Therapists in San Antonio, TX

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Photo of Brent Wayne Wheeler, Licensed Professional Counselor in San Antonio, TX
Brent Wayne Wheeler
Licensed Professional Counselor, MA, LPC, LSSP
Verified Verified
San Antonio, TX 78209
We all have an inherent desire for growth, even though the path may be difficult; we want the best for ourselves, our children, our marriage and our career. At Brent Wheeler Therapy, I work with clients in the San Antonio area, TX to assist them with that growth. My goal is to help them learn skills to manage  emotional conflicts, stressors, etc. that inhibit them from prospering and being happy. We accept Aetna, Blue Cross/Blue Shield, Humana, Signa, United Healthcare/Optum, Cenpatico, Medicaid, Military and Tricare, as well as most other insurances. Sliding scale available for cash paying customers. Please contact us to schedule
We all have an inherent desire for growth, even though the path may be difficult; we want the best for ourselves, our children, our marriage and our career. At Brent Wheeler Therapy, I work with clients in the San Antonio area, TX to assist them with that growth. My goal is to help them learn skills to manage  emotional conflicts, stressors, etc. that inhibit them from prospering and being happy. We accept Aetna, Blue Cross/Blue Shield, Humana, Signa, United Healthcare/Optum, Cenpatico, Medicaid, Military and Tricare, as well as most other insurances. Sliding scale available for cash paying customers. Please contact us to schedule
(210) 361-2454 View (210) 361-2454
Photo of Randel Porter, Counselor in San Antonio, TX
Randel Porter
Counselor, MA, LPC
Verified Verified
San Antonio, TX 78209
Let me guess… you’ve tried therapy before but it didn’t “take.” Or… you’ve tried therapy and all you did was talk for an hour straight while somebody nodded at you, which left you wondering why you were even there in the first place. You’ll notice that most therapy gets caught up asking about your emotions; the proverbial “and how does that make you feel?” Then it’s typical to get caught up in an endless reaction loop, worrying about your emotions and where “they” are going to take you next. But consider this: what if it has nothing to do with your emotions? What if it has to do with your thinking?
Let me guess… you’ve tried therapy before but it didn’t “take.” Or… you’ve tried therapy and all you did was talk for an hour straight while somebody nodded at you, which left you wondering why you were even there in the first place. You’ll notice that most therapy gets caught up asking about your emotions; the proverbial “and how does that make you feel?” Then it’s typical to get caught up in an endless reaction loop, worrying about your emotions and where “they” are going to take you next. But consider this: what if it has nothing to do with your emotions? What if it has to do with your thinking?
(210) 529-8381 View (210) 529-8381
Photo of Yvonne Thomas, Licensed Professional Counselor in San Antonio, TX
Yvonne Thomas
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78261  (Online Only)
Hi there, I'm Yvonne. I am an empathetic therapist who has military experience. I devoted over 22 years to empowering and guiding others to be successful in becoming the person they wanted to be while serving their country. Are you struggling to be authentic in your relationships, work and with your self? Is it hard to be kind to yourself? Together, we can identify what's not working and get you back to where you want to be in life. We'll use a whole self approach, addressing the needs of your mind, body and spirit.
Hi there, I'm Yvonne. I am an empathetic therapist who has military experience. I devoted over 22 years to empowering and guiding others to be successful in becoming the person they wanted to be while serving their country. Are you struggling to be authentic in your relationships, work and with your self? Is it hard to be kind to yourself? Together, we can identify what's not working and get you back to where you want to be in life. We'll use a whole self approach, addressing the needs of your mind, body and spirit.
(410) 755-5381 View (410) 755-5381
Photo of Cara Leeney, LPC Associate in San Antonio, TX
Cara Leeney
LPC Associate, LPC-A
Verified Verified
San Antonio, TX 78212  (Online Only)
Hi, I'm so glad you're here! I believe we are all meant to live a life we truly love and feel excited about living, but through our life experiences and traumas we picked up beliefs and behaviors that can keep us stuck in unwanted patterns. My goal for us is to identify the unhelpful blocks, process them, and create new narratives that truly align with your unique heart and spirit. I believe in taking a holistic approach with clients to strengthen the mind-body connection. Your connection to yourself is your greatest compass!
