Therapists in Costa Mesa, CA

Photo of Maria Williams, Marriage & Family Therapist in Costa Mesa, CA
Maria Williams
Marriage & Family Therapist, LMFT
Verified Verified
Costa Mesa, CA 92626
Life has many up and downs, loops and sharp curves. Hello! I am Maria Williams and my goal is to assist in untangling and finding options to our current situations. I am bilingual, bicultural, first generation Latina. I specialize in working with adults facing life transition difficulties, anxiety, depression, grieving and trauma. I have been certified in various evidence based practices. I am passionate to work and assist in supporting the desired change. I believe that change happens when we are supported to draw on our own strengths and realize our own potential to live fulfilling lives.
Life has many up and downs, loops and sharp curves. Hello! I am Maria Williams and my goal is to assist in untangling and finding options to our current situations. I am bilingual, bicultural, first generation Latina. I specialize in working with adults facing life transition difficulties, anxiety, depression, grieving and trauma. I have been certified in various evidence based practices. I am passionate to work and assist in supporting the desired change. I believe that change happens when we are supported to draw on our own strengths and realize our own potential to live fulfilling lives.
(657) 837-5536 View (657) 837-5536
Photo of Carol Jean Timmons, Marriage & Family Therapist in Costa Mesa, CA
Carol Jean Timmons
Marriage & Family Therapist, MA
Verified Verified
Costa Mesa, CA 92626
With sensitivity and compassion, I endeavor to help individuals bring resolution to relationship issues, whether they be marital, family, parenting, friendship, or work related difficulties. I also believe in the healing power of therapy groups that focus on understanding and support.
With sensitivity and compassion, I endeavor to help individuals bring resolution to relationship issues, whether they be marital, family, parenting, friendship, or work related difficulties. I also believe in the healing power of therapy groups that focus on understanding and support.
(714) 646-6563 View (714) 646-6563
Photo of Lisa Maurel, Marriage & Family Therapist in Costa Mesa, CA
Lisa Maurel
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
Costa Mesa, CA 92626
Waitlist for new clients
Whether you are digging for the courage to pursue your dreams, change a self destructive pattern,or live a more fulfilled life; the journey to wholeness is worth taking. I specialize with people at major cross roads in their lives who want to stop hiding, stop using, stop living in fear and begin living more fully from their heart. While I currently have a wait list, see my endorsements for other professionals sources. I am a founding board member of the Malama Collective. For sliding scale psychotherapy, visit The Malama Collective, our non-profit mental health clinic.
Whether you are digging for the courage to pursue your dreams, change a self destructive pattern,or live a more fulfilled life; the journey to wholeness is worth taking. I specialize with people at major cross roads in their lives who want to stop hiding, stop using, stop living in fear and begin living more fully from their heart. While I currently have a wait list, see my endorsements for other professionals sources. I am a founding board member of the Malama Collective. For sliding scale psychotherapy, visit The Malama Collective, our non-profit mental health clinic.
(714) 215-9161 View (714) 215-9161
Photo of Reza Ghaboosi, Marriage & Family Therapist in Costa Mesa, CA
Reza Ghaboosi
Marriage & Family Therapist, JD, MA, LMFT
Verified Verified
Costa Mesa, CA 92626
MARRIAGE ON THE BRINK? Discernment Counseling is a new and innovative short-term therapy (just 1-5 sessions) that is designed for couples who are not sure, or cannot agree, whether to work on their marriage or consider divorce. This is not traditional marriage counseling - my goal is to help you and your spouse gain clarity and confidence about a direction for your relationship in order to decide whether to recommit to marriage, move toward divorce, or maintain the status quo.
MARRIAGE ON THE BRINK? Discernment Counseling is a new and innovative short-term therapy (just 1-5 sessions) that is designed for couples who are not sure, or cannot agree, whether to work on their marriage or consider divorce. This is not traditional marriage counseling - my goal is to help you and your spouse gain clarity and confidence about a direction for your relationship in order to decide whether to recommit to marriage, move toward divorce, or maintain the status quo.
(714) 432-9856 View (714) 432-9856
Photo of Sasha M. James, Marriage & Family Therapist in Costa Mesa, CA
Sasha M. James
Marriage & Family Therapist, MA, LMFT
Verified Verified
Costa Mesa, CA 92626  (Online Only)
