Therapists in San Antonio, TX

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Photo of Haziel Williams, MS, LPC, NBCC
Haziel Williams
Verified Verified
San Antonio, TX 78232
My counseling creates a safe space to learn skills to lower anxiety and depression levels. To experience a greater sense of joy in day to day living. I help clients learn to finding hope in the midst of life challenges . I am here to provide encouragement and support to make clients’ life goals happen. Therapy gives clients the skills to approach difficult situations and relationships with confidence. My counseling provides the opportunity for new skills to be developed in a safe space. Counseling is an encouraging and positive experience that can create lasting positive change.
My counseling creates a safe space to learn skills to lower anxiety and depression levels. To experience a greater sense of joy in day to day living. I help clients learn to finding hope in the midst of life challenges . I am here to provide encouragement and support to make clients’ life goals happen. Therapy gives clients the skills to approach difficult situations and relationships with confidence. My counseling provides the opportunity for new skills to be developed in a safe space. Counseling is an encouraging and positive experience that can create lasting positive change.
(210) 791-7644 View (210) 791-7644
Photo of Travis Johnson Sr, Licensed Professional Counselor, LPC
Travis Johnson Sr
Licensed Professional Counselor, LPC
San Antonio, TX 78223
I am a veteran of the USAF and learned what NOT to do, and graduated from Texas A&M University with a B.A. in Psychology, and an M.A. in Counseling and Education. I began counseling in Christian ministry in 1984 and have a biblical focus on counseling. I have worked as the lead clinical therapist at inpatient treatment centers for adult women with trauma, as well as an inpatient treatment center with teens focused on behavioral issues. I have also worked with single adults, married couples, and retirees. I have also worked in Intensive outpatient programs for adult men.
I am a veteran of the USAF and learned what NOT to do, and graduated from Texas A&M University with a B.A. in Psychology, and an M.A. in Counseling and Education. I began counseling in Christian ministry in 1984 and have a biblical focus on counseling. I have worked as the lead clinical therapist at inpatient treatment centers for adult women with trauma, as well as an inpatient treatment center with teens focused on behavioral issues. I have also worked with single adults, married couples, and retirees. I have also worked in Intensive outpatient programs for adult men.
(830) 538-0315 View (830) 538-0315
Photo of Wynne E. Melland, Licensed Professional Counselor, LPC
Wynne E. Melland
Licensed Professional Counselor, LPC
Online Only
You aren’t broken. If you have it all together on the outside but feel overwhelmed, anxious, or disconnected on the inside, this is for you. You may be the dependable one everyone relies on, yet feel stuck in your relationships or exhausted from survival mode. Maybe old strategies like overworking, perfectionism, numbing out, anger, or overthinking aren’t working anymore. You can stop running on autopilot, understand your patterns, and finally feel confident, present and at peace. In therapy, we’ll uncover the “why” behind your stress, not just manage symptoms. We’ll map the cycles that keep you stuck and practice new responses.
You aren’t broken. If you have it all together on the outside but feel overwhelmed, anxious, or disconnected on the inside, this is for you. You may be the dependable one everyone relies on, yet feel stuck in your relationships or exhausted from survival mode. Maybe old strategies like overworking, perfectionism, numbing out, anger, or overthinking aren’t working anymore. You can stop running on autopilot, understand your patterns, and finally feel confident, present and at peace. In therapy, we’ll uncover the “why” behind your stress, not just manage symptoms. We’ll map the cycles that keep you stuck and practice new responses.
(210) 876-2052 View (210) 876-2052
Photo of Larami Serrano, LPC Associate, LPC-A
Larami Serrano
LPC Associate, LPC-A
1 Endorsed
San Antonio, TX 78257
If you’re reading this, then you’ve taken the most important step in your mental and emotional wellness journey, and for that I am so proud! Deciding to address your mental health concerns can be terrifying. Many of us fear that our issues are either too complicated to resolve or not complicated enough to warrant counseling. The truth is that therapy is for EVERYbody. It’s a safe space to process trauma, share feelings, celebrate even the smallest wins, and work through the losses. I'm excited to embark on this journey with you.