Hi, I'm so glad you're here! I believe we are all meant to live a life we truly love and feel excited about living, but through our life experiences and traumas we picked up beliefs and behaviors that can keep us stuck in unwanted patterns. My goal for us is to identify the unhelpful blocks, process them, and create new narratives that truly align with your unique heart and spirit. I believe in taking a holistic approach with clients to strengthen the mind-body connection. Your connection to yourself is your greatest compass!
(726) 227-4383 View (726) 227-4383
Photo of Sandra Urzua, Licensed Professional Counselor in San Antonio, TX
Sandra Urzua
Licensed Professional Counselor, LPC, MS
Verified Verified
1 Endorsed
San Antonio, TX 78258  (Online Only)
Licensed in TX and CO. My specialty is providing couples and sex psychotherapy. Relationships are foundations of life and can be affected by many things, such as communication, sexual needs/desires, or addictions. Our bodies experience change as we develop or go through major life changes. Sometimes they can be difficult to understand or manage. I provide a safe space to discuss intimate issues while eliminating feelings of fear or shame. My passion is to help you identify life goals and ways to help you achieve them. People work in different ways which is why I am flexible in the type of therapy I utilize.
Licensed in TX and CO. My specialty is providing couples and sex psychotherapy. Relationships are foundations of life and can be affected by many things, such as communication, sexual needs/desires, or addictions. Our bodies experience change as we develop or go through major life changes. Sometimes they can be difficult to understand or manage. I provide a safe space to discuss intimate issues while eliminating feelings of fear or shame. My passion is to help you identify life goals and ways to help you achieve them. People work in different ways which is why I am flexible in the type of therapy I utilize.
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Photo of Jeremiah Neal, Clinical Social Work/Therapist in San Antonio, TX
Jeremiah Neal
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78251
Do you desire to develop understanding, healing, and connection? Do you long for a relationship that is safe, secure, and fulfilling? It would be a honor to support you. I practice Emotionally Focused Therapy (EFT) for Couples and greatly desire to assist couples reconnect and bond in lasting new ways. I also utilize Cognitive Behavioral Therapy and Mindfulness approaches to support individual clients with various mental health challenges including anxiety, depression, and issues unique to men.
Do you desire to develop understanding, healing, and connection? Do you long for a relationship that is safe, secure, and fulfilling? It would be a honor to support you. I practice Emotionally Focused Therapy (EFT) for Couples and greatly desire to assist couples reconnect and bond in lasting new ways. I also utilize Cognitive Behavioral Therapy and Mindfulness approaches to support individual clients with various mental health challenges including anxiety, depression, and issues unique to men.
(210) 405-9872 View (210) 405-9872
Photo of Dr. Melissa L. McVicker, Marriage & Family Therapist in San Antonio, TX
Dr. Melissa L. McVicker
Marriage & Family Therapist, PhD, LMFT, PLLC
Verified Verified
4 Endorsed
San Antonio, TX 78258
Are you feeling stuck, but knowing you want something to be different? Are you going through a life transition-- in relationships, identity, parenthood, work-- and need some support? I offer support, expertise, and hope to figure out what you need, what you want, and how to start moving in a new direction. I work with individual adults and couples to manage depression and anxiety, self-esteem and personal growth, coping and stress management, adjustment to life events, and relational issues. Significant change is created through intentional efforts on a daily basis--let's start one step at a time.
Are you feeling stuck, but knowing you want something to be different? Are you going through a life transition-- in relationships, identity, parenthood, work-- and need some support? I offer support, expertise, and hope to figure out what you need, what you want, and how to start moving in a new direction. I work with individual adults and couples to manage depression and anxiety, self-esteem and personal growth, coping and stress management, adjustment to life events, and relational issues. Significant change is created through intentional efforts on a daily basis--let's start one step at a time.
