Therapists in San Jose, CA

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Photo of Carly Rushton, Marriage & Family Therapist Associate in San Jose, CA
Carly Rushton
Marriage & Family Therapist Associate
Verified Verified
2 Endorsed
San Jose, CA 95128
At Relucent Psychology Group I bring my background in college settings, art, and nonprofits to work with people from diverse backgrounds using a compassionate, collaborative, and non-judgmental approach. I'm passionate about helping others navigate trauma, mood and anxiety disorders, child/teen behavioral issues, complex grief, self-esteem, work-life balance, spirituality and life transitions. I believe in being authentic and approaching our work together authentically. I have been told my approach allows others to feel comfortable, welcome, and safe to explore and release anger, sadness, fear, even joy and humor.
At Relucent Psychology Group I bring my background in college settings, art, and nonprofits to work with people from diverse backgrounds using a compassionate, collaborative, and non-judgmental approach. I'm passionate about helping others navigate trauma, mood and anxiety disorders, child/teen behavioral issues, complex grief, self-esteem, work-life balance, spirituality and life transitions. I believe in being authentic and approaching our work together authentically. I have been told my approach allows others to feel comfortable, welcome, and safe to explore and release anger, sadness, fear, even joy and humor.
(408) 539-4901 View (408) 539-4901
Photo of Alexandra Ludovina Krass, Clinical Social Work/Therapist in San Jose, CA
Alexandra Ludovina Krass
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
San Jose, CA 95138  (Online Only)
I am honored to work closely with women experiencing significant life stressors. Many of my clients are having problems in their romantic relationships or have had a couple’s therapist recommend they seek out a trauma specialist to aid them in working through difficult childhood experiences. I am also privileged to work with women experiencing PTSD, anxiety, depression, and alcoholism. I provide clear, direct, and supportive feedback to those I serve while holding space with deep empathy and compassion.
I am honored to work closely with women experiencing significant life stressors. Many of my clients are having problems in their romantic relationships or have had a couple’s therapist recommend they seek out a trauma specialist to aid them in working through difficult childhood experiences. I am also privileged to work with women experiencing PTSD, anxiety, depression, and alcoholism. I provide clear, direct, and supportive feedback to those I serve while holding space with deep empathy and compassion.
(650) 249-7832 View (650) 249-7832
Photo of Jamie Williams, Marriage & Family Therapist in San Jose, CA
Jamie Williams
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95125
I will work with you from a systemic perspective, integrating various therapeutic approaches to accommodate your individual and/or family's needs. I strive to provide a safe and supportive environment and I will collaborate with you to uncover what is at the root of your thoughts and feelings and will help you learn ways to cope and heal.
I will work with you from a systemic perspective, integrating various therapeutic approaches to accommodate your individual and/or family's needs. I strive to provide a safe and supportive environment and I will collaborate with you to uncover what is at the root of your thoughts and feelings and will help you learn ways to cope and heal.
(408) 956-6121 View (408) 956-6121
Photo of Lori Riggio, Psychologist in San Jose, CA
Lori Riggio
Psychologist, PhD
Verified Verified
San Jose, CA 95124  (Online Only)
Not accepting new clients
I am a licensed clinical psychologist with over 25 years experience assisting adults, adolescents, and children work though emotional challenges, conflicts, and transitions. I believe every person is unique with distinct experiences, characteristics, and needs. My treatment is therefore an integration of different approaches tailored to the client's individualized needs. Symptom relief and attainment of goals begin with the establishment of a collaborative relationship in which my client can actively participate, experiences trust and confidence in my work, and feels respected, heard, and understood.
I am a licensed clinical psychologist with over 25 years experience assisting adults, adolescents, and children work though emotional challenges, conflicts, and transitions. I believe every person is unique with distinct experiences, characteristics, and needs. My treatment is therefore an integration of different approaches tailored to the client's individualized needs. Symptom relief and attainment of goals begin with the establishment of a collaborative relationship in which my client can actively participate, experiences trust and confidence in my work, and feels respected, heard, and understood.
