Therapists in Tacoma, WA

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Photo of Baobab Psychology LLC, Psychologist in Tacoma, WA
Baobab Psychology LLC
Psychologist, PsyD
Verified Verified
1 Endorsed
Tacoma, WA 98409
Currently accepting new clients - Hello! If you have found yourself here it is likely you have set an intention of working psychologically to reduce distress, consider your traumatic experiences and/or understand yourself better. I believe that there's often a number of factors that contribute to people struggling with mental health. The things we experience shape us all, in many ways, affecting how we feel, the things we do, and/or our relationships with others. As such, I view mental wellbeing as something we all need to take the time to invest in, although this is not always easy!
Currently accepting new clients - Hello! If you have found yourself here it is likely you have set an intention of working psychologically to reduce distress, consider your traumatic experiences and/or understand yourself better. I believe that there's often a number of factors that contribute to people struggling with mental health. The things we experience shape us all, in many ways, affecting how we feel, the things we do, and/or our relationships with others. As such, I view mental wellbeing as something we all need to take the time to invest in, although this is not always easy!
(360) 641-7154 View (360) 641-7154
Photo of Hillary Flieder, Counselor in Tacoma, WA
Hillary Flieder
Counselor
Verified Verified
Tacoma, WA 98405
Hillary Flieder is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2023. She has a Master of Arts in Counseling. Hillary provides clients empathy while utilizing cognitive behavior therapy interventions, psychoeducation, grounding, and mindfulness skills. She works with individuals 18 and older. Many of her clients come in when they are struggling with self-esteem, depression, and anxiety. Hillary is particularly passionate about serving adults who struggle with PTSD and grief and loss.
Hillary Flieder is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2023. She has a Master of Arts in Counseling. Hillary provides clients empathy while utilizing cognitive behavior therapy interventions, psychoeducation, grounding, and mindfulness skills. She works with individuals 18 and older. Many of her clients come in when they are struggling with self-esteem, depression, and anxiety. Hillary is particularly passionate about serving adults who struggle with PTSD and grief and loss.
(253) 676-9334 View (253) 676-9334
Photo of Diana Quinn, Counselor in Tacoma, WA
Diana Quinn
Counselor, MA, LMHC, CMHS
Verified Verified
1 Endorsed
Tacoma, WA 98409
You're probably wondering if therapy can help. You may be feeling unsure how to label what you are going through and don't know yet what you want to get out of therapy. Even if you are unsure about what your goals are, you do know that some of what is going on right now isn't working and you are thinking about getting help. Feel free to call or email to start a conversation to see if we might be a good fit for working together so that you can get closer to being yourself and feeling happier.
You're probably wondering if therapy can help. You may be feeling unsure how to label what you are going through and don't know yet what you want to get out of therapy. Even if you are unsure about what your goals are, you do know that some of what is going on right now isn't working and you are thinking about getting help. Feel free to call or email to start a conversation to see if we might be a good fit for working together so that you can get closer to being yourself and feeling happier.
(253) 242-6619 View (253) 242-6619
Photo of Andre St. Hilaire, Counselor in Tacoma, WA
Andre St. Hilaire
Counselor, MEd, LMHCA
Verified Verified
4 Endorsed
Tacoma, WA 98403
Current openings for outdoor and online therapy sessions! Is the toxic stress you are experiencing showing up as anxiety, dread or avoidance? Does the gap between what you want out of life and where you are at currently leave you feeling symptoms of burnout or depression? When stress is overwhelming it can impact our self esteem and ability to move forward. Whether it's finding a sense of calm and being more present, building a better relationship with yourself, or figuring out the changes you want to work towards therapy can restore hope. Together we can explore what you want for the road ahead-it's time to rediscover you!
Current openings for outdoor and online therapy sessions! Is the toxic stress you are experiencing showing up as anxiety, dread or avoidance? Does the gap between what you want out of life and where you are at currently leave you feeling symptoms of burnout or depression? When stress is overwhelming it can impact our self esteem and ability to move forward. Whether it's finding a sense of calm and being more present, building a better relationship with yourself, or figuring out the changes you want to work towards therapy can restore hope. Together we can explore what you want for the road ahead-it's time to rediscover you!
