Therapists in San Diego, CA

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Photo of Jennifer McDowell, Marriage & Family Therapist, LMFT, BCBA
Jennifer McDowell
Marriage & Family Therapist, LMFT, BCBA
1 Endorsed
Online Only
Hi and welcome! My name is Jen and I'm a Licensed Marriage and Family therapist and BCBA. I have 12 + years of experience facilitating support to Children, Adolescents, Individuals and Families as they work towards overcoming their personal mental health/behavioral challenges. Some of these challenges have included Anxiety/Panic, Depression, Issues with Self-Esteem/ Healthy Boundaries, Family Conflict, PTSD, Childhood Trauma, Insecure Attachment Styles, Parenting, Co-Dependency and difficulties managing ADHD/ASD.
Hi and welcome! My name is Jen and I'm a Licensed Marriage and Family therapist and BCBA. I have 12 + years of experience facilitating support to Children, Adolescents, Individuals and Families as they work towards overcoming their personal mental health/behavioral challenges. Some of these challenges have included Anxiety/Panic, Depression, Issues with Self-Esteem/ Healthy Boundaries, Family Conflict, PTSD, Childhood Trauma, Insecure Attachment Styles, Parenting, Co-Dependency and difficulties managing ADHD/ASD.
(858) 264-2966 View (858) 264-2966
Photo of Melisa Alonzo, Marriage & Family Therapist, MA, LMFT
Melisa Alonzo
Marriage & Family Therapist, MA, LMFT
2 Endorsed
San Diego, CA 92130
Are you feeling overwhelmed with all the changes in your life? Maybe you are postpartum and overwhelmed, crying more than you thought you would, or feeling like you’ve lost yourself. Maybe parenting—this thing you thought would come naturally—feels impossibly hard, lonely, or triggering. Maybe the spark has left your marriage and you've started having an affair, or you are feeling upside down having just discovered your partner is having an affair. Whatever you're going through, you feel isolated—like there’s no one to turn to, no one to confide in. Your mind is flooded with racing thoughts, and it’s exhausting.
Are you feeling overwhelmed with all the changes in your life? Maybe you are postpartum and overwhelmed, crying more than you thought you would, or feeling like you’ve lost yourself. Maybe parenting—this thing you thought would come naturally—feels impossibly hard, lonely, or triggering. Maybe the spark has left your marriage and you've started having an affair, or you are feeling upside down having just discovered your partner is having an affair. Whatever you're going through, you feel isolated—like there’s no one to turn to, no one to confide in. Your mind is flooded with racing thoughts, and it’s exhausting.
(619) 304-8392 View (619) 304-8392
Photo of Mako Csapo, Clinical Social Work/Therapist, LCSW
Mako Csapo
Clinical Social Work/Therapist, LCSW
Online Only
Welcome, I am a Licensed Clinical Social Worker specializing in couples therapy and certified in the Gottman Method and trained in the developmental model for couples therapy. I offer compassionate, evidence-based support to help partners feel heard, deepen their connection, and develop the tools needed to navigate conflict, communication, and intimacy. I welcome couples who are ready to work together and strive to create a curious, inclusive environment where partners from diverse backgrounds feel supported in collaboratively identifying and pursuing their relationship goals.
Welcome, I am a Licensed Clinical Social Worker specializing in couples therapy and certified in the Gottman Method and trained in the developmental model for couples therapy. I offer compassionate, evidence-based support to help partners feel heard, deepen their connection, and develop the tools needed to navigate conflict, communication, and intimacy. I welcome couples who are ready to work together and strive to create a curious, inclusive environment where partners from diverse backgrounds feel supported in collaboratively identifying and pursuing their relationship goals.
(949) 670-9394 View (949) 670-9394
Photo of Katie C. Miller, Clinical Social Work/Therapist, LCSW
Katie C. Miller
Clinical Social Work/Therapist, LCSW
San Diego, CA 92108
My goal as a therapist is to create a relationship with my clients based on collaboration, compassion, and trust. I focus on meaningful connection with my clients and will work alongside you to navigate life's challenges and create positive and long-term changes. My treatment approach is varied depending on your individual needs.
My goal as a therapist is to create a relationship with my clients based on collaboration, compassion, and trust. I focus on meaningful connection with my clients and will work alongside you to navigate life's challenges and create positive and long-term changes. My treatment approach is varied depending on your individual needs.
