Photo of Megan Luke, LCSW, Clinical Social Work/Therapist
Megan Luke
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
San Antonio, TX 78230
Waitlist for new clients
Are you struggling with changes or challenges in life where you need more support? Would you like to manage difficult emotions more effectively? Are you ready to make a change? Megan works with trauma using EMDR therapy as well as DBT for finding balance in life. Megan has experience working with people who have attachment problems, relationship problems, and are struggling with their identity in our complex world. Megan is part of the LGBTQIA+ community and believes strongly in walking the difficult paths with people as they navigate life and mental health challenges.
Are you struggling with changes or challenges in life where you need more support? Would you like to manage difficult emotions more effectively? Are you ready to make a change? Megan works with trauma using EMDR therapy as well as DBT for finding balance in life. Megan has experience working with people who have attachment problems, relationship problems, and are struggling with their identity in our complex world. Megan is part of the LGBTQIA+ community and believes strongly in walking the difficult paths with people as they navigate life and mental health challenges.
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Photo of Lisa M Aguilar, MA, LPC, Licensed Professional Counselor
Lisa M Aguilar
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230
Making the decision to begin therapy is such an important one and I'm here to help you make the changes you've been wanting to make. If you have been having difficulty navigating anxiety, depression, life transitions, excessive stress, or just feeling stuck, we will work together to implement healthy coping skills more often to make room for more positive changes.
Making the decision to begin therapy is such an important one and I'm here to help you make the changes you've been wanting to make. If you have been having difficulty navigating anxiety, depression, life transitions, excessive stress, or just feeling stuck, we will work together to implement healthy coping skills more often to make room for more positive changes.
(210) 791-9384 View (210) 791-9384
Photo of Dr. Amy N Gorniak, PsyD, LPC, Psychologist
Dr. Amy N Gorniak
Psychologist, PsyD, LPC
Verified Verified
San Antonio, TX 78230
You. Just. Cannot. EVEN. Anymore. It’s all too much. The arguments with your family are constant, and it feels like you’re growing away from them. Concentrating is difficult, and tasks are piling up. Dating is confusing and uncomfortable. And that doesn’t even compare to the stress, anxiety, and confusion about figuring out who you are and what you are "supposed" to be. You see the news popping up on your feed about climate disasters and social injustices, and it just feels like the entire world is out of control. It all seems so hopeless. How are you supposed to figure all this out?
You. Just. Cannot. EVEN. Anymore. It’s all too much. The arguments with your family are constant, and it feels like you’re growing away from them. Concentrating is difficult, and tasks are piling up. Dating is confusing and uncomfortable. And that doesn’t even compare to the stress, anxiety, and confusion about figuring out who you are and what you are "supposed" to be. You see the news popping up on your feed about climate disasters and social injustices, and it just feels like the entire world is out of control. It all seems so hopeless. How are you supposed to figure all this out?
(210) 538-4073 View (210) 538-4073
Photo of Sandra Simmons, LCSW-S, Clinical Social Work/Therapist
Sandra Simmons
Clinical Social Work/Therapist, LCSW-S
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
Waitlist for new clients
Choosing a therapist you feel you can work well with is critical to successful treatment. I offer a safe, collaborative, empathic & trusting relational space in which you can explore your issues and concerns without fear of judgment. We will work together to help you develop greater self-understanding, foster close, connected relationships, uncover thought & behavioral patterns that interfere with happiness, master coping skills and achieve the emotional vitality necessary to a healthy, productive and satisfying life.
Choosing a therapist you feel you can work well with is critical to successful treatment. I offer a safe, collaborative, empathic & trusting relational space in which you can explore your issues and concerns without fear of judgment. We will work together to help you develop greater self-understanding, foster close, connected relationships, uncover thought & behavioral patterns that interfere with happiness, master coping skills and achieve the emotional vitality necessary to a healthy, productive and satisfying life.
(210) 880-9104 View (210) 880-9104
Photo of Alicia V Demontegnac - Optimal Counseling Services PLLC, EdD, LPC, Licensed Professional Counselor
