Therapists in 98801

Photo of Michael Civile, Mental Health Counselor in 98801, WA
Michael Civile
Mental Health Counselor, LMHC, MS
Verified Verified
Wenatchee, WA 98801
Waitlist for new clients
Waitlist available for new clients- During times of stress, I have found that being listened to and understood by a trained professional has been invaluable. These days, stress is impacting us more than ever. Maybe the ways you’re coping are taking a toll on you or the ones you care about. Maybe you're finding it hard to "leave work at work" and be present at home. Or you realize the things you've been working towards leave you feeling sort of empty and you want to make some changes. Or maybe the question, "Why do I keep doing (fill in the blank)?" has been circling your mind for a while.
Waitlist available for new clients- During times of stress, I have found that being listened to and understood by a trained professional has been invaluable. These days, stress is impacting us more than ever. Maybe the ways you’re coping are taking a toll on you or the ones you care about. Maybe you're finding it hard to "leave work at work" and be present at home. Or you realize the things you've been working towards leave you feeling sort of empty and you want to make some changes. Or maybe the question, "Why do I keep doing (fill in the blank)?" has been circling your mind for a while.
(509) 295-9592 View (509) 295-9592
Photo of Dana Wolf, Counselor in 98801, WA
Dana Wolf
Counselor, MS, LMHC
Verified Verified
Wenatchee, WA 98801
Not accepting new clients
I have been providing therapy services since 2005 to individuals with a variety of mental health challenges such as depression, post-traumatic stress disorder, anxiety, and bipolar disorder. The majority of my experience comes from working in community mental health. I specialize in treating individuals with anxiety and post-traumatic stress disorder by using a highly effective treatment modality called EMDR, which can take fewer sessions to effect change than traditional therapy. I also have many years experience assisting individuals who are coming to terms with their sexual orientation and/or gender identity.
I have been providing therapy services since 2005 to individuals with a variety of mental health challenges such as depression, post-traumatic stress disorder, anxiety, and bipolar disorder. The majority of my experience comes from working in community mental health. I specialize in treating individuals with anxiety and post-traumatic stress disorder by using a highly effective treatment modality called EMDR, which can take fewer sessions to effect change than traditional therapy. I also have many years experience assisting individuals who are coming to terms with their sexual orientation and/or gender identity.
(509) 774-2388 View (509) 774-2388
Photo of Megan Mitchell, Counselor in 98801, WA
Megan Mitchell
Counselor, MS, LMHC, NCC, MHP, CMHS
Verified Verified
Wenatchee, WA 98801  (Online Only)
Email is the easiest correspondence, I am often unable to answer phone calls. Are you having difficulty finding balance or meaning in your life? Are you feeling overwhelmed with life's day to day challenges? Are you struggling with your relationships or parenting? Are you suffering the effects of trauma, anxiety or depression? Does healing feel impossible? Sometimes, we might know something has to change, but not know where to start. While the counseling process can feel scary, you are not alone. My goal is to empower change by providing a safe, healing environment that supports self discovery and understanding.
Email is the easiest correspondence, I am often unable to answer phone calls. Are you having difficulty finding balance or meaning in your life? Are you feeling overwhelmed with life's day to day challenges? Are you struggling with your relationships or parenting? Are you suffering the effects of trauma, anxiety or depression? Does healing feel impossible? Sometimes, we might know something has to change, but not know where to start. While the counseling process can feel scary, you are not alone. My goal is to empower change by providing a safe, healing environment that supports self discovery and understanding.
(509) 749-7998 View (509) 749-7998
Photo of Heart Spring Counseling Services, LLC, Counselor in 98801, WA
Heart Spring Counseling Services, LLC
Counselor, PhD, LMHC, SUDP
Verified Verified
Wenatchee, WA 98801
You know that feeling you get on the first warm, sunny day after a long winter, when it finally feels like spring is near? That is what our heart experiences when we take that first step toward growth and healing. Hope. Hope for new beginnings, hope for new growth, hope for the future. That feeling is just the beginning. Here at Heart Spring Counseling Services, we as a group practice believe that every individual has the capacity for change, to make a different choice at any point in their story to move in a new direction.
