Therapists in Puyallup, WA

Photo of Kellie Wright, Pre-Licensed Professional in Puyallup, WA
Kellie Wright
Pre-Licensed Professional
Verified Verified
1 Endorsed
Puyallup, WA 98372  (Online Only)
My name is Kellie Wright and I am a Mental Health Counselor who teaches the importance of self-love and inner child healing. Intuitively, I use a whole-hearted integrative approach to therapy, using a blend of Cognitive Behavioral Theory (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and Insight Oriented Therapy. ​ I currently work with individuals 6 years old and older. My specialty is working with depression, anxiety, trauma-related issues, inner child healing, and adjustment periods of time. ​
My name is Kellie Wright and I am a Mental Health Counselor who teaches the importance of self-love and inner child healing. Intuitively, I use a whole-hearted integrative approach to therapy, using a blend of Cognitive Behavioral Theory (CBT), Dialectical Behavior Therapy (DBT), Acceptance and Commitment Therapy (ACT), and Insight Oriented Therapy. ​ I currently work with individuals 6 years old and older. My specialty is working with depression, anxiety, trauma-related issues, inner child healing, and adjustment periods of time. ​
(253) 242-9194 View (253) 242-9194
Photo of Rebecca Teaford-Boldridge, Counselor in Puyallup, WA
Rebecca Teaford-Boldridge
Counselor, LCPC, LCAC, LMHC, CMHC
Verified Verified
Puyallup, WA 98373  (Online Only)
Accepting new clients in KS, WA, UT, & IL! In a collaborative and individualized atmosphere, we will work together to help you achieve the changes you seek. I am eager to help you reach your goals and offers services to those in need of support and guidance, with my strengths residing in depression, addiction, and the dually diagnosed populations. Please feel free to reach out today through my website to set up your first appointment.
Accepting new clients in KS, WA, UT, & IL! In a collaborative and individualized atmosphere, we will work together to help you achieve the changes you seek. I am eager to help you reach your goals and offers services to those in need of support and guidance, with my strengths residing in depression, addiction, and the dually diagnosed populations. Please feel free to reach out today through my website to set up your first appointment.
(253) 259-3957 View (253) 259-3957
Photo of Chantel Quintero, PLLC, Marriage & Family Therapist in Puyallup, WA
Chantel Quintero, PLLC
Marriage & Family Therapist, LMFTA, MA
Verified Verified
1 Endorsed
Puyallup, WA 98372
Change does not happen overnight. It is a process that happens by taking small steps towards a goal everyday. My goal is to help individual's & families to become stronger & have a healthier outlook on the future/present, so they can develop accepting & loving relationship with themselves & others without judgement. This is done by improving communication, learning & understanding an individual’s past, beliefs or culture can affect one’s behavior, views & emotions, building up self worth, being validated when family members address issues from the past or present.
Change does not happen overnight. It is a process that happens by taking small steps towards a goal everyday. My goal is to help individual's & families to become stronger & have a healthier outlook on the future/present, so they can develop accepting & loving relationship with themselves & others without judgement. This is done by improving communication, learning & understanding an individual’s past, beliefs or culture can affect one’s behavior, views & emotions, building up self worth, being validated when family members address issues from the past or present.
(253) 285-1542 View (253) 285-1542
Photo of Affordable Counseling Center, Marriage & Family Therapist in Puyallup, WA
Affordable Counseling Center
Marriage & Family Therapist, PhD, LMFT
Verified Verified
1 Endorsed
Puyallup, WA 98373
NEW Clients Welcome! The Affordable Counseling Center is designed to meet the counseling needs of all families, with affordable services at $25/session. Services are provided by Masters Level graduate students from local colleges who work under the direction of highly experienced and qualify supervisors.
NEW Clients Welcome! The Affordable Counseling Center is designed to meet the counseling needs of all families, with affordable services at $25/session. Services are provided by Masters Level graduate students from local colleges who work under the direction of highly experienced and qualify supervisors.
(253) 285-1618 x2 View (253) 285-1618 x2
Photo of Kate Travis, Clinical Social Work/Therapist in Puyallup, WA
Kate Travis
Clinical Social Work/Therapist, LMSW
Verified Verified
Puyallup, WA 98372
Life can be challenging, confusing, and down right overwhelming. Sometimes we bury our trauma, hurt, and confusion attempting to cope, or our ability to cope is inadequate to the challenges we face. You have been making it through life, even accomplishing wonderful things, but often wearing a mask and feeling like you are barely keeping it together. Your resilience is obvious, but maybe you are still troubled by your past and how it has affected who you are. Maybe today’s challenges are beginning to weigh too heavy for you to work through them alone. You have survived, but now it is time to thrive and live your life to the fullest.
