Therapists in Portland, OR

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Photo of Brynna Sibilla, Clinical Social Work/Therapist in Portland, OR
Brynna Sibilla
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97232
Waitlist for new clients
I have been in practice since 1994 and know that change, growth and healing is possible in the context of a therapeutic relationship. My style is safe, warm and straightforward. We will increase your access to and awareness of underlying beliefs and heighten your ability to tune into and better meet your own needs. You will learn to better tolerate your emotions and bodily sensations, developing an enhanced ability to healthfully soothe yourself. You will cultivate greater courage, clarity and flexibility. My clients create relationships with greater intimacy and become more consistently authentic, creative and effective.
I have been in practice since 1994 and know that change, growth and healing is possible in the context of a therapeutic relationship. My style is safe, warm and straightforward. We will increase your access to and awareness of underlying beliefs and heighten your ability to tune into and better meet your own needs. You will learn to better tolerate your emotions and bodily sensations, developing an enhanced ability to healthfully soothe yourself. You will cultivate greater courage, clarity and flexibility. My clients create relationships with greater intimacy and become more consistently authentic, creative and effective.
(971) 236-5258 View (971) 236-5258
Photo of Michal Marie Pancheau, Licensed Professional Counselor in Portland, OR
Michal Marie Pancheau
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Portland, OR 97239
**Currently full**. I specialize in treating college-age and young professional adults with personal, spiritual, and relational concerns, from a Christian worldview. I am passionate about helping you move from a place of difficulty into one of health, confidence, and emotional wholeness, so that you can thrive in your life and in your relationships, and succeed in the goals you've set for yourself. Particular issues I work with include depression, anxiety, PTSD, trauma, shame, guilt, abuse recovery, suicidal thoughts, conflict, forgiveness, body image issues, and family issues.
**Currently full**. I specialize in treating college-age and young professional adults with personal, spiritual, and relational concerns, from a Christian worldview. I am passionate about helping you move from a place of difficulty into one of health, confidence, and emotional wholeness, so that you can thrive in your life and in your relationships, and succeed in the goals you've set for yourself. Particular issues I work with include depression, anxiety, PTSD, trauma, shame, guilt, abuse recovery, suicidal thoughts, conflict, forgiveness, body image issues, and family issues.
(503) 894-5783 View (503) 894-5783
Photo of Sasha Rosenfels, Marriage & Family Therapist in Portland, OR
Sasha Rosenfels
Marriage & Family Therapist, MA, LMFT
Verified Verified
Portland, OR 97202  (Online Only)
Not accepting new clients
Individual Sessions: Respect, compassion and empathy are the cornerstones of my counseling practice. In sessions, I will create a safe environment where you can explore your experiences and how they have shaped you, learn to understand yourself, your thoughts, feelings and your needs and examine your relationships with others so that you can, if you wish, nurture and deepen those relationships. Most importantly, you'll learn to view yourself through a more compassionate lens, building a calmer and more joyful inner experience and a more confident and caring self-view.
Individual Sessions: Respect, compassion and empathy are the cornerstones of my counseling practice. In sessions, I will create a safe environment where you can explore your experiences and how they have shaped you, learn to understand yourself, your thoughts, feelings and your needs and examine your relationships with others so that you can, if you wish, nurture and deepen those relationships. Most importantly, you'll learn to view yourself through a more compassionate lens, building a calmer and more joyful inner experience and a more confident and caring self-view.
(503) 486-4641 View (503) 486-4641
Gregory B. Hill
Pre-Licensed Professional, CSWA, u
Verified Verified
Portland, OR 97232
Not accepting new clients
Hello I am Greg I am dedicated therapist specializing in mens and boys' issues, committed to providing a supportive space for individuals to explore their unique experiences and challenges. With a deep understanding of the complexities of masculinity and the societal pressures faced by men and boys, I offer empathetic and culturally sensitive therapy tailored to meet the needs of my clients. I hold a Master's degree in Clinical Social Work from Fordham University, where I focused my studies on men's mental health and gender identity.I am passionate about helping men and boys navigate issues such as masculinity &identity development.
