Therapists in 98082

Photo of Christine Scoville, Counselor, LMHCA
Christine Scoville
Counselor, LMHCA
Serves Area
I am a holistic, trauma-informed therapist and my focus is working with adolescents and adults on issues related to depression, anxiety, bipolar disorder and neurodivergence (ADHD and Autism Spectrum Disorders). I also work with issues such as spiritual trauma and abuse, childhood emotional neglect and family systems. My therapeutic approach is client-centered, relational, and depth-based. I incorporate psychoanalytic depth work, existential psychotherapy, as well as somatic and mindfulness practices incorporating the body and strengthening a body-mind connection as it feels safe to do so.
I am a holistic, trauma-informed therapist and my focus is working with adolescents and adults on issues related to depression, anxiety, bipolar disorder and neurodivergence (ADHD and Autism Spectrum Disorders). I also work with issues such as spiritual trauma and abuse, childhood emotional neglect and family systems. My therapeutic approach is client-centered, relational, and depth-based. I incorporate psychoanalytic depth work, existential psychotherapy, as well as somatic and mindfulness practices incorporating the body and strengthening a body-mind connection as it feels safe to do so.
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Photo of Jane Livingston, Counselor, MA, LMHCA
Jane Livingston
Counselor, MA, LMHCA
5 Endorsed
Serves Area
If you’re feeling stuck in your relationships, identity exploration or wanting better mental health, you deserve a safe, supportive space to explore your emotions and patterns without judgment. I specialize in working with individuals and couples to navigate complex relationship dynamics, attachment issues, past trauma, and anxiety, using my training in Emotion Focused Therapy (EFT). My goal is to support you through these challenges with empathy and expertise. Together we will create a safe and affirming space where you can explore your feelings, understand your patterns, and build healthier connections.
If you’re feeling stuck in your relationships, identity exploration or wanting better mental health, you deserve a safe, supportive space to explore your emotions and patterns without judgment. I specialize in working with individuals and couples to navigate complex relationship dynamics, attachment issues, past trauma, and anxiety, using my training in Emotion Focused Therapy (EFT). My goal is to support you through these challenges with empathy and expertise. Together we will create a safe and affirming space where you can explore your feelings, understand your patterns, and build healthier connections.
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Photo of Olivia Eilers, Clinical Social Work/Therapist, MSW, LSWAIC
Olivia Eilers
Clinical Social Work/Therapist, MSW, LSWAIC
1 Endorsed
Serves Area
Do you feel anxious, disconnected from yourself, or weighed down by past experiences you haven’t fully processed? In therapy, I invite clients to explore these feelings with curiosity and compassion. They may be acting as messengers, guiding you to understand how you’ve learned to cope with pain, protect yourself, or navigate unmet needs. In our work together, you can develop insight and practical skills to gently shift what’s no longer serving you, rewrite internalized narratives, and foster healing that goes beyond symptom relief to deeper, lasting growth.
Do you feel anxious, disconnected from yourself, or weighed down by past experiences you haven’t fully processed? In therapy, I invite clients to explore these feelings with curiosity and compassion. They may be acting as messengers, guiding you to understand how you’ve learned to cope with pain, protect yourself, or navigate unmet needs. In our work together, you can develop insight and practical skills to gently shift what’s no longer serving you, rewrite internalized narratives, and foster healing that goes beyond symptom relief to deeper, lasting growth.
(425) 243-1442 View (425) 243-1442
Photo of Amy A. Wilter, Psychologist, PhD
Amy A. Wilter
Psychologist, PhD
1 Endorsed
Serves Area
I work with adults experiencing anxiety, depression, mood swings, and PTSD. My approach is strengths-based and collaborative. I work with clients to enhance personal strengths while offering additional tools found in cognitive-behavioral treatments and DBT mindfulness-based skills. When indicated, I incorporate EMDR to treat PTSD; reduce anxiety and depression symptoms; and strengthen coping skills including spiritual resources. For clients seeking insight into how early relationships may be impacting their current relationships and well-being, I offer exploration in an accepting, interactive therapy relationship.
I work with adults experiencing anxiety, depression, mood swings, and PTSD. My approach is strengths-based and collaborative. I work with clients to enhance personal strengths while offering additional tools found in cognitive-behavioral treatments and DBT mindfulness-based skills. When indicated, I incorporate EMDR to treat PTSD; reduce anxiety and depression symptoms; and strengthen coping skills including spiritual resources. For clients seeking insight into how early relationships may be impacting their current relationships and well-being, I offer exploration in an accepting, interactive therapy relationship.
