Therapists in Inner Richmond, San Francisco, CA

Photo of Marty L. Cooper, Marriage & Family Therapist, PhD, MFT
Marty L. Cooper
Marriage & Family Therapist, PhD, MFT
Inner Richmond, San Francisco, CA 94118
If you have a history of depression and anxiety, you no doubt know what it feels like to move through your day as if trudging through a swamp. At worst, there's little desire or motivation or energy, and then when you do climb out of these moods, you see yourself at some point fall back in. You are likely wanting to learn how to gain some permanent ground, to not have your mood rule you, and to just feel better from day to day. If this is what you are after, then I'd like to help.
If you have a history of depression and anxiety, you no doubt know what it feels like to move through your day as if trudging through a swamp. At worst, there's little desire or motivation or energy, and then when you do climb out of these moods, you see yourself at some point fall back in. You are likely wanting to learn how to gain some permanent ground, to not have your mood rule you, and to just feel better from day to day. If this is what you are after, then I'd like to help.
(415) 894-0951 View (415) 894-0951
Photo of Reina Turner, Marriage & Family Therapist, MA, LMFT
Reina Turner
Marriage & Family Therapist, MA, LMFT
3 Endorsed
Inner Richmond, San Francisco, CA 94118
On the outside you're a strong, successful woman who has it together, but no one knows that on the inside you feel like you're crumbling. The weight of motherhood, decision making, household chores, relationships and day to day tasks can feel insurmountable at times. You do your best to keep it all together but the tension and anxiety keep bubbling to the surface. Maybe you've even developed a narrative in your head that you're not good enough or you'll never get it right. But not anymore, a change is long overdue. I'm here to help you tackle that negative inner voice and manage the weight of life.
On the outside you're a strong, successful woman who has it together, but no one knows that on the inside you feel like you're crumbling. The weight of motherhood, decision making, household chores, relationships and day to day tasks can feel insurmountable at times. You do your best to keep it all together but the tension and anxiety keep bubbling to the surface. Maybe you've even developed a narrative in your head that you're not good enough or you'll never get it right. But not anymore, a change is long overdue. I'm here to help you tackle that negative inner voice and manage the weight of life.
(628) 333-2249 View (628) 333-2249
Photo of Adam Clark-Tan, Clinical Social Work/Therapist, LCSW
Adam Clark-Tan
Clinical Social Work/Therapist, LCSW
Inner Richmond, San Francisco, CA 94118
Do your worries or thoughts feel overwhelming? Do your compulsive behaviors feel out of your control? Now imagine that you can experience your thoughts and feelings without getting stuck trying to block them, change them, or act on them. Imagine being able to spend time with the people you love and accomplishing your goals. If you are ready to live your life joyfully, let's talk.
Do your worries or thoughts feel overwhelming? Do your compulsive behaviors feel out of your control? Now imagine that you can experience your thoughts and feelings without getting stuck trying to block them, change them, or act on them. Imagine being able to spend time with the people you love and accomplishing your goals. If you are ready to live your life joyfully, let's talk.
(415) 779-7705 View (415) 779-7705
Photo of Kaye Reeves, Marriage & Family Therapist, MA
Kaye Reeves
Marriage & Family Therapist, MA
1 Endorsed
Inner Richmond, San Francisco, CA 94118
Feelings of anxiety, depression, isolation, grief and loss, difficulties in communicating or achieving emotional intimacy with our partner, or even just a vague dissatisfaction with the trajectory of our lives may impel us to seek out a therapist. Change and growth are possible when we talk with someone with whom we can feel safe and build a sense of connection. I welcome you and all the parts of you that long for compassionate exploration. Let’s collaborate in understanding your issues, identifying your goals, and creating a path to achieving them.
Feelings of anxiety, depression, isolation, grief and loss, difficulties in communicating or achieving emotional intimacy with our partner, or even just a vague dissatisfaction with the trajectory of our lives may impel us to seek out a therapist. Change and growth are possible when we talk with someone with whom we can feel safe and build a sense of connection. I welcome you and all the parts of you that long for compassionate exploration. Let’s collaborate in understanding your issues, identifying your goals, and creating a path to achieving them.
(415) 408-7485 View (415) 408-7485
Photo of Matthew Morey, Marriage & Family Therapist, PhD, LMFT
Matthew Morey
Marriage & Family Therapist, PhD, LMFT
Inner Richmond, San Francisco, CA 94118