Optimal Counseling Services PLLC
Licensed Professional Counselor, EdD, LPC
Verified Verified
San Antonio, TX 78230
I have worked with anyone and everyone in some way or form in the time I have been practicing. I want clients to feel free to be able to understand that the work is all theirs and I am just a person who facilitate growth.
I have worked with anyone and everyone in some way or form in the time I have been practicing. I want clients to feel free to be able to understand that the work is all theirs and I am just a person who facilitate growth.
(210) 350-4953 View (210) 350-4953
Photo of Danielle Bacharach, LPC-A
Danielle Bacharach
Licensed Professional Counselor Associate, LPC-A
Verified Verified
2 Endorsed
San Antonio, TX 78230
I am committed to helping adults, adolescents, and children learn how to heal and grow. I focus on targeting ineffective behaviors, habits and beliefs. I utilize Cognitive Behavioral Therapy and Person Centered Therapy to help promote healthier behaviors and thinking patterns.
I am committed to helping adults, adolescents, and children learn how to heal and grow. I focus on targeting ineffective behaviors, habits and beliefs. I utilize Cognitive Behavioral Therapy and Person Centered Therapy to help promote healthier behaviors and thinking patterns.
(726) 227-5037 View (726) 227-5037
Photo of Angela Diehl, LMFT, Marriage & Family Therapist
Angela Diehl
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
San Antonio, TX 78230
I am a Licensed Marriage and Family Therapist with over 20 years of experience providing solution focused, brief therapy for those experiencing challenges-personal, professional or interpersonal-at any stage of their lives. Please contact me if you or a loved one are seeking solutions to these challenges.
I am a Licensed Marriage and Family Therapist with over 20 years of experience providing solution focused, brief therapy for those experiencing challenges-personal, professional or interpersonal-at any stage of their lives. Please contact me if you or a loved one are seeking solutions to these challenges.
(210) 908-5844 View (210) 908-5844
Photo of Teresa Tribett, LPC, Licensed Professional Counselor
Teresa Tribett
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
Living with purpose, authenticity, and aligned values is the way out of anxiety, shame, and depression. I want to help you find your way to a more joyful life. I believe in a holistic, human-centered approach that acknowledges the real challenges of the world today, the complexities of each person's experience, and the limited usefulness of one size fits all labels and diagnosis. I believe the therapeutic space should be a safe one, but also one that challenges and encourages growth. Some of my specialties include working with trauma, anxiety, perfectionism, poor boundaries/codependency, and life transitions.
Living with purpose, authenticity, and aligned values is the way out of anxiety, shame, and depression. I want to help you find your way to a more joyful life. I believe in a holistic, human-centered approach that acknowledges the real challenges of the world today, the complexities of each person's experience, and the limited usefulness of one size fits all labels and diagnosis. I believe the therapeutic space should be a safe one, but also one that challenges and encourages growth. Some of my specialties include working with trauma, anxiety, perfectionism, poor boundaries/codependency, and life transitions.
(210) 899-6385 View (210) 899-6385
Photo of Daniella Reyes, LPC-A
Daniella Reyes
Licensed Professional Counselor Associate, LPC-A
Verified Verified
San Antonio, TX 78230
Do you struggle with feeling overwhelmed, anxious, and uncertain about life? Feeling challenges with trauma, relationships, depression, anxiety or grief? Struggling to maintain a healthy work-life balance? Does your sleep suffer or are you fearful of making the wrong move? Have you had difficulty leaving the house or doing the things you once enjoyed? You're not alone. Too often, we prioritize our daily duties and neglect our own wellbeing. Feelings of anxiety and depression can be immobilizing, but taking time to address our feelings, thoughts and behaviors is critical for getting unstuck from the patterns we found ourselves.
Do you struggle with feeling overwhelmed, anxious, and uncertain about life? Feeling challenges with trauma, relationships, depression, anxiety or grief? Struggling to maintain a healthy work-life balance? Does your sleep suffer or are you fearful of making the wrong move? Have you had difficulty leaving the house or doing the things you once enjoyed? You're not alone. Too often, we prioritize our daily duties and neglect our own wellbeing. Feelings of anxiety and depression can be immobilizing, but taking time to address our feelings, thoughts and behaviors is critical for getting unstuck from the patterns we found ourselves.
