Therapists in San Francisco, CA

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Photo of Margaret F Burkle, Marriage & Family Therapist in San Francisco, CA
Margaret F Burkle
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94131  (Online Only)
Are you looking to explore a part of yourself that’s been hidden or silenced? Have you come up against circumstances or emotions you’re having difficulty navigating? I’m a therapist with 13 years of experience working with depression, psychosis, trauma, grief, major life transitions, gender exploration, queer identity affirmation, and self-worth/assertiveness. You’ll have options to utilize different modalities from an eclectic style that utilizes narrative approaches, drama therapy, family systems, and liberatory practice. My priority is a flexible, person- centered environment that considers intersections of identity, oppression,
Are you looking to explore a part of yourself that’s been hidden or silenced? Have you come up against circumstances or emotions you’re having difficulty navigating? I’m a therapist with 13 years of experience working with depression, psychosis, trauma, grief, major life transitions, gender exploration, queer identity affirmation, and self-worth/assertiveness. You’ll have options to utilize different modalities from an eclectic style that utilizes narrative approaches, drama therapy, family systems, and liberatory practice. My priority is a flexible, person- centered environment that considers intersections of identity, oppression,
(415) 914-8810 View (415) 914-8810
Photo of Caroline P. Smith, Clinical Social Work/Therapist in San Francisco, CA
Caroline P. Smith
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94122
I approach my work with clients with compassion, authenticity and openness. As a psychotherapist, I will work together with you to access the resources you have within you. When you are able to connect with this core strength, you are able to see more possibilities. Clients have reported that ,through our work together, they have developed a deeper understanding of themselves, more openness to meaningful and fulfilling experiences and a greater capacity for connection with others. They have also reported that their underlying depression has been alleviated and they have a greater ability to manage the stress in their lives.
I approach my work with clients with compassion, authenticity and openness. As a psychotherapist, I will work together with you to access the resources you have within you. When you are able to connect with this core strength, you are able to see more possibilities. Clients have reported that ,through our work together, they have developed a deeper understanding of themselves, more openness to meaningful and fulfilling experiences and a greater capacity for connection with others. They have also reported that their underlying depression has been alleviated and they have a greater ability to manage the stress in their lives.
(415) 805-9963 View (415) 805-9963
Photo of Bella Yousif, Marriage & Family Therapist Associate in San Francisco, CA
Bella Yousif
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Francisco, CA 94102
We cannot get through life without experiencing difficult times. None of us can. Whether it's dissatisfaction in a relationship, family conflict, career predicament, trauma, or personal distress, we all experience suffering at some point. And yet, how we respond can make all the difference in our future and the future of those we love. Therapy can often be one of the first steps on a path toward a life that is fulfilling and allows you to be your authentic self. The best place to start is right where you are; the time to start is now.
We cannot get through life without experiencing difficult times. None of us can. Whether it's dissatisfaction in a relationship, family conflict, career predicament, trauma, or personal distress, we all experience suffering at some point. And yet, how we respond can make all the difference in our future and the future of those we love. Therapy can often be one of the first steps on a path toward a life that is fulfilling and allows you to be your authentic self. The best place to start is right where you are; the time to start is now.
(628) 345-2619 View (628) 345-2619
Photo of Aimee Armata, Marriage & Family Therapist in San Francisco, CA
Aimee Armata
Marriage & Family Therapist
Verified Verified
San Francisco, CA 94110  (Online Only)
Are you curious about the impact of your past on your present? Are you curious about your relationship patterns and choices? Do you often feel misunderstood or invalidated? Do you feel seen and valued for who and how you are? Are you interested in desire, liberation and an expansion of your worldview? I have deep, personal connections to these pathways of inquiry and reflection and am interested in engaging in this work with others.
Are you curious about the impact of your past on your present? Are you curious about your relationship patterns and choices? Do you often feel misunderstood or invalidated? Do you feel seen and valued for who and how you are? Are you interested in desire, liberation and an expansion of your worldview? I have deep, personal connections to these pathways of inquiry and reflection and am interested in engaging in this work with others.
