Therapists in San Diego, CA

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Photo of Dana Pasculescu, Marriage & Family Therapist Associate in San Diego, CA
Dana Pasculescu
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
San Diego, CA 92108
It can be tough to navigate life's challenges, but you don't have to go through them alone. Dana is a highly experienced Associate Marriage and Family Therapist who has helped clients from diverse backgrounds deal with a wide range of issues. She understands that anxiety, communication problems, conflicts, infidelity, infertility, and life transitions such as grief, divorce, or career change can be overwhelming and impact your emotional health, relationships, and overall well-being.
It can be tough to navigate life's challenges, but you don't have to go through them alone. Dana is a highly experienced Associate Marriage and Family Therapist who has helped clients from diverse backgrounds deal with a wide range of issues. She understands that anxiety, communication problems, conflicts, infidelity, infertility, and life transitions such as grief, divorce, or career change can be overwhelming and impact your emotional health, relationships, and overall well-being.
(619) 273-0182 View (619) 273-0182
Photo of Jacob Munhoz, Marriage & Family Therapist in San Diego, CA
Jacob Munhoz
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92108  (Online Only)
Psychotherapist James Finley says, “The tyranny of suffering lasts only as long as it takes for compassion to show up on the scene.” Many who find themselves reading this may experience themselves as subject to the ‘tyranny of suffering’ in some way and may be searching for a compassionate presence in which they can feel safe, be deeply seen, attentively listened to, and profoundly accepted. My name is Jacob Munhoz and I invite you to consider allowing me to be that compassionate presence for you. ***Out of deep respect for the confidential nature of this work, I do not work directly with insurance providers.***
Psychotherapist James Finley says, “The tyranny of suffering lasts only as long as it takes for compassion to show up on the scene.” Many who find themselves reading this may experience themselves as subject to the ‘tyranny of suffering’ in some way and may be searching for a compassionate presence in which they can feel safe, be deeply seen, attentively listened to, and profoundly accepted. My name is Jacob Munhoz and I invite you to consider allowing me to be that compassionate presence for you. ***Out of deep respect for the confidential nature of this work, I do not work directly with insurance providers.***
(858) 213-0140 View (858) 213-0140
Photo of Alexandria Meier, Pre-Licensed Professional in San Diego, CA
Alexandria Meier
Pre-Licensed Professional, MA
Verified Verified
San Diego, CA 92110
Therapy is for anybody who feels like they are ready to start putting effort into improving their quality of life. Approaching therapy with an open heart and mind and readiness to explore their thoughts and emotions in a non-judgmental environment will provide an opportunity to improve troubling symptoms related to mental health. I will provide that environment and help you through whatever life has thrown at you as well as whatever troubling symptoms you may be experiencing.
Therapy is for anybody who feels like they are ready to start putting effort into improving their quality of life. Approaching therapy with an open heart and mind and readiness to explore their thoughts and emotions in a non-judgmental environment will provide an opportunity to improve troubling symptoms related to mental health. I will provide that environment and help you through whatever life has thrown at you as well as whatever troubling symptoms you may be experiencing.
(619) 598-1198 View (619) 598-1198
Photo of Hazel Hamann, Clinical Social Work/Therapist in San Diego, CA
Hazel Hamann
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
San Diego, CA 92123  (Online Only)
Are you queer and/or trans? Do you feel lost and disconnected from your daily life? Exhausted by life's endless responsibilities? Unhappy and dissatisfied with the relationships in your life? I believe in your capacity to lead a meaningful and fulfilling life. I'm here to support your path there. I'm a queer, transgender, & Latinx therapist who has worked with my communities and beyond for 10+ years. I specialize in working with concerns related to relationships, life transitions, intimacy, gender, and sexuality. Let’s work together toward greater balance, growth, and freedom.
Are you queer and/or trans? Do you feel lost and disconnected from your daily life? Exhausted by life's endless responsibilities? Unhappy and dissatisfied with the relationships in your life? I believe in your capacity to lead a meaningful and fulfilling life. I'm here to support your path there. I'm a queer, transgender, & Latinx therapist who has worked with my communities and beyond for 10+ years. I specialize in working with concerns related to relationships, life transitions, intimacy, gender, and sexuality. Let’s work together toward greater balance, growth, and freedom.
