Photo of Sally Forrest, Counselor, MA, LMHC
Sally Forrest
Counselor, MA, LMHC
Verified Verified
Yakima, WA 98902
Not accepting new clients
We are each doing the best we know how but sometimes events in our lives can overwhelm us and leave us feeling shattered. We move through life with invisible wounds that separate us from ourselves and those we love. It takes courage to be fully present in our own lives and to celebrate our unique strengths. It also takes courage to ask for help when we are struggling to cope. I will work alongside you as you learn transformative skills that empower you with more helpful thoughts, a renewed sense of presence and a safe mind-body connection.
We are each doing the best we know how but sometimes events in our lives can overwhelm us and leave us feeling shattered. We move through life with invisible wounds that separate us from ourselves and those we love. It takes courage to be fully present in our own lives and to celebrate our unique strengths. It also takes courage to ask for help when we are struggling to cope. I will work alongside you as you learn transformative skills that empower you with more helpful thoughts, a renewed sense of presence and a safe mind-body connection.
(509) 233-4763 View (509) 233-4763
Photo of Marion Saulque, Counselor, LMHC
Marion Saulque
Counselor, LMHC
Verified Verified
Yakima, WA 98902
I am a mental health counselor offering a client centered approach and believe that all people can change. Have you been struggling to move past your trauma and feel stuck? Are you experiencing panic/anxiety attacks and depression? Do you feel like the walls are closing in around you, do you feel like running, your heart is racing, you start to feel warm, and maybe you think you’re going to die? Childhood trauma changes who we are, but it does get better. There can be healing so life does not have to be so hard.
I am a mental health counselor offering a client centered approach and believe that all people can change. Have you been struggling to move past your trauma and feel stuck? Are you experiencing panic/anxiety attacks and depression? Do you feel like the walls are closing in around you, do you feel like running, your heart is racing, you start to feel warm, and maybe you think you’re going to die? Childhood trauma changes who we are, but it does get better. There can be healing so life does not have to be so hard.
(509) 253-8660 View (509) 253-8660
Photo of Mark Edward Heeringa, Counselor, MA, LMHC
Mark Edward Heeringa
Counselor, MA, LMHC
Verified Verified
Yakima, WA 98902
Now accepting new clients! Having served in the Yakima Valley for over twenty five years, I am experienced working with people who are facing Depression, Anxiety, PTSD, ADHD, ODD and many other diagnoses. You will not feel like a "diagnosis" in my office however, as I will work with you to develop a customized plan to address your needs and goals. You will be treated with respect and dignity which will allow you the freedom to examine yourself and consider new ways of dealing with problematic patterns and behaviors. Life can be complicated and having the curiosity and courage to try new things is a rewarding way to live.
Now accepting new clients! Having served in the Yakima Valley for over twenty five years, I am experienced working with people who are facing Depression, Anxiety, PTSD, ADHD, ODD and many other diagnoses. You will not feel like a "diagnosis" in my office however, as I will work with you to develop a customized plan to address your needs and goals. You will be treated with respect and dignity which will allow you the freedom to examine yourself and consider new ways of dealing with problematic patterns and behaviors. Life can be complicated and having the curiosity and courage to try new things is a rewarding way to live.
(509) 424-5471 View (509) 424-5471
Photo of Karen Kae Cyr, Counselor, MEd, LMHC
Karen Kae Cyr
Counselor, MEd, LMHC
Verified Verified
Yakima, WA 98902
Counseling is my joy and my passion! I adamantly believe in the resilience of the human spirit and in the ability of people to make positive changes that foster growth and development. I have served in community mental health, inpatient psychiatric, residential, crisis response, and in private practice. I had formal certification in family life education, family, and consumer sciences, with extensive successful experience working with children and families. I use an eclectic approach that includes evidence-based methods such as Cognitive Behavioral Therapy, Trauma Focused CBT, person centered, and ACT to address my clients' needs.
Counseling is my joy and my passion! I adamantly believe in the resilience of the human spirit and in the ability of people to make positive changes that foster growth and development. I have served in community mental health, inpatient psychiatric, residential, crisis response, and in private practice. I had formal certification in family life education, family, and consumer sciences, with extensive successful experience working with children and families. I use an eclectic approach that includes evidence-based methods such as Cognitive Behavioral Therapy, Trauma Focused CBT, person centered, and ACT to address my clients' needs.
