Therapists in San Diego, CA

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Photo of Lisa Tange, Clinical Social Work/Therapist, MSW, LCSW
Lisa Tange
Clinical Social Work/Therapist, MSW, LCSW
San Diego, CA 92130
Lisa Tange, LCSW, brings over 30 years of expertise to her practice at LifeStance Health.  She provides compassionate and innovative approaches to mental health care to support diverse communities of individuals, couples and families across California.  She serves adults of all ages, including teens, and specializes in building therapeutic relationships to address depression, anxiety, grief, trauma, burnout/compassion fatigue, life transitions, child welfare, Indian child welfare, social justice, climate anxiety and eco distress.
Lisa Tange, LCSW, brings over 30 years of expertise to her practice at LifeStance Health.  She provides compassionate and innovative approaches to mental health care to support diverse communities of individuals, couples and families across California.  She serves adults of all ages, including teens, and specializes in building therapeutic relationships to address depression, anxiety, grief, trauma, burnout/compassion fatigue, life transitions, child welfare, Indian child welfare, social justice, climate anxiety and eco distress.
(858) 330-2482 View (858) 330-2482
Photo of Cheryll Putt - Cheryll Putt - EMDR, Trauma, and Divorce Healing, Marriage & Family Therapist, LMFT
Cheryll Putt - EMDR, Trauma, and Divorce Healing
Marriage & Family Therapist, LMFT
Online Only
Can I just start with this? I am so impressed that you are reaching out so that you can heal. This is a step that many people struggle with and it needs to be honored. Trauma effects every aspect of our lives in obvious and often hidden ways. And maybe you've come to the realization that going through the motions, avoiding the pain, and trying to appear "normal" and "fine" just isn't working anymore. You're tired of your past traumas and experiences affecting your marriage, your ability to parent, your job, your relationships, and just your day to day life. You want peace. You want joy. You want the freedom to just live your life.
Can I just start with this? I am so impressed that you are reaching out so that you can heal. This is a step that many people struggle with and it needs to be honored. Trauma effects every aspect of our lives in obvious and often hidden ways. And maybe you've come to the realization that going through the motions, avoiding the pain, and trying to appear "normal" and "fine" just isn't working anymore. You're tired of your past traumas and experiences affecting your marriage, your ability to parent, your job, your relationships, and just your day to day life. You want peace. You want joy. You want the freedom to just live your life.
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Photo of Stephanie Wallace, Marriage & Family Therapist, LMFT
Stephanie Wallace
Marriage & Family Therapist, LMFT
San Diego, CA 92108
I am a Marriage and Family Therapist. I have a strong interest in helping people navigate relationship issues, life transitions, and the impacts of trauma. I have extensive experience working with survivors of childhood abuse and neglect, domestic violence, PTSD, grief, anxiety, depression, relationship issues, military, and LGBTQ+. I have lived experience with recovering from childhood abuse, complex trauma, grief, addiction, economic hardship, and relationship issues.
I am a Marriage and Family Therapist. I have a strong interest in helping people navigate relationship issues, life transitions, and the impacts of trauma. I have extensive experience working with survivors of childhood abuse and neglect, domestic violence, PTSD, grief, anxiety, depression, relationship issues, military, and LGBTQ+. I have lived experience with recovering from childhood abuse, complex trauma, grief, addiction, economic hardship, and relationship issues.
(213) 559-1560 View (213) 559-1560
Photo of Amy Eisenhower-Omholt, Marriage & Family Therapist, LMFT
Amy Eisenhower-Omholt
Marriage & Family Therapist, LMFT
1 Endorsed
San Diego, CA 92110
If you are experiencing a rough patch in your life where the difficulties seem relentless and insurmountable, know that you are not alone. Life is problematic. We all get caught in a stress loop at some point in our lives. We want to feel less stressed and more alive but most of us aren’t taught how to digest our stressful emotions properly and end up stuck on the hamster wheel. Being in a relaxed and energized mind and body is the experience of self-regulation. As an experienced counselor and teacher, I teach self-management skills to help you learn how to self-regulate in the here and now.
If you are experiencing a rough patch in your life where the difficulties seem relentless and insurmountable, know that you are not alone. Life is problematic. We all get caught in a stress loop at some point in our lives. We want to feel less stressed and more alive but most of us aren’t taught how to digest our stressful emotions properly and end up stuck on the hamster wheel. Being in a relaxed and energized mind and body is the experience of self-regulation. As an experienced counselor and teacher, I teach self-management skills to help you learn how to self-regulate in the here and now.
