Therapists in Tacoma, WA

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Photo of Renate Schultz, Psychologist in Tacoma, WA
Renate Schultz
Psychologist, PsyD
Verified Verified
Tacoma, WA 98407
Waitlist for new clients
Often people come to therapy because they feel lost or stuck in their lives. They may sense that they are repeating patterns or facing the same struggles at work, in their homes, or in relationships without really knowing why or being able to imagine how things could be different.
Often people come to therapy because they feel lost or stuck in their lives. They may sense that they are repeating patterns or facing the same struggles at work, in their homes, or in relationships without really knowing why or being able to imagine how things could be different.
(707) 309-7641 View (707) 309-7641
Photo of Jennifer Croke, Clinical Social Work/Therapist in Tacoma, WA
Jennifer Croke
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98422
Preferred contact method is email, please check your junk for my reply! I feel so fortunate to have found a career that I love, and cherish! My practice came about in the form of an epiphany one day, as I sat on the AIDS unit in NYC as a volunteer. As I listened to a man share his story, I realized that he had not been celebrated for his many talents, but had been ostracized for having AIDS. I decided that my philosophy was going to be-"our differences are what make us beautiful, we should all be celebrated for our uniqueness." This is the philosophy I live by daily.
Preferred contact method is email, please check your junk for my reply! I feel so fortunate to have found a career that I love, and cherish! My practice came about in the form of an epiphany one day, as I sat on the AIDS unit in NYC as a volunteer. As I listened to a man share his story, I realized that he had not been celebrated for his many talents, but had been ostracized for having AIDS. I decided that my philosophy was going to be-"our differences are what make us beautiful, we should all be celebrated for our uniqueness." This is the philosophy I live by daily.
(253) 259-3202 View (253) 259-3202
Photo of Oliver J. Levin-Koopman, Clinical Social Work/Therapist in Tacoma, WA
Oliver J. Levin-Koopman
Clinical Social Work/Therapist, MSW, LICSW, CCTP-II
Verified Verified
Tacoma, WA 98407
I am an interpersonal trauma and family systems therapist specializing in clients with depression, anxiety, behavioral issues, and PTSD. I have over ten years of experience working with children, adolescents, adults, and couples. I use cognitive behavioral therapy (CBT) and a trauma informed care model that focuses on the individual within their current social systems in order to resolve issues and improve your overall quality of life. Currently accepting in-person and virtual clients. I look forward to connecting with you.
I am an interpersonal trauma and family systems therapist specializing in clients with depression, anxiety, behavioral issues, and PTSD. I have over ten years of experience working with children, adolescents, adults, and couples. I use cognitive behavioral therapy (CBT) and a trauma informed care model that focuses on the individual within their current social systems in order to resolve issues and improve your overall quality of life. Currently accepting in-person and virtual clients. I look forward to connecting with you.
(253) 753-1605 View (253) 753-1605
Photo of Megan J Pickard Counseling, PLLC, Clinical Social Work/Therapist in Tacoma, WA
Megan J Pickard Counseling, PLLC
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Not accepting new clients
I have worked in various settings including family homeless shelters, Hospice bereavement, hospitals, schools, community mental health clinics, as well as on-and-offsite mental health support for First responders following natural disasters and traumatic events. I specialize in working with adults impacted by major life transitions due to trauma, grief and loss, chronic pain/illness and living with terminal illness, and related anxiety, depression, adjustment concerns, and changes in roles and relationships.
I have worked in various settings including family homeless shelters, Hospice bereavement, hospitals, schools, community mental health clinics, as well as on-and-offsite mental health support for First responders following natural disasters and traumatic events. I specialize in working with adults impacted by major life transitions due to trauma, grief and loss, chronic pain/illness and living with terminal illness, and related anxiety, depression, adjustment concerns, and changes in roles and relationships.
(425) 215-0245 View (425) 215-0245
Photo of Always In Bloom, Marriage & Family Therapist Associate in Tacoma, WA
Always In Bloom
Marriage & Family Therapist Associate, LMFTA, LMHCA, SUDPT
Verified Verified
3 Endorsed
Tacoma, WA 98402
Life is challenging! Family stress, work difficulties, personal concerns...I get it. I have lived experience with overcoming desperate circumstances. If you're feeling stuck, frustrated, confused and need some empathy and encouragement, please consider me for your therapy needs. I can hold space for all the things that are preventing you from living your best life. As your therapist I'll walk with you on your journey to healing & living the life you've always dreamed but didn't quite know how to achieve. I'm here to help you reach your goals & live the life of your dreams.
