Therapists in Gig Harbor, WA

Photo of Annaliese Jacobsson, Clinical Social Work/Therapist in Gig Harbor, WA
Annaliese Jacobsson
Clinical Social Work/Therapist, LICSW
Verified Verified
Gig Harbor, WA 98335
If you’re frequently anxious or overwhelmed, if there are difficult events from your life continuing to invade your life in memories or nightmares, if you’re experiencing chronic pain, if you’re feeling depressed, irritable, stuck, or alone, I can help. You may have tried everything you can think of to start feeling better and nothing seems to fully address your struggles. I’m so glad you’re here. There is hope. If you don’t believe that yet, that’s ok, I am holding it for you until you can.
If you’re frequently anxious or overwhelmed, if there are difficult events from your life continuing to invade your life in memories or nightmares, if you’re experiencing chronic pain, if you’re feeling depressed, irritable, stuck, or alone, I can help. You may have tried everything you can think of to start feeling better and nothing seems to fully address your struggles. I’m so glad you’re here. There is hope. If you don’t believe that yet, that’s ok, I am holding it for you until you can.
(253) 243-0128 View (253) 243-0128
Photo of Victoria Hudson, Licensed Professional Counselor in Gig Harbor, WA
Victoria Hudson
Licensed Professional Counselor, LMHC, LPC
Verified Verified
5 Endorsed
Gig Harbor, WA 98335  (Online Only)
Struggling with difficulties from your childhood or from recent past experiences? Feeling overwhelmed and needing new perspectives to reconnect with peace or purpose? Have uncomfortable experiences that seem to linger, impacting your emotional and physical well-being in ways that are distracting? Are you seeking ways to develop strength and authenticity to promote wellness in relationships? I would love to meet to get to know you and to see how we might collaborate with you in this season.
Struggling with difficulties from your childhood or from recent past experiences? Feeling overwhelmed and needing new perspectives to reconnect with peace or purpose? Have uncomfortable experiences that seem to linger, impacting your emotional and physical well-being in ways that are distracting? Are you seeking ways to develop strength and authenticity to promote wellness in relationships? I would love to meet to get to know you and to see how we might collaborate with you in this season.
(253) 858-7056 View (253) 858-7056
Photo of Genuine Counseling, Marriage & Family Therapist in Gig Harbor, WA
Genuine Counseling
Marriage & Family Therapist, MA, LMFT
Verified Verified
Gig Harbor, WA 98335
Entrepreneur, relationship and life transition specialist, naturalist, builder, father, husband and community builder all describe me. I am great at helping people with life transitions, work life balance, addiction, trauma, relationships and divorce. I am an entrepreneur, craftsman, part time stay at home dad and outdoorsman. People feel comfortable working with me because I believe in the good in them and because my experience working outside of therapy helps me to understand a wide range of individuals and families.
Entrepreneur, relationship and life transition specialist, naturalist, builder, father, husband and community builder all describe me. I am great at helping people with life transitions, work life balance, addiction, trauma, relationships and divorce. I am an entrepreneur, craftsman, part time stay at home dad and outdoorsman. People feel comfortable working with me because I believe in the good in them and because my experience working outside of therapy helps me to understand a wide range of individuals and families.
(253) 447-6784 View (253) 447-6784
Photo of Bonnie McKenney, Counselor in Gig Harbor, WA
Bonnie McKenney
Counselor, MS, LMHC, NCC, MHP, CMHP
Verified Verified
5 Endorsed
Gig Harbor, WA 98335
Not accepting new clients
Did something(s) really bad happen? Completely stressed out, anxious, depressed or feeling stuck? Is there too much to think about and sort out? Not sure what to do next or if it's even worth it? I would like to help you feel better, and to discover greater meaning and purpose for your life. As a Certified EMDR therapist (attachment focused), I can help you process the traumatic events that have occurred. Together we can fine meaning and purpose and work towards creating the new story you want for your life. I partner with teens, parents and individual adults to help sort through the difficult issues your facing today.
Did something(s) really bad happen? Completely stressed out, anxious, depressed or feeling stuck? Is there too much to think about and sort out? Not sure what to do next or if it's even worth it? I would like to help you feel better, and to discover greater meaning and purpose for your life. As a Certified EMDR therapist (attachment focused), I can help you process the traumatic events that have occurred. Together we can fine meaning and purpose and work towards creating the new story you want for your life. I partner with teens, parents and individual adults to help sort through the difficult issues your facing today.
