Therapists in Sammamish, WA

Photo of Steph Regus, Psychologist in Sammamish, WA
Steph Regus
Psychologist, PsyD, MA
Verified Verified
Sammamish, WA 98075
Not accepting new clients
I believe that every client has complex underpinnings to who they are as an individual. Part of therapy is recognizing that there is pain, discrimination, anger, and fear that comes from your unique culture and identity. I try to be mindful of this as I work with clients and hear your story. I am passionate about helping clients further understand their values and identity. Some of my specific focus areas are OCD, trauma recovery, interpersonal conflicts, faith and spiritual conflicts, problematic sexual behaviors, anxiety and depression.
I believe that every client has complex underpinnings to who they are as an individual. Part of therapy is recognizing that there is pain, discrimination, anger, and fear that comes from your unique culture and identity. I try to be mindful of this as I work with clients and hear your story. I am passionate about helping clients further understand their values and identity. Some of my specific focus areas are OCD, trauma recovery, interpersonal conflicts, faith and spiritual conflicts, problematic sexual behaviors, anxiety and depression.
(425) 437-3292 View (425) 437-3292
Photo of Avanti Psychological Services, Psychologist in Sammamish, WA
Avanti Psychological Services
Psychologist, PsyD, LMHC
Verified Verified
Sammamish, WA 98075
Avanti is a place where children, adolescents, young adults, couples and families can receive counseling and support. The foundation of therapy is the relationship with a trusted and trained therapist who can help teens and young adults deal with the causes of distress and help them acquire the skills to cope more successfully in the future. We are here to help you achieve healing, insight and growth in your life. We offer both in-person and telehealth services.
Avanti is a place where children, adolescents, young adults, couples and families can receive counseling and support. The foundation of therapy is the relationship with a trusted and trained therapist who can help teens and young adults deal with the causes of distress and help them acquire the skills to cope more successfully in the future. We are here to help you achieve healing, insight and growth in your life. We offer both in-person and telehealth services.
(425) 559-7980 View (425) 559-7980
Photo of Rachel Davis, Counselor in Sammamish, WA
Rachel Davis
Counselor, MA, LMHC
Verified Verified
Sammamish, WA 98075  (Online Only)
Are you struggling with making meaning in life and feeling depressed? Do you no longer want to be held back by past trauma? Do you feel dissatisfied and going through an existential crisis? Are you feeling anxious about world events? Do you want to take a more mindful, holistic approach to your healing process? Are you going through a spiritual crisis? I support adults with symptoms of depression, anxiety, trauma, PTSD, spiritual emergence and emergency, and other issues to heal and thrive. I have 9+ years of experience and offer Telehealth across Washington. My passion is supporting clients with strengthening their core self.
Are you struggling with making meaning in life and feeling depressed? Do you no longer want to be held back by past trauma? Do you feel dissatisfied and going through an existential crisis? Are you feeling anxious about world events? Do you want to take a more mindful, holistic approach to your healing process? Are you going through a spiritual crisis? I support adults with symptoms of depression, anxiety, trauma, PTSD, spiritual emergence and emergency, and other issues to heal and thrive. I have 9+ years of experience and offer Telehealth across Washington. My passion is supporting clients with strengthening their core self.
(425) 434-9378 View (425) 434-9378
Photo of Dr. Cheryl D'Ettorre, Psychologist in Sammamish, WA
Dr. Cheryl D'Ettorre
Psychologist, PsyD
Verified Verified
Sammamish, WA 98075  (Online Only)
If you are searching for a mature and understanding therapist, you’ve come to the right place. I believe in meeting people where they are, and I am convinced that the therapeutic relationship provides a healing environment. My approach to each client is dependent upon the nature and need of the individual seeking help. Life can be full of various transitions and challenges. Aging parents, adult children, and complex relationships. And at the same time, desiring to be healthy in mind, body, and soul.
If you are searching for a mature and understanding therapist, you’ve come to the right place. I believe in meeting people where they are, and I am convinced that the therapeutic relationship provides a healing environment. My approach to each client is dependent upon the nature and need of the individual seeking help. Life can be full of various transitions and challenges. Aging parents, adult children, and complex relationships. And at the same time, desiring to be healthy in mind, body, and soul.
(425) 385-0420 View (425) 385-0420
Photo of Lesley-Rose Gutter, Counselor in Sammamish, WA
Lesley-Rose Gutter