Hello I am Greg I am dedicated therapist specializing in mens and boys' issues, committed to providing a supportive space for individuals to explore their unique experiences and challenges. With a deep understanding of the complexities of masculinity and the societal pressures faced by men and boys, I offer empathetic and culturally sensitive therapy tailored to meet the needs of my clients. I hold a Master's degree in Clinical Social Work from Fordham University, where I focused my studies on men's mental health and gender identity.I am passionate about helping men and boys navigate issues such as masculinity &identity development.
(971) 265-8954 View (971) 265-8954
Photo of Raquel Harmon, Marriage & Family Therapist Associate in Portland, OR
Raquel Harmon
Marriage & Family Therapist Associate
Verified Verified
Portland, OR 97209
Whether you have tried therapy in the past and are seeking support again, or are just beginning your therapy journey – I’m so glad you are here. I believe healing happens in relationship – to ourselves, to our communities, and to others in our lives who we care deeply for. Through Somatic Mindfulness (body centered), Emotionally Focused Therapy (EFT), and Self-Compassion based theories, I view my role as a guide along the road back to yourself, the ones you love, and the life you want to feel present in.
Whether you have tried therapy in the past and are seeking support again, or are just beginning your therapy journey – I’m so glad you are here. I believe healing happens in relationship – to ourselves, to our communities, and to others in our lives who we care deeply for. Through Somatic Mindfulness (body centered), Emotionally Focused Therapy (EFT), and Self-Compassion based theories, I view my role as a guide along the road back to yourself, the ones you love, and the life you want to feel present in.
(971) 351-1042 View (971) 351-1042
Photo of Greg Harpel, LCSW - Calliope Counseling , Clinical Social Work/Therapist in Portland, OR
Greg Harpel, LCSW - Calliope Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97202  (Online Only)
Therapy is a confidential environment in which you can share your story, the areas of your life where you might be struggling as well as what hopes you have for change. I take a non-judgmental approach to the therapeutic relationship, offering collaborative dialogue and compassionate perspective as supports through the challenging seasons of life.
Therapy is a confidential environment in which you can share your story, the areas of your life where you might be struggling as well as what hopes you have for change. I take a non-judgmental approach to the therapeutic relationship, offering collaborative dialogue and compassionate perspective as supports through the challenging seasons of life.
(503) 386-0774 View (503) 386-0774
Polly Burton
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97216  (Online Only)
Not accepting new clients
I believe we all need and want to feel connected to other people. Our relationships can bring the greatest joy and yet can serve as our greatest source of pain. I come along side you to identify patterns, perceptions and communication that can help or hinder your relationships, and can affect your mind, body, and spirit. Working together, we will activate your own strengths, equip you with practical tools for coping and thriving, and release those burdens that have prevented you from trusting, connecting and expressing your emotions to others in a constructive way.
I believe we all need and want to feel connected to other people. Our relationships can bring the greatest joy and yet can serve as our greatest source of pain. I come along side you to identify patterns, perceptions and communication that can help or hinder your relationships, and can affect your mind, body, and spirit. Working together, we will activate your own strengths, equip you with practical tools for coping and thriving, and release those burdens that have prevented you from trusting, connecting and expressing your emotions to others in a constructive way.
(971) 314-4832 View (971) 314-4832
Photo of Sophia Fleming, Clinical Social Work/Therapist in Portland, OR
Sophia Fleming
Clinical Social Work/Therapist, LCSW, SEP
Verified Verified
Portland, OR 97221
Sophia Fleming, LCSW, SEP offers virtual counseling sessions for adults throughout Oregon who are yearning to experience more peace and more joy in their lives. Typically, when one seeks counseling, he or she feels "stuck". Sophia has a knack for guiding clients to untangle the pieces. Sophia has had the honor of working and training at The Meadows, a world-renowned treatment center, and has received training from world-renowned therapists Pia Mellody on codependency, love addiction/ love avoidance, and inner child work, Claudia Black focusing on couples therapy, and Peter Levine developer of Somatic Experiencing.
