Therapists in San Antonio, TX

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Photo of Margaret Richards Mauzé, Psychologist, PhD, ABPP
Margaret Richards Mauzé
Psychologist, PhD, ABPP
San Antonio, TX 78209
I am a board certified pediatric psychologist dedicated to working with children and their families to improve the quality of their lives. I provide both psychoeducational and diagnostic assessments to children, teens, and adults. I assess for learning disabilities (Learning Disorders in Reading, Writing, Math) as well as general diagnostic evaluations to clarify if a child, teen, or adult is struggling with ADHD, Anxiety, Depression, etc.
I am a board certified pediatric psychologist dedicated to working with children and their families to improve the quality of their lives. I provide both psychoeducational and diagnostic assessments to children, teens, and adults. I assess for learning disabilities (Learning Disorders in Reading, Writing, Math) as well as general diagnostic evaluations to clarify if a child, teen, or adult is struggling with ADHD, Anxiety, Depression, etc.
(210) 796-9450 View (210) 796-9450
Photo of Krystle Himmelberger, Licensed Professional Counselor, LPC
Krystle Himmelberger
Licensed Professional Counselor, LPC
San Antonio, TX 78258
Hi! I have a deep sense of love and compassion for others, which is why I’ve dedicated myself to becoming a Licensed Professional Counselor. My passion is helping people find emotional healing and balance in their lives. I firmly believe in the power of connection, trust, and therapeutic alliance between therapist and client. My goal is to help you heal, reduce symptoms, make changes, and build the self-esteem needed to take action in becoming the best version of yourself. This isn't just a job for me—it's a calling!
Hi! I have a deep sense of love and compassion for others, which is why I’ve dedicated myself to becoming a Licensed Professional Counselor. My passion is helping people find emotional healing and balance in their lives. I firmly believe in the power of connection, trust, and therapeutic alliance between therapist and client. My goal is to help you heal, reduce symptoms, make changes, and build the self-esteem needed to take action in becoming the best version of yourself. This isn't just a job for me—it's a calling!
(832) 981-5673 View (832) 981-5673
Photo of Dr. Raymond G Carson, Clinical Social Work/Therapist, PhD, LCSW
Dr. Raymond G Carson
Clinical Social Work/Therapist, PhD, LCSW
1 Endorsed
Online Only
My practice is built for individuals who are ready to embark on a journey toward greater self-awareness, emotional balance, and fulfillment. Individuals who feels stuck—whether due to anxiety, depression, relationship challenges, or a sense of unfulfilled potential.
My practice is built for individuals who are ready to embark on a journey toward greater self-awareness, emotional balance, and fulfillment. Individuals who feels stuck—whether due to anxiety, depression, relationship challenges, or a sense of unfulfilled potential.
(830) 283-6943 View (830) 283-6943
Photo of Jenny R Forbes, Licensed Professional Counselor, MA, LPC, NCC
Jenny R Forbes
Licensed Professional Counselor, MA, LPC, NCC
San Antonio, TX 78232
I support individuals and families in learning about, and coping with, mental health and substance abuse diagnoses. I utilize techniques designed to assist individuals in healing and reaching personal goals. I understand the negative impact Adverse Childhood Experiences (ACE's) have on the whole person and I am passionate about providing trauma-informed, person-centered care.
I support individuals and families in learning about, and coping with, mental health and substance abuse diagnoses. I utilize techniques designed to assist individuals in healing and reaching personal goals. I understand the negative impact Adverse Childhood Experiences (ACE's) have on the whole person and I am passionate about providing trauma-informed, person-centered care.
(210) 750-6752 View (210) 750-6752
Photo of Marka Wight - Esperanza Counseling Services, Licensed Professional Counselor, MA, NCC, LPC, LPC-S
Esperanza Counseling Services
Licensed Professional Counselor, MA, NCC, LPC, LPC-S
San Antonio, TX 78217
*** www.EsperanzaCounselingSA.com *** Esperanza Counseling Services offers evening & weekend sessions in English and/or Spanish. I enjoy working with people of all ages: 3 - 100. The purpose of counseling is to instill hope, provide a safe place for people to voice their feelings and concerns, while empowering them with tools to improve their lives. Everyone deserves to be treated with dignity and respect regardless of their age or circumstances. I have many years of experience working with children who have attention deficits and hyperactivity (ADHD). I worked in public schools for 8 years; 4 of which as a Parent Educator.
*** www.EsperanzaCounselingSA.com *** Esperanza Counseling Services offers evening & weekend sessions in English and/or Spanish. I enjoy working with people of all ages: 3 - 100. The purpose of counseling is to instill hope, provide a safe place for people to voice their feelings and concerns, while empowering them with tools to improve their lives. Everyone deserves to be treated with dignity and respect regardless of their age or circumstances. I have many years of experience working with children who have attention deficits and hyperactivity (ADHD). I worked in public schools for 8 years; 4 of which as a Parent Educator.
(210) 598-7503 View (210) 598-7503
