Therapists in San Francisco, CA

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Photo of Elizabeth Lebrun- Arrow Psychotherapy, Registered Psychological Associate in San Francisco, CA
Elizabeth Lebrun- Arrow Psychotherapy
Registered Psychological Associate, PsyD
Verified Verified
San Francisco, CA 94131
My style is warm, non-judgmental, and collaborative; I believe the therapeutic relationship is the strongest predictor of successful therapy. I listen to your unique story with deep curiosity while being proactive and engaged in sharing feedback. I strive for you to feel cared for and heard while experiencing a safe and authentic connection. My goal is for us to develop a deeper understanding of what brings you to therapy while providing effective tools for lasting change.
My style is warm, non-judgmental, and collaborative; I believe the therapeutic relationship is the strongest predictor of successful therapy. I listen to your unique story with deep curiosity while being proactive and engaged in sharing feedback. I strive for you to feel cared for and heard while experiencing a safe and authentic connection. My goal is for us to develop a deeper understanding of what brings you to therapy while providing effective tools for lasting change.
(415) 360-0413 View (415) 360-0413
Photo of Bradford Smallwood, Marriage & Family Therapist in San Francisco, CA
Bradford Smallwood
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
San Francisco, CA 94114
I'm a Marriage & Family Therapist in the Noe Valley neighborhood of San Francisco. I work primarily with individuals and some families. I have focus and experience in anger management, relationships, life transitions, and trauma. I enjoy working with teenagers and young adults as they develop their personal identity and grow towards healthy independence and need support they cannot get from their peer or parent group. I also work with a large number young adult and mid-life individuals facing career stress/fatigue and life challenges. I was previously the onsite therapist at Square (now Block) at their HQ in SF.
I'm a Marriage & Family Therapist in the Noe Valley neighborhood of San Francisco. I work primarily with individuals and some families. I have focus and experience in anger management, relationships, life transitions, and trauma. I enjoy working with teenagers and young adults as they develop their personal identity and grow towards healthy independence and need support they cannot get from their peer or parent group. I also work with a large number young adult and mid-life individuals facing career stress/fatigue and life challenges. I was previously the onsite therapist at Square (now Block) at their HQ in SF.
(415) 592-6216 View (415) 592-6216
Photo of Alanna Simmons, Clinical Social Work/Therapist in San Francisco, CA
Alanna Simmons
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94121
Hi there! My name is Alanna Simmons, and I am a licensed clinical social worker. My goal is to provide support and help you understand how trauma can affect various aspects of your life. In a therapeutic setting, I follow my client's lead, whether they want to discuss trauma, anxiety, depression, or relationship barriers. My approach to therapy is based on a variety of modalities such as Cognitive Behavioral Therapy (CBT), Strength-based Therapy, Dialectical Behavioral Therapy (DBT), Motivational Interviewing, and Solution Focused treatments.
Hi there! My name is Alanna Simmons, and I am a licensed clinical social worker. My goal is to provide support and help you understand how trauma can affect various aspects of your life. In a therapeutic setting, I follow my client's lead, whether they want to discuss trauma, anxiety, depression, or relationship barriers. My approach to therapy is based on a variety of modalities such as Cognitive Behavioral Therapy (CBT), Strength-based Therapy, Dialectical Behavioral Therapy (DBT), Motivational Interviewing, and Solution Focused treatments.
(628) 243-4689 View (628) 243-4689
Photo of Marilyn R Margiotti, Psychologist in San Francisco, CA
Marilyn R Margiotti
Psychologist, PhD
Verified Verified
San Francisco, CA 94104  (Online Only)
Waitlist for new clients
I truly enjoy helping people move from a depressed, anxious or troubled state of mind to one where goals are set and achieved, relationships are thriving, and one is engaged in life like never before. I love to help people understand why they are struggling or stuck in unhealthy patterns, and how to use that knowledge, along with their thoughts and feelings, to guide them to change for the better.
I truly enjoy helping people move from a depressed, anxious or troubled state of mind to one where goals are set and achieved, relationships are thriving, and one is engaged in life like never before. I love to help people understand why they are struggling or stuck in unhealthy patterns, and how to use that knowledge, along with their thoughts and feelings, to guide them to change for the better.
