Therapists in Seattle, WA

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Photo of Ed Rankin, Clinical Social Work/Therapist in Seattle, WA
Ed Rankin
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98117  (Online Only)
Not accepting new clients
My approach is direct. I tell people what I think and encourage them to take responsibility for their lives.
My approach is direct. I tell people what I think and encourage them to take responsibility for their lives.
(206) 781-1950 View (206) 781-1950
Photo of Suzanne Doyle, Counselor in Seattle, WA
Suzanne Doyle
Counselor, MA-MFT
Verified Verified
Seattle, WA 98109  (Online Only)
Accepting New Clients! My ideal clients seek personal growth, struggle with self-doubt, stress, and coping skills. Therapy, based on trust and individualized treatment, empowers them to discover inner strengths. I use a systemic, solution-focused, emotion-focused, and strength-based approach, believing in their ability to achieve lasting changes. Guided by their expertise, we navigate their journey, fostering meaningful and lasting transformation.
Accepting New Clients! My ideal clients seek personal growth, struggle with self-doubt, stress, and coping skills. Therapy, based on trust and individualized treatment, empowers them to discover inner strengths. I use a systemic, solution-focused, emotion-focused, and strength-based approach, believing in their ability to achieve lasting changes. Guided by their expertise, we navigate their journey, fostering meaningful and lasting transformation.
(206) 888-4894 View (206) 888-4894
Photo of Peter Hopkins, Counselor in Seattle, WA
Peter Hopkins
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98112
Mental health is varied and complex. Emotional pain can be overwhelming, frustrating, and confusing. Each person is unique and brings their own set of circumstances, their own past, thoughts, and experience to therapy. I see people who struggle from a variety of issues and symptoms. Some of these include depression, anxiety, panic attacks, paranoia, frustration, academic or work difficulties, relationship issues, communication issues, poor concentration and attention, sexual issues, and grief. This list is incomplete, but hopefully it opens up the range of things that can be talked about in therapy and worked with over time.
Mental health is varied and complex. Emotional pain can be overwhelming, frustrating, and confusing. Each person is unique and brings their own set of circumstances, their own past, thoughts, and experience to therapy. I see people who struggle from a variety of issues and symptoms. Some of these include depression, anxiety, panic attacks, paranoia, frustration, academic or work difficulties, relationship issues, communication issues, poor concentration and attention, sexual issues, and grief. This list is incomplete, but hopefully it opens up the range of things that can be talked about in therapy and worked with over time.
(206) 785-2113 View (206) 785-2113
Photo of Paige Jones, Counselor in Seattle, WA
Paige Jones
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98109
You may be seeking change, healing, or understanding as you exist in the relationships and situations around you. Whatever your reasons may be, my hope is to provide a safe space for transformation to occur. I work within the context of relationship, believing they are what shape us, harm us, and ultimately heal us. Therefore we will work together as we explore opportunities for you to step further into your own voice and longings, finding freedom from anxiety, stress, depression, and fear. Making the decision to enter therapy is admirable. I look forward to meeting you wherever you may be.
You may be seeking change, healing, or understanding as you exist in the relationships and situations around you. Whatever your reasons may be, my hope is to provide a safe space for transformation to occur. I work within the context of relationship, believing they are what shape us, harm us, and ultimately heal us. Therefore we will work together as we explore opportunities for you to step further into your own voice and longings, finding freedom from anxiety, stress, depression, and fear. Making the decision to enter therapy is admirable. I look forward to meeting you wherever you may be.
(206) 565-1714 View (206) 565-1714
Photo of Robert L Curtis, Counselor in Seattle, WA
Robert L Curtis
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98115
I am a seasoned therapist with a solid background of training in counseling psychology and I keep a very enthusiastic learning edge on perspectives and developments in psychotherapy. I can always find a way to generate an earnest and stimulative approach to working with clients in therapy. I believe that persons seeking therapy hope to find someone who has a mature range of life experience, sophisticated knowledge of the therapeutic process, a tested repertoire of counseling skills and the ability to provide the anticipatory guidance that fosters self-determination and meaningful life changes. I am confident I have these attributes.
