Therapists in San Francisco, CA

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Photo of Dr. Kayla Jimenez, Psychologist in San Francisco, CA
Dr. Kayla Jimenez
Psychologist, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94114  (Online Only)
Finding a therapist can be a difficult process for anyone. I am glad you found your way here! I am a licensed clinical psychologist in California (PSY33732) and a Clinical Assistant Professor in the department of Psychiatry and Behavioral Sciences at the Stanford University School of Medicine. I have developed clinical expertises in working with people with a variety of challenges, including trauma recovery, anxiety, interpersonal distress, identity issues, and experiences of discrimination and oppression. I use evidence-based practices focused on client’s resilience, values, and goals.
Finding a therapist can be a difficult process for anyone. I am glad you found your way here! I am a licensed clinical psychologist in California (PSY33732) and a Clinical Assistant Professor in the department of Psychiatry and Behavioral Sciences at the Stanford University School of Medicine. I have developed clinical expertises in working with people with a variety of challenges, including trauma recovery, anxiety, interpersonal distress, identity issues, and experiences of discrimination and oppression. I use evidence-based practices focused on client’s resilience, values, and goals.
(415) 779-7038 View (415) 779-7038
Photo of Laura M Jasen, Licensed Professional Counselor in San Francisco, CA
Laura M Jasen
Licensed Professional Counselor, LPCC, LMHC
Verified Verified
4 Endorsed
San Francisco, CA 94123  (Online Only)
Life's hurdles can challenge even the strongest of us. With therapeutic support and compassionate guidance, we can overcome your struggles to help you improve your mental health, regain control and start your healing so you can live the life you've always envisioned. With the proper help, you can improve your anxiety, strengthen your relationships, push yourself to take on new challenges, and find the right tools to help you manage the difficulties you face and find your well-being. Areas of specialty include: Life Transitions, Anxiety, Feelings of Unease, Healing Trauma, Relationship Issues, Grief and Loss.
Life's hurdles can challenge even the strongest of us. With therapeutic support and compassionate guidance, we can overcome your struggles to help you improve your mental health, regain control and start your healing so you can live the life you've always envisioned. With the proper help, you can improve your anxiety, strengthen your relationships, push yourself to take on new challenges, and find the right tools to help you manage the difficulties you face and find your well-being. Areas of specialty include: Life Transitions, Anxiety, Feelings of Unease, Healing Trauma, Relationship Issues, Grief and Loss.
(415) 226-4854 View (415) 226-4854
Photo of Maxwell J Berlyant, Psychologist in San Francisco, CA
Maxwell J Berlyant
Psychologist, PhD
Verified Verified
San Francisco, CA 94109
I obtained my Doctorate/Ph.D. in Clinical Psychology with an emphasis in Child and Family Psychology, from APA-accredited Palo Alto University, Pacific Graduate School of Psychology. My Postdoctoral Residency was completed at the Psychiatry Department in Kaiser Permanente, San Rafael. I hold a B.A. in Psychology from the University of California, Berkeley. I have worked in a variety of clinical settings with children, adolescents and adults providing individual, family, group, and couples therapy. I provide evidence based treatment from a strengths based perspective and have specialty training in CBT and DBT.
I obtained my Doctorate/Ph.D. in Clinical Psychology with an emphasis in Child and Family Psychology, from APA-accredited Palo Alto University, Pacific Graduate School of Psychology. My Postdoctoral Residency was completed at the Psychiatry Department in Kaiser Permanente, San Rafael. I hold a B.A. in Psychology from the University of California, Berkeley. I have worked in a variety of clinical settings with children, adolescents and adults providing individual, family, group, and couples therapy. I provide evidence based treatment from a strengths based perspective and have specialty training in CBT and DBT.
(628) 243-4484 View (628) 243-4484
Photo of Jules Osborne, Marriage & Family Therapist in San Francisco, CA
Jules Osborne
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94118
Are you tired of feeling that your anxiety/depression is in the driver’s seat and your innate creativity is held captive in the trunk? Are you ready for your anxiety/depression to take a back seat and choose what drives you - to feel creative, playful and confident. I am an expert in supporting creative folx who are feeling stuck, anxious, and alone and with no outlet, to feel seen and heard, and give expression to unspoken parts of themselves, to get clear on their needs, wants and their truth. Moving from a place of unbearable pain and stuckness to living full, creative, purpose-driven lives.
