Therapists in 99352

Photo of Darla Nicole Carpenter, Clinical Social Work/Therapist, SWAIC, MSW, CDP
Darla Nicole Carpenter
Clinical Social Work/Therapist, SWAIC, MSW, CDP
1 Endorsed
Richland, WA 99352
When life feels overwhelming or uncertain, knowing where to begin can be difficult. You don’t have to face it alone. In our work together, we’ll gently explore the thoughts and patterns that may be holding you back, build on your strengths, and create a path forward that feels true to who you are. Whether you’re navigating anxiety, depression, substance use, or major life transitions, I offer a supportive, practical, and individualized approach. This is a space to move beyond simply getting through the day and begin building a life that feels meaningful and fulfilling—transforming challenges into opportunities for growth.
When life feels overwhelming or uncertain, knowing where to begin can be difficult. You don’t have to face it alone. In our work together, we’ll gently explore the thoughts and patterns that may be holding you back, build on your strengths, and create a path forward that feels true to who you are. Whether you’re navigating anxiety, depression, substance use, or major life transitions, I offer a supportive, practical, and individualized approach. This is a space to move beyond simply getting through the day and begin building a life that feels meaningful and fulfilling—transforming challenges into opportunities for growth.
(509) 792-3494 View (509) 792-3494
Photo of Mary Jane Poulson, Counselor, MA, LMHC, CMHS, NCC
Mary Jane Poulson
Counselor, MA, LMHC, CMHS, NCC
Richland, WA 99352
Hi, my name is Mary Jane Poulson; I go by "Jane". I have worked in the helping profession for over 30 years with a primary focus on the treatment of anxiety, depression and trauma. I have worked with issues ranging from chronic mental disorders to major life stressors. I understand how difficult it can be to find someone to feel comfortable enough to share your thoughts and feelings, and how emotional distress and unhelpful thinking can contribute to dysfunctional behaviors perpetuating your pain and suffering. When talking to family or friends isn't enough, it's time to find a professional you can trust to help you move forward.
Hi, my name is Mary Jane Poulson; I go by "Jane". I have worked in the helping profession for over 30 years with a primary focus on the treatment of anxiety, depression and trauma. I have worked with issues ranging from chronic mental disorders to major life stressors. I understand how difficult it can be to find someone to feel comfortable enough to share your thoughts and feelings, and how emotional distress and unhelpful thinking can contribute to dysfunctional behaviors perpetuating your pain and suffering. When talking to family or friends isn't enough, it's time to find a professional you can trust to help you move forward.
(509) 612-7305 View (509) 612-7305
Photo of Michelle Hanson, Counselor, LMHC
Michelle Hanson
Counselor, LMHC
Richland, WA 99352
As we travel our journey, there are times that we need extra help and support. Especially, to move through the rough and uncomfortable times. In therapy, I believe it is important to meet people at what stage they are in while making that journey. This allows us to build the right tool box to equip them for success. I have over 20 years of experience working with adults, teenagers, and adolescents. My experience has been around helping individuals with anxiety, depression, parenting, behavior management, trauma, and other life stressors.
As we travel our journey, there are times that we need extra help and support. Especially, to move through the rough and uncomfortable times. In therapy, I believe it is important to meet people at what stage they are in while making that journey. This allows us to build the right tool box to equip them for success. I have over 20 years of experience working with adults, teenagers, and adolescents. My experience has been around helping individuals with anxiety, depression, parenting, behavior management, trauma, and other life stressors.
(509) 738-1437 View (509) 738-1437
Photo of Michael Sweepe, Licensed Mental Health Counselor , LMHC
Michael Sweepe
Licensed Mental Health Counselor , LMHC
Richland, WA 99352
I work with teens, adults, families, and couples and strive to provide a space that is safe, nonjudgmental, accepting and supportive. With that foundation of trust and understanding we can address trauma, attachment wounds, unhelpful patterns, stuck-ness, communication breakdowns, and much more. My approach is client centered and I'm passionate about helping people work through past hurts and unresolved issues, find more peace, build confidence, and rediscover the richness that life has to offer.
I work with teens, adults, families, and couples and strive to provide a space that is safe, nonjudgmental, accepting and supportive. With that foundation of trust and understanding we can address trauma, attachment wounds, unhelpful patterns, stuck-ness, communication breakdowns, and much more. My approach is client centered and I'm passionate about helping people work through past hurts and unresolved issues, find more peace, build confidence, and rediscover the richness that life has to offer.
