Therapists in Riverside, CA

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Photo of Alec Duran - Enerje Wellness Therapy, AMFT, APCC, Marriage & Family Therapist Associate
Enerje Wellness Therapy
Marriage & Family Therapist Associate, AMFT, APCC
Verified Verified
1 Endorsed
Riverside, CA 92504
Intimate connections with others and self-growth are common pursuits for people. However, our own actions and reactions (conscious or not) can get in the way of these pursuits. Exploring who you are, learning what coping strategies are no longer serving you, and working toward change can be a difficult process to do alone. I work with a variety of people including, individuals, couples, children, and families. Some issues of focus are anxiety, depression, perfectionism, and relationship distress.
Intimate connections with others and self-growth are common pursuits for people. However, our own actions and reactions (conscious or not) can get in the way of these pursuits. Exploring who you are, learning what coping strategies are no longer serving you, and working toward change can be a difficult process to do alone. I work with a variety of people including, individuals, couples, children, and families. Some issues of focus are anxiety, depression, perfectionism, and relationship distress.
(951) 494-4770 View (951) 494-4770
Photo of Reba Machado - Raincross Family Counseling, MS, LMFT, Marriage & Family Therapist
Raincross Family Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Riverside, CA 92506
We are a group of Marriage and Family Therapists located in Riverside, California who provide quality mental health care. As a mental health collective, we assist members by providing EMDR, individual therapy for all ages, couples counseling, Faith-Based Counseling, family therapy, and more. Let us help you connect with one of our clinicians who meets your needs and is available to see you, online or in-person.
We are a group of Marriage and Family Therapists located in Riverside, California who provide quality mental health care. As a mental health collective, we assist members by providing EMDR, individual therapy for all ages, couples counseling, Faith-Based Counseling, family therapy, and more. Let us help you connect with one of our clinicians who meets your needs and is available to see you, online or in-person.
(951) 720-0813 View (951) 720-0813
Photo of Teresa Islas, MFTT, PCCT, Pre-Licensed Professional
Teresa Islas
Pre-Licensed Professional, MFTT, PCCT
Verified Verified
Riverside, CA 92506
My name is Teresa! I have experience working with children, adolescence, Hispanic women, and families. My clinical work focuses on trauma but I also have experience in helping individuals with depression and anxiety. I enjoy seeing individuals and families heal and grow into the people they want to be.
My name is Teresa! I have experience working with children, adolescence, Hispanic women, and families. My clinical work focuses on trauma but I also have experience in helping individuals with depression and anxiety. I enjoy seeing individuals and families heal and grow into the people they want to be.
(951) 903-5119 View (951) 903-5119
Photo of Alana Hendrix, MS, LMFT, Marriage & Family Therapist
Alana Hendrix
Marriage & Family Therapist, MS, LMFT
Verified Verified
Riverside, CA 92506
All of us have seasons in life that can be very difficult to navigate. Whether you are struggling through the pain of a difficult marriage, the anxiety of a child making bad choices, the fear that comes with a potentially life altering diagnosis, or the nightmares remaining from a traumatic life-event, as a Marriage & Family Therapist with over 20 years' experience, I can help you develop the life skills and strengths that you need to navigate those events in a way that will give you the most positive outcome possible.
All of us have seasons in life that can be very difficult to navigate. Whether you are struggling through the pain of a difficult marriage, the anxiety of a child making bad choices, the fear that comes with a potentially life altering diagnosis, or the nightmares remaining from a traumatic life-event, as a Marriage & Family Therapist with over 20 years' experience, I can help you develop the life skills and strengths that you need to navigate those events in a way that will give you the most positive outcome possible.
(951) 336-8507 View (951) 336-8507
Photo of Elizabeth Kelly, LMFT, Marriage & Family Therapist
Elizabeth Kelly
Marriage & Family Therapist, LMFT
Verified Verified
Riverside, CA 92503  (Online Only)
Hello, I am Elizabeth Kelly, a licensed marriage and family therapist who specializes in working with individual adult clients aged 18 and older. If you are seeking help with working through grief, loss, difficult changes, anxiety, depression, parenting challenges, aging challenges or any other issues that may be hard to overcome alone, I am here to help you through.