(562) 330-2318 View (562) 330-2318
Photo of Kylie Duty, Marriage & Family Therapist in San Jose, CA
Kylie Duty
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95118
I work with clients who struggle to find happiness in their lives because they feel burdened by things that are out of their control. I enjoy helping clients find fulfillment no matter where they are in life. I hope to help my clients improve their self-esteem, reduce their stress levels, increase their understanding of themselves, and learn valuable stress management tools they can use outside of the therapy room.
I work with clients who struggle to find happiness in their lives because they feel burdened by things that are out of their control. I enjoy helping clients find fulfillment no matter where they are in life. I hope to help my clients improve their self-esteem, reduce their stress levels, increase their understanding of themselves, and learn valuable stress management tools they can use outside of the therapy room.
(669) 322-4204 View (669) 322-4204
Photo of Samantha Crismond, Clinical Social Work/Therapist in San Jose, CA
Samantha Crismond
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95111
My areas of clinical focus are depression, anxiety, and stress. I have experience with adults from all walks of life. I am also a culturally competent therapist and have experience with the LGBTQIA+ and Veteran populations. I have found that the use of technology has greatly improved the ability of therapists and clients to collaborate in mental health treatment. I will often use multimodal strategies to keep you engaged and to increase the understanding of your patterns of behavior, such as videos and worksheets.
My areas of clinical focus are depression, anxiety, and stress. I have experience with adults from all walks of life. I am also a culturally competent therapist and have experience with the LGBTQIA+ and Veteran populations. I have found that the use of technology has greatly improved the ability of therapists and clients to collaborate in mental health treatment. I will often use multimodal strategies to keep you engaged and to increase the understanding of your patterns of behavior, such as videos and worksheets.
(408) 676-4726 View (408) 676-4726
Photo of Chelsea Wise-Diangson, Marriage & Family Therapist in San Jose, CA
Chelsea Wise-Diangson
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95148  (Online Only)
Waitlist for new clients
Are you wrestling with anxiety, OCD, or the pressures of the Millennial experience? Feeling overwhelmed by the demands of late-stage capitalism? I'm here to support you. Specializing in anxiety disorders, I'm passionate about helping you reclaim control and build the life you envision. My ideal clients are those who are motivated and ready to commit to the journey of growth. Together, we'll navigate the challenges, even if you're unsure of your goals. My role is to guide you through the process, helping you find clarity and envision a future filled with peace, joy, and fulfillment in all aspects of your life.
Are you wrestling with anxiety, OCD, or the pressures of the Millennial experience? Feeling overwhelmed by the demands of late-stage capitalism? I'm here to support you. Specializing in anxiety disorders, I'm passionate about helping you reclaim control and build the life you envision. My ideal clients are those who are motivated and ready to commit to the journey of growth. Together, we'll navigate the challenges, even if you're unsure of your goals. My role is to guide you through the process, helping you find clarity and envision a future filled with peace, joy, and fulfillment in all aspects of your life.
(408) 317-1692 View (408) 317-1692
Photo of Michelle Horn, Marriage & Family Therapist in San Jose, CA
Michelle Horn
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95129
Michelle Horn, LMFT 136019. Improving relationships and managing stressors in daily life settings is important. My practice focuses on supporting improved coping skills and strategies to achieve positive outcomes. My practice is trauma-informed and focuses on increasing coping strategies to reduce symptoms and increase quality of life. I believe that balance and connectivity lead to overall emotional and mental health. In my practice, it is important to me that I support you and/or your loved one's to achieve this.
Michelle Horn, LMFT 136019. Improving relationships and managing stressors in daily life settings is important. My practice focuses on supporting improved coping skills and strategies to achieve positive outcomes. My practice is trauma-informed and focuses on increasing coping strategies to reduce symptoms and increase quality of life. I believe that balance and connectivity lead to overall emotional and mental health. In my practice, it is important to me that I support you and/or your loved one's to achieve this.
(408) 512-3984 View (408) 512-3984
Photo of Dr. E Pezzini, Registered Psychological Associate in San Jose, CA
Dr. E Pezzini
