Therapists in Upland, CA

Photo of Dr. Elsa Ferris, Psychologist, PsyD
Dr. Elsa Ferris
Psychologist, PsyD
1 Endorsed
Upland, CA 91786
As a licensed psychologist, I can provide testing to verify a diagnosis and provide clarity on a person's functioning. I enjoy providing psychological testing and evaluations to help adults, parents, teens, and children clarify their diagnosis and increase insight into their symptoms and behaviors. I have experience providing testing to evaluate a variety of diagnoses, which have included ADHD, PTSD, Bipolar Disorder, Depression, and Anxiety. If you are interested in seeking psychological testing to evaluate your symptoms, please contact me. I look forward to hearing from you.
As a licensed psychologist, I can provide testing to verify a diagnosis and provide clarity on a person's functioning. I enjoy providing psychological testing and evaluations to help adults, parents, teens, and children clarify their diagnosis and increase insight into their symptoms and behaviors. I have experience providing testing to evaluate a variety of diagnoses, which have included ADHD, PTSD, Bipolar Disorder, Depression, and Anxiety. If you are interested in seeking psychological testing to evaluate your symptoms, please contact me. I look forward to hearing from you.
(909) 584-3469 View (909) 584-3469
Photo of Rosa Isela Foy, Marriage & Family Therapist, LMFT
Rosa Isela Foy
Marriage & Family Therapist, LMFT
1 Endorsed
Upland, CA 91786
Are you struggling with anxiety, constant worry, overthinking, low energy, and/or physical symptoms (nausea, stomachaches, shortness of breath, headaches, etc.)? Is your mental health getting in the way of your daily functioning? Do you want to work on your mental health, but don't know where to start? If so, then I am here to help. My practice consists of looking at each individual from a holistic matter to better understand all the aspects that are causing distress to your life.
Are you struggling with anxiety, constant worry, overthinking, low energy, and/or physical symptoms (nausea, stomachaches, shortness of breath, headaches, etc.)? Is your mental health getting in the way of your daily functioning? Do you want to work on your mental health, but don't know where to start? If so, then I am here to help. My practice consists of looking at each individual from a holistic matter to better understand all the aspects that are causing distress to your life.
(909) 552-7366 View (909) 552-7366
Photo of Vanessa Torres, Marriage & Family Therapist, LMFT
Vanessa Torres
Marriage & Family Therapist, LMFT
Online Only
¡Hola y bienvenidx! I'm a bilingual (English/Spanish) Licensed Marriage and Family Therapist based in sunny California. At Riding the Wave Therapy I offer a compassionate, non-judgmental space where you can show up fully as yourself—messy, uncertain, growing—and still be met with warmth and respect. You don’t have to go through this alone. Whether you're navigating anxiety, depression, cultural stress, identity exploration, or changes in your relationships or life path, therapy can be a place to feel heard, supported, and understood.
¡Hola y bienvenidx! I'm a bilingual (English/Spanish) Licensed Marriage and Family Therapist based in sunny California. At Riding the Wave Therapy I offer a compassionate, non-judgmental space where you can show up fully as yourself—messy, uncertain, growing—and still be met with warmth and respect. You don’t have to go through this alone. Whether you're navigating anxiety, depression, cultural stress, identity exploration, or changes in your relationships or life path, therapy can be a place to feel heard, supported, and understood.
(909) 473-4263 View (909) 473-4263
Photo of Dr. Stephanie Johnson, Psychologist, PsyD, MSCP
Dr. Stephanie Johnson
Psychologist, PsyD, MSCP
1 Endorsed
Upland, CA 91786
Waitlist for new clients
I am a licensed clinical psychologist at Summit Psychological Services. I provide psychological testing to help individuals clarify mental health diagnoses and to aid with treatment recommendations. I provide testing for adult ADHD. I also provide Independent Medical Evaluations and worker’s compensation evaluations. If you have a question about testing, please contact me. I also provide psychosomatic group therapy which focuses on restorative yoga, trauma, and depression.
I am a licensed clinical psychologist at Summit Psychological Services. I provide psychological testing to help individuals clarify mental health diagnoses and to aid with treatment recommendations. I provide testing for adult ADHD. I also provide Independent Medical Evaluations and worker’s compensation evaluations. If you have a question about testing, please contact me. I also provide psychosomatic group therapy which focuses on restorative yoga, trauma, and depression.
(909) 584-3611 View (909) 584-3611
Photo of Erica Cardenas, Clinical Social Work/Therapist, LCSW
Erica Cardenas
Clinical Social Work/Therapist, LCSW
1 Endorsed
Online Only
Not accepting new clients
