Therapists in San Diego, CA

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Photo of Madeline Rose, Licensed Clinical Professional Counselor, LCPC
Madeline Rose
Licensed Clinical Professional Counselor, LCPC
San Diego, CA 92111
I'm a therapist who takes a CBT-based, client-centered approach. I help clients learn to recognize and challenge unhelpful thought patterns, build coping skills, and make meaningful changes in their daily lives. My goal is to create a supportive, collaborative space where you can grow at your own pace and feel empowered.
I'm a therapist who takes a CBT-based, client-centered approach. I help clients learn to recognize and challenge unhelpful thought patterns, build coping skills, and make meaningful changes in their daily lives. My goal is to create a supportive, collaborative space where you can grow at your own pace and feel empowered.
(619) 759-5478 View (619) 759-5478
Photo of Andrea Martel, Clinical Social Work/Therapist, LCSW
Andrea Martel
Clinical Social Work/Therapist, LCSW
Online Only
Hello, I'm Andrea Martel, an LCSW with over 25 years of experience with individuals with various challenges such as depression, anxiety, OCD, PTSD, ADHD, and relationship issues. I also counsel clients who are LGBTQIA+, have parenting issues, infertility and postpartum depression, and have substance abuse issues. My training and skills are in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Mindfulness-based therapy, and Client-centered modalities. I feel the relationship with your counselor is paramount, and I want you to feel safe. I will meet you where you are and help you through your journey.
Hello, I'm Andrea Martel, an LCSW with over 25 years of experience with individuals with various challenges such as depression, anxiety, OCD, PTSD, ADHD, and relationship issues. I also counsel clients who are LGBTQIA+, have parenting issues, infertility and postpartum depression, and have substance abuse issues. My training and skills are in Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Mindfulness-based therapy, and Client-centered modalities. I feel the relationship with your counselor is paramount, and I want you to feel safe. I will meet you where you are and help you through your journey.
(310) 692-7594 View (310) 692-7594
Photo of Dana Sockolov, Marriage & Family Therapist, LMFT
Dana Sockolov
Marriage & Family Therapist, LMFT
2 Endorsed
San Diego, CA 92108
My ideal clients feel stuck in cycles of overthinking, stress, or self-doubt that make life and relationships harder than they need to be. They may be caught in repeated arguments with their partner, struggling to communicate, or feeling more disconnected than they’d like. They want more—calm instead of worry, clarity instead of spinning thoughts, and connection instead of distance. They’re ready to break old patterns, build healthier communication, and create lasting change.
My ideal clients feel stuck in cycles of overthinking, stress, or self-doubt that make life and relationships harder than they need to be. They may be caught in repeated arguments with their partner, struggling to communicate, or feeling more disconnected than they’d like. They want more—calm instead of worry, clarity instead of spinning thoughts, and connection instead of distance. They’re ready to break old patterns, build healthier communication, and create lasting change.
(619) 815-4349 View (619) 815-4349
Photo of Terry Surinsky, Clinical Social Work/Therapist, LCSW
Terry Surinsky
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Welcome, and thank you for taking a moment to learn about my background. My name is Terry Surinsky and I am a Licensed Clinical Social Worker (LCSW) based in San Diego, California, working with clients statewide via telehealth. I work with adults 18 and older dealing with stress, relationship challenges, and life transitions. I will start to get to know you and you can get a feel for how we interact. We will talk about areas of your life you would like to change and what led you to seek therapy. It will be a chance for you to see if you feel comfortable with me.
Welcome, and thank you for taking a moment to learn about my background. My name is Terry Surinsky and I am a Licensed Clinical Social Worker (LCSW) based in San Diego, California, working with clients statewide via telehealth. I work with adults 18 and older dealing with stress, relationship challenges, and life transitions. I will start to get to know you and you can get a feel for how we interact. We will talk about areas of your life you would like to change and what led you to seek therapy. It will be a chance for you to see if you feel comfortable with me.
(747) 277-8937 View (747) 277-8937
Photo of Jessica Vazquez Tames, Marriage & Family Therapist, LMFT
Jessica Vazquez Tames
Marriage & Family Therapist, LMFT
Online Only
