Therapists in San Diego, CA

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Photo of Fran Wolf, Clinical Social Work/Therapist in San Diego, CA
Fran Wolf
Clinical Social Work/Therapist, LCSW, SW
Verified
1 Endorsed
San Diego, CA 92117  (Online Only)
Hi! I am Fran Wolf, a licensed clinical social worker (LCSW) with over 15 years of experience. I am dedicated to providing compassionate and evidence-based therapy to individuals seeking support and growth in their lives. Philosophy: I believe that every individual has the strength and resilience to overcome life's challenges. My therapeutic approach is rooted in a person-centered, strengths-based model, where I focus on fostering a safe and non-judgmental space for clients to explore their thoughts and emotions. I respect the unique perspectives of each individual and tailor my therapeutic approach as such.
Hi! I am Fran Wolf, a licensed clinical social worker (LCSW) with over 15 years of experience. I am dedicated to providing compassionate and evidence-based therapy to individuals seeking support and growth in their lives. Philosophy: I believe that every individual has the strength and resilience to overcome life's challenges. My therapeutic approach is rooted in a person-centered, strengths-based model, where I focus on fostering a safe and non-judgmental space for clients to explore their thoughts and emotions. I respect the unique perspectives of each individual and tailor my therapeutic approach as such.
(619) 330-0391 View (619) 330-0391
Photo of Marina Walker Rose, PhD, Marriage & Family Therapist in San Diego, CA
Marina Walker Rose, PhD
Marriage & Family Therapist, PhD, MA, LMFT
Verified
San Diego, CA 92103  (Online Only)
All journeys, including epic ones like yours, require provisions and tools, and you may be longing for support that’s as kind as it is wise, safe, nurturing, and true. Whether you're struggling in the Terrible Desert or leaving the City of Stability in search of the City of Joy, YOUR path is unique, dynamic and ever unfolding. Finding perspectives that bring relief, peace, and freedom — especially in times of transition and suffering — is a part of how we heal, get to thriving and write the story of our wholeness.
All journeys, including epic ones like yours, require provisions and tools, and you may be longing for support that’s as kind as it is wise, safe, nurturing, and true. Whether you're struggling in the Terrible Desert or leaving the City of Stability in search of the City of Joy, YOUR path is unique, dynamic and ever unfolding. Finding perspectives that bring relief, peace, and freedom — especially in times of transition and suffering — is a part of how we heal, get to thriving and write the story of our wholeness.
(619) 273-0483 View (619) 273-0483
Photo of Mili Parikh, Psychologist in San Diego, CA
Mili Parikh
Psychologist, PhD, ABPP-CN
Verified
San Diego, CA 92123  (Online Only)
Waitlist for new clients
I offer telehealth-based cognitive rehabilitation treatment for individuals with a variety of neurocognitive conditions including long-haul COVID, concussion/traumatic brain injury, mild cognitive impairment, ADHD, chemotherapy brain fog, movement disorders, neurodegenerative disorders, cerebrovascular disease, and other medical and psychiatric conditions.
I offer telehealth-based cognitive rehabilitation treatment for individuals with a variety of neurocognitive conditions including long-haul COVID, concussion/traumatic brain injury, mild cognitive impairment, ADHD, chemotherapy brain fog, movement disorders, neurodegenerative disorders, cerebrovascular disease, and other medical and psychiatric conditions.
(858) 346-5059 View (858) 346-5059
Photo of Kathleen Huff, Marriage & Family Therapist in San Diego, CA
Kathleen Huff
Marriage & Family Therapist, LMFT, RPT
Verified
San Diego, CA 92103
I know you are an expert on you! I collaborate with you and help you create a happier, healthier life. I am here to learn and understand your own unique lived experiences. My passion is for play, art and mindfulness, and I bring these into the therapeutic space. I also work to reflect on the larger social systems that impact us. I enjoy working with children, teens, young adults, the family system and those struggling with anxiety, low mood, and perfectionism. I also love assisting parents navigate their child's needs to help everyone in the family live a more peaceful and happy life.
I know you are an expert on you! I collaborate with you and help you create a happier, healthier life. I am here to learn and understand your own unique lived experiences. My passion is for play, art and mindfulness, and I bring these into the therapeutic space. I also work to reflect on the larger social systems that impact us. I enjoy working with children, teens, young adults, the family system and those struggling with anxiety, low mood, and perfectionism. I also love assisting parents navigate their child's needs to help everyone in the family live a more peaceful and happy life.