Life can be challenging, confusing, and down right overwhelming. Sometimes we bury our trauma, hurt, and confusion attempting to cope, or our ability to cope is inadequate to the challenges we face. You have been making it through life, even accomplishing wonderful things, but often wearing a mask and feeling like you are barely keeping it together. Your resilience is obvious, but maybe you are still troubled by your past and how it has affected who you are. Maybe today’s challenges are beginning to weigh too heavy for you to work through them alone. You have survived, but now it is time to thrive and live your life to the fullest.
(253) 342-4331 View (253) 342-4331
Photo of Deanna Brown, Counselor in Puyallup, WA
Deanna Brown
Counselor, MA, LMHC
Verified Verified
Puyallup, WA 98372
Accepting New Patients with for Ketamine Guided Therapy in my practice with evening, weekend, day, morning slots available Telehealth and In person. I specialize in Psychedelic Ketamine and THC Guided Therapy which is billed at private pay Only all other treatments cam be billed with insurances using therapists at our practice. I am a proud Army Veteran working in the field of counseling since 2015. I have experience working with combat veterans, CPS, couples, children, teens, adults, families, first responders, LGBTQ community, Licensed Approved Supervisor to Supervise Therapists, and a prior Director of a Psychiatric Hospital.
Accepting New Patients with for Ketamine Guided Therapy in my practice with evening, weekend, day, morning slots available Telehealth and In person. I specialize in Psychedelic Ketamine and THC Guided Therapy which is billed at private pay Only all other treatments cam be billed with insurances using therapists at our practice. I am a proud Army Veteran working in the field of counseling since 2015. I have experience working with combat veterans, CPS, couples, children, teens, adults, families, first responders, LGBTQ community, Licensed Approved Supervisor to Supervise Therapists, and a prior Director of a Psychiatric Hospital.
(206) 717-8722 View (206) 717-8722
Photo of Signe Wallerich-Neils, Marriage & Family Therapist in Puyallup, WA
Signe Wallerich-Neils
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Puyallup, WA 98373
I am here to support your personal growth and understanding of self as an unbiased and compassionate therapist. My curious approach allows me to connect with you in a meaningful way that centers you as the expert on your own life. Whether you are interested in developing coping skills and managing stressors, hoping to understand yourself on a deeper level, or dealing with relational distress, I am confident your goals can be reached. You deserve to be heard and receive the support you need.
I am here to support your personal growth and understanding of self as an unbiased and compassionate therapist. My curious approach allows me to connect with you in a meaningful way that centers you as the expert on your own life. Whether you are interested in developing coping skills and managing stressors, hoping to understand yourself on a deeper level, or dealing with relational distress, I am confident your goals can be reached. You deserve to be heard and receive the support you need.
(253) 446-7176 View (253) 446-7176
Photo of Jitani Mosley, Marriage & Family Therapist Associate in Puyallup, WA
Jitani Mosley
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
Puyallup, WA 98372  (Online Only)
Jitani is a Marriage and Family Therapist. She graduated from Belmont Abbey College, where she received a bachelor’s degree in applied psychology, and went on to obtain a graduate degree in Marriage and Family Therapy from Capella University. Her philosophy is built on the notion that everything is connected to everything and that it is essential to explore how one’s family, co-workers, and friends, impact an individual’s mental health and vice versa.
Jitani is a Marriage and Family Therapist. She graduated from Belmont Abbey College, where she received a bachelor’s degree in applied psychology, and went on to obtain a graduate degree in Marriage and Family Therapy from Capella University. Her philosophy is built on the notion that everything is connected to everything and that it is essential to explore how one’s family, co-workers, and friends, impact an individual’s mental health and vice versa.
(253) 400-2663 View (253) 400-2663
Photo of Gianna Young, Counselor in Puyallup, WA
Gianna Young
Counselor, MA, LMHCA
Verified Verified
3 Endorsed
Puyallup, WA 98371
