Therapists in San Jose, CA

View neighborhoods in San Jose
Photo of Holly Hopkins Shah, Psychologist in San Jose, CA
Holly Hopkins Shah
Psychologist, PsyD
Verified Verified
San Jose, CA 95128
Thank you for visiting my profile. You're looking for a therapist because either you or a loved one is in some distress. I can help. I have experience in treating many issues one faces that produces some distress from relationship problems, trauma or family difficulties to depression, anxiety and grief.
Thank you for visiting my profile. You're looking for a therapist because either you or a loved one is in some distress. I can help. I have experience in treating many issues one faces that produces some distress from relationship problems, trauma or family difficulties to depression, anxiety and grief.
(408) 628-1618 View (408) 628-1618
Photo of Brandon Hoshiko, Marriage & Family Therapist in San Jose, CA
Brandon Hoshiko
Marriage & Family Therapist, LMFT, #109570
Verified Verified
3 Endorsed
San Jose, CA 95128  (Online Only)
Sometimes everything looks great in our lives, but something feels "wrong" and we don't know why. Other times, life might take unexpected turns and we hit "rough patches" with co-workers, friends, family, partners - maybe even finding difficulties within ourselves. While we've held everything together pretty well, maybe we're thinking we could use some help. Knowing we could use help and asking for help are signs of amazing insight and strength. Therapists may be able to offer the help you're looking for - in an accepting, compassionate space that allows an opportunity to explore what's going on and realize your best hopes.
Sometimes everything looks great in our lives, but something feels "wrong" and we don't know why. Other times, life might take unexpected turns and we hit "rough patches" with co-workers, friends, family, partners - maybe even finding difficulties within ourselves. While we've held everything together pretty well, maybe we're thinking we could use some help. Knowing we could use help and asking for help are signs of amazing insight and strength. Therapists may be able to offer the help you're looking for - in an accepting, compassionate space that allows an opportunity to explore what's going on and realize your best hopes.
(408) 898-9763 View (408) 898-9763
Photo of Mayu Adomi, Marriage & Family Therapist Associate in San Jose, CA
Mayu Adomi
Marriage & Family Therapist Associate
Verified Verified
San Jose, CA 95126
As a clinician I am devoted to uplifting my clients by providing a culturally competent warm space for their therapeutic journey. Through the creation of this safe space, we can engage in a collaborative explorative process to focus on achieving and maintaining desired outcomes. As a therapist, I value your unique experiences and embracing your individuality in order to further your personal growth. I enjoy working with multicultural individuals and families by empowering them to embrace all aspects of their identities and owning their unique stories.
As a clinician I am devoted to uplifting my clients by providing a culturally competent warm space for their therapeutic journey. Through the creation of this safe space, we can engage in a collaborative explorative process to focus on achieving and maintaining desired outcomes. As a therapist, I value your unique experiences and embracing your individuality in order to further your personal growth. I enjoy working with multicultural individuals and families by empowering them to embrace all aspects of their identities and owning their unique stories.
(408) 692-1332 View (408) 692-1332
Photo of Megan Slater, Counselor in San Jose, CA
Megan Slater
Counselor, MA, LPCC, LPC
Verified Verified
1 Endorsed
San Jose, CA 95123  (Online Only)
Online Only at this Time! Are you having trouble with relationships? Adult Family Relationships, friendship relationships, work relationships? Do you feel like you need to yell to be heard? Are you having trouble with friendships not respecting your boundary? Are you wanting more respectful relationships, wanting to communicate your needs in a healthy way? Are you finding yourself reacting to things more than is justified for the situation? Do you put others before you at the cost of yourself? Feeling depressed and anxious because you end up in the same relationships over and over again?
Online Only at this Time! Are you having trouble with relationships? Adult Family Relationships, friendship relationships, work relationships? Do you feel like you need to yell to be heard? Are you having trouble with friendships not respecting your boundary? Are you wanting more respectful relationships, wanting to communicate your needs in a healthy way? Are you finding yourself reacting to things more than is justified for the situation? Do you put others before you at the cost of yourself? Feeling depressed and anxious because you end up in the same relationships over and over again?
(669) 322-1502 View (669) 322-1502
Photo of Aimen Bukhari, Marriage & Family Therapist in San Jose, CA
Aimen Bukhari
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95112  (Online Only)
