Therapists in Seattle, WA

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Photo of Shailyn Warnock, Clinical Social Work/Therapist in Seattle, WA
Shailyn Warnock
Clinical Social Work/Therapist, LSWAIC, MSW, MHP
Verified Verified
Seattle, WA 98101  (Online Only)
Are you seeking a compassionate and experienced therapist to guide you through life's challenges? I am a dedicated mental health therapist with a passion for helping individuals overcome depression, anxiety, trauma, relationship conflict, and self-esteem issues. I understand that seeking therapy can be a courageous step, and I provide a safe, non-judgmental space where you can explore your thoughts and feelings. Together, we'll work collaboratively to develop strategies that promote healing, resilience, and personal growth.
Are you seeking a compassionate and experienced therapist to guide you through life's challenges? I am a dedicated mental health therapist with a passion for helping individuals overcome depression, anxiety, trauma, relationship conflict, and self-esteem issues. I understand that seeking therapy can be a courageous step, and I provide a safe, non-judgmental space where you can explore your thoughts and feelings. Together, we'll work collaboratively to develop strategies that promote healing, resilience, and personal growth.
(253) 527-7762 View (253) 527-7762
Photo of Jakob Gelleri, Counselor in Seattle, WA
Jakob Gelleri
Counselor, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98103
As a therapist I believe in a strengths-based approach to counseling in which growth comes from a person's own values, goals, and desire to implement impactful changes in their lives. I also encourage a collaborative approach to therapy – I am simply a guide who has developed an expertise in supporting the goals of my clients or helping them develop goals which feel personally meaningful. Through identity exploration and development, values building, and symptom reduction, my goal is to lend support to an individual's growing sense of competence, confidence, and empowerment.
As a therapist I believe in a strengths-based approach to counseling in which growth comes from a person's own values, goals, and desire to implement impactful changes in their lives. I also encourage a collaborative approach to therapy – I am simply a guide who has developed an expertise in supporting the goals of my clients or helping them develop goals which feel personally meaningful. Through identity exploration and development, values building, and symptom reduction, my goal is to lend support to an individual's growing sense of competence, confidence, and empowerment.
(206) 984-6365 View (206) 984-6365
Photo of Miguel Chavez, Counselor in Seattle, WA
Miguel Chavez
Counselor, MA, LMHCA, MHP
Verified Verified
Seattle, WA 98107  (Online Only)
Waitlist for new clients
Welcome! You’ve taken the first step to finding a therapist, and that takes courage. My goal is to create a safe, trusting, and uplifting environment for you to grow, gain insight, and make meaningful change. By engaging in a collaborative therapeutic process, I believe that we can all heal from our past to learn and grow in the present.
Welcome! You’ve taken the first step to finding a therapist, and that takes courage. My goal is to create a safe, trusting, and uplifting environment for you to grow, gain insight, and make meaningful change. By engaging in a collaborative therapeutic process, I believe that we can all heal from our past to learn and grow in the present.
(206) 207-5158 View (206) 207-5158
Photo of Cynthia M Seager in Seattle, WA
Cynthia M Seager
MA, LMHC
Verified Verified
Seattle, WA 98125  (Online Only)
My passion/expertise is working with the complex needs of neuro-diverse adults: those with ADHD, Aspergers or mild TBI-induced cognitive symptoms; helping them live more effectively and confidently. People with these issues typically deal with a varied combination of life challenges, executive skill deficits & mood issues. Things like chronic issues with consistency, follow-through, ongoing sleep or self care challenges, as well as co-occurring anxiety, social anxiety, &/or depression, or need better Bipolar management skills. I’m here to help you harness your strengths, build missing skills, & move past your personal stuck points.
My passion/expertise is working with the complex needs of neuro-diverse adults: those with ADHD, Aspergers or mild TBI-induced cognitive symptoms; helping them live more effectively and confidently. People with these issues typically deal with a varied combination of life challenges, executive skill deficits & mood issues. Things like chronic issues with consistency, follow-through, ongoing sleep or self care challenges, as well as co-occurring anxiety, social anxiety, &/or depression, or need better Bipolar management skills. I’m here to help you harness your strengths, build missing skills, & move past your personal stuck points.