(619) 480-2151 View (619) 480-2151
Photo of Esther Krohner, Marriage & Family Therapist, LMFT
Esther Krohner
Marriage & Family Therapist, LMFT
San Diego, CA 92131
Whether you're a couple navigating conflict or a teenager dealing with stress, relationships, or big decisions, my goal is to help you move forward with tools that work, no guesswork or generic advice. I work with couples to improve communication, reduce conflict, and rebuild trust. I also work with teens and their families to address issues like anxiety, depression, school challenges, identity development, and family tension. My approach is direct, supportive, and tailored to the specific needs of each client. I offer couples therapy, individual therapy for teens, and parent guidance. I can help with ADHD, mood issues & anxiety.
Whether you're a couple navigating conflict or a teenager dealing with stress, relationships, or big decisions, my goal is to help you move forward with tools that work, no guesswork or generic advice. I work with couples to improve communication, reduce conflict, and rebuild trust. I also work with teens and their families to address issues like anxiety, depression, school challenges, identity development, and family tension. My approach is direct, supportive, and tailored to the specific needs of each client. I offer couples therapy, individual therapy for teens, and parent guidance. I can help with ADHD, mood issues & anxiety.
(510) 851-9411 x248797 View (510) 851-9411 x248797
Photo of Taylor Norris, Marriage & Family Therapist Associate, MA, AMFT
Taylor Norris
Marriage & Family Therapist Associate, MA, AMFT
San Diego, CA 92108
I believe that healing and transformation happen in the context of safe, trusting relationships. As an attachment-based therapist, I specialize in relational trauma, emotional regulation, and connection across the lifespan. At the heart of my work is a deep passion for helping children, couples, and individuals build secure connections within themselves and with others. I take a collaborative, client-centered approach believing that each person already carries within them the capacity for growth.
I believe that healing and transformation happen in the context of safe, trusting relationships. As an attachment-based therapist, I specialize in relational trauma, emotional regulation, and connection across the lifespan. At the heart of my work is a deep passion for helping children, couples, and individuals build secure connections within themselves and with others. I take a collaborative, client-centered approach believing that each person already carries within them the capacity for growth.
(619) 333-4238 View (619) 333-4238
Photo of Tina Lyn Roberts, Licensed Professional Counselor, MA, LPC
Tina Lyn Roberts
Licensed Professional Counselor, MA, LPC
San Diego, CA 92103
As a Licensed Professional Counselor, I meet you where you are, with care and without judgment. I take time to understand you as a whole person—your experiences, emotions, and the circumstances shaping your life. Together, we’ll build insight into your strengths and patterns, helping you create meaningful, lasting changes that support your well-being.
As a Licensed Professional Counselor, I meet you where you are, with care and without judgment. I take time to understand you as a whole person—your experiences, emotions, and the circumstances shaping your life. Together, we’ll build insight into your strengths and patterns, helping you create meaningful, lasting changes that support your well-being.
(971) 315-8815 View (971) 315-8815
Photo of Dr. Reihaneh Mahdavi - Therapy & Coaching with Dr. Rei, Marriage & Family Therapist, PsyD, LMFT
Therapy & Coaching with Dr. Rei
Marriage & Family Therapist, PsyD, LMFT
3 Endorsed
San Diego, CA 92122
Are you carrying grief, pressure, or worry you can’t quite name, as you navigate infertility, pregnancy loss, or the changes and uncertainties of motherhood? You may feel exhausted, detached from your partner, overwhelmed by grief or guilt, or torn between hope and fear. You long to feel safe with someone who understands, to process what you’ve lost, and to rebuild intimacy; with yourself and with your partner. In our work together, I help you gently process what you’ve been through, rebuild trust internally and relationally, reconnect to your deeper purpose, and live from your authentic self again.
Are you carrying grief, pressure, or worry you can’t quite name, as you navigate infertility, pregnancy loss, or the changes and uncertainties of motherhood? You may feel exhausted, detached from your partner, overwhelmed by grief or guilt, or torn between hope and fear. You long to feel safe with someone who understands, to process what you’ve lost, and to rebuild intimacy; with yourself and with your partner. In our work together, I help you gently process what you’ve been through, rebuild trust internally and relationally, reconnect to your deeper purpose, and live from your authentic self again.
