Therapists in 98315

Photo of Brittney Morgensen, Marriage & Family Therapist, MA, LMFT
Brittney Morgensen
Marriage & Family Therapist, MA, LMFT
Serves Area
As a therapist, I help clients navigate the process of change in a caring and supportive environment. I believe counseling is an opportunity for healing and growth, for ourselves and our relationships. Throughout our lives we all have experiences that shape who we are and how we view the world. These experiences impact us in both positive and negative ways. Understanding how the past informs our present can empower us to make changes towards a more authentic future.
As a therapist, I help clients navigate the process of change in a caring and supportive environment. I believe counseling is an opportunity for healing and growth, for ourselves and our relationships. Throughout our lives we all have experiences that shape who we are and how we view the world. These experiences impact us in both positive and negative ways. Understanding how the past informs our present can empower us to make changes towards a more authentic future.
(360) 489-6772 View (360) 489-6772
Photo of J'aime Noel Allbee, Clinical Social Work/Therapist, LICSW, MSW, MS
J'aime Noel Allbee
Clinical Social Work/Therapist, LICSW, MSW, MS
1 Endorsed
Serves Area
Therapy is a different journey for each person. My approach is eclectic, and client centered. You are the expert of the traumas and life you have lived; I am a clinician who enjoys walking the path with you, collaborating on a plan that has you learning new skills, and uncovering the most authentic version of yourself. I truly believe each of us has a purpose and reason for existence that can be weighed down by the heaviness we carry. I view therapy as a place to unpack some of the heaviness and learn skills to keep moving forward, embracing the life you've been given to live.
Therapy is a different journey for each person. My approach is eclectic, and client centered. You are the expert of the traumas and life you have lived; I am a clinician who enjoys walking the path with you, collaborating on a plan that has you learning new skills, and uncovering the most authentic version of yourself. I truly believe each of us has a purpose and reason for existence that can be weighed down by the heaviness we carry. I view therapy as a place to unpack some of the heaviness and learn skills to keep moving forward, embracing the life you've been given to live.
(360) 583-9847 View (360) 583-9847
Photo of Sara Millet, Clinical Social Work/Therapist, L, I, C, S, W
Sara Millet
Clinical Social Work/Therapist, L, I, C, S, W
Online Only
I am a dedicated therapist with a Master of Social Work from Eastern Washington University and more than ten years' experience in attachment and therapy. I will listen to what works for you by setting achievable weekly goals to get (more) of what you want. I will challenge impulsivity, thinking traps and obstacles in your way, letting you lead. I have worked with adults, teens and small children recovering from past trauma such as death or loss or SA. Sit with feelings, set a goal, make changes with a strategic plan then take the action steps.
I am a dedicated therapist with a Master of Social Work from Eastern Washington University and more than ten years' experience in attachment and therapy. I will listen to what works for you by setting achievable weekly goals to get (more) of what you want. I will challenge impulsivity, thinking traps and obstacles in your way, letting you lead. I have worked with adults, teens and small children recovering from past trauma such as death or loss or SA. Sit with feelings, set a goal, make changes with a strategic plan then take the action steps.
(360) 810-5079 View (360) 810-5079
Photo of Peter Vander Galien, Counselor, LMHCA, CMHS
Peter Vander Galien
Counselor, LMHCA, CMHS
2 Endorsed
Serves Area
Are you someone who is grappling with the weight of depression, anxiety, or trauma? Are you feeling trapped in your struggles, overwhelmed by your emotions, and unsure of how to navigate the complexities of your inner world? I am here to be a compassionate companion as you seek connection and understanding. It is important that you have a safe space to explore the depths of your experiences, and I would like to co-create that space with you.
Are you someone who is grappling with the weight of depression, anxiety, or trauma? Are you feeling trapped in your struggles, overwhelmed by your emotions, and unsure of how to navigate the complexities of your inner world? I am here to be a compassionate companion as you seek connection and understanding. It is important that you have a safe space to explore the depths of your experiences, and I would like to co-create that space with you.
(360) 641-7209 View (360) 641-7209
Photo of Rachel J Seifert - Rachel Seifert - Olympic Counseling Services, LLC, Clinical Social Work/Therapist, MSW, LICSW, C-CBT, C-DBT, CMHS
Rachel Seifert - Olympic Counseling Services, LLC
Clinical Social Work/Therapist, MSW, LICSW, C-CBT, C-DBT, CMHS
Online Only
