Photo of Miranda Duncan, LCSW, Clinical Social Work/Therapist
Miranda Duncan
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92111
Hi there, I'm Miranda, a licensed clinical social worker. I am a mother of four and have been in private practice for about five years. Before that, I worked in clinical settings, in criminal and family courts and shelters. Much of my experience has been with at-risk youth and victims of domestic violence so I mainly utilize a trauma-informed approach. However, I don't subscribe to any single theoretical approach, and employ Cognitive Behavioral Therapy, Mindfulness, and Psychodynamic techniques based on each individual. I will also teach you the skills to help you contain any reactions or symptoms that come up while processing.
Hi there, I'm Miranda, a licensed clinical social worker. I am a mother of four and have been in private practice for about five years. Before that, I worked in clinical settings, in criminal and family courts and shelters. Much of my experience has been with at-risk youth and victims of domestic violence so I mainly utilize a trauma-informed approach. However, I don't subscribe to any single theoretical approach, and employ Cognitive Behavioral Therapy, Mindfulness, and Psychodynamic techniques based on each individual. I will also teach you the skills to help you contain any reactions or symptoms that come up while processing.
(858) 504-6621 View (858) 504-6621
Photo of Johanna Cooke, LCSW, Clinical Social Work/Therapist
Johanna Cooke
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92111
The therapy experience is a unique and dynamic process for each individual toward self-realization. From a client-centered strengths-based orientation, it is my goal to create a safe environment with unconditional positive regard where each person can feel welcomed, understood, and accepted as their true self. I specialize in working with adolescents, adults, and couples. I have completed the Level II Certified Clinical Trauma Professional.
The therapy experience is a unique and dynamic process for each individual toward self-realization. From a client-centered strengths-based orientation, it is my goal to create a safe environment with unconditional positive regard where each person can feel welcomed, understood, and accepted as their true self. I specialize in working with adolescents, adults, and couples. I have completed the Level II Certified Clinical Trauma Professional.
(619) 457-4434 View (619) 457-4434
Photo of Serene Shibly, MA, APCC
Serene Shibly
Associate Professional Clinical Counselor, MA, APCC
Verified Verified
San Diego, CA 92111  (Online Only)
I see clients through, AMALY, a nonprofit mental health organization that focuses on multicultural therapy. I have worked with a diverse age range from children, teenagers, all the way to older adults from many cultural backgrounds. I value incorporating various identities and roles her clients hold into her clinical work. I have a passion for women's issues and intergenerational trauma. I believe in breaking down barriers and stigma, connecting spirituality to mental health, and healing in nature.
I see clients through, AMALY, a nonprofit mental health organization that focuses on multicultural therapy. I have worked with a diverse age range from children, teenagers, all the way to older adults from many cultural backgrounds. I value incorporating various identities and roles her clients hold into her clinical work. I have a passion for women's issues and intergenerational trauma. I believe in breaking down barriers and stigma, connecting spirituality to mental health, and healing in nature.
(619) 505-3750 View (619) 505-3750
Photo of Dr. Renate Ward - Ward Learning Solutions, EdD, ABSNP, NCSP
Ward Learning Solutions
Licensed Educational Psychologist, EdD, ABSNP, NCSP
Verified Verified
San Diego, CA 92111
Is your child struggling in school with learning or behavior? Are you concerned they may have a learning disability, emotional disability, or neurological disorder such as ADHD or Autism? Are you an adult in college or a career where you have/suspect a learning disability impacting your performance? Dr. Ward's goal is to assist parents in being the best advocate for their children by providing knowledge, guidance, and confidence that they are doing everything possible to maximize their child’s learning potential. Dr. Ward also specializes in DHH assessments with 13 years of teaching and 10 years of assessing this population in ASL.
Is your child struggling in school with learning or behavior? Are you concerned they may have a learning disability, emotional disability, or neurological disorder such as ADHD or Autism? Are you an adult in college or a career where you have/suspect a learning disability impacting your performance? Dr. Ward's goal is to assist parents in being the best advocate for their children by providing knowledge, guidance, and confidence that they are doing everything possible to maximize their child’s learning potential. Dr. Ward also specializes in DHH assessments with 13 years of teaching and 10 years of assessing this population in ASL.
