Therapists in San Francisco, CA

View neighborhoods in San Francisco
Photo of Tina Stromsted, Marriage & Family Therapist in San Francisco, CA
Tina Stromsted
Marriage & Family Therapist, LMFT, PhD, LPCC, BC-DMT, Jungian
Verified Verified
1 Endorsed
San Francisco, CA 94117  (Online Only)
Waitlist for new clients
As a Jungian analyst and body-oriented psychotherapist, I work with individuals who wish to explore the roots of their issues and lead more fulfilling lives. My integrative approach incorporates dreamwork, Authentic Movement, Marion Woodman's BodySoul Rhythms approach and other embodied, creative disciplines, together with in-depth verbal psychotherapy. In a safe and non-judgmental atmosphere I assist people in reconnecting with their feelings, developing healthier relationships and exploring meaningful career paths. As a university professor and international trainer I support people's learning, change and growth and hold a profound respect for the uniqueness of each person's calling.
As a Jungian analyst and body-oriented psychotherapist, I work with individuals who wish to explore the roots of their issues and lead more fulfilling lives. My integrative approach incorporates dreamwork, Authentic Movement, Marion Woodman's BodySoul Rhythms approach and other embodied, creative disciplines, together with in-depth verbal psychotherapy. In a safe and non-judgmental atmosphere I assist people in reconnecting with their feelings, developing healthier relationships and exploring meaningful career paths. As a university professor and international trainer I support people's learning, change and growth and hold a profound respect for the uniqueness of each person's calling.
(415) 802-0351 View (415) 802-0351
Photo of Lena Nicodemus, Marriage & Family Therapist in San Francisco, CA
Lena Nicodemus
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94115  (Online Only)
Do you feel trapped by your anxious rumination, obsessive-compulsive patterns, and people-pleasing behaviors? Have you seen therapists in the past who you feel like listened and validated you but didn't help you figure out what to actually do about your anxiety? Maybe you feel like your previous trauma makes it hard for you to feel like you can connect with loved ones in relationship now? I help highly motivated clients like you learn how to manage your anxiety and get your needs met in your relationships. There is hope for you to live a life that feels worth living.
Do you feel trapped by your anxious rumination, obsessive-compulsive patterns, and people-pleasing behaviors? Have you seen therapists in the past who you feel like listened and validated you but didn't help you figure out what to actually do about your anxiety? Maybe you feel like your previous trauma makes it hard for you to feel like you can connect with loved ones in relationship now? I help highly motivated clients like you learn how to manage your anxiety and get your needs met in your relationships. There is hope for you to live a life that feels worth living.
(415) 991-6762 View (415) 991-6762
Photo of Gary Hennemuth, Psychologist in San Francisco, CA
Gary Hennemuth
Psychologist, PsyD
Verified Verified
San Francisco, CA 94110
Life seems to have a way of getting complicated, making it difficult to respond to new and familiar challenges alike. Perhaps you feel stuck, or struggle to find connection. Given the social climate of today, it takes special effort to be understood, and seen for who we really are. I believe our wellbeing requires attention to many factors; events that happen around us, to us, experience arising from within, and the wealth of dynamic interactions in between. How shall we go about making sense of it all? How do we get in touch with our best self? What is going on with all these thoughts and feelings?
Life seems to have a way of getting complicated, making it difficult to respond to new and familiar challenges alike. Perhaps you feel stuck, or struggle to find connection. Given the social climate of today, it takes special effort to be understood, and seen for who we really are. I believe our wellbeing requires attention to many factors; events that happen around us, to us, experience arising from within, and the wealth of dynamic interactions in between. How shall we go about making sense of it all? How do we get in touch with our best self? What is going on with all these thoughts and feelings?
(415) 965-8928 View (415) 965-8928
Photo of Luke Meier, Counselor in San Francisco, CA
Luke Meier
Counselor, LPCC
Verified Verified
San Francisco, CA 94102
Luke Meier is a Licensed Professional Clinical Counselor in California who has been practicing since 2013. Luke helps clients by listening, being practical, and offering experienced anecdotes. Outside of work, Luke enjoys lifting weights, writing, and finding any reason to be competitive.
Luke Meier is a Licensed Professional Clinical Counselor in California who has been practicing since 2013. Luke helps clients by listening, being practical, and offering experienced anecdotes. Outside of work, Luke enjoys lifting weights, writing, and finding any reason to be competitive.
