Therapists in San Diego, CA

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Photo of Katrina Dela Cruz - Expansive Therapy , Licensed Professional Clinical Counselor in San Diego, CA
Katrina Dela Cruz - Expansive Therapy
Licensed Professional Clinical Counselor, LCSW
Verified Verified
San Diego, CA 92103  (Online Only)
My practice is informed by the interconnectedness of all things, especially the relationship between mind, body, and spirit (or soul), and the interrelationships between beings. I am influenced by Western psychological theories, as well as holistic, ancestral, and indigenous wellness rituals from around the world.
My practice is informed by the interconnectedness of all things, especially the relationship between mind, body, and spirit (or soul), and the interrelationships between beings. I am influenced by Western psychological theories, as well as holistic, ancestral, and indigenous wellness rituals from around the world.
(619) 916-4794 View (619) 916-4794
Photo of Elizabeth Cowell, Marriage & Family Therapist in San Diego, CA
Elizabeth Cowell
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
San Diego, CA 92123  (Online Only)
Do you find youself saying, "No one understands me" or "I feel alone" or "No one loves me". These are negative cognitions that have developed over time either through trauma or attachment injuries. These cognitions hold you back from being the best version of yourself. With patience and persistence, I can help you lessen these negative cognitions and experience a more fulfilling life with your loved ones. I do this by using Cognitive-Behavioral Therapy, Emotionally-Focused Couples Therapy, and EMDR.
Do you find youself saying, "No one understands me" or "I feel alone" or "No one loves me". These are negative cognitions that have developed over time either through trauma or attachment injuries. These cognitions hold you back from being the best version of yourself. With patience and persistence, I can help you lessen these negative cognitions and experience a more fulfilling life with your loved ones. I do this by using Cognitive-Behavioral Therapy, Emotionally-Focused Couples Therapy, and EMDR.
(858) 330-3943 View (858) 330-3943
Photo of Erin Chan, Marriage & Family Therapist Associate in San Diego, CA
Erin Chan
Marriage & Family Therapist Associate, AMFT
Verified Verified
San Diego, CA 92108
You have so much wisdom and resilience within you. I'm here to highlight your strengths, as well as provide tools and support when life is overwhelming, sticky, and difficult to navigate. I strive to truly connect and attune to who you are so you can slow down with your emotions, recalibrate, and mindfully reframe and create change in your life. I am proud to be an Asian-American therapist who understands the impact that our unique social identities have on our lived experiences and mental health. It's my priority that you feel seen and can find peace, fulfillment, and hope - individually, as well as in your relationships.
You have so much wisdom and resilience within you. I'm here to highlight your strengths, as well as provide tools and support when life is overwhelming, sticky, and difficult to navigate. I strive to truly connect and attune to who you are so you can slow down with your emotions, recalibrate, and mindfully reframe and create change in your life. I am proud to be an Asian-American therapist who understands the impact that our unique social identities have on our lived experiences and mental health. It's my priority that you feel seen and can find peace, fulfillment, and hope - individually, as well as in your relationships.
(619) 704-7198 View (619) 704-7198
Photo of Anne Glenn, Clinical Social Work/Therapist in San Diego, CA
Anne Glenn
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92126
Hi, I'm Anne! Anne Glenn, LCSW. I am a Licensed Clinical Social Worker. My approach to treatment is to work hand in hand with my clients. Helping them find answers, healing, and growth they may be looking for. I do not work with high-risk clients. I specialize in working with kids and families who have experienced trauma, depression, anxiety, disruptive behaviors and changes in family environment due to abuse and divorce.
Hi, I'm Anne! Anne Glenn, LCSW. I am a Licensed Clinical Social Worker. My approach to treatment is to work hand in hand with my clients. Helping them find answers, healing, and growth they may be looking for. I do not work with high-risk clients. I specialize in working with kids and families who have experienced trauma, depression, anxiety, disruptive behaviors and changes in family environment due to abuse and divorce.
(858) 648-5073 View (858) 648-5073
Photo of Janelle B Pineda Farias, Marriage & Family Therapist in San Diego, CA
Janelle B Pineda Farias
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
San Diego, CA 92117  (Online Only)
