Therapists in 98672

Photo of Anya Szumowski, Licensed Professional Counselor, LMHC, LPC
Anya Szumowski
Licensed Professional Counselor, LMHC, LPC
1 Endorsed
White Salmon, WA 98672
Despite the joys and beauty in our world, as humans, we also experience pain and struggle in response to life’s many challenges. Whether it be various transitions, significant events, relationship concerns, poor self-image, or the discomfort of anxiety and negative mood, therapy can offer the attention and care we need in navigating our lives. It is here that we can safely explore who we are - we can develop curiosity, awareness, and compassion towards self, while honoring our past and current experiences.
Despite the joys and beauty in our world, as humans, we also experience pain and struggle in response to life’s many challenges. Whether it be various transitions, significant events, relationship concerns, poor self-image, or the discomfort of anxiety and negative mood, therapy can offer the attention and care we need in navigating our lives. It is here that we can safely explore who we are - we can develop curiosity, awareness, and compassion towards self, while honoring our past and current experiences.
(541) 399-8857 View (541) 399-8857
Photo of Alex Tulisso, Counselor, MA
Alex Tulisso
Counselor, MA
1 Endorsed
White Salmon, WA 98672
The times that we live in are becoming increasingly more difficult. It is easy to feel alone, lost, stuck, and without a compass to find our path. The way to turn things around in our lives starts here and now. You have come to a safe place where you can be vulnerable, heard, and seen through and through.
The times that we live in are becoming increasingly more difficult. It is easy to feel alone, lost, stuck, and without a compass to find our path. The way to turn things around in our lives starts here and now. You have come to a safe place where you can be vulnerable, heard, and seen through and through.
(509) 740-3935 View (509) 740-3935
Photo of Paul Grim, Counselor, LMHC
Paul Grim
Counselor, LMHC
1 Endorsed
White Salmon, WA 98672
Please visit my website in order to request a session and to learn more about me. My approach is called "integrative" counseling which is a blend of several different counseling methods and theories. I can do brief solution-oriented counseling or longer term insight-oriented counseling which emphasizes personal growth and transformation. Each client is unique, therefore the therapy should be customized and flexible. With most clients, I focus on their entire lifestyle including physical activity, diet, sleep, work, purpose, and relationships. I'm a big fan of Maslow's Hierarchy of Needs and Attachment Theory.
Please visit my website in order to request a session and to learn more about me. My approach is called "integrative" counseling which is a blend of several different counseling methods and theories. I can do brief solution-oriented counseling or longer term insight-oriented counseling which emphasizes personal growth and transformation. Each client is unique, therefore the therapy should be customized and flexible. With most clients, I focus on their entire lifestyle including physical activity, diet, sleep, work, purpose, and relationships. I'm a big fan of Maslow's Hierarchy of Needs and Attachment Theory.
(509) 774-5579 View (509) 774-5579
Photo of Janna Stafford, Pre-Licensed Professional, Intern
Janna Stafford
Pre-Licensed Professional, Intern
1 Endorsed
White Salmon, WA 98672
Are you navigating anxiety, depression, grief, spiritual crisis, or relationship challenges? Do you feel disconnected from your body, sense of self, or purpose? I specialize in supporting individuals through these deep human experiences, including relationship issues, body-image concerns, and self-esteem struggles. I draw from a diverse background in holistic health, women’s studies, integral psychology, parts work (IFS), and somatic practices to support your journey.
Are you navigating anxiety, depression, grief, spiritual crisis, or relationship challenges? Do you feel disconnected from your body, sense of self, or purpose? I specialize in supporting individuals through these deep human experiences, including relationship issues, body-image concerns, and self-esteem struggles. I draw from a diverse background in holistic health, women’s studies, integral psychology, parts work (IFS), and somatic practices to support your journey.
(509) 383-8654 View (509) 383-8654
Photo of Natasha Hendricks, Counselor, MA, LMHC, CMNCS, NCC
Natasha Hendricks
Counselor, MA, LMHC, CMNCS, NCC
2 Endorsed
White Salmon, WA 98672
Pain. Pain shows up in emotional, physical, and spiritual ways. Walking through pain in isolation can feel paralyzing. God created us to live in connection with one another, and it's within that connection that we can find redemption and healing. For those who are Christ followers, faith integration is foundational in our work together. I work with both Christians and non-Christians. For all of my clients, you are respected and honored right where you are. Faith is integrated into your care when you choose for it to be.
