Photo of Laurel Anderson Khurana, Psychologist in 94104, CA
Laurel Anderson Khurana
Psychologist, PsyD
Verified Verified
San Francisco, CA 94104
Are you feeling stuck as if you'd like to make changes but just can't seem to do so? Or maybe you're not sure which direction to head? Together, let's locate where you are today so you can make intentional movement. Over the past decade, I've come to learn again and again that there are legitimate reasons why we feel what we do, why we do what we do, and also why it's difficult to make changes we want make. When we really understand and acknowledge what is causing the discomfort (e.g. feeling stuck, sad, anxious, fearful), lasting change can occur. This process is unique for each person and I'd love to join you on your journey.
Are you feeling stuck as if you'd like to make changes but just can't seem to do so? Or maybe you're not sure which direction to head? Together, let's locate where you are today so you can make intentional movement. Over the past decade, I've come to learn again and again that there are legitimate reasons why we feel what we do, why we do what we do, and also why it's difficult to make changes we want make. When we really understand and acknowledge what is causing the discomfort (e.g. feeling stuck, sad, anxious, fearful), lasting change can occur. This process is unique for each person and I'd love to join you on your journey.
(415) 799-1657 View (415) 799-1657
Photo of Dr. Dyan Savery, Psychologist in 94104, CA
Dr. Dyan Savery
Psychologist, PhD
Verified Verified
San Francisco, CA 94104  (Online Only)
Dr. Savery, PhD is a Licensed Clinical Psychologist with over twenty years of experience helping individuals improve their lives. She focuses on holistic yet specific and tailored treatment based on the individual needs of each person. If you have depression, anxiety or are unsure how you feel, Dr. Savery specializes in helping you understand your thoughts and feelings that are getting in the way of your happiness. You will work together to approach what the obstacles to your happiness are and how to effectively cope with life’s demands.
Dr. Savery, PhD is a Licensed Clinical Psychologist with over twenty years of experience helping individuals improve their lives. She focuses on holistic yet specific and tailored treatment based on the individual needs of each person. If you have depression, anxiety or are unsure how you feel, Dr. Savery specializes in helping you understand your thoughts and feelings that are getting in the way of your happiness. You will work together to approach what the obstacles to your happiness are and how to effectively cope with life’s demands.
(628) 265-8503 View (628) 265-8503
Photo of Javier Omar Meléndez-Vega, Clinical Social Work/Therapist in 94104, CA
Javier Omar Meléndez-Vega
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94104  (Online Only)
Are you feeling disconnected from yourself and burdened by past traumas, perhaps ones tied to your cultural or sexual identity? Do you struggle with anxiety or spirituality and yearn for a deeper connection with nature? Imagine a therapeutic experience that goes beyond traditional methods, one that reconnects you with your mind, body, and the natural world. Together, we can work towards a balanced, fulfilling life where you feel empowered to face challenges and embrace opportunities. If you're ready for this journey, I'm here to walk it with you.
Are you feeling disconnected from yourself and burdened by past traumas, perhaps ones tied to your cultural or sexual identity? Do you struggle with anxiety or spirituality and yearn for a deeper connection with nature? Imagine a therapeutic experience that goes beyond traditional methods, one that reconnects you with your mind, body, and the natural world. Together, we can work towards a balanced, fulfilling life where you feel empowered to face challenges and embrace opportunities. If you're ready for this journey, I'm here to walk it with you.
(415) 599-4978 View (415) 599-4978
Photo of Hector Saavedra, Marriage & Family Therapist in 94104, CA
Hector Saavedra
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94104  (Online Only)
I am a dedicated and committed LMFT who is dedicated to guiding clients in their therapeutic journey. I am a graduate of the MFT program at the University of Southern California. In the past, I have worked in various settings such as universities, schools, and clinics; in these settings, I have worked with those struggling with depression, anxiety, ADHD, addiction, and many other issues.
I am a dedicated and committed LMFT who is dedicated to guiding clients in their therapeutic journey. I am a graduate of the MFT program at the University of Southern California. In the past, I have worked in various settings such as universities, schools, and clinics; in these settings, I have worked with those struggling with depression, anxiety, ADHD, addiction, and many other issues.
(415) 275-6420 View (415) 275-6420
Photo of Milam Freitag, Psychologist in 94104, CA
Milam Freitag
Psychologist, PhD
Verified Verified