If you’re reading this, then you’ve taken the most important step in your mental and emotional wellness journey, and for that I am so proud! Deciding to address your mental health concerns can be terrifying. Many of us fear that our issues are either too complicated to resolve or not complicated enough to warrant counseling. The truth is that therapy is for EVERYbody. It’s a safe space to process trauma, share feelings, celebrate even the smallest wins, and work through the losses. I'm excited to embark on this journey with you.
(830) 396-5777 View (830) 396-5777
Photo of Dr. Shawna Corley, Licensed Professional Counselor, PhD, LPC-S, LCDC, CCTP, NCC
Dr. Shawna Corley
Licensed Professional Counselor, PhD, LPC-S, LCDC, CCTP, NCC
4 Endorsed
Online Only
Want to start your journey to healing? I would love to come along side you and help facilitate your growth. I love working with kids, teens, and adults and I am skilled to handle the hard issues of trauma. My work with clients covers a wide range of topics, but I specialize in sibling/parent conflict, relationships, trauma, abuse, sexual identity, sexual assault, and grief. I will ensure you are provided an individual plan and help challenge you to reach you optimum version of you. I am available to perform Child Custody Evaluations and Adoptions Studies though the Bexar County DRO. I am also available for forensic cases.
Want to start your journey to healing? I would love to come along side you and help facilitate your growth. I love working with kids, teens, and adults and I am skilled to handle the hard issues of trauma. My work with clients covers a wide range of topics, but I specialize in sibling/parent conflict, relationships, trauma, abuse, sexual identity, sexual assault, and grief. I will ensure you are provided an individual plan and help challenge you to reach you optimum version of you. I am available to perform Child Custody Evaluations and Adoptions Studies though the Bexar County DRO. I am also available for forensic cases.
(210) 853-2618 View (210) 853-2618
Photo of Krista J Miller - Align Couples Therapy, Marriage & Family Therapist, MS, LMFT, LCDC
Align Couples Therapy
Marriage & Family Therapist, MS, LMFT, LCDC
San Antonio, TX 78232
Do you feel alone, powerless and stuck in the same repeated arguments? Do you long for the connection and friendship you once had with your partner? When relationships are hurting, it affects everything. Underneath the painful surface could be many issues such as depression, ADHD, anxiety, shame, infidelity, substance use or parenting challenges. You deserve counseling based on science and research. You deserve respect and acceptance as you work through strengthening your relationship. Each couple has strengths and resiliencies that just need to be connected to the right tools for effective connection.
Do you feel alone, powerless and stuck in the same repeated arguments? Do you long for the connection and friendship you once had with your partner? When relationships are hurting, it affects everything. Underneath the painful surface could be many issues such as depression, ADHD, anxiety, shame, infidelity, substance use or parenting challenges. You deserve counseling based on science and research. You deserve respect and acceptance as you work through strengthening your relationship. Each couple has strengths and resiliencies that just need to be connected to the right tools for effective connection.
(210) 940-4694 View (210) 940-4694
Photo of Rhonda Katan, RN, FMP, BCBC, CLC, Lic Min
Rhonda Katan
Verified Verified
San Antonio, TX 78254
I completed the following degrees, licenses, & certifications to provide comprehensive care for clients: Registered Nurse, Functional Medicine Practitioner, Board-Certified Faith-Based Therapist, Psychology Graduate, Licensed Minister, & Certified Life/Wellness Coach. I am fundamentally motivated to lead others to overcome challenges & odds as I serve them by offering advice, education, treatment & emotional support helping to make an impact that produces positive substantial changes in their lives. In addition, I utilize labs and licensed pharmaceutical-grade nutraceuticals to help my clients achieve better health.
I completed the following degrees, licenses, & certifications to provide comprehensive care for clients: Registered Nurse, Functional Medicine Practitioner, Board-Certified Faith-Based Therapist, Psychology Graduate, Licensed Minister, & Certified Life/Wellness Coach. I am fundamentally motivated to lead others to overcome challenges & odds as I serve them by offering advice, education, treatment & emotional support helping to make an impact that produces positive substantial changes in their lives. In addition, I utilize labs and licensed pharmaceutical-grade nutraceuticals to help my clients achieve better health.