(628) 259-8929 View (628) 259-8929
Photo of Kurt Wagner, Marriage & Family Therapist in San Francisco, CA
Kurt Wagner
Marriage & Family Therapist, MA, LMFT, PhD
Verified Verified
1 Endorsed
San Francisco, CA 94102
My philosophy of care is to provide compassion and support to help you achieve your goals. This is accomplished by focusing on what is important to you, where you will be listened to and heard, and for us to share an honest and accurate reflection of your experience. If you've ever felt stuck or lost, or struggle with intense emotions, or have difficulty connecting with them, therapy with me is a powerful way to find yourself again, to restore balance and hope in yourself, and to revive your innate capacity for resilience and joy.
My philosophy of care is to provide compassion and support to help you achieve your goals. This is accomplished by focusing on what is important to you, where you will be listened to and heard, and for us to share an honest and accurate reflection of your experience. If you've ever felt stuck or lost, or struggle with intense emotions, or have difficulty connecting with them, therapy with me is a powerful way to find yourself again, to restore balance and hope in yourself, and to revive your innate capacity for resilience and joy.
(415) 969-5648 View (415) 969-5648
Photo of Maxwell Keller, Marriage & Family Therapist in San Francisco, CA
Maxwell Keller
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
San Francisco, CA 94102
Are you struggling with emotional distress, psychological injury or addiction as a result of childhood trauma or abuse? I specialize in helping young people, adults,and their Families rebound and recover from unresolved trauma and abuse, addiction and compulsive behaviors, stress and anxiety, grief and loss, relationship and intimacy issues.
Are you struggling with emotional distress, psychological injury or addiction as a result of childhood trauma or abuse? I specialize in helping young people, adults,and their Families rebound and recover from unresolved trauma and abuse, addiction and compulsive behaviors, stress and anxiety, grief and loss, relationship and intimacy issues.
(415) 413-7697 View (415) 413-7697
Photo of Marco Fekrat, Psychologist in San Francisco, CA
Marco Fekrat
Psychologist, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94117  (Online Only)
I am a Licensed Clinical Psychologist with over 15 years of experience working with individuals and couples. My specialties include relationship issues, depression, anxiety, trauma, self-esteem issues, sexuality and working with the LGBTQ population. My goal is to help you better balance yourself in the present, day to day, and dive deep with you to understand the root cause. Truly effective therapy, in my view, happens when we are ready to look deeply and critically at our current situation, ready to make sustainable, and practical changes.
I am a Licensed Clinical Psychologist with over 15 years of experience working with individuals and couples. My specialties include relationship issues, depression, anxiety, trauma, self-esteem issues, sexuality and working with the LGBTQ population. My goal is to help you better balance yourself in the present, day to day, and dive deep with you to understand the root cause. Truly effective therapy, in my view, happens when we are ready to look deeply and critically at our current situation, ready to make sustainable, and practical changes.
(310) 421-0140 View (310) 421-0140
Photo of Shaw Talley, LCSW , Clinical Social Work/Therapist in San Francisco, CA
Shaw Talley, LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94109
My name is Shaw Talley and I received my Masters in Social Work from the University of Washington in 2010. I received my License in Clinical Social Work in 2019 and have 11 years experience working as a Medical Social Worker in the Emergency Room at San Francisco General Hospital. As a therapist I am curious, disarming, calm, compassionate, non judgmental, professional, accountable to growth, emotionally present, passionate, mindful, positive and loving. I practice Acceptance Commitment Therapy (ACT) and was introduced to ACT in 2017 during clinical supervision under an experienced ACT therapist.
My name is Shaw Talley and I received my Masters in Social Work from the University of Washington in 2010. I received my License in Clinical Social Work in 2019 and have 11 years experience working as a Medical Social Worker in the Emergency Room at San Francisco General Hospital. As a therapist I am curious, disarming, calm, compassionate, non judgmental, professional, accountable to growth, emotionally present, passionate, mindful, positive and loving. I practice Acceptance Commitment Therapy (ACT) and was introduced to ACT in 2017 during clinical supervision under an experienced ACT therapist.
(415) 818-9943 View (415) 818-9943