(253) 796-8413 View (253) 796-8413
Photo of Ariana Valentina Rukeyser, Counselor in Tacoma, WA
Ariana Valentina Rukeyser
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98402
I hold Master's degree in Counseling from Seattle University. I work with clients on relationship issues, co-dependency, separation, divorce and co-parenting, anxiety and depression, grief and loss, sexual trauma and major life transitions. It is my belief that the ultimate human need is connection and meaningful relationships. My desire is to help clients clarify feelings, improve communication, and strengthen and deepen connections.
I hold Master's degree in Counseling from Seattle University. I work with clients on relationship issues, co-dependency, separation, divorce and co-parenting, anxiety and depression, grief and loss, sexual trauma and major life transitions. It is my belief that the ultimate human need is connection and meaningful relationships. My desire is to help clients clarify feelings, improve communication, and strengthen and deepen connections.
(206) 745-5829 View (206) 745-5829
Photo of Ignite a Path to Wellness, Counselor in Tacoma, WA
Ignite a Path to Wellness
Counselor, LMHC, MHP
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
My name is Amber and I am here to help. I have worked for over a decade with adults struggling with depression, anxiety, PTSD, personality disorders and so much more. I know choosing a therapist is difficult and requires a lot of trust and patience, you made it this far, let me support you on your path to wellness.
My name is Amber and I am here to help. I have worked for over a decade with adults struggling with depression, anxiety, PTSD, personality disorders and so much more. I know choosing a therapist is difficult and requires a lot of trust and patience, you made it this far, let me support you on your path to wellness.
(253) 400-3170 View (253) 400-3170
Photo of Marilyn Boyle (Ketamine-Assisted Psychotherapy), Counselor in Tacoma, WA
Marilyn Boyle (Ketamine-Assisted Psychotherapy)
Counselor, MA, MTS, LMHC
Verified Verified
Tacoma, WA 98406  (Online Only)
You might be sad, depressed, stressed, anxious, scared, overwhelmed with it all. Maybe your relationship is hurting or you're feeling stuck in your life. Maybe you're dealing with a death loss or life transition. You don't have to go through your current life challenges alone. As a psychotherapist & grief coach for 38+ years, I've helped thousands of people move out of emotional pain and toward happier lives. If you're ready for growth and transformation on your journey toward wholeness, I can help. If you're curious and want to try something new, I can provide ketamine sessions to gently catalyze your process.
You might be sad, depressed, stressed, anxious, scared, overwhelmed with it all. Maybe your relationship is hurting or you're feeling stuck in your life. Maybe you're dealing with a death loss or life transition. You don't have to go through your current life challenges alone. As a psychotherapist & grief coach for 38+ years, I've helped thousands of people move out of emotional pain and toward happier lives. If you're ready for growth and transformation on your journey toward wholeness, I can help. If you're curious and want to try something new, I can provide ketamine sessions to gently catalyze your process.
(253) 656-0657 View (253) 656-0657
Photo of Janet Nelson, Counselor in Tacoma, WA
Janet Nelson
Counselor, MA, LMHC, MHP
Verified Verified
10 Endorsed
Tacoma, WA 98402
Being the go-to person for everyone, creates so much stress and anxiety. It can feel like you carry the weight of the world on your shoulders. You believe that if you carry that weight, with grace and perfection, no one will be disappointed. The trouble is, striving to do everything right often means diminishing yourself and pushing down your true thoughts, feelings, and desires. You’ve become an expert at everyone else’s needs and wants, but you’ve lost yourself along the way. Let’s work together to help you reconnect with yourself and others. Set down the weight you carry and discover ease and confidence.
Being the go-to person for everyone, creates so much stress and anxiety. It can feel like you carry the weight of the world on your shoulders. You believe that if you carry that weight, with grace and perfection, no one will be disappointed. The trouble is, striving to do everything right often means diminishing yourself and pushing down your true thoughts, feelings, and desires. You’ve become an expert at everyone else’s needs and wants, but you’ve lost yourself along the way. Let’s work together to help you reconnect with yourself and others. Set down the weight you carry and discover ease and confidence.
