Therapists in Sacramento, CA

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Photo of Tricia Brandes, Marriage & Family Therapist in Sacramento, CA
Tricia Brandes
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95816  (Online Only)
My clinical work is dedicated to helping people overcome suffering while developing healthy, productive, and fulfilling relationships and lives. I specialize in working with people experiencing anxiety, depression, eating disorders, life transitions, grief/bereavement, self-esteem and body image issues. I offer supportive, confidential, and individually-tailored treatment for adults and young adults. I have a flexible and integrative orientation that is influenced by psychodynamic relational theories while integrating mindfulness, cognitive behavioral therapy techniques and values based therapies.
My clinical work is dedicated to helping people overcome suffering while developing healthy, productive, and fulfilling relationships and lives. I specialize in working with people experiencing anxiety, depression, eating disorders, life transitions, grief/bereavement, self-esteem and body image issues. I offer supportive, confidential, and individually-tailored treatment for adults and young adults. I have a flexible and integrative orientation that is influenced by psychodynamic relational theories while integrating mindfulness, cognitive behavioral therapy techniques and values based therapies.
(916) 999-7756 View (916) 999-7756
Photo of Nicole Hsiang Shieh, Marriage & Family Therapist in Sacramento, CA
Nicole Hsiang Shieh
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Sacramento, CA 95816
Patients often tell me how they feel frustrated, hopeless, lost, and exhausted by the time they seek out a therapist. Many folks in my practice are Asian American adults who experience painful conflicts within their family of origin that lead to separation, emotional distance, or even estrangement. I also work with individuals and couples who feel stuck in frustrating repetitive patterns in their thoughts and behaviors, negatively impacting their ability to find enjoyment in their lives and in their relationships. Therapy can give you a space to speak freely and listen to yourself in new and different ways.
Patients often tell me how they feel frustrated, hopeless, lost, and exhausted by the time they seek out a therapist. Many folks in my practice are Asian American adults who experience painful conflicts within their family of origin that lead to separation, emotional distance, or even estrangement. I also work with individuals and couples who feel stuck in frustrating repetitive patterns in their thoughts and behaviors, negatively impacting their ability to find enjoyment in their lives and in their relationships. Therapy can give you a space to speak freely and listen to yourself in new and different ways.
(916) 269-3534 View (916) 269-3534
Photo of Steve DeCristofaro, Marriage & Family Therapist Associate in Sacramento, CA
Steve DeCristofaro
Marriage & Family Therapist Associate
Verified Verified
Sacramento, CA 95821
I believe we humans are dynamic, intra and interconnected beings. When disregulation happens it affects our entire being - mind, body and spirit. Trauma, grief, anxiety, depression - are not singular in their effects but permeate to our thinking, our physical health and our emotions and spirit. I look to work with my clients to incorporate an approach that addresses each component for a more complete healing process.
I believe we humans are dynamic, intra and interconnected beings. When disregulation happens it affects our entire being - mind, body and spirit. Trauma, grief, anxiety, depression - are not singular in their effects but permeate to our thinking, our physical health and our emotions and spirit. I look to work with my clients to incorporate an approach that addresses each component for a more complete healing process.
(916) 794-3256 View (916) 794-3256
Photo of Anyk Cajucom-Browning, Pre-Licensed Professional in Sacramento, CA
Anyk Cajucom-Browning
Pre-Licensed Professional
Verified Verified
1 Endorsed
Sacramento, CA 95825
I'm deeply committed to helping individuals overcome the persistent burden of self-comparisons, low self-esteem, and social anxiety. I am committed to helping motivated clients focus on self-improvement, driven by their own desire to become the best version of themselves. I also have a strong interest in assisting couples in improving their communication and reigniting their passion for each other. I love helping couples who are committed to enhancing their well-being as a unit and breaking negative cycles.
I'm deeply committed to helping individuals overcome the persistent burden of self-comparisons, low self-esteem, and social anxiety. I am committed to helping motivated clients focus on self-improvement, driven by their own desire to become the best version of themselves. I also have a strong interest in assisting couples in improving their communication and reigniting their passion for each other. I love helping couples who are committed to enhancing their well-being as a unit and breaking negative cycles.
