Therapists in San Francisco, CA

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Photo of Katy Lonergan, Psychologist in San Francisco, CA
Katy Lonergan
Psychologist, PhD
Verified Verified
3 Endorsed
San Francisco, CA 94118
You may feel as if you are a passive participant in your life longing to be more active and connected while feeling so incredibly stuck. If you find yourself here, perhaps you or your child has been struggling to enjoy things that he or she usually enjoys (having friends over, heading outdoors, reading/watching tv). Their mind might be filled with worries of what others think and they did something wrong and are having difficulties shaking off an interaction. You or your child are wanting to feel more at ease in your relationships while finding yourself in familiar unhelpful patterns.
You may feel as if you are a passive participant in your life longing to be more active and connected while feeling so incredibly stuck. If you find yourself here, perhaps you or your child has been struggling to enjoy things that he or she usually enjoys (having friends over, heading outdoors, reading/watching tv). Their mind might be filled with worries of what others think and they did something wrong and are having difficulties shaking off an interaction. You or your child are wanting to feel more at ease in your relationships while finding yourself in familiar unhelpful patterns.
(628) 222-4281 View (628) 222-4281
Photo of Amanda Grumet, Marriage & Family Therapist Associate in San Francisco, CA
Amanda Grumet
Marriage & Family Therapist Associate, AMFT, APCC, DMA
Verified Verified
San Francisco, CA 94114
I love working with individual clients from teens to elders. It is a privilege to have a person's trust. I love to help clients in their 20's adjust to new independence after college and discover their passions and triumph over anxiety. I also enjoy helping adults over 65 manage life adjustments and build resilience. I very much value working with families and couples to resolve conflict and make decisions. I like to help clients improve romantic relationships, conflict with colleagues at work, and family dynamics. I speak multiple languages and am drawn to helping clients navigate cultural differences in couples and families.
I love working with individual clients from teens to elders. It is a privilege to have a person's trust. I love to help clients in their 20's adjust to new independence after college and discover their passions and triumph over anxiety. I also enjoy helping adults over 65 manage life adjustments and build resilience. I very much value working with families and couples to resolve conflict and make decisions. I like to help clients improve romantic relationships, conflict with colleagues at work, and family dynamics. I speak multiple languages and am drawn to helping clients navigate cultural differences in couples and families.
(415) 592-6918 View (415) 592-6918
Photo of Susan Allen, Marriage & Family Therapist in San Francisco, CA
Susan Allen
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94115
I support women and couples through the emotional challenges of infertility, pregnancy and postpartum, and the parenting transition. My approach to therapy is warm, engaged and interactive with a focus on helping people to process and cope with the complex emotions of these life stressors.
I support women and couples through the emotional challenges of infertility, pregnancy and postpartum, and the parenting transition. My approach to therapy is warm, engaged and interactive with a focus on helping people to process and cope with the complex emotions of these life stressors.
(415) 505-3541 View (415) 505-3541
Photo of Samantha Segall Therapy LLC, Marriage & Family Therapist in San Francisco, CA
Samantha Segall Therapy LLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94110  (Online Only)
Are you struggling with depression or anxiety? Do you need support processing a recent trauma? Are you grieving a loss? Everyone needs support sometimes and having the support of a licensed therapist can help to make things feel a bit more manageable. Together we can explore what you need to feel more resourced and help you to become more present in your own life. My hope is for you to leave therapy with deeper insight, increased trust in yourself and a renewed sense of confidence.
Are you struggling with depression or anxiety? Do you need support processing a recent trauma? Are you grieving a loss? Everyone needs support sometimes and having the support of a licensed therapist can help to make things feel a bit more manageable. Together we can explore what you need to feel more resourced and help you to become more present in your own life. My hope is for you to leave therapy with deeper insight, increased trust in yourself and a renewed sense of confidence.
(424) 316-1881 View (424) 316-1881
Photo of Stephen Trichter, Psychologist in San Francisco, CA
Stephen Trichter
Psychologist, PsyD
Verified Verified
San Francisco, CA 94115
I offer a holistic approach, drawing on depth psychology, somatics, spirituality, psychedelic medicine, relational theory and social justice activism in my work with patients. I am interested in working closely with adults, adolescents and couples, supporting them in their development and helping them reach their goals.
