Therapists in Spokane Valley, WA

Photo of Renewed Hope - Karina Anderson, Clinical Social Work/Therapist in Spokane Valley, WA
Renewed Hope - Karina Anderson
Clinical Social Work/Therapist, MSW, LICSW, MHP, EMDR, CSAT-C
Verified Verified
Spokane Valley, WA 99212
With unconditional acceptance and positive regard, I welcome my clients into a judgement-free and safe space. Whether you're dealing with anger, anxiety, a death, depression, discrimination, life stressors, parenting challenges, relationship problems, or trauma, hope and healing is possible and within reach.
With unconditional acceptance and positive regard, I welcome my clients into a judgement-free and safe space. Whether you're dealing with anger, anxiety, a death, depression, discrimination, life stressors, parenting challenges, relationship problems, or trauma, hope and healing is possible and within reach.
(509) 869-2974 View (509) 869-2974
Photo of Rachel Leah Birch, Clinical Social Work/Therapist in Spokane Valley, WA
Rachel Leah Birch
Clinical Social Work/Therapist, LCSW
Verified Verified
Spokane Valley, WA 99037
You've had something (or a lot of things) bad happen to you in your life. You are being triggered a lot in your daily life and you're really tired of living life like this. You're seeking and ready for true healing of the heart, mind, and body. You're ready to do a therapy that actually works so you can have joy and peace in your life.
You've had something (or a lot of things) bad happen to you in your life. You are being triggered a lot in your daily life and you're really tired of living life like this. You're seeking and ready for true healing of the heart, mind, and body. You're ready to do a therapy that actually works so you can have joy and peace in your life.
(509) 636-8381 View (509) 636-8381
Photo of Refresh Therapy, Inc - Spokane Valley, Marriage & Family Therapist in Spokane Valley, WA
Refresh Therapy, Inc - Spokane Valley
Marriage & Family Therapist, LMFT, LMHC, LICSW, LMFTA, LMHCA
Verified Verified
1 Endorsed
Spokane Valley, WA 99216
We are a group of dynamic therapists, in multiple Washington state locations. Our goal was to create a place for you to settle in and tell your story. Everybody has one, and we want to hear yours. Counseling is a process that encourages you to examine your choices, your thoughts, your dreams, your barriers and your pain in an effort to create the positive change you are seeking in your life. We believe that successful counseling is a collaborative experience between you and your therapist; that finding the right fit is vital to that success.
We are a group of dynamic therapists, in multiple Washington state locations. Our goal was to create a place for you to settle in and tell your story. Everybody has one, and we want to hear yours. Counseling is a process that encourages you to examine your choices, your thoughts, your dreams, your barriers and your pain in an effort to create the positive change you are seeking in your life. We believe that successful counseling is a collaborative experience between you and your therapist; that finding the right fit is vital to that success.
(509) 260-2776 View (509) 260-2776
Photo of Gracie Klontz, Counselor in Spokane Valley, WA
Gracie Klontz
Counselor, MA, LMHCA, NBCC
Verified Verified
Spokane Valley, WA 99206
It is a great privilege to be entrusted with the sacred work of helping individuals navigate life's issues. The therapeutic relationship is unlike any relationship one will experience anywhere because, in the therapy room, they are unconditionally valued and empathically listened to with their best interests in mind, free from hidden agendas, discrimination, or personal gain. In this safe environment, clients are encouraged to develop compassionate curiosity toward the pieces of their life story, which grants insight into their present functioning and is an essential part of their growth journey.
It is a great privilege to be entrusted with the sacred work of helping individuals navigate life's issues. The therapeutic relationship is unlike any relationship one will experience anywhere because, in the therapy room, they are unconditionally valued and empathically listened to with their best interests in mind, free from hidden agendas, discrimination, or personal gain. In this safe environment, clients are encouraged to develop compassionate curiosity toward the pieces of their life story, which grants insight into their present functioning and is an essential part of their growth journey.
(509) 486-7962 View (509) 486-7962
Photo of Rhonda DelCarlo, Counselor in Spokane Valley, WA
Rhonda DelCarlo
Counselor, MA, LMHC, SUDP
Verified Verified
Spokane Valley, WA 99212  (Online Only)
Have you ever felt misunderstood? Have you tried to create relationships that are supportive and don't know why it's not working? Do you have dreams you want to tap into, but are afraid to step outside your comfort zone? As a therapist, I strive to empower individuals to find and develop their authentic path. I want to work with you to find the obstacles in your way so we can work together to help you achieve your goals. I strive to help you create a balance between work and play, to assist with coping skills and self-soothing techniques and help you create self-care for your busy life.
