Therapists in San Francisco, CA

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Martha Lybarger
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
San Francisco, CA 94115
Time to get your life back on track? Tired of the same old fights? Is your addiction hijacking your life? Wondering if you can continue to deal with the chaos around you? You can take your life back, find some peace and learn how to better communicate with your partner and yourself. We all have deep needs for tenderness, sharing and love.
Time to get your life back on track? Tired of the same old fights? Is your addiction hijacking your life? Wondering if you can continue to deal with the chaos around you? You can take your life back, find some peace and learn how to better communicate with your partner and yourself. We all have deep needs for tenderness, sharing and love.
(415) 969-7728 View (415) 969-7728
Photo of Luanna Rodgers, Marriage & Family Therapist in San Francisco, CA
Luanna Rodgers
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94122
I am a caring, empathetic, and experienced therapist with more than 20 years in practice. I can assist you to find your unique life's path, overcome obstacles such as difficult emotions and past trauma, and expand your potential for happiness. I work with individuals, families, and people in many sorts of relationships, especially in the areas of anxiety and stress management, trauma and post-traumatic stress, depression, self worth and self-actualization, gender identity, sexuality and intimacy, and life transitions.
I am a caring, empathetic, and experienced therapist with more than 20 years in practice. I can assist you to find your unique life's path, overcome obstacles such as difficult emotions and past trauma, and expand your potential for happiness. I work with individuals, families, and people in many sorts of relationships, especially in the areas of anxiety and stress management, trauma and post-traumatic stress, depression, self worth and self-actualization, gender identity, sexuality and intimacy, and life transitions.
(415) 697-3853 View (415) 697-3853
Photo of Garett Weinstein - Expansive Therapy, Counselor in San Francisco, CA
Garett Weinstein - Expansive Therapy
Counselor, AMFT
Verified Verified
San Francisco, CA 94109
I believe in the transformative power of genuine connection, acknowledging the unique intersections of each person's journey and creating an affirming environment where diverse identities are celebrated. Together we will navigate the intricacies of relationships, identity, and personal growth in a holistic and affirming manner.
I believe in the transformative power of genuine connection, acknowledging the unique intersections of each person's journey and creating an affirming environment where diverse identities are celebrated. Together we will navigate the intricacies of relationships, identity, and personal growth in a holistic and affirming manner.
(213) 693-3394 View (213) 693-3394
Photo of Will Lipsenthal, Marriage & Family Therapist Associate in San Francisco, CA
Will Lipsenthal
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Francisco, CA 94110
Whatever you’re experiencing, I hope to walk the line of being a support to you in your experience and by your side, while also, empathetically being a source of information that can provide evidence based practices as well as an experiential framework to help you get what you want. I plan on taking an awareness-based approach. I want to build your awareness so you can make more informed decisions. I want to co-create an environment that allows you to bring your whole self to therapy so that you can heal and grow.
Whatever you’re experiencing, I hope to walk the line of being a support to you in your experience and by your side, while also, empathetically being a source of information that can provide evidence based practices as well as an experiential framework to help you get what you want. I plan on taking an awareness-based approach. I want to build your awareness so you can make more informed decisions. I want to co-create an environment that allows you to bring your whole self to therapy so that you can heal and grow.
(415) 965-6769 View (415) 965-6769
Photo of Nicholas Lawrence Seibel, Marriage & Family Therapist Associate in San Francisco, CA
Nicholas Lawrence Seibel
Marriage & Family Therapist Associate, AMFT
Verified Verified
2 Endorsed
San Francisco, CA 94158  (Online Only)
Nice to meet you! My name is Nicholas and I am excited to meet with you. I am a California local born and raised in Los Angeles but now reside in San Francisco. I received my education in San Francisco and thrive in a city full of advanced technology and innovation. Combining both evidence-based cognitive behavioral therapy and the mindfulness of Buddhist teachings, Acceptance and Commitment therapy has proven healing and useful to many clients. I also enjoy working through your childhood experiences. Together, I can help you develop the competency to face your past, find comfort in the present, and look forward to the future.