Do you ever feel disconnected from yourself or others? Although our country has made progress in raising mental health awareness, a great deal of stigma remains. In many communities, these issues are often shrouded by silence and shame, fostering mental health minimization. I have experience working with individuals and family relationships. I work with problems that arise in blended families, work, health, and career, trying to create better relationships and less conflict. Through role-plays, Gestalt techniques, and mindfulness, you can gain the power to reflect on your feelings, understand yourself and feel better.
Do you ever feel disconnected from yourself or others? Although our country has made progress in raising mental health awareness, a great deal of stigma remains. In many communities, these issues are often shrouded by silence and shame, fostering mental health minimization. I have experience working with individuals and family relationships. I work with problems that arise in blended families, work, health, and career, trying to create better relationships and less conflict. Through role-plays, Gestalt techniques, and mindfulness, you can gain the power to reflect on your feelings, understand yourself and feel better.
(510) 216-1517 View (510) 216-1517
Photo of Nicole Egan, Marriage & Family Therapist in San Jose, CA
Nicole Egan
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
San Jose, CA 95126
Do you find yourself feeling hopelessly anxious about not being able to get past your perfectionism, no matter what you do? You’re someone who is hard working and insightful. But you still find yourself doubting yourself and the perfectionist voice in your head keeps you feeling anxious and on edge constantly. You struggle to feel good about yourself in relationships. But you’re ready to make a change! You’re ready to feel hopeful again and practice putting yourself first. You’re ready to learn control over your anxiety. Most of all you’re ready to believe in yourself, no matter what. I want to help you get there.
Do you find yourself feeling hopelessly anxious about not being able to get past your perfectionism, no matter what you do? You’re someone who is hard working and insightful. But you still find yourself doubting yourself and the perfectionist voice in your head keeps you feeling anxious and on edge constantly. You struggle to feel good about yourself in relationships. But you’re ready to make a change! You’re ready to feel hopeful again and practice putting yourself first. You’re ready to learn control over your anxiety. Most of all you’re ready to believe in yourself, no matter what. I want to help you get there.
(408) 763-8737 View (408) 763-8737
Photo of Camerina (Sunshine) Del Rio, Associate Clinical Social Worker in San Jose, CA
Camerina (Sunshine) Del Rio
Associate Clinical Social Worker, ASW
Verified Verified
1 Endorsed
San Jose, CA 95131
Attention Young Adults! Are you struggling with coworkers or even family members who still treat you like you're too young to know anything? You've handled the pressure of school, work, and relationships, but don't seem to get credit from people who ought to be taking your side and supporting you. I get it – and adulting can be hard because of this!
Attention Young Adults! Are you struggling with coworkers or even family members who still treat you like you're too young to know anything? You've handled the pressure of school, work, and relationships, but don't seem to get credit from people who ought to be taking your side and supporting you. I get it – and adulting can be hard because of this!
(408) 872-8710 View (408) 872-8710
Photo of Jill Lopez, Marriage & Family Therapist in San Jose, CA
Jill Lopez
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95120  (Online Only)
Therapy is about building a new relationship - usually a better and healthier one - than the ones we experienced in our families of origin. This takes time, but it's good work, because working with a therapist is a way to heal the past, fix the present and look more confidently toward the future. I help people develop better coping skills, as well as understanding and compassion for where they've been.
Therapy is about building a new relationship - usually a better and healthier one - than the ones we experienced in our families of origin. This takes time, but it's good work, because working with a therapist is a way to heal the past, fix the present and look more confidently toward the future. I help people develop better coping skills, as well as understanding and compassion for where they've been.
(408) 638-2249 View (408) 638-2249
Photo of Alex Tipton, Marriage & Family Therapist Associate in San Jose, CA
Alex Tipton
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Jose, CA 95125
I work with adults and teenagers who are looking to manage symptoms of Anxiety, Depression, and Trauma. I will be with you on the journey of healing to discovery, recovery, and connection to your true self. I also specialize in working with individuals experiencing life transition issues such as career/academic concerns and relationship stress. I approach therapy with a person-centered mindset to create as comfortable and welcoming an environment as I can. I believe the trust built between you and a therapist is one of the more powerful tools we as clinicians can offer, and I hope to garner that trust in my own practice.
