Therapists in Puyallup, WA

Photo of Cara McCartney, Clinical Social Work/Therapist in Puyallup, WA
Cara McCartney
Clinical Social Work/Therapist, LICSW, CCTP
Verified Verified
Puyallup, WA 98373
Our mission at Achieving Balance Counseling is to foster an environment that empowers an individual or family’s ability to resolve, change and achieve balance in order to attain happiness, hope and harmony in life.
Our mission at Achieving Balance Counseling is to foster an environment that empowers an individual or family’s ability to resolve, change and achieve balance in order to attain happiness, hope and harmony in life.
(253) 523-3012 View (253) 523-3012
Photo of Michelle Reeves, Counselor in Puyallup, WA
Michelle Reeves
Counselor, MA, LMHC, NBCC
Verified Verified
3 Endorsed
Puyallup, WA 98373
You're feeling overwhelmed, tired, maybe even frustrated at reaching your potential and dreams in life, including your relationships marriage, work, and friendships. You're feeling stressed, worried about life issues, and maybe issues of pain, grief, disappointment of the past play into your daily life. It is difficult to move forward, you struggle with being authentic in relationships. Stressed and exhausted. As a seasoned Mental Health Counselor of 25 + years, I consider it an honor to journey with you through the healing process. I am trained in EMDR to help with trauma, anxiety, PTSD, relationships.
You're feeling overwhelmed, tired, maybe even frustrated at reaching your potential and dreams in life, including your relationships marriage, work, and friendships. You're feeling stressed, worried about life issues, and maybe issues of pain, grief, disappointment of the past play into your daily life. It is difficult to move forward, you struggle with being authentic in relationships. Stressed and exhausted. As a seasoned Mental Health Counselor of 25 + years, I consider it an honor to journey with you through the healing process. I am trained in EMDR to help with trauma, anxiety, PTSD, relationships.
(360) 515-3615 View (360) 515-3615
Photo of Mariah White, Counselor in Puyallup, WA
Mariah White
Counselor, AAC, BS
Verified Verified
1 Endorsed
Puyallup, WA 98372
Not accepting new clients
Hi, I am Mariah and I enjoy working with children and teens, guiding them through the difficult challenges they face. I have a background working as a certified behavior technician with children on the autism spectrum. I believe that each individual has the strength to persevere through the challenges in life. I am here to support and guide you towards your goals in counseling. I use an integrative approach using person centered, cognitive behavioral therapy and other approaches. I specialize in working with individuals with anxiety and depression as well as an array of concerns.
Hi, I am Mariah and I enjoy working with children and teens, guiding them through the difficult challenges they face. I have a background working as a certified behavior technician with children on the autism spectrum. I believe that each individual has the strength to persevere through the challenges in life. I am here to support and guide you towards your goals in counseling. I use an integrative approach using person centered, cognitive behavioral therapy and other approaches. I specialize in working with individuals with anxiety and depression as well as an array of concerns.
(253) 243-0169 View (253) 243-0169
Photo of Keali Nowak, Marriage & Family Therapist in Puyallup, WA
Keali Nowak
Marriage & Family Therapist, MA, LMFT
Verified Verified
Puyallup, WA 98374
The world we live in is an ever changing and fast paced place that can often times add complexities to our lives, our relationships, our internal thoughts and emotions that we didn’t anticipate or were not ready for. In these times it can be helpful to seek therapy to have someone support your growth into the person you want to be in a respectful, empathetic, and judgment-free environment.
The world we live in is an ever changing and fast paced place that can often times add complexities to our lives, our relationships, our internal thoughts and emotions that we didn’t anticipate or were not ready for. In these times it can be helpful to seek therapy to have someone support your growth into the person you want to be in a respectful, empathetic, and judgment-free environment.
(833) 413-1346 View (833) 413-1346
Photo of Lee Severson, Counselor in Puyallup, WA
Lee Severson
Counselor, LMHC
Verified Verified
Puyallup, WA 98372
Maybe you came here because you’re feeling anxious, feeling down or feeling stuck. Maybe you’ve had a recent loss, struggling in your job, or experiencing stress in your relationship. Maybe you struggle to find time for yourself. Maybe you’re a therapist or a first responder who gives so much and now it’s time to focus on your own wellness. Maybe you’ve had a recent life transition and you need support. Maybe you know exactly what you want and all you need is the validation and support to make a change. Maybe you don’t know what you’re feeling at the moment, but you know it’s time to seek support. You’re not alone.
