Therapists in San Antonio, TX

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Photo of Linda Brown, Licensed Professional Counselor in San Antonio, TX
Linda Brown
Licensed Professional Counselor, LPC, NCC, C-DBT
Verified Verified
1 Endorsed
San Antonio, TX 78232
Do you envision better relationships, EVEN with yourself? Does negative self-talk challenge the way you think, creating a variety of unsettling emotions leading to avoidance and insecurity? I offer safe, non-judgmental space to process hardships and triumphs that create anxiety, depression, and inability to enjoy your life in the present moment. Learn how self-love and self-care improve overall health. Take charge of your sleeping habits. Find your voice, and create & maintain strong internal and external boundaries. Healthy communication skills incorporated to improve work and personal interactions for the life you deserve!
Do you envision better relationships, EVEN with yourself? Does negative self-talk challenge the way you think, creating a variety of unsettling emotions leading to avoidance and insecurity? I offer safe, non-judgmental space to process hardships and triumphs that create anxiety, depression, and inability to enjoy your life in the present moment. Learn how self-love and self-care improve overall health. Take charge of your sleeping habits. Find your voice, and create & maintain strong internal and external boundaries. Healthy communication skills incorporated to improve work and personal interactions for the life you deserve!
(210) 899-0484 View (210) 899-0484
Photo of Julie Marie Mouton, Clinical Social Work/Therapist in San Antonio, TX
Julie Marie Mouton
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78205  (Online Only)
I work well with people who are motivated and ready for change. Clients who enjoy exploring personal development and have a high degree of self awareness. I work well with clients who are open and have a desire to heal and move forward. I view my role as a therapist as a guide to help my clients explore and learn how pieces of their puzzle fit together. I love when I am able to support my clients in having break throughs that help them to understand and make peace with the experiences that have helped them to grow. I am supportive and always want wants best for my clients. It is a privilege to be a part of someone’s healing path.
I work well with people who are motivated and ready for change. Clients who enjoy exploring personal development and have a high degree of self awareness. I work well with clients who are open and have a desire to heal and move forward. I view my role as a therapist as a guide to help my clients explore and learn how pieces of their puzzle fit together. I love when I am able to support my clients in having break throughs that help them to understand and make peace with the experiences that have helped them to grow. I am supportive and always want wants best for my clients. It is a privilege to be a part of someone’s healing path.
(210) 942-9269 View (210) 942-9269
SPA, LLC - Supportive Psychological Associates
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78230
I believe in a therapeutic process that revolves around life's changes and the journeys it takes us on. Choosing to change your focus is a powerful way of transforming any situation. Focusing on the positive doesn't mean that we are denying reality or avoiding what isn't working. It simply allows us to work from a grounded place in order to make the most informed decision from a less emotional place of clarity. Within our sessions, the goal is to cultivate a trusting and collaborative therapeutic relationship where an individual can bring their full self into session without any fear.
I believe in a therapeutic process that revolves around life's changes and the journeys it takes us on. Choosing to change your focus is a powerful way of transforming any situation. Focusing on the positive doesn't mean that we are denying reality or avoiding what isn't working. It simply allows us to work from a grounded place in order to make the most informed decision from a less emotional place of clarity. Within our sessions, the goal is to cultivate a trusting and collaborative therapeutic relationship where an individual can bring their full self into session without any fear.
(210) 934-9262 View (210) 934-9262
Photo of Dr. Shay Ashton Harris, Licensed Professional Counselor in San Antonio, TX
Dr. Shay Ashton Harris
Licensed Professional Counselor, PhD, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78228  (Online Only)
Waitlist for new clients
Asking for help can feel intimidating and vulnerable, but I want you to know that you have your own story to share, and your story is worth being told and heard! I am a licensed professional counselor free of judgment, full of compassion, and dedicated to helping you discover how to break through mental barriers limiting results and guide your true potential when life throws you a curve ball. Let nothing deter you from your efforts and stop you from striving tirelessly to achieve your full potential. I am passionate about learning and growing when struggling with mental barriers and am interested in contributing to developing goals
Asking for help can feel intimidating and vulnerable, but I want you to know that you have your own story to share, and your story is worth being told and heard! I am a licensed professional counselor free of judgment, full of compassion, and dedicated to helping you discover how to break through mental barriers limiting results and guide your true potential when life throws you a curve ball. Let nothing deter you from your efforts and stop you from striving tirelessly to achieve your full potential. I am passionate about learning and growing when struggling with mental barriers and am interested in contributing to developing goals
(210) 864-9939 View (210) 864-9939
Photo of Betty's Co. , Licensed Professional Counselor in San Antonio, TX
Betty's Co.