(210) 796-2644 View (210) 796-2644
Photo of Christi Brooks, Licensed Professional Counselor, LPC
Christi Brooks
Licensed Professional Counselor, LPC
Online Only
Hello! My name is Christina. I have been providing therapy professionally for about 9 years. Whatever you might be facing, I hope that I can help you gain control of your thoughts, actions and environment so you can feel better and reach the goals you have for yourself. In a session with me we will focus our time together on your needs and finding therapeutic approaches that best suit your personality and life.
Hello! My name is Christina. I have been providing therapy professionally for about 9 years. Whatever you might be facing, I hope that I can help you gain control of your thoughts, actions and environment so you can feel better and reach the goals you have for yourself. In a session with me we will focus our time together on your needs and finding therapeutic approaches that best suit your personality and life.
(210) 934-8796 View (210) 934-8796
Photo of Alicia Moran, Licensed Professional Counselor, LPC
Alicia Moran
Licensed Professional Counselor, LPC
San Antonio, TX 78253
There can be no transforming of darkness into light ... without emotion." -Jung Emotional Intelligence (EI) is the core of my training. It embraces the past's belief systems that affect your present. It's a state of mind that defines thinking that affects emotion. To become aware is not to change, but to understand and accept.
There can be no transforming of darkness into light ... without emotion." -Jung Emotional Intelligence (EI) is the core of my training. It embraces the past's belief systems that affect your present. It's a state of mind that defines thinking that affects emotion. To become aware is not to change, but to understand and accept.
(210) 966-4051 View (210) 966-4051
Photo of Monique Russell, Clinical Social Work/Therapist, LCSW
Monique Russell
Clinical Social Work/Therapist, LCSW
Online Only
Hi! My name is Monique Russell, a licensed clinical social worker Licensed in Texas. I am sex positive, gender and LGBTQIA+ affirming. Supportive of varying love/relationship styles. My therapeutic style approaches most issues with cognitive approaches, and motivational interviewing in an affirming and supportive space. Individuals and couples in need of support or affirmation of gender, kinks, relationship communication, boundary setting, and sex and sexuality. My goal is to provide a safe and affirming environment for clients to examine and work toward their identified goals.
Hi! My name is Monique Russell, a licensed clinical social worker Licensed in Texas. I am sex positive, gender and LGBTQIA+ affirming. Supportive of varying love/relationship styles. My therapeutic style approaches most issues with cognitive approaches, and motivational interviewing in an affirming and supportive space. Individuals and couples in need of support or affirmation of gender, kinks, relationship communication, boundary setting, and sex and sexuality. My goal is to provide a safe and affirming environment for clients to examine and work toward their identified goals.
(346) 559-3285 View (346) 559-3285
Photo of Danielle Maria Bitner, Pre-Licensed Professional, LPC-A, NCC
Danielle Maria Bitner
Pre-Licensed Professional, LPC-A, NCC
San Antonio, TX 78230
I work with individuals who are feeling overwhelmed, emotionally exhausted, stuck, or unsure of how to move forward. Many of my clients are navigating anxiety, burnout, life transitions, chronic illness, medical trauma, disability-related stress, or challenges with identity and self-esteem. They often come to therapy wanting clarity, relief, and a better understanding of themselves. Together, we create a space where clients feel heard, supported, understood, and empowered to make meaningful and lasting changes.
I work with individuals who are feeling overwhelmed, emotionally exhausted, stuck, or unsure of how to move forward. Many of my clients are navigating anxiety, burnout, life transitions, chronic illness, medical trauma, disability-related stress, or challenges with identity and self-esteem. They often come to therapy wanting clarity, relief, and a better understanding of themselves. Together, we create a space where clients feel heard, supported, understood, and empowered to make meaningful and lasting changes.
(210) 794-8735 View (210) 794-8735
Photo of Jacqueline Gutierrez, Licensed Professional Counselor, MS, NCC, LPC
Jacqueline Gutierrez
Licensed Professional Counselor, MS, NCC, LPC
San Antonio, TX 78229
Jacqueline Gutierrez is a Licensed Professional Counselor in Texas who has been practicing since 2021. She has an M.S. in Clinical Mental Health Counseling and a B.S. in Sociology, Minor in Psychology. Jacqueline provides a person-centered approach with every client she works with to ensure that they have someone in their life that can truly meet them where they’re at. Jacqueline brings both a multicultural and trauma-informed care lens that can uniquely be applied to help facilitate effective growth and change. Outside of work, Jacqueline enjoys spending time with her two cats (T'Challa and Mittens) and her dog (Koda).
