Therapists in Pacifica, CA

Photo of Annette M Taylor, Marriage & Family Therapist in Pacifica, CA
Annette M Taylor
Marriage & Family Therapist, MA, MFT, LPCC
Verified Verified
Pacifica, CA 94044
I am now accepting new clients. I work with clients to explore past experiences and life transitions that are affecting their lives. Through weekly sessions, we will work through self exploration, personal concerns and life challenges. We will explore circumstances that can be changed, those that cannot be changed, and how to discern the difference. We will also discuss and practice various coping mechanisms that can help clients improve their lives. Therapy is a gift to yourself!
I am now accepting new clients. I work with clients to explore past experiences and life transitions that are affecting their lives. Through weekly sessions, we will work through self exploration, personal concerns and life challenges. We will explore circumstances that can be changed, those that cannot be changed, and how to discern the difference. We will also discuss and practice various coping mechanisms that can help clients improve their lives. Therapy is a gift to yourself!
(415) 236-3998 View (415) 236-3998
Ray Simnegar
Psychologist, PhD
Verified Verified
Pacifica, CA 94044
I have been offering psychotherapy to individuals, couples and families for the past 27 years. I would particularly like to work with couples, whether it is in the very beginning of the relationship to check for compatibility, during the relationship to deal with problems that arise, or working on amicable separation. I offer conflict resolution to individual, couples and families. I am also trained in divorce mediation to work on uncontested divorce where we can create a win/win situation for both parties. All the work can be done in a few sessions and this could save you legal fees that can run into tens of thousands of dollars.
I have been offering psychotherapy to individuals, couples and families for the past 27 years. I would particularly like to work with couples, whether it is in the very beginning of the relationship to check for compatibility, during the relationship to deal with problems that arise, or working on amicable separation. I offer conflict resolution to individual, couples and families. I am also trained in divorce mediation to work on uncontested divorce where we can create a win/win situation for both parties. All the work can be done in a few sessions and this could save you legal fees that can run into tens of thousands of dollars.
(415) 658-9929 View (415) 658-9929
Photo of Office of Dr. Laurie Goren, Psychologist, Psychologist in Pacifica, CA
Office of Dr. Laurie Goren, Psychologist
Psychologist, PsyD
Verified Verified
4 Endorsed
Pacifica, CA 94044  (Online Only)
Waitlist for new clients
My clients come for help in addressing discomfort or difficulty related to a broad range of issues, such as academic or professional performance, life transitions, and relationships. I provide a warm, creative atmosphere and a collaborative process of exploration and growth.
My clients come for help in addressing discomfort or difficulty related to a broad range of issues, such as academic or professional performance, life transitions, and relationships. I provide a warm, creative atmosphere and a collaborative process of exploration and growth.
(650) 675-2363 View (650) 675-2363
Photo of Donna Blethen, Marriage & Family Therapist in Pacifica, CA
Donna Blethen
Marriage & Family Therapist, MFT
Verified Verified
Pacifica, CA 94044
Do you wish your mate listened to you and understood you better? Do you sometimes feel angry that he/she is too controlling and unwilling to compromise? It doesn't have to be this way. Let me help. Loving behaviors are learned. I can teach you to build a stronger and more loving connection. I would love to teach you the simple but powerful skills with which to improve your relationship. Do know that all relationships start with the self. How we treat ourselves internally is often what we allow externally. Let me help you work the inside job and the relationship with other job.
Do you wish your mate listened to you and understood you better? Do you sometimes feel angry that he/she is too controlling and unwilling to compromise? It doesn't have to be this way. Let me help. Loving behaviors are learned. I can teach you to build a stronger and more loving connection. I would love to teach you the simple but powerful skills with which to improve your relationship. Do know that all relationships start with the self. How we treat ourselves internally is often what we allow externally. Let me help you work the inside job and the relationship with other job.
(650) 385-8844 View (650) 385-8844
Photo of Enna Ruth O'Donnell, Marriage & Family Therapist in Pacifica, CA
Enna Ruth O'Donnell
Marriage & Family Therapist, MA, CPCC, LMFT
Verified Verified
3 Endorsed
Pacifica, CA 94044