I am passionate about meeting clients in their toughest seasons and fostering healing together. I approach the counseling relationship with empathy and a holistic framework that we are complex individuals who require complex treatment. I understand that it takes time to heal. My goal is to walk alongside you and help you develop skills that will lead you toward the person God created you to be. Together with God’s help, we can experience a life filled with His peace and joy.
I am passionate about meeting clients in their toughest seasons and fostering healing together. I approach the counseling relationship with empathy and a holistic framework that we are complex individuals who require complex treatment. I understand that it takes time to heal. My goal is to walk alongside you and help you develop skills that will lead you toward the person God created you to be. Together with God’s help, we can experience a life filled with His peace and joy.
(253) 366-6751 View (253) 366-6751
Photo of Taylor Johnson, Counselor in Puyallup, WA
Taylor Johnson
Counselor, MA, LMHC, NCC
Verified Verified
1 Endorsed
Puyallup, WA 98374  (Online Only)
Waitlist for new clients
My approach is based in relational connection and authenticity. I believe that each client is unique, so I am creative and individualized in my work to prioritize your safety, insight, and overall growth. I firmly believe that pursuing therapy does not mean something is “broken”; instead, therapy is an opportunity to seek clarity, support, and a space to put the things that you no longer wish to hold on your own. If you are seeking empowerment, investing in your ability to self-advocate, and motivated to explore the origin of unhealthy patterns and experiences, I may be a good fit for you.
My approach is based in relational connection and authenticity. I believe that each client is unique, so I am creative and individualized in my work to prioritize your safety, insight, and overall growth. I firmly believe that pursuing therapy does not mean something is “broken”; instead, therapy is an opportunity to seek clarity, support, and a space to put the things that you no longer wish to hold on your own. If you are seeking empowerment, investing in your ability to self-advocate, and motivated to explore the origin of unhealthy patterns and experiences, I may be a good fit for you.
(253) 319-3723 View (253) 319-3723
Photo of Christina Ake, Marriage & Family Therapist in Puyallup, WA
Christina Ake
Marriage & Family Therapist, MHP, LMFT
Verified Verified
6 Endorsed
Puyallup, WA 98373
I believe in providing the highest level of personalized therapeutic care for each client by integrating techniques from traditional and evidenced based therapies. I seek to understand each person from a systemic perspective and use an experiential approach that creates a secure environment where self-awareness, healing, and change can occur.
I believe in providing the highest level of personalized therapeutic care for each client by integrating techniques from traditional and evidenced based therapies. I seek to understand each person from a systemic perspective and use an experiential approach that creates a secure environment where self-awareness, healing, and change can occur.
(253) 242-2387 View (253) 242-2387
Photo of Makael L White, Marriage & Family Therapist Associate in Puyallup, WA
Makael L White
Marriage & Family Therapist Associate, LMFT, ATR, MA
Verified Verified
Puyallup, WA 98372
Waitlist for new clients
I am onboarding clients for interns under my supervision only. My waitlist is CLOSED - Ideal clients for my expertise are LGBTQIA+ families, individuals, or relationships. Therapy focus can include (not limited to): navigating the world as a queer or transgender person; navigating neurodivergence; working with a chronic illness and degenerative disorders. Whether this is a work relationship, monogamous marriage, parent/teen relationship in a blended family, or one of the relationships in your polycule, we can find solutions together. The single greatest protective/healing factor in all of these are our supportive relationships.
I am onboarding clients for interns under my supervision only. My waitlist is CLOSED - Ideal clients for my expertise are LGBTQIA+ families, individuals, or relationships. Therapy focus can include (not limited to): navigating the world as a queer or transgender person; navigating neurodivergence; working with a chronic illness and degenerative disorders. Whether this is a work relationship, monogamous marriage, parent/teen relationship in a blended family, or one of the relationships in your polycule, we can find solutions together. The single greatest protective/healing factor in all of these are our supportive relationships.
(206) 312-7423 View (206) 312-7423
Photo of Chante Anderson, Counselor in Puyallup, WA
Chante Anderson
Counselor, LMHC, MS
Verified Verified
Puyallup, WA 98373
I've found that true healing unfolds when we honor the whole person, and I'm here to help you do just that. My practice specializes in several areas, including PTSD, ADHD, adult autism, other neurodivergencies, whole body health, and self-improvement. I also see a lot of individuals who struggle with depression and anxiety. I understand that healing is a multi-dimensional process, and to truly thrive, we must address all aspects of ourselves. I'm dedicated to creating a safe and supportive space for you to share your unique story. I am licensed in both WA and OR state.
