Therapists in Sammamish, WA

Photo of Paige Butkey, Marriage & Family Therapist Associate in Sammamish, WA
Paige Butkey
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Sammamish, WA 98074
I use play therapy, CBT, mindfulness, and attachment based therapy. I work with children,teens, families, and adults struggling with parenting . I am ND affirming .
I use play therapy, CBT, mindfulness, and attachment based therapy. I work with children,teens, families, and adults struggling with parenting . I am ND affirming .
(425) 728-2678 View (425) 728-2678
Photo of Kevin Klar, Counselor in Sammamish, WA
Kevin Klar
Counselor, LMHC
Verified Verified
Sammamish, WA 98074
Kevin is an associate working toward full licensure under a clinical supervisor. You've been dealing with this thing forever"“depression, anxiety, or maybe just that familiar relationship issue that keeps popping up. That thing that makes you question your relationship or inevitably leads to its dissolution. You don't need somebody to tell you what it is, you've lived with it for this long and you're fairly clear on that point. But why? Why is it there? What is motivating it? Why does this keep happening? What are the unseen forces that you feel, but can't seem to name?.
Kevin is an associate working toward full licensure under a clinical supervisor. You've been dealing with this thing forever"“depression, anxiety, or maybe just that familiar relationship issue that keeps popping up. That thing that makes you question your relationship or inevitably leads to its dissolution. You don't need somebody to tell you what it is, you've lived with it for this long and you're fairly clear on that point. But why? Why is it there? What is motivating it? Why does this keep happening? What are the unseen forces that you feel, but can't seem to name?.
(425) 243-0025 View (425) 243-0025
Photo of Janice Rice -Centered Mind Counseling, Psychologist in Sammamish, WA
Janice Rice -Centered Mind Counseling
Psychologist, PsyD, LMHC
Not Verified Not Verified
Sammamish, WA 98075
I help people deal with painful thoughts, feelings, and symptoms that get in the way of living satisfying lives. My approach emphasizes values, acceptance, compassion for self and others, and living fully in the present. Treatment is tailored to your individual needs. We work together to clarify what you want your life to be about, identify factors that get in the way of living that life, and develop skills and a plan of action that works for you.
I help people deal with painful thoughts, feelings, and symptoms that get in the way of living satisfying lives. My approach emphasizes values, acceptance, compassion for self and others, and living fully in the present. Treatment is tailored to your individual needs. We work together to clarify what you want your life to be about, identify factors that get in the way of living that life, and develop skills and a plan of action that works for you.
(425) 269-3277 View (425) 269-3277
Photo of Lesley-Rose Gutter, Counselor in Sammamish, WA
Lesley-Rose Gutter
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Sammamish, WA 98075
I have experience working with a diverse population of clients with various backgrounds including, age, religion, and ethnicity. Specifically, I have worked with individuals, couples, teens, and children with a primary focus on adolescents, young, and older adults. Additionally, I have gained clinical experience through my work in a community mental health setting and integrated behavioral healthcare setting at a pediatric clinic. Through these experiences, I have found a passion for serving my community by promoting mental health wellbeing and providing support and tools for individuals to live with and lessen their pain.
I have experience working with a diverse population of clients with various backgrounds including, age, religion, and ethnicity. Specifically, I have worked with individuals, couples, teens, and children with a primary focus on adolescents, young, and older adults. Additionally, I have gained clinical experience through my work in a community mental health setting and integrated behavioral healthcare setting at a pediatric clinic. Through these experiences, I have found a passion for serving my community by promoting mental health wellbeing and providing support and tools for individuals to live with and lessen their pain.
(253) 258-5740 View (253) 258-5740
Photo of Dr. Kevin Klar, Counselor in Sammamish, WA
Dr. Kevin Klar
Counselor, PhD, LMHC
Verified Verified
Sammamish, WA 98074
You've been dealing with this thing forever–depression, anxiety, or maybe just that relationship issue that keeps popping up. That thing that makes you question your relationship or inevitably leads to its dissolution. You don't need somebody to tell you "what" it is, you've lived with it for this long and you're fairly clear on that point. But "why"? Why is it there? What is motivating it? Why does "this" keep happening? What are the unseen forces that you feel, but can't seem to name? Until we know why, we can never get down to the root of the problem–we will only be dealing with the symptoms and not the cause.
