Photo of Kristina Kenyon, LMFT, Marriage & Family Therapist
Kristina Kenyon
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Francisco, CA 94118
I believe we all come into this world being enough as we are but sometimes there are challenges, losses, difficulties, or behaviors that get in the way of what you may be wanting or where you want to be in your life. Together, we can build insight and understanding and work towards making the changes you want to see.
I believe we all come into this world being enough as we are but sometimes there are challenges, losses, difficulties, or behaviors that get in the way of what you may be wanting or where you want to be in your life. Together, we can build insight and understanding and work towards making the changes you want to see.
(415) 226-4779 View (415) 226-4779
Photo of Adrienne Elizabeth Amundsen, PhD, Psychologist
Adrienne Elizabeth Amundsen
Psychologist, PhD
Verified Verified
San Francisco, CA 94118
Because everyone comes with their own needs, goals, and styles, I am flexible in my approach. I can be practical and problem-focused, but much of my work is deeper, and deals with emotional patterns developed early in life, I work a lot with trauma and loss. Attending to the therapy relationship is also important for learning about relationship patterns and trust. I bring my love of creativity to my work as well. Working with dreams and imagery, I find, can bring surprising insight. When therapy really takes off, I find that clients often discover their own creativity and a sense of life purpose.
Because everyone comes with their own needs, goals, and styles, I am flexible in my approach. I can be practical and problem-focused, but much of my work is deeper, and deals with emotional patterns developed early in life, I work a lot with trauma and loss. Attending to the therapy relationship is also important for learning about relationship patterns and trust. I bring my love of creativity to my work as well. Working with dreams and imagery, I find, can bring surprising insight. When therapy really takes off, I find that clients often discover their own creativity and a sense of life purpose.
(415) 423-2642 View (415) 423-2642
Photo of Rhys Mason, PsyD, Psychologist
Rhys Mason
Psychologist, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94118
Are you struggling and longing for a change? Perhaps you put a great deal of effort into your relationships and work, but it seems that no one extends that same care and attention to you. Although you crave connection and meaning, you might feel weighed down by loneliness, hopelessness, and a pervading sense of disempowerment. You may feel that no one sees or values who you really are. In fact, you may be your own harshest critic, unsure of your purpose and certain you are falling short of your potential. Like so many others, you might be searching for the tools needed to live with greater confidence, satisfaction, and ease.
Are you struggling and longing for a change? Perhaps you put a great deal of effort into your relationships and work, but it seems that no one extends that same care and attention to you. Although you crave connection and meaning, you might feel weighed down by loneliness, hopelessness, and a pervading sense of disempowerment. You may feel that no one sees or values who you really are. In fact, you may be your own harshest critic, unsure of your purpose and certain you are falling short of your potential. Like so many others, you might be searching for the tools needed to live with greater confidence, satisfaction, and ease.
(415) 612-6391 View (415) 612-6391
Photo of Becca F. Barnett, MS, MDiv, PhD, Psychologist
Becca F. Barnett
Psychologist, MS, MDiv, PhD
Verified Verified
San Francisco, CA 94118
Waitlist for new clients
As a licensed psychologist skilled in providing psychotherapy that addresses the full spectrum of human experience, I collaborate with you to attain healing and resolution of your problems, advance in your growth and transformation, and increasingly realize your potential. I facilitate the integration of your sense of identity, purpose, and values with the way you live your life to endow it with greater authenticity and meaning. As an Episcopal priest and Buddhist practitioner, I foster your spiritual development and worldly integration. In these ways, I assist you in the creation of a more peaceful, happy, and fulfilling life.
As a licensed psychologist skilled in providing psychotherapy that addresses the full spectrum of human experience, I collaborate with you to attain healing and resolution of your problems, advance in your growth and transformation, and increasingly realize your potential. I facilitate the integration of your sense of identity, purpose, and values with the way you live your life to endow it with greater authenticity and meaning. As an Episcopal priest and Buddhist practitioner, I foster your spiritual development and worldly integration. In these ways, I assist you in the creation of a more peaceful, happy, and fulfilling life.
(415) 801-8173 View (415) 801-8173