(206) 504-2178 View (206) 504-2178
Photo of Cat E. Southard - Traverse Therapy Services, Clinical Social Work/Therapist, LICSW, SUDP
Traverse Therapy Services
Clinical Social Work/Therapist, LICSW, SUDP
Serves Area
We are accepting new clients. I specialize in helping individuals and families reach and stay in recovery from anxiety and other mood disorders, substance misuse, trauma, relationship conflicts and issues surrounding grief and loss.
We are accepting new clients. I specialize in helping individuals and families reach and stay in recovery from anxiety and other mood disorders, substance misuse, trauma, relationship conflicts and issues surrounding grief and loss.
(206) 741-0742 View (206) 741-0742
Photo of Chester L Hill, Counselor, MA, LMHC
Chester L Hill
Counselor, MA, LMHC
1 Endorsed
Serves Area
You show up for everyone, but who shows up for you? Counseling for individuals and couples to overcome outstanding stress in daily life such as ongoing family conflict, resentment, bitterness, loneliness... Specialties include: overcoming depression cycles, infidelity, couples counseling (bringing romance and intimacy back), and critical insight as you adjust to a new normal that may be frightening. How many times have you said: "I know better, but I keep repeating the same mistakes over and over?" I invite you to slow down and become curious about your inner world so that we can identify the patterns that keep you frustrated.
You show up for everyone, but who shows up for you? Counseling for individuals and couples to overcome outstanding stress in daily life such as ongoing family conflict, resentment, bitterness, loneliness... Specialties include: overcoming depression cycles, infidelity, couples counseling (bringing romance and intimacy back), and critical insight as you adjust to a new normal that may be frightening. How many times have you said: "I know better, but I keep repeating the same mistakes over and over?" I invite you to slow down and become curious about your inner world so that we can identify the patterns that keep you frustrated.
(206) 504-2900 View (206) 504-2900
Photo of Rajni Samyuktha Krishna, Counselor, MA, LMHCA, RDN, CDCES
Rajni Samyuktha Krishna
Counselor, MA, LMHCA, RDN, CDCES
1 Endorsed
Serves Area
Hello! Welcome! You give constantly, overwork, and try to do it all. On the outside, you seem in total control, but inside, you feel stretched thin, or weighed down by constant expectations. You may also be navigating dual cultural pressures or high-pressure careers or raising kids, and strategies that once worked no longer help. As a first-generation immigrant and recovering perfectionist, I've been there too, and it is not sustainable. I provide a safe, grounded, non-judgmental space to address challenges holistically. Together, we create practical tools to manage stress, reduce burnout, and build a life aligned with your values.
Hello! Welcome! You give constantly, overwork, and try to do it all. On the outside, you seem in total control, but inside, you feel stretched thin, or weighed down by constant expectations. You may also be navigating dual cultural pressures or high-pressure careers or raising kids, and strategies that once worked no longer help. As a first-generation immigrant and recovering perfectionist, I've been there too, and it is not sustainable. I provide a safe, grounded, non-judgmental space to address challenges holistically. Together, we create practical tools to manage stress, reduce burnout, and build a life aligned with your values.
(425) 494-4712 View (425) 494-4712
Photo of Stefanie Callicotte, Mental Health Counselor, MA, LMHC
Stefanie Callicotte
Mental Health Counselor, MA, LMHC
3 Endorsed
Serves Area
With over 10 years of experience, I specialize in supporting children and families navigating divorce, grief, anxiety, depression, and trauma. My practice focuses on youth ages 3 through 12 who are experiencing behavioral and emotional challenges at home or school. I utilize a combination of art and play-informed interventions, story-telling, expressive sand tray work, and therapeutic games to ensure sessions are fun and engaging.
With over 10 years of experience, I specialize in supporting children and families navigating divorce, grief, anxiety, depression, and trauma. My practice focuses on youth ages 3 through 12 who are experiencing behavioral and emotional challenges at home or school. I utilize a combination of art and play-informed interventions, story-telling, expressive sand tray work, and therapeutic games to ensure sessions are fun and engaging.
(425) 541-1764 View (425) 541-1764
Photo of Michael Holman, Counselor, MA, CRC, LMHC
Michael Holman
Counselor, MA, CRC, LMHC
Serves Area
