Therapists in Sacramento, CA

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Photo of Erica Medina, Marriage & Family Therapist in Sacramento, CA
Erica Medina
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Sacramento, CA 95833  (Online Only)
We all need support from time to time. My goal is to guide you in learning and practicing healthy coping skills to manage life challenges, gain insight from past experiences, to feel successful in your relationships and life, and develop a deeper understanding and connection in the relationships that mean the most to you.
We all need support from time to time. My goal is to guide you in learning and practicing healthy coping skills to manage life challenges, gain insight from past experiences, to feel successful in your relationships and life, and develop a deeper understanding and connection in the relationships that mean the most to you.
(530) 688-6821 View (530) 688-6821
Photo of Beverly Johnson, Clinical Social Work/Therapist in Sacramento, CA
Beverly Johnson
Clinical Social Work/Therapist, LCSW
Verified Verified
Sacramento, CA 95864
Are you struggling with issues related to trauma, grief, addiction, anxiety, or major life changes? There comes a time when help is needed from a certified professional. Whatever you're struggling with, personally or professionally, I'm here to help. I am a licensed clinical therapist with over 20 years experience guiding people through a variety of life changes, tapping back into their strengths, and getting back to living their best selves. I am here to provide a safe, peaceful, and confidential place for you to explore what is bothering you, reconnect your strengths, and get you back on track to living a joyful life.
Are you struggling with issues related to trauma, grief, addiction, anxiety, or major life changes? There comes a time when help is needed from a certified professional. Whatever you're struggling with, personally or professionally, I'm here to help. I am a licensed clinical therapist with over 20 years experience guiding people through a variety of life changes, tapping back into their strengths, and getting back to living their best selves. I am here to provide a safe, peaceful, and confidential place for you to explore what is bothering you, reconnect your strengths, and get you back on track to living a joyful life.
(916) 237-9792 View (916) 237-9792
Photo of Amy Groven, Marriage & Family Therapist in Sacramento, CA
Amy Groven
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95820  (Online Only)
Do you always feel on edge? Did something traumatic happen? Trauma is a disruption to the nervous system that often creates patterns and loops that extend into many areas of a person's life. It can affect our bodies, our minds and the way we relate to other people. Sometimes the way people survive their trauma brings them more pain, adds to the chaos, and reinforces negative beliefs that perpetuate the cycle as well as causing other mental health issues grow- such as depression and anxiety. I work with people of various cultures, sexual orientations, and gender identities and know that trauma is non-discriminatory.
Do you always feel on edge? Did something traumatic happen? Trauma is a disruption to the nervous system that often creates patterns and loops that extend into many areas of a person's life. It can affect our bodies, our minds and the way we relate to other people. Sometimes the way people survive their trauma brings them more pain, adds to the chaos, and reinforces negative beliefs that perpetuate the cycle as well as causing other mental health issues grow- such as depression and anxiety. I work with people of various cultures, sexual orientations, and gender identities and know that trauma is non-discriminatory.
(916) 249-8340 View (916) 249-8340
Photo of Casi Del Greco (Virtual Therapist Only), Marriage & Family Therapist in Sacramento, CA
Casi Del Greco (Virtual Therapist Only)
Marriage & Family Therapist, LMFT, LPCC
Verified Verified
2 Endorsed
Sacramento, CA 95826  (Online Only)
“Change Your Thoughts and You’ll Change Your World”. My goal is to offer and provide support within the therapeutic relationship that allows for you to gain insight on discovering your needs. I believe everyone needs support but struggles with how to ask for help. In my practices I provide the time and space for you to feel heard, supported, and most importantly I provide empathy. Empathy is a powerful word as it defines the ability to sense other people’s emotions, coupled with the ability to imagine what someone might be thinking or feeling. I always try to create a warm, heartening, and empathetic environment with every client.
“Change Your Thoughts and You’ll Change Your World”. My goal is to offer and provide support within the therapeutic relationship that allows for you to gain insight on discovering your needs. I believe everyone needs support but struggles with how to ask for help. In my practices I provide the time and space for you to feel heard, supported, and most importantly I provide empathy. Empathy is a powerful word as it defines the ability to sense other people’s emotions, coupled with the ability to imagine what someone might be thinking or feeling. I always try to create a warm, heartening, and empathetic environment with every client.
