Therapists in San Mateo, CA

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Photo of Lynda Lynette Johnson-Basuino, MA, BCPC, Marriage & Family Therapist
Lynda Lynette Johnson-Basuino
Marriage & Family Therapist, MA, BCPC
Verified Verified
San Mateo, CA 94401
"Sometimes a little insight makes all the difference." I'm an experienced counselor who overcomes the obstacles of every day living despite vision loss. My specialty is helping people navigate through life altering crises such as the trauma of chronic health issues, divorce, job loss, behavior concerns in children, adolescence and teens. In my practice, I see people who are experiencing depression, anxiety, anger, PTSD, and the emotional responses to vision loss and blindness. I've been counseling for 25 years and I'm in the examination process of licensure. This is my passion. I look forward to working with you.
"Sometimes a little insight makes all the difference." I'm an experienced counselor who overcomes the obstacles of every day living despite vision loss. My specialty is helping people navigate through life altering crises such as the trauma of chronic health issues, divorce, job loss, behavior concerns in children, adolescence and teens. In my practice, I see people who are experiencing depression, anxiety, anger, PTSD, and the emotional responses to vision loss and blindness. I've been counseling for 25 years and I'm in the examination process of licensure. This is my passion. I look forward to working with you.
(650) 504-1650 View (650) 504-1650
Photo of Carolyn Garrison, MS, AMFT, Marriage & Family Therapist Associate
Carolyn Garrison
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
San Mateo, CA 94403  (Online Only)
Supporting children, teens, adults, & parents to overcome various adversities, heal to obtain healthy development & maturation, and ultimately reach full potential. Specialties are trauma, depression, anxiety, stress management, life transitions, women's issues, self-esteem/awareness, ADHD, secondary effects of learning differences/disabilities, multi ethnicities/cultures, and spirituality. Support is holistic and integrative, incorporating Brainspotting (BSP), Cognitive Behavioral Therapy (CBT), Humanistic/Existential Therapy, & Play/Expressive Art Therapy, while utilizing innate strengths. Helping you to heal, grow, and thrive.
Supporting children, teens, adults, & parents to overcome various adversities, heal to obtain healthy development & maturation, and ultimately reach full potential. Specialties are trauma, depression, anxiety, stress management, life transitions, women's issues, self-esteem/awareness, ADHD, secondary effects of learning differences/disabilities, multi ethnicities/cultures, and spirituality. Support is holistic and integrative, incorporating Brainspotting (BSP), Cognitive Behavioral Therapy (CBT), Humanistic/Existential Therapy, & Play/Expressive Art Therapy, while utilizing innate strengths. Helping you to heal, grow, and thrive.
(650) 445-4935 View (650) 445-4935
Photo of Rebecca Kolker Zhang, MA, LMFT, Marriage & Family Therapist
Rebecca Kolker Zhang
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Mateo, CA 94402
Are you wanting more out of life and hoping your anxiety or relationship issues will resolve? Have you found yourself feeling hopeless, frustrated or unsure about your future? Do you ever experience panic attacks or overwhelming stress? Whatever your reason for seeking help, I want you to know you're not alone and I am here to offer help. I specialize in working with adults and teenagers on issues including anxiety, panic attacks, loneliness, and relationship issues. I also offer couples therapy sessions to help improve communication, build intimacy and learn conflict resolution skills.
Are you wanting more out of life and hoping your anxiety or relationship issues will resolve? Have you found yourself feeling hopeless, frustrated or unsure about your future? Do you ever experience panic attacks or overwhelming stress? Whatever your reason for seeking help, I want you to know you're not alone and I am here to offer help. I specialize in working with adults and teenagers on issues including anxiety, panic attacks, loneliness, and relationship issues. I also offer couples therapy sessions to help improve communication, build intimacy and learn conflict resolution skills.
(650) 629-3383 View (650) 629-3383
Photo of John Bradshaw, Psychologist
John Bradshaw
Psychologist
Verified Verified
San Mateo, CA 94401
I am a Clinical Psychologist and Marriage and Family Therapist. The problems that I am trained to help are Children’s School and Learning Problems, ADHD in adults and children, Family, Marital, Divorce and Custody Problems, Depression, Anxiety and OCD. The sessions are problem focused, with emphasis on addressing the issues that continue to undermine a person’s ability to achieve happiness at home, work, social relationships and with one self.