At the heart of my therapeutic approach is the belief that each person has an innate capacity for healing. I offer a safe, nonjudgmental space to explore experiences, recognize strengths, and move forward with intention. Many of my clients come to therapy feeling anxious, overwhelmed, disconnected, or stuck in familiar patterns. My person-centered, trauma-informed approach integrates EMDR, meditation and mindfulness, somatic practices, psychoeducation, and Ego State work that is collaborative and gently paced, helping you to feel more resilient, connected, and aligned with your true self.
At the heart of my therapeutic approach is the belief that each person has an innate capacity for healing. I offer a safe, nonjudgmental space to explore experiences, recognize strengths, and move forward with intention. Many of my clients come to therapy feeling anxious, overwhelmed, disconnected, or stuck in familiar patterns. My person-centered, trauma-informed approach integrates EMDR, meditation and mindfulness, somatic practices, psychoeducation, and Ego State work that is collaborative and gently paced, helping you to feel more resilient, connected, and aligned with your true self.
(425) 470-5656 View (425) 470-5656
Photo of Lydia Chun, Clinical Social Work/Therapist, MSW, LICSW
Lydia Chun
Clinical Social Work/Therapist, MSW, LICSW
1 Endorsed
Serves Area
I provide a calm and collaborative space for individuals navigating life transitions, interpersonal challenges, workplace stress, burnout, and anxiety. Whether you’re facing a new challenge or working through a deeply rooted issue, my goal is to support your healing and recovery. I hope to support you in recognizing the strengths that have brought you to where you are today, while also building new skills that foster a deeper sense of meaning and fulfillment.
I provide a calm and collaborative space for individuals navigating life transitions, interpersonal challenges, workplace stress, burnout, and anxiety. Whether you’re facing a new challenge or working through a deeply rooted issue, my goal is to support your healing and recovery. I hope to support you in recognizing the strengths that have brought you to where you are today, while also building new skills that foster a deeper sense of meaning and fulfillment.
(206) 258-7053 View (206) 258-7053
Photo of Sara Sky, Pre-Licensed Professional, BA
Sara Sky
Pre-Licensed Professional, BA
1 Endorsed
Serves Area
Modern life can feel like a hot mess. If you feel like the cards are stacked against you, that you owe your soul to the company store, that no matter what you do, it will never be enough…You’ve come to the right place. I can’t redesign the modern world, but I can help you live as your fullest self within it. I see clients in both English and Spanish, and I specialize in work overload, anxiety, work-life balance, and feelings of disconnection. My goal is to help you find meaning in the face of imposing obstacles and during challenging transitions.
Modern life can feel like a hot mess. If you feel like the cards are stacked against you, that you owe your soul to the company store, that no matter what you do, it will never be enough…You’ve come to the right place. I can’t redesign the modern world, but I can help you live as your fullest self within it. I see clients in both English and Spanish, and I specialize in work overload, anxiety, work-life balance, and feelings of disconnection. My goal is to help you find meaning in the face of imposing obstacles and during challenging transitions.
(425) 842-1817 View (425) 842-1817
Photo of Julianne Park, Marriage & Family Therapist, MS, LMFT
Julianne Park
Marriage & Family Therapist, MS, LMFT
2 Endorsed
Serves Area
I believe you are here because you desire an improved emotional health. You may be struggling with anxiety, grief, trauma, depression, low self-esteem, or negative thought patterns that has led to emotional, relational, and spiritual struggles. Many clients have come to my office to process their experiences around "feeling stuck" with various challenges such as emotionally connecting with others in general or experiencing communication issues in marriage or parenting. And some have expressed struggling with practicing genuine compassion for themselves and managing stress in healthier ways.
I believe you are here because you desire an improved emotional health. You may be struggling with anxiety, grief, trauma, depression, low self-esteem, or negative thought patterns that has led to emotional, relational, and spiritual struggles. Many clients have come to my office to process their experiences around "feeling stuck" with various challenges such as emotionally connecting with others in general or experiencing communication issues in marriage or parenting. And some have expressed struggling with practicing genuine compassion for themselves and managing stress in healthier ways.
(206) 460-1499 View (206) 460-1499
Photo of Annie Kilpatrick, Licensed Mental Health Counselor , MA, LMHC, NCC
Annie Kilpatrick
Licensed Mental Health Counselor , MA, LMHC, NCC
7 Endorsed
Serves Area