Maybe you came here because you’re feeling anxious, feeling down or feeling stuck. Maybe you’ve had a recent loss, struggling in your job, or experiencing stress in your relationship. Maybe you struggle to find time for yourself. Maybe you’re a therapist or a first responder who gives so much and now it’s time to focus on your own wellness. Maybe you’ve had a recent life transition and you need support. Maybe you know exactly what you want and all you need is the validation and support to make a change. Maybe you don’t know what you’re feeling at the moment, but you know it’s time to seek support. You’re not alone.
(253) 648-0124 x516 View (253) 648-0124 x516
Photo of Kassandrea E Manuele, Counselor in Puyallup, WA
Kassandrea E Manuele
Counselor, LMHC
Verified Verified
Puyallup, WA 98372
In a world that can often feel heavy with forces pushing and pulling us downward in so many directions it can feel all too easy to lose track of your true self. Feeling confused and asking how did I get here? Or why me? Or, I just want to get back to myself, but I don’t even know who I am anymore. You are not alone and there is a way. I work with individuals who struggle with these same questions. Questions that arise from the struggles with trauma, anxiety, depression, attention, autism, and others. My counseling services focus on addressing the integrated person.
In a world that can often feel heavy with forces pushing and pulling us downward in so many directions it can feel all too easy to lose track of your true self. Feeling confused and asking how did I get here? Or why me? Or, I just want to get back to myself, but I don’t even know who I am anymore. You are not alone and there is a way. I work with individuals who struggle with these same questions. Questions that arise from the struggles with trauma, anxiety, depression, attention, autism, and others. My counseling services focus on addressing the integrated person.
(253) 900-2430 View (253) 900-2430
Photo of Crozier Counseling, LLC, Counselor in Puyallup, WA
Crozier Counseling, LLC
Counselor, LMHC, GMHS
Verified Verified
Puyallup, WA 98373
I work with adult men and women of any age who are ready and motivated to change. I especially enjoy working with folks struggling with depression, anxiety, trauma, challenges associated with change, grief and loss and those struggling with relationships both at home and in the work place.
I work with adult men and women of any age who are ready and motivated to change. I especially enjoy working with folks struggling with depression, anxiety, trauma, challenges associated with change, grief and loss and those struggling with relationships both at home and in the work place.
(253) 299-2319 View (253) 299-2319
Photo of Revitalize and Restore Therapy, Counselor in Puyallup, WA
Revitalize and Restore Therapy
Counselor, MA, LMHC, CMHS
Verified Verified
Puyallup, WA 98373
Waitlist for new clients
I am proud of you for taking the first steps for you. I imagine this is not easy, but this is a sign of strength and you're stronger then you know. In today's realities, many are struggling with uncertainties, stress, fear, loneliness and isolation. If you are facing ADHD/Depression/Anxiety symptoms, therapy can be helpful in learning coping strategies. If you're struggling and having a hard time, therapy can be helpful. Lets learn how to bring ourselves a sense of calm and learn how to be in control of our life. Therapy helps us learn to manage the perceived unmanageable.
I am proud of you for taking the first steps for you. I imagine this is not easy, but this is a sign of strength and you're stronger then you know. In today's realities, many are struggling with uncertainties, stress, fear, loneliness and isolation. If you are facing ADHD/Depression/Anxiety symptoms, therapy can be helpful in learning coping strategies. If you're struggling and having a hard time, therapy can be helpful. Lets learn how to bring ourselves a sense of calm and learn how to be in control of our life. Therapy helps us learn to manage the perceived unmanageable.
(253) 242-9970 View (253) 242-9970
Photo of Candace Hunsucker Therapeutic Services, LLC, Marriage & Family Therapist in Puyallup, WA
Candace Hunsucker Therapeutic Services, LLC
Marriage & Family Therapist, LMFT, SUDP
Verified Verified
Puyallup, WA 98372
I offer therapeutic sessions for individuals, couples, youth, and families. I help facilitate a process where people can develop insight and understanding of what may be holding them back from wellness, joy, and personal growth. Sometimes this may involve family patterns, behaviors that are not in line with one's values, or relationships that are no longer serving you. My job is to create safety for people to share their authentic selves, honoring strengths and navigating challenges together. My intention is to honor your gifts and to expand new ways of thinking or approaching situations to better meet your goals.