(253) 265-4074 View (253) 265-4074
Photo of Michael Dunbry in Gig Harbor, WA
Michael Dunbry
MA, LMHC, CMHS, NCC
Verified Verified
Gig Harbor, WA 98335  (Online Only)
Hello! Welcome, and thank you for being here. While it’s certainly possible that you enjoy reading therapist profiles just for fun, it’s more likely that you are here looking for help of some kind. Without being indifferent to your suffering, please allow me to say, congratulations! It can be uncomfortable to admit that you are not feeling your best and to decide to ask for help. I hope you are also feeling empowered as you make the pivot towards healing and recovery.
Hello! Welcome, and thank you for being here. While it’s certainly possible that you enjoy reading therapist profiles just for fun, it’s more likely that you are here looking for help of some kind. Without being indifferent to your suffering, please allow me to say, congratulations! It can be uncomfortable to admit that you are not feeling your best and to decide to ask for help. I hope you are also feeling empowered as you make the pivot towards healing and recovery.
(253) 799-1133 View (253) 799-1133
Photo of Valerie St. John, Counselor in Gig Harbor, WA
Valerie St. John
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Gig Harbor, WA 98335
Waitlist for new clients
My treatment helps increase self-awareness and insight while challenging unbalanced thought processes. Enhancing self-worth and self-acceptance is a core theme for my clients. Common issues I work with are depression, anxiety, disordered eating, PTSD/trauma, panic, mild dissociation, perfectionism, people-pleasing, codependency, and performance anxiety. My trauma-informed and integrative approach involves a reflective, person-centered openness, where you can develop introspection, safely release emotions, and discover your true authentic self.
My treatment helps increase self-awareness and insight while challenging unbalanced thought processes. Enhancing self-worth and self-acceptance is a core theme for my clients. Common issues I work with are depression, anxiety, disordered eating, PTSD/trauma, panic, mild dissociation, perfectionism, people-pleasing, codependency, and performance anxiety. My trauma-informed and integrative approach involves a reflective, person-centered openness, where you can develop introspection, safely release emotions, and discover your true authentic self.
(360) 529-3401 View (360) 529-3401
Photo of Jennifer Hogge, Marriage & Family Therapist in Gig Harbor, WA
Jennifer Hogge
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Gig Harbor, WA 98335
Waitlist for new clients
Everyone needs support and help, especially during difficult times.It takes courage to seek a more fulfilling and happier life and to take steps towards change. I am here to support and empower you. So if you are struggling with depression, anxiety, ADHD, strained parent-child relationships let's find tools/solutions to have the life you desire. I provide individual and family therapy for those 13 and older. I do not provide couples therapy at this time. Therapy can provide a safe space to be heard, validated, explore solutions, identify new perspectives and tools for continued growth well after therapy is finished.
Everyone needs support and help, especially during difficult times.It takes courage to seek a more fulfilling and happier life and to take steps towards change. I am here to support and empower you. So if you are struggling with depression, anxiety, ADHD, strained parent-child relationships let's find tools/solutions to have the life you desire. I provide individual and family therapy for those 13 and older. I do not provide couples therapy at this time. Therapy can provide a safe space to be heard, validated, explore solutions, identify new perspectives and tools for continued growth well after therapy is finished.
(253) 367-3114 View (253) 367-3114
Photo of Jennifer Davies, Counselor in Gig Harbor, WA
Jennifer Davies
Counselor, LMHCA, EMDR, MA
Verified Verified
4 Endorsed
Gig Harbor, WA 98332
Healing often begins in the presence of another who can bear witness to the hurt and heartache endured. No one should have to walk the road of depression, anxiety, and trauma alone. I work collaboratively with clients to provide therapeutic services that best meet client's goals. I work primarily with adults dealing with trauma, anxiety, depression, and relationship challenges.​ As a licensed mental health counselor associate (LMHCA), I provide a safe and confidential environment of unconditional acceptance for every client.
Healing often begins in the presence of another who can bear witness to the hurt and heartache endured. No one should have to walk the road of depression, anxiety, and trauma alone. I work collaboratively with clients to provide therapeutic services that best meet client's goals. I work primarily with adults dealing with trauma, anxiety, depression, and relationship challenges.​ As a licensed mental health counselor associate (LMHCA), I provide a safe and confidential environment of unconditional acceptance for every client.
