Therapists in Seattle, WA

View neighborhoods in Seattle
Photo of Mary Elizabeth Hubert, Clinical Social Work/Therapist in Seattle, WA
Mary Elizabeth Hubert
Clinical Social Work/Therapist, MSW, MPH, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98122  (Online Only)
Waitlist for new clients
I come to this work with a background in social work and public health, and am passionate about creating a space where my clients feel seen, heard, and validated. I have had experience both as a client and as a therapist with DBT (Dialectical Behavior Therapy), and this informs the work that I do. As someone with a background both personally and professionally shaped by trauma, I am dedicated to practicing therapy in a strengths-based and trauma-informed manner. I bring my queer and neurodivergent identities to this work and feel at home working with queer clients and non-monogamous relationships.
I come to this work with a background in social work and public health, and am passionate about creating a space where my clients feel seen, heard, and validated. I have had experience both as a client and as a therapist with DBT (Dialectical Behavior Therapy), and this informs the work that I do. As someone with a background both personally and professionally shaped by trauma, I am dedicated to practicing therapy in a strengths-based and trauma-informed manner. I bring my queer and neurodivergent identities to this work and feel at home working with queer clients and non-monogamous relationships.
(206) 785-2984 View (206) 785-2984
Photo of Laura Takacs, Clinical Social Work/Therapist in Seattle, WA
Laura Takacs
Clinical Social Work/Therapist, LICSW, MPH
Verified Verified
Seattle, WA 98109
After a sudden, traumatic death such as through suicide, death due to drug use, homicide or COVID, those bereaving are often left with both the heavy burden of grief, and images that may feel haunting and overwhelming. Other feelings, such as guilt, anger, and profound sorrow accompany other distressing experiences, including, feeling alone, increased agitation, depression and anxiety. When put together, these feelings can feel unbearable to hold alone.
After a sudden, traumatic death such as through suicide, death due to drug use, homicide or COVID, those bereaving are often left with both the heavy burden of grief, and images that may feel haunting and overwhelming. Other feelings, such as guilt, anger, and profound sorrow accompany other distressing experiences, including, feeling alone, increased agitation, depression and anxiety. When put together, these feelings can feel unbearable to hold alone.
(360) 858-9428 View (360) 858-9428
Photo of Brenna Leisenring, Pre-Licensed Professional in Seattle, WA
Brenna Leisenring
Pre-Licensed Professional, LMHC-I
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
I am committed to helping you care for and nurture yourself as a whole. This includes viewing and incorporating your physical, mental, emotional, and spiritual aspects beyond the behavior in a particular moment. I value freedom of expression and centering a client’s voice and choice throughout the therapeutic process. The ability to choose and make self-fulfilling and empowering decisions is a constant focus of my therapeutic process, regardless of the topic. Our work together will integrate compassionate listening with effective interventions to support your strengths and goals.
I am committed to helping you care for and nurture yourself as a whole. This includes viewing and incorporating your physical, mental, emotional, and spiritual aspects beyond the behavior in a particular moment. I value freedom of expression and centering a client’s voice and choice throughout the therapeutic process. The ability to choose and make self-fulfilling and empowering decisions is a constant focus of my therapeutic process, regardless of the topic. Our work together will integrate compassionate listening with effective interventions to support your strengths and goals.
(206) 207-7913 View (206) 207-7913
Photo of Alyx Steadman, Clinical Social Work/Therapist in Seattle, WA
Alyx Steadman
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98102
The past is just a story we tell ourselves. Through early formative experiences, we mold core beliefs about belonging, worth, and lovability. Therapy is a place to untangle the narratives we have internalized (perhaps unconsciously) and impact our ability to show up in the world authentically and connect with others deeply. Understanding our past can help us bring compassion and awareness to the present moment. Let us bravely explore the complexity and messiness of the human experience - embracing all that you are.
The past is just a story we tell ourselves. Through early formative experiences, we mold core beliefs about belonging, worth, and lovability. Therapy is a place to untangle the narratives we have internalized (perhaps unconsciously) and impact our ability to show up in the world authentically and connect with others deeply. Understanding our past can help us bring compassion and awareness to the present moment. Let us bravely explore the complexity and messiness of the human experience - embracing all that you are.