You know that feeling you get on the first warm, sunny day after a long winter, when it finally feels like spring is near? That is what our heart experiences when we take that first step toward growth and healing. Hope. Hope for new beginnings, hope for new growth, hope for the future. That feeling is just the beginning. Here at Heart Spring Counseling Services, we as a group practice believe that every individual has the capacity for change, to make a different choice at any point in their story to move in a new direction.
(509) 215-1428 View (509) 215-1428
Photo of Julie A Rickard, Psychologist in 98801, WA
Julie A Rickard
Psychologist, PhD
Verified Verified
Wenatchee, WA 98801  (Online Only)
I specialize in working with people that have complicated medical issues that impact mental health. My background is in health psychology, neurocognitive issues, suicide prevention, OCD and similar other related disorders, as well as end of life. Though I also enjoy working with families, and any other mental health issues. PTSD related to abuse is not my specialty.
I specialize in working with people that have complicated medical issues that impact mental health. My background is in health psychology, neurocognitive issues, suicide prevention, OCD and similar other related disorders, as well as end of life. Though I also enjoy working with families, and any other mental health issues. PTSD related to abuse is not my specialty.
(509) 204-8976 View (509) 204-8976
Photo of Hannah Mielke, Counselor in 98801, WA
Hannah Mielke
Counselor, MA, LMHCA
Verified Verified
Wenatchee, WA 98801
Not accepting new clients
I believe that counseling is sacred work, and that many of the issues we face stem from unmet relational needs. While relationships can be a source of pain, they are also a powerful force for resiliency. Through the therapeutic relationship, I enjoy coming alongside clients on their journey by providing a safe and compassionate space for exploration. Together we will go beyond just symptom management and work toward understanding the root of what you are experiencing. Whatever you are facing, you were never meant to do so in isolation.
I believe that counseling is sacred work, and that many of the issues we face stem from unmet relational needs. While relationships can be a source of pain, they are also a powerful force for resiliency. Through the therapeutic relationship, I enjoy coming alongside clients on their journey by providing a safe and compassionate space for exploration. Together we will go beyond just symptom management and work toward understanding the root of what you are experiencing. Whatever you are facing, you were never meant to do so in isolation.
(509) 769-3205 View (509) 769-3205
Photo of Eleanor Ulibarri, Clinical Social Work/Therapist in 98801, WA
Eleanor Ulibarri
Clinical Social Work/Therapist, MSW, , LCSW, LICSW
Verified Verified
1 Endorsed
Wenatchee, WA 98801
I am a bilingual clinician specializing in cognitive behavioral therapy to assist  children, adolescents and young adults affected by traumatic events.  I emphasize a positive and solution-focused approach. My bilingual skills are essential and I provide services to those seeking treatment in Spanish and English.
I am a bilingual clinician specializing in cognitive behavioral therapy to assist  children, adolescents and young adults affected by traumatic events.  I emphasize a positive and solution-focused approach. My bilingual skills are essential and I provide services to those seeking treatment in Spanish and English.
(509) 291-8732 View (509) 291-8732
Photo of Hope Renewed Counseling, Marriage & Family Therapist Associate in 98801, WA
Hope Renewed Counseling
Marriage & Family Therapist Associate, LMHC, LMFTA, MHP
Verified Verified
Wenatchee, WA 98801
Not accepting new clients
We often experience seasons where we struggle to find hope - hope in relationship, hope through depression or anxiety, hope beyond current circumstances. Is there hope despite any circumstance? We long for a change. We long for someone to hear our hearts, our stories, our circumstances and say “yes, there is hope.” My goal is to help renew that hope in you. I want to walk alongside you, look at all that you are facing and overwhelmed with, and find that spark of hope and foster it.
We often experience seasons where we struggle to find hope - hope in relationship, hope through depression or anxiety, hope beyond current circumstances. Is there hope despite any circumstance? We long for a change. We long for someone to hear our hearts, our stories, our circumstances and say “yes, there is hope.” My goal is to help renew that hope in you. I want to walk alongside you, look at all that you are facing and overwhelmed with, and find that spark of hope and foster it.
(509) 519-4025 View (509) 519-4025
Photo of Maggie Ellis, Counselor in 98801, WA
Maggie Ellis
Counselor, LMHC
Verified Verified
Wenatchee, WA 98801
For the past 30 years I have worked as a mental health counselor to assist people who are struggling with depression and anxiety; those who have had their life shaken by a death, divorce or other life losses; those who feel stuck and want to get their life flowing again;those who struggle with obstacles to help attain their goals,those who deal with chronic health conditions;as well as those who are facing major life changes and need an objective,helpful listener.I have also worked with relationships that need understanding, healing and forgiveness.Change is always possible.