I am a seasoned therapist with a solid background of training in counseling psychology and I keep a very enthusiastic learning edge on perspectives and developments in psychotherapy. I can always find a way to generate an earnest and stimulative approach to working with clients in therapy. I believe that persons seeking therapy hope to find someone who has a mature range of life experience, sophisticated knowledge of the therapeutic process, a tested repertoire of counseling skills and the ability to provide the anticipatory guidance that fosters self-determination and meaningful life changes. I am confident I have these attributes.
(425) 305-4676 View (425) 305-4676
Photo of Coree Chodek, Marriage & Family Therapist in Seattle, WA
Coree Chodek
Marriage & Family Therapist, MS, LMFT, CMHS
Verified Verified
1 Endorsed
Seattle, WA 98107
Periodically we discover that something in our lives needs to shift in order to continue to be the best version of ourselves. This can be a difficult realization to come to and my objective is to support you as you remake what is no longer useful in order to continue on your path to wellness. My experience primarily lies in working with women and girls to address a variety of mental health needs including depression, anxiety, sexual trauma, self-esteem issues, developmental concerns, parenting concerns, infertility and postpartum difficulty. Working with the unique needs of women is a passion of mine.
Periodically we discover that something in our lives needs to shift in order to continue to be the best version of ourselves. This can be a difficult realization to come to and my objective is to support you as you remake what is no longer useful in order to continue on your path to wellness. My experience primarily lies in working with women and girls to address a variety of mental health needs including depression, anxiety, sexual trauma, self-esteem issues, developmental concerns, parenting concerns, infertility and postpartum difficulty. Working with the unique needs of women is a passion of mine.
(651) 424-0385 View (651) 424-0385
Photo of Danielle Gonzales, Marriage & Family Therapist Associate in Seattle, WA
Danielle Gonzales
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
3 Endorsed
Seattle, WA 98116
Are you looking for help with your child’s difficult behaviors, emotional struggles, and support through life changes? Are you a parent that feels uncertain or overwhelmed and needs some support? Do you need space to uncover the insights you hold within and strengthen your relationship with your self, child, or family? 
I believe that a safe and accepting therapeutic relationship is necessary to process difficult experiences and rediscover the wisdom held within ourselves—no matter our age. I help children, parents, and women regain joy, uncover confidence, feel seen, and find insights that lead to desired changes.
Are you looking for help with your child’s difficult behaviors, emotional struggles, and support through life changes? Are you a parent that feels uncertain or overwhelmed and needs some support? Do you need space to uncover the insights you hold within and strengthen your relationship with your self, child, or family? 
I believe that a safe and accepting therapeutic relationship is necessary to process difficult experiences and rediscover the wisdom held within ourselves—no matter our age. I help children, parents, and women regain joy, uncover confidence, feel seen, and find insights that lead to desired changes.
(206) 316-8500 View (206) 316-8500
Photo of Amy Astle-Raaen, Clinical Social Work/Therapist in Seattle, WA
Amy Astle-Raaen
Clinical Social Work/Therapist, MSW, GMHS
Verified Verified
Seattle, WA 98108
Amy Astle-Raaen, MSW, is a Geriatric Mental Health Specialist. She provides home visits and tele-health in the greater Seattle area for therapeutic counseling and serves individuals, families, couples and caregivers. She holds a Bachelor of Science degree from Willamette University, a Master of Social Work degree in Multigenerational Health/Policy Practice from the University of Washington and a Certificate in Advanced Dementia Practice from the University of Michigan.
Amy Astle-Raaen, MSW, is a Geriatric Mental Health Specialist. She provides home visits and tele-health in the greater Seattle area for therapeutic counseling and serves individuals, families, couples and caregivers. She holds a Bachelor of Science degree from Willamette University, a Master of Social Work degree in Multigenerational Health/Policy Practice from the University of Washington and a Certificate in Advanced Dementia Practice from the University of Michigan.
