Therapists in San Antonio, TX

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Photo of Patricia J Harris, MS, MA, LPC, Licensed Professional Counselor
Patricia J Harris
Licensed Professional Counselor, MS, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78217
The therapeutic relationship is the foundation of a client's well-being in therapy. It is my goal to build this relationship and empower my clients to live a fulfilled life. I help clients grow and change through a client-centered approach. However, I use a variety of techniques to guide and support clients through life's challenges.
The therapeutic relationship is the foundation of a client's well-being in therapy. It is my goal to build this relationship and empower my clients to live a fulfilled life. I help clients grow and change through a client-centered approach. However, I use a variety of techniques to guide and support clients through life's challenges.
(726) 227-1991 View (726) 227-1991
Photo of Bianca Valdez, LPC, NCC, Licensed Professional Counselor
Bianca Valdez
Licensed Professional Counselor, LPC, NCC
Verified Verified
San Antonio, TX 78249  (Online Only)
Not accepting new clients
Hello! My name is Bianca Valdez, I have experience working with adolescents and adults as a Licensed Professional Counselor. Typically, I've navigated areas surrounding anxiety, depression, grief/loss, and family conflict. Together we can learn appropriate coping mechanisms, and various methods in hopes to assist your well-being.
Hello! My name is Bianca Valdez, I have experience working with adolescents and adults as a Licensed Professional Counselor. Typically, I've navigated areas surrounding anxiety, depression, grief/loss, and family conflict. Together we can learn appropriate coping mechanisms, and various methods in hopes to assist your well-being.
(210) 791-6158 View (210) 791-6158
Photo of Lea McIntyre - LAMCou Counseling Services, MA, LPC, NCC, Licensed Professional Counselor
LAMCou Counseling Services
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
San Antonio, TX 78247  (Online Only)
Hello there, I wanted to introduce myself to you and provide you a little background regarding my professional experience. I am a Licensed Professional Counselor, Nationally Certified Counselor, EAP Counselor and have served as a Military & Family Life Counselor on many military bases in Texas for many years. I possess extensive clinical, behavioral health and crisis response experience, industrial/organizational psychology experience, leadership skills, management experience, real estate experience, sales experience, professional business experience in addition to my extensive academic background.
Hello there, I wanted to introduce myself to you and provide you a little background regarding my professional experience. I am a Licensed Professional Counselor, Nationally Certified Counselor, EAP Counselor and have served as a Military & Family Life Counselor on many military bases in Texas for many years. I possess extensive clinical, behavioral health and crisis response experience, industrial/organizational psychology experience, leadership skills, management experience, real estate experience, sales experience, professional business experience in addition to my extensive academic background.
(210) 714-1423 View (210) 714-1423
Photo of Elizabeth Henry, LCSW, MDiv, Clinical Social Work/Therapist
Elizabeth Henry
Clinical Social Work/Therapist, LCSW, MDiv
Verified Verified
San Antonio, TX 78240
Choosing to own and share your story is one of the most courageous and important things you can ever do. I hope to create a safe, authentic, and nonjudgmental space for you to share as you do the exciting work of walking towards healing. I am passionate about helping my clients see their inherent worth and value and helping others feel truly seen and known. I believe in the tenacity of the human spirit, in one’s ability to overcome unyielding challenges, and in the power of self compassion. Life can feel messy and we can feel stuck in feelings of anxiety, shame, or depression. Whatever it may be, you don't have to do it alone.
Choosing to own and share your story is one of the most courageous and important things you can ever do. I hope to create a safe, authentic, and nonjudgmental space for you to share as you do the exciting work of walking towards healing. I am passionate about helping my clients see their inherent worth and value and helping others feel truly seen and known. I believe in the tenacity of the human spirit, in one’s ability to overcome unyielding challenges, and in the power of self compassion. Life can feel messy and we can feel stuck in feelings of anxiety, shame, or depression. Whatever it may be, you don't have to do it alone.
(210) 879-3629 View (210) 879-3629
Photo of Alexcis Grushinski, LCSW-S, Clinical Social Work/Therapist
Alexcis Grushinski
Clinical Social Work/Therapist, LCSW-S
Verified Verified
San Antonio, TX 78252  (Online Only)
