Therapists in Tobin Hill, San Antonio, TX

Photo of Kayla M Nettleton, LCSW, Clinical Social Work/Therapist
Kayla M Nettleton
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Tobin Hill, San Antonio, TX 78215
Are you tired of constantly trying to prove yourself? You may be fed up with feeling frustrated and stuck with where you are in life. You’ve spent so much time meeting everyone’s needs and expectations that you’ve lost sight of who you are and what you truly want out of life. You might not even remember a time things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to feel more in control of your life. You’re ready to feel more energized. Most of all, you’re ready to set healthy boundaries confidently so that you can create a balanced life without sacrificing your needs.
Are you tired of constantly trying to prove yourself? You may be fed up with feeling frustrated and stuck with where you are in life. You’ve spent so much time meeting everyone’s needs and expectations that you’ve lost sight of who you are and what you truly want out of life. You might not even remember a time things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to feel more in control of your life. You’re ready to feel more energized. Most of all, you’re ready to set healthy boundaries confidently so that you can create a balanced life without sacrificing your needs.
(830) 202-6354 View (830) 202-6354
Photo of Felise De Novo, MA, LPC-S, PC, Counselor
Felise De Novo
Counselor, MA, LPC-S, PC
Verified Verified
Tobin Hill, San Antonio, TX 78212  (Online Only)
If you are committed to improving your situation, I will commit to working with you. I have been working with families and children with a variety of issues as a Licensed Professional Counselor since 2000. I offer professional therapeutic services to individuals, couples, families, adolescents, and children.
If you are committed to improving your situation, I will commit to working with you. I have been working with families and children with a variety of issues as a Licensed Professional Counselor since 2000. I offer professional therapeutic services to individuals, couples, families, adolescents, and children.
(210) 714-1442 View (210) 714-1442
Photo of Dr. Kay Schanzer, PhD, LPC, CCP, Licensed Professional Counselor
Dr. Kay Schanzer
Licensed Professional Counselor, PhD, LPC, CCP
Verified Verified
Tobin Hill, San Antonio, TX 78212
Waitlist for new clients
If we are to live into our potential and experience lives that are meaningful to us, it is helpful to gain insight into where we feel blocked and what needs to happen to move us closer to our authentic self. As a psychotherapist and certified psychoanalyst, I can often help you on this journey. There are many reasons why we seek individual or couple therapy. Understanding ourselves better seems to be reason enough. But for some this decision comes when we are at a particularly difficult moment in life--a death, divorce, relationship concerns, retirement or any situation which may constellate strong feelings.
If we are to live into our potential and experience lives that are meaningful to us, it is helpful to gain insight into where we feel blocked and what needs to happen to move us closer to our authentic self. As a psychotherapist and certified psychoanalyst, I can often help you on this journey. There are many reasons why we seek individual or couple therapy. Understanding ourselves better seems to be reason enough. But for some this decision comes when we are at a particularly difficult moment in life--a death, divorce, relationship concerns, retirement or any situation which may constellate strong feelings.
(210) 255-2006 View (210) 255-2006
Photo of Shawna Scarnato, MA, LPC-S, Licensed Professional Counselor
Shawna Scarnato
Licensed Professional Counselor, MA, LPC-S
Verified Verified
1 Endorsed
Tobin Hill, San Antonio, TX 78215  (Online Only)
I am a Licensed Professional Counselor-Supervisor (LPC-S) with over 15 years’ experience working with adults, adolescents and their families. Life comes with struggles, but these struggles don't have to become who we are. I believe we all find our own ways of coping and healing, but sometimes we need additional support to help us make healthy decisions.
I am a Licensed Professional Counselor-Supervisor (LPC-S) with over 15 years’ experience working with adults, adolescents and their families. Life comes with struggles, but these struggles don't have to become who we are. I believe we all find our own ways of coping and healing, but sometimes we need additional support to help us make healthy decisions.
(210) 880-2120 View (210) 880-2120
Photo of Dr. Polett Coss, PhD, LPC, Licensed Professional Counselor
Dr. Polett Coss
Licensed Professional Counselor, PhD, LPC
Verified Verified
Tobin Hill, San Antonio, TX 78215  (Online Only)