View
Photo of Molly McGrew, Marriage & Family Therapist Associate in Seattle, WA
Molly McGrew
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98103
I work with a wide array of mental health concerns. Including, ADHD, self-harm, defiance, OCD, suicidality, self-harm, emotion regulation, depression, and anxiety. The majority of my career has been spent working in an emergency department and inpatient hospital setting. As an outpatient therapist, I combine these skills with additional therapeutic interventions to complete your treatment goals.
I work with a wide array of mental health concerns. Including, ADHD, self-harm, defiance, OCD, suicidality, self-harm, emotion regulation, depression, and anxiety. The majority of my career has been spent working in an emergency department and inpatient hospital setting. As an outpatient therapist, I combine these skills with additional therapeutic interventions to complete your treatment goals.
(206) 594-3810 View (206) 594-3810
Photo of Elizabeth Sikes, Counselor in Seattle, WA
Elizabeth Sikes
Counselor, PhD, LMHC
Verified Verified
Seattle, WA 98112
Are you going through a major life transition, such as a recent move to Seattle or a change in the status of your -or a loved one's-job, relationship, or health? Major transitions in life, whether seen as positive or negative, can stir up a lot of mixed emotions and bring up old issues from the past. I am experienced in helping people during times of confusion, grief and loss, depression and anxiety, and struggle with old traumatic injuries. I can help you find compassion, open insight, and create value and meaning from this time of transition.
Are you going through a major life transition, such as a recent move to Seattle or a change in the status of your -or a loved one's-job, relationship, or health? Major transitions in life, whether seen as positive or negative, can stir up a lot of mixed emotions and bring up old issues from the past. I am experienced in helping people during times of confusion, grief and loss, depression and anxiety, and struggle with old traumatic injuries. I can help you find compassion, open insight, and create value and meaning from this time of transition.
(206) 966-4387 View (206) 966-4387
Photo of David M Johnson, Counselor in Seattle, WA
David M Johnson
Counselor, EdD, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98112
Are you experiencing anxiety or depression? Perhaps you are suffering the aftermath of trauma, from years ago or recently. You might be having difficulty seeing yourself positively. Are you plagued with shame? Maybe you are having difficulties in important relationships. Grief might be overshadowing gratification in your life. You might want to set new goals for the new phase of life you are living. My decades of training and experience address all aspects of emotional, thought and personality issues.
Are you experiencing anxiety or depression? Perhaps you are suffering the aftermath of trauma, from years ago or recently. You might be having difficulty seeing yourself positively. Are you plagued with shame? Maybe you are having difficulties in important relationships. Grief might be overshadowing gratification in your life. You might want to set new goals for the new phase of life you are living. My decades of training and experience address all aspects of emotional, thought and personality issues.
(206) 899-4692 View (206) 899-4692
Photo of Melanie E Mitchell, Psychologist in Seattle, WA
Melanie E Mitchell
Psychologist, PsyD
Verified Verified
Seattle, WA 98119
"I work with adults, adolescents, couples and children experiencing difficulty in a wide range of issues. I specialize in working with trauma, grief/loss, emerging adults (ages 15-25) and couples. Areas of interest are depression, anxiety, eating issues, women's issues, parenting support and life transitions. In my work with couples I utilize the work of John Gottman, Ph.D., an empirically-based approach emphasizing marital friendship, intimacy and respect to create a lasting marital foundation. My approach is warm, collaborative and interactive with an emphasis on the therapeutic relationship, and a focus on your strengths and resiliencies."
"I work with adults, adolescents, couples and children experiencing difficulty in a wide range of issues. I specialize in working with trauma, grief/loss, emerging adults (ages 15-25) and couples. Areas of interest are depression, anxiety, eating issues, women's issues, parenting support and life transitions. In my work with couples I utilize the work of John Gottman, Ph.D., an empirically-based approach emphasizing marital friendship, intimacy and respect to create a lasting marital foundation. My approach is warm, collaborative and interactive with an emphasis on the therapeutic relationship, and a focus on your strengths and resiliencies."