I offer a holistic approach, drawing on depth psychology, somatics, spirituality, psychedelic medicine, relational theory and social justice activism in my work with patients. I am interested in working closely with adults, adolescents and couples, supporting them in their development and helping them reach their goals.
(415) 689-9969 View (415) 689-9969
Photo of Sonia Sztejnklaper Bell, Clinical Social Work/Therapist in San Francisco, CA
Sonia Sztejnklaper Bell
Clinical Social Work/Therapist, MSW, LCSW, ACSW
Verified Verified
San Francisco, CA 94115
As a therapist with over 30 years of experience, including as a director of clinical services at a non-profit agency, I've worked with individuals of all ages, couples and families. I offer a wide range of therapy services, specializing in helping my clients deal with emotional and behavioral issues, including anxiety and depression. I also have extensive experience working with those undergoing personal transitions, family, marital and relationship issues, coping with medical challenges including loss and grief.
As a therapist with over 30 years of experience, including as a director of clinical services at a non-profit agency, I've worked with individuals of all ages, couples and families. I offer a wide range of therapy services, specializing in helping my clients deal with emotional and behavioral issues, including anxiety and depression. I also have extensive experience working with those undergoing personal transitions, family, marital and relationship issues, coping with medical challenges including loss and grief.
(415) 578-9229 View (415) 578-9229
Photo of Michael Barbee, Psychologist in San Francisco, CA
Michael Barbee
Psychologist, PsyD
Verified Verified
San Francisco, CA 94110  (Online Only)
I enjoy working with individuals who are negotiating changes, difficulties, or losses in their lives and trying to understand their experience. I believe it is up to each of us to make sense of our lives, and psychotherapy is often a valuable place to explore this in an open and non-judgmental way. It is often turning points or changing phases of life that call us to question things, confront us with important decisions, and challenge us to decide what is meaningful. Symptoms of depression and anxiety, or events such as illness, trauma and loss can call into question our beliefs, values and goals in life.
I enjoy working with individuals who are negotiating changes, difficulties, or losses in their lives and trying to understand their experience. I believe it is up to each of us to make sense of our lives, and psychotherapy is often a valuable place to explore this in an open and non-judgmental way. It is often turning points or changing phases of life that call us to question things, confront us with important decisions, and challenge us to decide what is meaningful. Symptoms of depression and anxiety, or events such as illness, trauma and loss can call into question our beliefs, values and goals in life.
(628) 245-1533 View (628) 245-1533
Photo of Lisa Herman, Marriage & Family Therapist in San Francisco, CA
Lisa Herman
Marriage & Family Therapist, MFT, PhD, REAT
Verified Verified
2 Endorsed
San Francisco, CA 94110
In our turbulent times, life sometimes is overwhelming. When we run out of solutions, therapy can help create possibilities. I specialize in helping those who feel stuck. With over 40 years experience in the field, I provide a safe, supportive environment to explore your potential for change. Working primarily with relationships - including your relationship with yourself - I challenge restrictive behaviors and beliefs while supporting openness to new experience. I enjoy working with adults, couple and individual sessions.
In our turbulent times, life sometimes is overwhelming. When we run out of solutions, therapy can help create possibilities. I specialize in helping those who feel stuck. With over 40 years experience in the field, I provide a safe, supportive environment to explore your potential for change. Working primarily with relationships - including your relationship with yourself - I challenge restrictive behaviors and beliefs while supporting openness to new experience. I enjoy working with adults, couple and individual sessions.
(831) 531-7861 View (831) 531-7861
Photo of Steven Orma, Psychologist in San Francisco, CA
Steven Orma
Psychologist, PsyD
Verified Verified
San Francisco, CA 94115  (Online Only)
Trouble sleeping? I’m a clinical sleep psychologist specializing in insomnia. For the last 10+ years I’ve helped people of all ages, genders, and walks of life overcome insomnia and get their sleep and life back. If you suffer from sleep problems, I offer expert Cognitive Behavioral Therapy for Insomnia (CBT-I), the gold-standard treatment. I’ve been a consultant and contributor to the Calm app, featured in their “Sleep Stories” on the topic of sleep science, and am a certified CBT-I clinician with a high level of proficiency in the program developed and tested at Harvard Medical School.
