Photo of Chris Cline - The Lord Who Heals Christian Therapy
The Lord Who Heals Christian Therapy
Not Verified Not Verified
Online Only
Chris Cline, MA, has her Master's in Counseling and received her degrees from Regis University and Colorado Christian University. She has been working with children, teenagers, families, couples and individuals on topics of addictions, depression, sexual abuse, adoption, abandonment, attachment issues, domestic violence, wrestling with your relationship with God, trauma experienced while in the womb, gender identity, post traumatic stress disorder and conversion disorder. She has led groups on anger management, domestic violence, children of divorce, thinking errors, adolescent relationships and the masks we wear.
Chris Cline, MA, has her Master's in Counseling and received her degrees from Regis University and Colorado Christian University. She has been working with children, teenagers, families, couples and individuals on topics of addictions, depression, sexual abuse, adoption, abandonment, attachment issues, domestic violence, wrestling with your relationship with God, trauma experienced while in the womb, gender identity, post traumatic stress disorder and conversion disorder. She has led groups on anger management, domestic violence, children of divorce, thinking errors, adolescent relationships and the masks we wear.
(253) 201-7634 View (253) 201-7634
Photo of Samantha Lynes, Counselor, LMCH, LPC
Samantha Lynes
Counselor, LMCH, LPC
Verified Verified
Online Only
My name is Samantha Lynes and I am a Licensed Mental Health Counselor (LMHC) in Washington State and a Licensed Professional Counselor (LPC) in Oregon State. My years of experience in the mental health field is over 9 years. I provide evidence-based best practices and therapies to tailor treatment to meet the specific needs of each unique client in a safe and non-judgmental manner.
My name is Samantha Lynes and I am a Licensed Mental Health Counselor (LMHC) in Washington State and a Licensed Professional Counselor (LPC) in Oregon State. My years of experience in the mental health field is over 9 years. I provide evidence-based best practices and therapies to tailor treatment to meet the specific needs of each unique client in a safe and non-judgmental manner.
(253) 785-8032 View (253) 785-8032
Photo of David Ross, Counselor, PhD, LMHC, CMHS, ACS, NCC
David Ross
Counselor, PhD, LMHC, CMHS, ACS, NCC
Verified Verified
Tacoma, WA 98444
If you're searching for a therapist who just sits, nods his head, and asks: "how do you feel about that?" then we would not be a good match. While that question is important, I focus more on listening closely to your stories, engaging in active dialogue with you. Together we form a common relationship to face and overcome your fears and anxieties. I am firmly committed to a collaborative, participatory, and holistic patient/therapist relationship. As partners, we form a trusting bond to explore the problems that interfere with your ability to live a happy and healthy life.
If you're searching for a therapist who just sits, nods his head, and asks: "how do you feel about that?" then we would not be a good match. While that question is important, I focus more on listening closely to your stories, engaging in active dialogue with you. Together we form a common relationship to face and overcome your fears and anxieties. I am firmly committed to a collaborative, participatory, and holistic patient/therapist relationship. As partners, we form a trusting bond to explore the problems that interfere with your ability to live a happy and healthy life.
(253) 625-0662 View (253) 625-0662
Photo of Wellington White, Mental Health Counselor Associate, MFT, LMHCA
Wellington White
Mental Health Counselor Associate, MFT, LMHCA
Verified Verified
Parkland, WA 98444
I have a degree from Pacific Lutheran University in Marriage and Family Therapy. I also have thirty (30) plus years of experience providing Solution-Focused Therapy and Cognitive Behavioral Therapies. I practice a person-centered model focusing on individual, couple, and family growth and development.
I have a degree from Pacific Lutheran University in Marriage and Family Therapy. I also have thirty (30) plus years of experience providing Solution-Focused Therapy and Cognitive Behavioral Therapies. I practice a person-centered model focusing on individual, couple, and family growth and development.
(253) 523-3745 View (253) 523-3745
Photo of Michael G Smith, Counselor, MS, LMHCA, MHP, CPC, NCAC 1
Michael G Smith
Counselor, MS, LMHCA, MHP, CPC, NCAC 1
Verified Verified
1 Endorsed
Tacoma, WA 98444
13+ years in MH, Wellness is a Marathon, Not a Destination! My ideal client struggles with overthinking, anxiety, childhood trauma, and feelings of being stuck. They may have experienced institutionalization or faced overwhelming life transitions. Their goal is to break free from negative thought patterns, rebuild self-confidence, and develop healthier coping mechanisms. They want to regain control of their life, heal from past wounds, and find lasting peace. Through therapy, they seek clarity, emotional resilience, and a new sense of purpose, stepping into a future with improved mental health and emotional stability. BIPOC incl.
