Therapists in Sacramento, CA

View neighborhoods in Sacramento
Photo of Janet M Cadiz Guevarra, Marriage & Family Therapist in Sacramento, CA
Janet M Cadiz Guevarra
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95831  (Online Only)
I believe in meeting you where you are and empowering you to find your own solutions to issues such as depression, anxiety, and identity development. I foster a safe environment to process issues with relationships, grief & loss, and adjustment, through authenticity and congruency. Individuality is acknowledged and honored in our work together through the use of an integrated approach that are best suited to your needs. With experience working in the mental health field since 2004, and degrees from San Francisco State University and University of California, Davis, I am eager to be a part of your journey towards a happier and healthier life.
I believe in meeting you where you are and empowering you to find your own solutions to issues such as depression, anxiety, and identity development. I foster a safe environment to process issues with relationships, grief & loss, and adjustment, through authenticity and congruency. Individuality is acknowledged and honored in our work together through the use of an integrated approach that are best suited to your needs. With experience working in the mental health field since 2004, and degrees from San Francisco State University and University of California, Davis, I am eager to be a part of your journey towards a happier and healthier life.
(916) 621-6124 View (916) 621-6124
Photo of Michele Villarreal, Marriage & Family Therapist in Sacramento, CA
Michele Villarreal
Marriage & Family Therapist, MA
Verified Verified
2 Endorsed
Sacramento, CA 95825
Are you feeling hopeless and stuck? Is trauma impacting you from living a fulfilled life? Are you struggling with your relationships with family and friends? Are you being triggered daily and reliving old trauma? Do you want to thrive instead of struggle? Traumatic experiences can impact every facet of our current lives if it hasn’t been processed. If you have experienced trauma that inhibits you to live in the moment and thrive instead of struggle, maybe it's time to begin therapy. Processing traumatic experiences can improve your perception of yourself and can positively impact your relationships with people in your life.
Are you feeling hopeless and stuck? Is trauma impacting you from living a fulfilled life? Are you struggling with your relationships with family and friends? Are you being triggered daily and reliving old trauma? Do you want to thrive instead of struggle? Traumatic experiences can impact every facet of our current lives if it hasn’t been processed. If you have experienced trauma that inhibits you to live in the moment and thrive instead of struggle, maybe it's time to begin therapy. Processing traumatic experiences can improve your perception of yourself and can positively impact your relationships with people in your life.
(916) 553-2181 View (916) 553-2181
Photo of Ton Saeteurn, Marriage & Family Therapist Associate in Sacramento, CA
Ton Saeteurn
Marriage & Family Therapist Associate, AMFT, APCC
Verified Verified
1 Endorsed
Sacramento, CA 95816
Welcome! I can support children, teenagers & adults with PTSD, anxiety & depression along w/couples who want to be on the same page. I have unique experience with the active & veteran military population & medical personnel. Because I am of Southeast Asian descent, I believe culture is an important layer to our identity.
Welcome! I can support children, teenagers & adults with PTSD, anxiety & depression along w/couples who want to be on the same page. I have unique experience with the active & veteran military population & medical personnel. Because I am of Southeast Asian descent, I believe culture is an important layer to our identity.
(916) 461-7357 View (916) 461-7357
Photo of Nisha Kagal Jastrzembski, Licensed Professional Clinical Counselor in Sacramento, CA
Nisha Kagal Jastrzembski
Licensed Professional Clinical Counselor, LPCC, LMHC
Verified Verified
2 Endorsed
Sacramento, CA 95818  (Online Only)
Do you often feel weighed down by feelings of anxiety or despair? Do you find that your inner world tends to have a harsh or critical tone to it? Are you in the midst of a transition and having difficulty coping? Or are you on the path to finding a deeper sense of identity, purpose, and fulfillment in life? My expertise lies in working with individuals experiencing difficulties resulting from anxiety, depression, cultural challenges, low self-esteem, interpersonal relationships and trauma. Together, I will work with you to create a more meaningful and fulfilling life.
