Therapists in Puyallup, WA

Photo of Mallory Stinger in Puyallup, WA
Mallory Stinger
LBA, BCBA, M Ed
Verified Verified
Puyallup, WA 98374
Services I provide: Applied Behavior Analysis and Speech Therapy. I do not provide diagnostic or mental health services. I specialize in ABA services only. My holistic approach uses ABA in homes to provide support and model strategies for the entire family, helping them break free from barriers and lead fulfilling lives.
Services I provide: Applied Behavior Analysis and Speech Therapy. I do not provide diagnostic or mental health services. I specialize in ABA services only. My holistic approach uses ABA in homes to provide support and model strategies for the entire family, helping them break free from barriers and lead fulfilling lives.
(253) 366-8417 View (253) 366-8417
Photo of Megan Moeller, Counselor in Puyallup, WA
Megan Moeller
Counselor, LMHC
Verified Verified
Puyallup, WA 98373
Not accepting new clients
Thank you for taking the first step towards improving your mental your health. Choosing a therapists big decision and I commend you for being here. I treat both individuals and couples for relationship issues and life challenges that present themselves throughout each season of life. I work from the stance that believes we all have the ability to make positive changes through acceptance of what is and movement towards authenticity. Please reach out today to schedule an in-person session at my office in Puyallup or via Telehealth at a time that is convenient for you!
Thank you for taking the first step towards improving your mental your health. Choosing a therapists big decision and I commend you for being here. I treat both individuals and couples for relationship issues and life challenges that present themselves throughout each season of life. I work from the stance that believes we all have the ability to make positive changes through acceptance of what is and movement towards authenticity. Please reach out today to schedule an in-person session at my office in Puyallup or via Telehealth at a time that is convenient for you!
(253) 352-4387 View (253) 352-4387
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 Nik Conroy, Counselor in Puyallup, WA
Nik Conroy
Counselor, MA, LMHC, CSAT
Verified Verified
4 Endorsed
Puyallup, WA 98371
I specialize in working with clients struggling with porn, sex, and masturbation addiction, chronic infidelity, and OCD. I also have a passion for assisting individuals as they navigate through challenges and doubts regarding their Christian faith. I am currently a Ph.D. student in Clinical Sexology and Behavioral Addictions at the International Institute of Clinical Sexology (IICS). I am also a Certified Sex Addiction Therapist (CSAT) and member of the International Institute for Trauma and Addiction Professionals (IITAP).
I specialize in working with clients struggling with porn, sex, and masturbation addiction, chronic infidelity, and OCD. I also have a passion for assisting individuals as they navigate through challenges and doubts regarding their Christian faith. I am currently a Ph.D. student in Clinical Sexology and Behavioral Addictions at the International Institute of Clinical Sexology (IICS). I am also a Certified Sex Addiction Therapist (CSAT) and member of the International Institute for Trauma and Addiction Professionals (IITAP).
(253) 544-5743 View (253) 544-5743
Photo of Kate Konzelman, Licensed Professional Counselor in Puyallup, WA
Kate Konzelman
Licensed Professional Counselor, MS, LMHC
Verified Verified
Puyallup, WA 98371
Waitlist for new clients
We all experience difficulties and have barriers in our lives that keep us from experiencing the fullness of freedom we desire. Whether you are having difficulties with a relationship, wrestling through identity and family of origin questions, or healing from a trauma or painful loss, I want WELL Counseling to be a safe and peaceful place for you to process and begin your healing.
We all experience difficulties and have barriers in our lives that keep us from experiencing the fullness of freedom we desire. Whether you are having difficulties with a relationship, wrestling through identity and family of origin questions, or healing from a trauma or painful loss, I want WELL Counseling to be a safe and peaceful place for you to process and begin your healing.
(253) 650-1510 View (253) 650-1510
Photo of Geralyn Peterson, Counselor in Puyallup, WA
Geralyn Peterson
Counselor, LMHC, CMHS, GMHS
Verified Verified
Puyallup, WA 98371
Waitlist for new clients
Your counseling will be built from your strengths to fit your needs. Cognitive-Behavioral: Thoughts, feelings and behaviors interact; to change one of these it is often helpful to change the others. Family Systems Theory: Family members affect each other; each person is helped with improved family interactions. Solution focused Therapy: Fixing the problem, regardless of the where and when that problem started. Narrative Therapy: Acknowledging all parts of your story; focusing on your strengths so you see yourself as the hero of your healing.
Your counseling will be built from your strengths to fit your needs. Cognitive-Behavioral: Thoughts, feelings and behaviors interact; to change one of these it is often helpful to change the others. Family Systems Theory: Family members affect each other; each person is helped with improved family interactions. Solution focused Therapy: Fixing the problem, regardless of the where and when that problem started. Narrative Therapy: Acknowledging all parts of your story; focusing on your strengths so you see yourself as the hero of your healing.