(509) 384-3582 View (509) 384-3582
Photo of Leo Lowe, Licensed Mental Health Counselor, MS, LMHC
Leo Lowe
Licensed Mental Health Counselor, MS, LMHC
Verified Verified
2 Endorsed
Yakima, WA 98902
You've felt different your entire life. You've never felt like you fit in with what was expected of you. Because of this you never really got to learn who you really are. You never had a chance to create meaning, joy, and grow into your potential. Often you feel responsible for the demands and needs of others. You are exhausted and it feels like you have to fight every day just for others to see and recognize you for the person you are. You want to be able to see yourself as who you truly are.
You've felt different your entire life. You've never felt like you fit in with what was expected of you. Because of this you never really got to learn who you really are. You never had a chance to create meaning, joy, and grow into your potential. Often you feel responsible for the demands and needs of others. You are exhausted and it feels like you have to fight every day just for others to see and recognize you for the person you are. You want to be able to see yourself as who you truly are.
(509) 463-5737 View (509) 463-5737
Photo of Ariana Villanueva, Counselor, MS, LMHC
Ariana Villanueva
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Online Only
Not accepting new clients
Life is like a rollercoaster. Cheesy, I know, but it’s one of my favorite metaphors for life. It’s filled with so many ups and downs, at times we’re holding on for dear life and at others, we put our hands up in the air and enjoy the ride. It’s helpful to have someone beside you no matter where you are on the journey, and that’s why I’m here. I use a trauma- and attachment-based approach to target mind, body, and soul. Therapy is a collaborative process, you are in the driver's seat and I in the passenger.
Life is like a rollercoaster. Cheesy, I know, but it’s one of my favorite metaphors for life. It’s filled with so many ups and downs, at times we’re holding on for dear life and at others, we put our hands up in the air and enjoy the ride. It’s helpful to have someone beside you no matter where you are on the journey, and that’s why I’m here. I use a trauma- and attachment-based approach to target mind, body, and soul. Therapy is a collaborative process, you are in the driver's seat and I in the passenger.
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Photo of Megan Putnam, Counselor, MA, LMHC
Megan Putnam
Counselor, MA, LMHC
Verified Verified
Yakima, WA 98902
Greetings! I am a licensed therapist working in the Yakima Valley. I have experience treating anxiety/stress, relationship concerns, PTSD, and OCD. I am an lgbtqia+ affirming therapist. I believe you're the expert of your own life. A session with me typically looks like a warm, safe environment where you are able to voice your concerns and feel validated.
Greetings! I am a licensed therapist working in the Yakima Valley. I have experience treating anxiety/stress, relationship concerns, PTSD, and OCD. I am an lgbtqia+ affirming therapist. I believe you're the expert of your own life. A session with me typically looks like a warm, safe environment where you are able to voice your concerns and feel validated.
(509) 233-4307 View (509) 233-4307
Photo of Amy Y Bond, Clinical Social Work/Therapist, LCSW
Amy Y Bond
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Yakima, WA 98902
Hi! I'm Amy Bond, I hold an Advanced Social Work Associate License based out of Yakima, WA. I'm passionate about helping individuals and couples navigate life's challenges and build stronger, more fulfilling relationships. I want to create a safe and supportive space for growth and empower you to achieve your goals and live a more meaningful life. I offer both in-person and virtual sessions, and I'm happy to discuss your needs during a free initial consultation. It would be honored to offer my services to you.
Hi! I'm Amy Bond, I hold an Advanced Social Work Associate License based out of Yakima, WA. I'm passionate about helping individuals and couples navigate life's challenges and build stronger, more fulfilling relationships. I want to create a safe and supportive space for growth and empower you to achieve your goals and live a more meaningful life. I offer both in-person and virtual sessions, and I'm happy to discuss your needs during a free initial consultation. It would be honored to offer my services to you.
(509) 286-2523 View (509) 286-2523
Photo of Robin Perches, Clinical Social Work/Therapist, LCSW
Robin Perches
Clinical Social Work/Therapist, LCSW
Verified Verified
Yakima, WA 98902