(415) 236-3069 View (415) 236-3069
Photo of Dr. Sean Robertson in San Francisco, CA
Dr. Sean Robertson
MA, PsyD
Verified Verified
San Francisco, CA 94115  (Online Only)
Start seeing challenges as opportunities to get your needs met and improve your relationship! I’m Dr. Sean Robertson, creator of RDP. I work as an online Couples Counselor and Intimacy Coach. I know relationships can be hard, even though they’re also one of the most fulfilling parts of our life. In my couples counseling I create an empathic space for learning and deep connection, while also being diligent about ensuring that clients implement the tools I teach. My methods are based in behavioral psychology, Gottman Method, and attachment psychology.
Start seeing challenges as opportunities to get your needs met and improve your relationship! I’m Dr. Sean Robertson, creator of RDP. I work as an online Couples Counselor and Intimacy Coach. I know relationships can be hard, even though they’re also one of the most fulfilling parts of our life. In my couples counseling I create an empathic space for learning and deep connection, while also being diligent about ensuring that clients implement the tools I teach. My methods are based in behavioral psychology, Gottman Method, and attachment psychology.
(415) 873-8050 View (415) 873-8050
Photo of Bowra Faiez, Marriage & Family Therapist in San Francisco, CA
Bowra Faiez
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94105  (Online Only)
Do you feel stuck in your personal life or your relationship? Are your thoughts of constant worry, hopelessness, uncertainty overwhelming your day-to-day journey? Have you decided it's time that you approach these feelings and emotions head-on? Therapy is a brave and powerful first step towards exploring what might be contributing to these feelings. I help address these experiences by utilizing a goal-oriented and solution-focused, cognitive-behavioral approach (CBT). I work with clients to help support them in bringing their strength in the room and allowing them to be able to get in touch with their inner self.
Do you feel stuck in your personal life or your relationship? Are your thoughts of constant worry, hopelessness, uncertainty overwhelming your day-to-day journey? Have you decided it's time that you approach these feelings and emotions head-on? Therapy is a brave and powerful first step towards exploring what might be contributing to these feelings. I help address these experiences by utilizing a goal-oriented and solution-focused, cognitive-behavioral approach (CBT). I work with clients to help support them in bringing their strength in the room and allowing them to be able to get in touch with their inner self.
(408) 459-4158 View (408) 459-4158
Photo of Sheron Gershelis, Pre-Licensed Professional in San Francisco, CA
Sheron Gershelis
Pre-Licensed Professional, ASW, EMDR
Verified Verified
San Francisco, CA 94114
Are you struggling with work, relational, and life stressors that have overwhelmed you and you are unsure what to do next? You're trying to open the next chapter in your life, but your past traumas and anxiety stop you. This is where I come in and help guide you in making YOUR right decision. I will help you through your journey in becoming worry-free and assist you in processing unresolved feelings and learning healthy coping skills for emotional distress
Are you struggling with work, relational, and life stressors that have overwhelmed you and you are unsure what to do next? You're trying to open the next chapter in your life, but your past traumas and anxiety stop you. This is where I come in and help guide you in making YOUR right decision. I will help you through your journey in becoming worry-free and assist you in processing unresolved feelings and learning healthy coping skills for emotional distress
(415) 964-4623 View (415) 964-4623
Photo of Colin Holtzinger, Psychologist in San Francisco, CA
Colin Holtzinger
Psychologist, PsyD
Verified Verified
San Francisco, CA 94115
Most people come to see me because they are experiencing some sort of distress that they want help with. What they come to discover is that therapy can be about so much more than relieving pain. I facilitate a process of reflection and self-discovery that can help you connect to your inner creativity and capacity to grow. I focus on helping you expand your relationships, your ability to love and receive love. And together we search for your sense of meaning, purpose, and fulfillment in life.
Most people come to see me because they are experiencing some sort of distress that they want help with. What they come to discover is that therapy can be about so much more than relieving pain. I facilitate a process of reflection and self-discovery that can help you connect to your inner creativity and capacity to grow. I focus on helping you expand your relationships, your ability to love and receive love. And together we search for your sense of meaning, purpose, and fulfillment in life.