(253) 352-3022 View (253) 352-3022
Photo of Ian Chittle, Counselor in Gig Harbor, WA
Ian Chittle
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Gig Harbor, WA 98335  (Online Only)
I help people that are feeling anxious and depressed, feel less anxious and depressed. Your mind replays the past and dwells on the future, sending you into panic or making it hard to get out of bed. Your stomach is queasy, your neck is tight, and you feel like you can never quite relax. It feels like others don't see or trust the challenges you face and the effort you actually put in to just get by. You feel uncomfortable in your own skin and unaccepted wherever you go and crave a place that you can truly be yourself, un-judged and appreciated for your unique ideas and qualities. We are going to figure this out together.
I help people that are feeling anxious and depressed, feel less anxious and depressed. Your mind replays the past and dwells on the future, sending you into panic or making it hard to get out of bed. Your stomach is queasy, your neck is tight, and you feel like you can never quite relax. It feels like others don't see or trust the challenges you face and the effort you actually put in to just get by. You feel uncomfortable in your own skin and unaccepted wherever you go and crave a place that you can truly be yourself, un-judged and appreciated for your unique ideas and qualities. We are going to figure this out together.
(360) 869-0329 View (360) 869-0329
Photo of Hayley Birdwell, Counselor in Gig Harbor, WA
Hayley Birdwell
Counselor
Verified Verified
1 Endorsed
Gig Harbor, WA 98335  (Online Only)
As humans, we are relational beings. Relationships with friends, family, significant others, and most of all ourselves are what bring meaning to our lives. I am here to help you enhance your relationship with yourself and with others in order to create more joy and fulfillment. Together, we will work through the problems that are manifesting in your life and explore them on a deeper level. I will help you develop skills to manage the aspects of life you cannot control, and I will help you find the courage and motivation to take the reins on the things that you can.
As humans, we are relational beings. Relationships with friends, family, significant others, and most of all ourselves are what bring meaning to our lives. I am here to help you enhance your relationship with yourself and with others in order to create more joy and fulfillment. Together, we will work through the problems that are manifesting in your life and explore them on a deeper level. I will help you develop skills to manage the aspects of life you cannot control, and I will help you find the courage and motivation to take the reins on the things that you can.
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Photo of Mali Hawkins, Marriage & Family Therapist in Gig Harbor, WA
Mali Hawkins
Marriage & Family Therapist, MS, LMFT, PMH-C
Verified Verified
1 Endorsed
Gig Harbor, WA 98335  (Online Only)
Not accepting new clients
We have all experienced times when life seems challenging... a period of transition, ongoing struggles with anxiety or depression, or a loss that turns our world upside down. In our darkest moments, there can be no greater consolation than the gift of companionship on our journey through pain. Everyone longs to feel connection, to be freed from our isolation; we long for relationship. And in these moments, you may benefit from the help of a counselor. No matter where you find yourself in your life journey, I can promise that you will be welcome in my office, and together we will work towards healing.
We have all experienced times when life seems challenging... a period of transition, ongoing struggles with anxiety or depression, or a loss that turns our world upside down. In our darkest moments, there can be no greater consolation than the gift of companionship on our journey through pain. Everyone longs to feel connection, to be freed from our isolation; we long for relationship. And in these moments, you may benefit from the help of a counselor. No matter where you find yourself in your life journey, I can promise that you will be welcome in my office, and together we will work towards healing.
(253) 444-4250 View (253) 444-4250
Photo of Lauren Ruocco, Counselor in Gig Harbor, WA
Lauren Ruocco
Counselor, MA, LMHC
Verified Verified
Gig Harbor, WA 98332  (Online Only)
I work with adults, teens and children through a solution focused lens to help them on their life journey. I believe that across time we continually grow and change and that sometimes along the way it can help to have some guidance and support.
I work with adults, teens and children through a solution focused lens to help them on their life journey. I believe that across time we continually grow and change and that sometimes along the way it can help to have some guidance and support.