Welcome. My name is Robin. Moving through difficult situations can feel isolating and sometimes hopeless. If you are hurting or experiencing problems in major areas of your life due to mental health symptoms or life circumstances I am here to help. Bad past experiences combined with negative social stigma keep us sick. You are not what happened to you or a diagnosis. You are the expert in your human experience. If you are ready to take control of your mental health I will walk beside you. I believe in recovery and wellness. I promise to hear you, see you, and seek to understand your unique experience.
Welcome. My name is Robin. Moving through difficult situations can feel isolating and sometimes hopeless. If you are hurting or experiencing problems in major areas of your life due to mental health symptoms or life circumstances I am here to help. Bad past experiences combined with negative social stigma keep us sick. You are not what happened to you or a diagnosis. You are the expert in your human experience. If you are ready to take control of your mental health I will walk beside you. I believe in recovery and wellness. I promise to hear you, see you, and seek to understand your unique experience.
(509) 257-4201 View (509) 257-4201
Photo of Dr. Victoria Schroder, Mental Health Counselor, PsyD, LMHC, PMH-C
Dr. Victoria Schroder
Mental Health Counselor, PsyD, LMHC, PMH-C
Verified Verified
1 Endorsed
Yakima, WA 98902
Disconnection can show up in so many ways—feeling distant from your partner, struggling with intimacy, questioning your identity after becoming a parent, or carrying the weight of past difficult experiences. At Valley Therapy, you’ll find specialized support in the areas of life where disconnection can feel the most painful and overwhelming.
Disconnection can show up in so many ways—feeling distant from your partner, struggling with intimacy, questioning your identity after becoming a parent, or carrying the weight of past difficult experiences. At Valley Therapy, you’ll find specialized support in the areas of life where disconnection can feel the most painful and overwhelming.
(509) 257-8322 View (509) 257-8322
Photo of Laura Riel, Clinical Social Work/Therapist, LICSW
Laura Riel
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Yakima, WA 98902
Feeling stuck or out of sorts? Depression and/or anxiety can do that to us. Whether you have struggled with this for a while, or life changes have you feeling anxious or depressed, I would love to work with you on getting unstuck! Even “happy” life changes can bring about harsh realities. Therapy with me is an authentic, genuine, and safe space to share and challenge thoughts, feelings and life situations. Additionally, if you are struggling with infertility, birth trauma or postpartum challenges, please reach out. I also have years of experience with teens and young adults and welcome a 15 min call.
Feeling stuck or out of sorts? Depression and/or anxiety can do that to us. Whether you have struggled with this for a while, or life changes have you feeling anxious or depressed, I would love to work with you on getting unstuck! Even “happy” life changes can bring about harsh realities. Therapy with me is an authentic, genuine, and safe space to share and challenge thoughts, feelings and life situations. Additionally, if you are struggling with infertility, birth trauma or postpartum challenges, please reach out. I also have years of experience with teens and young adults and welcome a 15 min call.
(509) 471-0828 View (509) 471-0828
Photo of Kimberly Lunning - Kimberly Lunning & Associates, PS, Counselor, LMHC, MHP, SUDP
Kimberly Lunning & Associates, PS
Counselor, LMHC, MHP, SUDP
Verified Verified
Yakima, WA 98902
As free human beings we have the gift of making choices in our life. One big choice is taking the opportunity to reach out for support and guidance when we aren’t operating at our optimal level. We often minimize our mental health needs; however, it is of vital importance to our overall well-being. Whatever your mental health needs are, the key role of a therapist is establishing a good therapeutic relationship. They need to be willing to walk with you for a time on your own individual journey. I am honored to be a therapist and have that opportunity to work with you.
As free human beings we have the gift of making choices in our life. One big choice is taking the opportunity to reach out for support and guidance when we aren’t operating at our optimal level. We often minimize our mental health needs; however, it is of vital importance to our overall well-being. Whatever your mental health needs are, the key role of a therapist is establishing a good therapeutic relationship. They need to be willing to walk with you for a time on your own individual journey. I am honored to be a therapist and have that opportunity to work with you.
(509) 424-5388 View (509) 424-5388
Photo of Lynsey Westfall, Counselor, MS, LMHC, NCC
Lynsey Westfall
Counselor, MS, LMHC, NCC
Verified Verified
Yakima, WA 98902
Waitlist for new clients
