Therapists in San Antonio, TX

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Photo of Matthew Steph Schultz, MA, LPC, Licensed Professional Counselor
Matthew Steph Schultz
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230
Hello and welcome to my page! My name is Steph, and I'm a licensed professional counselor passionate about serving the community! I have years of experience working both in- and outdoors, serving a wide range of folks including people with psychosis, depression, anxiety, as well as long-term posttraumatic stress. Through my application of modalities including cognitive behavioral therapy (CBT) as well as cognitive processing therapy (CPT) and cognitive adaptation training (CAT), I have since helped many friendly faces become the successful person they first imagined they could be!
Hello and welcome to my page! My name is Steph, and I'm a licensed professional counselor passionate about serving the community! I have years of experience working both in- and outdoors, serving a wide range of folks including people with psychosis, depression, anxiety, as well as long-term posttraumatic stress. Through my application of modalities including cognitive behavioral therapy (CBT) as well as cognitive processing therapy (CPT) and cognitive adaptation training (CAT), I have since helped many friendly faces become the successful person they first imagined they could be!
(210) 972-3751 View (210) 972-3751
Photo of Jacqueline Gutierrez, LPC, Licensed Professional Counselor
Jacqueline Gutierrez
Licensed Professional Counselor, LPC
Verified Verified
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 Jennifer Wilson, PhD, Psychologist
Jennifer Wilson
Psychologist, PhD
Verified Verified
1 Endorsed
San Antonio, TX 78258  (Online Only)
Book with me now by clicking on my website. Clinically, I consider myself to be a generalist though I have specialized in rehabilitation and disability psychology. Psychotherapy is an active process where I see my role as collaborative in addressing the issues, questions, or concerns you bring to our meetings. We usually develop an understanding for how we might work beginning in the first session with the understanding it can flex to address additional therapy needs or crises.
Book with me now by clicking on my website. Clinically, I consider myself to be a generalist though I have specialized in rehabilitation and disability psychology. Psychotherapy is an active process where I see my role as collaborative in addressing the issues, questions, or concerns you bring to our meetings. We usually develop an understanding for how we might work beginning in the first session with the understanding it can flex to address additional therapy needs or crises.
(210) 796-3889 View (210) 796-3889
Photo of Kelly Thompson, LCSW, Clinical Social Work/Therapist
Kelly Thompson
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78232  (Online Only)
I see my role as being one who walks alongside you to help you navigate the twists and turns on the path of life. While working together I will be right here holding a lantern whenever we get to something that needs a little warm light shone on it. From a clinical perspective, my approach combines cognitive-behavioral, existential, solution-focused, and person-centered treatment modalities, all of which is to say, I treat the "whole person.
I see my role as being one who walks alongside you to help you navigate the twists and turns on the path of life. While working together I will be right here holding a lantern whenever we get to something that needs a little warm light shone on it. From a clinical perspective, my approach combines cognitive-behavioral, existential, solution-focused, and person-centered treatment modalities, all of which is to say, I treat the "whole person.
(903) 501-3799 View (903) 501-3799
Photo of Rocio A Portales, MS, LPC, Licensed Professional Counselor
Rocio A Portales
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78229
Hi! My name is Rocio and I am a bilingual therapist. I'd love to walk with you through your journey of mental health healing.
Hi! My name is Rocio and I am a bilingual therapist. I'd love to walk with you through your journey of mental health healing.
(726) 227-2776 View (726) 227-2776
Photo of Dorothy 'dory' Warren, MA, LPC-S, Licensed Professional Counselor
Dorothy 'dory' Warren
Licensed Professional Counselor, MA, LPC-S
Verified Verified
2 Endorsed
San Antonio, TX 78216
The connection between client and therapist is the main factor necessary for successful therapeutic change. I will help you clarify essential goals, that once achieved will lead to you firing me. By being "client-centered", our sessions will be led by you and I will walk with you during your journey, adding evidence-based information, posing insight-oriented questions and helping present relative information in a novel context (due to my being unbiased). "Firing" your therapist means you feel confident to utilize new skills to better manage life:)
The connection between client and therapist is the main factor necessary for successful therapeutic change. I will help you clarify essential goals, that once achieved will lead to you firing me. By being "client-centered", our sessions will be led by you and I will walk with you during your journey, adding evidence-based information, posing insight-oriented questions and helping present relative information in a novel context (due to my being unbiased). "Firing" your therapist means you feel confident to utilize new skills to better manage life:)
(210) 794-8171 View (210) 794-8171
Photo of Marchele Lott, LMFT, Marriage & Family Therapist
Marchele Lott
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Antonio, TX 78216
