Therapists in San Antonio, TX

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Photo of Maria Winsborough, Licensed Professional Counselor in San Antonio, TX
Maria Winsborough
Licensed Professional Counselor, MA, LPC, NCC, LMA
Not Verified Not Verified
San Antonio, TX 78232  (Online Only)
Waitlist for new clients
The clinical approach I use to counseling is targeted to attend my client's needs. My preference is the Psychodynamic approach where the client and I explore the origins of their psychological discomfort and use the insights to the healing process incorporating changes in the present. Some clients however come to counseling with a sense of urgency, a need to work objectively in a specific problem with the aim of a faster solution focused to their crisis, and in these cases I support and stay present with the client's needs.
The clinical approach I use to counseling is targeted to attend my client's needs. My preference is the Psychodynamic approach where the client and I explore the origins of their psychological discomfort and use the insights to the healing process incorporating changes in the present. Some clients however come to counseling with a sense of urgency, a need to work objectively in a specific problem with the aim of a faster solution focused to their crisis, and in these cases I support and stay present with the client's needs.
(210) 742-4730 View (210) 742-4730
Photo of Brettny John, Licensed Professional Counselor in San Antonio, TX
Brettny John
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78230
Hi, my name is Brettny (pronounced BRIT-nee). I’m a Licensed Professional Counselor with over 6 years of clinical experience working with individuals with Addiction, Anxiety, Depression, Coping Skills, Stress, and other mental health issues. My top modalities are Cognitive Behavioral (CBT), Mindfulness-Based, Motivational Interviewing, Supportive, and Multicultural therapies. A little bit about myself: I enjoy gaming (PC, mobile, and board), delicious food (pizza, soup dumplings, crawfish, my mom’s chicken biryani), cooking, baking, cleaning, and snorkeling.
Hi, my name is Brettny (pronounced BRIT-nee). I’m a Licensed Professional Counselor with over 6 years of clinical experience working with individuals with Addiction, Anxiety, Depression, Coping Skills, Stress, and other mental health issues. My top modalities are Cognitive Behavioral (CBT), Mindfulness-Based, Motivational Interviewing, Supportive, and Multicultural therapies. A little bit about myself: I enjoy gaming (PC, mobile, and board), delicious food (pizza, soup dumplings, crawfish, my mom’s chicken biryani), cooking, baking, cleaning, and snorkeling.
(346) 644-7047 View (346) 644-7047
Photo of Alison Wynn Tierney, Clinical Social Work/Therapist in San Antonio, TX
Alison Wynn Tierney
Clinical Social Work/Therapist, LCSW, MA, EMDR, Gottman
Verified Verified
2 Endorsed
San Antonio, TX 78229
Are you looking for a change? Does your relationship need help? Are you dealing with depression, loss or anxiety? I have 20 years of experience helping adults, couples and people suffering from trauma. I am EMDR and Gottman trained. . I provide an environment of safety, privacy and acceptance where you can express your thoughts, feelings and experiences. I believe that depression and anxiety are major road blocks to success and the quality of an individual's life. Start your journey today!
Are you looking for a change? Does your relationship need help? Are you dealing with depression, loss or anxiety? I have 20 years of experience helping adults, couples and people suffering from trauma. I am EMDR and Gottman trained. . I provide an environment of safety, privacy and acceptance where you can express your thoughts, feelings and experiences. I believe that depression and anxiety are major road blocks to success and the quality of an individual's life. Start your journey today!
(210) 714-1641 View (210) 714-1641
Photo of Erin Coggan, Pre-Licensed Professional in San Antonio, TX
Erin Coggan
Pre-Licensed Professional, PsyD
Verified Verified
2 Endorsed
San Antonio, TX 78232
Waitlist for new clients
Having difficulty getting through the day or feel overwhelmed? This may be caused by stress, anxiety, depression, PTSD, or grief. I work with children, teens, and adults to take back control of their lives and empower them to acknowledge their past and change their future in a safe, strengths-based environment. I also assess for autism, learning disabilities, and ADHD to aid clients in understanding themselves or child and providing recommendations to get the support they need.
Having difficulty getting through the day or feel overwhelmed? This may be caused by stress, anxiety, depression, PTSD, or grief. I work with children, teens, and adults to take back control of their lives and empower them to acknowledge their past and change their future in a safe, strengths-based environment. I also assess for autism, learning disabilities, and ADHD to aid clients in understanding themselves or child and providing recommendations to get the support they need.