I am a Latina, neurodivergent (ADHD) therapist who clients have described as friendly, upbeat, and honest. I love to work with neurodivergent young adults who are struggling with setting boundaries, anxiety, trauma, and ADHD. Clients who work with me tend to like making jokes in session, being challenged with compassion, and working collaboratively to work towards their goals. Together, we can identify your strengths, find ways to improve everyday life, and create a new understanding of what it means to have a healthy relationship with yourself and others.
I am a Latina, neurodivergent (ADHD) therapist who clients have described as friendly, upbeat, and honest. I love to work with neurodivergent young adults who are struggling with setting boundaries, anxiety, trauma, and ADHD. Clients who work with me tend to like making jokes in session, being challenged with compassion, and working collaboratively to work towards their goals. Together, we can identify your strengths, find ways to improve everyday life, and create a new understanding of what it means to have a healthy relationship with yourself and others.
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Photo of Christina Schulz, Marriage & Family Therapist, MS, LMFT
Christina Schulz
Marriage & Family Therapist, MS, LMFT
Upland, CA 91786
Interactive solution-based therapy services are provided in an accepting and caring environment. If you are experiencing difficulty in a marriage or relationship, are feeling overwhelmed, stressed, sad, lonely or depressed, anxious, or experiencing frustrations of parenting you will receive help identifying alternatives. I will support you as you learn to live more in alignment with what is most important to you. With increased insight you may feel an increased sense of control over your feelings, thoughts, and behaviors. Together, we will work toward your quest for improvement and happiness.
Interactive solution-based therapy services are provided in an accepting and caring environment. If you are experiencing difficulty in a marriage or relationship, are feeling overwhelmed, stressed, sad, lonely or depressed, anxious, or experiencing frustrations of parenting you will receive help identifying alternatives. I will support you as you learn to live more in alignment with what is most important to you. With increased insight you may feel an increased sense of control over your feelings, thoughts, and behaviors. Together, we will work toward your quest for improvement and happiness.
(909) 521-1959 View (909) 521-1959
Photo of Ted Coleman, Licensed Professional Clinical Counselor, PhD, MS, LPCC, FACHA
Ted Coleman
Licensed Professional Clinical Counselor, PhD, MS, LPCC, FACHA
Upland, CA 91786
A Greek philosopher told us the only thing constant is change; it seems life is full of changes and challenges. When we're confident and strong, we usually adapt fairly well to stresses and struggles. It's different, though, when unpleasant emotions or complex issues seem to drain practically all the energy we can muster just to get through the day. Feeling overly confused or frustrated, maybe even lost or helpless, might mean it's time to reach out for help to identify, work through, and manage whatever is getting in the way of our happiness and peace of mind. I might be just the person who can do that for you.
A Greek philosopher told us the only thing constant is change; it seems life is full of changes and challenges. When we're confident and strong, we usually adapt fairly well to stresses and struggles. It's different, though, when unpleasant emotions or complex issues seem to drain practically all the energy we can muster just to get through the day. Feeling overly confused or frustrated, maybe even lost or helpless, might mean it's time to reach out for help to identify, work through, and manage whatever is getting in the way of our happiness and peace of mind. I might be just the person who can do that for you.
(909) 318-1480 View (909) 318-1480
Photo of Roberta Heesen Reid, Marriage & Family Therapist, MS, LMFT
Roberta Heesen Reid
Marriage & Family Therapist, MS, LMFT
3 Endorsed
Upland, CA 91786
Specializing in addiction, codependency, and women's issues. My approach to the therapeutic process is one that stresses creating a safe, trusting, respectful relationship with my clients. I recognize that different people respond to different interventions and I am comfortable with an eclectic approach to foster change. I am naturally someone who enjoys people and engaging them in examining what they value and want for their life. Life is a series of choices. Insight is vital but lasting change happens when we do something different that is effective in building our self and a new perspective on life's possibilities.â;
Specializing in addiction, codependency, and women's issues. My approach to the therapeutic process is one that stresses creating a safe, trusting, respectful relationship with my clients. I recognize that different people respond to different interventions and I am comfortable with an eclectic approach to foster change. I am naturally someone who enjoys people and engaging them in examining what they value and want for their life. Life is a series of choices. Insight is vital but lasting change happens when we do something different that is effective in building our self and a new perspective on life's possibilities.â;
