Therapists in San Antonio, TX

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Photo of Krysten Aldape, Marriage & Family Therapist Associate in San Antonio, TX
Krysten Aldape
Marriage & Family Therapist Associate, LMFT-A
Verified Verified
1 Endorsed
San Antonio, TX 78248
In my career, I've had the privilege of working with diverse individuals across the lifespan. In couples therapy, I've helped partners foster deeper connections and mutual support amongst eachother. Working with children and adolescents, I've seen remarkable growth by creating a safe space for self-expression and self-discovery. With individuals, I've witnessed profound personal development, empowering them to overcome obstacles and find their inner strength. My experience across these demographics has reinforced the importance of empathy, patience, and tailoring therapeutic approaches to meet the unique needs of each client.
In my career, I've had the privilege of working with diverse individuals across the lifespan. In couples therapy, I've helped partners foster deeper connections and mutual support amongst eachother. Working with children and adolescents, I've seen remarkable growth by creating a safe space for self-expression and self-discovery. With individuals, I've witnessed profound personal development, empowering them to overcome obstacles and find their inner strength. My experience across these demographics has reinforced the importance of empathy, patience, and tailoring therapeutic approaches to meet the unique needs of each client.
(210) 361-8132 View (210) 361-8132
Photo of Rocio A Portales, Licensed Professional Counselor in San Antonio, TX
Rocio A Portales
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78229
Hi! My name is Rocio and I am a bilingual therapist. I'd love to walk with you through your journey of mental health healing.
Hi! My name is Rocio and I am a bilingual therapist. I'd love to walk with you through your journey of mental health healing.
(726) 227-2776 View (726) 227-2776
Photo of Belinda Miller, Clinical Social Work/Therapist in San Antonio, TX
Belinda Miller
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78253  (Online Only)
There is no denying that life brings both joy and sorrow. Have you found yourself holding it together and pretending to be ok on the outside but you’re falling apart on the inside? Are you consumed by worry, fear, doubt and constantly question what the future holds for you? Do you feel lost, numb, or alone? If the statements above sound like you, there is hope! You don’t have to go through this difficult time alone. I can help! You and I will work together identifying strengths you already have to improve and navigate the world around you. This therapeutic process may bring laughter and sometimes tears but ultimately healing.
There is no denying that life brings both joy and sorrow. Have you found yourself holding it together and pretending to be ok on the outside but you’re falling apart on the inside? Are you consumed by worry, fear, doubt and constantly question what the future holds for you? Do you feel lost, numb, or alone? If the statements above sound like you, there is hope! You don’t have to go through this difficult time alone. I can help! You and I will work together identifying strengths you already have to improve and navigate the world around you. This therapeutic process may bring laughter and sometimes tears but ultimately healing.
(210) 750-6587 View (210) 750-6587
Photo of Kozue Shibazaki, Psychologist in San Antonio, TX
Kozue Shibazaki
Psychologist, PhD
Verified Verified
San Antonio, TX 78230
While serving as the director and staff psychologist for over 14 years at the Counseling Service at the University of Texas Health Science Center, I had the opportunity to work with individuals presenting with wide range of presenting issues. The decision to seek psychotherapy is one that takes much courage and can positively change the current path of your life. While largely influenced by cognitive-behavioral, psychodynamic, and person-centered theories, I believe strongly in the need to tailor my interventions to meet the specific needs of my clients.
While serving as the director and staff psychologist for over 14 years at the Counseling Service at the University of Texas Health Science Center, I had the opportunity to work with individuals presenting with wide range of presenting issues. The decision to seek psychotherapy is one that takes much courage and can positively change the current path of your life. While largely influenced by cognitive-behavioral, psychodynamic, and person-centered theories, I believe strongly in the need to tailor my interventions to meet the specific needs of my clients.
(210) 579-9889 View (210) 579-9889
Photo of Linda Andrada Aguero, Licensed Professional Counselor in San Antonio, TX
Linda Andrada Aguero
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78254  (Online Only)
Hello! I am a licensed clinical professional counselor in Texas with 15 years of experience working for a Psychiatric Hospital and eight years working as a community counselor, behavior modification, and life coach. My primary therapy orientation is person-centered, emphasizing the importance of the therapist/client relationship, which provides the client with a non-judgment zone. As a result, the client can express themselves fully, and with the help of the therapist, they can create a plan that best suits the client because no two clients are alike, and what works for one individual might not work for another.