(210) 871-8221 View (210) 871-8221
Photo of Heather Ingram, Psychologist in San Antonio, TX
Heather Ingram
Psychologist, PsyD
Verified Verified
2 Endorsed
San Antonio, TX 78216
Dr. Heather Ingram, originally from Chicago, obtained her doctorate in Clinical Psychology at Argosy University in Schaumburg, Illinois. Throughout her training, Dr. Ingram worked in a variety of settings around Chicago including Elgin Mental Health Center on the Unfit to Stand Trial Unit, Bridge View-Challenger Therapeutic Day School, Women In Need Growing Stronger domestic violence shelter, and Gateway Foundation residential substance abuse treatment center. During her work in Boston, Dr. Ingram worked at Walden Behavioral Care eating disorder clinic, where she worked in inpatient, residential, partial hospitalization, and intensive outpatient levels of care.
Dr. Heather Ingram, originally from Chicago, obtained her doctorate in Clinical Psychology at Argosy University in Schaumburg, Illinois. Throughout her training, Dr. Ingram worked in a variety of settings around Chicago including Elgin Mental Health Center on the Unfit to Stand Trial Unit, Bridge View-Challenger Therapeutic Day School, Women In Need Growing Stronger domestic violence shelter, and Gateway Foundation residential substance abuse treatment center. During her work in Boston, Dr. Ingram worked at Walden Behavioral Care eating disorder clinic, where she worked in inpatient, residential, partial hospitalization, and intensive outpatient levels of care.
(830) 469-4884 View (830) 469-4884
Photo of Michael Joseph Valverde, Clinical Social Work/Therapist in San Antonio, TX
Michael Joseph Valverde
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78202  (Online Only)
Hi, I'm Michael Valverde, LCSW! I specialize in anxiety, depression, and trauma. I've transitioned to therapy over the last two years after 6.5 years of crisis intervention. I recognize that the human experience is a journey marked by struggle, internal battles, external challenges, and existential dilemmas. When confronted with challenges, we are often pushed beyond our comfort zones, forced to tap into hidden reserves of courage and determination. It's in these moments of struggle that we discover our true capabilities and potential.
Hi, I'm Michael Valverde, LCSW! I specialize in anxiety, depression, and trauma. I've transitioned to therapy over the last two years after 6.5 years of crisis intervention. I recognize that the human experience is a journey marked by struggle, internal battles, external challenges, and existential dilemmas. When confronted with challenges, we are often pushed beyond our comfort zones, forced to tap into hidden reserves of courage and determination. It's in these moments of struggle that we discover our true capabilities and potential.
(726) 207-9452 View (726) 207-9452
Photo of Lindsey Autumn McGehee, Licensed Professional Counselor in San Antonio, TX
Lindsey Autumn McGehee
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78213
Welcome to Therapy! Schedule now: www.sanantoniofamilytherapist.com/booking.html I'm proud of you for considering getting help. I'm here to tell you that anything you're going through in your personal life, your relationship, your work, or your parenting really can change and improve.​​ There can be a beautiful story for you to write in your future. Having someone who can understand you, believe in your best, and help you overcome the challenges you are facing can make all the difference. It is a good day to stop carrying your struggles alone. Reach out for help today. 210-201-4050
Welcome to Therapy! Schedule now: www.sanantoniofamilytherapist.com/booking.html I'm proud of you for considering getting help. I'm here to tell you that anything you're going through in your personal life, your relationship, your work, or your parenting really can change and improve.​​ There can be a beautiful story for you to write in your future. Having someone who can understand you, believe in your best, and help you overcome the challenges you are facing can make all the difference. It is a good day to stop carrying your struggles alone. Reach out for help today. 210-201-4050
(210) 879-7969 View (210) 879-7969
Photo of Callie M Davis-Carr, Licensed Professional Counselor in San Antonio, TX
Callie M Davis-Carr
Licensed Professional Counselor, MA, MS, LPC
Verified Verified
San Antonio, TX 78210
Are you feeling overwhelmed or heavy hearted due to the loss of a loved one? Are you dealing with heartache, despair, and frustration due to marital conflict and misunderstanding? Do you need help in dealing with relational matters? I'd like to help you if you are. I am more than willing to help lighten your emotional load, and offer help for today and hope for tomorrow. There is hope! I look forward to hearing from you.
