Therapists in 98492

Photo of Ana Jarrett, Licensed Professional Counselor, MA, LPC, LMHC, PMH-C
Ana Jarrett
Licensed Professional Counselor, MA, LPC, LMHC, PMH-C
1 Endorsed
Online Only
Life does not always end up where you think it will. We have grand plans but there are so many paths in life, many unknown. If your path seems hard right now, or you are not sure which way to turn, or you feel all alone and in the dark, I can help you find the path that makes sense for you and your values. Whether you have problems with relationships, anxiety, depression, or a phase of life, your path will look different from others' but it can still be bright and beautiful. Focusing on how you want your life to look and how to get there takes some time, but it is worth it for yourself, those who love you, and your future.
Life does not always end up where you think it will. We have grand plans but there are so many paths in life, many unknown. If your path seems hard right now, or you are not sure which way to turn, or you feel all alone and in the dark, I can help you find the path that makes sense for you and your values. Whether you have problems with relationships, anxiety, depression, or a phase of life, your path will look different from others' but it can still be bright and beautiful. Focusing on how you want your life to look and how to get there takes some time, but it is worth it for yourself, those who love you, and your future.
(706) 725-5934 View (706) 725-5934

More Therapists Nearby

Photo of Alyx Steadman, Clinical Social Work/Therapist, LSWAIC
Alyx Steadman
Clinical Social Work/Therapist, LSWAIC
Seattle, WA 98102
The past is just a story we tell ourselves. Through early formative experiences, we mold core beliefs about belonging, worth, and lovability. Therapy is a place to untangle the narratives we have internalized (perhaps unconsciously) and impact our ability to show up in the world authentically and connect with others deeply. Understanding our past can help us bring compassion and awareness to the present moment. Let us bravely explore the complexity and messiness of the human experience - embracing all that you are.
The past is just a story we tell ourselves. Through early formative experiences, we mold core beliefs about belonging, worth, and lovability. Therapy is a place to untangle the narratives we have internalized (perhaps unconsciously) and impact our ability to show up in the world authentically and connect with others deeply. Understanding our past can help us bring compassion and awareness to the present moment. Let us bravely explore the complexity and messiness of the human experience - embracing all that you are.
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Photo of Margaret Certain, Marriage & Family Therapist, LMFT
Margaret Certain
Marriage & Family Therapist, LMFT
Seattle, WA 98107
Recognizing the need to work on a problem demonstrates courage. I work collaboratively with adult individuals, couples, and families (including teens and children) interested in personal and relational growth. Couples and families in conflict, adult individuals seeking better relationship skills, and individuals wanting relief from trauma are all part of my practice.
Recognizing the need to work on a problem demonstrates courage. I work collaboratively with adult individuals, couples, and families (including teens and children) interested in personal and relational growth. Couples and families in conflict, adult individuals seeking better relationship skills, and individuals wanting relief from trauma are all part of my practice.
(206) 737-0730 View (206) 737-0730
Photo of Cary Terra, Marriage & Family Therapist, MA, LMFT
Cary Terra
Marriage & Family Therapist, MA, LMFT
Seattle, WA 98116
My practice is limited to working with adults on the spectrum and adults with symptoms of trauma.
My practice is limited to working with adults on the spectrum and adults with symptoms of trauma.
(206) 890-4858 View (206) 890-4858
Photo of Kay Drescher, Marriage & Family Therapist, LMFT
Kay Drescher
Marriage & Family Therapist, LMFT
Olalla, WA 98359
Do you struggle with depression, anxiety or self-criticism? Do you get overwhelmed by your feelings? Do you often feel lonely and misunderstood, even by those you love most? My goal as a therapist is to provide a safe, accepting and genuine place to help you learn to live your life to the fullest, actually being present...and discovering your strengths and potential. Understanding ourselves more allows us to get the connection and love we long for from others in our lives. Every person who comes to me has unique vulnerablities and experiences as well as unique personal strengths to discover.
Do you struggle with depression, anxiety or self-criticism? Do you get overwhelmed by your feelings? Do you often feel lonely and misunderstood, even by those you love most? My goal as a therapist is to provide a safe, accepting and genuine place to help you learn to live your life to the fullest, actually being present...and discovering your strengths and potential. Understanding ourselves more allows us to get the connection and love we long for from others in our lives. Every person who comes to me has unique vulnerablities and experiences as well as unique personal strengths to discover.
