Photo of Charity McSperitt, Clinical Social Work/Therapist in 97209, OR
Charity McSperitt
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97209  (Online Only)
I believe strongly that people can and do change. People have the capacity to develop new skills and behaviors to improve their circumstances even in the face of overwhelming events. In my practice, I use a person-centered approach guided by the client. I strive to help people develop healthier thoughts and behaviors to move towards their goal(s). I work to create a safe and nonjudgmental environment for people to explore issues related to anxiety, depression, relationships, life transitions, trauma, and more.
I believe strongly that people can and do change. People have the capacity to develop new skills and behaviors to improve their circumstances even in the face of overwhelming events. In my practice, I use a person-centered approach guided by the client. I strive to help people develop healthier thoughts and behaviors to move towards their goal(s). I work to create a safe and nonjudgmental environment for people to explore issues related to anxiety, depression, relationships, life transitions, trauma, and more.
(971) 298-8281 View (971) 298-8281
Photo of Claire Weigand, Clinical Social Work/Therapist in 97209, OR
Claire Weigand
Clinical Social Work/Therapist, CSWA
Verified Verified
Portland, OR 97209  (Online Only)
Neurodiverse clients I have worked with said they felt understood and supported and said that I genuinely care about them. I encourage neurodiverse communication styles, ways of thinking, and varieties of emotional expression. I will follow your lead on what you want out of therapy. The autistic community has a higher rate of trans and nonbinary gender identities which I celebrate. I also have a master’s degree in child development. I focused on sexual development and attachment theory. I support all sexualities and ethical relationship styles. I also studied healthy racial identity development in people of color and white people.
Neurodiverse clients I have worked with said they felt understood and supported and said that I genuinely care about them. I encourage neurodiverse communication styles, ways of thinking, and varieties of emotional expression. I will follow your lead on what you want out of therapy. The autistic community has a higher rate of trans and nonbinary gender identities which I celebrate. I also have a master’s degree in child development. I focused on sexual development and attachment theory. I support all sexualities and ethical relationship styles. I also studied healthy racial identity development in people of color and white people.
(971) 306-4515 View (971) 306-4515
Photo of Nikki Frederick, Psychologist in 97209, OR
Nikki Frederick
Psychologist, PhD
Verified Verified
Portland, OR 97209
I take a relational and collaborative approach in all of my work and strive to create a space for clients to be genuine and transparent as we work together to address their needs. I am a good fit for individuals who are looking to gain deeper self-awareness and insight, increase meaning and fulfillment in their lives, and reduce mental health symptoms that interfere with their wellness. Clients report that they benefit from my integrative, relational approach to psychotherapy.
I take a relational and collaborative approach in all of my work and strive to create a space for clients to be genuine and transparent as we work together to address their needs. I am a good fit for individuals who are looking to gain deeper self-awareness and insight, increase meaning and fulfillment in their lives, and reduce mental health symptoms that interfere with their wellness. Clients report that they benefit from my integrative, relational approach to psychotherapy.
(503) 210-5235 View (503) 210-5235
Photo of Gary Neil Reiss, Clinical Social Work/Therapist in 97209, OR
Gary Neil Reiss
Clinical Social Work/Therapist, PhD, , LCSW
Verified Verified
1 Endorsed
Portland, OR 97209
I work with a wide range of people. My clients like deep work, As a Process Oriented therapist and teacher I use dreamwork, symptoms work, bodywork, movement, relationship work, conflict work, inner work and meditation, art and creativity, and many other methods based on the individuals client's process. I work with individuals, couples, and families. I have helped develop Process Oriented family therapy; Process Oriented sex and intimacy work; Process Oriented personal and historical trauma work; Process oriented coma and brain injury work, I have written 11 books on these topics. My work integrates mind body and spirit.
I work with a wide range of people. My clients like deep work, As a Process Oriented therapist and teacher I use dreamwork, symptoms work, bodywork, movement, relationship work, conflict work, inner work and meditation, art and creativity, and many other methods based on the individuals client's process. I work with individuals, couples, and families. I have helped develop Process Oriented family therapy; Process Oriented sex and intimacy work; Process Oriented personal and historical trauma work; Process oriented coma and brain injury work, I have written 11 books on these topics. My work integrates mind body and spirit.
(458) 218-8186 View (458) 218-8186
Photo of Alexandria Moore, Marriage & Family Therapist Intern in 97209, OR
