Therapists in Contra Costa County, CA

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Photo of Robin J Krenek, PhD, Psychologist
Robin J Krenek
Psychologist, PhD
Verified Verified
San Ramon, CA 94583
Not accepting new clients
Are you looking for a supportive way to identify and resolve areas of stress, conflict, unhappiness, and find success with new challenges in your life? I have been helping individuals overcome obstacles and improve their lives and relationships for over 28 years. The therapy relationship can be a safe and empathic way to help you access and heal painful feelings, open up to new possibilities in your life, and experiment with new and healthier behaviors toward a more fulfilling experience. I respect each individual I work with as unique and work with you to evaluate your specific needs, strengths, goals and challenges.
Are you looking for a supportive way to identify and resolve areas of stress, conflict, unhappiness, and find success with new challenges in your life? I have been helping individuals overcome obstacles and improve their lives and relationships for over 28 years. The therapy relationship can be a safe and empathic way to help you access and heal painful feelings, open up to new possibilities in your life, and experiment with new and healthier behaviors toward a more fulfilling experience. I respect each individual I work with as unique and work with you to evaluate your specific needs, strengths, goals and challenges.
(925) 276-2755 View (925) 276-2755
Photo of Allan H Solomon, PhD, Psychologist
Allan H Solomon
Psychologist, PhD
Verified Verified
Walnut Creek, CA 94596  (Online Only)
Waitlist for new clients
I have over 35 years experience as a clinical psychologist. I work primarily with individual adults but also have considerable experience working with children and adolescents. My focus is forming a trusting relationship in which together we work to improve your own sense of well being as well as connection to others. Above all I view our work as collaborative and mutually respectful. Clients have described me as highly empathetic, while helping them to achieve real life goals. I work with depression, anxiety, trauma, intimacy, health, and habit disorders including addictions.
I have over 35 years experience as a clinical psychologist. I work primarily with individual adults but also have considerable experience working with children and adolescents. My focus is forming a trusting relationship in which together we work to improve your own sense of well being as well as connection to others. Above all I view our work as collaborative and mutually respectful. Clients have described me as highly empathetic, while helping them to achieve real life goals. I work with depression, anxiety, trauma, intimacy, health, and habit disorders including addictions.
(925) 241-4097 View (925) 241-4097
Cbt With A Twist Online Course
Psychologist
Verified Verified
Danville, CA 94506
CBT with a Twist is an online course developed by Dr. Surina Mazzola, that provides a palatable format for kids and teens to fully benefit from the real-life application of Cognitive Behavioral Therapy (CBT). The interventions in this course are backed by research and are proven to be highly effective. Visit www.drsurinamazzola.com to purchase.
CBT with a Twist is an online course developed by Dr. Surina Mazzola, that provides a palatable format for kids and teens to fully benefit from the real-life application of Cognitive Behavioral Therapy (CBT). The interventions in this course are backed by research and are proven to be highly effective. Visit www.drsurinamazzola.com to purchase.
(925) 397-0741 View (925) 397-0741
Photo of Cristina Marra, LMFT, Marriage & Family Therapist
Cristina Marra
Marriage & Family Therapist, LMFT
Verified Verified
Danville, CA 94526
I am a mental health therapist and have been working in the field for over 10 years. I have a wide range of experience that includes, but is not limited to, working with: depression, anxiety, issues in their primary relationship or family of origin issues, phobias, trauma, and infidelity. My approach is client-centered, which means I am open to whatever the client brings up in therapy.
I am a mental health therapist and have been working in the field for over 10 years. I have a wide range of experience that includes, but is not limited to, working with: depression, anxiety, issues in their primary relationship or family of origin issues, phobias, trauma, and infidelity. My approach is client-centered, which means I am open to whatever the client brings up in therapy.
(925) 397-0122 View (925) 397-0122
Photo of Michael J Rubino - Rubino Counseling Services, PhD, MFT, Marriage & Family Therapist
Rubino Counseling Services
Marriage & Family Therapist, PhD, MFT
Verified Verified
Pleasant Hill, CA 94523
We understand many people feel ashamed having to seek therapy for their child, family or themselves. However, no one is perfect and we all need help from time to time. We have created a relaxing atmosphere where you will not feel judged. We are here to assist you through a difficult time and to make the changes you need to make. Teens need help to. It is very common for teens to need therapy to deal with an issue in their life.