(210) 201-4578 View (210) 201-4578
Photo of Patricia Reichert, MEd, LPC-S, Licensed Professional Counselor
Patricia Reichert
Licensed Professional Counselor, MEd, LPC-S
Verified Verified
San Antonio, TX 78230
Not accepting new clients
Because you’ve experienced difficult life circumstances—traumas, transitions, emotional and behavioral difficulties or dysregulation, perhaps painful relationships; you may feel weary, hopeless, helpless, anxious or afraid. You may not acknowledge your resiliency or recognize the courage and strength within you to overcome your challenges because stress has blurred your vision and depleted your hope and confidence. Through the process of identifying, expanding, and utilizing one’s personal strengths and skills, life-enhancing change and confidence is within reach.
Because you’ve experienced difficult life circumstances—traumas, transitions, emotional and behavioral difficulties or dysregulation, perhaps painful relationships; you may feel weary, hopeless, helpless, anxious or afraid. You may not acknowledge your resiliency or recognize the courage and strength within you to overcome your challenges because stress has blurred your vision and depleted your hope and confidence. Through the process of identifying, expanding, and utilizing one’s personal strengths and skills, life-enhancing change and confidence is within reach.
(210) 750-6813 View (210) 750-6813
Photo of Melissa McBee, MS, LPC, Licensed Professional Counselor
Melissa McBee
Licensed Professional Counselor, MS, LPC
Verified Verified
3 Endorsed
San Antonio, TX 78230  (Online Only)
Empowering individuals as they move through challenges and develop a strong sense of self as well as purpose takes a great deal of effort. Often people will find that addiction, trauma, relationships, or mental illness become self-identified labels that create barriers we feel we can never overcome. As a clinician I work to assist my clients in learning about their strengths to move through and past these barriers toward a sense of serenity and an experience of meaningful change.
Empowering individuals as they move through challenges and develop a strong sense of self as well as purpose takes a great deal of effort. Often people will find that addiction, trauma, relationships, or mental illness become self-identified labels that create barriers we feel we can never overcome. As a clinician I work to assist my clients in learning about their strengths to move through and past these barriers toward a sense of serenity and an experience of meaningful change.
(726) 204-5842 View (726) 204-5842
Photo of Juan Arreche, MS, LPC, Licensed Professional Counselor
Juan Arreche
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
San Antonio, TX 78230  (Online Only)
Waitlist for new clients
Going through difficult times in life does not have to be done alone. Change does not happen overnight. Sometimes, when we bring our concerns to others, they might be minimized and it can be hard to find someone to talk to. Having a safe space to openly communicate about our problems, learn about them, and overcome them can help. I am here to help you learn about you, what your needs are, what you want in your life, and empower you on your journey. I specialize in LGBTQIA+ issues, couples/relationships, depression, anxiety, grief, ADHD, and others.
Going through difficult times in life does not have to be done alone. Change does not happen overnight. Sometimes, when we bring our concerns to others, they might be minimized and it can be hard to find someone to talk to. Having a safe space to openly communicate about our problems, learn about them, and overcome them can help. I am here to help you learn about you, what your needs are, what you want in your life, and empower you on your journey. I specialize in LGBTQIA+ issues, couples/relationships, depression, anxiety, grief, ADHD, and others.
(210) 985-8457 View (210) 985-8457
Photo of Jeannette C Santos, MA, LPC, Licensed Professional Counselor
Jeannette C Santos
Licensed Professional Counselor, MA, LPC
Verified Verified
San Antonio, TX 78230  (Online Only)
Seeking guidance by way of counseling is a big first step. It represents the beginning of a collaborative process, between the client and the therapist, towards hope and healing. I offer counseling and guidance in an atmosphere of compassion and trust, respecting the dignity and diversity of all human beings.
Seeking guidance by way of counseling is a big first step. It represents the beginning of a collaborative process, between the client and the therapist, towards hope and healing. I offer counseling and guidance in an atmosphere of compassion and trust, respecting the dignity and diversity of all human beings.
(210) 361-6082 View (210) 361-6082
Photo of Gloria Mendez - Ellie Mental Health - San Antonio, LPC-S, CGP, CCTP-II
Ellie Mental Health - San Antonio
LPC-S, CGP, CCTP-II
Verified Verified
1 Endorsed
San Antonio, TX 78230