Alexandria Moore
Marriage & Family Therapist Intern, MFT-I
Verified Verified
1 Endorsed
Portland, OR 97209  (Online Only)
Welcome. My name is Alexandria (she/her). I help people repair relationships, connect back to the body, and nurture a love of self. The way we do all these things is through story-making. First we will uncover what stories you tell about yourself, then we seek out a version that is empowering, liberating, and true. I believe that all humans are storytellers by nature, and I invite you to write a story that promotes your self-discovery and growth. We will work to understand how your family of origin and cultural influences shape you, freeing you to choose how you show up in the world.
Welcome. My name is Alexandria (she/her). I help people repair relationships, connect back to the body, and nurture a love of self. The way we do all these things is through story-making. First we will uncover what stories you tell about yourself, then we seek out a version that is empowering, liberating, and true. I believe that all humans are storytellers by nature, and I invite you to write a story that promotes your self-discovery and growth. We will work to understand how your family of origin and cultural influences shape you, freeing you to choose how you show up in the world.
(971) 206-3566 View (971) 206-3566
Photo of Jacquelyn Shelpman in 97209, OR
Jacquelyn Shelpman
MEd, MS
Verified Verified
Portland, OR 97209
Would you like to improve your assertive communication skills, manage stress and conflict more effectively, deepen your relationships and improve your sense of well-being? If so, therapy may be able to help you reach your goals. You may also be struggling with depression, anxiety, grief or a major life transition. Talking with someone you trust can help you discover key insights, barriers to change, and effective coping strategies. Participating in therapy takes a lot of courage: my goal is to provide a safe environment where you can share what's most important to you and we can work together to support your growth.
Would you like to improve your assertive communication skills, manage stress and conflict more effectively, deepen your relationships and improve your sense of well-being? If so, therapy may be able to help you reach your goals. You may also be struggling with depression, anxiety, grief or a major life transition. Talking with someone you trust can help you discover key insights, barriers to change, and effective coping strategies. Participating in therapy takes a lot of courage: my goal is to provide a safe environment where you can share what's most important to you and we can work together to support your growth.
(971) 314-6629 View (971) 314-6629
Photo of Stephanie F Winn, Marriage & Family Therapist in 97209, OR
Stephanie F Winn
Marriage & Family Therapist, LMFT
Verified Verified
Portland, OR 97209  (Online Only)
Not accepting new clients
Not currently accepting new therapy patients; on partial medical leave due to long covid. However, I have limited availability for consulting clients. As a consultant, I primarily educate, inform, guide, and coach families impacted by the current gender craze, such as parents of youth with Rapid Onset Gender Dysphoria (ROGD). I also coach people working on matters of self-expression and finding their voice. Although I'm a Licensed Marriage and Family Therapist, I am currently only offering non-clinical services, as my health is too unstable to manage the responsibility of being a mental health provider for vulnerable individuals.
Not currently accepting new therapy patients; on partial medical leave due to long covid. However, I have limited availability for consulting clients. As a consultant, I primarily educate, inform, guide, and coach families impacted by the current gender craze, such as parents of youth with Rapid Onset Gender Dysphoria (ROGD). I also coach people working on matters of self-expression and finding their voice. Although I'm a Licensed Marriage and Family Therapist, I am currently only offering non-clinical services, as my health is too unstable to manage the responsibility of being a mental health provider for vulnerable individuals.
(844) 946-2130 View (844) 946-2130
Photo of Jean K Shirkoff, Clinical Social Work/Therapist in 97209, OR
Jean K Shirkoff
Clinical Social Work/Therapist, LCSW, MSW, BCD, ACSW
Verified Verified
1 Endorsed
Portland, OR 97209
I believe it is important for all people to know solidly within themselves that they have value and to feel successful in their relationships. I have over twenty years of experience helping people. My orientation is attachment based and I work with individuals, couples and families.
I believe it is important for all people to know solidly within themselves that they have value and to feel successful in their relationships. I have over twenty years of experience helping people. My orientation is attachment based and I work with individuals, couples and families.
(503) 610-2025 View (503) 610-2025
Photo of Jill Kelly, Licensed Professional Counselor in 97209, OR
Jill Kelly
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97209  (Online Only)
