Therapists in Saint Francis Wood, San Francisco, CA

Photo of Hilary Davis, MFT, Marriage & Family Therapist
Hilary Davis
Marriage & Family Therapist, MFT
Verified Verified
5 Endorsed
Saint Francis Wood, San Francisco, CA 94127
Not accepting new clients
Hello and welcome to my practice. I help clients to make intentional changes that honor and respect their own needs and values, and to become resilient, emotionally strong, and self-empowered in the process. I help clients to rediscover and strengthen their own sense of courage and hope. Modern life can at times seem overwhelming as we strive to find meaning and direction in our lives. I can help you on your journey to find greater meaning and fulfillment, identify ways you can work towards achieving your dreams, and improve your personal relationships.
Hello and welcome to my practice. I help clients to make intentional changes that honor and respect their own needs and values, and to become resilient, emotionally strong, and self-empowered in the process. I help clients to rediscover and strengthen their own sense of courage and hope. Modern life can at times seem overwhelming as we strive to find meaning and direction in our lives. I can help you on your journey to find greater meaning and fulfillment, identify ways you can work towards achieving your dreams, and improve your personal relationships.
(415) 423-2148 View (415) 423-2148
Photo of Carla L Durkin, MS, LMFT, Marriage & Family Therapist
Carla L Durkin
Marriage & Family Therapist, MS, LMFT
Verified Verified
Saint Francis Wood, San Francisco, CA 94127  (Online Only)
Over 17 years practicing has affirmed my belief that most of the emotional wounding and on-going pain, difficulties, confusion and “stuckness” plaguing individuals, and the relational problems of couples can move and improve significantly in psychotherapy with a warm, intelligent, highly attuned, interactive, and skilled psychotherapist. I work hard at creating a safe, reliable and connected therapeutic relationship, in which the client feels comfortable, seen, understood and accepted for who they are, communicated with honestly and directly, and free to drive the focus, pace and intensity as feels right to them.
Over 17 years practicing has affirmed my belief that most of the emotional wounding and on-going pain, difficulties, confusion and “stuckness” plaguing individuals, and the relational problems of couples can move and improve significantly in psychotherapy with a warm, intelligent, highly attuned, interactive, and skilled psychotherapist. I work hard at creating a safe, reliable and connected therapeutic relationship, in which the client feels comfortable, seen, understood and accepted for who they are, communicated with honestly and directly, and free to drive the focus, pace and intensity as feels right to them.
(650) 605-3981 View (650) 605-3981
Suzanne M Valla
Marriage & Family Therapist, LMFT
Verified Verified
Saint Francis Wood, San Francisco, CA 94127
I specialize working with young adults parents and other adults who are experiencing life transitions-such as, grief and loss issues, anxiety and depression. Mindfulness and Cognitive Behavioral techniques are taught to my clients as they work toward recovery and acceptance while receiving positive regard and support.
I specialize working with young adults parents and other adults who are experiencing life transitions-such as, grief and loss issues, anxiety and depression. Mindfulness and Cognitive Behavioral techniques are taught to my clients as they work toward recovery and acceptance while receiving positive regard and support.
(415) 930-9318 View (415) 930-9318
Photo of Abigail Levinson Marks, PhD, Psychologist
Abigail Levinson Marks
Psychologist, PhD
Verified Verified
Saint Francis Wood, San Francisco, CA 94127
Not accepting new clients
All therapy begins with a story--your story. My job as your therapist is to help you tell your story and find the meaning in its threads and connections that will help you know yourself more deeply. Whether you have a specific problem or simply want to make some life changes, we'll carefully unravel what has led you to this place in your life, so that ultimately you can find the freedom to move forward in a different way. My style is warm, down to earth, creative, thoughtful, and authentic.
All therapy begins with a story--your story. My job as your therapist is to help you tell your story and find the meaning in its threads and connections that will help you know yourself more deeply. Whether you have a specific problem or simply want to make some life changes, we'll carefully unravel what has led you to this place in your life, so that ultimately you can find the freedom to move forward in a different way. My style is warm, down to earth, creative, thoughtful, and authentic.
(415) 991-3887 View (415) 991-3887
Photo of Melissa Foster, LMFT, Marriage & Family Therapist
Melissa Foster
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Saint Francis Wood, San Francisco, CA 94127  (Online Only)