San Francisco, CA 94104
Whatever your current struggle, loss, transition or self-limiting behaviors are, I am committed to helping you access your own wisdom and healing potential. I am interactive, supportive, engaged and solution-based, tailoring interventions to your personal needs. Goals can include helping you: Find personal freedom, hope, and self-compassion that are the calling beneath fear/anxiety; Become happier and stronger as you navigate through loss and change related to career, relationships, aging, etc; Find balance in your life and what really brings you passion and joy; Relinquish problematic behaviors and beliefs and find a more workable and heartfelt connection to yourself and others.
Whatever your current struggle, loss, transition or self-limiting behaviors are, I am committed to helping you access your own wisdom and healing potential. I am interactive, supportive, engaged and solution-based, tailoring interventions to your personal needs. Goals can include helping you: Find personal freedom, hope, and self-compassion that are the calling beneath fear/anxiety; Become happier and stronger as you navigate through loss and change related to career, relationships, aging, etc; Find balance in your life and what really brings you passion and joy; Relinquish problematic behaviors and beliefs and find a more workable and heartfelt connection to yourself and others.
(415) 630-2959 View (415) 630-2959
Photo of Jerome Braun, Marriage & Family Therapist in 94104, CA
Jerome Braun
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94104
Depth Psychotherapy helps you to create a safe space to focus on the invisible-yet-real forces underlying your actions, thoughts and feelings. Through Depth Psychotherapy, troublesome patterns and dilemmas are not just dealt with to "fix it" but can be held as allies that teach and guide you to deeper levels of consciousness and integration of parts of yourself. Tapping those underlying forces can release new found creativity and meaning. Depth Psychotherapy can include your meditation practice, dream work, intuition, our greater ecology, the imagination, and the mystical, moving you toward wholeness.
Depth Psychotherapy helps you to create a safe space to focus on the invisible-yet-real forces underlying your actions, thoughts and feelings. Through Depth Psychotherapy, troublesome patterns and dilemmas are not just dealt with to "fix it" but can be held as allies that teach and guide you to deeper levels of consciousness and integration of parts of yourself. Tapping those underlying forces can release new found creativity and meaning. Depth Psychotherapy can include your meditation practice, dream work, intuition, our greater ecology, the imagination, and the mystical, moving you toward wholeness.
(415) 799-8904 View (415) 799-8904
Photo of Brad Byrum, Marriage & Family Therapist in 94104, CA
Brad Byrum
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
San Francisco, CA 94104  (Online Only)
Has your relationship become an angry, sad, or scary place leaving you feeling alone, hurt and discouraged? Are you and your partner feeling lost in conflict cycles you don’t understand and desperately want to change? Many of the couples I work with come to therapy feeling just like you. I understand how much courage it takes to reach out for help and to let another person get inside your relationship, especially when you are feeling so vulnerable. If you are searching for a safe place to explore what's not working in your relationship, and support in creating solutions, I can help.
Has your relationship become an angry, sad, or scary place leaving you feeling alone, hurt and discouraged? Are you and your partner feeling lost in conflict cycles you don’t understand and desperately want to change? Many of the couples I work with come to therapy feeling just like you. I understand how much courage it takes to reach out for help and to let another person get inside your relationship, especially when you are feeling so vulnerable. If you are searching for a safe place to explore what's not working in your relationship, and support in creating solutions, I can help.
(650) 381-1297 View (650) 381-1297
Photo of Ilya Parizhsky, Marriage & Family Therapist in 94104, CA
Ilya Parizhsky
Marriage & Family Therapist, MFT
Verified Verified
6 Endorsed
San Francisco, CA 94104  (Online Only)
As a licensed therapist, I have dedicated my career to helping people thrive. But the uneven nature of the process always struck me as limiting the human potential. Each of my clients has an incredible power to heal other people, but they’re not being empowered to use it when they see me for 1-1 therapy. I now specialize in an innovative and transformative small-group approach called Effective Listening. This unique method is taught in groups of 6 people, and each person gets to learn to use their awesome healing power and to be an instrumental part of each other person’s transformational journey.