(253) 262-0337 View (253) 262-0337
Photo of Phylly Bland, Marriage & Family Therapist Associate in Gig Harbor, WA
Phylly Bland
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Gig Harbor, WA 98335
I am committed to helping adult individuals and couples find deeper understanding, connection, and peace in their lives. I work with adults on anxiety, overwhelm, loneliness, relationship issues, conflict, life changes and transitions, dating, parenting, friendship, identity work, and more. My work focuses on first identifying and communicating emotional experiences; and then tracking and disrupting patterns that occur individually and in relationships. I believe in collaborating side by side to define and work toward your goals together.
I am committed to helping adult individuals and couples find deeper understanding, connection, and peace in their lives. I work with adults on anxiety, overwhelm, loneliness, relationship issues, conflict, life changes and transitions, dating, parenting, friendship, identity work, and more. My work focuses on first identifying and communicating emotional experiences; and then tracking and disrupting patterns that occur individually and in relationships. I believe in collaborating side by side to define and work toward your goals together.
(253) 400-3073 View (253) 400-3073
Photo of Honey Bee Mental Health — Ursula Zuker, LICSW, Clinical Social Work/Therapist in Gig Harbor, WA
Honey Bee Mental Health — Ursula Zuker, LICSW
Clinical Social Work/Therapist, LICSW
Verified Verified
Gig Harbor, WA 98335  (Online Only)
Not accepting new clients
Honey Bee Mental Health joins individual, groups, and families on their liberatory, collective healing journeys. Honey Bee Mental Health recognizes that an individual's healing work reverberates throughout one's family and community, just as bees work collectively to build their homes and create honey.
Honey Bee Mental Health joins individual, groups, and families on their liberatory, collective healing journeys. Honey Bee Mental Health recognizes that an individual's healing work reverberates throughout one's family and community, just as bees work collectively to build their homes and create honey.
(253) 352-2813 View (253) 352-2813
Photo of Jamie Melsness, Counselor in Gig Harbor, WA
Jamie Melsness
Counselor, LMHC
Verified Verified
2 Endorsed
Gig Harbor, WA 98335
Accepting new Clients I believe in the importance of establishing a client/therapist relationship based on mutual respect and integrity. My focus and goal in my work is to help navigate through the personal process of growth and change done through my approach of aligning to provide hope and healing. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills.The heart of my holistic approach is centered on truly hearing your story with compassion and supporting you in your healing journey. My ideal client is one who is motivated to seek change and willing to take the steps.
Accepting new Clients I believe in the importance of establishing a client/therapist relationship based on mutual respect and integrity. My focus and goal in my work is to help navigate through the personal process of growth and change done through my approach of aligning to provide hope and healing. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills.The heart of my holistic approach is centered on truly hearing your story with compassion and supporting you in your healing journey. My ideal client is one who is motivated to seek change and willing to take the steps.
(253) 499-5175 View (253) 499-5175
Photo of Rose Ann VandenBerghe, Mental Health Counselor in Gig Harbor, WA
Rose Ann VandenBerghe
Mental Health Counselor, PhD, LMHC
Verified Verified
Gig Harbor, WA 98335
I am currently accepting new clients. I work with adult individuals, 21-101, who are wanting support to grow and change. I believe compassion is the heart of good therapy and I will do my best to help you access your own wisdom to move towards healing. My specialties include major life transitions, grief (including eco-grief), aging, anxiety, depression, dreamwork, and the search for meaning in life.
I am currently accepting new clients. I work with adult individuals, 21-101, who are wanting support to grow and change. I believe compassion is the heart of good therapy and I will do my best to help you access your own wisdom to move towards healing. My specialties include major life transitions, grief (including eco-grief), aging, anxiety, depression, dreamwork, and the search for meaning in life.
(253) 352-4392 View (253) 352-4392
Photo of Lindsey Nickell, Counselor in Gig Harbor, WA
Lindsey Nickell
Counselor, MA, LMHC, CHT, YTT200
Verified Verified
Gig Harbor, WA 98335
Waitlist for new clients
Do you find yourself reading the same articles to help with anxiety, depression and/or trauma and feeling like there is more that you would like to uncover? If you are looking for a more layered and meaningful approach to therapy, I may be able to help. I specialize in Anxiety, Depression, Trauma, and ADHD and work hard to help you reexamine your situation in ways you might not have used before and find the tools to take control of your life. I also post weekly at Calm Body, Quiet Mind - an all things mental and bodily health newsletter found on Substack. I'm looking forward to meeting you!
