Photo of Houston McMahan, MA, LMHCA, Counselor
Houston McMahan
Counselor, MA, LMHCA
Verified Verified
5 Endorsed
Seattle, WA 98103
Whether you have been in therapy before or you are just beginning your therapeutic journey, I am so grateful you are here. Heartwood Psychotherapy is a space that embraces the messiness of life, and in return offers a place of rest and containment. Here, I hope to meet you where you are at and provide tools and reflection to help you understand yourself deeper and navigate day to day challenges easier.
Whether you have been in therapy before or you are just beginning your therapeutic journey, I am so grateful you are here. Heartwood Psychotherapy is a space that embraces the messiness of life, and in return offers a place of rest and containment. Here, I hope to meet you where you are at and provide tools and reflection to help you understand yourself deeper and navigate day to day challenges easier.
(206) 208-7159 View (206) 208-7159
Photo of Abbie Spear, MSW, LICSW, PMH-C, Clinical Social Work/Therapist
Abbie Spear
Clinical Social Work/Therapist, MSW, LICSW, PMH-C
Verified Verified
Seattle, WA 98103
Every life is a series of transitions, some of which can feel impossible to navigate. People and families can often feel ‘stuck’ in their current struggles and unable to overcome the challenges and changes they are experiencing. Whether the tough moments are navigating issues in daily life or processing landmark events such as pregnancy or parenthood, the need for support is valid and you don’t have to push through alone. Therapy helps you develop the tools and knowledge needed to bring out your unique strengths and abilities. No matter what age or life stage you are in, healing is possible.
Every life is a series of transitions, some of which can feel impossible to navigate. People and families can often feel ‘stuck’ in their current struggles and unable to overcome the challenges and changes they are experiencing. Whether the tough moments are navigating issues in daily life or processing landmark events such as pregnancy or parenthood, the need for support is valid and you don’t have to push through alone. Therapy helps you develop the tools and knowledge needed to bring out your unique strengths and abilities. No matter what age or life stage you are in, healing is possible.
(206) 558-6597 View (206) 558-6597
Photo of Heidi Vander Pol, PsyD, Psychologist
Heidi Vander Pol
Psychologist, PsyD
Verified Verified
2 Endorsed
Seattle, WA 98103
Waitlist for new clients
You might be here looking for a professional to talk with because you are feeling depressed or anxious or you are having difficulties in your relationships. You might find it hard to feel an adequate sense of motivation, direction, or meaning in your life. Maybe you've talked with friends or family but you continue to feel stuck in your unsatisfying emotions and relationship patterns. I believe that therapy offers a unique place for gaining a deeper understanding of your difficulties by reflecting on who you are, your thoughts and feelings, and your life history and experience.
You might be here looking for a professional to talk with because you are feeling depressed or anxious or you are having difficulties in your relationships. You might find it hard to feel an adequate sense of motivation, direction, or meaning in your life. Maybe you've talked with friends or family but you continue to feel stuck in your unsatisfying emotions and relationship patterns. I believe that therapy offers a unique place for gaining a deeper understanding of your difficulties by reflecting on who you are, your thoughts and feelings, and your life history and experience.
(206) 397-0932 View (206) 397-0932
Photo of Minhee J Cho, LMFT, M, Ed, MS, Marriage & Family Therapist
Minhee J Cho
Marriage & Family Therapist, LMFT, M, Ed, MS
Verified Verified
Seattle, WA 98103
I am a licensed Marriage and Family Therapist and work with children/teens, individuals, couples, and families. Many are in pain or feel helpless from their struggles: A child/teen shows anxiety; an adult has difficulty in social relationships, or couples/families experience discord in conflict. My passion is to come alongside and help children/teens, couples, and their families with a systemic and holistic approach while they go through life challenges so they can thrive in their lives. 부부 및 가족관계 치료사, 아동 및 청소년 상담치료사로 이민사회에서 불안, 우울증, 관계불화로 갈등하는 분들을 돕고 있습니다. '불안한 아이 및 청소년'을 돕는 상담치료법과 '정서중심적 부부치료' 방법으로 상담치료를 합니다.
I am a licensed Marriage and Family Therapist and work with children/teens, individuals, couples, and families. Many are in pain or feel helpless from their struggles: A child/teen shows anxiety; an adult has difficulty in social relationships, or couples/families experience discord in conflict. My passion is to come alongside and help children/teens, couples, and their families with a systemic and holistic approach while they go through life challenges so they can thrive in their lives. 부부 및 가족관계 치료사, 아동 및 청소년 상담치료사로 이민사회에서 불안, 우울증, 관계불화로 갈등하는 분들을 돕고 있습니다. '불안한 아이 및 청소년'을 돕는 상담치료법과 '정서중심적 부부치료' 방법으로 상담치료를 합니다.
