Therapists in Fresno, CA

View neighborhoods in Fresno
Photo of Bernadine Bermudez, Clinical Social Work/Therapist in Fresno, CA
Bernadine Bermudez
Clinical Social Work/Therapist, LCSW
Verified Verified
Fresno, CA 93710
In creating a supportive, clinical environment we can work together toward the goal of you transforming into a better version of yourself. My professional experience, personal journey of weight loss, and continued education has provided me with a strong foundation to help you overcome your personal barriers. We will work together to tackle those thoughts and behaviors that create negativity in your life. We will work together to develop a treatment plan in order for you to blossom to your fullest potential.
In creating a supportive, clinical environment we can work together toward the goal of you transforming into a better version of yourself. My professional experience, personal journey of weight loss, and continued education has provided me with a strong foundation to help you overcome your personal barriers. We will work together to tackle those thoughts and behaviors that create negativity in your life. We will work together to develop a treatment plan in order for you to blossom to your fullest potential.
(559) 664-3940 View (559) 664-3940
Photo of Paola Beatriz Caraker, Marriage & Family Therapist in Fresno, CA
Paola Beatriz Caraker
Marriage & Family Therapist, MS, MFT
Verified Verified
Fresno, CA 93710
Are you struggling to find life balance and feel overhwhelmed? Are you struggling with concerns related to relationships, navigating love and dating or life post divorce ? Are you trying to cope with occupational stressors or wanting to increase peak performance in your occupation, sports performance or any other aspects related to performance? I will focus on using your strengths and resiliency to find healing as well as develop actual solutions to your current and/ or unresolved concerns. Visit my website for further information: www.paola-caraker.com
Are you struggling to find life balance and feel overhwhelmed? Are you struggling with concerns related to relationships, navigating love and dating or life post divorce ? Are you trying to cope with occupational stressors or wanting to increase peak performance in your occupation, sports performance or any other aspects related to performance? I will focus on using your strengths and resiliency to find healing as well as develop actual solutions to your current and/ or unresolved concerns. Visit my website for further information: www.paola-caraker.com
(559) 421-9416 View (559) 421-9416
Photo of Marcy Marie Pusey in Fresno, CA
Marcy Marie Pusey
MS, CRC, CTRP-C
Verified Verified
Fresno, CA 93730  (Online Only)
We often find ourselves members of "clubs" we never signed up for. Unexpected "club" memberships might include living with anxiety, complex ptsd/ptsd, divorce, single parenting, the challenges of fostering or adopting, loss of a loved one, on and on. Isolation and shame are common while navigating these "club memberships." My clients are tired of being tired, ready to move from paralysis to growth, and desperate for hope and healing. They want to believe they are worthy of love, hold intrinsic value, and have something positive to bring to the world. They want positive life change and healthy relationships with self and others.
We often find ourselves members of "clubs" we never signed up for. Unexpected "club" memberships might include living with anxiety, complex ptsd/ptsd, divorce, single parenting, the challenges of fostering or adopting, loss of a loved one, on and on. Isolation and shame are common while navigating these "club memberships." My clients are tired of being tired, ready to move from paralysis to growth, and desperate for hope and healing. They want to believe they are worthy of love, hold intrinsic value, and have something positive to bring to the world. They want positive life change and healthy relationships with self and others.
View
Photo of Georgina Crisanto, Marriage & Family Therapist in Fresno, CA
Georgina Crisanto
Marriage & Family Therapist, MS, LMFT
Verified Verified
Fresno, CA 93711
I believe individuals already have the answers inside themselves but sometimes we tend to get lost in the overwhelming feelings of our situations and this is where I can help. I offer a safe space to help guide and walk alongside you through these difficult times. I help individuals struggling with depression, anxiety, low self-esteem, and overwhelm find happiness. I have extensive experience working with children, adolescents and adults with various situations including major life changes, managing stress, relationship issues, self-improvement, anger management, and parenting/co-parenting.
I believe individuals already have the answers inside themselves but sometimes we tend to get lost in the overwhelming feelings of our situations and this is where I can help. I offer a safe space to help guide and walk alongside you through these difficult times. I help individuals struggling with depression, anxiety, low self-esteem, and overwhelm find happiness. I have extensive experience working with children, adolescents and adults with various situations including major life changes, managing stress, relationship issues, self-improvement, anger management, and parenting/co-parenting.