Registered Psychological Associate, PhD, PCC
Verified Verified
San Jose, CA 95126  (Online Only)
Hello, how are you? This is Dr. Pezzini, an Italian American Clinical Psychological Associate, all throughout California. Sessions are online, via Telehealth. I have been working as a psychologist for over 25 years combined. I specialize in relationship transitions and adjustments, for high profile individuals. Everyone is VIP :) I support groups, too, with the latest methodologies, such as hypnotherapy, animal assisted therapy, and KAP. My other passions are professional certified coaching and applied industrial organizational psychology, all of which I am trained in. dot.cards/drpezzini
Hello, how are you? This is Dr. Pezzini, an Italian American Clinical Psychological Associate, all throughout California. Sessions are online, via Telehealth. I have been working as a psychologist for over 25 years combined. I specialize in relationship transitions and adjustments, for high profile individuals. Everyone is VIP :) I support groups, too, with the latest methodologies, such as hypnotherapy, animal assisted therapy, and KAP. My other passions are professional certified coaching and applied industrial organizational psychology, all of which I am trained in. dot.cards/drpezzini
(408) 676-5292 View (408) 676-5292
Photo of Stacey Simpson (Formerly Pinneke), Marriage & Family Therapist Associate in San Jose, CA
Stacey Simpson (Formerly Pinneke)
Marriage & Family Therapist Associate, MA, AMFT, APCC, NCC
Verified Verified
San Jose, CA 95128
Therapy is essential to healing from crisis-related trauma, however it does not always have to be crisis responsive. You may want to change self-defeating behaviors or develop or improve your sense of purpose. While the influence of life experience from infancy through adulthood is undeniable, I specialize in using person-centered therapy that focuses on the present with strengths-based, solutions-oriented emphasis and holistic and mindfulness practices that nurture self- awareness.
Therapy is essential to healing from crisis-related trauma, however it does not always have to be crisis responsive. You may want to change self-defeating behaviors or develop or improve your sense of purpose. While the influence of life experience from infancy through adulthood is undeniable, I specialize in using person-centered therapy that focuses on the present with strengths-based, solutions-oriented emphasis and holistic and mindfulness practices that nurture self- awareness.
(408) 418-2593 View (408) 418-2593
Photo of Carmen Roman, PhD (English/Spanish), Psychologist in San Jose, CA
Carmen Roman, PhD (English/Spanish)
Psychologist, PhD
Verified Verified
4 Endorsed
San Jose, CA 95126
Waitlist for new clients
Do you want to ease your ANXIETY, Depression, or Trauma? Or maybe improve your creativity, your relationship with your partner, or become more productive? We can work on it. I am a SPANISH/English psychologist with 30+ years of experience in providing psychotherapy in Mexico since 1992. 13 years working in California. I offer you a combination of both cultures and both worlds of psychology. I work for you to feel safe to explore your deepest feelings and tap into your inner wisdom. Tell me about your anxiety, depression, fear, severe trauma, or low self-esteem, I can help.
Do you want to ease your ANXIETY, Depression, or Trauma? Or maybe improve your creativity, your relationship with your partner, or become more productive? We can work on it. I am a SPANISH/English psychologist with 30+ years of experience in providing psychotherapy in Mexico since 1992. 13 years working in California. I offer you a combination of both cultures and both worlds of psychology. I work for you to feel safe to explore your deepest feelings and tap into your inner wisdom. Tell me about your anxiety, depression, fear, severe trauma, or low self-esteem, I can help.
(650) 826-3983 View (650) 826-3983
Photo of Pankti Gada, Marriage & Family Therapist in San Jose, CA
Pankti Gada
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95132  (Online Only)
I am glad you have made it this far on your journey. Typically the clients I work with have had experiences in life that have been traumatic, often early on. They have coped through these but the wounds are not yet fully healed. Those memories hold power over their present and they are seeking a different future where they are feeling lighter, freer, more fully their true selves. They value connection with others and want to process the challenges that keep cropping up. Trauma impacts us in seen and unseen ways, and at certain points in life we hear our inner intuition - the need to feel heard, understood and guided towards healing.
