Therapists in San Francisco, CA

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Photo of choicetherapy psychological services, inc., Psychologist in San Francisco, CA
choicetherapy psychological services, inc.
Psychologist, PsyD, MS
Verified Verified
3 Endorsed
San Francisco, CA 94127
Marisa T. Mazza, Psy.D. is a licensed psychologist. She enjoys helping people learn new ways of interacting with thoughts and feelings so they can live meaningful lives. Her approach allows individuals to face their fears in a gradual and gentle way.
Marisa T. Mazza, Psy.D. is a licensed psychologist. She enjoys helping people learn new ways of interacting with thoughts and feelings so they can live meaningful lives. Her approach allows individuals to face their fears in a gradual and gentle way.
(415) 729-3949 View (415) 729-3949
Photo of Jasper Cornelius Mather, Marriage & Family Therapist in San Francisco, CA
Jasper Cornelius Mather
Marriage & Family Therapist, LMFT, APCC
Verified Verified
San Francisco, CA 94112
I am passionate about helping individuals in the transgender community navigate the unique challenges that come with gender identity and expression. As a transgender person myself, I understand firsthand the complexity of these issues and the importance of providing a safe and inclusive space for clients to explore their identity. I believe that every person has the capacity to heal and grow, and I am committed to providing a supportive and nonjudgmental environment where clients can explore their identity, work through challenges, and build resilience. I also work with anxiety, depression, trauma, grief, and relationship issues.
I am passionate about helping individuals in the transgender community navigate the unique challenges that come with gender identity and expression. As a transgender person myself, I understand firsthand the complexity of these issues and the importance of providing a safe and inclusive space for clients to explore their identity. I believe that every person has the capacity to heal and grow, and I am committed to providing a supportive and nonjudgmental environment where clients can explore their identity, work through challenges, and build resilience. I also work with anxiety, depression, trauma, grief, and relationship issues.
(415) 727-3423 View (415) 727-3423
Photo of David McCarthy in San Francisco, CA
David McCarthy
MHC
Verified Verified
San Francisco, CA 94104  (Online Only)
At SoundHeart Counseling we help clients from all walks of life, different backgrounds, and different age groups. Many of them came to counseling to address issues related to relationships, job stressors, past trauma, anger management, or to seek treatment for mental illness or addiction. Whether you want to gain self-confidence, improve your communication skills, overcome your past and present challenges, or find the courage to heal and forgive yourself or others, you've come to the right place! SoundHeart’s approach to premarital and couple counseling, and family therapy have helped many resolve conflicts and establish trust.
At SoundHeart Counseling we help clients from all walks of life, different backgrounds, and different age groups. Many of them came to counseling to address issues related to relationships, job stressors, past trauma, anger management, or to seek treatment for mental illness or addiction. Whether you want to gain self-confidence, improve your communication skills, overcome your past and present challenges, or find the courage to heal and forgive yourself or others, you've come to the right place! SoundHeart’s approach to premarital and couple counseling, and family therapy have helped many resolve conflicts and establish trust.
(628) 210-8823 View (628) 210-8823
Photo of Sarita Redalia, Marriage & Family Therapist in San Francisco, CA
Sarita Redalia
Marriage & Family Therapist, MA, LMFT
Verified Verified
8 Endorsed
San Francisco, CA 94123
If you’re struggling with anxiety, depression, relationships, trauma or grief and have exhausted your resources to cope, there is hope. Relief is in sight and you don’t have to go it alone. As your therapist, my intention is to provide you with the safe place and trusted guidance you need to deal with the issues. Whatever your goals for therapy, my hope is to support you to meet life’s challenges while coming to a deeper understanding and appreciation for yourself. Ultimately, my goal as your therapist is to help you navigate the way to the felt sense of peace and contentment you seek. Feeling better is within your grasp.
If you’re struggling with anxiety, depression, relationships, trauma or grief and have exhausted your resources to cope, there is hope. Relief is in sight and you don’t have to go it alone. As your therapist, my intention is to provide you with the safe place and trusted guidance you need to deal with the issues. Whatever your goals for therapy, my hope is to support you to meet life’s challenges while coming to a deeper understanding and appreciation for yourself. Ultimately, my goal as your therapist is to help you navigate the way to the felt sense of peace and contentment you seek. Feeling better is within your grasp.
