Therapists in Portland, OR

View neighborhoods in Portland
Photo of Heather Ackles LCSW, Clinical Social Work/Therapist in Portland, OR
Heather Ackles LCSW
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97211  (Online Only)
Not accepting new clients
You have lost faith in your ability to make decisions, fearing a repeat of past mistakes. 'Was that too much?' 'What does that mean?' You're re-reading text threads. You prioritize the needs of others over your own, losing yourself in the process. Asking yourself: "Are these even my choices? What am I protecting? Who am I trying to be in relationships? What do I want?" Relationships (breakups, separation, dating, divorce) bring up anxiety, depression and self-judgment - affecting the relationship we have with ourselves. -> And this is your opportunity to define what’s missing, unpack who you are, and strengthen your foundation.
You have lost faith in your ability to make decisions, fearing a repeat of past mistakes. 'Was that too much?' 'What does that mean?' You're re-reading text threads. You prioritize the needs of others over your own, losing yourself in the process. Asking yourself: "Are these even my choices? What am I protecting? Who am I trying to be in relationships? What do I want?" Relationships (breakups, separation, dating, divorce) bring up anxiety, depression and self-judgment - affecting the relationship we have with ourselves. -> And this is your opportunity to define what’s missing, unpack who you are, and strengthen your foundation.
(503) 498-6879 View (503) 498-6879
Photo of Sprout Therapy PDX, Licensed Professional Counselor in Portland, OR
Sprout Therapy PDX
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97213
If you’re reading this, we already know you’re struggling. Maybe you’re having trouble “adulting”. You’re feeling like everyone else seems to have it all together, why can’t you? Your mental health is getting worse and worse, and you just want it to stop. Your day to day life is chaos and worry and you remember better days when things just weren't like this. You might feel like you’re out of control of your life.
If you’re reading this, we already know you’re struggling. Maybe you’re having trouble “adulting”. You’re feeling like everyone else seems to have it all together, why can’t you? Your mental health is getting worse and worse, and you just want it to stop. Your day to day life is chaos and worry and you remember better days when things just weren't like this. You might feel like you’re out of control of your life.
(971) 302-2395 View (971) 302-2395
Photo of Elinor Wilber, Marriage & Family Therapist Associate in Portland, OR
Elinor Wilber
Marriage & Family Therapist Associate, MA
Verified Verified
Portland, OR 97239
I specialize in working with teens as they navigate the challenges of adolescence and strive to build a strong sense of self-worth and self-confidence. I also work with families to improve communication and strengthen interpersonal dynamics, as well as with couples to address issues related to trust, intimacy and commitment.
I specialize in working with teens as they navigate the challenges of adolescence and strive to build a strong sense of self-worth and self-confidence. I also work with families to improve communication and strengthen interpersonal dynamics, as well as with couples to address issues related to trust, intimacy and commitment.
(971) 545-4731 View (971) 545-4731
Photo of Stace Parlen, Marriage & Family Therapist in Portland, OR
Stace Parlen
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Portland, OR 97202
My work is primarily with LGBTQ communities with a specialty in transgender identities. This includes letter writing, supporting individuals, families, and relationships through social, spiritual, medical, and/or the multiple ways one can transition. I also work with LGBTQ individuals and families surrounding day-to-day concerns that may have little to do with their gender and/or sexual orientation. This may include relationship conflict, grief/loss, life transitions, and/or mental health concerns such as anxiety and depression. I currently work with children/teens and adults 10 and up in a private practice setting.
My work is primarily with LGBTQ communities with a specialty in transgender identities. This includes letter writing, supporting individuals, families, and relationships through social, spiritual, medical, and/or the multiple ways one can transition. I also work with LGBTQ individuals and families surrounding day-to-day concerns that may have little to do with their gender and/or sexual orientation. This may include relationship conflict, grief/loss, life transitions, and/or mental health concerns such as anxiety and depression. I currently work with children/teens and adults 10 and up in a private practice setting.
(503) 278-5573 View (503) 278-5573
Photo of Corri Hager, Marriage & Family Therapist Associate in Portland, OR
Corri Hager
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Portland, OR 97221
***CURRENTLY ACCEPTING NEW CLIENTS*** I specialize in working with teens and young adults who experience difficulty in their ability to openly and honestly express their emotions. I consider it a gift to be able to walk alongside you as my client as you discover how to fully embrace your authentic self.
