Therapists in Burlingame, CA

Photo of Rebecca Aptekar, PsyD, Psychologist
Rebecca Aptekar
Psychologist, PsyD
Verified Verified
Burlingame, CA 94010
Everyone has difficult times in their lives, and I provide a safe, comfortable environment for you to explore your goals and reach your potential. I am a licensed psychologist specializing in life issues such as stress, anxiety, relationship difficulties, depression, divorce, and parenting challenges. I help people develop meaningful relationships with themselves and with each other, coaching them to get “unstuck” so that they can move toward their values in both work and personal relationships. My approach is evidence based and driven by behavioral principles, and my main goal is to help people develop psychological flexibility.
Everyone has difficult times in their lives, and I provide a safe, comfortable environment for you to explore your goals and reach your potential. I am a licensed psychologist specializing in life issues such as stress, anxiety, relationship difficulties, depression, divorce, and parenting challenges. I help people develop meaningful relationships with themselves and with each other, coaching them to get “unstuck” so that they can move toward their values in both work and personal relationships. My approach is evidence based and driven by behavioral principles, and my main goal is to help people develop psychological flexibility.
(415) 799-7979 View (415) 799-7979
Photo of Sarah Proemsey, MS, LPCC
Sarah Proemsey
Licensed Professional Clinical Counselor , MS, LPCC
Verified Verified
10 Endorsed
Burlingame, CA 94010
Life can be tough and sometimes you find yourself overwhelmed facing challenging relationships, stressful changes, and painful past experiences. It can be difficult to know who to turn to for support and how to hold on to hope. Along the way, you can lose yourself and the ability to connect with those you love, often pushing away your needs and not taking time for yourself. All of this can lead to long-term issues for your mind and body. I believe there is hope for you to take a step back from it all and learn to build a life you love living.
Life can be tough and sometimes you find yourself overwhelmed facing challenging relationships, stressful changes, and painful past experiences. It can be difficult to know who to turn to for support and how to hold on to hope. Along the way, you can lose yourself and the ability to connect with those you love, often pushing away your needs and not taking time for yourself. All of this can lead to long-term issues for your mind and body. I believe there is hope for you to take a step back from it all and learn to build a life you love living.
(650) 727-5725 View (650) 727-5725
Photo of Tura Johnson - Ray of Hope Child Therapy Services Inc, MA, LMFT, Marriage & Family Therapist
Ray of Hope Child Therapy Services Inc
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Burlingame, CA 94010  (Online Only)
Ray of Hope Child Therapy Services is an outpatient clinic providing psychotherapy services to children, adolescents, adults and families throughout California. Our mission is to provide services to everyone regardless of their ability to pay. By providing hope, inspiration and a warm supportive environment, we ensure that people reach their wellness goals.  We provide a safe place to discuss your thoughts and feelings without fear of being judged. Our goal is to assist with exploring a variety of life situations and help provide coping skills to handle them.
Ray of Hope Child Therapy Services is an outpatient clinic providing psychotherapy services to children, adolescents, adults and families throughout California. Our mission is to provide services to everyone regardless of their ability to pay. By providing hope, inspiration and a warm supportive environment, we ensure that people reach their wellness goals.  We provide a safe place to discuss your thoughts and feelings without fear of being judged. Our goal is to assist with exploring a variety of life situations and help provide coping skills to handle them.
(650) 240-4854 View (650) 240-4854
Photo of Brenda Joe-Matsuo, MS, LMFT, Marriage & Family Therapist
Brenda Joe-Matsuo
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Burlingame, CA 94010
We often have good intentions to take care of ourselves, but too often, we put ourselves last. There will never be a perfect time to start, but now is the time to make an investment in yourself for a happier future. Maybe you're depressed, anxious or unhappy about your relationship, work or life. Don't delay your chance for a happier life. Learn ways to manage stress and your mental health. Call me for a free brief phone consult to find out if I am the right therapist for you.
We often have good intentions to take care of ourselves, but too often, we put ourselves last. There will never be a perfect time to start, but now is the time to make an investment in yourself for a happier future. Maybe you're depressed, anxious or unhappy about your relationship, work or life. Don't delay your chance for a happier life. Learn ways to manage stress and your mental health. Call me for a free brief phone consult to find out if I am the right therapist for you.
