Therapists in North Bend, WA

Photo of Dr. Teresa Evans in North Bend, WA
Dr. Teresa Evans
ND, NP-CNM, IBCLC
Verified Verified
North Bend, WA 98045  (Online Only)
Greetings! Are you looking for support towards the life you really want? Are you looking to work with a medical provider who can help you manage anxiety, depression, gender-affirmation, LGBTQ+, grief, chronic pain, or life transitions? Adults with these traits may struggle with work, relationships, and family. I offer medication management and/or counseling. I am kink, poly, and HAES friendly. I come from a wholistic lens often including nutrition (additive), sleep care, and joyful movement. From a social justice lens, I focus on Acceptance and Commitment Therapy, Mindfulness-Based-CBT, and Nature-Based Walk and Talk Therapy.
Greetings! Are you looking for support towards the life you really want? Are you looking to work with a medical provider who can help you manage anxiety, depression, gender-affirmation, LGBTQ+, grief, chronic pain, or life transitions? Adults with these traits may struggle with work, relationships, and family. I offer medication management and/or counseling. I am kink, poly, and HAES friendly. I come from a wholistic lens often including nutrition (additive), sleep care, and joyful movement. From a social justice lens, I focus on Acceptance and Commitment Therapy, Mindfulness-Based-CBT, and Nature-Based Walk and Talk Therapy.
(206) 508-5889 View (206) 508-5889
Photo of Zoe Hisey, Counselor in North Bend, WA
Zoe Hisey
Counselor, MA, LMHCA
Verified Verified
3 Endorsed
North Bend, WA 98045
Not accepting new clients
I take an individual, supportive approach to psychotherapy, adapting to the needs of each person. I work best with clients who are committed to developing greater self-awareness and improve coping skills with a focus on depth work. This combination develops symptom relief while also creating opportunity for lasting transformation. I believe we all have the answers inside, we just need a little help navigating. By creating a safe space to process feelings and thoughts, together we can provide fertile ground for healing, growing, and flourishing.
I take an individual, supportive approach to psychotherapy, adapting to the needs of each person. I work best with clients who are committed to developing greater self-awareness and improve coping skills with a focus on depth work. This combination develops symptom relief while also creating opportunity for lasting transformation. I believe we all have the answers inside, we just need a little help navigating. By creating a safe space to process feelings and thoughts, together we can provide fertile ground for healing, growing, and flourishing.
(425) 584-2372 View (425) 584-2372
Photo of David Paul Eck, Counselor in North Bend, WA
David Paul Eck
Counselor, MA, LMHC
Verified Verified
North Bend, WA 98045
For 29 years I have counseled adults and couples depressed, anxious or insecure with life's challenges, while others struggled in relationship or the responsibilities of parenting. Some hurt from a difficult loss or transition. And some clients arrived wondering if there is yet more to their existence. My practice allows me to give focused attention to the needs of each client. I am a compassionate listener, yet also recognize that change requires a measured degree of challenge and ultimately concrete action. I am engaging, proactive and creative, always looking for solutions tailored to my client's personal needs.
For 29 years I have counseled adults and couples depressed, anxious or insecure with life's challenges, while others struggled in relationship or the responsibilities of parenting. Some hurt from a difficult loss or transition. And some clients arrived wondering if there is yet more to their existence. My practice allows me to give focused attention to the needs of each client. I am a compassionate listener, yet also recognize that change requires a measured degree of challenge and ultimately concrete action. I am engaging, proactive and creative, always looking for solutions tailored to my client's personal needs.
(425) 786-9923 View (425) 786-9923
Photo of Vanessa Weiland in North Bend, WA
Vanessa Weiland
NP, HT
Verified Verified
North Bend, WA 98045  (Online Only)
I became a certified Clinical Hypnotherapist after learning that clinical hypnosis has Level I evidence for the treatment of the vasomotor symptoms of menopause (hot flashes and night sweats) according to The Menopause Society Position Statement on Nonhormonal Therapies (2023). It can also be effective for anxiety, insomnia, and making peace with life transitions.
I became a certified Clinical Hypnotherapist after learning that clinical hypnosis has Level I evidence for the treatment of the vasomotor symptoms of menopause (hot flashes and night sweats) according to The Menopause Society Position Statement on Nonhormonal Therapies (2023). It can also be effective for anxiety, insomnia, and making peace with life transitions.
(425) 470-5372 View (425) 470-5372
Photo of Jessica Milian | Larch Counseling, Marriage & Family Therapist in North Bend, WA
Jessica Milian | Larch Counseling
Marriage & Family Therapist, LMFT
Verified Verified
14 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 357-7461 x38 View (425) 357-7461 x38
Photo of Greg Kiper, Counselor in North Bend, WA