Are you tired of feeling that your anxiety/depression is in the driver’s seat and your innate creativity is held captive in the trunk? Are you ready for your anxiety/depression to take a back seat and choose what drives you - to feel creative, playful and confident. I am an expert in supporting creative folx who are feeling stuck, anxious, and alone and with no outlet, to feel seen and heard, and give expression to unspoken parts of themselves, to get clear on their needs, wants and their truth. Moving from a place of unbearable pain and stuckness to living full, creative, purpose-driven lives.
(628) 244-4271 View (628) 244-4271
Photo of Kylie Dayan, Clinical Social Work/Therapist in San Francisco, CA
Kylie Dayan
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94122
Not accepting new clients
I believe to feel truly seen and heard in an authentic and deep way is one of the greatest gifts that we can give and receive. I center my work around meaningful connection. I feel that therapy is a reciprocal process where we are both working as partners in helping you reach your goals; to find a place of ease, understanding, and strength and to move through life feeling more centered and fulfilled.
I believe to feel truly seen and heard in an authentic and deep way is one of the greatest gifts that we can give and receive. I center my work around meaningful connection. I feel that therapy is a reciprocal process where we are both working as partners in helping you reach your goals; to find a place of ease, understanding, and strength and to move through life feeling more centered and fulfilled.
(628) 259-6919 View (628) 259-6919
Photo of Luna Shadzi in San Francisco, CA
Luna Shadzi
AMFT, MA, APCC
Verified Verified
San Francisco, CA 94114  (Online Only)
Becoming your best self has never been more possible! Together, let’s figure out how to achieve your goals and find your inner truth. In my therapy practice, I draw on my personal experience, struggles, and growth to better empathize with my patients. Therapy helped me overcome traumas and complicated griefs. It helped me find a new meaning in life which is to help others find their way and achieve their goals.
Becoming your best self has never been more possible! Together, let’s figure out how to achieve your goals and find your inner truth. In my therapy practice, I draw on my personal experience, struggles, and growth to better empathize with my patients. Therapy helped me overcome traumas and complicated griefs. It helped me find a new meaning in life which is to help others find their way and achieve their goals.
(571) 517-2918 View (571) 517-2918
Photo of Ginger Rhodes, Psychologist in San Francisco, CA
Ginger Rhodes
Psychologist, PhD
Verified Verified
San Francisco, CA 94114
It is human to experience distress when we live through trauma – single events or ongoing. I work with people who are trying to manage that distress. In addition to survivors, I also work with those impacted by other people's trauma. That group can include loved ones and professionals who manage other people’s distress. I offer relational psychotherapy to individuals and trauma-focused case consultation to professionals. I am developing a sub-specialty in working with journalists exposed to occupational chronic stress and trauma. I have an appreciation for the role of journalism. It is a privilege to work with news professionals.
It is human to experience distress when we live through trauma – single events or ongoing. I work with people who are trying to manage that distress. In addition to survivors, I also work with those impacted by other people's trauma. That group can include loved ones and professionals who manage other people’s distress. I offer relational psychotherapy to individuals and trauma-focused case consultation to professionals. I am developing a sub-specialty in working with journalists exposed to occupational chronic stress and trauma. I have an appreciation for the role of journalism. It is a privilege to work with news professionals.
(415) 323-0984 View (415) 323-0984
Photo of Lu Peyre, Marriage & Family Therapist in San Francisco, CA
Lu Peyre
Marriage & Family Therapist, MA
Verified Verified
3 Endorsed
San Francisco, CA 94131
My role as a therapist is that of an empathetic co-pilot. I work in a client-centered way, and I will support you in creating healthy choices and new resources for yourself. My approach is compassionate, intuitive, and interactive. I strive to meet each client's personality and goals in a safe and welcoming environment. I am multilingual and multicultural. My various life experiences provide a base that will help me support you as we work together to meet your goals.
My role as a therapist is that of an empathetic co-pilot. I work in a client-centered way, and I will support you in creating healthy choices and new resources for yourself. My approach is compassionate, intuitive, and interactive. I strive to meet each client's personality and goals in a safe and welcoming environment. I am multilingual and multicultural. My various life experiences provide a base that will help me support you as we work together to meet your goals.
(415) 857-0013 View (415) 857-0013