At the heart of our struggles and pains are relationships. At the heart of our hopes and dreams are relationships. Whether it is your relationship with anxiety and depression, with your career, with your partner, sister, son, daughter, boss, or parent-everything is about relationships. Therapy helps you tackle some of the most challenging questions we all face. How do we repair what needs to be fixed in our relationships, including the relationship with ourselves? What needs attention, a new perspective, a better skill, or emotional resolve to enable you to become more authentic and improve your connection to self and others?
At the heart of our struggles and pains are relationships. At the heart of our hopes and dreams are relationships. Whether it is your relationship with anxiety and depression, with your career, with your partner, sister, son, daughter, boss, or parent-everything is about relationships. Therapy helps you tackle some of the most challenging questions we all face. How do we repair what needs to be fixed in our relationships, including the relationship with ourselves? What needs attention, a new perspective, a better skill, or emotional resolve to enable you to become more authentic and improve your connection to self and others?
(650) 239-2513 View (650) 239-2513
Suzanne M Valla
Marriage & Family Therapist, LMFT
Verified Verified
Pacifica, CA 94044
I specialize working with young adults parents and other adults who are experiencing life transitions-such as, grief and loss issues, anxiety and depression. Mindfulness and Cognitive Behavioral techniques are taught to my clients as they work toward recovery and acceptance while receiving positive regard and support.
I specialize working with young adults parents and other adults who are experiencing life transitions-such as, grief and loss issues, anxiety and depression. Mindfulness and Cognitive Behavioral techniques are taught to my clients as they work toward recovery and acceptance while receiving positive regard and support.
(415) 930-9318 View (415) 930-9318
Photo of Samantha Howard, Marriage & Family Therapist in Pacifica, CA
Samantha Howard
Marriage & Family Therapist, LMFT
Verified Verified
Pacifica, CA 94044
I recognize the courage it takes to seek support in your life journey. I strive to provide a non-judgmental and safe place for individuals as growth can begin where it feels safe. I am compassionate in helping my clients define, identify, and practice self-compassion along their journey. Together, we can identify and process areas of discomfort, practice self-regulation and coping skills, and reframe negative thought patterns.
I recognize the courage it takes to seek support in your life journey. I strive to provide a non-judgmental and safe place for individuals as growth can begin where it feels safe. I am compassionate in helping my clients define, identify, and practice self-compassion along their journey. Together, we can identify and process areas of discomfort, practice self-regulation and coping skills, and reframe negative thought patterns.
(650) 675-2174 View (650) 675-2174
Photo of Patricia A Luken, Marriage & Family Therapist in Pacifica, CA
Patricia A Luken
Marriage & Family Therapist, MFT, RN, CDE
Verified Verified
Pacifica, CA 94044
Not accepting new clients
So you are looking for a therapist and I am happy that you have found my page. I know this is not an easy decision for you to consider coming to therapy. Therapy is a very individualized process and finding the right therapist for yourself is important. I conceptualize therapy as a collaborative process in which the therapist and client(s) work together to develop treatment content and goals. I can and do work in a solution-oriented fashion but can also go further beyond symptom relief to help clients create lasting change in their lives.
So you are looking for a therapist and I am happy that you have found my page. I know this is not an easy decision for you to consider coming to therapy. Therapy is a very individualized process and finding the right therapist for yourself is important. I conceptualize therapy as a collaborative process in which the therapist and client(s) work together to develop treatment content and goals. I can and do work in a solution-oriented fashion but can also go further beyond symptom relief to help clients create lasting change in their lives.
(925) 523-7364 View (925) 523-7364
Photo of Cassandra Majus, MFT, Marriage & Family Therapist in Pacifica, CA
Cassandra Majus, MFT
Marriage & Family Therapist, MFT, LPCC
Verified Verified
2 Endorsed
Pacifica, CA 94044
Life is full of transitions, whether in childhood or adulthood. They are part of life and can be positive or negative. Life will always throw something your way. I'd like to help you through these transitional periods and make the journey smooth and comfortable. Seeking treatment can be a difficult choice, but in the end is a rewarding part of life. I'm looking to support parents of young children, children/teens transitioning to new stages of life, adolescents transitioning to college, new mothers adjusting to being a parent, and women who are struggling with job/school/relationship/motherhood stressors.