Life feels overwhelming, you're struggling to cope and want support figuring out how to better manage your stress. You feel unsatisfied in your job or a relationship and would like support with making a change and finding a path back to feeling joy. You feel lost and need help rediscovering what you need and want. You're seeking self- and other-awareness to understand why things feel challenging in your present relationships. Your goal is to feel more secure and grounded within yourself, as you learn about your strengths and capacity for change.
Life feels overwhelming, you're struggling to cope and want support figuring out how to better manage your stress. You feel unsatisfied in your job or a relationship and would like support with making a change and finding a path back to feeling joy. You feel lost and need help rediscovering what you need and want. You're seeking self- and other-awareness to understand why things feel challenging in your present relationships. Your goal is to feel more secure and grounded within yourself, as you learn about your strengths and capacity for change.
Photo of Megan S Samsel, Marriage & Family Therapist Associate in 97209, OR
Megan S Samsel
Marriage & Family Therapist Associate, MA
Verified Verified
Portland, OR 97209
Whether we are exploring the relationship we have with ourselves or with others, I believe compassion and loving-presence are essential to understanding the parts of ourselves that feel tender and/or condemned. It isn’t uncommon for these tender parts to appear to be stuck in patterns that seem to further disconnect us from ourselves and others. I enjoy working with neurodivergence, those with complex trauma, LGBTQIA+ individuals and couples. My work is an anti-oppressive, relational, humorous, and client-centered.
Whether we are exploring the relationship we have with ourselves or with others, I believe compassion and loving-presence are essential to understanding the parts of ourselves that feel tender and/or condemned. It isn’t uncommon for these tender parts to appear to be stuck in patterns that seem to further disconnect us from ourselves and others. I enjoy working with neurodivergence, those with complex trauma, LGBTQIA+ individuals and couples. My work is an anti-oppressive, relational, humorous, and client-centered.
(971) 298-7928 View (971) 298-7928
Photo of Christine J. Reeh, Clinical Social Work/Therapist in 97209, OR
Christine J. Reeh
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97209  (Online Only)
Not accepting new clients
I believe that each of us have great capacity for personal growth. Psychotherapy can be a powerful and effective modality in the process of better understanding ourselves and in working toward change. I specialize in attachment-related issues that often result in vulnerabilities that affect one's current relationships as well as one's sense of self worth. I also have a focus on identity issues related to race, culture, and sexual orientation with a focus on the experience of Asian, biracial, and multiracial people. Additionally, I have extensive experience in treating healthcare workers affected by trauma and burnout.
I believe that each of us have great capacity for personal growth. Psychotherapy can be a powerful and effective modality in the process of better understanding ourselves and in working toward change. I specialize in attachment-related issues that often result in vulnerabilities that affect one's current relationships as well as one's sense of self worth. I also have a focus on identity issues related to race, culture, and sexual orientation with a focus on the experience of Asian, biracial, and multiracial people. Additionally, I have extensive experience in treating healthcare workers affected by trauma and burnout.
(503) 822-6686 View (503) 822-6686
Photo of Naomi Steinberg, Psychologist in 97209, OR
Naomi Steinberg
Psychologist, PhD
Verified Verified
Portland, OR 97209
Waitlist for new clients
I am a psychologist and psychoanalyst, in practice for 30 years. I see individuals, adolescents, and couples. Psychotherapy is, as I see it, an opportunity to address unresolved issues and conflicts as they arise in the here-and-now of life and in the therapy relationship. For this reason, it's important to look at the various ways and places where symptoms show up and work to understand the underlying meanings of these. This approach can take some time but its rewards include a depth of self knowledge and a more rich and meaningful life with oneself and with others.
I am a psychologist and psychoanalyst, in practice for 30 years. I see individuals, adolescents, and couples. Psychotherapy is, as I see it, an opportunity to address unresolved issues and conflicts as they arise in the here-and-now of life and in the therapy relationship. For this reason, it's important to look at the various ways and places where symptoms show up and work to understand the underlying meanings of these. This approach can take some time but its rewards include a depth of self knowledge and a more rich and meaningful life with oneself and with others.
(503) 967-0155 View (503) 967-0155
Photo of David Marcus, Licensed Professional Counselor in 97209, OR
David Marcus
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97209  (Online Only)
Not accepting new clients
