Therapists in San Francisco, CA

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Photo of Margaret M Oh, MA, Marriage & Family Therapist Associate
Margaret M Oh
Marriage & Family Therapist Associate, MA
Verified Verified
2 Endorsed
San Francisco, CA 94104  (Online Only)
My name is Margaret, your individual and relationship therapist. I am a marriage and family therapist who are here to help you through some challenging time in your life. You may have read countless self-help books, scrolled through TikTok videos and listened to Podcast to find answers to your never ending pursuit of perfection, despair in your relationship, people pleasing tendencies, and constant anxiety. I am here to let you know that you don't have to go through this alone. You can discover the answers you are seeking in a safe space where you will feel seen and understood.
My name is Margaret, your individual and relationship therapist. I am a marriage and family therapist who are here to help you through some challenging time in your life. You may have read countless self-help books, scrolled through TikTok videos and listened to Podcast to find answers to your never ending pursuit of perfection, despair in your relationship, people pleasing tendencies, and constant anxiety. I am here to let you know that you don't have to go through this alone. You can discover the answers you are seeking in a safe space where you will feel seen and understood.
(805) 819-5784 View (805) 819-5784
Photo of Laura H Fraser, LCSW, Clinical Social Work/Therapist
Laura H Fraser
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94114
There are so many reasons why people seek out psychotherapy. Maybe you are feeling trapped in a cycle of destructive patterns that are causing great suffering to you or the people around you. These struggles might be a result of: a painful relationship with your body and food, an eating disorder, a history of abuse, trauma or alcoholism in your childhood home or difficulites parenting your child or teenager. You may be seeking help for your child who is having trouble with relationships, school, drugs and alcohol, adhering to family rules or is not feeling strong about who they are as an individual.
There are so many reasons why people seek out psychotherapy. Maybe you are feeling trapped in a cycle of destructive patterns that are causing great suffering to you or the people around you. These struggles might be a result of: a painful relationship with your body and food, an eating disorder, a history of abuse, trauma or alcoholism in your childhood home or difficulites parenting your child or teenager. You may be seeking help for your child who is having trouble with relationships, school, drugs and alcohol, adhering to family rules or is not feeling strong about who they are as an individual.
(415) 969-5494 View (415) 969-5494
Photo of Brian Brown, PsyD, Psychologist
Brian Brown
Psychologist, PsyD
Verified Verified
6 Endorsed
San Francisco, CA 94102
Meaningful relationships are an essential part of fulfillment and happiness. I believe in the unique power of the relationship that develops between therapist and client. Through an exploration of this interaction, we can more wholly understand your past and current relationships and help shape future experiences. I work with people who are struggling in a variety of ways and are ready to dig in and do some difficult and deeply powerful work that will lead to greater choice and freedom. I view my opportunity to join individuals in their journey toward self-understanding as a great privilege and find the work exciting and gratifying.
Meaningful relationships are an essential part of fulfillment and happiness. I believe in the unique power of the relationship that develops between therapist and client. Through an exploration of this interaction, we can more wholly understand your past and current relationships and help shape future experiences. I work with people who are struggling in a variety of ways and are ready to dig in and do some difficult and deeply powerful work that will lead to greater choice and freedom. I view my opportunity to join individuals in their journey toward self-understanding as a great privilege and find the work exciting and gratifying.
(341) 444-2487 View (341) 444-2487
Photo of Miya G Yung, ACSW, MSW, Pre-Licensed Professional
Miya G Yung
Pre-Licensed Professional, ACSW, MSW
Verified Verified
1 Endorsed
San Francisco, CA 94102
Hi, I'm Miya! I specialize in working with LGBTQ+, Asian American & Pacific Islander, and other POC/immigrant communities. I support clients who are exploring their identities, processing trauma and grief, making sense of family patterns and cultural influences, struggling with anxiety or depression, or just wanting to become a better version of themselves.