(415) 319-8648 View (415) 319-8648
Photo of Molly Kathleen Saeger, Marriage & Family Therapist in San Francisco, CA
Molly Kathleen Saeger
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94109
Feelings and thoughts, at times, may be difficult to manage. Anxiety, depression, painful entanglements, behavioral issues, and the lingering effects of damaging experiences can exhaust us. They may also interfere with relationships and affect behaviors. Finding meaning in difficult emotions and life events can be very helpful. My hope is to provide understanding and insight that creates a safe relationship and develops a sensible model for people to discover potentially destructive patterns, what really matters to them, and how one can live a more creative, flexible, and full life.
Feelings and thoughts, at times, may be difficult to manage. Anxiety, depression, painful entanglements, behavioral issues, and the lingering effects of damaging experiences can exhaust us. They may also interfere with relationships and affect behaviors. Finding meaning in difficult emotions and life events can be very helpful. My hope is to provide understanding and insight that creates a safe relationship and develops a sensible model for people to discover potentially destructive patterns, what really matters to them, and how one can live a more creative, flexible, and full life.
(415) 964-4721 View (415) 964-4721
Photo of Abby Per Lee, Marriage & Family Therapist in San Francisco, CA
Abby Per Lee
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94121  (Online Only)
I provide a non-judgmental, warm, and supportive space for you to openly explore the discrepancy between the life you are currently leading and the one you want for yourself. Whether your goal is abstinence or moderation I will work with you to gain insight and develop skills that allow you to feel more in control of your life. And ultimately to create the life you want for yourself.
I provide a non-judgmental, warm, and supportive space for you to openly explore the discrepancy between the life you are currently leading and the one you want for yourself. Whether your goal is abstinence or moderation I will work with you to gain insight and develop skills that allow you to feel more in control of your life. And ultimately to create the life you want for yourself.
(628) 345-4618 View (628) 345-4618
Photo of Alison Hu, Psychologist in San Francisco, CA
Alison Hu
Psychologist, PhD, ABPP, PMH-C
Verified Verified
San Francisco, CA 94103
In a world that seems to throw new challenges our way every day, it is even more important to take care of our mental health. I can help. I specialize in assisting folks like you in finding their footing in this whirlwind. Whether you're struggling with work, navigating relationships, adjusting to parenthood, or simply feeling overwhelmed by everything, I am here to support you. 您好!我是胡醫生,很高興有這個榮幸來幫助您。
In a world that seems to throw new challenges our way every day, it is even more important to take care of our mental health. I can help. I specialize in assisting folks like you in finding their footing in this whirlwind. Whether you're struggling with work, navigating relationships, adjusting to parenthood, or simply feeling overwhelmed by everything, I am here to support you. 您好!我是胡醫生,很高興有這個榮幸來幫助您。
(415) 301-2833 View (415) 301-2833
Photo of Deborah Caust, Ph.D., Marriage & Family Therapist in San Francisco, CA
Deborah Caust, Ph.D.
Marriage & Family Therapist, PhD, LMFT
Verified Verified
San Francisco, CA 94123
As a Board-Certified Clinical Sexologist and Licensed Marriage, Family Therapist, I have the expertise to provide effective treatment of all sexual and relationship concerns. Therapy is interactive: I will listen to you, provide feedback, help you to understand why you are having difficulty, and use therapeutic techniques to make lasting change. I believe that therapy should be straightforward, solution-focused, and short-term. Please feel free to contact me to schedule an appointment or to get more information.
As a Board-Certified Clinical Sexologist and Licensed Marriage, Family Therapist, I have the expertise to provide effective treatment of all sexual and relationship concerns. Therapy is interactive: I will listen to you, provide feedback, help you to understand why you are having difficulty, and use therapeutic techniques to make lasting change. I believe that therapy should be straightforward, solution-focused, and short-term. Please feel free to contact me to schedule an appointment or to get more information.