(858) 251-8653 View (858) 251-8653
Photo of Alex Tipton, Marriage & Family Therapist Associate in San Diego, CA
Alex Tipton
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Diego, CA 92103
I work with adults and teenagers who are looking to manage symptoms of Anxiety, Depression, and Trauma. I will be with you on the journey of healing to discovery, recovery, and connection to your true self. I also specialize in working with individuals experiencing life transition issues such as career/academic concerns and relationship stress. I approach therapy with a person-centered mindset to create as comfortable and welcoming an environment as I can. I believe the trust built between you and a therapist is one of the more powerful tools we as clinicians can offer, and I hope to garner that trust in my own practice.
I work with adults and teenagers who are looking to manage symptoms of Anxiety, Depression, and Trauma. I will be with you on the journey of healing to discovery, recovery, and connection to your true self. I also specialize in working with individuals experiencing life transition issues such as career/academic concerns and relationship stress. I approach therapy with a person-centered mindset to create as comfortable and welcoming an environment as I can. I believe the trust built between you and a therapist is one of the more powerful tools we as clinicians can offer, and I hope to garner that trust in my own practice.
(760) 274-8729 View (760) 274-8729
Photo of Angelyna Lowe, Psychologist in San Diego, CA
Angelyna Lowe
Psychologist, PhD
Verified Verified
1 Endorsed
San Diego, CA 92108  (Online Only)
Life has a way of handing us what feels like more than we can bear at times, and we can find ourselves stuck when our resources are thin and our tools seem inadequate. This is where I thrive – helping my clients get in touch with their strengths, build confidence and skills to get the life they want, all while exploring where they learned the unhelpful patterns to begin with. My goal is to help my clients learn to be defined not by their current or past circumstances, thoughts or feelings, but by the choices they commit to. My clients report they know themselves better and are more confident in their ability to handle stressors.
Life has a way of handing us what feels like more than we can bear at times, and we can find ourselves stuck when our resources are thin and our tools seem inadequate. This is where I thrive – helping my clients get in touch with their strengths, build confidence and skills to get the life they want, all while exploring where they learned the unhelpful patterns to begin with. My goal is to help my clients learn to be defined not by their current or past circumstances, thoughts or feelings, but by the choices they commit to. My clients report they know themselves better and are more confident in their ability to handle stressors.
(858) 358-5947 View (858) 358-5947
Photo of Heather Swisher, Marriage & Family Therapist in San Diego, CA
Heather Swisher
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92130  (Online Only)
Welcome! My name is Heather Swisher and I am a Licensed Marriage & Family Therapist. I believe that therapy should be collaborative and organic.  I specialize in treating adults with individual therapy and EMDR Therapy. I utilize a variety of therapeutic modalities and tailor treatment according to the needs of each client. It is my goal to ensure your comfort and to create a safe space filled with warmth, authenticity, and empathy for each person who walks through my door. As a therapist, I feel honored to be able to hear each person's story and join them on their journey towards healing and growth,
Welcome! My name is Heather Swisher and I am a Licensed Marriage & Family Therapist. I believe that therapy should be collaborative and organic.  I specialize in treating adults with individual therapy and EMDR Therapy. I utilize a variety of therapeutic modalities and tailor treatment according to the needs of each client. It is my goal to ensure your comfort and to create a safe space filled with warmth, authenticity, and empathy for each person who walks through my door. As a therapist, I feel honored to be able to hear each person's story and join them on their journey towards healing and growth,
(619) 900-6966 View (619) 900-6966
Photo of Kendra Hadley, Licensed Professional Clinical Counselor in San Diego, CA
Kendra Hadley
Licensed Professional Clinical Counselor, LCPC
Verified Verified
San Diego, CA 92126
Hi, there! My name is Kendra Hadley, and I am a licensed professional clinical counselor in the state of California (LPCC 14503). My areas of expertise are addiction, mental health, trauma, and couples counseling. I utilize a variety of therapeutic modalities and interventions to help people become the best possible versions of themselves. I work primarily with a culturally diverse population of young adults who struggle with a variety of habits and hang-ups, i.e. drug and alcohol addiction, process addiction (i.e. sex, gaming, etc.), and more.