(206) 488-0789 View (206) 488-0789
Photo of Julia Robins, Counselor in Seattle, WA
Julia Robins
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98102
Do you have difficulty trusting your experiences and navigating how the world perceives and treats you? Are you struggling to feel comfortable in your body? Many of us learn to think and behave in unsustainable ways in order to stay safe in an unaccepting and marginalizing world. If you are struggling to break free from patterns that helped you survive in the past but are keeping you from thriving in the now, you're in the right place. I help LGBTQ+ individuals, couples and women build self-compassion and body-awareness to better understand how trauma is holding them back.
Do you have difficulty trusting your experiences and navigating how the world perceives and treats you? Are you struggling to feel comfortable in your body? Many of us learn to think and behave in unsustainable ways in order to stay safe in an unaccepting and marginalizing world. If you are struggling to break free from patterns that helped you survive in the past but are keeping you from thriving in the now, you're in the right place. I help LGBTQ+ individuals, couples and women build self-compassion and body-awareness to better understand how trauma is holding them back.
(206) 337-0688 View (206) 337-0688
Photo of Sheryl E Kool, Counselor in Seattle, WA
Sheryl E Kool
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98125
Not accepting new clients
Welcome! I am a warm, compassionate and experienced counselor who works in a collaborative style that allows you to draw upon your own strengths and experience in order to grow. Trust and a sense of safety are the necessary foundations for effective treatment. You need to feel connected and understood to share your internal world. I respect the tremendous courage it takes to face up to deeply buried or avoided thoughts and feelings. My ability to listen, follow and connect deeply will enable you to feel safe enough to explore the problems which have hindered your life and relationships.
Welcome! I am a warm, compassionate and experienced counselor who works in a collaborative style that allows you to draw upon your own strengths and experience in order to grow. Trust and a sense of safety are the necessary foundations for effective treatment. You need to feel connected and understood to share your internal world. I respect the tremendous courage it takes to face up to deeply buried or avoided thoughts and feelings. My ability to listen, follow and connect deeply will enable you to feel safe enough to explore the problems which have hindered your life and relationships.
(206) 981-3189 View (206) 981-3189
Photo of Alexandra Szablya, Counselor in Seattle, WA
Alexandra Szablya
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98121
I work with individuals and couples who are looking to get more out of their lives. Choosing the right therapist for you is important - email, text or call to set up a free consult to see if we're a good match to work through your issues. With couples, I help increase communication and understanding of each other using Emotionally Focused Therapy (EFT) and Gottman. My areas of focus for individuals include work issues, depression and anxiety, grief, navigating American culture, and sexual issues that get in the way of committed relationships.
I work with individuals and couples who are looking to get more out of their lives. Choosing the right therapist for you is important - email, text or call to set up a free consult to see if we're a good match to work through your issues. With couples, I help increase communication and understanding of each other using Emotionally Focused Therapy (EFT) and Gottman. My areas of focus for individuals include work issues, depression and anxiety, grief, navigating American culture, and sexual issues that get in the way of committed relationships.
(206) 981-5260 View (206) 981-5260
Photo of Michael J Rubbinaccio, Marriage & Family Therapist Associate in Seattle, WA
Michael J Rubbinaccio
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
4 Endorsed
Seattle, WA 98101
For nearly 25 years in HR and communications, I have helped corporations with communication and relationship issues with employees. I now help individuals and relationships directly with life challenges. I believe communication is central to how we interact with the world and how the world interacts with us--from our loved ones at home to strangers on the street--and it informs how I do therapy. I use Emotion-Focused Therapy (EFT) while drawing on communications theory, and an Integrated Couples Therapy perspective, taking parts of EFT and Gottman Therapy, for a phased approach to relationship therapy.
For nearly 25 years in HR and communications, I have helped corporations with communication and relationship issues with employees. I now help individuals and relationships directly with life challenges. I believe communication is central to how we interact with the world and how the world interacts with us--from our loved ones at home to strangers on the street--and it informs how I do therapy. I use Emotion-Focused Therapy (EFT) while drawing on communications theory, and an Integrated Couples Therapy perspective, taking parts of EFT and Gottman Therapy, for a phased approach to relationship therapy.
