Therapists in San Luis Obispo, CA

Marina Resa
Marriage & Family Therapist, MA, LMFT
3 Endorsed
San Luis Obispo, CA 93401
The needs of others come before your own? Sometimes, as children, we fundamentally altered who we were to adjust to trauma, role-reversals, and cold parenting. This can create an underdeveloped sense of self or we are sensitive the slightest shifts in the moods of others. Relationships are scary. When happiness finally starts to seep in, an overwhelming fear sets in that it will all collapse & disappear.
The needs of others come before your own? Sometimes, as children, we fundamentally altered who we were to adjust to trauma, role-reversals, and cold parenting. This can create an underdeveloped sense of self or we are sensitive the slightest shifts in the moods of others. Relationships are scary. When happiness finally starts to seep in, an overwhelming fear sets in that it will all collapse & disappear.
(323) 643-6026 View (323) 643-6026
Marisol Alston
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
I am a Licensed Clinical Social Worker at California Coastal Mental Health. I am a graduate of the University of Southern California and I work with teens and adults navigating OCD, anxiety, depression, ADHD, autism, betrayal trauma, addictive or compulsive behaviors, and other mental health concerns. Outside of sessions, I find joy in spending time with family and her beautiful German shepherd.
I am a Licensed Clinical Social Worker at California Coastal Mental Health. I am a graduate of the University of Southern California and I work with teens and adults navigating OCD, anxiety, depression, ADHD, autism, betrayal trauma, addictive or compulsive behaviors, and other mental health concerns. Outside of sessions, I find joy in spending time with family and her beautiful German shepherd.
(805) 749-2075 View (805) 749-2075
Andrew John Hook
Licensed Professional Clinical Counselor, MAC, LPCC
San Luis Obispo, CA 93401
Currently accepting new clients. I work with men navigating the transitions and pressures that come with identity, purpose, and responsibility. This includes athletes facing life beyond competition, whose sense of self is often tied entirely to performance; first responders carrying the weight of what they’ve witnessed with no space to process it; men seeking meaningful vocation; fathers striving to be a steady, engaged presence for their kids; and husbands building the honesty and accountability that healthy marriage requires. My goal is threefold: help men grow in self-knowledge, identify core values, & find lasting purpose.
Currently accepting new clients. I work with men navigating the transitions and pressures that come with identity, purpose, and responsibility. This includes athletes facing life beyond competition, whose sense of self is often tied entirely to performance; first responders carrying the weight of what they’ve witnessed with no space to process it; men seeking meaningful vocation; fathers striving to be a steady, engaged presence for their kids; and husbands building the honesty and accountability that healthy marriage requires. My goal is threefold: help men grow in self-knowledge, identify core values, & find lasting purpose.
(805) 316-7405 View (805) 316-7405
Adrienne Garland
Pre-Licensed Professional, APCC
1 Endorsed
Online Only
Welcome! I'm an Associate Professional Clinical Counselor who believes that healing begins in relationships where clients feel genuinely seen, heard, and safe. My approach to therapy is warm and collaborative, recognizing that each person's experiences, strengths, and goals are unique.
Welcome! I'm an Associate Professional Clinical Counselor who believes that healing begins in relationships where clients feel genuinely seen, heard, and safe. My approach to therapy is warm and collaborative, recognizing that each person's experiences, strengths, and goals are unique.
(805) 514-2326 View (805) 514-2326
Logan Rolle
Counselor, MS, APCC
1 Endorsed
San Luis Obispo, CA 93401
My goal is to provide a supportive and safe space where we can work together to address any challenges you are experiencing and create meaningful, lasting change. Whether you are navigating anxiety, stress, relationship struggles, or a desire for personal growth, I’m here to help you explore, heal and thrive. By focusing on your unique strengths and personal growth, we will work together towards healing and building self-worth, empowering you to navigate life’s challenges with confidence.
My goal is to provide a supportive and safe space where we can work together to address any challenges you are experiencing and create meaningful, lasting change. Whether you are navigating anxiety, stress, relationship struggles, or a desire for personal growth, I’m here to help you explore, heal and thrive. By focusing on your unique strengths and personal growth, we will work together towards healing and building self-worth, empowering you to navigate life’s challenges with confidence.
(805) 849-1407 View (805) 849-1407
Kayla Setting: Pacific Emotional Wellness
Marriage & Family Therapist Associate, AMFT
1 Endorsed