I am licensed in Minnesota and California. Currently taking private pay clients in both states. I can take Aetna and Optum in Minnesota. I can also take Aetna, and Cigna in California. Hello, I am Alexcis a Licensed Clinical Social Worker who helps people who long to feel stable and secure. Through my years of work, I have found that people want to live a well-rounded, healthy life. Unfortunately, barriers, keep them from moving forward and accomplishing their goals. Using supportive therapy and evidence-based practices I help people work through Anxiety, Bipolar Disorder, Depression, Grief, and Trauma.
I am licensed in Minnesota and California. Currently taking private pay clients in both states. I can take Aetna and Optum in Minnesota. I can also take Aetna, and Cigna in California. Hello, I am Alexcis a Licensed Clinical Social Worker who helps people who long to feel stable and secure. Through my years of work, I have found that people want to live a well-rounded, healthy life. Unfortunately, barriers, keep them from moving forward and accomplishing their goals. Using supportive therapy and evidence-based practices I help people work through Anxiety, Bipolar Disorder, Depression, Grief, and Trauma.
(210) 942-6842 View (210) 942-6842
Photo of Steven L Fields, LCSW, Clinical Social Work/Therapist
Steven L Fields
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78230
I am an encouraging therapist who is passionate about helping others reach their goals and experience hope and healing. My therapy approach is rooted in the principles of Cognitive Behavioral Therapy (CBT). I have found this approach very effective with a children, teens, and adults. CBT is strongly supported in the professional literature as having verifiable evidence of success. As a Christian, I like the emphasis CBT has on the importance of building truth into our lives and how important it is to speak truth to ourselves.
I am an encouraging therapist who is passionate about helping others reach their goals and experience hope and healing. My therapy approach is rooted in the principles of Cognitive Behavioral Therapy (CBT). I have found this approach very effective with a children, teens, and adults. CBT is strongly supported in the professional literature as having verifiable evidence of success. As a Christian, I like the emphasis CBT has on the importance of building truth into our lives and how important it is to speak truth to ourselves.
(210) 460-6488 View (210) 460-6488
Photo of Criselda Guerrero-Smith, LPC-S, LCDC, Licensed Professional Counselor
Criselda Guerrero-Smith
Licensed Professional Counselor, LPC-S, LCDC
Verified Verified
1 Endorsed
San Antonio, TX 78247
Thank you for visiting my profile. I know that finding a therapist and starting therapy is a hard first step to self care but awareness of who you will be working with is important.
Thank you for visiting my profile. I know that finding a therapist and starting therapy is a hard first step to self care but awareness of who you will be working with is important.
View
Photo of Michelle Vignon, LPC-A
Michelle Vignon
Licensed Professional Counselor Associate, LPC-A
Verified Verified
San Antonio, TX 78217
There are times in life when the challenges of life feel like they are hanging on like a weight. ADHD, emotional intensities, perfectionism, and underachievement are like crashing waves where you feel out of control. Events in your life hanging on into the present. So many things have been tried, for you or your child, yet no change. Those moments of frustration and discouragement continue to grow with no relief. Not knowing what to do makes this time feels discouraging, alone, and without hope. You want relief, a way to make it through, a way to move forward so that life can begin to feel more bearable and less like a struggle.
There are times in life when the challenges of life feel like they are hanging on like a weight. ADHD, emotional intensities, perfectionism, and underachievement are like crashing waves where you feel out of control. Events in your life hanging on into the present. So many things have been tried, for you or your child, yet no change. Those moments of frustration and discouragement continue to grow with no relief. Not knowing what to do makes this time feels discouraging, alone, and without hope. You want relief, a way to make it through, a way to move forward so that life can begin to feel more bearable and less like a struggle.
(210) 985-9577 View (210) 985-9577
Photo of Alison Beron Frey, LPC, Licensed Professional Counselor
Alison Beron Frey
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78248  (Online Only)
Waitlist for new clients
I specialize in helping college students and adults during life changes that affect the family dynamics and/or the individual person. Whether it's divorce, death, relationship changes, adjustment disorders, depression (including post-partum) and anxiety, I will provide a supportive, person-centered approach using relational therapy and cognitive behavioral therapy to help the individual gain insight and learn effective coping skills to lead a balanced, healthy life.
