Therapists in San Antonio, TX

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Photo of Diana Luu, Licensed Professional Counselor in San Antonio, TX
Diana Luu
Licensed Professional Counselor, MA, LPC-S
Verified Verified
10 Endorsed
San Antonio, TX 78254  (Online Only)
Anxiety, Depression, Work stress, Relationships, Grief and loss, Family Issues, Low Self-Esteem are some of the important life issues to explore with a professional counselor. Counseling has been proven to be a helpful way for processing these topics. The benefits of counseling include improved communication skills, greater self-acceptance and self-esteem, ability to change self-defeating or unhealthy behavior patterns, better expression or management of emotions, relief from mental health symptoms, increased confidence and decision making skills, and finding ways to cope with everyday life. It's definitely never to late to start...
Anxiety, Depression, Work stress, Relationships, Grief and loss, Family Issues, Low Self-Esteem are some of the important life issues to explore with a professional counselor. Counseling has been proven to be a helpful way for processing these topics. The benefits of counseling include improved communication skills, greater self-acceptance and self-esteem, ability to change self-defeating or unhealthy behavior patterns, better expression or management of emotions, relief from mental health symptoms, increased confidence and decision making skills, and finding ways to cope with everyday life. It's definitely never to late to start...
(210) 243-0951 View (210) 243-0951
Photo of Pastephine Taylor dba Old Man New Man Recovery, Drug & Alcohol Counselor in San Antonio, TX
Pastephine Taylor dba Old Man New Man Recovery
Drug & Alcohol Counselor, LCDC
Verified Verified
San Antonio, TX 78216
Not accepting new clients
Families are affected by stress, alcohol, & drugs in many ways. Just because we are not "supposed to" have an issue, doesn't mean we don't. Whether you are using or some else, you can still be affected by addiction. I provide out-patience services and resource referrals. You are allowed to address it, and you are allowed to get better. Recovery is about building a life you never had or getting back what was lost. Regardless of your job or image, you are a person who also affects other people. You are worth taking care of your real-self, and I am willing to support you through to the next stage of your process.
Families are affected by stress, alcohol, & drugs in many ways. Just because we are not "supposed to" have an issue, doesn't mean we don't. Whether you are using or some else, you can still be affected by addiction. I provide out-patience services and resource referrals. You are allowed to address it, and you are allowed to get better. Recovery is about building a life you never had or getting back what was lost. Regardless of your job or image, you are a person who also affects other people. You are worth taking care of your real-self, and I am willing to support you through to the next stage of your process.
(210) 796-7749 View (210) 796-7749
Photo of Svetlana Rangel, Licensed Professional Counselor in San Antonio, TX
Svetlana Rangel
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78228
Waitlist for new clients
Hi there! Do you often find yourself feeling tired, overwhelmed, or stuck? Is your life spinning out of control and you find yourself staring at the ceiling in the middle of the night, trying to piece it back? I know how it feels, I been there myself. My hope is that therapy will help you feel more connected to your self and others, to create boundaries, to strengthen relationships, and find more creativity, joy, and peace in your life.
Hi there! Do you often find yourself feeling tired, overwhelmed, or stuck? Is your life spinning out of control and you find yourself staring at the ceiling in the middle of the night, trying to piece it back? I know how it feels, I been there myself. My hope is that therapy will help you feel more connected to your self and others, to create boundaries, to strengthen relationships, and find more creativity, joy, and peace in your life.
(210) 972-1556 View (210) 972-1556
Photo of PSR Counseling, Marriage & Family Therapist in San Antonio, TX
PSR Counseling
Marriage & Family Therapist, MS, LMFT-S
Verified Verified
1 Endorsed
San Antonio, TX 78261  (Online Only)
Are you struggling to communicate in your relationships? Is it difficult to express what you are feeling effectively during periods of emotional stress within your relationship? Does your anxiety or depression keep you from being social or completing everyday tasks? Are negative and/or anxious thoughts causing you to feel stuck and unmotivated?
Are you struggling to communicate in your relationships? Is it difficult to express what you are feeling effectively during periods of emotional stress within your relationship? Does your anxiety or depression keep you from being social or completing everyday tasks? Are negative and/or anxious thoughts causing you to feel stuck and unmotivated?