Do you often find yourself thinking that life shouldn’t be this hard? Perhaps you feel misunderstood, exhausted from masking or overwhelmed by the challenges of navigating a world that doesn't understand your neurodivergent experience? Perhaps you’re trying to figure out what it means to be an adult or parent or professional and you find yourself feeling like an imposter? Perhaps you’re a parent desperately trying to find the balance of supporting your child while honoring your own needs and sifting through the endless information and pressures thrust upon us? It’s a lot and often it can feel like too much.
Do you often find yourself thinking that life shouldn’t be this hard? Perhaps you feel misunderstood, exhausted from masking or overwhelmed by the challenges of navigating a world that doesn't understand your neurodivergent experience? Perhaps you’re trying to figure out what it means to be an adult or parent or professional and you find yourself feeling like an imposter? Perhaps you’re a parent desperately trying to find the balance of supporting your child while honoring your own needs and sifting through the endless information and pressures thrust upon us? It’s a lot and often it can feel like too much.
(509) 563-7787 View (509) 563-7787
Photo of Sandra Elsner, Clinical Social Work/Therapist, MSW, LICSW
Sandra Elsner
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Yakima, WA 98902
Are you feeling stuck or overwhelmed? Are unwanted thoughts and memories causing distress? I specialize in treatment for trauma related issues including childhood trauma, sexual assault, and domestic violence. There is hope for recovery and healing from the wounds of trauma. In a secure and supportive environment, you can develop more positive thinking strategies, and acquire coping skills to help you achieve positive life change. In addition to trauma, I treat a variety of other issues including depression, grief and loss, anxiety, and stress.
Are you feeling stuck or overwhelmed? Are unwanted thoughts and memories causing distress? I specialize in treatment for trauma related issues including childhood trauma, sexual assault, and domestic violence. There is hope for recovery and healing from the wounds of trauma. In a secure and supportive environment, you can develop more positive thinking strategies, and acquire coping skills to help you achieve positive life change. In addition to trauma, I treat a variety of other issues including depression, grief and loss, anxiety, and stress.
(509) 512-1780 View (509) 512-1780
Photo of Kristin Elizabeth - Kristin Elizabeth Counseling, Clinical Social Work/Therapist, LICSW, SUDP, MHP
Kristin Elizabeth Counseling
Clinical Social Work/Therapist, LICSW, SUDP, MHP
Verified Verified
Online Only
I believe that everyone has the capacity to create change and gain skills toward aligning their behavior with their values.
I believe that everyone has the capacity to create change and gain skills toward aligning their behavior with their values.
(206) 984-6412 View (206) 984-6412
Photo of Pamela D Russell, Clinical Social Work/Therapist, LICSW
Pamela D Russell
Clinical Social Work/Therapist, LICSW
Verified Verified
Yakima, WA 98902
Waitlist for new clients
Hi. I specialize in assisting adults who are struggling to manage high levels of stress. I have many years of experience working with adults in all stages of life and provide therapy for individuals struggling with Anxiety, Depression, ADHD, Mood disorders, Chronic pain and Trauma. I am able to take Aetna, Premera, Regence and Cigna and United Healthcare and other insurances for in person visits. Please reach out via email if your insurance is not on my list. I can take almost all insurances via telehealth through MTG. You deserve to feel better!
Hi. I specialize in assisting adults who are struggling to manage high levels of stress. I have many years of experience working with adults in all stages of life and provide therapy for individuals struggling with Anxiety, Depression, ADHD, Mood disorders, Chronic pain and Trauma. I am able to take Aetna, Premera, Regence and Cigna and United Healthcare and other insurances for in person visits. Please reach out via email if your insurance is not on my list. I can take almost all insurances via telehealth through MTG. You deserve to feel better!
(509) 260-2753 View (509) 260-2753
Photo of Philip Gregg Hires, Clinical Social Work/Therapist, LICSW
Philip Gregg Hires
Clinical Social Work/Therapist, LICSW
Verified Verified
Yakima, WA 98902
Seeking professional counseling takes courage. The reality is that most people would benefit from counseling. Therapy can help you manage life's challenges and live a more fulfilled life. It can help you understand what you are feeling, why and how to cope. Relationship counseling is similar to hiring a professional marriage/relationship "coach". Education, training, experience and life lived all equip a counselor to be helpful. I began my career as a counselor and later as Director of Counseling at the Flying H Youth Ranch for troubled teen boys and their families 40+ years ago.