We understand many people feel ashamed having to seek therapy for their child, family or themselves. However, no one is perfect and we all need help from time to time. We have created a relaxing atmosphere where you will not feel judged. We are here to assist you through a difficult time and to make the changes you need to make. Teens need help to. It is very common for teens to need therapy to deal with an issue in their life.
(925) 705-4833 View (925) 705-4833
Photo of Alexándrea Evans Oneal, PsyD, Pre-Licensed Professional
Alexándrea Evans Oneal
Pre-Licensed Professional, PsyD
Verified Verified
3 Endorsed
Antioch, CA 94509  (Online Only)
To heal is to touch with love that which was previously touched by fear. We all have times when we need extra support to work through life's challenges. Whether it be mental health concerns, trauma, relationship dynamics, identity exploration, life transitions, family relations, work stressors, or any other difficult circumstance; you don't have to walk this journey alone. Together we will work to empower you to put your needs first and take steps to reach your goals. Everyone has a story and is worthy of space to tell it, and together we will honor, heal, and learn from your experiences.
To heal is to touch with love that which was previously touched by fear. We all have times when we need extra support to work through life's challenges. Whether it be mental health concerns, trauma, relationship dynamics, identity exploration, life transitions, family relations, work stressors, or any other difficult circumstance; you don't have to walk this journey alone. Together we will work to empower you to put your needs first and take steps to reach your goals. Everyone has a story and is worthy of space to tell it, and together we will honor, heal, and learn from your experiences.
(510) 313-7044 View (510) 313-7044
Photo of Gary Bubash, MA, LMFT, Marriage & Family Therapist
Gary Bubash
Marriage & Family Therapist, MA, LMFT
Verified Verified
Walnut Creek, CA 94596
My approach is centered on guiding individuals and couples through the complexities of their relational dynamics and personal challenges. I emphasize the importance of fostering open communication, empathy, and mutual understanding, creating a safe space for clients to explore their emotions and thoughts. Together, we will identify persistent patterns and develop practical strategies to enhance your connections with partners, family, and coworkers. Whether your focus is on resolving conflicts, building deeper understanding, or improving cooperation, you will discover better ways to resolve and navigate life's obstacles.
My approach is centered on guiding individuals and couples through the complexities of their relational dynamics and personal challenges. I emphasize the importance of fostering open communication, empathy, and mutual understanding, creating a safe space for clients to explore their emotions and thoughts. Together, we will identify persistent patterns and develop practical strategies to enhance your connections with partners, family, and coworkers. Whether your focus is on resolving conflicts, building deeper understanding, or improving cooperation, you will discover better ways to resolve and navigate life's obstacles.
(510) 224-3433 View (510) 224-3433
Photo of Kara Lemke, PhD, Psychologist
Kara Lemke
Psychologist, PhD
Verified Verified
San Ramon, CA 94583
Are you concerned about your child's development? Is you child's behavior impacting their school performance? Does your child have difficulty making friends? Is your child struggling in school? The Healthy Minds team focuses on supporting young children, adolescents and their families. We offer a variety of services including individual therapy, parenting therapy, family therapy, speech therapy, and comprehensive assessments. Through custom assessments, we can provide information for you to better understand your child and connect you with appropriate resources and services.
Are you concerned about your child's development? Is you child's behavior impacting their school performance? Does your child have difficulty making friends? Is your child struggling in school? The Healthy Minds team focuses on supporting young children, adolescents and their families. We offer a variety of services including individual therapy, parenting therapy, family therapy, speech therapy, and comprehensive assessments. Through custom assessments, we can provide information for you to better understand your child and connect you with appropriate resources and services.
(925) 201-5460 View (925) 201-5460
Photo of Kamaria Erin Wells, MA, Marriage & Family Therapist Associate
Kamaria Erin Wells
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Pleasant Hill, CA 94523  (Online Only)