Pain. Pain shows up in emotional, physical, and spiritual ways. Walking through pain in isolation can feel paralyzing. God created us to live in connection with one another, and it's within that connection that we can find redemption and healing. For those who are Christ followers, faith integration is foundational in our work together. I work with both Christians and non-Christians. For all of my clients, you are respected and honored right where you are. Faith is integrated into your care when you choose for it to be.
(360) 869-0504 View (360) 869-0504
Photo of Kay Alton, Clinical Social Work/Therapist, LICSW, LCSW, MEd, RYT 500
Kay Alton
Clinical Social Work/Therapist, LICSW, LCSW, MEd, RYT 500
1 Endorsed
White Salmon, WA 98672
Accepting new clients! I work with individuals, couples, and families, providing effective, practical support to help navigate life’s challenges and build stronger connections. I specialize in supporting kids 10 yrs +, moms, and families, using a neurobiological approach to create meaningful, lasting change. I’m trained in EMDR for trauma/PTSD, CBT and DBT for shifting unhelpful thought patterns, PACT for strengthening couples, and restorative justice models for families. Whether you’re seeking relief from stress, healing from past experiences, or deeper connection with loved ones, I provide a safe, supportive space for growth.
Accepting new clients! I work with individuals, couples, and families, providing effective, practical support to help navigate life’s challenges and build stronger connections. I specialize in supporting kids 10 yrs +, moms, and families, using a neurobiological approach to create meaningful, lasting change. I’m trained in EMDR for trauma/PTSD, CBT and DBT for shifting unhelpful thought patterns, PACT for strengthening couples, and restorative justice models for families. Whether you’re seeking relief from stress, healing from past experiences, or deeper connection with loved ones, I provide a safe, supportive space for growth.
(509) 502-6607 View (509) 502-6607
Photo of Lauren Justice, Psychologist, PhD
Lauren Justice
Psychologist, PhD
White Salmon, WA 98672
As a licensed psychologist (OR 3155; WA 61147933) practicing in White Salmon, WA, it is my goal to help you resolve problems in your mind, body, and relationships. I will work with you to improve your understanding of the source of your distress and refocus on what you value most. I have been trained in Emotion-Focused Therapy (EFT) and Internal Family Systems (IFS) to guide individuals and couples working to overcome difficult relationship patterns, health-related problems, anxiety, depression, and trauma.
As a licensed psychologist (OR 3155; WA 61147933) practicing in White Salmon, WA, it is my goal to help you resolve problems in your mind, body, and relationships. I will work with you to improve your understanding of the source of your distress and refocus on what you value most. I have been trained in Emotion-Focused Therapy (EFT) and Internal Family Systems (IFS) to guide individuals and couples working to overcome difficult relationship patterns, health-related problems, anxiety, depression, and trauma.
(509) 774-5429 View (509) 774-5429
Photo of Brooke Jefferson, Pre-Licensed Professional, LMHCA, LPCA
Brooke Jefferson
Pre-Licensed Professional, LMHCA, LPCA
3 Endorsed
White Salmon, WA 98672
If you’re feeling disconnected from your body, stuck in troubling patterns with food, overwhelmed by anxiety or the impacts of trauma, you’re not alone — and you don’t have to figure it out by yourself. Many clients come to me feeling exhausted by the pressure to "fix" themselves. Together, we’ll gently explore where those messages came from and how they’ve shaped your relationship with your body, your emotions, and your sense of self. My work is grounded in the belief that your body isn’t the problem — and that healing happens when you feel safe, seen, and supported in relationship.
If you’re feeling disconnected from your body, stuck in troubling patterns with food, overwhelmed by anxiety or the impacts of trauma, you’re not alone — and you don’t have to figure it out by yourself. Many clients come to me feeling exhausted by the pressure to "fix" themselves. Together, we’ll gently explore where those messages came from and how they’ve shaped your relationship with your body, your emotions, and your sense of self. My work is grounded in the belief that your body isn’t the problem — and that healing happens when you feel safe, seen, and supported in relationship.
(360) 979-1376 View (360) 979-1376
Photo of Lizzy Crowne, Licensed Professional Counselor, MA, RYT-200, LPC
Lizzy Crowne
Licensed Professional Counselor, MA, RYT-200, LPC
5 Endorsed
White Salmon, WA 98672
I align with a non-pathologizing approach to therapy. This means that I view “symptoms” as traits or behaviors that our minds and bodies have adopted to protect us from further harm. During traumatic experiences, often parts of ourself dissociate the mind from the body as a form of protection. While this helps us to survive in the moment, dissociation can happen long after the trauma has ended, keeping us out of the present moment, activating feelings from the past.