(619) 975-3273 View (619) 975-3273
Photo of Nicole Simpson - Monima Wellness Center for Women, Pre-Licensed Professional
Monima Wellness Center for Women
Pre-Licensed Professional
Verified Verified
San Diego, CA 92111
At Monima, we recognize that recovery looks different for everyone. We offer comprehensive and individualized care based on the unique needs of each client and where they are in their wellness journey. We approach mental health treatment and recovery using a combination of both holistic and evidence based modalities.
At Monima, we recognize that recovery looks different for everyone. We offer comprehensive and individualized care based on the unique needs of each client and where they are in their wellness journey. We approach mental health treatment and recovery using a combination of both holistic and evidence based modalities.
(858) 504-6525 View (858) 504-6525
Photo of Cody Elder, LMFT, Marriage & Family Therapist
Cody Elder
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92111
Hello! My name is Cody Elder. I am a Licensed Marriage and Family Therapist with 7 years of experience in primary substance use, dual diagnosis, and primary mental health treatment. I feel the best tool in the therapeutic experience is the relationship and a strong teamwork element to therapy. I typically work with clients who are struggling with life transitions, grief, loss of sense of purpose, and needing help in building tools to allow them to discover their own capabilities.
Hello! My name is Cody Elder. I am a Licensed Marriage and Family Therapist with 7 years of experience in primary substance use, dual diagnosis, and primary mental health treatment. I feel the best tool in the therapeutic experience is the relationship and a strong teamwork element to therapy. I typically work with clients who are struggling with life transitions, grief, loss of sense of purpose, and needing help in building tools to allow them to discover their own capabilities.
(619) 514-1525 View (619) 514-1525
Photo of Hermin Youssefian, LIMFT, Marriage & Family Therapist
Hermin Youssefian
Marriage & Family Therapist, LIMFT
Verified Verified
San Diego, CA 92111
I am a licensed Marriage and Family Therapist (LIC 45270). I began my training as a psychotherapist in 1994, with a focus on working with couples, adults and families, particularly clients with a history of trauma and significant losses.
I am a licensed Marriage and Family Therapist (LIC 45270). I began my training as a psychotherapist in 1994, with a focus on working with couples, adults and families, particularly clients with a history of trauma and significant losses.
(858) 203-2275 View (858) 203-2275
Photo of Nadine Hyde, PsyD, Psychologist
Nadine Hyde
Psychologist, PsyD
Verified Verified
San Diego, CA 92111  (Online Only)
I enjoy working with clients from all backgrounds. I believe therapy is a collaborative process with the overall goal to achieve healthier balance and desired goals. Life has many challenges and we can all benefit from some support and guidance during difficult times in our lives. In my practice, I have worked extensively with individuals, couples, and adolescents. I work with the insights gained in therapy so clients feel validated and accepted, in their journey to achieve the lives they want to lead.
I enjoy working with clients from all backgrounds. I believe therapy is a collaborative process with the overall goal to achieve healthier balance and desired goals. Life has many challenges and we can all benefit from some support and guidance during difficult times in our lives. In my practice, I have worked extensively with individuals, couples, and adolescents. I work with the insights gained in therapy so clients feel validated and accepted, in their journey to achieve the lives they want to lead.
(858) 529-1533 View (858) 529-1533
Photo of Stacey Beckerley, Marriage & Family Therapist Intern
Stacey Beckerley
Marriage & Family Therapist Intern
Verified Verified
San Diego, CA 92111
Hi there! My name is Stacey Beckerley and I am a Therapist Trainee working to gain the client contact hours to become a licensed Marriage and Family Therapist. I am under the supervision of Melinda Haynes, MA, LMFT 102308 at Family & Children Counseling Services. I believe that within each of us we have the ability to heal and to become who we envision ourselves to be. Life can be hard, our circumstances can be tough and unfair, but we all have the power within ourselves to heal and to emerge from life experiences stronger and a more empowered individual. Available for telehealth and community based in San Diego.