Seeking professional counseling takes courage. The reality is that most people would benefit from counseling. Therapy can help you manage life's challenges and live a more fulfilled life. It can help you understand what you are feeling, why and how to cope. Relationship counseling is similar to hiring a professional marriage/relationship "coach". Education, training, experience and life lived all equip a counselor to be helpful. I began my career as a counselor and later as Director of Counseling at the Flying H Youth Ranch for troubled teen boys and their families 40+ years ago.
(509) 245-1241 View (509) 245-1241
Photo of Riyon Hutton, Counselor, LMHC, LPCC
Riyon Hutton
Counselor, LMHC, LPCC
Verified Verified
Yakima, WA 98902
You've probably asked yourself a hundred times, why am I so anxious? Why can't I control my life? Maybe your brain won't turn off at night, decision-making feels impossible, or even basic tasks like washing the dishes drain your energy. ADHD, anxiety, and creative burnout can be overwhelming, especially when they show up in every part of life, work, your relationships, kids and your parenting. You want that authentic confidence and to sustain changes in your life. You know you're ready to commit to doing the hard things. We'll use real data to track your progress. So we're not just talking, we're making measurable results.
You've probably asked yourself a hundred times, why am I so anxious? Why can't I control my life? Maybe your brain won't turn off at night, decision-making feels impossible, or even basic tasks like washing the dishes drain your energy. ADHD, anxiety, and creative burnout can be overwhelming, especially when they show up in every part of life, work, your relationships, kids and your parenting. You want that authentic confidence and to sustain changes in your life. You know you're ready to commit to doing the hard things. We'll use real data to track your progress. So we're not just talking, we're making measurable results.
(509) 284-9160 View (509) 284-9160
Photo of Emily Vickerman - Soul Care Center Of The West Coast, Counselor, LMHC-A, MA
Emily Vickerman - Soul Care Center Of The West Coast
Counselor, LMHC-A, MA
Verified Verified
Online Only
People don't get OCD. It's lonely. And if you've never experienced it, you don't know how difficult life can get. I've been there and I help my clients work through it too. I work with women navigating anxiety, OCD, relationship issues, and/or faith struggles. It is an honor to be able to help you navigate your pain while also helping you to push through barriers and make meaningful changes. My goal is to listen and validate your experience while also offering practical tools. I utilize various evidence-based therapies tailored to you.
People don't get OCD. It's lonely. And if you've never experienced it, you don't know how difficult life can get. I've been there and I help my clients work through it too. I work with women navigating anxiety, OCD, relationship issues, and/or faith struggles. It is an honor to be able to help you navigate your pain while also helping you to push through barriers and make meaningful changes. My goal is to listen and validate your experience while also offering practical tools. I utilize various evidence-based therapies tailored to you.
(509) 286-2528 View (509) 286-2528
Photo of Debby Gefroh, Counselor, LMHC, MA
Debby Gefroh
Counselor, LMHC, MA
Verified Verified
Yakima, WA 98902
I take pride in dedicating my time and attention to each individual, and each individual circumstance. First session is set at a very affordable rate to see if we are a good fit in working together. I find this to be at the top of the list of importance in reaching success. I strive for success. If you are truly in search of answers and results, and ready to dedicate yourself in finding peace and happiness reach out. My past experience with the formal qualifications, as well as.. life experience, and severe situational work can help you to find answers quickly. Don't waste excess money and time. Find answers & happiness.
I take pride in dedicating my time and attention to each individual, and each individual circumstance. First session is set at a very affordable rate to see if we are a good fit in working together. I find this to be at the top of the list of importance in reaching success. I strive for success. If you are truly in search of answers and results, and ready to dedicate yourself in finding peace and happiness reach out. My past experience with the formal qualifications, as well as.. life experience, and severe situational work can help you to find answers quickly. Don't waste excess money and time. Find answers & happiness.
(509) 402-1565 View (509) 402-1565
1

See more therapy options for 98902

How does your Therapist compare?

Number of Therapists in 98902

80+

Average cost per session

$150

Therapists in 98902 who prioritize treating:

91% Depression
88% Anxiety
74% Relationship Issues
74% Self Esteem
73% Trauma and PTSD
71% Coping Skills
63% Stress

Average years in practice

10 Years

Top 3 insurances accepted

91% Premera Blue Cross
91% Regence
76% First Choice Health | FCH

How Therapists in 98902 see their clients

70% In Person and Online
30% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98902?

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.