Therapists in La Jolla, CA

Photo of Elana Rezmovitch, Clinical Social Work/Therapist in La Jolla, CA
Elana Rezmovitch
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
La Jolla, CA 92037
Seeking out therapeutic support can be both an empowering and overwhelming journey. My clinical experience includes working with individuals by providing a caring and supportive environment with the goal of helping the client develop healthy and positive strategies to improve their overall wellbeing and functioning within their environment.
Seeking out therapeutic support can be both an empowering and overwhelming journey. My clinical experience includes working with individuals by providing a caring and supportive environment with the goal of helping the client develop healthy and positive strategies to improve their overall wellbeing and functioning within their environment.
(619) 648-3243 View (619) 648-3243
Photo of Mary Elizabeth Karlan, Clinical Social Work/Therapist in La Jolla, CA
Mary Elizabeth Karlan
Clinical Social Work/Therapist, LCSW
Verified Verified
La Jolla, CA 92037
I am a clinical social worker with advanced training in family therapy at the Ackerman Institute for the Family in NYC. My theoretical approach when working with my clients is drawn from a eclectic framework which includes, narrative, cognitive behavioral, structural,gestalt,strategic, and problem solving. I specialize in working with blended families, adolescents, single parents, and couples. Personally, I am a mother and step-mother of nine children. I have a private practice in New York and California. I am licensed in NY, CA, CT, Fl, and MA. I am currently accepting new clients.
I am a clinical social worker with advanced training in family therapy at the Ackerman Institute for the Family in NYC. My theoretical approach when working with my clients is drawn from a eclectic framework which includes, narrative, cognitive behavioral, structural,gestalt,strategic, and problem solving. I specialize in working with blended families, adolescents, single parents, and couples. Personally, I am a mother and step-mother of nine children. I have a private practice in New York and California. I am licensed in NY, CA, CT, Fl, and MA. I am currently accepting new clients.
(619) 789-6813 View (619) 789-6813
Photo of Clinical and Consulting Psychology Group, LLC, Psychologist in La Jolla, CA
Clinical and Consulting Psychology Group, LLC
Psychologist, PhD
Verified Verified
La Jolla, CA 92037
Dr. Maiken Gale, of the Clinical & Consulting Psychology Group, will help you understand your individual response to life's challenges and will assist you in making crucial, life enhancing changes. Dr. Gale utilizes an eclectic and integrated therapeutic approach tailored to your individual needs and adaptable to your progress in treatment. She will help you solve immediate problems and uncover the reasons you might be experiencing an unwanted pattern in your life. Either through solution-focused, or psychodynamic exploration, Dr. Gale will help you lock onto the important issues and achieve alleviation and insight.
Dr. Maiken Gale, of the Clinical & Consulting Psychology Group, will help you understand your individual response to life's challenges and will assist you in making crucial, life enhancing changes. Dr. Gale utilizes an eclectic and integrated therapeutic approach tailored to your individual needs and adaptable to your progress in treatment. She will help you solve immediate problems and uncover the reasons you might be experiencing an unwanted pattern in your life. Either through solution-focused, or psychodynamic exploration, Dr. Gale will help you lock onto the important issues and achieve alleviation and insight.
(858) 376-7998 View (858) 376-7998
Photo of Nicole Karst, Psychologist in La Jolla, CA
Nicole Karst
Psychologist, PsyD, LVN
Verified Verified
La Jolla, CA 92037
Dr. Nicole Karst is a clinical forensic psychologist, nurse, and veteran. She has extensive health and mental health treatment experience at all levels of care ranging from hospitalization to outpatient psychotherapy. She specializes in the treatment of trauma, mood instability, obsessive thoughts, relationship problems, stress management, and mind-body wellness.
Dr. Nicole Karst is a clinical forensic psychologist, nurse, and veteran. She has extensive health and mental health treatment experience at all levels of care ranging from hospitalization to outpatient psychotherapy. She specializes in the treatment of trauma, mood instability, obsessive thoughts, relationship problems, stress management, and mind-body wellness.
(858) 683-6419 x1031 View (858) 683-6419 x1031
Photo of Kaitlyn Torres, Associate Professional Clinical Counselor in La Jolla, CA
Kaitlyn Torres
Associate Professional Clinical Counselor, APCC
Verified Verified
La Jolla, CA 92037
Every parent has their own hopes and expectations for life with their child. You have probably imagined a life full of fun-filled memories. However, when unexpected anxiety or ADHD becomes a part of your family dynamic, you might be left feeling overwhelmed and confused on how to connect with and support your child.