***CURRENTLY ACCEPTING NEW CLIENTS*** I specialize in working with teens and young adults who experience difficulty in their ability to openly and honestly express their emotions. I consider it a gift to be able to walk alongside you as my client as you discover how to fully embrace your authentic self.
(971) 213-7306 View (971) 213-7306
Photo of Brandy K. Poirier, Licensed Professional Counselor in Portland, OR
Brandy K. Poirier
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Portland, OR 97205
Waitlist for new clients
Do you notice that worry, conflict, or self-doubt are leaving you feeling exhausted, paralyzed, or overwhelmed? Or find yourself stuck in situations or patterns that no longer serve you? If past or current events are limiting your ability to fully live your life, this could be a great time to see a therapist. When you enter new territory, having a skilled companion by your side--to really listen, see your strengths, offer new tools, and be with you while you explore and heal the difficult places--can give you the clarity, courage, and confidence to effectively make the changes you want to see in your life more quickly.
Do you notice that worry, conflict, or self-doubt are leaving you feeling exhausted, paralyzed, or overwhelmed? Or find yourself stuck in situations or patterns that no longer serve you? If past or current events are limiting your ability to fully live your life, this could be a great time to see a therapist. When you enter new territory, having a skilled companion by your side--to really listen, see your strengths, offer new tools, and be with you while you explore and heal the difficult places--can give you the clarity, courage, and confidence to effectively make the changes you want to see in your life more quickly.
(503) 567-1286 View (503) 567-1286
Photo of Carol L Penn, Psychologist in Portland, OR
Carol L Penn
Psychologist, PhD
Verified Verified
Portland, OR 97202
I am a clinical psychologist, licensed since 1986. My husband and I moved to Portland recently, and are enjoying the energy and cultural richness of the city. I enjoy traveling, yoga, jogging, and of course visiting our grandchildren. I particularly enjoy working with people who feel "stuck" and are interested in developing insight into the roots of the issues which keep them from moving forward in their lives; however, I appreciate the unique needs of each individual and am flexible in meeting their needs.
I am a clinical psychologist, licensed since 1986. My husband and I moved to Portland recently, and are enjoying the energy and cultural richness of the city. I enjoy traveling, yoga, jogging, and of course visiting our grandchildren. I particularly enjoy working with people who feel "stuck" and are interested in developing insight into the roots of the issues which keep them from moving forward in their lives; however, I appreciate the unique needs of each individual and am flexible in meeting their needs.
(503) 694-4189 View (503) 694-4189
Photo of Linnea Stenhouse, Clinical Social Work/Therapist in Portland, OR
Linnea Stenhouse
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97232
Waitlist for new clients
Life is change and change is difficult. Moving, finding love, losing a relationship, becoming a parent, leaving a religious community, affirming your gender identity, caregiving for a loved one - aspects of life we may love or hate- adjusting to change brings up a lot of shit. All our identities and histories only amplify the complexity of how we respond to the ever changing landscape of our lives. Therapy is a way to create intentional time to explore and process ourselves, our relationships and our community and context, shed through old skins that no longer fit and discover new ones .
Life is change and change is difficult. Moving, finding love, losing a relationship, becoming a parent, leaving a religious community, affirming your gender identity, caregiving for a loved one - aspects of life we may love or hate- adjusting to change brings up a lot of shit. All our identities and histories only amplify the complexity of how we respond to the ever changing landscape of our lives. Therapy is a way to create intentional time to explore and process ourselves, our relationships and our community and context, shed through old skins that no longer fit and discover new ones .
(503) 987-3081 View (503) 987-3081
Photo of Debbie Bensching, Clinical Social Work/Therapist in Portland, OR
Debbie Bensching
Clinical Social Work/Therapist, LCSW, ACSW, MSWAC, LICSW
Verified Verified
1 Endorsed
Portland, OR 97205
I guide the process of working through problems to enhance performance in activities of daily living in work, relationships, recreation & professional settings. Problem areas include difficulties with anxiety, depression, self-esteem, anger, grief & loss, women's issues, habit disorders, addictions recovery: drugs, alcohol, food; ACOA, family members affected by addiction, trauma: post-traumatic stress, rape, abuse (physical, emotional, sexual), dissociative disorders, relationships: marriage / domestic partner, parent-child, divorce/ separation, parenting. Also work with difficulties with sleep, relaxation, or underperforming.