Hi there! My name is Stacey Beckerley and I am a Therapist Trainee working to gain the client contact hours to become a licensed Marriage and Family Therapist. I am under the supervision of Melinda Haynes, MA, LMFT 102308 at Family & Children Counseling Services. I believe that within each of us we have the ability to heal and to become who we envision ourselves to be. Life can be hard, our circumstances can be tough and unfair, but we all have the power within ourselves to heal and to emerge from life experiences stronger and a more empowered individual. Available for telehealth and community based in San Diego.
(530) 362-5979 View (530) 362-5979
Photo of Celia Cruz-Elmassian Lcsw, LCSW, Clinical Social Work/Therapist
Celia Cruz-Elmassian Lcsw
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92111
You try to put on a brave face, but you've been struggling for a while. Balancing the many demands of life - work, relationships, school, stressful surprises - can feel overwhelming for everyone and it can impact our ability to function in the healthiest of ways. You know you have to try to keep that brave face on and try to be "happy" but you're not even sure what happy means anymore. You need to figure out how to live your own best life, and not everyone else's
You try to put on a brave face, but you've been struggling for a while. Balancing the many demands of life - work, relationships, school, stressful surprises - can feel overwhelming for everyone and it can impact our ability to function in the healthiest of ways. You know you have to try to keep that brave face on and try to be "happy" but you're not even sure what happy means anymore. You need to figure out how to live your own best life, and not everyone else's
(858) 463-4212 x100 View (858) 463-4212 x100
Photo of Yisook E Baik, MSW, LCSW, Clinical Social Work/Therapist
Yisook E Baik
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
San Diego, CA 92111
Immediate openings in CA via telehealth, offering in person sessions Saturday morning in San Diego. Over 20 years of my practice, I have seen almost every issue stems from our self-concept. The relationship we have with our self-concept prevents our ability to achieve our full potential and happiness. I can help you find the attention and honor you deserve first, then tackle your particular challenges at the present time. "Rock bottom became the solid foundation on which I rebuilt my life" -J. K. Rowling
Immediate openings in CA via telehealth, offering in person sessions Saturday morning in San Diego. Over 20 years of my practice, I have seen almost every issue stems from our self-concept. The relationship we have with our self-concept prevents our ability to achieve our full potential and happiness. I can help you find the attention and honor you deserve first, then tackle your particular challenges at the present time. "Rock bottom became the solid foundation on which I rebuilt my life" -J. K. Rowling
(858) 799-0273 View (858) 799-0273
Photo of Marelys Padilla, LCSW, PMH-C, Clinical Social Work/Therapist
Marelys Padilla
Clinical Social Work/Therapist, LCSW, PMH-C
Verified Verified
4 Endorsed
San Diego, CA 92111  (Online Only)
Not accepting new clients
Acknowledging your emotional pain and accessing help are the first steps towards wellness. You deserve the highest of praise for loving yourself and your family enough to embark on the path towards healing. I am so glad you are here! I can offer you a safe space to navigate the complexity of emotions that comes with wanting or actively raising a family. If you have suffered a loss, together we can work to transform debilitating grief into a more peaceful and dynamic experience. Through our work together, we can foster presence with your emotional process and encourage your healing. Caring for yourself is caring for your family!
Acknowledging your emotional pain and accessing help are the first steps towards wellness. You deserve the highest of praise for loving yourself and your family enough to embark on the path towards healing. I am so glad you are here! I can offer you a safe space to navigate the complexity of emotions that comes with wanting or actively raising a family. If you have suffered a loss, together we can work to transform debilitating grief into a more peaceful and dynamic experience. Through our work together, we can foster presence with your emotional process and encourage your healing. Caring for yourself is caring for your family!
(858) 533-1064 View (858) 533-1064
Photo of Aku Adjibolosoo, LMFT, Marriage & Family Therapist
Aku Adjibolosoo
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92111  (Online Only)
Not accepting new clients
Are you feeling lost or looking for some direction after a recent life change? Are you looking to improve relationships with significant people in your life? Do you feel like you can't get a handle on your anxiety? If you can relate to the above, keep reading and see how therapy with Aku may help you learn to feel confident that you have the skills to manage your current stressors. Aku works with POC, adult children of immigrant parents, musicians, artists, and other creatives. She utilizes a combination of a cognitive behavioral and solution focused, yet supportive, approach.