(415) 233-6236 View (415) 233-6236
Photo of Stephanie Weissman, Psychologist in San Francisco, CA
Stephanie Weissman
Psychologist, PsyD
Verified Verified
San Francisco, CA 94131
We all need tools to help us navigate the difficulties of life. I am lucky to be in a position to help people gain these tools. I love working with my clients; I am always learning from them. I have a down-to-earth, accessible and active approach to my work. I draw from a variety of therapeutic techniques. I am sensitive to the interplay between social, economic, racial, emotional, and neurological factors. I continue to work in community and non-profit settings. In the Spring of 2016, I earned an Advanced Certificate from the Existential Humanistic Institute.
We all need tools to help us navigate the difficulties of life. I am lucky to be in a position to help people gain these tools. I love working with my clients; I am always learning from them. I have a down-to-earth, accessible and active approach to my work. I draw from a variety of therapeutic techniques. I am sensitive to the interplay between social, economic, racial, emotional, and neurological factors. I continue to work in community and non-profit settings. In the Spring of 2016, I earned an Advanced Certificate from the Existential Humanistic Institute.
(650) 489-5447 View (650) 489-5447
Photo of Gary Stolzoff, Psychologist in San Francisco, CA
Gary Stolzoff
Psychologist, PhD
Verified Verified
San Francisco, CA 94109
I have been in private practice since 1981 and I am a Clinical Professor in the Department of Psychiatry at UCSF Medical School. I am dedicated to working collaboratively with people to efficiently address their clinical issues with warmth and compassion.
I have been in private practice since 1981 and I am a Clinical Professor in the Department of Psychiatry at UCSF Medical School. I am dedicated to working collaboratively with people to efficiently address their clinical issues with warmth and compassion.
(415) 689-8685 View (415) 689-8685
Photo of Alyssa Kianidehkian, Marriage & Family Therapist in San Francisco, CA
Alyssa Kianidehkian
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94115
Hi, I'm Alyssa! For the last 12+ years, I have specialized in working with children, adolescents, and young adults ages 5 - 30. I have extensive experience working with clients in a variety of settings who are experiencing anxiety, depression, behavioral issues, family conflict, grief and loss, attachment issues, relationship challenges, low self-esteem, questioning their identity, and having difficulty with life transitions. It is my strong belief that family and parenting support is a core component of working with children and adolescents, as a healthy family system is so impactful and important for them.
Hi, I'm Alyssa! For the last 12+ years, I have specialized in working with children, adolescents, and young adults ages 5 - 30. I have extensive experience working with clients in a variety of settings who are experiencing anxiety, depression, behavioral issues, family conflict, grief and loss, attachment issues, relationship challenges, low self-esteem, questioning their identity, and having difficulty with life transitions. It is my strong belief that family and parenting support is a core component of working with children and adolescents, as a healthy family system is so impactful and important for them.
(415) 969-3683 View (415) 969-3683
Photo of Mountain Bloom Therapy, Marriage & Family Therapist in San Francisco, CA
Mountain Bloom Therapy
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Francisco, CA 94121  (Online Only)
I work with motivated people who have perhaps come to realize that they are stuck in fight or flight, always feel “on”, stressed, or frozen in their lives. People seek me out to work on anxiety, depression, and complex traumatic issues like abuse, neglect, and suicidality. Many clients simply seek balance in their lives and to feel connected to themselves and others again. I also work with those in/or seeking recovery or harm reduction from substance use and/or behavioral addictions. While I am not a substance use counselor, I can work as a part of your recovery team to help strengthen your recovery and reduce relapses.
I work with motivated people who have perhaps come to realize that they are stuck in fight or flight, always feel “on”, stressed, or frozen in their lives. People seek me out to work on anxiety, depression, and complex traumatic issues like abuse, neglect, and suicidality. Many clients simply seek balance in their lives and to feel connected to themselves and others again. I also work with those in/or seeking recovery or harm reduction from substance use and/or behavioral addictions. While I am not a substance use counselor, I can work as a part of your recovery team to help strengthen your recovery and reduce relapses.