Are you feeling overwhelmed or heavy hearted due to the loss of a loved one? Are you dealing with heartache, despair, and frustration due to marital conflict and misunderstanding? Do you need help in dealing with relational matters? I'd like to help you if you are. I am more than willing to help lighten your emotional load, and offer help for today and hope for tomorrow. There is hope! I look forward to hearing from you.
(281) 940-3692 View (281) 940-3692
Photo of Faryn Miller in San Antonio, TX
Faryn Miller
LPC
Verified Verified
San Antonio, TX 78232
Hello! My name is Faryn Miller and I am a Licensed Professional Counselor. You deserve to make yourself a priority and focus on your mental health. I would love to join you on your journey to become the most at peace, and best version of yourself possible.
Hello! My name is Faryn Miller and I am a Licensed Professional Counselor. You deserve to make yourself a priority and focus on your mental health. I would love to join you on your journey to become the most at peace, and best version of yourself possible.
(210) 940-3164 View (210) 940-3164
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 Hope and Harmony Counseling Center, Licensed Professional Counselor in San Antonio, TX
Hope and Harmony Counseling Center
Licensed Professional Counselor, LPC-S
Verified Verified
San Antonio, TX 78232
Are you feeling STRESSED and OVERWHELMED? Is your life not going as planned? Tired of living with ANXIETY? Tired of the lack of COMMUNICATION with your loved ones? We can help! At Hope and Harmony Counseling Center we offer a variety of tools and techniques that will help you take action and achieve results. We are aware doing the work alone is not easy, therefore, we would like to be given the opportunity to work with you and/or your loved ones and together find resolution to what is keeping you from living life in peace and harmony.
Are you feeling STRESSED and OVERWHELMED? Is your life not going as planned? Tired of living with ANXIETY? Tired of the lack of COMMUNICATION with your loved ones? We can help! At Hope and Harmony Counseling Center we offer a variety of tools and techniques that will help you take action and achieve results. We are aware doing the work alone is not easy, therefore, we would like to be given the opportunity to work with you and/or your loved ones and together find resolution to what is keeping you from living life in peace and harmony.
(210) 920-8233 View (210) 920-8233
Photo of Bryana Nunez, Licensed Professional Counselor in San Antonio, TX
Bryana Nunez
Licensed Professional Counselor, MEd, LPC, CCC
Verified Verified
1 Endorsed
San Antonio, TX 78240  (Online Only)
You wake up ready to conquer the day and your world is as bright as ever, but then the feelings of self-doubt, depression, anger, and anxiety creep in, and it feels like your world...like you…are falling apart. Bills, relationship issues, cooking, self-care, all become 100 lb weights that you lug around while trying to smile through it because having another person ask “Are you okay?” adds more 100lb weights and now you can’t seem to move forward. I understand. I understand you are so much more than the mom, dad, teacher, accountant, student, or any other identity you have.
You wake up ready to conquer the day and your world is as bright as ever, but then the feelings of self-doubt, depression, anger, and anxiety creep in, and it feels like your world...like you…are falling apart. Bills, relationship issues, cooking, self-care, all become 100 lb weights that you lug around while trying to smile through it because having another person ask “Are you okay?” adds more 100lb weights and now you can’t seem to move forward. I understand. I understand you are so much more than the mom, dad, teacher, accountant, student, or any other identity you have.
