Therapists in San Rafael, CA

Photo of Frederick Gene Rozendal, Psychologist in San Rafael, CA
Frederick Gene Rozendal
Psychologist, PhD
Verified Verified
San Rafael, CA 94901  (Online Only)
Not accepting new clients
While I'm not taking new clients, I currently am running consult, study and reading groups in Psychodyamic Psychotherapy designed for licensed therapists.
While I'm not taking new clients, I currently am running consult, study and reading groups in Psychodyamic Psychotherapy designed for licensed therapists.
(628) 227-5637 View (628) 227-5637
Photo of Ashlyn Açikalin, Marriage & Family Therapist Associate in San Rafael, CA
Ashlyn Açikalin
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
1 Endorsed
San Rafael, CA 94901  (Online Only)
My work is warm, relational, and balanced. I enjoy cultivating genuine relationships with clients and value each individual's unique needs. I work with children, teens, and adults going through various challenges, including anxiety, trauma, identity, transitions, grief, and relationship struggles.
My work is warm, relational, and balanced. I enjoy cultivating genuine relationships with clients and value each individual's unique needs. I work with children, teens, and adults going through various challenges, including anxiety, trauma, identity, transitions, grief, and relationship struggles.
(628) 200-2821 View (628) 200-2821
Photo of Ryan Plumb, Associate Marriage & Family Therapist in San Rafael, CA
Ryan Plumb
Associate Marriage & Family Therapist, MS, AMFT, APCC
Verified Verified
San Rafael, CA 94901
I am here for you. If you are seeking support for life challenges, reach out to me and begin your healing journey today. Meaningful change is possible, and I would like to help connect you to your more fully integrated self. Get the help you deserve, find greater peace of mind, and restore balance in your life. Greater strength, healing, and growth are fostered through connection, and having someone you trust to help guide you as you seek answers is easier than going it alone. This life is here for you, and you can live it more fully. I am here to help you achieve greater fulfillment so you can live your best life.
I am here for you. If you are seeking support for life challenges, reach out to me and begin your healing journey today. Meaningful change is possible, and I would like to help connect you to your more fully integrated self. Get the help you deserve, find greater peace of mind, and restore balance in your life. Greater strength, healing, and growth are fostered through connection, and having someone you trust to help guide you as you seek answers is easier than going it alone. This life is here for you, and you can live it more fully. I am here to help you achieve greater fulfillment so you can live your best life.
(415) 729-2745 View (415) 729-2745
Photo of Leticia Delling, Marriage & Family Therapist in San Rafael, CA
Leticia Delling
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94903  (Online Only)
I am a client-centered therapist who most often utilizes Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) to treat anxiety, depression, and trauma. I have been practicing since 2010 and have been working predominantly with adults with various mental health disorders and varying levels of functioning ranging from mild to severe. You can expect to be an active participant in therapy with me as I believe it takes teamwork between the therapist and the client in order to successfully meet the goals for treatment.
I am a client-centered therapist who most often utilizes Cognitive Behavioral Therapy (CBT) and Eye Movement Desensitization and Reprocessing (EMDR) to treat anxiety, depression, and trauma. I have been practicing since 2010 and have been working predominantly with adults with various mental health disorders and varying levels of functioning ranging from mild to severe. You can expect to be an active participant in therapy with me as I believe it takes teamwork between the therapist and the client in order to successfully meet the goals for treatment.
(415) 843-6757 View (415) 843-6757
Photo of Wellspring Psychotherapy Center, Psychologist in San Rafael, CA
Wellspring Psychotherapy Center
Psychologist, PhD
Verified Verified
San Rafael, CA 94903
We specialize in the treatment of children, teens, adults and families. We use ACT, CBT, art and play therapy to work with children who are struggling with friendships, impulse control issues, the effects of divorce, low self-esteem, anxiety, and depression. Our evidence based practices are especially helpful for children with OCD, separation anxiety, fears and phobias, attachment and adoption issues, sleep issues, and post traumatic stress. As a parent you can also benefit by gaining new insights about your child and getting guidance and consultation.