"Love and compassion are necessities, not luxuries. Without them humanity cannot survive" -The Dalai Lama. To be kind with yourself and others requires that you begin to heal the old wounds that reside in your heart and mind. As a therapist, I focus on helping you find an authentic and creative life and cultivate real relationships to support a healthy and warm lifestyle. I welcome people who are working with relationship and communication issues, anxiety and depression, and questions around self-esteem, isolation, and meaning. I believe the healing path is a lifelong journey towards greater wisdom, compassion, and happiness.
"Love and compassion are necessities, not luxuries. Without them humanity cannot survive" -The Dalai Lama. To be kind with yourself and others requires that you begin to heal the old wounds that reside in your heart and mind. As a therapist, I focus on helping you find an authentic and creative life and cultivate real relationships to support a healthy and warm lifestyle. I welcome people who are working with relationship and communication issues, anxiety and depression, and questions around self-esteem, isolation, and meaning. I believe the healing path is a lifelong journey towards greater wisdom, compassion, and happiness.
(415) 991-7551 View (415) 991-7551
Photo of Jessica Claire Lief, Clinical Social Work/Therapist, LCSW, MLS, DSW
Jessica Claire Lief
Clinical Social Work/Therapist, LCSW, MLS, DSW
1 Endorsed
Inner Richmond, San Francisco, CA 94118
I have been practicing social work and working as a psychotherapist since 2014. I support individuals who are recovering from eating disorders, body image issues, substance use, trauma, self harm, Borderline Personality Disorder, prenatal and postpartum issues. I work with adults and teens. My style has been described as nurturing, empathic, and empowering. I am direct and authentic; I will never blame you for your suffering. My approach is primarily psychodynamic but combines aspects of feminist and social justice perspectives, mindful self-compassion, dialectical behavior therapy, Seeking Safety, and mindfulness. I use HAES.
I have been practicing social work and working as a psychotherapist since 2014. I support individuals who are recovering from eating disorders, body image issues, substance use, trauma, self harm, Borderline Personality Disorder, prenatal and postpartum issues. I work with adults and teens. My style has been described as nurturing, empathic, and empowering. I am direct and authentic; I will never blame you for your suffering. My approach is primarily psychodynamic but combines aspects of feminist and social justice perspectives, mindful self-compassion, dialectical behavior therapy, Seeking Safety, and mindfulness. I use HAES.
(628) 265-8809 View (628) 265-8809
Photo of Sarah Stroe, Clinical Social Work/Therapist, LCSW
Sarah Stroe
Clinical Social Work/Therapist, LCSW
Inner Richmond, San Francisco, CA 94118
I’m so glad to meet you. Many clients come to see me because they are experiencing loss, serious or chronic illness, or struggling with grief. Others have a sense that something is not right. I have specific experience and training in geriatric social work and nearly a decade of experience helping individuals and their families navigate psychosocial challenges of grief, loss and serious illness. I can also help with conceptualizing end of life wishes and legacy work.
I’m so glad to meet you. Many clients come to see me because they are experiencing loss, serious or chronic illness, or struggling with grief. Others have a sense that something is not right. I have specific experience and training in geriatric social work and nearly a decade of experience helping individuals and their families navigate psychosocial challenges of grief, loss and serious illness. I can also help with conceptualizing end of life wishes and legacy work.
(628) 277-5785 View (628) 277-5785
Photo of Nazaneen Nekbeen, Marriage & Family Therapist, MA, LMFT
Nazaneen Nekbeen
Marriage & Family Therapist, MA, LMFT
Inner Richmond, San Francisco, CA 94118
Emotionally focused therapy
Emotionally focused therapy
(415) 949-6115 View (415) 949-6115
Photo of McKenna Becker, Associate Clinical Social Worker, ASW
McKenna Becker
Associate Clinical Social Worker, ASW
4 Endorsed
Inner Richmond, San Francisco, CA 94118
I'm a therapist specializing in working with teens and young adults, focusing on anxiety, perfectionism, addiction, and neurodivergence, particularly ADHD and concussion/TBI. In my practice, I help teens understand that anxiety is not an enemy to be feared but a signal to be understood and harnessed. Together, we work on strategies to manage anxiety effectively, allowing it to serve as a guide rather than a ruler. By shifting this perspective, teens learn to recognize anxiety's presence as a normal and manageable part of their lives, building resilience and gaining control over their emotional responses.