Photo of Maureen Mccracken, Marriage & Family Therapist in San Francisco, CA
Maureen Mccracken
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94118
Are you feeling stuck? Perhaps you're in the middle of one of life's "necessary changes," or struggling with starting on your path in the world, regarding purpose,meaning, and making a living. Perhaps you're trying to "reboot" after a loss, illness, or other life-changing experience, or trying to adjust and move forward in the midst of mid-life transition. As your therapist, I will meet you where you are at, and team up with you to create a life in which you find meaning, joy, and fulfillment.
Are you feeling stuck? Perhaps you're in the middle of one of life's "necessary changes," or struggling with starting on your path in the world, regarding purpose,meaning, and making a living. Perhaps you're trying to "reboot" after a loss, illness, or other life-changing experience, or trying to adjust and move forward in the midst of mid-life transition. As your therapist, I will meet you where you are at, and team up with you to create a life in which you find meaning, joy, and fulfillment.
(415) 683-3077 View (415) 683-3077
Photo of Alisa Huntington, Marriage & Family Therapist in San Francisco, CA
Alisa Huntington
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94109
My name is Dr. Alisa Huntington, and I've been a licensed Marriage and Family therapist for 24 years. I love facilitating self-awareness and growth. Through a variety of modalities, I give you the tools to help you be the best version of yourself. I believe each individual has the tools to help him/her/themselves, they just might need a little guidance to unveil the layers. I see people who are depressed or anxious, questioning their sexual identity, in unhappy relationships, poor relationships with family members, adoptees or birth parents who have relinquished their child, and a variety of other issues.
My name is Dr. Alisa Huntington, and I've been a licensed Marriage and Family therapist for 24 years. I love facilitating self-awareness and growth. Through a variety of modalities, I give you the tools to help you be the best version of yourself. I believe each individual has the tools to help him/her/themselves, they just might need a little guidance to unveil the layers. I see people who are depressed or anxious, questioning their sexual identity, in unhappy relationships, poor relationships with family members, adoptees or birth parents who have relinquished their child, and a variety of other issues.
(415) 687-1016 View (415) 687-1016
Photo of Leland van den Daele, Psychologist in San Francisco, CA
Leland van den Daele
Psychologist, MS, PhD, FACP
Verified Verified
3 Endorsed
San Francisco, CA 94115
My clients seek self-knowledge, firm identity, clear purpose, and meaning in life. They wonder “What’s it all about?”, "Is this all there is?", "How do I find a way?" They avoid cookie-cutter formulas and truisms. They seek authenticity, freedom from self-blame, doubt, anxiety, and depression, confidence during life changes, clarity of purpose, and dignity in a confused and often shallow culture. They are willing to invest in themselves to find themselves. They seek understanding of their attachment style, repressed emotions, unconscious patterns, fixations, blind spots, and defenses.
My clients seek self-knowledge, firm identity, clear purpose, and meaning in life. They wonder “What’s it all about?”, "Is this all there is?", "How do I find a way?" They avoid cookie-cutter formulas and truisms. They seek authenticity, freedom from self-blame, doubt, anxiety, and depression, confidence during life changes, clarity of purpose, and dignity in a confused and often shallow culture. They are willing to invest in themselves to find themselves. They seek understanding of their attachment style, repressed emotions, unconscious patterns, fixations, blind spots, and defenses.
(628) 210-3285 View (628) 210-3285
Photo of Arthur Scappaticci Psychotherapy, Marriage & Family Therapist in San Francisco, CA
Arthur Scappaticci Psychotherapy
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Francisco, CA 94118
Realizing our potential challenges the very essence of who we are: belief, self-esteem, identity. I have a comprehensive approach that will help unlock problematic thought and behavioral patterns, maximizing the resources available to you as you embark on a journey of self discovery and self worth. Identifying and understanding the obstacles that keep you stuck and hold you back are at the heart of personal and professional growth. Recovering from past wounds clears the way towards a wholesome self, reaffirms personal power, and ultimately leads to a greater sense of worth and self-acceptance.