I am a licensed Marriage and Family Therapist and an Art Therapist. I help clients create healthier patterns in life and improve relationships. Services available for adults, couples, families and children. My areas of emphasis include abuse, trauma, anxiety, depression, divorce, grief, parenting support, self-esteem, and personal growth. I am also trained in EMDR.
I am a licensed Marriage and Family Therapist and an Art Therapist. I help clients create healthier patterns in life and improve relationships. Services available for adults, couples, families and children. My areas of emphasis include abuse, trauma, anxiety, depression, divorce, grief, parenting support, self-esteem, and personal growth. I am also trained in EMDR.
(415) 799-9445 View (415) 799-9445
Photo of Paulo Rebello, MA, LMFT, Marriage & Family Therapist
Paulo Rebello
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Saint Francis Wood, San Francisco, CA 94127
Not accepting new clients
As your therapist, using mindfulness and a caring presence, I will accompany you on the road to personal growth, supporting you in understanding how you can become appreciative of your behaviors: they helped you come this far! We will explore how you can see your life through different, enriching perspectives to include multiple ways of being in relationship and acting in the world in a more satisfying way for you. It's about empowering you with the ability to choose what you want to live. It is about giving you choices.
As your therapist, using mindfulness and a caring presence, I will accompany you on the road to personal growth, supporting you in understanding how you can become appreciative of your behaviors: they helped you come this far! We will explore how you can see your life through different, enriching perspectives to include multiple ways of being in relationship and acting in the world in a more satisfying way for you. It's about empowering you with the ability to choose what you want to live. It is about giving you choices.
(510) 463-4890 View (510) 463-4890
Photo of Donna Blethen, MFT, Marriage & Family Therapist
Donna Blethen
Marriage & Family Therapist, MFT
Verified Verified
Saint Francis Wood, San Francisco, CA 94127
Do you wish your mate listened to you and understood you better? Do you sometimes feel angry that he/she is too controlling and unwilling to compromise? It doesn't have to be this way. Let me help. Loving behaviors are learned. I can teach you to build a stronger and more loving connection. I would love to teach you the simple but powerful skills with which to improve your relationship. Do know that all relationships start with the self. How we treat ourselves internally is often what we allow externally. Let me help you work the inside job and the relationship with other job.
Do you wish your mate listened to you and understood you better? Do you sometimes feel angry that he/she is too controlling and unwilling to compromise? It doesn't have to be this way. Let me help. Loving behaviors are learned. I can teach you to build a stronger and more loving connection. I would love to teach you the simple but powerful skills with which to improve your relationship. Do know that all relationships start with the self. How we treat ourselves internally is often what we allow externally. Let me help you work the inside job and the relationship with other job.
(650) 385-8844 View (650) 385-8844
Photo of Stephanie J Wong, PhD, Psychologist
Stephanie J Wong
Psychologist, PhD
Verified Verified
2 Endorsed
Saint Francis Wood, San Francisco, CA 94127  (Online Only)
Hi I'm Dr. Stephanie J. Wong! I am a Licensed Clinical Psychologist, host of the award-winning, Color of Success Podcast (colorofsuccesspodcast.com), and an Asian American therapist who was recently quoted as a mental health expert in Forbes, Us News & World Report, and Shondaland. Specialties include mood, cultural, relationship, and career/leadership concerns, and working with veterans and ethnic minority clients.
Hi I'm Dr. Stephanie J. Wong! I am a Licensed Clinical Psychologist, host of the award-winning, Color of Success Podcast (colorofsuccesspodcast.com), and an Asian American therapist who was recently quoted as a mental health expert in Forbes, Us News & World Report, and Shondaland. Specialties include mood, cultural, relationship, and career/leadership concerns, and working with veterans and ethnic minority clients.
(650) 830-0511 View (650) 830-0511
Photo of Sharon Epel, LMFT, MA, MS, Marriage & Family Therapist
Sharon Epel
Marriage & Family Therapist, LMFT, MA, MS
Verified Verified
Saint Francis Wood, San Francisco, CA 94127
If you're feeling unhappy in your relationships and life, dissatisfied, scared, or stuck, I can help guide you towards greater well-being. I will offer you practical real-world tools and real insight to help you figure out not just what you need to be happier and more fulfilled, but how to get there. By the end of each session, I aim to help you feel you've learned something about yourself or your relationships, and that you're leaving with new approaches or ideas to try in your life. I work with individuals, young adults, parents, and couples, offering support, skills and insight to navigate life transitions and relationships.
