Therapists in West Hollywood, CA

Photo of Sarah Lee, LCSW, Clinical Social Work/Therapist
Sarah Lee
Clinical Social Work/Therapist, LCSW
Verified Verified
West Hollywood, CA 90048
Since graduating from New York University with an MSW degree, I have been working as a psychotherapist. My clinical approach combines cognitive behavior therapy (CBT) and a strengths-based process to trigger goal-oriented actions. I am DBT informed and trained in Eye Movement Desensitization and Reprocessing (EMDR). I have extensive experience with individual, family, couples, and group therapies. I am fluent in American Sign Language and have worked closely with the Deaf and Hard of Hearing communities. I see a mix of Deaf, hard of hearing, and hearing clientele of all ages.
Since graduating from New York University with an MSW degree, I have been working as a psychotherapist. My clinical approach combines cognitive behavior therapy (CBT) and a strengths-based process to trigger goal-oriented actions. I am DBT informed and trained in Eye Movement Desensitization and Reprocessing (EMDR). I have extensive experience with individual, family, couples, and group therapies. I am fluent in American Sign Language and have worked closely with the Deaf and Hard of Hearing communities. I see a mix of Deaf, hard of hearing, and hearing clientele of all ages.
(646) 392-7505 View (646) 392-7505
Photo of Korbi Ghosh Biggins, MA, LMFT, Marriage & Family Therapist
Korbi Ghosh Biggins
Marriage & Family Therapist, MA, LMFT
Verified Verified
West Hollywood, CA 90046  (Online Only)
Korbi Ghosh Biggins is a licensed clinical psychotherapist who specializes in helping people dealing with depression, anxiety, pregnancy/postpartum/early parenting, substance abuse, self esteem and relationship issues. She provides clients with hope, and a safe environment to discuss the areas of their life which they are ready to work on and change. Korbi recognizes the significant influence that every person's past has on their present and the therapeutic benefits in exploring this, but she is also committed to assisting her clients in finding concrete and practical solutions to their current struggles and challenges.
Korbi Ghosh Biggins is a licensed clinical psychotherapist who specializes in helping people dealing with depression, anxiety, pregnancy/postpartum/early parenting, substance abuse, self esteem and relationship issues. She provides clients with hope, and a safe environment to discuss the areas of their life which they are ready to work on and change. Korbi recognizes the significant influence that every person's past has on their present and the therapeutic benefits in exploring this, but she is also committed to assisting her clients in finding concrete and practical solutions to their current struggles and challenges.
(323) 621-3848 View (323) 621-3848
Photo of Julie Sortais, LCSW, Clinical Social Work/Therapist
Julie Sortais
Clinical Social Work/Therapist, LCSW
Verified Verified
West Hollywood, CA 90046  (Online Only)
Welcome! I am so glad you are here. I truly believe that therapy helps all of us work through the things that may be holding us back and move toward the lives we want. If you feel like depression, anxiety or stress are keeping you from the happiness you richly deserve, I can help. We can sift through these obstacles together and get you to a place where you feel satisfied with your life or motivated to work on it. Life is a complicated endeavor and you deserve someone on your team who will support you and help you navigate the challenges that inevitably come up. I would be honored to be that person.
Welcome! I am so glad you are here. I truly believe that therapy helps all of us work through the things that may be holding us back and move toward the lives we want. If you feel like depression, anxiety or stress are keeping you from the happiness you richly deserve, I can help. We can sift through these obstacles together and get you to a place where you feel satisfied with your life or motivated to work on it. Life is a complicated endeavor and you deserve someone on your team who will support you and help you navigate the challenges that inevitably come up. I would be honored to be that person.
(323) 870-6189 View (323) 870-6189
Photo of Mark Chaney-Gay, LCSW, Clinical Social Work/Therapist
Mark Chaney-Gay
Clinical Social Work/Therapist, LCSW
Verified Verified
West Hollywood, CA 90069  (Online Only)
The day to day can often lead to feeling stressed, overwhelmed and anxious. For those dealing with physical disabilities, mental health or life challenges, this can be even more challenging. Maybe you are facing a new disability or a continued one. Maybe you are LGBTQ and facing relationship or other stress. Maybe life has become overwhelming. You can meet these challenges. I am here to help you to meet these challenges.
