Therapists in San Mateo, CA

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Photo of Alice Knowlton, Clinical Social Work/Therapist, LCSW
Alice Knowlton
Clinical Social Work/Therapist, LCSW
Online Only
In a mind-centered world, we have largely forgotten about the innate wisdom and healing capacities of the body. Many of us have learned to avoid uncomfortable and difficult emotions, viewing them as negative or undesirable. This misconception often leads us to escape our bodies and ourselves. I believe that the relational container created in therapy is integral for exploring our multifaceted identities, layer by layer, part by part.
In a mind-centered world, we have largely forgotten about the innate wisdom and healing capacities of the body. Many of us have learned to avoid uncomfortable and difficult emotions, viewing them as negative or undesirable. This misconception often leads us to escape our bodies and ourselves. I believe that the relational container created in therapy is integral for exploring our multifaceted identities, layer by layer, part by part.
(650) 551-9795 View (650) 551-9795
Photo of Alice Tong, Clinical Social Work/Therapist, LCSW
Alice Tong
Clinical Social Work/Therapist, LCSW
Online Only
No one is immune to life challenges (e.g. life transitions, relationship issues, school, and work-related stress). These challenges can be overwhelming and painful. I specialize in helping children and adults with various mental health issues, including but not limited to: anxiety, depression, relationship issues, and stress-related conditions. My extensive clinical experiences and knowledge lay a solid foundation for providing effective, compassionate care, and guidance to clients who are interested in personal development and growth.
No one is immune to life challenges (e.g. life transitions, relationship issues, school, and work-related stress). These challenges can be overwhelming and painful. I specialize in helping children and adults with various mental health issues, including but not limited to: anxiety, depression, relationship issues, and stress-related conditions. My extensive clinical experiences and knowledge lay a solid foundation for providing effective, compassionate care, and guidance to clients who are interested in personal development and growth.
(650) 719-4303 View (650) 719-4303
Photo of Damian Barton, Marriage & Family Therapist Associate, MA, CCHt, AMFT
Damian Barton
Marriage & Family Therapist Associate, MA, CCHt, AMFT
San Mateo, CA 94401
I have experience working with clients across the lifespan—including children, adolescents, adults, and older adults—in hospice, inpatient, residential, and outpatient settings. My specialties include supporting individuals with anxiety, depression, eating disorders, body image concerns, and challenges related to self-worth. I also help clients navigate grief, panic attacks , and major life transitions. My therapeutic approach integrates talk therapy with evidence-based methods such as existential-humanism, Gestalt, psychodynamic therapy, DBT, and ACT, always tailored to the unique needs of each client.
I have experience working with clients across the lifespan—including children, adolescents, adults, and older adults—in hospice, inpatient, residential, and outpatient settings. My specialties include supporting individuals with anxiety, depression, eating disorders, body image concerns, and challenges related to self-worth. I also help clients navigate grief, panic attacks , and major life transitions. My therapeutic approach integrates talk therapy with evidence-based methods such as existential-humanism, Gestalt, psychodynamic therapy, DBT, and ACT, always tailored to the unique needs of each client.
(650) 594-6278 View (650) 594-6278
Photo of Ollie Maggi, Marriage & Family Therapist, MA, LMFT, PPS
Ollie Maggi
Marriage & Family Therapist, MA, LMFT, PPS
2 Endorsed
Online Only
Hi there, I'm Ollie! I'm an LMFT that provides psychotherapy to adolescents, adults and couples. I specialize in ADHD, Autism, and other neurodivergent diagnoses. I have a second Master's in School Psychology, and have worked testing and diagnosing in the school system for years. My training in both of these areas allows me to help individuals better navigate a world that can feel incredibly frustrating at times (okay, probably a lot of the time). Whether you suspect you may have ADHD or other neurodivergent symptoms, or have been diagnosed for years, I am here to help daily life become more manageable.
Hi there, I'm Ollie! I'm an LMFT that provides psychotherapy to adolescents, adults and couples. I specialize in ADHD, Autism, and other neurodivergent diagnoses. I have a second Master's in School Psychology, and have worked testing and diagnosing in the school system for years. My training in both of these areas allows me to help individuals better navigate a world that can feel incredibly frustrating at times (okay, probably a lot of the time). Whether you suspect you may have ADHD or other neurodivergent symptoms, or have been diagnosed for years, I am here to help daily life become more manageable.