If you're feeling unhappy in your relationships and life, dissatisfied, scared, or stuck, I can help guide you towards greater well-being. I will offer you practical real-world tools and real insight to help you figure out not just what you need to be happier and more fulfilled, but how to get there. By the end of each session, I aim to help you feel you've learned something about yourself or your relationships, and that you're leaving with new approaches or ideas to try in your life. I work with individuals, young adults, parents, and couples, offering support, skills and insight to navigate life transitions and relationships.
(415) 858-1939 View (415) 858-1939
Photo of Chrystal Rahmani, PhD, Psychologist
Chrystal Rahmani
Psychologist, PhD
Verified Verified
3 Endorsed
Saint Francis Wood, San Francisco, CA 94127  (Online Only)
Life can be rough. Perhaps you are wondering if things will ever get better. Perhaps you want to learn more about yourself and the patterns that are linked to your unhappiness. Perhaps you want to explore your relationships, or work life. Whatever the challenge, psychotherapy can serve as powerful means to get curious and institute the growth and change you are seeking.
Life can be rough. Perhaps you are wondering if things will ever get better. Perhaps you want to learn more about yourself and the patterns that are linked to your unhappiness. Perhaps you want to explore your relationships, or work life. Whatever the challenge, psychotherapy can serve as powerful means to get curious and institute the growth and change you are seeking.
(424) 297-5698 View (424) 297-5698
Photo of Therese Yrani, MS, LMFT, #110224, Marriage & Family Therapist
Therese Yrani
Marriage & Family Therapist, MS, LMFT, #110224
Verified Verified
6 Endorsed
Saint Francis Wood, San Francisco, CA 94127
My role as a therapist is to help you reach your potential. I work with individuals and couples who want to feel more connected and fulfilled in their relationships. Often what holds people and relationships back is a pattern of unhelpful thoughts, behaviors and interactions. Identifying these patterns and developing strategies to overcome them can empower you to get unstuck and move toward your goals. I support couples to gain the insight and skills to overcome conflict, improve communication and find connection. I help individuals grow in awareness, heal from the past and conquer the barriers keeping them from the life they want.
My role as a therapist is to help you reach your potential. I work with individuals and couples who want to feel more connected and fulfilled in their relationships. Often what holds people and relationships back is a pattern of unhelpful thoughts, behaviors and interactions. Identifying these patterns and developing strategies to overcome them can empower you to get unstuck and move toward your goals. I support couples to gain the insight and skills to overcome conflict, improve communication and find connection. I help individuals grow in awareness, heal from the past and conquer the barriers keeping them from the life they want.
(650) 761-2768 View (650) 761-2768
Photo of Jim Oakley, MA, MFT, MDiv, Marriage & Family Therapist
Jim Oakley
Marriage & Family Therapist, MA, MFT, MDiv
Verified Verified
9 Endorsed
Saint Francis Wood, San Francisco, CA 94127  (Online Only)
I love helping my clients not just survive, but thrive. Whether or not you've tried therapy before, deciding to get experienced support is the first step to a better life. While some of my clients initially reach out in moments of crisis or great need, others are doing fine or even "thriving" (in the eyes of peers and loved ones) but feel like they can build greater happiness and meaning with a regular therapeutic relationship. You'll gain personal insight, a stronger confidence in your choices and greater resiliency in navigating life and relationship challenges.
I love helping my clients not just survive, but thrive. Whether or not you've tried therapy before, deciding to get experienced support is the first step to a better life. While some of my clients initially reach out in moments of crisis or great need, others are doing fine or even "thriving" (in the eyes of peers and loved ones) but feel like they can build greater happiness and meaning with a regular therapeutic relationship. You'll gain personal insight, a stronger confidence in your choices and greater resiliency in navigating life and relationship challenges.
(415) 484-3455 View (415) 484-3455
Photo of Dan Sussman, PhD, Psychologist
Dan Sussman
Psychologist, PhD
Verified Verified
Saint Francis Wood, San Francisco, CA 94127