The day to day can often lead to feeling stressed, overwhelmed and anxious. For those dealing with physical disabilities, mental health or life challenges, this can be even more challenging. Maybe you are facing a new disability or a continued one. Maybe you are LGBTQ and facing relationship or other stress. Maybe life has become overwhelming. You can meet these challenges. I am here to help you to meet these challenges.
(323) 615-2538 View (323) 615-2538
Photo of Nancy Downey, MS, LMFT, Marriage & Family Therapist
Nancy Downey
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
West Hollywood, CA 90046
Let's face it: Our world is incredibly chaotic right now. Our inability to control the circumstances can feel overwhelming at times. The good news is that when chaos arises, the opportunity for reflection and change becomes more urgent. My priority is to understand how your symptoms of anxiety and low self-esteem are affecting your relationships and overall sense of self. Once established, we can peel back the layers one by one and create some movement in your life and in your relationships.
Let's face it: Our world is incredibly chaotic right now. Our inability to control the circumstances can feel overwhelming at times. The good news is that when chaos arises, the opportunity for reflection and change becomes more urgent. My priority is to understand how your symptoms of anxiety and low self-esteem are affecting your relationships and overall sense of self. Once established, we can peel back the layers one by one and create some movement in your life and in your relationships.
(818) 435-4987 View (818) 435-4987
Photo of Paul Perales, PsyD, Psychologist
Paul Perales
Psychologist, PsyD
Verified Verified
West Hollywood, CA 90069
I provide individual, couples, and group therapy to adolescents and adults, with specialities in addiction, trauma, and identity issues. I use evidence-based approaches and have specialized training in mindfulness-based therapies, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Acceptance & Commitment Therapy, and Cognitive Processing Therapy.
I provide individual, couples, and group therapy to adolescents and adults, with specialities in addiction, trauma, and identity issues. I use evidence-based approaches and have specialized training in mindfulness-based therapies, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Acceptance & Commitment Therapy, and Cognitive Processing Therapy.
(323) 693-9766 View (323) 693-9766
Photo of Dr. Peter Achenbach, PsyD , Psychological Associate
Dr. Peter Achenbach
Psychological Associate, PsyD
Verified Verified
1 Endorsed
West Hollywood, CA 90069
I believe that taking the step to begin therapy is the most courageous, brave act one can take toward healing. It can be very intimidating and scary, trusting another person with some of the most painful feelings and experiences you have gone through. My work is highly compassionate and empathic, with a culturally sensitive approach to each individual. Through the therapeutic relationship we will explore how your past experiences have contributed to your current challenges. Therapy is a safe and sacred space to explore current and past traumas, to develop self-compassion and to create a deeper self-understanding.
I believe that taking the step to begin therapy is the most courageous, brave act one can take toward healing. It can be very intimidating and scary, trusting another person with some of the most painful feelings and experiences you have gone through. My work is highly compassionate and empathic, with a culturally sensitive approach to each individual. Through the therapeutic relationship we will explore how your past experiences have contributed to your current challenges. Therapy is a safe and sacred space to explore current and past traumas, to develop self-compassion and to create a deeper self-understanding.
(323) 973-2325 View (323) 973-2325
Photo of Colin Stack-Troost, MA, LMFT, Marriage & Family Therapist
Colin Stack-Troost
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
West Hollywood, CA 90069
I welcome humans from all walks of life who are interested in creating a safe space dedicated to exploring themselves and their relationships. I work in a dynamic and engaging way, collaborating with my clients to create goals, examine behavioral patterns, improve communication, and support authentic self-expression. I was trained by Queer legend Dossie Easton, co-author of "The Ethical Slut" and life-long advocate of those who live non-traditional lifestyles. I have an extensive background in understanding the unique issues that affect LGBTQ+ people and am honored to support the mental health of our community.
I welcome humans from all walks of life who are interested in creating a safe space dedicated to exploring themselves and their relationships. I work in a dynamic and engaging way, collaborating with my clients to create goals, examine behavioral patterns, improve communication, and support authentic self-expression. I was trained by Queer legend Dossie Easton, co-author of "The Ethical Slut" and life-long advocate of those who live non-traditional lifestyles. I have an extensive background in understanding the unique issues that affect LGBTQ+ people and am honored to support the mental health of our community.