For the past 30 years I have worked as a mental health counselor to assist people who are struggling with depression and anxiety; those who have had their life shaken by a death, divorce or other life losses; those who feel stuck and want to get their life flowing again;those who struggle with obstacles to help attain their goals,those who deal with chronic health conditions;as well as those who are facing major life changes and need an objective,helpful listener.I have also worked with relationships that need understanding, healing and forgiveness.Change is always possible.
(509) 387-0243 View (509) 387-0243
Photo of Tim Bartlett, Counselor in 98801, WA
Tim Bartlett
Counselor, MS, LMHC
Verified Verified
Wenatchee, WA 98801
Are you looking for redemption? For a way through the pain to a place of emotional growth and spiritual freedom? Perhaps today is the day to seek help and begin the journey back to who you were meant to be....Based on Romans 12:2, my counseling approach is to assist clients with the transformation of inaccurate thoughts, beliefs and self-perceptions. I use a strengths-based model grounded in encouragement and practical feedback. I work together with my clients to identify and activate their talents and unrealized spiritual potential to bring about positive change and emotional healing.
Are you looking for redemption? For a way through the pain to a place of emotional growth and spiritual freedom? Perhaps today is the day to seek help and begin the journey back to who you were meant to be....Based on Romans 12:2, my counseling approach is to assist clients with the transformation of inaccurate thoughts, beliefs and self-perceptions. I use a strengths-based model grounded in encouragement and practical feedback. I work together with my clients to identify and activate their talents and unrealized spiritual potential to bring about positive change and emotional healing.
(509) 774-5390 View (509) 774-5390
Photo of Rebecca Ann Gear, Mental Health Counselor in 98801, WA
Rebecca Ann Gear
Mental Health Counselor, LMHC
Verified Verified
3 Endorsed
Wenatchee, WA 98801
Hey there! Welcome! I believe therapy is an invitation to become whole, to live as our authentic selves, to accept and love ourselves fiercely and gently, and to offer that love to one another. The work of therapy can help us sort through the parts of our lives to find authenticity, meaning and healing by keeping, tossing, re-imagining, and recovering the pieces of our life story. We work together with the story of your life to find and see you in all your depth and complexity, strengths and limitations, beauty, and goodness.
Hey there! Welcome! I believe therapy is an invitation to become whole, to live as our authentic selves, to accept and love ourselves fiercely and gently, and to offer that love to one another. The work of therapy can help us sort through the parts of our lives to find authenticity, meaning and healing by keeping, tossing, re-imagining, and recovering the pieces of our life story. We work together with the story of your life to find and see you in all your depth and complexity, strengths and limitations, beauty, and goodness.
(509) 571-2347 View (509) 571-2347
Photo of Miglany Gomila, Psychologist in 98801, WA
Miglany Gomila
Psychologist, PhD
Verified Verified
2 Endorsed
Wenatchee, WA 98801  (Online Only)
Are you struggling to make necessary changes during difficult times of your life? Are you a caregiver that is "running on empty" all the time? Are your health challenges making you feel like you are existing rather than living? Sometimes, these issues requires some guidance, introspection and support that an authentic, warm and professional therapy space can offer. As a licensed psychologist I would be honored to offer that space, one that feels safe to discuss what may be distressing you.
Are you struggling to make necessary changes during difficult times of your life? Are you a caregiver that is "running on empty" all the time? Are your health challenges making you feel like you are existing rather than living? Sometimes, these issues requires some guidance, introspection and support that an authentic, warm and professional therapy space can offer. As a licensed psychologist I would be honored to offer that space, one that feels safe to discuss what may be distressing you.
(509) 712-2263 View (509) 712-2263
Photo of Out of the Miry Clay Counseling Services, Counselor in 98801, WA
Out of the Miry Clay Counseling Services
Counselor, MA, LMHC
Verified Verified
Wenatchee, WA 98801
I welcome those who have been abused, either by physical abuse, sexual, or emotional/psychological. I am level 3 trained for Gottman Couples Counseling as well as specializing in treating those with PTSD ( not related to military). I also work with children that have difficulty in navigating through the trauma that they have suffered.
I welcome those who have been abused, either by physical abuse, sexual, or emotional/psychological. I am level 3 trained for Gottman Couples Counseling as well as specializing in treating those with PTSD ( not related to military). I also work with children that have difficulty in navigating through the trauma that they have suffered.
