Photo of Shaanti Anne Lawrence, Psychologist in 99354, WA
Shaanti Anne Lawrence
Psychologist, PsyD
Verified Verified
Richland, WA 99354
Sometimes life can feel overwhelming. Pressures from work, people we care about, negative feelings, and/or physical problems interfere with our ability to be our best. I am here to help you. I will work with you in a sensitive, respectful, and caring way to improve your situation. My goal is to help you build your confidence and resilience, gain a mental edge so you can be your best, and deal with stress. I can also help you improve your relationships, develop a more effective communication style, and eliminate unhealthy habits. I believe life it too short to be miserable.
Sometimes life can feel overwhelming. Pressures from work, people we care about, negative feelings, and/or physical problems interfere with our ability to be our best. I am here to help you. I will work with you in a sensitive, respectful, and caring way to improve your situation. My goal is to help you build your confidence and resilience, gain a mental edge so you can be your best, and deal with stress. I can also help you improve your relationships, develop a more effective communication style, and eliminate unhealthy habits. I believe life it too short to be miserable.
(509) 946-7012 View (509) 946-7012
Photo of Amanda k Rukavina, Counselor in 99354, WA
Amanda k Rukavina
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Richland, WA 99354
Not accepting new clients
Relationship with others is a primary motivating force in our lives, it is a basic need we all seek to meet in different ways. Non-judgmental collaboration with clients to help discover the emotional patterns in their lives and relationships that can cause and/or maintain distress, with the goal of creating more adaptive and fulfilling responses, is the main focus of the work we do. We will team up to identify the needs underlying your emotions and thoughts and we will work to find clearer and more authentic ways of communicating those needs so that they can finally be met.
Relationship with others is a primary motivating force in our lives, it is a basic need we all seek to meet in different ways. Non-judgmental collaboration with clients to help discover the emotional patterns in their lives and relationships that can cause and/or maintain distress, with the goal of creating more adaptive and fulfilling responses, is the main focus of the work we do. We will team up to identify the needs underlying your emotions and thoughts and we will work to find clearer and more authentic ways of communicating those needs so that they can finally be met.
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Photo of Erin Silva, Counselor in 99354, WA
Erin Silva
Counselor, LMHC, CSAT-C, EMDR
Verified Verified
2 Endorsed
Richland, WA 99354
I am a specialist in treating sex addiction/betrayal trauma as well as it's related issues: depression, anxiety, etc. I also treat family members and spouses who have been affected by addiction and find themselves dealing with betrayal trauma. I am a Certified Sex Addiction Therapist (CSAT) and have been working with betrayal trauma and addiction for many years. In our office we work as a team to help both the individual and the couple recover from the impact of addiction and move forward in meaningful ways. As a trauma specialist I am also an EMDR and ART (Accelerated Resolution Therapy) provider.
I am a specialist in treating sex addiction/betrayal trauma as well as it's related issues: depression, anxiety, etc. I also treat family members and spouses who have been affected by addiction and find themselves dealing with betrayal trauma. I am a Certified Sex Addiction Therapist (CSAT) and have been working with betrayal trauma and addiction for many years. In our office we work as a team to help both the individual and the couple recover from the impact of addiction and move forward in meaningful ways. As a trauma specialist I am also an EMDR and ART (Accelerated Resolution Therapy) provider.
(509) 309-0153 View (509) 309-0153
Photo of A Tranquil Mind Clinical Hypnotherapy in 99354, WA
A Tranquil Mind Clinical Hypnotherapy
CCHt
Verified Verified
Richland, WA 99354
Do you wish you could feel less anxious, less depressed, better about yourself? Or are you traumatized? Maybe it's weight management or quitting smoking or other emotional distress? As successful Certified Clinical Hypnotherapists we have proven success in making positive changes to emotional issues & lots more! Look at our numerous 5 star reviews online - they reassure you that clients like you have been helped to overcome low self esteem, stress, anxiety, trauma, shyness, unwanted habits & much more....to help you be the person you wish to be. We understand & happily support you. FREE tel consult & REMOTE therapy available.
