Therapists in Tacoma, WA

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Photo of Amy Dwyer, Clinical Social Work/Therapist in Tacoma, WA
Amy Dwyer
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98467
I believe in a collaborative approach to therapy. In partnership, we will work to explore your needs and develop a treatment plan to address identified issues. I primarily employ a cognitive-behavioral approach as this treatment modality has been shown to be effective in therapy. In addition, I use a strengths-based framework. Together we will address symptom management, build on your pre-existing strengths, and further develop your coping strategies. In addition, our work will likely include making meaning of important life events.
I believe in a collaborative approach to therapy. In partnership, we will work to explore your needs and develop a treatment plan to address identified issues. I primarily employ a cognitive-behavioral approach as this treatment modality has been shown to be effective in therapy. In addition, I use a strengths-based framework. Together we will address symptom management, build on your pre-existing strengths, and further develop your coping strategies. In addition, our work will likely include making meaning of important life events.
(253) 944-9019 View (253) 944-9019
Photo of Sharmayne Arrington, Counselor in Tacoma, WA
Sharmayne Arrington
Counselor, LMHC, CMHS, EMMHS, MACP
Verified Verified
6 Endorsed
Tacoma, WA 98403
Women seeking healthier relationships are my specialty. Even now, if you are deciding to change how you exist in this world you are already in transformation. Transformation comes through making choices that are conscious, consistent & compassionate and through dis-internalizing systems that are set up to repress and minimize your preciousness. The more we do this, the more we can give & receive love, find our fellow travelers (because we aren't meant to do this alone!) and create safe spaces in otherwise stormy places. With hearts open, and wisdom engaged, change becomes beautifully inevitable.
Women seeking healthier relationships are my specialty. Even now, if you are deciding to change how you exist in this world you are already in transformation. Transformation comes through making choices that are conscious, consistent & compassionate and through dis-internalizing systems that are set up to repress and minimize your preciousness. The more we do this, the more we can give & receive love, find our fellow travelers (because we aren't meant to do this alone!) and create safe spaces in otherwise stormy places. With hearts open, and wisdom engaged, change becomes beautifully inevitable.
(253) 893-4810 View (253) 893-4810
Photo of Joseph Velazquez, Marriage & Family Therapist in Tacoma, WA
Joseph Velazquez
Marriage & Family Therapist, MA , LMFT
Verified Verified
Tacoma, WA 98422  (Online Only)
What is the goal of your marriage or relationship? Relationships are vital to becoming a whole person. At times, connecting with your spouse may feel magical, but every relationship goes through tough seasons. I understand how overwhelming it can feel when distance and resentment is the only thing growing between you. At times, it may feel like the hurt you are experiencing is not worth the effort. Maybe your relationship is still strong, but can stand a bit of tweaking to recapture the zest it once had. Whatever the case, there is always hope!
What is the goal of your marriage or relationship? Relationships are vital to becoming a whole person. At times, connecting with your spouse may feel magical, but every relationship goes through tough seasons. I understand how overwhelming it can feel when distance and resentment is the only thing growing between you. At times, it may feel like the hurt you are experiencing is not worth the effort. Maybe your relationship is still strong, but can stand a bit of tweaking to recapture the zest it once had. Whatever the case, there is always hope!
(206) 350-3636 View (206) 350-3636
Photo of Toni Hughes, Clinical Social Work/Therapist in Tacoma, WA
Toni Hughes
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98465  (Online Only)
I believe that therapy is where all parts of you can exist without judgment, and my job is to help you restore the pieces. While it can be tempting to avoid things that cause distress, it can create problems that leave you feeling disconnected, out of control, or stuck. It happens when parts of our story contain painful experiences, difficult emotions, and unpleasant thoughts that we aren’t equipped to hold. We find ways to cut those parts out, like little life-hacks to simplify our lives. Except our lives are complex and without all the pieces we also lose connection with the parts we desire.