(559) 657-6805 View (559) 657-6805
Photo of Laura Kasparian, Marriage & Family Therapist Associate in Fresno, CA
Laura Kasparian
Marriage & Family Therapist Associate, MA, AMFT
Verified Verified
1 Endorsed
Fresno, CA 93710
As an Associate Marriage and Family Therapist at Olive Leaf Family Therapy, Laura works with individuals experiencing depression, anxiety, life transitions, and other issues. Her approach to therapy comes from a person-centered approach and tailors each client's treatment to their own unique needs. Laura enjoys working with and getting to know clients of all ages and backgrounds. In therapy, she values providing a safe, supportive, and non-judgmental environment where clients can share their experiences, express their emotions, and feel validated.
As an Associate Marriage and Family Therapist at Olive Leaf Family Therapy, Laura works with individuals experiencing depression, anxiety, life transitions, and other issues. Her approach to therapy comes from a person-centered approach and tailors each client's treatment to their own unique needs. Laura enjoys working with and getting to know clients of all ages and backgrounds. In therapy, she values providing a safe, supportive, and non-judgmental environment where clients can share their experiences, express their emotions, and feel validated.
(559) 702-0754 View (559) 702-0754
Photo of Kathleen R. Solano, Marriage & Family Therapist in Fresno, CA
Kathleen R. Solano
Marriage & Family Therapist, MS, LMFT
Verified Verified
Fresno, CA 93711  (Online Only)
It is my focus, as a therapist, to create a safe, supportive and confidential environment in which all feel fully accepted. I believe non-judgment, respect and genuineness are key ingredients towards creating an authentic connection which sets the stage for healing to unfold. My specialties include working with adults to help them access their own internal resiliency, learn healthier ways of coping, becoming more self-aware and improve behavior. My treatment approach is working within a Humanistic model. Cognitive Behavioral Therapy, Existential and Family Systems approaches are utilized as well.
It is my focus, as a therapist, to create a safe, supportive and confidential environment in which all feel fully accepted. I believe non-judgment, respect and genuineness are key ingredients towards creating an authentic connection which sets the stage for healing to unfold. My specialties include working with adults to help them access their own internal resiliency, learn healthier ways of coping, becoming more self-aware and improve behavior. My treatment approach is working within a Humanistic model. Cognitive Behavioral Therapy, Existential and Family Systems approaches are utilized as well.
(559) 549-6143 View (559) 549-6143
Photo of Elizabeth C Mouavangsou, Marriage & Family Therapist in Fresno, CA
Elizabeth C Mouavangsou
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
Fresno, CA 93710
As you experience life, navigating through life’s challenges, may I offer to support you on your journey, to reflect, process, and discuss the patterns that may have brought you to where you are. If you are ready to take a different path, break the chain and begin a different story, then I can walk alongside you. I believe in providing a culturally sensitive and safe space so that you can be your authentic self while exploring avenues towards healing and living a more meaningful, impactful and content life.
As you experience life, navigating through life’s challenges, may I offer to support you on your journey, to reflect, process, and discuss the patterns that may have brought you to where you are. If you are ready to take a different path, break the chain and begin a different story, then I can walk alongside you. I believe in providing a culturally sensitive and safe space so that you can be your authentic self while exploring avenues towards healing and living a more meaningful, impactful and content life.
(559) 702-0874 View (559) 702-0874
Photo of Laura Salas Medina, Marriage & Family Therapist Associate in Fresno, CA
Laura Salas Medina
Marriage & Family Therapist Associate, AMFT
Verified Verified
Fresno, CA 93711  (Online Only)
Whether it be feeling overwhelmed, stressed, unheard, anxious all the time, or down on yourself, it can all be related to our past. Our past or our trauma experiences, like adverse childhood experiences(ACEs), neglect, rejection, familial trauma, and loss can cause us to feel strong emotions. My focus as an Associate Marriage and Family Therapist at Transcendence Psychological Services is allowing you to share your experience in order to gain new insight and ways of coping with past traumas. I offer a safe and inviting space for you to process and feel heard while guiding you towards healing.