Do you wish you could feel less anxious, less depressed, better about yourself? Or are you traumatized? Maybe it's weight management or quitting smoking or other emotional distress? As successful Certified Clinical Hypnotherapists we have proven success in making positive changes to emotional issues & lots more! Look at our numerous 5 star reviews online - they reassure you that clients like you have been helped to overcome low self esteem, stress, anxiety, trauma, shyness, unwanted habits & much more....to help you be the person you wish to be. We understand & happily support you. FREE tel consult & REMOTE therapy available.
(719) 722-3710 View (719) 722-3710
Photo of Allison Carrington, Clinical Social Work/Therapist in 99354, WA
Allison Carrington
Clinical Social Work/Therapist, PhD, LSWAIC
Verified Verified
Richland, WA 99354
Not accepting new clients
I am happy to work with individuals, couples, partners, and families, and can work with you short-term or long-term. I primarily work with young adults (ages 18-29) and adults (ages 30-64), and I also enjoy working with teens (ages 13-17) and older adults (ages 65+). I love working with people who are LGBTQ+ and neurodivergent! We can work on a variety of things, including (but not limited to): boundary-setting; communication; social, familial, and partner relationships; changing thoughts, feelings, and behaviors; time and task efficiency; healing from harm and trauma; and developing skills that support your holistic well-being.
I am happy to work with individuals, couples, partners, and families, and can work with you short-term or long-term. I primarily work with young adults (ages 18-29) and adults (ages 30-64), and I also enjoy working with teens (ages 13-17) and older adults (ages 65+). I love working with people who are LGBTQ+ and neurodivergent! We can work on a variety of things, including (but not limited to): boundary-setting; communication; social, familial, and partner relationships; changing thoughts, feelings, and behaviors; time and task efficiency; healing from harm and trauma; and developing skills that support your holistic well-being.
(509) 265-6436 x503 View (509) 265-6436 x503
Photo of Enterprise Behavior Analysis in 99354, WA
Enterprise Behavior Analysis
LBA, MS, BCBA
Verified Verified
Richland, WA 99354
Hi! My name is Jess Hale, and I am a BCBA who provides Applied Behavior Analysis therapy. ABA is effective for teaching children new skills, especially those who are experiencing some type of developmental delay. Such children may struggle to communicate their wants and needs, play appropriately with other children, try new foods, or complete everyday self-care tasks. ABA is also effective at reducing problem behaviors in children, such as aggression, self-injury, property destruction, and excessive tantrums. Whenever possible, I like to use an assent- and play-based approach to keep the experience fun and positive for your child.
Hi! My name is Jess Hale, and I am a BCBA who provides Applied Behavior Analysis therapy. ABA is effective for teaching children new skills, especially those who are experiencing some type of developmental delay. Such children may struggle to communicate their wants and needs, play appropriately with other children, try new foods, or complete everyday self-care tasks. ABA is also effective at reducing problem behaviors in children, such as aggression, self-injury, property destruction, and excessive tantrums. Whenever possible, I like to use an assent- and play-based approach to keep the experience fun and positive for your child.
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Photo of Jennifer Paras, Counselor in 99354, WA
Jennifer Paras
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Richland, WA 99354  (Online Only)
Life has its up and downs and navigating through it alone can feel isolating but with help from a clinician and support from family and friends you can find ways to cope in a more functional and positive way. I provide a safe, nonjudgmental, client centered, culturally sensitive, humanistic, psycho dynamic, multi perspective, and integrative approach. I come from a diverse background which helps me understand many people from various cultures and dynamics. It derives from the realization that each individual's journey is unique.
Life has its up and downs and navigating through it alone can feel isolating but with help from a clinician and support from family and friends you can find ways to cope in a more functional and positive way. I provide a safe, nonjudgmental, client centered, culturally sensitive, humanistic, psycho dynamic, multi perspective, and integrative approach. I come from a diverse background which helps me understand many people from various cultures and dynamics. It derives from the realization that each individual's journey is unique.
(253) 753-1826 View (253) 753-1826
Photo of Peggy Ann Peterson, Counselor in 99354, WA
Peggy Ann Peterson
Counselor, MA, LMHC, LPC, NCC
Verified Verified
Richland, WA 99354