Hi, there! My name is Kendra Hadley, and I am a licensed professional clinical counselor in the state of California (LPCC 14503). My areas of expertise are addiction, mental health, trauma, and couples counseling. I utilize a variety of therapeutic modalities and interventions to help people become the best possible versions of themselves. I work primarily with a culturally diverse population of young adults who struggle with a variety of habits and hang-ups, i.e. drug and alcohol addiction, process addiction (i.e. sex, gaming, etc.), and more.
(858) 381-9751 View (858) 381-9751
Photo of Luke Schlimme, Clinical Social Work/Therapist in San Diego, CA
Luke Schlimme
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92108
When life gets tough, whether it's anxiety or depression or relationship dissatisfaction, it can feel overwhelming. It is often an internal wake-up call to reach for support and receive help from others in order to cope effectively.
When life gets tough, whether it's anxiety or depression or relationship dissatisfaction, it can feel overwhelming. It is often an internal wake-up call to reach for support and receive help from others in order to cope effectively.
(619) 637-3109 View (619) 637-3109
Photo of Brandy Malloy, Clinical Social Work/Therapist in San Diego, CA
Brandy Malloy
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92106  (Online Only)
I'm a licensed clinical therapist in California with 5 years of professional work experience. My therapy style is mixed, although pleasant and educational. I believe in being truthful with my clients. I believe in treating them with respect and compassion. However, I’m able to tailor sessions and treatment plans to meet your unique needs. It takes courage to seek out a more fulfilling and happier life. Making a decision to take the first steps towards a change can be scary. I am here to support and empower you in that journey.
I'm a licensed clinical therapist in California with 5 years of professional work experience. My therapy style is mixed, although pleasant and educational. I believe in being truthful with my clients. I believe in treating them with respect and compassion. However, I’m able to tailor sessions and treatment plans to meet your unique needs. It takes courage to seek out a more fulfilling and happier life. Making a decision to take the first steps towards a change can be scary. I am here to support and empower you in that journey.
(510) 726-1795 View (510) 726-1795
Photo of Harry Dixon, Counselor in San Diego, CA
Harry Dixon
Counselor, LPCC, LMHC
Verified Verified
4 Endorsed
San Diego, CA 92103  (Online Only)
Waitlist for new clients
Are struggling to find a therapist who understands the intersection of race/ethnicity, culture, and sexuality and gender and your mental health? I am an experienced counselor who specializes in understanding and helping you. I identify as a gay, poly, Korean American counselor (he/him). With my help you can better understand yourself and find healing through my effective use of my cultural awareness, cognitive, and self-compassion based therapies.
Are struggling to find a therapist who understands the intersection of race/ethnicity, culture, and sexuality and gender and your mental health? I am an experienced counselor who specializes in understanding and helping you. I identify as a gay, poly, Korean American counselor (he/him). With my help you can better understand yourself and find healing through my effective use of my cultural awareness, cognitive, and self-compassion based therapies.
(619) 514-4174 View (619) 514-4174
Photo of Erika Rana, Marriage & Family Therapist in San Diego, CA
Erika Rana
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92154  (Online Only)
I truly enjoy being a part of people’s healing journey. I am passionate about my work and believe it is a privilege to serve people in this way. My goal is to know you, support you and give you all the possible tools you can use to get where you want to be. I believe everyone can get better, despite the situation. There will always be help for the ones who are willing to accept it. In my private practice, I have been successful helping clients manage mental health issues, psychedelic related spiritual emergencies, adjusting to life changes, relationship challenges, grief and loss. Spirituality is a big component in my practice.
I truly enjoy being a part of people’s healing journey. I am passionate about my work and believe it is a privilege to serve people in this way. My goal is to know you, support you and give you all the possible tools you can use to get where you want to be. I believe everyone can get better, despite the situation. There will always be help for the ones who are willing to accept it. In my private practice, I have been successful helping clients manage mental health issues, psychedelic related spiritual emergencies, adjusting to life changes, relationship challenges, grief and loss. Spirituality is a big component in my practice.