(210) 851-9334 View (210) 851-9334
Photo of Dallassa Hale, Counselor in San Antonio, TX
Dallassa Hale
Counselor, LMHC, LPC
Verified Verified
San Antonio, TX 78245  (Online Only)
Teletherapy ONLY - TEXAS and FLORIDA - VIDEO or PHONE. Stressed? Anxious? Depressed? Having trouble dealing with life's current struggles, or having relationship conflict you need an outside point of view for relief? I work with individuals, couples, or families that need that extra hand in working through a life transition with healthy coping skills. Please feel free to email me or book with me directly on My Website.
Teletherapy ONLY - TEXAS and FLORIDA - VIDEO or PHONE. Stressed? Anxious? Depressed? Having trouble dealing with life's current struggles, or having relationship conflict you need an outside point of view for relief? I work with individuals, couples, or families that need that extra hand in working through a life transition with healthy coping skills. Please feel free to email me or book with me directly on My Website.
(210) 791-0806 View (210) 791-0806
Photo of Dirk Magdahl, Licensed Professional Counselor in San Antonio, TX
Dirk Magdahl
Licensed Professional Counselor, PhD, LPC
Verified Verified
San Antonio, TX 78230
I love what I do.....I have been doing it for 28 years.....I am the kind of therapist that understands the value of psychotherapy because I have been a client at different times in my life. I know that we all need a safe place to talk, in which confidentiality is as important as feeling accepted. I love working with clients that are dealing with a variety of anxiety disorders as well as people with self esteem issues including people that seems to have a need to please others. I am passionate about Integrative Breathwork and Transpersonal Psychology in which we explore the needs of the mind body and spirit. Fluent in Spanish.
I love what I do.....I have been doing it for 28 years.....I am the kind of therapist that understands the value of psychotherapy because I have been a client at different times in my life. I know that we all need a safe place to talk, in which confidentiality is as important as feeling accepted. I love working with clients that are dealing with a variety of anxiety disorders as well as people with self esteem issues including people that seems to have a need to please others. I am passionate about Integrative Breathwork and Transpersonal Psychology in which we explore the needs of the mind body and spirit. Fluent in Spanish.
(210) 920-9883 x20 View (210) 920-9883 x20
Photo of Black Moth Psychotherapy & Supervision , Clinical Social Work/Therapist in San Antonio, TX
Black Moth Psychotherapy & Supervision
Clinical Social Work/Therapist, LCSW-S, CSTIP
Verified Verified
San Antonio, TX 78232  (Online Only)
Hi, I'm Esperanza. I want to be your LCSW supervisor! My supervision services help create culturally competent, trauma informed clinicians with unique clinical skills focused on evidence based whole brain whole body practices. With specializations in somatics, behavioral neuroscience, integrative medicine and more, I am confident that I can guide you into becoming the best clinician you can be. Clinical supervision is an investment, so I will always ensure you're getting MORE than your money's worth! Pricing includes access to e-books, clinical resources, and top notch LCSW exam prep. Only accepting supervisees at this time.
Hi, I'm Esperanza. I want to be your LCSW supervisor! My supervision services help create culturally competent, trauma informed clinicians with unique clinical skills focused on evidence based whole brain whole body practices. With specializations in somatics, behavioral neuroscience, integrative medicine and more, I am confident that I can guide you into becoming the best clinician you can be. Clinical supervision is an investment, so I will always ensure you're getting MORE than your money's worth! Pricing includes access to e-books, clinical resources, and top notch LCSW exam prep. Only accepting supervisees at this time.
(210) 592-4799 View (210) 592-4799
Photo of Amber Semidey, Clinical Social Work/Therapist in San Antonio, TX
Amber Semidey
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78229  (Online Only)
Welcome! My name is Amber Semidey, LCSW and my practice is called Discover You Therapy, PLLC. I provide individual psychotherapy services to Texas adults via virtual sessions. It's not an easy thing to realize you need help. We tell ourselves to "be strong" and "figure it out". What happens though when this is no longer effective? Sometimes, we need outside intervention because life gets chaotic, complex and confusing. When this happens, it's not only ok but completely normal as this is a part of the human experience. After all, we aren't robots!