Have you ever felt misunderstood? Have you tried to create relationships that are supportive and don't know why it's not working? Do you have dreams you want to tap into, but are afraid to step outside your comfort zone? As a therapist, I strive to empower individuals to find and develop their authentic path. I want to work with you to find the obstacles in your way so we can work together to help you achieve your goals. I strive to help you create a balance between work and play, to assist with coping skills and self-soothing techniques and help you create self-care for your busy life.
(509) 587-1130 View (509) 587-1130
Photo of Alicia J Loiler, Counselor in Spokane Valley, WA
Alicia J Loiler
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Spokane Valley, WA 99206
As a therapist, I believe everyone has inherent value, and I want to create a space where every person feels safe, confident and comfortable. As well as meeting people where they are and help them rediscover their intrinsic value, worth, and develop self-compassion and self-worth. There are challenges in life that are hard. I will work to empower you and to help you become the best and strongest version of yourself. My goal is to walk along side you through this process. We all face challenges in life but sometimes we need someone to support and cheer us on.
As a therapist, I believe everyone has inherent value, and I want to create a space where every person feels safe, confident and comfortable. As well as meeting people where they are and help them rediscover their intrinsic value, worth, and develop self-compassion and self-worth. There are challenges in life that are hard. I will work to empower you and to help you become the best and strongest version of yourself. My goal is to walk along side you through this process. We all face challenges in life but sometimes we need someone to support and cheer us on.
(509) 517-7754 View (509) 517-7754
Photo of Sarah Walsh, Clinical Social Work/Therapist in Spokane Valley, WA
Sarah Walsh
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Spokane Valley, WA 99206
Hello, I’m Sarah Walsh (she/her). I’m an associate licensed clinician social worker. My bachelor’s and master’s degrees are both in social work from Walden University and led to a clinical focus in my practice of social work. Before I was a therapist, I worked in roles such as caregiving, inpatient psychiatric care, crisis line work, and case management. I was intensively trained in dialectical behavioral therapy (DBT) through Behavioral Tech. Other modalities I have training in are internal family systems and the Gottman Method.
Hello, I’m Sarah Walsh (she/her). I’m an associate licensed clinician social worker. My bachelor’s and master’s degrees are both in social work from Walden University and led to a clinical focus in my practice of social work. Before I was a therapist, I worked in roles such as caregiving, inpatient psychiatric care, crisis line work, and case management. I was intensively trained in dialectical behavioral therapy (DBT) through Behavioral Tech. Other modalities I have training in are internal family systems and the Gottman Method.
(509) 245-1282 View (509) 245-1282
Photo of Marilyn Marshall, Counselor in Spokane Valley, WA
Marilyn Marshall
Counselor, L, M, H, C
Verified Verified
Spokane Valley, WA 99212
I believe sometimes all we need is for someone to listen to us without judging to help find answers. In my office, the client is completely involved in determining the course of therapy. You can expect an initial session to be of gathering personal history, health history, and family of origin history. We will work together to see if we can begin to identify the problem and what you might want to do about the problem. We try to establish how we will know when this has been accomplished, how often to meet, as well as any arrangements for payment.
I believe sometimes all we need is for someone to listen to us without judging to help find answers. In my office, the client is completely involved in determining the course of therapy. You can expect an initial session to be of gathering personal history, health history, and family of origin history. We will work together to see if we can begin to identify the problem and what you might want to do about the problem. We try to establish how we will know when this has been accomplished, how often to meet, as well as any arrangements for payment.
(509) 731-4914 View (509) 731-4914
Photo of Derek Ormiston, LPC Intern in Spokane Valley, WA
Derek Ormiston
LPC Intern
Verified Verified
1 Endorsed
Spokane Valley, WA 99206