Nice to meet you! My name is Nicholas and I am excited to meet with you. I am a California local born and raised in Los Angeles but now reside in San Francisco. I received my education in San Francisco and thrive in a city full of advanced technology and innovation. Combining both evidence-based cognitive behavioral therapy and the mindfulness of Buddhist teachings, Acceptance and Commitment therapy has proven healing and useful to many clients. I also enjoy working through your childhood experiences. Together, I can help you develop the competency to face your past, find comfort in the present, and look forward to the future.
(760) 276-6437 View (760) 276-6437
Photo of Elaine Guerrero Clar, Psychologist in San Francisco, CA
Elaine Guerrero Clar
Psychologist, PsyD, LMFT
Verified Verified
San Francisco, CA 94102
Dr. Elaine Guerrero Clar is a Psychologist in California who has been practicing since 2013. She has a Psy.D. in Clinical Psychology and an MA in Counseling Psychology. Dr. Clar has robust professional experience in working with various populations and communities, although she has learned that everyone comes with unique complexities. Life’s challenges vary from acute to chronic, from early years, middle age, and throughout one’s golden years. Some individuals have particular life events where short periods of therapy can provide the support needed, while other individuals may benefit from long term therapy for lifelong healing.
Dr. Elaine Guerrero Clar is a Psychologist in California who has been practicing since 2013. She has a Psy.D. in Clinical Psychology and an MA in Counseling Psychology. Dr. Clar has robust professional experience in working with various populations and communities, although she has learned that everyone comes with unique complexities. Life’s challenges vary from acute to chronic, from early years, middle age, and throughout one’s golden years. Some individuals have particular life events where short periods of therapy can provide the support needed, while other individuals may benefit from long term therapy for lifelong healing.
(628) 600-0677 View (628) 600-0677
Photo of Melanie Maddox, Associate Clinical Social Worker in San Francisco, CA
Melanie Maddox
Associate Clinical Social Worker, ASW, EMDR
Verified Verified
San Francisco, CA 94114
Are you experiencing challenges in dealing with anxiety, depression, and traumatic experiences? Do you struggle with effective communication and setting boundaries in your relationships with others? Life often presents obstacles and difficulties that might lead to these difficulties without proper tools, resources, and guidance. I utilize CBT, DBT, ACT, and Trauma-informed care to help you manage symptoms and promote healing and growth. With a deep appreciation for the uniqueness of each client and their lived experiences, I foster a collaborative and inclusive therapeutic environment.
Are you experiencing challenges in dealing with anxiety, depression, and traumatic experiences? Do you struggle with effective communication and setting boundaries in your relationships with others? Life often presents obstacles and difficulties that might lead to these difficulties without proper tools, resources, and guidance. I utilize CBT, DBT, ACT, and Trauma-informed care to help you manage symptoms and promote healing and growth. With a deep appreciation for the uniqueness of each client and their lived experiences, I foster a collaborative and inclusive therapeutic environment.
(415) 969-2738 View (415) 969-2738
Photo of Thomas Meade - Brown Therapy Center, Marriage & Family Therapist Associate in San Francisco, CA
Thomas Meade - Brown Therapy Center
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
San Francisco, CA 94102
Often, our past relationships leave us wounded. The story that we tell ourselves becomes permeated with negative thoughts, low self-worth, and shame. As these feelings manifest, we become anxious and depressed. Therapy can help us discover perspectives that create a new narrative, one in which we have different ways to manage our emotions and lead a more enjoyable life.
Often, our past relationships leave us wounded. The story that we tell ourselves becomes permeated with negative thoughts, low self-worth, and shame. As these feelings manifest, we become anxious and depressed. Therapy can help us discover perspectives that create a new narrative, one in which we have different ways to manage our emotions and lead a more enjoyable life.
(415) 326-9802 View (415) 326-9802
Photo of Roberto Garcia II, Marriage & Family Therapist in San Francisco, CA
Roberto Garcia II
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
San Francisco, CA 94112  (Online Only)
I am a licensed Marriage and Family Therapist certified to provide mental health services in the state of California. I have been providing mental health services for the past 6 years working with non-profit community mental health clinics, probation offices & court systems, middle school, high schools and now as a private practice clinician. Within these settings, I have had the privilege of working with individuals, couples, parents, teenagers, children and families at many different phases of life and personal development.