(925) 744-6427 View (925) 744-6427
Photo of Madeleine Kannan, Clinical Social Work/Therapist
Madeleine Kannan
Clinical Social Work/Therapist
7 Endorsed
Online Only
I provide compassionate, relational therapy for cycle breakers. I work well with folks who want to explore intersecting identities, unpack complex family dynamics, and learn to thrive. I have experience working with perfectionists, intellectualizers, high achievers, and children of immigrants. I can offer a patient, supportive space with tools to understand yourself and others while you let go of patterns that no longer serve you.
I provide compassionate, relational therapy for cycle breakers. I work well with folks who want to explore intersecting identities, unpack complex family dynamics, and learn to thrive. I have experience working with perfectionists, intellectualizers, high achievers, and children of immigrants. I can offer a patient, supportive space with tools to understand yourself and others while you let go of patterns that no longer serve you.
(650) 860-4906 View (650) 860-4906
Photo of Eric Pierson, Psychologist, PsyD
Eric Pierson
Psychologist, PsyD
San Mateo, CA 94401
Therapy can be uncomfortable, and challenging for folks because it causes them to confront unpleasant emotions or memories. Therapy can be helpful because those unpleasant things are often making people's lives difficult, and therapy can help create a place to better understand and deal with those uncomfortable things. I find that I work best with clients that want to address things that make them uncomfortable, but don't know how to do so, or are reluctant to do it alone.
Therapy can be uncomfortable, and challenging for folks because it causes them to confront unpleasant emotions or memories. Therapy can be helpful because those unpleasant things are often making people's lives difficult, and therapy can help create a place to better understand and deal with those uncomfortable things. I find that I work best with clients that want to address things that make them uncomfortable, but don't know how to do so, or are reluctant to do it alone.
(650) 420-4619 View (650) 420-4619
Photo of Karen Lau, Clinical Social Work/Therapist, LCSW
Karen Lau
Clinical Social Work/Therapist, LCSW
6 Endorsed
Online Only
I am here to help if you are struggling with the following: anxiety, job stress, workplace politics, relationship problems, grief/loss, and trauma. Trauma can involve one event or on-going adverse events you have experienced. I offer culturally affirming therapy for AAPI and South Asians, including immigrants who are seeking support for intergenerational conflict. Therapy is an important aspect of self care which can help you feel more grounded and empowered despite these challenges. If left unattended, these problems can lead to self doubt and confidence issues affecting work function, relationships, and physical health.
I am here to help if you are struggling with the following: anxiety, job stress, workplace politics, relationship problems, grief/loss, and trauma. Trauma can involve one event or on-going adverse events you have experienced. I offer culturally affirming therapy for AAPI and South Asians, including immigrants who are seeking support for intergenerational conflict. Therapy is an important aspect of self care which can help you feel more grounded and empowered despite these challenges. If left unattended, these problems can lead to self doubt and confidence issues affecting work function, relationships, and physical health.
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Photo of Amy P Stratton - Amy Stratton, MS, MFT, Marriage & Family Therapist, MS, LMFT
Amy Stratton, MS, MFT
Marriage & Family Therapist, MS, LMFT
San Mateo, CA 94402
I'm a counselor in private practice and a mother who has both personal and professional experience with families with children with disabilities. I'm familiar with working with families who have children and/or adults with ASD, ADHD, Anxiety, Trichotillomania, Tourette's, Developmental Delays, and Depression. In graduate school, I received the Thesis Award for "Mother's Knowledge of Asperger's Disorder and Current Level of Maternal Happiness".
I'm a counselor in private practice and a mother who has both personal and professional experience with families with children with disabilities. I'm familiar with working with families who have children and/or adults with ASD, ADHD, Anxiety, Trichotillomania, Tourette's, Developmental Delays, and Depression. In graduate school, I received the Thesis Award for "Mother's Knowledge of Asperger's Disorder and Current Level of Maternal Happiness".
(650) 445-0328 View (650) 445-0328
Photo of Hannah Livianu, Marriage & Family Therapist Associate, AMFT, APCC, MS
Hannah Livianu
Marriage & Family Therapist Associate, AMFT, APCC, MS
1 Endorsed
San Mateo, CA 94401
