Therapists in San Francisco, CA

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Photo of Giulia P. Davis, Marriage & Family Therapist Associate in San Francisco, CA
Giulia P. Davis
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
San Francisco, CA 94117  (Online Only)
Are you rocking that 'got-it-together' facade, but deep down you're really falling apart? You're not alone. Life's throwing punches, and the struggle is real. You're seeking direction and clarity, but you feel stuck, caught in self-doubt, and trapped in "stay or leave" dilemmas. The uncertainty is unsettling and you start questioning everything about your relationship…and yourself. Whether it's your marriage, career, or the sheer weight of everything around you—I get it. It's like having a hundred tabs open in your mind at once, making it hard to think straight and perform as you envision. You're exhausted. It's time for a change.
Are you rocking that 'got-it-together' facade, but deep down you're really falling apart? You're not alone. Life's throwing punches, and the struggle is real. You're seeking direction and clarity, but you feel stuck, caught in self-doubt, and trapped in "stay or leave" dilemmas. The uncertainty is unsettling and you start questioning everything about your relationship…and yourself. Whether it's your marriage, career, or the sheer weight of everything around you—I get it. It's like having a hundred tabs open in your mind at once, making it hard to think straight and perform as you envision. You're exhausted. It's time for a change.
(415) 692-3541 View (415) 692-3541
Photo of Claire Perelman, Clinical Social Work/Therapist in San Francisco, CA
Claire Perelman
Clinical Social Work/Therapist, LCSW, PPSC
Verified Verified
1 Endorsed
San Francisco, CA 94115
You deserve to feel deeply connected to yourself, your partner(s), and the world around you. I’m here to help. Talking about sex with your partner - or anyone - might feel like a daunting task. Having sex might feel difficult, impossible, or like too much effort - or lead to conflict with your partner. You might be questioning your sexual desires or wondering if you and your partner are still compatible. I help clients overcome their sexual and relational difficulties to feel confident in and outside the bedroom. Together, we will collaborate on how to help you reach your goals, through therapy sessions and home assignments.
You deserve to feel deeply connected to yourself, your partner(s), and the world around you. I’m here to help. Talking about sex with your partner - or anyone - might feel like a daunting task. Having sex might feel difficult, impossible, or like too much effort - or lead to conflict with your partner. You might be questioning your sexual desires or wondering if you and your partner are still compatible. I help clients overcome their sexual and relational difficulties to feel confident in and outside the bedroom. Together, we will collaborate on how to help you reach your goals, through therapy sessions and home assignments.
(415) 985-4279 View (415) 985-4279
Photo of Annu Sood, Marriage & Family Therapist in San Francisco, CA
Annu Sood
Marriage & Family Therapist
Verified Verified
3 Endorsed
San Francisco, CA 94103  (Online Only)
Hello! My name is Annu, and I am a therapist in San Francisco (and online). I work with immigrants and adult-children of immigrants....also known as Third Culture Kids (TCK) or First Generation Americans. I work with multi-cultural and multi-racial couples, many of whom are people of color. I work with successful, career-driven achievers. I belong to each of these demographics - my parents immigrated to the US in 1971, and I worked in the corporate world for nearly 2 decades, climbing the corporate ladder rapidly before pivoting my career by going back to school to study counseling psychology. I work virtually via Zoom or phone.
Hello! My name is Annu, and I am a therapist in San Francisco (and online). I work with immigrants and adult-children of immigrants....also known as Third Culture Kids (TCK) or First Generation Americans. I work with multi-cultural and multi-racial couples, many of whom are people of color. I work with successful, career-driven achievers. I belong to each of these demographics - my parents immigrated to the US in 1971, and I worked in the corporate world for nearly 2 decades, climbing the corporate ladder rapidly before pivoting my career by going back to school to study counseling psychology. I work virtually via Zoom or phone.
