Therapists in San Rafael, CA

Photo of Kishi Fuller, Marriage & Family Therapist in San Rafael, CA
Kishi Fuller
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
San Rafael, CA 94901
Life is unpredictable. Health can falter; careers can get altered; relationships break down and change. Sometimes our normal ways of coping just don't cut it anymore. With over 15 years of experience, I enjoy helping clients find new ways to navigate. We can learn, not only, how to survive a difficulty but how to move through it in ways that are healthy, resilient and life-affirming.
Life is unpredictable. Health can falter; careers can get altered; relationships break down and change. Sometimes our normal ways of coping just don't cut it anymore. With over 15 years of experience, I enjoy helping clients find new ways to navigate. We can learn, not only, how to survive a difficulty but how to move through it in ways that are healthy, resilient and life-affirming.
(415) 980-1143 View (415) 980-1143
Photo of Kim Leicester, Psychologist in San Rafael, CA
Kim Leicester
Psychologist, PhD
Not Verified Not Verified
San Rafael, CA 94901
I provide therapy to teens, adults, and couples who struggle with depression, anxiety, relationships, women's health, substance use, eating disorders, and circumstantial stress to name a few of the difficulties that come our way. Progress often depends on the nature of the problems, your level of motivation, and your relationships. Life often presents challenges to us that make it difficult to cope and live the life we truly want. Whether these challenges feel mild and variable or feel monumental and interfere with how you want to relate to yourself and others, therapy can be an opportunity for meaningful change.
I provide therapy to teens, adults, and couples who struggle with depression, anxiety, relationships, women's health, substance use, eating disorders, and circumstantial stress to name a few of the difficulties that come our way. Progress often depends on the nature of the problems, your level of motivation, and your relationships. Life often presents challenges to us that make it difficult to cope and live the life we truly want. Whether these challenges feel mild and variable or feel monumental and interfere with how you want to relate to yourself and others, therapy can be an opportunity for meaningful change.
(510) 592-5323 View (510) 592-5323
Photo of Matthew Baron, Marriage & Family Therapist Associate in San Rafael, CA
Matthew Baron
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Rafael, CA 94901
I believe change is possible for anyone who has the desire to participate in their own growth. I have discovered that building a supportive relationship through therapy creates a safe place to explore life struggles, understand difficult issues, learn new skills, enrich relationships, and work through situations to lead a more authentic life.
I believe change is possible for anyone who has the desire to participate in their own growth. I have discovered that building a supportive relationship through therapy creates a safe place to explore life struggles, understand difficult issues, learn new skills, enrich relationships, and work through situations to lead a more authentic life.
(415) 475-0902 View (415) 475-0902
Photo of Patricia Pike CEO of CanAm Interventions, Drug & Alcohol Counselor in San Rafael, CA
Patricia Pike CEO of CanAm Interventions
Drug & Alcohol Counselor, LAADC, CADC II, CIP, NAID
Verified Verified
San Rafael, CA 94903
Patricia M. Pike, CEO of CanAm Interventions, Certified Interventionist & Addiction Specialist, is a trained expert with over 25 years of professional experience in the field of behavioral heath treatment, specializing in addiction and alcoholism. Ms. Pike holds a master accredited certification in addiction studies, conducts successful interventions nationally and internationally. Patricia is a Licensed Advance Alcohol Drug Counselor (LAADC), Certified Alcohol and Drug Counselor (CADC-II), long standing member of the Canadian Addiction Counselor Association Federation, internationally Certified Alcohol and Drug Counselor.
Patricia M. Pike, CEO of CanAm Interventions, Certified Interventionist & Addiction Specialist, is a trained expert with over 25 years of professional experience in the field of behavioral heath treatment, specializing in addiction and alcoholism. Ms. Pike holds a master accredited certification in addiction studies, conducts successful interventions nationally and internationally. Patricia is a Licensed Advance Alcohol Drug Counselor (LAADC), Certified Alcohol and Drug Counselor (CADC-II), long standing member of the Canadian Addiction Counselor Association Federation, internationally Certified Alcohol and Drug Counselor.
(415) 578-6836 View (415) 578-6836
Photo of Robynne O'Byrne, Psychologist in San Rafael, CA
Robynne O'Byrne
Psychologist, PhD
Verified Verified
San Rafael, CA 94903