Do you often feel weighed down by feelings of anxiety or despair? Do you find that your inner world tends to have a harsh or critical tone to it? Are you in the midst of a transition and having difficulty coping? Or are you on the path to finding a deeper sense of identity, purpose, and fulfillment in life? My expertise lies in working with individuals experiencing difficulties resulting from anxiety, depression, cultural challenges, low self-esteem, interpersonal relationships and trauma. Together, I will work with you to create a more meaningful and fulfilling life.
(279) 888-9735 View (279) 888-9735
Photo of Skye K. Innerarity, Marriage & Family Therapist in Sacramento, CA
Skye K. Innerarity
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95816  (Online Only)
Not accepting new clients
Are you feeling overwhelmed or “stuck”? Are you wanting more from life? Are you struggling with letting go, changing, getting rid of and/or avoiding difficult and painful thoughts and feelings? Utilizing a genuinely warm, humorous, and direct humanistic approach, I will gently challenge you and invite you to step out of your current comfort zone and step into authentic, mindful living. Throughout our sessions, we will: hold space for difficult thoughts and feelings, highlight underlying patterns of thinking and behaving that may no longer serve you, and imagine new ways of being and doing.
Are you feeling overwhelmed or “stuck”? Are you wanting more from life? Are you struggling with letting go, changing, getting rid of and/or avoiding difficult and painful thoughts and feelings? Utilizing a genuinely warm, humorous, and direct humanistic approach, I will gently challenge you and invite you to step out of your current comfort zone and step into authentic, mindful living. Throughout our sessions, we will: hold space for difficult thoughts and feelings, highlight underlying patterns of thinking and behaving that may no longer serve you, and imagine new ways of being and doing.
(530) 203-5458 View (530) 203-5458
Photo of Alyssa Walls, Marriage & Family Therapist in Sacramento, CA
Alyssa Walls
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95811
I help overwhelmed, self-doubting individuals feel calmer and more confident. If you're consumed by worry, I'll help you quiet your mind and reconnect to your body and spirit. If you struggle to feel worthy and valuable in spite of your accomplishments, I'll help you embrace your authentic self, so-called flaws and all. You may simply wish for quality time with loved ones and peace of mind. Or maybe you envision a calling for yourself that's beyond your current career or role. Whatever it is that you desire from life, I'm here to guide you toward that goal.
I help overwhelmed, self-doubting individuals feel calmer and more confident. If you're consumed by worry, I'll help you quiet your mind and reconnect to your body and spirit. If you struggle to feel worthy and valuable in spite of your accomplishments, I'll help you embrace your authentic self, so-called flaws and all. You may simply wish for quality time with loved ones and peace of mind. Or maybe you envision a calling for yourself that's beyond your current career or role. Whatever it is that you desire from life, I'm here to guide you toward that goal.
(916) 295-6823 View (916) 295-6823
Photo of Erin Leigh Carl, Marriage & Family Therapist in Sacramento, CA
Erin Leigh Carl
Marriage & Family Therapist, MACP, LMFT
Verified Verified
3 Endorsed
Sacramento, CA 95816  (Online Only)
I work exclusively with adult patients and have experience with a wide range of mental health and relational difficulties.
I work exclusively with adult patients and have experience with a wide range of mental health and relational difficulties.
(916) 318-3903 View (916) 318-3903
Photo of Mary Baez, Marriage & Family Therapist in Sacramento, CA
Mary Baez
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95823  (Online Only)
Hi, my name is Mary Baez, therapist. I am licensed in the state of California as a Marriage and Family. My license number is 48302. I have been in the mental health field for 16 years. My first concern s building rapport and trust with clients. My approach is holistic and eclectic. I believe it is important to address the mind-body connection in mental health and I tailor my interventions to the individual needs of my clients thus taking an eclectic approach.
Hi, my name is Mary Baez, therapist. I am licensed in the state of California as a Marriage and Family. My license number is 48302. I have been in the mental health field for 16 years. My first concern s building rapport and trust with clients. My approach is holistic and eclectic. I believe it is important to address the mind-body connection in mental health and I tailor my interventions to the individual needs of my clients thus taking an eclectic approach.
(916) 299-6232 View (916) 299-6232
Photo of Catherine Zanzi, Marriage & Family Therapist in Sacramento, CA
Catherine Zanzi
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95826