I specialize in helping college students and adults during life changes that affect the family dynamics and/or the individual person. Whether it's divorce, death, relationship changes, adjustment disorders, depression (including post-partum) and anxiety, I will provide a supportive, person-centered approach using relational therapy and cognitive behavioral therapy to help the individual gain insight and learn effective coping skills to lead a balanced, healthy life.
(210) 693-1479 View (210) 693-1479
Photo of Deborah Lyon, LPC, Licensed Professional Counselor
Deborah Lyon
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
San Antonio, TX 78258
You may have been thinking about counseling for a long time but have just now gathered your courage to reach out - I understand, it’s not easy. You may know some things need to change but are not sure how, where to begin, or even what you are experiencing. I create a working relationship of safety, trust, and warmth that feels accepting, and non-judgmental, yet also encourages you to explore new ideas, set collaborative goals, and can help you find renewed hope for your future. As a Licensed Professional Counselor, I specialize in helping people with anxiety, sexual and domestic abuse, and relationship issues. I’m here for YOU!
You may have been thinking about counseling for a long time but have just now gathered your courage to reach out - I understand, it’s not easy. You may know some things need to change but are not sure how, where to begin, or even what you are experiencing. I create a working relationship of safety, trust, and warmth that feels accepting, and non-judgmental, yet also encourages you to explore new ideas, set collaborative goals, and can help you find renewed hope for your future. As a Licensed Professional Counselor, I specialize in helping people with anxiety, sexual and domestic abuse, and relationship issues. I’m here for YOU!
(210) 942-9775 View (210) 942-9775
Photo of Ijeoma Chinwe Too-Chiobi, LPC, Counselor
Ijeoma Chinwe Too-Chiobi
Counselor, LPC
Verified Verified
San Antonio, TX 78253
No one seems to understand what you’re going through. It feels like everyone wants something different from you, and no one cares what you want for yourself. Your parents tell you to act like an adult, but then they treat you like a child. Every decision you make feels like it will have a massive impact on your future. Each day at school, you’re forced to navigate a social minefield of potential embarrassment and rejection. You’re constantly torn between who people want you to be and who you actually are. Trying to juggle friendships, dating, grades, parents, and teachers, all while trying to find yourself, is just too much.
No one seems to understand what you’re going through. It feels like everyone wants something different from you, and no one cares what you want for yourself. Your parents tell you to act like an adult, but then they treat you like a child. Every decision you make feels like it will have a massive impact on your future. Each day at school, you’re forced to navigate a social minefield of potential embarrassment and rejection. You’re constantly torn between who people want you to be and who you actually are. Trying to juggle friendships, dating, grades, parents, and teachers, all while trying to find yourself, is just too much.
(830) 420-0240 View (830) 420-0240
Photo of Amanda Dee Montoya-Cuellar, MS, LPC, Licensed Professional Counselor
Amanda Dee Montoya-Cuellar
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78210  (Online Only)
Waitlist for new clients
Life may present challenges, but it is also a valuable journey. During difficult times, it's important to remember that you don’t have to navigate them alone. It is perfectly acceptable to seek support when needed. Each individual has a unique story, and I want you to know that your experience matters. My goal is for all my clients to leave our sessions with a sense of clarity, confidence, and personal growth. I am here to support you. Allow me the privilege of being your therapist, and together we can navigate this journey.
Life may present challenges, but it is also a valuable journey. During difficult times, it's important to remember that you don’t have to navigate them alone. It is perfectly acceptable to seek support when needed. Each individual has a unique story, and I want you to know that your experience matters. My goal is for all my clients to leave our sessions with a sense of clarity, confidence, and personal growth. I am here to support you. Allow me the privilege of being your therapist, and together we can navigate this journey.
(210) 934-1276 View (210) 934-1276
Photo of Tharwah Alzoubi, LCSW, Clinical Social Work/Therapist
Tharwah Alzoubi