Welcome! My name is Amber Semidey, LCSW and my practice is called Discover You Therapy, PLLC. I provide individual psychotherapy services to Texas adults via virtual sessions. It's not an easy thing to realize you need help. We tell ourselves to "be strong" and "figure it out". What happens though when this is no longer effective? Sometimes, we need outside intervention because life gets chaotic, complex and confusing. When this happens, it's not only ok but completely normal as this is a part of the human experience. After all, we aren't robots!
(210) 920-7916 View (210) 920-7916
Photo of Sloane Carlson, Licensed Professional Counselor in San Antonio, TX
Sloane Carlson
Licensed Professional Counselor, LMHC, LPC
Verified Verified
San Antonio, TX 78205  (Online Only)
I am a Florida Licensed Mental Health Counselor (LMHC) and Licensed Professional Counselor (LPC) in the state of Oregon and Texas. I have 12 experience working in the field of mental health and substance abuse addiction/recovery, as well as experience with severe and persistently mentally ill population and children with developmental disabilities.
I am a Florida Licensed Mental Health Counselor (LMHC) and Licensed Professional Counselor (LPC) in the state of Oregon and Texas. I have 12 experience working in the field of mental health and substance abuse addiction/recovery, as well as experience with severe and persistently mentally ill population and children with developmental disabilities.
(561) 448-6825 View (561) 448-6825
Photo of Life Transitions Substance Recovery And Relationships Stephanie Hughes, Licensed Professional Counselor in San Antonio, TX
Life Transitions Substance Recovery And Relationships Stephanie Hughes
Licensed Professional Counselor, MA, LPC, LCDC
Verified Verified
1 Endorsed
San Antonio, TX 78209
Struggling with our mental health can feel very lonely, overwhelming and confusing. We wonder why we are stuck, isolated and afraid? And one of the greatest obstacles to figuring this all out is that we search for answers in ways that can be harmful or judgemental instead of curious and empathic. This is where I can help. If you are searching for connection and a way to make sense of chaos, let's take this leap together!
Struggling with our mental health can feel very lonely, overwhelming and confusing. We wonder why we are stuck, isolated and afraid? And one of the greatest obstacles to figuring this all out is that we search for answers in ways that can be harmful or judgemental instead of curious and empathic. This is where I can help. If you are searching for connection and a way to make sense of chaos, let's take this leap together!
(210) 796-8014 View (210) 796-8014
Photo of Elevation Psychology PLLC, Psychologist in San Antonio, TX
Elevation Psychology PLLC
Psychologist, PhD
Verified Verified
1 Endorsed
San Antonio, TX 78257
Practicing as a psychologist is more than a profession to me. It is my vocation and my purpose in life to promote the Elevation of the Human Experience for each of my patients. I believe Human Beings can find true happiness despite the cards they were dealt in life and the influences that have kept them from being their best self. As your therapist, my goal is to help you discover the way to experience this process of Elevation in your life.
Practicing as a psychologist is more than a profession to me. It is my vocation and my purpose in life to promote the Elevation of the Human Experience for each of my patients. I believe Human Beings can find true happiness despite the cards they were dealt in life and the influences that have kept them from being their best self. As your therapist, my goal is to help you discover the way to experience this process of Elevation in your life.
(210) 791-6596 View (210) 791-6596
Photo of Priscilla L. Rodriguez, Marriage & Family Therapist in San Antonio, TX
Priscilla L. Rodriguez
Marriage & Family Therapist, MS, LMFT
Verified Verified
4 Endorsed
San Antonio, TX 78230  (Online Only)
You may have been experiencing yourself feel disconnected from yourself, your priorities, or relationships and perhaps even embarrassed that so many important parts of you are slipping through your hands. The constant struggle of wanting to feel at ease, calm and present, yet not knowing how to do that is making you feel defeated. You have found yourself here because you know that you cannot give up now, and that your life and relationships are your number one priority. Whether you are experiencing anxiety, stress, low self-esteem, or just "off," I know that you are ready for this change and you are so brave.
You may have been experiencing yourself feel disconnected from yourself, your priorities, or relationships and perhaps even embarrassed that so many important parts of you are slipping through your hands. The constant struggle of wanting to feel at ease, calm and present, yet not knowing how to do that is making you feel defeated. You have found yourself here because you know that you cannot give up now, and that your life and relationships are your number one priority. Whether you are experiencing anxiety, stress, low self-esteem, or just "off," I know that you are ready for this change and you are so brave.