I'm a therapist specializing in working with teens and young adults, focusing on anxiety, perfectionism, addiction, and neurodivergence, particularly ADHD and concussion/TBI. In my practice, I help teens understand that anxiety is not an enemy to be feared but a signal to be understood and harnessed. Together, we work on strategies to manage anxiety effectively, allowing it to serve as a guide rather than a ruler. By shifting this perspective, teens learn to recognize anxiety's presence as a normal and manageable part of their lives, building resilience and gaining control over their emotional responses.
(415) 936-8043 View (415) 936-8043
Photo of Matthew Paul Morrissey, Marriage & Family Therapist, MA, MFT
Matthew Paul Morrissey
Marriage & Family Therapist, MA, MFT
1 Endorsed
Inner Richmond, San Francisco, CA 94118
I work best with the misfits: geeks & nerds, punks, skaters, artists, musicians, writers, and activists. . . those who "rage against the dying of the light." My area of expertise consists in helping with difficulties in relationships. Such difficulties include finding and sustaining healthy intimacy, healing from a painful break-up or divorce, school-related problems, recovering from major loss, and growing up in difficult circumstances. I am particularly suited to helping those who have cultivated their intellects and creativity but would now like to develop a greater awareness of their emotional world.
I work best with the misfits: geeks & nerds, punks, skaters, artists, musicians, writers, and activists. . . those who "rage against the dying of the light." My area of expertise consists in helping with difficulties in relationships. Such difficulties include finding and sustaining healthy intimacy, healing from a painful break-up or divorce, school-related problems, recovering from major loss, and growing up in difficult circumstances. I am particularly suited to helping those who have cultivated their intellects and creativity but would now like to develop a greater awareness of their emotional world.
(650) 918-7960 View (650) 918-7960
Photo of Maureen Mccracken, Marriage & Family Therapist, LMFT
Maureen Mccracken
Marriage & Family Therapist, LMFT
Inner Richmond, San Francisco, CA 94118
Are you feeling stuck? Perhaps you're in the middle of one of life's "necessary changes," or struggling with starting on your path in the world, regarding purpose,meaning, and making a living. Perhaps you're trying to "reboot" after a loss, illness, or other life-changing experience, or trying to adjust and move forward in the midst of mid-life transition. As your therapist, I will meet you where you are at, and team up with you to create a life in which you find meaning, joy, and fulfillment.
Are you feeling stuck? Perhaps you're in the middle of one of life's "necessary changes," or struggling with starting on your path in the world, regarding purpose,meaning, and making a living. Perhaps you're trying to "reboot" after a loss, illness, or other life-changing experience, or trying to adjust and move forward in the midst of mid-life transition. As your therapist, I will meet you where you are at, and team up with you to create a life in which you find meaning, joy, and fulfillment.
(415) 683-3077 View (415) 683-3077
Photo of Jordana del Feld, Associate Marriage & Family Therapist, MA, MFA, AMFT, APCC, CMT
Jordana del Feld
Associate Marriage & Family Therapist, MA, MFA, AMFT, APCC, CMT
3 Endorsed
Inner Richmond, San Francisco, CA 94118
So. No one told you life was gonna be this way. Do you feel alone—like nobody sees your unique brand of awesomeness? Do you feel scared—like adulting comes with a lot of unforeseen challenges that you don't know how to handle? Do you feel frustrated with your relationships—like they're falling way short of how great you wish they were?
So. No one told you life was gonna be this way. Do you feel alone—like nobody sees your unique brand of awesomeness? Do you feel scared—like adulting comes with a lot of unforeseen challenges that you don't know how to handle? Do you feel frustrated with your relationships—like they're falling way short of how great you wish they were?
(415) 763-1527 View (415) 763-1527
Photo of Paul Watsky, Psychologist, PhD
Paul Watsky
Psychologist, PhD
Inner Richmond, San Francisco, CA 94118
I work with adults of all ages who seek the greatest access to their abilities and skills, wish to understand and accept themselves more fully by mitigating both internal and external obstacles, experience compassion, and act with social responsibility. Such goals may to grapple overcome low self esteem, maintain sobriety, come to terms with painful life experiences, and develop reality-based trust in relatioonships.
I work with adults of all ages who seek the greatest access to their abilities and skills, wish to understand and accept themselves more fully by mitigating both internal and external obstacles, experience compassion, and act with social responsibility. Such goals may to grapple overcome low self esteem, maintain sobriety, come to terms with painful life experiences, and develop reality-based trust in relatioonships.
(415) 639-5503 View (415) 639-5503