Trouble sleeping? I’m a clinical sleep psychologist specializing in insomnia. For the last 10+ years I’ve helped people of all ages, genders, and walks of life overcome insomnia and get their sleep and life back. If you suffer from sleep problems, I offer expert Cognitive Behavioral Therapy for Insomnia (CBT-I), the gold-standard treatment. I’ve been a consultant and contributor to the Calm app, featured in their “Sleep Stories” on the topic of sleep science, and am a certified CBT-I clinician with a high level of proficiency in the program developed and tested at Harvard Medical School.
(415) 707-3208 View (415) 707-3208
Photo of Sally Scheidlinger, Clinical Social Work/Therapist in San Francisco, CA
Sally Scheidlinger
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Francisco, CA 94115
I imagine you’ve been hard on yourself lately. Thoughts like, “you’re not good enough” or “you should be over this by now,” play on repeat, unchecked. My approach is one focused on self-compassion, the art of reworking internal monologues to respond to yourself in a gentler, more understanding manner. You may not feel ready or deserving of treating yourself more kindly, but I would be honored to hold that warm space for you until you are.
I imagine you’ve been hard on yourself lately. Thoughts like, “you’re not good enough” or “you should be over this by now,” play on repeat, unchecked. My approach is one focused on self-compassion, the art of reworking internal monologues to respond to yourself in a gentler, more understanding manner. You may not feel ready or deserving of treating yourself more kindly, but I would be honored to hold that warm space for you until you are.
(415) 966-4828 View (415) 966-4828
Photo of Jermaine L Dictado, Psychologist in San Francisco, CA
Jermaine L Dictado
Psychologist, PsyD
Verified Verified
San Francisco, CA 94123
I work with adults (18+) who are having difficulties with negative self-talk, emotion regulation, and conflicts in relationships. These difficulties can often look like depression, anxiety, intense stress, anger, poor self-esteem, self-harm, suicidal thoughts and more. I also work with couples who are having difficulties with communication, connecting with each other, and resolving conflicts. I am here to support you with these challenges. Looking for a therapist can especially be difficult in addition to facing current struggles in our life. Feel free to call for a free 15-minute consultation to see how I may be able to help.
I work with adults (18+) who are having difficulties with negative self-talk, emotion regulation, and conflicts in relationships. These difficulties can often look like depression, anxiety, intense stress, anger, poor self-esteem, self-harm, suicidal thoughts and more. I also work with couples who are having difficulties with communication, connecting with each other, and resolving conflicts. I am here to support you with these challenges. Looking for a therapist can especially be difficult in addition to facing current struggles in our life. Feel free to call for a free 15-minute consultation to see how I may be able to help.
(619) 292-0452 View (619) 292-0452
Photo of Sophie Lew, Psychologist in San Francisco, CA
Sophie Lew
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94115  (Online Only)
I am a licensed clinical psychologist specialized in providing psychotherapy to teens, adults, and couples. I work with clients who are experiencing emotional, behavioral, and/or interpersonal challenges to optimize mental health and wellness. My approach is compassionate and collaborative, largely based on psychodynamic, mindfulness, cognitive-behavioral, and interpersonal modalities. My hope is to help decrease emotional suffering, enhance your relationships, and work towards meaningful change.
I am a licensed clinical psychologist specialized in providing psychotherapy to teens, adults, and couples. I work with clients who are experiencing emotional, behavioral, and/or interpersonal challenges to optimize mental health and wellness. My approach is compassionate and collaborative, largely based on psychodynamic, mindfulness, cognitive-behavioral, and interpersonal modalities. My hope is to help decrease emotional suffering, enhance your relationships, and work towards meaningful change.
(617) 807-0884 View (617) 807-0884
Photo of Leah Eisbart, Psychologist in San Francisco, CA
Leah Eisbart
Psychologist, PsyD
Verified Verified
San Francisco, CA 94118
I work with children, adolescents, and adults seeking support to improve social and emotional well-being and alleviate distress. I support children struggling at home or at school due to academic or environmental stressors, mood and behavioral challenges, attention and concentration difficulties, and those with learning differences. I also provide supportive parent consultation in which we work together towards a better understanding of your child’s experience and behavior to increase social-emotional functioning and academic success.
I work with children, adolescents, and adults seeking support to improve social and emotional well-being and alleviate distress. I support children struggling at home or at school due to academic or environmental stressors, mood and behavioral challenges, attention and concentration difficulties, and those with learning differences. I also provide supportive parent consultation in which we work together towards a better understanding of your child’s experience and behavior to increase social-emotional functioning and academic success.