You can bring more peace into your life, strengthen your relationships, and increase your joy! I would love to work with you. By integrating healthy principles of mind, body, and spirit, I can help you rediscover and develop your core strengths. You will learn new tools to help heal emotional pain, communicate more effectively, decrease your stress, and increase your life enjoyment. You are worthy of unconditional love and acceptance, and you hold unique gifts to share with the world. Let's work together to use your unique strengths for self-healing.
You can bring more peace into your life, strengthen your relationships, and increase your joy! I would love to work with you. By integrating healthy principles of mind, body, and spirit, I can help you rediscover and develop your core strengths. You will learn new tools to help heal emotional pain, communicate more effectively, decrease your stress, and increase your life enjoyment. You are worthy of unconditional love and acceptance, and you hold unique gifts to share with the world. Let's work together to use your unique strengths for self-healing.
(916) 678-1977 View (916) 678-1977
Photo of Jessica Abdalla, Psychologist in Sacramento, CA
Jessica Abdalla
Psychologist, PhD
Verified Verified
Sacramento, CA 95825  (Online Only)
I am passionate about supporting clients by drawing on personal strengths and resilience to empower positive self-care. I specialize in stress, mood and anxiety disorders, adjustment/life transitions, women's health, health behavior change, sleep disorders, weight management, chronic pain management, and sexual functioning. In addition, I have expertise in working with individuals during pregnancy and postpartum, including grief following pregnancy loss, mood and anxiety disorders, adjustment to pregnancy and postpartum, and co-occurring medical concerns throughout the reproductive period.
I am passionate about supporting clients by drawing on personal strengths and resilience to empower positive self-care. I specialize in stress, mood and anxiety disorders, adjustment/life transitions, women's health, health behavior change, sleep disorders, weight management, chronic pain management, and sexual functioning. In addition, I have expertise in working with individuals during pregnancy and postpartum, including grief following pregnancy loss, mood and anxiety disorders, adjustment to pregnancy and postpartum, and co-occurring medical concerns throughout the reproductive period.
(424) 766-0861 View (424) 766-0861
Photo of Julie Boone, Marriage & Family Therapist in Sacramento, CA
Julie Boone
Marriage & Family Therapist, MS, MFT
Verified Verified
7 Endorsed
Sacramento, CA 95816
Are you looking for a therapist who does more than just listen? I strive to understand; and to help you understand. I help clients stay focused on what they want MORE of in their lives. We also pay attention to what obstacles and maladaptive coping mechanisms are at play. While it is essential to learn to be present with what is currently happening, our work will sometimes reach to heal the past. This gives you the freedom and inner spaciousness to reach toward a better future.
Are you looking for a therapist who does more than just listen? I strive to understand; and to help you understand. I help clients stay focused on what they want MORE of in their lives. We also pay attention to what obstacles and maladaptive coping mechanisms are at play. While it is essential to learn to be present with what is currently happening, our work will sometimes reach to heal the past. This gives you the freedom and inner spaciousness to reach toward a better future.
(916) 913-9766 View (916) 913-9766
Photo of Katya Mills, Marriage & Family Therapist in Sacramento, CA
Katya Mills
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825
Katya (she/they) is a therapist with over 15 years of experience. She graduated from JFK University with a MA in Holistic Counseling Psychology. She believes healing is a creative endeavor unique to each and every one. Life is an adventure with its ups and downs, and the adversaries we face come from within (anxiety, confusion, depression, fear) and without (circumstances, stigma, relationships, trauma). Sometimes we feel small, helpless and hopeless against them. Katya's intention is to develop a healthy alliance with you, and empower you to defeat your adversaries and reach your highest aspirations.
Katya (she/they) is a therapist with over 15 years of experience. She graduated from JFK University with a MA in Holistic Counseling Psychology. She believes healing is a creative endeavor unique to each and every one. Life is an adventure with its ups and downs, and the adversaries we face come from within (anxiety, confusion, depression, fear) and without (circumstances, stigma, relationships, trauma). Sometimes we feel small, helpless and hopeless against them. Katya's intention is to develop a healthy alliance with you, and empower you to defeat your adversaries and reach your highest aspirations.
(916) 702-7354 View (916) 702-7354
Photo of Willa Marie Lampi, Marriage & Family Therapist in Sacramento, CA