I am a Clinical Psychologist and Marriage and Family Therapist. The problems that I am trained to help are Children’s School and Learning Problems, ADHD in adults and children, Family, Marital, Divorce and Custody Problems, Depression, Anxiety and OCD. The sessions are problem focused, with emphasis on addressing the issues that continue to undermine a person’s ability to achieve happiness at home, work, social relationships and with one self.
(650) 209-7959 View (650) 209-7959
Photo of Roberta Sherwood, LMFT, Marriage & Family Therapist
Roberta Sherwood
Marriage & Family Therapist, LMFT
Verified Verified
San Mateo, CA 94401  (Online Only)
I specialize in working with individuals and couples who want help improving the quality of their intimate relations. I use a humanistic approach also employing cognitive and behavioral skill building. I am supportive while providing honest feedback in my relationships with my clients. My main goal in the therapeutic relationship is to provide a safe, trusting environment where individuals can explore their feelings in their search for a more fulfilling life.
I specialize in working with individuals and couples who want help improving the quality of their intimate relations. I use a humanistic approach also employing cognitive and behavioral skill building. I am supportive while providing honest feedback in my relationships with my clients. My main goal in the therapeutic relationship is to provide a safe, trusting environment where individuals can explore their feelings in their search for a more fulfilling life.
(650) 200-3600 View (650) 200-3600
Photo of Brielle Batory, MA, EdM
Brielle Batory
MA, EdM
Verified Verified
San Mateo, CA 94402
Ok...let's start by talking, learning, and then we'll get coaching. Truthfully...you’re probably feeling stuck. Stuck in your relationship, your career, your role in life. Stuck with anxiety, stress, and unknowns. So, I keep it simple: first, let's just help you get...unstuck.
Ok...let's start by talking, learning, and then we'll get coaching. Truthfully...you’re probably feeling stuck. Stuck in your relationship, your career, your role in life. Stuck with anxiety, stress, and unknowns. So, I keep it simple: first, let's just help you get...unstuck.
(650) 525-2686 View (650) 525-2686
Photo of Elizabeth A. Bruno, MA, LMHC
Elizabeth A. Bruno
Licensed Professional Clinical Counselor, MA, LMHC
Verified Verified
San Mateo, CA 94401  (Online Only)
I am a strength-based Clinical Therapist whose goal is to walk with you through therapy to increase your own self-warmth, hope, insight and healing. I believe that addiction or mental health issues are just a small piece of the multi-faceted jigsaw puzzle of who you are. Both my Bachelor of Science and Master of Arts are from Santa Clara University, where my basketball jersey is retired as I hold the "All Time Men and Women's Rebounding Record". I believe that athletics were the genesis of my relentless positivity, embracement of strengths, and belief in the perseverance of the human heart.
I am a strength-based Clinical Therapist whose goal is to walk with you through therapy to increase your own self-warmth, hope, insight and healing. I believe that addiction or mental health issues are just a small piece of the multi-faceted jigsaw puzzle of who you are. Both my Bachelor of Science and Master of Arts are from Santa Clara University, where my basketball jersey is retired as I hold the "All Time Men and Women's Rebounding Record". I believe that athletics were the genesis of my relentless positivity, embracement of strengths, and belief in the perseverance of the human heart.
(425) 629-0687 View (425) 629-0687
Photo of Michael Immerman, LCSW, Clinical Social Work/Therapist
Michael Immerman
Clinical Social Work/Therapist, LCSW
Verified Verified
San Mateo, CA 94402
I bring 30 years of experience to think with and about you, so that together we can find a way. I listen carefully, and I also speak up. The power of therapy is in both the teaching and the relationship.
I bring 30 years of experience to think with and about you, so that together we can find a way. I listen carefully, and I also speak up. The power of therapy is in both the teaching and the relationship.
(650) 290-6857 View (650) 290-6857
Photo of Adrienne Cane-Ilang, MA, MFT, Marriage & Family Therapist
Adrienne Cane-Ilang
Marriage & Family Therapist, MA, MFT
Verified Verified
4 Endorsed
San Mateo, CA 94402  (Online Only)
I enjoy working collaboratively with individuals who are seeking healing and change. Anxiety, panic, depression, conflict, stress and overwhelm, impact of transitions, OCD, and communication challenges are all areas where I can be most effective working with my patients.
I enjoy working collaboratively with individuals who are seeking healing and change. Anxiety, panic, depression, conflict, stress and overwhelm, impact of transitions, OCD, and communication challenges are all areas where I can be most effective working with my patients.