(512) 764-0418 View (512) 764-0418
Photo of Carli Jones, Licensed Professional Counselor in San Antonio, TX
Carli Jones
Licensed Professional Counselor, MA
Verified Verified
1 Endorsed
San Antonio, TX 78216  (Online Only)
I have experience working with adolescents and adults struggling with anxiety, depression, abuse, PTSD, stress management, school issues, psychosis and relational issues. I work with clients who are looking to learn coping skills, improve communication with friends and/or family, process past or current abuse/trauma, or just have someone to talk things over with.
I have experience working with adolescents and adults struggling with anxiety, depression, abuse, PTSD, stress management, school issues, psychosis and relational issues. I work with clients who are looking to learn coping skills, improve communication with friends and/or family, process past or current abuse/trauma, or just have someone to talk things over with.
(210) 756-2961 View (210) 756-2961
Photo of Leo Royzman, Clinical Social Work/Therapist in San Antonio, TX
Leo Royzman
Clinical Social Work/Therapist, LCSW
Verified Verified
San Antonio, TX 78230
Symptoms such as anxiety, anger, sadness, overthinking, self-criticism, despair, escapism, and self-injury freeze your ability to be fully you. They affect you at work or school, how you relate to others and how you view yourself. Psychotherapy with it's various modalities is the best approach to reduce symptoms, find better behaviors, and self-heal.
Symptoms such as anxiety, anger, sadness, overthinking, self-criticism, despair, escapism, and self-injury freeze your ability to be fully you. They affect you at work or school, how you relate to others and how you view yourself. Psychotherapy with it's various modalities is the best approach to reduce symptoms, find better behaviors, and self-heal.
(726) 600-8862 View (726) 600-8862
Photo of Larry Matthew Van Hook, Marriage & Family Therapist in San Antonio, TX
Larry Matthew Van Hook
Marriage & Family Therapist, DM, MA, MDiv, LMFT
Verified Verified
San Antonio, TX 78240
"Be transformed by the renewing of your mind," wrote the Apostle Paul. That is my ministry: helping people who feel lost, abandoned, anxious, traumatized, or confused find transformation. Don't let ability to pay stand in your way if you desire real change! I will help you.
"Be transformed by the renewing of your mind," wrote the Apostle Paul. That is my ministry: helping people who feel lost, abandoned, anxious, traumatized, or confused find transformation. Don't let ability to pay stand in your way if you desire real change! I will help you.
(210) 405-4451 View (210) 405-4451
Photo of Gladys M Rodriguez, Psychologist in San Antonio, TX
Gladys M Rodriguez
Psychologist, PsyD, MEd
Verified Verified
1 Endorsed
San Antonio, TX 78201  (Online Only)
There are times when life presents us with challenging situations that make us feel depressed, empty, confused, anxious. A friend or relative may help. However, you may not want to share these experiences with people you know.
There are times when life presents us with challenging situations that make us feel depressed, empty, confused, anxious. A friend or relative may help. However, you may not want to share these experiences with people you know.
(281) 957-6314 View (281) 957-6314
Photo of Carrie J Visger, Licensed Professional Counselor in San Antonio, TX
Carrie J Visger
Licensed Professional Counselor, LPC
Verified Verified
San Antonio, TX 78253
Life can be so challenging. Even when "good" things happen to us, it can bring stress and grief. Deciding to work with a counselor is a bold and brave step toward coping with whatever life is giving you. Having a person to help you process issues is liberating. By learning about your strengths and by learning how to use them effectively, you can begin to heal and transform into the person you were meant to be. I have worked with many different presenting issues including anxiety, depression, lgbtqia+ issues, family and parenting issues, school related issues/microaggressions, and many more.
Life can be so challenging. Even when "good" things happen to us, it can bring stress and grief. Deciding to work with a counselor is a bold and brave step toward coping with whatever life is giving you. Having a person to help you process issues is liberating. By learning about your strengths and by learning how to use them effectively, you can begin to heal and transform into the person you were meant to be. I have worked with many different presenting issues including anxiety, depression, lgbtqia+ issues, family and parenting issues, school related issues/microaggressions, and many more.
(210) 879-1342 View (210) 879-1342

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.