Hello, I am Elizabeth Kelly, a licensed marriage and family therapist who specializes in working with individual adult clients aged 18 and older. If you are seeking help with working through grief, loss, difficult changes, anxiety, depression, parenting challenges, aging challenges or any other issues that may be hard to overcome alone, I am here to help you through.
(951) 564-3376 View (951) 564-3376
Photo of Mary Corinne Schulz, LCSW, Clinical Social Work/Therapist
Mary Corinne Schulz
Clinical Social Work/Therapist, LCSW
Verified Verified
Riverside, CA 92507
Hi! Congratulations on finally taking some time to focus on you and what is important to you! This is an empowering choice to make. First off, we can always find the right price for therapy. Therapy should always be affordable. I currently see clients in person throughout Southern California and via telahealth in Arkansas. I have over 20 years of experience working as a therapist, social worker, and a case manager in medical settings. I work with Veterans , first responders, medical professionals, corporate professionals and individuals in the entertainment industry .I provide corporate trainings on wellness as well.
Hi! Congratulations on finally taking some time to focus on you and what is important to you! This is an empowering choice to make. First off, we can always find the right price for therapy. Therapy should always be affordable. I currently see clients in person throughout Southern California and via telahealth in Arkansas. I have over 20 years of experience working as a therapist, social worker, and a case manager in medical settings. I work with Veterans , first responders, medical professionals, corporate professionals and individuals in the entertainment industry .I provide corporate trainings on wellness as well.
(501) 322-8875 View (501) 322-8875
Photo of Alicia McCleod, LMFT, Marriage & Family Therapist
Alicia McCleod
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Riverside, CA 92504
Do you often feel stressed out by events or experiences from the past? Having nightmares, flashbacks, can't concentrate, can't stop thinking about your past, or keep reliving things from the past? Still triggered by your parent even though you are a grown adult? Think you may have grown up with a "Narcissistic" parent? Would you like to bring more peace to your life and your relationships? I help people let go of the past and moving forward using EMDR therapy which has been found to help people with; PTSD, anxiety, low self esteem, and depression.
Do you often feel stressed out by events or experiences from the past? Having nightmares, flashbacks, can't concentrate, can't stop thinking about your past, or keep reliving things from the past? Still triggered by your parent even though you are a grown adult? Think you may have grown up with a "Narcissistic" parent? Would you like to bring more peace to your life and your relationships? I help people let go of the past and moving forward using EMDR therapy which has been found to help people with; PTSD, anxiety, low self esteem, and depression.
(951) 484-1242 View (951) 484-1242
Photo of Kyra Barrientos, LMFT, Marriage & Family Therapist
Kyra Barrientos
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Riverside, CA 92507
Hello there! I'm Kyra Barrientos, a warm and friendly psychotherapist dedicated to helping you shine your brightest. I’m all about creating a space where you can feel safe, seen, and understood. Whether you're navigating life’s hurdles or seeking to rediscover your own light, I’m here to help you embrace your authentic self. I believe in the transformative power of acceptance and commitment therapy. Together, we'll uncover what truly matters to you and explore how you can live in alignment with those values, even when challenges arise.
Hello there! I'm Kyra Barrientos, a warm and friendly psychotherapist dedicated to helping you shine your brightest. I’m all about creating a space where you can feel safe, seen, and understood. Whether you're navigating life’s hurdles or seeking to rediscover your own light, I’m here to help you embrace your authentic self. I believe in the transformative power of acceptance and commitment therapy. Together, we'll uncover what truly matters to you and explore how you can live in alignment with those values, even when challenges arise.
(951) 800-3769 View (951) 800-3769
Photo of Labiba Radwan, MSW,  LCSW, Clinical Social Work/Therapist
Labiba Radwan
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Riverside, CA 92501
Labiba works with individuals to promote wellness and teach new courses of thought and actions to help deal with life’s challenges and lead to more positive outcomes. Outside of work, Labiba loves road trips with family, traveling overseas, and visiting historical sites. She enjoys cooking and listening to Flamingo and other ethnic musical genres.
Labiba works with individuals to promote wellness and teach new courses of thought and actions to help deal with life’s challenges and lead to more positive outcomes. Outside of work, Labiba loves road trips with family, traveling overseas, and visiting historical sites. She enjoys cooking and listening to Flamingo and other ethnic musical genres.