(425) 318-7501 View (425) 318-7501
Photo of Morgan McCormick, Psychologist in Seattle, WA
Morgan McCormick
Psychologist, PsyD
Verified Verified
Seattle, WA 98134
I am a licensed clinical psychologist with 10 years of experience providing psychotherapy to adults and young adults. I approach the therapeutic relationship with genuine curiosity, openness and warmth and seek to provide a comfortable environment for you to explore your concerns. I see the therapeutic process as an opportunity for you to gain personal insight so that you may achieve satisfaction in yourself and your relationships. I specialize in anxiety, depression, relationship concerns, general mood disorders, stress management, anger, grief, family-of-origin concerns, and trauma. I also welcome those who are new to therapy.
I am a licensed clinical psychologist with 10 years of experience providing psychotherapy to adults and young adults. I approach the therapeutic relationship with genuine curiosity, openness and warmth and seek to provide a comfortable environment for you to explore your concerns. I see the therapeutic process as an opportunity for you to gain personal insight so that you may achieve satisfaction in yourself and your relationships. I specialize in anxiety, depression, relationship concerns, general mood disorders, stress management, anger, grief, family-of-origin concerns, and trauma. I also welcome those who are new to therapy.
(607) 269-5077 View (607) 269-5077
Photo of Erika Michelle Cherry, Counselor in Seattle, WA
Erika Michelle Cherry
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98106  (Online Only)
As a Black Woman raised in the South, now residing in the Pacific Northwest, I know too well the impact that some life transitions can have on identity. They leave you desperately clinging to who you’ve always been while trying to dodge who you’re now forced to become. Somewhere in the midst of the transition, you started realizing that who you’ve “always been”, was never your true identity. Now you’re grappling with confusion, a loss of direction, and the seemingly unanswerable question “who am I”? Truth is, your identity is rooted in narratives you didn’t write and they may no longer support who you are becoming.
As a Black Woman raised in the South, now residing in the Pacific Northwest, I know too well the impact that some life transitions can have on identity. They leave you desperately clinging to who you’ve always been while trying to dodge who you’re now forced to become. Somewhere in the midst of the transition, you started realizing that who you’ve “always been”, was never your true identity. Now you’re grappling with confusion, a loss of direction, and the seemingly unanswerable question “who am I”? Truth is, your identity is rooted in narratives you didn’t write and they may no longer support who you are becoming.
View
Photo of Jennifer B. Henderson, Counselor in Seattle, WA
Jennifer B. Henderson
Counselor, MA, LMHC, ATR, EMMHS
Verified Verified
Seattle, WA 98118  (Online Only)
My practice has a special focus on women of color and their relationships with their children, partners and families. I look forward to working with those who are motivated to explore, express, understand and love themselves while creating positive life changes. Sometimes our past continues to impact our present life. Other times life creates conflict and tension for us and our families. For BIPOC there's the stress of navigating racial bias, discrimination and racism in our world. And of course, intergenerational trauma adds another challenge to our healing journeys. I feel honored to walk this path with you!
My practice has a special focus on women of color and their relationships with their children, partners and families. I look forward to working with those who are motivated to explore, express, understand and love themselves while creating positive life changes. Sometimes our past continues to impact our present life. Other times life creates conflict and tension for us and our families. For BIPOC there's the stress of navigating racial bias, discrimination and racism in our world. And of course, intergenerational trauma adds another challenge to our healing journeys. I feel honored to walk this path with you!
(206) 966-4353 View (206) 966-4353
Photo of Ed Rankin, Clinical Social Work/Therapist in Seattle, WA
Ed Rankin
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98117  (Online Only)
Not accepting new clients
My approach is direct. I tell people what I think and encourage them to take responsibility for their lives.
My approach is direct. I tell people what I think and encourage them to take responsibility for their lives.
