Therapists in San Antonio, TX

View neighborhoods in San Antonio
Photo of Lenni Y. Peed, MA, LPC, Licensed Professional Counselor
Lenni Y. Peed
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78254
Sometimes in life we need extra support from someone who is a good listener and is not going to judge you along the way. I create a safe space for us to work together to make this happen. Counseling sessions are client-centered with an integrative approach that includes Existential Therapy, Cognitive Behavioral Therapy, and Reality Therapy. Working together, you will find meaning in life and build self-determination by creating a strong sense of self to make choices that will help you to achieve your personal goals.
Sometimes in life we need extra support from someone who is a good listener and is not going to judge you along the way. I create a safe space for us to work together to make this happen. Counseling sessions are client-centered with an integrative approach that includes Existential Therapy, Cognitive Behavioral Therapy, and Reality Therapy. Working together, you will find meaning in life and build self-determination by creating a strong sense of self to make choices that will help you to achieve your personal goals.
(830) 396-6116 View (830) 396-6116
Photo of Paul S Martinez, MS, LPC-S, LSOTP-S, Licensed Professional Counselor
Paul S Martinez
Licensed Professional Counselor, MS, LPC-S, LSOTP-S
Verified Verified
1 Endorsed
San Antonio, TX 78217
Sometimes life feels like it gets so big that we feel that getting a solid grip on it is impossible. I work with the individual to help them see that the problem is not as big as it may seem. We work together, by using their tools and strengths, to break it down to a manageable size. This allows the client to create a better way of coping with the issues.
Sometimes life feels like it gets so big that we feel that getting a solid grip on it is impossible. I work with the individual to help them see that the problem is not as big as it may seem. We work together, by using their tools and strengths, to break it down to a manageable size. This allows the client to create a better way of coping with the issues.
(210) 756-9369 View (210) 756-9369
Photo of Desiree Reyes - Desiree Reyes, MS, LPC Heart Space Counseling PLLC, MS, LPC, Licensed Professional Counselor
Desiree Reyes, MS, LPC Heart Space Counseling PLLC
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78204
Life can become overwhelming and difficult sometimes. Seeking guidance and support can be one of the first steps to healing and self-care.
Life can become overwhelming and difficult sometimes. Seeking guidance and support can be one of the first steps to healing and self-care.
View
Photo of Kimberly Vance, LCSW, Clinical Social Work/Therapist
Kimberly Vance
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78216  (Online Only)
I have been in the social work field since 2004 and bring a wide variety of professional and personal experience to my practice. I am a provider best described as empathetic and dedicated, who makes appropriate use of my sense of humor. You can expect that I will seek to learn as much as you're willing to share and to creatively tailor your experience to best serve you. My versatility and knowledge make me a holistic therapist. My non-traditional upbringing taught me sensitivity to every family’s situation. My practice is shaped by my belief that being real is better than being perfect.
I have been in the social work field since 2004 and bring a wide variety of professional and personal experience to my practice. I am a provider best described as empathetic and dedicated, who makes appropriate use of my sense of humor. You can expect that I will seek to learn as much as you're willing to share and to creatively tailor your experience to best serve you. My versatility and knowledge make me a holistic therapist. My non-traditional upbringing taught me sensitivity to every family’s situation. My practice is shaped by my belief that being real is better than being perfect.
(512) 881-9265 View (512) 881-9265
Photo of Kandace Sanchez, MA, LPC, LCDC, Licensed Professional Counselor
Kandace Sanchez
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
1 Endorsed
San Antonio, TX 78228
Life can be tough, overwhelming, and even at times feel unbearable, whether you are dealing with depression, anxiety, or having difficulties adjusting to a traumatic life event. You may not have the support you need or the tools to help you navigate through this difficult time. That is where I would like to step in, to walk with you in your journey of healing. I hold a Bachelor degree in psychology and a Master of Arts degree in Counseling and Guidance, both from Texas A&M San Antonio. I am a Licensed Professional Counselor and a Licensed Chemical Dependency Counselor.