(210) 987-8352 View (210) 987-8352
Photo of Caroline Chemwor Mkubwa, Clinical Social Work/Therapist in San Antonio, TX
Caroline Chemwor Mkubwa
Clinical Social Work/Therapist, LMSW
Verified Verified
San Antonio, TX 78244  (Online Only)
A teenager with history of poor social skills, diagnosed with developmental delay, psychosis nos, anxiety issues and diagnosis of schizophrenia and Bipolar. Also depression and autism.This are the presenting issues that the teenager has to deal with throughout his/her life. Sometimes the teenager have a psychosis episode and sometimes on denial.
A teenager with history of poor social skills, diagnosed with developmental delay, psychosis nos, anxiety issues and diagnosis of schizophrenia and Bipolar. Also depression and autism.This are the presenting issues that the teenager has to deal with throughout his/her life. Sometimes the teenager have a psychosis episode and sometimes on denial.
(210) 942-0793 View (210) 942-0793
Photo of Soul Revival Christian Counseling, Licensed Professional Counselor in San Antonio, TX
Soul Revival Christian Counseling
Licensed Professional Counselor, MEd, LPC, EMDR
Verified Verified
1 Endorsed
San Antonio, TX 78240  (Online Only)
Is it important for you to merge your faith with your mental health? I'm passionate about bridging the gaps of psychology, faith, and neuroscience because they all play a part in our overall wellness. I help my clients find freedom from the shackles of trauma, codependency, and addiction so they can discover authentic wholeness, connection, resilience, and purpose beyond their pain. I meet you on a deep spiritual level to help you heal in relationship with God, and walk alongside you to face the inescapable burdens that come with this broken world. Let's unveil the renewed self which you are called to be.
Is it important for you to merge your faith with your mental health? I'm passionate about bridging the gaps of psychology, faith, and neuroscience because they all play a part in our overall wellness. I help my clients find freedom from the shackles of trauma, codependency, and addiction so they can discover authentic wholeness, connection, resilience, and purpose beyond their pain. I meet you on a deep spiritual level to help you heal in relationship with God, and walk alongside you to face the inescapable burdens that come with this broken world. Let's unveil the renewed self which you are called to be.
(210) 942-9513 View (210) 942-9513
Photo of Shayla Escobar, Licensed Professional Counselor in San Antonio, TX
Shayla Escobar
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78205  (Online Only)
Hello! My name is Shayla. Do you ever feel anxious or on edge? How about shortness of breath or a racing heartbeat? Or have you experienced a loss of interest in activities you used to love doing or feelings of emptiness?
Hello! My name is Shayla. Do you ever feel anxious or on edge? How about shortness of breath or a racing heartbeat? Or have you experienced a loss of interest in activities you used to love doing or feelings of emptiness?
(210) 934-6292 View (210) 934-6292
Photo of John Self, Licensed Professional Counselor in San Antonio, TX
John Self
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78209
John is a Licensed Professional Counselor (LPC), a Licensed Chemical Dependency Counselor (LCDC), and a board-certified National Certified Counselor (NCC). John has worked in the field of mental health, substance use, and lifestyle recovery for over 20 years. He provides counseling and group therapy for individuals, couples, adolescents, and children.
John is a Licensed Professional Counselor (LPC), a Licensed Chemical Dependency Counselor (LCDC), and a board-certified National Certified Counselor (NCC). John has worked in the field of mental health, substance use, and lifestyle recovery for over 20 years. He provides counseling and group therapy for individuals, couples, adolescents, and children.
(210) 741-8154 View (210) 741-8154
Photo of Kimberly Nguyen, Licensed Professional Counselor in San Antonio, TX
Kimberly Nguyen
Licensed Professional Counselor, LPC, ATR-BC
Verified Verified
1 Endorsed
San Antonio, TX 78216
We as humans aren't meant to go through difficult times alone. When your resources seem low, a therapist offers consistent, reliable opportunities to work toward your healing. I might be a good fit for you if you are looking for empowerment through creative expression. As an art therapist, I believe art and imagination can address our bodies' biological survival responses in ways rational thinking and talk therapy can't.