Greg Kiper
Counselor, MA, SUDP, LMHC, LPC
Verified Verified
North Bend, WA 98045  (Online Only)
Waitlist for new clients
There are times in life we all need help and understanding. I am here to guide you to find the answers you seek within yourself and your relationships. My focus is relational and attachment based, client centered, and solution-focused. I work with individuals, couple and families – pre-teens to adults who are seeking development in their internal life as well as in relationships, specializing in helping to improve emotional connection, communication and conflict resolution between couples and among family members.
There are times in life we all need help and understanding. I am here to guide you to find the answers you seek within yourself and your relationships. My focus is relational and attachment based, client centered, and solution-focused. I work with individuals, couple and families – pre-teens to adults who are seeking development in their internal life as well as in relationships, specializing in helping to improve emotional connection, communication and conflict resolution between couples and among family members.
(425) 598-0384 View (425) 598-0384
Photo of Jim Morley - Reflections Counseling, Counselor in North Bend, WA
Jim Morley - Reflections Counseling
Counselor, MA, LMHC, SUDP
Verified Verified
North Bend, WA 98045
Waitlist for new clients
I enjoy working with individuals age 15 and older as well as couples and families. My style of counseling is an integrative one, combining humor, education, and interventions encompassing a broad range of therapeutic approaches. My experience includes a strong background in mental health and addiction counseling. I have training in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing, and Mindfulness based practices. I bring with me an array of life experiences working and traveling abroad. I believe change can happen in a few focused sessions. Therapy does not necessarily have to be long term to be effective.
I enjoy working with individuals age 15 and older as well as couples and families. My style of counseling is an integrative one, combining humor, education, and interventions encompassing a broad range of therapeutic approaches. My experience includes a strong background in mental health and addiction counseling. I have training in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing, and Mindfulness based practices. I bring with me an array of life experiences working and traveling abroad. I believe change can happen in a few focused sessions. Therapy does not necessarily have to be long term to be effective.
(425) 209-8216 View (425) 209-8216
Photo of Abbygail Parker I Larch Counseling, Marriage & Family Therapist Associate in North Bend, WA
Abbygail Parker I Larch Counseling
Marriage & Family Therapist Associate, LMFTA
Verified Verified
15 Endorsed
North Bend, WA 98045
I want you to feel heard and safe. Some things that make us human are our complex, safety-focused, and connection-centered, brains. Regardless of our similarities, we all still navigate challenges uniquely. How we approach our stories impacts how we see ourselves and the world around us. Challenges in this world are certain; this may leave us feeling scared, overwhelmed, or depressed. These difficult experiences can lead to isolation, stuckness, panic, and other uncomfortable feelings. Rather than battle it out in your relationships, or on your own, I work from a headspace of inspiring hope and seeking peace within.
I want you to feel heard and safe. Some things that make us human are our complex, safety-focused, and connection-centered, brains. Regardless of our similarities, we all still navigate challenges uniquely. How we approach our stories impacts how we see ourselves and the world around us. Challenges in this world are certain; this may leave us feeling scared, overwhelmed, or depressed. These difficult experiences can lead to isolation, stuckness, panic, and other uncomfortable feelings. Rather than battle it out in your relationships, or on your own, I work from a headspace of inspiring hope and seeking peace within.
(425) 243-8951 View (425) 243-8951
Photo of Janelle Mae Cotogna, Counselor in North Bend, WA
Janelle Mae Cotogna
Counselor, LMHCA, PSC, NCC
Verified Verified
2 Endorsed
North Bend, WA 98045  (Online Only)
Waitlist for new clients
Your needs and concerns are as unique as a therapist's style and specialty. I blend evidence-based, person-centered approaches with holistic skills, such as mindfulness and anxiety tools, to guide you toward self-healing. I lean into DBT skills, with an emphasis on radical acceptance. I specialize in working with the neuro-divergent, the quirky, nerdy, brilliant, introverted, ADHD, Autism, and socially-different humans. Additionally, I work with the caretakers of children with all forms of disabilities to help them overcome everyday challenges, navigate the school system, special education, and life transitions.
Your needs and concerns are as unique as a therapist's style and specialty. I blend evidence-based, person-centered approaches with holistic skills, such as mindfulness and anxiety tools, to guide you toward self-healing. I lean into DBT skills, with an emphasis on radical acceptance. I specialize in working with the neuro-divergent, the quirky, nerdy, brilliant, introverted, ADHD, Autism, and socially-different humans. Additionally, I work with the caretakers of children with all forms of disabilities to help them overcome everyday challenges, navigate the school system, special education, and life transitions.