I offer therapeutic sessions for individuals, couples, youth, and families. I help facilitate a process where people can develop insight and understanding of what may be holding them back from wellness, joy, and personal growth. Sometimes this may involve family patterns, behaviors that are not in line with one's values, or relationships that are no longer serving you. My job is to create safety for people to share their authentic selves, honoring strengths and navigating challenges together. My intention is to honor your gifts and to expand new ways of thinking or approaching situations to better meet your goals.
(206) 486-2113 View (206) 486-2113
Photo of Russell E Peters, Counselor in Puyallup, WA
Russell E Peters
Counselor, DMin, MDiv, LMHC
Verified Verified
Puyallup, WA 98373
You have served your community, patients, and faith groups, for many years. The excellent care that you provide you deserve. I have 25 years experience serving first responders, military, and faith group leaders. My focus is on individuals exposed to repetitive traumatic experiences in service focus occupations and faith group leadership. Providing tools to cope with various traumas, I am client centered, trained in EMDR and skilled in experiences that provoke trauma. My therapeutic approach is to journey with clients during dark times and support them as they discover the life they deserve.
You have served your community, patients, and faith groups, for many years. The excellent care that you provide you deserve. I have 25 years experience serving first responders, military, and faith group leaders. My focus is on individuals exposed to repetitive traumatic experiences in service focus occupations and faith group leadership. Providing tools to cope with various traumas, I am client centered, trained in EMDR and skilled in experiences that provoke trauma. My therapeutic approach is to journey with clients during dark times and support them as they discover the life they deserve.
(253) 393-9337 View (253) 393-9337
Photo of Gamsa Counseling PLLC, Clinical Social Work/Therapist in Puyallup, WA
Gamsa Counseling PLLC
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Puyallup, WA 98371  (Online Only)
You need to feel like you can be fully yourself. To be able to set boundaries, thrive, and be healthy in your relationships. Therapy is for someone like you - a regular person, struggling with depression, anxiety, PTSD, bipolar disorder... who sometimes doesn’t like how you feel about yourself or your relationships. Given the social pressures and systemic influences in your life, these feelings become more complex and painful with time. You don’t need someone to solve everything, fix you, or expect you to be happy, but you long to be authentic and vulnerable with yourself and for others to feel they can be the same with you.
You need to feel like you can be fully yourself. To be able to set boundaries, thrive, and be healthy in your relationships. Therapy is for someone like you - a regular person, struggling with depression, anxiety, PTSD, bipolar disorder... who sometimes doesn’t like how you feel about yourself or your relationships. Given the social pressures and systemic influences in your life, these feelings become more complex and painful with time. You don’t need someone to solve everything, fix you, or expect you to be happy, but you long to be authentic and vulnerable with yourself and for others to feel they can be the same with you.
(253) 242-9957 View (253) 242-9957
Robin Hamman
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Puyallup, WA 98372
Waitlist for new clients
I work with children, families, individual adults, and teens, prioritizing connection over compliance. I have experience and special interest in healthcare provider burnout, family and parenting support, depression, anxiety, and neurodivergent affirming care. I believe we all have the capacity for hope and growth and all do well when we can. Family support often focuses on strengthening coping and communication skills, allowing us to work together from a place of safety. work to be culturally and LGBTQ+ affirming, anti-ableist and anti-racist.
I work with children, families, individual adults, and teens, prioritizing connection over compliance. I have experience and special interest in healthcare provider burnout, family and parenting support, depression, anxiety, and neurodivergent affirming care. I believe we all have the capacity for hope and growth and all do well when we can. Family support often focuses on strengthening coping and communication skills, allowing us to work together from a place of safety. work to be culturally and LGBTQ+ affirming, anti-ableist and anti-racist.
(253) 364-1811 View (253) 364-1811
Photo of Corinne A Sudduth, Clinical Social Work/Therapist in Puyallup, WA
Corinne A Sudduth
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Puyallup, WA 98372
Hello there! My approach to counseling is person-centered and strengths-based. I believe that you are the expert of you and my purpose is to assist you in reconnecting to your inner wisdom and strength. My background is in working primarily with teens and young adults. I am passionate about helping you find the fulfillment and confidence you deserve through changing stuck patterns and building healthy relationships.