You've been dealing with this thing forever–depression, anxiety, or maybe just that relationship issue that keeps popping up. That thing that makes you question your relationship or inevitably leads to its dissolution. You don't need somebody to tell you "what" it is, you've lived with it for this long and you're fairly clear on that point. But "why"? Why is it there? What is motivating it? Why does "this" keep happening? What are the unseen forces that you feel, but can't seem to name? Until we know why, we can never get down to the root of the problem–we will only be dealing with the symptoms and not the cause.
(425) 657-3629 View (425) 657-3629
Photo of Kelley Nay, Counselor in Sammamish, WA
Kelley Nay
Counselor, MS, LMHC
Verified Verified
Sammamish, WA 98074  (Online Only)
I work with adolescents, adults, couples, and families dealing with depression, anxiety, academic challenges, parenting, relationship challenges, ADHD, grief, eating disorders, and trauma. I love helping people better understand themselves, get unstuck from whatever is holding them back, and create plans for their future that align with their interests, passions, and values. I am passionate about supporting adolescents, young adults, and parents as they strive to be their best selves. I use an approach called Emotionally Focused Therapy to help couples work through relationship problems and create emotional closeness.
I work with adolescents, adults, couples, and families dealing with depression, anxiety, academic challenges, parenting, relationship challenges, ADHD, grief, eating disorders, and trauma. I love helping people better understand themselves, get unstuck from whatever is holding them back, and create plans for their future that align with their interests, passions, and values. I am passionate about supporting adolescents, young adults, and parents as they strive to be their best selves. I use an approach called Emotionally Focused Therapy to help couples work through relationship problems and create emotional closeness.
(425) 215-1205 View (425) 215-1205
Photo of Anna Kim Douglass, Clinical Social Work/Therapist in Sammamish, WA
Anna Kim Douglass
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Sammamish, WA 98074  (Online Only)
Not accepting new clients
Maternity leave till spring '24> Have you ever felt like you're living one foot in the past and one foot in the present, but not by choice? You want to be all here, but there's something holding you back. To your surprise, it can even control your thoughts, emotions, and behaviors, so it's naturally also affecting your present-day relationships. Do you ever find yourself fighting visual snapshots or memories of past trauma and its counterpart, shame? Have you ever wondered why certain topics or interactions provoke a strong reaction and leave you feeling raw? If your answer to any of these questions is, "Yes," I may be able to help.
Maternity leave till spring '24> Have you ever felt like you're living one foot in the past and one foot in the present, but not by choice? You want to be all here, but there's something holding you back. To your surprise, it can even control your thoughts, emotions, and behaviors, so it's naturally also affecting your present-day relationships. Do you ever find yourself fighting visual snapshots or memories of past trauma and its counterpart, shame? Have you ever wondered why certain topics or interactions provoke a strong reaction and leave you feeling raw? If your answer to any of these questions is, "Yes," I may be able to help.
(425) 363-9786 View (425) 363-9786
Photo of Rachel Davis, Counselor in Sammamish, WA
Rachel Davis
Counselor, MA, LMHC
Verified Verified
Sammamish, WA 98075  (Online Only)
Are you struggling with making meaning in life and feeling depressed? Do you no longer want to be held back by past trauma? Do you feel dissatisfied and going through an existential crisis? Are you feeling anxious about world events? Do you want to take a more mindful, holistic approach to your healing process? Are you going through a spiritual crisis? I support adults with symptoms of depression, anxiety, trauma, PTSD, spiritual emergence and emergency, and other issues to heal and thrive. I have 9+ years of experience and offer Telehealth across Washington. My passion is supporting clients with strengthening their core self.
Are you struggling with making meaning in life and feeling depressed? Do you no longer want to be held back by past trauma? Do you feel dissatisfied and going through an existential crisis? Are you feeling anxious about world events? Do you want to take a more mindful, holistic approach to your healing process? Are you going through a spiritual crisis? I support adults with symptoms of depression, anxiety, trauma, PTSD, spiritual emergence and emergency, and other issues to heal and thrive. I have 9+ years of experience and offer Telehealth across Washington. My passion is supporting clients with strengthening their core self.
(425) 434-9378 View (425) 434-9378
Photo of Sibel Ulger, Counselor in Sammamish, WA
Sibel Ulger
Counselor, MA , LMHCA
Verified Verified
2 Endorsed
Sammamish, WA 98074  (Online Only)