(619) 344-8447 View (619) 344-8447
Photo of Julie Comart, Clinical Social Work/Therapist in San Diego, CA
Julie Comart
Clinical Social Work/Therapist, LCSW
Verified
San Diego, CA 92116  (Online Only)
Hello! I am a Licensed Clinical Social Worker (LCSW) based in San Diego, California. I have 15 years of experience working with adolescents and adults, addressing a range of issues, including anxiety, depression, life transitions, self-esteem, identity exploration and expression, and school or work-related challenges.
Hello! I am a Licensed Clinical Social Worker (LCSW) based in San Diego, California. I have 15 years of experience working with adolescents and adults, addressing a range of issues, including anxiety, depression, life transitions, self-esteem, identity exploration and expression, and school or work-related challenges.
(619) 393-4092 View (619) 393-4092
Photo of Melisa Alonzo, Marriage & Family Therapist in San Diego, CA
Melisa Alonzo
Marriage & Family Therapist, MA, LMFT
Verified
San Diego, CA 92117
You are feeling overwhelmed with all the changes in your life. Maybe it’s adjusting to marriage, parenthood or dealing with postpartum. Maybe the spark has left your marriage and you've started having an affair, or you're feeling upside down having just discovered your partner is having an affair. Maybe you just got divorced and feel like you lost your identity. Or you're worried about the impact the divorce will have on your children. Whatever it is, you feel like you have no one to turn to, no one to confide in, and your mind is filled with racing thoughts.
You are feeling overwhelmed with all the changes in your life. Maybe it’s adjusting to marriage, parenthood or dealing with postpartum. Maybe the spark has left your marriage and you've started having an affair, or you're feeling upside down having just discovered your partner is having an affair. Maybe you just got divorced and feel like you lost your identity. Or you're worried about the impact the divorce will have on your children. Whatever it is, you feel like you have no one to turn to, no one to confide in, and your mind is filled with racing thoughts.
(619) 304-8392 View (619) 304-8392
Photo of Dorothy Porter, Marriage & Family Therapist in San Diego, CA
Dorothy Porter
Marriage & Family Therapist, LMFT
Verified
1 Endorsed
San Diego, CA 92103  (Online Only)
I am glad you are here. I hope to help you discover new ways to work through your pain and begin to see life in a different light. I am committed to helping others by empowering them to take steps towards regaining some sense of purpose or greater understanding about what they are struggling with. Whether it be navigating through difficult relationships, trying to manage daily worries, dealing with challenging days of depression, or struggling with trauma, you are in the right place looking for some guidance.
I am glad you are here. I hope to help you discover new ways to work through your pain and begin to see life in a different light. I am committed to helping others by empowering them to take steps towards regaining some sense of purpose or greater understanding about what they are struggling with. Whether it be navigating through difficult relationships, trying to manage daily worries, dealing with challenging days of depression, or struggling with trauma, you are in the right place looking for some guidance.
(619) 329-8255 View (619) 329-8255
Photo of Dr. Candice Seti, Psychologist in San Diego, CA
Dr. Candice Seti
Psychologist, PsyD
Verified
San Diego, CA 92101  (Online Only)
ALL SERVICES AVAILABLE VIA VIDEO CONFERENCING! I specialize in working with individuals struggling with weight loss and weight management. I provide an alternative strategy to weight loss based on cognitive therapy that allows people to change their life and their relationship with food, instead of just dieting. Treatment focuses on emotional eating, restructuring routines, and utilizing self-talk to help instead of sabotage. As a licensed personal training, I am also able to provide customized workout programs for clients to coincide with their weight management program. No more dieting! Learn more at www.MeOnlyBetter.com
ALL SERVICES AVAILABLE VIA VIDEO CONFERENCING! I specialize in working with individuals struggling with weight loss and weight management. I provide an alternative strategy to weight loss based on cognitive therapy that allows people to change their life and their relationship with food, instead of just dieting. Treatment focuses on emotional eating, restructuring routines, and utilizing self-talk to help instead of sabotage. As a licensed personal training, I am also able to provide customized workout programs for clients to coincide with their weight management program. No more dieting! Learn more at www.MeOnlyBetter.com
(619) 452-1098 View (619) 452-1098
Photo of Amber Dale, Marriage & Family Therapist in San Diego, CA
Amber Dale