(650) 720-4326 View (650) 720-4326
Photo of Tracy De Soto - Tracy De Soto MFT, MFT, LPC, CCTP-II, Marriage & Family Therapist
Tracy De Soto MFT
Marriage & Family Therapist, MFT, LPC, CCTP-II
Verified Verified
1 Endorsed
San Mateo, CA 94401  (Online Only)
Are you neurospicy?! Welcome! Being a woman with autism can make you feel invisible and marginalized. From a young age, many of us navigate a world that expects us to fit into narrow social norms, constantly masking our true selves to blend in. The struggle to decode social cues, manage sensory overload, and process overwhelming emotions can feel isolating and exhausting. In childhood, we are often labeled shy or aloof when in reality, we were grappling with sensory sensitivities or struggling to express ourselves verbally. As we grow into adolescence and adulthood, the pressure to conform to societal expectations intensifies.
Are you neurospicy?! Welcome! Being a woman with autism can make you feel invisible and marginalized. From a young age, many of us navigate a world that expects us to fit into narrow social norms, constantly masking our true selves to blend in. The struggle to decode social cues, manage sensory overload, and process overwhelming emotions can feel isolating and exhausting. In childhood, we are often labeled shy or aloof when in reality, we were grappling with sensory sensitivities or struggling to express ourselves verbally. As we grow into adolescence and adulthood, the pressure to conform to societal expectations intensifies.
(415) 301-6877 View (415) 301-6877
Photo of Jennifer Jimenez Wong, MS, LMFT, Marriage & Family Therapist
Jennifer Jimenez Wong
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Mateo, CA 94403
I am a Licensed Marriage and Family Therapist, and overall, I have been practicing psychotherapy for 16 years, and have been in private practice for 8 years. I have extensive experience in working with children and families, and I also work with individuals. I work with individuals experiencing anxiety, depression, trauma, struggles with anger management, relationship issues, and domestic violence.
I am a Licensed Marriage and Family Therapist, and overall, I have been practicing psychotherapy for 16 years, and have been in private practice for 8 years. I have extensive experience in working with children and families, and I also work with individuals. I work with individuals experiencing anxiety, depression, trauma, struggles with anger management, relationship issues, and domestic violence.
(415) 813-5193 View (415) 813-5193
Photo of Peggy Farrell, MEd, MA, LMFT, LPCC, Marriage & Family Therapist
Peggy Farrell
Marriage & Family Therapist, MEd, MA, LMFT, LPCC
Verified Verified
San Mateo, CA 94401
My formal name is Margaret but everyone calls me Peggy. I love to work with clients who are exploring who they are. Perhaps you feel like you have moments of feeling lonely and stuck? Perhaps your life events have made you feel separate and different from others? Maybe you have trouble focusing and your concentration can be spotty? You wonder how others see you and you want to fit in.
My formal name is Margaret but everyone calls me Peggy. I love to work with clients who are exploring who they are. Perhaps you feel like you have moments of feeling lonely and stuck? Perhaps your life events have made you feel separate and different from others? Maybe you have trouble focusing and your concentration can be spotty? You wonder how others see you and you want to fit in.
(628) 257-8828 View (628) 257-8828
Photo of Gretchen Slover, LMFT, Marriage & Family Therapist
Gretchen Slover
Marriage & Family Therapist, LMFT
Verified Verified
San Mateo, CA 94401
My name is Gretchen Slover. I am a licensed Marriage and Family Therapist. I explain that therapy is like a buffet that I will set, and you can choose what you would like to try. I work alongside my clients to help them make the best decisions to move forward towards their goals. I have experience working with individuals, couples and families to navigate relationships and reach goals. I work with clients who struggle with an array of thought processes that have them cornered in situations they would like to change. I have extensive experience working with high conflict situations in relationships as well as life trauma.
My name is Gretchen Slover. I am a licensed Marriage and Family Therapist. I explain that therapy is like a buffet that I will set, and you can choose what you would like to try. I work alongside my clients to help them make the best decisions to move forward towards their goals. I have experience working with individuals, couples and families to navigate relationships and reach goals. I work with clients who struggle with an array of thought processes that have them cornered in situations they would like to change. I have extensive experience working with high conflict situations in relationships as well as life trauma.
