Therapists in Seattle, WA

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Photo of Alyssa Adwell, MSW, LICSW, SUDPT, Clinical Social Work/Therapist
Alyssa Adwell
Clinical Social Work/Therapist, MSW, LICSW, SUDPT
Verified Verified
Seattle, WA 98101  (Online Only)
I am a Licensed Independent Clinical Social Worker in Washington State. I have expertise in working with adolescents and adults experiencing change, behavioral health concerns, grief, chronic illness, pain, and disabilities.
I am a Licensed Independent Clinical Social Worker in Washington State. I have expertise in working with adolescents and adults experiencing change, behavioral health concerns, grief, chronic illness, pain, and disabilities.
(206) 278-3430 View (206) 278-3430
Photo of Mitch Singer, MA, LMHC, Counselor
Mitch Singer
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98199
Not accepting new clients
I use a blend of effective elements from several approaches to therapy, customized to suit your particular need, ability and issues addressed. I draw from the disciplines of cognitive behavioral, rational-emotive, bio-energetic and Gestalt therapies to ensure the approach we take has the flexibility to address your concerns as they appear in your own unique life and experience. Conditions successfully treated during fourteen years experience working with individuals, couples and families include depression, anxiety, procrastination and achievement issues relative to work, school or creativity ; alienation, relationship and intimacy issues, addiction and compulsive behavior, life satisfaction and identity.
I use a blend of effective elements from several approaches to therapy, customized to suit your particular need, ability and issues addressed. I draw from the disciplines of cognitive behavioral, rational-emotive, bio-energetic and Gestalt therapies to ensure the approach we take has the flexibility to address your concerns as they appear in your own unique life and experience. Conditions successfully treated during fourteen years experience working with individuals, couples and families include depression, anxiety, procrastination and achievement issues relative to work, school or creativity ; alienation, relationship and intimacy issues, addiction and compulsive behavior, life satisfaction and identity.
(206) 384-4868 View (206) 384-4868
Photo of William Vesneski, MSW, PhD, Clinical Social Work/Therapist
William Vesneski
Clinical Social Work/Therapist, MSW, PhD
Verified Verified
Seattle, WA 98118
I work with people who are experiencing challenges around anxiety, depression, sex, intimacy, and trauma. I am particularly drawn to clients who are committed to personal growth and want to deepen their experience of life. I truly believe that we all have the capacity to lead fuller lives with more ease and a greater sense of safety. I have been a social worker for more than 20 years and live in Seattle with my family. I identify as gay, white and cis-male and enjoy working with couples, including those in open and poly relationships.
I work with people who are experiencing challenges around anxiety, depression, sex, intimacy, and trauma. I am particularly drawn to clients who are committed to personal growth and want to deepen their experience of life. I truly believe that we all have the capacity to lead fuller lives with more ease and a greater sense of safety. I have been a social worker for more than 20 years and live in Seattle with my family. I identify as gay, white and cis-male and enjoy working with couples, including those in open and poly relationships.
(206) 558-0053 View (206) 558-0053
Photo of Daniel Horensky - Daniel Horensky @ Bene Therapy, PLLC, LSWAIC, Clinical Social Work/Therapist
Daniel Horensky @ Bene Therapy, PLLC
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98112
It's never easy to find a therapist and if you were like me and grew up in a family that discouraged therapy or talking about mental health in general, it can be especially intimidating to even look for a therapist.  By looking into therapy, you have taken an important step towards living the life that you want. I find that the counseling relationship is most effective when it is highly collaborative and specific to the person. I will work with you to find areas of struggle in your life, identify patterns that have been present in your past, and work towards the goals you have for yourself present day.
It's never easy to find a therapist and if you were like me and grew up in a family that discouraged therapy or talking about mental health in general, it can be especially intimidating to even look for a therapist.  By looking into therapy, you have taken an important step towards living the life that you want. I find that the counseling relationship is most effective when it is highly collaborative and specific to the person. I will work with you to find areas of struggle in your life, identify patterns that have been present in your past, and work towards the goals you have for yourself present day.