I believe that therapy is where all parts of you can exist without judgment, and my job is to help you restore the pieces. While it can be tempting to avoid things that cause distress, it can create problems that leave you feeling disconnected, out of control, or stuck. It happens when parts of our story contain painful experiences, difficult emotions, and unpleasant thoughts that we aren’t equipped to hold. We find ways to cut those parts out, like little life-hacks to simplify our lives. Except our lives are complex and without all the pieces we also lose connection with the parts we desire.
(253) 785-9561 View (253) 785-9561
Photo of Jacob Morrow, LPC Intern in Tacoma, WA
Jacob Morrow
LPC Intern, LPC Int
Verified Verified
Tacoma, WA 98404  (Online Only)
Hello and welcome. By taking the time to seek counseling, you are taking a big step toward wellness. I understand that finding the right fit in counseling is of vital importance to the healing you want to experience. My approach toward counseling is focused on the person sitting (virtually) in front of me. My aim in establishing a helpful counseling relationship is to build a space where my clients feel safe, heard, seen, respected, and cared for. I believe that effective counseling is a process in which my clients have the space and feel empowered to explore their life experiences safely.
Hello and welcome. By taking the time to seek counseling, you are taking a big step toward wellness. I understand that finding the right fit in counseling is of vital importance to the healing you want to experience. My approach toward counseling is focused on the person sitting (virtually) in front of me. My aim in establishing a helpful counseling relationship is to build a space where my clients feel safe, heard, seen, respected, and cared for. I believe that effective counseling is a process in which my clients have the space and feel empowered to explore their life experiences safely.
(253) 245-3550 View (253) 245-3550
Photo of Katelyn Torres, Marriage & Family Therapist Associate in Tacoma, WA
Katelyn Torres
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Tacoma, WA 98448
Waitlist for new clients
Are you struggling with daily tasks? Do you want more out of your relationships? Does it feel as though your heart is heavy? Struggles like this can require a helping hand and therapy can be the step you need. Therapy has the potential to empower and guide growth to overcome the challenges that life brings. It has the ability to bridge tough conversations, acknowledge the impact that the greater society has on us and unpack the emotions that feel unexplainable. Soon that checklist can feel smaller, relationships feel more fulfilling and that weight a bit lighter.
Are you struggling with daily tasks? Do you want more out of your relationships? Does it feel as though your heart is heavy? Struggles like this can require a helping hand and therapy can be the step you need. Therapy has the potential to empower and guide growth to overcome the challenges that life brings. It has the ability to bridge tough conversations, acknowledge the impact that the greater society has on us and unpack the emotions that feel unexplainable. Soon that checklist can feel smaller, relationships feel more fulfilling and that weight a bit lighter.
(253) 319-3256 View (253) 319-3256
Photo of LEEF Mental Health, PLLC, Counselor in Tacoma, WA
LEEF Mental Health, PLLC
Counselor, LMHC, NCC
Verified Verified
Tacoma, WA 98409
Supervision slots available for MH professionals pursuing licensure. Are negative thoughts and feelings overwhelming you each day? Do you want a partner to help you through this tough transition in your life? Are you ready to turn over a new leaf with a greater lease on life? I’ll be there. Reach-out to me. I am committed to addressing all of your unique needs with respect and dignity. The therapeutic process is a collaboration driven by you. I take a supportive, multicultural, holistic approach towards healing and recovery. I encourage your independence, stability, learning, and goals in therapy.
Supervision slots available for MH professionals pursuing licensure. Are negative thoughts and feelings overwhelming you each day? Do you want a partner to help you through this tough transition in your life? Are you ready to turn over a new leaf with a greater lease on life? I’ll be there. Reach-out to me. I am committed to addressing all of your unique needs with respect and dignity. The therapeutic process is a collaboration driven by you. I take a supportive, multicultural, holistic approach towards healing and recovery. I encourage your independence, stability, learning, and goals in therapy.