(509) 381-1031 View (509) 381-1031
Photo of Heidi Whitney, Counselor in 98801, WA
Heidi Whitney
Counselor, LMHC
Verified Verified
Wenatchee, WA 98801
Waitlist for new clients
EMDR trauma practitioner. Combining Traditional and Holistic Care - Integrating the mind, body and spirit, is drawing from our own inner resources to bring healing to all areas of our lives. We can release limited beliefs that keep us stuck, release cellular memories of past trauma's, create healthy shifts in behavioral patterns, nurture loving relationships, improve our physical health and live a conscious and empowered life. In my practice, I blend EMDR (Trauma releasing technique) with Visualization, Cognitive Behavioral interweaves, and Cellular Memory release techniques. Trained in intensive Grief Therapy.
EMDR trauma practitioner. Combining Traditional and Holistic Care - Integrating the mind, body and spirit, is drawing from our own inner resources to bring healing to all areas of our lives. We can release limited beliefs that keep us stuck, release cellular memories of past trauma's, create healthy shifts in behavioral patterns, nurture loving relationships, improve our physical health and live a conscious and empowered life. In my practice, I blend EMDR (Trauma releasing technique) with Visualization, Cognitive Behavioral interweaves, and Cellular Memory release techniques. Trained in intensive Grief Therapy.
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Photo of Christian Fauerso, Counselor in 98801, WA
Christian Fauerso
Counselor, MA, NCC, LMHC, LPC
Verified Verified
1 Endorsed
Wenatchee, WA 98801  (Online Only)
You are just not the same anymore after it happened. You now struggle to sleep, find connection with others, or ultimately experience joy in your life. You are stressed and you wish you could stop thinking about the event(s) but somehow you cannot turn your thoughts away. Perhaps you find yourself avoiding certain topics, places, or people because they remind you too much of what happened. You long to be the person you once were and to have the life you once had. You are tired, worn out, and you need to somehow find a way forward in your life.
You are just not the same anymore after it happened. You now struggle to sleep, find connection with others, or ultimately experience joy in your life. You are stressed and you wish you could stop thinking about the event(s) but somehow you cannot turn your thoughts away. Perhaps you find yourself avoiding certain topics, places, or people because they remind you too much of what happened. You long to be the person you once were and to have the life you once had. You are tired, worn out, and you need to somehow find a way forward in your life.
(509) 341-0496 View (509) 341-0496
Photo of Jesse Regnier, Psychologist in 98801, WA
Jesse Regnier
Psychologist, PsyD, LP
Verified Verified
1 Endorsed
Wenatchee, WA 98801  (Online Only)
We all deserve respect, care, and acceptance. I have a passion for helping people navigate the difficult transitions that can occur in life due to a change in health or other circumstances. I believe that we all do our best given the resources and situation provided, and that a change in perspective or new tool can make all the difference. Besides primarily using a cognitive behavioral therapy framework to address unconscious processes, I have broad experience incorporating existential, spiritual, and meaning based approaches in pursuing growth.
We all deserve respect, care, and acceptance. I have a passion for helping people navigate the difficult transitions that can occur in life due to a change in health or other circumstances. I believe that we all do our best given the resources and situation provided, and that a change in perspective or new tool can make all the difference. Besides primarily using a cognitive behavioral therapy framework to address unconscious processes, I have broad experience incorporating existential, spiritual, and meaning based approaches in pursuing growth.
(509) 236-1517 View (509) 236-1517
Photo of Samantha Nau, Pre-Licensed Professional in 98801, WA
Samantha Nau
Pre-Licensed Professional, LICSWA
Verified Verified
Wenatchee, WA 98801
You have hopeful life expectations that unfortunately sometimes are not met causing deep grief and sorrow. Whether you are grieving the loss of a loved one, a divorce, a traumatic childhood, or life goals it can leave you feeling alone and hopeless. Unmet expectations can cause you to guess your worth making it difficult to make future decisions and build connections with others. You want to feel hopeful and confident in yourself and your future. You want to feel as if you have a purpose through connections with others. My goal is to provide an empathetic, safe, and judgement free space for you to find healing, connection, and hope.