I am glad you have made it this far on your journey. Typically the clients I work with have had experiences in life that have been traumatic, often early on. They have coped through these but the wounds are not yet fully healed. Those memories hold power over their present and they are seeking a different future where they are feeling lighter, freer, more fully their true selves. They value connection with others and want to process the challenges that keep cropping up. Trauma impacts us in seen and unseen ways, and at certain points in life we hear our inner intuition - the need to feel heard, understood and guided towards healing.
(408) 418-2457 View (408) 418-2457
Photo of Janet Huh, Marriage & Family Therapist in San Jose, CA
Janet Huh
Marriage & Family Therapist, LMFT, MS
Verified Verified
4 Endorsed
San Jose, CA 95101
Are you feeling "stuck" in your life right now? Do you notice recurring dysfunctional patterns in your life that you'd like to stop? Is it impacting your work, social, and/or academic life? Are your relationships being impacted by Covid 19?
Are you feeling "stuck" in your life right now? Do you notice recurring dysfunctional patterns in your life that you'd like to stop? Is it impacting your work, social, and/or academic life? Are your relationships being impacted by Covid 19?
(831) 531-4226 View (831) 531-4226
Photo of Kelley Lockwood, Clinical Social Work/Therapist in San Jose, CA
Kelley Lockwood
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
San Jose, CA 95112
Are you struggling, knowing it's time for a change but unsure where or how to start? Therapy doesn’t have to be a daunting process. While change and vulnerability can be difficult, I make every effort to help you move toward your goals at a pace defined by you. Whether it's related to our relationships, career, self perceptions and/or how we fit into our world, life's challenges can propel us toward seeking help. Finding our path and achieving our goals are vital in obtaining happiness and satisfaction in life. I want to help you get there.
Are you struggling, knowing it's time for a change but unsure where or how to start? Therapy doesn’t have to be a daunting process. While change and vulnerability can be difficult, I make every effort to help you move toward your goals at a pace defined by you. Whether it's related to our relationships, career, self perceptions and/or how we fit into our world, life's challenges can propel us toward seeking help. Finding our path and achieving our goals are vital in obtaining happiness and satisfaction in life. I want to help you get there.
(408) 359-4941 View (408) 359-4941
Photo of Ellen Ross, Psychologist in San Jose, CA
Ellen Ross
Psychologist, PsyD
Verified Verified
2 Endorsed
San Jose, CA 95126
Are you feeling anxious or overwhelmed? Have you tried everything you can think of to solve the problem, change your circumstances, or just feel better on your own? If you're deep in the mire of anxiety and depression, trying to make a positive change, or just barely managing to make it through the day, it can be tough to think that things could be different. You can feel frustrated, disconnected, and stuck. Getting the right support can be the ticket to moving out of being stuck and taking steps toward living the life you'd like to be living.
Are you feeling anxious or overwhelmed? Have you tried everything you can think of to solve the problem, change your circumstances, or just feel better on your own? If you're deep in the mire of anxiety and depression, trying to make a positive change, or just barely managing to make it through the day, it can be tough to think that things could be different. You can feel frustrated, disconnected, and stuck. Getting the right support can be the ticket to moving out of being stuck and taking steps toward living the life you'd like to be living.
(669) 238-2777 View (669) 238-2777
Photo of Saskia Stockbroekx-Pinto, Marriage & Family Therapist in San Jose, CA
Saskia Stockbroekx-Pinto
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95126
Life is a challenge...even if you don't have any major problems. When you experience one or more additional stressors, such as relationship issues with a child/partner, challenges with blending families, job, financial, health, mood, legal, or ex-partner issues, you might find yourself struggling to keep your sanity at times or realize that you are not living up to your potential. If you wish to feel more full-filled emotionally, physically, mentally, professionally, spiritually and/or in your relationships, I can help you explore which changes could be helpful to reach that goal or what is causing you to stay stuck and in pain.
Life is a challenge...even if you don't have any major problems. When you experience one or more additional stressors, such as relationship issues with a child/partner, challenges with blending families, job, financial, health, mood, legal, or ex-partner issues, you might find yourself struggling to keep your sanity at times or realize that you are not living up to your potential. If you wish to feel more full-filled emotionally, physically, mentally, professionally, spiritually and/or in your relationships, I can help you explore which changes could be helpful to reach that goal or what is causing you to stay stuck and in pain.
