Therapists in 98258

Photo of Jennifer Walter, Counselor, LMHC, SUDP
Jennifer Walter
Counselor, LMHC, SUDP
8 Endorsed
Lake Stevens, WA 98258
My clients often come to me because they are struggling with addictions, trauma, parenting issues, or mood disorders (anxiety, depression). I have experience with a wide range of disorders and issues—reach out to me for a free consultation and let’s see if we are a good fit! I like using DBT, CBT and Polyvagal Theory in therapy. I can help you “re-wire” your brain’s responses, helping you live the happier, healthier life you want.
My clients often come to me because they are struggling with addictions, trauma, parenting issues, or mood disorders (anxiety, depression). I have experience with a wide range of disorders and issues—reach out to me for a free consultation and let’s see if we are a good fit! I like using DBT, CBT and Polyvagal Theory in therapy. I can help you “re-wire” your brain’s responses, helping you live the happier, healthier life you want.
(360) 209-7269 View (360) 209-7269
Photo of Amanda Hofman, Counselor, LMHCA
Amanda Hofman
Counselor, LMHCA
Lake Stevens, WA 98258
If you’re struggling with feeling anxious or depressed, trying to heal from traumatic events, facing difficult life transitions, or longing to create healthy relationships you’re not alone and I would love to help you navigate these difficult issues. Feeling overwhelmed, confused, and uncertain of how to move forward can lead us to believe that change or healing is too hard, or even impossible. By fostering a therapeutic relationship built on acceptance, warmth, non-judgment, and empathy I aim to provide a safe space for exploring and untangling what’s at the root of these and other challenging issues.
If you’re struggling with feeling anxious or depressed, trying to heal from traumatic events, facing difficult life transitions, or longing to create healthy relationships you’re not alone and I would love to help you navigate these difficult issues. Feeling overwhelmed, confused, and uncertain of how to move forward can lead us to believe that change or healing is too hard, or even impossible. By fostering a therapeutic relationship built on acceptance, warmth, non-judgment, and empathy I aim to provide a safe space for exploring and untangling what’s at the root of these and other challenging issues.
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Photo of Amy S Marohn - Sensorium Hypnosis. LLC, Hypnotherapist Registration , MS, CHT, BMsc
Sensorium Hypnosis. LLC
Hypnotherapist Registration , MS, CHT, BMsc
Lake Stevens, WA 98258
I am a Spiritual Hypnotherapist, Medium, Trance Healer, and Intuitive Coach at Sensorium Hypnosis, serving Everett and surrounding areas. I specialize in Executive Performance Hypnosis and spiritual coaching for leaders, entrepreneurs, and therapists, guiding you to align with your higher self, release energetic blocks, and step fully into your soul’s purpose. I integrate energy healing, self-hypnosis, meditation, and metaphysical guidance to create practical, soul-level transformation.
I am a Spiritual Hypnotherapist, Medium, Trance Healer, and Intuitive Coach at Sensorium Hypnosis, serving Everett and surrounding areas. I specialize in Executive Performance Hypnosis and spiritual coaching for leaders, entrepreneurs, and therapists, guiding you to align with your higher self, release energetic blocks, and step fully into your soul’s purpose. I integrate energy healing, self-hypnosis, meditation, and metaphysical guidance to create practical, soul-level transformation.
(425) 406-1997 View (425) 406-1997
Photo of Adrienne Anderson - Adrienne Anderson- Whole Self Therapeutic , Counselor, MS, LMHC, NCC, CMHS
Adrienne Anderson- Whole Self Therapeutic
Counselor, MS, LMHC, NCC, CMHS
6 Endorsed
Lake Stevens, WA 98258
Your therapy experience should be a positive one, even while you work through the tough stuff. I thoroughly enjoy helping others find paths to greater happiness & connection. For the past 15 years I have gained extensive experience working with individuals, families, children & couples- currently working with ages 10 & up. My experience includes anxiety, depression, & parenting support, as well as relationships, OCD, grief & loss, & overall self-exploration & growth as you move through the ebbs & flows of daily life.
Your therapy experience should be a positive one, even while you work through the tough stuff. I thoroughly enjoy helping others find paths to greater happiness & connection. For the past 15 years I have gained extensive experience working with individuals, families, children & couples- currently working with ages 10 & up. My experience includes anxiety, depression, & parenting support, as well as relationships, OCD, grief & loss, & overall self-exploration & growth as you move through the ebbs & flows of daily life.
(425) 657-5105 View (425) 657-5105
Photo of Kendra Leigh Anyan Pinkelman - Solstice Healing, Counselor, LMHC
Solstice Healing
Counselor, LMHC
Lake Stevens, WA 98258