We specialize in the treatment of children, teens, adults and families. We use ACT, CBT, art and play therapy to work with children who are struggling with friendships, impulse control issues, the effects of divorce, low self-esteem, anxiety, and depression. Our evidence based practices are especially helpful for children with OCD, separation anxiety, fears and phobias, attachment and adoption issues, sleep issues, and post traumatic stress. As a parent you can also benefit by gaining new insights about your child and getting guidance and consultation.
(415) 878-1892 View (415) 878-1892
Photo of Wendy Labov-Dunne, LMFT, Marriage & Family Therapist in San Rafael, CA
Wendy Labov-Dunne, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Rafael, CA 94901
Waitlist for new clients
I respect the courage it takes to begin psychotherapy and choose the path of healing. Most important is the building of trust. My presence is kind and authentic, with healthy boundaries. An experienced Individual and Couples therapist, I teach relational skill-building, personally and inter-personally. I'm comfortable with all kinds of trauma, relationship difficulties, major life transitions, addiction, loss & grief, spiritual, medical or psychiatric issues. I encourage clients to identify and move closer to what is really important in their lives. I've witnessed lasting change as clients become more secure, creative & alive.
I respect the courage it takes to begin psychotherapy and choose the path of healing. Most important is the building of trust. My presence is kind and authentic, with healthy boundaries. An experienced Individual and Couples therapist, I teach relational skill-building, personally and inter-personally. I'm comfortable with all kinds of trauma, relationship difficulties, major life transitions, addiction, loss & grief, spiritual, medical or psychiatric issues. I encourage clients to identify and move closer to what is really important in their lives. I've witnessed lasting change as clients become more secure, creative & alive.
(415) 635-0502 View (415) 635-0502
Photo of Ginny Johnson, Marriage & Family Therapist in San Rafael, CA
Ginny Johnson
Marriage & Family Therapist, MA MFT
Verified Verified
San Rafael, CA 94901
I enjoy working with individuals and couples who are motivated to understand and change some of the challenging patterns they have learned. My style, combined with excellent education, clinical training and life experience, gives me the ability to successfully help people find their way to happier lives and to unravel the mystery of how they ended up with grief, depression, anxiety or marital stress. I can help guide parents through the challenge of the teen years or with conflict that comes with being part of an extended family. I specialize in issues around divorce, coparenting and restructuring life after a divorce.
I enjoy working with individuals and couples who are motivated to understand and change some of the challenging patterns they have learned. My style, combined with excellent education, clinical training and life experience, gives me the ability to successfully help people find their way to happier lives and to unravel the mystery of how they ended up with grief, depression, anxiety or marital stress. I can help guide parents through the challenge of the teen years or with conflict that comes with being part of an extended family. I specialize in issues around divorce, coparenting and restructuring life after a divorce.
(415) 639-5439 View (415) 639-5439
Photo of Erika Olivarez, Marriage & Family Therapist in San Rafael, CA
Erika Olivarez
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94903  (Online Only)
I am the type of therapist that is always curious and open to helping my clients come up with unique solutions to life's setbacks. Life is very challenging and finding the right therapist should be seamless. If you're interested in finding a holistic approach to seek harmony in mind, body and wellness, this is the first step of awareness for the work to begin.
I am the type of therapist that is always curious and open to helping my clients come up with unique solutions to life's setbacks. Life is very challenging and finding the right therapist should be seamless. If you're interested in finding a holistic approach to seek harmony in mind, body and wellness, this is the first step of awareness for the work to begin.
(415) 930-9485 View (415) 930-9485
Photo of David J Kest, Marriage & Family Therapist in San Rafael, CA
David J Kest
Marriage & Family Therapist, MA, MFT
Verified Verified
2 Endorsed
San Rafael, CA 94901
Waitlist for new clients
I offer an "Integrated Approach to Psychotherapy" for adults, couples and families. We may first seek to reduce negative symptoms and increase stability in our life, but eventually I support and challenge my clients to graduate from "surviving to truly "thriving" in all major aspects of their life. Relationships have shaped and influenced who we are and many clients appreciate help with essential relationship skills. I am one of the few therapists in Marin and SF actually certified as an Imago Relationship Therapist and have had the honor to assist the cofounders many times with their weekend workshops. on the West Coast.