I would love to help you! I am a friendly and enthusiastic listener who is passionate about helping adolescents and adults. I firmly believe that everyone is worthy of dignity and respect. I love integrating pop culture and therapy as these two ideas can allow us to better understand not only ourselves, but the world in which we live. I am a registered intern completing an MS degree in counseling at Grand Canyon University.
I would love to help you! I am a friendly and enthusiastic listener who is passionate about helping adolescents and adults. I firmly believe that everyone is worthy of dignity and respect. I love integrating pop culture and therapy as these two ideas can allow us to better understand not only ourselves, but the world in which we live. I am a registered intern completing an MS degree in counseling at Grand Canyon University.
(509) 581-2542 View (509) 581-2542
Photo of Jina Doggett, Drug & Alcohol Counselor in Spokane Valley, WA
Jina Doggett
Drug & Alcohol Counselor, SUDP
Verified Verified
Spokane Valley, WA 99206
Are you concerned about your current relationship with substances but unable to manage on your own? Achieving long-term sobriety is not easy or quick, but our programs are designed to provide the support and tools needed to develop and maintain a sober lifestyle. I provide counseling for adults who are affected by substance use disorders. I utilize evidence-based practices with a focus on Cognitive Behavioral Therapy and Shame Resilience Theory (courage, connection and compassion vs. fear, blame, disconnection). At Breakthrough Recovery Group, I practice Brené Brown principles with clients under a certified Daring Way facilitator.
Are you concerned about your current relationship with substances but unable to manage on your own? Achieving long-term sobriety is not easy or quick, but our programs are designed to provide the support and tools needed to develop and maintain a sober lifestyle. I provide counseling for adults who are affected by substance use disorders. I utilize evidence-based practices with a focus on Cognitive Behavioral Therapy and Shame Resilience Theory (courage, connection and compassion vs. fear, blame, disconnection). At Breakthrough Recovery Group, I practice Brené Brown principles with clients under a certified Daring Way facilitator.
(509) 404-0278 View (509) 404-0278
Photo of (Not Accepting New Clients) Srae Christensen, Counselor in Spokane Valley, WA
(Not Accepting New Clients) Srae Christensen
Counselor, MA, LMHC
Verified Verified
Spokane Valley, WA 99206  (Online Only)
Not accepting new clients
I believe each of us has an innate desire to belong, to love, to be loved, and to find self-fulfillment — to reach our potential. Sometimes we are faced with challenges such as those brought about by anxiety or depression which can be distressing. My goal is to help my clients learn how to address and cope with stressors that may be blocking their growth and well-being. Through a person-centered counseling approach using trauma-informed cognitive behavioral therapy (CBT) techniques, I help my clients find ways to adjust their feelings and behaviors to improve self-awareness and to work toward self-directed change.
I believe each of us has an innate desire to belong, to love, to be loved, and to find self-fulfillment — to reach our potential. Sometimes we are faced with challenges such as those brought about by anxiety or depression which can be distressing. My goal is to help my clients learn how to address and cope with stressors that may be blocking their growth and well-being. Through a person-centered counseling approach using trauma-informed cognitive behavioral therapy (CBT) techniques, I help my clients find ways to adjust their feelings and behaviors to improve self-awareness and to work toward self-directed change.
(509) 233-4386 View (509) 233-4386
Photo of Hannah R Johnson, Counselor in Spokane Valley, WA
Hannah R Johnson
Counselor, LMHCA, NCC
Verified Verified
1 Endorsed
Spokane Valley, WA 99206
Waitlist for new clients
In alignment with person-centered counseling, I believe in establishing a brave space of acceptance, authenticity, and empathy in a therapeutic relationship. I am passionate about mental health awareness and empowering individuals to awaken their dreams and use their voices. I seek to walk with each client to hold their struggles, hear their stories, celebrate their wins, and cheer them on. As a result, clients have the freedom to gain personal insight and authentically examine well-being and create change as needed. I take on this role with honor and humility.
In alignment with person-centered counseling, I believe in establishing a brave space of acceptance, authenticity, and empathy in a therapeutic relationship. I am passionate about mental health awareness and empowering individuals to awaken their dreams and use their voices. I seek to walk with each client to hold their struggles, hear their stories, celebrate their wins, and cheer them on. As a result, clients have the freedom to gain personal insight and authentically examine well-being and create change as needed. I take on this role with honor and humility.
(509) 661-3043 View (509) 661-3043
Photo of Rikki Jayne Miller, Counselor in Spokane Valley, WA
Rikki Jayne Miller