Life can be tough, overwhelming, and even at times feel unbearable, whether you are dealing with depression, anxiety, or having difficulties adjusting to a traumatic life event. You may not have the support you need or the tools to help you navigate through this difficult time. That is where I would like to step in, to walk with you in your journey of healing. I hold a Bachelor degree in psychology and a Master of Arts degree in Counseling and Guidance, both from Texas A&M San Antonio. I am a Licensed Professional Counselor and a Licensed Chemical Dependency Counselor.
(210) 934-0477 View (210) 934-0477
Photo of Jonathan Felux, Pre-Licensed Professional
Jonathan Felux
Pre-Licensed Professional
Verified Verified
1 Endorsed
San Antonio, TX 78229
Not accepting new clients
Have you been struggling, feeling off, or not found peace within yourself? Are you someone facing a transition in life? I am a counseling intern student with decades of experience as a professional in helping positions. I know the importance of having someone who truly listens and hears you, and who recognizes the resources and strengths you already possess. I am a professional who will hear you, explore your strengths with you, and help you navigate life's transitions and embrace yourself. With a guide like me to help you explore your thinking, behavior, emotions, and resources, you can find the tools and insights you need.
Have you been struggling, feeling off, or not found peace within yourself? Are you someone facing a transition in life? I am a counseling intern student with decades of experience as a professional in helping positions. I know the importance of having someone who truly listens and hears you, and who recognizes the resources and strengths you already possess. I am a professional who will hear you, explore your strengths with you, and help you navigate life's transitions and embrace yourself. With a guide like me to help you explore your thinking, behavior, emotions, and resources, you can find the tools and insights you need.
(210) 944-4981 View (210) 944-4981
Photo of Keri Cooper, LPC, Licensed Professional Counselor
Keri Cooper
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78250
My name is Keri Cooper, and I'm a Licensed Professional Counselor (LPC) and LPC Supervisor with over 21 years of clinical experience working with older teens and adults who suffer from Anxiety, Stress, Coping Skills, Self Esteem, and Life Coaching issues. I use a mix of Cognitive Behavioral (CBT), Positive Psychology, Client-Centered Therapy, Strength-Based, and Solution-Focused Brief (SFBT) during treatments with my clients. I believe everyone should have the opportunity to make positive changes and live their best life. It's a privilege to be a part of that journey.
My name is Keri Cooper, and I'm a Licensed Professional Counselor (LPC) and LPC Supervisor with over 21 years of clinical experience working with older teens and adults who suffer from Anxiety, Stress, Coping Skills, Self Esteem, and Life Coaching issues. I use a mix of Cognitive Behavioral (CBT), Positive Psychology, Client-Centered Therapy, Strength-Based, and Solution-Focused Brief (SFBT) during treatments with my clients. I believe everyone should have the opportunity to make positive changes and live their best life. It's a privilege to be a part of that journey.
(512) 359-8787 View (512) 359-8787
Photo of Fay H Green, MAC, LPC, LMFT, Licensed Professional Counselor
Fay H Green
Licensed Professional Counselor, MAC, LPC, LMFT
Verified Verified
San Antonio, TX 78258
Life is a journey comprised of various relationships which are often challenged by change. Changes in relationships are often overwhelming and cause stress, anxiety, quilt, grief, or trauma. The diagnosis of a life-limiting illness, a death, being the caregiver for someone with a chronic illness, dealing with end-of-life issues, or divorce at times is overwhelming and frustrating. During these experiences, it is important to have someone who will listen to understand your experience. I have training and experience in companioning those who are navigating a stressful time in a relationship changed by loss or illness.
Life is a journey comprised of various relationships which are often challenged by change. Changes in relationships are often overwhelming and cause stress, anxiety, quilt, grief, or trauma. The diagnosis of a life-limiting illness, a death, being the caregiver for someone with a chronic illness, dealing with end-of-life issues, or divorce at times is overwhelming and frustrating. During these experiences, it is important to have someone who will listen to understand your experience. I have training and experience in companioning those who are navigating a stressful time in a relationship changed by loss or illness.
(210) 468-1309 View (210) 468-1309
Photo of Leticia Arredondo, MA, CSC, LPC-A, LPC Intern
Leticia Arredondo
LPC Intern, MA, CSC, LPC-A
Verified Verified
San Antonio, TX 78240