From time to time we may need support during a challenging time in our life. I look forward to meeting with you and working with you to reach the power of acceptance and be on your journey when reaching your goals. I hope to work with you to enhance your strengths and empower you to live a happier life and to look forward to the future.
From time to time we may need support during a challenging time in our life. I look forward to meeting with you and working with you to reach the power of acceptance and be on your journey when reaching your goals. I hope to work with you to enhance your strengths and empower you to live a happier life and to look forward to the future.
(858) 295-3119 View (858) 295-3119
Photo of Uri Kugel, Psychologist in San Diego, CA
Uri Kugel
Psychologist, PhD
Verified Verified
1 Endorsed
San Diego, CA 92117
Have you been feeling unhappy, unsatisfied, not good enough, or anxious? Is it hard for you to parent your child or communicate with your partner? Do you feel stuck? I am here to give you the space that you need and help you make a significant and long lasting positive change towards success. Contact me today to get started on a better path for you and your loved ones!
Have you been feeling unhappy, unsatisfied, not good enough, or anxious? Is it hard for you to parent your child or communicate with your partner? Do you feel stuck? I am here to give you the space that you need and help you make a significant and long lasting positive change towards success. Contact me today to get started on a better path for you and your loved ones!
(510) 343-7217 View (510) 343-7217
Photo of Tina Do, Psychologist in San Diego, CA
Tina Do
Psychologist, PsyD
Verified Verified
San Diego, CA 92106  (Online Only)
I am a bicultural psychologist with experience helping people live better. I provide individual therapy to adults and older adults. Whether you are feeling stuck or overwhelmed, one key factor to predict positive change is the trust you have with your therapist. That is my goal.
I am a bicultural psychologist with experience helping people live better. I provide individual therapy to adults and older adults. Whether you are feeling stuck or overwhelmed, one key factor to predict positive change is the trust you have with your therapist. That is my goal.
(619) 404-0366 View (619) 404-0366
Photo of Tiffany Avery, Clinical Social Work/Therapist in San Diego, CA
Tiffany Avery
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92117
My name is Tiffany Marie Avery, and I am Clinical Licensed Social Worker. My approach to therapy is client centered, strength-based and solution focused to help individuals reach their highest potential. My experience is in residential and outpatient substance use treatment, in which I’ve worked with dual-diagnosed clients. My experience has provided me a strong foundation in working to address trauma, depression, anxiety, family issues, and substance use.
My name is Tiffany Marie Avery, and I am Clinical Licensed Social Worker. My approach to therapy is client centered, strength-based and solution focused to help individuals reach their highest potential. My experience is in residential and outpatient substance use treatment, in which I’ve worked with dual-diagnosed clients. My experience has provided me a strong foundation in working to address trauma, depression, anxiety, family issues, and substance use.
(619) 815-5484 View (619) 815-5484
Photo of Sarah Mugford, Licensed Professional Clinical Counselor in San Diego, CA
Sarah Mugford
Licensed Professional Clinical Counselor, AMFT, APC
Verified Verified
2 Endorsed
San Diego, CA 92121
My experience has given me the privilege to work with adults of all ages and adolescents with co-occurring disorders, mood disorders, psychotic disorders, addictive disorders, and some personality disorders. I have a passion for working with young people and their families to get through difficult times. I often work with folx who are survivors of trauma including PTSD and CPTSD. I am knowledgeable in many subcultures, sexualities and societal challenges that face many individuals.
My experience has given me the privilege to work with adults of all ages and adolescents with co-occurring disorders, mood disorders, psychotic disorders, addictive disorders, and some personality disorders. I have a passion for working with young people and their families to get through difficult times. I often work with folx who are survivors of trauma including PTSD and CPTSD. I am knowledgeable in many subcultures, sexualities and societal challenges that face many individuals.
(858) 682-1460 View (858) 682-1460
Photo of Purpose Therapy Group, Marriage & Family Therapist in San Diego, CA
Purpose Therapy Group
Marriage & Family Therapist, LMFT, AMFT
Verified Verified
San Diego, CA 92121