San Luis Obispo, CA 93401
Kayla is a warm and collaborative therapist. She supports adults, teens, and families facing challenges such as anxiety, depression, trauma, low self-esteem, relationship stress, and life transitions. Her clinical background includes working in community-based settings with individuals and families from diverse backgrounds, many of whom have experienced complex trauma. These experiences shaped her into an empathetic, grounded therapist who values building strong, trusting relationships as the foundation for healing. Kayla strives to create a space where clients feel supported, understood, and empowered.
Kayla is a warm and collaborative therapist. She supports adults, teens, and families facing challenges such as anxiety, depression, trauma, low self-esteem, relationship stress, and life transitions. Her clinical background includes working in community-based settings with individuals and families from diverse backgrounds, many of whom have experienced complex trauma. These experiences shaped her into an empathetic, grounded therapist who values building strong, trusting relationships as the foundation for healing. Kayla strives to create a space where clients feel supported, understood, and empowered.
(805) 951-1502 View (805) 951-1502
Erik Edler
Marriage & Family Therapist, MA, LMFT
10 Endorsed
San Luis Obispo, CA 93401
Sooner or later, we all need some help. You're wise to seek out a professional who can help you gain clarity and direction. I know you're struggling now, but I'm excited about how much better things can be for you. Modern life is certainly generating a lot of anxiety & depression, and taking a heavy toll. I'm here to help you get through these difficult times. My primary focus is helping young and midlife professionals get grounded, gain clarity, and build strong confidence in themselves. My approach to therapy is compassionate, interactive, focused on new perspectives, working through emotions, and skill building.
Sooner or later, we all need some help. You're wise to seek out a professional who can help you gain clarity and direction. I know you're struggling now, but I'm excited about how much better things can be for you. Modern life is certainly generating a lot of anxiety & depression, and taking a heavy toll. I'm here to help you get through these difficult times. My primary focus is helping young and midlife professionals get grounded, gain clarity, and build strong confidence in themselves. My approach to therapy is compassionate, interactive, focused on new perspectives, working through emotions, and skill building.
(805) 272-7932 View (805) 272-7932
Amanda Groo
Licensed Professional Counselor, MA, LPCC
3 Endorsed
San Luis Obispo, CA 93401
In a time where distractions and uncertainties are omnipresent. Where isolation is fostered by "screen connections", anxiety that keeps us from achieving our true potential, or depression that makes it difficult to get out of bed in the morning. We are more alone than ever before and in need of true, meaningful connections. Reaching out for support is the first step in rebuilding and reclaiming our lives. In my practice, I strive to cultivate a safe space where you can begin your healing journey through a trauma-informed lens. You will learn how to fully regain control of your life and create the life you have always wanted.
In a time where distractions and uncertainties are omnipresent. Where isolation is fostered by "screen connections", anxiety that keeps us from achieving our true potential, or depression that makes it difficult to get out of bed in the morning. We are more alone than ever before and in need of true, meaningful connections. Reaching out for support is the first step in rebuilding and reclaiming our lives. In my practice, I strive to cultivate a safe space where you can begin your healing journey through a trauma-informed lens. You will learn how to fully regain control of your life and create the life you have always wanted.
(805) 261-4949 View (805) 261-4949
Summer Myers
Marriage & Family Therapist, LMFT, IMFT, ATR
Online Only
Anxious perfectionism shows up as perpetual shame, guilt, and self-punishment. No matter how hard you try, you're always falling short. It's exhausting, but you don't really know how to relax and probably don't sleep welll. Maybe you're a grown-up "gifted and talented" kid, or the child of immigrants, or the sibling who had to keep it together. Anxious perfectionism may also show up as body tension, severe procrastination and indecision, and difficulty with boundaries and people-pleasing. Perfectionists don't do things perfectly—they feel like they ALWAYS have to do better, and they can’t be happy until they get there.
Anxious perfectionism shows up as perpetual shame, guilt, and self-punishment. No matter how hard you try, you're always falling short. It's exhausting, but you don't really know how to relax and probably don't sleep welll. Maybe you're a grown-up "gifted and talented" kid, or the child of immigrants, or the sibling who had to keep it together. Anxious perfectionism may also show up as body tension, severe procrastination and indecision, and difficulty with boundaries and people-pleasing. Perfectionists don't do things perfectly—they feel like they ALWAYS have to do better, and they can’t be happy until they get there.