I am a Licensed Professional Counselor-Associate, supervised by Teresa Maldonado, LPC-S, CCST-T, whose goal is to assist clients by utilizing therapy techniques that suit their specific goals. I am able to help clients with a variety of concerns such as anxiety, stress, depression, and trauma. Let's work together towards your goal.
I am a Licensed Professional Counselor-Associate, supervised by Teresa Maldonado, LPC-S, CCST-T, whose goal is to assist clients by utilizing therapy techniques that suit their specific goals. I am able to help clients with a variety of concerns such as anxiety, stress, depression, and trauma. Let's work together towards your goal.
(210) 791-6110 View (210) 791-6110
Photo of Lindsey Lang Best, LCSW, Clinical Social Work/Therapist
Lindsey Lang Best
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78232
Hello there! My name is Lindsey Best and I am a Licensed Clinical Social Worker and owner of B&L Psychotherapy and consulting. I have been in practice for 18 years providing individual, family and group therapy to a variety of populations. I also have a military treatment background focusing on trauma. I’ve worked with adolescents, adults, and families experiencing a wide range of issues related to, depression, anxiety, relationship problems, grief/loss, and physical and emotional trauma. I earned my Masters of Science in Social Work and my Bachelor of Arts in English Literature both from The University of Texas at Austin, Hook ’em!
Hello there! My name is Lindsey Best and I am a Licensed Clinical Social Worker and owner of B&L Psychotherapy and consulting. I have been in practice for 18 years providing individual, family and group therapy to a variety of populations. I also have a military treatment background focusing on trauma. I’ve worked with adolescents, adults, and families experiencing a wide range of issues related to, depression, anxiety, relationship problems, grief/loss, and physical and emotional trauma. I earned my Masters of Science in Social Work and my Bachelor of Arts in English Literature both from The University of Texas at Austin, Hook ’em!
(210) 791-7930 View (210) 791-7930
Photo of Kevin Pernicano - Pernicano Professional Psychology PLLC, PhD, ABPP, Psychologist
Pernicano Professional Psychology PLLC
Psychologist, PhD, ABPP
Verified Verified
San Antonio, TX 78217
I bring to my clients over 40 years of clinical experience, working with Veterans as the retired Chief of Mental Health at the VA in Lexington, KY and in as a clinician in other military and private practice settings. I am Board Certified in Counseling Psychology (ABPP). I am a generalist and use cognitive, behavioral and neurobiological approaches to treat a wide range of problems from anxiety, depression and trauma to couples’ and family issues. I look forward to getting down to the hard work of helping you to overcome whatever personal adversity you may have.
I bring to my clients over 40 years of clinical experience, working with Veterans as the retired Chief of Mental Health at the VA in Lexington, KY and in as a clinician in other military and private practice settings. I am Board Certified in Counseling Psychology (ABPP). I am a generalist and use cognitive, behavioral and neurobiological approaches to treat a wide range of problems from anxiety, depression and trauma to couples’ and family issues. I look forward to getting down to the hard work of helping you to overcome whatever personal adversity you may have.
(210) 405-0882 View (210) 405-0882
Photo of Andrea Almaguer-Botero, PhD, LPC, LCDC-I, Licensed Professional Counselor
Andrea Almaguer-Botero
Licensed Professional Counselor, PhD, LPC, LCDC-I
Verified Verified
2 Endorsed
San Antonio, TX 78258
Life is not always perfect. There are ways to live through difficult moments a little easier. I like to think of counseling like a space where you get to explore, connect, and grow. There are many unpleasant moments in life that we carry and need healing. Finding the right counselor and space to heal and move on from painful memories is important. Counseling can sometimes feel scary, but when you don’t feel balanced it can carry into other aspect of your life. Like I tell my clients “I’m here for your counseling journey, for the great sessions and the bittersweet ones too”.
Life is not always perfect. There are ways to live through difficult moments a little easier. I like to think of counseling like a space where you get to explore, connect, and grow. There are many unpleasant moments in life that we carry and need healing. Finding the right counselor and space to heal and move on from painful memories is important. Counseling can sometimes feel scary, but when you don’t feel balanced it can carry into other aspect of your life. Like I tell my clients “I’m here for your counseling journey, for the great sessions and the bittersweet ones too”.
(210) 985-8520 View (210) 985-8520