(206) 590-3900 View (206) 590-3900
Photo of Judy L Martin, Mental Health Counselor in Seattle, WA
Judy L Martin
Mental Health Counselor, LPC, LMHC, NCC
Verified Verified
Seattle, WA 98103
Sometimes the current challenges of our lives, as well as unhealed wounds from the past, impede our ability to live as fully as we aspire. Through creating a safe and compassionate therapeutic space, I strive to work collaboratively with clients to consider a variety of possibilities in how they relate to and meet their unique life challenges. Ultimately, I believe that being understood is a powerful catalyst for change.
Sometimes the current challenges of our lives, as well as unhealed wounds from the past, impede our ability to live as fully as we aspire. Through creating a safe and compassionate therapeutic space, I strive to work collaboratively with clients to consider a variety of possibilities in how they relate to and meet their unique life challenges. Ultimately, I believe that being understood is a powerful catalyst for change.
(206) 672-8396 View (206) 672-8396
Photo of Emily Rich, Marriage & Family Therapist in Seattle, WA
Emily Rich
Marriage & Family Therapist, MS, LMFT, MedFT
Verified Verified
11 Endorsed
Seattle, WA 98109  (Online Only)
I enjoy working with individuals, couples, and families affected by trauma, relationship challenges, and/or eating disorders/food and body issues. Many of my clients are looking for healing around stressful or traumatic life experiences that have led to brilliant but sometimes "stuck" survival strategies. Others are seeking to find peace and freedom with food and body struggles. Some may be struggling with relationships, communication, and boundaries. Though these are my areas of expertise, I work with a wide variety of clients and needs and am happy to explore if I am the right fit for you.
I enjoy working with individuals, couples, and families affected by trauma, relationship challenges, and/or eating disorders/food and body issues. Many of my clients are looking for healing around stressful or traumatic life experiences that have led to brilliant but sometimes "stuck" survival strategies. Others are seeking to find peace and freedom with food and body struggles. Some may be struggling with relationships, communication, and boundaries. Though these are my areas of expertise, I work with a wide variety of clients and needs and am happy to explore if I am the right fit for you.
(206) 488-0758 View (206) 488-0758
Photo of Alison Bird, Counselor in Seattle, WA
Alison Bird
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98107  (Online Only)
Alison Bird, LMHC holds a master’s in integral counseling psychology, bringing a decade of experience in therapy to working with individuals and families from diverse backgrounds. Her trauma-informed, holistic approach integrates modalities like TF-CBT, DBT, IFS, somatic therapy, and mindfulness, fostering emotional healing and helping clients align with their authentic selves.
Alison Bird, LMHC holds a master’s in integral counseling psychology, bringing a decade of experience in therapy to working with individuals and families from diverse backgrounds. Her trauma-informed, holistic approach integrates modalities like TF-CBT, DBT, IFS, somatic therapy, and mindfulness, fostering emotional healing and helping clients align with their authentic selves.
(206) 558-8790 View (206) 558-8790
Photo of Katie Ferrell, Counselor in Seattle, WA
Katie Ferrell
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98107  (Online Only)
Counseling for the neurodiverse who are ready to take control of their day-to-day and start living a more fulfilled and joyful life. I get it, your brain works so fast it’s impossible to get your thoughts organized. All the distractions and the inability to communicate clearly makes every day feel like an overwhelming rollercoaster ride of chaos. The nagging feeling of always letting everyone down, including yourself, has real consequences. Let’s rewrite your perception of your story to take back your power.
Counseling for the neurodiverse who are ready to take control of their day-to-day and start living a more fulfilled and joyful life. I get it, your brain works so fast it’s impossible to get your thoughts organized. All the distractions and the inability to communicate clearly makes every day feel like an overwhelming rollercoaster ride of chaos. The nagging feeling of always letting everyone down, including yourself, has real consequences. Let’s rewrite your perception of your story to take back your power.