Every parent has their own hopes and expectations for life with their child. You have probably imagined a life full of fun-filled memories. However, when unexpected anxiety or ADHD becomes a part of your family dynamic, you might be left feeling overwhelmed and confused on how to connect with and support your child.
(858) 477-3324 View (858) 477-3324
Photo of Grecia Meyreles, Psychological Associate in La Jolla, CA
Grecia Meyreles
Psychological Associate, MS
Verified Verified
La Jolla, CA 92037
Psychotherapy can be a challenging process and allowing ourselves to be vulnerable is not always easy. Quite frankly, establishing a therapeutic relationship with a stranger can be scary! This is why as a psychologist I strive to create a collaborative, safe, and supportive space for patients. My approach to the therapeutic process is integrative, identifying interventions tailored to benefit the patient’s well-being and working on the therapeutic goals established. I am a in the final year of my doctoral program in Clinical Psychology and possess a master of science degree in Clinical Psychology.
Psychotherapy can be a challenging process and allowing ourselves to be vulnerable is not always easy. Quite frankly, establishing a therapeutic relationship with a stranger can be scary! This is why as a psychologist I strive to create a collaborative, safe, and supportive space for patients. My approach to the therapeutic process is integrative, identifying interventions tailored to benefit the patient’s well-being and working on the therapeutic goals established. I am a in the final year of my doctoral program in Clinical Psychology and possess a master of science degree in Clinical Psychology.
(858) 667-7752 View (858) 667-7752
Photo of Samantha Arreola, Clinical Social Work/Therapist in La Jolla, CA
Samantha Arreola
Clinical Social Work/Therapist, LCSW
Verified Verified
La Jolla, CA 92037  (Online Only)
I am a trauma-informed therapist who supports clients in understanding how their experiences have impacted their relationships, self-image, motivation, work ethic, and all other aspects of life. I have been told I am very calm-natured and relatable, which clients appreciate in session. I support people who want to unapologetically set boundaries, discover who they are, stop people-pleasing, improve their self-worth, and manage their symptoms of depression and anxiety. I offer a lot of resources such as books, workbooks, podcasts, etc. to review outside of therapy which helps accelerate the therapy process.
I am a trauma-informed therapist who supports clients in understanding how their experiences have impacted their relationships, self-image, motivation, work ethic, and all other aspects of life. I have been told I am very calm-natured and relatable, which clients appreciate in session. I support people who want to unapologetically set boundaries, discover who they are, stop people-pleasing, improve their self-worth, and manage their symptoms of depression and anxiety. I offer a lot of resources such as books, workbooks, podcasts, etc. to review outside of therapy which helps accelerate the therapy process.
(858) 330-5790 View (858) 330-5790
Photo of Marlane Y Agriesti, Marriage & Family Therapist in La Jolla, CA
Marlane Y Agriesti
Marriage & Family Therapist, LMFT, MA
Verified Verified
La Jolla, CA 92037
Are you going through a major life transition? Have you been through emotional, physical, relationship or family trauma? Are you struggling with limiting or destructive relationship patterns, feeling anxious, experience panic, or struggle with self-esteem? Would you like to explore more creative approaches to the problems you face? I work especially well with people of all ages in search of healthier relationships, deep personal change and greater self-awareness. If you want to create a more balanced and fruitful life and claim your authentic voice and way in the world, I can help you navigate that journey with safety and trust.
Are you going through a major life transition? Have you been through emotional, physical, relationship or family trauma? Are you struggling with limiting or destructive relationship patterns, feeling anxious, experience panic, or struggle with self-esteem? Would you like to explore more creative approaches to the problems you face? I work especially well with people of all ages in search of healthier relationships, deep personal change and greater self-awareness. If you want to create a more balanced and fruitful life and claim your authentic voice and way in the world, I can help you navigate that journey with safety and trust.
(858) 358-7790 View (858) 358-7790
Photo of Michael Villanueva, Psychologist in La Jolla, CA
Michael Villanueva
Psychologist, PhD
Verified Verified
La Jolla, CA 92037