Hello there! My approach to counseling is person-centered and strengths-based. I believe that you are the expert of you and my purpose is to assist you in reconnecting to your inner wisdom and strength. My background is in working primarily with teens and young adults. I am passionate about helping you find the fulfillment and confidence you deserve through changing stuck patterns and building healthy relationships.
(253) 993-1693 View (253) 993-1693
Photo of Jessica Grout, Marriage & Family Therapist in Puyallup, WA
Jessica Grout
Marriage & Family Therapist, LMFT, CMHS, EMMHS
Verified Verified
Puyallup, WA 98373  (Online Only)
Currently accepting new clients! Serving BIPOC and multiracial individuals, couples and families in WA and OR. Our mission is to address the gap of specialty in working with those whose backgrounds and identities originate from multiple cultures, countries, etc. and embrace the nuance our stories bring that is often not captured by traditional cultural competency. The balance between the multiple important parts of ourselves takes on new meanings in the context of our relationships- especially with our partners and families-both the ones we came from and the ones we are now building.
Currently accepting new clients! Serving BIPOC and multiracial individuals, couples and families in WA and OR. Our mission is to address the gap of specialty in working with those whose backgrounds and identities originate from multiple cultures, countries, etc. and embrace the nuance our stories bring that is often not captured by traditional cultural competency. The balance between the multiple important parts of ourselves takes on new meanings in the context of our relationships- especially with our partners and families-both the ones we came from and the ones we are now building.
(253) 366-8074 View (253) 366-8074
Photo of Karis Bjerke, Clinical Social Work/Therapist in Puyallup, WA
Karis Bjerke
Clinical Social Work/Therapist, MSW, LSWAIC, SUDP
Verified Verified
Puyallup, WA 98372  (Online Only)
Not accepting new clients
I am here to meet you where you are in your desire to effect positive changes in your life. I am an experienced clinician working with individuals who are co-occurring having mental health symptoms and substance use. Together we can make a plan and help navigate you towards recovery. I specialize in helping you to develop healthy coping skills, prevention of use, exploring root causes and helping individuals be the best person they desire to become. I provide professional and skilled assessments, group and individual sessions.
I am here to meet you where you are in your desire to effect positive changes in your life. I am an experienced clinician working with individuals who are co-occurring having mental health symptoms and substance use. Together we can make a plan and help navigate you towards recovery. I specialize in helping you to develop healthy coping skills, prevention of use, exploring root causes and helping individuals be the best person they desire to become. I provide professional and skilled assessments, group and individual sessions.
(360) 227-5939 View (360) 227-5939
Photo of Rebecca Schiltz, Marriage & Family Therapist in Puyallup, WA
Rebecca Schiltz
Marriage & Family Therapist, LMFT
Verified Verified
Puyallup, WA 98372  (Online Only)
Are you living the life you want? Do you have the relationship/relationships you want? I want to understand your life and support you in making your life and relationships all that you can imagine them to be. I would be honored to join you on your path to healthier relationships and more satisfying life. Relationship struggles, enhancements, and growth are my primary focus and that certainly includes relationship to self. Please see my website for further information, or email so we can discuss your particular concerns and how I can best support you. I work with adults 18+ only. Thanks, and I look forward to hearing from you!
Are you living the life you want? Do you have the relationship/relationships you want? I want to understand your life and support you in making your life and relationships all that you can imagine them to be. I would be honored to join you on your path to healthier relationships and more satisfying life. Relationship struggles, enhancements, and growth are my primary focus and that certainly includes relationship to self. Please see my website for further information, or email so we can discuss your particular concerns and how I can best support you. I work with adults 18+ only. Thanks, and I look forward to hearing from you!
(253) 655-1392 View (253) 655-1392
Photo of Yvonne Le, Counselor in Puyallup, WA
Yvonne Le
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Puyallup, WA 98374  (Online Only)
Pull up a bean bag chair, grab your favorite fidget, and let's talk. Maybe you describe your life as "a lot," and struggle to find the spoons to get all your stuff done as well as make meaningful change. Maybe anxiety takes up so much space in your day that it leaves little room for the things you want. Maybe your story includes trauma, and that burden is getting so heavy, it hurts. You want to pursue fulfillment, satisfaction, meaning, and peace in your world. If any of these or other painful places in your heart are true, I would love to get a chance to walk alongside you and find what you're looking for together.