(206) 589-5459 View (206) 589-5459
Photo of Scott Reding - Integrative Counseling Services, LMHC, SUDP, Drug & Alcohol Counselor
Integrative Counseling Services
Drug & Alcohol Counselor, LMHC, SUDP
Verified Verified
Seattle, WA 98103
Utilizing the latest research from the National Institute on Drug Abuse (NIDA), ICS views addiction as a chronic, relapsing brain disorder. We believe that addiction alters brain function critical to decision-making, learning, memory, and behavior control. With this in mind, we work with our clients to build a framework for understanding their compulsive and self-destructive behaviors and help them in creating a plan to prevent relapse from happening. Ultimately, we want our clients to build a positive sober identity and thrive in recovery.
Utilizing the latest research from the National Institute on Drug Abuse (NIDA), ICS views addiction as a chronic, relapsing brain disorder. We believe that addiction alters brain function critical to decision-making, learning, memory, and behavior control. With this in mind, we work with our clients to build a framework for understanding their compulsive and self-destructive behaviors and help them in creating a plan to prevent relapse from happening. Ultimately, we want our clients to build a positive sober identity and thrive in recovery.
(206) 984-8052 View (206) 984-8052
Photo of Adrienne Kandhari, MA, LMHC
Adrienne Kandhari
Mental Health Counselor, MA, LMHC
Verified Verified
Seattle, WA 98107
As a woman with ADHD, do you feel that your ADHD is impacting your relationships, self-esteem, goals and/or work? Do you find yourself saying sentences like, ‘I should…, ‘Why can’t I just...’, or ‘If I wasn’t so lazy…’? What if you could find strategies that could help you manage the things that feel like they always are falling through the cracks? Women with ADHD often experience ADHD differently than the stereotypical symptoms. What if you could find validation and understanding of your experience? Whether you have been diagnosed with ADHD for years or just starting your journey, your ADHD doesn't have to feel like a burden.
As a woman with ADHD, do you feel that your ADHD is impacting your relationships, self-esteem, goals and/or work? Do you find yourself saying sentences like, ‘I should…, ‘Why can’t I just...’, or ‘If I wasn’t so lazy…’? What if you could find strategies that could help you manage the things that feel like they always are falling through the cracks? Women with ADHD often experience ADHD differently than the stereotypical symptoms. What if you could find validation and understanding of your experience? Whether you have been diagnosed with ADHD for years or just starting your journey, your ADHD doesn't have to feel like a burden.
(206) 309-3475 View (206) 309-3475
Photo of Mary Lagerstrom, MSW, LICSW, LMSW, MHP, Clinical Social Work/Therapist
Mary Lagerstrom
Clinical Social Work/Therapist, MSW, LICSW, LMSW, MHP
Verified Verified
5 Endorsed
Seattle, WA 98121  (Online Only)
I enjoy exploring communities by combining a lifelong passion for language learning with new food, music, and art. Having grown up in a multicultural community myself, I enjoy working with clients who call more than one community their home.
I enjoy exploring communities by combining a lifelong passion for language learning with new food, music, and art. Having grown up in a multicultural community myself, I enjoy working with clients who call more than one community their home.
(206) 202-0578 View (206) 202-0578
Photo of Maria-Sofia (Sofi) M. Paco, Marriage & Family Therapist Intern
Maria-Sofia (Sofi) M. Paco
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Seattle, WA 98103
I am committed to supporting people from diverse backgrounds by affirming and guiding transformation and healing. I help support: Couples & Individuals, First Time Parents, First Generation Migrants, LGBTQIA2S+, Multicultural/Multiracial Couples, Individuals & Families. I work with those struggling with Grief & Trauma, Anxiety, Life Transitions, and Adjustment Disorders. For those that have lost themselves in the chaos and struggle, we work together in finding our center and creating new possibilities.
I am committed to supporting people from diverse backgrounds by affirming and guiding transformation and healing. I help support: Couples & Individuals, First Time Parents, First Generation Migrants, LGBTQIA2S+, Multicultural/Multiracial Couples, Individuals & Families. I work with those struggling with Grief & Trauma, Anxiety, Life Transitions, and Adjustment Disorders. For those that have lost themselves in the chaos and struggle, we work together in finding our center and creating new possibilities.