(253) 655-7961 View (253) 655-7961
Photo of Grayson Moody - Grayson Moody Counseling, Counselor, MA , LMHC
Grayson Moody Counseling
Counselor, MA , LMHC
Seattle, WA 98104
My hope for the therapeutic relationship is that I may help you make your way towards a sense of ease in your emotional life, relationships, and sense of self. Helping you identify challenging unconscious responses, problematic behavior and difficult feelings, I believe, may facilitate movement towards a more vibrant, fulfilling life.
My hope for the therapeutic relationship is that I may help you make your way towards a sense of ease in your emotional life, relationships, and sense of self. Helping you identify challenging unconscious responses, problematic behavior and difficult feelings, I believe, may facilitate movement towards a more vibrant, fulfilling life.
(360) 227-7680 View (360) 227-7680
Photo of Aloha McGregor, Licensed Mental Health Counselor, LPC
Aloha McGregor
Licensed Mental Health Counselor, LPC
1 Endorsed
Seattle, WA 98199
Do you feel overwhelmed or stuck, struggling to balance your personal and professional life? You may find it difficult to manage the demands of your career, relationships, or self-care. Perhaps you’re a mental health professional yourself, seeking someone who truly understands the pressures and emotional toll of the work you do. If you're experiencing burnout, anxiety, or find yourself questioning your purpose, you’re not alone. These feelings can affect your well-being, your relationships, and even your work.
Do you feel overwhelmed or stuck, struggling to balance your personal and professional life? You may find it difficult to manage the demands of your career, relationships, or self-care. Perhaps you’re a mental health professional yourself, seeking someone who truly understands the pressures and emotional toll of the work you do. If you're experiencing burnout, anxiety, or find yourself questioning your purpose, you’re not alone. These feelings can affect your well-being, your relationships, and even your work.
(206) 312-8148 View (206) 312-8148
Photo of Michael Perry, Counselor, PhD, LMHCA
Michael Perry
Counselor, PhD, LMHCA
1 Endorsed
Seattle, WA 98103
Immediate openings! My passion is helping people move beyond life's challenges by promoting self-understanding, learning how our minds work, and cultivating healthy relationships. In the modern world, it's easy to get pulled down and stuck in so many different ways - difficulties with our relationships, our minds, our bodies, our work, our cultures. We can feel so lost that it's hard to even imagine what meaningful change looks like. Fortunately, there are strategies and tools that can help us reconnect with joy and positive emotion and find paths to personal growth. Ultimately, we create lives worth living - lives worth loving.
Immediate openings! My passion is helping people move beyond life's challenges by promoting self-understanding, learning how our minds work, and cultivating healthy relationships. In the modern world, it's easy to get pulled down and stuck in so many different ways - difficulties with our relationships, our minds, our bodies, our work, our cultures. We can feel so lost that it's hard to even imagine what meaningful change looks like. Fortunately, there are strategies and tools that can help us reconnect with joy and positive emotion and find paths to personal growth. Ultimately, we create lives worth living - lives worth loving.
(425) 620-2824 View (425) 620-2824
Photo of Ju-Yi (Joyce) Fu, Counselor, LMHC, ATR
Ju-Yi (Joyce) Fu
Counselor, LMHC, ATR
Bellevue, WA 98007
My psychotherapy approach is to first help you clarify your presenting problems from an integrated mind-body-spirit-environment perspective. I utilize mindfulness to help you to develop clarity in the present moment, and with depth psychology, psychodynamic, EMDR, art therapy, Jungian psychology, and focusing-oriented psychotherapy to help you explore and embrace your, SELF, inner wisdom, and unconscious awareness for healing. Through processing unhealed wounds in the past, we can unveil the authentic SELF, and finding life meanings to journey on.
My psychotherapy approach is to first help you clarify your presenting problems from an integrated mind-body-spirit-environment perspective. I utilize mindfulness to help you to develop clarity in the present moment, and with depth psychology, psychodynamic, EMDR, art therapy, Jungian psychology, and focusing-oriented psychotherapy to help you explore and embrace your, SELF, inner wisdom, and unconscious awareness for healing. Through processing unhealed wounds in the past, we can unveil the authentic SELF, and finding life meanings to journey on.
(360) 525-9224 View (360) 525-9224
Photo of Tessa Heywood, Counselor, MA, LMHC
Tessa Heywood
Counselor, MA, LMHC