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Sammamish, WA 98075
I have experience working with a diverse population of clients with various backgrounds including, age, religion, and ethnicity. Specifically, I have worked with individuals, couples, teens, and children with a primary focus on adolescents, young, and older adults. Additionally, I have gained clinical experience through my work in a community mental health setting and integrated behavioral healthcare setting at a pediatric clinic. Through these experiences, I have found a passion for serving my community by promoting mental health wellbeing and providing support and tools for individuals to live with and lessen their pain.
I have experience working with a diverse population of clients with various backgrounds including, age, religion, and ethnicity. Specifically, I have worked with individuals, couples, teens, and children with a primary focus on adolescents, young, and older adults. Additionally, I have gained clinical experience through my work in a community mental health setting and integrated behavioral healthcare setting at a pediatric clinic. Through these experiences, I have found a passion for serving my community by promoting mental health wellbeing and providing support and tools for individuals to live with and lessen their pain.
(253) 258-5740 View (253) 258-5740
Photo of Dr. Puja Kakkar, Counselor in Sammamish, WA
Dr. Puja Kakkar
Counselor, PhD, PsyD, LMHC
Verified Verified
1 Endorsed
Sammamish, WA 98074
Are you a teen who feels like no one understands you? Are you a parent who is struggling with parenting challenges? Are you an adult having trouble in coping with anxiety, depression, ADHD, work stress, or a couple struggling with marital problems where it is so hard to connect with your partner? Life can be hard, and we often find ourselves stuck. I'm here to help you to cope with the life's struggles without feeling alone. I have 23 years of experience providing therapy to children, adolescents, adults and couples. I can assist you in finding solutions to your problems and guide you to the path of happiness and success.
Are you a teen who feels like no one understands you? Are you a parent who is struggling with parenting challenges? Are you an adult having trouble in coping with anxiety, depression, ADHD, work stress, or a couple struggling with marital problems where it is so hard to connect with your partner? Life can be hard, and we often find ourselves stuck. I'm here to help you to cope with the life's struggles without feeling alone. I have 23 years of experience providing therapy to children, adolescents, adults and couples. I can assist you in finding solutions to your problems and guide you to the path of happiness and success.
(425) 578-5986 View (425) 578-5986
Photo of Stephanie Strand, Counselor in Sammamish, WA
Stephanie Strand
Counselor, MA, MHCA
Verified Verified
Sammamish, WA 98075
I work primarily with adults, teens and children who are experiencing depression, anxiety, relational and parenting concerns, and various types of transition or crisis such as infidelity and divorce. I provide a warm, supportive, non-judgemental environment with a focus on helping clients utilize strengths, and build skills to overcome obstacles. I recognize that each client has innate strengths and gifts that are the building blocks for creating a cohesive and happy life. I integrate relational and solution-focused modalities and incorporate Cognitive Behavior and Attachment-based therapies to help clients reach their goals.
I work primarily with adults, teens and children who are experiencing depression, anxiety, relational and parenting concerns, and various types of transition or crisis such as infidelity and divorce. I provide a warm, supportive, non-judgemental environment with a focus on helping clients utilize strengths, and build skills to overcome obstacles. I recognize that each client has innate strengths and gifts that are the building blocks for creating a cohesive and happy life. I integrate relational and solution-focused modalities and incorporate Cognitive Behavior and Attachment-based therapies to help clients reach their goals.
(425) 364-6523 View (425) 364-6523
Photo of Krista Cory, Marriage & Family Therapist Associate in Sammamish, WA
Krista Cory
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Sammamish, WA 98074
I provide compassionate therapy for individuals, couples, and families seeking support and understanding. With a gentle and client-centered approach, I create a safe space where clients can explore their emotions, relationships, and personal challenges at their own pace. I empower my clients to discover their strengths and fostering healing and growth. Whether navigating relationship dynamics, exploring self-identity, or addressing emotional struggles, I am dedicated to helping clients cultivate deeper connections, resilience, and authenticity to their lives.