(951) 319-2108 View (951) 319-2108
Photo of Ranela Kaligithi, MS, AMFT, APCC, Pre-Licensed Professional
Ranela Kaligithi
Pre-Licensed Professional, MS, AMFT, APCC
Verified Verified
1 Endorsed
Riverside, CA 92507  (Online Only)
I am a person-centered therapist, so when you step into my "virtual office", there is one thing you can be certain of - you will know and feel that you belong. There are no dumb questions, your story is not too much, and there will never be anything to apologize for. This is a safe space to explore your identity and find support through trauma, grief, anxieties, fears, or relational issues.
I am a person-centered therapist, so when you step into my "virtual office", there is one thing you can be certain of - you will know and feel that you belong. There are no dumb questions, your story is not too much, and there will never be anything to apologize for. This is a safe space to explore your identity and find support through trauma, grief, anxieties, fears, or relational issues.
(909) 323-3959 View (909) 323-3959
Photo of Shanee M. Brown-Dotson - Looking Beyond Behaviors, LCSW, CAMS-II, Clinical Social Work/Therapist
Looking Beyond Behaviors
Clinical Social Work/Therapist, LCSW, CAMS-II
Verified Verified
Riverside, CA 92504  (Online Only)
We are committed to providing comprehensive treatment to clients in a manner that considers, not only the troubling behavior or concern, but rather, explores the pathway that clients traveled long before they arrived at their present destination. You may have experienced negative behaviors or responses and felt as though you lacked control over what occurred. You may have approached each day with good intentions only to find yourself repeating a pattern of behavior, without understanding why you can't seem to get it right. Each day, you wake up seeking a new reality and positive outcomes, but the cycle continues. Call us today!
We are committed to providing comprehensive treatment to clients in a manner that considers, not only the troubling behavior or concern, but rather, explores the pathway that clients traveled long before they arrived at their present destination. You may have experienced negative behaviors or responses and felt as though you lacked control over what occurred. You may have approached each day with good intentions only to find yourself repeating a pattern of behavior, without understanding why you can't seem to get it right. Each day, you wake up seeking a new reality and positive outcomes, but the cycle continues. Call us today!
(951) 476-1547 View (951) 476-1547
Photo of Jill A Johnson-Young, MSW, LCSW, Clinical Social Work/Therapist
Jill A Johnson-Young
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
2 Endorsed
Riverside, CA 92506
I offer support, reorganizing, and reimagining life for those coping with chronic illness, dementia, and losses of all kinds. If you need help getting through grief that's what I do. For the time being I am online, where I meet clients and lead grief and dementia groups. My grief groups are 8 weeks, focused on working through the loss, and getting you to your new life. The dementia group is the 3rd Saturday of each month at https://www.facebook.com/Riversidedementiasupport/- and it's free of charge. I approach life, and therapy looking for the joy while managing the tough times- not letting them manage life. Call to see me.
I offer support, reorganizing, and reimagining life for those coping with chronic illness, dementia, and losses of all kinds. If you need help getting through grief that's what I do. For the time being I am online, where I meet clients and lead grief and dementia groups. My grief groups are 8 weeks, focused on working through the loss, and getting you to your new life. The dementia group is the 3rd Saturday of each month at https://www.facebook.com/Riversidedementiasupport/- and it's free of charge. I approach life, and therapy looking for the joy while managing the tough times- not letting them manage life. Call to see me.
(951) 999-4954 View (951) 999-4954
Photo of Karisa Quick, M A ED, LPCC, PPS
Karisa Quick
Licensed Professional Clinical Counselor, M A ED, LPCC, PPS
Verified Verified
2 Endorsed
Riverside, CA 92501  (Online Only)
LGBTQ+, EMDR, trauma, Religious deconversion. I’m a queer, non-binary therapist who loves helping people recover from painful experiences, deal with life stress, and take control of their lives. We will take steps together to help you move toward your ideal self by focusing on your healing, goals, dreams, passions, fears, and unique qualities. Therapy is personal and beautiful and can bring up difficult feelings. We will work to help you feel safe and develop skills to deal with these intense emotions. I only work with adult individuals at this time. I am in-network with some insurances and I also offer Superbills!