Photo of Evan Wassarman, Psychologist in San Francisco, CA
Evan Wassarman
Psychologist, PsyD
Verified Verified
San Francisco, CA 94114
There is no one reason to enter therapy that is more meaningful or valid than any other. In my approach, all of your experiences matter and there are no wrong answers. I view each person as unique and multi-dimensional–not just a diagnosis or a set of symptoms. You and I will discuss and think together about your past, present, and future to gain a deeper understanding of how you experience the world. Through this process we can uncover thoughts and feelings you may not have realized you had, and help you to gain a new understanding of yourself and your relationships that improves your quality of life and sense of peace of mind.
There is no one reason to enter therapy that is more meaningful or valid than any other. In my approach, all of your experiences matter and there are no wrong answers. I view each person as unique and multi-dimensional–not just a diagnosis or a set of symptoms. You and I will discuss and think together about your past, present, and future to gain a deeper understanding of how you experience the world. Through this process we can uncover thoughts and feelings you may not have realized you had, and help you to gain a new understanding of yourself and your relationships that improves your quality of life and sense of peace of mind.
(415) 997-0929 View (415) 997-0929
Photo of Inge M. Martin, Marriage & Family Therapist in San Francisco, CA
Inge M. Martin
Marriage & Family Therapist, MA, MEd, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94123
Do you feel stuck? Do you feel stressed and anxious? Sometimes easily frustrated or even numb and out of contact with the world around you? Do you feel depressed? I will support you to dig under the top layer of your social presentation and get in touch with your deeper feelings and stirrings. Through the experiences and insights gained in session you will be able to make contact with the different layers of your authentic self and begin to live a full and satisfying life.
Do you feel stuck? Do you feel stressed and anxious? Sometimes easily frustrated or even numb and out of contact with the world around you? Do you feel depressed? I will support you to dig under the top layer of your social presentation and get in touch with your deeper feelings and stirrings. Through the experiences and insights gained in session you will be able to make contact with the different layers of your authentic self and begin to live a full and satisfying life.
(415) 940-7076 View (415) 940-7076
Photo of Tara Pratt, Marriage & Family Therapist in San Francisco, CA
Tara Pratt
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94115
My clients are professional young adults wanting goal-oriented and/or long-term relational therapy that's both practical and warm. Through therapy they've experienced much success in the following areas: Relationship with self (identity/sexuality, confidence/self compassion, processing emotions), Interpersonal relationships (dating, boundaries, communication, navigating difficult people), Anxiety (understanding anxiety, coping, tools to manage), Career (work-life balance, navigating powerful positions, career change). I also have extensive experience working with teens and those struggling with substance misuse.
My clients are professional young adults wanting goal-oriented and/or long-term relational therapy that's both practical and warm. Through therapy they've experienced much success in the following areas: Relationship with self (identity/sexuality, confidence/self compassion, processing emotions), Interpersonal relationships (dating, boundaries, communication, navigating difficult people), Anxiety (understanding anxiety, coping, tools to manage), Career (work-life balance, navigating powerful positions, career change). I also have extensive experience working with teens and those struggling with substance misuse.
(415) 704-7263 View (415) 704-7263
Photo of Maria Lentzou, Marriage & Family Therapist in San Francisco, CA
Maria Lentzou
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
San Francisco, CA 94115
I work with children, teens and adults, in individual sessions and groups. Adults and teens: I see you as creative, resourceful, and whole on your own. I am here to help you heal wounds that keep you stuck and don't let you believe in your own strengths and intuition. I can offer curious questions, valuable resources and tools to add to your own toolbelt, new perspectives, and challenges that honor your goals and what you need to live your best life. I also provide Authentic Movement groups and experiential creative workshops.
I work with children, teens and adults, in individual sessions and groups. Adults and teens: I see you as creative, resourceful, and whole on your own. I am here to help you heal wounds that keep you stuck and don't let you believe in your own strengths and intuition. I can offer curious questions, valuable resources and tools to add to your own toolbelt, new perspectives, and challenges that honor your goals and what you need to live your best life. I also provide Authentic Movement groups and experiential creative workshops.