PURPOSE THERAPY GROUP is a place you can come to support any counseling need you have – physically, mentally, and emotionally. We at PURPOSE have specific skills that allow you find a practitioner that matches your unique and whole self. Our mission is to support you with finding Purpose where you are currently blocked. Whether it is for your body, heart, mind, or relationship – when you find Purpose, you get CLARITY on your WHY, the blockage clears leading you to trust, grow, and thrive. We consider all aspects: type of therapy, availability, finances, and overall counseling needs, including holistic and alternative approaches.
PURPOSE THERAPY GROUP is a place you can come to support any counseling need you have – physically, mentally, and emotionally. We at PURPOSE have specific skills that allow you find a practitioner that matches your unique and whole self. Our mission is to support you with finding Purpose where you are currently blocked. Whether it is for your body, heart, mind, or relationship – when you find Purpose, you get CLARITY on your WHY, the blockage clears leading you to trust, grow, and thrive. We consider all aspects: type of therapy, availability, finances, and overall counseling needs, including holistic and alternative approaches.
(858) 298-3971 View (858) 298-3971
Photo of Mary Elizabeth Best, Clinical Social Work/Therapist in San Diego, CA
Mary Elizabeth Best
Clinical Social Work/Therapist, LCSW
Verified Verified
San Diego, CA 92107
Not accepting new clients
If you experiencing personal or professional distress--life transitions in young adulthood or older adults approaching retirement and/or parental care-taking; job or intimate relationship conflicts, I can partner with you to identify areas of difficulty and desired change, while bringing light to your innate strengths and gifts. This partnering process provides a unique opportunity to explore old patterns of thoughts, feelings and behaviors that may no longer serve you, while drawing on new ways of thinking and feeling that support the best within you. I work best with depression, anxiety, grief and loss, life transitions.
If you experiencing personal or professional distress--life transitions in young adulthood or older adults approaching retirement and/or parental care-taking; job or intimate relationship conflicts, I can partner with you to identify areas of difficulty and desired change, while bringing light to your innate strengths and gifts. This partnering process provides a unique opportunity to explore old patterns of thoughts, feelings and behaviors that may no longer serve you, while drawing on new ways of thinking and feeling that support the best within you. I work best with depression, anxiety, grief and loss, life transitions.
(301) 259-3459 View (301) 259-3459
Photo of Dr. George Pratt, Psychologist in San Diego, CA
Dr. George Pratt
Psychologist, PhD, MA
Verified Verified
San Diego, CA 92121
Dr. Pratt works with people in a practical, encouraging, strategic, and respectful manner that utilizes their strengths to achieve their goals as quickly as possible. He provides a comfortable environment in which he actively assists clients to clear away blocks to achieving their goals. Dr. Pratt works with clients to achieve a wide spectrum of goals such as improving the ability to cope, heal, improve and maintain wellness and achieve optimal functioning. He has advanced training in EMDR, Clinical Hypnosis, Energy Psychology, and Cognitive and Behavioral approaches for treating and unblocking trauma, anxiety and emotional blocks.
Dr. Pratt works with people in a practical, encouraging, strategic, and respectful manner that utilizes their strengths to achieve their goals as quickly as possible. He provides a comfortable environment in which he actively assists clients to clear away blocks to achieving their goals. Dr. Pratt works with clients to achieve a wide spectrum of goals such as improving the ability to cope, heal, improve and maintain wellness and achieve optimal functioning. He has advanced training in EMDR, Clinical Hypnosis, Energy Psychology, and Cognitive and Behavioral approaches for treating and unblocking trauma, anxiety and emotional blocks.
(858) 533-2633 View (858) 533-2633
Photo of D. Brooke Crosby, Licensed Professional Clinical Counselor in San Diego, CA
D. Brooke Crosby
Licensed Professional Clinical Counselor, LPCC, LPC, PsyD
Verified Verified
4 Endorsed
San Diego, CA 92128  (Online Only)
I understand that life happens to all of us. You can feel overwhelmed by unexpected situations, unfortunate losses and unendurable psychological pains. Seeking help means that you are ready to work and bring your life into a healthier balance. Through our work together, I can help you navigate through troubling patterns that may have formed as a result of responding to these difficult life occurrences.
I understand that life happens to all of us. You can feel overwhelmed by unexpected situations, unfortunate losses and unendurable psychological pains. Seeking help means that you are ready to work and bring your life into a healthier balance. Through our work together, I can help you navigate through troubling patterns that may have formed as a result of responding to these difficult life occurrences.
(619) 485-6984 View (619) 485-6984