How would you like to diversify your healing process? As I walk alongside you on your healing journey, I will offer a plethora of modalities to support and deepen your process. In addition to talk therapy, art, writing, somatic attunement, breathwork, and sound healing will be available. I work with all ages, providing a safe space to address racism, colorism, ablism, sexism, xenophobia, homophobia, and transphobia. I can also support you with anxiety, grief, depression, feelings of overwhelm, CPTSD, PTSD, identity matters, life transitions, couples therapy, and family therapy.
How would you like to diversify your healing process? As I walk alongside you on your healing journey, I will offer a plethora of modalities to support and deepen your process. In addition to talk therapy, art, writing, somatic attunement, breathwork, and sound healing will be available. I work with all ages, providing a safe space to address racism, colorism, ablism, sexism, xenophobia, homophobia, and transphobia. I can also support you with anxiety, grief, depression, feelings of overwhelm, CPTSD, PTSD, identity matters, life transitions, couples therapy, and family therapy.
(415) 849-4820 View (415) 849-4820
Photo of Aza Tetelman, PsyD, Psychologist
Aza Tetelman
Psychologist, PsyD
Verified Verified
1 Endorsed
Orinda, CA 94563  (Online Only)
Dr. Aza Tetelman is a licensed clinical psychologist specializing in depression, anxiety, grief, trauma, inter-generational conflicts and acculturation difficulties. She enjoys facilitating self-understanding via bibliotherapy techniques, whether through the use of novels, self-help books, comics, or other media. She also believes that preventative care is just as important as healing in the aftermath of life challenges. Her clinical approach is warm and attentive, and takes on relational, dialectic, and insight-oriented approaches to treatment.
Dr. Aza Tetelman is a licensed clinical psychologist specializing in depression, anxiety, grief, trauma, inter-generational conflicts and acculturation difficulties. She enjoys facilitating self-understanding via bibliotherapy techniques, whether through the use of novels, self-help books, comics, or other media. She also believes that preventative care is just as important as healing in the aftermath of life challenges. Her clinical approach is warm and attentive, and takes on relational, dialectic, and insight-oriented approaches to treatment.
(415) 449-1861 x1042 View (415) 449-1861 x1042
Photo of Leila Mohajerany, MA, AMFT, Marriage & Family Therapist Associate
Leila Mohajerany
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
Pleasant Hill, CA 94523
Whether it's the weight of external pressures or the depth of internal emotions, reaching out for support requires immense bravery in the face of hardship. I extend my hand to offer you a safe haven, free from judgment, where you can explore your thoughts, emotions, and fears. Together, we'll uncover fresh avenues to conquer these challenges. I am a compassionate, and thoughtful listener, and my ultimate objective is to empower you. We will use your strengths to initiate a transformative journey to understand and break through the barriers holding you back.
Whether it's the weight of external pressures or the depth of internal emotions, reaching out for support requires immense bravery in the face of hardship. I extend my hand to offer you a safe haven, free from judgment, where you can explore your thoughts, emotions, and fears. Together, we'll uncover fresh avenues to conquer these challenges. I am a compassionate, and thoughtful listener, and my ultimate objective is to empower you. We will use your strengths to initiate a transformative journey to understand and break through the barriers holding you back.
(408) 320-5740 View (408) 320-5740
Photo of Jeaneen Johnson, MA, AMFT, APCC, Marriage & Family Therapist Associate
Jeaneen Johnson
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
2 Endorsed
Brentwood, CA 94513  (Online Only)
Not accepting new clients
Hello and welcome. I am humbled and grateful to have the opportunity to do what I love, and that is to help people. As life ebbs and flows it can be helpful to obtain support in working through those difficult and challenging moments. If you are reading this then you have taken a huge step toward obtaining the support you need. I am an Associate Marriage and Family Therapist and Associate Professional Clinical Counselor.  I believe in building a trusting therapeutic relationship that leads to empowerment and growth while also encouraging self-advocacy.
Hello and welcome. I am humbled and grateful to have the opportunity to do what I love, and that is to help people. As life ebbs and flows it can be helpful to obtain support in working through those difficult and challenging moments. If you are reading this then you have taken a huge step toward obtaining the support you need. I am an Associate Marriage and Family Therapist and Associate Professional Clinical Counselor.  I believe in building a trusting therapeutic relationship that leads to empowerment and growth while also encouraging self-advocacy.
(925) 406-3713 View (925) 406-3713
Photo of Mankit Li, PsyD, Psychologist
Mankit Li
Psychologist, PsyD
Verified Verified
Walnut Creek, CA 94597  (Online Only)