(253) 286-0733 View (253) 286-0733
Photo of Deanna Dessau, Pre-Licensed Professional in Puyallup, WA
Deanna Dessau
Pre-Licensed Professional, MSW
Verified Verified
Puyallup, WA 98373
I work with women who feel they are at a crossroad in their life. They are feeling overwhelmed, stressed and unhappy. They may feel like it's time for changes at home, in their career or with their family. They may have issues with feeling unworthy or unwanted. They might feel a bit confused or a bit lost. But, they know one thing and that is that they do want to feel better. They want a life with more meaning. They want a loving relationship. They want a career that energizes them. They have hope that things can improve.
I work with women who feel they are at a crossroad in their life. They are feeling overwhelmed, stressed and unhappy. They may feel like it's time for changes at home, in their career or with their family. They may have issues with feeling unworthy or unwanted. They might feel a bit confused or a bit lost. But, they know one thing and that is that they do want to feel better. They want a life with more meaning. They want a loving relationship. They want a career that energizes them. They have hope that things can improve.
(253) 722-6836 View (253) 722-6836
Photo of Stone's Throw Counseling, Counselor in Puyallup, WA
Stone's Throw Counseling
Counselor, MA, LMHC
Verified Verified
Puyallup, WA 98375  (Online Only)
Waitlist for new clients
If you are experiencing worry, sadness, anxiety, depression, mood swings, or anger that is too big or too constant, you may need a quiet, compassionate person who can help you reduce your discomfort. I work from a place of wellness and growth, not illness. I will help you understand your challenges in ways that give you the ability to work with your (or your family's) concerns. You can change what needs changing, and keep what works well in your life.
If you are experiencing worry, sadness, anxiety, depression, mood swings, or anger that is too big or too constant, you may need a quiet, compassionate person who can help you reduce your discomfort. I work from a place of wellness and growth, not illness. I will help you understand your challenges in ways that give you the ability to work with your (or your family's) concerns. You can change what needs changing, and keep what works well in your life.
(253) 201-8093 View (253) 201-8093
Photo of Taryn Jae Collura, Counselor in Puyallup, WA
Taryn Jae Collura
Counselor, LMHCA
Verified Verified
Puyallup, WA 98372
I often notice when we finally find the time to catch a breath we tend to bring awareness to just how shallow our breathing may have been up to that point. Life moves fast and it doesn’t tend to slow down even when we need it the most; it's easy to slip into survival mode. As a therapist, it is my goal to not only guide my clients out of survival mode but help them find a way back to thriving and connection. While I honor the survival skills that got you here, it may be time to consider the possibility of healing. Whether it is PTSD or complex trauma, attachment wounds, depression, anxiety, or grief, I am honored to help.
I often notice when we finally find the time to catch a breath we tend to bring awareness to just how shallow our breathing may have been up to that point. Life moves fast and it doesn’t tend to slow down even when we need it the most; it's easy to slip into survival mode. As a therapist, it is my goal to not only guide my clients out of survival mode but help them find a way back to thriving and connection. While I honor the survival skills that got you here, it may be time to consider the possibility of healing. Whether it is PTSD or complex trauma, attachment wounds, depression, anxiety, or grief, I am honored to help.
(253) 455-7461 View (253) 455-7461
Photo of Melissa Lowe, Clinical Social Work/Therapist in Puyallup, WA
Melissa Lowe
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Puyallup, WA 98371  (Online Only)
Accepting New Patients via telehealth/telemedicince. Seeing children, adults, and families. Those in my practice also can see couples. Melissa Lowe received her Masters in Social Work from Boise State in Idaho and holds an Associate License for Clinical Social Work. As a social worker, Melissa has over 15 years of experience working with children and families. She started out as a nanny before working crisis work in the school, assisting in the prisons, helping families, and at our local hospitals.
Accepting New Patients via telehealth/telemedicince. Seeing children, adults, and families. Those in my practice also can see couples. Melissa Lowe received her Masters in Social Work from Boise State in Idaho and holds an Associate License for Clinical Social Work. As a social worker, Melissa has over 15 years of experience working with children and families. She started out as a nanny before working crisis work in the school, assisting in the prisons, helping families, and at our local hospitals.
(253) 366-7771 View (253) 366-7771
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
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 Heather Adaro, Counselor in Puyallup, WA
Heather Adaro
Counselor, LMHC, SUDP
Verified Verified
1 Endorsed
Puyallup, WA 98372  (Online Only)
Not accepting new clients
It takes a lot of courage to reach out when we're struggling. Life gets hard, relationships are complicated, work is demanding, and sometimes it's hard to know which way is up. Things like anxiousness, feelings of sadness, or experiences of trauma can complicate all this. It's difficult to feel on the cusp of needing to do something, wanting something different, and feeling stuck. Maybe you're feeling overwhelmed, or caught in patterns that aren't serving you anymore, whether it's eating, codependency, or substances. Let's talk about how to make meaningful change, and connection to yourself, your needs and values.