Photo of Christopher Lee Anderson - Crossroads To Recovery Counseling LLC, Drug & Alcohol Counselor, LCDC
Crossroads To Recovery Counseling LLC
Drug & Alcohol Counselor, LCDC
San Antonio, TX 78251
There has to be more in life than what I have! Why do I continue to drink or use harmful chemicals despite not wanting to? Why do I feel detached from life? Why do I continue to use these things that I know are lethal to me? Will things ever get better? These are a few of the many questions I faced daily in my personal battle with active addiction and alcoholism. The good news is there is a solution! There is freedom! One can recover from alcoholism and drug addiction. Let us walk together with you on your path of recovery.
There has to be more in life than what I have! Why do I continue to drink or use harmful chemicals despite not wanting to? Why do I feel detached from life? Why do I continue to use these things that I know are lethal to me? Will things ever get better? These are a few of the many questions I faced daily in my personal battle with active addiction and alcoholism. The good news is there is a solution! There is freedom! One can recover from alcoholism and drug addiction. Let us walk together with you on your path of recovery.
(956) 230-3771 View (956) 230-3771
Photo of Jayme Lyon, Licensed Professional Counselor, LPC
Jayme Lyon
Licensed Professional Counselor, LPC
Online Only
I am a Licensed Professional Counselor-Supervisor with over 15 years of experience supporting adolescents, adults, and families. I offer a structured, skills-based approach to help clients manage intense emotions, strengthen relationships, and cope with emotional dysregulation, self-harm, anxiety, depression, and family conflict to build a more fulfilling life.
I am a Licensed Professional Counselor-Supervisor with over 15 years of experience supporting adolescents, adults, and families. I offer a structured, skills-based approach to help clients manage intense emotions, strengthen relationships, and cope with emotional dysregulation, self-harm, anxiety, depression, and family conflict to build a more fulfilling life.
(512) 866-2075 View (512) 866-2075
Photo of Miguel Torres, Licensed Professional Counselor
Miguel Torres
Licensed Professional Counselor
2 Endorsed
San Antonio, TX 78230
Hola, y bienvenidos! My name is Miguel Torres and I would welcome the opportunity to start a journey in counseling with you. I am an empathetic counselor dedicated to supporting personal growth and helping individuals navigate life’s challenges. Each session offers a comforting and supportive environment where we work together to gently untangle your thoughts, emotions, and past experiences that may have caused pain or created barriers for you. Using cognitive behavioral techniques and other evidence-based strategies, my approach fosters confidence, builds resilience, and helps guide you toward a more balanced and joyful life.
Hola, y bienvenidos! My name is Miguel Torres and I would welcome the opportunity to start a journey in counseling with you. I am an empathetic counselor dedicated to supporting personal growth and helping individuals navigate life’s challenges. Each session offers a comforting and supportive environment where we work together to gently untangle your thoughts, emotions, and past experiences that may have caused pain or created barriers for you. Using cognitive behavioral techniques and other evidence-based strategies, my approach fosters confidence, builds resilience, and helps guide you toward a more balanced and joyful life.
(210) 960-2620 View (210) 960-2620
Photo of Tatiana Rojas, Marriage & Family Therapist, LMFT
Tatiana Rojas
Marriage & Family Therapist, LMFT
2 Endorsed
Online Only
Sessions with me may include exploring values, reviewing core beliefs, increasing stress management techniques, and exploring positive communication skills. With my training and experience I have found that the best work is done collaboratively with clients in a safe and non-judgmental environment. We’ll also explore expectations in relationships, attachment styles, and various coping skills. My goal for all my clients is to learn better ways to cope so that they can live a more well-balanced life mentally and emotionally.