(310) 770-6287 View (310) 770-6287
Photo of Ron Mathew Samaan, MA, LMFT, Marriage & Family Therapist
Ron Mathew Samaan
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
West Hollywood, CA 90069  (Online Only)
I'm a licensed psychotherapist practicing in California, with a Master's degree in counseling psychology. I counsel individuals from a wide range of cultural, racial, and ethnic groups. Although I work with an array of clients, I do specialize in working with LGBTQIA+ populations. My training and education make me especially qualified to treat depression, anxiety, trauma, panic, existential concerns, and attachment wounds. Whatever it is you are struggling with, my job is to assist you in changing your relationship with your pain - and help you become the person you want to become.
I'm a licensed psychotherapist practicing in California, with a Master's degree in counseling psychology. I counsel individuals from a wide range of cultural, racial, and ethnic groups. Although I work with an array of clients, I do specialize in working with LGBTQIA+ populations. My training and education make me especially qualified to treat depression, anxiety, trauma, panic, existential concerns, and attachment wounds. Whatever it is you are struggling with, my job is to assist you in changing your relationship with your pain - and help you become the person you want to become.
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Photo of Corrine Van Vliet, ACSW, RAD-T
Corrine Van Vliet
Associate Clinical Social Worker, ACSW, RAD-T
Verified Verified
1 Endorsed
West Hollywood, CA 90046
Therapy for individuals, couples, families, and groups, specializing in working with: People in early recovery and practicing sobriety, athletes and student athletes, people employed or striving to be in the entertainment industry, and anyone who wants to improve their life!
Therapy for individuals, couples, families, and groups, specializing in working with: People in early recovery and practicing sobriety, athletes and student athletes, people employed or striving to be in the entertainment industry, and anyone who wants to improve their life!
(323) 218-7524 View (323) 218-7524
Photo of Dawn Holiski, MA, AMFT
Dawn Holiski
Associate Marriage & Family Therapist, MA, AMFT
Verified Verified
4 Endorsed
West Hollywood, CA 90069
I am a compassionate and dedicated Associate Marriage and Family Therapist specializing in supporting individuals, couples, and families through challenging life transitions. My diverse background in clinical psychology, theatre arts, and community work allows me to approach therapy from a unique perspective that blends empathy, creativity, and a deep understanding of personal narratives. I work extensively with LGBTQ+ individuals, foster/adoptive families, and those navigating identity exploration, using strength-based, trauma-informed modalities to help clients empower themselves, heal, and thrive.
I am a compassionate and dedicated Associate Marriage and Family Therapist specializing in supporting individuals, couples, and families through challenging life transitions. My diverse background in clinical psychology, theatre arts, and community work allows me to approach therapy from a unique perspective that blends empathy, creativity, and a deep understanding of personal narratives. I work extensively with LGBTQ+ individuals, foster/adoptive families, and those navigating identity exploration, using strength-based, trauma-informed modalities to help clients empower themselves, heal, and thrive.
(213) 379-9208 View (213) 379-9208
Photo of Cindy Weathers, MA, LMFT, Marriage & Family Therapist
Cindy Weathers
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
West Hollywood, CA 90069
Are you struggling to find meaningful connection or fulfilling relationships? Do you find yourself going back to toxic situations despite your better judgement? Are you generally feeling lost or alone? If any of these questions resonate, I can help. I specialize in working with relational issues and intimacy disorders. In addition, I work with adults who are struggling with anxiety, depression, lack of connection and trauma. I also work with women and couples experiencing reproductive difficulties, fertility intervention and postpartum adjustment. Additionally, I often work with high achievers and perfectionists.
Are you struggling to find meaningful connection or fulfilling relationships? Do you find yourself going back to toxic situations despite your better judgement? Are you generally feeling lost or alone? If any of these questions resonate, I can help. I specialize in working with relational issues and intimacy disorders. In addition, I work with adults who are struggling with anxiety, depression, lack of connection and trauma. I also work with women and couples experiencing reproductive difficulties, fertility intervention and postpartum adjustment. Additionally, I often work with high achievers and perfectionists.
(323) 616-1491 View (323) 616-1491