I offer an "Integrated Approach to Psychotherapy" for adults, couples and families. We may first seek to reduce negative symptoms and increase stability in our life, but eventually I support and challenge my clients to graduate from "surviving to truly "thriving" in all major aspects of their life. Relationships have shaped and influenced who we are and many clients appreciate help with essential relationship skills. I am one of the few therapists in Marin and SF actually certified as an Imago Relationship Therapist and have had the honor to assist the cofounders many times with their weekend workshops. on the West Coast.
(650) 924-9677 View (650) 924-9677
Photo of Dylan Kersh, Marriage & Family Therapist in San Rafael, CA
Dylan Kersh
Marriage & Family Therapist, MA, MEd, LMFT
Verified Verified
San Rafael, CA 94903  (Online Only)
Waitlist for new clients
Through authenticity and a wide range of clinical experience, I have cultivated a unique therapeutic style that has helped many of my clients to heal and thrive. It is my mission to create a private practice accessible to everyone in our community where clients feel safe to open up, take risks, be vulnerable, explore themselves, and grow. I've worked with individuals, families, and couples from a diverse spectrum of backgrounds and found that with an open heart, a sincere desire to connect, and clinical integrity, I can affect real change in my clients' lives.
Through authenticity and a wide range of clinical experience, I have cultivated a unique therapeutic style that has helped many of my clients to heal and thrive. It is my mission to create a private practice accessible to everyone in our community where clients feel safe to open up, take risks, be vulnerable, explore themselves, and grow. I've worked with individuals, families, and couples from a diverse spectrum of backgrounds and found that with an open heart, a sincere desire to connect, and clinical integrity, I can affect real change in my clients' lives.
(510) 901-3771 View (510) 901-3771
Photo of Kimberly Stukey, Clinical Social Work/Therapist in San Rafael, CA
Kimberly Stukey
Clinical Social Work/Therapist, LCSW
Verified Verified
San Rafael, CA 94903  (Online Only)
My goal as a therapist is to be and provide a safe environment for my clients and find the underlying reason for the issue at hand so that they can reach their full potential. Since everyone is unique and different, your treatment plan will be developed based on your needs. Whatever you have gone through is not too difficult to work through and process. We will work together as a team so that you can accomplish your goals. You no longer have to work through it alone!
My goal as a therapist is to be and provide a safe environment for my clients and find the underlying reason for the issue at hand so that they can reach their full potential. Since everyone is unique and different, your treatment plan will be developed based on your needs. Whatever you have gone through is not too difficult to work through and process. We will work together as a team so that you can accomplish your goals. You no longer have to work through it alone!
(415) 842-1482 View (415) 842-1482
Photo of Iain Jasko, Marriage & Family Therapist Associate in San Rafael, CA
Iain Jasko
Marriage & Family Therapist Associate, MA, AMFT, APCC
Verified Verified
1 Endorsed
San Rafael, CA 94901
I specialize in working with the LGBTQIA+ community, and am particularly passionate about working with transgender & gender-nonconforming teens and adults. As a trans-identified provider, I bring a firsthand understanding of the challenges and nuances of identity exploration, allowing me to offer empathetic and affirming support to a diverse array of individuals. I am skilled at supporting clients in navigating depression, anxiety, trauma, life transitions, and relational concerns.
I specialize in working with the LGBTQIA+ community, and am particularly passionate about working with transgender & gender-nonconforming teens and adults. As a trans-identified provider, I bring a firsthand understanding of the challenges and nuances of identity exploration, allowing me to offer empathetic and affirming support to a diverse array of individuals. I am skilled at supporting clients in navigating depression, anxiety, trauma, life transitions, and relational concerns.
(510) 621-3644 View (510) 621-3644
Photo of Ali Vogt, Marriage & Family Therapist in San Rafael, CA
Ali Vogt
Marriage & Family Therapist, MFT
Verified Verified
1 Endorsed
San Rafael, CA 94901
I specialize in working with adults who experiencing grief or confusion and in transition. I have helped clients in the following situations: Facing a cancer or terminal illness diagnosis; Pre and postpartum stress, depression and anxiety; Grief over the loss of a relationship or loved one; Sort through a new mental health diagnosis and corresponding psychotropic medications; Leaving a career and pivoting into a new professional path; Grieving infertility; Finding a life path.