(916) 794-8094 View (916) 794-8094
Photo of Luana Coloma Cook, Psychologist in Sacramento, CA
Luana Coloma Cook
Psychologist, PsyD
Verified Verified
Sacramento, CA 95816
I work with children, adolescents, parents, couples, and families. I am warm, real, and collaborative. If you and/or your family members choose to work with me, I'll endeavor to create an environment that feels safe enough for you to take risks, be authentic and make lasting changes. We'll work together to explore the dynamics that may inadvertently by contributing to a problem cycle, so that you can feel empowered to act in more preferred ways of being.
I work with children, adolescents, parents, couples, and families. I am warm, real, and collaborative. If you and/or your family members choose to work with me, I'll endeavor to create an environment that feels safe enough for you to take risks, be authentic and make lasting changes. We'll work together to explore the dynamics that may inadvertently by contributing to a problem cycle, so that you can feel empowered to act in more preferred ways of being.
(510) 401-3798 View (510) 401-3798
Photo of Kathryn Gooden Gonzales, Marriage & Family Therapist in Sacramento, CA
Kathryn Gooden Gonzales
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95827
Waitlist for new clients
My years training and work has helped patients gain self-awareness, increase in their positive perceptions of themselves, gain and building upon new strategies in breaking unhealthy cycles, and addressing the "elephant in the room". It is understood that stressors & life changes happen; so knowing these challenges we can get stuck on where to go next. So, let me assist in gaining the joy and happiness in a healthy functional manner that you so deserve.
My years training and work has helped patients gain self-awareness, increase in their positive perceptions of themselves, gain and building upon new strategies in breaking unhealthy cycles, and addressing the "elephant in the room". It is understood that stressors & life changes happen; so knowing these challenges we can get stuck on where to go next. So, let me assist in gaining the joy and happiness in a healthy functional manner that you so deserve.
(916) 945-2465 View (916) 945-2465
Photo of Sacramento Transformation Center , Clinical Social Work/Therapist in Sacramento, CA
Sacramento Transformation Center
Clinical Social Work/Therapist, LCSW, CCM
Verified Verified
Sacramento, CA 95811
I have been a practicing LCSW for 20 years. I believe that people can change for the better at any time in their lives. Our daily responsibilities often get in the way of us prioritizing our mental health, however there is no better time than now to start your growth journey. I am here to help you. I am very open minded and non judgmental. You can tell me anything and be assured that I will listen with compassion. I worked in healthcare most of my career and specialize in end of life, caregiver compassion fatigue and adjustment issues related to managing chronic illnesses. I also work with tweens, teens and adults of all ages.
I have been a practicing LCSW for 20 years. I believe that people can change for the better at any time in their lives. Our daily responsibilities often get in the way of us prioritizing our mental health, however there is no better time than now to start your growth journey. I am here to help you. I am very open minded and non judgmental. You can tell me anything and be assured that I will listen with compassion. I worked in healthcare most of my career and specialize in end of life, caregiver compassion fatigue and adjustment issues related to managing chronic illnesses. I also work with tweens, teens and adults of all ages.
(530) 454-8348 View (530) 454-8348
Photo of Emily Keehn, Clinical Social Work/Therapist in Sacramento, CA
Emily Keehn
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95842  (Online Only)
Hi, I'm Emily Keehn, a Licensed Clinical Social Worker (LCSW) based out of Sacramento, but working virtually to better assist clients throughout California. I work with adults 18-65, specializing in anxiety, depression, trauma, and personality disorders using a variety of therapeutic techniques including Cognitive Behavioral Therapy and Dialectical Behavioral Therapy to help clients overcome barriers and feel better.
Hi, I'm Emily Keehn, a Licensed Clinical Social Worker (LCSW) based out of Sacramento, but working virtually to better assist clients throughout California. I work with adults 18-65, specializing in anxiety, depression, trauma, and personality disorders using a variety of therapeutic techniques including Cognitive Behavioral Therapy and Dialectical Behavioral Therapy to help clients overcome barriers and feel better.
(916) 432-2437 View (916) 432-2437
Photo of Elizabeth Cappel-Rice, Licensed Professional Clinical Counselor in Sacramento, CA
Elizabeth Cappel-Rice
Licensed Professional Clinical Counselor, LCPC