(650) 209-6074 View (650) 209-6074
Photo of Melanie Crowell, LCSW, Clinical Social Work/Therapist
Melanie Crowell
Clinical Social Work/Therapist, LCSW
Verified Verified
San Mateo, CA 94403
With years of experience in Cognitive Behavioral Therapy, I can assist and support you in reaching your therapeutic goals. I’m passionate about meeting your mental health objectives through warm engagement, empathetic understanding, and demonstrating my ability to meet you wherever you are in life. I understand you feel the weight of the world on your shoulders. Let me help you with that!
With years of experience in Cognitive Behavioral Therapy, I can assist and support you in reaching your therapeutic goals. I’m passionate about meeting your mental health objectives through warm engagement, empathetic understanding, and demonstrating my ability to meet you wherever you are in life. I understand you feel the weight of the world on your shoulders. Let me help you with that!
(650) 719-5676 View (650) 719-5676
Photo of Teresa Trout, MA, LMFT, Marriage & Family Therapist
Teresa Trout
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Mateo, CA 94403  (Online Only)
I'm not going to lie, personal growth and healing can be hard work. But it can also be playful and (dare I say) fun. I seek to co-create a supportive safe space for your self-exploration. My approach is collaborative and rooted in the belief that you are the expert of you. In addition to talk therapy, I specialize in Expressive Arts (EXA) Therapy. EXA Therapy uses the creative arts (visual art, music, movement, writing, drama) to explore and process your lived experiences. Do not fear, you do not have to be “good” at art! This process is about what emerges during the process of creative expression and what it means to you.
I'm not going to lie, personal growth and healing can be hard work. But it can also be playful and (dare I say) fun. I seek to co-create a supportive safe space for your self-exploration. My approach is collaborative and rooted in the belief that you are the expert of you. In addition to talk therapy, I specialize in Expressive Arts (EXA) Therapy. EXA Therapy uses the creative arts (visual art, music, movement, writing, drama) to explore and process your lived experiences. Do not fear, you do not have to be “good” at art! This process is about what emerges during the process of creative expression and what it means to you.
(510) 824-8384 View (510) 824-8384
Photo of Christine Trigeiro, Psy, Psychologist
Christine Trigeiro
Psychologist, Psy
Verified Verified
San Mateo, CA 94401
As a clinical psychologist with over 30 years of experience, I offer an individualized combination of person-centered therapy with practical techniques, such as cognitive behavior therapy, for improving your mental and emotional life and daily function. In person-centered therapy, the basic idea is that individuals have great resources for understanding themselves and for changing self-concepts and attitudes that can lead to positive changes in behavior. This understanding can be life-changing and even life-saving. During therapy, we explore your relevant history, current situation, emotional responses, and life view.
As a clinical psychologist with over 30 years of experience, I offer an individualized combination of person-centered therapy with practical techniques, such as cognitive behavior therapy, for improving your mental and emotional life and daily function. In person-centered therapy, the basic idea is that individuals have great resources for understanding themselves and for changing self-concepts and attitudes that can lead to positive changes in behavior. This understanding can be life-changing and even life-saving. During therapy, we explore your relevant history, current situation, emotional responses, and life view.
(650) 844-1092 View (650) 844-1092
Photo of Bob Livingstone, LCSW, Clinical Social Work/Therapist
Bob Livingstone
Clinical Social Work/Therapist, LCSW
Verified Verified
San Mateo, CA 94401
I work with children, adolescents, and adults. I have been in private practice for twenty-eight years and I believe therapy issues are all related to loss. I specialize in working with children of divorce, those who have lost a loved one, men with anger issues, and the problems of teenagers. I am the author of five self-help books. My new book is titled Letting go of Grief: Move your Body to Rock and Soul. You can check it out here: http://tinyurl.com/k8kggrv
I work with children, adolescents, and adults. I have been in private practice for twenty-eight years and I believe therapy issues are all related to loss. I specialize in working with children of divorce, those who have lost a loved one, men with anger issues, and the problems of teenagers. I am the author of five self-help books. My new book is titled Letting go of Grief: Move your Body to Rock and Soul. You can check it out here: http://tinyurl.com/k8kggrv