(916) 884-5155 View (916) 884-5155
Photo of Erica Romero, Marriage & Family Therapist in Sacramento, CA
Erica Romero
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95820
My name is Erica Romero, and I am a Licensed Marriage and Family Therapist based in San Mateo, California. I work with individuals from different backgrounds facing a broad range of matters. I demonstrate a multicultural and trauma-focused perspective. My approach to therapy varies based on the needs of each client I work with. I utilize techniques from Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Solution Focused Brief Therapy (SFBT).
My name is Erica Romero, and I am a Licensed Marriage and Family Therapist based in San Mateo, California. I work with individuals from different backgrounds facing a broad range of matters. I demonstrate a multicultural and trauma-focused perspective. My approach to therapy varies based on the needs of each client I work with. I utilize techniques from Cognitive Behavioral Therapy (CBT), Motivational Interviewing (MI), and Solution Focused Brief Therapy (SFBT).
(916) 382-7409 View (916) 382-7409
Photo of David Keith Nylund, Clinical Social Work/Therapist in Sacramento, CA
David Keith Nylund
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
5 Endorsed
Sacramento, CA 95811
I have been a therapist for 35 years working in non-profits, managed care, and private practice. My current work is couples therapy utilizing a relationship focused, resolution based approach. I have experience in working with anxiety/depression; trauma; ADHD; eating disorders; and family therapy. I am a Social Work Professor at Sacramento State Univ. I conduct workshops nationwide/internationally. I serve as the Clinical Director of the Gender Health Center, an agency serving the transgendercommunity. I have worked with hunderds of transgender youth and their families. I teach for the Vancouver School for Narrative Therapy.
I have been a therapist for 35 years working in non-profits, managed care, and private practice. My current work is couples therapy utilizing a relationship focused, resolution based approach. I have experience in working with anxiety/depression; trauma; ADHD; eating disorders; and family therapy. I am a Social Work Professor at Sacramento State Univ. I conduct workshops nationwide/internationally. I serve as the Clinical Director of the Gender Health Center, an agency serving the transgendercommunity. I have worked with hunderds of transgender youth and their families. I teach for the Vancouver School for Narrative Therapy.
(916) 382-7565 View (916) 382-7565
Photo of Sandra A Warne, Marriage & Family Therapist in Sacramento, CA
Sandra A Warne
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95816
I am interested in meeting you individually or with your partner or spouse if you are not living your life to its fullest potential for joy, growth and connection with others. I specialize in trauma resolution through the utilization of EMDR, which is effective in clearing negative influences from the past so you can flourish in the present. My goal is for you is to live with balance, joy, and fulfillment. I also employ a gentle approach to reduce suffering through mindfulness based psychotherapy. Working with couples and diverse populations are interests, and specialties of mine.
I am interested in meeting you individually or with your partner or spouse if you are not living your life to its fullest potential for joy, growth and connection with others. I specialize in trauma resolution through the utilization of EMDR, which is effective in clearing negative influences from the past so you can flourish in the present. My goal is for you is to live with balance, joy, and fulfillment. I also employ a gentle approach to reduce suffering through mindfulness based psychotherapy. Working with couples and diverse populations are interests, and specialties of mine.
(916) 568-1025 View (916) 568-1025
Photo of Raven Royal, Marriage & Family Therapist in Sacramento, CA
Raven Royal
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
Sacramento, CA 95821
Waitlist for new clients
Life is expected to have ups and downs and that is unavoidable. The therapeutic relationship that I hope to bring to our sessions is one of compassion, understanding, empathy, and openness to differences without judgment. It is my belief that everyone on this planet strives to have a good quality of life and can become overwhelmed with constant disappointments, self-doubt, and a sense of feeling lost.
Life is expected to have ups and downs and that is unavoidable. The therapeutic relationship that I hope to bring to our sessions is one of compassion, understanding, empathy, and openness to differences without judgment. It is my belief that everyone on this planet strives to have a good quality of life and can become overwhelmed with constant disappointments, self-doubt, and a sense of feeling lost.