(650) 681-0878 View (650) 681-0878
Photo of Rocio B Rodriguez, LMFT, Marriage & Family Therapist
Rocio B Rodriguez
Marriage & Family Therapist, LMFT
Verified Verified
Burlingame, CA 94010
I am a licensed bilingual, bicultural therapist who has been working in the mental health field for over 16 years. I enjoy working with the person who is ready to take that first step to make change. I support them by promoting a safe space in order to begin the therapeutic work. I normally work with individuals and families with multiple siblings. Recently I have been working with couples coming to address relationship challenges: intimacy and infidelity, finances, gambling and addictions, co-parenting and blended families, domestic violence and child abuse, as well as other relationship challenges.
I am a licensed bilingual, bicultural therapist who has been working in the mental health field for over 16 years. I enjoy working with the person who is ready to take that first step to make change. I support them by promoting a safe space in order to begin the therapeutic work. I normally work with individuals and families with multiple siblings. Recently I have been working with couples coming to address relationship challenges: intimacy and infidelity, finances, gambling and addictions, co-parenting and blended families, domestic violence and child abuse, as well as other relationship challenges.
(415) 763-6455 View (415) 763-6455
Photo of Juliana D. T. Da Silva, PhD, Pre-Licensed Professional
Juliana D. T. Da Silva
Pre-Licensed Professional, PhD
Verified Verified
3 Endorsed
Burlingame, CA 94010  (Online Only)
Starting therapy can be daunting, but once you open yourself to it, you enter a self-discovery endeavor that can free you from limiting emotional beliefs that block your life. You will feel more confident, less anxious, or depressed and develop more self-acceptance. I work with adults and couples with diverse ethnic, cultural backgrounds, sexual identities, and religious beliefs who face trauma, anxiety, depression, mood and personality disorders, relationship conflicts, parenting issues, aging, and grief. I will focus on treating your symptoms, identifying patterns that led to emotional and relational conflicts, and beyond.
Starting therapy can be daunting, but once you open yourself to it, you enter a self-discovery endeavor that can free you from limiting emotional beliefs that block your life. You will feel more confident, less anxious, or depressed and develop more self-acceptance. I work with adults and couples with diverse ethnic, cultural backgrounds, sexual identities, and religious beliefs who face trauma, anxiety, depression, mood and personality disorders, relationship conflicts, parenting issues, aging, and grief. I will focus on treating your symptoms, identifying patterns that led to emotional and relational conflicts, and beyond.
(650) 899-6029 View (650) 899-6029
Photo of Karin Voelker, PsyD, Psychologist
Karin Voelker
Psychologist, PsyD
Verified Verified
Burlingame, CA 94010  (Online Only)
Have you been struggling with getting a good night's sleep and dealing with anxious thoughts, especially at bedtime? This is very common, and there are solutions that are proven to work! I provide an empathic, warm, and authentic atmosphere, and we will work as a team to address your sleep and any other concerns that impact your life and wellbeing. I believe it is important to take biological, psychological, social, and cultural factors into account. Along with bringing a multicultural perspective to therapy as a first-generation immigrant, I utilize a client-centered, strength-based approach drawing from evidence-based modalities.
Have you been struggling with getting a good night's sleep and dealing with anxious thoughts, especially at bedtime? This is very common, and there are solutions that are proven to work! I provide an empathic, warm, and authentic atmosphere, and we will work as a team to address your sleep and any other concerns that impact your life and wellbeing. I believe it is important to take biological, psychological, social, and cultural factors into account. Along with bringing a multicultural perspective to therapy as a first-generation immigrant, I utilize a client-centered, strength-based approach drawing from evidence-based modalities.
(415) 871-0222 View (415) 871-0222
Photo of Jose Alejo, LMFT, Marriage & Family Therapist
Jose Alejo
Marriage & Family Therapist, LMFT
Verified Verified
Burlingame, CA 94010
I am a Licensed Marriage and Family Therapist (LMFT) working out of the Central Valley in California. I utilize a compassionate approach to therapy through the use of Acceptance Commitment Therapy (ACT) and Person-Centered Therapy. I work to empower clients and help them better manage Anxiety, OCD, Depression, and other life stressors. I have worked extensively with adults, adolescents, and with the LGBTQ+ Community. The conditions I have the most experience and training in are Anxiety, OCD, Depression, Childhood Trauma, Body Image issues, ADHD, and Life Transitions.