Verified Verified
Sacramento, CA 95823
My name is Tracy Cappel-Rice, and I am a Licensed Professional Clinical Counselor. I have been providing therapy for over 20 years. My approach tends to be client centered. I work collaboratively with you to gain a thorough understanding of your needs and goals in therapy. I work with a variety of clients experiencing depression, anxiety, grief/loss, trauma, and stress from life's transitions. My therapeutic approach is eclectic including family systems theory, cognitive behavioral techniques, and mindfulness, while utilizing creative therapies for development, growth, and change.
My name is Tracy Cappel-Rice, and I am a Licensed Professional Clinical Counselor. I have been providing therapy for over 20 years. My approach tends to be client centered. I work collaboratively with you to gain a thorough understanding of your needs and goals in therapy. I work with a variety of clients experiencing depression, anxiety, grief/loss, trauma, and stress from life's transitions. My therapeutic approach is eclectic including family systems theory, cognitive behavioral techniques, and mindfulness, while utilizing creative therapies for development, growth, and change.
(916) 439-8287 View (916) 439-8287
Photo of Ameshia Arthur, Clinical Social Work/Therapist in Sacramento, CA
Ameshia Arthur
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95825
I am compelled to work with those whom are experiencing panic, sadness, and isolation or those whom are feeling overwhelmed or hopeless. I have extensive experience working with adults and children to improve their experience make connections and manage harmful symptoms.
I am compelled to work with those whom are experiencing panic, sadness, and isolation or those whom are feeling overwhelmed or hopeless. I have extensive experience working with adults and children to improve their experience make connections and manage harmful symptoms.
(916) 432-1252 x1 View (916) 432-1252 x1
Photo of Tiffany Sheppard, Marriage & Family Therapist in Sacramento, CA
Tiffany Sheppard
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95825  (Online Only)
Offering feedback, another perspective, and/or coping skills can be very helpful. On the other hand, sometimes people just need a listening ear. Over the past 11 years, I have been fortunate enough to develop a strong skill set to not only meet clients where they are in their healing process, but also be that listening ear, voice of reason and give clinical insight when needed. Sometimes life gets tough. Sometimes we as people experience events that just seem impossible to overcome. Sometimes we just don’t feel like ourselves.
Offering feedback, another perspective, and/or coping skills can be very helpful. On the other hand, sometimes people just need a listening ear. Over the past 11 years, I have been fortunate enough to develop a strong skill set to not only meet clients where they are in their healing process, but also be that listening ear, voice of reason and give clinical insight when needed. Sometimes life gets tough. Sometimes we as people experience events that just seem impossible to overcome. Sometimes we just don’t feel like ourselves.
(310) 736-1983 View (310) 736-1983
Photo of Dr. Rebecca Gillogly, Psychologist in Sacramento, CA
Dr. Rebecca Gillogly
Psychologist, PsyD, LMFT
Verified Verified
Sacramento, CA 95816
Please use this profile to reach me directly! Welcome! I am a licensed clinical psychologist and I believe in the importance of a good relational fit for your therapy to be meaningful and make a difference in your life. My therapy approach is to provide a safe, supportive, and judgment-free space where we can partner together to set and reach your goals using both client-centered and strengths-based approaches. I feel that clients are the experts of their lives and determine the direction and depth of their time in therapy. This means I begin where you are at and strive to foster a collaborative and supportive environment.
Please use this profile to reach me directly! Welcome! I am a licensed clinical psychologist and I believe in the importance of a good relational fit for your therapy to be meaningful and make a difference in your life. My therapy approach is to provide a safe, supportive, and judgment-free space where we can partner together to set and reach your goals using both client-centered and strengths-based approaches. I feel that clients are the experts of their lives and determine the direction and depth of their time in therapy. This means I begin where you are at and strive to foster a collaborative and supportive environment.
(916) 884-2641 View (916) 884-2641
Photo of Skye K. Innerarity, Marriage & Family Therapist in Sacramento, CA
Skye K. Innerarity
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95816  (Online Only)
Not accepting new clients