We as humans aren't meant to go through difficult times alone. When your resources seem low, a therapist offers consistent, reliable opportunities to work toward your healing. I might be a good fit for you if you are looking for empowerment through creative expression. As an art therapist, I believe art and imagination can address our bodies' biological survival responses in ways rational thinking and talk therapy can't.
(210) 942-9381 View (210) 942-9381
Photo of Brenda Moretta Guerrero, Counselor in San Antonio, TX
Brenda Moretta Guerrero
Counselor, MS, LPC, FT
Verified Verified
San Antonio, TX 78228
Greetings and welcome! Do you feel like you need someone by your side to offer objectivity, unconditional acceptance, and specialized skills to help you untangle challenging thoughts, emotions, behaviors, and relationships? If so, perhaps I can help. I'm a licensed professional counselor with decades of training and experience working with people who have struggled with stress, anxiety, & burnout; depression & mania; chronic & life-limiting illness; loss & grief; self-abuse & suicide; low self-esteem; relationship complexities, & life transitions throughout middle school and all stages of adulthood.
Greetings and welcome! Do you feel like you need someone by your side to offer objectivity, unconditional acceptance, and specialized skills to help you untangle challenging thoughts, emotions, behaviors, and relationships? If so, perhaps I can help. I'm a licensed professional counselor with decades of training and experience working with people who have struggled with stress, anxiety, & burnout; depression & mania; chronic & life-limiting illness; loss & grief; self-abuse & suicide; low self-esteem; relationship complexities, & life transitions throughout middle school and all stages of adulthood.
(210) 405-3669 View (210) 405-3669
Photo of Career Coach - Launched by Linda, LLC in San Antonio, TX
Career Coach - Launched by Linda, LLC
MA, Coach
Verified Verified
San Antonio, TX 78259  (Online Only)
Feeling frustrated or unsatisfied about your career path? Uncertain about a career transition or career change? I've spent over 12 years helping people gain clarity and confidence in communicating who they are and what they have to offer. I guide clients through exploring options, making decisions, setting goals, and planning next steps towards a more meaningful career through personal branding and focusing on your strengths. I use my unique frameworks to organize what feels like a chaotic process so you won't feel lost or alone.
Feeling frustrated or unsatisfied about your career path? Uncertain about a career transition or career change? I've spent over 12 years helping people gain clarity and confidence in communicating who they are and what they have to offer. I guide clients through exploring options, making decisions, setting goals, and planning next steps towards a more meaningful career through personal branding and focusing on your strengths. I use my unique frameworks to organize what feels like a chaotic process so you won't feel lost or alone.
(253) 237-8121 View (253) 237-8121
Photo of Anna Rivera, Licensed Professional Counselor in San Antonio, TX
Anna Rivera
Licensed Professional Counselor, MA, LPC, CLC
Verified Verified
San Antonio, TX 78228
Adjusting to life changes can be difficult at times. Finding someone trustworthy and capable to guide you with effective methods to live a fulfilling life can be just as challenging. I am a Licensed Professional Counselor and Certified Professional Life Coach in San Antonio and surrounding areas who will provide you with a genuine, confidential, and safe environment. I have more than seven years working in the mental health field and have experience working with children, teens, adults, couples, and families in private practice, outpatient clinics, and psychiatric hospital settings.
Adjusting to life changes can be difficult at times. Finding someone trustworthy and capable to guide you with effective methods to live a fulfilling life can be just as challenging. I am a Licensed Professional Counselor and Certified Professional Life Coach in San Antonio and surrounding areas who will provide you with a genuine, confidential, and safe environment. I have more than seven years working in the mental health field and have experience working with children, teens, adults, couples, and families in private practice, outpatient clinics, and psychiatric hospital settings.
(210) 361-6798 View (210) 361-6798
Photo of Scott D Altamirano, Marriage & Family Therapist in San Antonio, TX
Scott D Altamirano
Marriage & Family Therapist, LMFT, MA
Verified Verified
San Antonio, TX 78209
Accepting clients Apr 2024. I help gay men - from the newly gay to the seasoned queen - navigate and understand topics related to dating monogamously, polyamory, sexual anxiety, fetishes, understanding Grindr, Sniffies, and bathhouses, drugs/alcohol/food/sex as coping, body insecurities, masculinity, developing self esteem, hobbies, and the most importantly - the friends we made along the way.