You’re the strong one. The one everyone comes to for help. The one family, friends, and coworkers rely on. But what if the strong one, the loyal one, the one everyone looks to "fix it," needs support too? What if you could flow through your days without the mental pressure of the “have to” or the guilt of not feeling you’re doing enough? What if you could honor your mental and emotional capacity while setting and maintaining healthy boundaries with yourself and others? What if I told you this was possible?
You’re the strong one. The one everyone comes to for help. The one family, friends, and coworkers rely on. But what if the strong one, the loyal one, the one everyone looks to "fix it," needs support too? What if you could flow through your days without the mental pressure of the “have to” or the guilt of not feeling you’re doing enough? What if you could honor your mental and emotional capacity while setting and maintaining healthy boundaries with yourself and others? What if I told you this was possible?
(726) 227-3424 View (726) 227-3424
Photo of Kristi McClatchy, LPC, MA, Licensed Professional Counselor
Kristi McClatchy
Licensed Professional Counselor, LPC, MA
Verified Verified
1 Endorsed
San Antonio, TX 78216  (Online Only)
I specialize in supporting women, LGBTQIA+ folks, young adults, and mothers, ages 18-35 who may be having difficulties with anxiety or simply need a safe space to talk about their experiences and their lives. My goal is to provide a welcoming, warm, and affirming place for you to process through not only your daily stressors, but to unpack some of your childhood experiences that may be manifesting in the present moment. I believe you are the expert on yourself and my role is to listen, validate, and work in collaboration with you to establish short-term and long-term healing goals.
I specialize in supporting women, LGBTQIA+ folks, young adults, and mothers, ages 18-35 who may be having difficulties with anxiety or simply need a safe space to talk about their experiences and their lives. My goal is to provide a welcoming, warm, and affirming place for you to process through not only your daily stressors, but to unpack some of your childhood experiences that may be manifesting in the present moment. I believe you are the expert on yourself and my role is to listen, validate, and work in collaboration with you to establish short-term and long-term healing goals.
(210) 934-6423 View (210) 934-6423
Photo of Yvonne Thomas, LPC, Licensed Professional Counselor
Yvonne Thomas
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78261  (Online Only)
Hi there, I'm Yvonne. I am an empathetic therapist who has military experience. I devoted over 22 years to empowering and guiding others to be successful in becoming the person they wanted to be while serving their country. Are you struggling to be authentic in your relationships, work and with your self? Is it hard to be kind to yourself? Together, we can identify what's not working and get you back to where you want to be in life. We'll use a whole self approach, addressing the needs of your mind, body and spirit.
Hi there, I'm Yvonne. I am an empathetic therapist who has military experience. I devoted over 22 years to empowering and guiding others to be successful in becoming the person they wanted to be while serving their country. Are you struggling to be authentic in your relationships, work and with your self? Is it hard to be kind to yourself? Together, we can identify what's not working and get you back to where you want to be in life. We'll use a whole self approach, addressing the needs of your mind, body and spirit.
(410) 755-5381 View (410) 755-5381
Photo of Stacey Hernandez, MS, LPC, Licensed Professional Counselor
Stacey Hernandez
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78216
I specialize in grief and loss, anxiety, depression, stress management, and trauma, with 14 years of experience in counseling in various settings, such as school settings, children's bereavement center, and rape crisis center. I am dedicated to providing personalized care and support to each client. Over the years, I have had the privilege of helping numerous individuals achieve improved mental health, enhanced coping skills, and increased self-awareness.
I specialize in grief and loss, anxiety, depression, stress management, and trauma, with 14 years of experience in counseling in various settings, such as school settings, children's bereavement center, and rape crisis center. I am dedicated to providing personalized care and support to each client. Over the years, I have had the privilege of helping numerous individuals achieve improved mental health, enhanced coping skills, and increased self-awareness.
(210) 560-3542 View (210) 560-3542
Photo of Kadean Ortiz, MS, LPCA, NCC
Kadean Ortiz
LPC-Associates, MS, LPCA, NCC
Verified Verified
San Antonio, TX 78230
I strongly believe in the power of resiliency and the ability to heal. “No matter how bleak or menacing a situation may appear, it does not entirely own us. It can’t take away our freedom to respond, our power to take action.” ―Ryder Carroll. I found that many concerns brought to therapy can result from unresolved pain or unhealthy coping strategies from the past. With various therapeutic training, I can help clients find the best pathway for their needs. Fear can sometimes be debilitating, so facing fear and building habitation is essential. “A man who fears suffering is already suffering from what he fears.” ―Michel de Montaig.
I strongly believe in the power of resiliency and the ability to heal. “No matter how bleak or menacing a situation may appear, it does not entirely own us. It can’t take away our freedom to respond, our power to take action.” ―Ryder Carroll. I found that many concerns brought to therapy can result from unresolved pain or unhealthy coping strategies from the past. With various therapeutic training, I can help clients find the best pathway for their needs. Fear can sometimes be debilitating, so facing fear and building habitation is essential. “A man who fears suffering is already suffering from what he fears.” ―Michel de Montaig.