Are you feeling overwhelmed or “stuck”? Are you wanting more from life? Are you struggling with letting go, changing, getting rid of and/or avoiding difficult and painful thoughts and feelings? Utilizing a genuinely warm, humorous, and direct humanistic approach, I will gently challenge you and invite you to step out of your current comfort zone and step into authentic, mindful living. Throughout our sessions, we will: hold space for difficult thoughts and feelings, highlight underlying patterns of thinking and behaving that may no longer serve you, and imagine new ways of being and doing.
Are you feeling overwhelmed or “stuck”? Are you wanting more from life? Are you struggling with letting go, changing, getting rid of and/or avoiding difficult and painful thoughts and feelings? Utilizing a genuinely warm, humorous, and direct humanistic approach, I will gently challenge you and invite you to step out of your current comfort zone and step into authentic, mindful living. Throughout our sessions, we will: hold space for difficult thoughts and feelings, highlight underlying patterns of thinking and behaving that may no longer serve you, and imagine new ways of being and doing.
(530) 203-5458 View (530) 203-5458
Photo of Trauma and Relationship Coach in Sacramento, CA
Trauma and Relationship Coach
ACSW, MSW, TICC, BS/M
Verified Verified
Sacramento, CA 95827
Established in March 2022, R.E.S.E.T You Coaching Services specializes in helping individuals navigate life transitions and heal from past traumas. Are you ready to redefine everything someone ever told you (about you)? Are you aware that rearview living is dangerous for your Future?! Are you ready to R.E.S.E.T?
Established in March 2022, R.E.S.E.T You Coaching Services specializes in helping individuals navigate life transitions and heal from past traumas. Are you ready to redefine everything someone ever told you (about you)? Are you aware that rearview living is dangerous for your Future?! Are you ready to R.E.S.E.T?
(916) 299-7243 View (916) 299-7243
Photo of Dr. Joel Minden, Psychologist in Sacramento, CA
Dr. Joel Minden
Psychologist, PhD
Verified Verified
Sacramento, CA 95816
Now offering teletherapy for clients in the Sacramento area. If you struggle with anxiety or depression, you know how difficult it can be to cope. Anxiety is easy to recognize. We worry more, avoid difficult situations, and feel tense, awkward, or ineffective. Depression feels exhausting and hopeless. We judge ourselves and others harshly, feel intense sadness, and become passive. It can feel like we can't do anything right or that things never go our way. Imagine being more active, skilled, and competent, communicating more effectively in relationships, being more productive at work or school, and feeling more satisfied with life.
Now offering teletherapy for clients in the Sacramento area. If you struggle with anxiety or depression, you know how difficult it can be to cope. Anxiety is easy to recognize. We worry more, avoid difficult situations, and feel tense, awkward, or ineffective. Depression feels exhausting and hopeless. We judge ourselves and others harshly, feel intense sadness, and become passive. It can feel like we can't do anything right or that things never go our way. Imagine being more active, skilled, and competent, communicating more effectively in relationships, being more productive at work or school, and feeling more satisfied with life.
(916) 378-7726 View (916) 378-7726
Photo of Danielle Kurzweil, Clinical Social Work/Therapist in Sacramento, CA
Danielle Kurzweil
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95833  (Online Only)
There are many ways we humans can find ourselves stuck in patterns that don’t serve us, in our jobs, in our relationships, as parents, or in our creative lives and what makes us happy. I have found EMDR to be a highly practical way to guide my clients to discover for themselves the beliefs and emotions that operate sometimes in our awareness and often outside of consciousness that can feel almost like the strings of a puppeteer; moving us to automatically react, feel, think, and behave in our lives in ways that seem to want to be helpful but often miss the mark, or even at times lead us wildly astray.
There are many ways we humans can find ourselves stuck in patterns that don’t serve us, in our jobs, in our relationships, as parents, or in our creative lives and what makes us happy. I have found EMDR to be a highly practical way to guide my clients to discover for themselves the beliefs and emotions that operate sometimes in our awareness and often outside of consciousness that can feel almost like the strings of a puppeteer; moving us to automatically react, feel, think, and behave in our lives in ways that seem to want to be helpful but often miss the mark, or even at times lead us wildly astray.
(530) 627-5023 View (530) 627-5023
Photo of Smitha Kashi, Pre-Licensed Professional in Sacramento, CA
Smitha Kashi
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Sacramento, CA 95816