(858) 331-8609 View (858) 331-8609
Photo of Danny A Meadows, Marriage & Family Therapist in San Diego, CA
Danny A Meadows
Marriage & Family Therapist, PhD, LMFT
Verified Verified
San Diego, CA 92123
I believe that each person has a unique purpose. Life presents with situations where depression, addiction, anxiety, eating too much, eating too little, low self-esteem, and no self-identity can distract a person from finding this unique purpose. I like to explore a variety of issues that keep you from experiencing your purpose in life and help you find your meaning and make sense of that meaning.
I believe that each person has a unique purpose. Life presents with situations where depression, addiction, anxiety, eating too much, eating too little, low self-esteem, and no self-identity can distract a person from finding this unique purpose. I like to explore a variety of issues that keep you from experiencing your purpose in life and help you find your meaning and make sense of that meaning.
(858) 212-0289 View (858) 212-0289
Photo of Melanie Collaco, Clinical Social Work/Therapist in San Diego, CA
Melanie Collaco
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
San Diego, CA 92108  (Online Only)
Hi there and welcome! My name is Melanie "Mel" Collaco and I am a Licensed Clinical Social Worker in San Diego, CA with over 10 years of experiencing in the social work field. I have worked extensively alongside with first responders and with adults primarily focusing on mood disorders, trauma symptoms, life transitions, relationship challenges and so much more.
Hi there and welcome! My name is Melanie "Mel" Collaco and I am a Licensed Clinical Social Worker in San Diego, CA with over 10 years of experiencing in the social work field. I have worked extensively alongside with first responders and with adults primarily focusing on mood disorders, trauma symptoms, life transitions, relationship challenges and so much more.
(619) 396-2526 View (619) 396-2526
Photo of Terra Towne, Psychologist in San Diego, CA
Terra Towne
Psychologist, PhD
Verified Verified
San Diego, CA 92117
I am a licensed clinical psychologist specializing in the treatment of eating disorders. I’m passionate about providing evidenced-based care and am one of the only therapists in San Diego certified in Family-Based Treatment (FBT), the gold standard treatment for child and adolescent eating disorders. My therapeutic style is warm, authentic, and collaborative. I am deeply empathetic to the struggles that eating disorders pose for clients and their families. I strongly believe that no one chooses to have an eating disorder (nor do parents cause eating disorders) and that there is always hope for lasting recovery.
I am a licensed clinical psychologist specializing in the treatment of eating disorders. I’m passionate about providing evidenced-based care and am one of the only therapists in San Diego certified in Family-Based Treatment (FBT), the gold standard treatment for child and adolescent eating disorders. My therapeutic style is warm, authentic, and collaborative. I am deeply empathetic to the struggles that eating disorders pose for clients and their families. I strongly believe that no one chooses to have an eating disorder (nor do parents cause eating disorders) and that there is always hope for lasting recovery.
(858) 358-5909 View (858) 358-5909
Photo of Denise Phipps, Marriage & Family Therapist in San Diego, CA
Denise Phipps
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92108
Waitlist for new clients
Hi, my name is Denise Phipps a Licensed Marriage Family Therapist. I collaborate with each client to provide treatment based on individual needs and desires utilizing a comprehensive model approach to ascertain your desired outcome. With my guidance, I can lead you into a deeper understanding of the many aspects of yourself, which will allow you to access your strengths, develop new and healthy perspectives, create change, build important skills, experience emotional healing, and enrich your relationships, living life with enhanced purpose, freedom, joy, and value.
Hi, my name is Denise Phipps a Licensed Marriage Family Therapist. I collaborate with each client to provide treatment based on individual needs and desires utilizing a comprehensive model approach to ascertain your desired outcome. With my guidance, I can lead you into a deeper understanding of the many aspects of yourself, which will allow you to access your strengths, develop new and healthy perspectives, create change, build important skills, experience emotional healing, and enrich your relationships, living life with enhanced purpose, freedom, joy, and value.
(619) 664-4696 View (619) 664-4696
Photo of Genelle Weits García, Psychologist in San Diego, CA
Genelle Weits García
Psychologist, PhD
Verified Verified
San Diego, CA 92103