Marriage & Family Therapist, LMFT
Verified
San Diego, CA 92123
Hi there, my name is Amber Dale, a licensed Marriage and Family Therapist offering behavioral health services to children, teens, and adults. My specialties include anxiety disorders, child and adolescent therapy, women's issues and health, and self-esteem. My approach to therapy is meeting my clients exactly where they ate and walking alongside them to navigate through the challenges and transitions in life. I treat clients between the ages of 5 and 60 who experience issues including anxiety, postpartum depression and anxiety, low self-esteem, and life transitions.
Hi there, my name is Amber Dale, a licensed Marriage and Family Therapist offering behavioral health services to children, teens, and adults. My specialties include anxiety disorders, child and adolescent therapy, women's issues and health, and self-esteem. My approach to therapy is meeting my clients exactly where they ate and walking alongside them to navigate through the challenges and transitions in life. I treat clients between the ages of 5 and 60 who experience issues including anxiety, postpartum depression and anxiety, low self-esteem, and life transitions.
(858) 302-4213 View (858) 302-4213
Photo of Ashley Halverson, Clinical Social Work/Therapist in San Diego, CA
Ashley Halverson
Clinical Social Work/Therapist, LCSW, PMH-C
Verified
San Diego, CA 92127
Parenthood and family building is shown as this easy goal full of joy and magic, but your experience has been the exact opposite. You are surprised at how you feel: overwhelmed, anxious, angry, alone, devastated. You find yourself consumed with the “what ifs” and guilt. Scary thoughts come up and you feel a deep loss that is difficult to put to words. You wonder: Will you ever feel normal again? And what will normal even look like? In our work together, you can learn coping strategies, examine beliefs that leave us feeling stuck, process trauma, develop self compassion, and build confidence in your parenting abilities.
Parenthood and family building is shown as this easy goal full of joy and magic, but your experience has been the exact opposite. You are surprised at how you feel: overwhelmed, anxious, angry, alone, devastated. You find yourself consumed with the “what ifs” and guilt. Scary thoughts come up and you feel a deep loss that is difficult to put to words. You wonder: Will you ever feel normal again? And what will normal even look like? In our work together, you can learn coping strategies, examine beliefs that leave us feeling stuck, process trauma, develop self compassion, and build confidence in your parenting abilities.
(858) 683-6281 View (858) 683-6281
Photo of Lisa Graff-Marsh LCSW, Clinical Social Work/Therapist in San Diego, CA
Lisa Graff-Marsh LCSW
Clinical Social Work/Therapist, LCSW
Verified
5 Endorsed
San Diego, CA 92117
Waitlist for new clients
I have been a private practice therapist since February 1992. The client population that comes through my office are individuals and couples that are struggling in various ways. My passion is to help people get in touch with their authentic selves, access core emotions, become more present in their lives, more connected, in touch and able to identify the sensations that happen inside one's body. This happens through compassion, connection, empathy, curiosity and the realization you do not have to struggle alone. This process helps the client to live a fuller, more satisfying productive life.
I have been a private practice therapist since February 1992. The client population that comes through my office are individuals and couples that are struggling in various ways. My passion is to help people get in touch with their authentic selves, access core emotions, become more present in their lives, more connected, in touch and able to identify the sensations that happen inside one's body. This happens through compassion, connection, empathy, curiosity and the realization you do not have to struggle alone. This process helps the client to live a fuller, more satisfying productive life.
(858) 758-8357 View (858) 758-8357
Photo of Adrian Reveles, Clinical Social Work/Therapist in San Diego, CA
Adrian Reveles
Clinical Social Work/Therapist, LCSW
Verified
San Diego, CA 92129
My name is Adrian Reveles. I am a compassionate, seasoned, and dedicated Licensed Clinical Social Worker (LCSW) based in Los Angeles, California. I specialize in reducing negative symptoms and behaviors stemming from traumatic experiences, grief & loss, substance abuse, work stress, partner/marital conflict, family conflict, and family stress due to gang involvement and substance abuse. I work with clients via telehealth, serving many populations, cultures, and groups. I aim to help (YOU) move forward through healing, learning how to manage anxiety, empowering (YOU), and psycho-education.