I specialize in working with children, teens and adults who experience anxiety, depression, LGBTQ+ struggles, trauma, self-esteem issues, and interpersonal conflicts using an integrated, strengths based approach. We all experience a variety of emotions as we go through our lives. As your therapist we will work together to process and understand the emotions you experience. I work with clients to create a safe and comfortable environment where people can understand their strengths, work on creating boundaries, process trauma, and gain clarity on their experiences while keeping your various identities at the core of our work together.
I specialize in working with children, teens and adults who experience anxiety, depression, LGBTQ+ struggles, trauma, self-esteem issues, and interpersonal conflicts using an integrated, strengths based approach. We all experience a variety of emotions as we go through our lives. As your therapist we will work together to process and understand the emotions you experience. I work with clients to create a safe and comfortable environment where people can understand their strengths, work on creating boundaries, process trauma, and gain clarity on their experiences while keeping your various identities at the core of our work together.
(916) 665-0442 View (916) 665-0442
Photo of Kathryn Rabak, Clinical Social Work/Therapist in Sacramento, CA
Kathryn Rabak
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Sacramento, CA 95816
Need change? If you’re searching for a safe space to explore your identities, learn how to manage life stressors, deal with emotional baggage that weighs you down, or equip yourself with tools to reach your goals, you’ve taken an important first step towards change. In the space we’ll build together during our work, I’ll strive to help you recognize patterns, learn about yourself, and develop skills, knowledge, and awareness that allow you to move towards the best version of your life and yourself.
Need change? If you’re searching for a safe space to explore your identities, learn how to manage life stressors, deal with emotional baggage that weighs you down, or equip yourself with tools to reach your goals, you’ve taken an important first step towards change. In the space we’ll build together during our work, I’ll strive to help you recognize patterns, learn about yourself, and develop skills, knowledge, and awareness that allow you to move towards the best version of your life and yourself.
(916) 571-9481 View (916) 571-9481
Photo of Kendre Sanborn, Marriage & Family Therapist in Sacramento, CA
Kendre Sanborn
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95814  (Online Only)
I believe therapy is a collaborative process in which both my clients and I work as a team. The key to a successful practice is having trust, experience, and empathy. I work from a client-centered Strength-based therapeutic approach. This approach allows me to tailor each individual session towards a specific therapeutic need. My clinical experience includes working with adults struggling with anxiety, depression, and moderate to severe mental illness.
I believe therapy is a collaborative process in which both my clients and I work as a team. The key to a successful practice is having trust, experience, and empathy. I work from a client-centered Strength-based therapeutic approach. This approach allows me to tailor each individual session towards a specific therapeutic need. My clinical experience includes working with adults struggling with anxiety, depression, and moderate to severe mental illness.
(916) 510-0532 View (916) 510-0532
Photo of Tiffany Wetzel, Marriage & Family Therapist in Sacramento, CA
Tiffany Wetzel
Marriage & Family Therapist, MS, MFT
Verified Verified
4 Endorsed
Sacramento, CA 95816
Not accepting new clients
Creating therapeutic trust and emotional safety are two of my greatest strengths as a therapist. I will work with you to create an environment in which you can discover your own truth and authentic self, and increase your capacity to make healthy life choices and find fulfilling relationships. I work to help my clients better understand the motivations for their actions and decisions in their lives.
Creating therapeutic trust and emotional safety are two of my greatest strengths as a therapist. I will work with you to create an environment in which you can discover your own truth and authentic self, and increase your capacity to make healthy life choices and find fulfilling relationships. I work to help my clients better understand the motivations for their actions and decisions in their lives.
(916) 378-5041 View (916) 378-5041

How does your Therapist compare?

Number of Therapists in Sacramento, CA

1,000+

Average cost per session

$150

Therapists in Sacramento, CA who prioritize treating:

92% Anxiety
86% Depression
73% Relationship Issues
70% Self Esteem
67% Trauma and PTSD
67% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

68% Aetna
63% Cigna and Evernorth
61% UnitedHealthcare UHC | UBH

How Therapists in Sacramento, CA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

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

How can I find a therapist in Sacramento?

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.