Hello! I am a licensed clinical professional counselor in Texas with 15 years of experience working for a Psychiatric Hospital and eight years working as a community counselor, behavior modification, and life coach. My primary therapy orientation is person-centered, emphasizing the importance of the therapist/client relationship, which provides the client with a non-judgment zone. As a result, the client can express themselves fully, and with the help of the therapist, they can create a plan that best suits the client because no two clients are alike, and what works for one individual might not work for another.
(210) 864-6691 View (210) 864-6691
Photo of Jim Toombs, Marriage & Family Therapist in San Antonio, TX
Jim Toombs
Marriage & Family Therapist, MA, LMFT, EMDR
Verified Verified
San Antonio, TX 78213
Emotional pain ... sucks. I can help your pain. Flashbacks, nightmares and PTSD respond very well to EMDR, as do intrusive thoughts and disturbing memories. I have been using it since 1993, so early that Francine Shapiro, the creator of EMDR, trained me herself. In addition, my basic training is Marriage and Family so I excel in relationships. But memories cause most of our problems.
Emotional pain ... sucks. I can help your pain. Flashbacks, nightmares and PTSD respond very well to EMDR, as do intrusive thoughts and disturbing memories. I have been using it since 1993, so early that Francine Shapiro, the creator of EMDR, trained me herself. In addition, my basic training is Marriage and Family so I excel in relationships. But memories cause most of our problems.
(210) 417-4687 View (210) 417-4687
Photo of Forrest V Fitzhugh, Counselor in San Antonio, TX
Forrest V Fitzhugh
Counselor
Not Verified Not Verified
San Antonio, TX 78253
I am retired and accept only a limited number of clients. I do not maintain an office and will negotiate to meet in the client's home, my home, or a neutral suitable location. I do not accept insurance and will negotiate an acceptable cash fee per session. I have two active licenses--LPC and LMFT. I prefer working with adults, couples, or late adolescents.
I am retired and accept only a limited number of clients. I do not maintain an office and will negotiate to meet in the client's home, my home, or a neutral suitable location. I do not accept insurance and will negotiate an acceptable cash fee per session. I have two active licenses--LPC and LMFT. I prefer working with adults, couples, or late adolescents.
(210) 569-0256 View (210) 569-0256
Photo of Gregorio Lozano, Counselor in San Antonio, TX
Gregorio Lozano
Counselor, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78216  (Online Only)
Hi, my name is Gregorio but people call me Greg. I am a Licensed Professional Counselor in the state of Texas where I offer online counseling. I work with people who are in relationships that make them feel overwhelmed with painful emotions. I help people understand themselves and their partners so that they can be able to connect to them or with each other. Together we will work towards gaining a different perspective, with new tools to help you connect with your partner. My belief is that all behaviors serve a purpose and all behaviors have an origin. This insight about ourselves and others helps us understand our relationships.
Hi, my name is Gregorio but people call me Greg. I am a Licensed Professional Counselor in the state of Texas where I offer online counseling. I work with people who are in relationships that make them feel overwhelmed with painful emotions. I help people understand themselves and their partners so that they can be able to connect to them or with each other. Together we will work towards gaining a different perspective, with new tools to help you connect with your partner. My belief is that all behaviors serve a purpose and all behaviors have an origin. This insight about ourselves and others helps us understand our relationships.
(210) 934-4071 View (210) 934-4071
Photo of Shannyn Vicente, Clinical Social Work/Therapist in San Antonio, TX
Shannyn Vicente
Clinical Social Work/Therapist, MSW, LCSW-S, SEP
Verified Verified
1 Endorsed
San Antonio, TX 78209
You can expect from Shannyn that your “entire self” is welcomed into a space and she will work somatically with what you bring to unpack, patterns to ease out of and the wounded places to be respected, handled with care, and skillful clinical attention and presence provided. Shannyn works from a vast framework incorporating traditional clinical practices as well as somatic experiencing, mindfulness and intersectional/social justice models. Addressing the impact of oppression a person experiences throughout life is also central to healing. It is in the mind AND body that dis.ease occurs and takes hold.