Robynne has expertise in treating anxiety and depression in adults, children and teens, working with adult survivors of sexual abuse and other childhood trauma, and treating patients with alcohol and other addictions. She also specializes in working with couples around marital issues and has training in grief and loss, having worked with many patients confronting these issues, including parents who have lost a child. In addition to working with clients in therapy, Robynne is also a trained mediator and works with divorcing couples around custody and financial agreements.
Robynne has expertise in treating anxiety and depression in adults, children and teens, working with adult survivors of sexual abuse and other childhood trauma, and treating patients with alcohol and other addictions. She also specializes in working with couples around marital issues and has training in grief and loss, having worked with many patients confronting these issues, including parents who have lost a child. In addition to working with clients in therapy, Robynne is also a trained mediator and works with divorcing couples around custody and financial agreements.
(628) 244-8701 x4 View (628) 244-8701 x4
Photo of Dan Bierman, Marriage & Family Therapist Associate in San Rafael, CA
Dan Bierman
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Rafael, CA 94903  (Online Only)
Does it seem as though something has always been missing in your life? Maybe it's something you didn't get at home - validation, understanding, or acceptance. These early wounds run deep, and they sometimes make us feel less worthy as adults. I want you to know that there's not something inherently wrong with you. You just didn't quite get all the tools you needed, and my goal is to provide an environment in which you feel cared for and thus free to explore, feel, and express your deepest truths. I'm a New York straight shooter. I won't be shy about telling you what I see/think, but I will always do so gently and with compassion.
Does it seem as though something has always been missing in your life? Maybe it's something you didn't get at home - validation, understanding, or acceptance. These early wounds run deep, and they sometimes make us feel less worthy as adults. I want you to know that there's not something inherently wrong with you. You just didn't quite get all the tools you needed, and my goal is to provide an environment in which you feel cared for and thus free to explore, feel, and express your deepest truths. I'm a New York straight shooter. I won't be shy about telling you what I see/think, but I will always do so gently and with compassion.
(628) 313-3836 View (628) 313-3836
Photo of Katelyn Vandever, Pre-Licensed Professional in San Rafael, CA
Katelyn Vandever
Pre-Licensed Professional, ASW
Verified Verified
San Rafael, CA 94901
In my practice, I walk alongside individuals as we explore their past, future aspirations, fears, and present situations, helping them ground themselves in their core values and inner needs. Using different modalities, I nurture self-awareness and holistic wellness, recognizing the mind-body-spirit connection. Together in a safe space, we uncover truths, fostering resilience and authenticity for a more balanced, fulfilling life. And to add some extra sparkle, I sprinkle in themes from positive psychology, bringing joy, light, and humor into our sessions.
In my practice, I walk alongside individuals as we explore their past, future aspirations, fears, and present situations, helping them ground themselves in their core values and inner needs. Using different modalities, I nurture self-awareness and holistic wellness, recognizing the mind-body-spirit connection. Together in a safe space, we uncover truths, fostering resilience and authenticity for a more balanced, fulfilling life. And to add some extra sparkle, I sprinkle in themes from positive psychology, bringing joy, light, and humor into our sessions.
(415) 466-8455 View (415) 466-8455
Photo of Pamela Meyer, Marriage & Family Therapist in San Rafael, CA
Pamela Meyer
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Rafael, CA 94903
Please call if you are struggling, it is such a challenging time! You may be experiencing chaos, confusion, sadness or conflict. Or everything looks good on the surface - no one would know anything is wrong - but you feel alone and life feels without meaning. You want new ways to live so you can feel better and reach your highest aspirations without so much struggle. I am committed to compassionate kindness and intuitive skilled support, so you can shine your light again, and have your life work better.
Please call if you are struggling, it is such a challenging time! You may be experiencing chaos, confusion, sadness or conflict. Or everything looks good on the surface - no one would know anything is wrong - but you feel alone and life feels without meaning. You want new ways to live so you can feel better and reach your highest aspirations without so much struggle. I am committed to compassionate kindness and intuitive skilled support, so you can shine your light again, and have your life work better.
(415) 991-6043 View (415) 991-6043
Photo of Wendy Shaw-Lyons, Clinical Social Work/Therapist in San Rafael, CA
Wendy Shaw-Lyons
Clinical Social Work/Therapist, LCSW
Verified Verified
San Rafael, CA 94903  (Online Only)