Hello! I am Rachel, an individual and family therapist, clinical social worker, life coach, meditation teacher, and certified Biofield Tuning practitioner. If you have anxiety, panic attacks, ADHD, autism/neurodivergence, phobias, depression or dual diagnoses, give me a call. I partner well with clients seeking to strengthen their anxiety/stress coping skills, relationships, communication skills, boundaries/self-care, and esteem/self-acceptance. I welcome LGBTQ+ identifying clients. I have taught meditation for over 35 years, and provide intuitive integrative therapeutic support for those undertaking spiritual self-inquiry pathwork.
Hello! I am Rachel, an individual and family therapist, clinical social worker, life coach, meditation teacher, and certified Biofield Tuning practitioner. If you have anxiety, panic attacks, ADHD, autism/neurodivergence, phobias, depression or dual diagnoses, give me a call. I partner well with clients seeking to strengthen their anxiety/stress coping skills, relationships, communication skills, boundaries/self-care, and esteem/self-acceptance. I welcome LGBTQ+ identifying clients. I have taught meditation for over 35 years, and provide intuitive integrative therapeutic support for those undertaking spiritual self-inquiry pathwork.
(360) 473-9497 View (360) 473-9497
Photo of Bethany Anderson, Marriage & Family Therapist, MS, LMFT
Bethany Anderson
Marriage & Family Therapist, MS, LMFT
Serves Area
I am interested in the meanings that you make from your life experiences and the influence that these have on your perspectives of yourself, your relationships, and your future. I find that viewing problems as separate from personhood helps to lessen feelings of guilt and shame so that we can work together in a collaborative environment. My training in family systems theory informs my view of people in the context of their relationships, environment, and culture. I consider it a privilege to work with people to bring about the changes they desire in their lives and relationships.
I am interested in the meanings that you make from your life experiences and the influence that these have on your perspectives of yourself, your relationships, and your future. I find that viewing problems as separate from personhood helps to lessen feelings of guilt and shame so that we can work together in a collaborative environment. My training in family systems theory informs my view of people in the context of their relationships, environment, and culture. I consider it a privilege to work with people to bring about the changes they desire in their lives and relationships.
(253) 248-4519 View (253) 248-4519
Photo of Michael Wong, Counselor, MEd, LMHC
Michael Wong
Counselor, MEd, LMHC
2 Endorsed
Serves Area
Waitlist for new clients
The moment we start to think "who am I," "why am I like this," or "is this the true version of who I am" are moments I consider to be breakthroughs. Moments of self-reflection can be difficult to understand, difficult to seek answers, and just the thought seems bizarre or confusing. At times it may not even be self-reflection. Instead, it is the feeling of guilt, shame, worthlessness, or insecurities. It can also show up as anxiety, depression, emotional dysregulation, somatic symptoms, interpersonal challenges, or strain in quality of life. This is the result of exposure to or experiences of neglect and abuse during our lifetime.
The moment we start to think "who am I," "why am I like this," or "is this the true version of who I am" are moments I consider to be breakthroughs. Moments of self-reflection can be difficult to understand, difficult to seek answers, and just the thought seems bizarre or confusing. At times it may not even be self-reflection. Instead, it is the feeling of guilt, shame, worthlessness, or insecurities. It can also show up as anxiety, depression, emotional dysregulation, somatic symptoms, interpersonal challenges, or strain in quality of life. This is the result of exposure to or experiences of neglect and abuse during our lifetime.
(253) 364-6302 View (253) 364-6302
Photo of Cynthia Smith, Counselor, LMHC, CEAP
Cynthia Smith
Counselor, LMHC, CEAP
Serves Area
I have over 25 years of mental health and addiction treatment experience. My goal is to make each person comfortable in their life, be who they are, to feel confident and live a fulfilled life. Therapy is an opportunity to understand ourselves, to increase self-confidence while in various phases and transitions in life.
I have over 25 years of mental health and addiction treatment experience. My goal is to make each person comfortable in their life, be who they are, to feel confident and live a fulfilled life. Therapy is an opportunity to understand ourselves, to increase self-confidence while in various phases and transitions in life.
(206) 278-3345 View (206) 278-3345
Photo of Maia E Jacoby, Clinical Social Work/Therapist, MSW, LICSW
Maia E Jacoby
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