Pull up a bean bag chair, grab your favorite fidget, and let's talk. Maybe you describe your life as "a lot," and struggle to find the spoons to get all your stuff done as well as make meaningful change. Maybe anxiety takes up so much space in your day that it leaves little room for the things you want. Maybe your story includes trauma, and that burden is getting so heavy, it hurts. You want to pursue fulfillment, satisfaction, meaning, and peace in your world. If any of these or other painful places in your heart are true, I would love to get a chance to walk alongside you and find what you're looking for together.
(425) 243-7203 View (425) 243-7203
Photo of Leia Shinsato, Marriage & Family Therapist in Puyallup, WA
Leia Shinsato
Marriage & Family Therapist, LMFT
Verified Verified
4 Endorsed
Puyallup, WA 98373
As we venture through life, sometimes we find that the expectations we set for ourselves, our partners, and the future are constantly changing. My hope is to ease you through life’s transitions while enriching the relationships you have. I believe therapy should be a safe, non-judgmental, and nurturing place to put down the weights and ease into meaningful conversations. I enjoy working together with clients to identify their strengths, explore ways to reconnect with themselves and others to move forward in ways that feel genuine.
As we venture through life, sometimes we find that the expectations we set for ourselves, our partners, and the future are constantly changing. My hope is to ease you through life’s transitions while enriching the relationships you have. I believe therapy should be a safe, non-judgmental, and nurturing place to put down the weights and ease into meaningful conversations. I enjoy working together with clients to identify their strengths, explore ways to reconnect with themselves and others to move forward in ways that feel genuine.
(253) 465-9537 View (253) 465-9537
Photo of Freda Carda, Counselor in Puyallup, WA
Freda Carda
Counselor, MEd, LMHC
Verified Verified
1 Endorsed
Puyallup, WA 98373
I believe everyone has a right to live a calm, happy and fulfilled life. For some, that is easier said than done. For those who are having a more challenging time finding the life they want, counseling may be the right choice to help guide those who are ready for change. I work with adults, couples and families who are struggling with life's challenges. I offer researched based systems, therapies and support for the individual, as well as resources for the entire family, to help bring function and joy to their lives.
I believe everyone has a right to live a calm, happy and fulfilled life. For some, that is easier said than done. For those who are having a more challenging time finding the life they want, counseling may be the right choice to help guide those who are ready for change. I work with adults, couples and families who are struggling with life's challenges. I offer researched based systems, therapies and support for the individual, as well as resources for the entire family, to help bring function and joy to their lives.
(253) 299-8062 View (253) 299-8062
Photo of Sunrise Intensive Workshops & Couples Therapy, Marriage & Family Therapist in Puyallup, WA
Sunrise Intensive Workshops & Couples Therapy
Marriage & Family Therapist, MA, LMFT, MHP, CHT
Verified Verified
2 Endorsed
Puyallup, WA 98373
Discreet. Licensed. Professional services tailored to your specific needs. Register for services www.sunrisecouplestherapy.com Get to know me and learn about my Intensive Workshops, Coaching and Clinical services. I approach helping from the belief that when motivated individuals acquire the tools to listen, then acknowledge and honor each other’s core needs, they can build on their innate strengths and shift behaviors leading to useful changes in their relationships. I understand the importance of having a safe restorative space to express, repair, heal, and discover deeper levels of functioning. Text "mytime" to (253) 300-0967.
Discreet. Licensed. Professional services tailored to your specific needs. Register for services www.sunrisecouplestherapy.com Get to know me and learn about my Intensive Workshops, Coaching and Clinical services. I approach helping from the belief that when motivated individuals acquire the tools to listen, then acknowledge and honor each other’s core needs, they can build on their innate strengths and shift behaviors leading to useful changes in their relationships. I understand the importance of having a safe restorative space to express, repair, heal, and discover deeper levels of functioning. Text "mytime" to (253) 300-0967.
(253) 336-7576 View (253) 336-7576

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% Stress
72% Relationship Issues

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.