(206) 781-1950 View (206) 781-1950
Photo of Dylan Tizon, Counselor in Seattle, WA
Dylan Tizon
Counselor, MA, LMHCA
Verified Verified
5 Endorsed
Seattle, WA 98115  (Online Only)
Waitlist for new clients
Someone casually asked, “How are you?” when you were out running errands. You're tired of this empty question and a part of you wanted to tell the truth. Honestly, you're f-cking exhausted. Struggling to juggle your grief/anger about the current state of the world, the demands of work, your relationships, and self-care... while also trying to heal from trauma and break toxic generational cycles. It's a LOT. Instead, you answered, “I’m good. You?" This is your life now; pretending everything's fine while, deep down, you know you've got parts of yourself you still don't understand and negative patterns you're ready to leave behind.
Someone casually asked, “How are you?” when you were out running errands. You're tired of this empty question and a part of you wanted to tell the truth. Honestly, you're f-cking exhausted. Struggling to juggle your grief/anger about the current state of the world, the demands of work, your relationships, and self-care... while also trying to heal from trauma and break toxic generational cycles. It's a LOT. Instead, you answered, “I’m good. You?" This is your life now; pretending everything's fine while, deep down, you know you've got parts of yourself you still don't understand and negative patterns you're ready to leave behind.
(206) 678-0889 View (206) 678-0889
Photo of Emory L Strickland, Psychologist in Seattle, WA
Emory L Strickland
Psychologist, PsyD
Verified Verified
Seattle, WA 98109  (Online Only)
I specialize in delivering evidence-based treatment for anxiety disorders. The science is clear on what therapy works best for these issues, yet often clients who need it most never access the right type of care. Cognitive-Behavioral Therapy (CBT) treatment is considered the gold standard, and while many providers implement various CBT tools and techniques, they are not incorporated in a structured way as the research indicates. With over a decade of experience and thousands of hours delivering CBT treatments, I have cultivated a profound understanding on how to help folks with these issues.
I specialize in delivering evidence-based treatment for anxiety disorders. The science is clear on what therapy works best for these issues, yet often clients who need it most never access the right type of care. Cognitive-Behavioral Therapy (CBT) treatment is considered the gold standard, and while many providers implement various CBT tools and techniques, they are not incorporated in a structured way as the research indicates. With over a decade of experience and thousands of hours delivering CBT treatments, I have cultivated a profound understanding on how to help folks with these issues.
(425) 517-3436 View (425) 517-3436
Photo of Eric Lichter, Clinical Social Work/Therapist in Seattle, WA
Eric Lichter
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98118
I am a licensed psychotherapist in the state of Washington. I work with adults, couples and teens who are at a place in their life where they are wanting or needing to make a change, but sometimes not sure how to go about it. My approach encourages clients to take responsibility for their lives but also helps to uncover what obstacles have gotten in the way of them feeling powerful, happy, and in charge of their direction in life.
I am a licensed psychotherapist in the state of Washington. I work with adults, couples and teens who are at a place in their life where they are wanting or needing to make a change, but sometimes not sure how to go about it. My approach encourages clients to take responsibility for their lives but also helps to uncover what obstacles have gotten in the way of them feeling powerful, happy, and in charge of their direction in life.
(206) 504-3752 View (206) 504-3752
Photo of Alexis Chan Langbehn, Marriage & Family Therapist in Seattle, WA
Alexis Chan Langbehn
Marriage & Family Therapist, LMFT
Verified Verified
Seattle, WA 98118
I believe that humans are inherently relational. When our basic needs for love and safety are left unmet, we can experience loneliness, low self-worth, and mistrust in relationships. My focus in therapy is to highlight the cycles of pain you may find yourself and/or your relationship in, and to assist you in building greater self-awareness, sustainable coping strategies and ways of relating to others. I am passionate about helping my clients to develop greater self-compassion and deeper connections in their relationships.
I believe that humans are inherently relational. When our basic needs for love and safety are left unmet, we can experience loneliness, low self-worth, and mistrust in relationships. My focus in therapy is to highlight the cycles of pain you may find yourself and/or your relationship in, and to assist you in building greater self-awareness, sustainable coping strategies and ways of relating to others. I am passionate about helping my clients to develop greater self-compassion and deeper connections in their relationships.