Photo of Charlotte Tilson, PsyD, Psychologist
Charlotte Tilson
Psychologist, PsyD
Verified Verified
7 Endorsed
San Francisco, CA 94118
Let's talk about how you can protect, build and maintain your well-being (or your child's). I serve women, teens and kids with a focus on the promotion of emotional well-being and psychological health. I love seeing my clients use therapy to enhance their quality of life, reduce stress and become skillful guardians of their mental health. By tending to your psychological health you contribute to the well-being of the world.
Let's talk about how you can protect, build and maintain your well-being (or your child's). I serve women, teens and kids with a focus on the promotion of emotional well-being and psychological health. I love seeing my clients use therapy to enhance their quality of life, reduce stress and become skillful guardians of their mental health. By tending to your psychological health you contribute to the well-being of the world.
(415) 223-2194 View (415) 223-2194
Photo of Sarah Stroe, LCSW, Clinical Social Work/Therapist
Sarah Stroe
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94118
I’m so glad to meet you. Many clients come to see me because they are experiencing loss, serious or chronic illness, or struggling with grief. Others have a sense that something is not right. I have specific experience and training in geriatric social work and nearly a decade of experience helping individuals and their families navigate psychosocial challenges of grief, loss and serious illness. I can also help with conceptualizing end of life wishes and legacy work.
I’m so glad to meet you. Many clients come to see me because they are experiencing loss, serious or chronic illness, or struggling with grief. Others have a sense that something is not right. I have specific experience and training in geriatric social work and nearly a decade of experience helping individuals and their families navigate psychosocial challenges of grief, loss and serious illness. I can also help with conceptualizing end of life wishes and legacy work.
(628) 277-5785 View (628) 277-5785
Photo of Toni Brooks, MA, MFT, Marriage & Family Therapist
Toni Brooks
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94118  (Online Only)
Waitlist for new clients
I have been practicing psychotherapy for over 40 years. I am an active therapist, committed to staying deeply engaged in our moment-to-moment exchange. I am able to go to the depths of a client's experience, allowing for the release of tangled feelings, and the breaking open of psychological "knots." I employ EFT, and EMDR and Flash (for trauma), as well as guided imagery, which allows clients to access and make use of the expansive and healing capacities of the unconscious mind. I am also skilled in working pragmatically, helping people communicate better, shift habits of negative thinking, and solve troubling life concerns.
I have been practicing psychotherapy for over 40 years. I am an active therapist, committed to staying deeply engaged in our moment-to-moment exchange. I am able to go to the depths of a client's experience, allowing for the release of tangled feelings, and the breaking open of psychological "knots." I employ EFT, and EMDR and Flash (for trauma), as well as guided imagery, which allows clients to access and make use of the expansive and healing capacities of the unconscious mind. I am also skilled in working pragmatically, helping people communicate better, shift habits of negative thinking, and solve troubling life concerns.
(415) 779-7843 View (415) 779-7843
Photo of Amelia Howard-Smith, LMFT, Marriage & Family Therapist
Amelia Howard-Smith
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94118
You want to be seen, heard, and understood. This is what you’ll feel when you work with me. My approach is collaborative and tailored to your unique needs. I strive to help you make sense out of the past while guiding you to make changes for the future. I want to help you live the life you want to live, and I’m here to provide you with the tools to do just that. Together we’ll work towards gaining a deeper understanding of yourself, finding meaning in your life, self-acceptance, and empowerment. You’ll learn to manage strong and uncomfortable emotions and work through negative thought patterns.
You want to be seen, heard, and understood. This is what you’ll feel when you work with me. My approach is collaborative and tailored to your unique needs. I strive to help you make sense out of the past while guiding you to make changes for the future. I want to help you live the life you want to live, and I’m here to provide you with the tools to do just that. Together we’ll work towards gaining a deeper understanding of yourself, finding meaning in your life, self-acceptance, and empowerment. You’ll learn to manage strong and uncomfortable emotions and work through negative thought patterns.
(415) 326-1841 View (415) 326-1841
Photo of Robert Waska, LPCC, MFT, PhD, Counselor
Robert Waska
Counselor, LPCC, MFT, PhD
Verified Verified