Hi, I'm Miya! I specialize in working with LGBTQ+, Asian American & Pacific Islander, and other POC/immigrant communities. I support clients who are exploring their identities, processing trauma and grief, making sense of family patterns and cultural influences, struggling with anxiety or depression, or just wanting to become a better version of themselves.
(628) 345-5836 View (628) 345-5836
Photo of Yu-Shan Huang, MA, LMFT, Marriage & Family Therapist
Yu-Shan Huang
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
San Francisco, CA 94115
I'm a San Francisco based therapist licensed in California. My bi-cultural background helped me expand my awareness and develop skills around the intersection of cross-cultural issues and relational trauma. I work well with adults who grew up from emotionally unavailable caregivers, couples who struggles with communication/ connection/ intimacy and cross-cultural conflicts. I support clients in connecting with their feelings and authentic selves to build a more balanced and healthier relationship with others and oneself. ​Together we will aim to transfer your therapeutic progress into any aspect of your life.
I'm a San Francisco based therapist licensed in California. My bi-cultural background helped me expand my awareness and develop skills around the intersection of cross-cultural issues and relational trauma. I work well with adults who grew up from emotionally unavailable caregivers, couples who struggles with communication/ connection/ intimacy and cross-cultural conflicts. I support clients in connecting with their feelings and authentic selves to build a more balanced and healthier relationship with others and oneself. ​Together we will aim to transfer your therapeutic progress into any aspect of your life.
(415) 325-2650 View (415) 325-2650
Photo of Alexandra Thurston, PsyD, PMH-C, Psychologist
Alexandra Thurston
Psychologist, PsyD, PMH-C
Verified Verified
2 Endorsed
San Francisco, CA 94115  (Online Only)
My areas of specialization include anxiety, pregnancy and postpartum concerns, and relationship issues. I specialize in empowering professionals in high pressure fields to quiet their inner critic and manage stress to feel more confident and balanced. As a provider certified in perinatal mental health (and a parent myself), I am passionate about supporting pregnant & postpartum people to address mood and anxiety concerns and navigate the adjustment to parenthood to feel more connected and at ease. With couples, I support partners with improving communication and intimacy, rebuilding trust, and developing a deep, lasting bond.
My areas of specialization include anxiety, pregnancy and postpartum concerns, and relationship issues. I specialize in empowering professionals in high pressure fields to quiet their inner critic and manage stress to feel more confident and balanced. As a provider certified in perinatal mental health (and a parent myself), I am passionate about supporting pregnant & postpartum people to address mood and anxiety concerns and navigate the adjustment to parenthood to feel more connected and at ease. With couples, I support partners with improving communication and intimacy, rebuilding trust, and developing a deep, lasting bond.
(415) 997-2195 View (415) 997-2195
Photo of Vernon Lee, PhD, CSAT-S, Psychologist
Vernon Lee
Psychologist, PhD, CSAT-S
Verified Verified
San Francisco, CA 94104  (Online Only)
In a field with very few recognized experts, Dr. Lee is an acknowledged professional in the assessment and treatment of persons with addictive sexual disorders and domestic violence.Clients come to us for professional and compassionate guidance in creating the most appropriate treatment plan for their success.
In a field with very few recognized experts, Dr. Lee is an acknowledged professional in the assessment and treatment of persons with addictive sexual disorders and domestic violence.Clients come to us for professional and compassionate guidance in creating the most appropriate treatment plan for their success.
(415) 842-4206 View (415) 842-4206
Photo of Sheena Craig, MFT, Marriage & Family Therapist
Sheena Craig
Marriage & Family Therapist, MFT
Verified Verified
San Francisco, CA 94118
I currently work with adult and adolescent individuals and couples. The issues I deal with include depression and dysthymia, panic attacks, stress, generalized anxiety disorder, gender identity disorder, obsessions and compulsions, childhood sexual trauma, childhood physical abuse, grief and loss, relationship difficulties, communication conflict, commitment, intimacy, sexual difficulties, insecurity, trust, infidelity and social phobia.
I currently work with adult and adolescent individuals and couples. The issues I deal with include depression and dysthymia, panic attacks, stress, generalized anxiety disorder, gender identity disorder, obsessions and compulsions, childhood sexual trauma, childhood physical abuse, grief and loss, relationship difficulties, communication conflict, commitment, intimacy, sexual difficulties, insecurity, trust, infidelity and social phobia.