It takes a lot of courage to reach out when we're struggling. Life gets hard, relationships are complicated, work is demanding, and sometimes it's hard to know which way is up. Things like anxiousness, feelings of sadness, or experiences of trauma can complicate all this. It's difficult to feel on the cusp of needing to do something, wanting something different, and feeling stuck. Maybe you're feeling overwhelmed, or caught in patterns that aren't serving you anymore, whether it's eating, codependency, or substances. Let's talk about how to make meaningful change, and connection to yourself, your needs and values.
(253) 364-0127 View (253) 364-0127
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 Greg Konzelman, Psychologist in Puyallup, WA
Greg Konzelman
Psychologist, PhD
Verified Verified
2 Endorsed
Puyallup, WA 98371
Not accepting new clients
-TEMPORARILY NOT TAKING NEW PATIENTS- Life and relationships can be overwhelming. Oftentimes, in spite of our best efforts, we find ourselves ineffective with the tools we have. Identifying and understanding your underlying tendencies, which frequently stem from hurtful relationships, is foundational for making peace and moving forward with more effective tools. We want to love and be loved. Before we can do this, we need to be love-able, in other words- healthy enough to express and accept love while maintaining healthy boundaries.
-TEMPORARILY NOT TAKING NEW PATIENTS- Life and relationships can be overwhelming. Oftentimes, in spite of our best efforts, we find ourselves ineffective with the tools we have. Identifying and understanding your underlying tendencies, which frequently stem from hurtful relationships, is foundational for making peace and moving forward with more effective tools. We want to love and be loved. Before we can do this, we need to be love-able, in other words- healthy enough to express and accept love while maintaining healthy boundaries.
(253) 286-0178 View (253) 286-0178
Photo of Samantha Solis, Counselor in Puyallup, WA
Samantha Solis
Counselor, LMHC, CMPC
Verified Verified
3 Endorsed
Puyallup, WA 98372  (Online Only)
I have experience working with children, adolescents, adults, and families. I am passionate about providing mental health services to those in need by coming alongside clients and providing treatment that aligns with their values and interests. My goal is to provide an environment where clients feel safe to express their thoughts and feelings, and where clients feel heard, accepted, and respected.
I have experience working with children, adolescents, adults, and families. I am passionate about providing mental health services to those in need by coming alongside clients and providing treatment that aligns with their values and interests. My goal is to provide an environment where clients feel safe to express their thoughts and feelings, and where clients feel heard, accepted, and respected.
(253) 465-4893 View (253) 465-4893
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 Christy Munro, Marriage & Family Therapist in Puyallup, WA
Christy Munro
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Puyallup, WA 98372
Our innate human desire and need for love and connection is undeniable. In my work with families, individuals and partners, I encourage my clients to uncover and share feelings that often lie underneath dysfunctional patterns and interactions. This systemic perspective also values reflection on the impact from our families of origin. I also aim to nurture a strong sense of identity and self worth, believing this is imperative in finding balance in our unpredictable, confusing world.
Our innate human desire and need for love and connection is undeniable. In my work with families, individuals and partners, I encourage my clients to uncover and share feelings that often lie underneath dysfunctional patterns and interactions. This systemic perspective also values reflection on the impact from our families of origin. I also aim to nurture a strong sense of identity and self worth, believing this is imperative in finding balance in our unpredictable, confusing world.
(253) 780-0725 View (253) 780-0725
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 Katie Kimball, Clinical Social Work/Therapist in Puyallup, WA
Katie Kimball
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Puyallup, WA 98371
As a Licensed Independent Clinical Social Worker I specialize in providing individual therapy to adolescents and adults experiencing challenges in the various domains of their life. This may include concerns such as depression, anxiety, trauma, substance use, adjustment, parent/child dynamics and school. I believe that it is an honor and a privilege to be a part of your life. My hope is that through the collaborative therapeutic process we can identify and utilize your inner strengths and resources to gain deeper insight and awareness into self and others.
As a Licensed Independent Clinical Social Worker I specialize in providing individual therapy to adolescents and adults experiencing challenges in the various domains of their life. This may include concerns such as depression, anxiety, trauma, substance use, adjustment, parent/child dynamics and school. I believe that it is an honor and a privilege to be a part of your life. My hope is that through the collaborative therapeutic process we can identify and utilize your inner strengths and resources to gain deeper insight and awareness into self and others.
(253) 600-2161 View (253) 600-2161

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.