(760) 512-8174 View (760) 512-8174
Photo of Kimberly Panganiban, Marriage & Family Therapist, MA, LMFT
Kimberly Panganiban
Marriage & Family Therapist, MA, LMFT
4 Endorsed
San Diego, CA 92127
I am passionate about helping others and my specialty is helping couples improve their relationship. My therapeutic approach is to provide support and practical feedback to help clients effectively address personal and relationship challenges. I provide a safe, structured environment and work collaboratively with clients to develop the skills and implement the tools needed to live a fulfilling life and develop satisfying relationships. I am an interactive, solution-focused therapist. Clients find me to be warm, engaged and compassionate but I can be direct when necessary. I use humor in session and enjoy being creative in my work.
I am passionate about helping others and my specialty is helping couples improve their relationship. My therapeutic approach is to provide support and practical feedback to help clients effectively address personal and relationship challenges. I provide a safe, structured environment and work collaboratively with clients to develop the skills and implement the tools needed to live a fulfilling life and develop satisfying relationships. I am an interactive, solution-focused therapist. Clients find me to be warm, engaged and compassionate but I can be direct when necessary. I use humor in session and enjoy being creative in my work.
(858) 952-0638 View (858) 952-0638
Photo of Lorna Hecht, Marriage & Family Therapist, MA, MFT
Lorna Hecht
Marriage & Family Therapist, MA, MFT
San Diego, CA 92108
Is your concern a relationship dilemma? A problem with a child? Substance abuse, anxiety or depression? Symptoms-physical, emotional, or social-are embedded in relationship processes in the family. The goal is to modify the process, which can lead to a reduction in symptoms. When one person in a relationship makes the decision to "show up" in a more deliberate, thoughtful way, the dynamic will change. Any motivated client can become that person. I will lend a hand in your effort through an understanding of relationships and how tension spreads through anxious systems, affecting groups and individuals.
Is your concern a relationship dilemma? A problem with a child? Substance abuse, anxiety or depression? Symptoms-physical, emotional, or social-are embedded in relationship processes in the family. The goal is to modify the process, which can lead to a reduction in symptoms. When one person in a relationship makes the decision to "show up" in a more deliberate, thoughtful way, the dynamic will change. Any motivated client can become that person. I will lend a hand in your effort through an understanding of relationships and how tension spreads through anxious systems, affecting groups and individuals.
(619) 432-6095 View (619) 432-6095
Photo of Allison Patch, Marriage & Family Therapist, LMFT, ATR
Allison Patch
Marriage & Family Therapist, LMFT, ATR
1 Endorsed
San Diego, CA 92127
I'm Allison, owner/clinical director of Patch Counseling. At Patch Counseling, we speak teen. We know that adolescence is tough and we are here to bridge the gap between parents and their teen by providing individual therapy for the teen and parent coaching to increase communication that is HEARD. At this stage in development it's helpful to have another voice in the room. We help by providing a collaborative place for teens and transitional age youth to learn how to balance responsibilities, gain social skills and prepare for the next steps in their life (i.e. school transitions, getting their first job, driver's license, etc).
I'm Allison, owner/clinical director of Patch Counseling. At Patch Counseling, we speak teen. We know that adolescence is tough and we are here to bridge the gap between parents and their teen by providing individual therapy for the teen and parent coaching to increase communication that is HEARD. At this stage in development it's helpful to have another voice in the room. We help by providing a collaborative place for teens and transitional age youth to learn how to balance responsibilities, gain social skills and prepare for the next steps in their life (i.e. school transitions, getting their first job, driver's license, etc).
(424) 543-1820 View (424) 543-1820
Photo of Richard George Kastanias, Marriage & Family Therapist, Richard Kastanias, MS, LMFT
Richard George Kastanias
Marriage & Family Therapist, Richard Kastanias, MS, LMFT
San Diego, CA 92108