Willa Marie Lampi
Marriage & Family Therapist, MSc, MFT
Verified Verified
Sacramento, CA 95834
Are you tired of feeling angry, lonely, misunderstood in your relationship(s)? Are you ready to take the next step by learning new ways to feel safe and connected in your relationship. Couples working with me learn to: create a secure, loving, and trusting bond with each other. Improve Communication skills, increase verbal and sexual intimacy, stop the "blame game," talk about your thoughts and feelings without fear of being hurt or judged, set appropriate boundaries within your relationship(s), stop passive-aggressive behaviors and become assertive in all your relationships, accept each other - warts and all.
Are you tired of feeling angry, lonely, misunderstood in your relationship(s)? Are you ready to take the next step by learning new ways to feel safe and connected in your relationship. Couples working with me learn to: create a secure, loving, and trusting bond with each other. Improve Communication skills, increase verbal and sexual intimacy, stop the "blame game," talk about your thoughts and feelings without fear of being hurt or judged, set appropriate boundaries within your relationship(s), stop passive-aggressive behaviors and become assertive in all your relationships, accept each other - warts and all.
(916) 258-2885 View (916) 258-2885
Photo of Jose Quiroz, Clinical Social Work/Therapist in Sacramento, CA
Jose Quiroz
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95820
Hi there, I'm Jose! My name is Jose Quiroz, I'm a Licensed Clinical Social Worker (LCSW) based in the San Bernardino/Riverside County metro area of southern California. I work in a mental health forensic hospital providing therapy to clients struggling with depression, anxiety, and chemical dependence. I use Cognitive Behavioral Therapy to assist my clients in making progress so that they may feel better.
Hi there, I'm Jose! My name is Jose Quiroz, I'm a Licensed Clinical Social Worker (LCSW) based in the San Bernardino/Riverside County metro area of southern California. I work in a mental health forensic hospital providing therapy to clients struggling with depression, anxiety, and chemical dependence. I use Cognitive Behavioral Therapy to assist my clients in making progress so that they may feel better.
(916) 378-7180 View (916) 378-7180
Photo of Shannon Nisley, Licensed Professional Counselor in Sacramento, CA
Shannon Nisley
Licensed Professional Counselor, LPC, LPCC, LCPC
Verified Verified
Sacramento, CA 95811  (Online Only)
I provide virtual individual therapy to adult (18+) women and enby folks of all backgrounds, orientations, expressions, and relationship/family dynamics - no topic is off limits. I aim to cultivate a compassionate and empowering space for you to explore and heal, believing laughter, joy, and creativity to be an integral part of that process. No judgement, no shame, no “fixing”, no BS.
I provide virtual individual therapy to adult (18+) women and enby folks of all backgrounds, orientations, expressions, and relationship/family dynamics - no topic is off limits. I aim to cultivate a compassionate and empowering space for you to explore and heal, believing laughter, joy, and creativity to be an integral part of that process. No judgement, no shame, no “fixing”, no BS.
(530) 853-3335 View (530) 853-3335
Photo of April J Tate, Marriage & Family Therapist in Sacramento, CA
April J Tate
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95826  (Online Only)
"The only way out is through." What ever you are struggling with or striving for, no matter your background or experiences, it is my privilege to support you in developing the skills needed to achieve your goals. Developing a therapeutic relationship and challenging unhelpful thoughts and behaviors is where progress and success in treatment occurs. Each person has individual and unique needs which I strive to identify and support you in creating a life you desire. I make it my primary objective to create a space of safety and trust where you can comfortably share stories you may have never had the chance to tell before.
"The only way out is through." What ever you are struggling with or striving for, no matter your background or experiences, it is my privilege to support you in developing the skills needed to achieve your goals. Developing a therapeutic relationship and challenging unhelpful thoughts and behaviors is where progress and success in treatment occurs. Each person has individual and unique needs which I strive to identify and support you in creating a life you desire. I make it my primary objective to create a space of safety and trust where you can comfortably share stories you may have never had the chance to tell before.
(916) 426-7422 View (916) 426-7422
Photo of Daniel Rockers, Psychologist in Sacramento, CA
Daniel Rockers
Psychologist, PhD
Verified Verified
1 Endorsed
Sacramento, CA 95819