Whether it be feeling overwhelmed, stressed, unheard, anxious all the time, or down on yourself, it can all be related to our past. Our past or our trauma experiences, like adverse childhood experiences(ACEs), neglect, rejection, familial trauma, and loss can cause us to feel strong emotions. My focus as an Associate Marriage and Family Therapist at Transcendence Psychological Services is allowing you to share your experience in order to gain new insight and ways of coping with past traumas. I offer a safe and inviting space for you to process and feel heard while guiding you towards healing.
(559) 657-6237 View (559) 657-6237
Photo of Johnny Dell Simmons, Marriage & Family Therapist in Fresno, CA
Johnny Dell Simmons
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Fresno, CA 93703
Do you ever find yourself feeling worried all of the time? Do you feel sad and/or feel as if you have little to no energy? Do you find it difficult to interact with others? Have you experienced trauma and feel things are still unresolved? Do you ever just feel "stuck" in life? As captains of our journeys, things can become overwhelming. Anxiety, depression and so many other issues can arise and cause us to feel debilitated. Let us learn how to develop the skills and techniques to be the captains we choose to be. Let us embark on the journey of life together.
Do you ever find yourself feeling worried all of the time? Do you feel sad and/or feel as if you have little to no energy? Do you find it difficult to interact with others? Have you experienced trauma and feel things are still unresolved? Do you ever just feel "stuck" in life? As captains of our journeys, things can become overwhelming. Anxiety, depression and so many other issues can arise and cause us to feel debilitated. Let us learn how to develop the skills and techniques to be the captains we choose to be. Let us embark on the journey of life together.
(323) 642-6703 View (323) 642-6703
Photo of Lynn Lirette, Clinical Social Work/Therapist in Fresno, CA
Lynn Lirette
Clinical Social Work/Therapist, LCSW, BCD
Verified Verified
Fresno, CA 93704
Not accepting new clients
Do you feel like you know what is wrong in your life but, no matter what you try, things don't get better? Many years of experience have taught me that a combination of psychological insight and behavioral change are necessary to make things better and "just knowing" isn't enough. I can help by collaborating with you and using my professional training and objectivity and your understanding of yourself to create more balance in both relationships and work.
Do you feel like you know what is wrong in your life but, no matter what you try, things don't get better? Many years of experience have taught me that a combination of psychological insight and behavioral change are necessary to make things better and "just knowing" isn't enough. I can help by collaborating with you and using my professional training and objectivity and your understanding of yourself to create more balance in both relationships and work.
(559) 697-3998 View (559) 697-3998
Photo of Jennifer Cawelti, Marriage & Family Therapist in Fresno, CA
Jennifer Cawelti
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93710
My name is Jennifer Cawelti, a am a licensed marriage and family therapist. I look forward to hearing from you. Is there chaos in your life right now? Feeling alone, uncertain, or despairing. The good news is that you are ready for change, and I am here to work with you to create a better life for yourself. I like a challenge and look forward to working with a meeting a myriad of people. I am here to help you. “All great changes are preceded by chaos.” Deepak Chopra. I work with each of my clients individually, getting to know each person and catering my practice to work with you specifically.
My name is Jennifer Cawelti, a am a licensed marriage and family therapist. I look forward to hearing from you. Is there chaos in your life right now? Feeling alone, uncertain, or despairing. The good news is that you are ready for change, and I am here to work with you to create a better life for yourself. I like a challenge and look forward to working with a meeting a myriad of people. I am here to help you. “All great changes are preceded by chaos.” Deepak Chopra. I work with each of my clients individually, getting to know each person and catering my practice to work with you specifically.
(559) 245-5535 View (559) 245-5535
Photo of Bryan Van Ravenhorst, Pre-Licensed Professional in Fresno, CA
Bryan Van Ravenhorst
Pre-Licensed Professional, ASW
Verified Verified
1 Endorsed
Fresno, CA 93711
Life is hard. Keeping up with everything that’s going on around us can sometimes make it difficult for us to recognize and deal with what is going on within us. Perhaps you are struggling to manage stress, navigate relationships (with partners, family members, friends, coworkers, etc.), or adjust to changing life circumstances. Or maybe you are feeling stuck, overwhelmed, and looking for a change.
Life is hard. Keeping up with everything that’s going on around us can sometimes make it difficult for us to recognize and deal with what is going on within us. Perhaps you are struggling to manage stress, navigate relationships (with partners, family members, friends, coworkers, etc.), or adjust to changing life circumstances. Or maybe you are feeling stuck, overwhelmed, and looking for a change.
(559) 370-3027 View (559) 370-3027