San Francisco, CA 94118  (Online Only)
Effective Depression Treatment: Psychotherapy can help you find and master the core conflicts that cause your depression, whether it is a recent and sudden event or a long term condition. Your sadness, lack of hope, self-sabotage, emptiness, and self-hatred are all parts of a problem that can be resolved.
Effective Depression Treatment: Psychotherapy can help you find and master the core conflicts that cause your depression, whether it is a recent and sudden event or a long term condition. Your sadness, lack of hope, self-sabotage, emptiness, and self-hatred are all parts of a problem that can be resolved.
(415) 723-4083 View (415) 723-4083
Photo of Dr. Behin Abedi, PsyD, Psychologist
Dr. Behin Abedi
Psychologist, PsyD
Verified Verified
1 Endorsed
San Francisco, CA 94118  (Online Only)
I'm a clinical psychologist who is dedicated to empowering and helping people live fuller and more enriching lives. I have a supportive and collaborative treatment approach and adapt the therapeutic process to the unique needs, preferences, and goals of each individual. In doing so, I integrate different treatment modalities and evidence-based practices to help people become unstuck and improve their overall well-being. I'm skilled in treating a variety of presenting issues, including but not limited to anxiety, depression, grief/loss, relationships, career stress/change, self-esteem, identity, and other cultural-related stressors.
I'm a clinical psychologist who is dedicated to empowering and helping people live fuller and more enriching lives. I have a supportive and collaborative treatment approach and adapt the therapeutic process to the unique needs, preferences, and goals of each individual. In doing so, I integrate different treatment modalities and evidence-based practices to help people become unstuck and improve their overall well-being. I'm skilled in treating a variety of presenting issues, including but not limited to anxiety, depression, grief/loss, relationships, career stress/change, self-esteem, identity, and other cultural-related stressors.
(415) 853-5382 View (415) 853-5382
Photo of Whitney Lynch, PsyD, Psychologist
Whitney Lynch
Psychologist, PsyD
Verified Verified
San Francisco, CA 94118
Perhaps you are seeking healthier ways to cope with stressful life experiences or want to make more enduring changes to how you relate to yourself and others. In my work, I aim to not only help you feel better but provide you the tools to lead a more meaningful life. I help clients recognize and harness their own personal strengths while learning new ways to challenge negative thought patterns and unhealthy behaviors that can keep us feeling stuck, depressed, and anxious.
Perhaps you are seeking healthier ways to cope with stressful life experiences or want to make more enduring changes to how you relate to yourself and others. In my work, I aim to not only help you feel better but provide you the tools to lead a more meaningful life. I help clients recognize and harness their own personal strengths while learning new ways to challenge negative thought patterns and unhealthy behaviors that can keep us feeling stuck, depressed, and anxious.
(415) 243-7249 View (415) 243-7249
Photo of Carolyn H Bray - Carolyn H. Bray, Ph.D., PhD, Psychologist
Carolyn H. Bray, Ph.D.
Psychologist, PhD
Verified Verified
San Francisco, CA 94118
In my 30+ years practicing psychotherapy, I have had extensive experience working with adults who are trying to adjust to the problems that life presents to us---a difficult childhood, trauma, anxiety, depression, postpartum depression, stress, working with a child who has a difficult mental illness, sexual abuse,couples' relationship struggles (heterosexual, gay, and lesbian), and grief from the loss of someone treasured. Always my treatment goal is to facilitate the improvement in the quality of life for each individual and to look for the creative aspect within the destruction. Healing is a natural process, but sometimes it is difficult to remember that fact.
In my 30+ years practicing psychotherapy, I have had extensive experience working with adults who are trying to adjust to the problems that life presents to us---a difficult childhood, trauma, anxiety, depression, postpartum depression, stress, working with a child who has a difficult mental illness, sexual abuse,couples' relationship struggles (heterosexual, gay, and lesbian), and grief from the loss of someone treasured. Always my treatment goal is to facilitate the improvement in the quality of life for each individual and to look for the creative aspect within the destruction. Healing is a natural process, but sometimes it is difficult to remember that fact.
(415) 689-1012 View (415) 689-1012
Photo of Samantha Mero, LCSW, EMDR, PMH-C, Clinical Social Work/Therapist
Samantha Mero
Clinical Social Work/Therapist, LCSW, EMDR, PMH-C
Verified Verified
6 Endorsed
San Francisco, CA 94118  (Online Only)