You can expect from Shannyn that your “entire self” is welcomed into a space and she will work somatically with what you bring to unpack, patterns to ease out of and the wounded places to be respected, handled with care, and skillful clinical attention and presence provided. Shannyn works from a vast framework incorporating traditional clinical practices as well as somatic experiencing, mindfulness and intersectional/social justice models. Addressing the impact of oppression a person experiences throughout life is also central to healing. It is in the mind AND body that dis.ease occurs and takes hold.
(210) 774-6781 View (210) 774-6781
Photo of Kristen Cooper MacDiarmid, Licensed Professional Counselor in San Antonio, TX
Kristen Cooper MacDiarmid
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78255  (Online Only)
Hello, my name is Kristen Cooper MacDiarmid. I am a licensed professional counselor that works with adolescents and adults. I specialize in anxiety and mood disorders. In this time of turmoil and change, it is more important than ever to take care of our mental health while maintaining our physical health and well being; therefore, I offer flexible early morning and evening telehealth hours several days a week.
Hello, my name is Kristen Cooper MacDiarmid. I am a licensed professional counselor that works with adolescents and adults. I specialize in anxiety and mood disorders. In this time of turmoil and change, it is more important than ever to take care of our mental health while maintaining our physical health and well being; therefore, I offer flexible early morning and evening telehealth hours several days a week.
(210) 960-3752 View (210) 960-3752
Photo of Dacia Benton, Licensed Professional Counselor in San Antonio, TX
Dacia Benton
Licensed Professional Counselor, MS, LPC-S
Verified Verified
San Antonio, TX 78228
"I believe every person has value and a divine purpose in life". Challenges will come, but you can overcome them. Thank you for taking the first step in the healing process. I am dedicated to enhancing the emotional, physical, and spiritual strength of my clients. I am here to support, encourage, challenge and empower you to reach your goals.
"I believe every person has value and a divine purpose in life". Challenges will come, but you can overcome them. Thank you for taking the first step in the healing process. I am dedicated to enhancing the emotional, physical, and spiritual strength of my clients. I am here to support, encourage, challenge and empower you to reach your goals.
(210) 981-3870 View (210) 981-3870
Photo of Amy Higdon, Licensed Psychoanalyst in San Antonio, TX
Amy Higdon
Licensed Psychoanalyst, LPC
Verified Verified
San Antonio, TX 78258
Since 2004, I've helped clients overcome obstacles or challenges that prevent them from being able to imagine or achieve the life they envision. Life is too short to be unhappy, unsure, or unfulfilled. I am here to help my clients achieve a more positive outlook on life, imagine the life they want, and develop the tools necessary to be able to achieve that life. Let me help you learn and develop the tools necessary to achieve the life you want! I am a person-centered counselor using solution-focused approaches and cognitive-behavioral techniques. I can provide you a safe, non-judgmental environment.
Since 2004, I've helped clients overcome obstacles or challenges that prevent them from being able to imagine or achieve the life they envision. Life is too short to be unhappy, unsure, or unfulfilled. I am here to help my clients achieve a more positive outlook on life, imagine the life they want, and develop the tools necessary to be able to achieve that life. Let me help you learn and develop the tools necessary to achieve the life you want! I am a person-centered counselor using solution-focused approaches and cognitive-behavioral techniques. I can provide you a safe, non-judgmental environment.
(830) 689-8615 View (830) 689-8615
Photo of R.E.M Counseling, Licensed Professional Counselor in San Antonio, TX
R.E.M Counseling
Licensed Professional Counselor, LPC, CHT
Verified Verified
San Antonio, TX 78225
As a psychotherapist, I am deeply passionate about guiding individuals like you on a journey towards healing, growth, and resilience. With my expertise in evidence-based techniques such as Cognitive Behavioral Therapy (CBT) and Hypnotherapy, and a specialization in trauma and depression, I am committed to helping you overcome your challenges and create a fulfilling life. I firmly believe that by providing effective and personalized therapeutic interventions, we can empower you to make profound and lasting transformations.