Are you feeling lost or looking for some direction after a recent life change? Are you looking to improve relationships with significant people in your life? Do you feel like you can't get a handle on your anxiety? If you can relate to the above, keep reading and see how therapy with Aku may help you learn to feel confident that you have the skills to manage your current stressors. Aku works with POC, adult children of immigrant parents, musicians, artists, and other creatives. She utilizes a combination of a cognitive behavioral and solution focused, yet supportive, approach.
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Photo of Max Doshay, PsyD, Psychologist
Max Doshay
Psychologist, PsyD
Verified Verified
San Diego, CA 92111
Dr. Max Doshay believes it is of utmost importance to treat all patients holistically and examine all levels of their functioning. Incorporating a variety of evidence-based assessment methods such as the WAIS IV, MMPI 3, WRAML 3, TAT, Vineland Adaptive Scales, and Bender Visual Spatial Gestalt Test (and more!), Dr. Max and his team can help tailor an individualized treatment plan through Neuropsychological Evaluations that meets the patient’s specific wants and needs instead of applying a “one size fits all” therapeutic technique used by many in the mental health industry.
Dr. Max Doshay believes it is of utmost importance to treat all patients holistically and examine all levels of their functioning. Incorporating a variety of evidence-based assessment methods such as the WAIS IV, MMPI 3, WRAML 3, TAT, Vineland Adaptive Scales, and Bender Visual Spatial Gestalt Test (and more!), Dr. Max and his team can help tailor an individualized treatment plan through Neuropsychological Evaluations that meets the patient’s specific wants and needs instead of applying a “one size fits all” therapeutic technique used by many in the mental health industry.
(858) 346-6571 View (858) 346-6571
Photo of Amanda L Walker, MS, LMFT, Marriage & Family Therapist
Amanda L Walker
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Diego, CA 92111
Not accepting new clients
Hi! We are currently accepting clients in Kearny Mesa. The Comprehensive Counseling Center focuses on helping clients find balance, generate alternative solutions, and change direction toward a more peaceful and fulfilling life. It is my belief that lasting change occurs though utilizing a meaningful therapeutic relationship. I cannot wait to join you in this journey towards a balanced and meaningful life.
Hi! We are currently accepting clients in Kearny Mesa. The Comprehensive Counseling Center focuses on helping clients find balance, generate alternative solutions, and change direction toward a more peaceful and fulfilling life. It is my belief that lasting change occurs though utilizing a meaningful therapeutic relationship. I cannot wait to join you in this journey towards a balanced and meaningful life.
(858) 333-4709 View (858) 333-4709
Photo of Laci James, MA, LMFT, LPCC, Marriage & Family Therapist
Laci James
Marriage & Family Therapist, MA, LMFT, LPCC
Verified Verified
1 Endorsed
San Diego, CA 92111  (Online Only)
Congratulations on starting your journey to change! Have you been feeling stuck with accomplishing goals or promoting long term change? Have you been through multiple types of providers without feeling satisfied with your progress? The pressures of today can feel daunting. Balancing our work, social life, families, finances, physical health, and mental health is no small feat. We are bound to burn out without the proper relationships and support from those who can hold accountable and push us to dig deeper.
Congratulations on starting your journey to change! Have you been feeling stuck with accomplishing goals or promoting long term change? Have you been through multiple types of providers without feeling satisfied with your progress? The pressures of today can feel daunting. Balancing our work, social life, families, finances, physical health, and mental health is no small feat. We are bound to burn out without the proper relationships and support from those who can hold accountable and push us to dig deeper.
(858) 434-8363 View (858) 434-8363
Photo of Makenzie Gilliam, LMFT, Marriage & Family Therapist
Makenzie Gilliam
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92111  (Online Only)
I work collaboratively with individuals, couples and families to create a path toward specific goals for therapy. Throughout the years I have worked with people from all different walks of life, and I believe in the importance of individualizing treatment to each person and their experiences. I have extensive knowledge of eating disorders and have assisted people of all ages in better understanding and overcoming their disordered eating behaviors. I understand how alcohol and drug addiction, eating disorders, depression, anxiety, grief and loss, and trauma can leave you feeling disconnected from parts of yourself and others.