I'm a positive, approachable, and multicultural mental health professional who understands challenges. Being multicultural and bilingual, I'm culturally sensitive, working well with diverse backgrounds.
I'm a positive, approachable, and multicultural mental health professional who understands challenges. Being multicultural and bilingual, I'm culturally sensitive, working well with diverse backgrounds.
(425) 584-5988 View (425) 584-5988
Photo of Patrick Scara, Marriage & Family Therapist in Sammamish, WA
Patrick Scara
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Sammamish, WA 98074  (Online Only)
Hello, my name is Patrick Scara. I am a therapist who is passionate about developing strong and authentic therapeutic relationships with my clients. I strive to help them go past coping to a deeper, more integrated relationship with themselves and those around them. My training as an MFT helps me develop holistic impressions of my clients and the challenges they bring to therapy. It has helped me successfully treat individuals and couples who experience depression and anxiety associated with relationship challenges, life transitions, and men's issues.
Hello, my name is Patrick Scara. I am a therapist who is passionate about developing strong and authentic therapeutic relationships with my clients. I strive to help them go past coping to a deeper, more integrated relationship with themselves and those around them. My training as an MFT helps me develop holistic impressions of my clients and the challenges they bring to therapy. It has helped me successfully treat individuals and couples who experience depression and anxiety associated with relationship challenges, life transitions, and men's issues.
(425) 215-1820 View (425) 215-1820
Photo of Centered Mind Counseling - Sammamish Location, Counselor in Sammamish, WA
Centered Mind Counseling - Sammamish Location
Counselor, PsyD, LMHC, ARNP, LICSW, LMFT
Verified Verified
4 Endorsed
Sammamish, WA 98075
Centered Mind Counseling Services, offers counseling, nutrition, and medication management services for individuals, couples & families. In-Person or Telehealth Video Sessions are available. We have a wide range of clinical expertise, more specialty treatment areas to help you, and an expanded availability of services. We are committed to working with you or your child to create the long-lasting changes you desire. Call or text us at (425) 269-3277. Together, we can determine how we can help you!
Centered Mind Counseling Services, offers counseling, nutrition, and medication management services for individuals, couples & families. In-Person or Telehealth Video Sessions are available. We have a wide range of clinical expertise, more specialty treatment areas to help you, and an expanded availability of services. We are committed to working with you or your child to create the long-lasting changes you desire. Call or text us at (425) 269-3277. Together, we can determine how we can help you!
(425) 269-3277 View (425) 269-3277
Photo of Doria McGahey, Counselor in Sammamish, WA
Doria McGahey
Counselor, MA LMHC
Verified Verified
Sammamish, WA 98075  (Online Only)
I work with adult women experiencing challenges in life that are impacting their relationships, health, sleep, work, and recreation. Some of those challenges include anxiety, depression, past traumatic experiences (PTSD), panic attacks, grief/loss, creating healthy boundaries, and settling into any number of life's transitions. I specialize in women's issues and trauma work. It is important that you feel safe and empowered in the work we do together. Let's untangle things, create a plan, and work toward growth and empowerment.
I work with adult women experiencing challenges in life that are impacting their relationships, health, sleep, work, and recreation. Some of those challenges include anxiety, depression, past traumatic experiences (PTSD), panic attacks, grief/loss, creating healthy boundaries, and settling into any number of life's transitions. I specialize in women's issues and trauma work. It is important that you feel safe and empowered in the work we do together. Let's untangle things, create a plan, and work toward growth and empowerment.
(425) 528-8194 View (425) 528-8194
Photo of Dr. Cheryl D'Ettorre, Psychologist in Sammamish, WA
Dr. Cheryl D'Ettorre
Psychologist, PsyD
Verified Verified
Sammamish, WA 98075  (Online Only)
If you are searching for a mature and understanding therapist, you’ve come to the right place. I believe in meeting people where they are, and I am convinced that the therapeutic relationship provides a healing environment. My approach to each client is dependent upon the nature and need of the individual seeking help. Life can be full of various transitions and challenges. Aging parents, adult children, and complex relationships. And at the same time, desiring to be healthy in mind, body, and soul.
If you are searching for a mature and understanding therapist, you’ve come to the right place. I believe in meeting people where they are, and I am convinced that the therapeutic relationship provides a healing environment. My approach to each client is dependent upon the nature and need of the individual seeking help. Life can be full of various transitions and challenges. Aging parents, adult children, and complex relationships. And at the same time, desiring to be healthy in mind, body, and soul.