I work with adults and teenagers who are looking to manage symptoms of Anxiety, Depression, and Trauma. I will be with you on the journey of healing to discovery, recovery, and connection to your true self. I also specialize in working with individuals experiencing life transition issues such as career/academic concerns and relationship stress. I approach therapy with a person-centered mindset to create as comfortable and welcoming an environment as I can. I believe the trust built between you and a therapist is one of the more powerful tools we as clinicians can offer, and I hope to garner that trust in my own practice.
(408) 359-1739 View (408) 359-1739
Photo of Suzanne Hamasaki, Marriage & Family Therapist in San Jose, CA
Suzanne Hamasaki
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95123
There are times in everyone's life when we experience challenges and difficulties. Whether it be problems in our relationships or adjusting to a life transition, these challenges may affect our well-being, but they can also present an opportunity for growth and positive change.
There are times in everyone's life when we experience challenges and difficulties. Whether it be problems in our relationships or adjusting to a life transition, these challenges may affect our well-being, but they can also present an opportunity for growth and positive change.
(408) 762-4179 View (408) 762-4179
Photo of Bethe Therapy, Marriage & Family Therapist in San Jose, CA
Bethe Therapy
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95127  (Online Only)
Welcome! My name is Elizabeth Himsl-Elliott, most people call me Beth. I’m a Licensed Marriage and Family Therapist. I love working with people who are going through life changes and/or when they want support in understanding and integrating experiences from the past. Even positive changes can be challenging to understand and integrate. I want you to know that all parts of you are welcome, even difficult or shameful parts. I approach our time together with a gentle curiosity and compassion, to support you in accepting all parts of you. All backgrounds and orientations are welcome. I look forward to working with you.
Welcome! My name is Elizabeth Himsl-Elliott, most people call me Beth. I’m a Licensed Marriage and Family Therapist. I love working with people who are going through life changes and/or when they want support in understanding and integrating experiences from the past. Even positive changes can be challenging to understand and integrate. I want you to know that all parts of you are welcome, even difficult or shameful parts. I approach our time together with a gentle curiosity and compassion, to support you in accepting all parts of you. All backgrounds and orientations are welcome. I look forward to working with you.
(408) 617-9073 View (408) 617-9073
Photo of Lesa M Pascali, Marriage & Family Therapist in San Jose, CA
Lesa M Pascali
Marriage & Family Therapist, Lesa Pascali, MFT
Verified Verified
San Jose, CA 95110  (Online Only)
Welcome! I’m Lesa Pascali and I am committed to connecting with individuals, couples and families through individualized therapy and to helping them to discover/rediscover the harmony, meaning and wellness within their lives. After 23 years in law enforcement and 18 years doing therapy, I have dealt with a variety of situations. I’ve worked with individuals, couples and families, veterans, ex-offenders, children, teens and neurologically imbalanced individuals. I use a variety of therapies including RLT therapy, CBT & Solution Focused therapy and am a Certified Relational Life couples therapist.
Welcome! I’m Lesa Pascali and I am committed to connecting with individuals, couples and families through individualized therapy and to helping them to discover/rediscover the harmony, meaning and wellness within their lives. After 23 years in law enforcement and 18 years doing therapy, I have dealt with a variety of situations. I’ve worked with individuals, couples and families, veterans, ex-offenders, children, teens and neurologically imbalanced individuals. I use a variety of therapies including RLT therapy, CBT & Solution Focused therapy and am a Certified Relational Life couples therapist.
(408) 715-3046 View (408) 715-3046
Photo of Jeanne Jacobs, Licensed Professional Clinical Counselor in San Jose, CA
Jeanne Jacobs
Licensed Professional Clinical Counselor, LPCC
Verified Verified
2 Endorsed
San Jose, CA 95129
Is excessive worry or anxiety limiting your life? Do you want to feel better and live a happier life? Helping our clients overcome social anxiety, public speaking fears, OCD, panic, excessive worry and depression is our primary focus. Visit us at www.paloaltotherapy.com. By using proven therapy methods (We are Cognitive Behavioral Therapy specialists) we will focus on specific problems, solutions, and reachable goals. We provide much more than traditional talk therapy and help you get results to improve your emotions and your life. By doing this we can help rather quickly. Call to schedule a free phone consultation.