(408) 512-3572 View (408) 512-3572
Photo of Anobella Eshoo, Associate Marriage & Family Therapist in San Jose, CA
Anobella Eshoo
Associate Marriage & Family Therapist, AMFT
Verified Verified
1 Endorsed
San Jose, CA 95124
I am dedicated to creating an environment of safety in our therapeutic relationship so you can heal and meet your goals. This allows room for unfinished business of the past to surface and receive the attention it deserves. I love working with teens, couples, and families. My primary focus is pre-marital therapy, parent-teen relationships, and identity formation. Specifically, I work with Christian couples who are facing fears and reservations around the topic of marriage and sex. Oftentimes, spiritual trauma, upbringing and other factors can contribute to these challenges.
I am dedicated to creating an environment of safety in our therapeutic relationship so you can heal and meet your goals. This allows room for unfinished business of the past to surface and receive the attention it deserves. I love working with teens, couples, and families. My primary focus is pre-marital therapy, parent-teen relationships, and identity formation. Specifically, I work with Christian couples who are facing fears and reservations around the topic of marriage and sex. Oftentimes, spiritual trauma, upbringing and other factors can contribute to these challenges.
(408) 539-0660 View (408) 539-0660
Photo of Andrea Ferriera, Marriage & Family Therapist Associate in San Jose, CA
Andrea Ferriera
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
3 Endorsed
San Jose, CA 95117
You know those thoughts that say "I'm not worthy," or "I'm not good enough?" It is time to remember that you are a human first, and that you deserve to have space to feel safe in exploring the most authentic version of yourself and realize that is way more than "not good enough."
You know those thoughts that say "I'm not worthy," or "I'm not good enough?" It is time to remember that you are a human first, and that you deserve to have space to feel safe in exploring the most authentic version of yourself and realize that is way more than "not good enough."
(408) 317-1652 View (408) 317-1652
Photo of Caci B Tassano, Marriage & Family Therapist in San Jose, CA
Caci B Tassano
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95129  (Online Only)
New session times available as of 9/1/2023 . Are you struggling with relationships, work stress, or feeling isolated? Often people who come to see me for therapy are facing combined challenges including anxiety, depression and work stress. In therapy you and I will develop a therapeutic partnership and a collaborative, supportive space to help you reach your goals.
New session times available as of 9/1/2023 . Are you struggling with relationships, work stress, or feeling isolated? Often people who come to see me for therapy are facing combined challenges including anxiety, depression and work stress. In therapy you and I will develop a therapeutic partnership and a collaborative, supportive space to help you reach your goals.
(831) 713-1895 View (831) 713-1895
Photo of Jillian Taylorwood, Marriage & Family Therapist Associate in San Jose, CA
Jillian Taylorwood
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Jose, CA 95130
Does your child seem unhappy or angry; maybe having problems at home or school? Are your kids fighting? Do you have a young child who doesn’t listen to you, refuses to sleep in their own bed, won’t eat anything but crackers, or throws a fit when they don’t get their way? Do you find yourself feeling frustrated or angry with your child? Are you tired of fighting with your spouse, or your kids? Maybe your kids are fine but find you, yourself, are feeling overwhelmed. I am here to help. I’m a teacher turned therapist who works with children (0-17) and families, both individually and as a whole.
Does your child seem unhappy or angry; maybe having problems at home or school? Are your kids fighting? Do you have a young child who doesn’t listen to you, refuses to sleep in their own bed, won’t eat anything but crackers, or throws a fit when they don’t get their way? Do you find yourself feeling frustrated or angry with your child? Are you tired of fighting with your spouse, or your kids? Maybe your kids are fine but find you, yourself, are feeling overwhelmed. I am here to help. I’m a teacher turned therapist who works with children (0-17) and families, both individually and as a whole.
(408) 418-2560 View (408) 418-2560

How does your Therapist compare?

Number of Therapists in San Jose, CA

1,000+

Average cost per session

$180

Therapists in San Jose, CA who prioritize treating:

92% Anxiety
87% Depression
75% Relationship Issues
73% Self Esteem
70% Stress
67% Coping Skills
65% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
72% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Jose, CA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in San Jose?

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.