I've found that true healing unfolds when we honor the whole person, and I'm here to help you do just that. My practice specializes in several areas, including PTSD, ADHD, adult autism, other neurodivergencies, whole body health, and self-improvement. I also see a lot of individuals who struggle with depression and anxiety. I understand that healing is a multi-dimensional process, and to truly thrive, we must address all aspects of ourselves. I'm dedicated to creating a safe and supportive space for you to share your unique story. I am licensed in both WA and OR state.
(253) 242-2565 View (253) 242-2565
Photo of Jessica Stearns, Counselor in Puyallup, WA
Jessica Stearns
Counselor, LMHC
Verified Verified
4 Endorsed
Puyallup, WA 98373
I am currently accepting new clients! When we accept ourselves we can more fully connect with others and enjoy being present in our daily lives. Would you like to treat yourself with loving kindness? To respond thoughtfully to others instead of reacting based on past experiences? I enjoy working with adult abuse survivors to develop self-compassion and explore issues related to childhood and relational trauma. If you would like to learn to nurture and care for yourself, to find acceptance and peace I can help!
I am currently accepting new clients! When we accept ourselves we can more fully connect with others and enjoy being present in our daily lives. Would you like to treat yourself with loving kindness? To respond thoughtfully to others instead of reacting based on past experiences? I enjoy working with adult abuse survivors to develop self-compassion and explore issues related to childhood and relational trauma. If you would like to learn to nurture and care for yourself, to find acceptance and peace I can help!
(253) 487-0374 View (253) 487-0374
Photo of Northwest Counsel, Counselor in Puyallup, WA
Northwest Counsel
Counselor, MA, LMHC, LMFT, BCPC
Verified Verified
9 Endorsed
Puyallup, WA 98373
Change comes through relationship and at Northwest Counsel I desire for you to see real, positive change in your life and your personal relationships. To give you an idea of what to expect, your first appointment is your chance to explain special circumstances and ask any questions about therapy. You will get a feel for who I am and how I can serve you, and together we can determine if I will help guide you to the next step on your journey of wellness. Sessions typically last 45-55 minutes and are custom tailored to your situation and your needs.
Change comes through relationship and at Northwest Counsel I desire for you to see real, positive change in your life and your personal relationships. To give you an idea of what to expect, your first appointment is your chance to explain special circumstances and ask any questions about therapy. You will get a feel for who I am and how I can serve you, and together we can determine if I will help guide you to the next step on your journey of wellness. Sessions typically last 45-55 minutes and are custom tailored to your situation and your needs.
(253) 256-2520 View (253) 256-2520
Photo of Anne M Eugenio, Marriage & Family Therapist Associate in Puyallup, WA
Anne M Eugenio
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Puyallup, WA 98373
I help individuals, families, and couples create or restore secure secure bonds in family and intimate relationships. Relational counseling means that my relationship with you, my client, will be our best, most important tool for your healing. Before anything else, we will establish safety, trust, and connection. Then together we will uncover the path of healing for your mental, emotional, and spiritual well-being. I also help those coping with the effects of anxiety and depression.
I help individuals, families, and couples create or restore secure secure bonds in family and intimate relationships. Relational counseling means that my relationship with you, my client, will be our best, most important tool for your healing. Before anything else, we will establish safety, trust, and connection. Then together we will uncover the path of healing for your mental, emotional, and spiritual well-being. I also help those coping with the effects of anxiety and depression.
(253) 303-5880 View (253) 303-5880
Photo of Andrea Tuliao, Clinical Social Work/Therapist in Puyallup, WA
Andrea Tuliao
Clinical Social Work/Therapist, MS, LICSW
Verified Verified
1 Endorsed
Puyallup, WA 98372
Andrea is experienced working with individuals (adolescents and adults), couples, groups, and families who are navigating: adjustment issues, low self-esteem, family relationships, compassion fatigue, work stressors, relationship conflicts, trauma (sexual, physical, and emotional), suicidal thoughts, grief and loss, substance use stressors, medical diagnoses/health concerns impacting mental health & well-being, and feeling anxious/down/unsure of how you are feeling. As a clinical social worker, she has 13 years of experience in community mental health, primary care settings, teletherapy, and management clinical social worker.