(916) 347-9086 View (916) 347-9086
Photo of Lucy Zhang, Marriage & Family Therapist in Sacramento, CA
Lucy Zhang
Marriage & Family Therapist, MA, LMFT
Verified Verified
7 Endorsed
Sacramento, CA 95816
Brene Brown says, "If we really want to live a joyful, connected, and meaningful life, we must talk about things that get in the way.” - There are times in our lives where we feel disconnected with ourselves, others, and the world around us, and instead of living with compassion, clarity, and stillness, you are stuck feeling overwhelmed, exhausted, helpless, frustrated. It's so hard to do that alone - you're not supposed to do this on your own. I am here to support you get you out of the trenches. I am passionate about helping you navigate this journey of self-discovery towards growth and healing.
Brene Brown says, "If we really want to live a joyful, connected, and meaningful life, we must talk about things that get in the way.” - There are times in our lives where we feel disconnected with ourselves, others, and the world around us, and instead of living with compassion, clarity, and stillness, you are stuck feeling overwhelmed, exhausted, helpless, frustrated. It's so hard to do that alone - you're not supposed to do this on your own. I am here to support you get you out of the trenches. I am passionate about helping you navigate this journey of self-discovery towards growth and healing.
(760) 214-9578 View (760) 214-9578
Photo of Danen Adelson, Psychologist in Sacramento, CA
Danen Adelson
Psychologist, PsyD
Verified Verified
Sacramento, CA 95816  (Online Only)
Through a respectful process of listening and questions, I work with you to help clarify your goals and values. I will help you find new perspectives and restore a healthy narrative that does not include feelings of blame or shame. We will work together to develop better skills at managing difficult emotions, such as sadness, disappointment, pain, and anger. We will learn to nurture feelings that are healthy and not those that can get us stuck. I hope to work with you to discover a sense of self-compassion and flexibility.
Through a respectful process of listening and questions, I work with you to help clarify your goals and values. I will help you find new perspectives and restore a healthy narrative that does not include feelings of blame or shame. We will work together to develop better skills at managing difficult emotions, such as sadness, disappointment, pain, and anger. We will learn to nurture feelings that are healthy and not those that can get us stuck. I hope to work with you to discover a sense of self-compassion and flexibility.
(530) 576-5417 View (530) 576-5417
Photo of Matthew Gahagan, Marriage & Family Therapist in Sacramento, CA
Matthew Gahagan
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95823
My name is Matthew Gahagan, and I am a Licensed Marriage and Family Therapist (MFT). I am located in the East Bay Area; CA and I serve clients statewide via telehealth. I work with adults and specialize in depression, anxiety, and stress. I use a combination of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and solutions-focused approaches to help my clients reach their goals.
My name is Matthew Gahagan, and I am a Licensed Marriage and Family Therapist (MFT). I am located in the East Bay Area; CA and I serve clients statewide via telehealth. I work with adults and specialize in depression, anxiety, and stress. I use a combination of Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and solutions-focused approaches to help my clients reach their goals.
(916) 776-5358 View (916) 776-5358
Photo of Paula Kenney, Marriage & Family Therapist in Sacramento, CA
Paula Kenney
Marriage & Family Therapist, PsyD, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95825
So often we compromise our own needs to please someone else. We might have learned to do this as children to get along with our parents and family members. As we move into adulthood, this habit stays with us and can cause us to feel lonely, confused, not good enough, and a sense that something important is missing in our lives.
So often we compromise our own needs to please someone else. We might have learned to do this as children to get along with our parents and family members. As we move into adulthood, this habit stays with us and can cause us to feel lonely, confused, not good enough, and a sense that something important is missing in our lives.
(916) 265-2006 View (916) 265-2006
Photo of Gerald Chambers, Marriage & Family Therapist in Sacramento, CA
Gerald Chambers
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95814