I guide the process of working through problems to enhance performance in activities of daily living in work, relationships, recreation & professional settings. Problem areas include difficulties with anxiety, depression, self-esteem, anger, grief & loss, women's issues, habit disorders, addictions recovery: drugs, alcohol, food; ACOA, family members affected by addiction, trauma: post-traumatic stress, rape, abuse (physical, emotional, sexual), dissociative disorders, relationships: marriage / domestic partner, parent-child, divorce/ separation, parenting. Also work with difficulties with sleep, relaxation, or underperforming.
(503) 406-3624 View (503) 406-3624
Photo of Homebody Counseling, LLC, Licensed Professional Counselor in Portland, OR
Homebody Counseling, LLC
Licensed Professional Counselor, MS, LPC
Verified Verified
Portland, OR 97214  (Online Only)
Waitlist for new clients
Hi, I'm Michelle Sargenti and my therapy practice is Homebody Counseling, LLC. I firmly believe that we are all deserving of peace, and my intention is to support you in claiming yours. As a therapist, I aim to show up as my authentic self - someone who will laugh with you, grieve with you, celebrate you, and support you in navigating life’s challenges while providing insight into tools that ease the process.
Hi, I'm Michelle Sargenti and my therapy practice is Homebody Counseling, LLC. I firmly believe that we are all deserving of peace, and my intention is to support you in claiming yours. As a therapist, I aim to show up as my authentic self - someone who will laugh with you, grieve with you, celebrate you, and support you in navigating life’s challenges while providing insight into tools that ease the process.
(503) 994-5643 View (503) 994-5643
Photo of Jennifer Navarro, Licensed Professional Counselor in Portland, OR
Jennifer Navarro
Licensed Professional Counselor, MA, LMHC, LPC
Verified Verified
1 Endorsed
Portland, OR 97215
Waitlist for new clients
The human condition is stressful for everyone right now. Healthcare providers, LGBTQ2SIA + and those with chronic pain/medical illness are feeling it more than ever. Depression, anxiety and trauma responses can be overlooked/minimized. What you are experiencing is real and you deserve the time, space and support to explore this. Are your thoughts, feelings and behaviors getting in the way of your relationships/work/goals/well-being? Are you taking better care of others than you are of yourself? Is it time to move beyond surviving and begin thriving? If so, perhaps it's time to reach out for a helping hand. All are welcome here.
The human condition is stressful for everyone right now. Healthcare providers, LGBTQ2SIA + and those with chronic pain/medical illness are feeling it more than ever. Depression, anxiety and trauma responses can be overlooked/minimized. What you are experiencing is real and you deserve the time, space and support to explore this. Are your thoughts, feelings and behaviors getting in the way of your relationships/work/goals/well-being? Are you taking better care of others than you are of yourself? Is it time to move beyond surviving and begin thriving? If so, perhaps it's time to reach out for a helping hand. All are welcome here.
(503) 868-2273 View (503) 868-2273
Photo of Dr. Jason Jones, Psychologist in Portland, OR
Dr. Jason Jones
Psychologist, PhD
Verified Verified
Portland, OR 97205
I am currently accepting new patients! I have experience treating a broad range of mental health difficulties including anxiety, ADHD, and PTSD. I am thoughtful, and I listen with openness and compassion. I provide a non judgemental and compassionate approach to begin the healing process.
I am currently accepting new patients! I have experience treating a broad range of mental health difficulties including anxiety, ADHD, and PTSD. I am thoughtful, and I listen with openness and compassion. I provide a non judgemental and compassionate approach to begin the healing process.