(206) 203-5215 View (206) 203-5215
Photo of Val Grasso, Pre-Licensed Professional
Val Grasso
Pre-Licensed Professional
Verified Verified
Seattle, WA 98103
My philosophy of therapy is deeply intertwined with my belief that there is no single "right" way to live. I am passionate about empowering my clients to recognize and embrace the power and freedom that come with their choices. I firmly believe that every individual is the expert on their own life. My role is to support and guide you as you navigate life's challenges, ensuring you have the tools to maintain your power and embrace your passions, loves, and the unique qualities that define how you show up in the world.
My philosophy of therapy is deeply intertwined with my belief that there is no single "right" way to live. I am passionate about empowering my clients to recognize and embrace the power and freedom that come with their choices. I firmly believe that every individual is the expert on their own life. My role is to support and guide you as you navigate life's challenges, ensuring you have the tools to maintain your power and embrace your passions, loves, and the unique qualities that define how you show up in the world.
(425) 671-1072 View (425) 671-1072
Photo of Aleta Annamarie Mattaino, MA, LMHC, NCC, Counselor
Aleta Annamarie Mattaino
Counselor, MA, LMHC, NCC
Verified Verified
3 Endorsed
Online Only
Not accepting new clients
Where does one begin their search for relief from a vague feeling of discomfort, the source of which is difficult to locate, or from emotional/physical pain that announces itself clearly and loudly, the source being well-known? Perhaps you've tried to think your way through the problem or to read self-help books, and neither have helped. You have the thought that if you reach out to someone, relief may follow as you move from isolation to connection and relationship. So you arrive here and I welcome your call. My therapy approach is collaborative and grounded in family systems, psychodynamic, and mindfulness meditation practices.
Where does one begin their search for relief from a vague feeling of discomfort, the source of which is difficult to locate, or from emotional/physical pain that announces itself clearly and loudly, the source being well-known? Perhaps you've tried to think your way through the problem or to read self-help books, and neither have helped. You have the thought that if you reach out to someone, relief may follow as you move from isolation to connection and relationship. So you arrive here and I welcome your call. My therapy approach is collaborative and grounded in family systems, psychodynamic, and mindfulness meditation practices.
(206) 855-3471 View (206) 855-3471
Photo of Madeleine Laney, LMHCA, RYT, Counselor
Madeleine Laney
Counselor, LMHCA, RYT
Verified Verified
4 Endorsed
Online Only
If you're looking for providers who treat eating disorders and specifically binge eating disorder, I'm here for you. I come from a Health At Every Size (HAES) framework and believe that no body is a problem to be solved. I have found that for many folks, eating disorders are at an intersection of other mental health concerns (such as anxiety, depression, perfectionism, generational trauma) and / or marginalized identities (such as LGBTQIA+, neurodivergence, being in a larger body, people of color, children of immigrants).
If you're looking for providers who treat eating disorders and specifically binge eating disorder, I'm here for you. I come from a Health At Every Size (HAES) framework and believe that no body is a problem to be solved. I have found that for many folks, eating disorders are at an intersection of other mental health concerns (such as anxiety, depression, perfectionism, generational trauma) and / or marginalized identities (such as LGBTQIA+, neurodivergence, being in a larger body, people of color, children of immigrants).
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Photo of Jessica Glover, LMHC, Clinical Social Work/Therapist
Jessica Glover
Clinical Social Work/Therapist, LMHC
Verified Verified
Seattle, WA 98103
As a therapist I work with tweens, teens and young adults (11-25 yr. old) ,caregivers/adults. Adolescence can be fun and also can be stressful, confusing, and painful. I work with young people experiencing depression, anxiety, PTSD, emotional dysregulation/distress, relationship challenges, and who may identify as neurodivergent. I also work with parents/adults. As parents, whether our child is or is not willing to get therapeutic support, doing our own work to care effectively can have invaluable impact in our children's lives. I help parents to better understand their child, support regulation, and model effective skills.