I specialize in trauma, addiction, anxiety, and anger management. I also treat depression, bipolar, ADHD, stress, and many other concerns. Taking a multi-faceted approach, I use humor, candor, compassion, and connection to shift perspectives and ease anxieties, allowing you to make healthier decisions, gain more control over the direction of your life, and feel more empowered. I've spent the past decade helping people navigate the pitfalls and challenges of sobriety, along with mental health struggles, and I would love to help you make progress on your journey.
I specialize in trauma, addiction, anxiety, and anger management. I also treat depression, bipolar, ADHD, stress, and many other concerns. Taking a multi-faceted approach, I use humor, candor, compassion, and connection to shift perspectives and ease anxieties, allowing you to make healthier decisions, gain more control over the direction of your life, and feel more empowered. I've spent the past decade helping people navigate the pitfalls and challenges of sobriety, along with mental health struggles, and I would love to help you make progress on your journey.
(949) 524-7788 View (949) 524-7788
Photo of Nancy Donkin Young, Psychologist in Costa Mesa, CA
Nancy Donkin Young
Psychologist, PhD
Verified Verified
Costa Mesa, CA 92626
For over 30 years, I've specialized in therapy with individuals, couples, groups, & for 20 years, I was an Adjunct Professor, at Chapman University, teaching: Intro to Psychology, Interpersonal Attraction & Romantic Love, Human Sexuality, Sexual Disorders & Treatment, Chemical Dependency Treatment, & other grad/undergrad psychology classes. My academic research interests: romantic love--the differences between intense/compelling and secure/comfortable love experiences & the use of videotaped therapy in chemical dependency treatment. I use a holistic/transpersonal approach. I'm a Voice Dialogue teacher/trainer/facilitator,Certified in EMDR & Certified Gottman Couple's Therapist, Level I & II Teacher, & ASL Workshop Leader.
For over 30 years, I've specialized in therapy with individuals, couples, groups, & for 20 years, I was an Adjunct Professor, at Chapman University, teaching: Intro to Psychology, Interpersonal Attraction & Romantic Love, Human Sexuality, Sexual Disorders & Treatment, Chemical Dependency Treatment, & other grad/undergrad psychology classes. My academic research interests: romantic love--the differences between intense/compelling and secure/comfortable love experiences & the use of videotaped therapy in chemical dependency treatment. I use a holistic/transpersonal approach. I'm a Voice Dialogue teacher/trainer/facilitator,Certified in EMDR & Certified Gottman Couple's Therapist, Level I & II Teacher, & ASL Workshop Leader.
(714) 432-9856 View (714) 432-9856
Photo of Elizabeth Ignash, Marriage & Family Therapist in Costa Mesa, CA
Elizabeth Ignash
Marriage & Family Therapist, LMFT
Verified Verified
Costa Mesa, CA 92626
I work collaboratively with individuals and couples to help them meet their treatment goals. I have experience working with individuals and couples navigating relationship issues. I have worked with adults dealing with parenting struggles, navigating life transitions, addressing lack of motivation or job dissatisfaction, substance use issues, depression and anxiety.
I work collaboratively with individuals and couples to help them meet their treatment goals. I have experience working with individuals and couples navigating relationship issues. I have worked with adults dealing with parenting struggles, navigating life transitions, addressing lack of motivation or job dissatisfaction, substance use issues, depression and anxiety.
(714) 862-2932 View (714) 862-2932
Photo of Cinthya Pasallo, Marriage & Family Therapist in Costa Mesa, CA
Cinthya Pasallo
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Costa Mesa, CA 92627  (Online Only)
Hi there, my name is Cinthya. Clients describe me as a good listener, thoughtful, authentic, playful, and down to earth. When treating a client, I look at the whole picture to support you in your journey to self-discovery and empowerment by providing a safe place to explore and learn about yourself. Let's take a look at your family of origin and see what is currently serving you and what is getting in your way.
Hi there, my name is Cinthya. Clients describe me as a good listener, thoughtful, authentic, playful, and down to earth. When treating a client, I look at the whole picture to support you in your journey to self-discovery and empowerment by providing a safe place to explore and learn about yourself. Let's take a look at your family of origin and see what is currently serving you and what is getting in your way.
(949) 919-6145 View (949) 919-6145
Photo of Resurface Group in Costa Mesa, CA
Resurface Group
LMFT, ASW, AMFT, SEP
Verified Verified
Costa Mesa, CA 92626
