Therapists in Portland, OR

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Photo of Jacqueline Beavers, Marriage & Family Therapist in Portland, OR
Jacqueline Beavers
Marriage & Family Therapist, MFT, PsyD
Verified Verified
Portland, OR 97232
I have worked in the field of psychotherapy for over 20 years. I love supporting people in their journey of self-exploration. We all have so many aspects of ourselves and helping others to unearth these aspects, reflect upon them, and make positive changes gives me great joy. This may include working on family of origin dynamics to mental health symptoms to wanting to make changes with your relationship to substances. So many aspects to explore individually and in relationship to each other. Check out my website for more information about specialities and how I work!
I have worked in the field of psychotherapy for over 20 years. I love supporting people in their journey of self-exploration. We all have so many aspects of ourselves and helping others to unearth these aspects, reflect upon them, and make positive changes gives me great joy. This may include working on family of origin dynamics to mental health symptoms to wanting to make changes with your relationship to substances. So many aspects to explore individually and in relationship to each other. Check out my website for more information about specialities and how I work!
(503) 966-7785 View (503) 966-7785
Photo of Lily Iteld, Psychologist in Portland, OR
Lily Iteld
Psychologist, PhD, ABPP
Verified Verified
Portland, OR 97239
I'm Dr. Lily, a board certified child and adolescent psychologist. Put simply, I work with kids and their parents to make daily life easier. I help kids develop their inner resources to manage the difficulties they are facing and help parents develop skills to allow their child to thrive. I love the work I do and am honored to help families during their challenging times. With over a decade of experience in school and medical settings, I specialize in working with children and adolescents with anxiety, depression, chronic illness, pain management, picky eating/ARFID, encopresis, and tic disorders.
I'm Dr. Lily, a board certified child and adolescent psychologist. Put simply, I work with kids and their parents to make daily life easier. I help kids develop their inner resources to manage the difficulties they are facing and help parents develop skills to allow their child to thrive. I love the work I do and am honored to help families during their challenging times. With over a decade of experience in school and medical settings, I specialize in working with children and adolescents with anxiety, depression, chronic illness, pain management, picky eating/ARFID, encopresis, and tic disorders.
(971) 251-1761 View (971) 251-1761
Photo of Lynn Talmon, Marriage & Family Therapist in Portland, OR
Lynn Talmon
Marriage & Family Therapist, LMFT
Verified Verified
Portland, OR 97204  (Online Only)
Serving ALL of Oregon online therapy. New Client Openings, No Waitlist. Individuals only. If life isn't how it should be, & if it's exhausting always struggling, then therapy can be a powerful way to change things now that you're ready. It is an HONOR to listen & be present as you discover your truth, joy, satisfaction, peace & confidence! I treat individuals only. If you're overwhelmed, anxious, down or stuck, talking to someone helps. Specialties: depression, anxiety, coping w/ climate change & environmental grief, sober/recovery, autistic spectrum, ending a relationship & need support during transition, codependency, LGBTQ2+
Serving ALL of Oregon online therapy. New Client Openings, No Waitlist. Individuals only. If life isn't how it should be, & if it's exhausting always struggling, then therapy can be a powerful way to change things now that you're ready. It is an HONOR to listen & be present as you discover your truth, joy, satisfaction, peace & confidence! I treat individuals only. If you're overwhelmed, anxious, down or stuck, talking to someone helps. Specialties: depression, anxiety, coping w/ climate change & environmental grief, sober/recovery, autistic spectrum, ending a relationship & need support during transition, codependency, LGBTQ2+
(971) 247-1876 View (971) 247-1876
Photo of Elisa Miranda, LPC Intern in Portland, OR
Elisa Miranda
LPC Intern
Verified Verified
1 Endorsed
Portland, OR 97219  (Online Only)
I offer bilingual therapy in Spanish and english. Yo ofrezco terapia bilingue, en español y en inglés. I believe that every individual has the power and capability to seek help, find healing, restore, and work on their mental health and their overall well-being to have a profound life. Having a healthy mental health and a positive mind set, is key to experience a positive sense of self and a meaningful lifestyle. My goal is to help my clients reach their full potential in emotional and personal growth so they can find and embrace individual strength.