Sophia Fleming, LCSW, SEP offers virtual counseling sessions for adults throughout Oregon who are yearning to experience more peace and more joy in their lives. Typically, when one seeks counseling, he or she feels "stuck". Sophia has a knack for guiding clients to untangle the pieces. Sophia has had the honor of working and training at The Meadows, a world-renowned treatment center, and has received training from world-renowned therapists Pia Mellody on codependency, love addiction/ love avoidance, and inner child work, Claudia Black focusing on couples therapy, and Peter Levine developer of Somatic Experiencing.
(971) 290-2672 View (971) 290-2672
Photo of Erin L Cook, Psychologist in Portland, OR
Erin L Cook
Psychologist, PsyD
Verified Verified
Portland, OR 97205
Immediate availability (within two weeks) for psychological assessment. I am currently accepting new clients for assessment. My psychological assessments are comprehensive and address the multifaceted aspects of each person I evaluate. Each assessment includes recommendations and individualized feedback. Testing can help to clarify treatment goals, improve therapeutic outcomes, increase self-awareness, and provide recommendations for accommodations at work and/or school.
Immediate availability (within two weeks) for psychological assessment. I am currently accepting new clients for assessment. My psychological assessments are comprehensive and address the multifaceted aspects of each person I evaluate. Each assessment includes recommendations and individualized feedback. Testing can help to clarify treatment goals, improve therapeutic outcomes, increase self-awareness, and provide recommendations for accommodations at work and/or school.
(971) 571-5396 View (971) 571-5396
Photo of Kombai Nonnarath, Pre-Licensed Professional in Portland, OR
Kombai Nonnarath
Pre-Licensed Professional, MS, NCC
Verified Verified
2 Endorsed
Portland, OR 97232  (Online Only)
Are you feeling overwhelmed by the weight of past trauma, the challenges of life transitions, or the deep sorrow of grief? Life's journey can be filled with unexpected twists and turns, leaving us struggling to find our way. If you are seeking a compassionate and experienced guide to help you navigate these difficult moments, I am here to support you on your path to healing and growth.
Are you feeling overwhelmed by the weight of past trauma, the challenges of life transitions, or the deep sorrow of grief? Life's journey can be filled with unexpected twists and turns, leaving us struggling to find our way. If you are seeking a compassionate and experienced guide to help you navigate these difficult moments, I am here to support you on your path to healing and growth.
(503) 461-0187 View (503) 461-0187
Photo of Micah Freeman, Counselor in Portland, OR
Micah Freeman
Counselor, MAT, MS, LPC
Verified Verified
1 Endorsed
Portland, OR 97205
Waitlist for new clients
Much of what stands in the way of growth is our own self-judgment. We are all imperfect and our greatest hope for growth, contentment and fulfilling connection to others, comes through recognizing this truth and accepting the natural ebb and flow of emotion and circumstance. My job as your counselor is to help you figure out your goals, learn how your old habits and coping strategies no longer serve you, and help you access your inner wisdom.
Much of what stands in the way of growth is our own self-judgment. We are all imperfect and our greatest hope for growth, contentment and fulfilling connection to others, comes through recognizing this truth and accepting the natural ebb and flow of emotion and circumstance. My job as your counselor is to help you figure out your goals, learn how your old habits and coping strategies no longer serve you, and help you access your inner wisdom.
(971) 273-5208 View (971) 273-5208
Photo of Gina Adorno, Pre-Licensed Professional in Portland, OR
Gina Adorno
Pre-Licensed Professional, MA, CADC-I
Verified Verified
2 Endorsed
Portland, OR 97211  (Online Only)
Not accepting new clients
There’s more for you than spending your one precious life spinning in circles. Sometimes we need help to break out of a cycle that isn’t serving us. Maybe you haven’t been able to reduce or quit drinking, you struggle with compulsive eating, or depressed feelings are keeping you from being fully engaged in your life. Working with a therapist can pivot your life in a way that drastically shifts the path you’re on. If you don’t like where you’re headed, I would like to help you move in a direction that feels inspiring and fulfilling to you.