(415) 944-1314 View (415) 944-1314
Photo of Dana Andrews, Marriage & Family Therapist in San Francisco, CA
Dana Andrews
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94104
Are you struggling with anxiety and/or depression and looking for support? Is trauma from the past affecting your functioning and relationships? Have you recently lost someone and experiencing grief? I offer a warm and compassionate space for you to share you story, process any feelings arising, and further guide you to identify and heal the patterns and wounds that are holding you back. Providing personalized tools and exercises (now including optional Ketamine assisted psychotherapy) to feel well-resourced both in and outside of session, we can work together to create a healing experience that works best for you and your needs.
Are you struggling with anxiety and/or depression and looking for support? Is trauma from the past affecting your functioning and relationships? Have you recently lost someone and experiencing grief? I offer a warm and compassionate space for you to share you story, process any feelings arising, and further guide you to identify and heal the patterns and wounds that are holding you back. Providing personalized tools and exercises (now including optional Ketamine assisted psychotherapy) to feel well-resourced both in and outside of session, we can work together to create a healing experience that works best for you and your needs.
(415) 231-5013 View (415) 231-5013
Photo of Grace Yan, Psychologist in San Francisco, CA
Grace Yan
Psychologist, PsyD
Verified Verified
San Francisco, CA 94115
Not accepting new clients
Over the years, I have come to understand that many of our difficulties with work and/or relationships can be traced to some forms of disconnection internally and externally, sometime manifested as depression, anxiety, existential angst, eating disorder, or addiction. I view therapy as a continuous in-depth conversation with another person in order to mend past traumas, reconnect with self and others, and develop a new perspective on life. I will bring to this journey curiosity, compassion, knowledge, experiences, and a commitment to help you strive for a healthier and more balanced life.
Over the years, I have come to understand that many of our difficulties with work and/or relationships can be traced to some forms of disconnection internally and externally, sometime manifested as depression, anxiety, existential angst, eating disorder, or addiction. I view therapy as a continuous in-depth conversation with another person in order to mend past traumas, reconnect with self and others, and develop a new perspective on life. I will bring to this journey curiosity, compassion, knowledge, experiences, and a commitment to help you strive for a healthier and more balanced life.
(415) 639-9516 View (415) 639-9516
Photo of Seth Ambrose, Marriage & Family Therapist in San Francisco, CA
Seth Ambrose
Marriage & Family Therapist, MA, MFT, mAmSAT
Verified Verified
7 Endorsed
San Francisco, CA 94103
My goal as a therapist is to serve as a compassionate witness, creating a safe space for clients to explore their whole selves - body, mind, and spirit. Together, we can map the territory of your lived experience and find the road that leads to a place of knowing, confidence, and satisfaction. I welcome the whole you. The places of lightness and the places of darkness. I welcome your multitude of backgrounds and experiences. I welcome the parts that follow the rules, as well as the rebel parts that march to a different beat. Come just as you are - to discover who you can become.
My goal as a therapist is to serve as a compassionate witness, creating a safe space for clients to explore their whole selves - body, mind, and spirit. Together, we can map the territory of your lived experience and find the road that leads to a place of knowing, confidence, and satisfaction. I welcome the whole you. The places of lightness and the places of darkness. I welcome your multitude of backgrounds and experiences. I welcome the parts that follow the rules, as well as the rebel parts that march to a different beat. Come just as you are - to discover who you can become.
(415) 419-8633 View (415) 419-8633
Photo of Aidan Pelly, Marriage & Family Therapist in San Francisco, CA
Aidan Pelly
Marriage & Family Therapist, MA, LPCC, LMFT, NMP, SEP
Verified Verified
6 Endorsed
San Francisco, CA 94110
Perhaps you are feeling stuck, off balance, or trying to make sense of the complex rainbow of feelings you are having. You may be dealing with challenging relational, work, or personal issues. Let’s sit down together and with acceptance and compassion fully take stock of where you are, what it is you really want, and what is getting in the way of making it happen. No part of you gets left behind. I work with both couples and individuals.