I am licensed in both Oregon and Washington and have worked in the field of mental health for over 35 years. My experience ranges from treatment of mood disorders, anxiety disorders, and self-esteem issues to more severe and persistent mental health conditions. I have extensive experience treating personality disorders and enjoy working with anyone who is committed to change in their lives. Additionally, I have worked with families of those coping with mental health issues and can assist in providing them with support and education about mental health, as well as resources available to their family.
I am licensed in both Oregon and Washington and have worked in the field of mental health for over 35 years. My experience ranges from treatment of mood disorders, anxiety disorders, and self-esteem issues to more severe and persistent mental health conditions. I have extensive experience treating personality disorders and enjoy working with anyone who is committed to change in their lives. Additionally, I have worked with families of those coping with mental health issues and can assist in providing them with support and education about mental health, as well as resources available to their family.
(509) 956-4640 View (509) 956-4640
Photo of Healings Within, PLLC, Marriage & Family Therapist Associate in 99354, WA
Healings Within, PLLC
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Richland, WA 99354
I am a Licensed Marriage and Family Associate Therapist supporting children, adolescents and adults navigating the impact of trauma and life challenges. I focus on creating a safe and nurturing environment, free of judgement and criticism. I believe in the resiliency of people and that every individual is unique in their own experiences. Through curiosity and acceptance, I help my clients gain empowerment and more appreciation for their emotions and assist them in finding their voice by recognizing their strengths and identifying opportunities for growth.
I am a Licensed Marriage and Family Associate Therapist supporting children, adolescents and adults navigating the impact of trauma and life challenges. I focus on creating a safe and nurturing environment, free of judgement and criticism. I believe in the resiliency of people and that every individual is unique in their own experiences. Through curiosity and acceptance, I help my clients gain empowerment and more appreciation for their emotions and assist them in finding their voice by recognizing their strengths and identifying opportunities for growth.
(509) 620-1775 View (509) 620-1775
Photo of Dan Garner, Counselor in 99354, WA
Dan Garner
Counselor, LMHC, CST, CSAT, EMDR
Verified Verified
1 Endorsed
Richland, WA 99354
Are you and those you love hurting because of your struggles? Do you feel helpless to make changes? Are you trying to love the person who’s struggling while drowning in your own betrayal and trauma? I know how difficult it can be to find someone who understands what you are going through. I base my approach to therapy on the empathy I’ve gained through my own recovery story as well as helping hundreds of individuals/couples deal with challenges like sexual addiction/compulsivity. People leave my office feeling empowered with new knowledge and skills that will help them move forward. Email me to schedule a free consultation today.
Are you and those you love hurting because of your struggles? Do you feel helpless to make changes? Are you trying to love the person who’s struggling while drowning in your own betrayal and trauma? I know how difficult it can be to find someone who understands what you are going through. I base my approach to therapy on the empathy I’ve gained through my own recovery story as well as helping hundreds of individuals/couples deal with challenges like sexual addiction/compulsivity. People leave my office feeling empowered with new knowledge and skills that will help them move forward. Email me to schedule a free consultation today.
(509) 316-0429 View (509) 316-0429
Photo of Pam Jones, Believing Mind Hypnotherapy in 99354, WA
Pam Jones, Believing Mind Hypnotherapy
CHT
Verified Verified
Richland, WA 99354  (Online Only)
Are you struggling with lack of confidence? Negativity? Low self-esteem? Do you have fears? Do you want to quit smoking or lose weight? Whether you want to get in shape, sleep amazing, find your passion, stop smoking or stressing out, you can achieve your goals quicker and easier with hypnotherapy! Let me help you attain good health and happiness in your mind, body, and spirit.
Are you struggling with lack of confidence? Negativity? Low self-esteem? Do you have fears? Do you want to quit smoking or lose weight? Whether you want to get in shape, sleep amazing, find your passion, stop smoking or stressing out, you can achieve your goals quicker and easier with hypnotherapy! Let me help you attain good health and happiness in your mind, body, and spirit.