(206) 203-5718 View (206) 203-5718
Photo of Drea Gramps, Counselor in Seattle, WA
Drea Gramps
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98103  (Online Only)
Hi there! I see therapy as a place to come to strengthen one's inner resources. I believe we are all whole beings - that sometimes need help remembering our strengths, inner wisdoms, and resourcefulness that have gotten us to where we are today. My goal as a therapist is to provide a warm, safe, and non-judgmental presence so that you, the client, can explore and strengthen your ever-fluctuating and forming Self. I consider myself an integrational therapist- meaning that I like to work collaboratively with my clients and will often pull from different modalities such as mindfulness meditation, psychodynamic theory, IFS
Hi there! I see therapy as a place to come to strengthen one's inner resources. I believe we are all whole beings - that sometimes need help remembering our strengths, inner wisdoms, and resourcefulness that have gotten us to where we are today. My goal as a therapist is to provide a warm, safe, and non-judgmental presence so that you, the client, can explore and strengthen your ever-fluctuating and forming Self. I consider myself an integrational therapist- meaning that I like to work collaboratively with my clients and will often pull from different modalities such as mindfulness meditation, psychodynamic theory, IFS
(206) 385-5892 View (206) 385-5892
Photo of Phong Nguyen, Clinical Social Work/Therapist in Seattle, WA
Phong Nguyen
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98115  (Online Only)
I am a Licensed Independent Clinical Social Worker (LICSW) in the State of Washington (LW61263458). I hold my Bachelor’s in Social Welfare and my Master’s in Social Work from the University of Washington. I was born in Germany to Vietnamese refugees and relocated to the United States at the age of ten. Being an immigrant has enriched my lived experiences and exposed me to both the complexity of cultural and generational divides, as well as the importance of embracing one’s own cultural identity.
I am a Licensed Independent Clinical Social Worker (LICSW) in the State of Washington (LW61263458). I hold my Bachelor’s in Social Welfare and my Master’s in Social Work from the University of Washington. I was born in Germany to Vietnamese refugees and relocated to the United States at the age of ten. Being an immigrant has enriched my lived experiences and exposed me to both the complexity of cultural and generational divides, as well as the importance of embracing one’s own cultural identity.
(206) 278-3546 View (206) 278-3546
Photo of Josh D Spell, Clinical Social Work/Therapist in Seattle, WA
Josh D Spell
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98119
At times, we may lose our ability to trust our intuition. We may feel like imposters in our relationships, jobs or within ourselves. Therapy can offer a bridge back to understanding your authentic needs. I work with adults of all genders, races and sexual orientations experiencing anxiety, self-doubt and perfectionism. Symptoms related to these issues can manifest as feeling cut off from emotions, overwhelm, stress and burnout. I also provide services to athletes and performing artists who may be experiencing life transitions, performance anxiety or injury.
At times, we may lose our ability to trust our intuition. We may feel like imposters in our relationships, jobs or within ourselves. Therapy can offer a bridge back to understanding your authentic needs. I work with adults of all genders, races and sexual orientations experiencing anxiety, self-doubt and perfectionism. Symptoms related to these issues can manifest as feeling cut off from emotions, overwhelm, stress and burnout. I also provide services to athletes and performing artists who may be experiencing life transitions, performance anxiety or injury.
(206) 589-1440 View (206) 589-1440
Photo of Mara Applebaum, Counselor in Seattle, WA
Mara Applebaum
Counselor, MA, PhD, LMHC
Verified Verified
Seattle, WA 98112
Not accepting new clients
Psychotherapy is meant to address the roots of mental and emotional struggle, rather than just symptoms. In my practice, we can explore your strengths and challenges, discovering over time what motivates you, what may be contributing to your difficulties, and what helps you thrive. You will have the opportunity to get to know yourself and find ways of living that feel satisfying and fulfilling. My approach is intended to help create more room for your experience and navigate your thoughts and feelings with understanding, compassion, and skill.
Psychotherapy is meant to address the roots of mental and emotional struggle, rather than just symptoms. In my practice, we can explore your strengths and challenges, discovering over time what motivates you, what may be contributing to your difficulties, and what helps you thrive. You will have the opportunity to get to know yourself and find ways of living that feel satisfying and fulfilling. My approach is intended to help create more room for your experience and navigate your thoughts and feelings with understanding, compassion, and skill.