Accepting clients Apr 2024. I help gay men - from the newly gay to the seasoned queen - navigate and understand topics related to dating monogamously, polyamory, sexual anxiety, fetishes, understanding Grindr, Sniffies, and bathhouses, drugs/alcohol/food/sex as coping, body insecurities, masculinity, developing self esteem, hobbies, and the most importantly - the friends we made along the way.
(214) 617-1662 View (214) 617-1662
Photo of Oscar David Montoya Jr Lcsw-S, Clinical Social Work/Therapist in San Antonio, TX
Oscar David Montoya Jr Lcsw-S
Clinical Social Work/Therapist, LCSW-S
Verified Verified
San Antonio, TX 78264  (Online Only)
We live in a society that has made vulnerability seen as weakness, ironically, it is what allows us to be human and make connections. Do you feel a struggle in making connections? Do you struggle with overwhelming feelings of pain, anger, anxiety or depression, and feel like these are what define you? Do you feel like no one will ever understand, like you are detached from the world? Have you been through a traumatic experience, that robs you of freedom? Is motivation the issue, are you fatigued from attempts at change, but never having a guiding light?
We live in a society that has made vulnerability seen as weakness, ironically, it is what allows us to be human and make connections. Do you feel a struggle in making connections? Do you struggle with overwhelming feelings of pain, anger, anxiety or depression, and feel like these are what define you? Do you feel like no one will ever understand, like you are detached from the world? Have you been through a traumatic experience, that robs you of freedom? Is motivation the issue, are you fatigued from attempts at change, but never having a guiding light?
(830) 429-5394 View (830) 429-5394
Photo of Christine Elizabeth Chandler, Licensed Professional Counselor in San Antonio, TX
Christine Elizabeth Chandler
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78228  (Online Only)
I understand that clients are experts in their own lives, but sometimes they need help with unwanted thoughts, symptoms, or behaviors. Reaching out for help can be difficult for all kinds of reasons. I want to reassure you with words from Brené Brown “We don’t have to do all of it alone. We were never meant to." I want to help you work on becoming the best version of yourself. Loneliness, social anxiety, and just dealing with a constantly changing world can sometimes make anyone feel out of control. I want to help give you back that feeling of being in control of your life.
I understand that clients are experts in their own lives, but sometimes they need help with unwanted thoughts, symptoms, or behaviors. Reaching out for help can be difficult for all kinds of reasons. I want to reassure you with words from Brené Brown “We don’t have to do all of it alone. We were never meant to." I want to help you work on becoming the best version of yourself. Loneliness, social anxiety, and just dealing with a constantly changing world can sometimes make anyone feel out of control. I want to help give you back that feeling of being in control of your life.
(254) 237-4683 View (254) 237-4683
Photo of Deborah K. Hendren, Psychologist in San Antonio, TX
Deborah K. Hendren
Psychologist, PsyD, LP
Verified Verified
San Antonio, TX 78228
Welcome. Life’s journey is fascinating, with all the ups and downs. Your life journey is unique to you. Sometimes as we are authoring and planning the next chapters of our journey, we find it comforting to share our thoughts and feelings with others.
Welcome. Life’s journey is fascinating, with all the ups and downs. Your life journey is unique to you. Sometimes as we are authoring and planning the next chapters of our journey, we find it comforting to share our thoughts and feelings with others.
(210) 871-1350 View (210) 871-1350
Photo of Natasha L Richardson, Licensed Professional Counselor in San Antonio, TX
Natasha L Richardson
Licensed Professional Counselor, MPH, MA, LPC
Verified Verified
San Antonio, TX 78222  (Online Only)
Not accepting new clients
I have experience helping clients improve their daily living skills, self-esteem, relationships, boundaries, anxiety, depression, work through trauma, life’s transitions, and parenting skills. I am passionate about promoting healthy lifestyles and overall wellness of my clients by providing a safe, supportive, and empowering environment for the client to achieve the most out of counseling and their best quality of life.
I have experience helping clients improve their daily living skills, self-esteem, relationships, boundaries, anxiety, depression, work through trauma, life’s transitions, and parenting skills. I am passionate about promoting healthy lifestyles and overall wellness of my clients by providing a safe, supportive, and empowering environment for the client to achieve the most out of counseling and their best quality of life.