I specialize in working with adults who experiencing grief or confusion and in transition. I have helped clients in the following situations: Facing a cancer or terminal illness diagnosis; Pre and postpartum stress, depression and anxiety; Grief over the loss of a relationship or loved one; Sort through a new mental health diagnosis and corresponding psychotropic medications; Leaving a career and pivoting into a new professional path; Grieving infertility; Finding a life path.
(415) 818-8631 View (415) 818-8631
Photo of Julie S Lehman, Marriage & Family Therapist in San Rafael, CA
Julie S Lehman
Marriage & Family Therapist, MS, LMFT
Verified Verified
San Rafael, CA 94901
Waitlist for new clients
I specialize in working affirmatively with sex and gender diversity and sex-positive communities (LGBTQ*, non-normative relationships, open/non-monogamous, burners, polyamory, polysexuality, asexuality, intersex, gender nonconformity/fluidity, BDSM/kink, leather, fetish, HIV+, HepC+, Herpes+). I welcome clients with issues around minority stress, neurodivergence, depression/anxiety, trauma, grief/loss, couples/multiple-partner relationships, parent/child relationships, family counseling. I also welcome those looking to heal sexual trauma or those working through sexual difficulties. I'm a well-trained integrative sex therapist.
I specialize in working affirmatively with sex and gender diversity and sex-positive communities (LGBTQ*, non-normative relationships, open/non-monogamous, burners, polyamory, polysexuality, asexuality, intersex, gender nonconformity/fluidity, BDSM/kink, leather, fetish, HIV+, HepC+, Herpes+). I welcome clients with issues around minority stress, neurodivergence, depression/anxiety, trauma, grief/loss, couples/multiple-partner relationships, parent/child relationships, family counseling. I also welcome those looking to heal sexual trauma or those working through sexual difficulties. I'm a well-trained integrative sex therapist.
(415) 578-5306 View (415) 578-5306
Photo of A. Raja Hornstein, Psychologist in San Rafael, CA
A. Raja Hornstein
Psychologist, PsyD
Verified Verified
1 Endorsed
San Rafael, CA 94901  (Online Only)
Waitlist for new clients
I can help if you are struggling with: anxiety, depression or other mood issues; aging or life-threatening illness; or relationship difficulties; or the consequences of living with serious mental disorders. I help people affected by loss including people dealing with grief, facing death, or serious illness, but if you think of your own situation you might realize that loss is playing a role in your search for a therapist. I also work with people who aren't deeply troubled, but are searching for growth in their work, relationships, or who are feeling the absence of a spiritual center in their lives.
I can help if you are struggling with: anxiety, depression or other mood issues; aging or life-threatening illness; or relationship difficulties; or the consequences of living with serious mental disorders. I help people affected by loss including people dealing with grief, facing death, or serious illness, but if you think of your own situation you might realize that loss is playing a role in your search for a therapist. I also work with people who aren't deeply troubled, but are searching for growth in their work, relationships, or who are feeling the absence of a spiritual center in their lives.
(650) 924-9936 View (650) 924-9936
Photo of Robert S Badame, Psychologist in San Rafael, CA
Robert S Badame
Psychologist, PhD
Verified Verified
San Rafael, CA 94903  (Online Only)
I am a clinical psychologist in practice for over 35 years. A primary interest is working with men, particularly problems with men and aging, men and issues of retirement, anger/stress mgmt., and sexual addiction. I enjoy consulting with corporations. (I also have an MBA). I have extensive background and training in infertility and adoption issues. My wife and I are adoptive parents. I also have an interest in working with couples, issues of intimacy, sexuality, soulmate and kindred relationships.
I am a clinical psychologist in practice for over 35 years. A primary interest is working with men, particularly problems with men and aging, men and issues of retirement, anger/stress mgmt., and sexual addiction. I enjoy consulting with corporations. (I also have an MBA). I have extensive background and training in infertility and adoption issues. My wife and I are adoptive parents. I also have an interest in working with couples, issues of intimacy, sexuality, soulmate and kindred relationships.
(415) 375-0918 View (415) 375-0918
Photo of Kim Leicester, Psychologist in San Rafael, CA
Kim Leicester
Psychologist, PhD
Not Verified Not Verified
San Rafael, CA 94901
I provide therapy to teens, adults, and couples who struggle with depression, anxiety, relationships, women's health, substance use, eating disorders, and circumstantial stress to name a few of the difficulties that come our way. Progress often depends on the nature of the problems, your level of motivation, and your relationships. Life often presents challenges to us that make it difficult to cope and live the life we truly want. Whether these challenges feel mild and variable or feel monumental and interfere with how you want to relate to yourself and others, therapy can be an opportunity for meaningful change.