(415) 237-0074 View (415) 237-0074
Photo of Alex Theberge, Marriage & Family Therapist in San Francisco, CA
Alex Theberge
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94115  (Online Only)
Thank for your interest in my therapy practice. I’m a trauma-focused therapist who specializes in helping people heal from childhood trauma, PTSD, and psycho-emotional wounds. I see healing as a deeply personal and meaningful journey to recover our authentic wholeness and unique gifts for the world. It often involves reconnecting to and integrating split-off parts of ourselves, clearing traumatic memories, and releasing blockages and old patterns that no longer serve us. I work with a variety of healing modalities that are particularly helpful for healing trauma, including EMDR, journey work, parts work, and hypnotherapy.
Thank for your interest in my therapy practice. I’m a trauma-focused therapist who specializes in helping people heal from childhood trauma, PTSD, and psycho-emotional wounds. I see healing as a deeply personal and meaningful journey to recover our authentic wholeness and unique gifts for the world. It often involves reconnecting to and integrating split-off parts of ourselves, clearing traumatic memories, and releasing blockages and old patterns that no longer serve us. I work with a variety of healing modalities that are particularly helpful for healing trauma, including EMDR, journey work, parts work, and hypnotherapy.
(415) 797-0197 View (415) 797-0197
Photo of Christhmus (Christopher Chu) Presence, Marriage & Family Therapist Associate in San Francisco, CA
Christhmus (Christopher Chu) Presence
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
5 Endorsed
San Francisco, CA 94114  (Online Only)
Offering CA-based Telehealth ideal for BIPOC: Black, Indigenous, &/or People of Color, including white-passing & mixed-race BIPOC. Also welcoming Families & Partnerships with 1 or more BIPOC in regular attendance. I offer Xychotherapy: psychotherapy that recognizes therapeutic experiences existed long before psychotherapy was invented, and incorporates psychotherapy into global therapeutic wisdoms and practices.
Offering CA-based Telehealth ideal for BIPOC: Black, Indigenous, &/or People of Color, including white-passing & mixed-race BIPOC. Also welcoming Families & Partnerships with 1 or more BIPOC in regular attendance. I offer Xychotherapy: psychotherapy that recognizes therapeutic experiences existed long before psychotherapy was invented, and incorporates psychotherapy into global therapeutic wisdoms and practices.
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Photo of Pilar Dellano, Marriage & Family Therapist in San Francisco, CA
Pilar Dellano
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
San Francisco, CA 94103
It may seem a world away and yet here you are; On the brink of a new day, in which courageous, interdependent, and radical connection to the life you’ve always wanted, is only an email away.
It may seem a world away and yet here you are; On the brink of a new day, in which courageous, interdependent, and radical connection to the life you’ve always wanted, is only an email away.
(415) 792-1796 View (415) 792-1796
Photo of Rachel Ganz, Clinical Social Work/Therapist in San Francisco, CA
Rachel Ganz
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94123
Waitlist for new clients
If you’re here, I imagine you may have found yourself exhausted, stuck, and suffering despite your best efforts. Maybe you're so chronically overwhelmed from trying to balance the demands of life that you find yourself unable to enjoy any moments of rest or recharge. Or you feel that despite how far you've come in achieving your goals you're never doing enough, and you're losing sight of why those goals matter in the first place. Maybe you silently struggle with a deep-seated fear that you're one misstep away from proving yourself an imposter and losing all that you've worked towards. Do you worry you'll never stop feeling this way?
If you’re here, I imagine you may have found yourself exhausted, stuck, and suffering despite your best efforts. Maybe you're so chronically overwhelmed from trying to balance the demands of life that you find yourself unable to enjoy any moments of rest or recharge. Or you feel that despite how far you've come in achieving your goals you're never doing enough, and you're losing sight of why those goals matter in the first place. Maybe you silently struggle with a deep-seated fear that you're one misstep away from proving yourself an imposter and losing all that you've worked towards. Do you worry you'll never stop feeling this way?