Accepting new clients as of February 2025 - My goal is to create a safe and non-judgmental space to explore your needs. Healing is not a linear journey, my hope is for us to work collaboratively to find the path that works for you. I believe that building a strong therapeutic relationship is essential to the healing process. I am eclectic in my approach, utilizing evidence-based practices and our own curiosity to explore the challenges you are facing.
Accepting new clients as of February 2025 - My goal is to create a safe and non-judgmental space to explore your needs. Healing is not a linear journey, my hope is for us to work collaboratively to find the path that works for you. I believe that building a strong therapeutic relationship is essential to the healing process. I am eclectic in my approach, utilizing evidence-based practices and our own curiosity to explore the challenges you are facing.
(360) 230-5978 View (360) 230-5978
Photo of Nicholas Navarro, Counselor, MA, LMHCA
Nicholas Navarro
Counselor, MA, LMHCA
1 Endorsed
Online Only
Accepting new clients! I’m Nicholas Navarro and I have experience working in both school-based mental health and private practice. My approach integrates Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and strength-based techniques to help clients manage anxiety, depression, trauma, and sports-related challenges. I am committed to supporting you in overcoming life’s obstacles and guiding you toward becoming the person you want to be.
Accepting new clients! I’m Nicholas Navarro and I have experience working in both school-based mental health and private practice. My approach integrates Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), and strength-based techniques to help clients manage anxiety, depression, trauma, and sports-related challenges. I am committed to supporting you in overcoming life’s obstacles and guiding you toward becoming the person you want to be.
(425) 357-2869 View (425) 357-2869
Photo of Gretchen Koenig, Marriage & Family Therapist, LMFT
Gretchen Koenig
Marriage & Family Therapist, LMFT
Serves Area
Gretchen Koenig is a Licensed Marriage and Family Therapist who earned her Master’s in Clinical Psychology from Chapman University, Orange. She has been in practice for over 15 years, with a focus on individuals, families and couples, and the LGBTQ population. Gretchen works with those experiencing family, marital, couples and social relationship issues. Clients who are dealing with depression, anxiety and/or childhood events which have affected our well-being and outlook on life, are likely to find a very safe space to explore self identity, efficacy, and enrichment.
Gretchen Koenig is a Licensed Marriage and Family Therapist who earned her Master’s in Clinical Psychology from Chapman University, Orange. She has been in practice for over 15 years, with a focus on individuals, families and couples, and the LGBTQ population. Gretchen works with those experiencing family, marital, couples and social relationship issues. Clients who are dealing with depression, anxiety and/or childhood events which have affected our well-being and outlook on life, are likely to find a very safe space to explore self identity, efficacy, and enrichment.
(720) 807-5871 View (720) 807-5871
Photo of Paula L Casey, Marriage & Family Therapist, LMFT, CMHS, AT
Paula L Casey
Marriage & Family Therapist, LMFT, CMHS, AT
Serves Area
Not accepting new clients
Paula, is a licensed Marriage & Family Therapist, Child Mental Health Specialist,Art Therapist and Psychedelic Assisted Psychotherapist. with graduate degree in Psychology and BA in Biology and Psychology. Paula has trained extensively in complex trauma, childhood neurodevelopment, attachment, developmental trauma, parent/child interactionalTherapy (PCIT), and generational trauma. As a Psychedelic Assisted Psychotherapy, she helps identify and support the development of healing intentions and ongoing integration of insights gained through the sacred journey.
Paula, is a licensed Marriage & Family Therapist, Child Mental Health Specialist,Art Therapist and Psychedelic Assisted Psychotherapist. with graduate degree in Psychology and BA in Biology and Psychology. Paula has trained extensively in complex trauma, childhood neurodevelopment, attachment, developmental trauma, parent/child interactionalTherapy (PCIT), and generational trauma. As a Psychedelic Assisted Psychotherapy, she helps identify and support the development of healing intentions and ongoing integration of insights gained through the sacred journey.
(360) 361-8596 View (360) 361-8596
Photo of Angela Garvey, Marriage & Family Therapist Associate
Angela Garvey
Marriage & Family Therapist Associate
1 Endorsed
Serves Area
We all experience hurt, worry, and stressful experiences along our life journey. When you are most exhausted and vulnerable, therapy can provide hope and direction towards healing. Sometimes going at it alone isn’t enough, and we need someone to walk alongside us as we work through life. My aim in therapy is to help you with life's complexities by strengthening your hope and purpose and finding a pathway to meet that goal. There is no judgment, shame, or guilt but a safe place for vulnerable moments for everyone, regardless of background, political position, or belief system.