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Photo of Patrick Swann, Counselor in Tacoma, WA
Patrick Swann
Counselor, MA, LMHC, NCC
Verified Verified
Tacoma, WA 98404  (Online Only)
Not accepting new clients
Not accepting new clients for individual therapy, only clinical supervision at this time
Not accepting new clients for individual therapy, only clinical supervision at this time
(253) 893-4702 View (253) 893-4702
Photo of Ryan Keith Donovan, Pre-Licensed Professional in Tacoma, WA
Ryan Keith Donovan
Pre-Licensed Professional, LMHC
Verified Verified
Tacoma, WA 98402
I often work with individuals struggling with anxiety, depression, autism spectrum disorder, relationships and childhood trauma. I believe that change that occurs in therapy comes from forming a safe therapeutic relationship, while increasing your awareness of self, challenging your old beliefs, and establishing appropriate boundaries in relationships with others. I tend to be an active participant in therapy. I ask questions, offer observations, and look for patterns that may help provide a deeper understanding. However, I believe the client is the true expert on themselves, and I trust in each individuals unique healing process.
I often work with individuals struggling with anxiety, depression, autism spectrum disorder, relationships and childhood trauma. I believe that change that occurs in therapy comes from forming a safe therapeutic relationship, while increasing your awareness of self, challenging your old beliefs, and establishing appropriate boundaries in relationships with others. I tend to be an active participant in therapy. I ask questions, offer observations, and look for patterns that may help provide a deeper understanding. However, I believe the client is the true expert on themselves, and I trust in each individuals unique healing process.
(253) 993-1467 View (253) 993-1467
Photo of Gretchen Mcclelland, Mental Health Counselor in Tacoma, WA
Gretchen Mcclelland
Mental Health Counselor, LMHC, MHP
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
Are you looking for someone to actively listen to you, acknowledge your needs, & value your perspectives? I am committed to providing a safe place for individuals who have felt unheard, unseen, or undervalued in their life by helping them find meaning, purpose, & balance. My approach is holistic, strength-based, solution, & goal oriented. I have experience working with individuals from a variety of backgrounds.
Are you looking for someone to actively listen to you, acknowledge your needs, & value your perspectives? I am committed to providing a safe place for individuals who have felt unheard, unseen, or undervalued in their life by helping them find meaning, purpose, & balance. My approach is holistic, strength-based, solution, & goal oriented. I have experience working with individuals from a variety of backgrounds.
(253) 265-9720 View (253) 265-9720
Photo of Christel Wilder, Marriage & Family Therapist in Tacoma, WA
Christel Wilder
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Tacoma, WA 98402
Are you tired of the same argument, different day? Each argument results in one person shutting down, the other person feeling alone, and both partners feeling misunderstood and hurt. Things don't have to be this way. I assist couples in developing safety and vulnerability to strengthen the relationship bond and learn how to talk about the complex issues of the relationship. Many of us never learned how to have our emotional needs met, or how to respond to someone's emotional needs. It can feel like speaking a foreign language.
Are you tired of the same argument, different day? Each argument results in one person shutting down, the other person feeling alone, and both partners feeling misunderstood and hurt. Things don't have to be this way. I assist couples in developing safety and vulnerability to strengthen the relationship bond and learn how to talk about the complex issues of the relationship. Many of us never learned how to have our emotional needs met, or how to respond to someone's emotional needs. It can feel like speaking a foreign language.
(253) 893-6058 View (253) 893-6058
Photo of Rachel Soule, Clinical Social Work/Therapist in Tacoma, WA
Rachel Soule
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Waitlist for new clients
My passion lies in empowering clients to reclaim control over their lives. We all encounter moments of feeling stuck, anxious, and overwhelmed, and I am here to provide the support needed to navigate through these challenges. In therapy, I start by attentively listening to my clients' reasons for seeking therapy, understanding their stressors, and identifying what does or doesn't serve them. I firmly believe in the transformative power of therapy, offering a pathway to shape the life we aspire to lead.
My passion lies in empowering clients to reclaim control over their lives. We all encounter moments of feeling stuck, anxious, and overwhelmed, and I am here to provide the support needed to navigate through these challenges. In therapy, I start by attentively listening to my clients' reasons for seeking therapy, understanding their stressors, and identifying what does or doesn't serve them. I firmly believe in the transformative power of therapy, offering a pathway to shape the life we aspire to lead.