Dr. Michael Villanueva offers an unique approach to traditional counseling with an emphasis on Jungian psychology and two domains: Conditions more rooted in expressed psychological symptoms, and conditions more rooted in neurophysiological symptoms. This is a distinction reflecting years of experience in both counseling and analyzing the human EEG (AKA ‘brainwaves’). He can counsel and treat with various forms of talk therapy as well as analyze and train your neural pathways using neurofeedback. Dr. Villanueva also offers telehealth counseling.
Dr. Michael Villanueva offers an unique approach to traditional counseling with an emphasis on Jungian psychology and two domains: Conditions more rooted in expressed psychological symptoms, and conditions more rooted in neurophysiological symptoms. This is a distinction reflecting years of experience in both counseling and analyzing the human EEG (AKA ‘brainwaves’). He can counsel and treat with various forms of talk therapy as well as analyze and train your neural pathways using neurofeedback. Dr. Villanueva also offers telehealth counseling.
(858) 877-9301 View (858) 877-9301
Photo of Jodi Tudisco, Licensed Professional Clinical Counselor in La Jolla, CA
Jodi Tudisco
Licensed Professional Clinical Counselor, DSW, LPCC, EMDR, TRE
Verified Verified
La Jolla, CA 92037  (Online Only)
What lies behind us and what lies before us are tiny matters compared to what lies within us," Ralph Waldo Emerson. In therapy, we'll embrace a holistic approach, exploring the connection between your mind, body, and spirit. We'll foster balance and resilience through self-discovery, enriching your quality of life. We'll identify and challenge negative thought patterns using DBT, CBT, EMDR, and more. When needed we’ll develop healthy eating habits and a positive exercise routine. Nurturing your spirituality is encouraged to ease fear and promote gratitude. This journey unlocks inner potential and empowers a more harmonious life.
What lies behind us and what lies before us are tiny matters compared to what lies within us," Ralph Waldo Emerson. In therapy, we'll embrace a holistic approach, exploring the connection between your mind, body, and spirit. We'll foster balance and resilience through self-discovery, enriching your quality of life. We'll identify and challenge negative thought patterns using DBT, CBT, EMDR, and more. When needed we’ll develop healthy eating habits and a positive exercise routine. Nurturing your spirituality is encouraged to ease fear and promote gratitude. This journey unlocks inner potential and empowers a more harmonious life.
(760) 852-7259 View (760) 852-7259
Photo of Julia Allen, Clinical Social Work/Therapist in La Jolla, CA
Julia Allen
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
La Jolla, CA 92037
Are you living a life you love, or are you stuck in the familiar “one step forward, two steps back” dance? Life can be colorfully painful, beautifully complicated, and completely overwhelming—and none of us were given a how-to guide. We all experience complicated twists and unexpected turns that cause sadness, worry, anger, and destructive patterns with food, drugs, alcohol, and within our closest relationships. Our lives are too short to lose precious time to unhappiness, feeling hopeless, and being stuck in the same vicious cycles. Therapy can give you a personalized roadmap to help you design a life you love.
Are you living a life you love, or are you stuck in the familiar “one step forward, two steps back” dance? Life can be colorfully painful, beautifully complicated, and completely overwhelming—and none of us were given a how-to guide. We all experience complicated twists and unexpected turns that cause sadness, worry, anger, and destructive patterns with food, drugs, alcohol, and within our closest relationships. Our lives are too short to lose precious time to unhappiness, feeling hopeless, and being stuck in the same vicious cycles. Therapy can give you a personalized roadmap to help you design a life you love.
(858) 585-9638 View (858) 585-9638
Photo of Dr. Josh Thomas, Psychologist in La Jolla, CA
Dr. Josh Thomas
Psychologist, PhD
Verified Verified
La Jolla, CA 92037
Hello, I am a licensed clinical psychologist with expertise in substance addiction, trauma/PTSD, depression, anxiety, work stress, relationship problems, grief and loss, and chronic pain. With an emphasis in connecting to and living from personal values, my approach is highly compassionate, culturally sensitive, strengths-based, and evidenced-based. My treatment specialty includes Internal Family Systems (IFS), Acceptance and Commitment Therapy (ACT), and Cognitive-Behavioral Therapy (CBT) to help heal psychological wounds that are blocking you from living an enriched and empowered life.
Hello, I am a licensed clinical psychologist with expertise in substance addiction, trauma/PTSD, depression, anxiety, work stress, relationship problems, grief and loss, and chronic pain. With an emphasis in connecting to and living from personal values, my approach is highly compassionate, culturally sensitive, strengths-based, and evidenced-based. My treatment specialty includes Internal Family Systems (IFS), Acceptance and Commitment Therapy (ACT), and Cognitive-Behavioral Therapy (CBT) to help heal psychological wounds that are blocking you from living an enriched and empowered life.