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78205  (Online Only)
It's okay to not be okay. The right help might be therapy or a mix of therapy and medication. We offer both to protect your mental health. As a counselor, I understand that being a young woman in today's world can be overwhelming and challenging. We work with clients who are feeling anxious or stressed while navigating the added pressures and changes of growing up, or simply feeling stuck in the current moment. Our clients are ready and motivated to trade in their negative false beliefs for healthier ways to cope and thrive.
It's okay to not be okay. The right help might be therapy or a mix of therapy and medication. We offer both to protect your mental health. As a counselor, I understand that being a young woman in today's world can be overwhelming and challenging. We work with clients who are feeling anxious or stressed while navigating the added pressures and changes of growing up, or simply feeling stuck in the current moment. Our clients are ready and motivated to trade in their negative false beliefs for healthier ways to cope and thrive.
(210) 960-9730 View (210) 960-9730
Photo of Sarah E Fawcett, Licensed Professional Counselor in San Antonio, TX
Sarah E Fawcett
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78213
When I was a young woman, I chose to try counseling as a way of dealing with my problems. I was stuck and didn't know what else to do. Counseling changed my life. As a result, I became a counselor years later. I especially enjoy walking with clients through whatever life issues and challenges they have, whether it's a loss of joy, grief over the death of a loved one, a divorce or simply feeling overwhelmed with daily life. I'm a good listener. Hope you will contact me for an appointment.
When I was a young woman, I chose to try counseling as a way of dealing with my problems. I was stuck and didn't know what else to do. Counseling changed my life. As a result, I became a counselor years later. I especially enjoy walking with clients through whatever life issues and challenges they have, whether it's a loss of joy, grief over the death of a loved one, a divorce or simply feeling overwhelmed with daily life. I'm a good listener. Hope you will contact me for an appointment.
(830) 261-4691 View (830) 261-4691
Photo of Lori Ortiz, Licensed Professional Counselor in San Antonio, TX
Lori Ortiz
Licensed Professional Counselor, LPC-S
Verified Verified
San Antonio, TX 78258
Lori Ortiz is a Licensed Professional Counselor Supervisor in Texas who has been practicing since 2001. She has an M. A. , Guidance and Counseling from University of Texas at San Antonio and a B.A., Early Childhood Education from UTSA. Lori offers support and encouragement to clients as well as teaches them coping skills as they are going through a difficult time in their lives. Lori makes sure clients are treated with compassion, and services are strictly confidential. Outside of work, Lori enjoys reading, gardening, music, Latin/country dancing, and spending time with her mother, children, and grandchildren.
Lori Ortiz is a Licensed Professional Counselor Supervisor in Texas who has been practicing since 2001. She has an M. A. , Guidance and Counseling from University of Texas at San Antonio and a B.A., Early Childhood Education from UTSA. Lori offers support and encouragement to clients as well as teaches them coping skills as they are going through a difficult time in their lives. Lori makes sure clients are treated with compassion, and services are strictly confidential. Outside of work, Lori enjoys reading, gardening, music, Latin/country dancing, and spending time with her mother, children, and grandchildren.
(210) 972-3139 View (210) 972-3139
Photo of Jimmy Daniel Henry, Clinical Social Work/Therapist in San Antonio, TX
Jimmy Daniel Henry
Clinical Social Work/Therapist, MSW, LCSW-S, PLLC
Verified Verified
1 Endorsed
San Antonio, TX 78209
Anyone who is experiencing emotional pain from traumatic events, big or small, deserves a treatment that can help them work through these issues, taking maladaptively stored memories to a more adaptive and useful experience.