I offer bilingual therapy in Spanish and english. Yo ofrezco terapia bilingue, en español y en inglés. I believe that every individual has the power and capability to seek help, find healing, restore, and work on their mental health and their overall well-being to have a profound life. Having a healthy mental health and a positive mind set, is key to experience a positive sense of self and a meaningful lifestyle. My goal is to help my clients reach their full potential in emotional and personal growth so they can find and embrace individual strength.
(971) 268-5559 View (971) 268-5559
Photo of Catherine Fixe Chapin in Portland, OR
Catherine Fixe Chapin
MSW, E-RYT
Verified Verified
Portland, OR 97214
Are you looking for something different than talk therapy? Are you looking to access the wisdom of your body and/or spirit to help you? Whether you are dealing with anxiety, trauma, life transition, body pain, somatic concerns, spiritual crisis, search for deeper meaning and connection, a holistic approach to healing can help. Find out how to get the WHOLE you in its highest vibration so your mental neural network, your nervous system, your compassionate heart and your soul's purpose can ALL be in alignment.
Are you looking for something different than talk therapy? Are you looking to access the wisdom of your body and/or spirit to help you? Whether you are dealing with anxiety, trauma, life transition, body pain, somatic concerns, spiritual crisis, search for deeper meaning and connection, a holistic approach to healing can help. Find out how to get the WHOLE you in its highest vibration so your mental neural network, your nervous system, your compassionate heart and your soul's purpose can ALL be in alignment.
(503) 461-5174 View (503) 461-5174
Photo of Embodied Relational Life Therapy Portland (RLT), Psychologist in Portland, OR
Embodied Relational Life Therapy Portland (RLT)
Psychologist, PsyD
Verified Verified
2 Endorsed
Portland, OR 97202
In couples counseling, Kerry and Banjo both work from the Relational Life Therapy (RLT) model, as taught by Terry Real. We have been immersed in this valuable framework for years, engaging it both professionally and personally, and are currently in the final stages of RLT certification. We realize that by being in relationship with ourselves and others in a way that is accountable, empathetic, and vulnerable, we are able to flourish as partners, parents, and professionals. We hope to help you do the same in your relational life.
In couples counseling, Kerry and Banjo both work from the Relational Life Therapy (RLT) model, as taught by Terry Real. We have been immersed in this valuable framework for years, engaging it both professionally and personally, and are currently in the final stages of RLT certification. We realize that by being in relationship with ourselves and others in a way that is accountable, empathetic, and vulnerable, we are able to flourish as partners, parents, and professionals. We hope to help you do the same in your relational life.
(503) 755-5392 View (503) 755-5392
Photo of Amelia Lund, Marriage & Family Therapist in Portland, OR
Amelia Lund
Marriage & Family Therapist, LMFT
Verified Verified
Portland, OR 97219  (Online Only)
Hi! I help people pleasers honor their caring nature while also valuing themselves. I am a believer in authentic relating and vulnerability in my work and would love to help you in your own personal and professional goals. I am a mindfulness based and long-term therapist who enjoys walking the journey of learning yourself and how to become more aligned with your values as you move through life. I specialize in people pleasers, religious questioning and deconstruction/ trauma and new therapists. please text or email for faster responses. I am a neurodivergent, LBGTQ member of society and love showing up for others.
Hi! I help people pleasers honor their caring nature while also valuing themselves. I am a believer in authentic relating and vulnerability in my work and would love to help you in your own personal and professional goals. I am a mindfulness based and long-term therapist who enjoys walking the journey of learning yourself and how to become more aligned with your values as you move through life. I specialize in people pleasers, religious questioning and deconstruction/ trauma and new therapists. please text or email for faster responses. I am a neurodivergent, LBGTQ member of society and love showing up for others.
(503) 455-8714 View (503) 455-8714
Photo of Sarah Lange, Marriage & Family Therapist Associate in Portland, OR
Sarah Lange
Marriage & Family Therapist Associate, LMFTA
Verified Verified
3 Endorsed
Portland, OR 97214
Do you want to make a change? Coping skills often developed early on in life and were important to help get you to where you are today. They can arise from a childhood that seems "normal" or one filled with trauma and struggle. Coming to therapy is a step in healing the wounds from the past and working with the struggles of today. I can help you process your lived experience at your pace to help you move forward and make positive changes in your life. I am currently prioritizing couples and families who want to do therapy together, I draw on Emotionally Focused therapy and Family Systems when working with families and couples.