Relationships are as important to us as food and water. They can strengthen us, like a vitamin, or weaken us, like the flu. You are only as good in relationships as the relationships you have been in. As your therapist I can assist you in many ways. I can help you learn more about yourself, increase both self-compassion and compassion for others, and heal past trauma. Together, we can explore how to feel more connected to yourself, your values, and people you care about.
Relationships are as important to us as food and water. They can strengthen us, like a vitamin, or weaken us, like the flu. You are only as good in relationships as the relationships you have been in. As your therapist I can assist you in many ways. I can help you learn more about yourself, increase both self-compassion and compassion for others, and heal past trauma. Together, we can explore how to feel more connected to yourself, your values, and people you care about.
(916) 469-0747 View (916) 469-0747
Photo of Joie Noelle Halladay, Marriage & Family Therapist in Sacramento, CA
Joie Noelle Halladay
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95864
I have spent the past seven years supporting children and families in developing healthy and positive relationships with one another. I find families thrive once given the skills they are undoubtedly searching for. I attended CSU Sacramento for my Bachelors of Science in Speech Pathology and later my Master of Science degree in Marriage, Family and Child Counseling. I obtained my license in June of 2016 after completing the required 3,000 hours. I work individually with children of all ages and their families in order to ensure that the whole family obtains the skills necessary to grow and succeed.
I have spent the past seven years supporting children and families in developing healthy and positive relationships with one another. I find families thrive once given the skills they are undoubtedly searching for. I attended CSU Sacramento for my Bachelors of Science in Speech Pathology and later my Master of Science degree in Marriage, Family and Child Counseling. I obtained my license in June of 2016 after completing the required 3,000 hours. I work individually with children of all ages and their families in order to ensure that the whole family obtains the skills necessary to grow and succeed.
(916) 414-9498 View (916) 414-9498
Photo of Regina Huerta, Marriage & Family Therapist in Sacramento, CA
Regina Huerta
Marriage & Family Therapist, LMFT
Verified Verified
Sacramento, CA 95829  (Online Only)
Hello, I am Regina Huerta, a Licensed Marriage and Family Therapist who provide online therapy to clients in California. I have over two decades of experience providing mental health services to teens and adults. I work with individuals from diverse social and cultural backgrounds. I specialize in working with individuals who are experiencing trauma, poor self-esteem, domestic violence, teen violence, grief, life transitions, and more. My intention is to provide you the support and space you need to feel safe to express yourself without judgment. I look forward to supporting you on your journey.
Hello, I am Regina Huerta, a Licensed Marriage and Family Therapist who provide online therapy to clients in California. I have over two decades of experience providing mental health services to teens and adults. I work with individuals from diverse social and cultural backgrounds. I specialize in working with individuals who are experiencing trauma, poor self-esteem, domestic violence, teen violence, grief, life transitions, and more. My intention is to provide you the support and space you need to feel safe to express yourself without judgment. I look forward to supporting you on your journey.
(916) 235-8156 View (916) 235-8156
Photo of Kristy Long, Marriage & Family Therapist Associate in Sacramento, CA
Kristy Long
Marriage & Family Therapist Associate, AMFT
Verified Verified
Sacramento, CA 95825  (Online Only)
Clients who benefit most from my practices struggle with anxiety, depression, panic, somatic symptoms, feeling overwhelmed, not knowing who they are or what they want, feeling isolated, passionless, existentially challenged, lack of motivation, difficulty with boundaries, trauma, problems in relationships or at work, or who have a hard time sticking to a plan. It can be hard to identify exactly why a person feels like they need therapy, but getting started and showing up is the hardest part!
Clients who benefit most from my practices struggle with anxiety, depression, panic, somatic symptoms, feeling overwhelmed, not knowing who they are or what they want, feeling isolated, passionless, existentially challenged, lack of motivation, difficulty with boundaries, trauma, problems in relationships or at work, or who have a hard time sticking to a plan. It can be hard to identify exactly why a person feels like they need therapy, but getting started and showing up is the hardest part!
(916) 794-8915 View (916) 794-8915
Photo of Aires Adalim, Marriage & Family Therapist Associate in Sacramento, CA
Aires Adalim
Marriage & Family Therapist Associate, AMFT
Verified Verified
2 Endorsed
Sacramento, CA 95816