Anyone who is experiencing emotional pain from traumatic events, big or small, deserves a treatment that can help them work through these issues, taking maladaptively stored memories to a more adaptive and useful experience.
(210) 934-9152 View (210) 934-9152
Photo of Tristi Patterson, Licensed Professional Counselor in San Antonio, TX
Tristi Patterson
Licensed Professional Counselor, MS, LPC-S
Verified Verified
3 Endorsed
San Antonio, TX 78257  (Online Only)
Waitlist for new clients
Are you feeling like life's throwing out more than you can handle, or that you are never quite good enough no matter how hard you try? Maybe you've experienced trauma, are struggling in relationships, feel anxious & depressed, or perhaps you don't know what's off! I'm honored to work with courageous people (like you) who are "in it" and searching for healing, connection, and change. Together, we'll explore and make sense of your struggles as we figure out what you need to feel better. The first step may be a scary one, but you're worth it!
Are you feeling like life's throwing out more than you can handle, or that you are never quite good enough no matter how hard you try? Maybe you've experienced trauma, are struggling in relationships, feel anxious & depressed, or perhaps you don't know what's off! I'm honored to work with courageous people (like you) who are "in it" and searching for healing, connection, and change. Together, we'll explore and make sense of your struggles as we figure out what you need to feel better. The first step may be a scary one, but you're worth it!
(325) 335-7021 View (325) 335-7021
Photo of Karen Rudd, Licensed Professional Counselor in San Antonio, TX
Karen Rudd
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78212
Life can be overwhelming. Do you experience anxiety, depression, low self esteem or relationship issues and need guidance to move forward? Together, we will identify and explore these issues. We will create goals so you can better understand the changes needed to make a difference in your life.
Life can be overwhelming. Do you experience anxiety, depression, low self esteem or relationship issues and need guidance to move forward? Together, we will identify and explore these issues. We will create goals so you can better understand the changes needed to make a difference in your life.
(210) 899-6828 View (210) 899-6828
Photo of Leo Scaletta, Marriage & Family Therapist in San Antonio, TX
Leo Scaletta
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Antonio, TX 78209
Life can get tough and overwhelming. It can feel like being submerged after a rough wave. That’s where I come in - to help you navigate the waves. As a solution-orientated therapist I am interested in exploring your strengths and resources and how we can utilize them to build solutions. I believe a positive connection is important for the therapeutic process to be beneficial, which is why I value creating a safe space built on collaboration, warmth, and understanding.
Life can get tough and overwhelming. It can feel like being submerged after a rough wave. That’s where I come in - to help you navigate the waves. As a solution-orientated therapist I am interested in exploring your strengths and resources and how we can utilize them to build solutions. I believe a positive connection is important for the therapeutic process to be beneficial, which is why I value creating a safe space built on collaboration, warmth, and understanding.
(210) 201-2842 View (210) 201-2842
Photo of Kristin Arnold, Licensed Professional Counselor in San Antonio, TX
Kristin Arnold
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
My goal is to provide an empathetic ear and therapeutic interventions to help you find cohesiveness and balance. Together, we can identify what’s not working in your life, enhance what is working, and explore ways to expand your life in more fulfilling ways. We will focus on the present moment – getting honest and vulnerable about your current patterns, curious about the past and how those experiences impact you now, and influence the future by incorporating new skills and goals. My role is to walk with you through your highs and lows, challenge, and encourage you.
My goal is to provide an empathetic ear and therapeutic interventions to help you find cohesiveness and balance. Together, we can identify what’s not working in your life, enhance what is working, and explore ways to expand your life in more fulfilling ways. We will focus on the present moment – getting honest and vulnerable about your current patterns, curious about the past and how those experiences impact you now, and influence the future by incorporating new skills and goals. My role is to walk with you through your highs and lows, challenge, and encourage you.