Only 18% of Therapists in the United States performing Couple Therapy have actual training in how to do Couple Therapy. Most Therapists claiming to be competent in working with Couples are applying training they received in working with individuals to the Couple's behaviors and believe that this will work. It Doesn't! And with couples Divorcing at the highest rate in modern times, quality Couple Therapy is a Must! Finding a Qualified Couple Therapist is Essential! Extensive research has shown that Emotionally Focused therapy for couples has the highest success rate of any form of couple therapy and relationship satisfaction!
Only 18% of Therapists in the United States performing Couple Therapy have actual training in how to do Couple Therapy. Most Therapists claiming to be competent in working with Couples are applying training they received in working with individuals to the Couple's behaviors and believe that this will work. It Doesn't! And with couples Divorcing at the highest rate in modern times, quality Couple Therapy is a Must! Finding a Qualified Couple Therapist is Essential! Extensive research has shown that Emotionally Focused therapy for couples has the highest success rate of any form of couple therapy and relationship satisfaction!
(619) 483-2886 View (619) 483-2886
Photo of Rebecca Paushter, Clinical Social Work/Therapist, LCSW
Rebecca Paushter
Clinical Social Work/Therapist, LCSW
2 Endorsed
Online Only
Imagine stepping into a space where you feel deeply seen, heard, and empowered. In therapy with me, we’ll work to uncover your identity and core values, cultivate radical acceptance and genuine self-love, and build fresh strategies for navigating life’s challenges. You’ll gain deeper insight, strengthen your communication and relationships, and find new ways forward through life’s profound moments. Clients often tell me they feel safe showing up as their full selves—even when the work includes discovering their authentic self and learning to love them fully. If this is what you're seeking, then let's get begin.
Imagine stepping into a space where you feel deeply seen, heard, and empowered. In therapy with me, we’ll work to uncover your identity and core values, cultivate radical acceptance and genuine self-love, and build fresh strategies for navigating life’s challenges. You’ll gain deeper insight, strengthen your communication and relationships, and find new ways forward through life’s profound moments. Clients often tell me they feel safe showing up as their full selves—even when the work includes discovering their authentic self and learning to love them fully. If this is what you're seeking, then let's get begin.
(619) 903-6393 View (619) 903-6393
Photo of Ian Lowe, Psychologist, PsyD
Ian Lowe
Psychologist, PsyD
1 Endorsed
Online Only
I work with clients who want change their lives for the better, but find themselves going in circles with challenges (e.g. anxiety, low mood, lack of confidence, life stressors, feeling disconnected). Our therapy work together helps create new ways of dealing with problems effectively, encourages and empowers clients to live meaningful lives, while attuning to a person’s unique culture and background.
I work with clients who want change their lives for the better, but find themselves going in circles with challenges (e.g. anxiety, low mood, lack of confidence, life stressors, feeling disconnected). Our therapy work together helps create new ways of dealing with problems effectively, encourages and empowers clients to live meaningful lives, while attuning to a person’s unique culture and background.
(619) 486-3878 View (619) 486-3878
Photo of Anahita Jannesari, Psychological Associate, PsyD
Anahita Jannesari
Psychological Associate, PsyD
Online Only
At our core, we are wired for connection and healing. Yet during seasons of grief, anxiety, depression, or trauma, it’s easy to feel lost, disconnected, or uncertain about the way forward. Sometimes, we have to look back to move forward. I strive to create a space where you feel seen, supported, and safe enough to explore both your struggles and your strengths—because meaningful change begins with both.
At our core, we are wired for connection and healing. Yet during seasons of grief, anxiety, depression, or trauma, it’s easy to feel lost, disconnected, or uncertain about the way forward. Sometimes, we have to look back to move forward. I strive to create a space where you feel seen, supported, and safe enough to explore both your struggles and your strengths—because meaningful change begins with both.
(619) 648-4048 View (619) 648-4048
Photo of Dr. Marcia Garceau, Marriage & Family Therapist, PhD, MFT
Dr. Marcia Garceau
Marriage & Family Therapist, PhD, MFT
Online Only
Versatile therapist and coach, with over 17 years of clinical and coaching experience helping individuals and couples acquire strategies and tools to accomplish goals, grow, and overcome issues/disorders that interfere with functioning and enjoying life. Key areas of expertise include anything on the anxiety spectrum including general anxiety, social anxiety, panic, PTSD, phobias. I also help individuals achieve goals, face challenges, and grow through coaching.