I provide compassionate therapy for individuals, couples, and families seeking support and understanding. With a gentle and client-centered approach, I create a safe space where clients can explore their emotions, relationships, and personal challenges at their own pace. I empower my clients to discover their strengths and fostering healing and growth. Whether navigating relationship dynamics, exploring self-identity, or addressing emotional struggles, I am dedicated to helping clients cultivate deeper connections, resilience, and authenticity to their lives.
(425) 600-3489 View (425) 600-3489
Photo of Tracy Askilsrud, Marriage & Family Therapist in Sammamish, WA
Tracy Askilsrud
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Sammamish, WA 98075
You are in a committed relationship but feeling so lonely and frustrated. You try to communicate your needs to your partner, but each time the two of you end up in a disagreement, leaving you feeling worse than before. You feel you are out of options for how to have these discussions differently. You are unsure how the two of you can reconnect and get your needs met. You yearn for your partner to respond to your needs in a way that feels loving and accepting instead of reactive. You would love to rekindle the love you once felt in your relationship and move from being roommates back to loving partners with a satisfying sex life.
You are in a committed relationship but feeling so lonely and frustrated. You try to communicate your needs to your partner, but each time the two of you end up in a disagreement, leaving you feeling worse than before. You feel you are out of options for how to have these discussions differently. You are unsure how the two of you can reconnect and get your needs met. You yearn for your partner to respond to your needs in a way that feels loving and accepting instead of reactive. You would love to rekindle the love you once felt in your relationship and move from being roommates back to loving partners with a satisfying sex life.
(425) 600-7687 View (425) 600-7687
Photo of Dr. Diane Shin, Psychologist in Sammamish, WA
Dr. Diane Shin
Psychologist, PsyD
Verified Verified
Sammamish, WA 98075
I specialize in comprehensive neuropsychological and psychological evaluations for children, adolescents, and adults up to age 30. I collaborate with clients and families to explore questions and concerns related to attention/focus, executive functioning, learning/school difficulties, social-emotional and behavioral challenges, sensory differences, and giftedness. These evaluations can help identify strengths and vulnerabilities to provide guidance and recommendations for the home and school settings (IEP/504 supports) and treatment goals for therapists. I also specialize in assessing for autism in children, adolescents, and adults.
I specialize in comprehensive neuropsychological and psychological evaluations for children, adolescents, and adults up to age 30. I collaborate with clients and families to explore questions and concerns related to attention/focus, executive functioning, learning/school difficulties, social-emotional and behavioral challenges, sensory differences, and giftedness. These evaluations can help identify strengths and vulnerabilities to provide guidance and recommendations for the home and school settings (IEP/504 supports) and treatment goals for therapists. I also specialize in assessing for autism in children, adolescents, and adults.
View
Photo of Kelley Nay, Counselor in Sammamish, WA
Kelley Nay
Counselor, MS, LMHC
Verified Verified
Sammamish, WA 98074  (Online Only)
I work with adolescents, adults, couples, and families dealing with depression, anxiety, academic challenges, parenting, relationship challenges, ADHD, grief, eating disorders, and trauma. I love helping people better understand themselves, get unstuck from whatever is holding them back, and create plans for their future that align with their interests, passions, and values. I am passionate about supporting adolescents, young adults, and parents as they strive to be their best selves. I use an approach called Emotionally Focused Therapy to help couples work through relationship problems and create emotional closeness.
I work with adolescents, adults, couples, and families dealing with depression, anxiety, academic challenges, parenting, relationship challenges, ADHD, grief, eating disorders, and trauma. I love helping people better understand themselves, get unstuck from whatever is holding them back, and create plans for their future that align with their interests, passions, and values. I am passionate about supporting adolescents, young adults, and parents as they strive to be their best selves. I use an approach called Emotionally Focused Therapy to help couples work through relationship problems and create emotional closeness.
(425) 215-1205 View (425) 215-1205
Photo of Peter Kaperick - Centered Mind Counseling, Clinical Social Work/Therapist in Sammamish, WA
Peter Kaperick - Centered Mind Counseling
Clinical Social Work/Therapist, MSW, LICSW
Not Verified Not Verified
Sammamish, WA 98075