You have hopeful life expectations that unfortunately sometimes are not met causing deep grief and sorrow. Whether you are grieving the loss of a loved one, a divorce, a traumatic childhood, or life goals it can leave you feeling alone and hopeless. Unmet expectations can cause you to guess your worth making it difficult to make future decisions and build connections with others. You want to feel hopeful and confident in yourself and your future. You want to feel as if you have a purpose through connections with others. My goal is to provide an empathetic, safe, and judgement free space for you to find healing, connection, and hope.
(509) 652-2866 View (509) 652-2866
Photo of James Waggoner, Counselor in 98801, WA
James Waggoner
Counselor, MACP, MHP, CMHS, LMHC
Verified Verified
4 Endorsed
Wenatchee, WA 98801
Therapy is a place to take a deep breath and explore what makes you you. It’s a place to get more deeply connected with yourself through processing past and present feelings and experiences. I work best with motivated individuals who are ready to find more authentic ways of showing up in this world. Through consistent therapy, it is my belief that you and I can identify unwanted behaviors and patterns in your life, and learn how to address them with kindness and compassion. By embracing your personal story without judgement or contempt, therapy will invite you toward deeper healing and wholeness.
Therapy is a place to take a deep breath and explore what makes you you. It’s a place to get more deeply connected with yourself through processing past and present feelings and experiences. I work best with motivated individuals who are ready to find more authentic ways of showing up in this world. Through consistent therapy, it is my belief that you and I can identify unwanted behaviors and patterns in your life, and learn how to address them with kindness and compassion. By embracing your personal story without judgement or contempt, therapy will invite you toward deeper healing and wholeness.
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Photo of Peggy D Peterson, Counselor in 98801, WA
Peggy D Peterson
Counselor, MS, LMHC, NCC
Verified Verified
1 Endorsed
Wenatchee, WA 98801
As a counselor with more than twenty years experience in both clinical and private practice settings, my goal is to provide you with a safe, comfortable and secure environment where, together, we will identify your counseling needs. Adult clients find my supportive, practical, holistic approach helpful in gaining understanding and insight into themselves and others. With this new understanding comes positive change. I use a variety of therapy techniques, including cognitive behavioral, interpersonal, relational, coping skill building, and anxiety reduction.
As a counselor with more than twenty years experience in both clinical and private practice settings, my goal is to provide you with a safe, comfortable and secure environment where, together, we will identify your counseling needs. Adult clients find my supportive, practical, holistic approach helpful in gaining understanding and insight into themselves and others. With this new understanding comes positive change. I use a variety of therapy techniques, including cognitive behavioral, interpersonal, relational, coping skill building, and anxiety reduction.
(509) 987-5967 View (509) 987-5967
Photo of Jim Kaing, Counselor in 98801, WA
Jim Kaing
Counselor, MA, LMHCA, NCC
Verified Verified
1 Endorsed
Wenatchee, WA 98801  (Online Only)
Not accepting new clients
My holistic approach integrates physical, mental, emotional, and spiritual forms of well-being. The overall goal is to help individuals develop a deeper understanding of themselves on all these levels. For some, the goal of counseling may be to improve personal, familial, social, and/or community functioning. While for others, the aim is building, self-esteem, reducing anxiety or strengthening coping mechanisms. I provide a safe and non-judgmental space for individuals to unpack emotional and mental distress while working on grounding techniques, challenging unhelpful automatic thoughts, and processing trauma.
My holistic approach integrates physical, mental, emotional, and spiritual forms of well-being. The overall goal is to help individuals develop a deeper understanding of themselves on all these levels. For some, the goal of counseling may be to improve personal, familial, social, and/or community functioning. While for others, the aim is building, self-esteem, reducing anxiety or strengthening coping mechanisms. I provide a safe and non-judgmental space for individuals to unpack emotional and mental distress while working on grounding techniques, challenging unhelpful automatic thoughts, and processing trauma.
(509) 502-6647 View (509) 502-6647

Nearby Searches for 98801

How does your Therapist compare?

Number of Therapists in 98801

60+

Average cost per session

$140

Therapists in 98801 who prioritize treating:

85% Anxiety
77% Depression
77% Trauma and PTSD
73% Relationship Issues
69% Self Esteem
65% Stress
61% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

80% Premera
55% Regence
52% BlueCross and BlueShield

How Therapists in 98801 see their clients

62% In Person and Online
38% Online Only

Gender breakdown

75% Female
22% Male
3% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in 98801?

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.