(509) 712-2895 View (509) 712-2895
Photo of Gregory (Tommy) Lofgren, Counselor in 99354, WA
Gregory (Tommy) Lofgren
Counselor, MA, LMHC, NCC
Verified Verified
Richland, WA 99354
Imagine you're on either end of a boat. As the waves begin to crash against the deck, and the thick fog begins to blanket the surface around you, it's difficult to see and direct your attention to anyone else around you. Relying on voice, do you feel that others respond to you? Is there engagement from those you need support from? Feeling lost, can you find yourself to the lighthouse that guides you to shore? For couples and individuals who have endured attachment wounds, experienced depression or anxiety, and/or are still overcoming their trauma, I am honored to hold space to help YOU find your way back to shore.
Imagine you're on either end of a boat. As the waves begin to crash against the deck, and the thick fog begins to blanket the surface around you, it's difficult to see and direct your attention to anyone else around you. Relying on voice, do you feel that others respond to you? Is there engagement from those you need support from? Feeling lost, can you find yourself to the lighthouse that guides you to shore? For couples and individuals who have endured attachment wounds, experienced depression or anxiety, and/or are still overcoming their trauma, I am honored to hold space to help YOU find your way back to shore.
(509) 266-7989 View (509) 266-7989
Photo of Dani Vijil, Licensed Professional Counselor in 99354, WA
Dani Vijil
Licensed Professional Counselor, LMHC, SUDP, LPC
Verified Verified
2 Endorsed
Richland, WA 99354
Not accepting new clients
Step into a therapeutic space where healing awaits. Whether you're a teen navigating the complexities of growing up or an adult seeking guidance on your journey, I’m here to support you. Teens and young adults are my preference but I'm open to all ages if the fit is right. Working with those that are ready and motivated for change (or just need a little support getting there) is a great fit for my style.
Step into a therapeutic space where healing awaits. Whether you're a teen navigating the complexities of growing up or an adult seeking guidance on your journey, I’m here to support you. Teens and young adults are my preference but I'm open to all ages if the fit is right. Working with those that are ready and motivated for change (or just need a little support getting there) is a great fit for my style.
(509) 790-6787 View (509) 790-6787
Photo of Michelle Hanson, Counselor in 99354, WA
Michelle Hanson
Counselor, LMHC
Verified Verified
Richland, WA 99354
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 Madora Sadler LMHC/White Stone Counseling, Counselor in 99354, WA
Madora Sadler LMHC/White Stone Counseling
Counselor, MA, LMHC, CMHS
Verified Verified
Richland, WA 99354
Accepting patients - Employees of the Richland & Pasco School Districts EAP benefits. I look forward to helping you discover how to live life in harmony with your values. I trust my clients as experts in their own life, and I'm confident our work together will help you identify, resolve, and accept life's challenges. My primary theoretical orientation is ACT (Acceptance and Commitment Therapy). I have 15 years experience as a counselor working with teens, families, individual adults, and children. I am not currently billing insurance companies.
Accepting patients - Employees of the Richland & Pasco School Districts EAP benefits. I look forward to helping you discover how to live life in harmony with your values. I trust my clients as experts in their own life, and I'm confident our work together will help you identify, resolve, and accept life's challenges. My primary theoretical orientation is ACT (Acceptance and Commitment Therapy). I have 15 years experience as a counselor working with teens, families, individual adults, and children. I am not currently billing insurance companies.
(509) 566-4571 View (509) 566-4571
Photo of Callow Counseling & Consulting, LLC, Clinical Social Work/Therapist in 99354, WA
Callow Counseling & Consulting, LLC
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
2 Endorsed
Richland, WA 99354  (Online Only)
**NOW ACCEPTING NEW CLIENTS** Depression. Anxiety. Stressful relationships and situations. Dealing with a difficult medical diagnosis. Grief and loss. Communication and relationship issues. Let's face it; sometimes life isn't easy especially today. Therapy can help provide positive coping skills, practical tools, and a safe environment for expressing our feelings and getting support during difficult times in our lives. Life can always improve when we face our obstacles and develop new, positive ways of coping in our most trying situations.
**NOW ACCEPTING NEW CLIENTS** Depression. Anxiety. Stressful relationships and situations. Dealing with a difficult medical diagnosis. Grief and loss. Communication and relationship issues. Let's face it; sometimes life isn't easy especially today. Therapy can help provide positive coping skills, practical tools, and a safe environment for expressing our feelings and getting support during difficult times in our lives. Life can always improve when we face our obstacles and develop new, positive ways of coping in our most trying situations.
(509) 436-7457 View (509) 436-7457