Jacqueline Gutierrez is a Licensed Professional Counselor in Texas who has been practicing since 2021. She has an M.S. in Clinical Mental Health Counseling and a B.S. in Sociology, Minor in Psychology. Jacqueline provides a person-centered approach with every client she works with to ensure that they have someone in their life that can truly meet them where they’re at. Jacqueline brings both a multicultural and trauma-informed care lens that can uniquely be applied to help facilitate effective growth and change. Outside of work, Jacqueline enjoys spending time with her two cats (T'Challa and Mittens) and her dog (Koda).
(210) 972-3632 View (210) 972-3632
Photo of Kimberly Gallegos-Watson, Licensed Professional Counselor, MS, LPC
Kimberly Gallegos-Watson
Licensed Professional Counselor, MS, LPC
1 Endorsed
Online Only
I provide virtual therapy across Texas for women who are exhausted from carrying everyone else and are ready to reconnect with themselves, heal old wounds, and create lives that feel like their own.
I provide virtual therapy across Texas for women who are exhausted from carrying everyone else and are ready to reconnect with themselves, heal old wounds, and create lives that feel like their own.
(830) 274-8507 View (830) 274-8507
Photo of Natalie Rodriguez - Riaz Counseling, Licensed Professional Counselor, LPC
Riaz Counseling
Licensed Professional Counselor, LPC
2 Endorsed
Online Only
Hi, I'm Natalie! Are you having issues staying on task? Do you have trouble concentrating due to life events that you fee are out of your control? I support adolescent teens, adults and the elder population with multiple different issues who are in need of some type of support in managing issues such as these. Clients will receive the tools necessary to achieve goals of overcoming these issues, and learning how to manage themselves in a way that will increase a more positive outlook for the future.
Hi, I'm Natalie! Are you having issues staying on task? Do you have trouble concentrating due to life events that you fee are out of your control? I support adolescent teens, adults and the elder population with multiple different issues who are in need of some type of support in managing issues such as these. Clients will receive the tools necessary to achieve goals of overcoming these issues, and learning how to manage themselves in a way that will increase a more positive outlook for the future.
(210) 934-7770 View (210) 934-7770
Photo of Abigail Lopez, Licensed Professional Counselor, LPC, NCC
Abigail Lopez
Licensed Professional Counselor, LPC, NCC
San Antonio, TX 78212
Are you caught in a cycle of anxious thoughts, avoidance, and the quiet dread that things will never change? Whether you're managing OCD, social anxiety, or the kind of persistent worry that follows you everywhere, you deserve more than white-knuckling through another day. You don't need to have it all figured out to start — you just need to be willing. I'll meet you exactly where you are, with warmth, a clear game plan, and the occasional laugh along the way.
Are you caught in a cycle of anxious thoughts, avoidance, and the quiet dread that things will never change? Whether you're managing OCD, social anxiety, or the kind of persistent worry that follows you everywhere, you deserve more than white-knuckling through another day. You don't need to have it all figured out to start — you just need to be willing. I'll meet you exactly where you are, with warmth, a clear game plan, and the occasional laugh along the way.
(833) 750-2647 View (833) 750-2647
Photo of Claudia Barrows, Licensed Professional Counselor, MS, LPC, NCC
Claudia Barrows
Licensed Professional Counselor, MS, LPC, NCC
San Antonio, TX 78229
Claudia Barrows is a Licensed Professional Counselor in Texas who has been practicing since 2019. She has a Master of Science in Clinical Mental Health Counseling from The University of Texas at San Antonio and a Bachelor of Science in Psychology from The University of the Incarnate Word. Claudia will help encourage clients to feel their emotions — and she means actually feel them. Too often we ignore our emotions either by distracting or numbing ourselves. While it can be uncomfortable to sit with the discomfort of difficult emotions, there is growth and healing waiting on the other side.
Claudia Barrows is a Licensed Professional Counselor in Texas who has been practicing since 2019. She has a Master of Science in Clinical Mental Health Counseling from The University of Texas at San Antonio and a Bachelor of Science in Psychology from The University of the Incarnate Word. Claudia will help encourage clients to feel their emotions — and she means actually feel them. Too often we ignore our emotions either by distracting or numbing ourselves. While it can be uncomfortable to sit with the discomfort of difficult emotions, there is growth and healing waiting on the other side.