(971) 298-8190 x1 View (971) 298-8190 x1
Photo of Marissa Kendall, Pre-Licensed Professional in Portland, OR
Marissa Kendall
Pre-Licensed Professional
Verified Verified
Portland, OR 97239
In my journey as a therapist, I've come to believe in the transformative power of feeling truly seen and supported. I believe every person has the ability for growth and resilience; often, what's needed is an environment where you feel acknowledged and understood.
In my journey as a therapist, I've come to believe in the transformative power of feeling truly seen and supported. I believe every person has the ability for growth and resilience; often, what's needed is an environment where you feel acknowledged and understood.
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Photo of Erik Patterson, Professional Counselor Associate in Portland, OR
Erik Patterson
Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Portland, OR 97210  (Online Only)
Therapeutic counseling that works is counseling that supports you to create change, reach your potential, and accomplish your goals. As your counselor, I will join with you to navigate through the things that stand in your way. Barriers to change are different for every person. You may be struggling through depression or anxiety; trying to navigate changes in relationships; isolation; living with trauma; struggling with work, family, or stress; or you are one of the many who simply can’t identify what is getting in the way. My goal is to help you find a path forward and start making the changes that you are seeking!
Therapeutic counseling that works is counseling that supports you to create change, reach your potential, and accomplish your goals. As your counselor, I will join with you to navigate through the things that stand in your way. Barriers to change are different for every person. You may be struggling through depression or anxiety; trying to navigate changes in relationships; isolation; living with trauma; struggling with work, family, or stress; or you are one of the many who simply can’t identify what is getting in the way. My goal is to help you find a path forward and start making the changes that you are seeking!
(971) 232-3695 View (971) 232-3695
Photo of Kathryn Ann Williams, Licensed Professional Counselor in Portland, OR
Kathryn Ann Williams
Licensed Professional Counselor, LPC, NCC, BC-TMH
Verified Verified
Portland, OR 97206  (Online Only)
Not accepting new clients
I appreciate working with individuals and couples who identify as unconventional in some way, who are creative, introverted or highly sensitive, and want to be more assertive, confident and self-compassionate. I support LBGTQ-identified folks navigate issues of gender identity, sexual orientation, sexuality, relationships, trauma and oppression. As a holistically-oriented therapist with years of experience working within the naturopathic medical community, I also value helping individuals emotionally and mentally challenged by chronic or life-threatening illnesses.
I appreciate working with individuals and couples who identify as unconventional in some way, who are creative, introverted or highly sensitive, and want to be more assertive, confident and self-compassionate. I support LBGTQ-identified folks navigate issues of gender identity, sexual orientation, sexuality, relationships, trauma and oppression. As a holistically-oriented therapist with years of experience working within the naturopathic medical community, I also value helping individuals emotionally and mentally challenged by chronic or life-threatening illnesses.
(503) 676-5121 View (503) 676-5121
Photo of Avery Lucas, Marriage & Family Therapist Associate in Portland, OR
Avery Lucas
Marriage & Family Therapist Associate, MA
Verified Verified
1 Endorsed
Portland, OR 97221
Accepting new clients as of April 12th! I enjoy working with families, couples, individuals and children. Many of us struggle with anxiety, stress, depression, anger, grief, and more. My approach is to walk alongside you and explore and further process the challenges that may be present in your life. I hope to provide an environment where you may feel safe and accepted. As a Marriage and Family Therapist Associate, I use attachment-based, existential, and systems frameworks. Together, we may work together exploring patterns in relationships, support systems, past and present experiences, and emotions.
Accepting new clients as of April 12th! I enjoy working with families, couples, individuals and children. Many of us struggle with anxiety, stress, depression, anger, grief, and more. My approach is to walk alongside you and explore and further process the challenges that may be present in your life. I hope to provide an environment where you may feel safe and accepted. As a Marriage and Family Therapist Associate, I use attachment-based, existential, and systems frameworks. Together, we may work together exploring patterns in relationships, support systems, past and present experiences, and emotions.
(503) 755-8634 View (503) 755-8634
Photo of Awaken Counseling, PLLC, Licensed Professional Counselor in Portland, OR
Awaken Counseling, PLLC
Licensed Professional Counselor, LPC, MA, QMHP, NCC
Verified Verified
Portland, OR 97205  (Online Only)
You're here, looking for a therapist licensed/registered in Oregon, Washington or New Jersey to help you with challenging feelings and situations. There's so many therapists that can help alleviate anxiety, depression, self-esteem and relationship issues, and trauma. How do you choose? How do you choose when you're already feeling overwhelmed by life? We offer you what we would want: Experience, education, convenience, connection, and lasting healing.