LGBTQ+, EMDR, trauma, Religious deconversion. I’m a queer, non-binary therapist who loves helping people recover from painful experiences, deal with life stress, and take control of their lives. We will take steps together to help you move toward your ideal self by focusing on your healing, goals, dreams, passions, fears, and unique qualities. Therapy is personal and beautiful and can bring up difficult feelings. We will work to help you feel safe and develop skills to deal with these intense emotions. I only work with adult individuals at this time. I am in-network with some insurances and I also offer Superbills!
(909) 244-3219 View (909) 244-3219
Photo of Lauriea Linsley, LMFT, Marriage & Family Therapist
Lauriea Linsley
Marriage & Family Therapist, LMFT
Verified Verified
Riverside, CA 92503
Most marriage and family therapists believe a wide range of individual problems must be understood within the context of the family and social environments. I believe in this systems approach to mental and emotional problems and have the goal to change problematic, repetitive interactions that contribute to the presenting problem. As a trauma informed therapist, I am aware of the long-lasting effects of childhood trauma and will explore that using a narrative therapy approach. Our goal for therapy is the reduce distress and improve functionality. In what ways are you feeling not OK? Let’s help you start feeling OK.
Most marriage and family therapists believe a wide range of individual problems must be understood within the context of the family and social environments. I believe in this systems approach to mental and emotional problems and have the goal to change problematic, repetitive interactions that contribute to the presenting problem. As a trauma informed therapist, I am aware of the long-lasting effects of childhood trauma and will explore that using a narrative therapy approach. Our goal for therapy is the reduce distress and improve functionality. In what ways are you feeling not OK? Let’s help you start feeling OK.
(951) 848-5509 View (951) 848-5509
Photo of Yesenia Cortez, LMFT, Marriage & Family Therapist
Yesenia Cortez
Marriage & Family Therapist, LMFT
Verified Verified
Riverside, CA 92505
Waitlist for new clients
Congratulations on taking your first steps in beginning your healing journey! I know it takes a lot of courage to begin this process and I am already immensely proud of you. I offer a warm, culturally sensitive, trauma-informed space for you to feel safe and validated. The greatest reward as a therapist is helping clients grow through discovering ways to make changes in their lives that allow for a hopeful future.
Congratulations on taking your first steps in beginning your healing journey! I know it takes a lot of courage to begin this process and I am already immensely proud of you. I offer a warm, culturally sensitive, trauma-informed space for you to feel safe and validated. The greatest reward as a therapist is helping clients grow through discovering ways to make changes in their lives that allow for a hopeful future.
(949) 832-6248 View (949) 832-6248
Photo of Emelyn D Laszkiewicz, LCSW, Clinical Social Work/Therapist
Emelyn D Laszkiewicz
Clinical Social Work/Therapist, LCSW
Verified Verified
Riverside, CA 92508  (Online Only)
My therapeutic style is open and empathetic, I do not take my self too seriously, and I believe this is a quality that helps my clients feel comfortable with me. My primary objective for every patient is to ensure they leave each session feeling acknowledged, valued, and genuinely understood. Throughout our work together, I may encourage a shift in your thought processes with compassionate guidance and support. Whatever your goals are I am here to support you in your journey!
My therapeutic style is open and empathetic, I do not take my self too seriously, and I believe this is a quality that helps my clients feel comfortable with me. My primary objective for every patient is to ensure they leave each session feeling acknowledged, valued, and genuinely understood. Throughout our work together, I may encourage a shift in your thought processes with compassionate guidance and support. Whatever your goals are I am here to support you in your journey!
(951) 633-7330 View (951) 633-7330
Photo of Adriene Moore Robinson, MS, MSW, LCSW, Clinical Social Work/Therapist
Adriene Moore Robinson
Clinical Social Work/Therapist, MS, MSW, LCSW
Verified Verified
Riverside, CA 92507
Clients often have a variety of needs: family relaitonships, personal adjustment issues to life situations, health issues, unresolved adult and childhood issues particularly various issues of abuse and trauma. Children who are often diagnosed with ADHD may also be impacted by not only their behavior issues but also the family history which also needs to be address in therapy. There is need to provided behavior and coping skills for the child either in individual and group sessions. Further the parents and caregivers also need to identify coping skills for themselves and child.