I align with a non-pathologizing approach to therapy. This means that I view “symptoms” as traits or behaviors that our minds and bodies have adopted to protect us from further harm. During traumatic experiences, often parts of ourself dissociate the mind from the body as a form of protection. While this helps us to survive in the moment, dissociation can happen long after the trauma has ended, keeping us out of the present moment, activating feelings from the past.
(737) 258-3724 View (737) 258-3724
Photo of Robin Kathleen Bodhi - Robin Bodhi Trauma-Informed Counseling, Counselor, MA, LMHC, LPC
Robin Bodhi Trauma-Informed Counseling
Counselor, MA, LMHC, LPC
5 Endorsed
White Salmon, WA 98672
Are you an empath feeling trapped in cycles of anxiety, overwhelm, or C-PTSD? You’re not alone. When triggers take over, it feels like life is controlling you instead of the other way around—disconnecting you from yourself and those around you. These patterns may leave you feeling powerless, frustrated, or even hopeless. But healing is possible. I specialize in helping people break free from these loops by guiding them toward self-empowerment, nervous system regulation, deeper self-connection, improved relationships and greater joy in life.
Are you an empath feeling trapped in cycles of anxiety, overwhelm, or C-PTSD? You’re not alone. When triggers take over, it feels like life is controlling you instead of the other way around—disconnecting you from yourself and those around you. These patterns may leave you feeling powerless, frustrated, or even hopeless. But healing is possible. I specialize in helping people break free from these loops by guiding them toward self-empowerment, nervous system regulation, deeper self-connection, improved relationships and greater joy in life.
(503) 966-9271 View (503) 966-9271
Photo of Jillian M Brown, Licensed Professional Counselor, MS, CHT
Jillian M Brown
Licensed Professional Counselor, MS, CHT
White Salmon, WA 98672
Why does this keep happening? Why can't I let this go? Why do I find myself in the same relationship over and over? Most of our personal challenges in life come from events in our early childhood or are passed down from trauma in our families. Theses things are challenging to heal or transform when we either don’t remember what they are or never knew to begin with. Even with events we do remember it can be hard to get to a place of transformation. That is why I work with modalities that get deep into the the unconscious so that change can take place on that deep level that is very challenging to get to with thinking and talking.
Why does this keep happening? Why can't I let this go? Why do I find myself in the same relationship over and over? Most of our personal challenges in life come from events in our early childhood or are passed down from trauma in our families. Theses things are challenging to heal or transform when we either don’t remember what they are or never knew to begin with. Even with events we do remember it can be hard to get to a place of transformation. That is why I work with modalities that get deep into the the unconscious so that change can take place on that deep level that is very challenging to get to with thinking and talking.
(971) 257-1422 View (971) 257-1422
Photo of Tyler Jansen, Psychologist, PsyD
Tyler Jansen
Psychologist, PsyD
2 Endorsed
Serves Area
I primarily work with people who are working to overcome sex addictions, are struggling with self-worth, or are generally overwhelmed with stress and difficult emotions. I also enjoy working with people who want to integrate their faith into their therapeutic work. I strive to provide a non-judgmental, down-to-earth environment in which to address the issues that may feel embarrassing or shameful to broach, and earnestly want to help you reach your goals, and cheer for and encourage you every step of the way, while teaching tips and tricks that might make the process smoother and easier for you. I'd love to meet you!
I primarily work with people who are working to overcome sex addictions, are struggling with self-worth, or are generally overwhelmed with stress and difficult emotions. I also enjoy working with people who want to integrate their faith into their therapeutic work. I strive to provide a non-judgmental, down-to-earth environment in which to address the issues that may feel embarrassing or shameful to broach, and earnestly want to help you reach your goals, and cheer for and encourage you every step of the way, while teaching tips and tricks that might make the process smoother and easier for you. I'd love to meet you!
(360) 228-2687 View (360) 228-2687
Photo of Richard Golosinskiy, Counselor, MA, LMHC, NCC
Richard Golosinskiy
Counselor, MA, LMHC, NCC
2 Endorsed
Serves Area