(210) 899-5713 View (210) 899-5713
Photo of Tania Ortiz, LMFT, Marriage & Family Therapist
Tania Ortiz
Marriage & Family Therapist, LMFT
Verified Verified
San Antonio, TX 78258
Coming to therapy takes courage, I honor this first step that you have taken. Together we will set and clarify your goals, explore different paths and further your understanding of yourself. Whether you are looking for relationship help or individual therapy, I am ready to walk along side you and uncover your inner strengths and provide guidance to create lasting change and connection.
Coming to therapy takes courage, I honor this first step that you have taken. Together we will set and clarify your goals, explore different paths and further your understanding of yourself. Whether you are looking for relationship help or individual therapy, I am ready to walk along side you and uncover your inner strengths and provide guidance to create lasting change and connection.
(210) 866-8412 View (210) 866-8412
Photo of Mengisteab Eyehalik, LCSW, LMHC, Clinical Social Work/Therapist
Mengisteab Eyehalik
Clinical Social Work/Therapist, LCSW, LMHC
Verified Verified
San Antonio, TX 78233  (Online Only)
Welcome, I’m Mengisteab! If you’re feeling overwhelmed by life’s demands and expectations, you’re not alone. Many people struggle with stress, anxiety, low self-worth, relationship issues, or major life changes. But you don’t have to suffer in silence. I’m here to offer you compassionate and evidence-based support to help you heal and grow. You deserve a safe space where you can express yourself freely and be heard without judgment. In our sessions, I’ll listen attentively, respect your pace, and provide feedback and guidance along the way.
Welcome, I’m Mengisteab! If you’re feeling overwhelmed by life’s demands and expectations, you’re not alone. Many people struggle with stress, anxiety, low self-worth, relationship issues, or major life changes. But you don’t have to suffer in silence. I’m here to offer you compassionate and evidence-based support to help you heal and grow. You deserve a safe space where you can express yourself freely and be heard without judgment. In our sessions, I’ll listen attentively, respect your pace, and provide feedback and guidance along the way.
(210) 794-8374 View (210) 794-8374
Photo of Kelly A Counts, MA, LMFT, Marriage & Family Therapist
Kelly A Counts
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Antonio, TX 78257
I am a Certified EMDR Therapist and an EMDRIA Approved Consultant. I specialize in treating complex trauma, sexual trauma and the full spectrum of anxiety and stress disorders with EMDR. I am passionate about working with clients whom have been diagnosed with personality disorders, children or spouses of individuals whom have been diagnosed with personality disorders, victims of sexual abuse and survivors of incest abuse. Growth and healing is not just possible but attainable together. I approach every client as a whole and healthy being capable of unlimited growth regardless of a diagnosis or a severe history of trauma and pain.
I am a Certified EMDR Therapist and an EMDRIA Approved Consultant. I specialize in treating complex trauma, sexual trauma and the full spectrum of anxiety and stress disorders with EMDR. I am passionate about working with clients whom have been diagnosed with personality disorders, children or spouses of individuals whom have been diagnosed with personality disorders, victims of sexual abuse and survivors of incest abuse. Growth and healing is not just possible but attainable together. I approach every client as a whole and healthy being capable of unlimited growth regardless of a diagnosis or a severe history of trauma and pain.
(210) 879-7691 View (210) 879-7691
Photo of Dixie White, MEd, LPC, Licensed Professional Counselor
Dixie White
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78240
As a LPC, I bring a wealth of experience and a deep commitment to empowering my clients. With 20+ years of experience supporting individuals, I have cultivated a unique approach that blends empathy, humor, and directness to create a supportive therapeutic environment. My goal is to help clients embrace their inherent power to determine their own fulfillment. Through a collaborative process, we work closely to explore your strengths, challenges, and aspirations. Whether navigating life transitions, managing stress, or addressing deeper emotional wounds, I am dedicated to supporting you every step of the way.
As a LPC, I bring a wealth of experience and a deep commitment to empowering my clients. With 20+ years of experience supporting individuals, I have cultivated a unique approach that blends empathy, humor, and directness to create a supportive therapeutic environment. My goal is to help clients embrace their inherent power to determine their own fulfillment. Through a collaborative process, we work closely to explore your strengths, challenges, and aspirations. Whether navigating life transitions, managing stress, or addressing deeper emotional wounds, I am dedicated to supporting you every step of the way.
(210) 864-1814 View (210) 864-1814
Photo of Linda Evans - Career Coach - Launched by Linda, LLC, MA, Coach
Career Coach - Launched by Linda, LLC
MA, Coach
Verified Verified
San Antonio, TX 78259  (Online Only)
Feeling frustrated or unsatisfied about your career path? Uncertain about a career transition or career change? I've spent over 12 years helping people gain clarity and confidence in communicating who they are and what they have to offer. I guide clients through exploring options, making decisions, setting goals, and planning next steps towards a more meaningful career through personal branding and focusing on your strengths. I use my unique frameworks to organize what feels like a chaotic process so you won't feel lost or alone.