Resurface Group was founded based on a shared belief that individuals and families experiencing even the most complex mental health and behavioral challenges can achieve long-term change and lasting well-being with the right care and support. Our mission is to deliver alternative solutions to people battling mental and behavioral health challenges. We inspire even the most complex individuals and family systems to create positive, healthy changes with innovative approaches and proven clinical techniques.
Resurface Group was founded based on a shared belief that individuals and families experiencing even the most complex mental health and behavioral challenges can achieve long-term change and lasting well-being with the right care and support. Our mission is to deliver alternative solutions to people battling mental and behavioral health challenges. We inspire even the most complex individuals and family systems to create positive, healthy changes with innovative approaches and proven clinical techniques.
(562) 273-9158 View (562) 273-9158
Photo of Alysha Aiello, Clinical Social Work/Therapist in Costa Mesa, CA
Alysha Aiello
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Costa Mesa, CA 92626  (Online Only)
I believe that a successful therapeutic relationship comes from collaboration, mutual respect, and authenticity. I aim to provide a supportive, collaborative, and affirming space to all people and relationships. I use a strengths-based, Integrative, trauma informed and inclusive approach to healing. I value supportive, and client-centered relationships as a necessary foundation for the therapeutic process. I am passionate about supporting people experiencing depression, anxiety, life transitions, LGBTQIA+ issues, and interpersonal relationship struggles
I believe that a successful therapeutic relationship comes from collaboration, mutual respect, and authenticity. I aim to provide a supportive, collaborative, and affirming space to all people and relationships. I use a strengths-based, Integrative, trauma informed and inclusive approach to healing. I value supportive, and client-centered relationships as a necessary foundation for the therapeutic process. I am passionate about supporting people experiencing depression, anxiety, life transitions, LGBTQIA+ issues, and interpersonal relationship struggles
(657) 837-5606 View (657) 837-5606
Photo of Summer Witty, Marriage & Family Therapist in Costa Mesa, CA
Summer Witty
Marriage & Family Therapist, MS, LMFT, EMDR
Verified Verified
Costa Mesa, CA 92627  (Online Only)
Life can be challenging, and sometimes we can feel inadequate in dealing with life struggles that come our way. Sometimes we feel like we've tried everything, but for some reason we still feel stuck despite our best efforts. Although there are times in our lives when we feel great, there are also times in our lives when we feel hopeless, anxious, depressed, or even lost. Sometimes, we can pinpoint why we feel this way, and other times, these feelings seem to just come upon us for no apparent reason. Both can make life incredibly difficult.
Life can be challenging, and sometimes we can feel inadequate in dealing with life struggles that come our way. Sometimes we feel like we've tried everything, but for some reason we still feel stuck despite our best efforts. Although there are times in our lives when we feel great, there are also times in our lives when we feel hopeless, anxious, depressed, or even lost. Sometimes, we can pinpoint why we feel this way, and other times, these feelings seem to just come upon us for no apparent reason. Both can make life incredibly difficult.
(949) 536-9770 View (949) 536-9770
Photo of Asana California Addiction Recovery, Marriage & Family Therapist in Costa Mesa, CA
Asana California Addiction Recovery
Marriage & Family Therapist, LMFT
Verified Verified
Costa Mesa, CA 92627
I am fully engaged in recovery work because i believe in the meaningful and important mission of helping people find their way back to a life before addiction or find the kind of fulfillment they need to achieve sobriety.
I am fully engaged in recovery work because i believe in the meaningful and important mission of helping people find their way back to a life before addiction or find the kind of fulfillment they need to achieve sobriety.
(949) 523-2564 View (949) 523-2564
Photo of Paige Porter, Associate Professional Clinical Counselor in Costa Mesa, CA
Paige Porter
Associate Professional Clinical Counselor, APCC
Verified Verified
1 Endorsed
Costa Mesa, CA 92626  (Online Only)
My typical clients are teens & adults who have experienced various forms of trauma, seeking support & guidance to navigate their emotional wounds. They grapple with issues related to trauma, such as anxiety, depression, PTSD, & interpersonal challenges, often feeling overwhelmed & seeking a safe space to heal. Their needs revolve around finding coping mechanisms, building resilience, & processing their experiences in a supportive environment. They aspire to break free from the grips of trauma, aiming for personal growth, improved relationships, & the ability to lead fulfilling, healthy lives.