Making the decision to go to therapy is hard enough. Finding a therapist that you feel comfortable talking with about all the things in life that brought you to the office shouldn't be so hard. At Ellie Mental Health-San Antonio we understand these struggles. Do you know why? We know because therapists are just like everybody else. Being a therapist doesn't give us a "free pass" from all the struggles that can occur in life. That being said, we have the compassion, authenticity, and a sprinkle of humor to sit with you along your journey. No matter how big or small the situations, we have a therapist that will be your "Ellie Match" in your journey.
Making the decision to go to therapy is hard enough. Finding a therapist that you feel comfortable talking with about all the things in life that brought you to the office shouldn't be so hard. At Ellie Mental Health-San Antonio we understand these struggles. Do you know why? We know because therapists are just like everybody else. Being a therapist doesn't give us a "free pass" from all the struggles that can occur in life. That being said, we have the compassion, authenticity, and a sprinkle of humor to sit with you along your journey. No matter how big or small the situations, we have a therapist that will be your "Ellie Match" in your journey.
(210) 981-3428 View (210) 981-3428
Photo of Lorenzo (Enzo) Leos, MA, LPC, Licensed Professional Counselor
Lorenzo (Enzo) Leos
Licensed Professional Counselor, MA, LPC
Verified Verified
4 Endorsed
San Antonio, TX 78230
I am a bilingual therapist who is fluent in Spanish. My experience includes a range of different age groups from adults to the geriatric population. I can help you if you are struggling with depression, anxiety, emotional disturbance, sexual issues and life transitions. I provide a safe and nurturing environment for multicultural, various economic and social statuses.
I am a bilingual therapist who is fluent in Spanish. My experience includes a range of different age groups from adults to the geriatric population. I can help you if you are struggling with depression, anxiety, emotional disturbance, sexual issues and life transitions. I provide a safe and nurturing environment for multicultural, various economic and social statuses.
(210) 908-5380 View (210) 908-5380
Photo of Clifton Fuller, LCSW-S, LPC-S, LMFT-S, Clinical Social Work/Therapist
Clifton Fuller
Clinical Social Work/Therapist, LCSW-S, LPC-S, LMFT-S
Verified Verified
San Antonio, TX 78230  (Online Only)
I provide counseling and coaching for those seeking personal growth, finding life direction, reaching goals, resolving issues, and moving forward in life. I work closely with those evaluating life, relationships, education, or career changes. I am a Certified Life Coach and hold multiple licenses: Licensed Clinical Social Worker, Licensed Marriage & Family Therapist, Licensed Professional Counselor, Approved Supervisor for LPC, LMFT, & LCSW's. Authored: "Marriage Vampire-Living with a Narcissist" and "The Narcissist: When Dreams Become Nightmares" (both available on Amazon.com in paperback or Kindle formats).
I provide counseling and coaching for those seeking personal growth, finding life direction, reaching goals, resolving issues, and moving forward in life. I work closely with those evaluating life, relationships, education, or career changes. I am a Certified Life Coach and hold multiple licenses: Licensed Clinical Social Worker, Licensed Marriage & Family Therapist, Licensed Professional Counselor, Approved Supervisor for LPC, LMFT, & LCSW's. Authored: "Marriage Vampire-Living with a Narcissist" and "The Narcissist: When Dreams Become Nightmares" (both available on Amazon.com in paperback or Kindle formats).
(210) 598-5053 View (210) 598-5053
Photo of Yvonne Briones Elias, PhD, Psychologist
Yvonne Briones Elias
Psychologist, PhD
Verified Verified
San Antonio, TX 78230
I am a clinical psychologist with experience over twenty plus years providing family, couples, and individual counseling, play therapy, psychological assessment, and bilingual (English/Spanish) services to a client base spanning from young children to adolescents and adults. My extensive experience as a clinician and diagnostician includes working with ADHD, trauma, PTSD, anxiety based problems, depression, relational concerns, sports related concerns, and anger management, contributing to my approach to counseling grounded in the premise that the therapeutic relationship is essential in gaining meaning and resolving the conflicts that arise within our human experience.
I am a clinical psychologist with experience over twenty plus years providing family, couples, and individual counseling, play therapy, psychological assessment, and bilingual (English/Spanish) services to a client base spanning from young children to adolescents and adults. My extensive experience as a clinician and diagnostician includes working with ADHD, trauma, PTSD, anxiety based problems, depression, relational concerns, sports related concerns, and anger management, contributing to my approach to counseling grounded in the premise that the therapeutic relationship is essential in gaining meaning and resolving the conflicts that arise within our human experience.
