Therapists in San Jose, CA

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Photo of Jorge Wong, Psychologist in San Jose, CA
Jorge Wong
Psychologist, Ph D
Verified Verified
San Jose, CA 95117
After decades in the healthcare field as a staff, student, psychologist, educator and executive leader, I am embracing a new chapter by providing psychological and consultation services. Over time, I have worked, supervised, taught, and mentored successful individuals who have called me, “visionary, strategic, results oriented, culturally and emotionally attuned, practical, funny and caring” among many others. I appreciate the fact that no one size fits all. I also understand that cultural, environmental, and contextual factors are integral in our decisions whenever we come to a fork on the road and must be make one.
After decades in the healthcare field as a staff, student, psychologist, educator and executive leader, I am embracing a new chapter by providing psychological and consultation services. Over time, I have worked, supervised, taught, and mentored successful individuals who have called me, “visionary, strategic, results oriented, culturally and emotionally attuned, practical, funny and caring” among many others. I appreciate the fact that no one size fits all. I also understand that cultural, environmental, and contextual factors are integral in our decisions whenever we come to a fork on the road and must be make one.
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Photo of Robin Greenblat - Neurodiverse Couples Therapy, Marriage & Family Therapist Associate in San Jose, CA
Robin Greenblat - Neurodiverse Couples Therapy
Marriage & Family Therapist Associate, AMFT, MHA
Verified Verified
3 Endorsed
San Jose, CA 95124  (Online Only)
I am passionate about helping individuals and couples in NEURODIVERSE RELATIONSHIPS. Do you feel lost or misunderstood in your marriage? With 30 years of marriage and having adult children, I understand the challenges of communication, emotional connection, and emotional safety. I have worked with elder couples who have adult children struggling with mental illnesses such as addiction, depression, and anxiety. I have experience working in diverse cultures and backgrounds in outpatient clinics, large healthcare systems, and private practices. I believe everyone has a voice and deserves to feel safe, respected, loved, and heard.
I am passionate about helping individuals and couples in NEURODIVERSE RELATIONSHIPS. Do you feel lost or misunderstood in your marriage? With 30 years of marriage and having adult children, I understand the challenges of communication, emotional connection, and emotional safety. I have worked with elder couples who have adult children struggling with mental illnesses such as addiction, depression, and anxiety. I have experience working in diverse cultures and backgrounds in outpatient clinics, large healthcare systems, and private practices. I believe everyone has a voice and deserves to feel safe, respected, loved, and heard.
(408) 669-3565 View (408) 669-3565
Photo of Kitte Anderson, Marriage & Family Therapist Associate in San Jose, CA
Kitte Anderson
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
San Jose, CA 95129
Is excessive worry or anxiety limiting your life? Do you want to feel better and live a happier life? Helping our clients overcome social anxiety, public speaking fears, OCD, panic, excessive worry and depression is our primary focus. Visit us at www.paloaltotherapy.com. By using proven therapy methods (We are Cognitive Behavioral Therapy specialists) we will focus on specific problems, solutions, and reachable goals. We provide much more than traditional talk therapy and help you get results to improve your emotions and your life. By doing this we can help rather quickly. Call to schedule a free phone consultation.
Is excessive worry or anxiety limiting your life? Do you want to feel better and live a happier life? Helping our clients overcome social anxiety, public speaking fears, OCD, panic, excessive worry and depression is our primary focus. Visit us at www.paloaltotherapy.com. By using proven therapy methods (We are Cognitive Behavioral Therapy specialists) we will focus on specific problems, solutions, and reachable goals. We provide much more than traditional talk therapy and help you get results to improve your emotions and your life. By doing this we can help rather quickly. Call to schedule a free phone consultation.
(408) 668-0259 View (408) 668-0259
Photo of Cynthia Yu in San Jose, CA
Cynthia Yu
FNP-BC
Verified Verified
San Jose, CA 95131  (Online Only)
Cynthia Yu is an ANCC Board-Certified Nurse Practitioner for 20 years. She received her Master of Science in Nursing from San Jose State University. She has been working with underserved population and understands the need of mental health services. Cynthia believes everyone should receive access to quality mental health care. She also believe that everyone would have ups and downs in life. She will work together with clients to find the best solutions for the clients and their treatment goals.