I work with people-pleasing millennials who want to heal from past emotional wounds and stop self-sabotaging. Do you struggle with anxiety, body image and patterns of self-judgment? Always putting others needs before your own? The traumas and abuse you experience throughout your lifespan- big or small, can warp the way you see yourself, making you question everything, overthink, and cause you to stand in your own way. If this feels relatable, you are not alone. I will work with you to break through these barriers, heal, and create a life that aligns with your values.
I work with people-pleasing millennials who want to heal from past emotional wounds and stop self-sabotaging. Do you struggle with anxiety, body image and patterns of self-judgment? Always putting others needs before your own? The traumas and abuse you experience throughout your lifespan- big or small, can warp the way you see yourself, making you question everything, overthink, and cause you to stand in your own way. If this feels relatable, you are not alone. I will work with you to break through these barriers, heal, and create a life that aligns with your values.
(916) 502-9948 View (916) 502-9948
Photo of Jacqueline Dunn Shapiro, MS, MFT, Marriage & Family Therapist
Jacqueline Dunn Shapiro
Marriage & Family Therapist, MS, MFT
Verified Verified
1 Endorsed
San Francisco, CA 94118
I have extensive experience as a therapist, supervisor, consultant, and administrator. I work with individuals, couples, families, and groups. My clinical perspective is informed by psycho dynamic, family systems, and cognitive behavioral theories and methods. Thorough evaluations and treatment plans ensure that all clients get the most effective treatment for their particular needs and problems.
I have extensive experience as a therapist, supervisor, consultant, and administrator. I work with individuals, couples, families, and groups. My clinical perspective is informed by psycho dynamic, family systems, and cognitive behavioral theories and methods. Thorough evaluations and treatment plans ensure that all clients get the most effective treatment for their particular needs and problems.
(628) 214-2027 View (628) 214-2027
Photo of Sara Daniel, LMFT, Marriage & Family Therapist
Sara Daniel
Marriage & Family Therapist, LMFT
Verified Verified
San Francisco, CA 94118
Sara Daniel is a Licensed Marriage and Family Therapist who is passionate about assisting clients in reaching their highest potential. She received her Master's in Psychology, with a concentration in Marriage and Family Counseling, from Argosy University, previously located in Ontario, Ca. Throughout Sara's career, she has provided crisis intervention to adults, children, and their families from diverse cultures, ages, and backgrounds, resulting in her intuition to provide excellent care to those hurting.
Sara Daniel is a Licensed Marriage and Family Therapist who is passionate about assisting clients in reaching their highest potential. She received her Master's in Psychology, with a concentration in Marriage and Family Counseling, from Argosy University, previously located in Ontario, Ca. Throughout Sara's career, she has provided crisis intervention to adults, children, and their families from diverse cultures, ages, and backgrounds, resulting in her intuition to provide excellent care to those hurting.
(415) 612-6754 View (415) 612-6754
Photo of Vanessa Lin McGraw, AMFT, Marriage & Family Therapist Associate
Vanessa Lin McGraw
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Francisco, CA 94118
Are you navigating a major life transition and feeling overwhelmed? Are you ready to address that issue that’s been put aside for years? Or do you simply want a space to be supported as you grow? Whatever brought you here, I hope to journey with you towards greater well-being. I see adult individuals, couples, and families. My practice includes working with parents through pregnancy and postpartum. I cherish this time because I’ve seen it offer opportunities for deep healing and connection. I also provide dyadic play therapy for young children and caregivers. As a mother of two, I know the delight and chaos of parenting little ones.
Are you navigating a major life transition and feeling overwhelmed? Are you ready to address that issue that’s been put aside for years? Or do you simply want a space to be supported as you grow? Whatever brought you here, I hope to journey with you towards greater well-being. I see adult individuals, couples, and families. My practice includes working with parents through pregnancy and postpartum. I cherish this time because I’ve seen it offer opportunities for deep healing and connection. I also provide dyadic play therapy for young children and caregivers. As a mother of two, I know the delight and chaos of parenting little ones.
(415) 625-5041 View (415) 625-5041
Photo of Brooke Adams, PsyD, Psychologist
Brooke Adams
Psychologist, PsyD
Verified Verified
3 Endorsed
San Francisco, CA 94118