(206) 745-0889 View (206) 745-0889
Photo of Khloe Clawson, Licensed Professional Counselor in Seattle, WA
Khloe Clawson
Licensed Professional Counselor, MA, LMHC
Verified Verified
4 Endorsed
Seattle, WA 98104
I work with individuals facing challenges with trauma, self-esteem, relationships, and long term, social, and transition-based anxiety. Additionally, I specialize in ADHD, OCD and Body-Focused Repetitive Behaviors. I provide a supportive environment for clients to practice skills designed to enhance personal, relational, and professional satisfaction.
I work with individuals facing challenges with trauma, self-esteem, relationships, and long term, social, and transition-based anxiety. Additionally, I specialize in ADHD, OCD and Body-Focused Repetitive Behaviors. I provide a supportive environment for clients to practice skills designed to enhance personal, relational, and professional satisfaction.
(206) 829-6651 View (206) 829-6651
Photo of Melissa Hadfield, LICSW, Clinical Social Work/Therapist in Seattle, WA
Melissa Hadfield, LICSW
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98112  (Online Only)
Not accepting new clients
Your struggle with anxiety may be exhausting, frustrating and feel quite hopeless. Especially when your anxiety interferes with your ability to connect with people or to engage in daily activities. If you're experiencing symptoms on the OCD spectrum, you know how hard it is to have your life ruled by distressing thoughts and physical sensations. What possibilities would become available to you if your anxiety no longer ran your life?
Your struggle with anxiety may be exhausting, frustrating and feel quite hopeless. Especially when your anxiety interferes with your ability to connect with people or to engage in daily activities. If you're experiencing symptoms on the OCD spectrum, you know how hard it is to have your life ruled by distressing thoughts and physical sensations. What possibilities would become available to you if your anxiety no longer ran your life?
(206) 347-8140 View (206) 347-8140
Photo of Brittany Steffen, Marriage & Family Therapist in Seattle, WA
Brittany Steffen
Marriage & Family Therapist, MS, LMFT, AASECT
Verified Verified
24 Endorsed
Seattle, WA 98109
I work with anyone who is feeling stuck in their life- helping them be seen, heard, and understood, as we approach problems with curiosity and empathy. While we can't control what happens to us, we can control how we respond- and therapy is the best way to get all the tools you need to respond to life's ups and downs. If you're motivated and engaged in the process, therapy can give you the set of tools you need to improve (or completely change) your life. I support clients in their goals, applying psycho-education, in-depth therapeutic training, 10+ years of experience, and (always optional) out of session homework.
I work with anyone who is feeling stuck in their life- helping them be seen, heard, and understood, as we approach problems with curiosity and empathy. While we can't control what happens to us, we can control how we respond- and therapy is the best way to get all the tools you need to respond to life's ups and downs. If you're motivated and engaged in the process, therapy can give you the set of tools you need to improve (or completely change) your life. I support clients in their goals, applying psycho-education, in-depth therapeutic training, 10+ years of experience, and (always optional) out of session homework.
(206) 535-1787 View (206) 535-1787
Photo of Brooks Page, Counselor in Seattle, WA
Brooks Page
Counselor, LMHC
Verified Verified
8 Endorsed
Seattle, WA 98126  (Online Only)
“Tell me, what is it you plan to do with your one wild and precious life?” Mary Oliver / In most of our lives, there isn’t space for everything we want to be & become. Frustrations & anxieties arise when we feel we aren’t living our best life or have forgotten what thriving feels like. Yet our parts that have been called unworthy, often carry our greatest strengths & giftings. Wherever you are in your journey, it is an honor to walk alongside you. Whether this is your first experience with therapy or you're continuing work from before, each session is attuned to your specific goals & needs.
“Tell me, what is it you plan to do with your one wild and precious life?” Mary Oliver / In most of our lives, there isn’t space for everything we want to be & become. Frustrations & anxieties arise when we feel we aren’t living our best life or have forgotten what thriving feels like. Yet our parts that have been called unworthy, often carry our greatest strengths & giftings. Wherever you are in your journey, it is an honor to walk alongside you. Whether this is your first experience with therapy or you're continuing work from before, each session is attuned to your specific goals & needs.