I view counseling through a cultural lens, this means I focus on all the dimensions of your lived experience as an individual who interacts with the world around them. My goal as a counselor is to help you acknowledge and consider your cognitive, emotional, relational, spiritual, motivational, and aspirational facets. It is my hope to support your self-healing journey by facilitating a deeper understanding of your worldview perspective, connections, and goals.
I view counseling through a cultural lens, this means I focus on all the dimensions of your lived experience as an individual who interacts with the world around them. My goal as a counselor is to help you acknowledge and consider your cognitive, emotional, relational, spiritual, motivational, and aspirational facets. It is my hope to support your self-healing journey by facilitating a deeper understanding of your worldview perspective, connections, and goals.
(210) 361-2734 View (210) 361-2734
Photo of Dr. Marilyn Caylor, PhD, LPC, Licensed Professional Counselor
Dr. Marilyn Caylor
Licensed Professional Counselor, PhD, LPC
Verified Verified
2 Endorsed
Tobin Hill, San Antonio, TX 78212
Accepting new clients. I specialize in combat or sexual assault related PTSD, childhood physical/sexual abuse, sexual identity, depression, anxiety, blended families and phase of life issues. I assist U.S. Veterans and First Responders with concerns related to service/deployment. I also have experience working with LGBTQIA2S+ concerns. I strive to provide a nonjudgmental, supportive, safe environment that protects and respects your privacy.
Accepting new clients. I specialize in combat or sexual assault related PTSD, childhood physical/sexual abuse, sexual identity, depression, anxiety, blended families and phase of life issues. I assist U.S. Veterans and First Responders with concerns related to service/deployment. I also have experience working with LGBTQIA2S+ concerns. I strive to provide a nonjudgmental, supportive, safe environment that protects and respects your privacy.
(210) 741-8127 View (210) 741-8127
Photo of Kasi Howard, PsyD, Psychologist
Kasi Howard
Psychologist, PsyD
Verified Verified
Tobin Hill, San Antonio, TX 78215
I believe in working with you to best meet your goals and needs based on where you are. I work with adolescents, age 16 and up and adults. Please check out our website at www.innovarecoverycenter.com to learn more. We are eager to partner with you on your journey to healing! We also offer speciality programs in the following areas: abuse/trauma/PTSD; sexual addiction.
I believe in working with you to best meet your goals and needs based on where you are. I work with adolescents, age 16 and up and adults. Please check out our website at www.innovarecoverycenter.com to learn more. We are eager to partner with you on your journey to healing! We also offer speciality programs in the following areas: abuse/trauma/PTSD; sexual addiction.
(210) 361-4239 View (210) 361-4239
Photo of Charley (Rachel) Howard, LPC, RYT, Licensed Professional Counselor
Charley (Rachel) Howard
Licensed Professional Counselor, LPC, RYT
Verified Verified
7 Endorsed
Tobin Hill, San Antonio, TX 78215  (Online Only)
Our minds can be real asshats sometimes, and this often makes us sad, annoyed, frustrated, even down right depressive. Using a mindful, relational, somatic and holistic perspective with psychoeducation, humor and sometimes silliness, I will work collaboratively with you to help you discover the strengths that will allow you to overcome self-sabotaging behavior or any other inner obstacle, and to regain a sense of wholeness and meaning. Only offering telehealth services for the state of Texas and I don't accept insurance.
Our minds can be real asshats sometimes, and this often makes us sad, annoyed, frustrated, even down right depressive. Using a mindful, relational, somatic and holistic perspective with psychoeducation, humor and sometimes silliness, I will work collaboratively with you to help you discover the strengths that will allow you to overcome self-sabotaging behavior or any other inner obstacle, and to regain a sense of wholeness and meaning. Only offering telehealth services for the state of Texas and I don't accept insurance.
(512) 299-6282 View (512) 299-6282
Photo of Patrick McBryde, MS, NCC, LPC, Licensed Professional Counselor
Patrick McBryde
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Tobin Hill, San Antonio, TX 78215  (Online Only)
My approach is rooted in compassion, recognizing the courage it takes to seek support and the vulnerability inherent in sharing one's story. I am committed to creating a safe and nurturing space where you can freely express yourself, knowing that you are met with empathy and non-judgment. Together, we can navigate the complexities of your emotions and experiences, fostering resilience and empowering you to lead a more fulfilling life.