My typical clients are teens & adults who have experienced various forms of trauma, seeking support & guidance to navigate their emotional wounds. They grapple with issues related to trauma, such as anxiety, depression, PTSD, & interpersonal challenges, often feeling overwhelmed & seeking a safe space to heal. Their needs revolve around finding coping mechanisms, building resilience, & processing their experiences in a supportive environment. They aspire to break free from the grips of trauma, aiming for personal growth, improved relationships, & the ability to lead fulfilling, healthy lives.
(657) 301-3476 View (657) 301-3476
Photo of OC Teen Center- Adolescent and Teen Mental Health, Psychologist in Costa Mesa, CA
OC Teen Center- Adolescent and Teen Mental Health
Psychologist, PsyD
Verified Verified
Costa Mesa, CA 92626
Dr. Lauren Armstrong is a highly passionate licensed clinical psychologist and Clinical Director with a PsyD from Pepperdine University, and has been working with children and adolescents for the past ten years. She is an expert in working with challenging psychological presentations such as trauma, self harm, mood changes, aggression, and other unsafe or maladaptive coping mechanisms. Dr. Lauren always believes in her patients, even when everyone else has stopped believing in them. She never loses hope, and tirelessly works with patients and their families on improving their relationships, coping skills, and positive change.
Dr. Lauren Armstrong is a highly passionate licensed clinical psychologist and Clinical Director with a PsyD from Pepperdine University, and has been working with children and adolescents for the past ten years. She is an expert in working with challenging psychological presentations such as trauma, self harm, mood changes, aggression, and other unsafe or maladaptive coping mechanisms. Dr. Lauren always believes in her patients, even when everyone else has stopped believing in them. She never loses hope, and tirelessly works with patients and their families on improving their relationships, coping skills, and positive change.
(714) 646-1580 View (714) 646-1580
Photo of Valene Gresham, Psychologist in Costa Mesa, CA
Valene Gresham
Psychologist, LCP
Verified Verified
Costa Mesa, CA 92627
My name is Dr. Valene Gresham, and I am a psychologist. I have a doctorate degree in clinical and forensic psychology. I also have a master's degree in marriage and family therapy. I specialize in individual and couples therapy for clients ages 18 and up. I specialize in anxiety and depression management, self-esteem and confidence building, life coaching, relationship issues, major life transitions, couples therapy, student support, and trauma in all ages. Also, I have several years of experience working with specialized groups such as police officers and government officials.
My name is Dr. Valene Gresham, and I am a psychologist. I have a doctorate degree in clinical and forensic psychology. I also have a master's degree in marriage and family therapy. I specialize in individual and couples therapy for clients ages 18 and up. I specialize in anxiety and depression management, self-esteem and confidence building, life coaching, relationship issues, major life transitions, couples therapy, student support, and trauma in all ages. Also, I have several years of experience working with specialized groups such as police officers and government officials.
(949) 577-7453 View (949) 577-7453
Matthew Bernarda
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Costa Mesa, CA 92627  (Online Only)
Life is overwhelming and it is so hard to handle all of chaos without the support we need. Life keeps on coming and doesn't care how we feel about it. This doesn't take into account the depression and anxiety caused by unhealthy relationships with others and with us. We get so tired of who we are and where we are in life. This is such a gross feeling, yet we do not know another way. So, we keep lying to ourselves. We lose the ability to believe. We want release by any means. We want the life we want.
Life is overwhelming and it is so hard to handle all of chaos without the support we need. Life keeps on coming and doesn't care how we feel about it. This doesn't take into account the depression and anxiety caused by unhealthy relationships with others and with us. We get so tired of who we are and where we are in life. This is such a gross feeling, yet we do not know another way. So, we keep lying to ourselves. We lose the ability to believe. We want release by any means. We want the life we want.
(949) 919-5448 View (949) 919-5448
Photo of David Shepard, Psychologist in Costa Mesa, CA
David Shepard
Psychologist, PsyD
Verified Verified
Costa Mesa, CA 92626