(210) 796-5574 View (210) 796-5574
Photo of Jessica Garcia, Licensed Professional Counselor, MA, LPC
Jessica Garcia
Licensed Professional Counselor, MA, LPC
San Antonio, TX 78258
Outside of her professional life, Jessica enjoys reading fiction and exploring local coffee shops. These hobbies provide her with a sense of relaxation and inspiration, which she brings into her therapeutic practice. By engaging in activities that bring her joy, Jessica exemplifies the importance of self-care, a principle she emphasizes with her clients.
Outside of her professional life, Jessica enjoys reading fiction and exploring local coffee shops. These hobbies provide her with a sense of relaxation and inspiration, which she brings into her therapeutic practice. By engaging in activities that bring her joy, Jessica exemplifies the importance of self-care, a principle she emphasizes with her clients.
(726) 207-9188 View (726) 207-9188
Photo of Dr. Vanessa C. Cantu, Licensed Professional Counselor, PhD
Dr. Vanessa C. Cantu
Licensed Professional Counselor, PhD
2 Endorsed
San Antonio, TX 78209
As the parent of a pre-teen or teenager, you often find yourself wondering what you can do to help them feel better. Or perhaps you are wondering how to help yourself feel better. It seems like you've tried everything, but nothing seems to work, at least not for very long. Their personality has changed and sometimes you worry that it might get worse. You know they have so much potential - where did it go? It can be scary to reach out to a counselor because you want to make sure that you find someone who can really connect with your child and also keeps you in the loop.
As the parent of a pre-teen or teenager, you often find yourself wondering what you can do to help them feel better. Or perhaps you are wondering how to help yourself feel better. It seems like you've tried everything, but nothing seems to work, at least not for very long. Their personality has changed and sometimes you worry that it might get worse. You know they have so much potential - where did it go? It can be scary to reach out to a counselor because you want to make sure that you find someone who can really connect with your child and also keeps you in the loop.
(210) 361-7076 View (210) 361-7076
Photo of Rachelle Renee Mellieon, Licensed Professional Counselor, MA, LPC-S, NPT-C
Rachelle Renee Mellieon
Licensed Professional Counselor, MA, LPC-S, NPT-C
San Antonio, TX 78219
Life can hurt. My passion is to help others navigate through those daily life issues. I believe that a genuine, therapeutic relationship is fundamental to its success. Thus, I strive to foster a calm, caring environment. I combine warmth, empathy, and gentle challenges designed to lead you towards new ways of thinking and acting on your circumstances. The strategies I use are dependent upon the needs of each client. For those seeking a Biblical approach in sessions, I incorporate Christian counseling. Whether you seek couples work or individual care, I am here to help.
Life can hurt. My passion is to help others navigate through those daily life issues. I believe that a genuine, therapeutic relationship is fundamental to its success. Thus, I strive to foster a calm, caring environment. I combine warmth, empathy, and gentle challenges designed to lead you towards new ways of thinking and acting on your circumstances. The strategies I use are dependent upon the needs of each client. For those seeking a Biblical approach in sessions, I incorporate Christian counseling. Whether you seek couples work or individual care, I am here to help.
(210) 683-1696 View (210) 683-1696
Photo of Carla Neven, Licensed Professional Counselor, MA, LPC
Carla Neven
Licensed Professional Counselor, MA, LPC
San Antonio, TX 78260
If you have been desiring to make a change but feel stuck or unsure of what your next step is, we would be a great fit. My goal as a therapist is to help provide you with the tools you need to reach your goals and live a fulfilling life. I like to take an individualized approach to therapy based on your needs and strengths. There is no one-size-fits-all approach to self-improvement. Therapy can look like building coping skills, learning how to communicate, to learning how to be your authentic self.
If you have been desiring to make a change but feel stuck or unsure of what your next step is, we would be a great fit. My goal as a therapist is to help provide you with the tools you need to reach your goals and live a fulfilling life. I like to take an individualized approach to therapy based on your needs and strengths. There is no one-size-fits-all approach to self-improvement. Therapy can look like building coping skills, learning how to communicate, to learning how to be your authentic self.
(830) 468-9133 View (830) 468-9133

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.