As a psychotherapist, I am deeply passionate about guiding individuals like you on a journey towards healing, growth, and resilience. With my expertise in evidence-based techniques such as Cognitive Behavioral Therapy (CBT) and Hypnotherapy, and a specialization in trauma and depression, I am committed to helping you overcome your challenges and create a fulfilling life. I firmly believe that by providing effective and personalized therapeutic interventions, we can empower you to make profound and lasting transformations.
(210) 981-6158 View (210) 981-6158
Photo of Kayla King, Licensed Professional Counselor in San Antonio, TX
Kayla King
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78253  (Online Only)
I am proud of you already for taking the first step towards growth and healing! This year is going to be the year where we put YOU first and stop allowing your anxiety, fear, depression, shame, guilt, or anger fuel your decisions and behaviors. You don't want to keep watching the days go by where you feel out of control, disconnected, and overwhelmed with stress. You want to start living each day to the absolute fullest, overflowing with laughter, peace, and meaning. You came to the right place to start this journey of unleashing your inner warrior.
I am proud of you already for taking the first step towards growth and healing! This year is going to be the year where we put YOU first and stop allowing your anxiety, fear, depression, shame, guilt, or anger fuel your decisions and behaviors. You don't want to keep watching the days go by where you feel out of control, disconnected, and overwhelmed with stress. You want to start living each day to the absolute fullest, overflowing with laughter, peace, and meaning. You came to the right place to start this journey of unleashing your inner warrior.
(830) 529-7794 View (830) 529-7794
Photo of Career Coach - Launched by Linda, LLC in San Antonio, TX
Career Coach - Launched by Linda, LLC
MA, Coach
Verified Verified
San Antonio, TX 78259  (Online Only)
Feeling frustrated or unsatisfied about your career path? Uncertain about a career transition or career change? I've spent over 12 years helping people gain clarity and confidence in communicating who they are and what they have to offer. I guide clients through exploring options, making decisions, setting goals, and planning next steps towards a more meaningful career through personal branding and focusing on your strengths. I use my unique frameworks to organize what feels like a chaotic process so you won't feel lost or alone.
Feeling frustrated or unsatisfied about your career path? Uncertain about a career transition or career change? I've spent over 12 years helping people gain clarity and confidence in communicating who they are and what they have to offer. I guide clients through exploring options, making decisions, setting goals, and planning next steps towards a more meaningful career through personal branding and focusing on your strengths. I use my unique frameworks to organize what feels like a chaotic process so you won't feel lost or alone.
(253) 237-8121 View (253) 237-8121
Photo of Clifton N. Taylor, Licensed Professional Counselor in San Antonio, TX
Clifton N. Taylor
Licensed Professional Counselor, MA, LPC, LCDC, CSAT, CPTT
Verified Verified
San Antonio, TX 78258
Waitlist for new clients
Are your relationships suffering? Is your sexual behavior out of control? Are you spending way too much time on the internet? Are you concerned about your drinking or drug use? If the answer is yes, I can help you. My clinical experience focuses on addiction, trauma, childhood abuse issues, mood disorders, relationship issues, codependency, and unresolved grief and loss. Over the past nine years, I have worked with individuals, couples and families in creating a safe, supportive, and collaborative therapeutic environment. Together, we can begin the journey to a healthier, happier you, with stronger relationships and positive, lasting change.
Are your relationships suffering? Is your sexual behavior out of control? Are you spending way too much time on the internet? Are you concerned about your drinking or drug use? If the answer is yes, I can help you. My clinical experience focuses on addiction, trauma, childhood abuse issues, mood disorders, relationship issues, codependency, and unresolved grief and loss. Over the past nine years, I have worked with individuals, couples and families in creating a safe, supportive, and collaborative therapeutic environment. Together, we can begin the journey to a healthier, happier you, with stronger relationships and positive, lasting change.