Hey there, if you are reading this, there is a chance that things in your life have gotten rough. Maybe you are having relationship problems, work or school is overwhelming, or maybe you are unhappy. I can help. I specialize in working with individuals who are living with immense life stressors. I help clients achieve their goals by dissolving obstacles, discovering patterns, and gaining insights while developing new skills to cope with life challenges. I work best with patients who are highly anxious but also appreciate a sense of humor. I can also provide services in Cantonese.
Hey there, if you are reading this, there is a chance that things in your life have gotten rough. Maybe you are having relationship problems, work or school is overwhelming, or maybe you are unhappy. I can help. I specialize in working with individuals who are living with immense life stressors. I help clients achieve their goals by dissolving obstacles, discovering patterns, and gaining insights while developing new skills to cope with life challenges. I work best with patients who are highly anxious but also appreciate a sense of humor. I can also provide services in Cantonese.
(925) 744-8094 View (925) 744-8094
Photo of Brandi Shae Ellis, LMFT, Marriage & Family Therapist
Brandi Shae Ellis
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Martinez, CA 94553  (Online Only)
Brandi uses the following individualized & evidence based approaches during treatment: • Dialectical Behavior Therapy (DBT) • Trauma-informed Cognitive Behavior Therapy (TF-CBT) • Motivational Interviewing • Acceptance and Commitment Therapy (ACT) •
Brandi uses the following individualized & evidence based approaches during treatment: • Dialectical Behavior Therapy (DBT) • Trauma-informed Cognitive Behavior Therapy (TF-CBT) • Motivational Interviewing • Acceptance and Commitment Therapy (ACT) •
(925) 578-2569 View (925) 578-2569
Photo of Jillian Young, ACSW
Jillian Young
Associate Clinical Social Worker, ACSW
Verified Verified
San Ramon, CA 94583
My goal is to create a safe and secure space for clients to explore, grow, process, and develop a deeper understanding of themselves. I believe all individuals have the potential for growth and understand the discomfort around growth and change. I integrate a variety of evidence-based practices, including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Strength based, Holistic approaches, and Acceptance and Commitment Therapy to individualize each client’s treatment and meet clients where they are. I considers myself an active therapist in session and include psychoeducation in my approach.
My goal is to create a safe and secure space for clients to explore, grow, process, and develop a deeper understanding of themselves. I believe all individuals have the potential for growth and understand the discomfort around growth and change. I integrate a variety of evidence-based practices, including Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, Strength based, Holistic approaches, and Acceptance and Commitment Therapy to individualize each client’s treatment and meet clients where they are. I considers myself an active therapist in session and include psychoeducation in my approach.
(510) 683-5349 View (510) 683-5349
Photo of Tina Harris, LMFT, Marriage & Family Therapist
Tina Harris
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Danville, CA 94526
Not accepting new clients
Hello and welcome. I use a comprehensive somatic approach to therapy that includes both mind and body. I have over 15 years of experience as a therapist and believe the key to change is the collaborative relationship between therapist and participant. I believe that all individuals need a safe, supportive space to explore the past, present, and future.
Hello and welcome. I use a comprehensive somatic approach to therapy that includes both mind and body. I have over 15 years of experience as a therapist and believe the key to change is the collaborative relationship between therapist and participant. I believe that all individuals need a safe, supportive space to explore the past, present, and future.
(925) 448-9375 View (925) 448-9375
Photo of Madelyn Torres, LCSW, Clinical Social Work/Therapist
Madelyn Torres
Clinical Social Work/Therapist, LCSW
Verified Verified
3 Endorsed
Concord, CA 94520  (Online Only)
Hello! I'm Madelyn, and I am a bilingual Licensed Clinical Social Worker. I have served many populations struggling with depression, anxiety, post-traumatic stress disorder, low self-esteem, narcissistic abuse, and codependent relationships. I am passionate about working with women of color in the Latinx Community struggling with complex trauma, family issues, relationship issues, grief, job-related stress, and school related stress. My goal as your therapist is to empower you and honor your space and your story in a safe non-judgmental environment.
Hello! I'm Madelyn, and I am a bilingual Licensed Clinical Social Worker. I have served many populations struggling with depression, anxiety, post-traumatic stress disorder, low self-esteem, narcissistic abuse, and codependent relationships. I am passionate about working with women of color in the Latinx Community struggling with complex trauma, family issues, relationship issues, grief, job-related stress, and school related stress. My goal as your therapist is to empower you and honor your space and your story in a safe non-judgmental environment.