Versatile therapist and coach, with over 17 years of clinical and coaching experience helping individuals and couples acquire strategies and tools to accomplish goals, grow, and overcome issues/disorders that interfere with functioning and enjoying life. Key areas of expertise include anything on the anxiety spectrum including general anxiety, social anxiety, panic, PTSD, phobias. I also help individuals achieve goals, face challenges, and grow through coaching.
(858) 281-2734 View (858) 281-2734
Photo of Edon Berkenstadt, Marriage & Family Therapist, LMFT
Edon Berkenstadt
Marriage & Family Therapist, LMFT
San Diego, CA 92106
We all have the capacity to grow, learn, and make positive changes no matter what life throws our way. Psychotherapy is a way of understanding personal conflicts and creating meaning through self-discovery. It is one of the first steps towards achieving change. My style of treatment aims at exploring and understanding ways of thinking, behaving and relating to others that are outside of the one's personal awareness. This lack of awareness can often result in repetitive patterns of behavior that leads to dissatisfaction and emotional anguish in a person's life.
We all have the capacity to grow, learn, and make positive changes no matter what life throws our way. Psychotherapy is a way of understanding personal conflicts and creating meaning through self-discovery. It is one of the first steps towards achieving change. My style of treatment aims at exploring and understanding ways of thinking, behaving and relating to others that are outside of the one's personal awareness. This lack of awareness can often result in repetitive patterns of behavior that leads to dissatisfaction and emotional anguish in a person's life.
(619) 831-6289 View (619) 831-6289
Photo of Joel D Lazar, Psychologist, PhD
Joel D Lazar
Psychologist, PhD
San Diego, CA 92106
Dr. Lazar facilitates individual, family and couples counseling. He works with adults who are coping with depression, loss, anxiety, and worry and those who have present or childhood stressors that have made it hard to feel good about themselves or enjoy life. He also works extensively with kids, teens and parents to help families get along better and cooperate for everyone's benefit. In addition to working with children who misbehave, he helps kids who get sad, angry or worry excessively. He treats his clients as teammates to brainstorm solutions to challenges, and help clients also see their blessings.
Dr. Lazar facilitates individual, family and couples counseling. He works with adults who are coping with depression, loss, anxiety, and worry and those who have present or childhood stressors that have made it hard to feel good about themselves or enjoy life. He also works extensively with kids, teens and parents to help families get along better and cooperate for everyone's benefit. In addition to working with children who misbehave, he helps kids who get sad, angry or worry excessively. He treats his clients as teammates to brainstorm solutions to challenges, and help clients also see their blessings.
(619) 324-3913 View (619) 324-3913
Photo of Diana Robbins - Child Psych San Diego: Dr. Diana Robbins, Psychologist, PhD
Child Psych San Diego: Dr. Diana Robbins
Psychologist, PhD
5 Endorsed
San Diego, CA 92103
A young person struggling with anxiety, OCD, tics, behavior issues, or school problems can feel overwhelming. I'm here to help. I'm Dr. Diana Robbins. I am a California-licensed clinical psychologist specializing in the treatment of children, teens, and young adults. I strive to help young people and their families create better futures. At Child Psych San Diego, you receive high-quality evidence-based psychological services uniquely targeted to your concerns. I provide in-person services as well as telehealth via secure video conferencing. You can receive help and support in office or from the comfort and convenience of your home.
A young person struggling with anxiety, OCD, tics, behavior issues, or school problems can feel overwhelming. I'm here to help. I'm Dr. Diana Robbins. I am a California-licensed clinical psychologist specializing in the treatment of children, teens, and young adults. I strive to help young people and their families create better futures. At Child Psych San Diego, you receive high-quality evidence-based psychological services uniquely targeted to your concerns. I provide in-person services as well as telehealth via secure video conferencing. You can receive help and support in office or from the comfort and convenience of your home.
(619) 605-0620 View (619) 605-0620
Photo of Kayla Corazao, Clinical Social Work/Therapist, LCSW
Kayla Corazao
Clinical Social Work/Therapist, LCSW
Online Only
Change is hard, not having the tools, direction, and support make the process even harder. I can help you identify areas that may be keeping you stuck. I also provide wellness and behavioral health coaching in addition to traditional therapy.
Change is hard, not having the tools, direction, and support make the process even harder. I can help you identify areas that may be keeping you stuck. I also provide wellness and behavioral health coaching in addition to traditional therapy.