(210) 418-1308 View (210) 418-1308
Photo of Jasmine N Johnson, Licensed Professional Counselor in San Antonio, TX
Jasmine N Johnson
Licensed Professional Counselor, MA, LCMHC, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78205
Jasmine has been working with women that have been through trauma , crisis, grief and relational issues. Jasmine is certified in TF-CBT, she also enjoys working with women through various relational (parental/work/intimate/religion) issues but that does not exclude men. Jasmine wants to see each woman healed and whole in their mind, body, and spirit. Jasmine has been in the mental health field for over 15 years and has a passion for people and helping them through their healing process. Jasmine wants to create a place that women can come to overcome the imprints that life and circumstances have place in front of them.
Jasmine has been working with women that have been through trauma , crisis, grief and relational issues. Jasmine is certified in TF-CBT, she also enjoys working with women through various relational (parental/work/intimate/religion) issues but that does not exclude men. Jasmine wants to see each woman healed and whole in their mind, body, and spirit. Jasmine has been in the mental health field for over 15 years and has a passion for people and helping them through their healing process. Jasmine wants to create a place that women can come to overcome the imprints that life and circumstances have place in front of them.
(210) 866-8201 View (210) 866-8201
Photo of Esther Heffler, Licensed Professional Counselor in San Antonio, TX
Esther Heffler
Licensed Professional Counselor, MS, LPC, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78230
I like to say the counseling profession chose me because I have honestly always had a passion for building connections and having deep conversations about everything from love and joy to heartbreak and hardships. That same passion and undeniable love for San Antonio led me to pursue both my Bachelor of Arts in Psychology and Master of Science in Clinical Mental Health Counseling from UTSA. My journey to becoming the Licensed Professional Counselor I am today has been one I am immensely grateful for.
I like to say the counseling profession chose me because I have honestly always had a passion for building connections and having deep conversations about everything from love and joy to heartbreak and hardships. That same passion and undeniable love for San Antonio led me to pursue both my Bachelor of Arts in Psychology and Master of Science in Clinical Mental Health Counseling from UTSA. My journey to becoming the Licensed Professional Counselor I am today has been one I am immensely grateful for.
(210) 972-7165 View (210) 972-7165
Photo of Jay Vargas-Zachary, Clinical Social Work/Therapist in San Antonio, TX
Jay Vargas-Zachary
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78218  (Online Only)
I value your right to self-determination and will work closely with you to identify and clarify your goals. I will begin therapy where you are and move at a pace that you are comfortable with. This is not to say that there won't be times when I will challenge your thinking, offer new perspective and push for change, but I will always attempt to do so in a constructive, thoughtful and supportive manner.
I value your right to self-determination and will work closely with you to identify and clarify your goals. I will begin therapy where you are and move at a pace that you are comfortable with. This is not to say that there won't be times when I will challenge your thinking, offer new perspective and push for change, but I will always attempt to do so in a constructive, thoughtful and supportive manner.
(210) 585-2676 View (210) 585-2676
Photo of Nathan Hodge LPC-Associate Supervised by Sherri Lambiase LPC-Supervisor, Licensed Professional Counselor Associate in San Antonio, TX
Nathan Hodge LPC-Associate Supervised by Sherri Lambiase LPC-Supervisor
Licensed Professional Counselor Associate, LPC Asc
Verified Verified
San Antonio, TX 78258
My ideal clients are adults and adolescents struggling with depression, grief, anxiety, and/or anger issues. I am looking forward to working with clients who are sincerely motivated to discover coping and self-care skills as well as how a Christian perspective can help the clients overcome real-life issues inhibiting their progress moving forward. I am a big believer in taking a proactive approach and addressing issues which may arise throughout a person’s life. I look forward to working with new clients who are open to real, positive solutions to resolve the issues holding them back from a full and productive life.
My ideal clients are adults and adolescents struggling with depression, grief, anxiety, and/or anger issues. I am looking forward to working with clients who are sincerely motivated to discover coping and self-care skills as well as how a Christian perspective can help the clients overcome real-life issues inhibiting their progress moving forward. I am a big believer in taking a proactive approach and addressing issues which may arise throughout a person’s life. I look forward to working with new clients who are open to real, positive solutions to resolve the issues holding them back from a full and productive life.
(210) 972-4996 View (210) 972-4996

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
72% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

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

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

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

How can I find a therapist in San Antonio?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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