There’s more for you than spending your one precious life spinning in circles. Sometimes we need help to break out of a cycle that isn’t serving us. Maybe you haven’t been able to reduce or quit drinking, you struggle with compulsive eating, or depressed feelings are keeping you from being fully engaged in your life. Working with a therapist can pivot your life in a way that drastically shifts the path you’re on. If you don’t like where you’re headed, I would like to help you move in a direction that feels inspiring and fulfilling to you.
(971) 260-4817 View (971) 260-4817
Pacific Psychology & Comprehensive Health Clinic
Psychologist
Verified Verified
Portland, OR 97205
We offer therapy and medication management for depression, anxiety, child/family issues, trauma, ADD, and a wide range of other concerns. We can bill most OHP plans in the metro area for therapy and medication management services.
We offer therapy and medication management for depression, anxiety, child/family issues, trauma, ADD, and a wide range of other concerns. We can bill most OHP plans in the metro area for therapy and medication management services.
(503) 446-2147 View (503) 446-2147
Photo of Emily Smith, Marriage & Family Therapist Associate in Portland, OR
Emily Smith
Marriage & Family Therapist Associate, MA
Verified Verified
4 Endorsed
Portland, OR 97202
There are a rich tapestry of experiences that have led you to this point in your life and shaped the way you cope with challenges, stress, and discontentment. When you feel stuck, I can help you nurture self-acceptance and find ways to move forward. Clients come to me for help managing anxiety, exploring identity, processing relationship issues and patterns, healing from religious trauma, coping with grief and loss, and unpacking the impact of addiction within relationships. Each person I work with is unique, and I will meet you where you are with warmth, understanding, and insight.
There are a rich tapestry of experiences that have led you to this point in your life and shaped the way you cope with challenges, stress, and discontentment. When you feel stuck, I can help you nurture self-acceptance and find ways to move forward. Clients come to me for help managing anxiety, exploring identity, processing relationship issues and patterns, healing from religious trauma, coping with grief and loss, and unpacking the impact of addiction within relationships. Each person I work with is unique, and I will meet you where you are with warmth, understanding, and insight.
(971) 715-0580 View (971) 715-0580
Photo of Christine J. Reeh, Clinical Social Work/Therapist in Portland, 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 Colette Cottrill, Licensed Professional Counselor in Portland, OR
Colette Cottrill
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97232  (Online Only)
Moving Through Uncertainty To Rediscover Peace: Hi, I'm Colette. I am a Licensed Professional Counselor in Portland, Oregon. I specialize in grief/loss and anxiety, and also help people with depression, addictive behaviors and individuals who experience an unhealthy relationship with food. I know first hand the emotional and mental toll that the death of a loved one can take, and the many ways in which anxiety can leave one feeling stuck and isolated. ​​​My practice is all about helping my clients rediscover their place of peace.
Moving Through Uncertainty To Rediscover Peace: Hi, I'm Colette. I am a Licensed Professional Counselor in Portland, Oregon. I specialize in grief/loss and anxiety, and also help people with depression, addictive behaviors and individuals who experience an unhealthy relationship with food. I know first hand the emotional and mental toll that the death of a loved one can take, and the many ways in which anxiety can leave one feeling stuck and isolated. ​​​My practice is all about helping my clients rediscover their place of peace.
(503) 782-7086 View (503) 782-7086
Photo of Kristen Sartor, Clinical Social Work/Therapist in Portland, OR
Kristen Sartor
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97205
Waitlist for new clients
Hi! I love working with individuals, families and human beings in all types of relationship structures. Many clients have worked with me on anxiety, healing from trauma, navigating relationships, family conflict, parenting challenges, LGBTQ+ issues, depression and improving their relationships with themselves. My counseling is about supporting you in the way that you need to be supported while empowering you to deeply tune into your authentic self. In my practice, I strive to co-create a compassionate, non-judgmental, open space in which we can collaborate to clarify goals, build healing, strengthen skills and cultivate resilience.