(253) 342-4558 View (253) 342-4558
Photo of Yoshimi Pelczarski, MSW, LICSW, ACSW, Clinical Social Work/Therapist
Yoshimi Pelczarski
Clinical Social Work/Therapist, MSW, LICSW, ACSW
Verified Verified
1 Endorsed
Seattle, WA 98117
I HELP INDIVIDUALS AND FAMILIES NAVIGATE CHALLENGING TIMES : Are you feeling overwhelmed, stressed and anxious? Are you struggling with family of origin or relationship issues? Do you want to rebuild your new life or perhaps a new career, but don't know where to start or paralyzed by fear? It is imperative to tackle the root causes of your suffering in order for you to move forward. When your regular support system is not enough, it may be time to talk with a professional. As an experienced psychotherapist and coach, I can help you move past self-doubt and fear so that you can be excited about living your life again.
I HELP INDIVIDUALS AND FAMILIES NAVIGATE CHALLENGING TIMES : Are you feeling overwhelmed, stressed and anxious? Are you struggling with family of origin or relationship issues? Do you want to rebuild your new life or perhaps a new career, but don't know where to start or paralyzed by fear? It is imperative to tackle the root causes of your suffering in order for you to move forward. When your regular support system is not enough, it may be time to talk with a professional. As an experienced psychotherapist and coach, I can help you move past self-doubt and fear so that you can be excited about living your life again.
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Photo of Samantha Yard, PhD, Psychologist
Samantha Yard
Psychologist, PhD
Verified Verified
Seattle, WA 98108  (Online Only)
Waitlist for new clients
Often by the time clients reach me, they have needed help for a long time. Some have trouble identifying and talking about their emotions. Others may be struggling to manage intense distress, caught in unhelpful thinking patterns. Many find that their problems are linked with dissatisfaction in important relationships, and may feel disconnected even from people they know well. Often, people try to cope with these problems by engaging in unhealthy behaviors that they want to stop but can't figure out how. The first step in our therapy is to get clarity about what the main problems really are, and to identify therapy goals.
Often by the time clients reach me, they have needed help for a long time. Some have trouble identifying and talking about their emotions. Others may be struggling to manage intense distress, caught in unhelpful thinking patterns. Many find that their problems are linked with dissatisfaction in important relationships, and may feel disconnected even from people they know well. Often, people try to cope with these problems by engaging in unhealthy behaviors that they want to stop but can't figure out how. The first step in our therapy is to get clarity about what the main problems really are, and to identify therapy goals.
(206) 737-7402 View (206) 737-7402
Photo of Sitara Marin - Sitara Marin Therapy, PLLC, MA, LMHCA, Counselor
Sitara Marin Therapy, PLLC
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98115
Waitlist for new clients
7.2024 - Waitlist for insurance-paying clients. Are you here because you feel overwhelmed, stressed, sad, or overly anxious? Perhaps you have experienced a major change in your life that makes the day-to-day harder than it ever was before. My gentle approach can assist with issues of depression, stress, and anxiety as a compassionate, non-judgmental, and trauma-informed psychodynamically oriented therapist, helping you bring back joy into your relationships and your life. Our work together will guide you through challenges and obstacles to find greater well-being and satisfaction in your life.
7.2024 - Waitlist for insurance-paying clients. Are you here because you feel overwhelmed, stressed, sad, or overly anxious? Perhaps you have experienced a major change in your life that makes the day-to-day harder than it ever was before. My gentle approach can assist with issues of depression, stress, and anxiety as a compassionate, non-judgmental, and trauma-informed psychodynamically oriented therapist, helping you bring back joy into your relationships and your life. Our work together will guide you through challenges and obstacles to find greater well-being and satisfaction in your life.
(425) 541-8571 View (425) 541-8571
Photo of Naomi Espulgar, MSW, LSWAIC, Clinical Social Work/Therapist
Naomi Espulgar
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Seattle, WA 98104  (Online Only)
The first step to healing is recognizing that you need support reaching your desired emotional and mental wellness. Choosing a therapist you can connect with is critical to successful treatment. When working with clients, I use a non-judgmental collaborative approach while receiving authentic validation of life struggles and also encouraging clients to move toward change and healing. My expertise includes helping client process loss, navigating through life stressors, and adjusting to life transitions.