Sessions with me may include exploring values, reviewing core beliefs, increasing stress management techniques, and exploring positive communication skills. With my training and experience I have found that the best work is done collaboratively with clients in a safe and non-judgmental environment. We’ll also explore expectations in relationships, attachment styles, and various coping skills. My goal for all my clients is to learn better ways to cope so that they can live a more well-balanced life mentally and emotionally.
(737) 520-4471 View (737) 520-4471
Photo of Dr. Charlene B White - Captured Through The Lens, PLLC, Clinical Social Work/Therapist, DSW, LCSW, BCD, CCTP
Captured Through The Lens, PLLC
Clinical Social Work/Therapist, DSW, LCSW, BCD, CCTP
Online Only
Relationships shape who we are—from the bonds we form with our parents to the partnerships we create as adults. When those relationships are marked by conflict, distance, or unresolved pain, it can leave us feeling unheard, unseen, or unworthy of connection. As a Doctor of Social Work, I specialize in helping couples and individuals heal relational wounds, strengthen communication, and rediscover emotional closeness. Together, we explore old narratives and build new ways of relating—grounded in safety, respect, and authenticity.
Relationships shape who we are—from the bonds we form with our parents to the partnerships we create as adults. When those relationships are marked by conflict, distance, or unresolved pain, it can leave us feeling unheard, unseen, or unworthy of connection. As a Doctor of Social Work, I specialize in helping couples and individuals heal relational wounds, strengthen communication, and rediscover emotional closeness. Together, we explore old narratives and build new ways of relating—grounded in safety, respect, and authenticity.
(210) 864-1193 View (210) 864-1193
Photo of Alexandria Harville, Licensed Professional Counselor, MA, LPC, NCC
Alexandria Harville
Licensed Professional Counselor, MA, LPC, NCC
Online Only
There are so many things going on in the world nowadays that even seeking help can be overwhelming. Sometimes, we don't know where to start. Sometimes, we just need someone to help encourage us and tell us that we can do this. We all need help sometimes and that help comes in many different forms. My name is Alex Harville and my goal is to help you become the best version of yourself by overcoming the barriers created by mental illness to achieve your goals. Mental illness is part of us, but it doesn't have to be the only part.
There are so many things going on in the world nowadays that even seeking help can be overwhelming. Sometimes, we don't know where to start. Sometimes, we just need someone to help encourage us and tell us that we can do this. We all need help sometimes and that help comes in many different forms. My name is Alex Harville and my goal is to help you become the best version of yourself by overcoming the barriers created by mental illness to achieve your goals. Mental illness is part of us, but it doesn't have to be the only part.
(830) 465-2683 View (830) 465-2683
Photo of Haley Savage, Clinical Social Work/Therapist, LCSW
Haley Savage
Clinical Social Work/Therapist, LCSW
1 Endorsed
San Antonio, TX 78247
It’s been a rough few years, hasn’t it? Or maybe challenging times go way further back than that for you. You’re carrying the weight of a painful childhood, or trying to navigate a world that doesn’t welcome your authentic self. You feel frazzled and frantic….or maybe you’re so numb and shut down that it’s hard to connect with others—and your relationship with yourself is suffering too. You want to shed the shame you’re tired of lugging around, feel comfortable in your own skin, and show up more present in your own life. (Please note that I am not currently accepting clients or adding to my waitlist at this time.)
It’s been a rough few years, hasn’t it? Or maybe challenging times go way further back than that for you. You’re carrying the weight of a painful childhood, or trying to navigate a world that doesn’t welcome your authentic self. You feel frazzled and frantic….or maybe you’re so numb and shut down that it’s hard to connect with others—and your relationship with yourself is suffering too. You want to shed the shame you’re tired of lugging around, feel comfortable in your own skin, and show up more present in your own life. (Please note that I am not currently accepting clients or adding to my waitlist at this time.)
(210) 941-2540 View (210) 941-2540
Photo of Joanna Martinez Gutierrez, Licensed Master Social Worker, LMSW
Joanna Martinez Gutierrez
Licensed Master Social Worker, LMSW
Online Only
Hi, I'm Joanna Martinez Gutierrez, LMSW — a bilingual Latina therapist passionate about walking alongside people in their journey toward healing and growth. I believe in meeting people where they are, honoring their story, and focusing on progress, not perfection. I specialize in working with children, teens, and young adults (ages 4–30) navigating anxiety, depression, trauma, life transitions, and behavioral challenges.