(509) 632-3638 View (509) 632-3638
Photo of Katelyn Reseck, Marriage & Family Therapist Associate, MA, LMFTA, LMHCA
Katelyn Reseck
Marriage & Family Therapist Associate, MA, LMFTA, LMHCA
2 Endorsed
Richland, WA 99352
Many couples face rough patches in their relationships. If you are in the middle of a challenge of your own, there's hope. You and your partner can learn to connect and communicate better. Using Emotionally Focused Couples Therapy (EFCT), I work with couples to discover what's at the root of your struggles as a couple. We will work together to change unhelpful patterns between you to build more trust, security, and love. Whether you are looking to strengthen your already great love story, or recover from a recent or past hurt, I'm here to help.
Many couples face rough patches in their relationships. If you are in the middle of a challenge of your own, there's hope. You and your partner can learn to connect and communicate better. Using Emotionally Focused Couples Therapy (EFCT), I work with couples to discover what's at the root of your struggles as a couple. We will work together to change unhelpful patterns between you to build more trust, security, and love. Whether you are looking to strengthen your already great love story, or recover from a recent or past hurt, I'm here to help.
(509) 512-2808 View (509) 512-2808
Photo of Elise Nelson, Clinical Social Work/Therapist, Elise , Nelson, LICSW
Elise Nelson
Clinical Social Work/Therapist, Elise , Nelson, LICSW
1 Endorsed
Richland, WA 99352
Taking the first step into therapy can feel overwhelming, especially when you're still finding the right person to talk to. I want you to know, you don't have to figure it all out alone. My goal is to create a warm, judgment-free space where you can truly be yourself and untangle whatever feels confusing or heavy right now. I know it takes real courage to open up, and I deeply respect that. Whether you're feeling stuck, searching for clarity, or just need someone in your corner, I'm here to walk alongside you. Together, we'll explore what matters most to you and help you feel more grounded and empowered.
Taking the first step into therapy can feel overwhelming, especially when you're still finding the right person to talk to. I want you to know, you don't have to figure it all out alone. My goal is to create a warm, judgment-free space where you can truly be yourself and untangle whatever feels confusing or heavy right now. I know it takes real courage to open up, and I deeply respect that. Whether you're feeling stuck, searching for clarity, or just need someone in your corner, I'm here to walk alongside you. Together, we'll explore what matters most to you and help you feel more grounded and empowered.
(509) 236-8910 View (509) 236-8910
Photo of Nick Paulakis, Counselor, LMHCA, NCC, MEd
Nick Paulakis
Counselor, LMHCA, NCC, MEd
Richland, WA 99352
I am a mental health counselor with a passion for supporting children, adolescents, as well as adults. After over ten years serving in the U.S. Air Force, working and training young airmen, I have worked in public schools as a teacher and a School Counselor. I understand the unique challenges we all face and strive to create a safe, nurturing space where people can grow emotionally and socially.
I am a mental health counselor with a passion for supporting children, adolescents, as well as adults. After over ten years serving in the U.S. Air Force, working and training young airmen, I have worked in public schools as a teacher and a School Counselor. I understand the unique challenges we all face and strive to create a safe, nurturing space where people can grow emotionally and socially.
(509) 581-5546 View (509) 581-5546
Photo of Mathew John Cummings, Clinical Social Work/Therapist, LICSW, CSOTP, CMHP
Mathew John Cummings
Clinical Social Work/Therapist, LICSW, CSOTP, CMHP
Richland, WA 99352
My therapeutic method includes using a blend of the current proven treatment modalities including the Strengths Perspective, Dialectical Behavioral Therapy and Cognitive Behavioral Therapy in order to meet each clients needs as an individual and in order to empower clients to make changes in their lives. In the 20 years I have been in this field in Tri-Cities, Washington I have seen over 2000 children, adolescents, and adults having spent over 150,000 hours in psychotherapy sessions assisting clients in navigating through difficult situations resulting from divorce, relationship issues, sexual addiction, anger, depression, anxiety, and feelings of discontent.
My therapeutic method includes using a blend of the current proven treatment modalities including the Strengths Perspective, Dialectical Behavioral Therapy and Cognitive Behavioral Therapy in order to meet each clients needs as an individual and in order to empower clients to make changes in their lives. In the 20 years I have been in this field in Tri-Cities, Washington I have seen over 2000 children, adolescents, and adults having spent over 150,000 hours in psychotherapy sessions assisting clients in navigating through difficult situations resulting from divorce, relationship issues, sexual addiction, anger, depression, anxiety, and feelings of discontent.