The first step to healing is recognizing that you need support reaching your desired emotional and mental wellness. Choosing a therapist you can connect with is critical to successful treatment. When working with clients, I use a non-judgmental collaborative approach while receiving authentic validation of life struggles and also encouraging clients to move toward change and healing. My expertise includes helping client process loss, navigating through life stressors, and adjusting to life transitions.
(206) 495-4993 View (206) 495-4993
Photo of Rebekah Vickery, LMHC, Counselor
Rebekah Vickery
Counselor, LMHC
Verified Verified
4 Endorsed
Seattle, WA 98103
I work with people who have been hurt in relationships, whether that was in a family, with another person, or in a system. Sometimes that hurt can even happen as we have cared for someone else, and find ourselves feeling overwhelmed and need of care ourselves. We might feel like we aren’t sure how to move forward or find peace. I love being able to be with people as they begin to rebuild trust and connection within themselves and with others.
I work with people who have been hurt in relationships, whether that was in a family, with another person, or in a system. Sometimes that hurt can even happen as we have cared for someone else, and find ourselves feeling overwhelmed and need of care ourselves. We might feel like we aren’t sure how to move forward or find peace. I love being able to be with people as they begin to rebuild trust and connection within themselves and with others.
(206) 203-9105 View (206) 203-9105
Photo of Lisa T. Reinbold, LICSW, MSW, MHP, Clinical Social Work/Therapist
Lisa T. Reinbold
Clinical Social Work/Therapist, LICSW, MSW, MHP
Verified Verified
Seattle, WA 98144
I have spent my career treating depression, anxiety, PTSD, and life transition/relationship challenges. Aside from counseling, I give community lectures on mental health and relationships and provide supervision to aspiring social workers.
I have spent my career treating depression, anxiety, PTSD, and life transition/relationship challenges. Aside from counseling, I give community lectures on mental health and relationships and provide supervision to aspiring social workers.
(206) 495-0973 View (206) 495-0973
Photo of Bruce Perham - Bruce Perham Counseling, LICSW, Clinical Social Work/Therapist
Bruce Perham Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98118
Not accepting new clients
I became a therapist because I want to join with clients as they heal from pain and trauma. People need support for many reasons, some relatively simple and some so complicated as to seem unbearable. Psychotherapy is not only for people with severe illnesses or trauma but for people who feel stuck with their relationships, their careers, their friendships or have experiences that have a major impact on their daily lives and functioning.
I became a therapist because I want to join with clients as they heal from pain and trauma. People need support for many reasons, some relatively simple and some so complicated as to seem unbearable. Psychotherapy is not only for people with severe illnesses or trauma but for people who feel stuck with their relationships, their careers, their friendships or have experiences that have a major impact on their daily lives and functioning.
(206) 973-2296 View (206) 973-2296
Photo of Annabelle Heisley, MA, LMHCA, Counselor
Annabelle Heisley
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98144
Therapy is not an easy process, which is why building a strong therapeutic relationship is so important, no matter who the client is. It is my goal to create a safe, comfortable and non-judgmental space where clients can learn to have difficult conversations, experience rupture and repair, and find safety even in pain or discomfort. Therapy should be a place you want to come to, even when it is hard. If that is not the case, then I am not doing a good enough job.
Therapy is not an easy process, which is why building a strong therapeutic relationship is so important, no matter who the client is. It is my goal to create a safe, comfortable and non-judgmental space where clients can learn to have difficult conversations, experience rupture and repair, and find safety even in pain or discomfort. Therapy should be a place you want to come to, even when it is hard. If that is not the case, then I am not doing a good enough job.
(206) 210-2805 View (206) 210-2805
Photo of Lita Elbertson, MA, LMHCA, NCC, Counselor
Lita Elbertson
Counselor, MA, LMHCA, NCC
Verified Verified
6 Endorsed
Seattle, WA 98102  (Online Only)
Not accepting new clients
Aloha! I’m glad you’re here. I believe that every individual deserves a space that is wholly about them. A space where they are seen, heard, known, and validated. My approach to therapy is to assist individuals in their courageous efforts to improve themselves through unconditional positive regard and acceptance. Life presents difficult circumstances, and I am here to support you as you navigate them. I have a deep appreciation for diversity and uniqueness, a passion to learn, and you can often find me in nature, bookstores, coffee shops, and exploring novel places whether domestically or internationally.