13+ years in MH, Wellness is a Marathon, Not a Destination! My ideal client struggles with overthinking, anxiety, childhood trauma, and feelings of being stuck. They may have experienced institutionalization or faced overwhelming life transitions. Their goal is to break free from negative thought patterns, rebuild self-confidence, and develop healthier coping mechanisms. They want to regain control of their life, heal from past wounds, and find lasting peace. Through therapy, they seek clarity, emotional resilience, and a new sense of purpose, stepping into a future with improved mental health and emotional stability. BIPOC incl.
(253) 553-2405 View (253) 553-2405
Photo of Makayla Wright, Clinical Social Work/Therapist, MSW
Makayla Wright
Clinical Social Work/Therapist, MSW
Verified Verified
Tacoma, WA 98444
Waitlist for new clients
I am interested in supporting you through transitions, trauma, and life changes that can be difficult to navigate. I utilize a trauma-informed approach that is grounded in social justice, lived experience, and uplifting community. I have primarily worked with youth and also have experience working with LGBTQIA adults and survivors of assault through therapeutic groups and advocacy work. I am committed to supporting those who have been marginalized and believe that healing and justice is necessary for our communities.
I am interested in supporting you through transitions, trauma, and life changes that can be difficult to navigate. I utilize a trauma-informed approach that is grounded in social justice, lived experience, and uplifting community. I have primarily worked with youth and also have experience working with LGBTQIA adults and survivors of assault through therapeutic groups and advocacy work. I am committed to supporting those who have been marginalized and believe that healing and justice is necessary for our communities.
(425) 215-0285 View (425) 215-0285
Photo of Jenifer Nazarowski, Clinical Social Work/Therapist, LICSW, CMC
Jenifer Nazarowski
Clinical Social Work/Therapist, LICSW, CMC
Verified Verified
1 Endorsed
Online Only
I take a ‘client-centered’ approach to therapy and believe therapy is a partnership between the client and the therapist. I take the time to build a trusting, mutually-respectful client/therapist relationship. I provide guidance and support for clients to reach their full potential and make their own choices based on what is best for them. I strive to honor God in all that I do, which includes helping his children along life’s journey. I incorporate spiritual themes, tailored to the client’s personal belief system.
I take a ‘client-centered’ approach to therapy and believe therapy is a partnership between the client and the therapist. I take the time to build a trusting, mutually-respectful client/therapist relationship. I provide guidance and support for clients to reach their full potential and make their own choices based on what is best for them. I strive to honor God in all that I do, which includes helping his children along life’s journey. I incorporate spiritual themes, tailored to the client’s personal belief system.
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Photo of Joshua Lennox, Counselor, MA, LMHC
Joshua Lennox
Counselor, MA, LMHC
Verified Verified
5 Endorsed
Tacoma, WA 98444
Hello. My name is Joshua Lennox, of Northwest Pastoral Counseling. I am a Licensed Mental Health Counselor serving South Tacoma, and surrounding areas. I realize that if you are reading this there is most likely something painful, or difficult in your life. Maybe it is: depression, infidelity, anxiety, relationship problems, the loss of someone or something, a struggling child, spiritual issues, infertility, or any of the other many issues we as humans sometimes experience. I'm here to tell you that there is hope. I look forward to meeting with you to assist you with the situations you are currently facing.
Hello. My name is Joshua Lennox, of Northwest Pastoral Counseling. I am a Licensed Mental Health Counselor serving South Tacoma, and surrounding areas. I realize that if you are reading this there is most likely something painful, or difficult in your life. Maybe it is: depression, infidelity, anxiety, relationship problems, the loss of someone or something, a struggling child, spiritual issues, infertility, or any of the other many issues we as humans sometimes experience. I'm here to tell you that there is hope. I look forward to meeting with you to assist you with the situations you are currently facing.
(253) 218-4469 View (253) 218-4469
Photo of Amanda Ayling, Counselor, LMHC
Amanda Ayling
Counselor, LMHC
Verified Verified
1 Endorsed
Online Only