(253) 527-6921 View (253) 527-6921
Photo of Ann Gugger, Marriage & Family Therapist in Tacoma, WA
Ann Gugger
Marriage & Family Therapist, MA, LMFTA
Verified Verified
6 Endorsed
Tacoma, WA 98407
I am not currently accepting new clients. “The curious paradox is that when I accept myself as I am, then I change” (Carl Rogers). This is the work of therapy. I approach this work holistically, attending to how each of us is impacted by past and present relationships, and by systemic influences. My perspective is grounded in humanistic and attachment theories, and influenced by multicultural and feminist thinking, with an emphasis on counteracting oppression. Research has demonstrated that our bodies hold important information that contributes to healing, therefore I incorporate body-based techniques into therapy as well.
I am not currently accepting new clients. “The curious paradox is that when I accept myself as I am, then I change” (Carl Rogers). This is the work of therapy. I approach this work holistically, attending to how each of us is impacted by past and present relationships, and by systemic influences. My perspective is grounded in humanistic and attachment theories, and influenced by multicultural and feminist thinking, with an emphasis on counteracting oppression. Research has demonstrated that our bodies hold important information that contributes to healing, therefore I incorporate body-based techniques into therapy as well.
(253) 243-2975 View (253) 243-2975
Photo of Kaila Duke Peterson, Marriage & Family Therapist in Tacoma, WA
Kaila Duke Peterson
Marriage & Family Therapist, MS, LMFT
Verified Verified
Tacoma, WA 98402
I work with children ages 5-15, couples, families and individuals from a family systems perspective to address any myriad of concerns. I work collaboratively with my clients, to facilitate a client-led course of treatment based on their own strengths. If you want to strengthen relationships, identify and track potentially harmful behavior or thought patterns, and overall improve and progress in your life and circumstances, I am here to help you do that!
I work with children ages 5-15, couples, families and individuals from a family systems perspective to address any myriad of concerns. I work collaboratively with my clients, to facilitate a client-led course of treatment based on their own strengths. If you want to strengthen relationships, identify and track potentially harmful behavior or thought patterns, and overall improve and progress in your life and circumstances, I am here to help you do that!
(253) 843-7538 View (253) 843-7538
Photo of Rachel Soule, Clinical Social Work/Therapist in Tacoma, WA
Rachel Soule
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Waitlist for new clients
My passion lies in empowering clients to reclaim control over their lives. We all encounter moments of feeling stuck, anxious, and overwhelmed, and I am here to provide the support needed to navigate through these challenges. In therapy, I start by attentively listening to my clients' reasons for seeking therapy, understanding their stressors, and identifying what does or doesn't serve them. I firmly believe in the transformative power of therapy, offering a pathway to shape the life we aspire to lead.
My passion lies in empowering clients to reclaim control over their lives. We all encounter moments of feeling stuck, anxious, and overwhelmed, and I am here to provide the support needed to navigate through these challenges. In therapy, I start by attentively listening to my clients' reasons for seeking therapy, understanding their stressors, and identifying what does or doesn't serve them. I firmly believe in the transformative power of therapy, offering a pathway to shape the life we aspire to lead.
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Photo of Jacob Morrow, LPC Intern in Tacoma, WA
Jacob Morrow
LPC Intern, LPC Int
Verified Verified
Tacoma, WA 98404  (Online Only)
Hello and welcome. By taking the time to seek counseling, you are taking a big step toward wellness. I understand that finding the right fit in counseling is of vital importance to the healing you want to experience. My approach toward counseling is focused on the person sitting (virtually) in front of me. My aim in establishing a helpful counseling relationship is to build a space where my clients feel safe, heard, seen, respected, and cared for. I believe that effective counseling is a process in which my clients have the space and feel empowered to explore their life experiences safely.
Hello and welcome. By taking the time to seek counseling, you are taking a big step toward wellness. I understand that finding the right fit in counseling is of vital importance to the healing you want to experience. My approach toward counseling is focused on the person sitting (virtually) in front of me. My aim in establishing a helpful counseling relationship is to build a space where my clients feel safe, heard, seen, respected, and cared for. I believe that effective counseling is a process in which my clients have the space and feel empowered to explore their life experiences safely.