Realizing our potential challenges the very essence of who we are: belief, self-esteem, identity. I have a comprehensive approach that will help unlock problematic thought and behavioral patterns, maximizing the resources available to you as you embark on a journey of self discovery and self worth. Identifying and understanding the obstacles that keep you stuck and hold you back are at the heart of personal and professional growth. Recovering from past wounds clears the way towards a wholesome self, reaffirms personal power, and ultimately leads to a greater sense of worth and self-acceptance.
(628) 265-8349 View (628) 265-8349
Photo of Stacey A Christensen, Marriage & Family Therapist in San Francisco, CA
Stacey A Christensen
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94115
I am a collaborative therapist which means that we work together on the goals you want to achieve and how you'd like to achieve therm.
I am a collaborative therapist which means that we work together on the goals you want to achieve and how you'd like to achieve therm.
(415) 985-4283 View (415) 985-4283
Photo of Jennifer Knox, Marriage & Family Therapist in San Francisco, CA
Jennifer Knox
Marriage & Family Therapist, AMFT
Verified Verified
1 Endorsed
San Francisco, CA 94110  (Online Only)
Often, the beliefs we carry about ourselves don't originate with us, or it can be hard to locate the source of our emotions. Maybe certain thoughts and memories seem like they are more than you can handle; or perhaps you are well aware of patterns you would like to change but don't know where to start. When we are in the thick of things, we are too close to see clearly. What therapy offers is another set of eyes, an aerial view that enables you to observe our own life more objectively. Part of my job is to help you hold what feels like "too much", remind you of your own strength, and to figure out a path forward together.
Often, the beliefs we carry about ourselves don't originate with us, or it can be hard to locate the source of our emotions. Maybe certain thoughts and memories seem like they are more than you can handle; or perhaps you are well aware of patterns you would like to change but don't know where to start. When we are in the thick of things, we are too close to see clearly. What therapy offers is another set of eyes, an aerial view that enables you to observe our own life more objectively. Part of my job is to help you hold what feels like "too much", remind you of your own strength, and to figure out a path forward together.
(628) 257-8932 View (628) 257-8932
Photo of Anne Rettenberg, Clinical Social Work/Therapist in San Francisco, CA
Anne Rettenberg
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94115  (Online Only)
Not accepting new clients
I work with diverse persons, treating depression, anxiety disorders, relationship problems and trauma-related problems. I am licensed in California and New York.
I work with diverse persons, treating depression, anxiety disorders, relationship problems and trauma-related problems. I am licensed in California and New York.
(917) 861-2731 View (917) 861-2731
Photo of Melissa Ciappetta, Marriage & Family Therapist in San Francisco, CA
Melissa Ciappetta
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
San Francisco, CA 94123
I offer a therapeutic approach that is warm, non-judgmental, calm and engages the client. I am a compassionate and seasoned therapist who has treated clients with a range of clinical issues for over 20 years. My approach provides a safe way to deal with major life changes. I can help you find the patterns and identify the connections between thoughts, feelings and behaviors. My direct New York style , softened by my California vibe, will provide you with thoughtful reflection needed to help you find the path toward healing.
I offer a therapeutic approach that is warm, non-judgmental, calm and engages the client. I am a compassionate and seasoned therapist who has treated clients with a range of clinical issues for over 20 years. My approach provides a safe way to deal with major life changes. I can help you find the patterns and identify the connections between thoughts, feelings and behaviors. My direct New York style , softened by my California vibe, will provide you with thoughtful reflection needed to help you find the path toward healing.
(415) 936-7326 View (415) 936-7326
Photo of Jerome Braun, Marriage & Family Therapist in San Francisco, CA
Jerome Braun
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94104
Depth Psychotherapy helps you to create a safe space to focus on the invisible-yet-real forces underlying your actions, thoughts and feelings. Through Depth Psychotherapy, troublesome patterns and dilemmas are not just dealt with to "fix it" but can be held as allies that teach and guide you to deeper levels of consciousness and integration of parts of yourself. Tapping those underlying forces can release new found creativity and meaning. Depth Psychotherapy can include your meditation practice, dream work, intuition, our greater ecology, the imagination, and the mystical, moving you toward wholeness.