Aloha! I’m glad you’re here. I believe that every individual deserves a space that is wholly about them. A space where they are seen, heard, known, and validated. My approach to therapy is to assist individuals in their courageous efforts to improve themselves through unconditional positive regard and acceptance. Life presents difficult circumstances, and I am here to support you as you navigate them. I have a deep appreciation for diversity and uniqueness, a passion to learn, and you can often find me in nature, bookstores, coffee shops, and exploring novel places whether domestically or internationally.
(206) 483-0462 View (206) 483-0462
Photo of Gitika Talwar, PhD, Psychologist
Gitika Talwar
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98104  (Online Only)
Virtual care, new clients are welcome! You've been thinking about trying therapy but don't know how it will help. You may have tried it before, but don't know if it was the right fit. You hope to talk to someone who understands the whirlwind of thoughts and feelings you have but don't know where to begin. You and I could figure this out together. I could be your therapist or your partner in the search for the right mental health care for you. For hassle-free scheduling, visit my website pranh.carrd.co. Reach out if you'd like a 15-minute consultation (no charge) prior to scheduling
Virtual care, new clients are welcome! You've been thinking about trying therapy but don't know how it will help. You may have tried it before, but don't know if it was the right fit. You hope to talk to someone who understands the whirlwind of thoughts and feelings you have but don't know where to begin. You and I could figure this out together. I could be your therapist or your partner in the search for the right mental health care for you. For hassle-free scheduling, visit my website pranh.carrd.co. Reach out if you'd like a 15-minute consultation (no charge) prior to scheduling
(509) 207-1269 View (509) 207-1269
Photo of Brenna Christensen, MA, LMHCA, Counselor
Brenna Christensen
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98102
I approach my therapeutic work with an emphasis on relationship-building, playfulness, and respect. Rooted firmly in evidenced-based treatment approaches, my clients and I then collaborate, designing goals and adapting treatment to best fit an individual's needs. I aim to provide trauma-informed care which includes both an understanding of how trauma impacts the brain and body as well as the ongoing trauma of being in a marginalized community. I am committed to providing antiracist and anticolonial, Queer and Trans-affirming, and neurodiverse affirming care.
I approach my therapeutic work with an emphasis on relationship-building, playfulness, and respect. Rooted firmly in evidenced-based treatment approaches, my clients and I then collaborate, designing goals and adapting treatment to best fit an individual's needs. I aim to provide trauma-informed care which includes both an understanding of how trauma impacts the brain and body as well as the ongoing trauma of being in a marginalized community. I am committed to providing antiracist and anticolonial, Queer and Trans-affirming, and neurodiverse affirming care.
(425) 428-5063 View (425) 428-5063
Photo of Matthew McDermott, LMHC, Counselor
Matthew McDermott
Counselor, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98115  (Online Only)
I believe that every person has the right to be treated with individual care. Because we are all unique, what works for one person may not work for the next. I like to approach helping you with a fresh lens every time, getting to know you, and finding which therapeutic approach to best help your situation. Building a relationship of trust and openness is the most important part to therapy, as well as creating an atmosphere where you feel safe and secure in your journey. Maybe you’ve done this before, and maybe this is your first time in therapy; I want to find what works best for you.
I believe that every person has the right to be treated with individual care. Because we are all unique, what works for one person may not work for the next. I like to approach helping you with a fresh lens every time, getting to know you, and finding which therapeutic approach to best help your situation. Building a relationship of trust and openness is the most important part to therapy, as well as creating an atmosphere where you feel safe and secure in your journey. Maybe you’ve done this before, and maybe this is your first time in therapy; I want to find what works best for you.
(206) 451-1650 View (206) 451-1650

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
78% Relationship Issues
75% Self Esteem
71% Trauma and PTSD
70% Stress
68% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

69% Premera
55% Aetna
48% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.