(210) 598-5195 View (210) 598-5195
Photo of Edna Garcia, MS
Edna Garcia
LPC-Associate, MS
Verified Verified
1 Endorsed
San Antonio, TX 78230
Navigating life's ups and downs can be overwhelming. Whether you're facing anxiety, depression, relationship challenges, cultural difficulties, or significant transitions, I’m here to help you find your way through—together. Sometimes, unresolved traumas can hold us back from fully embracing life, leading to physical symptoms from the stress we carry. My aim is to guide you through these challenges so you can reclaim the joy and fulfillment you deserve. Revisiting difficult memories can be scary, but, we will navigate it together. If not, that’s perfectly okay; this journey is on your timeline at your comfort level.
Navigating life's ups and downs can be overwhelming. Whether you're facing anxiety, depression, relationship challenges, cultural difficulties, or significant transitions, I’m here to help you find your way through—together. Sometimes, unresolved traumas can hold us back from fully embracing life, leading to physical symptoms from the stress we carry. My aim is to guide you through these challenges so you can reclaim the joy and fulfillment you deserve. Revisiting difficult memories can be scary, but, we will navigate it together. If not, that’s perfectly okay; this journey is on your timeline at your comfort level.
(210) 939-9355 View (210) 939-9355
Photo of Kimberly S Goodwin, LCSW-S, Clinical Social Work/Therapist
Kimberly S Goodwin
Clinical Social Work/Therapist, LCSW-S
Verified Verified
4 Endorsed
San Antonio, TX 78230
Finding the right fit for therapy can be a tough challenge. How will I know what it's like to work with a therapist? My clients have described me as "results driven with a clear vision forward no matter what I bring to session", "someone who calls me on my bullshit but in a way I don't feel judged", "imaginative", "like a really encouraging but intense coach for your mental health", "relatable", "never judges" and "like talking to a friend but they know so much about this stuff- like an archeologist but for your mind".
Finding the right fit for therapy can be a tough challenge. How will I know what it's like to work with a therapist? My clients have described me as "results driven with a clear vision forward no matter what I bring to session", "someone who calls me on my bullshit but in a way I don't feel judged", "imaginative", "like a really encouraging but intense coach for your mental health", "relatable", "never judges" and "like talking to a friend but they know so much about this stuff- like an archeologist but for your mind".
(210) 981-3510 View (210) 981-3510
Photo of Cortnee Jo Schraer, MS, LPC, Licensed Professional Counselor
Cortnee Jo Schraer
Licensed Professional Counselor, MS, LPC
Verified Verified
San Antonio, TX 78230
Hello, I am Cortnee, a Licensed Professional Counselor (LPC). I have a passion for helping children, adolescents, and adults of all ages. I support individuals in a collaborative approach to address varying presenting concerns such as anxiety, depression, OCD, sensory process disorder, grief and loss, trauma, emotional difficulties, phase of life issues, and multicultural issues. Additionally, I also work with children who develop symptoms from adoption, abandonment, divorce, trauma, academic or social problems.
Hello, I am Cortnee, a Licensed Professional Counselor (LPC). I have a passion for helping children, adolescents, and adults of all ages. I support individuals in a collaborative approach to address varying presenting concerns such as anxiety, depression, OCD, sensory process disorder, grief and loss, trauma, emotional difficulties, phase of life issues, and multicultural issues. Additionally, I also work with children who develop symptoms from adoption, abandonment, divorce, trauma, academic or social problems.
(210) 794-6733 View (210) 794-6733
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How does your Therapist compare?

Number of Therapists in 78230

200+

Average cost per session

$125

Therapists in 78230 who prioritize treating:

95% Anxiety
92% Depression
75% Trauma and PTSD
74% Relationship Issues
72% Coping Skills
71% Self Esteem
70% Grief

Average years in practice

10 Years

Top 3 insurances accepted

87% Aetna
81% BlueCross and BlueShield
74% UnitedHealthcare UHC | UBH

How Therapists in 78230 see their clients

74% In Person and Online
26% Online Only

Gender breakdown

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

How can I find a therapist in 78230?

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.

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