I provide therapy to teens, adults, and couples who struggle with depression, anxiety, relationships, women's health, substance use, eating disorders, and circumstantial stress to name a few of the difficulties that come our way. Progress often depends on the nature of the problems, your level of motivation, and your relationships. Life often presents challenges to us that make it difficult to cope and live the life we truly want. Whether these challenges feel mild and variable or feel monumental and interfere with how you want to relate to yourself and others, therapy can be an opportunity for meaningful change.
(510) 592-5323 View (510) 592-5323
Photo of Nazanin Jourabloo, Registered Psychological Associate in San Rafael, CA
Nazanin Jourabloo
Registered Psychological Associate, MA
Verified Verified
1 Endorsed
San Rafael, CA 94903
I believe you are your own best healer, and I am here to compassionately walk you through a journey of self-empowerment. It is okay to be uncertain of where to begin and how to navigate your difficulties. Not only are we human-beings, but we are human-becoming. How? Together we will create a respectful, non-judgmental, and trusting relationship. This space will allow you to be your authentic self. Our conditioned patterns learned in childhood tend to disconnect us from our authentic self. Becoming aware and conscious of these practiced beliefs modeled by our parent figures and society at large is a stepping stone to finding you.
I believe you are your own best healer, and I am here to compassionately walk you through a journey of self-empowerment. It is okay to be uncertain of where to begin and how to navigate your difficulties. Not only are we human-beings, but we are human-becoming. How? Together we will create a respectful, non-judgmental, and trusting relationship. This space will allow you to be your authentic self. Our conditioned patterns learned in childhood tend to disconnect us from our authentic self. Becoming aware and conscious of these practiced beliefs modeled by our parent figures and society at large is a stepping stone to finding you.
(415) 966-3659 View (415) 966-3659
Photo of Anna Billings, Marriage & Family Therapist in San Rafael, CA
Anna Billings
Marriage & Family Therapist, LMFT
Verified Verified
San Rafael, CA 94901
Waitlist for new clients
Are you facing difficult challenges in your life? In your relationships, your work, or life in general? Trying your best but tired of struggling with the pain and frustration on your own? Do you find yourself thinking it shouldn't be this hard? Longing for the freedom and joy to simply be yourself and live the life you were meant to live?
Are you facing difficult challenges in your life? In your relationships, your work, or life in general? Trying your best but tired of struggling with the pain and frustration on your own? Do you find yourself thinking it shouldn't be this hard? Longing for the freedom and joy to simply be yourself and live the life you were meant to live?
(510) 985-4145 View (510) 985-4145
Photo of Christina de Cossio, Marriage & Family Therapist in San Rafael, CA
Christina de Cossio
Marriage & Family Therapist, MA, LMFT, NARM, SE
Verified Verified
1 Endorsed
San Rafael, CA 94901  (Online Only)
Are you feeling stuck and having difficulty breaking free from painful patterns? Fearful or overwhelmed? Somatic Psychotherapy goes beyond talk therapy and can help with underlying feelings of disconnection, isolation and helplessness. I'm happy to connect with you for an initial no-charge consultation about how somatic (body mind) therapy can help you. My priority is in creating an environment of safety, curiosity and compassion to support you in managing challenging emotional states and self-regulation.
Are you feeling stuck and having difficulty breaking free from painful patterns? Fearful or overwhelmed? Somatic Psychotherapy goes beyond talk therapy and can help with underlying feelings of disconnection, isolation and helplessness. I'm happy to connect with you for an initial no-charge consultation about how somatic (body mind) therapy can help you. My priority is in creating an environment of safety, curiosity and compassion to support you in managing challenging emotional states and self-regulation.
(415) 991-6212 View (415) 991-6212

How does your Therapist compare?

Number of Therapists in San Rafael, CA

600+

Average cost per session

$195

Therapists in San Rafael, CA who prioritize treating:

91% Anxiety
84% Depression
81% Relationship Issues
69% Self Esteem
66% Trauma and PTSD
65% Grief
63% Stress

Average years in practice

16 Years

Top 3 insurances accepted

55% Aetna
46% Cigna and Evernorth
44% Anthem | Elevance

How Therapists in San Rafael, CA see their clients

70% In Person and Online
30% Online Only

Gender breakdown

77% Female
22% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in San Rafael?

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.