Seattle, WA 98107
My approach centers on empowering clients to transform the impact of these experiences, allowing them to build healthier connections and reclaim their authentic self through the profound process of exploring and rewriting their narratives. I believe the therapeutic relationship is paramount. In our sessions, we'll cultivate a safe, trusting bond, where you feel seen and understood. I also encourage self-compassion, helping you treat yourself with kindness as you navigate your journey.
My approach centers on empowering clients to transform the impact of these experiences, allowing them to build healthier connections and reclaim their authentic self through the profound process of exploring and rewriting their narratives. I believe the therapeutic relationship is paramount. In our sessions, we'll cultivate a safe, trusting bond, where you feel seen and understood. I also encourage self-compassion, helping you treat yourself with kindness as you navigate your journey.
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Photo of Tori Kucera, Clinical Social Work/Therapist, MSW, LSWAIC
Tori Kucera
Clinical Social Work/Therapist, MSW, LSWAIC
2 Endorsed
Seattle, WA 98112
Therapy is a collaborative process where we work together to move toward the goals that matter most to you, at a pace that feels supportive and respectful. You may be feeling overwhelmed by life's stressors, navigating grief or loss, or feeling stuck and unsure of how to move forward. Together, we'll explore both the conscious and underlying patterns that may be holding you back, while creating space for healing, self-discovery, and growth. Sometimes we all need extra support as we learn to process our emotions, face our fears, and reconnect with what gives our lives meaning.
Therapy is a collaborative process where we work together to move toward the goals that matter most to you, at a pace that feels supportive and respectful. You may be feeling overwhelmed by life's stressors, navigating grief or loss, or feeling stuck and unsure of how to move forward. Together, we'll explore both the conscious and underlying patterns that may be holding you back, while creating space for healing, self-discovery, and growth. Sometimes we all need extra support as we learn to process our emotions, face our fears, and reconnect with what gives our lives meaning.
(206) 208-8166 View (206) 208-8166
Photo of Bailey Niall, Licensed Mental Health Counselor , LMHC, SUDPT, MHP
Bailey Niall
Licensed Mental Health Counselor , LMHC, SUDPT, MHP
Tacoma, WA 98402
I am accepting new clients and have availability on Sundays and some evenings. Do you have constant "what if" thoughts and struggle to be present in your relationships and life? Have you ever felt scared of your own thoughts and worried about what they mean? OCD can cause intrusive and unwanted thoughts and images that feel isolating and prevent us from fully participating in our lives. I'm passionate about supporting individuals recovering from OCD, trauma, and anxiety. Together we'll work on your goals and towards meaningful, lasting change.
I am accepting new clients and have availability on Sundays and some evenings. Do you have constant "what if" thoughts and struggle to be present in your relationships and life? Have you ever felt scared of your own thoughts and worried about what they mean? OCD can cause intrusive and unwanted thoughts and images that feel isolating and prevent us from fully participating in our lives. I'm passionate about supporting individuals recovering from OCD, trauma, and anxiety. Together we'll work on your goals and towards meaningful, lasting change.
(253) 270-1144 View (253) 270-1144
Photo of Charles Hester Cheek, Marriage & Family Therapist, MA, LMFT
Charles Hester Cheek
Marriage & Family Therapist, MA, LMFT
Serves Area
My goal is to assist you in recognizing your inherent strengths that have been developed as a result of your unique experiences. Everyone comes to this moment with their own set of beliefs, values, morals, and expectations. You are stronger than you think. You are more capable than you think. Oftentimes individuals, couples, and families may not recognize their own resilience and their ability to break toxic cycles that may exist within relationships. Sometimes experiences can overwhelm us, and make us feel that we don’t know the way forward. The process of therapy is turning those overwhelming feelings into a road map.
My goal is to assist you in recognizing your inherent strengths that have been developed as a result of your unique experiences. Everyone comes to this moment with their own set of beliefs, values, morals, and expectations. You are stronger than you think. You are more capable than you think. Oftentimes individuals, couples, and families may not recognize their own resilience and their ability to break toxic cycles that may exist within relationships. Sometimes experiences can overwhelm us, and make us feel that we don’t know the way forward. The process of therapy is turning those overwhelming feelings into a road map.