(210) 899-6284 View (210) 899-6284
Photo of Edna Baca, Licensed Professional Counselor in San Antonio, TX
Edna Baca
Licensed Professional Counselor, MEd, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78254  (Online Only)
I believe that everyone can grow with support, insight and the development of new skills to lead a happier and more fulfilling life. I am a Licensed Professional Counselor with over thirty years of experience working with older adolescents and adults. Deciding to seek counseling is often the most difficult part in this process. It takes courage to face your issues or relationship struggles and reach out for help. I can help you to work through difficult and challenging situations.
I believe that everyone can grow with support, insight and the development of new skills to lead a happier and more fulfilling life. I am a Licensed Professional Counselor with over thirty years of experience working with older adolescents and adults. Deciding to seek counseling is often the most difficult part in this process. It takes courage to face your issues or relationship struggles and reach out for help. I can help you to work through difficult and challenging situations.
(830) 745-4871 View (830) 745-4871
Photo of Mark William Postell, Licensed Professional Counselor in San Antonio, TX
Mark William Postell
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78259
With a life of diverse experiences, I have developed a compelling ability to relate to the trials and struggles we all endure. Having a successful career in business, an enriching marriage, and fulfilling family life, I bring insights to my practice to help you succeed where life causes you to stumble. My approach encourages individuals and couples to address issues, challenge growth, and move toward healthier and more satisfying relationships. With attention to spiritual needs, you will be encouraged to place Christ at the center of your relationships and allow Him to point you toward forgiveness and restoration.
With a life of diverse experiences, I have developed a compelling ability to relate to the trials and struggles we all endure. Having a successful career in business, an enriching marriage, and fulfilling family life, I bring insights to my practice to help you succeed where life causes you to stumble. My approach encourages individuals and couples to address issues, challenge growth, and move toward healthier and more satisfying relationships. With attention to spiritual needs, you will be encouraged to place Christ at the center of your relationships and allow Him to point you toward forgiveness and restoration.
(210) 529-8530 View (210) 529-8530
Photo of Ted Thao, Licensed Professional Counselor Associate in San Antonio, TX
Ted Thao
Licensed Professional Counselor Associate , LPC-A, LCDC-I, CTP, NCC
Verified Verified
3 Endorsed
San Antonio, TX 78255  (Online Only)
Hello, my name is Ted and I am an Asian American; specifically a Hmong American in the state of Texas. One of my goals for my client(s) is not just to alleviate immediate concerns but to embark on a transformative journey toward embracing their authentic self. To explore, reflect, and find joy even in challenging moments. Ultimately, I want to create a space where people can be who they truly are without the "I should be," but "I am," this person. Something I like to call being authentic.
Hello, my name is Ted and I am an Asian American; specifically a Hmong American in the state of Texas. One of my goals for my client(s) is not just to alleviate immediate concerns but to embark on a transformative journey toward embracing their authentic self. To explore, reflect, and find joy even in challenging moments. Ultimately, I want to create a space where people can be who they truly are without the "I should be," but "I am," this person. Something I like to call being authentic.
(830) 988-4637 View (830) 988-4637
Photo of Matthew Litaker, Licensed Professional Counselor in San Antonio, TX
Matthew Litaker
Licensed Professional Counselor, MA, LPC-S
Verified Verified
San Antonio, TX 78232
I am offering supervision to LPC-Associates. Please text to set up a consultation so you and I can discuss details. I am not accepting any therapy clients, only supervision.
I am offering supervision to LPC-Associates. Please text to set up a consultation so you and I can discuss details. I am not accepting any therapy clients, only supervision.
(254) 736-6932 View (254) 736-6932
Photo of Basher M. Salem, Licensed Professional Counselor in San Antonio, TX
Basher M. Salem
Licensed Professional Counselor, MA, MAT, LPC-S, LCDC, BSFT-S
Verified Verified
1 Endorsed
San Antonio, TX 78228