My approach is rooted in compassion, recognizing the courage it takes to seek support and the vulnerability inherent in sharing one's story. I am committed to creating a safe and nurturing space where you can freely express yourself, knowing that you are met with empathy and non-judgment. Together, we can navigate the complexities of your emotions and experiences, fostering resilience and empowering you to lead a more fulfilling life.
(737) 377-5133 View (737) 377-5133
Photo of Andy Overgard, LPC, Licensed Professional Counselor
Andy Overgard
Licensed Professional Counselor, LPC
Verified Verified
Tobin Hill, San Antonio, TX 78215
Andy Overgard is a Licensed Professional Counselor in Texas who has been practicing since 2021. He has a BA in Biology and a BS in Public Health from Schreiner University and an MA in Clinical Mental Health Counseling from Texas A&M-San Antonio. Andy provides a safe calm space for clients to explore thoughts and feelings. He has had a variety of life experiences which allows him to connect with many different clients on many different levels. Andy is also a Wounded Combat Veteran so he can also relate to Veterans on levels that many others cannot.
Andy Overgard is a Licensed Professional Counselor in Texas who has been practicing since 2021. He has a BA in Biology and a BS in Public Health from Schreiner University and an MA in Clinical Mental Health Counseling from Texas A&M-San Antonio. Andy provides a safe calm space for clients to explore thoughts and feelings. He has had a variety of life experiences which allows him to connect with many different clients on many different levels. Andy is also a Wounded Combat Veteran so he can also relate to Veterans on levels that many others cannot.
(726) 200-4440 View (726) 200-4440
Photo of Ralph A Porter, MS, LPC, LCDC, NCC, Licensed Professional Counselor
Ralph A Porter
Licensed Professional Counselor, MS, LPC, LCDC, NCC
Verified Verified
1 Endorsed
Tobin Hill, San Antonio, TX 78215
Are you experiencing difficulties with your life due to anxiety, depression, or substance abuse? Are your relationships on-again, off-again, on-again, and you don't know why? You might wonder whether it's possible to find "normal." With hard work and the tools I offer, through Gestalt therapy, I will guide you to finding the answers you already have and do not know that you have them. My office is conveniently located in Fair Oaks Ranch in a quiet and serene area. I offer evening appointments for your convenience. My website can address any questions you might have and you can request a free phone consultation or book online.
Are you experiencing difficulties with your life due to anxiety, depression, or substance abuse? Are your relationships on-again, off-again, on-again, and you don't know why? You might wonder whether it's possible to find "normal." With hard work and the tools I offer, through Gestalt therapy, I will guide you to finding the answers you already have and do not know that you have them. My office is conveniently located in Fair Oaks Ranch in a quiet and serene area. I offer evening appointments for your convenience. My website can address any questions you might have and you can request a free phone consultation or book online.
(830) 468-6276 View (830) 468-6276
Photo of Elaine Brandon, Licensed Professional Counselor
Elaine Brandon
Licensed Professional Counselor
Verified Verified
Tobin Hill, San Antonio, TX 78215
Elaine earned her Bachelor of Business Administration in Finance in 1987; however, quickly discovered that she wanted more. She went back to school and earned her Master of Arts in Educational Psychology: Guidance and Counseling; both from the University of Texas at San Antonio. She has specialized training to include play therapy techniques, trauma and abuse, trauma informed care, conduct disorders, solution focused therapy and cognitive behavioral therapy. She became an LPC Supervisor in 2006.
Elaine earned her Bachelor of Business Administration in Finance in 1987; however, quickly discovered that she wanted more. She went back to school and earned her Master of Arts in Educational Psychology: Guidance and Counseling; both from the University of Texas at San Antonio. She has specialized training to include play therapy techniques, trauma and abuse, trauma informed care, conduct disorders, solution focused therapy and cognitive behavioral therapy. She became an LPC Supervisor in 2006.
(210) 903-5908 View (210) 903-5908
Photo of Sandra Y. Alaniz, LPC, Licensed Professional Counselor
Sandra Y. Alaniz
Licensed Professional Counselor, LPC
Verified Verified
Tobin Hill, San Antonio, TX 78215