(415) 942-8008 View (415) 942-8008
Photo of Binky Mendoza, Marriage & Family Therapist Associate in San Francisco, CA
Binky Mendoza
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
San Francisco, CA 94104
When we hold layers of unprocessed experience and emotions, life can feel very constricted. Often we're not even aware that's what's going on. We just feel stuck, and things have a way of feeling like an uphill struggle. That's because the accumulation of stress and overwhelming experiences in our life and relationships can create a new normal that is far removed from who we really are. It becomes harder to connect with our strengths, dreams, aliveness and power.
When we hold layers of unprocessed experience and emotions, life can feel very constricted. Often we're not even aware that's what's going on. We just feel stuck, and things have a way of feeling like an uphill struggle. That's because the accumulation of stress and overwhelming experiences in our life and relationships can create a new normal that is far removed from who we really are. It becomes harder to connect with our strengths, dreams, aliveness and power.
(415) 358-3084 View (415) 358-3084
Photo of Margo Levi, Clinical Social Work/Therapist in San Francisco, CA
Margo Levi
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94114
You deserve to be heard. My specialties include connecting with strong willed teens, healing family conflicts and helping adults translate pain and difficulty into opportunities for transformation. I have a particular interest in the enhanced opportunity for change and growth that come from big developmental transitions such as adolescence, becoming an adult and becoming a parent. My style is warm, active and solution oriented.
You deserve to be heard. My specialties include connecting with strong willed teens, healing family conflicts and helping adults translate pain and difficulty into opportunities for transformation. I have a particular interest in the enhanced opportunity for change and growth that come from big developmental transitions such as adolescence, becoming an adult and becoming a parent. My style is warm, active and solution oriented.
(415) 423-1030 View (415) 423-1030
Photo of Jerna Reyes, Marriage & Family Therapist in San Francisco, CA
Jerna Reyes
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94108
Not accepting new clients
Are you looking to overcome challenging life situations? Would you like to experience relief from stressors, improve your quality of life, and achieve your therapeutic goals? I have extensive experience working with depression, anxiety, anger management, marital issues, issues related to aging, chemical abuse and dependency, gambling and other addictions, and personality issues. I have been a psychotherapist for over 14 years treating adults and older adults 18 years of age and above. Psychotherapy is individual and personal, and there are multiple approaches to treatment. I also believe that the development of communication skills and coping skills are very important in achieving wellness.
Are you looking to overcome challenging life situations? Would you like to experience relief from stressors, improve your quality of life, and achieve your therapeutic goals? I have extensive experience working with depression, anxiety, anger management, marital issues, issues related to aging, chemical abuse and dependency, gambling and other addictions, and personality issues. I have been a psychotherapist for over 14 years treating adults and older adults 18 years of age and above. Psychotherapy is individual and personal, and there are multiple approaches to treatment. I also believe that the development of communication skills and coping skills are very important in achieving wellness.
(415) 741-0654 View (415) 741-0654
Photo of Doris Lai-Ming Tang, Clinical Social Work/Therapist in San Francisco, CA
Doris Lai-Ming Tang
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94122  (Online Only)
Doris is a licensed therapist who has extensive experience working with a diverse population, including children, young adults, older adults, and Asian clients. She speaks Cantonese and conversational Mandarin. Her approach is warm, collaborative, and person-centered.
Doris is a licensed therapist who has extensive experience working with a diverse population, including children, young adults, older adults, and Asian clients. She speaks Cantonese and conversational Mandarin. Her approach is warm, collaborative, and person-centered.
(415) 723-1813 View (415) 723-1813
Photo of Lauren Blumer, Marriage & Family Therapist in San Francisco, CA
Lauren Blumer
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94114  (Online Only)
Waitlist for new clients
I specialize in working with young adults ages 16-30 as they navigate the exciting, yet often stressful transitions within early adulthood. Many of my clients have experienced trauma and find that this impacts their relationships, school, work, and general sense of self. This can lead to feelings of sadness, anxiety, low self-esteem, and difficulty trusting yourself. These feelings can impact all relationships, but many encounter challenges when dating and getting involved in romantic relationships, as they may experience attachment concerns, intimacy challenges, and difficulty choosing good partners.