I am a licensed Marriage and Family Therapist certified to provide mental health services in the state of California. I have been providing mental health services for the past 6 years working with non-profit community mental health clinics, probation offices & court systems, middle school, high schools and now as a private practice clinician. Within these settings, I have had the privilege of working with individuals, couples, parents, teenagers, children and families at many different phases of life and personal development.
(415) 914-1442 View (415) 914-1442
Photo of LaTosha Akana, Marriage & Family Therapist in San Francisco, CA
LaTosha Akana
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94122
I am a licensed marriage and family therapist committed to treating individuals, couples, and families. My clinical interests include treating couples’ issues in transition periods (preparing for marriage, parenthood, or divorce), spiritual or religious issues, depression, anxiety, trauma, and other life transition issues. I use a variety of therapeutic approaches in working with clients and the relationships they have in their lives. Using an integrative change model, I highlight the strengths of different theories to fit the client’s identified needs.
I am a licensed marriage and family therapist committed to treating individuals, couples, and families. My clinical interests include treating couples’ issues in transition periods (preparing for marriage, parenthood, or divorce), spiritual or religious issues, depression, anxiety, trauma, and other life transition issues. I use a variety of therapeutic approaches in working with clients and the relationships they have in their lives. Using an integrative change model, I highlight the strengths of different theories to fit the client’s identified needs.
(415) 888-9744 View (415) 888-9744
Photo of Dr. Adina M Ascher, Clinical Social Work/Therapist in San Francisco, CA
Dr. Adina M Ascher
Clinical Social Work/Therapist, MSW, LCSW, PhD
Verified Verified
5 Endorsed
San Francisco, CA 94103  (Online Only)
I believe that the therapy process is a practice of paying attention to what is actually happening - it sounds simple, but this is actually a deeply profound and challenging stance to maintain towards life. The work we do in therapy involves bringing elements of our thoughts, feelings, and behaviors, how we relate to ourselves and to others, and how we move through the world, from the darkness of the unconscious into the light of consciousness where we can take a look at them. We do not have to struggle and toil in order to implement change in our lives.
I believe that the therapy process is a practice of paying attention to what is actually happening - it sounds simple, but this is actually a deeply profound and challenging stance to maintain towards life. The work we do in therapy involves bringing elements of our thoughts, feelings, and behaviors, how we relate to ourselves and to others, and how we move through the world, from the darkness of the unconscious into the light of consciousness where we can take a look at them. We do not have to struggle and toil in order to implement change in our lives.
(415) 766-2336 View (415) 766-2336
Photo of Smadar Salzman, Marriage & Family Therapist in San Francisco, CA
Smadar Salzman
Marriage & Family Therapist, MA, LMFT
Verified Verified
27 Endorsed
San Francisco, CA 94102  (Online Only)
Do you keep getting hurt in relationships? Keep attracting the same toxic, unavailable partners that make you doubt yourself & leave you feeling anxious & depressed? If you grew up with family dysfunction, neglect, abuse, addicted, or mentally ill parents- adult relationships can be hard! Sometimes what you're drawn to isn't good for you. You're tired of feeling stuck in the same painful patterns. You're ready to finally heal. Ready to stop feeling hurt, damaged, & broken and start feeling loved and connected. Let's address the real impact of your past trauma on your relationships and take practical steps to free you from your past!
Do you keep getting hurt in relationships? Keep attracting the same toxic, unavailable partners that make you doubt yourself & leave you feeling anxious & depressed? If you grew up with family dysfunction, neglect, abuse, addicted, or mentally ill parents- adult relationships can be hard! Sometimes what you're drawn to isn't good for you. You're tired of feeling stuck in the same painful patterns. You're ready to finally heal. Ready to stop feeling hurt, damaged, & broken and start feeling loved and connected. Let's address the real impact of your past trauma on your relationships and take practical steps to free you from your past!