Do you want to make a change? Coping skills often developed early on in life and were important to help get you to where you are today. They can arise from a childhood that seems "normal" or one filled with trauma and struggle. Coming to therapy is a step in healing the wounds from the past and working with the struggles of today. I can help you process your lived experience at your pace to help you move forward and make positive changes in your life. I am currently prioritizing couples and families who want to do therapy together, I draw on Emotionally Focused therapy and Family Systems when working with families and couples.
(503) 461-6057 View (503) 461-6057
Photo of Leanne Schmit Reed, Licensed Professional Counselor in Portland, OR
Leanne Schmit Reed
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Portland, OR 97202  (Online Only)
Not accepting new clients
Are your thoughts spinning, imagining worst case scenarios, or analyzing your social interactions wondering if you've made a terrible faux pas? Do you have fears or negative beliefs about yourself that keep you stuck? Maybe there are some unhealthy patterns that dominate your time and mental space keeping you from doing more important things. If this sounds like you, the good news is therapy can help. Even entrenched lifelong patterns can be shifted with intentional work with an experienced guide. It's absolutely possible to live a life you love.
Are your thoughts spinning, imagining worst case scenarios, or analyzing your social interactions wondering if you've made a terrible faux pas? Do you have fears or negative beliefs about yourself that keep you stuck? Maybe there are some unhealthy patterns that dominate your time and mental space keeping you from doing more important things. If this sounds like you, the good news is therapy can help. Even entrenched lifelong patterns can be shifted with intentional work with an experienced guide. It's absolutely possible to live a life you love.
(503) 400-3741 View (503) 400-3741
Photo of Susan Diane Gendein-Marshall, Psychologist in Portland, OR
Susan Diane Gendein-Marshall
Psychologist, PhD
Verified Verified
Portland, OR 97210
Whether the focus is self esteem, depression, anxiety, relationships, trauma, addiction, or other sorts of pain, you will feel understood within a safe, caring and growth enhancing private therapy. A deeper understanding and comfort with yourself will empower you to live a richer, more productive and satisfying life. Discover important mind-body connections, better identify your desires and goals, be more organized, hopeful and able to enjoy relationships. Design and direct your life in creative, powerful and satisfying ways. Embrace this opportunity for insight, greater happiness and positive change. I can help you to become your most hoped for self.
Whether the focus is self esteem, depression, anxiety, relationships, trauma, addiction, or other sorts of pain, you will feel understood within a safe, caring and growth enhancing private therapy. A deeper understanding and comfort with yourself will empower you to live a richer, more productive and satisfying life. Discover important mind-body connections, better identify your desires and goals, be more organized, hopeful and able to enjoy relationships. Design and direct your life in creative, powerful and satisfying ways. Embrace this opportunity for insight, greater happiness and positive change. I can help you to become your most hoped for self.
(248) 461-3493 View (248) 461-3493
Photo of Laney Kibel, Clinical Social Work/Therapist in Portland, OR
Laney Kibel
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97205  (Online Only)
After 25+ years of providing counseling I find my philosophy has grown simpler and more to the point. Successful counseling is built on a positive and trusting relationship, much as successful living is dependent on trusting, healthy relationships. I bring a broad array of treatment tools to my work including gestalt, object relations and psychodynamic theory. Most importantly I bring myself; my heart, my humor, my understanding, knowledge and years of experience. I work with adults and children, couples and groups(this includes families).
After 25+ years of providing counseling I find my philosophy has grown simpler and more to the point. Successful counseling is built on a positive and trusting relationship, much as successful living is dependent on trusting, healthy relationships. I bring a broad array of treatment tools to my work including gestalt, object relations and psychodynamic theory. Most importantly I bring myself; my heart, my humor, my understanding, knowledge and years of experience. I work with adults and children, couples and groups(this includes families).
(971) 236-5012 View (971) 236-5012
Photo of Meagan Shaw, LPC Intern in Portland, OR
Meagan Shaw
LPC Intern, MS
Verified Verified
Portland, OR 97213
Life and relationships are full of growth opportunities for all of us. I work in collaboration with clients to increase connection and awareness of core values so they can make lasting change. My style is positive, warm and direct. For those working to find increased joy and stability within themselves and their relationships, we can explore together the areas that feel stuck and ways to increase functioning and open up more choice.