Whether it’s to self or others, I believe that a sense of connection is where individuals thrive best. I work from a strengths-based and perspective allowing individuals to learn and implement mindfulness and coping skills to support their healing and expansion. We explore and integrate practices that have a meaningful resonance with the client and further cultivate a deeper sense of identity, purpose and connection. We also work beyond symptom removal and further explore the depths of the psyche and soul with the intent of discovering meaning in our life experiences and existential struggles.
Whether it’s to self or others, I believe that a sense of connection is where individuals thrive best. I work from a strengths-based and perspective allowing individuals to learn and implement mindfulness and coping skills to support their healing and expansion. We explore and integrate practices that have a meaningful resonance with the client and further cultivate a deeper sense of identity, purpose and connection. We also work beyond symptom removal and further explore the depths of the psyche and soul with the intent of discovering meaning in our life experiences and existential struggles.
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Photo of Emma Rotolo, Clinical Social Work/Therapist, LIACSW, MSW
Emma Rotolo
Clinical Social Work/Therapist, LIACSW, MSW
Verified Verified
2 Endorsed
Online Only
I am here to help adult individuals with parenting, codependency, and healing trauma and attachment. I am an associate social work license in the state of Washington. If you are looking for a therapist that specializes in parenting, post-partum depression and anxiety, pre-marital counseling, relationships, attachment issues, divorce, codependency, anger management, and related grief and loss feel free to reach out.
I am here to help adult individuals with parenting, codependency, and healing trauma and attachment. I am an associate social work license in the state of Washington. If you are looking for a therapist that specializes in parenting, post-partum depression and anxiety, pre-marital counseling, relationships, attachment issues, divorce, codependency, anger management, and related grief and loss feel free to reach out.
(360) 245-6316 View (360) 245-6316
Photo of Gabrielle Rosenthal, Clinical Social Work/Therapist, MSW, LICSW
Gabrielle Rosenthal
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Serves Area
Waitlist for new clients
I am a Licensed Clinical Social Worker. I have extensive experience working with people of all ages, building therapeutic relationships across the board with many groups of people. I have worked with children, adolescents and their families for over 20 years of my career. I have experience in working with individuals dealing with addiction of themselves or their loved ones, domestic violence, grief and loss, aging and transitioning to new stages of life. I am able to provide support around depression, anxiety, relationship conflict, and managing positive life changes as those can also cause changes in your mental health.
I am a Licensed Clinical Social Worker. I have extensive experience working with people of all ages, building therapeutic relationships across the board with many groups of people. I have worked with children, adolescents and their families for over 20 years of my career. I have experience in working with individuals dealing with addiction of themselves or their loved ones, domestic violence, grief and loss, aging and transitioning to new stages of life. I am able to provide support around depression, anxiety, relationship conflict, and managing positive life changes as those can also cause changes in your mental health.
(425) 368-3977 View (425) 368-3977
Photo of Leia Shinsato, Marriage & Family Therapist, LMFT
Leia Shinsato
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Serves Area
As we venture through life, sometimes we find that the expectations we set for ourselves, our partners, and the future are constantly changing. My hope is to ease you through life’s transitions while enriching the relationships you have. I believe therapy should be a safe, non-judgmental, and nurturing place to put down the weights and ease into meaningful conversations. I enjoy working together with clients to identify their strengths, explore ways to reconnect with themselves and others to move forward in ways that feel genuine.
As we venture through life, sometimes we find that the expectations we set for ourselves, our partners, and the future are constantly changing. My hope is to ease you through life’s transitions while enriching the relationships you have. I believe therapy should be a safe, non-judgmental, and nurturing place to put down the weights and ease into meaningful conversations. I enjoy working together with clients to identify their strengths, explore ways to reconnect with themselves and others to move forward in ways that feel genuine.
(253) 446-7176 View (253) 446-7176
Photo of Kassondra L Wilson, Counselor, MA, LMHC
Kassondra L Wilson
Counselor, MA, LMHC
Verified Verified
Online Only
Waitlist for new clients