Photo of Eric Thoma, Counselor in 99354, WA
Eric Thoma
Counselor, MA, LMHC
Verified Verified
Richland, WA 99354  (Online Only)
I believe that everyone has an inner strength and that you are the "expert" of your life. We will work together to find and enhance your strengths and identify areas in your life that you would like to make changes.
I believe that everyone has an inner strength and that you are the "expert" of your life. We will work together to find and enhance your strengths and identify areas in your life that you would like to make changes.
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Photo of Katy Izaguirre PLLC, Counselor in 99354, WA
Katy Izaguirre PLLC
Counselor, MA, LMHC
Verified Verified
Richland, WA 99354
Not accepting new clients
I believe the power to change, grow, and overcome obstacles lies within each one of us. Sometimes, for many different reasons, we need additional support to identify, and build on the strengths we have within us to accomplish what we want. I have 16 years of experience using Cognitive Behavioral Therapy (CBT) to support clients as they accomplish their goals and overcome life stressors, depression, anxiety, grief and trauma.
I believe the power to change, grow, and overcome obstacles lies within each one of us. Sometimes, for many different reasons, we need additional support to identify, and build on the strengths we have within us to accomplish what we want. I have 16 years of experience using Cognitive Behavioral Therapy (CBT) to support clients as they accomplish their goals and overcome life stressors, depression, anxiety, grief and trauma.
(509) 740-0705 View (509) 740-0705
Photo of Virginia Sliman, Counselor in 99354, WA
Virginia Sliman
Counselor, MEd, LMHC
Verified Verified
Richland, WA 99354  (Online Only)
I believe each of my clients has the capacity to live a whole-hearted, fulfilling, and authentic life. Each of us struggles from time to time with obstacles that can make it difficult or even impossible to access that authenticity. As a counselor, I have the privilege of supporting my clients in identifying the obstacles and bringing compassion to the parts who feel stuck. In this process, we learn to see ourselves as the unique and valued expressions of life that we are.
I believe each of my clients has the capacity to live a whole-hearted, fulfilling, and authentic life. Each of us struggles from time to time with obstacles that can make it difficult or even impossible to access that authenticity. As a counselor, I have the privilege of supporting my clients in identifying the obstacles and bringing compassion to the parts who feel stuck. In this process, we learn to see ourselves as the unique and valued expressions of life that we are.
(509) 412-3794 View (509) 412-3794
Photo of Amelia Visaya, Counselor in 99354, WA
Amelia Visaya
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Richland, WA 99354
We all experience distressing emotions and are faced with challenging times in our lives. Sometimes additional support is needed because these experiences can be overwhelming and too much to handle on our own. Sharing your thoughts, feelings, and personal experiences can feel uncomfortable. This is why it is so important to me to provide a safe and caring environment for clients to feel understood and respected. It is my primary goal to build trust and provide support to my clients.
We all experience distressing emotions and are faced with challenging times in our lives. Sometimes additional support is needed because these experiences can be overwhelming and too much to handle on our own. Sharing your thoughts, feelings, and personal experiences can feel uncomfortable. This is why it is so important to me to provide a safe and caring environment for clients to feel understood and respected. It is my primary goal to build trust and provide support to my clients.
(509) 731-3963 View (509) 731-3963

See more therapy options for 99354

How does your Therapist compare?

Number of Therapists in 99354

20+

Average cost per session

$140

Therapists in 99354 who prioritize treating:

97% Anxiety
93% Depression
90% Self Esteem
86% Relationship Issues
76% Trauma and PTSD
72% Coping Skills
66% Grief

Average years in practice

10 Years

Top 3 insurances accepted

83% Premera
83% Regence
78% BlueCross and BlueShield

How Therapists in 99354 see their clients

73% In Person and Online
27% Online Only

Gender breakdown

76% Female
21% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 99354?

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.