If you’re feeling stressed, anxious, struggling in a relationship, or trying to navigate a time of uncertainty and change, you aren't alone. It’s easy to lose touch with what you really want when everyone around you has an opinion about the “right” path. I work with teens, adults and couples who are feeling stuck and ready to move forward, but aren’t sure how. Together, we’ll slow things down, dig into what’s really going on, and make space for clarity and growth. I also have sub-specialties in grief/loss and am passionate about supporting individuals and couples struggling with infertility and uncertainty around having children.
If you’re feeling stressed, anxious, struggling in a relationship, or trying to navigate a time of uncertainty and change, you aren't alone. It’s easy to lose touch with what you really want when everyone around you has an opinion about the “right” path. I work with teens, adults and couples who are feeling stuck and ready to move forward, but aren’t sure how. Together, we’ll slow things down, dig into what’s really going on, and make space for clarity and growth. I also have sub-specialties in grief/loss and am passionate about supporting individuals and couples struggling with infertility and uncertainty around having children.
(650) 551-9674 View (650) 551-9674
Photo of Joshua Sheltzer, Psychologist, PhD
Joshua Sheltzer
Psychologist, PhD
1 Endorsed
Online Only
Waitlist for new clients
Struggling with anxiety, relationship challenges, or a sense of uncertainty about your life’s direction? You’re not alone. As a therapist, I provide a warm, supportive space where you can explore your concerns, gain clarity, and develop the tools to create meaningful change. I specialize in helping adults navigate anxiety, self-doubt, and life transitions while fostering resilience and self-acceptance. Whether you're feeling overwhelmed by stress, facing relationship difficulties, or questioning your purpose, we’ll work together to help you move forward with confidence.
Struggling with anxiety, relationship challenges, or a sense of uncertainty about your life’s direction? You’re not alone. As a therapist, I provide a warm, supportive space where you can explore your concerns, gain clarity, and develop the tools to create meaningful change. I specialize in helping adults navigate anxiety, self-doubt, and life transitions while fostering resilience and self-acceptance. Whether you're feeling overwhelmed by stress, facing relationship difficulties, or questioning your purpose, we’ll work together to help you move forward with confidence.
(341) 212-7672 View (341) 212-7672
Photo of Rami Mogannam, Psychologist, PhD
Rami Mogannam
Psychologist, PhD
San Mateo, CA 94403
I specialize in psychological assessments and psychotherapy for adolescents and adults. Assessments are often conducted to assess for ADHD, autism, learning disorders, cognitive problems, and psychiatric disorders. I use an evidence based approach to assessment and provides treatment recommendations that make the evaluation meaningful to each individual. I also have extensive experience working with individuals struggling with substance use and mental health problems. I explore underlying reasons for the development of these psychiatric problems and provide treatment that focuses both on reducing use and living a life worth living.
I specialize in psychological assessments and psychotherapy for adolescents and adults. Assessments are often conducted to assess for ADHD, autism, learning disorders, cognitive problems, and psychiatric disorders. I use an evidence based approach to assessment and provides treatment recommendations that make the evaluation meaningful to each individual. I also have extensive experience working with individuals struggling with substance use and mental health problems. I explore underlying reasons for the development of these psychiatric problems and provide treatment that focuses both on reducing use and living a life worth living.
(650) 437-1506 View (650) 437-1506
Photo of Dr. Vivian Lee Pichardo, Psychologist, PsyD
Dr. Vivian Lee Pichardo
Psychologist, PsyD
2 Endorsed
San Mateo, CA 94401
Changes are hard, but not impossible. I believe lasting change occurs through profound self-understanding and awareness. This can be achieved through a collaborative relationship where we talk and think together to gain insights and meanings. My role is to provide a safe environment where a trusting relationship can be built. By listening to your stories, I will help you process the thoughts and feelings that emerge in order to develop a deeper understanding of your past traumas, inner conflicts, and destructive patterns. These newfound insights will then guide you to make changes in your current relationships or life situations.
Changes are hard, but not impossible. I believe lasting change occurs through profound self-understanding and awareness. This can be achieved through a collaborative relationship where we talk and think together to gain insights and meanings. My role is to provide a safe environment where a trusting relationship can be built. By listening to your stories, I will help you process the thoughts and feelings that emerge in order to develop a deeper understanding of your past traumas, inner conflicts, and destructive patterns. These newfound insights will then guide you to make changes in your current relationships or life situations.