(415) 702-0360 View (415) 702-0360
Photo of Shana Millstein, Psychologist in San Francisco, CA
Shana Millstein
Psychologist, PhD
Verified Verified
San Francisco, CA 94118
Not accepting new clients
I AM NOT ACCEPTING NEW CLIENTS AT THIS TIME. People come to therapy for many different reasons. Some seek symptom relief, while others want to find ways to cope more effectively, improve their relationships, or make better choices in their lives. Whether your concerns reflect relatively discrete, time-limited issues or more long-standing difficulties, psychotherapy offers an opportunity to address them in a safe, respectful and thoughtful environment.
I AM NOT ACCEPTING NEW CLIENTS AT THIS TIME. People come to therapy for many different reasons. Some seek symptom relief, while others want to find ways to cope more effectively, improve their relationships, or make better choices in their lives. Whether your concerns reflect relatively discrete, time-limited issues or more long-standing difficulties, psychotherapy offers an opportunity to address them in a safe, respectful and thoughtful environment.
(415) 689-8181 View (415) 689-8181
Photo of Daniel G Butler, Marriage & Family Therapist in San Francisco, CA
Daniel G Butler
Marriage & Family Therapist, PhD, LMFT
Verified Verified
San Francisco, CA 94102
I work with adults, adolescents, and couples. Most of the adults in my practice are ambitious professionals who want to grow in their careers and/or romantic lives. As a psychoanalytic therapist, I'm trained to provide intensive therapy that leads to long-term change. As a psychodynamic coach, I help professionals tap social and psychological resources that enable them to grow into demanding leadership roles. My style is curious and playful, direct and deep.
I work with adults, adolescents, and couples. Most of the adults in my practice are ambitious professionals who want to grow in their careers and/or romantic lives. As a psychoanalytic therapist, I'm trained to provide intensive therapy that leads to long-term change. As a psychodynamic coach, I help professionals tap social and psychological resources that enable them to grow into demanding leadership roles. My style is curious and playful, direct and deep.
(415) 881-7712 View (415) 881-7712
Photo of Vanessa Brown, Marriage & Family Therapist in San Francisco, CA
Vanessa Brown
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94114
Are you experiencing issues related to stress, anxiety, depression, loss of identity, trauma, or lack of confidence? Are these issues causing you to neglect your own self-care, misuse substances, and/or isolate from family and friends? Do you need support with navigating personal or professional relationships? Are you exploring your sexual or gender identity? Managing a major life transition or preparing for one? These are the times when therapy can be helpful. We can work together to identify your goals, improve your quality of life, and develop a strong sense of self in the process.
Are you experiencing issues related to stress, anxiety, depression, loss of identity, trauma, or lack of confidence? Are these issues causing you to neglect your own self-care, misuse substances, and/or isolate from family and friends? Do you need support with navigating personal or professional relationships? Are you exploring your sexual or gender identity? Managing a major life transition or preparing for one? These are the times when therapy can be helpful. We can work together to identify your goals, improve your quality of life, and develop a strong sense of self in the process.
(415) 914-9354 View (415) 914-9354
Photo of Alyssa Kianidehkian, Marriage & Family Therapist in San Francisco, CA
Alyssa Kianidehkian
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94115
Hi, I'm Alyssa! For the last 12+ years, I have specialized in working with children, adolescents, and young adults ages 5 - 30. I have extensive experience working with clients in a variety of settings who are experiencing anxiety, depression, behavioral issues, family conflict, grief and loss, attachment issues, relationship challenges, low self-esteem, questioning their identity, and having difficulty with life transitions. It is my strong belief that family and parenting support is a core component of working with children and adolescents, as a healthy family system is so impactful and important for them.
Hi, I'm Alyssa! For the last 12+ years, I have specialized in working with children, adolescents, and young adults ages 5 - 30. I have extensive experience working with clients in a variety of settings who are experiencing anxiety, depression, behavioral issues, family conflict, grief and loss, attachment issues, relationship challenges, low self-esteem, questioning their identity, and having difficulty with life transitions. It is my strong belief that family and parenting support is a core component of working with children and adolescents, as a healthy family system is so impactful and important for them.