I work primarily with adult individuals but am open to working with couples and families on an as needed basis. My clients have a history of trauma, often PTSD, and are currently experiencing issues of depression and anxiety. I specifically enjoy working with women who are experiencing Peri-Partum Depression and have a history of trauma.
I work primarily with adult individuals but am open to working with couples and families on an as needed basis. My clients have a history of trauma, often PTSD, and are currently experiencing issues of depression and anxiety. I specifically enjoy working with women who are experiencing Peri-Partum Depression and have a history of trauma.
(425) 584-5966 View (425) 584-5966
Photo of Crystal L. Gadin, Counselor, CC
Crystal L. Gadin
Counselor, CC
Lake Stevens, WA 98258
Are you feeling overwhelmed, stressed, burnt out, or lost? You're not alone. Life can be challenging, and it’s okay to seek support. Perhaps you're struggling with anxiety or depression, navigating a significant life transition, or seeking to improve your relationships or boost your productivity. Maybe you're grappling with a loss, feeling stuck in a rut, or juggling the demands of life.
Are you feeling overwhelmed, stressed, burnt out, or lost? You're not alone. Life can be challenging, and it’s okay to seek support. Perhaps you're struggling with anxiety or depression, navigating a significant life transition, or seeking to improve your relationships or boost your productivity. Maybe you're grappling with a loss, feeling stuck in a rut, or juggling the demands of life.
(425) 243-7131 View (425) 243-7131
Photo of Ashli Cunningham - numi Therapy - Ashli Cunningham (Atwood), Marriage & Family Therapist, MA, LMFT, CHMS
numi Therapy - Ashli Cunningham (Atwood)
Marriage & Family Therapist, MA, LMFT, CHMS
Lake Stevens, WA 98258
Welcome! Each day is an opportunity to transform ourself and our relationships. If you're feeling like you could use some support with navigating a life stressor or transition, building up your wellbeing, improving relationships, or managing a mental health concern - I'm glad that you're looking into ways to help. Therapy can be a path to help you cope and grow through a challenge that you are experiencing.
Welcome! Each day is an opportunity to transform ourself and our relationships. If you're feeling like you could use some support with navigating a life stressor or transition, building up your wellbeing, improving relationships, or managing a mental health concern - I'm glad that you're looking into ways to help. Therapy can be a path to help you cope and grow through a challenge that you are experiencing.
(360) 284-1627 View (360) 284-1627
Photo of Craig Church, Pre-Licensed Professional, EdD
Craig Church
Pre-Licensed Professional, EdD
1 Endorsed
Lake Stevens, WA 98258
I’m Craig Church, a Couple and Family Therapy intern offering supportive, collaborative counseling to help you navigate life’s challenges, build stronger relationships, and feel more confident in yourself. Whether you're facing a major transition, relationship struggles, or just feeling stuck, I’m here to help. What I Offer: Compassionate, client-centered therapy Tools for communication, connection & growth Support for individuals, couples & families Specialized training in the Gottman Method A safe, non-judgmental space to feel seen and heard Finding our purpose and meaning for life is important work.
I’m Craig Church, a Couple and Family Therapy intern offering supportive, collaborative counseling to help you navigate life’s challenges, build stronger relationships, and feel more confident in yourself. Whether you're facing a major transition, relationship struggles, or just feeling stuck, I’m here to help. What I Offer: Compassionate, client-centered therapy Tools for communication, connection & growth Support for individuals, couples & families Specialized training in the Gottman Method A safe, non-judgmental space to feel seen and heard Finding our purpose and meaning for life is important work.
(360) 997-4960 View (360) 997-4960
Photo of Rebekah Callahan, Marriage & Family Therapist, MS, LMFT
Rebekah Callahan
Marriage & Family Therapist, MS, LMFT
Lake Stevens, WA 98258
Are the challenges you’re facing in relationships impacting your mental health? Are you feeling stuck in a relationship with a partner, spouse, family or friend and uncertain how to proceed? Do you desire stronger, healthier relationships? I believe Mental health struggles don't define a person but are signals that it is time to look deeper in order to discover the root causes of the problems you are experiencing. When you feel supported through therapy, it will help you to make the changes you want in order to create more fulfilling relationships and the life you want to have.