Life and relationships are full of growth opportunities for all of us. I work in collaboration with clients to increase connection and awareness of core values so they can make lasting change. My style is positive, warm and direct. For those working to find increased joy and stability within themselves and their relationships, we can explore together the areas that feel stuck and ways to increase functioning and open up more choice.
(541) 513-7303 View (541) 513-7303
Photo of C.J. Sanders, Marriage & Family Therapist in Portland, OR
C.J. Sanders
Marriage & Family Therapist, MA, LMFT
Verified Verified
Portland, OR 97280  (Online Only)
Our relationships are our most important asset. And when something feels off it can be excruciating. Through utilizing the latest research in the fields of attachment, neuroscience, and communication we can collaborate to get things back on track. You will learn some new skills in conflict management—even if you are conflict avoidant! And we will get some psychobiological hacks on board quickly which can result in fewer arguments and a greater sense of connection. Many busy couples today are craving a more fulfilling partnership truly sharing the mental and emotional load.
Our relationships are our most important asset. And when something feels off it can be excruciating. Through utilizing the latest research in the fields of attachment, neuroscience, and communication we can collaborate to get things back on track. You will learn some new skills in conflict management—even if you are conflict avoidant! And we will get some psychobiological hacks on board quickly which can result in fewer arguments and a greater sense of connection. Many busy couples today are craving a more fulfilling partnership truly sharing the mental and emotional load.
(971) 252-7556 View (971) 252-7556
Photo of Marcy Kokinda, Drug & Alcohol Counselor in Portland, OR
Marcy Kokinda
Drug & Alcohol Counselor, CADC-II, QMHA-II, CGAC-R
Verified Verified
Portland, OR 97232
Accepting New Clients: Finding the right provider when you're struggling with substance abuse or a co-occurring disorder can be a daunting task, but I would like to take the fear and shame out of the process and let you know that change is possible if you're willing to take the first step. You may be someone seeking help for the first time or someone who has struggled with issues in the past, but no matter what brought you to this place, I would like to be an ally in your journey toward wellness. Client-centered therapy means that you get to be in control of the process, and I respect an individual's right to maintain autonomy.
Accepting New Clients: Finding the right provider when you're struggling with substance abuse or a co-occurring disorder can be a daunting task, but I would like to take the fear and shame out of the process and let you know that change is possible if you're willing to take the first step. You may be someone seeking help for the first time or someone who has struggled with issues in the past, but no matter what brought you to this place, I would like to be an ally in your journey toward wellness. Client-centered therapy means that you get to be in control of the process, and I respect an individual's right to maintain autonomy.
(503) 487-5052 View (503) 487-5052
Photo of Vanessa Knight, Professional Counselor Associate in Portland, OR
Vanessa Knight
Professional Counselor Associate
Verified Verified
Portland, OR 97206
I work with children and adults, with the goal of helping them find more peace, joy, and meaning within their lives. In addition to talk therapy, I also use play and art therapy with children to help them express themselves when they can’t yet find the words.
I work with children and adults, with the goal of helping them find more peace, joy, and meaning within their lives. In addition to talk therapy, I also use play and art therapy with children to help them express themselves when they can’t yet find the words.
(503) 479-4154 View (503) 479-4154
Photo of Nic Sutherland, Marriage & Family Therapist Associate in Portland, OR
Nic Sutherland
Marriage & Family Therapist Associate, MA
Verified Verified
4 Endorsed
Portland, OR 97205
I support my clients in finding authenticity, agency, and connection in the face of the inevitable changes life has to offer. If you find yourself processing pain from past relationships, feeling disconnected, or fighting in the kitchen, I would love to meet you there. My goal is to build a safe relationship with you, in which we can explore the complexity of your life; the mundane, the magic, the painful.
I support my clients in finding authenticity, agency, and connection in the face of the inevitable changes life has to offer. If you find yourself processing pain from past relationships, feeling disconnected, or fighting in the kitchen, I would love to meet you there. My goal is to build a safe relationship with you, in which we can explore the complexity of your life; the mundane, the magic, the painful.