(909) 274-9928 View (909) 274-9928
Photo of Beth S Pumerantz, Marriage & Family Therapist, MA, MS, LMFT
Beth S Pumerantz
Marriage & Family Therapist, MA, MS, LMFT
1 Endorsed
Online Only
I believe in the power of choice! I’m the Family Counselor meeting virtually with adults, parents, couples, and individuals, using Talk-therapy and Life & Parenting Coaching services in my private practice. I create a virtual environment where you can focus on building positive self-worth, embracing more effective parenting strategies, creating successful relationships, navigating through grief & loss, tackling educational & motivational concerns, and exploring a variety of personal issues. Let's see if we are a good fit!
I believe in the power of choice! I’m the Family Counselor meeting virtually with adults, parents, couples, and individuals, using Talk-therapy and Life & Parenting Coaching services in my private practice. I create a virtual environment where you can focus on building positive self-worth, embracing more effective parenting strategies, creating successful relationships, navigating through grief & loss, tackling educational & motivational concerns, and exploring a variety of personal issues. Let's see if we are a good fit!
(909) 243-4118 View (909) 243-4118
Photo of Douglas Livingston Quinn, Marriage & Family Therapist, LMFT
Douglas Livingston Quinn
Marriage & Family Therapist, LMFT
Online Only
My name is Douglas Livingston-Quinn, a licensed Marriage and Family Therapist in California. I have masters degrees in divinity and counseling psychology, as well as a doctorate in clinical psychology. I have great insight and comfort working with adults and young adults, and an extensive background working with clients with ADD/ADHD, anxiety disorders, autistic-spectrum disorders, depression, loss and grief, sexual abuse, and trauma/PTSD. I employ a mix of approaches including interpersonal, client-centered, behavioral, cognitive, solution-focused and motivational modalities, as well as elements of EMDR where it seems useful.
My name is Douglas Livingston-Quinn, a licensed Marriage and Family Therapist in California. I have masters degrees in divinity and counseling psychology, as well as a doctorate in clinical psychology. I have great insight and comfort working with adults and young adults, and an extensive background working with clients with ADD/ADHD, anxiety disorders, autistic-spectrum disorders, depression, loss and grief, sexual abuse, and trauma/PTSD. I employ a mix of approaches including interpersonal, client-centered, behavioral, cognitive, solution-focused and motivational modalities, as well as elements of EMDR where it seems useful.
(909) 442-0515 View (909) 442-0515
Photo of Sarah Pettengill, Marriage & Family Therapist, LMFT
Sarah Pettengill
Marriage & Family Therapist, LMFT
Online Only
I am Sarah Pettengill, and I hold a Master of Arts in Counseling Psychology. I am credentialed as a California state therapist, license number (LMFT105533). Over the past 12 years, I have developed experience with adults adolescents, and children. My experience includes helping foster/ adopt children and families through social work teaching foster parenting classes, and holding support groups for anxiety, grief, and foster parent issues. I also value helping those who struggle with anger management, are soon to be married through premarital counseling, and are teens and adults suffering from ADHD.
I am Sarah Pettengill, and I hold a Master of Arts in Counseling Psychology. I am credentialed as a California state therapist, license number (LMFT105533). Over the past 12 years, I have developed experience with adults adolescents, and children. My experience includes helping foster/ adopt children and families through social work teaching foster parenting classes, and holding support groups for anxiety, grief, and foster parent issues. I also value helping those who struggle with anger management, are soon to be married through premarital counseling, and are teens and adults suffering from ADHD.
(951) 540-1388 View (951) 540-1388
Photo of Doug G. McKown - Samaritan Counseling Center, Psychologist, PsyD
Samaritan Counseling Center
Psychologist, PsyD
Upland, CA 91786
Our caring counselors will help you overcome issues that hurt or hinder personal growth, & aid in the healing of wounds that often limit your ability to thrive, be whole, & fulfill your purpose in life. We serve people across the age range looking for help with: relationship issues, depression, anxiety, co-parenting, trauma, PTSD, grief, child abuse, parenting, domestic violence, addiction, anger management, nurturing healthy intimacy, & many other mental and behavioral health issues. We also provide in-home behavior intervention services and parent training for families of children with developmental disabilities.