(425) 385-0420 View (425) 385-0420
Photo of Dr. Raisa Felts, Counselor in Sammamish, WA
Dr. Raisa Felts
Counselor, PsyD
Verified Verified
Sammamish, WA 98075  (Online Only)
I specialize working with neurodivergent children, teens, and adults. This includes the treatment of autism, ADHD, and learning disabilities. I have over 10 years of experience working with autism in both research and clinical settings. I am passionate about helping individuals work through anxiety, self-esteem, social skills, and other challenges that may affect their daily lives. Are you feeling stuck, misunderstood, and exhausted? I am here to help guide you through this journey and cultivate a genuine relationship where we can safely discuss challenges based on your needs.
I specialize working with neurodivergent children, teens, and adults. This includes the treatment of autism, ADHD, and learning disabilities. I have over 10 years of experience working with autism in both research and clinical settings. I am passionate about helping individuals work through anxiety, self-esteem, social skills, and other challenges that may affect their daily lives. Are you feeling stuck, misunderstood, and exhausted? I am here to help guide you through this journey and cultivate a genuine relationship where we can safely discuss challenges based on your needs.
(206) 208-6705 View (206) 208-6705
Photo of Sheryl R Brown, Marriage & Family Therapist in Sammamish, WA
Sheryl R Brown
Marriage & Family Therapist, MS, LMFT
Verified Verified
Sammamish, WA 98075
Increasing conflict is making simple communication a real pain - you're alternating back and forth from explosive words to tense silence. Depression or anxiety is creeping up on you, and you know it's bad for the kids to sense the lack of stability. If you are tired of the same old argument with your partner, and are even throwing out the dreaded "D" word (Divorce) in the heat of it, I can help you get the clarity you need to decide if your relationship is worth saving - and to do what's needed to get things back on track.
Increasing conflict is making simple communication a real pain - you're alternating back and forth from explosive words to tense silence. Depression or anxiety is creeping up on you, and you know it's bad for the kids to sense the lack of stability. If you are tired of the same old argument with your partner, and are even throwing out the dreaded "D" word (Divorce) in the heat of it, I can help you get the clarity you need to decide if your relationship is worth saving - and to do what's needed to get things back on track.
(425) 652-1413 View (425) 652-1413
Photo of Steph Regus, Psychologist in Sammamish, WA
Steph Regus
Psychologist, PsyD, MA
Verified Verified
Sammamish, WA 98075
Not accepting new clients
I believe that every client has complex underpinnings to who they are as an individual. Part of therapy is recognizing that there is pain, discrimination, anger, and fear that comes from your unique culture and identity. I try to be mindful of this as I work with clients and hear your story. I am passionate about helping clients further understand their values and identity. Some of my specific focus areas are OCD, trauma recovery, interpersonal conflicts, faith and spiritual conflicts, problematic sexual behaviors, anxiety and depression.
I believe that every client has complex underpinnings to who they are as an individual. Part of therapy is recognizing that there is pain, discrimination, anger, and fear that comes from your unique culture and identity. I try to be mindful of this as I work with clients and hear your story. I am passionate about helping clients further understand their values and identity. Some of my specific focus areas are OCD, trauma recovery, interpersonal conflicts, faith and spiritual conflicts, problematic sexual behaviors, anxiety and depression.
(425) 437-3292 View (425) 437-3292
Photo of Dr. Diane Shin, Psychologist in Sammamish, WA
Dr. Diane Shin
Psychologist, PsyD
Verified Verified
Sammamish, WA 98075
I specialize in comprehensive neuropsychological and psychological evaluations for children, adolescents, and adults up to age 30. I collaborate with clients and families to explore questions and concerns related to attention/focus, executive functioning, learning/school difficulties, social-emotional and behavioral challenges, sensory differences, and giftedness. These evaluations can help identify strengths and vulnerabilities to provide guidance and recommendations for the home and school settings (IEP/504 supports) and treatment goals for therapists. I also specialize in assessing for autism in children, adolescents, and adults.