I work collaboratively with individuals, couples and families to create a path toward specific goals for therapy. Throughout the years I have worked with people from all different walks of life, and I believe in the importance of individualizing treatment to each person and their experiences. I have extensive knowledge of eating disorders and have assisted people of all ages in better understanding and overcoming their disordered eating behaviors. I understand how alcohol and drug addiction, eating disorders, depression, anxiety, grief and loss, and trauma can leave you feeling disconnected from parts of yourself and others.
(858) 251-8438 View (858) 251-8438
Photo of Rabia Khara, MA, MS, MFT, PCC, RDT, Marriage & Family Therapist
Rabia Khara
Marriage & Family Therapist, MA, MS, MFT, PCC, RDT
Verified Verified
1 Endorsed
San Diego, CA 92111
Finding a therapist can be challenging because of that I am a conduit for hope and healing to you as your therapist. Therapy is a collaborative process that involves openness & receptivity founded on the desire to change for the better. It is within your reach. Sometimes life will throw a curveball and we find ourselves getting off track. That is where I step in and help you realign yourself to your true purpose in life and in the process of doing so new discoveries are made and new pathways are created. It is the stumbling upon, the revelations, the insights that help us grow and change. I am humbled to be a part of the process.
Finding a therapist can be challenging because of that I am a conduit for hope and healing to you as your therapist. Therapy is a collaborative process that involves openness & receptivity founded on the desire to change for the better. It is within your reach. Sometimes life will throw a curveball and we find ourselves getting off track. That is where I step in and help you realign yourself to your true purpose in life and in the process of doing so new discoveries are made and new pathways are created. It is the stumbling upon, the revelations, the insights that help us grow and change. I am humbled to be a part of the process.
(424) 407-8687 View (424) 407-8687
Photo of Mark Kuntz, LCSW, Clinical Social Work/Therapist
Mark Kuntz
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92111
My name is Mark Kuntz and I am a licensed clinical Social Worker. My area of focus is adults and older adults focused on issues of grief and loss, role transition, interpersonal conflict, depression, anxiety, and trauma. I typically work with clients experiencing grief or loss, role transitions, interpersonal conflict, anxiety, depression, and trauma. My approach to therapy utilizes Cognitive Behavioral (CBT), Interpersonal (IPT), and Motivational Interviewing Therapeutic techniques.
My name is Mark Kuntz and I am a licensed clinical Social Worker. My area of focus is adults and older adults focused on issues of grief and loss, role transition, interpersonal conflict, depression, anxiety, and trauma. I typically work with clients experiencing grief or loss, role transitions, interpersonal conflict, anxiety, depression, and trauma. My approach to therapy utilizes Cognitive Behavioral (CBT), Interpersonal (IPT), and Motivational Interviewing Therapeutic techniques.
(619) 349-9093 View (619) 349-9093
Photo of Angelica Figueroa, LCSW, Clinical Social Work/Therapist
Angelica Figueroa
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92111
Welcome! I am Angélica Figueroa a Licensed Clinical Social Worker. My goal is to help my clients understand the roots of their mental health challenges and unearth the healing strength of addressing trauma. My approach to providing therapy is a collaborative approach. I will walk the journey to healing with you. Therapy is focused on treating the trauma via the use of evidence-based practices such as Eye Movement Desensitization and Reprocessing (EMDR) Therapy, Cognitive Behavior Therapy (CBT), and other therapies.
Welcome! I am Angélica Figueroa a Licensed Clinical Social Worker. My goal is to help my clients understand the roots of their mental health challenges and unearth the healing strength of addressing trauma. My approach to providing therapy is a collaborative approach. I will walk the journey to healing with you. Therapy is focused on treating the trauma via the use of evidence-based practices such as Eye Movement Desensitization and Reprocessing (EMDR) Therapy, Cognitive Behavior Therapy (CBT), and other therapies.
(619) 598-1311 View (619) 598-1311

How does your Therapist compare?

Number of Therapists in 92111

100+

Average cost per session

$175

Therapists in 92111 who prioritize treating:

97% Anxiety
94% Depression
68% Relationship Issues
64% Grief
64% Trauma and PTSD
63% Life Transitions
59% Stress

Average years in practice

12 Years

Top 3 insurances accepted

89% Aetna
79% Cigna and Evernorth
65% UnitedHealthcare UHC | UBH

How Therapists in 92111 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 92111?

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.