(206) 208-1275 View (206) 208-1275
Photo of Dr. Mary Murphy, Clinical Social Work/Therapist in Seattle, WA
Dr. Mary Murphy
Clinical Social Work/Therapist, EdD, LICSW, MSW
Verified Verified
Seattle, WA 98103  (Online Only)
It is not uncommon for individuals considering talk therapy to put it off. Time. Money. Scheduling. But what about the cost of NOT doing talk therapy? What about the cost of stress? Unhealthy relationships? Limiting your full potential because of low self esteem or lack of self confidence? Impulsive behaviors that leave you feeling empty? The real bargain is living a life of healthy functioning. Working toward enduring change. Replacing those parts of your life that hold you back to make room for a life in which you flourish.
It is not uncommon for individuals considering talk therapy to put it off. Time. Money. Scheduling. But what about the cost of NOT doing talk therapy? What about the cost of stress? Unhealthy relationships? Limiting your full potential because of low self esteem or lack of self confidence? Impulsive behaviors that leave you feeling empty? The real bargain is living a life of healthy functioning. Working toward enduring change. Replacing those parts of your life that hold you back to make room for a life in which you flourish.
(206) 745-0954 View (206) 745-0954
Photo of Marissa Rose Renella in Seattle, WA
Marissa Rose Renella
MT-BC
Verified Verified
1 Endorsed
Seattle, WA 98112
Reconnecting to ourselves, others, and our community is imperative to growth, healing, and movement through life. Taking the time to find and explore creativity, our expression process, and the arts when we are living with mental illness, changes, and just living in general is a transformative process. This process alleviates debilitating symptoms so that we can discover what truly and uniquely works for us in therapy. I have experience working with people of all ages, the majority being youth ages 10-22 experiencing acute mental health crises, and I am open to working with folks of all ages and with any mental health support needs.
Reconnecting to ourselves, others, and our community is imperative to growth, healing, and movement through life. Taking the time to find and explore creativity, our expression process, and the arts when we are living with mental illness, changes, and just living in general is a transformative process. This process alleviates debilitating symptoms so that we can discover what truly and uniquely works for us in therapy. I have experience working with people of all ages, the majority being youth ages 10-22 experiencing acute mental health crises, and I am open to working with folks of all ages and with any mental health support needs.
(425) 276-8028 View (425) 276-8028
Photo of Sara Carter, Counselor in Seattle, WA
Sara Carter
Counselor, MA Ed, LMHCA
Verified Verified
2 Endorsed
Seattle, WA 98105
Do you outwardly appear to hold it all together? Yet on the inside, are there numerous life circumstances that challenge your ability to cope, manage everyday stressors, and feel in control? As a school counselor and learning specialist with 27 years experience working with adolescents and young adults, I bring a unique perspective of empathy, compassion, optimism, and humor to my counseling practice. I hold a safe space in which adolescents and young adults can address and navigate stress, anxiety, attentional and executive function challenges, social, familial and societal expectations and the myriad transitions life presents us.
Do you outwardly appear to hold it all together? Yet on the inside, are there numerous life circumstances that challenge your ability to cope, manage everyday stressors, and feel in control? As a school counselor and learning specialist with 27 years experience working with adolescents and young adults, I bring a unique perspective of empathy, compassion, optimism, and humor to my counseling practice. I hold a safe space in which adolescents and young adults can address and navigate stress, anxiety, attentional and executive function challenges, social, familial and societal expectations and the myriad transitions life presents us.
(206) 238-0476 View (206) 238-0476
Photo of Chaise Marie Gies - N. W. Family Psychology, Drug & Alcohol Counselor in Seattle, WA
Chaise Marie Gies - N. W. Family Psychology
Drug & Alcohol Counselor, MS, LMHCA, MHP, SUD-PT
Verified Verified
Seattle, WA 98112
Chaise Marie Gies, M.S., SUDP-T, LMHCA(c), has worked in the psychology and forensic field for several years. She has a master’s degree in forensic psychology, along with a specialized license in substance use disorders and an associate candidate as a mental health counselor. Chaise draws on several theoretical orientations (e.g., Rogerian, Cognitive Behavioral, Family Systems, etc.) in her counseling practice at NW Family.