Are you a teen or young adult feeling stuck in life or lost after college? Do you want to build friendships, but don't know where to start, or wish you had a community to share your interests with? Whether you're facing challenges with relationships, career choices, or the uncertainties of post-grad life, I've got your back. My natural optimism and genuine love for connecting with people will help you discover the untapped possibilities in every situation. I can be the person you trust with the fragmented and uncertain parts of yourself, helping you weave together a coherent narrative of healing and self-discovery.
Are you a teen or young adult feeling stuck in life or lost after college? Do you want to build friendships, but don't know where to start, or wish you had a community to share your interests with? Whether you're facing challenges with relationships, career choices, or the uncertainties of post-grad life, I've got your back. My natural optimism and genuine love for connecting with people will help you discover the untapped possibilities in every situation. I can be the person you trust with the fragmented and uncertain parts of yourself, helping you weave together a coherent narrative of healing and self-discovery.
(530) 451-0899 View (530) 451-0899
Photo of Steve Debenedetti-Emanuel, Marriage & Family Therapist in Sacramento, CA
Steve Debenedetti-Emanuel
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Sacramento, CA 95816
Who am I? I've been married for 20+ years. My wife and I have a teenage son. I'm personable, friendly and like to laugh. I talk and ask questions. I won't sit silently and wait for you to talk. I won't say, "How does that make you feel?" I've been told that I'm a "normal guy." Who are you? Someone who wants to feel better? Or wants your teenager to talk to someone? Or wants to be happier and more secure in your committed relationship? Let's keep it simple and work together to find solutions. To learn more about me, check out my website: www.rivercitycounseling.com
Who am I? I've been married for 20+ years. My wife and I have a teenage son. I'm personable, friendly and like to laugh. I talk and ask questions. I won't sit silently and wait for you to talk. I won't say, "How does that make you feel?" I've been told that I'm a "normal guy." Who are you? Someone who wants to feel better? Or wants your teenager to talk to someone? Or wants to be happier and more secure in your committed relationship? Let's keep it simple and work together to find solutions. To learn more about me, check out my website: www.rivercitycounseling.com
(916) 251-9923 View (916) 251-9923
Photo of Linda Sanchez, LMFT, Marriage & Family Therapist in Sacramento, CA
Linda Sanchez, LMFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
Sacramento, CA 95826
If you're facing challenges that interfere with your enjoyment of life, or you're feeling you'd like to make a new start and move in new directions, give me a ring. I'm Linda Sanchez and I would love to speak to you directly about what you're facing and what we might do together to get you moving toward the life you want.
If you're facing challenges that interfere with your enjoyment of life, or you're feeling you'd like to make a new start and move in new directions, give me a ring. I'm Linda Sanchez and I would love to speak to you directly about what you're facing and what we might do together to get you moving toward the life you want.
(916) 546-4818 View (916) 546-4818
Photo of Dr. Marjha Hunt, Marriage & Family Therapist in Sacramento, CA
Dr. Marjha Hunt
Marriage & Family Therapist, LMFT
Verified Verified
3 Endorsed
Sacramento, CA 95816
My passion is in helping you to grow in loving yourself and loving others. I specialize in strengthening relationships. Have you been feeling unheard or underappreciated? Has there been some type of betrayal or broken trust? Is your relationship feeling extra stress during this pandemic? Are you unsure if your relationship will last? Do you and your partner(s) want to strengthen your foundation before taking the next step?
My passion is in helping you to grow in loving yourself and loving others. I specialize in strengthening relationships. Have you been feeling unheard or underappreciated? Has there been some type of betrayal or broken trust? Is your relationship feeling extra stress during this pandemic? Are you unsure if your relationship will last? Do you and your partner(s) want to strengthen your foundation before taking the next step?
(916) 252-1703 View (916) 252-1703

How does your Therapist compare?

Number of Therapists in Sacramento, CA

1,000+

Average cost per session

$150

Therapists in Sacramento, CA who prioritize treating:

92% Anxiety
86% Depression
73% Relationship Issues
70% Self Esteem
67% Trauma and PTSD
67% Stress
66% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

68% Aetna
63% Cigna and Evernorth
61% UnitedHealthcare UHC | UBH

How Therapists in Sacramento, CA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sacramento?

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.