As a therapist I work with tweens, teens and young adults (11-25 yr. old) ,caregivers/adults. Adolescence can be fun and also can be stressful, confusing, and painful. I work with young people experiencing depression, anxiety, PTSD, emotional dysregulation/distress, relationship challenges, and who may identify as neurodivergent. I also work with parents/adults. As parents, whether our child is or is not willing to get therapeutic support, doing our own work to care effectively can have invaluable impact in our children's lives. I help parents to better understand their child, support regulation, and model effective skills.
(206) 825-6403 View (206) 825-6403
Photo of Jammie Pham, LSWAIC, Pre-Licensed Professional
Jammie Pham
Pre-Licensed Professional, LSWAIC
Verified Verified
Seattle, WA 98103
Feeling overwhelmed, stuck, or unsure of who you are? Navigating the pressures of perfectionism, self-doubt, or the weight of cultural and familial expectations can feel isolating. You might constantly battle your inner critic, feel lost in the search for identity, or carry the weight of anxiety, depression, or trauma. Perhaps you feel torn between who you think you’re supposed to be and who you truly are, leaving you disconnected and unsure of how to move forward. Many of my clients feel stuck in these patterns, wanting clarity, confidence, and a sense of belonging but unsure how to get there.
Feeling overwhelmed, stuck, or unsure of who you are? Navigating the pressures of perfectionism, self-doubt, or the weight of cultural and familial expectations can feel isolating. You might constantly battle your inner critic, feel lost in the search for identity, or carry the weight of anxiety, depression, or trauma. Perhaps you feel torn between who you think you’re supposed to be and who you truly are, leaving you disconnected and unsure of how to move forward. Many of my clients feel stuck in these patterns, wanting clarity, confidence, and a sense of belonging but unsure how to get there.
(206) 589-1543 View (206) 589-1543
Photo of Benjamin Charles Marlow, RSW, LICSW, Clinical Social Work/Therapist
Benjamin Charles Marlow
Clinical Social Work/Therapist, RSW, LICSW
Verified Verified
Online Only
Live your most intentional life! Life is so full of distractions. There is so much noise and very little substance in most of our modern world. We are distracted by all kinds of people, products, advertisements and apps that want our attention. Are you spending your time as wisely as you would like?
Live your most intentional life! Life is so full of distractions. There is so much noise and very little substance in most of our modern world. We are distracted by all kinds of people, products, advertisements and apps that want our attention. Are you spending your time as wisely as you would like?
(206) 736-3103 View (206) 736-3103
Photo of Juan Pablo Valbuena, PsyD, Psychologist
Juan Pablo Valbuena
Psychologist, PsyD
Verified Verified
1 Endorsed
Seattle, WA 98103
I am a bilingual and bicultural licensed clinical psychologist with more than 15 years of experience working with children, adolescents, young adults (college-age up to 25), and their families from a variety of cultural backgrounds. I take an active role in my work with patients using cognitive-behavioral and family systems techniques in a supportive and compassionate environment.
I am a bilingual and bicultural licensed clinical psychologist with more than 15 years of experience working with children, adolescents, young adults (college-age up to 25), and their families from a variety of cultural backgrounds. I take an active role in my work with patients using cognitive-behavioral and family systems techniques in a supportive and compassionate environment.
(425) 903-8858 View (425) 903-8858
Photo of Brian Kimmel - Brian Kimmel Guidance Center, MA, LMHC, R-DMT, MHP, Counselor
Brian Kimmel Guidance Center
Counselor, MA, LMHC, R-DMT, MHP
Verified Verified
2 Endorsed
Seattle, WA 98103
Brian Kimmel Guidance Center offers a holistic approach to psychological healing and personal growth, combining elements of talk therapy with mindfulness and body-centered awareness practices. Gentle but powerful, our unique form of therapy can help you gain crucial insight, experience new ways of being, and cultivate lasting change.
Brian Kimmel Guidance Center offers a holistic approach to psychological healing and personal growth, combining elements of talk therapy with mindfulness and body-centered awareness practices. Gentle but powerful, our unique form of therapy can help you gain crucial insight, experience new ways of being, and cultivate lasting change.
(425) 599-4491 View (425) 599-4491
Photo of Dak Wasson - MacPherson Pacific Counseling Services, MA, SUDP, CSAT, Drug & Alcohol Counselor
MacPherson Pacific Counseling Services
Drug & Alcohol Counselor, MA, SUDP, CSAT
Verified Verified
1 Endorsed
Seattle, WA 98103