(628) 266-4655 View (628) 266-4655
Photo of Heidi Xue, Marriage & Family Therapist Associate in San Francisco, CA
Heidi Xue
Marriage & Family Therapist Associate, AMFT, APPC, EMDR
Verified Verified
San Francisco, CA 94114
Do you have trouble with anxiety, depression, and relationship/family issues due to trauma? Past experiences can create imprints onto your brain that activate your fight/flight responses whenever your emotions feel dysregulated, but life without the constant feeling of being on edge is possible. Those traumatic memories don’t have to permanently influence who you are meant to be. Through therapy, you will gain control of your feelings/thoughts and your response to everyday life hurdles. Healing from trauma can create healthier beliefs about yourself and your relationships along with sustainable changes.
Do you have trouble with anxiety, depression, and relationship/family issues due to trauma? Past experiences can create imprints onto your brain that activate your fight/flight responses whenever your emotions feel dysregulated, but life without the constant feeling of being on edge is possible. Those traumatic memories don’t have to permanently influence who you are meant to be. Through therapy, you will gain control of your feelings/thoughts and your response to everyday life hurdles. Healing from trauma can create healthier beliefs about yourself and your relationships along with sustainable changes.
(415) 534-9538 View (415) 534-9538
Photo of Loryn Hicks, Marriage & Family Therapist in San Francisco, CA
Loryn Hicks
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94117  (Online Only)
I offer warmth and love created by a safe and welcoming environment. I have a passion for working with those who have been told they are “too much”. From working with teens and families to those struggling through trauma or grief, I am here. I work with intersectionality and identity, cultural explorations and difficulties, as well as difference and sensitivity. I have worked extensively with those with eating struggles. I have worked in restorative justice and enjoy working with the formerly incarcerated, Please ask me anything
I offer warmth and love created by a safe and welcoming environment. I have a passion for working with those who have been told they are “too much”. From working with teens and families to those struggling through trauma or grief, I am here. I work with intersectionality and identity, cultural explorations and difficulties, as well as difference and sensitivity. I have worked extensively with those with eating struggles. I have worked in restorative justice and enjoy working with the formerly incarcerated, Please ask me anything
(415) 831-7691 View (415) 831-7691
Photo of Jen Poole, Marriage & Family Therapist in San Francisco, CA
Jen Poole
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94110
Welcome to my practice. I am a heart-centered therapist who works collaboratively with you. This work supports you in finding the roots of self- limiting beliefs and relationship patterns, and provides tools and techniques for healing, which gives way to inner clarity and freedom. When you are connected to your inner wisdom and intelligence, your life becomes healthy and grounded, relationships are more intimate and loving, and quality of life becomes richer. I use a holistic body-heart-and soul approach with those who are committed to growth and healing.
Welcome to my practice. I am a heart-centered therapist who works collaboratively with you. This work supports you in finding the roots of self- limiting beliefs and relationship patterns, and provides tools and techniques for healing, which gives way to inner clarity and freedom. When you are connected to your inner wisdom and intelligence, your life becomes healthy and grounded, relationships are more intimate and loving, and quality of life becomes richer. I use a holistic body-heart-and soul approach with those who are committed to growth and healing.
(628) 227-5436 View (628) 227-5436
Photo of Whitney Lynch, Psychologist in San Francisco, CA
Whitney Lynch
Psychologist, PsyD
Verified Verified
San Francisco, CA 94118
Perhaps you are seeking healthier ways to cope with stressful life experiences or want to make more enduring changes to how you relate to yourself and others. In my work, I aim to not only help you feel better but provide you the tools to lead a more meaningful life. I help clients recognize and harness their own personal strengths while learning new ways to challenge negative thought patterns and unhealthy behaviors that can keep us feeling stuck, depressed, and anxious.