We all experience hurt, worry, and stressful experiences along our life journey. When you are most exhausted and vulnerable, therapy can provide hope and direction towards healing. Sometimes going at it alone isn’t enough, and we need someone to walk alongside us as we work through life. My aim in therapy is to help you with life's complexities by strengthening your hope and purpose and finding a pathway to meet that goal. There is no judgment, shame, or guilt but a safe place for vulnerable moments for everyone, regardless of background, political position, or belief system.
(360) 569-1622 View (360) 569-1622
Photo of Amber Ford - Neupathway (Amber Ford), Clinical Social Work/Therapist, EdD, LCSW
Neupathway (Amber Ford)
Clinical Social Work/Therapist, EdD, LCSW
Online Only
We all need support throughout our lives, and you may be looking for an additional resource to help you process lived experiences, problem-solve, or understand yourself in a deeper way. You may be struggling with anxiety, the challenges of caregiving, work stress and burnout, relationship challenges, or working through grief, loss, or bereavement. You want to engage in healthy coping skills and develop self-care habits to better support the vision you have for your life.
We all need support throughout our lives, and you may be looking for an additional resource to help you process lived experiences, problem-solve, or understand yourself in a deeper way. You may be struggling with anxiety, the challenges of caregiving, work stress and burnout, relationship challenges, or working through grief, loss, or bereavement. You want to engage in healthy coping skills and develop self-care habits to better support the vision you have for your life.
(206) 537-0779 View (206) 537-0779
Photo of Megan Sater, Marriage & Family Therapist Associate, LMFTA
Megan Sater
Marriage & Family Therapist Associate, LMFTA
Serves Area
Hi! My approach to therapy is systemic and evidence-based. I support my clients in understanding themselves and their relationships through the lens of attachment theory, Emotionally Focused Therapy (EFT), and Internal Family Systems (IFS). Together, we work towards the development and maintenance of healthy relationships- both with self and with others. My clients consistently report an increased understanding of self and increased relational satisfaction as a result of our work together.
Hi! My approach to therapy is systemic and evidence-based. I support my clients in understanding themselves and their relationships through the lens of attachment theory, Emotionally Focused Therapy (EFT), and Internal Family Systems (IFS). Together, we work towards the development and maintenance of healthy relationships- both with self and with others. My clients consistently report an increased understanding of self and increased relational satisfaction as a result of our work together.
(206) 408-1728 View (206) 408-1728
Photo of Paige Boren, Counselor, MS, LMHC, CDP
Paige Boren
Counselor, MS, LMHC, CDP
1 Endorsed
Online Only
Waitlist for new clients
My professional orientation is very eclectic. I combine a Jungian philosophy with CBT and DBT interventions with a client centered approach that involves a caring and insightful focus on self, others and community. My intention is to collaborate fully with each individual and to assist him or her in changing the trajectory of his or her life in a positive way. I view self discovery as an essential part of our unfolding experience together and value our time together. To become an agent of change in one's own life takes tremendous courage and strength; I can help facilitate this.
My professional orientation is very eclectic. I combine a Jungian philosophy with CBT and DBT interventions with a client centered approach that involves a caring and insightful focus on self, others and community. My intention is to collaborate fully with each individual and to assist him or her in changing the trajectory of his or her life in a positive way. I view self discovery as an essential part of our unfolding experience together and value our time together. To become an agent of change in one's own life takes tremendous courage and strength; I can help facilitate this.
(206) 966-4380 View (206) 966-4380
Photo of Glyn Deputy - N. W. Family Psychology, Counselor, MEd, LMHC
Glyn Deputy - N. W. Family Psychology
Counselor, MEd, LMHC
Serves Area
Glyn Deputy, M.Ed, LMHC, brings a keen awareness of both the necessities and subtleties of surviving our human condition and reaching one’s full potential, particularly when clients are experiencing significant life transitions (e.g., separation, divorce, parent child conflicts, etc.), as well as clinical experience spanning the past 20 years. Glyn has worked with generational family issues in rural and frontier communities, has assisted youth and young adults with many types of disability in pursuing higher education, and has gained exceptional skills in dual diagnosis treatment – both individually and in the family system.