(415) 858-6152 View (415) 858-6152
Photo of Joanna Lay, MA, MFT, Marriage & Family Therapist Associate
Joanna Lay
Marriage & Family Therapist Associate, MA, MFT
Verified Verified
4 Endorsed
San Francisco, CA 94123
It’s girl dinner again tonight. Glass of AIX in hand, you can finally start to feel your shoulders relax. Luke’s makes it so easy: Humboldt fog + rustic bakery crackers + Castelvetrano olives. You deserve it after all: first comforting your boss who was triggered after annual review and then your sister when she called you sobbing because her ex just reactivated his tinder profile–you know exactly how to support everyone else. So, it doesn’t exactly make sense that you were on the verge of a panic attack (again) today, but look at how well you’re handling it.
It’s girl dinner again tonight. Glass of AIX in hand, you can finally start to feel your shoulders relax. Luke’s makes it so easy: Humboldt fog + rustic bakery crackers + Castelvetrano olives. You deserve it after all: first comforting your boss who was triggered after annual review and then your sister when she called you sobbing because her ex just reactivated his tinder profile–you know exactly how to support everyone else. So, it doesn’t exactly make sense that you were on the verge of a panic attack (again) today, but look at how well you’re handling it.
Photo of Jordan Long, LMFT, MA, Marriage & Family Therapist
Jordan Long
Marriage & Family Therapist, LMFT, MA
Verified Verified
4 Endorsed
San Francisco, CA 94115
If you are a tween, adolescent, or young adult, you may be feeling the weight of the personal, relational, family, and physical changes of this time. If you are a person who has been affected by cancer or chronic illness, you may feel alone in your experience, and exceedingly overwhelmed. If you are experiencing anxiety or OCD, you may be feeling scared and out of control. This is where I come in, to support you through these challenges, uncertainties, and trying times.
If you are a tween, adolescent, or young adult, you may be feeling the weight of the personal, relational, family, and physical changes of this time. If you are a person who has been affected by cancer or chronic illness, you may feel alone in your experience, and exceedingly overwhelmed. If you are experiencing anxiety or OCD, you may be feeling scared and out of control. This is where I come in, to support you through these challenges, uncertainties, and trying times.
(323) 693-7814 View (323) 693-7814
Photo of Daniel Yu, MSW, LCSW, Clinical Social Work/Therapist
Daniel Yu
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
San Francisco, CA 94102
It's likely that you are here because you are in some kind of distress. I draw on over 20 years of training and deep listening to help you understand your difficulties and find relief. I also teach psychotherapy to students and new therapists. I am compassionate, direct, and practical. I will tell you what I think the problem is, and how we can proceed together to assist you in feeling better. Individual therapy can help you feel stronger, more resilient, and become more of who you are as a person.
It's likely that you are here because you are in some kind of distress. I draw on over 20 years of training and deep listening to help you understand your difficulties and find relief. I also teach psychotherapy to students and new therapists. I am compassionate, direct, and practical. I will tell you what I think the problem is, and how we can proceed together to assist you in feeling better. Individual therapy can help you feel stronger, more resilient, and become more of who you are as a person.
(415) 367-3171 View (415) 367-3171
Photo of Alison Little, LMFT, Marriage & Family Therapist
Alison Little
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
San Francisco, CA 94102
My style as a therapist is warm, direct and curious. I strive to form collaborative relationships with clients and utilize a mix of goal setting, treatment planning and exploratory/ open ended work depending on the client's needs and wants. I have 6 years of post graduate specialized training in Gestalt Therapy, a form of psychotherapy that is centered on increasing a person's awareness, freedom, and self-direction. Through my post graduate study, I also gained exposure to systems theory which has informed my therapeutic approach. I also have training in Internal Family Systems (Level 1) and 9 years of clinical experience.