I am the director of MacPherson Pacific Counseling Services, a dynamic new option in the treatment of chemical dependency, problem gambling, and sex addiction in the Seattle area. Your experience will be individualized and goal focused. You will develop the tools to reclaim your life from addiction and compulsive behavior and begin to develop a path towards healing and wholeness for both yourself and your support network of family and loved ones. In both individual sessions and groups with others also walking the healing path you will challenge yourself, access reservoirs of strength within yourself, learn to connect, and you will grow.
I am the director of MacPherson Pacific Counseling Services, a dynamic new option in the treatment of chemical dependency, problem gambling, and sex addiction in the Seattle area. Your experience will be individualized and goal focused. You will develop the tools to reclaim your life from addiction and compulsive behavior and begin to develop a path towards healing and wholeness for both yourself and your support network of family and loved ones. In both individual sessions and groups with others also walking the healing path you will challenge yourself, access reservoirs of strength within yourself, learn to connect, and you will grow.
(206) 558-9014 View (206) 558-9014
Photo of Andrei Dandescu - Andrei Dandescu Behavioral Care, LLC, MA, LMHC, CSOTP, Counselor
Andrei Dandescu Behavioral Care, LLC
Counselor, MA, LMHC, CSOTP
Verified Verified
Seattle, WA 98103
Waitlist for new clients
The current focus is on time-effective cognitive-behavioral, psychosomatic and depth psychology approaches individually tailored for each patient.
The current focus is on time-effective cognitive-behavioral, psychosomatic and depth psychology approaches individually tailored for each patient.
(206) 557-3963 View (206) 557-3963
Photo of Ramla Mohamed, LPC Intern
Ramla Mohamed
LPC Intern
Verified Verified
1 Endorsed
Seattle, WA 98103
Welcome! I know how hard it can be to find a therapist who understands both your values and cultural identity. As an immigrant, I struggled with this myself, which is why I am here. I meet my clients where they are, allowing them to teach me so I can support them in a way that honors their experiences. Whether you're navigating anxiety, depression, relationship challenges, trauma, or life transitions, I tailor my approach using evidence-based modalities to create a space where you feel safe to explore, grow, and heal without feeling like you have to choose between your mental well-being and your cultural identity
Welcome! I know how hard it can be to find a therapist who understands both your values and cultural identity. As an immigrant, I struggled with this myself, which is why I am here. I meet my clients where they are, allowing them to teach me so I can support them in a way that honors their experiences. Whether you're navigating anxiety, depression, relationship challenges, trauma, or life transitions, I tailor my approach using evidence-based modalities to create a space where you feel safe to explore, grow, and heal without feeling like you have to choose between your mental well-being and your cultural identity
(425) 470-4186 View (425) 470-4186
Photo of Nisha Minhas, Pre-Licensed Professional
Nisha Minhas
Pre-Licensed Professional
Verified Verified
1 Endorsed
Seattle, WA 98103
I have a Bachelor’s degree in Psychology from the University of Washington and am pursuing my Master’s Degree in Marriage and Family Therapy from National University. I’m a kind, outgoing person who loves connecting with others and hearing what their stories are in a way that makes them feel seen, heard and not judged. When it comes to therapy, I'm all about it being centered around you! This approach is called narrative therapy, it helps others see how there are positives in life despite what hardships they may be experiencing. The journey to healing is a beautiful thing and our stories can be re-written to help our healing.
I have a Bachelor’s degree in Psychology from the University of Washington and am pursuing my Master’s Degree in Marriage and Family Therapy from National University. I’m a kind, outgoing person who loves connecting with others and hearing what their stories are in a way that makes them feel seen, heard and not judged. When it comes to therapy, I'm all about it being centered around you! This approach is called narrative therapy, it helps others see how there are positives in life despite what hardships they may be experiencing. The journey to healing is a beautiful thing and our stories can be re-written to help our healing.
(253) 367-2746 View (253) 367-2746
Photo of Camille Primous, MS, LMHC, CN, Counselor
Camille Primous
Counselor, MS, LMHC, CN
Verified Verified
Seattle, WA 98103
Not accepting new clients