(858) 723-0426 View (858) 723-0426
Photo of Shawna McGrath, Marriage & Family Therapist, LMFT
Shawna McGrath
Marriage & Family Therapist, LMFT
4 Endorsed
Online Only
​​​I'm honored to offer depth psychotherapy with astrology and astrological counseling to those seeking healing, personal growth, insight, and deeper meaning in life. Depth psychotherapy is a process of moving deeper into your inner world. Together, we work through challenging situations and patterns of behavior to allow new life & growth to emerge over time. This means that we are exploring who you are and what your psyche is expressing by talking about your emotions, thoughts, desires, fantasies, dreams, and synchronicities.
​​​I'm honored to offer depth psychotherapy with astrology and astrological counseling to those seeking healing, personal growth, insight, and deeper meaning in life. Depth psychotherapy is a process of moving deeper into your inner world. Together, we work through challenging situations and patterns of behavior to allow new life & growth to emerge over time. This means that we are exploring who you are and what your psyche is expressing by talking about your emotions, thoughts, desires, fantasies, dreams, and synchronicities.
(619) 759-6307 View (619) 759-6307
Photo of Dale Simpson, Clinical Social Work/Therapist, LCSW
Dale Simpson
Clinical Social Work/Therapist, LCSW
Online Only
I believe that everyone can find purpose and solutions to personal and relationship challenges in each season of life through personal self-discoveries. I serve as a partner and guide to aid you in gaining more clarity and understanding in navigating those self-discoveries. I am open, patient, and nonjudgmental, and am coming from a place of compassion and understanding. I strive to create a space that can foster safety to allow your truest and most authentic self to show up and be present. It is important for us to create a space for you to feel your wounds as well as your hopes and dreams.
I believe that everyone can find purpose and solutions to personal and relationship challenges in each season of life through personal self-discoveries. I serve as a partner and guide to aid you in gaining more clarity and understanding in navigating those self-discoveries. I am open, patient, and nonjudgmental, and am coming from a place of compassion and understanding. I strive to create a space that can foster safety to allow your truest and most authentic self to show up and be present. It is important for us to create a space for you to feel your wounds as well as your hopes and dreams.
(747) 237-4897 View (747) 237-4897
Photo of Deborah Pontillo - San Diego Kids First, Psychologist, PhD
San Diego Kids First
Psychologist, PhD
1 Endorsed
San Diego, CA 92130
At San Diego Kids First, we believe that every child is unique and deserves an individualized approach to overcoming social, emotional, behavioral, developmental, or academic challenges. Instead of focusing solely on labels, we emphasize understanding each child's strengths and areas for growth. By working collaboratively with parents, schools, and other professionals, we gain a comprehensive understanding of the child or teen, allowing us to create effective, tailored strategies that foster real and lasting change. Our practice offers a wide range of services for children ages 0-5, school-aged children, and adolescents.
At San Diego Kids First, we believe that every child is unique and deserves an individualized approach to overcoming social, emotional, behavioral, developmental, or academic challenges. Instead of focusing solely on labels, we emphasize understanding each child's strengths and areas for growth. By working collaboratively with parents, schools, and other professionals, we gain a comprehensive understanding of the child or teen, allowing us to create effective, tailored strategies that foster real and lasting change. Our practice offers a wide range of services for children ages 0-5, school-aged children, and adolescents.
(858) 215-1923 View (858) 215-1923
Photo of Dr. Shanni Tal, Psychologist, PsyD, PMH-C
Dr. Shanni Tal
Psychologist, PsyD, PMH-C
1 Endorsed
San Diego, CA 92108
Becoming a new parent can be both exciting and deeply challenging. Many people are not fully prepared for the emotional, physical, and relational demands of parenthood until they are already in the midst of it. This major life transition can bring anxiety, stress, and unexpected emotions, especially when adjusting to returning to work, navigating relationship strain, bonding with your baby, or reflecting on your own upbringing. Experiences such as pregnancy loss, birth trauma, or a difficult delivery can make this time feel even more overwhelming. With professional support, it is possible to feel more grounded and supported.