(925) 578-4366 View (925) 578-4366
Photo of Ricky Morris, MA, LMFT, Marriage & Family Therapist
Ricky Morris
Marriage & Family Therapist, MA, LMFT
Verified Verified
Concord, CA 94520
If you are seeking therapy, you've most likely identified patterns in your life that you'd like to change. Do you feel overwhelmed by what seems too large of a mountain to scale? Have you attempted to do the work alone, but often feel hopeless in your pursuit of stability? You may find it comforting to secure a knowledgeable supportive passenger in your journey to reach the destination of growth and healing. The path to this recognition is unique to each person, as is the process of therapy itself.
If you are seeking therapy, you've most likely identified patterns in your life that you'd like to change. Do you feel overwhelmed by what seems too large of a mountain to scale? Have you attempted to do the work alone, but often feel hopeless in your pursuit of stability? You may find it comforting to secure a knowledgeable supportive passenger in your journey to reach the destination of growth and healing. The path to this recognition is unique to each person, as is the process of therapy itself.
(925) 588-7271 View (925) 588-7271
Photo of Patty Shirley - East Bay Christian Counseling And Neurotherapy, LMFT, LPCC, CATC, CCTP, Marriage & Family Therapist
Patty Shirley - East Bay Christian Counseling And Neurotherapy
Marriage & Family Therapist, LMFT, LPCC, CATC, CCTP
Verified Verified
Walnut Creek, CA 94598
Neurofeedback, is utilizing your brain’s own God-given ability to re-regulate itself to a more stable / productive brain wave pattern by providing it feedback through audible and visual cues. It is like playing a video game using only your brain and no controller. Electrodes record the brain's activity, training your brain to learn new things, reinforcing better patterns and reactions. It is non-invasive, with no drugs or medications. Feeling worried, anxious, sad, angry or frustrated? Having relationship and communication issues? In-Person, Virtual and Phone Sessions are available for individuals, couples, families and groups.
Neurofeedback, is utilizing your brain’s own God-given ability to re-regulate itself to a more stable / productive brain wave pattern by providing it feedback through audible and visual cues. It is like playing a video game using only your brain and no controller. Electrodes record the brain's activity, training your brain to learn new things, reinforcing better patterns and reactions. It is non-invasive, with no drugs or medications. Feeling worried, anxious, sad, angry or frustrated? Having relationship and communication issues? In-Person, Virtual and Phone Sessions are available for individuals, couples, families and groups.
(925) 212-1018 View (925) 212-1018
Photo of Scott Lingen, PsyD, Psychologist
Scott Lingen
Psychologist, PsyD
Verified Verified
Walnut Creek, CA 94597
Have you reached an emotionally challenging point in your life and need a safe, accepting, non-judgmental space where you can safely work through your issues without someone else imposing their own agenda upon you? I have worked successfully with a very diverse group of clients, both individuals and couples, who have benefited from my individualized approach to helping people manage and work through issues of anxiety, trauma, depression, relational issues with partners and family, and a variety of major life transition issues that required careful navigation and thought before proceeding.
Have you reached an emotionally challenging point in your life and need a safe, accepting, non-judgmental space where you can safely work through your issues without someone else imposing their own agenda upon you? I have worked successfully with a very diverse group of clients, both individuals and couples, who have benefited from my individualized approach to helping people manage and work through issues of anxiety, trauma, depression, relational issues with partners and family, and a variety of major life transition issues that required careful navigation and thought before proceeding.
(925) 322-0850 View (925) 322-0850
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See more therapy options for Contra Costa County

How does your Therapist compare?

Number of Therapists in Contra Costa County, CA

2,000+

Average cost per session

$180

Therapists in Contra Costa County, CA who prioritize treating:

92% Anxiety
87% Depression
77% Relationship Issues
74% Self Esteem
69% Coping Skills
64% Grief
64% Stress

Average years in practice

13 Years

Top 3 insurances accepted

71% Aetna
64% Cigna and Evernorth
60% UnitedHealthcare UHC | UBH

How Therapists in Contra Costa County, CA see their clients

71% In Person and Online
29% Online Only

Gender breakdown

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

How can I find a therapist in Contra Costa County?

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.