(206) 672-8034 View (206) 672-8034
Photo of Jade Sierra Callaghan, Counselor in Seattle, WA
Jade Sierra Callaghan
Counselor
Verified Verified
2 Endorsed
Seattle, WA 98115  (Online Only)
Acceptance might be the first step to change, but change is hard. I aim to create a supportive, holistic, empowering, and safe setting to process and understand what is specifically challenging for you. Often, my clients feel like they “don’t belong,” stuck in unwanted behaviors or looking to understand themselves better. I believe by attuning compassionately to our bodies and minds, as well as each other, we can sense what needs to change and heal. Also, I consider myself a very real person in the therapy space, which often includes understanding, laughter, radical acceptance, forgiveness, and open and honest communication.
Acceptance might be the first step to change, but change is hard. I aim to create a supportive, holistic, empowering, and safe setting to process and understand what is specifically challenging for you. Often, my clients feel like they “don’t belong,” stuck in unwanted behaviors or looking to understand themselves better. I believe by attuning compassionately to our bodies and minds, as well as each other, we can sense what needs to change and heal. Also, I consider myself a very real person in the therapy space, which often includes understanding, laughter, radical acceptance, forgiveness, and open and honest communication.
(425) 842-3884 View (425) 842-3884
Photo of Porscha Kazmierczak, Clinical Social Work/Therapist in Seattle, WA
Porscha Kazmierczak
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98107
Porscha Kazmierczak is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2021. She received her MSW from Simmons University in Boston, Massachusetts. Porscha is a dedicated and compassionate social worker with a specialized focus in obstetrics and women’s/maternal health. With a solid background in both medical-surgical and obstetric care, she has worked with patients facing a wide array of challenges, including fetal anomalies, traumatic deliveries, peripartum mental health concerns, and options counseling.
Porscha Kazmierczak is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2021. She received her MSW from Simmons University in Boston, Massachusetts. Porscha is a dedicated and compassionate social worker with a specialized focus in obstetrics and women’s/maternal health. With a solid background in both medical-surgical and obstetric care, she has worked with patients facing a wide array of challenges, including fetal anomalies, traumatic deliveries, peripartum mental health concerns, and options counseling.
(206) 681-1921 View (206) 681-1921
Photo of David Webb, Counselor in Seattle, WA
David Webb
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103
I believe that all mental anguish begins with loneliness and disconnection. This is why my approach to psychotherapy is grounded fundamentally in the relationship that we build together. Together we will move through suffering, creatively identifying new possibilities and ways of experiencing life. We will find hope and build your capacity to love both yourself and others more fully. From within this relationship, you will be able to safely try new things, to see what works for you, to ultimately move forward in your life with more ease. I like the expression "human flourishing" to describe this process.
I believe that all mental anguish begins with loneliness and disconnection. This is why my approach to psychotherapy is grounded fundamentally in the relationship that we build together. Together we will move through suffering, creatively identifying new possibilities and ways of experiencing life. We will find hope and build your capacity to love both yourself and others more fully. From within this relationship, you will be able to safely try new things, to see what works for you, to ultimately move forward in your life with more ease. I like the expression "human flourishing" to describe this process.
(206) 203-9261 View (206) 203-9261
Photo of Kaela Koepke, Counselor in Seattle, WA
Kaela Koepke
Counselor, MS, LMHCA
Verified Verified
3 Endorsed
Seattle, WA 98177
Taking new clients with immediate openings. Come home to yourself. If you want to find safety in your body, become your true self, shed your armor, release blocked energy, understand your emotions, break patterns, heal old wounds, and make space for joy, I might be a good fit for your healing journey. I work with adult women via Telehealth and outdoors for nature therapy sessions. My goal is to help you connect with yourself and nature for healing and growth.
Taking new clients with immediate openings. Come home to yourself. If you want to find safety in your body, become your true self, shed your armor, release blocked energy, understand your emotions, break patterns, heal old wounds, and make space for joy, I might be a good fit for your healing journey. I work with adult women via Telehealth and outdoors for nature therapy sessions. My goal is to help you connect with yourself and nature for healing and growth.
(425) 428-6282 View (425) 428-6282

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
53% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.