Becoming a new parent can be both exciting and deeply challenging. Many people are not fully prepared for the emotional, physical, and relational demands of parenthood until they are already in the midst of it. This major life transition can bring anxiety, stress, and unexpected emotions, especially when adjusting to returning to work, navigating relationship strain, bonding with your baby, or reflecting on your own upbringing. Experiences such as pregnancy loss, birth trauma, or a difficult delivery can make this time feel even more overwhelming. With professional support, it is possible to feel more grounded and supported.
(619) 853-2464 View (619) 853-2464
Photo of Sherry Kalish, Marriage & Family Therapist, LMFT, MA
Sherry Kalish
Marriage & Family Therapist, LMFT, MA
4 Endorsed
San Diego, CA 92130
I take a holistic and collaborative approach to therapy, working in partnership with you to provide the support and tools you need to feel empowered and in control of your life. I offer guidance on managing stressors, navigating work-life balance, boosting self-esteem, addressing perfectionism, combating burnout, and enhancing relationships in personal and professional life. I am dedicated as well to working with women on a diverse range of issues that can arise during infertility, pregnancy, and the postpartum period. In addition I work with neurodivergent individuals who are diagnosed or self identify with ADHD and/or Autism.
I take a holistic and collaborative approach to therapy, working in partnership with you to provide the support and tools you need to feel empowered and in control of your life. I offer guidance on managing stressors, navigating work-life balance, boosting self-esteem, addressing perfectionism, combating burnout, and enhancing relationships in personal and professional life. I am dedicated as well to working with women on a diverse range of issues that can arise during infertility, pregnancy, and the postpartum period. In addition I work with neurodivergent individuals who are diagnosed or self identify with ADHD and/or Autism.
(858) 732-9219 View (858) 732-9219
Photo of Nicole Sutherland, Marriage & Family Therapist, MS, LMFT
Nicole Sutherland
Marriage & Family Therapist, MS, LMFT
San Diego, CA 92108
Life can feel heavy at times, and reaching out for help may feel daunting. I’m here to offer a safe, supportive space to explore what matters most to you. I work with both individuals and couples, helping people navigate challenges in communication, trust, and connection. Whether you’re seeking to strengthen your relationship, heal after conflict, or better understand patterns that keep you feeling stuck, therapy can offer guidance and support for creating healthier, more fulfilling connections.
Life can feel heavy at times, and reaching out for help may feel daunting. I’m here to offer a safe, supportive space to explore what matters most to you. I work with both individuals and couples, helping people navigate challenges in communication, trust, and connection. Whether you’re seeking to strengthen your relationship, heal after conflict, or better understand patterns that keep you feeling stuck, therapy can offer guidance and support for creating healthier, more fulfilling connections.
(619) 416-3960 View (619) 416-3960
Photo of Holly Swanson, Marriage & Family Therapist, LMFT, Jungian, Analyst
Holly Swanson
Marriage & Family Therapist, LMFT, Jungian, Analyst
Online Only
You may feel stuck in patterns you can't fully explain-repeating dynamics in relationships, persistent anxiety, or a sense that something deeper is trying to emerge Often, what we can't access directly shows up in our dreams.
You may feel stuck in patterns you can't fully explain-repeating dynamics in relationships, persistent anxiety, or a sense that something deeper is trying to emerge Often, what we can't access directly shows up in our dreams.
(858) 348-4173 View (858) 348-4173
Photo of Heather Johnson, Psychologist, PhD, QME
Heather Johnson
Psychologist, PhD, QME
4 Endorsed
Online Only
Are you stressed out? Are you tired of feeling sad, anxious, and overwhelmed with life? Have you lost your focus? Do you feel as if things will never get better? I can help you feel better again. My approach to therapy is warm, non-judgmental, and genuine. We will work together to help you achieve your goals and learn to manage life's struggles.
Are you stressed out? Are you tired of feeling sad, anxious, and overwhelmed with life? Have you lost your focus? Do you feel as if things will never get better? I can help you feel better again. My approach to therapy is warm, non-judgmental, and genuine. We will work together to help you achieve your goals and learn to manage life's struggles.
(858) 348-5988 View (858) 348-5988
Photo of Marsha Hawkins, Marriage & Family Therapist, LMFT
Marsha Hawkins
Marriage & Family Therapist, LMFT
2 Endorsed
Online Only
Hello there. I am so grateful that you have courageously taken the steps and time to find support for yourself and your life, especially if you’re navigating complex trauma, anxiety, depression, Borderline Personality Disorder, mood-related disorders, or attachment issues. Now that you're here, I want to highlight that I believe you have the capacity to connect to your own inner wisdom. It is from this place that we can embark on our healing journey, discovering more of ourselves and moving towards what we really want. I would love to support you and witness you as you move through life.