I am a Licensed Marriage and Family Therapist (LMFT) working out of the Central Valley in California. I utilize a compassionate approach to therapy through the use of Acceptance Commitment Therapy (ACT) and Person-Centered Therapy. I work to empower clients and help them better manage Anxiety, OCD, Depression, and other life stressors. I have worked extensively with adults, adolescents, and with the LGBTQ+ Community. The conditions I have the most experience and training in are Anxiety, OCD, Depression, Childhood Trauma, Body Image issues, ADHD, and Life Transitions.
(650) 719-4567 View (650) 719-4567
Photo of Jason Moreno, LMFT, Marriage & Family Therapist
Jason Moreno
Marriage & Family Therapist, LMFT
Verified Verified
Burlingame, CA 94010
My approach to therapy begins with providing an open and safe place to share your thoughts. I enjoy learning about people, hearing your unique stories, and supporting you as you examine your value system. I draw from a variety of therapeutic philosophies and techniques and will tailor your sessions to meet your needs. Honesty and openness will always be welcome. My goal is to guide you toward meaningful progress.
My approach to therapy begins with providing an open and safe place to share your thoughts. I enjoy learning about people, hearing your unique stories, and supporting you as you examine your value system. I draw from a variety of therapeutic philosophies and techniques and will tailor your sessions to meet your needs. Honesty and openness will always be welcome. My goal is to guide you toward meaningful progress.
(650) 750-0661 View (650) 750-0661
Photo of Erin Pensinger, MA, MFT, Marriage & Family Therapist
Erin Pensinger
Marriage & Family Therapist, MA, MFT
Verified Verified
Burlingame, CA 94010
When life is overwhelming, therapy offers guidance, support, and a safe place for healing. I work with children, teens, adults, and families using a holistic, mindfulness-based approach. My goal is to help you create positive, practical, and lasting change.
When life is overwhelming, therapy offers guidance, support, and a safe place for healing. I work with children, teens, adults, and families using a holistic, mindfulness-based approach. My goal is to help you create positive, practical, and lasting change.
(650) 843-9337 View (650) 843-9337
Photo of Mariana Tiwari, MSW, ACSW, PPSC
Mariana Tiwari
Associate Clinical Social Worker, MSW, ACSW, PPSC
Verified Verified
Burlingame, CA 94010
Do your behaviors get in the way of showing up for opportunities and fully enjoying life, loving, working, playing, and feeling joy? Maybe it's been tough to build self-esteem when that little voice whispers "I'm not good enough" or "I can't handle it". Sometimes it can be those nagging feelings of guilt or shame. These challenges are more common than you may think. You are not alone and you don;t have to face it alone either.
Do your behaviors get in the way of showing up for opportunities and fully enjoying life, loving, working, playing, and feeling joy? Maybe it's been tough to build self-esteem when that little voice whispers "I'm not good enough" or "I can't handle it". Sometimes it can be those nagging feelings of guilt or shame. These challenges are more common than you may think. You are not alone and you don;t have to face it alone either.
(650) 749-7400 View (650) 749-7400
Photo of Diane Marquez, LMFT, Marriage & Family Therapist
Diane Marquez
Marriage & Family Therapist, LMFT
Verified Verified
Burlingame, CA 94010  (Online Only)
We all want to experience calm, well-being and joy. In a supportive therapeutic atmosphere, I inspire clients to practice tools and learn new habits that will help them reach these goals, while building the resilience necessary to cope with daily life. In our sessions, l introduce the Practices of Mindfulness and Self-Compassion and the Therapeutic practices of DBT and Cognitive Behavioral Therapy as part of the tool kit to help you build the inner resources to overcome: reactivity, emotional distress, and self-criticism that accompany emotional patterns such as depression, anxiety and trauma.
We all want to experience calm, well-being and joy. In a supportive therapeutic atmosphere, I inspire clients to practice tools and learn new habits that will help them reach these goals, while building the resilience necessary to cope with daily life. In our sessions, l introduce the Practices of Mindfulness and Self-Compassion and the Therapeutic practices of DBT and Cognitive Behavioral Therapy as part of the tool kit to help you build the inner resources to overcome: reactivity, emotional distress, and self-criticism that accompany emotional patterns such as depression, anxiety and trauma.
(650) 897-4486 View (650) 897-4486