(415) 862-1656 View (415) 862-1656
Photo of Kenneth Leong, Psychological Associate in San Francisco, CA
Kenneth Leong
Psychological Associate, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94115  (Online Only)
I offer services for adults struggling with difficult family dynamics, mental health distress, and emotional burdens. The emotional experiences you encounter can be shaped by your upbringing and family history. My role as your therapist is to help you uncover important parts of yourself, gain more emotional flexibility, and facilitate change to your current circumstances. I specialize in working with adults dealing with depression, grief, loneliness, anxiety, interpersonal conflict, anger management, and history of trauma and abuse. I connect with my patients in a warm and steady manner, establishing trust for our work together.
I offer services for adults struggling with difficult family dynamics, mental health distress, and emotional burdens. The emotional experiences you encounter can be shaped by your upbringing and family history. My role as your therapist is to help you uncover important parts of yourself, gain more emotional flexibility, and facilitate change to your current circumstances. I specialize in working with adults dealing with depression, grief, loneliness, anxiety, interpersonal conflict, anger management, and history of trauma and abuse. I connect with my patients in a warm and steady manner, establishing trust for our work together.
(415) 366-3573 View (415) 366-3573
Photo of Sonia Bello, Marriage & Family Therapist in San Francisco, CA
Sonia Bello
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94110
I am a bilingual bicultural Marriage & Family Therapist in the field of mental health for over 13 years. In my practice, I strive to provide a safe, nurturing, and supportive environment for individuals to explore and grow in desired areas. I work from a strength-based approach and I am passionate about empowering individuals and families to reach their full potential.
I am a bilingual bicultural Marriage & Family Therapist in the field of mental health for over 13 years. In my practice, I strive to provide a safe, nurturing, and supportive environment for individuals to explore and grow in desired areas. I work from a strength-based approach and I am passionate about empowering individuals and families to reach their full potential.
(415) 234-1637 View (415) 234-1637
Photo of Laura Cayan, Psychologist in San Francisco, CA
Laura Cayan
Psychologist, MA, PsyD
Verified Verified
San Francisco, CA 94123
At San Francisco Family Practice, I specialize in psychotherapy with children, adolescents and their families, as well as with adults. I use evidence-based treatments including Cognitive Behavioral Therapy (CBT) to work with you and your family, and believe in a treatment-team approach, wherein families are highly encouraged to be a part of the therapy process. In order to best create your treatment plan, I tailor my approach to your unique concerns and goals.
At San Francisco Family Practice, I specialize in psychotherapy with children, adolescents and their families, as well as with adults. I use evidence-based treatments including Cognitive Behavioral Therapy (CBT) to work with you and your family, and believe in a treatment-team approach, wherein families are highly encouraged to be a part of the therapy process. In order to best create your treatment plan, I tailor my approach to your unique concerns and goals.
(415) 798-2074 x3 View (415) 798-2074 x3
Photo of Dean Herman, Psychologist in San Francisco, CA
Dean Herman
Psychologist, PhD
Verified Verified
San Francisco, CA 94105
I support my clients in three key areas: (1) effectively navigating career and workplace challenges; (2) improving their confidence and self-esteem; and (3) enhancing their relationships. As both a therapist and executive coach for 20+ years, I've intensively studied many approaches to psychotherapy and human development to be as helpful and effective as I can. Which of these approaches we'd use will depend on your unique needs and what we decide together best fits for you. I’m focused on significant progress in the short term and even more change and development over time. My approach overall is warm, accepting and personal.
I support my clients in three key areas: (1) effectively navigating career and workplace challenges; (2) improving their confidence and self-esteem; and (3) enhancing their relationships. As both a therapist and executive coach for 20+ years, I've intensively studied many approaches to psychotherapy and human development to be as helpful and effective as I can. Which of these approaches we'd use will depend on your unique needs and what we decide together best fits for you. I’m focused on significant progress in the short term and even more change and development over time. My approach overall is warm, accepting and personal.
(510) 650-1154 View (510) 650-1154
Photo of Caroline Dickens, Psychologist in San Francisco, CA
Caroline Dickens
Psychologist, PsyD
Verified Verified