I specialize in working with young adults ages 16-30 as they navigate the exciting, yet often stressful transitions within early adulthood. Many of my clients have experienced trauma and find that this impacts their relationships, school, work, and general sense of self. This can lead to feelings of sadness, anxiety, low self-esteem, and difficulty trusting yourself. These feelings can impact all relationships, but many encounter challenges when dating and getting involved in romantic relationships, as they may experience attachment concerns, intimacy challenges, and difficulty choosing good partners.
(415) 322-1636 View (415) 322-1636
Photo of Cecilie Herring, Marriage & Family Therapist in San Francisco, CA
Cecilie Herring
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94118
I am a Licensed Marriage Family Therapist offering psychotherapy to adults, adolescents, and children. My training focuses on helping my clients improve their relationships with themselves and others, navigate life transitions, and heal from traumatic experiences. My overall approach seeks to provide a warm, trusting, nonjudgemental relationship in which you are deeply listened to and can safely and freely discuss your challenges, concerns, and vulnerabilities.
I am a Licensed Marriage Family Therapist offering psychotherapy to adults, adolescents, and children. My training focuses on helping my clients improve their relationships with themselves and others, navigate life transitions, and heal from traumatic experiences. My overall approach seeks to provide a warm, trusting, nonjudgemental relationship in which you are deeply listened to and can safely and freely discuss your challenges, concerns, and vulnerabilities.
(415) 517-9319 View (415) 517-9319
Photo of Amy Chang, Marriage & Family Therapist in San Francisco, CA
Amy Chang
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94105  (Online Only)
My mission is to provide quality culturally sensitive counseling services to individuals and couples to help them achieve a more satisfying life. I believe that everyone intuitively has the tools needed to succeed in therapy. Therefore, my goal is to help clients understand and access their strengths to overcome emotional and mental health barriers that may be hindering them from living a fulfilled life.
My mission is to provide quality culturally sensitive counseling services to individuals and couples to help them achieve a more satisfying life. I believe that everyone intuitively has the tools needed to succeed in therapy. Therefore, my goal is to help clients understand and access their strengths to overcome emotional and mental health barriers that may be hindering them from living a fulfilled life.
(415) 942-6503 View (415) 942-6503
Photo of Paul Ziller Psychotherapy, Marriage & Family Therapist in San Francisco, CA
Paul Ziller Psychotherapy
Marriage & Family Therapist, LMFT, MA
Verified Verified
9 Endorsed
San Francisco, CA 94118
Most of our wounding is experienced in relationship, and so our healing needs that too. I offer a compassionate, collaborative home base that responds to what you bring. Face your challenges with skilled support. We'll move at a pace that's attuned to you, balancing qualities of relief with growing edges. Together we can work to help you be in better relationship and balance with yourself and others, build resources, connect to your rich inner life and greater clarity, create an intentional path. Reach out...I offer a FREE 15-minute phone consultation, which concludes with a brief intake, if it's a good fit.
Most of our wounding is experienced in relationship, and so our healing needs that too. I offer a compassionate, collaborative home base that responds to what you bring. Face your challenges with skilled support. We'll move at a pace that's attuned to you, balancing qualities of relief with growing edges. Together we can work to help you be in better relationship and balance with yourself and others, build resources, connect to your rich inner life and greater clarity, create an intentional path. Reach out...I offer a FREE 15-minute phone consultation, which concludes with a brief intake, if it's a good fit.
(415) 599-4084 View (415) 599-4084
Photo of Jennifer Coloma, Psychologist in San Francisco, CA
Jennifer Coloma
Psychologist, PhD
Verified Verified
3 Endorsed
San Francisco, CA 94131
“And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.” - Anais Nin. Creativity, liberation, and transformation — getting your power back — these are core tenants in my practice. My approach merges reflective space to spark insight with concrete tools and strategies to drive change. I draw from existential philosophy, the arts, and culture, as well as research and theory to match unique needs with individualized treatments that resonate.
“And the day came when the risk to remain tight in a bud was more painful than the risk it took to blossom.” - Anais Nin. Creativity, liberation, and transformation — getting your power back — these are core tenants in my practice. My approach merges reflective space to spark insight with concrete tools and strategies to drive change. I draw from existential philosophy, the arts, and culture, as well as research and theory to match unique needs with individualized treatments that resonate.