Photo of Rachel Samuels, LMFT, Marriage & Family Therapist
Rachel Samuels
Marriage & Family Therapist, LMFT
Verified Verified
West Hollywood, CA 90046  (Online Only)
I imagine you’re in pain right now. You’re feeling alone, anxious, unhappy, and overwhelmed. Your relationships just don’t feel like they once did, you often feel like you don’t belong at work or with your friends. You just don’t know what to do to feel better. We’ve all been through dark periods in our lives, but the question is how do we dig ourselves out? Change is scary and difficult, but with my help it’s possible.
I imagine you’re in pain right now. You’re feeling alone, anxious, unhappy, and overwhelmed. Your relationships just don’t feel like they once did, you often feel like you don’t belong at work or with your friends. You just don’t know what to do to feel better. We’ve all been through dark periods in our lives, but the question is how do we dig ourselves out? Change is scary and difficult, but with my help it’s possible.
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Photo of Oliver Drakeford, MA, LMFT, CGP, Marriage & Family Therapist
Oliver Drakeford
Marriage & Family Therapist, MA, LMFT, CGP
Verified Verified
3 Endorsed
West Hollywood, CA 90069
Located in the heart of West Hollywood, CA 90069, I love to implement the same skills I used as Clinical Director of a residential center to help facilitate change and relationship dynamics. Schedule a free consultation call with me on my website to talk more. My approach helps clients understand & modify dysfunctional patterns that hinder connection and closeness. Whether I am working with couples, families or individual clients, my approach aims to bring about improvements in your relationships which in turn helps symptoms such as conflict, depression and anxiety, and to improve creativity & productivity.
Located in the heart of West Hollywood, CA 90069, I love to implement the same skills I used as Clinical Director of a residential center to help facilitate change and relationship dynamics. Schedule a free consultation call with me on my website to talk more. My approach helps clients understand & modify dysfunctional patterns that hinder connection and closeness. Whether I am working with couples, families or individual clients, my approach aims to bring about improvements in your relationships which in turn helps symptoms such as conflict, depression and anxiety, and to improve creativity & productivity.
(262) 290-2593 View (262) 290-2593
Photo of Joseph LaBadia, LPCC, NCC, MA
Joseph LaBadia
Licensed Professional Clinical Counselor, LPCC, NCC, MA
Verified Verified
5 Endorsed
West Hollywood, CA 90048  (Online Only)
I help my clients learn and enhance their abilities to utilize their own strengths in order to overcome issues such as depression, anxiety, relationship issues, substance abuse, and daily or work related stress. I put in a strong effort to connect with my clients and create a working alliance. The treatment I provide is a collaborative process where we will work together for positive changes. I've spent the seven years training and working with clients at institutions such as New York Presbyterian Hospital, the William Alanson White Institute, New York University, and Cornell Medical College.
I help my clients learn and enhance their abilities to utilize their own strengths in order to overcome issues such as depression, anxiety, relationship issues, substance abuse, and daily or work related stress. I put in a strong effort to connect with my clients and create a working alliance. The treatment I provide is a collaborative process where we will work together for positive changes. I've spent the seven years training and working with clients at institutions such as New York Presbyterian Hospital, the William Alanson White Institute, New York University, and Cornell Medical College.
(323) 918-4142 View (323) 918-4142
Photo of Felicia Huddleston, ACSW
Felicia Huddleston
Associate Clinical Social Worker, ACSW
Verified Verified
West Hollywood, CA 90069  (Online Only)
I am a clinical social worker in California with a masters degree in social welfare from UC Berkeley with a concentration in advancing health and well-being. My goal is to create a safe and warm environment in which clients are encouraged to allow themselves to receive authentic, collaborative, and compassionate care.
I am a clinical social worker in California with a masters degree in social welfare from UC Berkeley with a concentration in advancing health and well-being. My goal is to create a safe and warm environment in which clients are encouraged to allow themselves to receive authentic, collaborative, and compassionate care.
(323) 543-0421 View (323) 543-0421
Photo of Dustin Kerrone, MS, LMFT, Marriage & Family Therapist
Dustin Kerrone
Marriage & Family Therapist, MS, LMFT
Verified Verified
West Hollywood, CA 90069  (Online Only)