Photo of Sophia Kumin, Marriage & Family Therapist Associate, AMFT
Sophia Kumin
Marriage & Family Therapist Associate, AMFT
Inner Richmond, San Francisco, CA 94118
Our suffering and our joy can feel like mysteries to us; why do I feel this way, why do I keep making certain choices, and how do I change the things I want to change? My belief is that at our root, we are exactly who we are supposed to be, and that changes we desire come incrementally through a process of self-acceptance, compassion, and relating to one another. My approach centers the relationship in the room while making space for your full context. I have a particular passion for working with sex workers, organizers, LGBTQ+ and kinky people, non-monogamous people, teens, and men deconstructing masculinity.
Our suffering and our joy can feel like mysteries to us; why do I feel this way, why do I keep making certain choices, and how do I change the things I want to change? My belief is that at our root, we are exactly who we are supposed to be, and that changes we desire come incrementally through a process of self-acceptance, compassion, and relating to one another. My approach centers the relationship in the room while making space for your full context. I have a particular passion for working with sex workers, organizers, LGBTQ+ and kinky people, non-monogamous people, teens, and men deconstructing masculinity.
(415) 996-0459 View (415) 996-0459
Photo of Sarah Wright, Marriage & Family Therapist, LMFT
Sarah Wright
Marriage & Family Therapist, LMFT
4 Endorsed
Inner Richmond, San Francisco, CA 94118
Adults, Teens and Women Healing From Narcissistic Families, Emotionally Immature Parents, and Estrangement If you grew up with a parent who dismissed your feelings, twisted reality, or punished boundaries, you may carry anxiety, guilt, people-pleasing, or chronic self-doubt. I help adult children make sense of gaslighting, scapegoating, and emotional neglect, decide on low or no contact, and build boundaries and self-trust. Trauma-informed and attachment-focused, integrating IFS/parts work, EMDR, and EFT. I specialize in helping adults, teens, and women.
Adults, Teens and Women Healing From Narcissistic Families, Emotionally Immature Parents, and Estrangement If you grew up with a parent who dismissed your feelings, twisted reality, or punished boundaries, you may carry anxiety, guilt, people-pleasing, or chronic self-doubt. I help adult children make sense of gaslighting, scapegoating, and emotional neglect, decide on low or no contact, and build boundaries and self-trust. Trauma-informed and attachment-focused, integrating IFS/parts work, EMDR, and EFT. I specialize in helping adults, teens, and women.
(415) 903-7768 View (415) 903-7768
Photo of Robert A Liss, Psychologist, PhD
Robert A Liss
Psychologist, PhD
Inner Richmond, San Francisco, CA 94117
I believe that the most important trait that leads to a successful outcome is motivation to learn about oneself. This is the essence of desire- or willingness- to change. I am trained as a psycho-analyst, and try to apply the essential understanding of people that psycho-analytic theory and practice, even when- as is usually the case- the psycho-analtyic method is not indicated, for reasons of time, money, and/or practicality. I work with all kinds of people, but feel that the common denominator is a strong motivation to examine oneself honestly and forthrightly, and to interact emotionally.
I believe that the most important trait that leads to a successful outcome is motivation to learn about oneself. This is the essence of desire- or willingness- to change. I am trained as a psycho-analyst, and try to apply the essential understanding of people that psycho-analytic theory and practice, even when- as is usually the case- the psycho-analtyic method is not indicated, for reasons of time, money, and/or practicality. I work with all kinds of people, but feel that the common denominator is a strong motivation to examine oneself honestly and forthrightly, and to interact emotionally.
(415) 858-6956 View (415) 858-6956
Photo of Antonia Littleton, Marriage & Family Therapist Associate
Antonia Littleton
Marriage & Family Therapist Associate
1 Endorsed
Inner Richmond, San Francisco, CA 94118
You might be navigating grief, anxiety, or the growing pains of transition—becoming a parent, changing careers, a breakup, or asking deeper questions about who you are and what you want. Many of my clients are learning to let go of old survival strategies like perfectionism or people-pleasing that once helped them feel safe but now leave them feeling disconnected or depleted. I work with couples, teens and adults, including those who identify as ADHD/ADD, LGBTQIA+ and those with developmental trauma. I’m also adept in supporting clients from diverse backgrounds exploring relationship patterns and intergenerational trauma.