Clients often have a variety of needs: family relaitonships, personal adjustment issues to life situations, health issues, unresolved adult and childhood issues particularly various issues of abuse and trauma. Children who are often diagnosed with ADHD may also be impacted by not only their behavior issues but also the family history which also needs to be address in therapy. There is need to provided behavior and coping skills for the child either in individual and group sessions. Further the parents and caregivers also need to identify coping skills for themselves and child.
(909) 414-1884 View (909) 414-1884
Photo of Marlo Narro, LCSW, BCD, Clinical Social Work/Therapist
Marlo Narro
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Riverside, CA 92508  (Online Only)
I am a seasoned therapist with a heartfelt commitment to guide individuals through their transformative journeys. I offer healing and empowerment to individuals experiencing grief/depression/anxiety/life transitions/behavior concerns. I am an expert in trauma recovery. As a combat veteran, my first-hand experience allows me to forge a unique connection, fostering a sense of trust and understanding. My approach is a partnership built on empathy, respect, and a deep appreciation for each individual's story. My expertise in Eye Movement Desensitization and Reprocessing (EMDR) and Mind-Body Medicine offers a profound path to healing.
I am a seasoned therapist with a heartfelt commitment to guide individuals through their transformative journeys. I offer healing and empowerment to individuals experiencing grief/depression/anxiety/life transitions/behavior concerns. I am an expert in trauma recovery. As a combat veteran, my first-hand experience allows me to forge a unique connection, fostering a sense of trust and understanding. My approach is a partnership built on empathy, respect, and a deep appreciation for each individual's story. My expertise in Eye Movement Desensitization and Reprocessing (EMDR) and Mind-Body Medicine offers a profound path to healing.
(951) 467-4404 View (951) 467-4404
Photo of Robin J Smith, MA, LMFT, Marriage & Family Therapist
Robin J Smith
Marriage & Family Therapist, MA, LMFT
Verified Verified
Riverside, CA 92501  (Online Only)
“Life happens when you have an agenda”, and with that comes a multitude of emotions that you may not be able to articulate, leaving you more frustrated within your world and within yourself. Between responsibilities such as family, work, friends, and extracurriculars, when do you come up for air, or do you? As a licensed marriage and family therapist, I find it a privilege to walk alongside those who are experiencing a vulnerable season in their life.
“Life happens when you have an agenda”, and with that comes a multitude of emotions that you may not be able to articulate, leaving you more frustrated within your world and within yourself. Between responsibilities such as family, work, friends, and extracurriculars, when do you come up for air, or do you? As a licensed marriage and family therapist, I find it a privilege to walk alongside those who are experiencing a vulnerable season in their life.
(909) 546-8190 View (909) 546-8190
Photo of Deren Mikels, LCSW, Clinical Social Work/Therapist
Deren Mikels
Clinical Social Work/Therapist, LCSW
Verified Verified
Riverside, CA 92507
Deren Mikels, LCSW Empowering People to Achieve Their Potential - I have been providing counseling for over 23 years and my private practice has been open in Riverside, CA for the past 22 years. I believe in providing supportive counseling in a non-judgmental environment in which my clients can reach their full potential. I take an open-minded approach to client wellness and consider the client's work life, family traditions, cultural and spiritual beliefs, and sexual identity. I am confident I can help with any issue and have extensive experience with adults, teenagers and children.
Deren Mikels, LCSW Empowering People to Achieve Their Potential - I have been providing counseling for over 23 years and my private practice has been open in Riverside, CA for the past 22 years. I believe in providing supportive counseling in a non-judgmental environment in which my clients can reach their full potential. I take an open-minded approach to client wellness and consider the client's work life, family traditions, cultural and spiritual beliefs, and sexual identity. I am confident I can help with any issue and have extensive experience with adults, teenagers and children.
(951) 821-4552 View (951) 821-4552
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How does your Therapist compare?

Number of Therapists in Riverside, CA

700+

Average cost per session

$150

Therapists in Riverside, CA who prioritize treating:

91% Anxiety
86% Depression
71% Coping Skills
69% Relationship Issues
68% Self Esteem
68% Stress
63% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

82% Aetna
76% Cigna and Evernorth
65% UnitedHealthcare UHC | UBH

How Therapists in Riverside, CA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Riverside?

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.