Growing up in the Pacific Northwest, as a Person of Color I often struggled in spaces where I often did not see people who looked like me, or have my experiences be validated or understood. My passion is to create a space for every individual to be seen for who they are and valued for their experience where the world sometimes says otherwise. I have dedicated my career in supporting those who have struggled with anxiety, depression, relationship issues, and more to heal and work through their adverse experiences to support them becoming stronger advocate and individuals to thrive in their communities and relationships.
Growing up in the Pacific Northwest, as a Person of Color I often struggled in spaces where I often did not see people who looked like me, or have my experiences be validated or understood. My passion is to create a space for every individual to be seen for who they are and valued for their experience where the world sometimes says otherwise. I have dedicated my career in supporting those who have struggled with anxiety, depression, relationship issues, and more to heal and work through their adverse experiences to support them becoming stronger advocate and individuals to thrive in their communities and relationships.
(971) 999-3252 View (971) 999-3252
Photo of Diana Crane, Professional Counselor Associate in 97209, OR
Diana Crane
Professional Counselor Associate, MA, LPC-A
Verified Verified
Portland, OR 97209
My counseling philosophy is rooted in the idea that all humans have the ability to grow and heal. No human being is broken, and most mental health struggles stem, in part, from difficult external circumstances, like a traumatic past or a flawed culture. Through active listening, reflection, and gentle challenging, I help you become better acquainted with yourself, so that you can live in closer alignment with your values. I specialize in working with eating disorders and body image distress, but I also work with anxiety, depression, relationship and family struggles.
My counseling philosophy is rooted in the idea that all humans have the ability to grow and heal. No human being is broken, and most mental health struggles stem, in part, from difficult external circumstances, like a traumatic past or a flawed culture. Through active listening, reflection, and gentle challenging, I help you become better acquainted with yourself, so that you can live in closer alignment with your values. I specialize in working with eating disorders and body image distress, but I also work with anxiety, depression, relationship and family struggles.
(503) 647-4154 View (503) 647-4154
Photo of Jessica M Feinsmith, Licensed Professional Counselor in 97209, OR
Jessica M Feinsmith
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97209  (Online Only)
You have hopes and desires but feel a lack of motivation, energy, purpose or interest. The things that once brought you relief or joy no longer do or have become the problem. The world no longer feels like a safe place. You know that getting support would be helpful but where do you begin and how do you trust a stranger. You long to find support from a caring, compassionate person to help you learn self acceptance, develop resilience and move forward in your life. For there to be peace on Earth, we must each find peace within. I especially enjoy working with young adults, HSPs, "late bloomers" and creative artists.
You have hopes and desires but feel a lack of motivation, energy, purpose or interest. The things that once brought you relief or joy no longer do or have become the problem. The world no longer feels like a safe place. You know that getting support would be helpful but where do you begin and how do you trust a stranger. You long to find support from a caring, compassionate person to help you learn self acceptance, develop resilience and move forward in your life. For there to be peace on Earth, we must each find peace within. I especially enjoy working with young adults, HSPs, "late bloomers" and creative artists.
(517) 994-1188 View (517) 994-1188
Photo of Tessa Rose, Counselor in 97209, OR
Tessa Rose
Counselor, MA
Verified Verified
Portland, OR 97209
I believe everyone is capable of making positive changes in their lives. My mission is to help clients reach their fullest potential by providing a safe and supportive space. Through my counseling services, I help my clients to learn to empower themselves, conquer their inner critic, and learn to live in love. I have a holistic approach to the therapeutic process. I work with people of all races, genders, sexualities, life and psychological experiences, bodies, and abilities. I am passionate about working with folks who may experience depression, anxiety, transitions and transformations, gender and sexuality journeys and identities.
I believe everyone is capable of making positive changes in their lives. My mission is to help clients reach their fullest potential by providing a safe and supportive space. Through my counseling services, I help my clients to learn to empower themselves, conquer their inner critic, and learn to live in love. I have a holistic approach to the therapeutic process. I work with people of all races, genders, sexualities, life and psychological experiences, bodies, and abilities. I am passionate about working with folks who may experience depression, anxiety, transitions and transformations, gender and sexuality journeys and identities.
(503) 755-8954 View (503) 755-8954