I am a licensed Washington state counselor. I specialize in working with adults and couples. Helping those seeking relief from depression, anxiety, and trauma symptoms. I work alongside you by teaching emotion regulation skills to manage anger, sadness, and triggers that feel overwhelming. I'll help you uncover what drives those strong emotions and assist in developing healthy behaviors that leave you feeling fulfilled. I also help couples identify their negative cycle of interaction and develop new cycles that reduce conflict and lead to greater relationship intimacy.
I am a licensed Washington state counselor. I specialize in working with adults and couples. Helping those seeking relief from depression, anxiety, and trauma symptoms. I work alongside you by teaching emotion regulation skills to manage anger, sadness, and triggers that feel overwhelming. I'll help you uncover what drives those strong emotions and assist in developing healthy behaviors that leave you feeling fulfilled. I also help couples identify their negative cycle of interaction and develop new cycles that reduce conflict and lead to greater relationship intimacy.
(360) 346-1476 View (360) 346-1476
Photo of Emily Jimenez, Clinical Social Work/Therapist, LCSW, LICSW
Emily Jimenez
Clinical Social Work/Therapist, LCSW, LICSW
2 Endorsed
Serves Area
My practice focuses on where you feel you need support. I take a holistic and individualized approach with each client. As we work together, we will utilize a combination of therapeutic approaches to best support you, your needs and goals.
My practice focuses on where you feel you need support. I take a holistic and individualized approach with each client. As we work together, we will utilize a combination of therapeutic approaches to best support you, your needs and goals.
(541) 627-8953 View (541) 627-8953
Photo of Dr. Michael Peterson
Dr. Michael Peterson
Verified Verified
1 Endorsed
Serves Area
On this journey you will uncover your deepest thoughts, wishes, fears, and conflicts. You will hold your history and personal identity up to the light, turning them slowly, pondering, and when you’re able, you may choose to release them, making way for a stronger interior scaffolding. You will become healthier, balanced, and psychologically strong. I work on the premise that men of this century want to be their own healers. Our work is to gather the resources needed for psychological well-being, developing the skill and power to rise to maturity and fulfillment.
On this journey you will uncover your deepest thoughts, wishes, fears, and conflicts. You will hold your history and personal identity up to the light, turning them slowly, pondering, and when you’re able, you may choose to release them, making way for a stronger interior scaffolding. You will become healthier, balanced, and psychologically strong. I work on the premise that men of this century want to be their own healers. Our work is to gather the resources needed for psychological well-being, developing the skill and power to rise to maturity and fulfillment.
(541) 256-2713 View (541) 256-2713
Photo of Henri M. Shields-Lucero, Clinical Social Work/Therapist, LCSW, CADCIII
Henri M. Shields-Lucero
Clinical Social Work/Therapist, LCSW, CADCIII
Serves Area
Sometimes we can be unkind to ourselves, feel disconnected in our relationships or overwhelmed by life's problems. I believe counseling is a learning process. I will work with you to develop a compassionate understanding of who you are and new insight about areas in your life where you want support to change. I am passionate about working with individuals and families to support mental health and healing from addiction. I believe our well-being is informed by a healthy connection to family and community. In the therapy process I incorporate perspectives including relationship attachment, developing insight through mindfulness and understanding the effects of trauma.
Sometimes we can be unkind to ourselves, feel disconnected in our relationships or overwhelmed by life's problems. I believe counseling is a learning process. I will work with you to develop a compassionate understanding of who you are and new insight about areas in your life where you want support to change. I am passionate about working with individuals and families to support mental health and healing from addiction. I believe our well-being is informed by a healthy connection to family and community. In the therapy process I incorporate perspectives including relationship attachment, developing insight through mindfulness and understanding the effects of trauma.
(541) 292-4777 View (541) 292-4777
Photo of Mackenzie Wild, Marriage & Family Therapist Associate, MA, MFT-A, NCC
Mackenzie Wild
Marriage & Family Therapist Associate, MA, MFT-A, NCC
2 Endorsed
Serves Area
Are you in a relational rut, spinning your wheels, and having the same repetitive arguments that lead to disconnection and resentment? Likely, you've been down this road so many times the outcome is predictable. Perhaps you've stopped asking for what you want, for fear of starting another argument, but the loneliness in partnership is almost unbearable. You want something different but fear rocking the boat and losing it all.. or maybe you question if it's even possible after so much hurt and hurt feelings.