(805) 303-8571 View (805) 303-8571
Emily Elrod-Black
Licensed Professional Clinical Counselor, MA, LPCC
1 Endorsed
San Luis Obispo, CA 93401
Waitlist for new clients
If you're here, you're likely fighting a quiet—or not so quiet—battle with your body, your relationship to food, or with a harsh inner critic that just won’t let up. Maybe you’ve spent years trying to fix yourself, control the uncontrollable, or numb the discomfort inside. But what if the answer isn’t in fixing, but in coming home—to yourself? I specialize in working with those who struggle with poor body image, disordered eating patterns, chronic anxiety, and the deeper emotional pain that lives underneath. Under the surface of these challenges, there are often stories of shame and trauma waiting to be unpacked.
If you're here, you're likely fighting a quiet—or not so quiet—battle with your body, your relationship to food, or with a harsh inner critic that just won’t let up. Maybe you’ve spent years trying to fix yourself, control the uncontrollable, or numb the discomfort inside. But what if the answer isn’t in fixing, but in coming home—to yourself? I specialize in working with those who struggle with poor body image, disordered eating patterns, chronic anxiety, and the deeper emotional pain that lives underneath. Under the surface of these challenges, there are often stories of shame and trauma waiting to be unpacked.
(805) 232-7354 View (805) 232-7354
Mary Kate Hoag
Pre-Licensed Professional, APCC
1 Endorsed
Online Only
Mary Kate is an Registered Associate Professional Clinical Counselor who is fueled by matcha lattes, true crime podcasts, and camping with her two pups. She takes a collaborative, grounded approach to therapy that adapts to each client’s unique needs, often drawing from her training in EMDR, Dialectical Behavior Therapy (DBT), trauma-informed Motivational Interviewing, and other evidence-based approaches.
Mary Kate is an Registered Associate Professional Clinical Counselor who is fueled by matcha lattes, true crime podcasts, and camping with her two pups. She takes a collaborative, grounded approach to therapy that adapts to each client’s unique needs, often drawing from her training in EMDR, Dialectical Behavior Therapy (DBT), trauma-informed Motivational Interviewing, and other evidence-based approaches.
(805) 463-6506 View (805) 463-6506
Melissa Campe
Marriage & Family Therapist, MS, LMFT
3 Endorsed
San Luis Obispo, CA 93401
Welcome back Cal Poly! I'm now accepting college age adults. Do you constantly feel like you aren’t good enough? Are you looking for relief from persistent worrying and stress? Do you want to feel self-compassion and gain support in making meaningful change in how you live life? If so, we might be a good fit for each other. I work with women and college-age individuals that are tired of constantly criticizing themselves, often feel guilty when they’ve done nothing wrong, and feel like their relationships are missing something. I have over ten years’ experience with anxiety, adult ADHD, bipolar disorder and trauma.
Welcome back Cal Poly! I'm now accepting college age adults. Do you constantly feel like you aren’t good enough? Are you looking for relief from persistent worrying and stress? Do you want to feel self-compassion and gain support in making meaningful change in how you live life? If so, we might be a good fit for each other. I work with women and college-age individuals that are tired of constantly criticizing themselves, often feel guilty when they’ve done nothing wrong, and feel like their relationships are missing something. I have over ten years’ experience with anxiety, adult ADHD, bipolar disorder and trauma.
(805) 254-7036 View (805) 254-7036
Michael A Young
Clinical Social Work/Therapist, LCSW
Online Only
As a trauma-focused therapist with over 20 years of experience specializing in evidence based and trauma-informed therapies, I have been privileged to see hundreds of clients transform from survivor to thriver. In the area of trauma recovery, I utilize modalities such as Cognitive Processing Therapy (CPT) and Prolonged Exposure Therapy (PE). I am also a Post-Traumatic Growth (PTG) certified clinician. I have extensive training and experience in the area of sleep dysfunction utilizing therapies such as Cognitive Behavioral Therapy for Insomnia (CBT-I) as well as Exposure, Relaxation & Rescripting Therapy (ERRT).
As a trauma-focused therapist with over 20 years of experience specializing in evidence based and trauma-informed therapies, I have been privileged to see hundreds of clients transform from survivor to thriver. In the area of trauma recovery, I utilize modalities such as Cognitive Processing Therapy (CPT) and Prolonged Exposure Therapy (PE). I am also a Post-Traumatic Growth (PTG) certified clinician. I have extensive training and experience in the area of sleep dysfunction utilizing therapies such as Cognitive Behavioral Therapy for Insomnia (CBT-I) as well as Exposure, Relaxation & Rescripting Therapy (ERRT).
