Therapists in 97218

Photo of Cara Haaga, Licensed Professional Counselor, LPC
Cara Haaga
Licensed Professional Counselor, LPC
Portland, OR 97218
I am passionate about working with adult individuals who feel stuck or disconnected with life. I enjoy working with people to feel more balance, self-acceptance, and build agency in their own lives. My clients might have had traumatic experiences in their lives, be struggling with anxiety or depression, or live with bipolar disorder. My hope is to provide you an opportunity for growth through connecting with yourself and your emotions, building skills to identify and manage symptoms, learning how to strengthen your relationships, and to feel that you are living an authentic and intentional life.
I am passionate about working with adult individuals who feel stuck or disconnected with life. I enjoy working with people to feel more balance, self-acceptance, and build agency in their own lives. My clients might have had traumatic experiences in their lives, be struggling with anxiety or depression, or live with bipolar disorder. My hope is to provide you an opportunity for growth through connecting with yourself and your emotions, building skills to identify and manage symptoms, learning how to strengthen your relationships, and to feel that you are living an authentic and intentional life.
(503) 783-8356 View (503) 783-8356
Photo of Eric Naramore, Marriage & Family Therapist Associate, MA, MFTA
Eric Naramore
Marriage & Family Therapist Associate, MA, MFTA
Portland, OR 97218
Eric Naramore is a Licensed Marriage and Family Therapist in Oregon who has been practicing since 2023. He earned a Master's Degree in Marriage and Family Therapy at Lewis & Clark College. Eric works with the belief that every individual has the capabilities to make their life more meaningful to themselves and has the ability to solve the problems that they face day to day. Eric believes that a therapist's role is to assist the client, couple, and family to realize the ideal that they want and help them find the solutions that they want to use.
Eric Naramore is a Licensed Marriage and Family Therapist in Oregon who has been practicing since 2023. He earned a Master's Degree in Marriage and Family Therapy at Lewis & Clark College. Eric works with the belief that every individual has the capabilities to make their life more meaningful to themselves and has the ability to solve the problems that they face day to day. Eric believes that a therapist's role is to assist the client, couple, and family to realize the ideal that they want and help them find the solutions that they want to use.
(971) 252-7256 View (971) 252-7256
Photo of Faith Gallup-Lindemann, Professional Counselor Associate, MA, Profess
Faith Gallup-Lindemann
Professional Counselor Associate, MA, Profess
Portland, OR 97218
By focusing on each person's unique challenges and strengths, Faith aims to empower clients to develop a deeper understanding of their inner world. In addition to these specialties, Faith is dedicated to supporting LGBTQ+ individuals, those on the autism spectrum, and individuals with trauma. With a nuanced understanding of adoption and foster care dynamics, Faith works closely with individuals navigating complex family systems. Faith also offers family and couples therapy, ensuring a holistic approach that encompasses relational dynamics and personal healing.
By focusing on each person's unique challenges and strengths, Faith aims to empower clients to develop a deeper understanding of their inner world. In addition to these specialties, Faith is dedicated to supporting LGBTQ+ individuals, those on the autism spectrum, and individuals with trauma. With a nuanced understanding of adoption and foster care dynamics, Faith works closely with individuals navigating complex family systems. Faith also offers family and couples therapy, ensuring a holistic approach that encompasses relational dynamics and personal healing.
(971) 365-5195 View (971) 365-5195
Photo of Mary Chakhtoura, Clinical Social Work Associate, MSW, QMHP
Mary Chakhtoura
Clinical Social Work Associate, MSW, QMHP
Portland, OR 97218
Mary Chakhtoura is a Clinical Social Work Associate who has been practicing since 2021. She has a BA in Humanities degree and a Master of Social Work degree. Drawing on many therapeutic approaches, the goal of Mary's work is to empower clients to become their own therapists. Mary helps clients learn about the relationships between early experiences, beliefs, thoughts, emotions, and behaviors. She also helps clients access and develop healthy relationships with all of their internal parts.
Mary Chakhtoura is a Clinical Social Work Associate who has been practicing since 2021. She has a BA in Humanities degree and a Master of Social Work degree. Drawing on many therapeutic approaches, the goal of Mary's work is to empower clients to become their own therapists. Mary helps clients learn about the relationships between early experiences, beliefs, thoughts, emotions, and behaviors. She also helps clients access and develop healthy relationships with all of their internal parts.