As a licensed therapist, I have dedicated my career to helping people thrive. But the uneven nature of the process always struck me as limiting the human potential. Each of my clients has an incredible power to heal other people, but they’re not being empowered to use it when they see me for 1-1 therapy. I now specialize in an innovative and transformative small-group approach called Effective Listening. This unique method is taught in groups of 6 people, and each person gets to learn to use their awesome healing power and to be an instrumental part of each other person’s transformational journey.
(510) 876-4835 View (510) 876-4835
Photo of Robert A. Vargas, Psychologist in 94104, CA
Robert A. Vargas
Psychologist, PsyD
Verified Verified
10 Endorsed
San Francisco, CA 94104
Do you struggle with a negative inner critic that is affecting your work or personal relationships? Or are you going through a particularly difficult time in your life and your inner critic is much more noticeable and stressful? Would you like to feel more in control of your inner critic rather than it being in control of you? Are you ashamed of this aspect of yourself and silently struggle with it?
Do you struggle with a negative inner critic that is affecting your work or personal relationships? Or are you going through a particularly difficult time in your life and your inner critic is much more noticeable and stressful? Would you like to feel more in control of your inner critic rather than it being in control of you? Are you ashamed of this aspect of yourself and silently struggle with it?
(415) 498-1473 View (415) 498-1473
Photo of Kenneth F Edwards, Counselor in 94104, CA
Kenneth F Edwards
Counselor, LPCC, LCPC
Verified Verified
1 Endorsed
San Francisco, CA 94104  (Online Only)
I typically work best with clients that have a high degree of self-agency and are in a career building or sustaining phase of life. I enjoy working with clients that enjoy a challenge from their therapist to grow and improve from visit to visit.
I typically work best with clients that have a high degree of self-agency and are in a career building or sustaining phase of life. I enjoy working with clients that enjoy a challenge from their therapist to grow and improve from visit to visit.
(415) 496-4658 View (415) 496-4658
Photo of Sarah Sherertz, Marriage & Family Therapist in 94104, CA
Sarah Sherertz
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94104
I specialize in working with trauma, attachment and relationship issues, dating, anxiety, body symptoms, divorce, grief and couples. Trauma can be overcome, relationships can dramatically improve, and physical symptoms can be effectively addressed. This is true even if you have been abused, neglected, traumatized, don't understand why you feel this way, have been living like this for years.
I specialize in working with trauma, attachment and relationship issues, dating, anxiety, body symptoms, divorce, grief and couples. Trauma can be overcome, relationships can dramatically improve, and physical symptoms can be effectively addressed. This is true even if you have been abused, neglected, traumatized, don't understand why you feel this way, have been living like this for years.
(415) 429-6893 View (415) 429-6893
Photo of William Gardner, Psychologist in 94104, CA
William Gardner
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94104
Are you feeling like things aren't working out the way you want them to? Do you find that anxiety or depression are stopping you from your goals? I am a Stanford educated clinical psychologist. I provide brief, solution-focused interventions combined with an interactive and positive style in order to decrease anxiety and fear, improve your mood, and help you to make your life more effective and enjoyable. Incorporating a variety of cognitive behavioral techniques, we will work together to overcome the issues and challenges getting in the way of you living your life and achieving your goals.
Are you feeling like things aren't working out the way you want them to? Do you find that anxiety or depression are stopping you from your goals? I am a Stanford educated clinical psychologist. I provide brief, solution-focused interventions combined with an interactive and positive style in order to decrease anxiety and fear, improve your mood, and help you to make your life more effective and enjoyable. Incorporating a variety of cognitive behavioral techniques, we will work together to overcome the issues and challenges getting in the way of you living your life and achieving your goals.
(415) 878-3970 View (415) 878-3970
Photo of Ellen Suski, Clinical Social Work/Therapist in 94104, CA
Ellen Suski
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
San Francisco, CA 94104  (Online Only)
Hello, my name is Ellen Suski, I go by Elly. I am a licensed clinical social worker (LCSW). I have been working in the mental health field for almost 9 years and providing therapy for about 5 years. I have experience working with individuals with depression, anxiety, and ADHD as well as concerns around interpersonal relationships and stress management (related to work, school, family, and friends). My approach to therapy includes allowing the client to guide the direction of each session. I choose this approach as I do not like my clients to feel forced to speak on a topic or area in their life that they aren’t comfortable with yet.