(313) 209-9965 View (313) 209-9965
Photo of Sofiya Kostareva, Counselor, MA, LMHC, REAT
Sofiya Kostareva
Counselor, MA, LMHC, REAT
1 Endorsed
Seattle, WA 98107
Hi there, I'm a therapist in Washington who helps parents tend to their own mental health so they can break cycles of trauma and raise their children with intention! If you're determined to release the patterns you grew up with—like yelling, emotional distance, neglect or criticism—I can help. My approach includes Somatic Therapy, Expressive Arts Therapy, Mindfulness Based Stress Reduction and in 2026, EMDR. Whether you're exploring parenthood, currently expecting, or already raising kids, my job is to help you identify, interrupt and replace unhelpful coping skills so you can show up with presence instead of reactivity.
Hi there, I'm a therapist in Washington who helps parents tend to their own mental health so they can break cycles of trauma and raise their children with intention! If you're determined to release the patterns you grew up with—like yelling, emotional distance, neglect or criticism—I can help. My approach includes Somatic Therapy, Expressive Arts Therapy, Mindfulness Based Stress Reduction and in 2026, EMDR. Whether you're exploring parenthood, currently expecting, or already raising kids, my job is to help you identify, interrupt and replace unhelpful coping skills so you can show up with presence instead of reactivity.
(206) 672-3503 View (206) 672-3503
Photo of Kyle G. Erickson, Marriage & Family Therapist, MS, LMFT
Kyle G. Erickson
Marriage & Family Therapist, MS, LMFT
1 Endorsed
Maple Valley, WA 98038
With 24 years of experience, I help adults, couples, families, and high school-aged teens navigate life’s challenges. I offer both traditional ongoing therapy and single-session options, depending on your needs. My style is collaborative, practical, and warm — and I believe that humor can be part of healing. I create a space where people feel heard, understood, and supported. I actively offer feedback rooted in my clinical experience and the psychological theories I continue to study. Therapy with me is a partnership: I’m engaged, curious, and invested in your goals. To learn more about how I work, please visit my website.
With 24 years of experience, I help adults, couples, families, and high school-aged teens navigate life’s challenges. I offer both traditional ongoing therapy and single-session options, depending on your needs. My style is collaborative, practical, and warm — and I believe that humor can be part of healing. I create a space where people feel heard, understood, and supported. I actively offer feedback rooted in my clinical experience and the psychological theories I continue to study. Therapy with me is a partnership: I’m engaged, curious, and invested in your goals. To learn more about how I work, please visit my website.
(425) 405-6571 View (425) 405-6571
Photo of Aaron Kelsay, Licensed Professional Counselor, MAC, LPC, LMHC, CADC I
Aaron Kelsay
Licensed Professional Counselor, MAC, LPC, LMHC, CADC I
6 Endorsed
Serves Area
Healing is a journey. For some, "healing" means reversing years of trauma, and for others it means 'getting out of my own head' or 'getting un-stuck.' For everyone, the path to healing is a difficult one, and it is lighter, easier, more meaningful when others join in with you. To you who have tried to go it alone, I invite you to reach out. Connecting with a counselor is a way to get un-stuck in your journey towards health, to bring healing to those deeper places of hurt.
Healing is a journey. For some, "healing" means reversing years of trauma, and for others it means 'getting out of my own head' or 'getting un-stuck.' For everyone, the path to healing is a difficult one, and it is lighter, easier, more meaningful when others join in with you. To you who have tried to go it alone, I invite you to reach out. Connecting with a counselor is a way to get un-stuck in your journey towards health, to bring healing to those deeper places of hurt.
(503) 461-1286 View (503) 461-1286
Photo of Drew Benditt, Counselor, LMHCA
Drew Benditt
Counselor, LMHCA
6 Endorsed
Seattle, WA 98109
You might be experiencing anxiety, depression, or one of life’s many transitions—large, small, and everything in between. Whether you're managing feelings of grief, navigating today’s world with ADHD, or finding yourself at a crossroads, I’m deeply passionate about helping you tap into your strengths, resilience, and inner wisdom. Together we can explore what gives you a sense of meaning and purpose to create a life that feels true to who you are at your core. I believe that true healing happens in the context of genuine human connection. My therapeutic approach is rooted in empathy, authenticity, and a commitment to social justice.