I specialize in comprehensive neuropsychological and psychological evaluations for children, adolescents, and adults up to age 30. I collaborate with clients and families to explore questions and concerns related to attention/focus, executive functioning, learning/school difficulties, social-emotional and behavioral challenges, sensory differences, and giftedness. These evaluations can help identify strengths and vulnerabilities to provide guidance and recommendations for the home and school settings (IEP/504 supports) and treatment goals for therapists. I also specialize in assessing for autism in children, adolescents, and adults.
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Photo of Vicki Skelton - Centered Mind Counseling Services, Marriage & Family Therapist in Sammamish, WA
Vicki Skelton - Centered Mind Counseling Services
Marriage & Family Therapist, MS, LMFT
Verified Verified
2 Endorsed
Sammamish, WA 98075  (Online Only)
I enjoy working with adolescents, teens and adults and couples struggling with depression, bipolar, anxiety, disordered eating, relationship issues, and adjustment to life transitions. I’ve worked in the middle and high-school settings, helping adolescents and teens address issues of low self-esteem, stress and anxiety, lack of academic motivation, bullying, peer pressure, anger management, and family problems. Having had personal experience with infertility, I have a passion for working with those struggling in this area, helping them with the feelings of frustration, stress, loss and relationship challenges.
I enjoy working with adolescents, teens and adults and couples struggling with depression, bipolar, anxiety, disordered eating, relationship issues, and adjustment to life transitions. I’ve worked in the middle and high-school settings, helping adolescents and teens address issues of low self-esteem, stress and anxiety, lack of academic motivation, bullying, peer pressure, anger management, and family problems. Having had personal experience with infertility, I have a passion for working with those struggling in this area, helping them with the feelings of frustration, stress, loss and relationship challenges.
(425) 222-2891 View (425) 222-2891
Photo of Daniel S. Benveniste, Psychologist in Sammamish, WA
Daniel S. Benveniste
Psychologist, PhD
Verified Verified
Sammamish, WA 98075
Life problems such as anxiety, depression, relationship conflicts are psychological symptoms that cover the untold and unresolved stories of our lives. Clinical psychology is a way of dealing with these problems by talking about them. I offer Counseling Strategies that help you to adjust and adapt to difficult situations and Psychodynamic Psychotherapy Strategies that help you to understand yourself and your role in relation to life's problems. Professional counseling and psychotherapy offer perspective, insight and new ways of seeing yourself from which to make better choices and avoid problematic repetitive behavior patterns.
Life problems such as anxiety, depression, relationship conflicts are psychological symptoms that cover the untold and unresolved stories of our lives. Clinical psychology is a way of dealing with these problems by talking about them. I offer Counseling Strategies that help you to adjust and adapt to difficult situations and Psychodynamic Psychotherapy Strategies that help you to understand yourself and your role in relation to life's problems. Professional counseling and psychotherapy offer perspective, insight and new ways of seeing yourself from which to make better choices and avoid problematic repetitive behavior patterns.
(425) 381-2496 View (425) 381-2496
Photo of Anne McKenzie, Counselor in Sammamish, WA
Anne McKenzie
Counselor, PhD, LMHC
Verified Verified
Sammamish, WA 98074
* At present I am only seeing only existing clients, and only via telehealth. I am a positive and approachable mental health professional. I utilize current research and best practices to help you to relieve distress and live a productive, meaningful, and satisfying life. I work with you to determine outcome goals which may include reducing challenging behaviors getting in the way of your success, improving work or school performance, navigating painful transitions, and/or making family time more enjoyable.
* At present I am only seeing only existing clients, and only via telehealth. I am a positive and approachable mental health professional. I utilize current research and best practices to help you to relieve distress and live a productive, meaningful, and satisfying life. I work with you to determine outcome goals which may include reducing challenging behaviors getting in the way of your success, improving work or school performance, navigating painful transitions, and/or making family time more enjoyable.
(425) 598-0399 View (425) 598-0399

See more therapy options for Sammamish

How does your Therapist compare?

Number of Therapists in Sammamish, WA

100+

Average cost per session

$165

Therapists in Sammamish, WA who prioritize treating:

94% Anxiety
87% Depression
81% Relationship Issues
73% Self Esteem
69% Stress
66% Coping Skills
66% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

80% Premera
61% Aetna
51% Regence

How Therapists in Sammamish, WA see their clients

70% In Person and Online
30% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Sammamish?

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.