Perhaps you are feeling stuck, off balance, or trying to make sense of the complex rainbow of feelings you are having. You may be dealing with challenging relational, work, or personal issues. Let’s sit down together and with acceptance and compassion fully take stock of where you are, what it is you really want, and what is getting in the way of making it happen. No part of you gets left behind. I work with both couples and individuals.
(510) 661-3033 View (510) 661-3033
Photo of Ami E. Hartley, Marriage & Family Therapist in San Francisco, CA
Ami E. Hartley
Marriage & Family Therapist, LMFT, CAS, ATR-BC
Verified Verified
San Francisco, CA 94117
People come to therapy when they feel ready. Often they have gained some insight and are consciously seeking a happier, more balanced life. Many people are aware of a need for healing narcissistic abuse from family, partners or in the work environment. The motivation it takes to make that first phone call is a major step towards positive change. My style is interpersonal, supportive, open and communicative. Most people appreciate guidance, direction and practical feedback. I encourage exploration of unconscious repetitive patterns in relationships and making changes wherever possible.
People come to therapy when they feel ready. Often they have gained some insight and are consciously seeking a happier, more balanced life. Many people are aware of a need for healing narcissistic abuse from family, partners or in the work environment. The motivation it takes to make that first phone call is a major step towards positive change. My style is interpersonal, supportive, open and communicative. Most people appreciate guidance, direction and practical feedback. I encourage exploration of unconscious repetitive patterns in relationships and making changes wherever possible.
(415) 319-9740 View (415) 319-9740
Photo of Radical Roots Psychotherapy, Clinical Social Work/Therapist in San Francisco, CA
Radical Roots Psychotherapy
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94115
Ruby (she/her/hers) is a Licensed Clinical Social Worker (LCSW 101630) who brings a decade of experience supporting youth, young adults, caregivers, families, and individuals navigate loss and attachment ruptures, anxiety, depression, ADHD, trauma, family conflict, life stressors, and the life cycle. Ruby approaches her sessions with warmth, humility, and a strengths-based lens, valuing collaboration, authenticity, and creativity.
Ruby (she/her/hers) is a Licensed Clinical Social Worker (LCSW 101630) who brings a decade of experience supporting youth, young adults, caregivers, families, and individuals navigate loss and attachment ruptures, anxiety, depression, ADHD, trauma, family conflict, life stressors, and the life cycle. Ruby approaches her sessions with warmth, humility, and a strengths-based lens, valuing collaboration, authenticity, and creativity.
(510) 491-0155 View (510) 491-0155
Photo of Cynthia Nakoski, Psychologist in San Francisco, CA
Cynthia Nakoski
Psychologist, LCP
Verified Verified
San Francisco, CA 94110
Dr. Cynthia (Cyndi) Nakoski, Psy.D., is a licensed psychologist whose passion is assisting people with healing from traumatic/stressful experiences. Whether it be a sudden health crisis, a traumatic event, the loss of a loved one, or any other traumatic/stressful experience that causes life to unravel, Dr. Nakoski's vast experience with trauma work has solidified her understanding that finding healthy ways to cope and strengthen is possible. Dr. Nakoski specializes in the treatment of chronic pain, health challenges, depression, anxiety, PTSD, and co-occurring addiction issues.
Dr. Cynthia (Cyndi) Nakoski, Psy.D., is a licensed psychologist whose passion is assisting people with healing from traumatic/stressful experiences. Whether it be a sudden health crisis, a traumatic event, the loss of a loved one, or any other traumatic/stressful experience that causes life to unravel, Dr. Nakoski's vast experience with trauma work has solidified her understanding that finding healthy ways to cope and strengthen is possible. Dr. Nakoski specializes in the treatment of chronic pain, health challenges, depression, anxiety, PTSD, and co-occurring addiction issues.
(415) 818-9791 View (415) 818-9791
Photo of Derek Rubinstein, Psychologist in San Francisco, CA
Derek Rubinstein
Psychologist, PsyD
Verified Verified
5 Endorsed
San Francisco, CA 94115
Like any new endeavor, beginning therapy can bring both anxiety and hope. Whether you're seeking therapy to address specific concerns or to engage in personal exploration, I bring many years of experience working with a broad range of issues and people. I see therapy as a unique opportunity to help my clients gain a deeper understanding of themselves, develop greater awareness and insight, and make meaningful changes that lead to greater fulfillment in their lives, relationships, and careers.
Like any new endeavor, beginning therapy can bring both anxiety and hope. Whether you're seeking therapy to address specific concerns or to engage in personal exploration, I bring many years of experience working with a broad range of issues and people. I see therapy as a unique opportunity to help my clients gain a deeper understanding of themselves, develop greater awareness and insight, and make meaningful changes that lead to greater fulfillment in their lives, relationships, and careers.