You're here, looking for a therapist licensed/registered in Oregon, Washington or New Jersey to help you with challenging feelings and situations. There's so many therapists that can help alleviate anxiety, depression, self-esteem and relationship issues, and trauma. How do you choose? How do you choose when you're already feeling overwhelmed by life? We offer you what we would want: Experience, education, convenience, connection, and lasting healing.
(503) 836-5316 View (503) 836-5316
Photo of Azin Ghoreyshi, Professional Counselor Associate in Portland, OR
Azin Ghoreyshi
Professional Counselor Associate
Verified Verified
Portland, OR 97231  (Online Only)
accepting new clients! My areas of expertise include anxiety, depression, and relationship issues. Are you self-aware, but needing some extra support around understanding your experience and making necessary changes in order to thrive? Are you navigating a challenging relationship, situation or transition? Do you need new tools for self-regulating? My primary objective as a therapist is to establish a nonjudgmental and nurturing environment where I can help you recognize and address the thought patterns and behaviors that may be impeding your progress towards realizing your highest potential.
accepting new clients! My areas of expertise include anxiety, depression, and relationship issues. Are you self-aware, but needing some extra support around understanding your experience and making necessary changes in order to thrive? Are you navigating a challenging relationship, situation or transition? Do you need new tools for self-regulating? My primary objective as a therapist is to establish a nonjudgmental and nurturing environment where I can help you recognize and address the thought patterns and behaviors that may be impeding your progress towards realizing your highest potential.
(503) 743-7330 View (503) 743-7330
Photo of Annie Dolle @ Arrival Counseling, Clinical Social Work/Therapist in Portland, OR
Annie Dolle @ Arrival Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97205  (Online Only)
Join with me and allow connection, safety, and curiosity to unearth your fullest self. Become a compassionate observer of your own experience as your nervous system aligns in relationship. Tired of contracting and reacting? Together we can find ways to experience and respond to life as it comes. What have you experienced? What strategies have you employed to cope? What have you come to believe about yourself and others? Lets take a look at your goals and concerns and move towards a functional and connected you. There are reasons for your current pain, and It is possible to feel better.
Join with me and allow connection, safety, and curiosity to unearth your fullest self. Become a compassionate observer of your own experience as your nervous system aligns in relationship. Tired of contracting and reacting? Together we can find ways to experience and respond to life as it comes. What have you experienced? What strategies have you employed to cope? What have you come to believe about yourself and others? Lets take a look at your goals and concerns and move towards a functional and connected you. There are reasons for your current pain, and It is possible to feel better.
(503) 563-7407 View (503) 563-7407
Photo of Jennifer Bimberg Counseling , Clinical Social Work/Therapist in Portland, OR
Jennifer Bimberg Counseling
Clinical Social Work/Therapist, LCSW, CADC
Verified Verified
Portland, OR 97211  (Online Only)
Is anxiety, depression, or chronic stress preventing you from feeling present in your life? Have you done a lot of therapy but continue to find yourself feeling stuck, hopeless, or full of dread? Are you struggling with chronic health conditions that don't seem to respond to traditional interventions or can't be explained by conventional medicine? My time as a healing professional has reinforced the awareness that trauma and chronic stress are stored not just in our minds, but in our bodies and nervous systems as well. That is often why talk therapy is just not enough.
Is anxiety, depression, or chronic stress preventing you from feeling present in your life? Have you done a lot of therapy but continue to find yourself feeling stuck, hopeless, or full of dread? Are you struggling with chronic health conditions that don't seem to respond to traditional interventions or can't be explained by conventional medicine? My time as a healing professional has reinforced the awareness that trauma and chronic stress are stored not just in our minds, but in our bodies and nervous systems as well. That is often why talk therapy is just not enough.
(503) 964-4999 View (503) 964-4999

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
71% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

54% PacificSource
47% Aetna
37% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

55% In Person and Online
45% 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.