Photo of Sara Hopkin, MA,  LMFT, Marriage & Family Therapist
Sara Hopkin
Marriage & Family Therapist, MA, LMFT
Verified Verified
Burlingame, CA 94010  (Online Only)
Sara is especially passionate about addressing childhood behavior issues, grief, and trauma. She understands the deep impact unresolved trauma or loss can have on daily functioning and relationships. Sara creates a therapeutic space where clients can explore their emotions, heal from past wounds, and build resilience. She also has extensive experience working with women through reproductive challenges, postpartum depression and anxiety, offering specialized support during these vulnerable times.
Sara is especially passionate about addressing childhood behavior issues, grief, and trauma. She understands the deep impact unresolved trauma or loss can have on daily functioning and relationships. Sara creates a therapeutic space where clients can explore their emotions, heal from past wounds, and build resilience. She also has extensive experience working with women through reproductive challenges, postpartum depression and anxiety, offering specialized support during these vulnerable times.
(833) 939-0348 View (833) 939-0348
Photo of Stephanie Loera, LCSW, Clinical Social Work/Therapist
Stephanie Loera
Clinical Social Work/Therapist, LCSW
Verified Verified
Burlingame, CA 94010  (Online Only)
I am a Licensed Clinical Social Worker providing psychotherapy in California. I reside in the Bay Area Peninsula. I have experience working with children, families and adults. I am passionate about empowering people by helping them reclaim their peace, joy, and power.
I am a Licensed Clinical Social Worker providing psychotherapy in California. I reside in the Bay Area Peninsula. I have experience working with children, families and adults. I am passionate about empowering people by helping them reclaim their peace, joy, and power.
(650) 677-1344 View (650) 677-1344
Photo of Marianne Schembri, MA, MFT, Marriage & Family Therapist
Marianne Schembri
Marriage & Family Therapist, MA, MFT
Verified Verified
Burlingame, CA 94010
Are you looking for tools to take with you to improve your relationship, satisfaction with work/life balance, and emotional well being? I work with couples, individuals and families. My approach is on helping you clarify the choices that will build on your strengths, values, and hopes. I engage with you to explore and problem solve challenges that may have been impacting you, your relationship, and family, and to help you build the life you want.
Are you looking for tools to take with you to improve your relationship, satisfaction with work/life balance, and emotional well being? I work with couples, individuals and families. My approach is on helping you clarify the choices that will build on your strengths, values, and hopes. I engage with you to explore and problem solve challenges that may have been impacting you, your relationship, and family, and to help you build the life you want.
(650) 525-2928 View (650) 525-2928
Photo of Michael Banh, AMFT, Marriage & Family Therapist Associate
Michael Banh
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Burlingame, CA 94010  (Online Only)
Do you feel like you're never good enough? Or maybe you're too much? Does it ever feel like no one gets you? I'm willing to bet that you often experience shame, are hard on yourself, and are anxious about how others think of you. Shame makes us believe something is wrong with us. We try to cover up and hide even though we desperately long to be seen, known, and loved. Shame thrives on secrecy. There is a risk that if we open ourselves up to others then we'll be judged and criticized, which can lead to more shame. Shame is universal and can amplify the pain we already feel.
Do you feel like you're never good enough? Or maybe you're too much? Does it ever feel like no one gets you? I'm willing to bet that you often experience shame, are hard on yourself, and are anxious about how others think of you. Shame makes us believe something is wrong with us. We try to cover up and hide even though we desperately long to be seen, known, and loved. Shame thrives on secrecy. There is a risk that if we open ourselves up to others then we'll be judged and criticized, which can lead to more shame. Shame is universal and can amplify the pain we already feel.
(669) 322-8436 View (669) 322-8436
Photo of Ting-Yi Huang, LMFT, Marriage & Family Therapist
Ting-Yi Huang
Marriage & Family Therapist, LMFT
Verified Verified
Burlingame, CA 94010
*Virtual Sessions Available* Does your kid or teenager often say NO, I DON’T CARE, or YOU DON’T UNDERSTAND. You see them struggling with anxiety and depression, or risky behaviors such as using drugs, and don’t know what to do. You might also have gifted children or teenagers who are struggling with perfectionism-obsession-procrastination (POP). Are you high functioning and having a stable job but yet have symptoms, feelings, and behaviors that are difficult to explain in the context of your life experiences? Are you often in a relational pattern where you do things out of fear, obligation, and guilt (FOG)?
