain, self-esteem issues, and communication skills. Aleena also has extensive experience working with all age groups and the LGBTQ community. Aleena is an advocate for social justice, and she believes in the dignity and worth of every person.
(909) 324-5578 View (909) 324-5578
Photo of Clarence S. Caldwell, BS, MBA, CHPC, EdD
Clarence S. Caldwell
Verified Verified
Rancho Mirage, CA 92270
Not accepting new clients
I am not _______ enough. You fill in the BLANK. (Smart, Pretty, Thin, Successful, Rich, Talented, Strong) the list is long for some. Whether it's your career or your life, in general. We will focus on bringing you back to your true power and magnificence. You have everything you need to get everything you want. Often we just need someone to light the way. No longer let the sense of lack and limitation rob you of the joy and abundance that is available to you.
I am not _______ enough. You fill in the BLANK. (Smart, Pretty, Thin, Successful, Rich, Talented, Strong) the list is long for some. Whether it's your career or your life, in general. We will focus on bringing you back to your true power and magnificence. You have everything you need to get everything you want. Often we just need someone to light the way. No longer let the sense of lack and limitation rob you of the joy and abundance that is available to you.
(855) 288-0191 View (855) 288-0191
Photo of Tenesha Thompson-Hoskins, Marriage & Family Therapist, LMFT
Tenesha Thompson-Hoskins
Marriage & Family Therapist, LMFT
Rancho Mirage, CA 92270
I've been counseling for over 20 years, working with a diversity of clients various issues but not limited to those with addiction, codependency, self-esteem, low motivation, anxiety, depression and racial inequalities as well, just to name a few. I enjoy working with client as they take this courageous journey to finding some different and better coping skills. I also love working with client as they begin to gain more insight into the past trauma and ways to changing their tomorrows. I have a passion of working with clients on looking at levels of forgiveness, breaking down past shame and guilt that one may still be suffering.
I've been counseling for over 20 years, working with a diversity of clients various issues but not limited to those with addiction, codependency, self-esteem, low motivation, anxiety, depression and racial inequalities as well, just to name a few. I enjoy working with client as they take this courageous journey to finding some different and better coping skills. I also love working with client as they begin to gain more insight into the past trauma and ways to changing their tomorrows. I have a passion of working with clients on looking at levels of forgiveness, breaking down past shame and guilt that one may still be suffering.
(760) 334-7868 View (760) 334-7868
Photo of Les Cole, Marriage & Family Therapist, MFT
Les Cole
Marriage & Family Therapist, MFT
Rancho Mirage, CA 92270
Do you feel like your relationship is dying right before your eyes? Do you feel powerless and confused? Have you tried everything? I can help you discover your major relationship style and destroy roadblocks preventing you from having a much more exciting, passionate life that you desire and deserve. I can help you identify your core values, beliefs and motives effecting the choices you make in your primary relationships. If you would like more clarity about what you value and believe, and what drives and motivates you in your relationship, then call or contact me for a session today.
Do you feel like your relationship is dying right before your eyes? Do you feel powerless and confused? Have you tried everything? I can help you discover your major relationship style and destroy roadblocks preventing you from having a much more exciting, passionate life that you desire and deserve. I can help you identify your core values, beliefs and motives effecting the choices you make in your primary relationships. If you would like more clarity about what you value and believe, and what drives and motivates you in your relationship, then call or contact me for a session today.
(707) 549-6843 View (707) 549-6843
Photo of Dr. Claire Vines - Psychology Counseling Online & face to face, Marriage & Family Therapist, PsyD, LMFT, TF-CBT, EBP
Psychology Counseling Online & face to face
Marriage & Family Therapist, PsyD, LMFT, TF-CBT, EBP
Rancho Mirage, CA 92270
I will work with you at reducing emotional conflicts; anxiety, depression, fears, individually or as a couple towards improved communication skills, with a more positive & stronger outlook on life. The therapeutic focus is in the comfort & safety of confidentiality in a setting which encourages positive solutions to our human challenges. We will work in the present while looking at the past & the future. Our past memories can be our strength knowledge for an improved future. We have learned what we have earned; knowledge. Self-express yourself in a positive confident manner. Strengthen the relationship within you and yourself.