Hello, my name is Ellen Suski, I go by Elly. I am a licensed clinical social worker (LCSW). I have been working in the mental health field for almost 9 years and providing therapy for about 5 years. I have experience working with individuals with depression, anxiety, and ADHD as well as concerns around interpersonal relationships and stress management (related to work, school, family, and friends). My approach to therapy includes allowing the client to guide the direction of each session. I choose this approach as I do not like my clients to feel forced to speak on a topic or area in their life that they aren’t comfortable with yet.
(415) 985-1645 View (415) 985-1645
Photo of Sarah Dunn, Clinical Social Work/Therapist in 94104, CA
Sarah Dunn
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94104
There are many things that draw us to therapy. Some arrive struggling with anxiety, depression, relationship issues, or career uncertainty. Others have difficulty managing  the roller coaster of emotions inherent in the journey of becoming a parent, while some experience a more general or vague sense of distress. Whatever your goals and challenges, I welcome the opportunity to see whether I may be a good fit for your journey.
There are many things that draw us to therapy. Some arrive struggling with anxiety, depression, relationship issues, or career uncertainty. Others have difficulty managing  the roller coaster of emotions inherent in the journey of becoming a parent, while some experience a more general or vague sense of distress. Whatever your goals and challenges, I welcome the opportunity to see whether I may be a good fit for your journey.
(628) 200-3716 View (628) 200-3716
Photo of The Therapist for Sexual Rebels, Marriage & Family Therapist in 94104, CA
The Therapist for Sexual Rebels
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94104  (Online Only)
We need sex-positive, body-positive support for ourselves, our families, and our communities. Individuals, couples, polycules and groups I work with traverse the world with partners, genders, fetishes, or professional experiences that are often misunderstood by the dominant culture. I am in service to your joy, your healing, keeping you connected to a grounded source of abundance, gaining skills to navigate personal and professional dynamics, and being in keen awareness of your power. I’m excited to journey with you toward an embodied, fulfilling relationship with yourself and those you love.
We need sex-positive, body-positive support for ourselves, our families, and our communities. Individuals, couples, polycules and groups I work with traverse the world with partners, genders, fetishes, or professional experiences that are often misunderstood by the dominant culture. I am in service to your joy, your healing, keeping you connected to a grounded source of abundance, gaining skills to navigate personal and professional dynamics, and being in keen awareness of your power. I’m excited to journey with you toward an embodied, fulfilling relationship with yourself and those you love.
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Photo of Margaret M Oh, Marriage & Family Therapist Associate in 94104, CA
Margaret M Oh
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
San Francisco, CA 94104  (Online Only)
My name is Margaret, and I am a dedicated family therapist who specializes in empowering individuals, couples, and families. As we navigate through life's complexities together, I invite you to embark on a journey of self-discovery and growth. Culture plays a significant role in shaping our identities and influencing our perceptions of the world. Understanding the nuances of cultural diversity is at the heart of my practice. With this insight, I create a safe and inclusive space where clients can explore their thoughts, feelings, and experiences without fear of judgment.
My name is Margaret, and I am a dedicated family therapist who specializes in empowering individuals, couples, and families. As we navigate through life's complexities together, I invite you to embark on a journey of self-discovery and growth. Culture plays a significant role in shaping our identities and influencing our perceptions of the world. Understanding the nuances of cultural diversity is at the heart of my practice. With this insight, I create a safe and inclusive space where clients can explore their thoughts, feelings, and experiences without fear of judgment.
(805) 819-5784 View (805) 819-5784
Photo of Tess Brigham, Marriage & Family Therapist in 94104, CA
Tess Brigham
Marriage & Family Therapist, MA, LMFT, BCC
Verified Verified
San Francisco, CA 94104  (Online Only)