Feeling frustrated or unsatisfied about your career path? Uncertain about a career transition or career change? I've spent over 12 years helping people gain clarity and confidence in communicating who they are and what they have to offer. I guide clients through exploring options, making decisions, setting goals, and planning next steps towards a more meaningful career through personal branding and focusing on your strengths. I use my unique frameworks to organize what feels like a chaotic process so you won't feel lost or alone.
(253) 237-8121 View (253) 237-8121
Photo of Elizabeth Oldham - Transform & Renew, PLLC, LPC-S, Licensed Professional Counselor
Transform & Renew, PLLC
Licensed Professional Counselor, LPC-S
Verified Verified
1 Endorsed
San Antonio, TX 78230
Do you struggle with anxiety, depression, grief, a challenging relationship, loss of a sense of self , obsessions, or trauma that affects your day-to-day life, ability to function, and relationships? Do you feel numb, exhausted, anxious, overwhelmed or lost by just getting through the day, or just meeting the demands of your work or home? Do you wish that your relationships were improved? Now more than ever, people are feeling anxiousness and uncertain about their relationships, their well-being, and finding themselves after trauma. There is hope and support to go from stuck to unstuck. You can transform your life with our help.
Do you struggle with anxiety, depression, grief, a challenging relationship, loss of a sense of self , obsessions, or trauma that affects your day-to-day life, ability to function, and relationships? Do you feel numb, exhausted, anxious, overwhelmed or lost by just getting through the day, or just meeting the demands of your work or home? Do you wish that your relationships were improved? Now more than ever, people are feeling anxiousness and uncertain about their relationships, their well-being, and finding themselves after trauma. There is hope and support to go from stuck to unstuck. You can transform your life with our help.
(210) 201-4578 View (210) 201-4578
Treasures Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78253  (Online Only)
I provide individual, group, and family psychotherapy, focusing on Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Dialectical Behavioral Therapy (DBT) modalities. I am dedicated to helping my clients navigate their challenges and work towards their personal goals. I believe in a holistic approach to mental health and wellness, and I am committed to providing a safe, supportive, and non-judgmental space for all my clients. Please feel free to reach out to me for more information or to schedule an appointment. I look forward to working with you.
I provide individual, group, and family psychotherapy, focusing on Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Dialectical Behavioral Therapy (DBT) modalities. I am dedicated to helping my clients navigate their challenges and work towards their personal goals. I believe in a holistic approach to mental health and wellness, and I am committed to providing a safe, supportive, and non-judgmental space for all my clients. Please feel free to reach out to me for more information or to schedule an appointment. I look forward to working with you.
(210) 405-3147 View (210) 405-3147
Photo of Mark William Postell, MS, LPC, Licensed Professional Counselor
Mark William Postell
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78259
With a life of diverse experiences, I have developed a compelling ability to relate to the trials and struggles we all endure. Having a successful career in business, an enriching marriage, and fulfilling family life, I bring insights to my practice to help you succeed where life causes you to stumble. My approach encourages individuals and couples to address issues, challenge growth, and move toward healthier and more satisfying relationships. With attention to spiritual needs, you will be encouraged to place Christ at the center of your relationships and allow Him to point you toward forgiveness and restoration.
With a life of diverse experiences, I have developed a compelling ability to relate to the trials and struggles we all endure. Having a successful career in business, an enriching marriage, and fulfilling family life, I bring insights to my practice to help you succeed where life causes you to stumble. My approach encourages individuals and couples to address issues, challenge growth, and move toward healthier and more satisfying relationships. With attention to spiritual needs, you will be encouraged to place Christ at the center of your relationships and allow Him to point you toward forgiveness and restoration.
(210) 529-8530 View (210) 529-8530
Photo of Caitlin Haynes, MA, LPC, Licensed Professional Counselor
Caitlin Haynes
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78229
Not accepting new clients
If you are here reading this, you are brave. It takes courage to look inward and contemplate change. Every thought, behavior, and feeling you have that gets you closer to who you want to be and the life that you want to live is an accomplishment.
If you are here reading this, you are brave. It takes courage to look inward and contemplate change. Every thought, behavior, and feeling you have that gets you closer to who you want to be and the life that you want to live is an accomplishment.
(210) 871-0752 View (210) 871-0752
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How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

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

Average years in practice

9 Years

Top 3 insurances accepted

88% Aetna
77% BlueCross and BlueShield
76% UnitedHealthcare UHC | UBH

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.