Counselor, LMFTA, LMHC, PhD Stu
Verified Verified
Spokane Valley, WA 99206
I am passionate about working with individuals, couples, families, and children who are seeking healing and restoration. Whether you’re dealing with relationship issues, difficult family circumstances, trauma recovery, depression, anxiety, or other concerns, it would be my pleasure to walk with you in your journey. There is no circumstance to small to seek out professional help. Counseling can increase one's own understanding of their behaviors and thoughts, while also increasing their self-esteem and ability to communicate with those around them.
I am passionate about working with individuals, couples, families, and children who are seeking healing and restoration. Whether you’re dealing with relationship issues, difficult family circumstances, trauma recovery, depression, anxiety, or other concerns, it would be my pleasure to walk with you in your journey. There is no circumstance to small to seek out professional help. Counseling can increase one's own understanding of their behaviors and thoughts, while also increasing their self-esteem and ability to communicate with those around them.
(509) 402-1575 View (509) 402-1575
Photo of Tracy Nielsen, Mental Health Counselor Associate in Spokane Valley, WA
Tracy Nielsen
Mental Health Counselor Associate, MHCA
Verified Verified
Spokane Valley, WA 99206
We all have a story that deserves to be delighted in and held with compassion and gentleness. Your story might include hopelessness, grief, trauma, abuse, or shame. It might be a story of anxiety, confusion, guilt, or disappointment. My goal is to supply a path toward growth and healing. I believe people deserve to be met right where they are, amid the pain and chaos, and choose to view each individual uniquely.
We all have a story that deserves to be delighted in and held with compassion and gentleness. Your story might include hopelessness, grief, trauma, abuse, or shame. It might be a story of anxiety, confusion, guilt, or disappointment. My goal is to supply a path toward growth and healing. I believe people deserve to be met right where they are, amid the pain and chaos, and choose to view each individual uniquely.
(509) 204-8909 View (509) 204-8909
Photo of Eryka Brydsong, Pre-Licensed Professional in Spokane Valley, WA
Eryka Brydsong
Pre-Licensed Professional, LMHCA
Verified Verified
Spokane Valley, WA 99206
Not accepting new clients
My name is Eryka, and I am a dedicated and compassionate counselor with extensive experience in the field of mental health. I am committed to helping individuals, couples, and those who support them heal, grow, and thrive in their lives. I received my bachelor's degree in psychology, in addition to my Master's degree in Counseling and Guidance from California State University, San Bernardino.
My name is Eryka, and I am a dedicated and compassionate counselor with extensive experience in the field of mental health. I am committed to helping individuals, couples, and those who support them heal, grow, and thrive in their lives. I received my bachelor's degree in psychology, in addition to my Master's degree in Counseling and Guidance from California State University, San Bernardino.
(509) 282-5977 View (509) 282-5977
Photo of Victoria Facciola Riverside Therapy Center, Counselor in Spokane Valley, WA
Victoria Facciola Riverside Therapy Center
Counselor, PhDCand, LMHC, LCPC-S
Verified Verified
1 Endorsed
Spokane Valley, WA 99016
Now accepting new clients! I work with individuals who are experiencing anxiety, depression, trauma, and life transitions. Reaching out for help can be difficult sometimes! I want to honor that and I want to make your experience in therapy meaningful and purposeful in your life. We all experience mental health challenges throughout life and we are all deserving of help. I hope that you trust me with your life stories.
Now accepting new clients! I work with individuals who are experiencing anxiety, depression, trauma, and life transitions. Reaching out for help can be difficult sometimes! I want to honor that and I want to make your experience in therapy meaningful and purposeful in your life. We all experience mental health challenges throughout life and we are all deserving of help. I hope that you trust me with your life stories.
(509) 774-3449 View (509) 774-3449
Photo of Jordyn Claire Kuttner, Marriage & Family Therapist Associate in Spokane Valley, WA
Jordyn Claire Kuttner
Marriage & Family Therapist Associate, LMFTA
Verified Verified
3 Endorsed
Spokane Valley, WA 99206
I am a Licensed Marriage and Family Therapist Associate; drawing from various therapeutic models like Cognitive Behavioral Therapy (CBT), Trauma Focused-CBT, Motivational Interviewing, and using elements from DBT, CPT, Play-Therapy, and IFS, I tailor our sessions to your unique needs. I have experience working with individuals who have anxiety, depression, sexual assault/childhood sexual assault survivors, and complex PTSD. Gottman Institute Level 2 Certified therapist and I'm trained in Emotion Focused Therapy (EFT) core skills. Furthermore, my ongoing training in EMDR.