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78257
Tharwah Alzoubi, Ph.D., LCSW, CRC, LCDC, is a Licensed Clinical Social Worker with a doctoral degree in clinical rehabilitation counseling, a master’s in clinical social work, and a bachelor’s in nursing.
Tharwah Alzoubi, Ph.D., LCSW, CRC, LCDC, is a Licensed Clinical Social Worker with a doctoral degree in clinical rehabilitation counseling, a master’s in clinical social work, and a bachelor’s in nursing.
(830) 293-3121 View (830) 293-3121
Photo of Kimberly Dyke, LPC, Licensed Professional Counselor
Kimberly Dyke
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78238  (Online Only)
Hi, there! I'm Kim. Do you find yourself in a tunnel where the light at the end has been turned off? Are you struggling most days to even feel "normal"? I know it takes courage to reach out and ask for help. I love working with clients to find strategies and solutions to improve daily functioning.
Hi, there! I'm Kim. Do you find yourself in a tunnel where the light at the end has been turned off? Are you struggling most days to even feel "normal"? I know it takes courage to reach out and ask for help. I love working with clients to find strategies and solutions to improve daily functioning.
(832) 726-1890 View (832) 726-1890
Photo of Kayla C Krambeck, MS, LMFT, Marriage & Family Therapist
Kayla C Krambeck
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Antonio, TX 78258
Life is often difficult and overwhelming. I'm passionately committed to guiding you on your journey towards healing, self-discovery, and empowerment through any challenge. With a compassionate heart and a profound understanding of human psychology, I strive to create a safe and nurturing space where you can explore your thoughts, feelings, experiences, and dreams. My approach to therapy is holistic, integrative, and client-centered. Drawing from various therapeutic modalities such as solution-focused therapy, narrative therapy, and play therapy, I tailor my approach to meet your unique needs.
Life is often difficult and overwhelming. I'm passionately committed to guiding you on your journey towards healing, self-discovery, and empowerment through any challenge. With a compassionate heart and a profound understanding of human psychology, I strive to create a safe and nurturing space where you can explore your thoughts, feelings, experiences, and dreams. My approach to therapy is holistic, integrative, and client-centered. Drawing from various therapeutic modalities such as solution-focused therapy, narrative therapy, and play therapy, I tailor my approach to meet your unique needs.
(210) 361-9005 View (210) 361-9005
Photo of Lisa Sells, MA, LPC, Licensed Professional Counselor
Lisa Sells
Licensed Professional Counselor, MA, LPC
Verified Verified
8 Endorsed
San Antonio, TX 78248  (Online Only)
You are anxious and stressed. You feel like no matter how hard you try, it’s just not good enough. You’re feeling overwhelmed by life; thinking that others’ problems are more serious and you don’t want to bring anyone down by sharing your struggles and challenges in relationships, parenting, work stress, and juggling the demands of life. Your best never feels quite good enough and you don’t know who to turn to. Whether it’s challenging relationships, coping with a loss, struggling through a transition, or work stress--you just don’t feel like you’re managing and definitely not thriving in your life.
You are anxious and stressed. You feel like no matter how hard you try, it’s just not good enough. You’re feeling overwhelmed by life; thinking that others’ problems are more serious and you don’t want to bring anyone down by sharing your struggles and challenges in relationships, parenting, work stress, and juggling the demands of life. Your best never feels quite good enough and you don’t know who to turn to. Whether it’s challenging relationships, coping with a loss, struggling through a transition, or work stress--you just don’t feel like you’re managing and definitely not thriving in your life.
(726) 204-2109 View (726) 204-2109
Photo of Secrets Hurt Relationships... Start Healing With Cheryl Camarillo, LCSW, CST, AASECT, CSAT, BCIA, Clinical Social Work/Therapist
Secrets Hurt Relationships... Start Healing With Cheryl Camarillo
Clinical Social Work/Therapist, LCSW, CST, AASECT, CSAT, BCIA
Verified Verified
San Antonio, TX 78213
Are you afraid your relationship is over? Struggling with secrets and relationship issues? What you need is a plan to.... change and heal. Are you seeking a non-judgement zone? Learn to stop the shame, blame, guilt and anger. End confusion over what to do and start working on a plan. Have a clear understanding of the problem and plan the best options for moving forward. Certified Sex Therapist and Certified Sex Addiction Therapist: Trained professional in sex therapy, infidelity, sex and porn addiction.