I believe psychotherapy leads to finding an authentic self, and has the ability to enhance one's quality of life.. I will provide a therapeutic relationship based on compassion, warmth and non judgment to guide you through the process. Together we will identify and work with the blocks that are preventing you from living your life more fully. I have worked with a diverse clientele with a wide range of challenges including trauma, phase of life change, loss, depression, anxiety, and family conflict.
I believe psychotherapy leads to finding an authentic self, and has the ability to enhance one's quality of life.. I will provide a therapeutic relationship based on compassion, warmth and non judgment to guide you through the process. Together we will identify and work with the blocks that are preventing you from living your life more fully. I have worked with a diverse clientele with a wide range of challenges including trauma, phase of life change, loss, depression, anxiety, and family conflict.
(415) 358-3128 View (415) 358-3128
Photo of Paula F Mierzejewski, Marriage & Family Therapist in San Rafael, CA
Paula F Mierzejewski
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Rafael, CA 94903
I am a Licensed Marriage & Family Therapist who came to practice later in life and believe my life's experience makes me a better therapist. I enjoy working with children and older adults in life transitions. I treat children who suffer from anxiety and depression and those that are victims of abuse, abandonment, and homelessness. I support Transgender & Gender Non-Conforming Clients. I also work with adults facing a life transition. This may be caring for an older parent, loss of a loved one, or a life threatening illness. These situations trigger a mixed bag of emotions that can be overwhelming.
I am a Licensed Marriage & Family Therapist who came to practice later in life and believe my life's experience makes me a better therapist. I enjoy working with children and older adults in life transitions. I treat children who suffer from anxiety and depression and those that are victims of abuse, abandonment, and homelessness. I support Transgender & Gender Non-Conforming Clients. I also work with adults facing a life transition. This may be caring for an older parent, loss of a loved one, or a life threatening illness. These situations trigger a mixed bag of emotions that can be overwhelming.
(628) 333-3593 View (628) 333-3593
Photo of Roberta T Seifert, Psychologist in San Rafael, CA
Roberta T Seifert
Psychologist, PhD
Verified Verified
San Rafael, CA 94901
Waitlist for new clients
The goal of therapy is to enable people to have richer and more satisfying lives. I match my approach to the person I'm seeing, offering both short-term, pragmatic, solution-oriented therapy, and longer-term treatment that involves complex historical material and ingrained self-defeating patterns. I think of therapy as an opportunity to learn better ways to live and thrive in the present. I use a combination of approaches including EMDR, AEDP, cognitive-behavioral therapy, and longer-term work to change recurring patterns.
The goal of therapy is to enable people to have richer and more satisfying lives. I match my approach to the person I'm seeing, offering both short-term, pragmatic, solution-oriented therapy, and longer-term treatment that involves complex historical material and ingrained self-defeating patterns. I think of therapy as an opportunity to learn better ways to live and thrive in the present. I use a combination of approaches including EMDR, AEDP, cognitive-behavioral therapy, and longer-term work to change recurring patterns.
(650) 918-4476 View (650) 918-4476
Photo of Casey Binstadt, Marriage & Family Therapist in San Rafael, CA
Casey Binstadt
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
San Rafael, CA 94903  (Online Only)
Therapy helps re-establish your sense of peace through processing your past, reframing difficult experiences, working on effective communication skills, creating healthy boundaries & renewing personal goals. When you are looking for a path forward through major life transitions, you will discover it within you. If you'd like help finding that path, please reach out.
Therapy helps re-establish your sense of peace through processing your past, reframing difficult experiences, working on effective communication skills, creating healthy boundaries & renewing personal goals. When you are looking for a path forward through major life transitions, you will discover it within you. If you'd like help finding that path, please reach out.
(415) 965-7572 View (415) 965-7572
Photo of Talia Korenbrot, Marriage & Family Therapist in San Rafael, CA
Talia Korenbrot
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Rafael, CA 94903  (Online Only)
If you are here, I imagine you are looking for relief. Relief from feeling stuck in your personal or professional life, relief from feelings of not being ‘good enough’, relief from feelings of worry or hopelessness. In my over twenty years of experience as a psychotherapist I have helped people time and again to get relief from the uncertainty of the present and/or the pain of the past, by creating a warm and trusting relationship through which I support them in moving forward in their lives.