Hello there. I am so grateful that you have courageously taken the steps and time to find support for yourself and your life, especially if you’re navigating complex trauma, anxiety, depression, Borderline Personality Disorder, mood-related disorders, or attachment issues. Now that you're here, I want to highlight that I believe you have the capacity to connect to your own inner wisdom. It is from this place that we can embark on our healing journey, discovering more of ourselves and moving towards what we really want. I would love to support you and witness you as you move through life.
(424) 374-3151 View (424) 374-3151
Photo of Jessica Rothery, Pre-Licensed Professional, ASW
Jessica Rothery
Pre-Licensed Professional, ASW
San Diego, CA 92116
Hi, I’m Jessica. You might be feeling off lately, disconnected, unmotivated, or stuck in patterns that no longer work. Maybe things feel tense in your relationship, or you're not sure how to communicate what you need. Whether you’re navigating change on your own or with a partner, I’m here to offer a space to slow down, reflect, and move forward with more clarity and intention. I approach each therapeutic relationship with curiosity, patience, non-judgement, and the goal of reducing emotional suffering while increasing relationship satisfaction. My goal is to help you to feel grounded, connected, and in touch with what matters most.
Hi, I’m Jessica. You might be feeling off lately, disconnected, unmotivated, or stuck in patterns that no longer work. Maybe things feel tense in your relationship, or you're not sure how to communicate what you need. Whether you’re navigating change on your own or with a partner, I’m here to offer a space to slow down, reflect, and move forward with more clarity and intention. I approach each therapeutic relationship with curiosity, patience, non-judgement, and the goal of reducing emotional suffering while increasing relationship satisfaction. My goal is to help you to feel grounded, connected, and in touch with what matters most.
(619) 598-0216 View (619) 598-0216
Photo of Maria Genter Hester, Marriage & Family Therapist, LMFT
Maria Genter Hester
Marriage & Family Therapist, LMFT
Online Only
Hello, my name is Maria Genter Hester I am a licensed marriage family therapist they have been in private practice on and off for about 20 years. I love working with families and teens I have a specialty in postpartum mood and anxiety disorders, I also have training in dealing with perinatal loss, abortion, miscarriage and grief. I love helping people who are interested in using their faith background to further their healing and achieve the life that they want.
Hello, my name is Maria Genter Hester I am a licensed marriage family therapist they have been in private practice on and off for about 20 years. I love working with families and teens I have a specialty in postpartum mood and anxiety disorders, I also have training in dealing with perinatal loss, abortion, miscarriage and grief. I love helping people who are interested in using their faith background to further their healing and achieve the life that they want.
(858) 203-2204 View (858) 203-2204
Photo of Kathy-Ann Dougan, Marriage & Family Therapist, LMFT
Kathy-Ann Dougan
Marriage & Family Therapist, LMFT
San Diego, CA 92131
Faith-centered Christian Therapist & Wellness Coach helping adults heal, gain clarity, and grow with purpose. I combine evidence-based therapy with practical, faith-informed strategies to support anxiety, stress, trauma, relationships, confidence, self-leadership, and lasting wellness. I work w/ adults 25+ years and older. Advocate for Healing, Clarity & Purpose. Driven by my encounter with The Living GOD and His Holy Spirit. Life has and never will be the same and was the vital piece missing to fully living not being set free, but made free, and with a passion to help others live authentic, prosperous lives.
Faith-centered Christian Therapist & Wellness Coach helping adults heal, gain clarity, and grow with purpose. I combine evidence-based therapy with practical, faith-informed strategies to support anxiety, stress, trauma, relationships, confidence, self-leadership, and lasting wellness. I work w/ adults 25+ years and older. Advocate for Healing, Clarity & Purpose. Driven by my encounter with The Living GOD and His Holy Spirit. Life has and never will be the same and was the vital piece missing to fully living not being set free, but made free, and with a passion to help others live authentic, prosperous lives.
(951) 433-7854 View (951) 433-7854

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

11 Years

Top 3 insurances accepted

88% Aetna
73% Cigna and Evernorth
59% 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.