If you're looking for a therapist who offers a supportive space to work through trauma, anxiety, identity, or relationship challenges, I’m here to help. I use a relational, trauma-informed approach that fosters trust and growth. Together, we’ll explore patterns, build insight, and develop practical tools using Cognitive Behavioral Therapy, Inference- Based Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Motivational Interviewing. I am trained and have experience in Lifespan Integration, Religious Trauma Therapy, and Gottman Level 1 for relational work.
If you're looking for a therapist who offers a supportive space to work through trauma, anxiety, identity, or relationship challenges, I’m here to help. I use a relational, trauma-informed approach that fosters trust and growth. Together, we’ll explore patterns, build insight, and develop practical tools using Cognitive Behavioral Therapy, Inference- Based Cognitive Behavioral Therapy, Dialectical Behavioral Therapy, and Motivational Interviewing. I am trained and have experience in Lifespan Integration, Religious Trauma Therapy, and Gottman Level 1 for relational work.
(425) 517-1915 View (425) 517-1915
Photo of Ashlee Beers, Pre-Licensed Professional, CHMC-I
Ashlee Beers
Pre-Licensed Professional, CHMC-I
1 Endorsed
Serves Area
Waitlist for new clients
I am receiving a Master’s in Clinical Mental Health Counseling from Messiah University and hold a Graduate Certificate in Psychology from the American College of Greece. In addition to counseling, I have certifications and experience that contribute to a practical and holistic approach, including financial coaching, kettlebell fitness training, and pastoral counseling.
I am receiving a Master’s in Clinical Mental Health Counseling from Messiah University and hold a Graduate Certificate in Psychology from the American College of Greece. In addition to counseling, I have certifications and experience that contribute to a practical and holistic approach, including financial coaching, kettlebell fitness training, and pastoral counseling.
(425) 448-8331 View (425) 448-8331
Photo of Jeff Johnson, Marriage & Family Therapist, MS, LMFT
Jeff Johnson
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Online Only
If you are looking to transform yourself or your relationship and have healthier forms of communication, more intimate and emotional forms of connection and ,overall, improve your sense of self and relationships let your journey begin. With over 20 years of mental health experience and 14 years practicing therapy, I have learned to specialize in relationship/couples therapy and work as well as individuals struggling with anxiety, depression, and other life and circumstantial issues. If you are looking to repair, strengthen, regain connection, improve intimacy, or generally work on your relationships or your mental health I can help.
If you are looking to transform yourself or your relationship and have healthier forms of communication, more intimate and emotional forms of connection and ,overall, improve your sense of self and relationships let your journey begin. With over 20 years of mental health experience and 14 years practicing therapy, I have learned to specialize in relationship/couples therapy and work as well as individuals struggling with anxiety, depression, and other life and circumstantial issues. If you are looking to repair, strengthen, regain connection, improve intimacy, or generally work on your relationships or your mental health I can help.
(425) 242-3988 View (425) 242-3988
Photo of Kendra Higa, Marriage & Family Therapist, MS, LMFT
Kendra Higa
Marriage & Family Therapist, MS, LMFT
Online Only
I am a Licensed Marriage and Family Therapist and I specialize in working with individuals, adolescents, and parents at any stage in their parenting journey. I have experience with and especially enjoy helping people navigate life transitions, anxiety, depression, and parenting challenges. As a therapist, I feel honored to play a role in an individual's or family's life as they seek to make changes.
I am a Licensed Marriage and Family Therapist and I specialize in working with individuals, adolescents, and parents at any stage in their parenting journey. I have experience with and especially enjoy helping people navigate life transitions, anxiety, depression, and parenting challenges. As a therapist, I feel honored to play a role in an individual's or family's life as they seek to make changes.
(206) 569-6988 View (206) 569-6988
Photo of Laurie Sirotkin - Laurie Sirotkin, MSW, LICSW, Clinical Social Work/Therapist, BA, MSW, LICSW
Laurie Sirotkin, MSW, LICSW
Clinical Social Work/Therapist, BA, MSW, LICSW
Online Only
My interest is to help you find solutions to struggles with anxiety, depression, interpersonal tension, low self-esteem, lifestyle changes, and trauma. Within each session, I offer you a supportive environment to face problems that may have seemed insurmountable. I am practically focused, with a goal of helping you to be aware of your strengths, so that you achieve your potential and experience joy again.