Sandra Y. Alaniz is a licensed professional counselor in Texas who has been practicing since 2010. She earned a Master’s Degree in Community Mental Health from Webster University. Her Bachelor’s Degree is in Criminal Justice with a minor in Psychology from the University of Texas at San Antonio. Sandra offers a trusting, nurturing, and supportive environment to enable you to gently to explore and begin your healing journey.
Sandra Y. Alaniz is a licensed professional counselor in Texas who has been practicing since 2010. She earned a Master’s Degree in Community Mental Health from Webster University. Her Bachelor’s Degree is in Criminal Justice with a minor in Psychology from the University of Texas at San Antonio. Sandra offers a trusting, nurturing, and supportive environment to enable you to gently to explore and begin your healing journey.
(726) 227-2119 View (726) 227-2119
Photo of Esmeralda Barraza, MS,  LPC, Counselor
Esmeralda Barraza
Counselor, MS, LPC
Verified Verified
Tobin Hill, San Antonio, TX 78215
Esmeralda Barraza is a Licensed Professional Counselor in Texas who has been practicing since 2019. Growing up Esmeralda heard stigmas and false narratives about getting help. There was a shame associated with receiving counseling. Esmeralda now knows that providing education about what counseling could be, could help save a life. Outside of work, Esmeralda enjoys spending quality time with family, baking/cooking, and attempting to farm.
Esmeralda Barraza is a Licensed Professional Counselor in Texas who has been practicing since 2019. Growing up Esmeralda heard stigmas and false narratives about getting help. There was a shame associated with receiving counseling. Esmeralda now knows that providing education about what counseling could be, could help save a life. Outside of work, Esmeralda enjoys spending quality time with family, baking/cooking, and attempting to farm.
(210) 899-7014 View (210) 899-7014
Photo of Alyssa Stone, MSW,  LCSW, Clinical Social Work/Therapist
Alyssa Stone
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Tobin Hill, San Antonio, TX 78215
Alyssa Stone is a Licensed Clinical Social Worker in Texas who has been practicing since 2014. Alyssa grew up in small town and enjoys helping others find their strengths. She found her passion for social work while volunteering at the Poverello House and enjoyed giving back to her community. Alyssa is client centered/client focused with a holistic approach to therapy that utilizes Solution Focused and Motivational Interviewing skills.
Alyssa Stone is a Licensed Clinical Social Worker in Texas who has been practicing since 2014. Alyssa grew up in small town and enjoys helping others find their strengths. She found her passion for social work while volunteering at the Poverello House and enjoyed giving back to her community. Alyssa is client centered/client focused with a holistic approach to therapy that utilizes Solution Focused and Motivational Interviewing skills.
(726) 567-9792 View (726) 567-9792
Photo of James Johnson, MA, PLPC, LPC-A
James Johnson
Provisional Licensed Professional Counselor, MA, PLPC, LPC-A
Verified Verified
Tobin Hill, San Antonio, TX 78215
Calling all veterans who have been looking for a fellow vet as a counselor. You've found him! Any vet, any era, any branch - all are welcome. Trauma? Depression? Anxiety? Grief? Yep. Lots of us have struggled with it. You are not alone! I work from a Solution-Focused mindset and truly want to help by offering non-judgmental, empathic listening, with an ear toward solutions to help you move in the direction you want your life to go. I am accepting new clients and have openings as early as this week, so reach out today. I will make room for you.
Calling all veterans who have been looking for a fellow vet as a counselor. You've found him! Any vet, any era, any branch - all are welcome. Trauma? Depression? Anxiety? Grief? Yep. Lots of us have struggled with it. You are not alone! I work from a Solution-Focused mindset and truly want to help by offering non-judgmental, empathic listening, with an ear toward solutions to help you move in the direction you want your life to go. I am accepting new clients and have openings as early as this week, so reach out today. I will make room for you.
(337) 227-9811 View (337) 227-9811
Photo of Mireya Tamez, MA,  LPC, Counselor
Mireya Tamez
Counselor, MA, LPC
Verified Verified
Tobin Hill, San Antonio, TX 78215
Mireya Tamez is a Licensed Professional Counselor in Texas who has been practicing since 1992. Mireya has an MA in Clinical Counseling from St. Mary's University. Mireya is able to help clients by meeting them where they are in their journey and by exploring with each individual a wholistic wellness model that fits their needs. Outside of work, Mireya enjoys spending time with family as well as binge watching on HULU and Netflix, meeting with friends for brunch, and weekend getaways with family.