(971) 414-3088 View (971) 414-3088
Photo of Blake Wallace, Clinical Social Work Associate, MSW, CSWA
Blake Wallace
Clinical Social Work Associate, MSW, CSWA
Portland, OR 97218
Blake Wallace is a therapist based in Oregon who has been practicing since 2024. He earned his Master of Social Work from Pacific University and brings a steady, compassionate presence to his work with individuals seeking meaningful and lasting change. Blake primarily offers a depth-oriented approach to therapy, rooted in psychodynamic principles, with an emphasis on understanding the unconscious patterns and emotional conflicts that shape how we relate to ourselves and others. His work is also informed by existential, humanistic, mindfulness-based, relational perspectives, allowing him to meet each person with nuance, flexibility.
Blake Wallace is a therapist based in Oregon who has been practicing since 2024. He earned his Master of Social Work from Pacific University and brings a steady, compassionate presence to his work with individuals seeking meaningful and lasting change. Blake primarily offers a depth-oriented approach to therapy, rooted in psychodynamic principles, with an emphasis on understanding the unconscious patterns and emotional conflicts that shape how we relate to ourselves and others. His work is also informed by existential, humanistic, mindfulness-based, relational perspectives, allowing him to meet each person with nuance, flexibility.
(971) 626-4885 View (971) 626-4885
Photo of Edith Hopkins, Clinical Social Work/Therapist, MSW, LCSW
Edith Hopkins
Clinical Social Work/Therapist, MSW, LCSW
Portland, OR 97218
Edith Hopkins, LCSW, is a therapist at LifeStance Health dedicated to supporting individuals, families, and groups across Maryland. With a warm and supportive personality, she creates a safe and affirming space for clients to explore their challenges and align their lives with their core values. Edie works with teens, young adults, and adults, helping them navigate difficult emotions and stressors with evidence-based techniques that promote resilience and personal growth. Edie specializes in treating depression, anxiety, and trauma-related conditions, including PTSD.
Edith Hopkins, LCSW, is a therapist at LifeStance Health dedicated to supporting individuals, families, and groups across Maryland. With a warm and supportive personality, she creates a safe and affirming space for clients to explore their challenges and align their lives with their core values. Edie works with teens, young adults, and adults, helping them navigate difficult emotions and stressors with evidence-based techniques that promote resilience and personal growth. Edie specializes in treating depression, anxiety, and trauma-related conditions, including PTSD.
(971) 462-4705 View (971) 462-4705
Photo of Kate Price Walsh, Licensed Professional Counselor, MA, LPC
Kate Price Walsh
Licensed Professional Counselor, MA, LPC
Portland, OR 97218
Kate has a MA in Clinical Psychology from Pacific University. Kate employs cognitive behavioral therapy, mindfulness, eye-movement desensitization & reprocessing (EMDR), acceptance commitment therapy, play therapy, and collaborative problem solving to provide client-centered, trauma-informed, and compassionate care. She specializes in complex trauma, anxiety, depression, ADHD, stress management, abuse, anger management, grief/death, PTSD, and women's issues. In her spare time, Kate enjoys backpacking, cooking, gardening, and spending time with family, pets and friends.
Kate has a MA in Clinical Psychology from Pacific University. Kate employs cognitive behavioral therapy, mindfulness, eye-movement desensitization & reprocessing (EMDR), acceptance commitment therapy, play therapy, and collaborative problem solving to provide client-centered, trauma-informed, and compassionate care. She specializes in complex trauma, anxiety, depression, ADHD, stress management, abuse, anger management, grief/death, PTSD, and women's issues. In her spare time, Kate enjoys backpacking, cooking, gardening, and spending time with family, pets and friends.
(971) 316-5335 View (971) 316-5335
Photo of Dr. Eoin Bastable, Clinical Social Work/Therapist, LCSW, PhD
Dr. Eoin Bastable
Clinical Social Work/Therapist, LCSW, PhD
Portland, OR 97218
Dr. Eoin Bastable is a Licensed Clinical Social Worker at LifeStance Health, dedicated to helping teens and adults across Oregon navigate life’s complexities with confidence and clarity. He meets clients with warmth, insight, and a practical, evidence-based approach designed to foster growth and resilience. Dr. Bastable has a preference for working with clients in-person, but also sees clients remotely. Specializing in anxiety, depression, addiction, and challenges related to men’s mental health, Dr.