(415) 969-3683 View (415) 969-3683
Photo of Kim Do, Marriage & Family Therapist in San Francisco, CA
Kim Do
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94127  (Online Only)
Not accepting new clients
I’m a Licensed Marriage & Family Therapist committed to helping individuals learn how to build healthier relationships with themselves and others. My work focuses on targeting ineffective behaviors, habits, and beliefs around self-esteem, boundaries, and coping skills. I believe in building trust and taking a collaborative approach to helping clients reach their goals, while addressing any patterns or blind spots.
I’m a Licensed Marriage & Family Therapist committed to helping individuals learn how to build healthier relationships with themselves and others. My work focuses on targeting ineffective behaviors, habits, and beliefs around self-esteem, boundaries, and coping skills. I believe in building trust and taking a collaborative approach to helping clients reach their goals, while addressing any patterns or blind spots.
(415) 674-7504 x237 View (415) 674-7504 x237
Photo of Helena McMahon, Marriage & Family Therapist in San Francisco, CA
Helena McMahon
Marriage & Family Therapist, MS, MA, LMFT
Verified Verified
San Francisco, CA 94118  (Online Only)
Within each of us exists the potential to feel good about ourselves, our relationships and our work. Accessing this potential, tapping into it and learning to apply it generously to everyday life can lead to great success and fulfillment in all of these areas. I collaborate with my clients to identify and address the things blocking their ability to have a true and lasting sense of well being-- depression, stress, low self esteem, past trauma, self defeating patterns and toxic relationships. Together we work actively on transforming these obstacles into self knowledge and new, positive behaviors.
Within each of us exists the potential to feel good about ourselves, our relationships and our work. Accessing this potential, tapping into it and learning to apply it generously to everyday life can lead to great success and fulfillment in all of these areas. I collaborate with my clients to identify and address the things blocking their ability to have a true and lasting sense of well being-- depression, stress, low self esteem, past trauma, self defeating patterns and toxic relationships. Together we work actively on transforming these obstacles into self knowledge and new, positive behaviors.
(415) 375-0973 View (415) 375-0973
Photo of Ron Austin MS, LMFT 925-949-6349, Marriage & Family Therapist in San Francisco, CA
Ron Austin MS, LMFT 925-949-6349
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94117  (Online Only)
25 plus years of experience in all areas of counseling. - Clinical Director Substance Abuse - Directed County Mental Health Teams , including Crisis and Children's Mental Health - Adjunct faculty at two Universities totaling 20 years - Juvenile Justice experience I enjoy working with couples and adults as they sort through the challenges of life. I make every attempt to help develop change for a healthy lifestyles. I am skilled in CBT, DBT, and Solution Focused treatments.
25 plus years of experience in all areas of counseling. - Clinical Director Substance Abuse - Directed County Mental Health Teams , including Crisis and Children's Mental Health - Adjunct faculty at two Universities totaling 20 years - Juvenile Justice experience I enjoy working with couples and adults as they sort through the challenges of life. I make every attempt to help develop change for a healthy lifestyles. I am skilled in CBT, DBT, and Solution Focused treatments.
(925) 478-2536 View (925) 478-2536
Photo of Brianda DeCastro, Marriage & Family Therapist in San Francisco, CA
Brianda DeCastro
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94102  (Online Only)
No matter who we are or what our background in life, much of our behavior is influenced by our unconscious mind, and I have learned that facing these unconscious motives in a relational therapy setting can lead to psychological healing, especially when combined with the physical body and somatic experiences. I enjoy engaging with clients in exploration, analysis, and reflective interpretation, and through this, developing a path of healing and growth.
No matter who we are or what our background in life, much of our behavior is influenced by our unconscious mind, and I have learned that facing these unconscious motives in a relational therapy setting can lead to psychological healing, especially when combined with the physical body and somatic experiences. I enjoy engaging with clients in exploration, analysis, and reflective interpretation, and through this, developing a path of healing and growth.
(628) 277-5615 View (628) 277-5615

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.