Life is full of transitions, whether in childhood or adulthood. They are part of life and can be positive or negative. Life will always throw something your way. I'd like to help you through these transitional periods and make the journey smooth and comfortable. Seeking treatment can be a difficult choice, but in the end is a rewarding part of life. I'm looking to support parents of young children, children/teens transitioning to new stages of life, adolescents transitioning to college, new mothers adjusting to being a parent, and women who are struggling with job/school/relationship/motherhood stressors.
(650) 204-8690 View (650) 204-8690
Photo of Orneya Bilal, Clinical Social Work/Therapist in Pacifica, CA
Orneya Bilal
Clinical Social Work/Therapist, LCSW
Verified Verified
Pacifica, CA 94044
Hello, I am a License Clinical Social worker who enjoys supporting clients through difficult times. I believe that everyone deserves the opportunity to receive tools to manage their mental health in order to experience healing and peace of mind. My client experience includes behavioral intervention with children on the spectrum and with adults experiencing loss, life-changing events, and changes in the level of care as it pertains to end-of-life treatment.
Hello, I am a License Clinical Social worker who enjoys supporting clients through difficult times. I believe that everyone deserves the opportunity to receive tools to manage their mental health in order to experience healing and peace of mind. My client experience includes behavioral intervention with children on the spectrum and with adults experiencing loss, life-changing events, and changes in the level of care as it pertains to end-of-life treatment.
(650) 675-3965 View (650) 675-3965
Photo of Victoria Holley, Marriage & Family Therapist in Pacifica, CA
Victoria Holley
Marriage & Family Therapist, MA, LMFT
Verified Verified
Pacifica, CA 94044
Waitlist for new clients
Hi, I'm Victoria! My focus is working with children ages 6+, adolescents, teenagers and women - specifically moms and moms of multiples. I help with a variety of issues, primarily anxiety, social anxiety, depression, stress, life transitions, and those struggling with finding or rediscovering identity and authenticity. I believe humans strive to be the best they can be, and are always on the path to self-actualization. You are the expert in your life, but sometimes there is a disconnect between where you are and where you want to be. I will help guide you to get there and together, we will work towards your goals.
Hi, I'm Victoria! My focus is working with children ages 6+, adolescents, teenagers and women - specifically moms and moms of multiples. I help with a variety of issues, primarily anxiety, social anxiety, depression, stress, life transitions, and those struggling with finding or rediscovering identity and authenticity. I believe humans strive to be the best they can be, and are always on the path to self-actualization. You are the expert in your life, but sometimes there is a disconnect between where you are and where you want to be. I will help guide you to get there and together, we will work towards your goals.
(650) 582-2740 View (650) 582-2740
Photo of Fritz Bixler, Marriage & Family Therapist Associate in Pacifica, CA
Fritz Bixler
Marriage & Family Therapist Associate, AMFT, APCC
Verified Verified
2 Endorsed
Pacifica, CA 94044
My priority is helping you build a life beyond your wildest dreams. I am dedicated to meeting you where you’re at, and supporting you in carving out your own unique path towards healing and self-actualization. I believe everyone has the capacity to flourish, and I aim to create space for my clients to explore what wellness looks like for them. I really get intensity and emotional sensitivity, and understand the blessings and burdens that come with diverse ways of seeing the world. I am primarily a drama therapist specializing in creative play, but also provide straightforward talk therapy.
My priority is helping you build a life beyond your wildest dreams. I am dedicated to meeting you where you’re at, and supporting you in carving out your own unique path towards healing and self-actualization. I believe everyone has the capacity to flourish, and I aim to create space for my clients to explore what wellness looks like for them. I really get intensity and emotional sensitivity, and understand the blessings and burdens that come with diverse ways of seeing the world. I am primarily a drama therapist specializing in creative play, but also provide straightforward talk therapy.
(925) 966-3435 View (925) 966-3435
Photo of Heidi Pidcoke, Marriage & Family Therapist in Pacifica, CA
Heidi Pidcoke
Marriage & Family Therapist, LMFT, MA
Verified Verified
Pacifica, CA 94044
Sometimes in life we experience seasons of feeling adrift and lost. Other times we have faced immensely painful circumstances which have left a lingering impact on our thoughts, mood and behavior. Working together we can illuminate pathways to resolve these challenges and reach a sense of safety, connection and purpose. As a Somatic Psychotherapist, I specialize in restoring a mind/body connection along with focusing on overcoming the distress caused by a sudden transition, loss, violence, burnout and betrayal.