Love. Joy. Ecstasy. Awe. In my 18 years of clinical experience, I’ve discovered that we each have far more capacity for these expansive feelings than we often realize. Whether you are contending with many challenges, or feel ready to fly through the stars, I can work with you collaboratively to shape a life that fulfills your highest dreams, and maybe even soars beyond them. I’m eager to share what I’ve learned about our abilities to break out of old patterns of pain, fear, and shame into fruitful creativity and communion with the most inspiring aspects of being alive.
Love. Joy. Ecstasy. Awe. In my 18 years of clinical experience, I’ve discovered that we each have far more capacity for these expansive feelings than we often realize. Whether you are contending with many challenges, or feel ready to fly through the stars, I can work with you collaboratively to shape a life that fulfills your highest dreams, and maybe even soars beyond them. I’m eager to share what I’ve learned about our abilities to break out of old patterns of pain, fear, and shame into fruitful creativity and communion with the most inspiring aspects of being alive.
(323) 641-4977 View (323) 641-4977
Photo of Adam Marshall, MA, Marriage & Family Therapist Intern
Adam Marshall
Marriage & Family Therapist Intern, MA
Verified Verified
West Hollywood, CA 90046
Early on, Adam was intrigued by how we connect with ourselves and the world around us. His interests led him to explore a diverse range of cultures and beliefs. He received his masters degree in psychology, and further delved into meditation, sound healing, and other consciousness ideologies. Today, he uses a variety of those tools to help those around him. In an atmosphere free of judgement, Adam helps guide each individual through their journey to understand and love themselves more fully.
Early on, Adam was intrigued by how we connect with ourselves and the world around us. His interests led him to explore a diverse range of cultures and beliefs. He received his masters degree in psychology, and further delved into meditation, sound healing, and other consciousness ideologies. Today, he uses a variety of those tools to help those around him. In an atmosphere free of judgement, Adam helps guide each individual through their journey to understand and love themselves more fully.
(615) 338-6045 View (615) 338-6045
Photo of Dana Zienert Kind, LMFT, Marriage & Family Therapist
Dana Zienert Kind
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
West Hollywood, CA 90069
I am committed to, and very passionate about, working with people to help them find deeper meaning and fulfillment in their lives. I feel therapy is a place where you can feel safe to openly express yourself, as you work side-by-side with someone who will assist you in building self-awareness, promote change, and ultimately improve your relationships and your life.
I am committed to, and very passionate about, working with people to help them find deeper meaning and fulfillment in their lives. I feel therapy is a place where you can feel safe to openly express yourself, as you work side-by-side with someone who will assist you in building self-awareness, promote change, and ultimately improve your relationships and your life.
(310) 431-9937 View (310) 431-9937
Photo of Aaron Jimenez, MA, LMFT, Marriage & Family Therapist
Aaron Jimenez
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
West Hollywood, CA 90069
I am a psychotherapist (LMFT) who graduated from Pepperdine University with a Master of Arts in Clinical Psychology. My clinical experience has been honed at AIDS Project Los Angeles and The LA Gay and Lesbian Center, two widely renowned sites where I served the diverse populations of Los Angeles in the company of exceptionally skilled colleagues. I combine my professional knowledge and personal experience to create a safe and encouraging space for clients to grow, process and gain insight.
I am a psychotherapist (LMFT) who graduated from Pepperdine University with a Master of Arts in Clinical Psychology. My clinical experience has been honed at AIDS Project Los Angeles and The LA Gay and Lesbian Center, two widely renowned sites where I served the diverse populations of Los Angeles in the company of exceptionally skilled colleagues. I combine my professional knowledge and personal experience to create a safe and encouraging space for clients to grow, process and gain insight.
(619) 268-4995 View (619) 268-4995
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How does your Therapist compare?

Number of Therapists in West Hollywood, CA

600+

Average cost per session

$200

Therapists in West Hollywood, CA who prioritize treating:

95% Anxiety
89% Relationship Issues
88% Depression
79% Self Esteem
72% Trauma and PTSD
66% Grief
64% Stress

Average years in practice

11 Years

Top 3 insurances accepted

63% Aetna
50% Cigna and Evernorth
49% UnitedHealthcare UHC | UBH

How Therapists in West Hollywood, CA see their clients

63% In Person and Online
37% Online Only

Gender breakdown

55% Female
43% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in West Hollywood?

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.