(619) 304-9155 View (619) 304-9155
Photo of Bonnie Marie Walther, Marriage & Family Therapist, LMFT
Bonnie Marie Walther
Marriage & Family Therapist, LMFT
1 Endorsed
Online Only
I am a Bilingual Marriage, Child and Family therapist with 12 years of experience. I help individuals and families work through difficult challenges and guide them through a healing journey in which they set the destination.
I am a Bilingual Marriage, Child and Family therapist with 12 years of experience. I help individuals and families work through difficult challenges and guide them through a healing journey in which they set the destination.
(442) 269-6620 View (442) 269-6620
Photo of Mojgan Jahan, Psychologist, PsyD
Mojgan Jahan
Psychologist, PsyD
Online Only
I offer two services (both remotely): Psychotherapy for persons in California and Life Coaching worldwide in an emotionally safe and highly accountable manner. I partner with you in your journey of wellness, growth and self-discovery. Together we come up with a plan that will propel you toward fulfilling your most cherished goals and dreams. I am warm and non-judgmental and can provide a safe space for you to find or reconnect with your purpose. We work together in a relaxed and fun atmosphere to help you see yourself blossom!
I offer two services (both remotely): Psychotherapy for persons in California and Life Coaching worldwide in an emotionally safe and highly accountable manner. I partner with you in your journey of wellness, growth and self-discovery. Together we come up with a plan that will propel you toward fulfilling your most cherished goals and dreams. I am warm and non-judgmental and can provide a safe space for you to find or reconnect with your purpose. We work together in a relaxed and fun atmosphere to help you see yourself blossom!
(619) 916-4669 View (619) 916-4669
Photo of Maria Montes, Clinical Social Work/Therapist, LCSW
Maria Montes
Clinical Social Work/Therapist, LCSW
Online Only
Feeling overwhelmed, on edge, or emotionally stuck can make even the simplest tasks feel exhausting. You might be constantly bracing for something bad to happen, replaying painful memories, or feeling detached from yourself or those around you. I help clients recognize that these patterns—though painful—are often the result of remarkable resilience in the face of past trauma. I hold a Master’s in Social Work from Lady of the Lake University (2019), and my approach reframes these so-called “symptoms” as survival strategies that once protected you but now interfere with the life you want to lead.
Feeling overwhelmed, on edge, or emotionally stuck can make even the simplest tasks feel exhausting. You might be constantly bracing for something bad to happen, replaying painful memories, or feeling detached from yourself or those around you. I help clients recognize that these patterns—though painful—are often the result of remarkable resilience in the face of past trauma. I hold a Master’s in Social Work from Lady of the Lake University (2019), and my approach reframes these so-called “symptoms” as survival strategies that once protected you but now interfere with the life you want to lead.
(858) 333-7536 View (858) 333-7536
Photo of Vanessa Tan, Marriage & Family Therapist, LMFT
Vanessa Tan
Marriage & Family Therapist, LMFT
Online Only
Hi! I'm Vanessa, a Licensed Marriage and Family Therapist (LMFT). I'm a first-generation immigrant based in San Diego, CA. Originally from Southeast Asia, I've worked and lived in Singapore, Taiwan, and Buffalo, NY. I love cooking, board game nights, heated blankets, and playing fetch with my dog! I typically work with teenagers, couples, and young adults. I have been practicing since 2015 and my areas of focus are relationships - familial, romantic, platonic. I believe our core relationships are foundational to the self and inform the ways in which we make the life decisions we do and choose the people we choose.
Hi! I'm Vanessa, a Licensed Marriage and Family Therapist (LMFT). I'm a first-generation immigrant based in San Diego, CA. Originally from Southeast Asia, I've worked and lived in Singapore, Taiwan, and Buffalo, NY. I love cooking, board game nights, heated blankets, and playing fetch with my dog! I typically work with teenagers, couples, and young adults. I have been practicing since 2015 and my areas of focus are relationships - familial, romantic, platonic. I believe our core relationships are foundational to the self and inform the ways in which we make the life decisions we do and choose the people we choose.
(925) 794-4903 View (925) 794-4903

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
69% Self Esteem
67% Trauma and PTSD
66% Relationship Issues
66% Coping Skills
63% Stress

Average years in practice

11 Years

Top 3 insurances accepted

85% Aetna
70% Cigna and Evernorth
55% Other

How Therapists in San Diego, CA see their clients

58% Online Only
42% In Person and Online

Gender breakdown

81% Female
18% Male
1% 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.