Are the challenges you’re facing in relationships impacting your mental health? Are you feeling stuck in a relationship with a partner, spouse, family or friend and uncertain how to proceed? Do you desire stronger, healthier relationships? I believe Mental health struggles don't define a person but are signals that it is time to look deeper in order to discover the root causes of the problems you are experiencing. When you feel supported through therapy, it will help you to make the changes you want in order to create more fulfilling relationships and the life you want to have.
(206) 408-2512 View (206) 408-2512
Photo of Taylor Castaño Heiner, Counselor, LMHC, MA
Taylor Castaño Heiner
Counselor, LMHC, MA
Lake Stevens, WA 98258
The ancient Hawaiians call the soul ‘Uhane: at times when we are in pain or suffering we may feel like we are “ ‘uhane ‘ole” -which means without a soul. True peace and healing comes when the ‘uhane, the physical, spiritual and mental state, is healed. At ‘Uhane Counseling we strive to heal the soul in order to restore peace and tranquility to each client.
The ancient Hawaiians call the soul ‘Uhane: at times when we are in pain or suffering we may feel like we are “ ‘uhane ‘ole” -which means without a soul. True peace and healing comes when the ‘uhane, the physical, spiritual and mental state, is healed. At ‘Uhane Counseling we strive to heal the soul in order to restore peace and tranquility to each client.
(425) 309-7867 View (425) 309-7867
Photo of Wendy Fallihee, Counselor, MA, LMHC
Wendy Fallihee
Counselor, MA, LMHC
1 Endorsed
Lake Stevens, WA 98258
I work collaboratively with clients to build on the strengths they already possess. I provide a safe and compassionate place for people to tell their story and create new stories involving self worth, self compassion, and a sense of empowerment. We will identify your goals and break them down into manageable steps. I focus on your values as you define them with no judgment and no agenda. We will identify a more helpful role for your inner critic and learn new skills to better manage trauma, life transitions, anxiety, depression, or any other life struggle that brings you to therapy.
I work collaboratively with clients to build on the strengths they already possess. I provide a safe and compassionate place for people to tell their story and create new stories involving self worth, self compassion, and a sense of empowerment. We will identify your goals and break them down into manageable steps. I focus on your values as you define them with no judgment and no agenda. We will identify a more helpful role for your inner critic and learn new skills to better manage trauma, life transitions, anxiety, depression, or any other life struggle that brings you to therapy.
(360) 234-3759 View (360) 234-3759
Photo of Carl Golden - Tree of Life Counseling & Coaching, Counselor, MS, MA, LMHC, NCC
Tree of Life Counseling & Coaching
Counselor, MS, MA, LMHC, NCC
Lake Stevens, WA 98258
I counsel the following populations: individuals struggling with anger, depression, grief, anxiety and/or trauma (such as acute trauma or PTSD); couples struggling with communication, trust, infidelity, and/or abusive patterns; and teens struggling with motivation, self-esteem, suicidal preoccupations, anti-social or other behavioral issues. I counsel individuals struggling with psychotic disorders, personality disorders and dissociative disorders. I provide family counseling as well as conflict resolution and mediation services. I provide coaching for wellness, psycho-spiritual growth, communication skills, relationship skills and parenting skills. Also, I provide psychosocial assessments.
I counsel the following populations: individuals struggling with anger, depression, grief, anxiety and/or trauma (such as acute trauma or PTSD); couples struggling with communication, trust, infidelity, and/or abusive patterns; and teens struggling with motivation, self-esteem, suicidal preoccupations, anti-social or other behavioral issues. I counsel individuals struggling with psychotic disorders, personality disorders and dissociative disorders. I provide family counseling as well as conflict resolution and mediation services. I provide coaching for wellness, psycho-spiritual growth, communication skills, relationship skills and parenting skills. Also, I provide psychosocial assessments.
(206) 735-4107 View (206) 735-4107
Photo of John Hammack, Counselor, MA, LMHC
John Hammack
Counselor, MA, LMHC
4 Endorsed
Lake Stevens, WA 98258
When life becomes overwhelming it can be difficult to know where to turn. I offer a safe place for individuals and couples to explore these difficult times and start to make sense out of the chaos. Going to therapy does not mean you are weak or your relationship is going to end. It means just the opposite. It means you are taking the time to put yourself and or your relationship first. Counseling gives you the freedom to explore who you are without judgment or criticism and to start to understand yourself on a deeper more compassionate level.