(831) 221-9479 View (831) 221-9479
Photo of Honeycomb Wellness Group, Marriage & Family Therapist in San Francisco, CA
Honeycomb Wellness Group
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94102  (Online Only)
We believe that the value of your health goes beyond just your physical health. Emotional, psychological and social health are important in creating overall health and well being. It is our goal at Honeycomb Group to help you become the person, couple or family you want to be, and uncover your full potential.
We believe that the value of your health goes beyond just your physical health. Emotional, psychological and social health are important in creating overall health and well being. It is our goal at Honeycomb Group to help you become the person, couple or family you want to be, and uncover your full potential.
(415) 338-9366 View (415) 338-9366
Photo of Brad Byrum, Marriage & Family Therapist in San Francisco, CA
Brad Byrum
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
San Francisco, CA 94104  (Online Only)
Has your relationship become an angry, sad, or scary place leaving you feeling alone, hurt and discouraged? Are you and your partner feeling lost in conflict cycles you don’t understand and desperately want to change? Many of the couples I work with come to therapy feeling just like you. I understand how much courage it takes to reach out for help and to let another person get inside your relationship, especially when you are feeling so vulnerable. If you are searching for a safe place to explore what's not working in your relationship, and support in creating solutions, I can help.
Has your relationship become an angry, sad, or scary place leaving you feeling alone, hurt and discouraged? Are you and your partner feeling lost in conflict cycles you don’t understand and desperately want to change? Many of the couples I work with come to therapy feeling just like you. I understand how much courage it takes to reach out for help and to let another person get inside your relationship, especially when you are feeling so vulnerable. If you are searching for a safe place to explore what's not working in your relationship, and support in creating solutions, I can help.
(650) 381-1297 View (650) 381-1297
Photo of Margaret Flynn, Psychologist in San Francisco, CA
Margaret Flynn
Psychologist, PsyD
Verified Verified
San Francisco, CA 94109  (Online Only)
Are you are stuck in unhelpful patterns in your life or relationships? Do you want to feel differently about yourself or your partner? Is conflict or distance in your romantic relationship causing stress? Is there a sexual health concern you are not sure where to start to address? Let’s talk! In my practice with couples, I work from an Emotionally Focused Therapy framework, an evidence-based treatment facilitating change from distress to a secure bond. With increased security in your relationship, you can more productively navigate conflict and feel more confident in the world knowing your partner has your back.
Are you are stuck in unhelpful patterns in your life or relationships? Do you want to feel differently about yourself or your partner? Is conflict or distance in your romantic relationship causing stress? Is there a sexual health concern you are not sure where to start to address? Let’s talk! In my practice with couples, I work from an Emotionally Focused Therapy framework, an evidence-based treatment facilitating change from distress to a secure bond. With increased security in your relationship, you can more productively navigate conflict and feel more confident in the world knowing your partner has your back.
(628) 200-4308 View (628) 200-4308
Photo of Abbie Endres, Marriage & Family Therapist in San Francisco, CA
Abbie Endres
Marriage & Family Therapist, MA, LMFT, PMH-C
Verified Verified
San Francisco, CA 94131  (Online Only)
You've begun a courageous search. Take heart, healing is possible. My work is rooted in the body/mind connection, nourished by the imagination, and anchored in the support of our therapy relationship. My style includes both directing and listening. I understand that your timing and willingness to explore your concerns are unique and must be navigated with respect. We work together to take stock, talk about your goals, and gather the tools needed - from your own strengths, the training I bring, and a community of resources - to help you continue your journey of wellbeing.
You've begun a courageous search. Take heart, healing is possible. My work is rooted in the body/mind connection, nourished by the imagination, and anchored in the support of our therapy relationship. My style includes both directing and listening. I understand that your timing and willingness to explore your concerns are unique and must be navigated with respect. We work together to take stock, talk about your goals, and gather the tools needed - from your own strengths, the training I bring, and a community of resources - to help you continue your journey of wellbeing.