Sometimes in life we experience seasons of feeling adrift and lost. Other times we have faced immensely painful circumstances which have left a lingering impact on our thoughts, mood and behavior. Working together we can illuminate pathways to resolve these challenges and reach a sense of safety, connection and purpose. As a Somatic Psychotherapist, I specialize in restoring a mind/body connection along with focusing on overcoming the distress caused by a sudden transition, loss, violence, burnout and betrayal.
(626) 314-5517 View (626) 314-5517
Photo of Tia Huston, Art Therapist in Pacifica, CA
Tia Huston
Art Therapist, MS, LCAT, BC-DMT
Verified Verified
4 Endorsed
Pacifica, CA 94044  (Online Only)
Not accepting new clients
As a dance/movement therapist, our sessions can be purely talk therapy, movement and talk therapy, or a mixture of movement, talk, and other creative approaches. In our sessions together, I will create a space where all aspects of you are welcome and you can speak freely about whatever is on your mind. I can help you understand how your past impacts your present. I am here to listen, understand, and help you discover new choices and new ways of being, so that you can flourish in life. I am here to support you on your journey of self discovery and self growth.
As a dance/movement therapist, our sessions can be purely talk therapy, movement and talk therapy, or a mixture of movement, talk, and other creative approaches. In our sessions together, I will create a space where all aspects of you are welcome and you can speak freely about whatever is on your mind. I can help you understand how your past impacts your present. I am here to listen, understand, and help you discover new choices and new ways of being, so that you can flourish in life. I am here to support you on your journey of self discovery and self growth.
(415) 226-4203 View (415) 226-4203
Photo of Michelle Settergren, Marriage & Family Therapist in Pacifica, CA
Michelle Settergren
Marriage & Family Therapist, LMFT
Verified Verified
Pacifica, CA 94044
Hi there! My name is Michelle Settergren and I'm a Licensed Marriage and Family Therapist based in Huntington Beach, providing teletherapy services across California. I've worked in various healing capacities for over 12 years and believe we all have the potential to be self-healers. I'm gender and LGBTQIA+ affirming, and I specialize in working with adults who've suffered from trauma/PTSD, first responder/military trauma, anxiety/social anxiety/agoraphobia, depression, personality disorders, panic disorders, communication issues, addiction, and identity confusion.
Hi there! My name is Michelle Settergren and I'm a Licensed Marriage and Family Therapist based in Huntington Beach, providing teletherapy services across California. I've worked in various healing capacities for over 12 years and believe we all have the potential to be self-healers. I'm gender and LGBTQIA+ affirming, and I specialize in working with adults who've suffered from trauma/PTSD, first responder/military trauma, anxiety/social anxiety/agoraphobia, depression, personality disorders, panic disorders, communication issues, addiction, and identity confusion.
(650) 643-5945 View (650) 643-5945
Photo of Rodrigo Caldera, Marriage & Family Therapist in Pacifica, CA
Rodrigo Caldera
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Pacifica, CA 94044
You seek a compassionate therapist to help regulate emotions, address trauma, and provide a sounding board. Embracing courage and creativity, you see therapy as a resource and a mindset. You yearn to be heard, process, feel supported, and gain insights while being mindful to accountability. You are willing to take charge of your healing journey, know your destination, and welcome guidance along the way. Open to offerings, you try on new things while remaining authentically you- able to accept or decline invitations. You welcome going deep and exploring the quiet places within you. You are ready to explore beyond talk therapy.
You seek a compassionate therapist to help regulate emotions, address trauma, and provide a sounding board. Embracing courage and creativity, you see therapy as a resource and a mindset. You yearn to be heard, process, feel supported, and gain insights while being mindful to accountability. You are willing to take charge of your healing journey, know your destination, and welcome guidance along the way. Open to offerings, you try on new things while remaining authentically you- able to accept or decline invitations. You welcome going deep and exploring the quiet places within you. You are ready to explore beyond talk therapy.
(650) 648-4144 View (650) 648-4144
Photo of Beth Bashore, Marriage & Family Therapist in Pacifica, CA
Beth Bashore
Marriage & Family Therapist, MA, MFT
Verified Verified
Pacifica, CA 94044  (Online Only)