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Photo of Georgiana Peters, Clinical Social Work/Therapist in Tacoma, WA
Georgiana Peters
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98405  (Online Only)
Welcome to my cozy corner of the therapy world! I believe that therapy should feel nurturing – a safe space where you can unpack those heavy or distressing thoughts, explore your inner world, and maybe even share a few laughs along the way. You know your story better than anyone else, and I'm here to be your trusty guide, armed with specialized knowledge and a toolbox full of techniques to help ease your burdens and boost your well-being. Whether you're pregnant, navigating the wild world of parenthood, or just trying to make sense of your own journey through life, I'm here to lend a listening ear and a helping hand.
Welcome to my cozy corner of the therapy world! I believe that therapy should feel nurturing – a safe space where you can unpack those heavy or distressing thoughts, explore your inner world, and maybe even share a few laughs along the way. You know your story better than anyone else, and I'm here to be your trusty guide, armed with specialized knowledge and a toolbox full of techniques to help ease your burdens and boost your well-being. Whether you're pregnant, navigating the wild world of parenthood, or just trying to make sense of your own journey through life, I'm here to lend a listening ear and a helping hand.
(253) 893-8447 View (253) 893-8447
Photo of Adelina Dana, Counselor in Tacoma, WA
Adelina Dana
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98406  (Online Only)
I believe in each person’s innate capacity to heal. You are the expert on your own life and I am here to support you in your journey. Together, we will explore your challenges and find relief and solutions. My specializations include working with clients who are experiencing challenges related to trauma, anxiety, depression, self-esteem/self-worth, work-related issues, relationship conflict, breakups/divorce, familial discord, and issues related to race, culture, and gender.
I believe in each person’s innate capacity to heal. You are the expert on your own life and I am here to support you in your journey. Together, we will explore your challenges and find relief and solutions. My specializations include working with clients who are experiencing challenges related to trauma, anxiety, depression, self-esteem/self-worth, work-related issues, relationship conflict, breakups/divorce, familial discord, and issues related to race, culture, and gender.
(253) 321-1939 View (253) 321-1939
Photo of Joyce Moody, LICSW, Clinical Social Work/Therapist in Tacoma, WA
Joyce Moody, LICSW
Clinical Social Work/Therapist, LICSW, MSW, ACSW
Verified Verified
Tacoma, WA 98409
I like people and enjoy getting to know and understand them. There are many ways we can get stuck or get weighed down in life issues. It is exciting for me to assist others in finding ways to get on with living. I believe this occurs when a client feels comfortable in the relationship with their therapist. As a therapist, my first task is to provide a safe environment for a person to experience themselves in new ways.
I like people and enjoy getting to know and understand them. There are many ways we can get stuck or get weighed down in life issues. It is exciting for me to assist others in finding ways to get on with living. I believe this occurs when a client feels comfortable in the relationship with their therapist. As a therapist, my first task is to provide a safe environment for a person to experience themselves in new ways.
(253) 243-3035 View (253) 243-3035
Photo of Deborah Lopez, Counselor in Tacoma, WA
Deborah Lopez
Counselor, MA
Verified Verified
Tacoma, WA 98446
Taking new clients in person for equine assisted psychotherapy, outside and socially distant sessions, and/or more traditional solution focused and cognitive behavioral therapy. If you are dealing with life changes or struggling with anxiety and/or depression I can help. I am a designated Mental Health Professional and Children's Mental Health Specialist . Licensed MH counselor in the Washington. I work with families individuals and couples toward goals that we identify together. Services to military veterans and family members at no cost through a contract with the Department of Veterans affairs.
Taking new clients in person for equine assisted psychotherapy, outside and socially distant sessions, and/or more traditional solution focused and cognitive behavioral therapy. If you are dealing with life changes or struggling with anxiety and/or depression I can help. I am a designated Mental Health Professional and Children's Mental Health Specialist . Licensed MH counselor in the Washington. I work with families individuals and couples toward goals that we identify together. Services to military veterans and family members at no cost through a contract with the Department of Veterans affairs.