Starting therapy is a courageous step, and I commend you for taking it. I am here to make this process feel helpful, supportive, and right for you. I specialize in providing Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) in a warm, supportive environment designed to help individuals facing depression, anxiety and life transitions. My approach is collaborative and compassionate, grounded in evidence -based techniques that empower you to understand your thoughts, manage emotions, and build healthier patterns of behavior.
Starting therapy is a courageous step, and I commend you for taking it. I am here to make this process feel helpful, supportive, and right for you. I specialize in providing Cognitive Behavioral Therapy (CBT) and Dialectical Behavioral Therapy (DBT) in a warm, supportive environment designed to help individuals facing depression, anxiety and life transitions. My approach is collaborative and compassionate, grounded in evidence -based techniques that empower you to understand your thoughts, manage emotions, and build healthier patterns of behavior.
(341) 218-3081 View (341) 218-3081
Photo of Vanessa Clark Fiala, Marriage & Family Therapist, MA, LMFT
Vanessa Clark Fiala
Marriage & Family Therapist, MA, LMFT
Online Only
Are you feeling stuck in patterns that aren’t working anymore, whether that’s in relationships, managing stress, or navigating a big life change? Do you want support, understanding, and practical tools to feel more confident & connected? Do you desire to build healthier relationships, manage your emotions, and find more peace in daily life? My specialty is working with individuals and couples who want to improve their relationships and feel more confident in how they communicate and connect. Many of my clients come to therapy feeling stuck in repeating patterns of conflict, stress, or disconnection.
Are you feeling stuck in patterns that aren’t working anymore, whether that’s in relationships, managing stress, or navigating a big life change? Do you want support, understanding, and practical tools to feel more confident & connected? Do you desire to build healthier relationships, manage your emotions, and find more peace in daily life? My specialty is working with individuals and couples who want to improve their relationships and feel more confident in how they communicate and connect. Many of my clients come to therapy feeling stuck in repeating patterns of conflict, stress, or disconnection.
(760) 561-5795 View (760) 561-5795
Photo of Rethel Gill, Psychologist, PsyD
Rethel Gill
Psychologist, PsyD
3 Endorsed
Online Only
I am a psychodynamically trained psychologist. I also believe in using an integrated approach when helping someone to understand the how and why of what got them to this point in their life. I have found that an integrative approach to therapy works best. If a client has a non-Western approach to coping with life issues, that can be integrated into the treatment. I adapt my approach to what is best suited for you the client. It is my goal to build a therapeutic relationship with you by creating a safe and healing environment where you feel safe to explore your thoughts, feelings, and emotions.
I am a psychodynamically trained psychologist. I also believe in using an integrated approach when helping someone to understand the how and why of what got them to this point in their life. I have found that an integrative approach to therapy works best. If a client has a non-Western approach to coping with life issues, that can be integrated into the treatment. I adapt my approach to what is best suited for you the client. It is my goal to build a therapeutic relationship with you by creating a safe and healing environment where you feel safe to explore your thoughts, feelings, and emotions.
(415) 358-3023 View (415) 358-3023
Photo of Kenneice Tolliver, Marriage & Family Therapist, LMFT
Kenneice Tolliver
Marriage & Family Therapist, LMFT
Online Only
Relationship wounds—especially those rooted in childhood or family dynamics—can leave lasting marks. You might find yourself repeating patterns, feeling unseen in your closest relationships, or struggling to express your needs without guilt or fear. Whether you’re navigating challenges with a partner or untangling the impact of a mother-daughter relationship, healing is possible. As a Licensed Marriage and Family Therapist with a degree from the University of Phoenix in 2011, I help individuals and couples explore the deeper roots of disconnection and create pathways to healthier connection.
Relationship wounds—especially those rooted in childhood or family dynamics—can leave lasting marks. You might find yourself repeating patterns, feeling unseen in your closest relationships, or struggling to express your needs without guilt or fear. Whether you’re navigating challenges with a partner or untangling the impact of a mother-daughter relationship, healing is possible. As a Licensed Marriage and Family Therapist with a degree from the University of Phoenix in 2011, I help individuals and couples explore the deeper roots of disconnection and create pathways to healthier connection.
(858) 365-8684 View (858) 365-8684
Photo of Stewart Richardson, Clinical Social Work/Therapist, LCSW
Stewart Richardson
Clinical Social Work/Therapist, LCSW
San Diego, CA 92103