My style as a therapist is warm, direct and curious. I strive to form collaborative relationships with clients and utilize a mix of goal setting, treatment planning and exploratory/ open ended work depending on the client's needs and wants. I have 6 years of post graduate specialized training in Gestalt Therapy, a form of psychotherapy that is centered on increasing a person's awareness, freedom, and self-direction. Through my post graduate study, I also gained exposure to systems theory which has informed my therapeutic approach. I also have training in Internal Family Systems (Level 1) and 9 years of clinical experience.
(650) 482-8455 View (650) 482-8455
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
Elizabeth Corsale
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
San Francisco, CA 94122  (Online Only)
I work with sensitivity and compassion to create a safe environment in which issues can be explored. I de-mystify the therapeutic process in order to help you maximize your efforts to create the life you wish to have. I help you to discover the unique person you are, whether you are a professional, an artist, a parent, or a couple. Whether your challenge is situational, chronic, or acute, my goal is to help you learn how to create a more fulfilled life and enrich your relationships. I work deeply and pragmatically, so that you gain both insight, development, growth and practical knowledge.
I work with sensitivity and compassion to create a safe environment in which issues can be explored. I de-mystify the therapeutic process in order to help you maximize your efforts to create the life you wish to have. I help you to discover the unique person you are, whether you are a professional, an artist, a parent, or a couple. Whether your challenge is situational, chronic, or acute, my goal is to help you learn how to create a more fulfilled life and enrich your relationships. I work deeply and pragmatically, so that you gain both insight, development, growth and practical knowledge.
(415) 723-4321 View (415) 723-4321
Photo of Katherine Meek, LMFT, LPCC, Marriage & Family Therapist
Katherine Meek
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
San Francisco, CA 94105  (Online Only)
I am a straightforward and honest individual who challenges clients to make changes and set goals to better themselves. My approach focuses on exploring a client's experience, helping them identify problematic behavior, then work towards a solution. I utilize tools such as in-session exercises, take-home activities, and process time to create a holistic plan to improve overall wellbeing. I focus on creating a safe place that fosters openness and confidence.
I am a straightforward and honest individual who challenges clients to make changes and set goals to better themselves. My approach focuses on exploring a client's experience, helping them identify problematic behavior, then work towards a solution. I utilize tools such as in-session exercises, take-home activities, and process time to create a holistic plan to improve overall wellbeing. I focus on creating a safe place that fosters openness and confidence.
(310) 984-7265 View (310) 984-7265
Photo of Hollie Hannan, PhD, MFT, Marriage & Family Therapist
Hollie Hannan
Marriage & Family Therapist, PhD, MFT
Verified Verified
San Francisco, CA 94118
If change were as simple as Cher telling Nicholas Cage in Moonstruck to "Snap out of it!" there would be no need for therapists. While experiencing pain is difficult, it is often a catalyst for growth. As a licensed Therapist for 18 years, I specialize in helping people heal their emotional injuries and move through the "stuck" places that prevent them from living fuller and more meaningful lives. Resilience increases by working through challenges.
If change were as simple as Cher telling Nicholas Cage in Moonstruck to "Snap out of it!" there would be no need for therapists. While experiencing pain is difficult, it is often a catalyst for growth. As a licensed Therapist for 18 years, I specialize in helping people heal their emotional injuries and move through the "stuck" places that prevent them from living fuller and more meaningful lives. Resilience increases by working through challenges.
(415) 800-4665 View (415) 800-4665
Photo of Tracy Chu-Harris, LCSW, Clinical Social Work/Therapist
Tracy Chu-Harris
Clinical Social Work/Therapist, LCSW
Verified Verified
San Francisco, CA 94132  (Online Only)
Waitlist for new clients
During our lifetime we may come across struggles that require us to reach out for support outside of our regular networks. These struggles increase stress, depression, anxiety, and negative emotions that make daily life difficult. We have roles in our professions, school, social circles, parenting (just to name a few!) that are impacted by our inability to manage our emotions. But what feels like the impossible, is not. With therapeutic support, we can overcome our situations and discover new hope for ourselves.