Photo of Michelle Mullin, LPC-S, LCDC, Licensed Professional Counselor
Michelle Mullin
Licensed Professional Counselor, LPC-S, LCDC
Verified Verified
1 Endorsed
San Antonio, TX 78232  (Online Only)
I have enthusiastically worked with individuals experiencing a variety of life struggles and mental health challenges such as domestic violence, grief and loss, addiction, depression, and anxiety throughout my career. I also have experience working with couples struggling with communication difficulties, infidelity, and emotional distance. Early on I chose to focus on trauma when I noticed both the prevalence of traumatic experiences in the lives of my clients, and the profound effects of untreated trauma. I am certified in EMDR to promote healing and and help clients build lives full of authenticity, purpose, and meaning.
I have enthusiastically worked with individuals experiencing a variety of life struggles and mental health challenges such as domestic violence, grief and loss, addiction, depression, and anxiety throughout my career. I also have experience working with couples struggling with communication difficulties, infidelity, and emotional distance. Early on I chose to focus on trauma when I noticed both the prevalence of traumatic experiences in the lives of my clients, and the profound effects of untreated trauma. I am certified in EMDR to promote healing and and help clients build lives full of authenticity, purpose, and meaning.
(210) 361-6336 View (210) 361-6336
Photo of San Juanita Pate, LPC, NCC, Licensed Professional Counselor
San Juanita Pate
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78257
Do you struggle with connecting with yourself and others? Do you put your needs at the bottom of the to do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. It shouldn't be so hard to live a better life.
Do you struggle with connecting with yourself and others? Do you put your needs at the bottom of the to do list? Do you wonder if life should feel somehow better? Happier? Now more than ever, people are feeling anxious, overwhelmed and uncertain about how they are supposed to manage their relationships, careers and their lives. Pushing away your needs and not taking time for yourself can lead to long-term issues for your mind and body. It shouldn't be so hard to live a better life.
(726) 227-1372 View (726) 227-1372
Photo of Erna Castrejon Mills, MA, MEd, LMFT, Marriage & Family Therapist
Erna Castrejon Mills
Marriage & Family Therapist, MA, MEd, LMFT
Verified Verified
2 Endorsed
San Antonio, TX 78260
Do you feel like you’re watching the days go by without really living? Perhaps you sense that God has a purpose in store for you, but you don’t know what steps to take next. I work with adults who are looking to do more than just overcome their symptoms–I’m here to help you on a journey towards more freedom and wholeness in your life. I believe that we should treat people how we want to be treated, and that applies in therapy just as it does in life. My role is to accept you as you are while you work towards finding and walking the path you were always meant to.
Do you feel like you’re watching the days go by without really living? Perhaps you sense that God has a purpose in store for you, but you don’t know what steps to take next. I work with adults who are looking to do more than just overcome their symptoms–I’m here to help you on a journey towards more freedom and wholeness in your life. I believe that we should treat people how we want to be treated, and that applies in therapy just as it does in life. My role is to accept you as you are while you work towards finding and walking the path you were always meant to.
(210) 981-6851 View (210) 981-6851
Photo of Lara Conrad-Shearburn, PhD, LP, NCSP, Psychologist
Lara Conrad-Shearburn
Psychologist, PhD, LP, NCSP
Verified Verified
San Antonio, TX 78218
Waitlist for new clients
Hey there! Do you have concerns about possible Autism, ADHD, anxiety/depression, or general learning or behavioral difficulties for your child or teen? Or are looking for someone to work with your child to develop coping strategies to manage the big feelings that come up? I have over 10 years of experience working with children from birth to 18 in the community and schools completing comprehensive psychological evaluations and providing evidence-based therapy. I am happy to speak with you to see if I would be a good fit for your family! I look forward to hearing from you!
Hey there! Do you have concerns about possible Autism, ADHD, anxiety/depression, or general learning or behavioral difficulties for your child or teen? Or are looking for someone to work with your child to develop coping strategies to manage the big feelings that come up? I have over 10 years of experience working with children from birth to 18 in the community and schools completing comprehensive psychological evaluations and providing evidence-based therapy. I am happy to speak with you to see if I would be a good fit for your family! I look forward to hearing from you!