This human experience is at times daunting. Even welcomed life transitions can leave us feeling untethered. You may be struggling to feel comfortable in your own skin, find deeper connection in your relationships, or knowing your place in this world. I believe in the innate wisdom each individual possesses. I will accompany you into this lifelong process of returning to your sense of self. We come to know ourselves more fully through our relationships even as the discoveries may be startling or disorienting. Through these explorations you will find a deepened connection with what you ardently seek.
This human experience is at times daunting. Even welcomed life transitions can leave us feeling untethered. You may be struggling to feel comfortable in your own skin, find deeper connection in your relationships, or knowing your place in this world. I believe in the innate wisdom each individual possesses. I will accompany you into this lifelong process of returning to your sense of self. We come to know ourselves more fully through our relationships even as the discoveries may be startling or disorienting. Through these explorations you will find a deepened connection with what you ardently seek.
(628) 265-8620 View (628) 265-8620
Photo of Arielle Werblun - Feel Well with Arielle, MS, LMFT, Marriage & Family Therapist
Feel Well with Arielle
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Francisco, CA 94118  (Online Only)
As an evidence-based trained clinician, I have found that ultimately the best therapeutic relationship is one that feels safe to get comfortable with discomfort. My specialties are in codependency, perfectionism, and eating disorders, and my intent is to help people who struggle with these issues get out of the patterns that no longer serve them. I have a true passion for supporting people in recognizing their inherent worth, exploring narratives that might have influenced self-defeating coping mechanisms, and implementing practices that align with shifted - and uplifted - perspectives of themselves.
As an evidence-based trained clinician, I have found that ultimately the best therapeutic relationship is one that feels safe to get comfortable with discomfort. My specialties are in codependency, perfectionism, and eating disorders, and my intent is to help people who struggle with these issues get out of the patterns that no longer serve them. I have a true passion for supporting people in recognizing their inherent worth, exploring narratives that might have influenced self-defeating coping mechanisms, and implementing practices that align with shifted - and uplifted - perspectives of themselves.
(415) 612-6850 View (415) 612-6850
Photo of Jeff Mool, MA, LMFT, Marriage & Family Therapist
Jeff Mool
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Francisco, CA 94118
I support couples and individuals to effectively address the troubles they are having in their relationships and personal lives. To ensure a good fit, I do not charge a fee for the initial consultation session.
I support couples and individuals to effectively address the troubles they are having in their relationships and personal lives. To ensure a good fit, I do not charge a fee for the initial consultation session.
(415) 766-2428 View (415) 766-2428
Photo of Nata Bolsheva, PhD, FNCCCE, FNCPC, FABFEI, CFC
Nata Bolsheva
PhD, FNCCCE, FNCPC, FABFEI, CFC
Verified Verified
San Francisco, CA 94118
Travel throughout US and Canada. In Home Visit. Telecommunication though SKYPE, ZOOM, DOXY. Artemis-Forensic Expert Services Center, based in San Francisco, and serving Bay Area, has helped many people who need assistance with issues concerning their well being for many years. We could help to coordinate parenting - a child-focused alternative dispute resolution process to assists high conflict parents to implement their parenting plan by facilitating the resolution of their disputes in a timely manner, educating parents about children’s needs, and with prior approval of the parties and/or the court.
Travel throughout US and Canada. In Home Visit. Telecommunication though SKYPE, ZOOM, DOXY. Artemis-Forensic Expert Services Center, based in San Francisco, and serving Bay Area, has helped many people who need assistance with issues concerning their well being for many years. We could help to coordinate parenting - a child-focused alternative dispute resolution process to assists high conflict parents to implement their parenting plan by facilitating the resolution of their disputes in a timely manner, educating parents about children’s needs, and with prior approval of the parties and/or the court.
(628) 600-1694 View (628) 600-1694
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How does your Therapist compare?

Number of Therapists in 94118

400+

Average cost per session

$200

Therapists in 94118 who prioritize treating:

93% Anxiety
87% Depression
85% Relationship Issues
79% Self Esteem
69% Grief
69% Trauma and PTSD
67% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

60% Cigna and Evernorth
60% UnitedHealthcare UHC | UBH
56% Optum

How Therapists in 94118 see their clients

71% In Person and Online
29% Online Only

Gender breakdown

83% Female
16% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 94118?

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.