Are you afraid your relationship is over? Struggling with secrets and relationship issues? What you need is a plan to.... change and heal. Are you seeking a non-judgement zone? Learn to stop the shame, blame, guilt and anger. End confusion over what to do and start working on a plan. Have a clear understanding of the problem and plan the best options for moving forward. Certified Sex Therapist and Certified Sex Addiction Therapist: Trained professional in sex therapy, infidelity, sex and porn addiction.
(210) 625-7873 View (210) 625-7873
Photo of Toni A. Young, MS, LPC-S, Licensed Professional Counselor
Toni A. Young
Licensed Professional Counselor, MS, LPC-S
Verified Verified
1 Endorsed
San Antonio, TX 78239
Are you feeling overwhelmed, stressed, depressed or anxious? Do you have personal issues affecting your life (e.g. anger issues, women's issues, self esteem, or health lifestyle changes)? There is hope and you can improve the quality of your life by boosting your mindset, learning new coping skills, and focusing on making change happen. In therapy, we will process what has happen or what is currently happening and focus on how we can make it better.
Are you feeling overwhelmed, stressed, depressed or anxious? Do you have personal issues affecting your life (e.g. anger issues, women's issues, self esteem, or health lifestyle changes)? There is hope and you can improve the quality of your life by boosting your mindset, learning new coping skills, and focusing on making change happen. In therapy, we will process what has happen or what is currently happening and focus on how we can make it better.
(726) 207-9139 View (726) 207-9139
Photo of Chriselda Santos, LPC-S , CCP, GCT, Licensed Professional Counselor
Chriselda Santos
Licensed Professional Counselor, LPC-S , CCP, GCT
Verified Verified
5 Endorsed
San Antonio, TX 78240
Resilience. Connection. Perspective. I believe in focusing on one's strengths and capabilities and assisting a person by building on those factors. With so many demands placed on our lives, relationships may sometimes suffer. While we make plans and schedule ourselves to accommodate life, at times we make assumptions based on past experience. Are you living the life you want to be living? Do you know who you are and what brings you joy? Are your relationships all you want them to be? If the answer is yes, congratulations. If it's no, then maybe I can help. Summer availability
Resilience. Connection. Perspective. I believe in focusing on one's strengths and capabilities and assisting a person by building on those factors. With so many demands placed on our lives, relationships may sometimes suffer. While we make plans and schedule ourselves to accommodate life, at times we make assumptions based on past experience. Are you living the life you want to be living? Do you know who you are and what brings you joy? Are your relationships all you want them to be? If the answer is yes, congratulations. If it's no, then maybe I can help. Summer availability
(210) 549-6663 View (210) 549-6663
Photo of Janet Lantry, LCSW-S, RYT, Clinical Social Work/Therapist
Janet Lantry
Clinical Social Work/Therapist, LCSW-S, RYT
Verified Verified
San Antonio, TX 78228  (Online Only)
Are you seeking relief and improved functioning, using evidence-based approaches and an integration of the mind and body? Janet specializes in treating PTSD, depression, anxiety, insomnia, relationship conflict, substance use disorders, and uses play therapy as a primary modality when working with children. She is certified in EMDR. She works with all genders, including people who identify as transgender and non-binary and members of the LGBTQIA+ community. Janet also has extensive experience working with veterans, active duty service members, and their families, with a unique empathy for being a military child.
Are you seeking relief and improved functioning, using evidence-based approaches and an integration of the mind and body? Janet specializes in treating PTSD, depression, anxiety, insomnia, relationship conflict, substance use disorders, and uses play therapy as a primary modality when working with children. She is certified in EMDR. She works with all genders, including people who identify as transgender and non-binary and members of the LGBTQIA+ community. Janet also has extensive experience working with veterans, active duty service members, and their families, with a unique empathy for being a military child.
(210) 981-3936 View (210) 981-3936
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How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
72% Self Esteem
71% Coping Skills
71% Stress
69% Relationship Issues
69% Trauma and PTSD

Average years in practice

9 Years

Top 3 insurances accepted

89% Aetna
76% BlueCross and BlueShield
74% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

53% In Person and Online
47% Online Only

Gender breakdown

80% Female
19% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

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.