Change is stressful, even when it comes with joy or success, or when you’ve worked toward it for a long time. It’s natural to have lots of emotions or even doubts arise in times of transition. Promotions, new relationships, moves, the death of a friend or loved one or beloved pet, relationships ending, moving into a new stage of life - change always involves elements of the unknown. For over 20 years I’ve been helping people navigate life transitions. I meet each client where they are, to help them grow and develop in ways that help them through challenging times.
Change is stressful, even when it comes with joy or success, or when you’ve worked toward it for a long time. It’s natural to have lots of emotions or even doubts arise in times of transition. Promotions, new relationships, moves, the death of a friend or loved one or beloved pet, relationships ending, moving into a new stage of life - change always involves elements of the unknown. For over 20 years I’ve been helping people navigate life transitions. I meet each client where they are, to help them grow and develop in ways that help them through challenging times.
(415) 799-7412 View (415) 799-7412
Photo of Maggie B. de Vera, Marriage & Family Therapist in Pacifica, CA
Maggie B. de Vera
Marriage & Family Therapist, PsyD(c), LMFT, CCHT, CLC
Verified Verified
2 Endorsed
Pacifica, CA 94044
Maggie de Vera is a respected Holistic Practitioner, Therapist, Clinical Supervisor, Life Coach, Trainer & Consultant in the Bay Area. Backed with over 30+ years of extensive experience, education/training and leadership, Maggie is acclaimed in her field for effective work with the most challenging cases and runs a private practice as a Psychotherapist, Clinical Hypnotherapist, Sex Therapist, Life Coach, Speaker/Trainer, Consultant and also the Founder & President/CEO of a Non-profit Agency serving the disadvantaged & high-risk. Maggie focuses on supporting/ empowering her clients to heal and grow to create a healthy & positive life
Maggie de Vera is a respected Holistic Practitioner, Therapist, Clinical Supervisor, Life Coach, Trainer & Consultant in the Bay Area. Backed with over 30+ years of extensive experience, education/training and leadership, Maggie is acclaimed in her field for effective work with the most challenging cases and runs a private practice as a Psychotherapist, Clinical Hypnotherapist, Sex Therapist, Life Coach, Speaker/Trainer, Consultant and also the Founder & President/CEO of a Non-profit Agency serving the disadvantaged & high-risk. Maggie focuses on supporting/ empowering her clients to heal and grow to create a healthy & positive life
(415) 237-2396 View (415) 237-2396
Photo of Maryam Taghdimi, Psychologist in Pacifica, CA
Maryam Taghdimi
Psychologist, PhD
Verified Verified
Pacifica, CA 94044  (Online Only)
I am a licensed clinical psychotherapist providing individual and group therapy in English, and Persian/Farsi. My clinical areas of interest and areas of expertise include codependency, trauma and complex trauma, substance use, narcissistic abuse, mood & anxiety disorders.
I am a licensed clinical psychotherapist providing individual and group therapy in English, and Persian/Farsi. My clinical areas of interest and areas of expertise include codependency, trauma and complex trauma, substance use, narcissistic abuse, mood & anxiety disorders.
(650) 664-3585 View (650) 664-3585
Photo of Rafael Portuges, Marriage & Family Therapist in Pacifica, CA
Rafael Portuges
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Pacifica, CA 94044
As a Licensed Marriage and Family Therapist (LMFT), my mission is to provide compassionate and effective therapy to individuals, couples, and families facing a variety of challenges. I believe in the power of therapy as a collaborative process, where clients are empowered to explore their thoughts, emotions, and behaviors in a safe and supportive environment. My approach is rooted in empathy, respect, and cultural sensitivity, recognizing that each person's experiences and perspectives are unique. I strive to create a therapeutic relationship built on trust and authenticity.
As a Licensed Marriage and Family Therapist (LMFT), my mission is to provide compassionate and effective therapy to individuals, couples, and families facing a variety of challenges. I believe in the power of therapy as a collaborative process, where clients are empowered to explore their thoughts, emotions, and behaviors in a safe and supportive environment. My approach is rooted in empathy, respect, and cultural sensitivity, recognizing that each person's experiences and perspectives are unique. I strive to create a therapeutic relationship built on trust and authenticity.
(650) 360-9881 View (650) 360-9881

How does your Therapist compare?

Number of Therapists in Pacifica, CA

80+

Average cost per session

$175

Therapists in Pacifica, CA who prioritize treating:

93% Anxiety
83% Depression
75% Self Esteem
68% Relationship Issues
67% Coping Skills
65% Stress
61% Trauma and PTSD

Average years in practice

13 Years

Top 3 insurances accepted

73% Cigna and Evernorth
70% UnitedHealthcare UHC | UBH
68% Aetna

How Therapists in Pacifica, CA see their clients

80% In Person and Online
20% Online Only

Gender breakdown

83% Female
15% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Pacifica?

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.