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Photo of Jenna Patterson - Reflections Counseling, Marriage & Family Therapist in North Bend, WA
Jenna Patterson - Reflections Counseling
Marriage & Family Therapist, MS, LMFT, SUDP, CMHS, MHP
Verified Verified
1 Endorsed
North Bend, WA 98045
Waitlist for new clients
I view each individual's problems in the context of their life and relationships. My approach to therapy is best described as relational, client centered, and outcomes-focused. I provide therapeutic services to individuals, families, and couples whose interests are personal growth and development, relationship enhancement, individual and career transitions. I feel passionate about working with families and helping to foster better communication between couples as well as children and their parents.
I view each individual's problems in the context of their life and relationships. My approach to therapy is best described as relational, client centered, and outcomes-focused. I provide therapeutic services to individuals, families, and couples whose interests are personal growth and development, relationship enhancement, individual and career transitions. I feel passionate about working with families and helping to foster better communication between couples as well as children and their parents.
(425) 209-8216 View (425) 209-8216
Photo of Serena Robertson | Larch Counseling, Marriage & Family Therapist in North Bend, WA
Serena Robertson | Larch Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
16 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 382-7525 View (425) 382-7525
Photo of Allison Hanigan I Larch Counseling, Marriage & Family Therapist Intern in North Bend, WA
Allison Hanigan I Larch Counseling
Marriage & Family Therapist Intern, MS, MFT, Cand
Verified Verified
15 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 728-7813 View (425) 728-7813
Photo of Gavin Versi - Reflections Counseling, Pre-Licensed Professional in North Bend, WA
Gavin Versi - Reflections Counseling
Pre-Licensed Professional
Verified Verified
3 Endorsed
North Bend, WA 98045
Waitlist for new clients
My specialties are managing depression/anxiety, healing trauma, and relationship enhancement. I also enjoy working with individuals and families facing addiction, especially process addictions such as social media, pornography, gambling, and food. My style is best described as experiential, which means that we learn and grow through experience (rather than being told what to do). I view everyone's problems in the context of their life, history, and relationships. As a somatic practitioner, I believe that our body is our most effective healing tool.
My specialties are managing depression/anxiety, healing trauma, and relationship enhancement. I also enjoy working with individuals and families facing addiction, especially process addictions such as social media, pornography, gambling, and food. My style is best described as experiential, which means that we learn and grow through experience (rather than being told what to do). I view everyone's problems in the context of their life, history, and relationships. As a somatic practitioner, I believe that our body is our most effective healing tool.
(425) 209-8216 View (425) 209-8216
Photo of Jean Fitzharris - Reflections Counseling, Counselor in North Bend, WA
Jean Fitzharris - Reflections Counseling
Counselor, LMHCA
Verified Verified
North Bend, WA 98045
My approach is integrative, holistic, client-focused, and tailored to each individual. I provide therapy for individuals dealing with anxiety, depression, loss or grief, & more. The goal of therapy is the development of self-sustaining abilities, strength and flexibility, so that life can unfold in meaningful and satisfying ways. A theme running through my practice is integrating the soul or spirituality and a sense of humor into our day-to-day lives.
My approach is integrative, holistic, client-focused, and tailored to each individual. I provide therapy for individuals dealing with anxiety, depression, loss or grief, & more. The goal of therapy is the development of self-sustaining abilities, strength and flexibility, so that life can unfold in meaningful and satisfying ways. A theme running through my practice is integrating the soul or spirituality and a sense of humor into our day-to-day lives.
(425) 209-8216 View (425) 209-8216
Photo of Jordan Beck I Larch Counseling, Marriage & Family Therapist Associate in North Bend, WA
Jordan Beck I Larch Counseling
Marriage & Family Therapist Associate, MA, CFT
Verified Verified
15 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between, find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between, find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 906-5078 View (425) 906-5078
Photo of Lauren Thomas, Clinical Social Work/Therapist in North Bend, WA
Lauren Thomas
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
North Bend, WA 98045  (Online Only)