(509) 293-9076 View (509) 293-9076
Photo of Fernando Rios, Counselor, PLC
Fernando Rios
Counselor, PLC
Richland, WA 99352
My Counseling Approach is based on a professional, honest, and consistent relationship with my clients. Through Cognitive Therapy clients will learn how to develop coping skills to live and enjoy a better quality of life. Clients will also learn how to accept and embrace life's turning points and become empowered to lead a more positive and productive life.
My Counseling Approach is based on a professional, honest, and consistent relationship with my clients. Through Cognitive Therapy clients will learn how to develop coping skills to live and enjoy a better quality of life. Clients will also learn how to accept and embrace life's turning points and become empowered to lead a more positive and productive life.
(509) 392-7717 View (509) 392-7717
Photo of Max Kovatch, Clinical Social Work/Therapist, LICSW, CMHS, MHP
Max Kovatch
Clinical Social Work/Therapist, LICSW, CMHS, MHP
4 Endorsed
Richland, WA 99352
AS OF 01/09/2026: Currently accepting a few new clients for morning and afternoon times - Trying to focus on one task at a time can be challenging and sometimes boring. Emotions then take over and you find ways to release that tension in a negative way. During this time, it can cause conflict between family members, peers, and/or significant others. These negative thoughts/actions are easy to express and obvious strengths are pushed to the side. Having someone who has gone through this personally/professionally can provide active solutions, which can help develop a sense of ease and comfort within the family and individual.
AS OF 01/09/2026: Currently accepting a few new clients for morning and afternoon times - Trying to focus on one task at a time can be challenging and sometimes boring. Emotions then take over and you find ways to release that tension in a negative way. During this time, it can cause conflict between family members, peers, and/or significant others. These negative thoughts/actions are easy to express and obvious strengths are pushed to the side. Having someone who has gone through this personally/professionally can provide active solutions, which can help develop a sense of ease and comfort within the family and individual.
(509) 233-4268 View (509) 233-4268
Photo of Keilani P. Mason, Counselor, MA, LMHC
Keilani P. Mason
Counselor, MA, LMHC
1 Endorsed
Richland, WA 99352
Are you ready to feel free from the negative self talk keeping you down? Being vulnerable is the bravest thing any of us can do. I feel honored to be present with my clients as they work through their barriers, trauma, and anxiety to reach an authentic and fulfilling life. I love helping my clients develop a healthy self esteem and healthy boundaries. I am committed to providing honest feedback, empathy, and vulnerability as you explore the areas of your life you want to process through. When we create inner change we are able to find fulfillment and healing.
Are you ready to feel free from the negative self talk keeping you down? Being vulnerable is the bravest thing any of us can do. I feel honored to be present with my clients as they work through their barriers, trauma, and anxiety to reach an authentic and fulfilling life. I love helping my clients develop a healthy self esteem and healthy boundaries. I am committed to providing honest feedback, empathy, and vulnerability as you explore the areas of your life you want to process through. When we create inner change we are able to find fulfillment and healing.
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Photo of Stan A Woody, Counselor, MS, LMHC
Stan A Woody
Counselor, MS, LMHC
1 Endorsed
Richland, WA 99352
You don’t have to be sick to be Building Healthier Relationships (BHR). BHR is about developing a better toolbox to enhance relationships with yourself and others, and to provide a safe, nurturing environment for learning and healing. Life isn’t just a bowl of cherries—it also includes the PITs. In life, the PITs (Prevention, Intervention, and Treatment) provide the seeds for future cherries. While we are all victims at times, healing starts with moving from a victim mentality of blaming others to the survivor mentality of taking responsibility—not for what happened in the past, but for how to go forward.
You don’t have to be sick to be Building Healthier Relationships (BHR). BHR is about developing a better toolbox to enhance relationships with yourself and others, and to provide a safe, nurturing environment for learning and healing. Life isn’t just a bowl of cherries—it also includes the PITs. In life, the PITs (Prevention, Intervention, and Treatment) provide the seeds for future cherries. While we are all victims at times, healing starts with moving from a victim mentality of blaming others to the survivor mentality of taking responsibility—not for what happened in the past, but for how to go forward.