I will work with you at reducing emotional conflicts; anxiety, depression, fears, individually or as a couple towards improved communication skills, with a more positive & stronger outlook on life. The therapeutic focus is in the comfort & safety of confidentiality in a setting which encourages positive solutions to our human challenges. We will work in the present while looking at the past & the future. Our past memories can be our strength knowledge for an improved future. We have learned what we have earned; knowledge. Self-express yourself in a positive confident manner. Strengthen the relationship within you and yourself.
(760) 478-5278 View (760) 478-5278
Photo of Margaret (Peggy) Cryden, Marriage & Family Therapist, LMFT
Margaret (Peggy) Cryden
Marriage & Family Therapist, LMFT
Online Only
I believe that the key to a successful psychotherapeutic experience starts with the relationship between the therapist and the client. I help my clients acquire new coping skills and assist them in finding their own solutions to life's challenges. I use an integrative approach drawing from various theoretical orientations, and customize a treatment plan that meets each client's individual needs.
I believe that the key to a successful psychotherapeutic experience starts with the relationship between the therapist and the client. I help my clients acquire new coping skills and assist them in finding their own solutions to life's challenges. I use an integrative approach drawing from various theoretical orientations, and customize a treatment plan that meets each client's individual needs.
(818) 963-9363 View (818) 963-9363
Photo of Alan Lawrence, Clinical Social Work/Therapist, MS, MSW, MSG, LCSW
Alan Lawrence
Clinical Social Work/Therapist, MS, MSW, MSG, LCSW
Online Only
EMPOWER yourself. You deserve to be fulfilled. Having an accomplished therapist (licensed since 1987) and Life Coach that truly sees, supports, and helps you accept yourself is the key to progress, empowerment and change. Do you want to make some changes in your life and move forward? What are your goals, your desires? Do you want to improve the quality of your daily life? Career change? Relationships. Help is right at your fingertips. There is no need to drive to your therapist's office at rush hour. The therapist is zoomed via a HIPAA compliant platform into the comfort of your home. Completely confidential.
EMPOWER yourself. You deserve to be fulfilled. Having an accomplished therapist (licensed since 1987) and Life Coach that truly sees, supports, and helps you accept yourself is the key to progress, empowerment and change. Do you want to make some changes in your life and move forward? What are your goals, your desires? Do you want to improve the quality of your daily life? Career change? Relationships. Help is right at your fingertips. There is no need to drive to your therapist's office at rush hour. The therapist is zoomed via a HIPAA compliant platform into the comfort of your home. Completely confidential.
(760) 977-5782 View (760) 977-5782
Photo of Rosemary Anne Marta, Marriage & Family Therapist
Rosemary Anne Marta
Marriage & Family Therapist
Online Only
My ideal client would be motivated, ready and willing to enter into a partnership for problem solving, resolving troubling personal issues and concerns. Addressing, reducing and alleviating symptoms of anxiety, stress and depression. Working cohesively as a team together to resolve any areas of concern. My past experience includes being the Clinical Director of the Barbara Sinatra Children's Center for 15 years.
My ideal client would be motivated, ready and willing to enter into a partnership for problem solving, resolving troubling personal issues and concerns. Addressing, reducing and alleviating symptoms of anxiety, stress and depression. Working cohesively as a team together to resolve any areas of concern. My past experience includes being the Clinical Director of the Barbara Sinatra Children's Center for 15 years.
(760) 313-3796 View (760) 313-3796

See more therapy options for Rancho Mirage

How does your Therapist compare?

Number of Therapists in Rancho Mirage, CA

100+

Average cost per session

$165

Therapists in Rancho Mirage, CA who prioritize treating:

86% Anxiety
81% Relationship Issues
80% Depression
69% Self Esteem
64% Marriage Counseling
59% Grief
59% Trauma and PTSD

Average years in practice

23 Years

Top 3 insurances accepted

70% Aetna
53% UnitedHealthcare UHC | UBH
53% Anthem

How Therapists in Rancho Mirage, CA see their clients

62% In Person and Online
38% Online Only

Gender breakdown

68% Female
32% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Rancho Mirage?

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.