Depth Psychotherapy helps you to create a safe space to focus on the invisible-yet-real forces underlying your actions, thoughts and feelings. Through Depth Psychotherapy, troublesome patterns and dilemmas are not just dealt with to "fix it" but can be held as allies that teach and guide you to deeper levels of consciousness and integration of parts of yourself. Tapping those underlying forces can release new found creativity and meaning. Depth Psychotherapy can include your meditation practice, dream work, intuition, our greater ecology, the imagination, and the mystical, moving you toward wholeness.
(415) 799-8904 View (415) 799-8904
Photo of Lynn G Allen, Marriage & Family Therapist in San Francisco, CA
Lynn G Allen
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94109
Not accepting new clients
*Not currently taking new clients* I am a Licensed Marriage and Family Therapist providing services via telehealth to clients in California. I recently relocated to California from Florida, where I have extensive experience working with adults and older adolescents who present with a wide variety of issues and concerns. Central to my practice is helping my clients to actively learn skills to feel more grounded, present, relaxed and engaged in their daily lives and relationships. At all times I am guided by evidence-based practice and what available research has shown to be effective for a given issue.
*Not currently taking new clients* I am a Licensed Marriage and Family Therapist providing services via telehealth to clients in California. I recently relocated to California from Florida, where I have extensive experience working with adults and older adolescents who present with a wide variety of issues and concerns. Central to my practice is helping my clients to actively learn skills to feel more grounded, present, relaxed and engaged in their daily lives and relationships. At all times I am guided by evidence-based practice and what available research has shown to be effective for a given issue.
(415) 630-5810 View (415) 630-5810
Photo of Sara Daniel, Marriage & Family Therapist in San Francisco, CA
Sara Daniel
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94118
Sara Daniel is a Licensed Marriage and Family Therapist who is passionate about assisting clients in reaching their highest potential. She received her Master's in Psychology, with a concentration in Marriage and Family Counseling, from Argosy University, previously located in Ontario, Ca. Throughout Sara's career, she has provided crisis intervention to adults, children, and their families from diverse cultures, ages, and backgrounds, resulting in her intuition to provide excellent care to those hurting.
Sara Daniel is a Licensed Marriage and Family Therapist who is passionate about assisting clients in reaching their highest potential. She received her Master's in Psychology, with a concentration in Marriage and Family Counseling, from Argosy University, previously located in Ontario, Ca. Throughout Sara's career, she has provided crisis intervention to adults, children, and their families from diverse cultures, ages, and backgrounds, resulting in her intuition to provide excellent care to those hurting.
(415) 612-6754 View (415) 612-6754
Photo of Dona Schaffer, Marriage & Family Therapist in San Francisco, CA
Dona Schaffer
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94105  (Online Only)
My goal is to help everyday people, facing everyday problems overcome challenges and live their best life. I am a licensed Marriage and Family Therapist with experience working with families, individuals, and couples. I provide a collaborative therapeutic approach integrating human-centered, Solution-Focused, and Cognitive Behavioral Therapy to support clients as they face, explore, and cope with painful emotions, behavioral challenges, and stressors. I recognize the need for help navigating life and emotional challenges.
My goal is to help everyday people, facing everyday problems overcome challenges and live their best life. I am a licensed Marriage and Family Therapist with experience working with families, individuals, and couples. I provide a collaborative therapeutic approach integrating human-centered, Solution-Focused, and Cognitive Behavioral Therapy to support clients as they face, explore, and cope with painful emotions, behavioral challenges, and stressors. I recognize the need for help navigating life and emotional challenges.
(415) 625-1643 View (415) 625-1643

See more therapy options for San Francisco

How does your Therapist compare?

Number of Therapists in San Francisco, CA

3,000+

Average cost per session

$189

Therapists in San Francisco, CA who prioritize treating:

93% Anxiety
87% Depression
81% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
68% Stress
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

69% Aetna
55% UnitedHealthcare UHC | UBH
54% Cigna and Evernorth

How Therapists in San Francisco, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

75% Female
23% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Francisco?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.