(415) 521-3766 View (415) 521-3766
Photo of Stanley Fuller, Marriage & Family Therapist Associate in San Francisco, CA
Stanley Fuller
Marriage & Family Therapist Associate, AMFT, MA
Verified Verified
San Francisco, CA 94114
You are unique. My approach is from a holistic lens through relational humanistic psychodynamics. I hope that we build a foundational relationship that is based on trust and acceptance. I will walk with you through your journey of healing and self-discovery. I utilize my self-reflective journey through humanistic transpersonal psychodynamics, meeting you where you are in the here and now, offering acceptance and understanding.
You are unique. My approach is from a holistic lens through relational humanistic psychodynamics. I hope that we build a foundational relationship that is based on trust and acceptance. I will walk with you through your journey of healing and self-discovery. I utilize my self-reflective journey through humanistic transpersonal psychodynamics, meeting you where you are in the here and now, offering acceptance and understanding.
(415) 993-5146 View (415) 993-5146
Photo of Jamie Bennett, Clinical Social Work/Therapist in San Francisco, CA
Jamie Bennett
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94109  (Online Only)
Jamie Bennett is a Licensed Clinical Social Worker (LCSW) in the state of California with over 8 years of counseling experience. She specializes in treating children, teens, and adults who are suffering from anxiety disorders, depression, life transitions, mood, and personality disorders. She has honed a comprehensive therapeutic style to best support patients’ sustainable life changes. Jamie currently works in an individual capacity with adolescents and adults, identifying their most pervasive symptoms with the intention of liberating them from their emotional confines.
Jamie Bennett is a Licensed Clinical Social Worker (LCSW) in the state of California with over 8 years of counseling experience. She specializes in treating children, teens, and adults who are suffering from anxiety disorders, depression, life transitions, mood, and personality disorders. She has honed a comprehensive therapeutic style to best support patients’ sustainable life changes. Jamie currently works in an individual capacity with adolescents and adults, identifying their most pervasive symptoms with the intention of liberating them from their emotional confines.
(707) 238-7092 View (707) 238-7092
Photo of Jennifer Machado, Marriage & Family Therapist in San Francisco, CA
Jennifer Machado
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94122
Are you currently facing a challenging personal or professional transition? Are you finding it difficult to navigate complex family or relationship dynamics? Do you need help identifying and establishing your personal boundaries, including revisiting and reinforcing existing ones?
Are you currently facing a challenging personal or professional transition? Are you finding it difficult to navigate complex family or relationship dynamics? Do you need help identifying and establishing your personal boundaries, including revisiting and reinforcing existing ones?
(415) 649-8072 View (415) 649-8072
Photo of Bev Jewell Aasect Certified Sex Therapist, Counselor in San Francisco, CA
Bev Jewell Aasect Certified Sex Therapist
Counselor, LPCC
Verified Verified
San Francisco, CA 94111  (Online Only)
Are you experiencing: relationship issues, feeling overwhelmed, or stuck? Perhaps you are in a Neuro-Diverse relationship (you're wired differently) and stuggle to understand each other and get your needs met? Do you want to learn better commuication and problem-solving skills? Maybe you want a more fulfilling sex life - solo, or with your partner. There are many things that affect us and our sexuality over time - stress, age, life events, hormone changes... I can help you navigate these areas to find the answers you're looking for and get you to a better place!
Are you experiencing: relationship issues, feeling overwhelmed, or stuck? Perhaps you are in a Neuro-Diverse relationship (you're wired differently) and stuggle to understand each other and get your needs met? Do you want to learn better commuication and problem-solving skills? Maybe you want a more fulfilling sex life - solo, or with your partner. There are many things that affect us and our sexuality over time - stress, age, life events, hormone changes... I can help you navigate these areas to find the answers you're looking for and get you to a better place!
(442) 254-0043 View (442) 254-0043
Photo of Ty Canning, Psychologist in San Francisco, CA
Ty Canning
Psychologist, PsyD
Verified Verified
San Francisco, CA 94109