(415) 322-3318 View (415) 322-3318
Photo of Gina Sunie Lopez, Marriage & Family Therapist in San Francisco, CA
Gina Sunie Lopez
Marriage & Family Therapist, MS, LMFT, NCSP
Verified Verified
1 Endorsed
San Francisco, CA 94124  (Online Only)
I believe that therapists and clients are partners in the therapeutic process, and that a client centered approach is best for promoting growth and wellbeing. Your personal goals guide us through the process, and we work together to help you reach them in a compassionate and honest way.
I believe that therapists and clients are partners in the therapeutic process, and that a client centered approach is best for promoting growth and wellbeing. Your personal goals guide us through the process, and we work together to help you reach them in a compassionate and honest way.
(510) 947-8569 View (510) 947-8569
Photo of Elizabeth Lebrun- Arrow Psychotherapy, Registered Psychological Associate in San Francisco, CA
Elizabeth Lebrun- Arrow Psychotherapy
Registered Psychological Associate, PsyD
Verified Verified
San Francisco, CA 94131
My style is warm, non-judgmental, and collaborative; I believe the therapeutic relationship is the strongest predictor of successful therapy. I listen to your unique story with deep curiosity while being proactive and engaged in sharing feedback. I strive for you to feel cared for and heard while experiencing a safe and authentic connection. My goal is for us to develop a deeper understanding of what brings you to therapy while providing effective tools for lasting change.
My style is warm, non-judgmental, and collaborative; I believe the therapeutic relationship is the strongest predictor of successful therapy. I listen to your unique story with deep curiosity while being proactive and engaged in sharing feedback. I strive for you to feel cared for and heard while experiencing a safe and authentic connection. My goal is for us to develop a deeper understanding of what brings you to therapy while providing effective tools for lasting change.
(415) 360-0413 View (415) 360-0413
Photo of Aparna Bell, Counselor in San Francisco, CA
Aparna Bell
Counselor, MS, LPCC
Verified Verified
2 Endorsed
San Francisco, CA 94110  (Online Only)
I work with individuals suffering from depression, substance abuse issues, anxiety, relationship problems, co-dependency, stress and other problems. I can help you develop coping skills and gain greater insight into core issues that may be impeding your success and happiness. I provide a safe space to explore your deepest thoughts and feelings with warmth and compassion. We all struggle at times and need help from others. Therapy can help you heal and find self acceptance and a more fulfilling life. We can't control the things that happen to us but we can find ways of moving forward in a healthy way with support and guidance.
I work with individuals suffering from depression, substance abuse issues, anxiety, relationship problems, co-dependency, stress and other problems. I can help you develop coping skills and gain greater insight into core issues that may be impeding your success and happiness. I provide a safe space to explore your deepest thoughts and feelings with warmth and compassion. We all struggle at times and need help from others. Therapy can help you heal and find self acceptance and a more fulfilling life. We can't control the things that happen to us but we can find ways of moving forward in a healthy way with support and guidance.
(628) 222-7261 View (628) 222-7261
Photo of Holly Gordon, Psychologist in San Francisco, CA
Holly Gordon
Psychologist, DMH
Verified Verified
1 Endorsed
San Francisco, CA 94118
Talking to someone who understands the pain you feel-depression, anxiety, or feeling stuck-can relieve inner distress and give you a new perspective on your life. I am empathic and experienced at providing a safe setting where we can explore what is causing you to feel anxious, distressed or unfulfilled. In therapy we work together to clarify those emotions that have kept you from moving forward in your life. You will find new ways to see yourself and others, which leads to more meaningful relationships and a more fulfilling life.
Talking to someone who understands the pain you feel-depression, anxiety, or feeling stuck-can relieve inner distress and give you a new perspective on your life. I am empathic and experienced at providing a safe setting where we can explore what is causing you to feel anxious, distressed or unfulfilled. In therapy we work together to clarify those emotions that have kept you from moving forward in your life. You will find new ways to see yourself and others, which leads to more meaningful relationships and a more fulfilling life.
(415) 787-3993 View (415) 787-3993

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.