(628) 258-7367 View (628) 258-7367
Photo of Linda Johnson, Marriage & Family Therapist, MS, LMFT, LAADC, NPT-C
Linda Johnson
Marriage & Family Therapist, MS, LMFT, LAADC, NPT-C
2 Endorsed
Online Only
I'm an interactive therapist with over 20 years experience who provides telehealth services to California, Oregon and Texas residents as a licensed LMFT in all three states. I'm also a LAADC, an ICAADC, and a Certified Neuropsychotherapist. My style is client-centered and highly collaborative with a trauma- and developmentally-informed approach that includes a strong attachment focus. I'm trained in several evidence-based theories and interventions, including EMDR. I'm honored to work with adults and couples seeking to overcome personal and/or professional challenges to increase their life satisfaction.
I'm an interactive therapist with over 20 years experience who provides telehealth services to California, Oregon and Texas residents as a licensed LMFT in all three states. I'm also a LAADC, an ICAADC, and a Certified Neuropsychotherapist. My style is client-centered and highly collaborative with a trauma- and developmentally-informed approach that includes a strong attachment focus. I'm trained in several evidence-based theories and interventions, including EMDR. I'm honored to work with adults and couples seeking to overcome personal and/or professional challenges to increase their life satisfaction.
(650) 735-3965 View (650) 735-3965
Photo of Julie E Creech, Marriage & Family Therapist Associate, MA
Julie E Creech
Marriage & Family Therapist Associate, MA
San Mateo, CA 94403
Do you have trouble feeling connected with others? Are you a perfectionist and often "too hard" on yourself and/or others? Are you unhappy, even if you think you "shouldn't" be? Do you suffer from imposter syndrome (the feeling that you aren't actually as good/smart/ capable as others believe you are or you "pretend" to be)? Do you feel overwhelmed by emotions or have you "turned feelings off" because they used to be so overwhelming? Do you think too much? Are you "too" sensitive or intense?
Do you have trouble feeling connected with others? Are you a perfectionist and often "too hard" on yourself and/or others? Are you unhappy, even if you think you "shouldn't" be? Do you suffer from imposter syndrome (the feeling that you aren't actually as good/smart/ capable as others believe you are or you "pretend" to be)? Do you feel overwhelmed by emotions or have you "turned feelings off" because they used to be so overwhelming? Do you think too much? Are you "too" sensitive or intense?
(650) 547-7923 View (650) 547-7923
Photo of Peter Green, Marriage & Family Therapist, LMFT
Peter Green
Marriage & Family Therapist, LMFT
Online Only
I am a licensed marriage and family therapist (LMFT) in California. My work with people is based upon equality and mutual respect. My work with you is a partnership for you to address what's bugging you, whether it's relief from emotional pain, greater efficacy in your life, or building healthy relationships.
I am a licensed marriage and family therapist (LMFT) in California. My work with people is based upon equality and mutual respect. My work with you is a partnership for you to address what's bugging you, whether it's relief from emotional pain, greater efficacy in your life, or building healthy relationships.
(619) 604-5476 View (619) 604-5476
Photo of Donny Lavezzo, Marriage & Family Therapist, MA, LMFT
Donny Lavezzo
Marriage & Family Therapist, MA, LMFT
4 Endorsed
Online Only
Are you ready to step into the next version of yourself? Are you ready to take responsibility for your healing journey and move into a more empowered way of being in the world? I would be honored to work with you to develop awareness around patterns keeping you stuck or holding you back and to begin to establish new ways of relating to yourself and the world that are in alignment with your goals and values. I aim to collaborate with my clients to support them in creating a life that is meaningful and fulfilling for them.
Are you ready to step into the next version of yourself? Are you ready to take responsibility for your healing journey and move into a more empowered way of being in the world? I would be honored to work with you to develop awareness around patterns keeping you stuck or holding you back and to begin to establish new ways of relating to yourself and the world that are in alignment with your goals and values. I aim to collaborate with my clients to support them in creating a life that is meaningful and fulfilling for them.
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Photo of Stella Zeng - Between Therapy, Clinical Social Work/Therapist, LCSW, MSW, MSG
Between Therapy
Clinical Social Work/Therapist, LCSW, MSW, MSG
2 Endorsed
Online Only