I work with individuals looking to benefit from brief, problem-focused treatments that work. I provide treatment for individuals and/or couples coping with a wide range of concerns including trouble sleeping, anxiety, depression, couples conflict and concerns with sexual health. I am passionate about helping my patients optimize their physical, mental and emotional health and take a collaborative and practical approach. I am committed to making sure we are a good fit, so please feel free to call me for a complimentary phone consultation.
I work with individuals looking to benefit from brief, problem-focused treatments that work. I provide treatment for individuals and/or couples coping with a wide range of concerns including trouble sleeping, anxiety, depression, couples conflict and concerns with sexual health. I am passionate about helping my patients optimize their physical, mental and emotional health and take a collaborative and practical approach. I am committed to making sure we are a good fit, so please feel free to call me for a complimentary phone consultation.
(415) 528-3268 x110 View (415) 528-3268 x110
Photo of Delia Tramontina, Clinical Social Work/Therapist in San Francisco, CA
Delia Tramontina
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94122
I love to work with individuals and couples to discover the emotions and attachment needs which drive their thoughts and behaviors. Sometimes we have feelings that are difficult to experience or express, and so we act in ways to protect the most vulnerable parts of ourselves. This may lead to conflict in our primary relationships, depression, anxiety, substance use, or just the sense that one's life could be more fulfilling. In couples, this can lead to cycles of communication that make it difficult for each partner to know how to soothe their partner and their own self.
I love to work with individuals and couples to discover the emotions and attachment needs which drive their thoughts and behaviors. Sometimes we have feelings that are difficult to experience or express, and so we act in ways to protect the most vulnerable parts of ourselves. This may lead to conflict in our primary relationships, depression, anxiety, substance use, or just the sense that one's life could be more fulfilling. In couples, this can lead to cycles of communication that make it difficult for each partner to know how to soothe their partner and their own self.
(628) 214-7786 View (628) 214-7786
Photo of Sarah Voynow Berman, Marriage & Family Therapist in San Francisco, CA
Sarah Voynow Berman
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Francisco, CA 94114
Are you having any mental blocks stemming from stress? Would you like to learn creative, evidence-based practical skills that can facilitate positive lasting change? As an active psychotherapist and professional musician I work with motivated clients who want to obtain greater self compassion, acceptance and productive strategies to assist in establishing a healthy balance in their professional and personal lives.
Are you having any mental blocks stemming from stress? Would you like to learn creative, evidence-based practical skills that can facilitate positive lasting change? As an active psychotherapist and professional musician I work with motivated clients who want to obtain greater self compassion, acceptance and productive strategies to assist in establishing a healthy balance in their professional and personal lives.
(415) 578-5358 View (415) 578-5358
Photo of Akira Olsen, Psychologist in San Francisco, CA
Akira Olsen
Psychologist, PsyD
Verified Verified
San Francisco, CA 94102
Dr. Akira Olsen is a board-certified Psychologist in California who has been practicing since 2010. Dr. Akira has clinical experience working with adolescents, parents, families, and adults in various San Francisco Bay Area settings, including community mental health clinics, schools, women's and family shelters, telehealth clinics, and private practice. She worked as a clinical researcher, faculty, and clinical supervisor at Stanford University and Palo Alto University from 2018-2022.
Dr. Akira Olsen is a board-certified Psychologist in California who has been practicing since 2010. Dr. Akira has clinical experience working with adolescents, parents, families, and adults in various San Francisco Bay Area settings, including community mental health clinics, schools, women's and family shelters, telehealth clinics, and private practice. She worked as a clinical researcher, faculty, and clinical supervisor at Stanford University and Palo Alto University from 2018-2022.
(628) 313-3743 View (628) 313-3743

See more therapy options for San Francisco

How does your Therapist compare?

Number of Therapists in San Francisco, CA

3,000+

Average cost per session

$189

Therapists in San Francisco, CA who prioritize treating:

93% Anxiety
87% Depression
81% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
68% Stress
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

69% Aetna
55% UnitedHealthcare UHC | UBH
54% Cigna and Evernorth

How Therapists in San Francisco, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

75% Female
23% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Francisco?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.