Howdy! I am a therapist who has spent years working in non-profit organizations for people seeking support with both mental health and substance use disorders. I provide client-centered psychodynamic therapy with a focus on CBT, DBT, and mindfulness strategies to help my clients find their own way to their goals. I am a helpful guide who believes in each person's ability to find their own solutions. I provide non-judgmental, professional support for people seeking perspective and insight into their issues.
Howdy! I am a therapist who has spent years working in non-profit organizations for people seeking support with both mental health and substance use disorders. I provide client-centered psychodynamic therapy with a focus on CBT, DBT, and mindfulness strategies to help my clients find their own way to their goals. I am a helpful guide who believes in each person's ability to find their own solutions. I provide non-judgmental, professional support for people seeking perspective and insight into their issues.
(619) 313-6187 View (619) 313-6187
Photo of Eunice Lee, Marriage & Family Therapist, LMFT
Eunice Lee
Marriage & Family Therapist, LMFT
Online Only
I am a Licensed Marriage and Family Therapist with a passion and calling in healing my clients through various life challenges. I work primarily with adults (ages 25-70), with a spectrum of diagnoses from PTSD, Depression, Anxiety, Grief/Loss to various life stressors.
I am a Licensed Marriage and Family Therapist with a passion and calling in healing my clients through various life challenges. I work primarily with adults (ages 25-70), with a spectrum of diagnoses from PTSD, Depression, Anxiety, Grief/Loss to various life stressors.
(213) 460-4017 View (213) 460-4017
Photo of Dr. Micol Gonella, Psychologist, PsyD
Dr. Micol Gonella
Psychologist, PsyD
San Diego, CA 92127
Transitions are a part of life; but that doesn't mean they can't be quite a lot to handle! I specialize in helping individuals cope with transitional phases, whether that means adjusting to new environments and cultures, adjusting to changes that come with age, adjusting to a new school or job, or even adjusting to life with an acquired disability. Every individual at some point in their lives goes through an adjustment, and although many are perfectly poised to handle it well on their own, it never hurts to have some help during these difficult times.
Transitions are a part of life; but that doesn't mean they can't be quite a lot to handle! I specialize in helping individuals cope with transitional phases, whether that means adjusting to new environments and cultures, adjusting to changes that come with age, adjusting to a new school or job, or even adjusting to life with an acquired disability. Every individual at some point in their lives goes through an adjustment, and although many are perfectly poised to handle it well on their own, it never hurts to have some help during these difficult times.
(858) 321-8493 View (858) 321-8493
Photo of Alyssa Eisman, Clinical Social Work/Therapist, LCSW, CADC II
Alyssa Eisman
Clinical Social Work/Therapist, LCSW, CADC II
Online Only
When you’re constantly battling self-doubt, sadness, or fear, even small tasks can feel overwhelming. You may appear put-together on the outside while internally managing waves of anxiety, past pain, or a lingering sense that something’s just not right. These struggles often trace back to experiences you’ve had to push through without fully processing—leaving emotional weight that’s hard to carry alone. I specialize in helping adults navigate anxiety, depression, and trauma, offering a space where you can be heard without judgment and begin to untangle what’s been holding you back.
When you’re constantly battling self-doubt, sadness, or fear, even small tasks can feel overwhelming. You may appear put-together on the outside while internally managing waves of anxiety, past pain, or a lingering sense that something’s just not right. These struggles often trace back to experiences you’ve had to push through without fully processing—leaving emotional weight that’s hard to carry alone. I specialize in helping adults navigate anxiety, depression, and trauma, offering a space where you can be heard without judgment and begin to untangle what’s been holding you back.
(858) 879-8352 View (858) 879-8352
Photo of Julia Kamp, Clinical Social Work/Therapist, LCSW
Julia Kamp
Clinical Social Work/Therapist, LCSW
Online Only
Many people come to therapy feeling overwhelmed, stuck in painful relationship patterns, or weighed down by anxiety, trauma, or stress. I provide warm, supportive telehealth therapy for individuals and couples to help you make sense of these patterns, heal from past experiences, and begin feeling more confident, calm, and connected in your life. With over 13 years of experience working with both military and civilian clients, I especially enjoy working with adults healing from trauma, couples struggling with communication and attachment, and individuals navigating depression, anxiety and relationship issues.