I believe in the power of therapy to help people escape the grip of the trauma: I work with survivors of childhood sexual abuse, domestic violence, abusive relationships, rape and sexual violence, terrorism, and political violence. I understand that making a commitment to yourself through psychological therapy is a significant and important step for many people.
I believe in the power of therapy to help people escape the grip of the trauma: I work with survivors of childhood sexual abuse, domestic violence, abusive relationships, rape and sexual violence, terrorism, and political violence. I understand that making a commitment to yourself through psychological therapy is a significant and important step for many people.
(210) 871-9532 View (210) 871-9532
Photo of Karen Bagwell, Licensed Professional Counselor in San Antonio, TX
Karen Bagwell
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78216
These are my specialties: Anxiety, Depression, Trauma, Grief, Obsessive Compulsive Disorder, Adults with Aspergers, Marriage and Premarital Counseling, and Healing for those Wounded by Abortion. I counsel in accordance with Biblical principles, and utilize scientifically based methods: Cognitive Behavioral Therapy including Exposure Response Prevention, Insight Oriented Therapy, Interpersonal Process Approach, and Medical Hypnoanalysis.
These are my specialties: Anxiety, Depression, Trauma, Grief, Obsessive Compulsive Disorder, Adults with Aspergers, Marriage and Premarital Counseling, and Healing for those Wounded by Abortion. I counsel in accordance with Biblical principles, and utilize scientifically based methods: Cognitive Behavioral Therapy including Exposure Response Prevention, Insight Oriented Therapy, Interpersonal Process Approach, and Medical Hypnoanalysis.
(210) 762-6091 View (210) 762-6091
Photo of Melissa Short, Licensed Professional Counselor in San Antonio, TX
Melissa Short
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78229
Melissa Short is a Licensed Professional Counselor in Texas who has been practicing since 2021. She has a Bachelor of Arts in Psychology with a minor in Sociology and a Master of Science in Clinical Mental Health Counseling. Melissa believes in a holistic healing approach focused on the mental, emotional, spiritual, and physical aspects of oneself. She meets clients where they're at and her focus is on them and their goals in therapy. Melissa draws from multiple therapy approaches to tailor her treatment for each client for a truly individualized plan of care depending on your problems, goals, and expectations.
Melissa Short is a Licensed Professional Counselor in Texas who has been practicing since 2021. She has a Bachelor of Arts in Psychology with a minor in Sociology and a Master of Science in Clinical Mental Health Counseling. Melissa believes in a holistic healing approach focused on the mental, emotional, spiritual, and physical aspects of oneself. She meets clients where they're at and her focus is on them and their goals in therapy. Melissa draws from multiple therapy approaches to tailor her treatment for each client for a truly individualized plan of care depending on your problems, goals, and expectations.
(210) 405-8562 View (210) 405-8562
Photo of Healthy Minds Healing Hearts, PLLC, Licensed Professional Counselor Associate in San Antonio, TX
Healthy Minds Healing Hearts, PLLC
Licensed Professional Counselor Associate , MS, LPCA, NCC
Verified Verified
1 Endorsed
San Antonio, TX 78217  (Online Only)
Navigating through life's unexpected challenges can be daunting. That's why I ensure to incorporate a compassionate and client-centered approach. I recognize and understand the bravery it takes to seek support; therefore, my dedication lies in creating a nonjudgmental space. This environment aims to offer warmth and understanding to individuals embarking on their mental health journey, where I provide assistance in navigating these challenges.
Navigating through life's unexpected challenges can be daunting. That's why I ensure to incorporate a compassionate and client-centered approach. I recognize and understand the bravery it takes to seek support; therefore, my dedication lies in creating a nonjudgmental space. This environment aims to offer warmth and understanding to individuals embarking on their mental health journey, where I provide assistance in navigating these challenges.
(726) 600-7892 View (726) 600-7892

How does your Therapist compare?

Number of Therapists in San Antonio, TX

2,000+

Average cost per session

$125

Therapists in San Antonio, TX who prioritize treating:

92% Anxiety
88% Depression
73% Self Esteem
71% Coping Skills
70% Relationship Issues
69% Trauma and PTSD
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

85% Aetna
77% BlueCross and BlueShield
77% UnitedHealthcare UHC | UBH

How Therapists in San Antonio, TX see their clients

54% In Person and Online
46% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Antonio?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.