Another day, more stress. You think, "when is this nightmare going to end" as you seclude farther into a state of pessimistic isolation. Feeling angry, disappointed, and afraid by the chaos all around and within has you looking for a way to become rooted. Let's be real, the war on human diversity is concerning. We add the experiences of day to day life as a queer person with limitless stressors and abundant overwhelm-I don't know about you, but all the things are getting mighty strenuous. Your hope is to anchor yourself among safe and likeminded people in an effort to avoid drowning.
Another day, more stress. You think, "when is this nightmare going to end" as you seclude farther into a state of pessimistic isolation. Feeling angry, disappointed, and afraid by the chaos all around and within has you looking for a way to become rooted. Let's be real, the war on human diversity is concerning. We add the experiences of day to day life as a queer person with limitless stressors and abundant overwhelm-I don't know about you, but all the things are getting mighty strenuous. Your hope is to anchor yourself among safe and likeminded people in an effort to avoid drowning.
(206) 899-0142 View (206) 899-0142
Photo of Sarah Velazquez, Clinical Social Work/Therapist, LICSW
Sarah Velazquez
Clinical Social Work/Therapist, LICSW
Verified Verified
Online Only
I strive to meet people where they are and offer honest feedback for change while providing a non-judgemental space for all. The decision to start or return to therapy can be difficult and I am glad you are taking the first step. I have dedicated the last 20 years to the Social Services field and have provided therapy since 2018. Whether you are looking for short- or long-term therapy, I look forward to helping you during your journey.
I strive to meet people where they are and offer honest feedback for change while providing a non-judgemental space for all. The decision to start or return to therapy can be difficult and I am glad you are taking the first step. I have dedicated the last 20 years to the Social Services field and have provided therapy since 2018. Whether you are looking for short- or long-term therapy, I look forward to helping you during your journey.
(253) 893-4805 View (253) 893-4805
Photo of Dr. Kimberly Cochran - Mood by Kim, PhD, MSN, APRN, PMHNP, LCDC
Mood by Kim
PhD, MSN, APRN, PMHNP, LCDC
Verified Verified
2 Endorsed
Serves Area
Board-certified in psychiatric medicine and psychotherapy. Celebrity Therapist for Women, with 23 years of combined experiences in mental health. I work with WNBA athletes and high profile clients in both the Movie and Music Industries. My approach is supportive, empathetic and, above all, pragmatic. Our sessions are discreetly held via telehealth and catered to you. Book your appointment on my website: moodbykim.
Board-certified in psychiatric medicine and psychotherapy. Celebrity Therapist for Women, with 23 years of combined experiences in mental health. I work with WNBA athletes and high profile clients in both the Movie and Music Industries. My approach is supportive, empathetic and, above all, pragmatic. Our sessions are discreetly held via telehealth and catered to you. Book your appointment on my website: moodbykim.
(623) 777-7551 View (623) 777-7551
Photo of Chris Schad - Moonrise Mental Health, PLLC, Clinical Social Work/Therapist, MSW, LSWAIC
Moonrise Mental Health, PLLC
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Online Only
I specialize in grief and loss, and offer support through life transitions such as: divorce, job loss, and health issues. My background is in gerontology and hospice care. I've worked with older adults and their caregivers in the health field since 2006. I use a strengths based, person-centered approach. My clinical focus includes working with people who identify as LGBTQIA+. I believe resilience can be found in overcoming adversity through community and connection. I've worked with Veterans and their families since 2020. I advocate for healthcare equity for Transgender Veterans and gender non-conforming folks.
I specialize in grief and loss, and offer support through life transitions such as: divorce, job loss, and health issues. My background is in gerontology and hospice care. I've worked with older adults and their caregivers in the health field since 2006. I use a strengths based, person-centered approach. My clinical focus includes working with people who identify as LGBTQIA+. I believe resilience can be found in overcoming adversity through community and connection. I've worked with Veterans and their families since 2020. I advocate for healthcare equity for Transgender Veterans and gender non-conforming folks.
(360) 564-1405 View (360) 564-1405
Photo of Astrik Price, Marriage & Family Therapist, LMFT, CMHS
Astrik Price
Marriage & Family Therapist, LMFT, CMHS
Verified Verified
2 Endorsed
Online Only
Let’s be honest…life throws us in different directions, which can make moving forward even tougher. Does this sound like you: anxious, feeling "unsure", or overwhelmed which leads to other emotions that cause conflict within yourself? Whether you said yes to one or all the above, I want to remind you that you hold more power to make this better than you give yourself credit for.