Life is challenging! Family stress, work difficulties, personal concerns...I get it. I have lived experience with overcoming desperate circumstances. If you're feeling stuck, frustrated, confused and need some empathy and encouragement, please consider me for your therapy needs. I can hold space for all the things that are preventing you from living your best life. As your therapist I'll walk with you on your journey to healing & living the life you've always dreamed but didn't quite know how to achieve. I'm here to help you reach your goals & live the life of your dreams.
(253) 465-2175 View (253) 465-2175
Photo of Benjamin Michael Shafer, Marriage & Family Therapist Associate in Tacoma, WA
Benjamin Michael Shafer
Marriage & Family Therapist Associate, LMFTA, MA, MS
Verified Verified
Tacoma, WA 98403
I see the fact that you are here looking for a therapist as immensely brave. I honor your courage. I genuinely love people. My personal experiences with childhood trauma, family relationships, religion, and the sciences have granted me opportunities to empathize with and understand a diverse range of emotional, mental, and relational issues and to apply effective treatment methods for my clients. I am aware that my privilege and life opportunities require me to be intentional about providing a safe space for my clients, especially those who have experienced marginalization and societal oppression and I consistently strive to do so.
I see the fact that you are here looking for a therapist as immensely brave. I honor your courage. I genuinely love people. My personal experiences with childhood trauma, family relationships, religion, and the sciences have granted me opportunities to empathize with and understand a diverse range of emotional, mental, and relational issues and to apply effective treatment methods for my clients. I am aware that my privilege and life opportunities require me to be intentional about providing a safe space for my clients, especially those who have experienced marginalization and societal oppression and I consistently strive to do so.
(253) 215-1154 View (253) 215-1154
Photo of Kasandra McCown, Marriage & Family Therapist in Tacoma, WA
Kasandra McCown
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Tacoma, WA 98402  (Online Only)
Currently not taking new clietns. I have a passion for working with individuals, kids, couples and families who are currently or have experienced anxiety, depression, grief, difficult life transitions, parenting struggles and medical trauma related to cancer, autoimmune diseases and other rare blood disorders. I believe that hardships in life are unique to everyone and for some of us it is hard to get through alone. My goal is to provide you and those close to you a safe space where challenging thoughts and feelings can be openly shared and we can work collaboratively to find ways to help you cope.
Currently not taking new clietns. I have a passion for working with individuals, kids, couples and families who are currently or have experienced anxiety, depression, grief, difficult life transitions, parenting struggles and medical trauma related to cancer, autoimmune diseases and other rare blood disorders. I believe that hardships in life are unique to everyone and for some of us it is hard to get through alone. My goal is to provide you and those close to you a safe space where challenging thoughts and feelings can be openly shared and we can work collaboratively to find ways to help you cope.
(253) 733-1922 View (253) 733-1922
Photo of Mindful Therapy Group, Clinical Social Work/Therapist in Tacoma, WA
Mindful Therapy Group
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98402
Mindful Therapy Group is a diverse group of over 900 independent mental health practitioners serving Washington and Oregon. Each licensed mental health professional that is a member of Mindful Therapy Group is a separate, independent business. Providers that are members of Mindful Therapy Group receive support with administrative tasks, insurance billing, client placement, and more.
Mindful Therapy Group is a diverse group of over 900 independent mental health practitioners serving Washington and Oregon. Each licensed mental health professional that is a member of Mindful Therapy Group is a separate, independent business. Providers that are members of Mindful Therapy Group receive support with administrative tasks, insurance billing, client placement, and more.
(253) 243-2713 View (253) 243-2713
Photo of David R. Moore - - Jill Nealey-Moore, Psychologist in Tacoma, WA
David R. Moore - - Jill Nealey-Moore
Psychologist, PhD
Verified Verified
Tacoma, WA 98402
Not accepting new clients
Utilizing evidence-based interventions, we specialize in helping individuals & couples achieve greater personal growth, manage stress, enhance relationships, and improve their overall health & well being. In addition to relieving distress and helping you break free from unwanted patterns in your relationships with self and others, we also work to help you learn new coping skills and gain greater insight into yourself to prevent future difficulties.