Andrea is experienced working with individuals (adolescents and adults), couples, groups, and families who are navigating: adjustment issues, low self-esteem, family relationships, compassion fatigue, work stressors, relationship conflicts, trauma (sexual, physical, and emotional), suicidal thoughts, grief and loss, substance use stressors, medical diagnoses/health concerns impacting mental health & well-being, and feeling anxious/down/unsure of how you are feeling. As a clinical social worker, she has 13 years of experience in community mental health, primary care settings, teletherapy, and management clinical social worker.
(253) 465-4502 View (253) 465-4502
Photo of Karen A Burdick, Counselor in Puyallup, WA
Karen A Burdick
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Puyallup, WA 98374  (Online Only)
Welcome to Thrive Counseling. I am here to offer a place for healing and restored hope: A place to Thrive! Because of some of my most challenging experiences as a child, an adult, wife and mother, in addition to my experience in ministry leadership, I pursued counseling as a career. My goal as a therapist is to give you the room to grow and find the courage for change. Together, we can work to find the skills needed for a new and exciting therapeutic transformation.
Welcome to Thrive Counseling. I am here to offer a place for healing and restored hope: A place to Thrive! Because of some of my most challenging experiences as a child, an adult, wife and mother, in addition to my experience in ministry leadership, I pursued counseling as a career. My goal as a therapist is to give you the room to grow and find the courage for change. Together, we can work to find the skills needed for a new and exciting therapeutic transformation.
(253) 263-1113 View (253) 263-1113
Photo of Heidi Halsey, Marriage & Family Therapist in Puyallup, WA
Heidi Halsey
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Puyallup, WA 98373  (Online Only)
ONLY TELE THERAPY - THIS WEEK. Live stream video sessions for everyone in Washington State. Register & schedule, 24 hours a day at www.heidihalsey.com. I have appointments Monday - Saturday & have openings this week. I am not a therapist who just says "uh huh", "uh-huh" and "I'll see you next week". I will ask questions to find the root of what you want to change or understand. I make suggestions & teach skills as a respectful professional while maintaining your confidentiality. My website www.heidihalsey.com has a lot of information about how I work and what insurances I accept. I have lots of experience mediating parenting plans.
ONLY TELE THERAPY - THIS WEEK. Live stream video sessions for everyone in Washington State. Register & schedule, 24 hours a day at www.heidihalsey.com. I have appointments Monday - Saturday & have openings this week. I am not a therapist who just says "uh huh", "uh-huh" and "I'll see you next week". I will ask questions to find the root of what you want to change or understand. I make suggestions & teach skills as a respectful professional while maintaining your confidentiality. My website www.heidihalsey.com has a lot of information about how I work and what insurances I accept. I have lots of experience mediating parenting plans.
(253) 214-9934 View (253) 214-9934
Photo of Paul Scarberry, Pre-Licensed Professional in Puyallup, WA
Paul Scarberry
Pre-Licensed Professional, MA, MHP, SUDP
Verified Verified
1 Endorsed
Puyallup, WA 98371  (Online Only)
Do you find yourself reaching for substances to help manage depression, anxiety, PTSD? Whether you have recently developed an unhealthy relationship with alcohol or have been coping with recovery issues for a while, I can help you explore new and effective coping tools. Together we can design the path to living your best life.
Do you find yourself reaching for substances to help manage depression, anxiety, PTSD? Whether you have recently developed an unhealthy relationship with alcohol or have been coping with recovery issues for a while, I can help you explore new and effective coping tools. Together we can design the path to living your best life.
(253) 262-0467 View (253) 262-0467

How does your Therapist compare?

Number of Therapists in Puyallup, WA

200+

Average cost per session

$150

Therapists in Puyallup, WA who prioritize treating:

91% Anxiety
88% Depression
80% Self Esteem
79% Trauma and PTSD
75% Coping Skills
73% Relationship Issues
73% Stress

Average years in practice

9 Years

Top 3 insurances accepted

77% Premera
74% Regence
73% First Choice Health | FCH

How Therapists in Puyallup, WA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

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

How can I find a therapist in Puyallup?

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.