(805) 635-2899 View (805) 635-2899
Tzu-Chen Cheng
Psychologist, LCP
Online Only
My name is Tzu-Chen Cheng, and I am a Licensed Clinical Psychologist based in San Luis Obispo, CA. I work with clients statewide via telehealth. I work with adults dealing with problems that could present as depression, anxiety or other mental health difficulties, using Solution Focused Therapy and Client-Centered approach to find solutions and explore deep rooted issues.
My name is Tzu-Chen Cheng, and I am a Licensed Clinical Psychologist based in San Luis Obispo, CA. I work with clients statewide via telehealth. I work with adults dealing with problems that could present as depression, anxiety or other mental health difficulties, using Solution Focused Therapy and Client-Centered approach to find solutions and explore deep rooted issues.
(562) 600-3415 View (562) 600-3415
Ellie Yamashita
Marriage & Family Therapist Associate, MS, AMFT
1 Endorsed
Online Only
Not accepting new clients
I offer a caring and compassionate space, where clients can feel a true sense of comfort and trust from the very beginning. I believe in meeting clients exactly where they are, honoring their unique experiences while gently encouraging growth at their own pace. My approach is supportive and collaborative. I strive to create a therapeutic environment that feels empowering. I also bring creativity and flexibility into our work together, offering opportunities to explore challenges in ways that feel engaging, meaningful, and even fun. Above all, I am committed to be fully present with you, helping you feel seen and seen.
I offer a caring and compassionate space, where clients can feel a true sense of comfort and trust from the very beginning. I believe in meeting clients exactly where they are, honoring their unique experiences while gently encouraging growth at their own pace. My approach is supportive and collaborative. I strive to create a therapeutic environment that feels empowering. I also bring creativity and flexibility into our work together, offering opportunities to explore challenges in ways that feel engaging, meaningful, and even fun. Above all, I am committed to be fully present with you, helping you feel seen and seen.
(820) 502-2541 View (820) 502-2541
Lindsey Levenson Rice
Marriage & Family Therapist, LMFT
San Luis Obispo, CA 93401
We all go through things in our lives that are difficult. I believe that it is through these struggles that we have the opportunity to grow. If you're finding yourself feeling stuck, overwhelmed, or you're not able to function like you'd like to, it may be time to seek the support of a therapist. Therapy offers a unique environment that is different from talking with family and friends or attempting to solve problems with your own set of tools. Because we can’t see ourselves in an unbiased way, therapy can be a space to identify and challenge patterns and perspectives that aren’t working or that you may not even be aware of.
We all go through things in our lives that are difficult. I believe that it is through these struggles that we have the opportunity to grow. If you're finding yourself feeling stuck, overwhelmed, or you're not able to function like you'd like to, it may be time to seek the support of a therapist. Therapy offers a unique environment that is different from talking with family and friends or attempting to solve problems with your own set of tools. Because we can’t see ourselves in an unbiased way, therapy can be a space to identify and challenge patterns and perspectives that aren’t working or that you may not even be aware of.
(805) 870-9641 View (805) 870-9641
Danielle Atencio
Clinical Social Work/Therapist, LCSW
1 Endorsed
San Luis Obispo, CA 93405
Hi! My name’s Danielle Atencio; I’m a Licensed Clinical Social Worker, based in San Luis Obispo, California, and working with clients statewide via Telehealth. I work with adults of all ages and specialize in anxiety, depression, stress, substance abuse, and life transitions/challenges, using an eclectic blend of Cognitive Behavioral Therapy, Motivational Interviewing Techniques, and Mindfulness. I find that my style and approach to therapy is a good fit for individuals and couples who are looking for help in navigating the challenges of life, whether those challenges are internal and/or external.
Hi! My name’s Danielle Atencio; I’m a Licensed Clinical Social Worker, based in San Luis Obispo, California, and working with clients statewide via Telehealth. I work with adults of all ages and specialize in anxiety, depression, stress, substance abuse, and life transitions/challenges, using an eclectic blend of Cognitive Behavioral Therapy, Motivational Interviewing Techniques, and Mindfulness. I find that my style and approach to therapy is a good fit for individuals and couples who are looking for help in navigating the challenges of life, whether those challenges are internal and/or external.
(805) 303-8665 View (805) 303-8665
Griffith Jennings