(210) 761-5498 View (210) 761-5498
Photo of Meliora Pathway Therapy, PLLC, Licensed Professional Counselor in San Antonio, TX
Meliora Pathway Therapy, PLLC
Licensed Professional Counselor, LPC, NCC, TF-CBT
Verified Verified
San Antonio, TX 78247
Sometimes struggle, worry, and stress aren’t met with joy, comfort and reward. For some, struggle is the reward and they are lost without it. Some struggle through life sacrificing their own needs and lay in bed drained at night. Some justify themselves by saying things like, “that’s life” or “it is what it is”. At Meliora Pathway Therapy, I believe each individual has the ability to develop self-efficacy and thrive when they are viewed and treated as a whole being. My hope is that in building your self-efficacy and self-trust, in combination with my therapeutic techniques, you will feel more connected with yourself and others.
Sometimes struggle, worry, and stress aren’t met with joy, comfort and reward. For some, struggle is the reward and they are lost without it. Some struggle through life sacrificing their own needs and lay in bed drained at night. Some justify themselves by saying things like, “that’s life” or “it is what it is”. At Meliora Pathway Therapy, I believe each individual has the ability to develop self-efficacy and thrive when they are viewed and treated as a whole being. My hope is that in building your self-efficacy and self-trust, in combination with my therapeutic techniques, you will feel more connected with yourself and others.
(210) 985-7817 View (210) 985-7817
Photo of Clayton Sponhaltz, LCDC, NCAC I, SAP, Drug & Alcohol Counselor in San Antonio, TX
Clayton Sponhaltz, LCDC, NCAC I, SAP
Drug & Alcohol Counselor, LCDC, NCAC I, SAP
Verified Verified
San Antonio, TX 78229
If you or someone you love are having problems related to alcohol or drug use, there is hope and a way out. It is most useful to meet with someone who truly understands addiction and can provide a true assessment. I will work with you, your family and any other healthcare providers to develop a plan of action based on your needs. Often times the road to recovery starts with meeting someone who listens to understand, meets you with genuine care and concern and can provide useful recommendations. Chemical dependency is a primary illness not a secondary mental health issue; trust a counselor who entered this specialty field.
If you or someone you love are having problems related to alcohol or drug use, there is hope and a way out. It is most useful to meet with someone who truly understands addiction and can provide a true assessment. I will work with you, your family and any other healthcare providers to develop a plan of action based on your needs. Often times the road to recovery starts with meeting someone who listens to understand, meets you with genuine care and concern and can provide useful recommendations. Chemical dependency is a primary illness not a secondary mental health issue; trust a counselor who entered this specialty field.
(210) 791-9887 View (210) 791-9887
Photo of Sonia Tamez Coutee, LPC-S, NCC, Licensed Professional Counselor in San Antonio, TX
Sonia Tamez Coutee, LPC-S, NCC
Licensed Professional Counselor, LPC-S, NCC
Verified Verified
San Antonio, TX 78216
I'm a licensed professional counselor with over 12 years experience as a mental health therapist working in the San Antonio area. I received a Masters in Marriage & Family Therapy Degree from St. Mary's University in San Antonio, Texas. My training and experience qualifies me to offer bilingual English-Spanish counseling for individuals, couples, children, families dealing with domestic abuse, child abuse, trauma, grief and loss, addictions, depression, anxiety, and post-traumatic stress disorder. Also, I can assist with military specific challenges such as; pre-post deployment stressors, combat-related PTSD, stress management, life transitions, work/career related issues.
I'm a licensed professional counselor with over 12 years experience as a mental health therapist working in the San Antonio area. I received a Masters in Marriage & Family Therapy Degree from St. Mary's University in San Antonio, Texas. My training and experience qualifies me to offer bilingual English-Spanish counseling for individuals, couples, children, families dealing with domestic abuse, child abuse, trauma, grief and loss, addictions, depression, anxiety, and post-traumatic stress disorder. Also, I can assist with military specific challenges such as; pre-post deployment stressors, combat-related PTSD, stress management, life transitions, work/career related issues.
(210) 598-6508 View (210) 598-6508

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
87% Depression
73% Self Esteem
72% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

84% Aetna
78% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.