Chaise Marie Gies, M.S., SUDP-T, LMHCA(c), has worked in the psychology and forensic field for several years. She has a master’s degree in forensic psychology, along with a specialized license in substance use disorders and an associate candidate as a mental health counselor. Chaise draws on several theoretical orientations (e.g., Rogerian, Cognitive Behavioral, Family Systems, etc.) in her counseling practice at NW Family.
(206) 759-2306 View (206) 759-2306
Photo of Aimee Schiefelbein, Counselor in Seattle, WA
Aimee Schiefelbein
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98118
I imagine that you are looking for a safe and trusting place to explore some of the issues that lead you to seek therapy. You may be seeking a non-pathologizing framework to help you focus inward and acknowledge how the burdens from the past might be playing a role in your current life. You may also be seeking a place to explore the meaning of your life and who you are at the core. I seek to offer a space for you to access a deeper understanding of yourself.
I imagine that you are looking for a safe and trusting place to explore some of the issues that lead you to seek therapy. You may be seeking a non-pathologizing framework to help you focus inward and acknowledge how the burdens from the past might be playing a role in your current life. You may also be seeking a place to explore the meaning of your life and who you are at the core. I seek to offer a space for you to access a deeper understanding of yourself.
(206) 981-3277 View (206) 981-3277
Photo of Amazing Grace Counseling and Counsultation LLC, Clinical Social Work/Therapist in Seattle, WA
Amazing Grace Counseling and Counsultation LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98188
Personal and Professional Profile My name is Dumbe Emmanuel Elessa. I am a Licensed Independent Clinical Social Worker in the State of Washington. I have more than three decades of clinical and leadership work experience in Community Behavioral Health. I also have extensive clinical and supervisory experience in Adult and Geriatric Mental Health as well as in Ethnic Minority issues. I was born in tropical Cameroon. I obtained the Master of Social Work Degree from the University of Washington Graduate School of Social Work in June, 1986.
Personal and Professional Profile My name is Dumbe Emmanuel Elessa. I am a Licensed Independent Clinical Social Worker in the State of Washington. I have more than three decades of clinical and leadership work experience in Community Behavioral Health. I also have extensive clinical and supervisory experience in Adult and Geriatric Mental Health as well as in Ethnic Minority issues. I was born in tropical Cameroon. I obtained the Master of Social Work Degree from the University of Washington Graduate School of Social Work in June, 1986.
(425) 390-8372 View (425) 390-8372
Photo of Lissa Rodriguez, Clinical Social Work/Therapist in Seattle, WA
Lissa Rodriguez
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Seattle, WA 98144  (Online Only)
I offer support to those dealing with end of life issues, including those who are terminally ill themselves and those who are caring for them. Caregiver burnout can be brutal and I would love to support you through this time. I am also highly social justice-focused and am feminist, anti-racist, pro-LGBTQ+, pro all gender identities, body neutral, and non-religious. As a woman of color, it has been healing for me to see a practitioner who experiences oppression and I would love to be that safe space for you as well. I am casual, laid-back, empathetic, neuro-divergent and candid. I want you to guide how I can support you.
I offer support to those dealing with end of life issues, including those who are terminally ill themselves and those who are caring for them. Caregiver burnout can be brutal and I would love to support you through this time. I am also highly social justice-focused and am feminist, anti-racist, pro-LGBTQ+, pro all gender identities, body neutral, and non-religious. As a woman of color, it has been healing for me to see a practitioner who experiences oppression and I would love to be that safe space for you as well. I am casual, laid-back, empathetic, neuro-divergent and candid. I want you to guide how I can support you.
(425) 217-1232 View (425) 217-1232
Photo of Mariette Guidry, Marriage & Family Therapist in Seattle, WA
Mariette Guidry
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98109
As a Child & Family Therapist, I help your child or teen navigate through important life challenges. I strive to create a safe space where children can feel comfortable and understood, making it easier for them to engage with therapy in a beneficial way.
As a Child & Family Therapist, I help your child or teen navigate through important life challenges. I strive to create a safe space where children can feel comfortable and understood, making it easier for them to engage with therapy in a beneficial way.
(206) 759-2439 View (206) 759-2439

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
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
53% Aetna
47% 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.