*Virtual Sessions Available* Does your kid or teenager often say NO, I DON’T CARE, or YOU DON’T UNDERSTAND. You see them struggling with anxiety and depression, or risky behaviors such as using drugs, and don’t know what to do. You might also have gifted children or teenagers who are struggling with perfectionism-obsession-procrastination (POP). Are you high functioning and having a stable job but yet have symptoms, feelings, and behaviors that are difficult to explain in the context of your life experiences? Are you often in a relational pattern where you do things out of fear, obligation, and guilt (FOG)?
(650) 581-9104 View (650) 581-9104
Photo of David Arbulú, LMFT, Marriage & Family Therapist
David Arbulú
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Burlingame, CA 94010
Do you or someone you know worry way too much, feel tired all the time, or feel overwhelmed? Are you having difficulties with social situations or communication in your relationships? Not getting enough sleep, losing focus, or tend to procrastinate? If so, I can help! For over 15 years I have worked with individuals and families to connect, heal, and thrive. Hi, I'm David Arbulú, your friendly neighborhood therapist.
Do you or someone you know worry way too much, feel tired all the time, or feel overwhelmed? Are you having difficulties with social situations or communication in your relationships? Not getting enough sleep, losing focus, or tend to procrastinate? If so, I can help! For over 15 years I have worked with individuals and families to connect, heal, and thrive. Hi, I'm David Arbulú, your friendly neighborhood therapist.
(650) 419-8173 View (650) 419-8173
Photo of Christie Bienemann, MA, MFT, Marriage & Family Therapist Associate
Christie Bienemann
Marriage & Family Therapist Associate, MA, MFT
Verified Verified
Burlingame, CA 94010  (Online Only)
I’m a therapist, but I’m not your average therapist. I wear a lot of hats, and maybe you can relate. I’m a former Silicon Valley power player, entrepreneur, mother of three, high-achiever, infertility advocate, wife, creative, and so much more. My life experiences and passion for building personal connections led me to this field. As a therapist, I am warm, affirming, compassionate and direct. I believe therapy should be a collaborative endeavor in a caring environment free of judgement.
I’m a therapist, but I’m not your average therapist. I wear a lot of hats, and maybe you can relate. I’m a former Silicon Valley power player, entrepreneur, mother of three, high-achiever, infertility advocate, wife, creative, and so much more. My life experiences and passion for building personal connections led me to this field. As a therapist, I am warm, affirming, compassionate and direct. I believe therapy should be a collaborative endeavor in a caring environment free of judgement.
(650) 484-4151 View (650) 484-4151
Photo of Manami Yamamoto, MA, LMFT, Marriage & Family Therapist
Manami Yamamoto
Marriage & Family Therapist, MA, LMFT
Verified Verified
21 Endorsed
Burlingame, CA 94010  (Online Only)
I am a licensed Marriage and Family Therapist and the Founder and President of Blue Humming Therapy, a non-profit mental health organization dedicated to fostering holistic well-being for diverse clients and communities. Received the world recognition in 2021. In my practice, I provide compassionate therapy for individuals of all ages, as well as couples and families. I prioritize building a trusting and supportive relationship with each client, and my approach is interactive, empathetic, and caring. My therapeutic framework focuses on:
I am a licensed Marriage and Family Therapist and the Founder and President of Blue Humming Therapy, a non-profit mental health organization dedicated to fostering holistic well-being for diverse clients and communities. Received the world recognition in 2021. In my practice, I provide compassionate therapy for individuals of all ages, as well as couples and families. I prioritize building a trusting and supportive relationship with each client, and my approach is interactive, empathetic, and caring. My therapeutic framework focuses on:
(888) 298-1154 View (888) 298-1154
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How does your Therapist compare?

Number of Therapists in Burlingame, CA

200+

Average cost per session

$200

Therapists in Burlingame, CA who prioritize treating:

94% Anxiety
88% Depression
82% Relationship Issues
71% Self Esteem
68% Trauma and PTSD
66% Grief
66% Coping Skills

Average years in practice

14 Years

Top 3 insurances accepted

53% Cigna and Evernorth
47% Aetna
47% UnitedHealthcare UHC | UBH

How Therapists in Burlingame, CA see their clients

77% In Person and Online
23% Online Only

Gender breakdown

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

How can I find a therapist in Burlingame?

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.