Photo of Rebecca Rabe, Marriage & Family Therapist in San Diego, CA
Rebecca Rabe
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92106
For over 20 years, I have been working with children, teenagers, and young adults to develop the skills necessary to navigate through life successfully. I assist clients in developing insight into their current life situation, broaden their ability to cope with some of life's greatest challenges, nurture their resiliency and developing effective communication skills. I use a combination of play therapy interventions, Animal Assisted Human Health (therapy dogs) and traditional talk therapy in my practice. I believe in a holistic approach and will collaborate with families and providers to ensure that the best treatment is provided.
For over 20 years, I have been working with children, teenagers, and young adults to develop the skills necessary to navigate through life successfully. I assist clients in developing insight into their current life situation, broaden their ability to cope with some of life's greatest challenges, nurture their resiliency and developing effective communication skills. I use a combination of play therapy interventions, Animal Assisted Human Health (therapy dogs) and traditional talk therapy in my practice. I believe in a holistic approach and will collaborate with families and providers to ensure that the best treatment is provided.
(619) 502-9466 View (619) 502-9466
Photo of Dr. Kimthu Trinh-Energy Psychology & Wellness, Psychologist in San Diego, CA
Dr. Kimthu Trinh-Energy Psychology & Wellness
Psychologist, PhD
Verified Verified
1 Endorsed
San Diego, CA 92111
Not accepting new clients
Dr. Kimthu Trinh a Licensed Psychologist, Forensic Consultant, Divorce Mediator with over 20+ years of experience in providing both therapy & evaluation for adults, children, and families in various settings such as private practice, correctional facilities, counseling centers, and local schools throughout CA. She is qualified to administer & interpret a wide range of tests: Medical Certification for Disability, Fitness for Duty, Competency to stand trial, Risks to re-offend, Criminal mitigation assessments, Pre-employment evaluation, Pre-surgical clearances. She has extensive training in Energy Psychology, Neurofeedback, and EMDR.
Dr. Kimthu Trinh a Licensed Psychologist, Forensic Consultant, Divorce Mediator with over 20+ years of experience in providing both therapy & evaluation for adults, children, and families in various settings such as private practice, correctional facilities, counseling centers, and local schools throughout CA. She is qualified to administer & interpret a wide range of tests: Medical Certification for Disability, Fitness for Duty, Competency to stand trial, Risks to re-offend, Criminal mitigation assessments, Pre-employment evaluation, Pre-surgical clearances. She has extensive training in Energy Psychology, Neurofeedback, and EMDR.
(858) 239-2327 View (858) 239-2327
Photo of Mitzy D Ruelas, Marriage & Family Therapist Associate in San Diego, CA
Mitzy D Ruelas
Marriage & Family Therapist Associate, MS, AMFT
Verified Verified
2 Endorsed
San Diego, CA 92108
Do you find yourself feeling like you're constantly navigating two worlds and it's difficult to show up as your whole self? Do you feel alone in navigating social systems such as your work space, education, even your family system? Maybe you've noticed thought and behavioral patterns that no longer serve you. Experiences like these can create anxiety, stress, low self-esteem, imposture syndrome, and barriers in our relationship with self and others. You may feel alone, you're not. It may feel like there's something wrong with you, there isn't.
Do you find yourself feeling like you're constantly navigating two worlds and it's difficult to show up as your whole self? Do you feel alone in navigating social systems such as your work space, education, even your family system? Maybe you've noticed thought and behavioral patterns that no longer serve you. Experiences like these can create anxiety, stress, low self-esteem, imposture syndrome, and barriers in our relationship with self and others. You may feel alone, you're not. It may feel like there's something wrong with you, there isn't.
(657) 286-2383 View (657) 286-2383
Photo of Jessica Keane, Marriage & Family Therapist in San Diego, CA
Jessica Keane
Marriage & Family Therapist, MA, LMFT
Verified Verified
San Diego, CA 92127
Hello! My name is Jessica and I am happy to meet you. I became a therapist to help others in the way others have helped me in my teenage and young adulthood. While my challenges are not the same as yours, I welcome individuals who feel overwhelmed by anxiety, loss of self, and those who are searching for more meaningful relationships. I enjoy working with those who are interested in finding additional support in this current relationships (familial, friend or romantic).