Welcome! I know that life can sometimes get messy and stressful. Maybe you’re feeling anxious or depressed, struggling with relationships, work, parenting, aging, a fast-changing world, or just want to talk to someone who’ll listen and be there for you. Change can be hard and humbling before you get to where you want to go. If you’d like to become a happier, more fulfilled you, please schedule a free consultation by going to my website, www.dansussmanphd.com, send me an email, or give me a call. I'm here to help.
Welcome! I know that life can sometimes get messy and stressful. Maybe you’re feeling anxious or depressed, struggling with relationships, work, parenting, aging, a fast-changing world, or just want to talk to someone who’ll listen and be there for you. Change can be hard and humbling before you get to where you want to go. If you’d like to become a happier, more fulfilled you, please schedule a free consultation by going to my website, www.dansussmanphd.com, send me an email, or give me a call. I'm here to help.
(310) 905-8775 View (310) 905-8775
Photo of Dr. Shane Saenz, PsyD, CMPC, Psychologist
Dr. Shane Saenz
Psychologist, PsyD, CMPC
Verified Verified
2 Endorsed
Saint Francis Wood, San Francisco, CA 94127  (Online Only)
I work with clients of all ages and backgrounds. As a licensed clinical and sport psychologist, I am available to work with people who are looking to improve their performance on and off the field. Whether you are an athlete or not, I view myself as a collaborative teammate who can help you achieve your goals. I have experience working with people from all backgrounds, including adults, adolescents, children, families, and athletes. I have also worked in various settings, such as correctional facilities, university counseling centers, and private practice.
I work with clients of all ages and backgrounds. As a licensed clinical and sport psychologist, I am available to work with people who are looking to improve their performance on and off the field. Whether you are an athlete or not, I view myself as a collaborative teammate who can help you achieve your goals. I have experience working with people from all backgrounds, including adults, adolescents, children, families, and athletes. I have also worked in various settings, such as correctional facilities, university counseling centers, and private practice.
(858) 358-6654 View (858) 358-6654
Photo of Dr. Carlos Martinez, Psychological Associate
Dr. Carlos Martinez
Psychological Associate
Verified Verified
1 Endorsed
Saint Francis Wood, San Francisco, CA 94127
Step into a healing space where laughter is welcome. As a professional and a family man, I know how crazy life can get. Juggling work, family, and the kitchen sink is no joke. I've been there, done that, and got the t-shirt to prove it! Let's not even start on the childhood baggage we all cart around like old luggage. Whether you're side-eyeing therapy or feeling stuck in a rut, I've got your back with compassionate support and a dash of humor. Together, we'll unpack those heavy bags, set some goals, and take a transformative journey toward inner peace.
Step into a healing space where laughter is welcome. As a professional and a family man, I know how crazy life can get. Juggling work, family, and the kitchen sink is no joke. I've been there, done that, and got the t-shirt to prove it! Let's not even start on the childhood baggage we all cart around like old luggage. Whether you're side-eyeing therapy or feeling stuck in a rut, I've got your back with compassionate support and a dash of humor. Together, we'll unpack those heavy bags, set some goals, and take a transformative journey toward inner peace.
(747) 204-0280 View (747) 204-0280
Photo of Mindy Edwards, LCSW, Clinical Social Work/Therapist
Mindy Edwards
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Saint Francis Wood, San Francisco, CA 94127  (Online Only)
Hi, I'm Mindy and I'm here to help, with immediate openings for online therapy for adults anywhere in California. Perhaps you find yourself repeating the same old unhelpful patterns, but you don't know why you do it or how to stop. You might know you need to make changes in your life, but feel overwhelmed and don't know where to begin. You want to become your most authentic self and live your best life, but maybe you feel weighed down by negative thoughts and feelings.
Hi, I'm Mindy and I'm here to help, with immediate openings for online therapy for adults anywhere in California. Perhaps you find yourself repeating the same old unhelpful patterns, but you don't know why you do it or how to stop. You might know you need to make changes in your life, but feel overwhelmed and don't know where to begin. You want to become your most authentic self and live your best life, but maybe you feel weighed down by negative thoughts and feelings.
(916) 461-7573 View (916) 461-7573
Photo of Jocelyn Barron, LMFT, Marriage & Family Therapist
Jocelyn Barron
Marriage & Family Therapist, LMFT
Verified Verified
Saint Francis Wood, San Francisco, CA 94127
I am a client-centered, trauma- and attachment-informed, adoption-competent (Accredited TAC-trained) clinician. I have worked with and in the child welfare system for nearly 13 years. My focus is assisting families and youth going through the adoption process and providing therapeutic support post-adoption. I work comfortably with both youth and adults and family sessions as needed.