In-Network with Aetna and Premera -- Accepting New Clients! Evening appointments available. I work with children, adolescents, adults and couples. In my counseling work, my starting point is a strength-based, client-focused approach to understand you as an individual, as well as the strengths you have to positively change your situation. (I know we don't always feel these strengths. I think we typically are more hurt than we show, and we are also not as broken as we feel.) My focus has been to sit and listen with an open mind so I can best learn about you and your life.
In-Network with Aetna and Premera -- Accepting New Clients! Evening appointments available. I work with children, adolescents, adults and couples. In my counseling work, my starting point is a strength-based, client-focused approach to understand you as an individual, as well as the strengths you have to positively change your situation. (I know we don't always feel these strengths. I think we typically are more hurt than we show, and we are also not as broken as we feel.) My focus has been to sit and listen with an open mind so I can best learn about you and your life.
(425) 269-3277 View (425) 269-3277
Photo of Paige Butkey, Marriage & Family Therapist Associate in Sammamish, WA
Paige Butkey
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Sammamish, WA 98074
I use play therapy, CBT, mindfulness, and attachment based therapy. I work with children,teens, families, and adults struggling with parenting . I am ND affirming .
I use play therapy, CBT, mindfulness, and attachment based therapy. I work with children,teens, families, and adults struggling with parenting . I am ND affirming .
(425) 728-2678 View (425) 728-2678
Photo of Doria McGahey, Counselor in Sammamish, WA
Doria McGahey
Counselor, MA LMHC
Verified Verified
Sammamish, WA 98075  (Online Only)
I work with adult women experiencing challenges in life that are impacting their relationships, health, sleep, work, and recreation. Some of those challenges include anxiety, depression, past traumatic experiences (PTSD), panic attacks, grief/loss, creating healthy boundaries, and settling into any number of life's transitions. I specialize in women's issues and trauma work. It is important that you feel safe and empowered in the work we do together. Let's untangle things, create a plan, and work toward growth and empowerment.
I work with adult women experiencing challenges in life that are impacting their relationships, health, sleep, work, and recreation. Some of those challenges include anxiety, depression, past traumatic experiences (PTSD), panic attacks, grief/loss, creating healthy boundaries, and settling into any number of life's transitions. I specialize in women's issues and trauma work. It is important that you feel safe and empowered in the work we do together. Let's untangle things, create a plan, and work toward growth and empowerment.
(425) 528-8194 View (425) 528-8194
Photo of Elizabeth McNeil, LPC Intern in Sammamish, WA
Elizabeth McNeil
LPC Intern
Verified Verified
Sammamish, WA 98074  (Online Only)
Hello, I’m Liz, a calm and welcoming graduate student intern ready to support youth and adults of all identities on their journey to wellness. I utilize multicultural and interdisciplinary experience alongside strengths-based interventions to provide a safe and non-judgmental space for clients to explore and heal from challenges such as depression, anxiety, grief, and life stage adjustments. I strive to give clients tools to explore their potential, better manage sources of stress, and accomplish whatever goals they wish to pursue. I am always working to expand my knowledge in the field of therapy.
Hello, I’m Liz, a calm and welcoming graduate student intern ready to support youth and adults of all identities on their journey to wellness. I utilize multicultural and interdisciplinary experience alongside strengths-based interventions to provide a safe and non-judgmental space for clients to explore and heal from challenges such as depression, anxiety, grief, and life stage adjustments. I strive to give clients tools to explore their potential, better manage sources of stress, and accomplish whatever goals they wish to pursue. I am always working to expand my knowledge in the field of therapy.
(425) 475-1180 View (425) 475-1180
Photo of Centered Mind Counseling - Sammamish Location, Counselor in Sammamish, WA
Centered Mind Counseling - Sammamish Location
Counselor, PsyD, LMHC, ARNP, LICSW, LMFT
Verified Verified
4 Endorsed
Sammamish, WA 98075
Centered Mind Counseling Services, offers counseling, nutrition, and medication management services for individuals, couples & families. In-Person or Telehealth Video Sessions are available. We have a wide range of clinical expertise, more specialty treatment areas to help you, and an expanded availability of services. We are committed to working with you or your child to create the long-lasting changes you desire. Call or text us at (425) 269-3277. Together, we can determine how we can help you!
Centered Mind Counseling Services, offers counseling, nutrition, and medication management services for individuals, couples & families. In-Person or Telehealth Video Sessions are available. We have a wide range of clinical expertise, more specialty treatment areas to help you, and an expanded availability of services. We are committed to working with you or your child to create the long-lasting changes you desire. Call or text us at (425) 269-3277. Together, we can determine how we can help you!