Cynthia Yu is an ANCC Board-Certified Nurse Practitioner for 20 years. She received her Master of Science in Nursing from San Jose State University. She has been working with underserved population and understands the need of mental health services. Cynthia believes everyone should receive access to quality mental health care. She also believe that everyone would have ups and downs in life. She will work together with clients to find the best solutions for the clients and their treatment goals.
(408) 715-3597 View (408) 715-3597
Photo of Irit Broner, Marriage & Family Therapist in San Jose, CA
Irit Broner
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Jose, CA 95129
Welcome, I am offering you a safe place to explore your thoughts and feelings and learn new ways to cope with life challenges. I am a bilingual therapist providing therapy in both English and Hebrew. I provide psychotherapy to individuals, families, couples, and children. My approach to therapy is humanistic based on empathy, acceptance, and collaboration.
Welcome, I am offering you a safe place to explore your thoughts and feelings and learn new ways to cope with life challenges. I am a bilingual therapist providing therapy in both English and Hebrew. I provide psychotherapy to individuals, families, couples, and children. My approach to therapy is humanistic based on empathy, acceptance, and collaboration.
(209) 340-9538 View (209) 340-9538
Photo of Lauren Consul - Sex And Relationship Therapist, Marriage & Family Therapist in San Jose, CA
Lauren Consul - Sex And Relationship Therapist
Marriage & Family Therapist, LMFT, JD
Verified Verified
13 Endorsed
San Jose, CA 95120  (Online Only)
Are you feeling disconnected from your partner? Are you struggling with sexual intimacy? Are you wondering if you can actually heal from infidelity or past hurts? Are you curious about non-monogamy or expanding your sexual horizons? You’re not alone. You deserve to feel seen and heard in your relationships. You deserve a sex life in alignment with your desires. Navigating the complexities of relationships and sexuality can feel overwhelming, as we carry the weight of past experiences and personal narratives. You don’t have to stay stuck. You can break free from unhelpful patterns and blocks that are holding you back.
Are you feeling disconnected from your partner? Are you struggling with sexual intimacy? Are you wondering if you can actually heal from infidelity or past hurts? Are you curious about non-monogamy or expanding your sexual horizons? You’re not alone. You deserve to feel seen and heard in your relationships. You deserve a sex life in alignment with your desires. Navigating the complexities of relationships and sexuality can feel overwhelming, as we carry the weight of past experiences and personal narratives. You don’t have to stay stuck. You can break free from unhelpful patterns and blocks that are holding you back.
(562) 247-3114 View (562) 247-3114
Photo of Maureen Ross, Marriage & Family Therapist in San Jose, CA
Maureen Ross
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Jose, CA 95126
Writer John O'Donohue defines my view of being a therapist: "This is what therapy is about: helping people retrieve what has been lost to them, wakening and bringing home their fundamental wholesomeness.. Therapists are like poets: they draw on the power of words in the profoundly creative work of bringing people fully alive to themselves, awakening in them the human capacity for divine imagination that ‘dreams our completion’.”
Writer John O'Donohue defines my view of being a therapist: "This is what therapy is about: helping people retrieve what has been lost to them, wakening and bringing home their fundamental wholesomeness.. Therapists are like poets: they draw on the power of words in the profoundly creative work of bringing people fully alive to themselves, awakening in them the human capacity for divine imagination that ‘dreams our completion’.”
(408) 457-8960 View (408) 457-8960
Photo of Guillaume Marriage and Family Counseling of CA, Marriage & Family Therapist in San Jose, CA
Guillaume Marriage and Family Counseling of CA
Marriage & Family Therapist, AMFT, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95119  (Online Only)
Are you in need of premarital or marital counseling? Are you struggling with anxiety, depression, or past trauma? Are you currently pregnant, just gave birth, or just lost a child and in need of some support to deal with the various emotions you are experiencing? Are you a parent of a child with mental illness and need some support or therapy for yourself? Do you have a long history of mental health struggles and would like to break the cycle? If so, we can help! We work with moms, dads, wives, husbands and partners. We are culturally and spiritually minded in our work. We integrate your faith and culture in our work together.