Photo of Kara Wilde, Counselor in 97209, OR
Kara Wilde
Counselor, MA, DiplPW
Verified Verified
Portland, OR 97209
Not accepting new clients
I counsel individuals, couples and families on building better relationships, caring for health and body symptoms, and provide coaching for career/work vision and direction. Changes in work, relationships and our bodies can be difficult to navigate; sometimes we need support to deal with life's issues.
I counsel individuals, couples and families on building better relationships, caring for health and body symptoms, and provide coaching for career/work vision and direction. Changes in work, relationships and our bodies can be difficult to navigate; sometimes we need support to deal with life's issues.
(503) 822-6745 View (503) 822-6745
Photo of Drew Smith, Art Therapist in 97209, OR
Drew Smith
Art Therapist, LPC, LCAT
Verified Verified
Portland, OR 97209  (Online Only)
Are you looking for new ways to gain perspective and examine your life, access the healthiest version of yourself, and get in touch with your sources of inspiration and meaning? If you're struggling to connect with your health, happiness, creativity and motivation, you don't have to go it alone. Life may feel overwhelming, chaotic, and difficult to navigate, but it doesn't have to be this way. Together, we can identify and address areas for change and growth while celebrating and nourishing your strengths, so that you feel clear, calm, and empowered.
Are you looking for new ways to gain perspective and examine your life, access the healthiest version of yourself, and get in touch with your sources of inspiration and meaning? If you're struggling to connect with your health, happiness, creativity and motivation, you don't have to go it alone. Life may feel overwhelming, chaotic, and difficult to navigate, but it doesn't have to be this way. Together, we can identify and address areas for change and growth while celebrating and nourishing your strengths, so that you feel clear, calm, and empowered.
(971) 293-2742 View (971) 293-2742
Photo of Kristen Tryniszewski, Licensed Professional Counselor in 97209, OR
Kristen Tryniszewski
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Portland, OR 97209
Everyone needs a little help sometimes. Moods fluctuate; every-day stressors pile up; we argue with loved ones, experience trauma and loss; and constant changes demand us to adapt. Basically, life is known to throw us curveballs and some of those can be quite daunting. The good news, though, is you don't have to go through it alone. If you're looking for support and encouragement, new skills to cope, a fresh perspective, solutions, or simply just someone to talk to, I'm here for you.
Everyone needs a little help sometimes. Moods fluctuate; every-day stressors pile up; we argue with loved ones, experience trauma and loss; and constant changes demand us to adapt. Basically, life is known to throw us curveballs and some of those can be quite daunting. The good news, though, is you don't have to go through it alone. If you're looking for support and encouragement, new skills to cope, a fresh perspective, solutions, or simply just someone to talk to, I'm here for you.
(971) 232-3688 View (971) 232-3688
Photo of Stacy Lawhead, Licensed Professional Counselor in 97209, OR
Stacy Lawhead
Licensed Professional Counselor, LPC, NCC
Verified Verified
Portland, OR 97209
Not accepting new clients
Life can be hard and many of us feel out of control or alone. We are meant to have connections with others to and these bonds form the framework of how we interpret the world around us as well as our own sense of self. When crisis and conflict occur, and these relationships are challenged, life can seem impossible. This is where interpersonal growth can occur. No matter what the issue, finding the desire and courage to overcome these challenges is a personal and important decision. Choosing the therapist who is the right fit for you is the next step. *I am able to respond to email inquiry significantly faster then by phone
Life can be hard and many of us feel out of control or alone. We are meant to have connections with others to and these bonds form the framework of how we interpret the world around us as well as our own sense of self. When crisis and conflict occur, and these relationships are challenged, life can seem impossible. This is where interpersonal growth can occur. No matter what the issue, finding the desire and courage to overcome these challenges is a personal and important decision. Choosing the therapist who is the right fit for you is the next step. *I am able to respond to email inquiry significantly faster then by phone
(541) 275-6048 View (541) 275-6048

How does your Therapist compare?

Number of Therapists in 97209

200+

Average cost per session

$160

Therapists in 97209 who prioritize treating:

88% Anxiety
82% Relationship Issues
81% Depression
81% Self Esteem
73% Trauma and PTSD
69% Stress
68% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

53% PacificSource
39% Aetna
39% BlueCross and BlueShield

How Therapists in 97209 see their clients

58% In Person and Online
42% Online Only

Gender breakdown

73% Female
23% Male
4% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 97209?

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.