When life becomes overwhelming it can be difficult to know where to turn. I offer a safe place for individuals and couples to explore these difficult times and start to make sense out of the chaos. Going to therapy does not mean you are weak or your relationship is going to end. It means just the opposite. It means you are taking the time to put yourself and or your relationship first. Counseling gives you the freedom to explore who you are without judgment or criticism and to start to understand yourself on a deeper more compassionate level.
(425) 374-4644 View (425) 374-4644
Photo of Sky Lockhart - Roots and Wings Therapy, Clinical Social Work/Therapist, MSW, LSWAIC
Roots and Wings Therapy
Clinical Social Work/Therapist, MSW, LSWAIC
Lake Stevens, WA 98258
I support in cultivating emotional wellness with a holsitic approach, tending to your mind-body connection, emotional landscape, and spiritual compenents (when desired). I tailor therapy to each individual, co-creating therapy goals and meeting clients where they are. With a trauma-informed approach, I support in understanding and healing, reclaiming self, and restoring states of vitality and authenticity. Additionally, my work weaves in the signficance of environmental factors that influence our mental and emotional states, such as systemic oppression.
I support in cultivating emotional wellness with a holsitic approach, tending to your mind-body connection, emotional landscape, and spiritual compenents (when desired). I tailor therapy to each individual, co-creating therapy goals and meeting clients where they are. With a trauma-informed approach, I support in understanding and healing, reclaiming self, and restoring states of vitality and authenticity. Additionally, my work weaves in the signficance of environmental factors that influence our mental and emotional states, such as systemic oppression.
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Photo of Christopher Edward, Pre-Licensed Professional, MS, SPP, LMHCA
Christopher Edward
Pre-Licensed Professional, MS, SPP, LMHCA
1 Endorsed
Lake Stevens, WA 98258
You may be lacking confidence, uncertain of what your next steps are, or are suffering with some form of anxiety or depression. Here you can learn about how to accept the past hurts, be intentional with the present moment, and prepare for the future. Come lost leave feeling seen, heard, and known. I seek to put you first, seeking out to meet your needs by mindful reflecting, strength building, positive relationships and constructive feedback, working together to unlock your full potential.
You may be lacking confidence, uncertain of what your next steps are, or are suffering with some form of anxiety or depression. Here you can learn about how to accept the past hurts, be intentional with the present moment, and prepare for the future. Come lost leave feeling seen, heard, and known. I seek to put you first, seeking out to meet your needs by mindful reflecting, strength building, positive relationships and constructive feedback, working together to unlock your full potential.
(425) 368-9367 View (425) 368-9367
Photo of Alita Crosby, Marriage & Family Therapist, MA, LMFT
Alita Crosby
Marriage & Family Therapist, MA, LMFT
4 Endorsed
Serves Area
If you have a desire to make changes, but aren't sure where to start or don’t feel like you can do it alone, therapy can help! Stressors like communication issues or strife with your partner or family, anxiety or conflict at work or church, and past abuse or other traumatic experiences can all weaken the body's ability to be as effective through life. Having an intentional time each week to focus on yourself and your connections and stressors is what therapy can offer. It's a time to pause, reflect, and dive deeper into what's weighing you down and shore up what matters most to you.
If you have a desire to make changes, but aren't sure where to start or don’t feel like you can do it alone, therapy can help! Stressors like communication issues or strife with your partner or family, anxiety or conflict at work or church, and past abuse or other traumatic experiences can all weaken the body's ability to be as effective through life. Having an intentional time each week to focus on yourself and your connections and stressors is what therapy can offer. It's a time to pause, reflect, and dive deeper into what's weighing you down and shore up what matters most to you.
(509) 312-4617 View (509) 312-4617
Photo of Shaunnacy Blood, Psychologist, PsyD
Shaunnacy Blood
Psychologist, PsyD
Serves Area
Are you frustrated with your child/teen because they are scared to do normal, everyday activities? Do they seem to ignore you and not follow directions? Do they blow up all the time? Would they rather distract themselves than participate in life? Functioning in the world today is difficult for our kids. They deserve support. I help children, teens & parents understand and deal with the stubborn and intense reactions to the anxiety & mood. Dr. Blood also has significant experience and training in helping kids and family navigate learning disorders, executive dysfunction, and poor performance in school.