You might be navigating grief, anxiety, or the growing pains of transition—becoming a parent, changing careers, a breakup, or asking deeper questions about who you are and what you want. Many of my clients are learning to let go of old survival strategies like perfectionism or people-pleasing that once helped them feel safe but now leave them feeling disconnected or depleted. I work with couples, teens and adults, including those who identify as ADHD/ADD, LGBTQIA+ and those with developmental trauma. I’m also adept in supporting clients from diverse backgrounds exploring relationship patterns and intergenerational trauma.
(510) 380-8660 View (510) 380-8660
Photo of Andrea Bass, Marriage & Family Therapist, MA, MFT, ATR-BC
Andrea Bass
Marriage & Family Therapist, MA, MFT, ATR-BC
1 Endorsed
Inner Richmond, San Francisco, CA 94118
Making positive changes in our lives is not always easy. It takes courage and strength to reach out for support during challenging times. In our healing journey together, connection to our emotions, our body (somatic mindfulness), our creativity and our life force brings deeper relationships with others leading to a greater connection to ourselves. If we have experienced trauma we can find new ways to self-regulate and build resilience. We can learn to love and accept all the different parts of who we are. I feel honored to accompany you on this journey while providing skillful guidance, attunement and resources along the way.
Making positive changes in our lives is not always easy. It takes courage and strength to reach out for support during challenging times. In our healing journey together, connection to our emotions, our body (somatic mindfulness), our creativity and our life force brings deeper relationships with others leading to a greater connection to ourselves. If we have experienced trauma we can find new ways to self-regulate and build resilience. We can learn to love and accept all the different parts of who we are. I feel honored to accompany you on this journey while providing skillful guidance, attunement and resources along the way.
(415) 877-1964 View (415) 877-1964
Photo of Isabelle Lofrese, APCC, AMFT
Isabelle Lofrese
Verified Verified
8 Endorsed
Inner Richmond, San Francisco, CA 94118
I work with individuals, couples, and families who feel stuck, overwhelmed, or emotionally drained. You might be moving through anxiety, depression, or a big life change. Maybe you're longing for better connection in your relationships or just feeling off, unsure how to get back to yourself. Old patterns might be showing up again, even though part of you knows they’re not helping. At your core, you want steadiness, more ease, and to feel connected both to others and to yourself.
I work with individuals, couples, and families who feel stuck, overwhelmed, or emotionally drained. You might be moving through anxiety, depression, or a big life change. Maybe you're longing for better connection in your relationships or just feeling off, unsure how to get back to yourself. Old patterns might be showing up again, even though part of you knows they’re not helping. At your core, you want steadiness, more ease, and to feel connected both to others and to yourself.
(559) 744-4542 View (559) 744-4542
Photo of Livia Ondi, Marriage & Family Therapist, MA, LMFT
Livia Ondi
Marriage & Family Therapist, MA, LMFT
2 Endorsed
Inner Richmond, San Francisco, CA 94118
Are you tired of the power struggles with your toddler or preschooler? Are you navigating life changing events with your child, such as loss, divorce, adoption, moving, traumatic accidents or events? Does your little one have challenges in life with special needs and developmental delays? One of the hardest part of parenting is seeing your child being in pain and feeling like there is nothing you can do to help. I support families with young children to transform what seems like daily survival struggles into thriving in life and in relationships.
Are you tired of the power struggles with your toddler or preschooler? Are you navigating life changing events with your child, such as loss, divorce, adoption, moving, traumatic accidents or events? Does your little one have challenges in life with special needs and developmental delays? One of the hardest part of parenting is seeing your child being in pain and feeling like there is nothing you can do to help. I support families with young children to transform what seems like daily survival struggles into thriving in life and in relationships.
(415) 855-7682 View (415) 855-7682

See more therapy options for Inner Richmond, San Francisco

How does your Therapist compare?

Number of Therapists in Inner Richmond, San Francisco, CA

300+

Average cost per session

$199

Therapists in Inner Richmond, San Francisco, CA who prioritize treating:

92% Anxiety
86% Relationship Issues
84% Depression
79% Self Esteem
72% Trauma and PTSD
71% Grief
66% Stress

Average years in practice

13 Years

Top 3 insurances accepted

75% Aetna
58% Cigna and Evernorth
55% UnitedHealthcare UHC | UBH

How Therapists in Inner Richmond, San Francisco, CA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Inner Richmond, San Francisco?

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.