My interest is to help you find solutions to struggles with anxiety, depression, interpersonal tension, low self-esteem, lifestyle changes, and trauma. Within each session, I offer you a supportive environment to face problems that may have seemed insurmountable. I am practically focused, with a goal of helping you to be aware of your strengths, so that you achieve your potential and experience joy again.
(360) 499-2390 View (360) 499-2390
Photo of Lynn V Jones, Counselor, MA, LMHC
Lynn V Jones
Counselor, MA, LMHC
3 Endorsed
Online Only
Trauma-informed therapy for Christian moms struggling with overwhelming emotions, past wounds, and relational stress, Licensed in Washington and Iowa. Do you struggle with feeling burnt out from giving to others: family members, friends, even the church? Do you struggle with feeling disconnected from yourself and question your worth outside of what you give to others or accomplish? Have you ever wondered if you deserve better: to be happier, to have an inner sense of calm or peace that your value and worth does not come from what you accomplish or how you are able to serve others, it comes from within, your God-given identity.
Trauma-informed therapy for Christian moms struggling with overwhelming emotions, past wounds, and relational stress, Licensed in Washington and Iowa. Do you struggle with feeling burnt out from giving to others: family members, friends, even the church? Do you struggle with feeling disconnected from yourself and question your worth outside of what you give to others or accomplish? Have you ever wondered if you deserve better: to be happier, to have an inner sense of calm or peace that your value and worth does not come from what you accomplish or how you are able to serve others, it comes from within, your God-given identity.
(206) 489-3839 View (206) 489-3839
Photo of Chloe Steinkamp, Counselor, MS, LMHCA
Chloe Steinkamp
Counselor, MS, LMHCA
1 Endorsed
Online Only
Are you curious about how your past experiences have created the lens through which you see the world? We all are a cumulation of our experiences and each individual is capable of dramatic and positive growth. You, the client, are the priority as each individual is the expert in their story. As your counselor, I am the copilot to what is important to you in each session. Together we can address issues of anxiety, trauma, stress, and conflict to grasp how they are currently present and where they stem from. I join you in exploring your story with unconditional positive regard, through a genuine, humanistic lens.
Are you curious about how your past experiences have created the lens through which you see the world? We all are a cumulation of our experiences and each individual is capable of dramatic and positive growth. You, the client, are the priority as each individual is the expert in their story. As your counselor, I am the copilot to what is important to you in each session. Together we can address issues of anxiety, trauma, stress, and conflict to grasp how they are currently present and where they stem from. I join you in exploring your story with unconditional positive regard, through a genuine, humanistic lens.
(425) 357-2378 View (425) 357-2378
Photo of Ally Hurley, Counselor, MA, LMHCA
Ally Hurley
Counselor, MA, LMHCA
2 Endorsed
Online Only
Hi! I'm Ally and I am so excited to get to know you, hear your story, and explore whatever it is that you have been going through. My goal is to help you regain a sense of control, balance, purpose and fulfillment in your life. When you come to our sessions, you are the most important person in the room. As we get to know one another, I look forward to learning your life story and what makes you the person you are today. Together we will explore how this story may be working for you or against you. Together we can gain insights, examine your thoughts and feelings, and rewrite your story moving forward.
Hi! I'm Ally and I am so excited to get to know you, hear your story, and explore whatever it is that you have been going through. My goal is to help you regain a sense of control, balance, purpose and fulfillment in your life. When you come to our sessions, you are the most important person in the room. As we get to know one another, I look forward to learning your life story and what makes you the person you are today. Together we will explore how this story may be working for you or against you. Together we can gain insights, examine your thoughts and feelings, and rewrite your story moving forward.
(206) 736-1064 View (206) 736-1064

See more therapy options for 98082

How does your Therapist compare?

Number of Therapists in 98082

20+

Average cost per session

$160

Therapists in 98082 who prioritize treating:

100% Anxiety
100% Social Anxiety
100% Health Anxiety
100% Driving Anxiety
91% Depression
82% Relationship Issues
82% Trauma and PTSD

Average years in practice

8 Years

Top 3 insurances accepted

84% Premera Blue Cross
79% Regence
68% BlueCross and BlueShield

How Therapists in 98082 see their clients

64% In Person and Online
36% Online Only

Gender breakdown

82% Female
14% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98082?

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.