No one warned you "adulting" would be so hard. You’re tired of feeling overwhelmed by trying to figure out if you’re on the right path, frustrated by an unfulfilling job or possibly annoyed by your dating life (or lack thereof). The problem is you’re not sure what else to do. You’ve spent your entire life following a carefully laid-out plan. You’ve gotten the degrees, secured the job, and landed the apartment. Your life is good but you wonder if "good" is enough. This is where I come in. We’ll work together to define your goals, create a clear path forward, and take action.
No one warned you "adulting" would be so hard. You’re tired of feeling overwhelmed by trying to figure out if you’re on the right path, frustrated by an unfulfilling job or possibly annoyed by your dating life (or lack thereof). The problem is you’re not sure what else to do. You’ve spent your entire life following a carefully laid-out plan. You’ve gotten the degrees, secured the job, and landed the apartment. Your life is good but you wonder if "good" is enough. This is where I come in. We’ll work together to define your goals, create a clear path forward, and take action.
(415) 639-5893 View (415) 639-5893
Photo of Malka Gorman, Psychologist in 94104, CA
Malka Gorman
Psychologist, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94104
The people I work with all have one thing in common: they want to feel better. They may come to me with a discrete crisis or a problem with work, family, or relationships. They may simply feel bad and want to talk with someone who can listen and understand. Whatever their concerns, they have the curiosity, courage and desire to feel better in order to achieve their personal goals .
The people I work with all have one thing in common: they want to feel better. They may come to me with a discrete crisis or a problem with work, family, or relationships. They may simply feel bad and want to talk with someone who can listen and understand. Whatever their concerns, they have the curiosity, courage and desire to feel better in order to achieve their personal goals .
(650) 603-0471 View (650) 603-0471
Photo of Brian Thompson, Marriage & Family Therapist in 94104, CA
Brian Thompson
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
San Francisco, CA 94104
Are you ready to up-level your self understanding? Wow, navigating life and relationships can get confusing and overwhelming so quickly! It is my pleasure to help turn the tensions and pain you're experiencing into opportunities for growth and expansion. If you're ready to make changes and welcome in new ways of being, now is the time. I work with individuals, couples, and groups. We will find the nourishment within the pain while not losing track of what feels good...laughter is not uncommon in my office. If you are interested in working in a group, check out IRL Men below.
Are you ready to up-level your self understanding? Wow, navigating life and relationships can get confusing and overwhelming so quickly! It is my pleasure to help turn the tensions and pain you're experiencing into opportunities for growth and expansion. If you're ready to make changes and welcome in new ways of being, now is the time. I work with individuals, couples, and groups. We will find the nourishment within the pain while not losing track of what feels good...laughter is not uncommon in my office. If you are interested in working in a group, check out IRL Men below.
(628) 227-5620 View (628) 227-5620
Photo of J. C. Chance, Marriage & Family Therapist in 94104, CA
J. C. Chance
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
San Francisco, CA 94104
Becoming our most alive and authentic self is the goal of psychotherapy. If you are like many of the people that I work with, you have felt that being yourself wasn't accepted or valued in relationships, your family, or the world in general. In therapy, you have the opportunity to non-judgmentally challenge and change these learned beliefs and grow into your true self. I am especially interested in working with couples, relationship problems, anxiety, trauma, sex and sexuality, and LGBTQ.
Becoming our most alive and authentic self is the goal of psychotherapy. If you are like many of the people that I work with, you have felt that being yourself wasn't accepted or valued in relationships, your family, or the world in general. In therapy, you have the opportunity to non-judgmentally challenge and change these learned beliefs and grow into your true self. I am especially interested in working with couples, relationship problems, anxiety, trauma, sex and sexuality, and LGBTQ.
(415) 787-4872 View (415) 787-4872

How does your Therapist compare?

Number of Therapists in 94104

300+

Average cost per session

$200

Therapists in 94104 who prioritize treating:

94% Anxiety
90% Relationship Issues
90% Depression
79% Self Esteem
73% Trauma and PTSD
70% Grief
69% Stress

Average years in practice

12 Years

Top 3 insurances accepted

46% Cigna and Evernorth
45% Aetna
41% UnitedHealthcare UHC | UBH

How Therapists in 94104 see their clients

61% In Person and Online
39% Online Only

Gender breakdown

72% Female
26% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 94104?

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.