Photo of Leilani Mitchell, Marriage & Family Therapist in Fresno, CA
Leilani Mitchell
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Fresno, CA 93711  (Online Only)
Often people go through life just going through the motions, balancing school, work, home life, social life, relationships and much more. As a therapist with experience working with infants, children, adolescents, adults and couples I will use genuine curiosity, and empathy to learn your story to help you explore and process your feelings and emotions. Together we will discover ways to assist you in developing coping skills and assist you with helping you live the life you want. This will be a space for you to go at your own pace and together we can create a treatment plan that works best for you.
Often people go through life just going through the motions, balancing school, work, home life, social life, relationships and much more. As a therapist with experience working with infants, children, adolescents, adults and couples I will use genuine curiosity, and empathy to learn your story to help you explore and process your feelings and emotions. Together we will discover ways to assist you in developing coping skills and assist you with helping you live the life you want. This will be a space for you to go at your own pace and together we can create a treatment plan that works best for you.
(559) 245-7407 View (559) 245-7407
Photo of Brenda Zarate, Marriage & Family Therapist in Fresno, CA
Brenda Zarate
Marriage & Family Therapist, MS, LMFT
Verified Verified
3 Endorsed
Fresno, CA 93720
I truly believe each individual is the expert on their own life and trust that through treatment, they will learn more about themselves and gain confidence as they contribute in their healing process. My vision for therapy is to aid each client in gaining awareness about who they are and how they came to be with an empathic and client centered approach.
I truly believe each individual is the expert on their own life and trust that through treatment, they will learn more about themselves and gain confidence as they contribute in their healing process. My vision for therapy is to aid each client in gaining awareness about who they are and how they came to be with an empathic and client centered approach.
(559) 423-7461 View (559) 423-7461
Photo of Susan Amador, Marriage & Family Therapist in Fresno, CA
Susan Amador
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93704
I am passionate about helping others. My role as a therapist is to help my clients make progress toward meeting their goals in therapy. Counseling should be a positive and productive process in which the client works closely with the therapist to learn and grow through self exploration.
I am passionate about helping others. My role as a therapist is to help my clients make progress toward meeting their goals in therapy. Counseling should be a positive and productive process in which the client works closely with the therapist to learn and grow through self exploration.
(559) 682-3122 View (559) 682-3122
Photo of Bao Mai Moua Vue, Marriage & Family Therapist Associate in Fresno, CA
Bao Mai Moua Vue
Marriage & Family Therapist Associate, AMFT
Verified Verified
1 Endorsed
Fresno, CA 93711
You may not have considered therapy before because openly discussing personal struggles might not align with the customs of your life or culture. However, if you find yourself experiencing symptoms such as persistent low energy, difficulty concentrating, or feelings of irritability, tension, or restlessness—it's essential to recognize that you're not alone. While these experiences are common, it's equally important to acknowledge that hope and assistance are readily available. If starting therapy is making you feel overwhelmed by fear, shame, or uncertainty, rest assured that you don't have to navigate these emotions alone.
You may not have considered therapy before because openly discussing personal struggles might not align with the customs of your life or culture. However, if you find yourself experiencing symptoms such as persistent low energy, difficulty concentrating, or feelings of irritability, tension, or restlessness—it's essential to recognize that you're not alone. While these experiences are common, it's equally important to acknowledge that hope and assistance are readily available. If starting therapy is making you feel overwhelmed by fear, shame, or uncertainty, rest assured that you don't have to navigate these emotions alone.
(559) 206-4575 View (559) 206-4575
Photo of Joe Oneill, Drug & Alcohol Counselor in Fresno, CA
Joe Oneill
Drug & Alcohol Counselor, SUDCC, CIC-CPS, CAMF
Verified Verified
Fresno, CA 93711
Alcoholism is an addiction to the consumption of alcoholic liquor and the compulsive behavior resulting from Alcoholic dependency. Drug addiction is a chronic relapsing disorder characterized by compulsive drug seeking, continued use despite harmful consequences, and long-lasting changes in the brain. The consequences of untreated alcohol and drug abuse are Loss of jobs, loss of family, loss of self-respect, Insanity, incarceration, and death