My name is Adrian Reveles. I am a compassionate, seasoned, and dedicated Licensed Clinical Social Worker (LCSW) based in Los Angeles, California. I specialize in reducing negative symptoms and behaviors stemming from traumatic experiences, grief & loss, substance abuse, work stress, partner/marital conflict, family conflict, and family stress due to gang involvement and substance abuse. I work with clients via telehealth, serving many populations, cultures, and groups. I aim to help (YOU) move forward through healing, learning how to manage anxiety, empowering (YOU), and psycho-education.
(858) 267-4609 View (858) 267-4609
Photo of Courtney J Grove, Marriage & Family Therapist Associate in San Diego, CA
Courtney J Grove
Marriage & Family Therapist Associate, MA, AMFT
Verified
1 Endorsed
San Diego, CA 92116
I believe that reaching out for help is one of the bravest steps in your healing and I am honored and passionate to walk alongside individuals, couples, and families; aiding you as you strive towards healing the emotional wounds you carry. I work to create a client-centered space in which my clients feel respected and safe to be vulnerable - to give a voice to and explore your painful, broken attachments and fears. I often utilize the Enneagram, a self awareness tool, alongside EFT to aid my clients in becoming more aware of what’s occurring internally and relationally.
I believe that reaching out for help is one of the bravest steps in your healing and I am honored and passionate to walk alongside individuals, couples, and families; aiding you as you strive towards healing the emotional wounds you carry. I work to create a client-centered space in which my clients feel respected and safe to be vulnerable - to give a voice to and explore your painful, broken attachments and fears. I often utilize the Enneagram, a self awareness tool, alongside EFT to aid my clients in becoming more aware of what’s occurring internally and relationally.
(619) 404-2812 View (619) 404-2812
Photo of The Recovering Therapist, Marriage & Family Therapist in San Diego, CA
The Recovering Therapist
Marriage & Family Therapist, MFT
Verified
San Diego, CA 92108
I work with clients who are in recovery from addiction. I help them get to the root of their addictive issue, so they can stop substituting addictive behavior and heal.
I work with clients who are in recovery from addiction. I help them get to the root of their addictive issue, so they can stop substituting addictive behavior and heal.
(619) 393-4412 View (619) 393-4412
Photo of Courtney Moore, Clinical Social Work/Therapist in San Diego, CA
Courtney Moore
Clinical Social Work/Therapist, MSW, LCSW
Verified
San Diego, CA 92120
Courtney Moore is a Licensed Clinical Social Worker in California with more than three years of experience. She holds a Master of Social Work from the University of Southern California. Courtney believes in a treatment philosophy that is client-centered, biopsychosocial-spiritual, person in environment, and includes holistic healing. In her free time, Courtney enjoys yoga, hiking, the beach, tennis, traveling, and meditation.
Courtney Moore is a Licensed Clinical Social Worker in California with more than three years of experience. She holds a Master of Social Work from the University of Southern California. Courtney believes in a treatment philosophy that is client-centered, biopsychosocial-spiritual, person in environment, and includes holistic healing. In her free time, Courtney enjoys yoga, hiking, the beach, tennis, traveling, and meditation.
(858) 463-3611 View (858) 463-3611
Photo of Rosa Andersen, Marriage & Family Therapist in San Diego, CA
Rosa Andersen
Marriage & Family Therapist, LMFT
Verified
San Diego, CA 92132  (Online Only)
Are you struggling to adjust after a significant life event? Have you noticed increased anxiety of depressed mood that prevent you from doing things you want or need to get accomplished? I can help you walk through the journey of recovery by providing you the guidance, skills and resources necessary to reach your goals.
Are you struggling to adjust after a significant life event? Have you noticed increased anxiety of depressed mood that prevent you from doing things you want or need to get accomplished? I can help you walk through the journey of recovery by providing you the guidance, skills and resources necessary to reach your goals.
(657) 837-5687 View (657) 837-5687
Photo of David P. Fulton, Marriage & Family Therapist in San Diego, CA
David P. Fulton
Marriage & Family Therapist, MA, MS, MFT
Verified
5 Endorsed
San Diego, CA 92116  (Online Only)
You're likely searching here because you need some help. Some guidance. You may be in crisis and need someone to talk to about what's happening inside of you. Or you may find yourself repeating the same patterns in relationships leading to emotional pain, anxiety and loneliness. Most of us tend to operate on autopilot allowing our unconscious mind to repeat patterns. Often, our past gets enacted in the present. I believe, that which can be named can be healed. When we have the courage to look inward in the presence of an empathetic other we experience the true freedom of psychotherapy. That freedom is awareness and choice.