(628) 203-1132 View (628) 203-1132
Photo of Arthur Scappaticci Psychotherapy, Marriage & Family Therapist in San Francisco, CA
Arthur Scappaticci Psychotherapy
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Francisco, CA 94118
Realizing our potential challenges the very essence of who we are: belief, self-esteem, identity. I have a comprehensive approach that will help unlock problematic thought and behavioral patterns, maximizing the resources available to you as you embark on a journey of self discovery and self worth. Identifying and understanding the obstacles that keep you stuck and hold you back are at the heart of personal and professional growth. Recovering from past wounds clears the way towards a wholesome self, reaffirms personal power, and ultimately leads to a greater sense of worth and self-acceptance.
Realizing our potential challenges the very essence of who we are: belief, self-esteem, identity. I have a comprehensive approach that will help unlock problematic thought and behavioral patterns, maximizing the resources available to you as you embark on a journey of self discovery and self worth. Identifying and understanding the obstacles that keep you stuck and hold you back are at the heart of personal and professional growth. Recovering from past wounds clears the way towards a wholesome self, reaffirms personal power, and ultimately leads to a greater sense of worth and self-acceptance.
(628) 265-8349 View (628) 265-8349
Photo of Andrea Shelley, Psychologist in San Francisco, CA
Andrea Shelley
Psychologist, PsyD
Verified Verified
San Francisco, CA 94109  (Online Only)
Dr. Andrea Shelley is a licensed clinical psychologist and marriage and family therapist with over 20 years of experience working in a wide range of settings. She specializes in treating anxiety, depression, schizophrenia, bipolar disorder, substance abuse, as well as dual diagnosis of mental health diagnoses with substance use disorder. Dr. Shelley utilizes an evidence-based, collaborative, interactive, culturally aware, and empathetic approach and focuses on the impact of the individual diagnosis and treatment on loved ones, family, relationships, and work.
Dr. Andrea Shelley is a licensed clinical psychologist and marriage and family therapist with over 20 years of experience working in a wide range of settings. She specializes in treating anxiety, depression, schizophrenia, bipolar disorder, substance abuse, as well as dual diagnosis of mental health diagnoses with substance use disorder. Dr. Shelley utilizes an evidence-based, collaborative, interactive, culturally aware, and empathetic approach and focuses on the impact of the individual diagnosis and treatment on loved ones, family, relationships, and work.
(628) 250-3670 View (628) 250-3670
Photo of Robert Schene, Marriage & Family Therapist in San Francisco, CA
Robert Schene
Marriage & Family Therapist, MFT, CGP
Verified Verified
2 Endorsed
San Francisco, CA 94102
Stepping into therapy with someone is an inherently risky process. You are courageously opening up to someone that you don't really know, in hopes of changing, of finding something new, of building a relationship that can create positive change. I respect those who take the leap and I get the importance that you find the right therapist so that you can be understood at a deep level and begin looking more closely at the places in your life that you would like to see change.
Stepping into therapy with someone is an inherently risky process. You are courageously opening up to someone that you don't really know, in hopes of changing, of finding something new, of building a relationship that can create positive change. I respect those who take the leap and I get the importance that you find the right therapist so that you can be understood at a deep level and begin looking more closely at the places in your life that you would like to see change.
(415) 702-0949 View (415) 702-0949
Photo of Rebecca Peng, Marriage & Family Therapist in San Francisco, CA
Rebecca Peng
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94115
Waitlist for new clients
As an Asian female therapist, I deeply understand the challenges and opportunities that come with a bi-cultural upbringing. Every individual possesses the innate desire to grow as well as the capacity to heal from traumas and painful life events. I am here to guide you through difficult life transitions and improve your relationships. I will help you approach life with fresh perspectives and more effective strategies. I have more than a decade of therapy experience with clients of all ages struggling with issues such as depression and anxiety, trauma, addiction, grief and loss, and unhealthy relationships.
As an Asian female therapist, I deeply understand the challenges and opportunities that come with a bi-cultural upbringing. Every individual possesses the innate desire to grow as well as the capacity to heal from traumas and painful life events. I am here to guide you through difficult life transitions and improve your relationships. I will help you approach life with fresh perspectives and more effective strategies. I have more than a decade of therapy experience with clients of all ages struggling with issues such as depression and anxiety, trauma, addiction, grief and loss, and unhealthy relationships.