(253) 245-3550 View (253) 245-3550
Photo of Jenna Evans, Counselor in Tacoma, WA
Jenna Evans
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Tacoma, WA 98409
Think Elite Sports Counseling is a safe place for student-athletes and professional athletes to receive professional help from me. I help develop skills and strategies to maximize sports performance and other mental health barriers that may be holding you back from living life to your fullest. I offer one-on-one sessions, group counseling, and workshops. For more information on what may serve you best, check out my website or contact me directly.
Think Elite Sports Counseling is a safe place for student-athletes and professional athletes to receive professional help from me. I help develop skills and strategies to maximize sports performance and other mental health barriers that may be holding you back from living life to your fullest. I offer one-on-one sessions, group counseling, and workshops. For more information on what may serve you best, check out my website or contact me directly.
(253) 553-2493 View (253) 553-2493
Photo of Alysa Haas, Pre-Licensed Professional in Tacoma, WA
Alysa Haas
Pre-Licensed Professional
Verified Verified
1 Endorsed
Tacoma, WA 98402
I love working with adults who are experiencing challenges related to parenting, anxiety, perfectionism and trauma. If you're struggling to face certain parts of yourself, I'll guide your towards attending to the places within that trouble you the most. My gentle and welcoming approach will allow you to trust yourself and guide you towards understand your reactions and emotions during parenting struggles, anxiety loops and high reactivity. I'm a clinical intern, which means I'm currently finishing my degree. I bring a depth of experience, including IFS coaching, teaching dance to all ages and working closely with families.
I love working with adults who are experiencing challenges related to parenting, anxiety, perfectionism and trauma. If you're struggling to face certain parts of yourself, I'll guide your towards attending to the places within that trouble you the most. My gentle and welcoming approach will allow you to trust yourself and guide you towards understand your reactions and emotions during parenting struggles, anxiety loops and high reactivity. I'm a clinical intern, which means I'm currently finishing my degree. I bring a depth of experience, including IFS coaching, teaching dance to all ages and working closely with families.
(253) 242-8731 View (253) 242-8731
Photo of Jennae Phillippe, Clinical Social Work/Therapist in Tacoma, WA
Jennae Phillippe
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
2 Endorsed
Tacoma, WA 98465  (Online Only)
Asking for help may be the hardest and most courageous thing any of us can do. Utilizing Narrative Therapy, I help clients identify their values and skills to help them effectively confront current and future problems. I want to help people challenge and change the scripts that hold them back from self-compassion, curiosity, and creativity. My ultimate goal is to help people cultivate joy in their lives so that they can feel connected to the moments and people that matter to them most.
Asking for help may be the hardest and most courageous thing any of us can do. Utilizing Narrative Therapy, I help clients identify their values and skills to help them effectively confront current and future problems. I want to help people challenge and change the scripts that hold them back from self-compassion, curiosity, and creativity. My ultimate goal is to help people cultivate joy in their lives so that they can feel connected to the moments and people that matter to them most.
(253) 364-1109 View (253) 364-1109
Photo of Pride Counseling NW, Marriage & Family Therapist in Tacoma, WA
Pride Counseling NW
Marriage & Family Therapist, MA, MEd, LMFT
Verified Verified
13 Endorsed
Tacoma, WA 98406
Pride Counseling NW provides therapy for couples, individuals, and families of ALL kinds. If you're feeling powerless in the face of your problems, unhappy in your relationships, and "stuck" in your life, we'd like to help. Let's talk about what you're good at. Let's talk about what you want. Let's talk about how to get there.
Pride Counseling NW provides therapy for couples, individuals, and families of ALL kinds. If you're feeling powerless in the face of your problems, unhappy in your relationships, and "stuck" in your life, we'd like to help. Let's talk about what you're good at. Let's talk about what you want. Let's talk about how to get there.