Perhaps you are seeking healthier ways to cope with stressful life experiences or want to make more enduring changes to how you relate to yourself and others. In my work, I aim to not only help you feel better but provide you the tools to lead a more meaningful life. I help clients recognize and harness their own personal strengths while learning new ways to challenge negative thought patterns and unhealthy behaviors that can keep us feeling stuck, depressed, and anxious.
(415) 243-7249 View (415) 243-7249
Photo of Andrea De Leon, Marriage & Family Therapist in San Francisco, CA
Andrea De Leon
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94114  (Online Only)
Modern dating and relationships have become a tumultuous territory of uncertainty, miscommunication, rampant ghosting and infidelity. Friendships have become increasingly harder to navigate, and the desire to build and maintain community remains higher than ever. The state of the world has left us feeling helpless. We may feel disconnected from our families, our peers, our jobs, our personal identities, and our places in society. While it may be hard to process and express these experiences with others and even with ourselves... I am here with you.
Modern dating and relationships have become a tumultuous territory of uncertainty, miscommunication, rampant ghosting and infidelity. Friendships have become increasingly harder to navigate, and the desire to build and maintain community remains higher than ever. The state of the world has left us feeling helpless. We may feel disconnected from our families, our peers, our jobs, our personal identities, and our places in society. While it may be hard to process and express these experiences with others and even with ourselves... I am here with you.
(415) 915-0379 View (415) 915-0379
Photo of Dianne Ey Mani, Psychologist in San Francisco, CA
Dianne Ey Mani
Psychologist, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94105  (Online Only)
I have experience working with clients with anxiety, bipolar disorder, burnout, depression, grief, life transitions, pregnancy, sleep, stress, trauma, women's issues, and maternal mental health.
I have experience working with clients with anxiety, bipolar disorder, burnout, depression, grief, life transitions, pregnancy, sleep, stress, trauma, women's issues, and maternal mental health.
(415) 763-6719 View (415) 763-6719
Photo of Jane Walter, Marriage & Family Therapist in San Francisco, CA
Jane Walter
Marriage & Family Therapist, MA, LMFT, RPT
Verified Verified
San Francisco, CA 94115
Let's face it, talking about sex can be uncomfortable but sexual concerns are actually common. As a compassionate, competent sex therapist, I can help you with: Problems with sexual desire, Wanting to experience orgasm, Erectile dysfunction or premature ejaculation, Painful intercourse, Sexual behaviors that are troubling to you, Rekindling sex after pregnancy/childbirth, Overcoming relationship and sexual problems associated with infertility and its treatment, Processing trauma and thriving after negative sexual experiences, Working through affairs, Sexual desire discrepancy concerns, Support in polyamorous relationships
Let's face it, talking about sex can be uncomfortable but sexual concerns are actually common. As a compassionate, competent sex therapist, I can help you with: Problems with sexual desire, Wanting to experience orgasm, Erectile dysfunction or premature ejaculation, Painful intercourse, Sexual behaviors that are troubling to you, Rekindling sex after pregnancy/childbirth, Overcoming relationship and sexual problems associated with infertility and its treatment, Processing trauma and thriving after negative sexual experiences, Working through affairs, Sexual desire discrepancy concerns, Support in polyamorous relationships
(415) 813-5197 View (415) 813-5197
Photo of Daniela Carollo, Psychologist in San Francisco, CA
Daniela Carollo
Psychologist, PhD
Verified Verified
San Francisco, CA 94115
I believe therapy works best when you feel a deepening in self-awareness and inner-strength. When this happens it often coincides with feeling connected and understood by me. This is the main pathway to meaningful and lasting changes. My approach is psychodynamic and my style is direct, collaborative, and playful. Difficult and challenging behaviors often result in feeling stagnated and trapped in an endless cycle. By unpacking the underlying dynamics that are driving these struggles, you will feel more freedom to reach your goals.
I believe therapy works best when you feel a deepening in self-awareness and inner-strength. When this happens it often coincides with feeling connected and understood by me. This is the main pathway to meaningful and lasting changes. My approach is psychodynamic and my style is direct, collaborative, and playful. Difficult and challenging behaviors often result in feeling stagnated and trapped in an endless cycle. By unpacking the underlying dynamics that are driving these struggles, you will feel more freedom to reach your goals.