(628) 250-3679 View (628) 250-3679
Photo of Rachel Arthur, Clinical Social Work/Therapist in San Francisco, CA
Rachel Arthur
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94118  (Online Only)
Feeling stress, anxiety and sadness during this unprecedented time is normal. Using Cognitive Behavioral Therapy and an eclectic approach based on individual needs, I can work with you to change the negative thoughts and behaviors that may be leading to unhealthy patterns in your life or that may be making you feel stuck. Whether you are coping with sadness or stress as a result of the pandemic, or struggling with anxiety, depression, relationship or self-esteem issues that started awhile back, I can provide you with the tools to lead a more enjoyable and satisfying life.
Feeling stress, anxiety and sadness during this unprecedented time is normal. Using Cognitive Behavioral Therapy and an eclectic approach based on individual needs, I can work with you to change the negative thoughts and behaviors that may be leading to unhealthy patterns in your life or that may be making you feel stuck. Whether you are coping with sadness or stress as a result of the pandemic, or struggling with anxiety, depression, relationship or self-esteem issues that started awhile back, I can provide you with the tools to lead a more enjoyable and satisfying life.
(415) 965-6227 View (415) 965-6227
Photo of Leila Kakunda, Marriage & Family Therapist in San Francisco, CA
Leila Kakunda
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Francisco, CA 94114  (Online Only)
Hi there and welcome! I am Leila, a licensed Marriage and Family Therapist located in San Francisco. Over the last several years, I have supported my clients with anxiety, depression, parenting challenges, relationship issues, trauma and life's transitions. My style of therapy is relational, strength based and integrative. Through the therapeutic relationship and collaborating on practices like self-compassion, body-mind integration, and boundary-setting, I support my clients on their paths to finding relief from their symptoms and building a sense of empowerment.
Hi there and welcome! I am Leila, a licensed Marriage and Family Therapist located in San Francisco. Over the last several years, I have supported my clients with anxiety, depression, parenting challenges, relationship issues, trauma and life's transitions. My style of therapy is relational, strength based and integrative. Through the therapeutic relationship and collaborating on practices like self-compassion, body-mind integration, and boundary-setting, I support my clients on their paths to finding relief from their symptoms and building a sense of empowerment.
(415) 660-9615 View (415) 660-9615
Photo of Paul L Bowman, Psychologist in San Francisco, CA
Paul L Bowman
Psychologist, PhD
Verified Verified
San Francisco, CA 94114
We all struggle at times to learn from life and to become our best selves. As a young man I pursued a variety of strategies, healthy and unhealthy, to cope with my own struggles. I think we all do that. When I entered into psychotherapy for the first time I found the help that I needed to learn and to grow and to overcome the struggles that had been so overwhelming for me. I became a psychologist to pass on what had been so helpful for me.
We all struggle at times to learn from life and to become our best selves. As a young man I pursued a variety of strategies, healthy and unhealthy, to cope with my own struggles. I think we all do that. When I entered into psychotherapy for the first time I found the help that I needed to learn and to grow and to overcome the struggles that had been so overwhelming for me. I became a psychologist to pass on what had been so helpful for me.
(415) 858-6481 View (415) 858-6481
Photo of Ginger Elena Barros, Marriage & Family Therapist in San Francisco, CA
Ginger Elena Barros
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94106  (Online Only)
Hi there, thank you for checking my profile out. Are you or someone you know struggling with trauma, anxiety, depression, or Autism. Then your heading in the right direction by looking at my profile. The first thing I want to say is thank you for taking a step in the right direction and seeking help. It is a huge frightening step and I am honored that you might be wanting me to join in your process. Finding a therapist online is extremely difficult and challenging. I want you to know I am up for that challenging, I am willing to walk by your side and explore every aspect that you want to explore.
Hi there, thank you for checking my profile out. Are you or someone you know struggling with trauma, anxiety, depression, or Autism. Then your heading in the right direction by looking at my profile. The first thing I want to say is thank you for taking a step in the right direction and seeking help. It is a huge frightening step and I am honored that you might be wanting me to join in your process. Finding a therapist online is extremely difficult and challenging. I want you to know I am up for that challenging, I am willing to walk by your side and explore every aspect that you want to explore.
(628) 258-6999 View (628) 258-6999

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.