Are you in need of premarital or marital counseling? Are you struggling with anxiety, depression, or past trauma? Are you currently pregnant, just gave birth, or just lost a child and in need of some support to deal with the various emotions you are experiencing? Are you a parent of a child with mental illness and need some support or therapy for yourself? Do you have a long history of mental health struggles and would like to break the cycle? If so, we can help! We work with moms, dads, wives, husbands and partners. We are culturally and spiritually minded in our work. We integrate your faith and culture in our work together.
(669) 202-2286 View (669) 202-2286
Photo of Alyss Marie Swanson, Pre-Licensed Professional in San Jose, CA
Alyss Marie Swanson
Pre-Licensed Professional, LMFT
Verified Verified
2 Endorsed
San Jose, CA 95126
Sudden and dramatic life transitions can rock our world, causing us to frequently feel disoriented and unsettled. Whether such moments are encountered through loss of a loved one, divorce, trauma, substance recovery or something equally profound, ones faith, meaning, purpose, and direction is often called on as a means to sustain us. I welcome the opportunity to work with you to heuristically discover and strengthen your inner-self and potentiality.
Sudden and dramatic life transitions can rock our world, causing us to frequently feel disoriented and unsettled. Whether such moments are encountered through loss of a loved one, divorce, trauma, substance recovery or something equally profound, ones faith, meaning, purpose, and direction is often called on as a means to sustain us. I welcome the opportunity to work with you to heuristically discover and strengthen your inner-self and potentiality.
(650) 383-3664 View (650) 383-3664
Photo of Michelle Horn, Marriage & Family Therapist in San Jose, CA
Michelle Horn
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95129
Michelle Horn, LMFT 136019. Improving relationships and managing stressors in daily life settings is important. My practice focuses on supporting improved coping skills and strategies to achieve positive outcomes. My practice is trauma-informed and focuses on increasing coping strategies to reduce symptoms and increase quality of life. I believe that balance and connectivity lead to overall emotional and mental health. In my practice, it is important to me that I support you and/or your loved one's to achieve this.
Michelle Horn, LMFT 136019. Improving relationships and managing stressors in daily life settings is important. My practice focuses on supporting improved coping skills and strategies to achieve positive outcomes. My practice is trauma-informed and focuses on increasing coping strategies to reduce symptoms and increase quality of life. I believe that balance and connectivity lead to overall emotional and mental health. In my practice, it is important to me that I support you and/or your loved one's to achieve this.
(408) 512-3984 View (408) 512-3984
Photo of Rosy Biglari, Marriage & Family Therapist in San Jose, CA
Rosy Biglari
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95117
LIfe is challenging for anyone living on earth, emotional chaos, wanting to have a safe place to connect with each other and people around us, deal with partners, children, extended families, how to learn and hold on to enjoyment in life even with experiencing trauma, anxiety, depression or other illnesses.
LIfe is challenging for anyone living on earth, emotional chaos, wanting to have a safe place to connect with each other and people around us, deal with partners, children, extended families, how to learn and hold on to enjoyment in life even with experiencing trauma, anxiety, depression or other illnesses.
(408) 869-1365 View (408) 869-1365
Photo of Kim Panelo Xue, Marriage & Family Therapist in San Jose, CA
Kim Panelo Xue
Marriage & Family Therapist, MA, MFT
Verified Verified
4 Endorsed
San Jose, CA 95126
I believe safety to be a human right - not a privilege. This is what sits at the very core of who I am. This is what I bring to the work that I do. A certain intensity; a certain empathy; a certain knowing.
I believe safety to be a human right - not a privilege. This is what sits at the very core of who I am. This is what I bring to the work that I do. A certain intensity; a certain empathy; a certain knowing.
(408) 837-7881 View (408) 837-7881
Heather Schrag
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95117
Hi, I'm Heather Jones, a licensed marriage and family therapist and it's my job to help you feel OK. I'm committed to helping you feel better as soon as possible. If we can get that to happen in a single conversation, wouldn't that be great? If it takes more time, we'll make the most of our sessions until you're satisfied. I practice Rapid Resolution Therapy because it aids me in identifying the root cause of suffering and eliminating it effectively and painlessly for good.