Are you in a relational rut, spinning your wheels, and having the same repetitive arguments that lead to disconnection and resentment? Likely, you've been down this road so many times the outcome is predictable. Perhaps you've stopped asking for what you want, for fear of starting another argument, but the loneliness in partnership is almost unbearable. You want something different but fear rocking the boat and losing it all.. or maybe you question if it's even possible after so much hurt and hurt feelings.
(541) 697-3886 View (541) 697-3886
Photo of Roberta M Grant, Counselor, MA, LMHC, LMP
Roberta M Grant
Counselor, MA, LMHC, LMP
White Salmon, WA 98672
Waitlist for new clients
My experience is with children, adolescents, and adults with issues of depression, anxiety, abuse, parenting issues, chronic pain, illness, and PTSD/trauma. I use play and art therapy techniques for children who have difficulty verbalizing their emotions. I use outdoor counseling techniques for more active clients such as teens and children. Additionally, I practice therapeutic bodywork. Overall, I offer a safe refuge of a collaborative therapeutic relationship for the traumatized, depressed, or anxious client where they will hopefully gain new coping skills, boundaries, and relationships to replace the traumatic pain they have left behind. https://fluxtherapyllc.wordpress.com
My experience is with children, adolescents, and adults with issues of depression, anxiety, abuse, parenting issues, chronic pain, illness, and PTSD/trauma. I use play and art therapy techniques for children who have difficulty verbalizing their emotions. I use outdoor counseling techniques for more active clients such as teens and children. Additionally, I practice therapeutic bodywork. Overall, I offer a safe refuge of a collaborative therapeutic relationship for the traumatized, depressed, or anxious client where they will hopefully gain new coping skills, boundaries, and relationships to replace the traumatic pain they have left behind. https://fluxtherapyllc.wordpress.com
(509) 509-0108 View (509) 509-0108
Photo of Jane E Kepner, Psychologist, MDiv, PhD
Jane E Kepner
Psychologist, MDiv, PhD
White Salmon, WA 98672
Waitlist for new clients
Anyone seeking knowledge, development, and relief from anxiety and depression is a candidate for Jungian therapy and possibly analysis. Those who are willing to engage in active dialogue with the energies of both the inner and outer worlds discover new or renewed life. It is a journey of soul work. Jungian analysis seeks to orient you to the original and whole Self you are, in both your higher development and in relationship to the world and others.
Anyone seeking knowledge, development, and relief from anxiety and depression is a candidate for Jungian therapy and possibly analysis. Those who are willing to engage in active dialogue with the energies of both the inner and outer worlds discover new or renewed life. It is a journey of soul work. Jungian analysis seeks to orient you to the original and whole Self you are, in both your higher development and in relationship to the world and others.
(833) 205-1138 View (833) 205-1138
Photo of Lori E Mazenko, Licensed Professional Counselor, MA, LPC, LMHC, NCC
Lori E Mazenko
Licensed Professional Counselor, MA, LPC, LMHC, NCC
1 Endorsed
Serves Area
Waitlist for new clients
You've taken the first step to wellness by looking for a therapist. It can be difficult to find just the right match. You're ready to make a change - I can assist you. My desire is to help you understand core issues that are creating challenges in your life, find ways to cope more satisfactorily, make your desired changes, discover new options and make informed choices. I believe that the fit between client and therapist is important in making changes. I enjoy coming alongside people who have decided it's time to live life to the fullest and overcome issues holding them back.
You've taken the first step to wellness by looking for a therapist. It can be difficult to find just the right match. You're ready to make a change - I can assist you. My desire is to help you understand core issues that are creating challenges in your life, find ways to cope more satisfactorily, make your desired changes, discover new options and make informed choices. I believe that the fit between client and therapist is important in making changes. I enjoy coming alongside people who have decided it's time to live life to the fullest and overcome issues holding them back.
(541) 359-3934 View (541) 359-3934

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How does your Therapist compare?

Number of Therapists in 98672

20+

Average cost per session

$165

Therapists in 98672 who prioritize treating:

97% Anxiety
86% Depression
86% Trauma and PTSD
79% Relationship Issues
79% Self Esteem
72% Spirituality
66% Grief

Average years in practice

12 Years

Top 3 insurances accepted

50% Aetna
50% PacificSource
39% BlueCross and BlueShield

How Therapists in 98672 see their clients

79% In Person and Online
21% Online Only

Gender breakdown

74% Female
26% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 98672?

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.