(415) 592-5881 View (415) 592-5881
Photo of Jennifer Y Nam, Psychologist in San Francisco, CA
Jennifer Y Nam
Psychologist, PhD
Verified Verified
San Francisco, CA 94102
You have solid skills and tools to manage symptoms and minimize the impact your mood cycles and anxiety have on work and relationships. You are no longer defined by what has happened to you but look forward to what is ahead of you. Your values, choices, and actions are in harmony. Most importantly, when you encounter obstacles or new challenges, you will be certain of how to overcome them with confidence and clarity.
You have solid skills and tools to manage symptoms and minimize the impact your mood cycles and anxiety have on work and relationships. You are no longer defined by what has happened to you but look forward to what is ahead of you. Your values, choices, and actions are in harmony. Most importantly, when you encounter obstacles or new challenges, you will be certain of how to overcome them with confidence and clarity.
(650) 300-4955 View (650) 300-4955
Photo of Linda Michels, Marriage & Family Therapist in San Francisco, CA
Linda Michels
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94118
I think you know what would make you happy but don't know how to make it happen. This applies to both individuals and couples. People stop themselves from moving forward because they think they can't or don't deserve to get their own needs met. I can help you overcome blocks, fears, guilt, depression, and/or self-defeating behaviors so you can free yourself to be happy and more successful. It seems daunting but, with support and direction, it is possible to improve your life. This is even true for people who are suffering from more debilitating problems such as Bipolar Disorder, OCD,or Schizoaffective Disorders.
I think you know what would make you happy but don't know how to make it happen. This applies to both individuals and couples. People stop themselves from moving forward because they think they can't or don't deserve to get their own needs met. I can help you overcome blocks, fears, guilt, depression, and/or self-defeating behaviors so you can free yourself to be happy and more successful. It seems daunting but, with support and direction, it is possible to improve your life. This is even true for people who are suffering from more debilitating problems such as Bipolar Disorder, OCD,or Schizoaffective Disorders.
(415) 800-3916 View (415) 800-3916
Photo of Beth Bremer, Marriage & Family Therapist in San Francisco, CA
Beth Bremer
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94115
My work is grounded in a relational and body-oriented approach to therapy. I draw on the immense resources of the body-- its rich wisdom to support the cultivation of mindful presence, internal resource, gentle self inquiry/guidance and embodiment. Creating space for you to listen to your voice and inner experience allows for both depth and breath of understanding, as well as authentic expression and acceptance.
My work is grounded in a relational and body-oriented approach to therapy. I draw on the immense resources of the body-- its rich wisdom to support the cultivation of mindful presence, internal resource, gentle self inquiry/guidance and embodiment. Creating space for you to listen to your voice and inner experience allows for both depth and breath of understanding, as well as authentic expression and acceptance.
(415) 483-7117 View (415) 483-7117
Photo of Reina Lynn Peterson, Marriage & Family Therapist Associate in San Francisco, CA
Reina Lynn Peterson
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
2 Endorsed
San Francisco, CA 94108
Welcome! I’m so glad you’re here. My name is Reina, and I am an integrative, holistic psychotherapist based in downtown San Francisco, California. I offer in-person services in San Francisco, as well as virtually throughout California. I work individually with adults of all ages, adolescents, and couples, and I run groups throughout the year. I tailor your sessions to your unique needs, drawing from various techniques and theories to support your innate wisdom and capacity for growth. I offer a free 20 minute phone or video consultation to see if we're a good fit. I look forward to hearing from you!
Welcome! I’m so glad you’re here. My name is Reina, and I am an integrative, holistic psychotherapist based in downtown San Francisco, California. I offer in-person services in San Francisco, as well as virtually throughout California. I work individually with adults of all ages, adolescents, and couples, and I run groups throughout the year. I tailor your sessions to your unique needs, drawing from various techniques and theories to support your innate wisdom and capacity for growth. I offer a free 20 minute phone or video consultation to see if we're a good fit. I look forward to hearing from you!
(415) 625-5891 View (415) 625-5891

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.