Many people come to therapy feeling overwhelmed, stuck in painful relationship patterns, or weighed down by anxiety, trauma, or stress. I provide warm, supportive telehealth therapy for individuals and couples to help you make sense of these patterns, heal from past experiences, and begin feeling more confident, calm, and connected in your life. With over 13 years of experience working with both military and civilian clients, I especially enjoy working with adults healing from trauma, couples struggling with communication and attachment, and individuals navigating depression, anxiety and relationship issues.
(619) 473-2753 View (619) 473-2753
Photo of Diana Lozoya, Marriage & Family Therapist, MA, LMFT
Diana Lozoya
Marriage & Family Therapist, MA, LMFT
3 Endorsed
Online Only
Not accepting new clients
Licensed Marriage & Family Therapist CA-122981 /... / Are you looking for a warm, non-judgmental space where you can work through the hard parts of your life? As your therapist, I'll collaborate with you to create a safe space for your authentic self to grow. I'll use my knowledge of therapeutic skills & techniques to support you in your goals, while also recognizing that you are the expert of your own life and the most valuable resources are the strengths and resilience you already possess. I'm here to walk with you in your journey to a more fulfilling reality.
Licensed Marriage & Family Therapist CA-122981 /... / Are you looking for a warm, non-judgmental space where you can work through the hard parts of your life? As your therapist, I'll collaborate with you to create a safe space for your authentic self to grow. I'll use my knowledge of therapeutic skills & techniques to support you in your goals, while also recognizing that you are the expert of your own life and the most valuable resources are the strengths and resilience you already possess. I'm here to walk with you in your journey to a more fulfilling reality.
(619) 664-4695 View (619) 664-4695
Photo of Tatiana Benton, Clinical Social Work/Therapist, LCSW
Tatiana Benton
Clinical Social Work/Therapist, LCSW
San Diego, CA 92121
Are you feeling hopeless, stuck, fearful, or uncomfortable in your skin or relationships? While pain is an unavoidable part of life, I’m here to help you carry that burden as we work towards finding solutions. My aim is to create a non-judgmental space where you will be unconditionally supported as we navigate your concerns and fears together. I believe you are the expert on your life. My role is to bring my therapeutic expertise to collaborate with you in finding the relief and balance you seek. There's no one-size-fits-all solution, so we’ll work together to find what works specifically for you.
Are you feeling hopeless, stuck, fearful, or uncomfortable in your skin or relationships? While pain is an unavoidable part of life, I’m here to help you carry that burden as we work towards finding solutions. My aim is to create a non-judgmental space where you will be unconditionally supported as we navigate your concerns and fears together. I believe you are the expert on your life. My role is to bring my therapeutic expertise to collaborate with you in finding the relief and balance you seek. There's no one-size-fits-all solution, so we’ll work together to find what works specifically for you.
(619) 492-5145 View (619) 492-5145
Photo of Katelin Zullo, Marriage & Family Therapist, LMFT
Katelin Zullo
Marriage & Family Therapist, LMFT
Online Only
I am a Licensed Marriage and Family Therapist who believes that healing happens best in a space where you feel safe, understood, and genuinely supported. I don’t come to this work believing that life is easy or that growth happens without struggle—I’ve been through hard times myself, and those experiences shape the way I show up for my clients: with empathy, humility, and respect for how tough life can be.
I am a Licensed Marriage and Family Therapist who believes that healing happens best in a space where you feel safe, understood, and genuinely supported. I don’t come to this work believing that life is easy or that growth happens without struggle—I’ve been through hard times myself, and those experiences shape the way I show up for my clients: with empathy, humility, and respect for how tough life can be.
(619) 789-4162 View (619) 789-4162
Photo of Amanda Morales, Clinical Social Work/Therapist, LCSW
Amanda Morales
Clinical Social Work/Therapist, LCSW
Online Only
In my practice, I specialize in assisting couples navigating the emotional complexities of intimate relationships. These experiences, unique in their impact and intensity, require a sensitive and nuanced approach. Utilizing Emotionally Focused Therapy (EFT) and the Gottman Method, I strive to create a supportive space where couples can explore their feelings, strengthen their connection, and develop resilience. These evidence-based methods not only help in understanding and processing emotions but also in building a deeper, more meaningful bond, paving the way for healing and growth.