Hi, I'm Heather Jones, a licensed marriage and family therapist and it's my job to help you feel OK. I'm committed to helping you feel better as soon as possible. If we can get that to happen in a single conversation, wouldn't that be great? If it takes more time, we'll make the most of our sessions until you're satisfied. I practice Rapid Resolution Therapy because it aids me in identifying the root cause of suffering and eliminating it effectively and painlessly for good.
(408) 669-4581 View (408) 669-4581
Photo of Geoff Bressington, Marriage & Family Therapist in San Jose, CA
Geoff Bressington
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95128  (Online Only)
As a licensed marriage and family therapist, I believe we must take into account one’s mental health, physical health, culture, community, family, and recreation, and how this affects quality of life and the ability to live life to its fullest potential. I am committed to collaborating with you and respecting your concerns and goals as we work together to improve your mental well-being. A focus or passion of mine has been how our thoughts or cognitions affect our motivations, actions, and how we feel on a daily basis.
As a licensed marriage and family therapist, I believe we must take into account one’s mental health, physical health, culture, community, family, and recreation, and how this affects quality of life and the ability to live life to its fullest potential. I am committed to collaborating with you and respecting your concerns and goals as we work together to improve your mental well-being. A focus or passion of mine has been how our thoughts or cognitions affect our motivations, actions, and how we feel on a daily basis.
(415) 874-1937 View (415) 874-1937
Photo of Christine Lemmon, Marriage & Family Therapist in San Jose, CA
Christine Lemmon
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
San Jose, CA 95126
I am a psychotherapist providing individual therapy services to adults. Many of clients who come to me are experiencing feelings of grief, sadness, anxiety, confusion about an area of their life, or difficulty in intimate or familial relationships. I also specialize in working with adults who are impacted by trauma. In my work I understand trauma as how we are impacted by the painful experiences in our lives and the ways in which those experiences shape the way we form relationships with others, with ourselves, and the degree to which we are able to find joy.
I am a psychotherapist providing individual therapy services to adults. Many of clients who come to me are experiencing feelings of grief, sadness, anxiety, confusion about an area of their life, or difficulty in intimate or familial relationships. I also specialize in working with adults who are impacted by trauma. In my work I understand trauma as how we are impacted by the painful experiences in our lives and the ways in which those experiences shape the way we form relationships with others, with ourselves, and the degree to which we are able to find joy.
(408) 844-4374 View (408) 844-4374
Photo of Michael Southerland, Marriage & Family Therapist in San Jose, CA
Michael Southerland
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95127
Hi! My name is Michael Southerland, and I am a Licensed Marriage and Family therapist working in the Los Angeles, CA area. This means I focus primarily on relationships, be it individuals having difficulty with rough spots in life, couples, children, and families. I am comfortable working with almost any problem. However, my specialties include depression, anxiety, substance abuse and addiction, codependency, ADHD, and especially LGBT + engender identity. Don't hesitate to reach out to me and ask me if I have experience in working with clients like you. I'm looking forward to hearing.
Hi! My name is Michael Southerland, and I am a Licensed Marriage and Family therapist working in the Los Angeles, CA area. This means I focus primarily on relationships, be it individuals having difficulty with rough spots in life, couples, children, and families. I am comfortable working with almost any problem. However, my specialties include depression, anxiety, substance abuse and addiction, codependency, ADHD, and especially LGBT + engender identity. Don't hesitate to reach out to me and ask me if I have experience in working with clients like you. I'm looking forward to hearing.
(650) 670-4976 View (650) 670-4976
Photo of Rebecca Jedel, Psychologist in San Jose, CA
Rebecca Jedel
Psychologist, PhD
Verified Verified
San Jose, CA 95130
As a clinical psychologist, I have over 30 yrs experience helping clients work through life's difficult challenges. I work with parents and children to address developmental and behavioral difficulties and to find solutions to the unique challenges of adolescence. I often work with young adults to help them manage transitions into independence and adult responsibilities. With adults, I facilitate their work toward relief from symptoms generated by psychological conditions or from traumatic events in their past.