Dr. Eoin Bastable is a Licensed Clinical Social Worker at LifeStance Health, dedicated to helping teens and adults across Oregon navigate life’s complexities with confidence and clarity. He meets clients with warmth, insight, and a practical, evidence-based approach designed to foster growth and resilience. Dr. Bastable has a preference for working with clients in-person, but also sees clients remotely. Specializing in anxiety, depression, addiction, and challenges related to men’s mental health, Dr.
(971) 297-3336 View (971) 297-3336
Photo of Lonnie Silva, Licensed Professional Counselor, LPC, CADC II
Lonnie Silva
Licensed Professional Counselor, LPC, CADC II
Portland, OR 97218
Lonnie meets clients where they are, fostering a supportive space for personal growth and resilience. Lonnie works with diverse populations, including first responders, veterans, the LGBTQ+ community, and individuals on the autism spectrum, bringing a deep commitment to inclusivity and understanding. Outside of his work at LifeStance Health, Lonnie enjoys staying active, whether he’s working out or exploring Oregon’s coffee shops. He also finds joy in spending time with family and friends, reading, and watching YouTube videos.
Lonnie meets clients where they are, fostering a supportive space for personal growth and resilience. Lonnie works with diverse populations, including first responders, veterans, the LGBTQ+ community, and individuals on the autism spectrum, bringing a deep commitment to inclusivity and understanding. Outside of his work at LifeStance Health, Lonnie enjoys staying active, whether he’s working out or exploring Oregon’s coffee shops. He also finds joy in spending time with family and friends, reading, and watching YouTube videos.
(971) 791-3142 View (971) 791-3142
Photo of Jennifer Cooper - LifeStance Health, Licensed Professional Counselor, LPC
LifeStance Health
Licensed Professional Counselor, LPC
Portland, OR 97218
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and inperson therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and inperson therapy and psychiatry services, covered by major insurance plans.
(971) 545-8066 View (971) 545-8066
Photo of Amber McKinney-Morgan, Clinical Social Work/Therapist, LCSW, LISW
Amber McKinney-Morgan
Clinical Social Work/Therapist, LCSW, LISW
1 Endorsed
Portland, OR 97218
We’re all doing the best we can with what we have to work with. Sometimes we can use some extra tools in our toolbox to support us in managing when life occurrences seem to pile up and we just need a break. Amber has experience in treating a range of symptoms, including those related to PTSD, anxiety and depression. Amber is an EMDRIA-certified EMDR therapist and consultant, a Gottman Institute Certified Gottman Therapist, and a Certified Sex Therapist. She provides therapy to both the general population and high-profile, public-facing and celebrity clients. Amber is licensed in California, Iowa and Oregon.
We’re all doing the best we can with what we have to work with. Sometimes we can use some extra tools in our toolbox to support us in managing when life occurrences seem to pile up and we just need a break. Amber has experience in treating a range of symptoms, including those related to PTSD, anxiety and depression. Amber is an EMDRIA-certified EMDR therapist and consultant, a Gottman Institute Certified Gottman Therapist, and a Certified Sex Therapist. She provides therapy to both the general population and high-profile, public-facing and celebrity clients. Amber is licensed in California, Iowa and Oregon.
(480) 508-8394 View (480) 508-8394
Photo of Emily Vaughan, Licensed Professional Counselor, MS, LPC, LMFT
Emily Vaughan
Licensed Professional Counselor, MS, LPC, LMFT
Portland, OR 97218
Emily has a Master of Science in Couples and Family Therapy and Bachelor of Science in Psychology (minors in business and special education) from the University of Oregon. Prior to working for LifeStance, Emily worked in residential substance use treatment, and therapeutic early childhood programming. Emily is currently working towards her certification in Parent Child Interaction Therapy. Services Offered Emily has experience working with people of all ages. She enjoys working with individuals, couples, and families. Emily enjoys reading and listening to audiobooks.
Emily has a Master of Science in Couples and Family Therapy and Bachelor of Science in Psychology (minors in business and special education) from the University of Oregon. Prior to working for LifeStance, Emily worked in residential substance use treatment, and therapeutic early childhood programming. Emily is currently working towards her certification in Parent Child Interaction Therapy. Services Offered Emily has experience working with people of all ages. She enjoys working with individuals, couples, and families. Emily enjoys reading and listening to audiobooks.
(971) 316-4773 View (971) 316-4773
July Choi
Licensed Professional Counselor, MA, LPC
Portland, OR 97218
July Choi, Professional Counselor Associate July Choi is a Professional Counselor Associate in Oregon who has been practicing since 2020. July believes kids do well when they can. As a child and family therapist, she creates a safe space for her clients to explore, reflect, discover, and nurture new skills. July is particularly passionate about working with female non/binary teens struggling with depression, suicidality, anxiety, anger management, relational issues, substance use, and OCD. She uses an eclectic approach tailored to each person and their specific needs.