During our lifetime we may come across struggles that require us to reach out for support outside of our regular networks. These struggles increase stress, depression, anxiety, and negative emotions that make daily life difficult. We have roles in our professions, school, social circles, parenting (just to name a few!) that are impacted by our inability to manage our emotions. But what feels like the impossible, is not. With therapeutic support, we can overcome our situations and discover new hope for ourselves.
(415) 360-8277 View (415) 360-8277
Photo of Blair Wellington, MA, MFT, Marriage & Family Therapist
Blair Wellington
Marriage & Family Therapist, MA, MFT
Verified Verified
San Francisco, CA 94104
I know you want to feel better, and we can take some immediate, helpful steps to help you get back on track. But I get it, going to therapy can be difficult. It is also one of the best steps you can take, to make a life change and move toward a healthier place. As a licensed therapist, I am here to help you manage your fears and anxiety, and reclaim your life. I work from a cognitive behavioral therapy (CBT) perspective - which means I'm collaborative and solution-focused.
I know you want to feel better, and we can take some immediate, helpful steps to help you get back on track. But I get it, going to therapy can be difficult. It is also one of the best steps you can take, to make a life change and move toward a healthier place. As a licensed therapist, I am here to help you manage your fears and anxiety, and reclaim your life. I work from a cognitive behavioral therapy (CBT) perspective - which means I'm collaborative and solution-focused.
(415) 548-4672 View (415) 548-4672
Photo of Ilya Parizhsky, MFT, Marriage & Family Therapist
Ilya Parizhsky
Marriage & Family Therapist, MFT
Verified Verified
6 Endorsed
San Francisco, CA 94104  (Online Only)
As a licensed therapist, I have dedicated my career to helping people thrive. But the uneven nature of the process always struck me as limiting the human potential. Each of my clients has an incredible power to heal other people, but they’re not being empowered to use it when they see me for 1-1 therapy. I now specialize in an innovative and transformative small-group approach called Effective Listening. This unique method is taught in groups of 6 people, and each person gets to learn to use their awesome healing power and to be an instrumental part of each other person’s transformational journey.
As a licensed therapist, I have dedicated my career to helping people thrive. But the uneven nature of the process always struck me as limiting the human potential. Each of my clients has an incredible power to heal other people, but they’re not being empowered to use it when they see me for 1-1 therapy. I now specialize in an innovative and transformative small-group approach called Effective Listening. This unique method is taught in groups of 6 people, and each person gets to learn to use their awesome healing power and to be an instrumental part of each other person’s transformational journey.
(510) 876-4835 View (510) 876-4835
Ramandeep Kular
Psychologist, PhD
Verified Verified
San Francisco, CA 94104
I engage with each person as an individual that requires a unique set of skills specifically altered to address your personal sources of distress. I offer a safe, non-judgmental, compassionate and supportive environment so that you can create the change you are seeking. There are times in our lives when we struggle with the most valuable relationships in our lives. It helps to be able to reflect together, problem-solve toward solutions and ways of coping with someone who can remain objective and supportive. I believe a strong therapeutic relationship is important in order to grow in therapy.
I engage with each person as an individual that requires a unique set of skills specifically altered to address your personal sources of distress. I offer a safe, non-judgmental, compassionate and supportive environment so that you can create the change you are seeking. There are times in our lives when we struggle with the most valuable relationships in our lives. It helps to be able to reflect together, problem-solve toward solutions and ways of coping with someone who can remain objective and supportive. I believe a strong therapeutic relationship is important in order to grow in therapy.
(925) 291-4397 View (925) 291-4397
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How does your Therapist compare?

Number of Therapists in San Francisco, CA

3,000+

Average cost per session

$189

Therapists in San Francisco, CA who prioritize treating:

93% Anxiety
86% Depression
81% Relationship Issues
74% Self Esteem
70% Trauma and PTSD
67% Stress
66% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

71% Aetna
56% Cigna and Evernorth
54% UnitedHealthcare UHC | UBH

How Therapists in San Francisco, CA see their clients

54% In Person and Online
46% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 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.