If you are here, I imagine you are looking for relief. Relief from feeling stuck in your personal or professional life, relief from feelings of not being ‘good enough’, relief from feelings of worry or hopelessness. In my over twenty years of experience as a psychotherapist I have helped people time and again to get relief from the uncertainty of the present and/or the pain of the past, by creating a warm and trusting relationship through which I support them in moving forward in their lives.
(415) 800-2448 View (415) 800-2448
Photo of Jessica Potter, Marriage & Family Therapist in San Rafael, CA
Jessica Potter
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94901
I am versatile in my clinical experience with clients of different ages and cultures. I have particular training in working with individuals struggling with trauma and the many symptoms related to trauma. I also have many years of experience working with those who struggle with addictions. I enjoy providing support groups for adults and teenagers. I have worked in schools, outpatient clinics, and private practice. I also have experience in suicide prevention work with teenagers and young adults.
I am versatile in my clinical experience with clients of different ages and cultures. I have particular training in working with individuals struggling with trauma and the many symptoms related to trauma. I also have many years of experience working with those who struggle with addictions. I enjoy providing support groups for adults and teenagers. I have worked in schools, outpatient clinics, and private practice. I also have experience in suicide prevention work with teenagers and young adults.
(415) 689-1017 View (415) 689-1017
Photo of Erika Olivarez, Marriage & Family Therapist in San Rafael, CA
Erika Olivarez
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94903  (Online Only)
I am the type of therapist that is always curious and open to helping my clients come up with unique solutions to life's setbacks. Life is very challenging and finding the right therapist should be seamless. If you're interested in finding a holistic approach to seek harmony in mind, body and wellness, this is the first step of awareness for the work to begin.
I am the type of therapist that is always curious and open to helping my clients come up with unique solutions to life's setbacks. Life is very challenging and finding the right therapist should be seamless. If you're interested in finding a holistic approach to seek harmony in mind, body and wellness, this is the first step of awareness for the work to begin.
(415) 930-9485 View (415) 930-9485
Photo of David Sol Meshel, Psychologist in San Rafael, CA
David Sol Meshel
Psychologist, PhD, EdM
Verified Verified
1 Endorsed
San Rafael, CA 94903  (Online Only)
Welcome to my private practice! I have been a licensed psychologist for over 25 years! I provide individual and family therapy to children and teens with ADHD, anxiety, depression, behavioral dysregulation and relationship issues. I often involve the parents in the therapy process. I also provide live parental coaching to parents of 2-8 year-olds using PCIT protocol (parent child interaction therapy). I also support neurodivergent children develop specific executive functioning strategies for school and home. I use humor and a child's specific strengths to reach clinical treatment goals. Please click on my website in my bio.
Welcome to my private practice! I have been a licensed psychologist for over 25 years! I provide individual and family therapy to children and teens with ADHD, anxiety, depression, behavioral dysregulation and relationship issues. I often involve the parents in the therapy process. I also provide live parental coaching to parents of 2-8 year-olds using PCIT protocol (parent child interaction therapy). I also support neurodivergent children develop specific executive functioning strategies for school and home. I use humor and a child's specific strengths to reach clinical treatment goals. Please click on my website in my bio.
(415) 936-0582 View (415) 936-0582
Photo of Amy Kirsztajn, Clinical Social Work/Therapist in San Rafael, CA
Amy Kirsztajn
Clinical Social Work/Therapist
Verified Verified
San Rafael, CA 94903
I am currently accepting new clients-Life can be busy and difficult to navigate. Whether you are in your 20’s-30’s trying to figure out your career and relationships or a new parent dealing with the many challenges that having children poses, I am here to help you work through these life transitions and the feelings that come with them. I tend to be very relational in my work and love to support people in exploring their relationship with themselves and in turn how that can have a positive impact on our relationship with others.