(415) 413-0418 View (415) 413-0418
Photo of Nicole Hanhan, Clinical Social Work/Therapist in San Francisco, CA
Nicole Hanhan
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
San Francisco, CA 94133  (Online Only)
Accepting new clients via Telehealth only. I’m here to help you make a change and I’m honored to walk this journey with you. My passion is to help you connect to the parts of you that need healing. Feeling “stuck” can look different for everyone – through low self-esteem, depression, anxiety, feeling unsafe, negative view of yourself, lack of confidence and irritability. I am here to guide you to help you transform pain into a life worth celebrating.
Accepting new clients via Telehealth only. I’m here to help you make a change and I’m honored to walk this journey with you. My passion is to help you connect to the parts of you that need healing. Feeling “stuck” can look different for everyone – through low self-esteem, depression, anxiety, feeling unsafe, negative view of yourself, lack of confidence and irritability. I am here to guide you to help you transform pain into a life worth celebrating.
(415) 843-2483 View (415) 843-2483
Photo of Sheena Craig, Marriage & Family Therapist in San Francisco, CA
Sheena Craig
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94118
I currently work with adult and adolescent individuals and couples. The issues I deal with include depression and dysthymia, panic attacks, stress, generalized anxiety disorder, gender identity disorder, obsessions and compulsions, childhood sexual trauma, childhood physical abuse, grief and loss, relationship difficulties, communication conflict, commitment, intimacy, sexual difficulties, insecurity, trust, infidelity and social phobia.
I currently work with adult and adolescent individuals and couples. The issues I deal with include depression and dysthymia, panic attacks, stress, generalized anxiety disorder, gender identity disorder, obsessions and compulsions, childhood sexual trauma, childhood physical abuse, grief and loss, relationship difficulties, communication conflict, commitment, intimacy, sexual difficulties, insecurity, trust, infidelity and social phobia.
(415) 858-6152 View (415) 858-6152
Photo of George J Moore, Clinical Social Work/Therapist in San Francisco, CA
George J Moore
Clinical Social Work/Therapist, LCSW
Verified Verified
9 Endorsed
San Francisco, CA 94110  (Online Only)
You’re finally on your way home after another long day. This should be when you can finally take a deep breath and relax, but it’s not. The day’s stress is still with you, and you have no way to shut it off. And in some ways, this is more comfortable for you. You’ve spent so long training yourself to ignore your own needs that it’s easier to stay focused on everyone and everything else. But lately, you’ve begun to wonder what it’s all for. You see other people enjoying full lives. Meanwhile, you’re stuck in this narrow existence. You love your career, but there must be more to life than this. It’s time to make a change.
You’re finally on your way home after another long day. This should be when you can finally take a deep breath and relax, but it’s not. The day’s stress is still with you, and you have no way to shut it off. And in some ways, this is more comfortable for you. You’ve spent so long training yourself to ignore your own needs that it’s easier to stay focused on everyone and everything else. But lately, you’ve begun to wonder what it’s all for. You see other people enjoying full lives. Meanwhile, you’re stuck in this narrow existence. You love your career, but there must be more to life than this. It’s time to make a change.
(707) 309-7093 View (707) 309-7093

See more therapy options for San Francisco

How does your Therapist compare?

Number of Therapists in San Francisco, CA

3,000+

Average cost per session

$189

Therapists in San Francisco, CA who prioritize treating:

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

Average years in practice

12 Years

Top 3 insurances accepted

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

How Therapists in San Francisco, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

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

How can I find a therapist in San Francisco?

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

Learn more about how to find a therapist

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

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

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

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

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

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

What type of therapy is right for me?

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

How much does therapy cost?

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

What are more affordable or low cost therapy solutions?

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

Is online therapy cheaper than in-person therapy?

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

Is online therapy a good option?

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

Are therapy sessions confidential?

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