(210) 791-6910 View (210) 791-6910
Photo of Dr. Angela Cano Sampson, Licensed Professional Counselor in San Antonio, TX
Dr. Angela Cano Sampson
Licensed Professional Counselor, PhD, NCC, CSC
Verified Verified
1 Endorsed
San Antonio, TX 78240
At Evolución, we believe that our journeys in life can leave us all feeling challenged and alone and from time to time it can feel unmanageable. Our hopes at Evolución are to provide support and encouragement for individuals, couples, and families along the path. Our goal at Evolución is your space to discover and EVOLVE without judgment. It is your space in this world to be inspired, supported, and motivated to help you heal, restore and recharge in whatever way you desire. I work with clients as they work their way through social, emotional, identity, and relationship issues that they are faced with in their life journey.
At Evolución, we believe that our journeys in life can leave us all feeling challenged and alone and from time to time it can feel unmanageable. Our hopes at Evolución are to provide support and encouragement for individuals, couples, and families along the path. Our goal at Evolución is your space to discover and EVOLVE without judgment. It is your space in this world to be inspired, supported, and motivated to help you heal, restore and recharge in whatever way you desire. I work with clients as they work their way through social, emotional, identity, and relationship issues that they are faced with in their life journey.
(210) 714-4355 View (210) 714-4355
Photo of Sue Clifford, Licensed Professional Counselor in San Antonio, TX
Sue Clifford
Licensed Professional Counselor, PhD, LPC-S
Verified Verified
San Antonio, TX 78232  (Online Only)
Feeling overwhelmed, confused, stressed, lost? Yearn to connect with life, yet, often become stuck? Navigating through life disconnections - with our spirit, families, partners, friends, work - can be exhausting and overwhelming. You have already tried going to your life "toolbox" (faith, family, friends, chocolate...). Together we can explore feelings, figure out how our own inner stories are actually adding to our stress, reconnect with our inner power to experience love, acceptance, and be our authentic self. Asking "How am I ever going to figure out..." is a good starting place. I can walk with you as we try to figure it out.
Feeling overwhelmed, confused, stressed, lost? Yearn to connect with life, yet, often become stuck? Navigating through life disconnections - with our spirit, families, partners, friends, work - can be exhausting and overwhelming. You have already tried going to your life "toolbox" (faith, family, friends, chocolate...). Together we can explore feelings, figure out how our own inner stories are actually adding to our stress, reconnect with our inner power to experience love, acceptance, and be our authentic self. Asking "How am I ever going to figure out..." is a good starting place. I can walk with you as we try to figure it out.
(210) 812-2794 View (210) 812-2794
Photo of Patricia Hernandez, Licensed Professional Counselor in San Antonio, TX
Patricia Hernandez
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78224  (Online Only)
Please, allow me to navigate this life-changing journey with you. To be heard without being judged allows us to explore our current state of emotion without the fear of being ridiculed, without the stigma behind mental health, and without the fear of “what will they think of me?”
Please, allow me to navigate this life-changing journey with you. To be heard without being judged allows us to explore our current state of emotion without the fear of being ridiculed, without the stigma behind mental health, and without the fear of “what will they think of me?”
(210) 201-4711 View (210) 201-4711
Photo of Brooke Leith: Counseling For Gen Z, LPC Associate in San Antonio, TX
Brooke Leith: Counseling For Gen Z
LPC Associate, MA
Verified Verified
4 Endorsed
San Antonio, TX 78258
Counseling for Gen Zers to reduce stress and discover joy. Today's teens and 20-somethings have it rough. The world is scary, and sometimes you need some extra support. You can talk to me about anxiety and worry for the future, loneliness, friendships, dating, independence, career, trauma, tech dependence, and self-esteem. The topic of each session is up to you, but I'll always help if you come up blank - you're the expert on your life after all. I offer in-person and virtual sessions and use a blend of Narrative Therapy, Expressive Arts, and Internal Family Systems (IFS). Supervised by Faith Ray, LPC-S.
Counseling for Gen Zers to reduce stress and discover joy. Today's teens and 20-somethings have it rough. The world is scary, and sometimes you need some extra support. You can talk to me about anxiety and worry for the future, loneliness, friendships, dating, independence, career, trauma, tech dependence, and self-esteem. The topic of each session is up to you, but I'll always help if you come up blank - you're the expert on your life after all. I offer in-person and virtual sessions and use a blend of Narrative Therapy, Expressive Arts, and Internal Family Systems (IFS). Supervised by Faith Ray, LPC-S.