Our caring counselors will help you overcome issues that hurt or hinder personal growth, & aid in the healing of wounds that often limit your ability to thrive, be whole, & fulfill your purpose in life. We serve people across the age range looking for help with: relationship issues, depression, anxiety, co-parenting, trauma, PTSD, grief, child abuse, parenting, domestic violence, addiction, anger management, nurturing healthy intimacy, & many other mental and behavioral health issues. We also provide in-home behavior intervention services and parent training for families of children with developmental disabilities.
(909) 442-4841 View (909) 442-4841
Photo of Lolita M Domingue, Marriage & Family Therapist, MS, LMFT
Lolita M Domingue
Marriage & Family Therapist, MS, LMFT
Upland, CA 91786
"It's all done with mirrors." I believe that the world is our mirror and reflects to us what we believe on the inside. You may not be able to change your situation, but changing your insides can drastically affect how you see your world, and thereby, how you respond. By owning your perceptions and working through the source of those perceptions can you make yourself more effective in your relationships, more at ease with your circumstances (when appropriate) and ultimately experience yourself as more powerful in your life. It is inspiring to witness people expanding and their relationships deepening.
"It's all done with mirrors." I believe that the world is our mirror and reflects to us what we believe on the inside. You may not be able to change your situation, but changing your insides can drastically affect how you see your world, and thereby, how you respond. By owning your perceptions and working through the source of those perceptions can you make yourself more effective in your relationships, more at ease with your circumstances (when appropriate) and ultimately experience yourself as more powerful in your life. It is inspiring to witness people expanding and their relationships deepening.
(909) 277-9638 View (909) 277-9638
Photo of Lindsay Heber, Psychologist, LCP
Lindsay Heber
Psychologist, LCP
Online Only
Hi! I'm Lindsay Heber. I am a licensed Psychologist and I am passionate about helping people reduce their emotional pain and suffering. I work collaboratively with each person and lead with compassion and an open mind. I believe a great way towards healing is by working holistically and addressing the mind, body and soul connection. I love working with people trying to work through trauma, experiencing anxiety, issues with self-esteem, depression, or looking to incorporate their spirituality into their healing. I work with adults and any gender identity.
Hi! I'm Lindsay Heber. I am a licensed Psychologist and I am passionate about helping people reduce their emotional pain and suffering. I work collaboratively with each person and lead with compassion and an open mind. I believe a great way towards healing is by working holistically and addressing the mind, body and soul connection. I love working with people trying to work through trauma, experiencing anxiety, issues with self-esteem, depression, or looking to incorporate their spirituality into their healing. I work with adults and any gender identity.
(909) 310-8180 View (909) 310-8180
Photo of Cynthia L Viera, Licensed Professional Clinical Counselor, PhD, LPCC
Cynthia L Viera
Licensed Professional Clinical Counselor, PhD, LPCC
Online Only
I am a licensed professional counselor in California, Arizona, Texas and New Mexico. Currently, I am doing remote counseling only. I have experience in trauma, anxiety, grief/loss, addiction, anger management and life transitions. I am multi-culturally sensitive and LGBTQIA+ affirming. I was born in El Paso, Texas and both my parents are Mexican-American. I am bilingual Spanish/English. I moved to California in 2021 after living in Arizona for 30 years where I was faculty at Phoenix College teaching Psychology, Sociology and Women's Studies. I have Ph.D. in Experimental Psychology (ASU) and an MA in Counseling (OU).
I am a licensed professional counselor in California, Arizona, Texas and New Mexico. Currently, I am doing remote counseling only. I have experience in trauma, anxiety, grief/loss, addiction, anger management and life transitions. I am multi-culturally sensitive and LGBTQIA+ affirming. I was born in El Paso, Texas and both my parents are Mexican-American. I am bilingual Spanish/English. I moved to California in 2021 after living in Arizona for 30 years where I was faculty at Phoenix College teaching Psychology, Sociology and Women's Studies. I have Ph.D. in Experimental Psychology (ASU) and an MA in Counseling (OU).
(480) 459-1838 View (480) 459-1838
Photo of Ashley E Hill, Marriage & Family Therapist, LMFT, MA
Ashley E Hill
Marriage & Family Therapist, LMFT, MA
1 Endorsed
Online Only
Waitlist for new clients
Whether you know exactly what you want to work on, or you know something is off, but you are not sure what, as long as you want to grow and change, I can help you. I specialize in working with couples, from helping you through challenging times, to improving every day interactions, to increasing your relationship satisfaction. I have experience working with family issues, parent/child relationships, and supporting individuals who are facing upcoming transitions. I currently contract with schools and clinics to offer clinical supervision to interns/trainees from local colleges.