Let’s be honest…life throws us in different directions, which can make moving forward even tougher. Does this sound like you: anxious, feeling "unsure", or overwhelmed which leads to other emotions that cause conflict within yourself? Whether you said yes to one or all the above, I want to remind you that you hold more power to make this better than you give yourself credit for.
(253) 367-2829 View (253) 367-2829
Photo of Percy L. Sturgis III, Counselor, MEd, LMHCA, CANS-F
Percy L. Sturgis III
Counselor, MEd, LMHCA, CANS-F
Verified Verified
4 Endorsed
Serves Area
Are you ready for a change, currently accepting new client's. If you're looking for guidance through life's challenges, let's explore options that suit your needs. I offer a safe, confidential space where you can express your emotions, tackle obstacles, strengthen relationships, and develop coping strategies. Whether you or a loved one is dealing with anxiety, depression, family conflicts, academic pressures, loneliness, or daily stress, therapy can be a powerful tool for transformation. Together, we can navigate the path.
Are you ready for a change, currently accepting new client's. If you're looking for guidance through life's challenges, let's explore options that suit your needs. I offer a safe, confidential space where you can express your emotions, tackle obstacles, strengthen relationships, and develop coping strategies. Whether you or a loved one is dealing with anxiety, depression, family conflicts, academic pressures, loneliness, or daily stress, therapy can be a powerful tool for transformation. Together, we can navigate the path.
(253) 400-1913 View (253) 400-1913
Photo of Yolanda Perez, Counselor, MS, LMHC, CCTP
Yolanda Perez
Counselor, MS, LMHC, CCTP
Verified Verified
1 Endorsed
Online Only
02/12/25: Immediate Openings in WA only! Growing up in chaotic household where you had to take care of your parents can leave you feeling responsible for everyone around you. It leaves you seeking external validation to define your worth including hustling until you've reached burnout. You struggle with having reciprocal relationships and friendships. You've reached all the milestones, but still feel unhappy and unsatisfied. You are always striving for more. I'm here to remind you that your worth is not based off of how much you can accomplish in life. You are inherently worthy for being a human being.
02/12/25: Immediate Openings in WA only! Growing up in chaotic household where you had to take care of your parents can leave you feeling responsible for everyone around you. It leaves you seeking external validation to define your worth including hustling until you've reached burnout. You struggle with having reciprocal relationships and friendships. You've reached all the milestones, but still feel unhappy and unsatisfied. You are always striving for more. I'm here to remind you that your worth is not based off of how much you can accomplish in life. You are inherently worthy for being a human being.
(253) 785-6452 View (253) 785-6452
Photo of Dr. Liz Coleclough, Clinical Social Work/Therapist, PhD, LICSW
Dr. Liz Coleclough
Clinical Social Work/Therapist, PhD, LICSW
Verified Verified
Online Only
Not accepting new clients
Trauma touches every aspect of our lives. Whether you’ve experienced domestic violence, sexual assault, child abuse, or another form of violence, you may see its impact in multiple areas: a sense of always being hyper-alert, or disconnected; challenges in relationships and the ability to trust or open up to others; feelings of guilt, shame, or self-blame. You have put in so much labor to move through these things on your own. You might feel like you’ve made some progress or like you’re still stuck. Either way, you’re ready to gain new insight into yourself and your experiences in order to heal, repair, and move forward.
Trauma touches every aspect of our lives. Whether you’ve experienced domestic violence, sexual assault, child abuse, or another form of violence, you may see its impact in multiple areas: a sense of always being hyper-alert, or disconnected; challenges in relationships and the ability to trust or open up to others; feelings of guilt, shame, or self-blame. You have put in so much labor to move through these things on your own. You might feel like you’ve made some progress or like you’re still stuck. Either way, you’re ready to gain new insight into yourself and your experiences in order to heal, repair, and move forward.
(206) 590-7343 View (206) 590-7343
1

How does your Therapist compare?

Number of Therapists in 98444

20+

Average cost per session

$157

Therapists in 98444 who prioritize treating:

96% Anxiety
89% Depression
74% Trauma and PTSD
74% Life Transitions
70% Self Esteem
67% Relationship Issues
67% Coping Skills

Average years in practice

7 Years

Top 3 insurances accepted

72% BlueCross and BlueShield
72% Cigna and Evernorth
72% Premera Blue Cross

How Therapists in 98444 see their clients

51% Online Only
49% In Person and Online

Gender breakdown

71% Female
25% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98444?

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.