I have NEW Client Openings! When your emotional or physical pain is telling you how to live your life, take back control! We can work together to get you back to engaging in the activities that matter to you. Join this decades-long expert in Chronic Pain, Functional Neurological Disorder (FND), Stress-Related Disorders, Trauma, and Relationship issues. We can determine what the best course of treatment is for you to reach your goals. Our ability to connect through building a trusting, genuine relationship, as well as using helpful tools, will improve your well-being. Call me up!
I have NEW Client Openings! When your emotional or physical pain is telling you how to live your life, take back control! We can work together to get you back to engaging in the activities that matter to you. Join this decades-long expert in Chronic Pain, Functional Neurological Disorder (FND), Stress-Related Disorders, Trauma, and Relationship issues. We can determine what the best course of treatment is for you to reach your goals. Our ability to connect through building a trusting, genuine relationship, as well as using helpful tools, will improve your well-being. Call me up!
(858) 758-1657 View (858) 758-1657
Photo of Jill Pederson, Clinical Social Work/Therapist in San Diego, CA
Jill Pederson
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92154
My name is Jill Pederson and I am a Licensed Clinical Social Worker (LCSW) based in Orange County, California and work with clients statewide via telehealth. I work with adolescents and young adults and specialize in anxiety, stress, depression, and behavioral issues such as defiance and difficulty managing anger. I use a variety of clinical approaches, based on the needs of my client; although I do find that Cognitive Behavioral Therapy is often a very effective approach in helping clients meet their goals.
My name is Jill Pederson and I am a Licensed Clinical Social Worker (LCSW) based in Orange County, California and work with clients statewide via telehealth. I work with adolescents and young adults and specialize in anxiety, stress, depression, and behavioral issues such as defiance and difficulty managing anger. I use a variety of clinical approaches, based on the needs of my client; although I do find that Cognitive Behavioral Therapy is often a very effective approach in helping clients meet their goals.
(619) 777-5413 View (619) 777-5413
Photo of Diane Lass, Psychologist in San Diego, CA
Diane Lass
Psychologist, PhD
Verified Verified
San Diego, CA 92107
I am a Licensed Clinical Psychologist located in the Ocean Beach and Palm Desert area. I provide individual and couples therapy as well as empowerment support groups. My approach is non-judgmental and compassionate. I believe we can all use support at various times throughout our lives. Change can be difficult. Even positive changes can bring about uncertainties. My focus is on the whole person: mind, body and spirit.
I am a Licensed Clinical Psychologist located in the Ocean Beach and Palm Desert area. I provide individual and couples therapy as well as empowerment support groups. My approach is non-judgmental and compassionate. I believe we can all use support at various times throughout our lives. Change can be difficult. Even positive changes can bring about uncertainties. My focus is on the whole person: mind, body and spirit.
(619) 493-4402 View (619) 493-4402
Photo of Mental Health First SD- Jessica Sturgill LMFT, Marriage & Family Therapist in San Diego, CA
Mental Health First SD- Jessica Sturgill LMFT
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Diego, CA 92130  (Online Only)
As a Solution Focused and Cognitive Behavioral Therapist, I believe in creating goals and assisting my clients to meet those goals. We address negative patterns, reframe narratives all while addressing false beliefs. My clients range from seeking help with addiction, anxiety, depression, adjustments in their life (children, divorce, illness) , as well as guidance in creating the healthy and happy life they envision for themselves.
As a Solution Focused and Cognitive Behavioral Therapist, I believe in creating goals and assisting my clients to meet those goals. We address negative patterns, reframe narratives all while addressing false beliefs. My clients range from seeking help with addiction, anxiety, depression, adjustments in their life (children, divorce, illness) , as well as guidance in creating the healthy and happy life they envision for themselves.
(858) 358-7587 View (858) 358-7587

How does your Therapist compare?

Number of Therapists in San Diego, CA

3,000+

Average cost per session

$160

Therapists in San Diego, CA who prioritize treating:

93% Anxiety
87% Depression
71% Self Esteem
66% Relationship Issues
66% Trauma and PTSD
66% Coping Skills
62% Stress

Average years in practice

12 Years

Top 3 insurances accepted

77% Aetna
74% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in San Diego?

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.