Alcoholism is an addiction to the consumption of alcoholic liquor and the compulsive behavior resulting from Alcoholic dependency. Drug addiction is a chronic relapsing disorder characterized by compulsive drug seeking, continued use despite harmful consequences, and long-lasting changes in the brain. The consequences of untreated alcohol and drug abuse are Loss of jobs, loss of family, loss of self-respect, Insanity, incarceration, and death
(559) 354-6317 View (559) 354-6317
Photo of Dr. Ramar Henderson, Pre-Licensed Professional in Fresno, CA
Dr. Ramar Henderson
Pre-Licensed Professional, PhD, APCC, CRC
Verified Verified
2 Endorsed
Fresno, CA 93711
Life is full of peaks and valleys and we all could use some assistance. First, I want to thank you for being both bold and courageous while taking a positive step toward healing. We all live with some elements of personal, emotional, or physical pain, and helping people heal is something that I am passionate about. As a Black male APCC with a healthy racial identity, I am committed to serving communities that lack access and resources. While a generalist, my niche populations are athletes (i.e., all-levels & sports), people struggling with depression and anxiety, persons with disabilities, and vocational rehabilitation.
Life is full of peaks and valleys and we all could use some assistance. First, I want to thank you for being both bold and courageous while taking a positive step toward healing. We all live with some elements of personal, emotional, or physical pain, and helping people heal is something that I am passionate about. As a Black male APCC with a healthy racial identity, I am committed to serving communities that lack access and resources. While a generalist, my niche populations are athletes (i.e., all-levels & sports), people struggling with depression and anxiety, persons with disabilities, and vocational rehabilitation.
(559) 462-8321 View (559) 462-8321
Photo of Maria Alcaraz, Marriage & Family Therapist in Fresno, CA
Maria Alcaraz
Marriage & Family Therapist, LMFT
Verified Verified
Fresno, CA 93722
Maria G. Alcaraz, LMFT, graduated from Alliant International University with a Master of Arts in Marital and Family Therapy (Accredited by the American Association for Marriage and Family Therapy). Her goal is to help her clients to move towards a hopeful balanced future and regain a sense of normalcy. Maria works with transitional-aged youth (16-25) and adults struggling with life difficulties which can include and not limited to concerns with stress, anxiety, depression, relationship issues, family problems, and trauma, etc. I enjoy helping people overcome many life challenges.
Maria G. Alcaraz, LMFT, graduated from Alliant International University with a Master of Arts in Marital and Family Therapy (Accredited by the American Association for Marriage and Family Therapy). Her goal is to help her clients to move towards a hopeful balanced future and regain a sense of normalcy. Maria works with transitional-aged youth (16-25) and adults struggling with life difficulties which can include and not limited to concerns with stress, anxiety, depression, relationship issues, family problems, and trauma, etc. I enjoy helping people overcome many life challenges.
(559) 245-1693 View (559) 245-1693
Photo of Dora Cantu, Associate Clinical Social Worker in Fresno, CA
Dora Cantu
Associate Clinical Social Worker, MSW, ACSW
Verified Verified
Fresno, CA 93711
I understand that we all have times in our lives when we feel alone and as if no one understands our struggles. Society’s mental health stigmas can make afraid to tell our families and friends what we’re going through. I am here to share with you that you are not alone in your feelings. My goal is to assist you in discovering your inner power and approaching life’s challenges from a different perspective. I believe we are the only ones who truly understand ourselves. We possess the inner strength to live happy lives. As a result, there are times when we require assistance in discovering our inner power.
I understand that we all have times in our lives when we feel alone and as if no one understands our struggles. Society’s mental health stigmas can make afraid to tell our families and friends what we’re going through. I am here to share with you that you are not alone in your feelings. My goal is to assist you in discovering your inner power and approaching life’s challenges from a different perspective. I believe we are the only ones who truly understand ourselves. We possess the inner strength to live happy lives. As a result, there are times when we require assistance in discovering our inner power.
(559) 316-5852 View (559) 316-5852

How does your Therapist compare?

Number of Therapists in Fresno, CA

800+

Average cost per session

$146

Therapists in Fresno, CA who prioritize treating:

91% Anxiety
89% Depression
73% Coping Skills
72% Self Esteem
68% Relationship Issues
67% Stress
66% Trauma and PTSD

Average years in practice

11 Years

Top 3 insurances accepted

75% Aetna
70% UnitedHealthcare UHC | UBH
69% Cigna and Evernorth

How Therapists in Fresno, CA see their clients

81% In Person and Online
19% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Fresno?

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.