Hi, I'm Joanna Martinez Gutierrez, LMSW — a bilingual Latina therapist passionate about walking alongside people in their journey toward healing and growth. I believe in meeting people where they are, honoring their story, and focusing on progress, not perfection. I specialize in working with children, teens, and young adults (ages 4–30) navigating anxiety, depression, trauma, life transitions, and behavioral challenges.
(830) 445-7650 View (830) 445-7650
Photo of Kimberly Samaniego, LPC-Associate, LPC-A
Kimberly Samaniego
LPC-Associate, LPC-A
Online Only
When life feels overwhelming, it can be difficult to know where to turn. Whether you're experiencing anxiety, depression, low self-esteem, relationship difficulties, grief, trauma, or stress related to work, school, or family, you don't have to navigate it alone. I strive to create a warm, supportive environment where you feel comfortable sharing your experiences and challenges. Together, we'll work to better understand what's holding you back, build on your strengths, and develop practical tools to help you create meaningful and lasting change.
When life feels overwhelming, it can be difficult to know where to turn. Whether you're experiencing anxiety, depression, low self-esteem, relationship difficulties, grief, trauma, or stress related to work, school, or family, you don't have to navigate it alone. I strive to create a warm, supportive environment where you feel comfortable sharing your experiences and challenges. Together, we'll work to better understand what's holding you back, build on your strengths, and develop practical tools to help you create meaningful and lasting change.
(830) 642-1230 View (830) 642-1230
Photo of Valerie Rivas, Licensed Professional Counselor, MA, LPC
Valerie Rivas
Licensed Professional Counselor, MA, LPC
3 Endorsed
San Antonio, TX 78217
It takes strength and courage to accept when one can't handle parts of life, and so, I commend you. As a therapist, I accompany clients exactly where they are while offering empathy, unconditional acceptance, respect without any judgement, and open communication in order to build a safe and inviting counseling environment. I believe each client brings a set of unique morals, values, beliefs, and strengths which makes each person who they are. I handle ALL issues from adolescent to elderly with individuals, couples, and families, but particularly Infertility, Miscarriage, IVF, Child Loss, Adoption/Fostering, & Missionary Re-Entry.
It takes strength and courage to accept when one can't handle parts of life, and so, I commend you. As a therapist, I accompany clients exactly where they are while offering empathy, unconditional acceptance, respect without any judgement, and open communication in order to build a safe and inviting counseling environment. I believe each client brings a set of unique morals, values, beliefs, and strengths which makes each person who they are. I handle ALL issues from adolescent to elderly with individuals, couples, and families, but particularly Infertility, Miscarriage, IVF, Child Loss, Adoption/Fostering, & Missionary Re-Entry.
(512) 710-0551 View (512) 710-0551
Photo of Dr. Richard H. Reams, Psychologist, PhD
Dr. Richard H. Reams
Psychologist, PhD
San Antonio, TX 78209
For more than 30 years I have offered engaged and compassionate counseling and psychotherapy to individuals age 18 and older. My doctoral education and experience have prepared me well to assist clients who bring me therapy goals such as reducing depression or worry, improving self-esteem, reducing shame and guilt, taming oppressive perfectionism, strengthening self-compassion, and living a more purposeful and meaningful life.
For more than 30 years I have offered engaged and compassionate counseling and psychotherapy to individuals age 18 and older. My doctoral education and experience have prepared me well to assist clients who bring me therapy goals such as reducing depression or worry, improving self-esteem, reducing shame and guilt, taming oppressive perfectionism, strengthening self-compassion, and living a more purposeful and meaningful life.
(726) 263-0485 View (726) 263-0485
Photo of Ruben Vasquez, Licensed Professional Counselor, MEd, LPC
Ruben Vasquez
Licensed Professional Counselor, MEd, LPC
1 Endorsed
Online Only
I am the founder and owner of Blue Tree Counseling, PLLC, and have over 12 years of experience working in the counseling field. I’m passionate about supporting individuals who are struggling with their mental health and dedicated to empowering them to reach their fullest potential. My approach is collaborative, compassionate, and nonjudgmental, providing a safe space for clients to explore challenges and create meaningful change. I specialize in working with trauma and various forms of abuse (including physical, psychological, emotional, verbal, digital, and narcissistic,), as well as mood and anxiety disorders, BPD, and others.