I help individuals realize their potential, whether it is in a spiritual direction or in motivation to perform better in life. The underlying principles are the same. I work in a "positive psychology" format, which means that there is often more focus on one's existing strengths, instead of on some deficit or illness. I help people look at the workings of the mind, and to improve through specific exercises and homework. The ideal client is one who recognizes that they feel stuck and is willing to take the necessary actions to begin moving forward.
I help individuals realize their potential, whether it is in a spiritual direction or in motivation to perform better in life. The underlying principles are the same. I work in a "positive psychology" format, which means that there is often more focus on one's existing strengths, instead of on some deficit or illness. I help people look at the workings of the mind, and to improve through specific exercises and homework. The ideal client is one who recognizes that they feel stuck and is willing to take the necessary actions to begin moving forward.
(916) 226-4407 View (916) 226-4407
Photo of Darlene A. Obregon, Marriage & Family Therapist in Sacramento, CA
Darlene A. Obregon
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825
Hi, my name is Darlene. I am a Licensed Marriage and Family Therapist in California. I am have experience working with couples in re-establishing safety and connection in relationships. I have worked with couples with infidelity, separation and high conflict. I am also passionate about working with individuals in helping them unpack childhood emotional trauma wounds, to foster new healthy attachments. I have 10 years experience working with children and families. In family work, I help to restore connection, trust and belonging.
Hi, my name is Darlene. I am a Licensed Marriage and Family Therapist in California. I am have experience working with couples in re-establishing safety and connection in relationships. I have worked with couples with infidelity, separation and high conflict. I am also passionate about working with individuals in helping them unpack childhood emotional trauma wounds, to foster new healthy attachments. I have 10 years experience working with children and families. In family work, I help to restore connection, trust and belonging.
(916) 943-4076 View (916) 943-4076
Photo of Sacramento Psychology, Psychologist in Sacramento, CA
Sacramento Psychology
Psychologist, PsyD
Verified Verified
Sacramento, CA 95814
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
Learn how to feel more connected to yourself, others and the world around you. Therapy provides all the elements of intimacy: honest communication, vulnerability and trust. Good therapy is challenging yet warm, providing both structure and empathy for your unique experience. We are a collective of therapists with a wide range of specialties. Our intake professionals will help connect you with the right therapist for your needs. We make appointments easy, offering evenings and weekends and flexibility for creative professionals who can't make the same time each week.
(916) 269-5112 View (916) 269-5112
Photo of Leslie Kolb, Clinical Social Work/Therapist in Sacramento, CA
Leslie Kolb
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95814  (Online Only)
My therapy style is warm, practical, and nonjudgmental. I have found that leading with authenticity and reserving judgment is key to building a safe, therapeutic relationship that will be the foundation for our work together. I prioritize your individual perspective and experiences and tailor our sessions to serve both your overarching goals and your needs in the moment. My approach to therapy is rooted in traditional psychodynamic practice while incorporating skills specifically targeted at supporting you in reaching your goals.
My therapy style is warm, practical, and nonjudgmental. I have found that leading with authenticity and reserving judgment is key to building a safe, therapeutic relationship that will be the foundation for our work together. I prioritize your individual perspective and experiences and tailor our sessions to serve both your overarching goals and your needs in the moment. My approach to therapy is rooted in traditional psychodynamic practice while incorporating skills specifically targeted at supporting you in reaching your goals.
(310) 924-6317 View (310) 924-6317

How does your Therapist compare?

Number of Therapists in Sacramento, CA

1,000+

Average cost per session

$150

Therapists in Sacramento, CA who prioritize treating:

92% Anxiety
86% Depression
73% Relationship Issues
70% Self Esteem
68% Trauma and PTSD
67% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

68% Aetna
62% Cigna and Evernorth
60% UnitedHealthcare UHC | UBH

How Therapists in Sacramento, CA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sacramento?

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.