(509) 299-8214 View (509) 299-8214
Photo of Jacob Spanjer - The Therapy Corner / Jacob Spanjer, Clinical Social Work/Therapist, MSW, LSWAIC
The Therapy Corner / Jacob Spanjer
Clinical Social Work/Therapist, MSW, LSWAIC
Richland, WA 99352
Are you in need of something more, something else? Is there something missing, void, or lacking? Searching for a difference? These questions may have you considering therapy, let me accompany you in a journey for the answers.
Are you in need of something more, something else? Is there something missing, void, or lacking? Searching for a difference? These questions may have you considering therapy, let me accompany you in a journey for the answers.
(509) 713-7525 View (509) 713-7525
Photo of Kim Lemus, Clinical Social Work/Therapist, LCSW
Kim Lemus
Clinical Social Work/Therapist, LCSW
16 Endorsed
Richland, WA 99352
I am currently accepting new clients and would be honored to offer you as safe, nonjudgemental space to share your story. My approach centers on helping you feel truly seen and understood, while gently exploring how your past experiences including your upbringing and early relationships may still be shaping your life today. whether you're struggling with anxiety, self-esteem, relationship patters or simply feeling "stuck," our work together can help you build awareness and create meaningful change.
I am currently accepting new clients and would be honored to offer you as safe, nonjudgemental space to share your story. My approach centers on helping you feel truly seen and understood, while gently exploring how your past experiences including your upbringing and early relationships may still be shaping your life today. whether you're struggling with anxiety, self-esteem, relationship patters or simply feeling "stuck," our work together can help you build awareness and create meaningful change.
(509) 397-7639 View (509) 397-7639
Photo of Dr. Allison Carrington, Clinical Social Work/Therapist, PhD, LSWAIC
Dr. Allison Carrington
Clinical Social Work/Therapist, PhD, LSWAIC
3 Endorsed
Richland, WA 99352
Are you feeling stuck, burned out, or unsure of who you are or what you want? I help people discover their true identities and clarify what matters most so they can live more meaningful, authentic, fulfilling lives. I am LGBTQ+ and neurodivergent- centered, and I’m passionate about creating a safe, respectful, nonjudgmental space where vulnerability, trust, healing, and growth can thrive. I support clients through life transitions, rebuilding self-worth and motivation, deepening relationships, exploring identity, feeling overwhelmed with food and exercise, and struggling with anxiety, depression, and trauma.
Are you feeling stuck, burned out, or unsure of who you are or what you want? I help people discover their true identities and clarify what matters most so they can live more meaningful, authentic, fulfilling lives. I am LGBTQ+ and neurodivergent- centered, and I’m passionate about creating a safe, respectful, nonjudgmental space where vulnerability, trust, healing, and growth can thrive. I support clients through life transitions, rebuilding self-worth and motivation, deepening relationships, exploring identity, feeling overwhelmed with food and exercise, and struggling with anxiety, depression, and trauma.
(509) 800-5206 View (509) 800-5206
Photo of Adriana G. Saenz, Counselor, MA, LMHC
Adriana G. Saenz
Counselor, MA, LMHC
Richland, WA 99352
Are you or your teen experiencing symptoms of Anxiety or Depression? Perhaps there are struggles with daily responsibilities, relationships, communication or low self-esteem? Has your family experienced a life changing event such as a loss or traumatic experience? I specialize in providing the necessary tools that are needed to cope and engage in healthy behaviors. I use strength and evidenced-based orientations to foster growth, change and gain insight. Together we'll identify solutions and work on issues that are important to you and or your family.
Are you or your teen experiencing symptoms of Anxiety or Depression? Perhaps there are struggles with daily responsibilities, relationships, communication or low self-esteem? Has your family experienced a life changing event such as a loss or traumatic experience? I specialize in providing the necessary tools that are needed to cope and engage in healthy behaviors. I use strength and evidenced-based orientations to foster growth, change and gain insight. Together we'll identify solutions and work on issues that are important to you and or your family.
(509) 774-5385 View (509) 774-5385
Photo of Katie Carter, Clinical Social Work/Therapist, LICSW, MHP, CMHS
Katie Carter
Clinical Social Work/Therapist, LICSW, MHP, CMHS
3 Endorsed
Richland, WA 99352