July Choi, Professional Counselor Associate July Choi is a Professional Counselor Associate in Oregon who has been practicing since 2020. July believes kids do well when they can. As a child and family therapist, she creates a safe space for her clients to explore, reflect, discover, and nurture new skills. July is particularly passionate about working with female non/binary teens struggling with depression, suicidality, anxiety, anger management, relational issues, substance use, and OCD. She uses an eclectic approach tailored to each person and their specific needs.
(971) 626-4873 View (971) 626-4873
Photo of Fariah Nur Hart, Marriage & Family Therapist, LMFT
Fariah Nur Hart
Marriage & Family Therapist, LMFT
Portland, OR 97218
I work with teens and adults navigating anxiety, ADHD, depression, and identity challenges—whether you’re neurodivergent, an ADHD-er, Asian, South Asian, biracial, bi-cultural, multicultural, a person of color, or a child of immigrants. I’m here to help you through life transitions, heal from trauma, and find your path to self-discovery. As an Asian American therapist, I understand the cultural nuances, family dynamics, and societal pressures that can influence mental health. Therapy can feel vulnerable, but my goal is to provide a safe, supportive space where you feel heard, valued, and empowered to grow.
I work with teens and adults navigating anxiety, ADHD, depression, and identity challenges—whether you’re neurodivergent, an ADHD-er, Asian, South Asian, biracial, bi-cultural, multicultural, a person of color, or a child of immigrants. I’m here to help you through life transitions, heal from trauma, and find your path to self-discovery. As an Asian American therapist, I understand the cultural nuances, family dynamics, and societal pressures that can influence mental health. Therapy can feel vulnerable, but my goal is to provide a safe, supportive space where you feel heard, valued, and empowered to grow.
(626) 654-4023 View (626) 654-4023
Photo of Bethany Haug, Licensed Professional Counselor, LPC
Bethany Haug
Licensed Professional Counselor, LPC
Serves Area
I work well with individuals who want to explore their inner world and feel more connected to themselves and others. If you're anxious, struggling with self worth, or having difficulty in your relationships, I can help. We'll explore the unconscious patterns that influence your thoughts and behaviors and that keep you feeling stuck.
I work well with individuals who want to explore their inner world and feel more connected to themselves and others. If you're anxious, struggling with self worth, or having difficulty in your relationships, I can help. We'll explore the unconscious patterns that influence your thoughts and behaviors and that keep you feeling stuck.
(971) 257-5825 View (971) 257-5825
Photo of Brittany Wienholz, Clinical Social Work/Therapist, LCSW
Brittany Wienholz
Clinical Social Work/Therapist, LCSW
4 Endorsed
Serves Area
I believe people have the source of healing within themselves, which can be fostered and discovered within safe and supportive relationships. I am delighted to be able to partner with you as you navigate this process. I bring over a decade of experience working with children, adults and families, where I served people with needs ranging from anxiety and depression, grief and trauma. I enjoy working with people at each stage of life.
I believe people have the source of healing within themselves, which can be fostered and discovered within safe and supportive relationships. I am delighted to be able to partner with you as you navigate this process. I bring over a decade of experience working with children, adults and families, where I served people with needs ranging from anxiety and depression, grief and trauma. I enjoy working with people at each stage of life.
(971) 703-5852 View (971) 703-5852
Photo of Sara Goldman, Licensed Professional Counselor, MS, LPC, NCC
Sara Goldman
Licensed Professional Counselor, MS, LPC, NCC
Serves Area
Does your inner critic have the loudest voice in the room? Are you struggling with self actualization, anxiety, or finding connection in an increasingly disconnected society? Many of my clients are people who are trying to figure out "what next?" and how to make sense of the world. They are looking for greater meaning and deeper connection in relationships, as well as healthier boundaries and work life balance. I work with humans navigating transitions: midlife, school and career, and relationships. My goal is to listen deeply, both to what you say and don't say, and help you access your endless capacity for growth and healing.