You might be experiencing anxiety, depression, or one of life’s many transitions—large, small, and everything in between. Whether you're managing feelings of grief, navigating today’s world with ADHD, or finding yourself at a crossroads, I’m deeply passionate about helping you tap into your strengths, resilience, and inner wisdom. Together we can explore what gives you a sense of meaning and purpose to create a life that feels true to who you are at your core. I believe that true healing happens in the context of genuine human connection. My therapeutic approach is rooted in empathy, authenticity, and a commitment to social justice.
(425) 386-5438 View (425) 386-5438
Photo of Robin Eleonor Krupp, Clinical Social Work/Therapist, LCSW-R
Robin Eleonor Krupp
Clinical Social Work/Therapist, LCSW-R
Tacoma, WA 98402
Hello, my name is Robin Krupp, LICSW. I have been working in the mental health profession for over 27 years. I am licensed in WA and NY states. My goal is to guide you on your journey to greater clarity from your own personal experiences and foster your ability to develop a stronger sense of self. My approach is empowering and person-centered, and I would describe my presence as non-judgmental, authentic, empowering. I am focused on providing quality, effective, and validating care. I am committed in creating a therapeutic space that is safe for all.
Hello, my name is Robin Krupp, LICSW. I have been working in the mental health profession for over 27 years. I am licensed in WA and NY states. My goal is to guide you on your journey to greater clarity from your own personal experiences and foster your ability to develop a stronger sense of self. My approach is empowering and person-centered, and I would describe my presence as non-judgmental, authentic, empowering. I am focused on providing quality, effective, and validating care. I am committed in creating a therapeutic space that is safe for all.
(253) 352-2734 View (253) 352-2734
Photo of Wren Goodkind, Pre-Licensed Professional
Wren Goodkind
Pre-Licensed Professional
Seattle, WA 98103
As a queer, nonbinary, multiethnic, only child, I have spent a lot of time telling myself a story in which I am the “other.” In more recent years, I worked to shift that narrative to one that instead emphasizes my many points of connection with those around me, drawing power from the many layers of my identity instead of shame and this is what I hope for you as well. Knowing that it is possible has sparked a desire to work with others as they navigate their own journeys in reauthoring. Joan Didion once said, “We tell ourselves stories in order to live.” This concept lives at the heart of my approach therapy.
As a queer, nonbinary, multiethnic, only child, I have spent a lot of time telling myself a story in which I am the “other.” In more recent years, I worked to shift that narrative to one that instead emphasizes my many points of connection with those around me, drawing power from the many layers of my identity instead of shame and this is what I hope for you as well. Knowing that it is possible has sparked a desire to work with others as they navigate their own journeys in reauthoring. Joan Didion once said, “We tell ourselves stories in order to live.” This concept lives at the heart of my approach therapy.
(206) 565-1505 View (206) 565-1505
Photo of Dr. Natalie Peters, Psychologist, PhD, PsyD
Dr. Natalie Peters
Psychologist, PhD, PsyD
Seattle, WA 98107
I work with older adults (65+), adults, and teens (17+), and I treat depression, anxiety, chronic pain, post-traumatic stress, grief and loss, and a broad range of adjustment and general life issues. While I take an integrative approach to therapy based on the needs of the individual, my passion lies with Acceptance and Commitment Therapy, my primary treatment modality. In addition to my role as a clinician, I also serve as a Clinical Director (Seattle area) for LifeStance, helping to maintain quality of care and foster a strong clinical milieu via recruitment, retention, consultation, and culture.
I work with older adults (65+), adults, and teens (17+), and I treat depression, anxiety, chronic pain, post-traumatic stress, grief and loss, and a broad range of adjustment and general life issues. While I take an integrative approach to therapy based on the needs of the individual, my passion lies with Acceptance and Commitment Therapy, my primary treatment modality. In addition to my role as a clinician, I also serve as a Clinical Director (Seattle area) for LifeStance, helping to maintain quality of care and foster a strong clinical milieu via recruitment, retention, consultation, and culture.
(206) 312-7572 View (206) 312-7572

See more therapy options for 98492

How does your Therapist compare?

Number of Therapists in 98492

< 10

Therapists in 98492 who prioritize treating:

100% Relationship Issues
100% Depression
100% Anxiety
100% Infertility
100% Trauma and PTSD
100% Other
100% Peer Relationships

Average years in practice

11 Years

Top 3 insurances accepted

100% Aetna
100% BlueCross and BlueShield
100% Cigna and Evernorth

How Therapists in 98492 see their clients

100% Online Only

Gender breakdown

100% Female
FAQs - About Therapy and Counseling

How can I find a therapist in 98492?

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.