You're likely searching here because you need some help. Some guidance. You may be in crisis and need someone to talk to about what's happening inside of you. Or you may find yourself repeating the same patterns in relationships leading to emotional pain, anxiety and loneliness. Most of us tend to operate on autopilot allowing our unconscious mind to repeat patterns. Often, our past gets enacted in the present. I believe, that which can be named can be healed. When we have the courage to look inward in the presence of an empathetic other we experience the true freedom of psychotherapy. That freedom is awareness and choice.
(619) 486-5755 View (619) 486-5755
Photo of Cassidy O'Brien, Clinical Social Work/Therapist in San Diego, CA
Cassidy O'Brien
Clinical Social Work/Therapist, LCSW
Verified
1 Endorsed
San Diego, CA 92130  (Online Only)
I work with children and teens of all ages, and specialize in working with “littles” (ages 0-5), with extensive training in early childhood mental health. I specialize in helping children cope with anxiety, depression, trauma, and difficult life transitions, and often take a cognitive-behavioral approach to teach adaptive coping skills to help kids manage challenges. I approach my work with children by viewing them in the context of the whole family, using a family-systems lens and attachment-based approach to strengthen family relationships and to support parents in developing tools to feel equipped to manage behavioral challenges.
I work with children and teens of all ages, and specialize in working with “littles” (ages 0-5), with extensive training in early childhood mental health. I specialize in helping children cope with anxiety, depression, trauma, and difficult life transitions, and often take a cognitive-behavioral approach to teach adaptive coping skills to help kids manage challenges. I approach my work with children by viewing them in the context of the whole family, using a family-systems lens and attachment-based approach to strengthen family relationships and to support parents in developing tools to feel equipped to manage behavioral challenges.
(858) 544-3412 View (858) 544-3412
Photo of Maggie Tysor, Marriage & Family Therapist in San Diego, CA
Maggie Tysor
Marriage & Family Therapist, MA, LMFT
Verified
1 Endorsed
San Diego, CA 92104  (Online Only)
You're feeling overwhelmed by the racing thoughts in your mind. It's been difficult to trust yourself, set boundaries, and stick to them. That can be exhausting and probably has you feeling under-appreciated, resentful, and burnt out! Imagine what it might feel like to be more grounded and resourced in your body and mind. Imagine feeling more confident in your voice and speaking about your needs. I enjoy supporting women and queer folks to lead a more integrated and aligned life. If any of this resonates with you, we might be a good fit!
You're feeling overwhelmed by the racing thoughts in your mind. It's been difficult to trust yourself, set boundaries, and stick to them. That can be exhausting and probably has you feeling under-appreciated, resentful, and burnt out! Imagine what it might feel like to be more grounded and resourced in your body and mind. Imagine feeling more confident in your voice and speaking about your needs. I enjoy supporting women and queer folks to lead a more integrated and aligned life. If any of this resonates with you, we might be a good fit!
(619) 612-0925 View (619) 612-0925
Photo of Kim F Scott, Marriage & Family Therapist in San Diego, CA
Kim F Scott
Marriage & Family Therapist, MS, LMFT
Verified
San Diego, CA 92117  (Online Only)
Hello and welcome. My therapeutic approach is grounded in psychodynamic and person-centered perspectives, which means that we may explore the past and patterns of relationships to help you gain personal insight and healing. To facilitate this process, I integrate EMDR (Eye Movement, Desensitization and Reprocessing) and IFS (Internal Family Systems).
Hello and welcome. My therapeutic approach is grounded in psychodynamic and person-centered perspectives, which means that we may explore the past and patterns of relationships to help you gain personal insight and healing. To facilitate this process, I integrate EMDR (Eye Movement, Desensitization and Reprocessing) and IFS (Internal Family Systems).
(858) 780-4092 View (858) 780-4092

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

$160

Therapists in San Diego, CA who prioritize treating:

93% Anxiety
87% Depression
72% Self Esteem
68% Relationship Issues
67% Trauma and PTSD
67% Coping Skills
62% Stress

Average years in practice

12 Years

Top 3 insurances accepted

76% Aetna
68% Cigna and Evernorth
68% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

57% In Person and Online
43% Online Only

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.