My name is Dr. David Shepard, and I am a Licensed Clinical Psychologist based in California, and I work with clients statewide via telehealth. I am also a Certified Sex Therapy Informed Professional, and a Certified Clinical Anxiety Treatment Professional. I work with adults and specialize in anxiety, depression, anger issues, relationship challenges, intimacy/sexual health, life transitions, sexuality/LGBTQ+, and identity/self-esteem issues. My therapeutic approach is integrative, person-centered, multicultural focused, collaborative, and strength based.
My name is Dr. David Shepard, and I am a Licensed Clinical Psychologist based in California, and I work with clients statewide via telehealth. I am also a Certified Sex Therapy Informed Professional, and a Certified Clinical Anxiety Treatment Professional. I work with adults and specialize in anxiety, depression, anger issues, relationship challenges, intimacy/sexual health, life transitions, sexuality/LGBTQ+, and identity/self-esteem issues. My therapeutic approach is integrative, person-centered, multicultural focused, collaborative, and strength based.
(657) 256-4482 View (657) 256-4482
Photo of Burdetta Honescko Psy D., Marriage & Family Therapist in Costa Mesa, CA
Burdetta Honescko Psy D.
Marriage & Family Therapist, PsyD
Verified Verified
Costa Mesa, CA 92626
Burdetta Honescko is a California licensed therapist working with individuals, couples and families. Her specialities are marriage counseling, anxiety disorder, depression, anger management and life adjustment issues. She works with individuals and families with difficult situations. Learning new communication skills in a marriage, listening to your partners perspective and growing closer as you open up and begin to connect. Counseling is about finding new patterns for old problems changing those stumbling blocks into stepping stones, and beginning to make changs that lead to maturity and growth.
Burdetta Honescko is a California licensed therapist working with individuals, couples and families. Her specialities are marriage counseling, anxiety disorder, depression, anger management and life adjustment issues. She works with individuals and families with difficult situations. Learning new communication skills in a marriage, listening to your partners perspective and growing closer as you open up and begin to connect. Counseling is about finding new patterns for old problems changing those stumbling blocks into stepping stones, and beginning to make changs that lead to maturity and growth.
(714) 294-2827 View (714) 294-2827
Photo of Kira Schetter, Marriage & Family Therapist in Costa Mesa, CA
Kira Schetter
Marriage & Family Therapist, LMFT
Verified Verified
Costa Mesa, CA 92626  (Online Only)
It is my belief that therapy is a partnership, and if you're ready for help, together we can make strides in achieving your goals. Real and enduring change requires fresh thinking and different approaches to your old problems. I'm an eclectic therapist, meaning I use different tools from multiple treatment modalities to fit your unique circumstances and needs. My ultimate goal is to work in partnership with you to build the skills you need to achieve your objectives for yourself or for your family, and to help you make new and better choices.
It is my belief that therapy is a partnership, and if you're ready for help, together we can make strides in achieving your goals. Real and enduring change requires fresh thinking and different approaches to your old problems. I'm an eclectic therapist, meaning I use different tools from multiple treatment modalities to fit your unique circumstances and needs. My ultimate goal is to work in partnership with you to build the skills you need to achieve your objectives for yourself or for your family, and to help you make new and better choices.
(510) 405-7468 View (510) 405-7468
Photo of Donald W (Donny) Harris, Marriage & Family Therapist in Costa Mesa, CA
Donald W (Donny) Harris
Marriage & Family Therapist, MS, LMFT
Verified Verified
Costa Mesa, CA 92626
Waitlist for new clients
Hello there! Are you transgender or are you gender-questioning? Do you identify as gay or lesbian or bisexual? Are you unsure about who or with what label you identify with, or are you even sure you want to be labeled? Welcome, you've come to the right place....
Hello there! Are you transgender or are you gender-questioning? Do you identify as gay or lesbian or bisexual? Are you unsure about who or with what label you identify with, or are you even sure you want to be labeled? Welcome, you've come to the right place....
(714) 581-9584 View (714) 581-9584

How does your Therapist compare?

Number of Therapists in Costa Mesa, CA

600+

Average cost per session

$175

Therapists in Costa Mesa, CA who prioritize treating:

94% Anxiety
89% Depression
80% Relationship Issues
74% Self Esteem
69% Trauma and PTSD
68% Stress
67% Grief

Average years in practice

11 Years

Top 3 insurances accepted

71% Cigna and Evernorth
68% Aetna
51% UnitedHealthcare UHC | UBH

How Therapists in Costa Mesa, CA see their clients

78% In Person and Online
22% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Costa Mesa?

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.