Do you find yourself reading the same articles to help with anxiety, depression and/or trauma and feeling like there is more that you would like to uncover? If you are looking for a more layered and meaningful approach to therapy, I may be able to help. I specialize in Anxiety, Depression, Trauma, and ADHD and work hard to help you reexamine your situation in ways you might not have used before and find the tools to take control of your life. I also post weekly at Calm Body, Quiet Mind - an all things mental and bodily health newsletter found on Substack. I'm looking forward to meeting you!
(253) 243-8791 View (253) 243-8791
Photo of Andrea Mooradian, Clinical Social Work/Therapist in Gig Harbor, WA
Andrea Mooradian
Clinical Social Work/Therapist, LICSWA
Verified Verified
Gig Harbor, WA 98335
I believe in the importance of building a therapeutic relationship and connection with my clients in a safe environment for them to be heard and understood. I help clients better understand and accept themselves, while using their strengths to create positive, meaningful changes in their lives. I treat a wide variety of issues using individualized treatment modalities based on clients’ needs and the aspects of themselves and their lives they want to grow and work on.
I believe in the importance of building a therapeutic relationship and connection with my clients in a safe environment for them to be heard and understood. I help clients better understand and accept themselves, while using their strengths to create positive, meaningful changes in their lives. I treat a wide variety of issues using individualized treatment modalities based on clients’ needs and the aspects of themselves and their lives they want to grow and work on.
(253) 400-3722 View (253) 400-3722
Photo of Juanita C Beard, Counselor in Gig Harbor, WA
Juanita C Beard
Counselor, LMHC, LPC, CCTP, CCM
Verified Verified
20 Endorsed
Gig Harbor, WA 98335  (Online Only)
Help is here. You've made it to the right place! I work with those struggling with depression & anxiety. My niche is women of color processing racial trauma, workplace micro aggressions, and struggles navigating being a person of color living in a predominantly homogenous community. The weight that BIPOC folks feel is often too heavy to lift alone. Having a therapist who looks like you, and understands your cultural lens, is paramount to partnering with you to achieve wellness and recovery. Racial trauma looks like subtle slights + stress from internalized pain of tolerating intolerable systemic stressors based in a toxic culture.
Help is here. You've made it to the right place! I work with those struggling with depression & anxiety. My niche is women of color processing racial trauma, workplace micro aggressions, and struggles navigating being a person of color living in a predominantly homogenous community. The weight that BIPOC folks feel is often too heavy to lift alone. Having a therapist who looks like you, and understands your cultural lens, is paramount to partnering with you to achieve wellness and recovery. Racial trauma looks like subtle slights + stress from internalized pain of tolerating intolerable systemic stressors based in a toxic culture.
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Photo of Blue Waters Counseling, PLLC--Sara Odash, LMHC, Counselor in Gig Harbor, WA
Blue Waters Counseling, PLLC--Sara Odash, LMHC
Counselor, MA, LMHC, NCC
Verified Verified
Gig Harbor, WA 98335
Are you struggling with the same problems? Do you sometimes feel that your relationships aren't working, your job is a nightmare, your children aren't what you expected when you were expecting? Change doesn't have to be hard. Let's work together to understand what can be changed, find new interpersonal tools, and increase your personal power and effectiveness.
Are you struggling with the same problems? Do you sometimes feel that your relationships aren't working, your job is a nightmare, your children aren't what you expected when you were expecting? Change doesn't have to be hard. Let's work together to understand what can be changed, find new interpersonal tools, and increase your personal power and effectiveness.
(253) 237-8269 View (253) 237-8269

How does your Therapist compare?

Number of Therapists in Gig Harbor, WA

200+

Average cost per session

$150

Therapists in Gig Harbor, WA who prioritize treating:

94% Anxiety
87% Depression
80% Relationship Issues
77% Self Esteem
75% Stress
74% Trauma and PTSD
72% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

82% Premera
66% Regence
63% First Choice Health | FCH

How Therapists in Gig Harbor, WA see their clients

68% In Person and Online
32% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Gig Harbor?

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.