Marriage & Family Therapist, LMFT
San Luis Obispo, CA 93405
I work with individuals seeking to improve relationships, professional output, and find greater life satisfaction through deeper self-awareness. My practice draws from the theoretical approaches of psychodynamic, existentialism, and cognitive behavioral therapy (CBT). With an emphasis on expanding self-understanding and autonomy, I utilize evidence-based interventions and shape the treatment to meet the needs of each individual I work with.
I work with individuals seeking to improve relationships, professional output, and find greater life satisfaction through deeper self-awareness. My practice draws from the theoretical approaches of psychodynamic, existentialism, and cognitive behavioral therapy (CBT). With an emphasis on expanding self-understanding and autonomy, I utilize evidence-based interventions and shape the treatment to meet the needs of each individual I work with.
(805) 263-1902 View (805) 263-1902
Innerbloom Ketamine Therapy
Verified Verified
1 Endorsed
San Luis Obispo, CA 93405
Located in San Luis Obispo, CA, Innerbloom Ketamine Therapy is a physician-led practice offering insurance-covered nasal esketamine (Spravato), intravenous ketamine infusions, and ketamine-assisted psychotherapy (KAP). Our mission is to help patients live happier, healthier lives through a holistic approach that integrates psychedelic-assisted therapy as a key component of healing. We provide safe, effective care through individualized treatment plans tailored to the unique needs of each patient.
Located in San Luis Obispo, CA, Innerbloom Ketamine Therapy is a physician-led practice offering insurance-covered nasal esketamine (Spravato), intravenous ketamine infusions, and ketamine-assisted psychotherapy (KAP). Our mission is to help patients live happier, healthier lives through a holistic approach that integrates psychedelic-assisted therapy as a key component of healing. We provide safe, effective care through individualized treatment plans tailored to the unique needs of each patient.
(805) 321-8471 View (805) 321-8471
Michael Scherbinski
Psychologist, PhD
1 Endorsed
San Luis Obispo, CA 93405
Prometheus Psychological Services offers a full range of outpatient psychological services. The services include psychological assessment and a variety of therapies. People use our services for depression, anxiety, and problems in relationships. Treatment can also be utilized to address anger, marital conflict, and low self-esteem. Work with children and adolescents can focus on behavior problems at home and at school, developmental disabilities, and attention deficit disorders. We can also tailor programs for individuals with learning disabilities and problems with daily living. Many athletes are turning to us to help them reach their peak performance. Together we can develop a specific program tailored to your particular sport and your unique strengths and weaknesses. Our services can help athletes manage anxiety, develop relaxation techniques, and enhance leadership skills. Others have sought our services for help with a lack of consistency, to address difficulty maintaining focus, or to aid with recovery from injury. We can assist with goal setting, confidence, and visualizing yourself being successful, in an attempt to help you reach your full potential.
Prometheus Psychological Services offers a full range of outpatient psychological services. The services include psychological assessment and a variety of therapies. People use our services for depression, anxiety, and problems in relationships. Treatment can also be utilized to address anger, marital conflict, and low self-esteem. Work with children and adolescents can focus on behavior problems at home and at school, developmental disabilities, and attention deficit disorders. We can also tailor programs for individuals with learning disabilities and problems with daily living. Many athletes are turning to us to help them reach their peak performance. Together we can develop a specific program tailored to your particular sport and your unique strengths and weaknesses. Our services can help athletes manage anxiety, develop relaxation techniques, and enhance leadership skills. Others have sought our services for help with a lack of consistency, to address difficulty maintaining focus, or to aid with recovery from injury. We can assist with goal setting, confidence, and visualizing yourself being successful, in an attempt to help you reach your full potential.
(805) 749-2742 View (805) 749-2742

See more therapy options for San Luis Obispo

How does your Therapist compare?

Number of Therapists in San Luis Obispo, CA

500+

Average cost per session

$158

Therapists in San Luis Obispo, CA who prioritize treating:

91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
86% Depression
81% Relationship Issues
77% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

66% Aetna
43% Blue Shield
41% Cigna and Evernorth

How Therapists in San Luis Obispo, CA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Luis Obispo?

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.