(858) 413-9160 View (858) 413-9160
Photo of Michele Basile, Marriage & Family Therapist in La Jolla, CA
Michele Basile
Marriage & Family Therapist, LMFT
Verified Verified
La Jolla, CA 92037  (Online Only)
I approach life and therapy with the idea that we are all trying to gain safety and control in our lives. I enjoy helping individuals develop deeper relationships using strength-based, client-centered treatments including Cognitive Behavioral, mindfulness, and others to help further enrichment.
I approach life and therapy with the idea that we are all trying to gain safety and control in our lives. I enjoy helping individuals develop deeper relationships using strength-based, client-centered treatments including Cognitive Behavioral, mindfulness, and others to help further enrichment.
(424) 544-2448 View (424) 544-2448
Photo of Valerie Rock, Psychologist in La Jolla, CA
Valerie Rock
Psychologist, PsyD
Verified Verified
1 Endorsed
La Jolla, CA 92037
I believe in providing a collaborative and supportive environment to maximize the therapeutic experience. I help clients cope with negative thoughts and behaviors that may hinder relationships and overall quality of life. Therapy is focused on building and nurturing interpersonal relationships and decreasing daily stress, by assisting clients in capitalizing on strengths and defining goals.
I believe in providing a collaborative and supportive environment to maximize the therapeutic experience. I help clients cope with negative thoughts and behaviors that may hinder relationships and overall quality of life. Therapy is focused on building and nurturing interpersonal relationships and decreasing daily stress, by assisting clients in capitalizing on strengths and defining goals.
(619) 405-9898 View (619) 405-9898
Photo of Guiding Hope Individual and Family Therapy, Marriage & Family Therapist in La Jolla, CA
Guiding Hope Individual and Family Therapy
Marriage & Family Therapist, DBA, LMFT
Verified Verified
La Jolla, CA 92037  (Online Only)
People search for therapy for various reasons. Most often these reasons include feelings of sadness, experiencing difficulties adjusting to life changes, difficulties dealing with chronic physical pain, emotional pain, trauma, depression, anger, stress and anxieties. Perhaps you are trying to heal from a difficult relationship breakup, leaving you feeling sad and defeated. It could be that you are a part of a newly formed blended family, living together for the first time, and instead of joy you are experiencing chaos. You may be seeking help, because your spouse has received orders for yet another deployment with the military.
People search for therapy for various reasons. Most often these reasons include feelings of sadness, experiencing difficulties adjusting to life changes, difficulties dealing with chronic physical pain, emotional pain, trauma, depression, anger, stress and anxieties. Perhaps you are trying to heal from a difficult relationship breakup, leaving you feeling sad and defeated. It could be that you are a part of a newly formed blended family, living together for the first time, and instead of joy you are experiencing chaos. You may be seeking help, because your spouse has received orders for yet another deployment with the military.
(619) 432-4230 View (619) 432-4230
Photo of Beth Creager Berger, Psychologist in La Jolla, CA
Beth Creager Berger
Psychologist, PhD
Verified Verified
La Jolla, CA 92037
I am a licensed psychologist with an emphasis in anxiety disorders and perinatal mood and anxiety disorders. Other areas of focus have been on stress related issues, relationship issues, and life changing events which include completing college, career changes, and coping with loss.
I am a licensed psychologist with an emphasis in anxiety disorders and perinatal mood and anxiety disorders. Other areas of focus have been on stress related issues, relationship issues, and life changing events which include completing college, career changes, and coping with loss.
(858) 298-3400 View (858) 298-3400
Photo of Rachel Preloh, Clinical Social Work/Therapist in La Jolla, CA
Rachel Preloh
Clinical Social Work/Therapist, LCSW
Verified Verified
La Jolla, CA 92037
I help with anxiety, assault, sexual abuse, post-traumatic stress disorder, and trauma. My approach to therapeutic work is holistic, meaning that I integrate body, mind, and spirit interventions while seeing you as the whole person you are. I seek to make therapy a collaborative process, as you are the expert of your life. I work from a person-centered, strengths-based, antiracist, and trauma-informed lens, incorporating different approaches depending on your needs.