(253) 243-3346 View (253) 243-3346
Photo of Autumn C Star, Clinical Social Work/Therapist in Tacoma, WA
Autumn C Star
Clinical Social Work/Therapist, LSWAIC, MSW
Verified Verified
2 Endorsed
Tacoma, WA 98409  (Online Only)
Currently accepting new clients. I work with couples, polycules, new relationships, platonic life partners, families and groups. I am passionate about serving folks who are part of the LGBTQIA+ and poly/ethical non-monogamy communities. Living in a society that prioritizes profit over people and systematically privileges & oppresses based on identity takes a large toll. I believe therapy is a resource to help us navigate this world & be intentional about how we show up in ourselves and our relationships. My approach is to meet people where they are at and provide tools, resources, and practices to aid them in living authentically.
Currently accepting new clients. I work with couples, polycules, new relationships, platonic life partners, families and groups. I am passionate about serving folks who are part of the LGBTQIA+ and poly/ethical non-monogamy communities. Living in a society that prioritizes profit over people and systematically privileges & oppresses based on identity takes a large toll. I believe therapy is a resource to help us navigate this world & be intentional about how we show up in ourselves and our relationships. My approach is to meet people where they are at and provide tools, resources, and practices to aid them in living authentically.
(253) 400-3185 View (253) 400-3185
Photo of Melissa Haney, Marriage & Family Therapist in Tacoma, WA
Melissa Haney
Marriage & Family Therapist, LMFT
Verified Verified
Tacoma, WA 98404  (Online Only)
Currently Accepting New Patients.......... Are you tired to being stuck thinking about the same problems and not being able to change them? Have you tried everything that you can think of to have a more satisfying and less stressful relationship with the people you care about? Are these problems having an impact on sleep, work, relationships with others, or living a full life? Many people find themselves mentally and emotionally stuck and have a difficult time finding a way out.
Currently Accepting New Patients.......... Are you tired to being stuck thinking about the same problems and not being able to change them? Have you tried everything that you can think of to have a more satisfying and less stressful relationship with the people you care about? Are these problems having an impact on sleep, work, relationships with others, or living a full life? Many people find themselves mentally and emotionally stuck and have a difficult time finding a way out.
(253) 400-5842 View (253) 400-5842
Photo of Emelie Nelson, Counselor in Tacoma, WA
Emelie Nelson
Counselor, LMHCA, MEd
Verified Verified
Tacoma, WA 98402
Welcome! I'm so glad you are here. There are many reasons why someone may seek counseling, and it is a step that takes courage and vulnerability. I primarily work with individuals who want support with the following: negative thinking and self-criticism; low self-esteem; difficulties developing and maintaining meaningful relationships; identifying and removing barriers to success in the workplace. I strive to ensure that when clients speak with me, they know they are safe, respected, feel heard, and are empowered to make positive changes.
Welcome! I'm so glad you are here. There are many reasons why someone may seek counseling, and it is a step that takes courage and vulnerability. I primarily work with individuals who want support with the following: negative thinking and self-criticism; low self-esteem; difficulties developing and maintaining meaningful relationships; identifying and removing barriers to success in the workplace. I strive to ensure that when clients speak with me, they know they are safe, respected, feel heard, and are empowered to make positive changes.
(253) 881-8825 View (253) 881-8825
Photo of Tara Hollander, Clinical Social Work/Therapist in Tacoma, WA
Tara Hollander
Clinical Social Work/Therapist, MSW, ACSW, LICSW
Verified Verified
2 Endorsed
Tacoma, WA 98407
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
I am a LICSW with a focus on psychotherapy with adults, children and families. I have been a practitioner for 48 years, in private practice for 12 1/2 years and had been a psychotherapist for 26 years in the Behavioral Health Department at Group Health. While there, in addition to a general caseload that included Medicare patients, I ran a Children's Therapy Group, served on a county-wide child abuse oversight committee, co-chaired an inter-disciplinary case consultation team, and managed an intern program.
(253) 336-8720 View (253) 336-8720

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
88% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

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

How can I find a therapist in Tacoma?

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.