Is excessive worry or anxiety limiting your life? Do you want to feel better and live a happier life? Helping our clients overcome social anxiety, public speaking fears, OCD, panic, excessive worry and depression is our primary focus. Visit us at www.paloaltotherapy.com. By using proven therapy methods (We are Cognitive Behavioral Therapy specialists) we will focus on specific problems, solutions, and reachable goals. We provide much more than traditional talk therapy and help you get results to improve your emotions and your life. By doing this we can help rather quickly. Call to schedule a free phone consultation.
(408) 549-8197 View (408) 549-8197
Photo of Theresa Lee- Flores, Clinical Social Work/Therapist in San Jose, CA
Theresa Lee- Flores
Clinical Social Work/Therapist, LCSW
Verified Verified
San Jose, CA 95126  (Online Only)
As a clinical social worker I've had the opportunity to work with folks who are in all stages of life. I have experience working with individuals facing struggles with: depression, anxiety, family and interpersonal conflict, grief, life transitions, self-esteem issues. I am a strong believer in helping you pinpoint problem areas in patterns of behavior through a process of self reflection. Attaining better control over your mood can feel like an impossible feat, but you have the ability to develop healthy coping strategies- through self-evaluation, skill building, and receiving acceptance and healing.
As a clinical social worker I've had the opportunity to work with folks who are in all stages of life. I have experience working with individuals facing struggles with: depression, anxiety, family and interpersonal conflict, grief, life transitions, self-esteem issues. I am a strong believer in helping you pinpoint problem areas in patterns of behavior through a process of self reflection. Attaining better control over your mood can feel like an impossible feat, but you have the ability to develop healthy coping strategies- through self-evaluation, skill building, and receiving acceptance and healing.
(562) 379-6550 View (562) 379-6550
Photo of Stephen Rought, Clinical Social Work/Therapist in San Jose, CA
Stephen Rought
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Jose, CA 95117
I provide a space where you can explore the various aspects of yourself and gain understanding of all the unique parts of our lives that are at play. One key role is making goals and ways to achieve them which can lead towards success. Making a hard decision is often anxiety producing and can cause strong emotional reactions. You may rationally know what the right answer is but are struggling with following through on it. You may even act in a manner that is not yourself at all. When we act in a way that is different than our values it can cause us to feel a whole bunch of different feelings that can be largely uncomfortable.
I provide a space where you can explore the various aspects of yourself and gain understanding of all the unique parts of our lives that are at play. One key role is making goals and ways to achieve them which can lead towards success. Making a hard decision is often anxiety producing and can cause strong emotional reactions. You may rationally know what the right answer is but are struggling with following through on it. You may even act in a manner that is not yourself at all. When we act in a way that is different than our values it can cause us to feel a whole bunch of different feelings that can be largely uncomfortable.
(408) 583-5637 View (408) 583-5637
Photo of Marissa Nalani Dean, Marriage & Family Therapist Associate in San Jose, CA
Marissa Nalani Dean
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
San Jose, CA 95124
Are you in a place in your life where you need some additional support? Together, in therapy, we will create a safe space where your story is held, supported, and transformed by building a relationship, diving into tools when needed, and creating a new narrative for your trauma. I love working with people who are on a journey of self-actualization. I am a safe space for spiritual seekers. I am experienced working with mood disorders, PTSD, anxiety, and trauma.
Are you in a place in your life where you need some additional support? Together, in therapy, we will create a safe space where your story is held, supported, and transformed by building a relationship, diving into tools when needed, and creating a new narrative for your trauma. I love working with people who are on a journey of self-actualization. I am a safe space for spiritual seekers. I am experienced working with mood disorders, PTSD, anxiety, and trauma.
(408) 715-3397 View (408) 715-3397
Photo of Stephanie Neutz, Marriage & Family Therapist in San Jose, CA
Stephanie Neutz
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
San Jose, CA 95126
There are times in life that we find ourselves struggling to make sense of something that has happened or trying to figure out what is holding us back from being our best selves. We all have those relationships (friends/work/family/romantic), life changes, and even impactful events that affect us on deeper levels and influence our decisions, whether we know it or not. If you are seeking assistance with exploring past or present issues in your life, I am here to offer support and guidance. We all need a little extra help sometimes so why wait any longer to ask?