I am a client-centered, trauma- and attachment-informed, adoption-competent (Accredited TAC-trained) clinician. I have worked with and in the child welfare system for nearly 13 years. My focus is assisting families and youth going through the adoption process and providing therapeutic support post-adoption. I work comfortably with both youth and adults and family sessions as needed.
(714) 364-8034 View (714) 364-8034
Photo of Kate Merrill Evans - Kate Evans Therapy - Attachment Medicine, MA, LMFT, Marriage & Family Therapist
Kate Evans Therapy - Attachment Medicine
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Saint Francis Wood, San Francisco, CA 94127  (Online Only)
My clients are individuals and couples who are ready to take a deeper look into themselves and the thoughts and behaviors that aren't serving them any longer. Maybe they've noticed patterns in their lives and/or relationships that they'd like to step away from or help their partners with; issues like explosive anger, emotional withdrawal, people pleasing, codependency, substance abuse, depression, or anxiety. These patterns may be longstanding or they may have arisen as a result of a recent grief or other trauma event. My clients feel there's more to life then what they may be living, they just don't know how to access it yet.
My clients are individuals and couples who are ready to take a deeper look into themselves and the thoughts and behaviors that aren't serving them any longer. Maybe they've noticed patterns in their lives and/or relationships that they'd like to step away from or help their partners with; issues like explosive anger, emotional withdrawal, people pleasing, codependency, substance abuse, depression, or anxiety. These patterns may be longstanding or they may have arisen as a result of a recent grief or other trauma event. My clients feel there's more to life then what they may be living, they just don't know how to access it yet.
(415) 598-5862 View (415) 598-5862
Photo of Nalini Persaud, MA, LCSW, Clinical Social Work/Therapist
Nalini Persaud
Clinical Social Work/Therapist, MA, LCSW
Verified Verified
Saint Francis Wood, San Francisco, CA 94127  (Online Only)
I am extremely passionate working in this field because I enjoy connecting with people and helping them to overcome obstacles in order for them to live a happier and more fulfilled life. I try to create a safe space for someone to comfortably delve into their thoughts and emotions to find the core issues they are dealing with. I have over 18 years of experience working with individuals, couples, and families with a wide range of challenges and issues.
I am extremely passionate working in this field because I enjoy connecting with people and helping them to overcome obstacles in order for them to live a happier and more fulfilled life. I try to create a safe space for someone to comfortably delve into their thoughts and emotions to find the core issues they are dealing with. I have over 18 years of experience working with individuals, couples, and families with a wide range of challenges and issues.
(949) 787-3720 View (949) 787-3720
Photo of Lubov V Smith, LMFT, Marriage & Family Therapist
Lubov V Smith
Marriage & Family Therapist, LMFT
Verified Verified
Saint Francis Wood, San Francisco, CA 94127  (Online Only)
My ideal client is any person who has the courage to reach out and to ask for help. It takes courage and bravery in the middle of darkness and desperation to do just that: to hold out hope against anxiety and hopelessness. It takes courage to recognize that you cannot do it alone. I firmly believe that it’s not what happens to us, it’s what we do. And my promise is to help you, who reaches out and makes the call.
My ideal client is any person who has the courage to reach out and to ask for help. It takes courage and bravery in the middle of darkness and desperation to do just that: to hold out hope against anxiety and hopelessness. It takes courage to recognize that you cannot do it alone. I firmly believe that it’s not what happens to us, it’s what we do. And my promise is to help you, who reaches out and makes the call.
(628) 215-6093 View (628) 215-6093

How does your Therapist compare?

Number of Therapists in Saint Francis Wood, San Francisco, CA

20+

Average cost per session

$200

Therapists in Saint Francis Wood, San Francisco, CA who prioritize treating:

96% Anxiety
91% Relationship Issues
74% Depression
74% Life Transitions
70% Grief
70% Family Conflict
65% Trauma and PTSD

Average years in practice

17 Years

Top 3 insurances accepted

50% Cigna and Evernorth
38% BlueCross and BlueShield
25% Aetna

How Therapists in Saint Francis Wood, San Francisco, CA see their clients

53% In Person and Online
47% Online Only

Gender breakdown

79% Female
21% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Saint Francis Wood, San Francisco?

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.