Does your inner critic have the loudest voice in the room? Are you struggling with self actualization, anxiety, or finding connection in an increasingly disconnected society? Many of my clients are people who are trying to figure out "what next?" and how to make sense of the world. They are looking for greater meaning and deeper connection in relationships, as well as healthier boundaries and work life balance. I work with humans navigating transitions: midlife, school and career, and relationships. My goal is to listen deeply, both to what you say and don't say, and help you access your endless capacity for growth and healing.
(971) 606-3283 View (971) 606-3283
Photo of Caroline Shell, Licensed Professional Counselor, LMHC, LPC
Caroline Shell
Licensed Professional Counselor, LMHC, LPC
1 Endorsed
Serves Area
Are you ready to take the next step in your journey of self-discovery and healing? Have you done traditional talk therapy that didn’t take you all the way where you wanted to go? Sometimes we can talk about our problems over and over without our body getting the message that the past is in the past. Neurofeedback is a powerful tool that can help you leave your past in the past, build emotional regulation, and increase mental flexibility. I focus on clients with developmental trauma, anxiety, and depression, though I find that neurofeedback can be a game changer for a variety of symptoms.
Are you ready to take the next step in your journey of self-discovery and healing? Have you done traditional talk therapy that didn’t take you all the way where you wanted to go? Sometimes we can talk about our problems over and over without our body getting the message that the past is in the past. Neurofeedback is a powerful tool that can help you leave your past in the past, build emotional regulation, and increase mental flexibility. I focus on clients with developmental trauma, anxiety, and depression, though I find that neurofeedback can be a game changer for a variety of symptoms.
(855) 475-8283 View (855) 475-8283
Photo of Robyn Moore-Sullivan, Counselor, MA, LMHC, CPTT
Robyn Moore-Sullivan
Counselor, MA, LMHC, CPTT
10 Endorsed
Serves Area
Connecting to yourself again after betrayal can sometimes feel overwhelming. The reality you held, now nonexistent. What you thought you knew of your life and your partner is now running through your mind as a question - each moment of what came before. Repair work is precision work and can be daunting. Finding up and down in this space can be further compounded if there is previous trauma of any kind. This type of healing is such a double bind because your attachment system in your body and your threat system are not only activated by the same person but now they are at war inside.
Connecting to yourself again after betrayal can sometimes feel overwhelming. The reality you held, now nonexistent. What you thought you knew of your life and your partner is now running through your mind as a question - each moment of what came before. Repair work is precision work and can be daunting. Finding up and down in this space can be further compounded if there is previous trauma of any kind. This type of healing is such a double bind because your attachment system in your body and your threat system are not only activated by the same person but now they are at war inside.
(360) 467-6839 View (360) 467-6839
Photo of Saba Spencer, Marriage & Family Therapist Associate, MA
Saba Spencer
Marriage & Family Therapist Associate, MA
2 Endorsed
Serves Area
As a relational therapist, I believe in the power of connection to help people grow and heal. I work with individuals and couples who feel stuck in the same old loops, whether that’s in their relationships, their self-talk, or how they move through the world. Maybe you’re feeling disconnected, carrying old hurts, or tired of trying to be who everyone else thinks you should be. Together, we’ll explore your emotions, navigate barriers, and uncover new ways of showing up that feel authentic and true to you.
As a relational therapist, I believe in the power of connection to help people grow and heal. I work with individuals and couples who feel stuck in the same old loops, whether that’s in their relationships, their self-talk, or how they move through the world. Maybe you’re feeling disconnected, carrying old hurts, or tired of trying to be who everyone else thinks you should be. Together, we’ll explore your emotions, navigate barriers, and uncover new ways of showing up that feel authentic and true to you.
(971) 365-3564 View (971) 365-3564

See more therapy options for 97218

How does your Therapist compare?

Number of Therapists in 97218

50+

Average cost per session

$170

Therapists in 97218 who prioritize treating:

98% Anxiety
88% Depression
86% Trauma and PTSD
70% Grief
64% Relationship Issues
62% Life Transitions
60% Self Esteem

Average years in practice

10 Years

Top 3 insurances accepted

73% Aetna
60% PacificSource
60% Regence

How Therapists in 97218 see their clients

52% Online Only
48% In Person and Online

Gender breakdown

77% Female
19% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 97218?

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.