I help with anxiety, assault, sexual abuse, post-traumatic stress disorder, and trauma. My approach to therapeutic work is holistic, meaning that I integrate body, mind, and spirit interventions while seeing you as the whole person you are. I seek to make therapy a collaborative process, as you are the expert of your life. I work from a person-centered, strengths-based, antiracist, and trauma-informed lens, incorporating different approaches depending on your needs.
(858) 365-8047 View (858) 365-8047
Photo of Kelly McCullough, Clinical Social Work/Therapist in La Jolla, CA
Kelly McCullough
Clinical Social Work/Therapist, LCSW
Verified Verified
6 Endorsed
La Jolla, CA 92037
Have you ever felt like life's daily stressors are too much to handle? Are you wondering where you can turn to find some extra support? We all face challenges in our life, whether it is a transition to a new school or job, conflict in relationships, or difficulty managing our emotions. Seeking professional help can be the first vital step in making a change. I work with children, adolescents, adults, and couples looking to transform their lives. My goal is to work collaboratively with you to explore the shifts needed to launch you into a life filled with joy, peace, and fulfillment.
Have you ever felt like life's daily stressors are too much to handle? Are you wondering where you can turn to find some extra support? We all face challenges in our life, whether it is a transition to a new school or job, conflict in relationships, or difficulty managing our emotions. Seeking professional help can be the first vital step in making a change. I work with children, adolescents, adults, and couples looking to transform their lives. My goal is to work collaboratively with you to explore the shifts needed to launch you into a life filled with joy, peace, and fulfillment.
(858) 943-2002 View (858) 943-2002
Photo of Ian Schere, Psychologist in La Jolla, CA
Ian Schere
Psychologist, PhD
Verified Verified
La Jolla, CA 92037
One of the most important things for parents of pre-teens to remember, is that the biggest motivation for your child's behaviors is attention from you. Your child will try all sorts of things to get and keep your attention, and those behaviors that work will increase while those behaviors that don't will typically go away. Children love and thrive on praise from their parents, but in many cases, those behaviors that yield negative attention from you (such as yelling or punishing) will often reinforce those unappreciated behaviors, as well.
One of the most important things for parents of pre-teens to remember, is that the biggest motivation for your child's behaviors is attention from you. Your child will try all sorts of things to get and keep your attention, and those behaviors that work will increase while those behaviors that don't will typically go away. Children love and thrive on praise from their parents, but in many cases, those behaviors that yield negative attention from you (such as yelling or punishing) will often reinforce those unappreciated behaviors, as well.
(619) 847-0202 View (619) 847-0202
Photo of Kaivalya Kerr, Marriage & Family Therapist in La Jolla, CA
Kaivalya Kerr
Marriage & Family Therapist, LMFT
Verified Verified
La Jolla, CA 92037
Thank you for reaching out and trusting me in the first step of your healing journey. This may not be easy at times, but we will take this journey together. I like to utilize a strength-based approach in therapy while incorporating modalities such as Cognitive Behavioral Therapy, Post-Modern/Solution Focused Therapy, Relaxation and Mindfulness techniques, etc. I also like to focus on both insight building and skill building, helping clients be co-participants in their treatment. Life is ever changing. Circumstances arise, stressors emerge, relationships are tested, and we are asked to adapt, cope and push forward.
Thank you for reaching out and trusting me in the first step of your healing journey. This may not be easy at times, but we will take this journey together. I like to utilize a strength-based approach in therapy while incorporating modalities such as Cognitive Behavioral Therapy, Post-Modern/Solution Focused Therapy, Relaxation and Mindfulness techniques, etc. I also like to focus on both insight building and skill building, helping clients be co-participants in their treatment. Life is ever changing. Circumstances arise, stressors emerge, relationships are tested, and we are asked to adapt, cope and push forward.
(858) 923-4425 View (858) 923-4425

How does your Therapist compare?

Number of Therapists in La Jolla, CA

800+

Average cost per session

$175

Therapists in La Jolla, CA who prioritize treating:

94% Anxiety
89% Depression
72% Self Esteem
67% Trauma and PTSD
66% Relationship Issues
64% Coping Skills
63% Stress

Average years in practice

13 Years

Top 3 insurances accepted

74% Aetna
65% Cigna and Evernorth
57% UnitedHealthcare UHC | UBH

How Therapists in La Jolla, CA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in La Jolla?

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.