Hi! I love working with individuals, families and human beings in all types of relationship structures. Many clients have worked with me on anxiety, healing from trauma, navigating relationships, family conflict, parenting challenges, LGBTQ+ issues, depression and improving their relationships with themselves. My counseling is about supporting you in the way that you need to be supported while empowering you to deeply tune into your authentic self. In my practice, I strive to co-create a compassionate, non-judgmental, open space in which we can collaborate to clarify goals, build healing, strengthen skills and cultivate resilience.
(971) 272-8668 View (971) 272-8668
Photo of Abir Nawaz, Marriage & Family Therapist Associate in Portland, OR
Abir Nawaz
Marriage & Family Therapist Associate, MA, MFTA
Verified Verified
Portland, OR 97232
Waitlist for new clients
I believe that people are doing the best they can with the information and skills they have. Sometimes even with these skills, life can feel unmanageable, especially during this time when many people are struggling with loneliness and existential anxieties. I believe people can grow and create better lives for themselves with the appropriate support and a space to process. My approach to therapy is client-centered and systemic, with a focus on validation and gaining new skills.
I believe that people are doing the best they can with the information and skills they have. Sometimes even with these skills, life can feel unmanageable, especially during this time when many people are struggling with loneliness and existential anxieties. I believe people can grow and create better lives for themselves with the appropriate support and a space to process. My approach to therapy is client-centered and systemic, with a focus on validation and gaining new skills.
(503) 694-3079 View (503) 694-3079
Photo of Dr. Shagun Pawar, Psychologist in Portland, OR
Dr. Shagun Pawar
Psychologist, PsyD
Verified Verified
Portland, OR 97239
I work with adults using the lens of complex trauma to help bring awareness into how one’s past may have shaped maladaptive behaviors of their present that could be causing life to be stressful and overwhelming. At the core of my work, I promote improving the relationship with oneself to maintain long-term healing. Patients who are motivated to improve their relationships, assertive communication and boundary setting skills, and develop a deeper understanding of themselves would be a good fit for the treatments I provide. I use CBT, attachment theory, inner-child work, some components of IFS, and EFT in my work.
I work with adults using the lens of complex trauma to help bring awareness into how one’s past may have shaped maladaptive behaviors of their present that could be causing life to be stressful and overwhelming. At the core of my work, I promote improving the relationship with oneself to maintain long-term healing. Patients who are motivated to improve their relationships, assertive communication and boundary setting skills, and develop a deeper understanding of themselves would be a good fit for the treatments I provide. I use CBT, attachment theory, inner-child work, some components of IFS, and EFT in my work.
(971) 306-4933 View (971) 306-4933
Photo of Michelle Emery, LLC, Counselor in Portland, OR
Michelle Emery, LLC
Counselor, MA, NCC, CPC
Verified Verified
Portland, OR 97210
Waitlist for new clients
Hello! My name is Michelle Emery I am a psychotherapist, life coach, mama, yogini and someone who loves to learn and grow. I have many tools to help individuals gain greater insight and awareness into the way they organize and approach their lives. As a woman who has done a lot of my own deep inner work and who continues to explore new tools and new modalities, I would say that one of the greatest things I can offer my clients is a safe space to explore their inner world, thereby creating more harmony in their outer world.
Hello! My name is Michelle Emery I am a psychotherapist, life coach, mama, yogini and someone who loves to learn and grow. I have many tools to help individuals gain greater insight and awareness into the way they organize and approach their lives. As a woman who has done a lot of my own deep inner work and who continues to explore new tools and new modalities, I would say that one of the greatest things I can offer my clients is a safe space to explore their inner world, thereby creating more harmony in their outer world.
(503) 300-5621 View (503) 300-5621

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
73% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

54% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in Portland?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.