There are times in life that we find ourselves struggling to make sense of something that has happened or trying to figure out what is holding us back from being our best selves. We all have those relationships (friends/work/family/romantic), life changes, and even impactful events that affect us on deeper levels and influence our decisions, whether we know it or not. If you are seeking assistance with exploring past or present issues in your life, I am here to offer support and guidance. We all need a little extra help sometimes so why wait any longer to ask?
(408) 413-3026 View (408) 413-3026
Photo of Tam T Nguyen, Psychologist in San Jose, CA
Tam T Nguyen
Psychologist, PhD
Verified Verified
San Jose, CA 95124
Navigating the complexities of mental health care can feel overwhelming, and you don't have to face it alone. Whether you are dealing with interpersonal issues, work challenges, depression, anxiety, or trauma, I understand the courage it takes to seek support. My goal is not just to alleviate immediate challenges but to support you to embark on a transformative journey towards personal growth and fulfillment where you can navigate life's complexities with newfound strength and resilience.
Navigating the complexities of mental health care can feel overwhelming, and you don't have to face it alone. Whether you are dealing with interpersonal issues, work challenges, depression, anxiety, or trauma, I understand the courage it takes to seek support. My goal is not just to alleviate immediate challenges but to support you to embark on a transformative journey towards personal growth and fulfillment where you can navigate life's complexities with newfound strength and resilience.
(408) 419-1355 View (408) 419-1355
Photo of Christine Evensen, Marriage & Family Therapist in San Jose, CA
Christine Evensen
Marriage & Family Therapist, LMFT
Verified Verified
San Jose, CA 95120
Hi, my name is Chris Evensen, LMFT license 50460 working in Telehealth, statewide in California. I work with adults, and I primarily use a Humanistic approach to therapy with the goal of helping my clients increase their coping skills while letting go of negative self-beliefs and patterns of behavior that prevent them from living their lives to the fullest. My approach to therapy is client driven. I listen carefully and encourage my clients to tell me what they need from therapy and collaboratively we work towards meeting those needs. I use CBT, Motivational Interviewing, Mindfulness as well as Rational Emotive Therapy.
Hi, my name is Chris Evensen, LMFT license 50460 working in Telehealth, statewide in California. I work with adults, and I primarily use a Humanistic approach to therapy with the goal of helping my clients increase their coping skills while letting go of negative self-beliefs and patterns of behavior that prevent them from living their lives to the fullest. My approach to therapy is client driven. I listen carefully and encourage my clients to tell me what they need from therapy and collaboratively we work towards meeting those needs. I use CBT, Motivational Interviewing, Mindfulness as well as Rational Emotive Therapy.
(408) 443-2077 View (408) 443-2077
Photo of Ramadevi D Hao, Marriage & Family Therapist in San Jose, CA
Ramadevi D Hao
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Jose, CA 95131
Thank you for visiting and taking your time to read my profile. I believe we all have potentials and it is my job to bring out that hidden potential that has been lacking or not acknowledged in your current situation. I utilized strength based approaches to connect with my clients without pathologizing their problems, while building on their inner resources and agency within. I use different approaches that would best fit my client's goals and needs for change. I believe in meeting your needs and personalizing your treatment based on your life story and unique experience.
Thank you for visiting and taking your time to read my profile. I believe we all have potentials and it is my job to bring out that hidden potential that has been lacking or not acknowledged in your current situation. I utilized strength based approaches to connect with my clients without pathologizing their problems, while building on their inner resources and agency within. I use different approaches that would best fit my client's goals and needs for change. I believe in meeting your needs and personalizing your treatment based on your life story and unique experience.
(408) 596-5742 View (408) 596-5742

How does your Therapist compare?

Number of Therapists in San Jose, CA

1,000+

Average cost per session

$180

Therapists in San Jose, CA who prioritize treating:

92% Anxiety
87% Depression
75% Relationship Issues
73% Self Esteem
70% Stress
67% Coping Skills
65% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
72% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Jose, CA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in San Jose?

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.