(253) 201-0203 View (253) 201-0203
Photo of Paolo Laraño, Psychologist in Tacoma, WA
Paolo Laraño
Psychologist, PsyD
Verified Verified
Tacoma, WA 98407  (Online Only)
My name is Paolo and I'm a licensed clinical psychologist providing therapy to adults, kids (10+), adolescents, groups, and families in the state of Washington. I offer a therapeutic setting that prioritizes privacy, convenience, and flexibility. From the start of therapy, we will take a collaborative approach meant to fit your specific needs. We'll create a space that welcomes and validates your full experience, along with simultaneously respecting your autonomy and boundaries. In addition to supporting your struggles, I offer just as much space to help you uncover and develop your strengths.
My name is Paolo and I'm a licensed clinical psychologist providing therapy to adults, kids (10+), adolescents, groups, and families in the state of Washington. I offer a therapeutic setting that prioritizes privacy, convenience, and flexibility. From the start of therapy, we will take a collaborative approach meant to fit your specific needs. We'll create a space that welcomes and validates your full experience, along with simultaneously respecting your autonomy and boundaries. In addition to supporting your struggles, I offer just as much space to help you uncover and develop your strengths.
(253) 600-2306 View (253) 600-2306
Photo of Stacia Vierra, Clinical Social Work/Therapist in Tacoma, WA
Stacia Vierra
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Tacoma, WA 98405  (Online Only)
Accepting new clients. I love being able to provide alternative perspectives to the way that individuals view themselves, especially when they feel like they are not enough. I will help you to develop tools to navigate difficult emotions, process past traumas, or address relationship issues. My goal is to help you find your inner strength and feel in control of your life.
Accepting new clients. I love being able to provide alternative perspectives to the way that individuals view themselves, especially when they feel like they are not enough. I will help you to develop tools to navigate difficult emotions, process past traumas, or address relationship issues. My goal is to help you find your inner strength and feel in control of your life.
(253) 264-3984 View (253) 264-3984
Photo of Marjory Ware, Mental Health Counselor in Tacoma, WA
Marjory Ware
Mental Health Counselor, MA, LMHC, LMFT
Verified Verified
10 Endorsed
Tacoma, WA 98406  (Online Only)
Does it feel like no matter what you do, things never change? You’re running on all cylinders, trying to be everything for everyone, including yourself. You tell everyone that you are fine. Managing. But you’re noticing how it’s impacting you. You realize that things need to change. Whether you're experiencing the impacts of systemic oppression, self-esteem, or relationship issues, know that you don't have to be alone in this journey. No two individuals are the same, and I tailor our sessions together to address challenges unique to you. We will work together to understand and address the root cause of those issues.
Does it feel like no matter what you do, things never change? You’re running on all cylinders, trying to be everything for everyone, including yourself. You tell everyone that you are fine. Managing. But you’re noticing how it’s impacting you. You realize that things need to change. Whether you're experiencing the impacts of systemic oppression, self-esteem, or relationship issues, know that you don't have to be alone in this journey. No two individuals are the same, and I tailor our sessions together to address challenges unique to you. We will work together to understand and address the root cause of those issues.
(253) 649-2995 View (253) 649-2995
Photo of Nancy Seamount, Counselor in Tacoma, WA
Nancy Seamount
Counselor, MA,LMHC
Verified Verified
Tacoma, WA 98402  (Online Only)
I see us struggling with a pandemic of loneliness. Especially after COVID isolation, teens and younger adults, especially are at risk of experiencing a debilitating lack of connection, momentum, and purpose. Loneliness has the power to drag down every facet of our lives. The insecurity and depression that creep up in the dark depths of loneliness keep us down and away from the connection that we need. Therapy can be the life rope that begins us on our journey toward the light. I work well with clients who are skeptical about therapy for any number of reasons. I am confident you can thrive.
I see us struggling with a pandemic of loneliness. Especially after COVID isolation, teens and younger adults, especially are at risk of experiencing a debilitating lack of connection, momentum, and purpose. Loneliness has the power to drag down every facet of our lives. The insecurity and depression that creep up in the dark depths of loneliness keep us down and away from the connection that we need. Therapy can be the life rope that begins us on our journey toward the light. I work well with clients who are skeptical about therapy for any number of reasons. I am confident you can thrive.
(253) 300-0620 View (253) 300-0620

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
88% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tacoma?

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.