I am the founder and owner of Blue Tree Counseling, PLLC, and have over 12 years of experience working in the counseling field. I’m passionate about supporting individuals who are struggling with their mental health and dedicated to empowering them to reach their fullest potential. My approach is collaborative, compassionate, and nonjudgmental, providing a safe space for clients to explore challenges and create meaningful change. I specialize in working with trauma and various forms of abuse (including physical, psychological, emotional, verbal, digital, and narcissistic,), as well as mood and anxiety disorders, BPD, and others.
(956) 306-1395 View (956) 306-1395
Photo of Dr. Beatriz Alaniz, Clinical Social Work/Therapist, DSW, LCSW-S
Dr. Beatriz Alaniz
Clinical Social Work/Therapist, DSW, LCSW-S
San Antonio, TX 78229
I’m a licensed clinical social worker with more than 18 years of experience helping individuals and couples heal from trauma, rebuild connection after betrayal, and create relationships that are emotionally safe, resilient, and thriving. I combine evidence-based methods like Gottman Couples Therapy, EMDR, and trauma-informed relational frameworks with a grounded, compassionate presence that meets people where they are. I launched my private practice, Resiliency Trauma and Couples Therapy to support people in seeing themselves as capable, adaptive, and worthy of deep healing. (In-person services will be coming soon)
I’m a licensed clinical social worker with more than 18 years of experience helping individuals and couples heal from trauma, rebuild connection after betrayal, and create relationships that are emotionally safe, resilient, and thriving. I combine evidence-based methods like Gottman Couples Therapy, EMDR, and trauma-informed relational frameworks with a grounded, compassionate presence that meets people where they are. I launched my private practice, Resiliency Trauma and Couples Therapy to support people in seeing themselves as capable, adaptive, and worthy of deep healing. (In-person services will be coming soon)
(210) 361-7685 View (210) 361-7685
Photo of Maria L. Marcon, Licensed Professional Counselor, MS, LPC-S, NCC, BCC
Maria L. Marcon
Licensed Professional Counselor, MS, LPC-S, NCC, BCC
2 Endorsed
San Antonio, TX 78247
Not accepting new clients
I am a competent and compassionate Bilingual Licensed Professional Counselor and Board Certified Coach with more than 10 years of experience supporting individuals from diverse backgrounds across private and non profit settings. I am passionate about helping people navigate life’s challenges, and my work has given me extensive exposure to situations requiring sound decision making, deep empathy, and clear, effective communication.
I am a competent and compassionate Bilingual Licensed Professional Counselor and Board Certified Coach with more than 10 years of experience supporting individuals from diverse backgrounds across private and non profit settings. I am passionate about helping people navigate life’s challenges, and my work has given me extensive exposure to situations requiring sound decision making, deep empathy, and clear, effective communication.
(210) 899-6710 View (210) 899-6710
Photo of Marissa McCabe, Licensed Master Social Worker, LMSW
Marissa McCabe
Licensed Master Social Worker, LMSW
San Antonio, TX 78229
Are you feeling stuck and unsure of what to do next? Life can be tough, and it’s easy to feel overwhelmed by all the challenges we face every day. Sometimes, it feels like no matter how hard we try, we just can’t figure out the next steps. That’s where counseling can help. It’s a safe space to understand yourself better, explore your experiences, and make positive changes to move forward. If you’re looking for a supportive, non-judgmental place where you can feel accepted and heard, you’re in the right place. Together, we can work on helping you feel more confident and ready to take on life.
Are you feeling stuck and unsure of what to do next? Life can be tough, and it’s easy to feel overwhelmed by all the challenges we face every day. Sometimes, it feels like no matter how hard we try, we just can’t figure out the next steps. That’s where counseling can help. It’s a safe space to understand yourself better, explore your experiences, and make positive changes to move forward. If you’re looking for a supportive, non-judgmental place where you can feel accepted and heard, you’re in the right place. Together, we can work on helping you feel more confident and ready to take on life.
(210) 934-5585 View (210) 934-5585

See more therapy options for San Antonio

How does your Therapist compare?

Number of Therapists in San Antonio, TX

3,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

91% Anxiety
91% Social Anxiety
91% Health Anxiety
91% Driving Anxiety
85% Depression
69% Self Esteem
68% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

93% Aetna
78% Cigna and Evernorth
77% BlueCross and BlueShield

How Therapists in San Antonio, TX see their clients

51% In Person and Online
49% Online Only

Gender breakdown

80% Female
19% 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.