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Photo of Summit Therapy, PLLC, Clinical Social Work/Therapist in Seattle, WA
Summit Therapy, PLLC
Clinical Social Work/Therapist, MSW, LICSWA
Verified Verified
Seattle, WA 98136  (Online Only)
I treat motivated individuals who struggle with suicidal ideation, self harm, anxiety, and depression. Clients can expect a comprehensive program addressing multiple life domains, in depth CBT, trauma processing, resources, coping skills, and goal setting which are foundational to treatment. Services are meant to be shorter term and provide a referral once level of functioning has improved.
I treat motivated individuals who struggle with suicidal ideation, self harm, anxiety, and depression. Clients can expect a comprehensive program addressing multiple life domains, in depth CBT, trauma processing, resources, coping skills, and goal setting which are foundational to treatment. Services are meant to be shorter term and provide a referral once level of functioning has improved.
(253) 465-7735 View (253) 465-7735
Photo of Carina Catalano, Marriage & Family Therapist in Seattle, WA
Carina Catalano
Marriage & Family Therapist, MPA, MS, LMFT
Verified Verified
Seattle, WA 98199  (Online Only)
How do you know it is time for therapy? You can't get traction. You have unmanageable stress. Relationships aren't working. You need different, but don't know what or how. You can't make changes stick. You need answers***Come explore your situation through a different lens and let's work to find REAL solutions. My approach is direct, honest, and curious. You are the expert in your life but I am there to support and shine the light on your path so you can create lifelong change, using all of the tools and resources available to you. The first step can be hard, but together, we'll walk, create insight, and empower you on your journey.
How do you know it is time for therapy? You can't get traction. You have unmanageable stress. Relationships aren't working. You need different, but don't know what or how. You can't make changes stick. You need answers***Come explore your situation through a different lens and let's work to find REAL solutions. My approach is direct, honest, and curious. You are the expert in your life but I am there to support and shine the light on your path so you can create lifelong change, using all of the tools and resources available to you. The first step can be hard, but together, we'll walk, create insight, and empower you on your journey.
(206) 801-6994 View (206) 801-6994
Photo of Alyse Bradway, Marriage & Family Therapist Associate in Seattle, WA
Alyse Bradway
Marriage & Family Therapist Associate, LMFTA
Verified Verified
10 Endorsed
Seattle, WA 98105  (Online Only)
Therapy is a vulnerable process, and my goal is to meet clients where they’re at and work with them in a warm, engaging, and direct manner. I work with clients collaboratively, seeing you as the expert of your own life and me as a third party to help see patterns, ask questions, and hold difficult things with you. My goal is to see holistic change for each client. I work from a systems perspective, meaning I incorporate the way your family, friends, community, work, etc. affect who you are. With this knowledge, we can build healthy frameworks and relationships.
Therapy is a vulnerable process, and my goal is to meet clients where they’re at and work with them in a warm, engaging, and direct manner. I work with clients collaboratively, seeing you as the expert of your own life and me as a third party to help see patterns, ask questions, and hold difficult things with you. My goal is to see holistic change for each client. I work from a systems perspective, meaning I incorporate the way your family, friends, community, work, etc. affect who you are. With this knowledge, we can build healthy frameworks and relationships.
(206) 203-1554 View (206) 203-1554
Photo of Dan Kujawinski, Clinical Social Work/Therapist in Seattle, WA
Dan Kujawinski
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98115
I follow a strengths-based, client-centered approach that seeks to walk along and support your life journey. In the therapeutic space, I act as a reflective lens to build insight by helping to make connections between present and past issues and experiences. I will work with you to identify, understand, and possibly change coping mechanisms and patterns as they exist in your environment.
I follow a strengths-based, client-centered approach that seeks to walk along and support your life journey. In the therapeutic space, I act as a reflective lens to build insight by helping to make connections between present and past issues and experiences. I will work with you to identify, understand, and possibly change coping mechanisms and patterns as they exist in your environment.
(206) 312-3043 View (206) 312-3043

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
53% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.