As a clinical psychologist, I have over 30 yrs experience helping clients work through life's difficult challenges. I work with parents and children to address developmental and behavioral difficulties and to find solutions to the unique challenges of adolescence. I often work with young adults to help them manage transitions into independence and adult responsibilities. With adults, I facilitate their work toward relief from symptoms generated by psychological conditions or from traumatic events in their past.
(408) 872-9057 View (408) 872-9057
Photo of Victoria Ferdinand-Gant, Marriage & Family Therapist in San Jose, CA
Victoria Ferdinand-Gant
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95121
My name is Victoria Ferdinand-Gant, I am a licensed Marriage and Family Therapist. I have been licensed since 2018 in California and have worked in the field of psychology and child and family services since 1997 (US and Internationally). The primary population I work with is in the treatment of anxiety and trauma. I also enjoy working with veterans since I am military raised. I am an eclectic therapist and will meet clients where they're at but my primary modalities are Dialectical Behavioral Therapy (DBT), Solution focused skills, and Motivational work. I also enjoy working with couples.
My name is Victoria Ferdinand-Gant, I am a licensed Marriage and Family Therapist. I have been licensed since 2018 in California and have worked in the field of psychology and child and family services since 1997 (US and Internationally). The primary population I work with is in the treatment of anxiety and trauma. I also enjoy working with veterans since I am military raised. I am an eclectic therapist and will meet clients where they're at but my primary modalities are Dialectical Behavioral Therapy (DBT), Solution focused skills, and Motivational work. I also enjoy working with couples.
(669) 239-2576 View (669) 239-2576
Photo of Dr. Thu Dang in San Jose, CA
Dr. Thu Dang
PhD, MA
Verified Verified
San Jose, CA 95133  (Online Only)
Not accepting new clients
I am not accepting new clients. Hello! I am a certified coaching therapist and have been practicing since 2005. I have a Ph.D. and MA in clinical psychology and I have worked at universities, community counseling centers, and Kaiser Permanente. "What is coaching?" you might ask. Coaching is the use of positive psychology to focus on your strengths (rather than deficits) to help you reach your goals. Your goals can include being better able to communicate with your loved ones or coworkers, improve working relationships with management and/or employees, conflict management, and assertiveness training.
I am not accepting new clients. Hello! I am a certified coaching therapist and have been practicing since 2005. I have a Ph.D. and MA in clinical psychology and I have worked at universities, community counseling centers, and Kaiser Permanente. "What is coaching?" you might ask. Coaching is the use of positive psychology to focus on your strengths (rather than deficits) to help you reach your goals. Your goals can include being better able to communicate with your loved ones or coworkers, improve working relationships with management and/or employees, conflict management, and assertiveness training.
(408) 351-0030 View (408) 351-0030
Photo of Cindy Sauln, Psychologist in San Jose, CA
Cindy Sauln
Psychologist, PhD
Verified Verified
3 Endorsed
San Jose, CA 95155  (Online Only)
Waitlist for new clients
My clinical experience includes my own private practice, working at The Wise Mind Institute, 5 years of working with adults of all ages in two community mental health clinics, as well as working on-site at an elementary school, middle school, and high school with children and adolescents of all ages and their parents. I love helping clients of all ages who are seeking change and symptom relief to successfully navigate periods of crisis and transition in their lives. Depression, anxiety, grief, low self-esteem, spirituality, parenting teens and adult children, organization and planning skills are all within my scope of practice.
My clinical experience includes my own private practice, working at The Wise Mind Institute, 5 years of working with adults of all ages in two community mental health clinics, as well as working on-site at an elementary school, middle school, and high school with children and adolescents of all ages and their parents. I love helping clients of all ages who are seeking change and symptom relief to successfully navigate periods of crisis and transition in their lives. Depression, anxiety, grief, low self-esteem, spirituality, parenting teens and adult children, organization and planning skills are all within my scope of practice.
(650) 488-3786 View (650) 488-3786

How does your Therapist compare?

Number of Therapists in San Jose, CA

1,000+

Average cost per session

$180

Therapists in San Jose, CA who prioritize treating:

92% Anxiety
87% Depression
75% Relationship Issues
73% Self Esteem
70% Stress
67% Coping Skills
65% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
72% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Jose, CA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Jose?

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.