(425) 269-3277 View (425) 269-3277
Photo of Stephani Wolfe, Clinical Social Work/Therapist in Sammamish, WA
Stephani Wolfe
Clinical Social Work/Therapist, LICSW
Verified Verified
Sammamish, WA 98074
Stephani Wolfe is a Licensed Independent Clinical Social Worker in Arizona who has been practicing since 2007. Stephani supports individuals as they work to understand and better navigate the world around them. She has worked with individuals with depression, anxiety, bipolar disorder, OCD, as well as those without formal diagnoses that are simply going through difficult times. Stephani comes from a client centered and cognitive behavioral framework but believes that the relationship and trust between the client and provider is paramount.
Stephani Wolfe is a Licensed Independent Clinical Social Worker in Arizona who has been practicing since 2007. Stephani supports individuals as they work to understand and better navigate the world around them. She has worked with individuals with depression, anxiety, bipolar disorder, OCD, as well as those without formal diagnoses that are simply going through difficult times. Stephani comes from a client centered and cognitive behavioral framework but believes that the relationship and trust between the client and provider is paramount.
(425) 243-0790 View (425) 243-0790
Photo of Jami Sweeney, Counselor in Sammamish, WA
Jami Sweeney
Counselor, MA, MEd, LMHCA
Verified Verified
Sammamish, WA 98074
I am dedicated to assisting adolescents and adults in overcoming life's challenges. My approach is grounded in evidence-based practices and enriched by my background in progressive school administration and comprehensive sexuality education. I have received positive feedback and outcomes from individuals dealing with stress, anxiety, perfectionism, procrastination/motivation issues, navigating LGBTQ+ identities and experiences, and ADHD.
I am dedicated to assisting adolescents and adults in overcoming life's challenges. My approach is grounded in evidence-based practices and enriched by my background in progressive school administration and comprehensive sexuality education. I have received positive feedback and outcomes from individuals dealing with stress, anxiety, perfectionism, procrastination/motivation issues, navigating LGBTQ+ identities and experiences, and ADHD.
(425) 906-3361 View (425) 906-3361
Photo of Vicki Skelton - Centered Mind Counseling Services, Marriage & Family Therapist in Sammamish, WA
Vicki Skelton - Centered Mind Counseling Services
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Sammamish, WA 98075  (Online Only)
I enjoy working with adolescents, teens and adults and couples struggling with depression, bipolar, anxiety, disordered eating, relationship issues, and adjustment to life transitions. I’ve worked in the middle and high-school settings, helping adolescents and teens address issues of low self-esteem, stress and anxiety, lack of academic motivation, bullying, peer pressure, anger management, and family problems. Having had personal experience with infertility, I have a passion for working with those struggling in this area, helping them with the feelings of frustration, stress, loss and relationship challenges.
I enjoy working with adolescents, teens and adults and couples struggling with depression, bipolar, anxiety, disordered eating, relationship issues, and adjustment to life transitions. I’ve worked in the middle and high-school settings, helping adolescents and teens address issues of low self-esteem, stress and anxiety, lack of academic motivation, bullying, peer pressure, anger management, and family problems. Having had personal experience with infertility, I have a passion for working with those struggling in this area, helping them with the feelings of frustration, stress, loss and relationship challenges.
(425) 222-2891 View (425) 222-2891
Photo of Sibel Ulger, Counselor in Sammamish, WA
Sibel Ulger
Counselor, MA , LMHCA
Verified Verified
2 Endorsed
Sammamish, WA 98074  (Online Only)
I'm a positive, approachable, and multicultural mental health professional who understands challenges. Being multicultural and bilingual, I'm culturally sensitive, working well with diverse backgrounds.
I'm a positive, approachable, and multicultural mental health professional who understands challenges. Being multicultural and bilingual, I'm culturally sensitive, working well with diverse backgrounds.
(425) 584-5988 View (425) 584-5988

See more therapy options for Sammamish

How does your Therapist compare?

Number of Therapists in Sammamish, WA

100+

Average cost per session

$165

Therapists in Sammamish, WA who prioritize treating:

94% Anxiety
87% Depression
81% Relationship Issues
73% Self Esteem
69% Stress
66% Coping Skills
66% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

81% Premera
60% Aetna
52% Regence

How Therapists in Sammamish, WA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sammamish?

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.