Lauren is a Licensed Independent Clinical Social Worker. She received her Bachelor’s in Social Work from University of Utah and her Master’s in Social Work from University of Michigan - Ann Arbor. Lauren has graduate and post-graduate clinical training in assessing, diagnosing, and treating OCD, ADHD, PTSD, school refusal, and other areas of need. Lauren specializes in treatment of adolescents and family systems, and is dedicated to this work and enjoys helping others.
Lauren is a Licensed Independent Clinical Social Worker. She received her Bachelor’s in Social Work from University of Utah and her Master’s in Social Work from University of Michigan - Ann Arbor. Lauren has graduate and post-graduate clinical training in assessing, diagnosing, and treating OCD, ADHD, PTSD, school refusal, and other areas of need. Lauren specializes in treatment of adolescents and family systems, and is dedicated to this work and enjoys helping others.
(425) 202-5330 View (425) 202-5330
Photo of Katie Zundel - Reflections Counseling, Marriage & Family Therapist Associate in North Bend, WA
Katie Zundel - Reflections Counseling
Marriage & Family Therapist Associate, LMFTA
Verified Verified
North Bend, WA 98045
I provide couple's therapy & therapy for individuals. Whether I'm working with you individually or as part of a unit, I'm always curious about how other people or systems impact you. I interweave aspects of Emotion-Focused Therapy, Solution-Focused Therapy, and Narrative Therapy. When working with couples, I primarily use the Gottman Method. I see people as a part of an intricately woven tapestry of relationships. Like a thread in the tapestry, a person cannot be excluded from relationships to function on their own.
I provide couple's therapy & therapy for individuals. Whether I'm working with you individually or as part of a unit, I'm always curious about how other people or systems impact you. I interweave aspects of Emotion-Focused Therapy, Solution-Focused Therapy, and Narrative Therapy. When working with couples, I primarily use the Gottman Method. I see people as a part of an intricately woven tapestry of relationships. Like a thread in the tapestry, a person cannot be excluded from relationships to function on their own.
(425) 209-8216 View (425) 209-8216
Photo of Abigail Crickmore - Reflections Counseling, Counselor in North Bend, WA
Abigail Crickmore - Reflections Counseling
Counselor, LMHC
Verified Verified
2 Endorsed
North Bend, WA 98045  (Online Only)
I love working with LGBT+ clients and discussing any issues related to sexuality and gender. I am well-equipped in working with clients facing anxiety, depression, and/or emotion regulation issues. I enjoy working with adolescents and adult clients. I feel passionate about walking alongside folks through life transitions and hardships.
I love working with LGBT+ clients and discussing any issues related to sexuality and gender. I am well-equipped in working with clients facing anxiety, depression, and/or emotion regulation issues. I enjoy working with adolescents and adult clients. I feel passionate about walking alongside folks through life transitions and hardships.
(425) 209-8216 View (425) 209-8216
Photo of Mario Gaspar de Alba Larch Counseling, Marriage & Family Therapist Associate in North Bend, WA
Mario Gaspar de Alba Larch Counseling
Marriage & Family Therapist Associate, MFTcand
Verified Verified
15 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 407-5044 x35 View (425) 407-5044 x35
Photo of Letitia Johnson, Clinical Social Work/Therapist in North Bend, WA
Letitia Johnson
Clinical Social Work/Therapist, MSW, LICSW, CHT, BC-TMH
Verified Verified
North Bend, WA 98045
Do you feel that a better version of you is waiting to emerge? I believe there is. Do you want to be happier? Have a better relationship? More fulfilling career? I believe you can have all those things. I also believe the seeds of change are within each of us. Whether changes are subtle or more global, I can help. My job, as your therapist and coach, is to help find the pathways within you to move toward change. I believe we have the answers within to the dilemmas we face, although we may need guidance to find those answers.
Do you feel that a better version of you is waiting to emerge? I believe there is. Do you want to be happier? Have a better relationship? More fulfilling career? I believe you can have all those things. I also believe the seeds of change are within each of us. Whether changes are subtle or more global, I can help. My job, as your therapist and coach, is to help find the pathways within you to move toward change. I believe we have the answers within to the dilemmas we face, although we may need guidance to find those answers.
(425) 470-6053 View (425) 470-6053

See more therapy options for North Bend

How does your Therapist compare?

Number of Therapists in North Bend, WA

40+

Average cost per session

$160

Therapists in North Bend, WA who prioritize treating:

91% Depression
88% Relationship Issues
88% Anxiety
74% Stress
72% Self Esteem
70% Coping Skills
67% Family Conflict

Average years in practice

11 Years

Top 3 insurances accepted

96% Premera
83% Regence
70% BlueCross and BlueShield

How Therapists in North Bend, WA see their clients

77% In Person and Online
23% Online Only

Gender breakdown

83% Female
15% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in North Bend?

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.