San Francisco, CA 94118  (Online Only)
Welcome! I'm so glad you're here! In my practice, I strive to build open, compassionate, and genuine relationships with my clients. I work to understand each client’s unique cultural identities, values, life experiences, and ongoing stressors. I enjoy working collaboratively with my clients to individualize treatment based on their needs, preferences, and our shared understanding of their challenges. I frequently implement mindfulness, values, and acceptance-based techniques to help clients identify or clarify the lives they want to live, understand the obstacles standing in their way, and build skills to overcome these barriers.
Welcome! I'm so glad you're here! In my practice, I strive to build open, compassionate, and genuine relationships with my clients. I work to understand each client’s unique cultural identities, values, life experiences, and ongoing stressors. I enjoy working collaboratively with my clients to individualize treatment based on their needs, preferences, and our shared understanding of their challenges. I frequently implement mindfulness, values, and acceptance-based techniques to help clients identify or clarify the lives they want to live, understand the obstacles standing in their way, and build skills to overcome these barriers.
(415) 226-4134 View (415) 226-4134
Photo of Debra Safren, Psychologist in San Francisco, CA
Debra Safren
Psychologist, PsyD
Verified Verified
2 Endorsed
San Francisco, CA 94114
If you struggle with feelings of sadness or worry and want to experience more joy and happiness, Cognitive Behavioral therapy can help. Good psychotherapy can change your life for the better. I have found that difficult issues can be healed with the right treatment and connection to a knowledgeable clinician. Please don't hesitate to contact me.
If you struggle with feelings of sadness or worry and want to experience more joy and happiness, Cognitive Behavioral therapy can help. Good psychotherapy can change your life for the better. I have found that difficult issues can be healed with the right treatment and connection to a knowledgeable clinician. Please don't hesitate to contact me.
(510) 466-1179 View (510) 466-1179
Photo of Robert J. Buonfiglio, Psychologist in San Francisco, CA
Robert J. Buonfiglio
Psychologist, PhD
Verified Verified
San Francisco, CA 94123  (Online Only)
I'm a licensed clinical psychologist in California and New York in private practice, a Berkeley-certified executive coach, the 2020 CPA convention chair, the past president of the California Psychological Association, past president of the San Francisco Psychological Association, and the chairperson of the clinical advisory board at I V Y Labs. I have written two chapters for a men's health book on living with vitality and work-life balance. I aspire to draw from all my experiences to help you live passionately and move beyond obstacles holding you back.
I'm a licensed clinical psychologist in California and New York in private practice, a Berkeley-certified executive coach, the 2020 CPA convention chair, the past president of the California Psychological Association, past president of the San Francisco Psychological Association, and the chairperson of the clinical advisory board at I V Y Labs. I have written two chapters for a men's health book on living with vitality and work-life balance. I aspire to draw from all my experiences to help you live passionately and move beyond obstacles holding you back.
(415) 423-2980 View (415) 423-2980
Photo of Joshua Wylie, Marriage & Family Therapist in San Francisco, CA
Joshua Wylie
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
San Francisco, CA 94123
As a therapist I work collaboratively to help you reconcile with your past to free yourself of old patterns and self-limiting beliefs. Release blocked energy so that you can be a happier, higher-functioning person. Discover your own inner resources and ability to navigate the changes in your life. Access a more authentic self, develop a greater capacity for spontaneous self expression.
As a therapist I work collaboratively to help you reconcile with your past to free yourself of old patterns and self-limiting beliefs. Release blocked energy so that you can be a happier, higher-functioning person. Discover your own inner resources and ability to navigate the changes in your life. Access a more authentic self, develop a greater capacity for spontaneous self expression.
(415) 877-1521 View (415) 877-1521

See more therapy options for San Francisco

How does your Therapist compare?

Number of Therapists in San Francisco, CA

3,000+

Average cost per session

$189

Therapists in San Francisco, CA who prioritize treating:

93% Anxiety
87% Depression
81% Relationship Issues
75% Self Esteem
70% Trauma and PTSD
68% Stress
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

69% Aetna
55% UnitedHealthcare UHC | UBH
54% Cigna and Evernorth

How Therapists in San Francisco, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

75% Female
23% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Francisco?

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.