(971) 274-5960 View (971) 274-5960
Photo of Karenna Bozicevich, Licensed Professional Counselor in Portland, OR
Karenna Bozicevich
Licensed Professional Counselor, L, P, C
Verified Verified
Portland, OR 97232  (Online Only)
I work from a client-centered and strengths-based perspective, which views counseling as a collaborative process and the client as the expert in their own life. I work with each client to foster self-exploration, strengthen their relationships with themselves and others, and to find meaning and purpose in their lives. I specialize in working with ADHD, trauma, anxiety, relationship struggles, and identity issues. I identify as queer and particularly enjoy working with the LGBTQ+ population.
I work from a client-centered and strengths-based perspective, which views counseling as a collaborative process and the client as the expert in their own life. I work with each client to foster self-exploration, strengthen their relationships with themselves and others, and to find meaning and purpose in their lives. I specialize in working with ADHD, trauma, anxiety, relationship struggles, and identity issues. I identify as queer and particularly enjoy working with the LGBTQ+ population.
(971) 366-2817 View (971) 366-2817
Photo of Mike Mihalas, Clinical Social Work/Therapist in Portland, OR
Mike Mihalas
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
1 Endorsed
Portland, OR 97232
Waitlist for new clients
Do you want to understand yourself better and get to the root of your issues? Working together we will explore your unconscious psyche, find new skills and adaptive ways to cope, and make sense of your internal world and the world around you. My therapeutic approach is individualized for each new client and pulls from my extensive training in: Cognitive Behavioral Therapy (CBT), Trauma-Focused CBT (TF-CBT), Dialectical Behavioral Therapy (DBT), and Psychoanalytic/Psychodynamic Psychotherapy.
Do you want to understand yourself better and get to the root of your issues? Working together we will explore your unconscious psyche, find new skills and adaptive ways to cope, and make sense of your internal world and the world around you. My therapeutic approach is individualized for each new client and pulls from my extensive training in: Cognitive Behavioral Therapy (CBT), Trauma-Focused CBT (TF-CBT), Dialectical Behavioral Therapy (DBT), and Psychoanalytic/Psychodynamic Psychotherapy.
(971) 319-9566 View (971) 319-9566
Photo of Kelly Grace, Marriage & Family Therapist in Portland, OR
Kelly Grace
Marriage & Family Therapist, MA, MDiv, LMFT, PMH-C
Verified Verified
2 Endorsed
Portland, OR 97214
*Limited openings on a case-by-case situation.* Support is how we do well. We all need someone in our corner with compassion, solidarity, and hope. I can be that for you and your relationship. I support individuals and couples navigating through life's traumas, transitions, and stress. You may be feeling overwhelmed or stuck, but also motivated to work towards a breakthrough. If you've been carrying tension, grief, conflict, or emotional pain, let's start to work things out. Together we'll look at practical strategies to utilize your strengths, change unhealthy patterns, and grow your resiliency.
*Limited openings on a case-by-case situation.* Support is how we do well. We all need someone in our corner with compassion, solidarity, and hope. I can be that for you and your relationship. I support individuals and couples navigating through life's traumas, transitions, and stress. You may be feeling overwhelmed or stuck, but also motivated to work towards a breakthrough. If you've been carrying tension, grief, conflict, or emotional pain, let's start to work things out. Together we'll look at practical strategies to utilize your strengths, change unhealthy patterns, and grow your resiliency.
(503) 765-7712 View (503) 765-7712
Photo of Kelly Strider, Licensed Professional Counselor in Portland, OR
Kelly Strider
Licensed Professional Counselor, LPC, CADCIII
Verified Verified
Portland, OR 97232
What do you want to change? At the shorter end of things, it's possible to make positive changes in a handful of sessions. This is often the case for issues related to specific events. For more serious and/or chronic problems, longer-term work is appropriate, especially when a sufficiently safe therapeutic relationship takes more time to build.
What do you want to change? At the shorter end of things, it's possible to make positive changes in a handful of sessions. This is often the case for issues related to specific events. For more serious and/or chronic problems, longer-term work is appropriate, especially when a sufficiently safe therapeutic relationship takes more time to build.
(971) 247-1460 View (971) 247-1460

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
73% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

54% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

57% In Person and Online
43% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Portland?

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.