Glyn Deputy, M.Ed, LMHC, brings a keen awareness of both the necessities and subtleties of surviving our human condition and reaching one’s full potential, particularly when clients are experiencing significant life transitions (e.g., separation, divorce, parent child conflicts, etc.), as well as clinical experience spanning the past 20 years. Glyn has worked with generational family issues in rural and frontier communities, has assisted youth and young adults with many types of disability in pursuing higher education, and has gained exceptional skills in dual diagnosis treatment – both individually and in the family system.
(206) 929-4230 View (206) 929-4230
Photo of Paul Quinlivan, Counselor, MACP, MATC, LMHC
Paul Quinlivan
Counselor, MACP, MATC, LMHC
2 Endorsed
Serves Area
The decision to seek out therapy and to find a therapist is courageous, and can be a daunting process. Congratulations on taking the first steps towards healing. I believe we are created for deep and profound relationship. It is in and through these relationship where our deepest satisfaction, as well as our pain, resides. You and I can work together to make your relationships fulfilling as we journey together into the intimate places of your stories, and assess the ways that you can begin to step into the strength and beauty you have to offer.
The decision to seek out therapy and to find a therapist is courageous, and can be a daunting process. Congratulations on taking the first steps towards healing. I believe we are created for deep and profound relationship. It is in and through these relationship where our deepest satisfaction, as well as our pain, resides. You and I can work together to make your relationships fulfilling as we journey together into the intimate places of your stories, and assess the ways that you can begin to step into the strength and beauty you have to offer.
(253) 336-8201 View (253) 336-8201
Photo of Robyn A Howisey, Marriage & Family Therapist, MA, LMFT
Robyn A Howisey
Marriage & Family Therapist, MA, LMFT
Serves Area
Now accepting new clients. You’re holding it together on the outside, but inside it’s anxiety, overthinking, and feeling like you’re not enough. I work with teens, college students, and women who are tired of carrying the pressure to be perfect, manage everyone’s emotions, or have it all figured out. You don’t need to do it alone. Therapy can be a place to breathe, sort through the noise, and reconnect with yourself. Let’s work together to quiet the inner critic, ease anxiety, and help you feel more like you again.
Now accepting new clients. You’re holding it together on the outside, but inside it’s anxiety, overthinking, and feeling like you’re not enough. I work with teens, college students, and women who are tired of carrying the pressure to be perfect, manage everyone’s emotions, or have it all figured out. You don’t need to do it alone. Therapy can be a place to breathe, sort through the noise, and reconnect with yourself. Let’s work together to quiet the inner critic, ease anxiety, and help you feel more like you again.
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Photo of Hanna Doyle, Counselor, MSEd, LMHC
Hanna Doyle
Counselor, MSEd, LMHC
2 Endorsed
Serves Area
Waitlist for new clients
At Within Counseling, I offer holistic mental health care rooted in empirically supported treatment, client-centered care, and the recognition of the individual’s unique human experience. I encourage you to openly and freely express yourself, without judgment. We work collaboratively to identify your areas of needed growth and create a plan to help you obtain wellness in all areas of your life. Together we create knowledge, understanding, and awareness of who you are and who you want to be. Through conversation, skill development, and genuine, intentional listening, your therapeutic goals will come to fruition.
At Within Counseling, I offer holistic mental health care rooted in empirically supported treatment, client-centered care, and the recognition of the individual’s unique human experience. I encourage you to openly and freely express yourself, without judgment. We work collaboratively to identify your areas of needed growth and create a plan to help you obtain wellness in all areas of your life. Together we create knowledge, understanding, and awareness of who you are and who you want to be. Through conversation, skill development, and genuine, intentional listening, your therapeutic goals will come to fruition.
(360) 641-7687 View (360) 641-7687

See more therapy options for 98315

How does your Therapist compare?

Number of Therapists in 98315

20+

Average cost per session

$150

Therapists in 98315 who prioritize treating:

96% Depression
96% Anxiety
89% Life Transitions
85% Self Esteem
81% Grief
81% Coping Skills
78% Relationship Issues

Average years in practice

15 Years

Top 3 insurances accepted

82% Premera Blue Cross
71% Regence
65% Aetna

How Therapists in 98315 see their clients

75% In Person and Online
25% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 98315?

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.