Throughout our lives, there are a number of experiences that lead us to feeling alienated and disconnected from our bodies, our relationships to others, and our sense of worth. I hope to support you in returning home to yourself in all of your complexities. I believe in leaning into discomfort to uncover the wisdom behind strategies used to cope. It is through this learning that you can gain the tools to shift in ways that bring you to a place of greater abundance, connection, and radical self-love.
Throughout our lives, there are a number of experiences that lead us to feeling alienated and disconnected from our bodies, our relationships to others, and our sense of worth. I hope to support you in returning home to yourself in all of your complexities. I believe in leaning into discomfort to uncover the wisdom behind strategies used to cope. It is through this learning that you can gain the tools to shift in ways that bring you to a place of greater abundance, connection, and radical self-love.
(206) 278-3483 View (206) 278-3483
Photo of Alissa Tyka, MA, LMHC, SEP, Counselor
Alissa Tyka
Counselor, MA, LMHC, SEP
Verified Verified
1 Endorsed
Seattle, WA 98103
I'm here to help with whatever parts of your soul are aching or torn. Whether you’re clear about the specific trauma from your history that you’d like to sit with, integrate, and heal, or you can’t put a finger on it but things are not quite feeling right in your body and spirit, I can help you re-encounter the bits of your self that need some company and open the door to trust, confidence and your own sacred power. I work gently and collaboratively; you be the leader, and I'll be the guide.
I'm here to help with whatever parts of your soul are aching or torn. Whether you’re clear about the specific trauma from your history that you’d like to sit with, integrate, and heal, or you can’t put a finger on it but things are not quite feeling right in your body and spirit, I can help you re-encounter the bits of your self that need some company and open the door to trust, confidence and your own sacred power. I work gently and collaboratively; you be the leader, and I'll be the guide.
(425) 517-0652 View (425) 517-0652
Photo of Anna M. Charbonneau, PhD, Psychologist
Anna M. Charbonneau
Psychologist, PhD
Verified Verified
2 Endorsed
Seattle, WA 98103
In my practice I focus on teaching my clients ways build resilience to stress and get back a sense of stability and calm. If you value genuine emotional support, honest feedback, and new perspectives we might be a good match. I provide support for who have experience with expanded states of consciousness ( spontaneous awakenings, near death experiences, or therapeutic use of psilocybin, LSD). These experiences can provide tremendous opportunities for growth and healing, especially when guided with caring, competent support. My approach is kind, open-minded, grounded, and practical.
In my practice I focus on teaching my clients ways build resilience to stress and get back a sense of stability and calm. If you value genuine emotional support, honest feedback, and new perspectives we might be a good match. I provide support for who have experience with expanded states of consciousness ( spontaneous awakenings, near death experiences, or therapeutic use of psilocybin, LSD). These experiences can provide tremendous opportunities for growth and healing, especially when guided with caring, competent support. My approach is kind, open-minded, grounded, and practical.
(425) 842-2572 View (425) 842-2572
Photo of Nadia Ahrens, LICSW, ACHT, Clinical Social Work/Therapist
Nadia Ahrens
Clinical Social Work/Therapist, LICSW, ACHT
Verified Verified
6 Endorsed
Seattle, WA 98103
Are you ready to move beyond therapy and find your soul's purpose? Have you ever asked yourself, "Why am I here?" "Is there a purpose to my life?" You've found the right place. A blend of psychotherapy, soul soaching & hypnotherapy help you heal on a deeper, more profound level, so you can understand your soul's purpose. I'm dedicated to helping women empower, transform and fulfill their lives.
Are you ready to move beyond therapy and find your soul's purpose? Have you ever asked yourself, "Why am I here?" "Is there a purpose to my life?" You've found the right place. A blend of psychotherapy, soul soaching & hypnotherapy help you heal on a deeper, more profound level, so you can understand your soul's purpose. I'm dedicated to helping women empower, transform and fulfill their lives.
(206) 483-0361 View (206) 483-0361
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How does your Therapist compare?

Number of Therapists in 98103

800+

Average cost per session

$160

Therapists in 98103 who prioritize treating:

94% Anxiety
89% Depression
81% Relationship Issues
75% Self Esteem
73% Trauma and PTSD
71% Life Transitions
70% Stress

Average years in practice

10 Years

Top 3 insurances accepted

77% Premera Blue Cross
53% Regence
52% Aetna

How Therapists in 98103 see their clients

60% In Person and Online
40% Online Only

Gender breakdown

74% Female
22% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98103?

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.