Are you frustrated with your child/teen because they are scared to do normal, everyday activities? Do they seem to ignore you and not follow directions? Do they blow up all the time? Would they rather distract themselves than participate in life? Functioning in the world today is difficult for our kids. They deserve support. I help children, teens & parents understand and deal with the stubborn and intense reactions to the anxiety & mood. Dr. Blood also has significant experience and training in helping kids and family navigate learning disorders, executive dysfunction, and poor performance in school.
(360) 946-0845 View (360) 946-0845
Photo of Ryan Ciganek, Counselor, MA, LMHC
Ryan Ciganek
Counselor, MA, LMHC
Serves Area
It's easy for things to get in the way. Things get in the way of finding time for calm, being true to yourself, investing in relationship the way you would like, and feeling whole, present, and capable. It can be hard to figure out what is getting in the way. Whether it's the daily stress and fast pace or dealing with deep loss. Or maybe there are some experiences that always seem to be always have a grip on your mind, waiting on the periphery, getting in the way. I hope to tend to these things in a way that they no longer feel limiting but a part of your journey as a human being that can be cared for well.
It's easy for things to get in the way. Things get in the way of finding time for calm, being true to yourself, investing in relationship the way you would like, and feeling whole, present, and capable. It can be hard to figure out what is getting in the way. Whether it's the daily stress and fast pace or dealing with deep loss. Or maybe there are some experiences that always seem to be always have a grip on your mind, waiting on the periphery, getting in the way. I hope to tend to these things in a way that they no longer feel limiting but a part of your journey as a human being that can be cared for well.
(425) 364-6612 View (425) 364-6612
Photo of Rosalie Simkins - CH Counseling- Rosalie , Pre-Licensed Professional, BA
CH Counseling- Rosalie
Pre-Licensed Professional, BA
1 Endorsed
Serves Area
Current openings! My approach is rooted in creating a compassionate and judgment-free space for my clients to understand themselves and their relationships better. Our stories shape who we are, and through sharing and understanding those stories it is my belief that we heal ourselves, beginning to envision and pursue more self-directed lives. I have experienced first-hand the power of understanding in healing from traumatic experiences.
Current openings! My approach is rooted in creating a compassionate and judgment-free space for my clients to understand themselves and their relationships better. Our stories shape who we are, and through sharing and understanding those stories it is my belief that we heal ourselves, beginning to envision and pursue more self-directed lives. I have experienced first-hand the power of understanding in healing from traumatic experiences.
(360) 583-5267 View (360) 583-5267
Photo of Ariana DeFreitas-Fortier, Licensed Mental Health Counselor Associate , MACP, LMHCA
Ariana DeFreitas-Fortier
Licensed Mental Health Counselor Associate , MACP, LMHCA
1 Endorsed
Serves Area
I am dedicated to fostering a safe, supportive, non-judgmental space for you. Whether you are starting a new chapter, navigating your relationships, or adjusting to a change in your life, I see how your steps toward healing and emotional health take courage and vulnerability. Drawing from my work as a full-spectrum doula, I'll join you as a guide and collaborator, holding a deep respect for your unique journey. Together we will explore your relationships with your mind, body, and others to support your movement towards your goals and a more authentic self.
I am dedicated to fostering a safe, supportive, non-judgmental space for you. Whether you are starting a new chapter, navigating your relationships, or adjusting to a change in your life, I see how your steps toward healing and emotional health take courage and vulnerability. Drawing from my work as a full-spectrum doula, I'll join you as a guide and collaborator, holding a deep respect for your unique journey. Together we will explore your relationships with your mind, body, and others to support your movement towards your goals and a more authentic self.
(206) 350-8653 View (206) 350-8653

See more therapy options for 98258

How does your Therapist compare?

Number of Therapists in 98258

80+

Average cost per session

$150

Therapists in 98258 who prioritize treating:

93% Anxiety
85% Relationship Issues
85% Depression
77% Self Esteem
72% Stress
69% Trauma and PTSD
68% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

82% Premera Blue Cross
82% Regence
71% Aetna

How Therapists in 98258 see their clients

54% In Person and Online
46% Online Only

Gender breakdown

83% Female
17% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 98258?

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.