In my practice, I specialize in assisting couples navigating the emotional complexities of intimate relationships. These experiences, unique in their impact and intensity, require a sensitive and nuanced approach. Utilizing Emotionally Focused Therapy (EFT) and the Gottman Method, I strive to create a supportive space where couples can explore their feelings, strengthen their connection, and develop resilience. These evidence-based methods not only help in understanding and processing emotions but also in building a deeper, more meaningful bond, paving the way for healing and growth.
(858) 264-3384 View (858) 264-3384
Photo of Denise Alba, Marriage & Family Therapist, LMFT, E-RYT
Denise Alba
Marriage & Family Therapist, LMFT, E-RYT
1 Endorsed
San Diego, CA 92124
Have you found yourself feeling more anxious or stressed? Maybe your body is speaking to you through headaches, stomach issues or illnesses and other practitioners can't seem to get it right. This is your sign to take control back with my Holistic approach to psychotherapy. Let me help guide you through this journey of finding empowerment to build a healthier version of yourself and in turn, healthier and more meaningful relationships.
Have you found yourself feeling more anxious or stressed? Maybe your body is speaking to you through headaches, stomach issues or illnesses and other practitioners can't seem to get it right. This is your sign to take control back with my Holistic approach to psychotherapy. Let me help guide you through this journey of finding empowerment to build a healthier version of yourself and in turn, healthier and more meaningful relationships.
(619) 361-7839 View (619) 361-7839
Photo of Alexis Sword, Marriage & Family Therapist, MA, LMFT
Alexis Sword
Marriage & Family Therapist, MA, LMFT
Online Only
As a survivor herself of child abuse, rape and kidnapping her use of both traditional therapy and Eastern knowledge from studies with Tibetan Monks in India and Shamans in Central America, has lead to hundreds of clients with amazing results. Alexis can be found on ALMA and Headway Telehealth websites too. Over 2,800 5-star reviews doing remote therapy.  2019 and 2022 business Award for Excellence in Psychotherapy. Treats: Adults and Children via Remote Therapy ages 9-99yrs. 20+yrs experience using a mind, body and soul approach. Specialty: Depression, ADHD, Anxiety & Trauma.  Most Insurance Accepted. Lets get started!
As a survivor herself of child abuse, rape and kidnapping her use of both traditional therapy and Eastern knowledge from studies with Tibetan Monks in India and Shamans in Central America, has lead to hundreds of clients with amazing results. Alexis can be found on ALMA and Headway Telehealth websites too. Over 2,800 5-star reviews doing remote therapy.  2019 and 2022 business Award for Excellence in Psychotherapy. Treats: Adults and Children via Remote Therapy ages 9-99yrs. 20+yrs experience using a mind, body and soul approach. Specialty: Depression, ADHD, Anxiety & Trauma.  Most Insurance Accepted. Lets get started!
(310) 340-0671 View (310) 340-0671
Photo of Janet Choung, Marriage & Family Therapist, MS, LMFT
Janet Choung
Marriage & Family Therapist, MS, LMFT
San Diego, CA 92111
"Life is difficult. . . a series of problems." Scott Peck wrote in Roadless Traveled. I can't describe it any better, but there are so many possibilities, changes that can happen when you take a step of courage. Therapy is a good way for some self reflection, to face the challenges, accept it and be at a better place. I believe that challenges are opportunities, for growth and strength; you can't do this alone, social psychology says. Let me help, to provide a safe place for connection and empathy to take that step, explore what may be holding you down and how you can be free and to live the best that you can be.
"Life is difficult. . . a series of problems." Scott Peck wrote in Roadless Traveled. I can't describe it any better, but there are so many possibilities, changes that can happen when you take a step of courage. Therapy is a good way for some self reflection, to face the challenges, accept it and be at a better place. I believe that challenges are opportunities, for growth and strength; you can't do this alone, social psychology says. Let me help, to provide a safe place for connection and empathy to take that step, explore what may be holding you down and how you can be free and to live the best that you can be.
(858) 345-4214 View (858) 345-4214

See more therapy options for San Diego

How does your Therapist compare?

Number of Therapists in San Diego, CA

3,000+

Average cost per session

$175

Therapists in San Diego, CA who prioritize treating:

92% Anxiety
86% Depression
72% Relationship Issues
70% Self Esteem
68% Trauma and PTSD
66% Stress
59% Grief

Average years in practice

12 Years

Top 3 insurances accepted

88% Aetna
73% Cigna and Evernorth
60% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

55% Online Only
45% In Person and Online

Gender breakdown

79% Female
19% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Diego?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.