Whether you know exactly what you want to work on, or you know something is off, but you are not sure what, as long as you want to grow and change, I can help you. I specialize in working with couples, from helping you through challenging times, to improving every day interactions, to increasing your relationship satisfaction. I have experience working with family issues, parent/child relationships, and supporting individuals who are facing upcoming transitions. I currently contract with schools and clinics to offer clinical supervision to interns/trainees from local colleges.
(909) 256-2744 View (909) 256-2744
Photo of Leah Leonard, Marriage & Family Therapist, LMFT
Leah Leonard
Marriage & Family Therapist, LMFT
1 Endorsed
Upland, CA 91786
My goal is to help my clients uncover their true potential and lead an authentic life. Connecting quickly to develop the trust of my clients, I am able to address their conflicts and challenges to help them find resolution. I provide individual, couples and family counseling in a safe and supportive environment. I offer a personalized approach, tailored to each individual client's unique life situation to help them attain the personal growth they are seeking.
My goal is to help my clients uncover their true potential and lead an authentic life. Connecting quickly to develop the trust of my clients, I am able to address their conflicts and challenges to help them find resolution. I provide individual, couples and family counseling in a safe and supportive environment. I offer a personalized approach, tailored to each individual client's unique life situation to help them attain the personal growth they are seeking.
(909) 907-9953 View (909) 907-9953
Photo of Debi Rodriguez, Marriage & Family Therapist, LMFT
Debi Rodriguez
Marriage & Family Therapist, LMFT
Online Only
Hi, I am a Licensed Marriage and Family Therapist with 11 yrs of experience working in mental health. I have experience working with various populations and believe in helping to heal the whole person, by focusing on the mind, body, and spirit. I would love to be a part of your journey of managing stress, anxiety, depression, and/or processing trauma.
Hi, I am a Licensed Marriage and Family Therapist with 11 yrs of experience working in mental health. I have experience working with various populations and believe in helping to heal the whole person, by focusing on the mind, body, and spirit. I would love to be a part of your journey of managing stress, anxiety, depression, and/or processing trauma.
(909) 655-4927 View (909) 655-4927
Photo of Heather A Harris, Marriage & Family Therapist, LMFT
Heather A Harris
Marriage & Family Therapist, LMFT
Online Only
Whether you are feeling stuck in your current situation and need some immediate relief, feel as if you are not functioning at your best, or want to uncover how your past impacts your present, we can do it together! I am passionate about working with individuals of all ages, with a special interest in working with adolescents and young adults.
Whether you are feeling stuck in your current situation and need some immediate relief, feel as if you are not functioning at your best, or want to uncover how your past impacts your present, we can do it together! I am passionate about working with individuals of all ages, with a special interest in working with adolescents and young adults.
(626) 323-8278 View (626) 323-8278
Photo of Amanda Saddlemire-Coaxum, Psychological Associate, PsyD, MA
Amanda Saddlemire-Coaxum
Psychological Associate, PsyD, MA
Upland, CA 91786
Taking the first step toward healing and growth is a courageous act, and I am here to walk alongside you on that journey. I am Dr. Saddlemire-Coaxum, a psychological associate based in the Upland area, serving clients across California through telemedicine and in office at Summit Psychological Services.
Taking the first step toward healing and growth is a courageous act, and I am here to walk alongside you on that journey. I am Dr. Saddlemire-Coaxum, a psychological associate based in the Upland area, serving clients across California through telemedicine and in office at Summit Psychological Services.
(909) 406-6309 View (909) 406-6309

See more therapy options for Upland

How does your Therapist compare?

Number of Therapists in Upland, CA

200+

Average cost per session

$150

Therapists in Upland, CA who prioritize treating:

93% Anxiety
88% Depression
78% Relationship Issues
71% Self Esteem
69% Coping Skills
66% Trauma and PTSD
66% Stress

Average years in practice

13 Years

Top 3 insurances accepted

62% Aetna
55% UnitedHealthcare UHC | UBH
51% Cigna and Evernorth

How Therapists in Upland, CA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

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

How can I find a therapist in Upland?

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.