Hello! My name is Jessica and I am happy to meet you. I became a therapist to help others in the way others have helped me in my teenage and young adulthood. While my challenges are not the same as yours, I welcome individuals who feel overwhelmed by anxiety, loss of self, and those who are searching for more meaningful relationships. I enjoy working with those who are interested in finding additional support in this current relationships (familial, friend or romantic).
(858) 324-6322 View (858) 324-6322
Photo of Jesse Jones, Marriage & Family Therapist in San Diego, CA
Jesse Jones
Marriage & Family Therapist, LMFT
Verified Verified
San Diego, CA 92123
Do you sometimes feel like you can never be your true self? Do you desire to simply be who you are and not who everyone else expects you to be? Do you frequently feel lost in the complex social expectations often held toward gender and sexuality? For many people, these expectations can feel limiting and incompatible with their felt sense of who they are as a person. Whether you're dealing with assumptions or societal pressure to conform, I can help you navigate these hurdles and develop the tools and skills you need to live a more fulfilling and joyful life.
Do you sometimes feel like you can never be your true self? Do you desire to simply be who you are and not who everyone else expects you to be? Do you frequently feel lost in the complex social expectations often held toward gender and sexuality? For many people, these expectations can feel limiting and incompatible with their felt sense of who they are as a person. Whether you're dealing with assumptions or societal pressure to conform, I can help you navigate these hurdles and develop the tools and skills you need to live a more fulfilling and joyful life.
(619) 393-7925 View (619) 393-7925
Photo of Mary Jordan, Marriage & Family Therapist Associate in San Diego, CA
Mary Jordan
Marriage & Family Therapist Associate, AMFT, EMDR
Verified Verified
San Diego, CA 92103
Do you find yourself shut down or suppress your feelings? Do you struggle in relationships due to your trauma? Are you unsure of where you belong? I work with people of all identities to process unresolved feelings due to trauma. I strive to provide you a safe and non-judgmental space, in order for you to develop coping mechanisms for trauma symptoms (anxiety, depression, addiction, etc.) and to explore aspects of yourself. I can help you let go of Past HURTS and develop tools to find RELIEF.
Do you find yourself shut down or suppress your feelings? Do you struggle in relationships due to your trauma? Are you unsure of where you belong? I work with people of all identities to process unresolved feelings due to trauma. I strive to provide you a safe and non-judgmental space, in order for you to develop coping mechanisms for trauma symptoms (anxiety, depression, addiction, etc.) and to explore aspects of yourself. I can help you let go of Past HURTS and develop tools to find RELIEF.
(619) 340-0084 View (619) 340-0084
Photo of Heritage Psychology/Autism and ADHD assessment, Psychologist in San Diego, CA
Heritage Psychology/Autism and ADHD assessment
Psychologist, PsyD
Verified Verified
San Diego, CA 92102
Hello, my name is Dr. Brenda Franz, owner of Heritage Psychology. I offer comprehensive neuropsychological, psychological, and psychoeducational evaluations. I also offer sessions based off of the PEERS (Program for the Education and Enrichment of Relational Skills) program of UCLA for adolescents (ages 10-18) on an ongoing basis. At this time, I do not offer individual therapy. I am currently in network with Tricare (West Region) and Self-Pay only. Email is the best way to reach me. Please reach out with any questions, I would love to hear from you.
Hello, my name is Dr. Brenda Franz, owner of Heritage Psychology. I offer comprehensive neuropsychological, psychological, and psychoeducational evaluations. I also offer sessions based off of the PEERS (Program for the Education and Enrichment of Relational Skills) program of UCLA for adolescents (ages 10-18) on an ongoing basis. At this time, I do not offer individual therapy. I am currently in network with Tricare (West Region) and Self-Pay only. Email is the best way to reach me. Please reach out with any questions, I would love to hear from you.
(858) 465-5324 View (858) 465-5324

How does your Therapist compare?

Number of Therapists in San Diego, CA

3,000+

Average cost per session

$160

Therapists in San Diego, CA who prioritize treating:

93% Anxiety
87% Depression
71% Self Esteem
66% Relationship Issues
66% Trauma and PTSD
66% Coping Skills
62% Stress

Average years in practice

11 Years

Top 3 insurances accepted

77% Aetna
74% Cigna and Evernorth
69% UnitedHealthcare UHC | UBH

How Therapists in San Diego, CA see their clients

55% In Person and Online
45% Online Only

Gender breakdown

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

How can I find a therapist in San Diego?

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.