(210) 934-3850 View (210) 934-3850
Photo of Catherine Lovell, MEd, LPC-A
Catherine Lovell
Licensed Professional Counselor Associate, MEd, LPC-A
Verified Verified
2 Endorsed
San Antonio, TX 78250  (Online Only)
One simple way to describe life is that it can be incredibly hard. Even in the best, most beautiful moments and more often in the darkest of times, it can be complicated, difficult, and challenging to navigate. At each chapter in our lives we are faced with new experiences, new emotions, and new possibilities that we have never been through before. And there’s no one way, fix-it-all solution, to get us through it. We simply try to figure it out as we go. If you're here reading this, this is your reminder that most people often need; you are not alone and do not have to walk this path on your own. We can figure it out together!
One simple way to describe life is that it can be incredibly hard. Even in the best, most beautiful moments and more often in the darkest of times, it can be complicated, difficult, and challenging to navigate. At each chapter in our lives we are faced with new experiences, new emotions, and new possibilities that we have never been through before. And there’s no one way, fix-it-all solution, to get us through it. We simply try to figure it out as we go. If you're here reading this, this is your reminder that most people often need; you are not alone and do not have to walk this path on your own. We can figure it out together!
(346) 222-4751 View (346) 222-4751
Photo of Brandon Roberts, LMSW, Pre-Licensed Professional
Brandon Roberts
Pre-Licensed Professional, LMSW
Verified Verified
San Antonio, TX 78254  (Online Only)
Everyone has a unique story with varied challenges, trauma, and coping strategies. I adapt my practice to meet clients where they are and work with them to improve distress tolerance skills, interpersonal relationships, and emotion regulation. My practice is client-centered, strength-based, and focused on building resilience while we progress toward positive change.
Everyone has a unique story with varied challenges, trauma, and coping strategies. I adapt my practice to meet clients where they are and work with them to improve distress tolerance skills, interpersonal relationships, and emotion regulation. My practice is client-centered, strength-based, and focused on building resilience while we progress toward positive change.
(210) 985-9587 View (210) 985-9587
Photo of Laurie Bizzell, PhD, Psychologist
Laurie Bizzell
Psychologist, PhD
Verified Verified
San Antonio, TX 78258  (Online Only)
Not accepting new clients
I am a licensed Clinical Psychologist in Texas specializing in Mental Health and PTSD Independent Disability Evaluations, N-648 evaluations, and VAWA evaluations. My services are available through telehealth for your convenience.
I am a licensed Clinical Psychologist in Texas specializing in Mental Health and PTSD Independent Disability Evaluations, N-648 evaluations, and VAWA evaluations. My services are available through telehealth for your convenience.
(210) 871-9653 View (210) 871-9653
Photo of Joy Nicewander, PhD, LP, LSSP, Psychologist
Joy Nicewander
Psychologist, PhD, LP, LSSP
Verified Verified
1 Endorsed
San Antonio, TX 78232
I specialize in comprehensive psychological assessments with children and young adults for a variety of developmental concerns including learning disorders, ADHD, Autism, intellectual disability, depression, and anxiety. As a Licensed Psychologist and Licensed Specialist in School Psychology with over 15 years of experience in both private practice and educational settings, I am uniquely positioned to offer practical recommendations to help children and young adults feel supported and be successful at home and at school.
I specialize in comprehensive psychological assessments with children and young adults for a variety of developmental concerns including learning disorders, ADHD, Autism, intellectual disability, depression, and anxiety. As a Licensed Psychologist and Licensed Specialist in School Psychology with over 15 years of experience in both private practice and educational settings, I am uniquely positioned to offer practical recommendations to help children and young adults feel supported and be successful at home and at school.
(210) 942-4905 View (210) 942-4905

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
71% Self Esteem
70% Coping Skills
70% Stress
69% Trauma and PTSD
67% Relationship Issues

Average years in practice

9 Years

Top 3 insurances accepted

87% Aetna
78% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

53% In Person and Online
47% Online Only

Gender breakdown

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

How can I find a therapist in San Antonio?

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.