I am a Licensed Marriage and Family Therapist Associate; drawing from various therapeutic models like Cognitive Behavioral Therapy (CBT), Trauma Focused-CBT, Motivational Interviewing, and using elements from DBT, CPT, Play-Therapy, and IFS, I tailor our sessions to your unique needs. I have experience working with individuals who have anxiety, depression, sexual assault/childhood sexual assault survivors, and complex PTSD. Gottman Institute Level 2 Certified therapist and I'm trained in Emotion Focused Therapy (EFT) core skills. Furthermore, my ongoing training in EMDR.
(509) 236-8247 View (509) 236-8247
Photo of Janelle Green, Clinical Social Work/Therapist in Spokane Valley, WA
Janelle Green
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
1 Endorsed
Spokane Valley, WA 99206  (Online Only)
Do you feel stuck, left behind, left out? Maybe you’re feeling overwhelmed, anxious, unsure? It is hard to find meaning when life throws challenge after challenge in your way. I have experience in helping clients with life’s adversities: coping with illness, grief, and loss, struggling with motivation and workplace burnout, issues of self esteem and confidence, managing depression and anxiety, and navigating life and family transitions.
Do you feel stuck, left behind, left out? Maybe you’re feeling overwhelmed, anxious, unsure? It is hard to find meaning when life throws challenge after challenge in your way. I have experience in helping clients with life’s adversities: coping with illness, grief, and loss, struggling with motivation and workplace burnout, issues of self esteem and confidence, managing depression and anxiety, and navigating life and family transitions.
(509) 283-8846 View (509) 283-8846
Photo of Wellness Encompassed, Counselor in Spokane Valley, WA
Wellness Encompassed
Counselor
Verified Verified
Spokane Valley, WA 99212
Here at Wellness Encompassed we believe in treating the human and not the symptom. We see the client as an individual on a path that we embark on together, where we walk along side them, to support, advocate, and to provide guidance to as we meet them with compassion and understanding. We work with our clients to meet their needs and connect them to our community partners if requested, such as nutritional counseling, medication management, physical therapy, chiropractic care and even massage therapy. We believe we grow as a community the more we support one another in the spirit of compassion.
Here at Wellness Encompassed we believe in treating the human and not the symptom. We see the client as an individual on a path that we embark on together, where we walk along side them, to support, advocate, and to provide guidance to as we meet them with compassion and understanding. We work with our clients to meet their needs and connect them to our community partners if requested, such as nutritional counseling, medication management, physical therapy, chiropractic care and even massage therapy. We believe we grow as a community the more we support one another in the spirit of compassion.
(509) 519-1641 View (509) 519-1641
Photo of Cindy Sahagun, Counselor in Spokane Valley, WA
Cindy Sahagun
Counselor, LMHC, MS, NCC
Verified Verified
Spokane Valley, WA 99037  (Online Only)
Hello there! I am passionate about intersectionality sensitivity and inclusivity and emphasize the importance of whole-person wellness. Humans are complex beings with emotional, physical, spiritual, and cultural needs with unique experiences. I find it important to incorporate a holistic understanding and collaborative approach to treatment to foster whole-person wellness. I am committed to holding a safe space for individuals to be their true authentic selves and foster unconditional positive regard in the therapeutic relationship.
Hello there! I am passionate about intersectionality sensitivity and inclusivity and emphasize the importance of whole-person wellness. Humans are complex beings with emotional, physical, spiritual, and cultural needs with unique experiences. I find it important to incorporate a holistic understanding and collaborative approach to treatment to foster whole-person wellness. I am committed to holding a safe space for individuals to be their true authentic selves and foster unconditional positive regard in the therapeutic relationship.
(509) 581-2550 View (509) 581-2550

See more therapy options for Spokane Valley

How does your Therapist compare?

Number of Therapists in Spokane Valley, WA

100+

Average cost per session

$127

Therapists in Spokane Valley, WA who prioritize treating:

91% Anxiety
88% Depression
80% Relationship Issues
76% Trauma and PTSD
72% Self Esteem
71% Coping Skills
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

86% Premera
80% BlueCross and BlueShield
77% Aetna

How Therapists in Spokane Valley, WA see their clients

73% In Person and Online
27% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Spokane Valley?

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.