(650) 741-1534 View (650) 741-1534
Photo of Marybeth Viglione, PhD, Psychologist
Marybeth Viglione
Psychologist, PhD
Verified Verified
San Mateo, CA 94402
Do you find yourself repeating unhealthy patterns? Or overwhelmed or immobilized by fears, despair, or changes beyond your control? excessively worried, irritable or on edge? spiraling downwards? feeling helpless and alone? You may have symptoms of anxiety, depression, or stress. They can impact your overall quality of life and your day-to-day functioning. They can also lead to misunderstandings in your relationships with loved ones at home, friends, or co-workers on the job. Fortunately, through psychotherapy, you can regain a sense of personal direction over your life, find new solutions, and feel good about your decisions.
Do you find yourself repeating unhealthy patterns? Or overwhelmed or immobilized by fears, despair, or changes beyond your control? excessively worried, irritable or on edge? spiraling downwards? feeling helpless and alone? You may have symptoms of anxiety, depression, or stress. They can impact your overall quality of life and your day-to-day functioning. They can also lead to misunderstandings in your relationships with loved ones at home, friends, or co-workers on the job. Fortunately, through psychotherapy, you can regain a sense of personal direction over your life, find new solutions, and feel good about your decisions.
(650) 385-8161 View (650) 385-8161
Photo of Caroline Leon Williams, MS, LMFT, Marriage & Family Therapist
Caroline Leon Williams
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
San Mateo, CA 94401  (Online Only)
Self-discovery is a unique journey that we all take. Our experiences, intersectional identities and environments are constantly shaping who we are. This can be an exciting and challenging time in which we tend to engage in a reflective process as various questions arise. “Will I fit in here?” “Who is there to turn to for guidance?” “What does this experience mean for me?” Individual, couple and family therapy can be an integral part of working through challenges, all of which I fully embrace on the therapeutic journey.
Self-discovery is a unique journey that we all take. Our experiences, intersectional identities and environments are constantly shaping who we are. This can be an exciting and challenging time in which we tend to engage in a reflective process as various questions arise. “Will I fit in here?” “Who is there to turn to for guidance?” “What does this experience mean for me?” Individual, couple and family therapy can be an integral part of working through challenges, all of which I fully embrace on the therapeutic journey.
(510) 781-9207 View (510) 781-9207
Photo of Roger Grossman - Bay Area Therapy Now, MS, LMFT, CA-ODC, MAC, Marriage & Family Therapist
Bay Area Therapy Now
Marriage & Family Therapist, MS, LMFT, CA-ODC, MAC
Verified Verified
San Mateo, CA 94401  (Online Only)
You're using drugs/alcohol too much, and you can't stop. You are lost, miserable and scared, and you want to be found. I offer a compassionate, supportive and direct approach to help you meet your needs and achieve your goals. You're ready to explore your underlying, and probably ancient, beliefs that you hold about yourself and that fuel chronic negative thoughts and behaviors. We will work together to rediscover your authentic self, that person who was somehow left behind and is waiting for you to come back. I provide an eclectic approach. You receive a personal assessment, then focused treatment that best fits you.
You're using drugs/alcohol too much, and you can't stop. You are lost, miserable and scared, and you want to be found. I offer a compassionate, supportive and direct approach to help you meet your needs and achieve your goals. You're ready to explore your underlying, and probably ancient, beliefs that you hold about yourself and that fuel chronic negative thoughts and behaviors. We will work together to rediscover your authentic self, that person who was somehow left behind and is waiting for you to come back. I provide an eclectic approach. You receive a personal assessment, then focused treatment that best fits you.
(415) 903-4145 View (415) 903-4145
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How does your Therapist compare?

Number of Therapists in San Mateo, CA

500+

Average cost per session

$200

Therapists in San Mateo, CA who prioritize treating:

95% Anxiety
89% Depression
80% Relationship Issues
77% Self Esteem
66% Trauma and PTSD
65% Coping Skills
65% Stress

Average years in practice

12 Years

Top 3 insurances accepted

59% Aetna
52% Cigna and Evernorth
49% UnitedHealthcare UHC | UBH

How Therapists in San Mateo, CA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Mateo?

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.