I am currently accepting new clients-Life can be busy and difficult to navigate. Whether you are in your 20’s-30’s trying to figure out your career and relationships or a new parent dealing with the many challenges that having children poses, I am here to help you work through these life transitions and the feelings that come with them. I tend to be very relational in my work and love to support people in exploring their relationship with themselves and in turn how that can have a positive impact on our relationship with others.
(628) 313-5404 View (628) 313-5404
Photo of Golda Michelson, MFT, Marriage & Family Therapist in San Rafael, CA
Golda Michelson, MFT
Marriage & Family Therapist, MA, MFT
Verified Verified
1 Endorsed
San Rafael, CA 94901  (Online Only)
Not accepting new clients
Are you finding that your relationships are not working so well? It can be your relationship to yourself (just not feeling good about your self), your relationship to work (such as difficulties with co-workers or a boss), or your relationships with your family and/ or partner or friends. I believe that we are always striving to move towards personal growth and health. Our work is to remove these blocks with compassion and understanding so that you can achieve the changes that you want to make. My style is an interactive,individualized one with warmth, support, insight and humor.
Are you finding that your relationships are not working so well? It can be your relationship to yourself (just not feeling good about your self), your relationship to work (such as difficulties with co-workers or a boss), or your relationships with your family and/ or partner or friends. I believe that we are always striving to move towards personal growth and health. Our work is to remove these blocks with compassion and understanding so that you can achieve the changes that you want to make. My style is an interactive,individualized one with warmth, support, insight and humor.
(415) 408-7705 View (415) 408-7705
Photo of Kate Herrington, Clinical Social Work/Therapist in San Rafael, CA
Kate Herrington
Clinical Social Work/Therapist, LCSW
Verified Verified
San Rafael, CA 94903  (Online Only)
In my practice I bring compassion, humor, insight, and a sincere dedication to my clients. My practice is grounded in attachment theory, play therapy, acceptance and commitment therapy (ACT), exposure and response prevention (E/RP), and mindfulness-based stress reduction (MBSR). With my warm and welcoming nature, I strive to create a safe space for children, teens and adults to explore their concerns. In collaboration with you, I will support you in taking steps toward an improved sense of well-being and a life path that aligns with your deepest values. I work with individuals of all ages, families, and provide parent coaching.
In my practice I bring compassion, humor, insight, and a sincere dedication to my clients. My practice is grounded in attachment theory, play therapy, acceptance and commitment therapy (ACT), exposure and response prevention (E/RP), and mindfulness-based stress reduction (MBSR). With my warm and welcoming nature, I strive to create a safe space for children, teens and adults to explore their concerns. In collaboration with you, I will support you in taking steps toward an improved sense of well-being and a life path that aligns with your deepest values. I work with individuals of all ages, families, and provide parent coaching.
(415) 578-6083 x1 View (415) 578-6083 x1
Photo of Jim Morein, Marriage & Family Therapist Associate in San Rafael, CA
Jim Morein
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
San Rafael, CA 94901
Not accepting new clients
Life has its measure of joys and sorrows. In our modern society, it’s all too easy for the ‘sorrows’—stress and unhappiness—to outweigh the ‘joys’ in our lives. Maybe it’s our situation at home or an unfulfilling relationship. Perhaps our health took a downward turn or we lost our sense of purpose in a meaningless job. Life can place mountains in our path and our old ways of coping often stop working. But no matter how lost we feel in the bramble, we are capable of untangling ourselves and finding our way back to the light—to peace.
Life has its measure of joys and sorrows. In our modern society, it’s all too easy for the ‘sorrows’—stress and unhappiness—to outweigh the ‘joys’ in our lives. Maybe it’s our situation at home or an unfulfilling relationship. Perhaps our health took a downward turn or we lost our sense of purpose in a meaningless job. Life can place mountains in our path and our old ways of coping often stop working. But no matter how lost we feel in the bramble, we are capable of untangling ourselves and finding our way back to the light—to peace.
(415) 704-6082 View (415) 704-6082

How does your Therapist compare?

Number of Therapists in San Rafael, CA

600+

Average cost per session

$195

Therapists in San Rafael, CA who prioritize treating:

91% Anxiety
84% Depression
82% Relationship Issues
70% Self Esteem
66% Grief
66% Trauma and PTSD
63% Stress

Average years in practice

16 Years

Top 3 insurances accepted

55% Aetna
45% Cigna and Evernorth
44% Anthem | Elevance

How Therapists in San Rafael, CA see their clients

70% In Person and Online
30% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in San Rafael?

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.