Mireya Tamez is a Licensed Professional Counselor in Texas who has been practicing since 1992. Mireya has an MA in Clinical Counseling from St. Mary's University. Mireya is able to help clients by meeting them where they are in their journey and by exploring with each individual a wholistic wellness model that fits their needs. Outside of work, Mireya enjoys spending time with family as well as binge watching on HULU and Netflix, meeting with friends for brunch, and weekend getaways with family.
(210) 871-8534 View (210) 871-8534
Photo of Manuel Cantu, MA
Manuel Cantu
LPC-Associate, MA
Verified Verified
3 Endorsed
Tobin Hill, San Antonio, TX 78215  (Online Only)
I specialize in helping people deal with the natural ups and downs of life, as well as overwhelming experiences that leave a more lasting impact. I believe long-lasting change happens through self-discovery and skill building.
I specialize in helping people deal with the natural ups and downs of life, as well as overwhelming experiences that leave a more lasting impact. I believe long-lasting change happens through self-discovery and skill building.
(512) 881-9868 View (512) 881-9868
Photo of Rochelle Middleton - The Talk Shop, PLLC, LPC, Licensed Professional Counselor
The Talk Shop, PLLC
Licensed Professional Counselor, LPC
Verified Verified
2 Endorsed
Tobin Hill, San Antonio, TX 78215
Overwhelmed, anxious, or stuck? We help couples and individuals, adults, adolescents and children develop workable solutions to "stumped" problems. Each therapist at The Talk Shop, specializes in specific areas of treatment, helping individuals regain momentum, minimize their issues, and re-balance following roadblocks. We also work with couples and individuals who are attempting to navigate tricky situations: for instance, re-consolidating your life after a divorce, evaluating complex relationship issues, or designing creative strategies to cope with PTSD or trauma. Our Our therapeutic motto is: Don't just feel better, live better.
Overwhelmed, anxious, or stuck? We help couples and individuals, adults, adolescents and children develop workable solutions to "stumped" problems. Each therapist at The Talk Shop, specializes in specific areas of treatment, helping individuals regain momentum, minimize their issues, and re-balance following roadblocks. We also work with couples and individuals who are attempting to navigate tricky situations: for instance, re-consolidating your life after a divorce, evaluating complex relationship issues, or designing creative strategies to cope with PTSD or trauma. Our Our therapeutic motto is: Don't just feel better, live better.
(915) 320-6581 View (915) 320-6581
Photo of Deborah Loukas, MA, LPC, PLLC, Licensed Professional Counselor
Deborah Loukas
Licensed Professional Counselor, MA, LPC, PLLC
Verified Verified
1 Endorsed
Tobin Hill, San Antonio, TX 78215  (Online Only)
Not accepting new clients
Have you been going to therapy for years, yet find yourself still struggling? Perhaps you're highly emotional, angry, anxious, depressed, avoiding, having distressing habits, or feeling hopeless like life isn't worth living. These behaviors are common with individuals who have experienced trauma, abuse, neglect, or who have had highly stressful or difficulties with family of origin, all of which can compromise your sense of self, safety, and your ability to maintain healthy relationships with those you love the most. Know that you are not alone, and that I can help.
Have you been going to therapy for years, yet find yourself still struggling? Perhaps you're highly emotional, angry, anxious, depressed, avoiding, having distressing habits, or feeling hopeless like life isn't worth living. These behaviors are common with individuals who have experienced trauma, abuse, neglect, or who have had highly stressful or difficulties with family of origin, all of which can compromise your sense of self, safety, and your ability to maintain healthy relationships with those you love the most. Know that you are not alone, and that I can help.
(844) 332-6458 View (844) 332-6458
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See more therapy options for Tobin Hill, San Antonio

How does your Therapist compare?

Number of Therapists in Tobin Hill, San Antonio, TX

20+

Average cost per session

$150

Therapists in Tobin Hill, San Antonio, TX who prioritize treating:

90% Depression
90% Anxiety
86% Trauma and PTSD
71% Relationship Issues
67% Grief
52% Self Esteem
52% Life Transitions

Average years in practice

13 Years

Top 3 insurances accepted

87% UnitedHealthcare UHC | UBH
87% Optum
80% Aetna

How Therapists in Tobin Hill, San Antonio, TX see their clients

62% In Person and Online
38% Online Only

Gender breakdown

75% Female
25% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Tobin Hill, 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.