(210) 903-8391 View (210) 903-8391
Photo of Heather Donnella, Licensed Professional Counselor Associate in San Antonio, TX
Heather Donnella
Licensed Professional Counselor Associate, MA, LPC-A
Verified Verified
1 Endorsed
San Antonio, TX 78210
Life is full of changes (some easier than others) and I fully believe that we are doing the best that we can with the skills we had at the time. As we progress in life, we do what we can to help ourselves (at least we try to!) but sometimes those ways in which we cope are unsustainable and we need to adjust. This can be overwhelming, scary, and you might feel like you have no idea where to start. That's where I come in.
Life is full of changes (some easier than others) and I fully believe that we are doing the best that we can with the skills we had at the time. As we progress in life, we do what we can to help ourselves (at least we try to!) but sometimes those ways in which we cope are unsustainable and we need to adjust. This can be overwhelming, scary, and you might feel like you have no idea where to start. That's where I come in.
(210) 879-6927 View (210) 879-6927
Photo of Nidia I. Valadez, Licensed Professional Counselor in San Antonio, TX
Nidia I. Valadez
Licensed Professional Counselor, MS, LPC
Verified Verified
4 Endorsed
San Antonio, TX 78248  (Online Only)
Waitlist for new clients
Are you experiencing challenges with fear, self-doubt, or painful memories from a traumatic event? I am here to offer assistance. Together, we can explore your strengths, understand the root of your difficulties, and awaken a more confident and resilient version of yourself. Life can be overwhelming, hindering our ability to give and receive love and experience happiness. Let's collaborate on a journey towards the fulfilling life you truly deserve.
Are you experiencing challenges with fear, self-doubt, or painful memories from a traumatic event? I am here to offer assistance. Together, we can explore your strengths, understand the root of your difficulties, and awaken a more confident and resilient version of yourself. Life can be overwhelming, hindering our ability to give and receive love and experience happiness. Let's collaborate on a journey towards the fulfilling life you truly deserve.
(210) 384-2931 View (210) 384-2931
Photo of Karen Bagwell, Licensed Professional Counselor in San Antonio, TX
Karen Bagwell
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78216
These are my specialties: Anxiety, Depression, Trauma, Grief, Obsessive Compulsive Disorder, Adults with Aspergers, Marriage and Premarital Counseling, and Healing for those Wounded by Abortion. I counsel in accordance with Biblical principles, and utilize scientifically based methods: Cognitive Behavioral Therapy including Exposure Response Prevention, Insight Oriented Therapy, Interpersonal Process Approach, and Medical Hypnoanalysis.
These are my specialties: Anxiety, Depression, Trauma, Grief, Obsessive Compulsive Disorder, Adults with Aspergers, Marriage and Premarital Counseling, and Healing for those Wounded by Abortion. I counsel in accordance with Biblical principles, and utilize scientifically based methods: Cognitive Behavioral Therapy including Exposure Response Prevention, Insight Oriented Therapy, Interpersonal Process Approach, and Medical Hypnoanalysis.
(210) 762-6091 View (210) 762-6091
Photo of Scott Altamirano, Marriage & Family Therapist in San Antonio, TX
Scott Altamirano
Marriage & Family Therapist, LMFT, MA
Verified Verified
San Antonio, TX 78209  (Online Only)
Accepting clients Apr 2024. I help clients have happier and more fulfilling lives by overcoming their anxieties to create happy and healthy relationships. Let me help you learn to invest in yourself and your overall wellbeing through habit building, dating, socializing, and improving our overall self esteem!
Accepting clients Apr 2024. I help clients have happier and more fulfilling lives by overcoming their anxieties to create happy and healthy relationships. Let me help you learn to invest in yourself and your overall wellbeing through habit building, dating, socializing, and improving our overall self esteem!
(940) 283-6405 View (940) 283-6405

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
72% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
78% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.