Are you an Asian American struggling with anxiety, depression, grief, or relationship challenges? Do you feel overwhelmed, exhausted, or lost while trying to meet expectations or manage the constant demands of your day? Do you ever wonder if life could be more balanced, fulfilling, or hopeful? Many individuals feel uncertain about how to overcome difficult relationships, process loss, rediscover their sense of self, or heal from trauma such as sexual assault. Ignoring these challenges can lead to deeper distress and a diminished quality of life. As an immigrant ourself, we understand how challenging it can be to balance all of it.
Are you an Asian American struggling with anxiety, depression, grief, or relationship challenges? Do you feel overwhelmed, exhausted, or lost while trying to meet expectations or manage the constant demands of your day? Do you ever wonder if life could be more balanced, fulfilling, or hopeful? Many individuals feel uncertain about how to overcome difficult relationships, process loss, rediscover their sense of self, or heal from trauma such as sexual assault. Ignoring these challenges can lead to deeper distress and a diminished quality of life. As an immigrant ourself, we understand how challenging it can be to balance all of it.
(650) 663-5556 View (650) 663-5556
Photo of Jeremi McManus - Couples Counseling San Francisco, Marriage & Family Therapist, MS, MFT
Couples Counseling San Francisco
Marriage & Family Therapist, MS, MFT
1 Endorsed
San Mateo, CA 94401
Real. Relational. Solutions. For Couples. Research proven up to 90% effective. Virtual or in person in San Mateo California. Get help today. Free consultation.
Real. Relational. Solutions. For Couples. Research proven up to 90% effective. Virtual or in person in San Mateo California. Get help today. Free consultation.
(415) 697-2992 View (415) 697-2992
Photo of Diana Moore (Formerly Diana To), Marriage & Family Therapist, MA, MBA, LMFT, LPCC
Diana Moore (Formerly Diana To)
Marriage & Family Therapist, MA, MBA, LMFT, LPCC
3 Endorsed
San Mateo, CA 94404
I found my calling to become a psychotherapist out of a desire to help people live happier, healthier and more fulfilling lives. I work with individuals, couples and families to help them resolve the impact of abuse and trauma, as well as problems of depression, anxiety, anger, grief, couples' discord, family conflicts, behavioral issues, low self-esteem, and life transitions. I am passionate about helping my clients who feel lost about their life directions with career exploration and identity development. As a Christian, I also love integrating spirituality with psychological well-being with clients for whom spirituality is relevant.
I found my calling to become a psychotherapist out of a desire to help people live happier, healthier and more fulfilling lives. I work with individuals, couples and families to help them resolve the impact of abuse and trauma, as well as problems of depression, anxiety, anger, grief, couples' discord, family conflicts, behavioral issues, low self-esteem, and life transitions. I am passionate about helping my clients who feel lost about their life directions with career exploration and identity development. As a Christian, I also love integrating spirituality with psychological well-being with clients for whom spirituality is relevant.
(650) 419-4581 View (650) 419-4581
Photo of Marybeth Viglione, Psychologist, PhD
Marybeth Viglione
Psychologist, PhD
San Mateo, CA 94402
Welcome. Are you struggling with recurring negative patterns that seem impossible to break? Many people experience overwhelming anxiety, persistent depression, or feel paralyzed by major life changes. If you're dealing with constant worry, self-doubt, obsessive-compulsive behaviors, loss of motivation or even a sense of despair, you're not alone—and professional help is available. These mental health conditions don't just affect your emotional well-being—they can significantly impact your daily functioning, work performance, and relationships with family, friends, and colleagues.
Welcome. Are you struggling with recurring negative patterns that seem impossible to break? Many people experience overwhelming anxiety, persistent depression, or feel paralyzed by major life changes. If you're dealing with constant worry, self-doubt, obsessive-compulsive behaviors, loss of motivation or even a sense of despair, you're not alone—and professional help is available. These mental health conditions don't just affect your emotional well-being—they can significantly impact your daily functioning, work performance, and relationships with family, friends, and colleagues.
(650) 385-8161 View (650) 385-8161

See more therapy options for San Mateo

How does your Therapist compare?

Number of Therapists in San Mateo, CA

500+

Average cost per session

$200

Therapists in San Mateo, CA who prioritize treating:

93% Anxiety
86% Depression
78% Relationship Issues
75% Self Esteem
66% Trauma and PTSD
65% Coping Skills
63% Stress

Average years in practice

13 Years

Top 3 insurances accepted

65% Other
62% Aetna
51% Cigna and Evernorth

How Therapists in San Mateo, CA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

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

How can I find a therapist in San Mateo?

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.