Please email me to connect. I work with teens and young adults. We would be a good fit if you’re looking for support with: depression, anxiety, anger, mood instability, self-esteem, creating healthy relationships with others (parents, partners, & peers), teen dating violence, self-injury, or life transitions.
Please email me to connect. I work with teens and young adults. We would be a good fit if you’re looking for support with: depression, anxiety, anger, mood instability, self-esteem, creating healthy relationships with others (parents, partners, & peers), teen dating violence, self-injury, or life transitions.
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Photo of Katie Haynes, Counselor, MA, LMHC
Katie Haynes
Counselor, MA, LMHC
4 Endorsed
Richland, WA 99352
Welcome. I'm so glad you're here. Taking this initial step to reach out and pursue therapy can be a powerful act of self-love. I wholeheartedly believe that you have inside of you everything that you need to change, grow and heal. My role is to facilitate and support that natural resource, as we work together toward your goals. I specialize in working with adults and adolescents dealing with anxiety, depression, healing from trauma (past or present), navigating difficult life transitions, or those wanting to learn more about their own emotions and relationship patterns.
Welcome. I'm so glad you're here. Taking this initial step to reach out and pursue therapy can be a powerful act of self-love. I wholeheartedly believe that you have inside of you everything that you need to change, grow and heal. My role is to facilitate and support that natural resource, as we work together toward your goals. I specialize in working with adults and adolescents dealing with anxiety, depression, healing from trauma (past or present), navigating difficult life transitions, or those wanting to learn more about their own emotions and relationship patterns.
(509) 260-2120 View (509) 260-2120
Photo of Stephanie Kiesel-Kauhane - Healings Within, PLLC, Marriage & Family Therapist Associate, MA, LMFTA
Healings Within, PLLC
Marriage & Family Therapist Associate, MA, LMFTA
2 Endorsed
Richland, WA 99352
Maybe you’re someone who’s always put others’ needs before your own—always the helper, rarely the helped. If that sounds like you, I want you to know how much strength it takes to pause and say, “I need something too.” I’m truly glad you’ve made it this far. You deserve support, and you don’t have to carry everything alone. I work with individuals and couples navigating life’s challenges, offering a safe, compassionate space free of judgment. Together, we’ll explore your emotions, help you find your voice, and uncover the strengths within you. From this foundation, healing and growth become possible.
Maybe you’re someone who’s always put others’ needs before your own—always the helper, rarely the helped. If that sounds like you, I want you to know how much strength it takes to pause and say, “I need something too.” I’m truly glad you’ve made it this far. You deserve support, and you don’t have to carry everything alone. I work with individuals and couples navigating life’s challenges, offering a safe, compassionate space free of judgment. Together, we’ll explore your emotions, help you find your voice, and uncover the strengths within you. From this foundation, healing and growth become possible.
(509) 620-1775 View (509) 620-1775
Photo of Holly Sciuto, Counselor, MS, LMHCA, NCC
Holly Sciuto
Counselor, MS, LMHCA, NCC
2 Endorsed
Richland, WA 99352
Life's challenges can often feel overwhelming, leaving you struggling to maintain the life you envision for yourself as things begin to pile up, regardless of how big or small. In such moments, having a safe, supportive space to share your struggles can help you feel less alone, cultivate hope, and shift life from a burden to a joy. Children, teens, and young adults all have unique needs that require different forms of listening and engaging in order to promote well-being and enhance their quality of life.
Life's challenges can often feel overwhelming, leaving you struggling to maintain the life you envision for yourself as things begin to pile up, regardless of how big or small. In such moments, having a safe, supportive space to share your struggles can help you feel less alone, cultivate hope, and shift life from a burden to a joy. Children, teens, and young adults all have unique needs that require different forms of listening and engaging in order to promote well-being and enhance their quality of life.
(509) 463-5905 View (509) 463-5905

See more therapy options for 99352

How does your Therapist compare?

Number of Therapists in 99352

100+

Average cost per session

$150

Therapists in 99352 who prioritize treating:

93% Anxiety
89% Depression
79% Self Esteem
77% Relationship Issues
74% Trauma and PTSD
73% Coping Skills
73% Stress

Average years in practice

10 Years

Top 3 insurances accepted

88% Premera Blue Cross
76% BlueCross and BlueShield
75% Aetna

How Therapists in 99352 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

79% Female
20% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 99352?

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.