Utilizing evidence-based interventions, we specialize in helping individuals & couples achieve greater personal growth, manage stress, enhance relationships, and improve their overall health & well being. In addition to relieving distress and helping you break free from unwanted patterns in your relationships with self and others, we also work to help you learn new coping skills and gain greater insight into yourself to prevent future difficulties.
(253) 248-4521 View (253) 248-4521
Photo of Deanne Dietz, Counselor in Tacoma, WA
Deanne Dietz
Counselor, LMHC, NCC
Verified Verified
2 Endorsed
Tacoma, WA 98402
Welcome. I currently have in office or virtual openings for Traditional 55 minute, or Individual EMDR Intensives (trauma clearing and/or early childhood repair). Please see my website www.hearthealing.org - For Couples Repair Intensives: www.revive-your-relationship.com - Gain clarity and compassion, and feel more connected to others. Men and women come for healing from their past traumas and relief from stressors, such as relationship challenges, anxiety, depression, grief and loss, abuse and neglect, ADD, ACOA and boundary issues. Others come to gain a sense of who they are, what their life's purpose is, or spiritual growth.
Welcome. I currently have in office or virtual openings for Traditional 55 minute, or Individual EMDR Intensives (trauma clearing and/or early childhood repair). Please see my website www.hearthealing.org - For Couples Repair Intensives: www.revive-your-relationship.com - Gain clarity and compassion, and feel more connected to others. Men and women come for healing from their past traumas and relief from stressors, such as relationship challenges, anxiety, depression, grief and loss, abuse and neglect, ADD, ACOA and boundary issues. Others come to gain a sense of who they are, what their life's purpose is, or spiritual growth.
(253) 651-3752 View (253) 651-3752
Photo of Sean Patrick Whalen, Counselor in Tacoma, WA
Sean Patrick Whalen
Counselor, MA, MS, LMHC, CSOTP
Verified Verified
Tacoma, WA 98402
Not accepting new clients
Not Taking New Clients- - If you are finding that worries, fears, feeling too little or feeling too much are keeping you from living the life you want help is available. Whether it's adjusting to big changes in your life, dealing with fears and worries that seem like they have always been there, or struggling to make and keep relationships help is available. Most of us get stuck at some point in our life and need someone to support and guide us to get back on track.
Not Taking New Clients- - If you are finding that worries, fears, feeling too little or feeling too much are keeping you from living the life you want help is available. Whether it's adjusting to big changes in your life, dealing with fears and worries that seem like they have always been there, or struggling to make and keep relationships help is available. Most of us get stuck at some point in our life and need someone to support and guide us to get back on track.
(253) 201-1256 View (253) 201-1256
Photo of Tacoma Counseling PLLC, Counselor in Tacoma, WA
Tacoma Counseling PLLC
Counselor, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98403
Now accepting new clients. Full time hours Mon - Fri. And by appointment, morning, evening, weekend hours. Helping you determine where you are feeling stuck with some part of your health and wellness. Ready to partner with you to help you get unstuck. I’ll hold your concerns with deep compassion. I’ll listen actively. I’ll work with you to address what’s most important to you. I will meet you where you are with dignity and respect, to connect with you. Then, we work together to tailor recovery and wellness work that best fits your needs, leaning into the work. Through hope and transformation, you can heal, grow, and thrive.
Now accepting new clients. Full time hours Mon - Fri. And by appointment, morning, evening, weekend hours. Helping you determine where you are feeling stuck with some part of your health and wellness. Ready to partner with you to help you get unstuck. I’ll hold your concerns with deep compassion. I’ll listen actively. I’ll work with you to address what’s most important to you. I will meet you where you are with dignity and respect, to connect with you. Then, we work together to tailor recovery and wellness work that best fits your needs, leaning into the work. Through hope and transformation, you can heal, grow, and thrive.
(253) 329-5873 View (253) 329-5873
Photo of Jillian Boyte-White, Counselor in Tacoma, WA
Jillian Boyte-White
Counselor, MA, LMHCA
Verified Verified
Tacoma, WA 98402
I work with adults—individuals and couples—and am a LGBTQ+ and alternative relationship affirming practice. I value social justice, and make a commitment to you to be a safe and inviting space for you to be yourself. I may be a good fit for you if you are seeking support regarding anxiety, depression, major life transitions, exploring your identity, relationship issues, and/or couples counseling.
I work with adults—individuals and couples—and am a LGBTQ+ and alternative relationship affirming practice. I value social justice, and make a commitment to you to be a safe and inviting space for you to be yourself. I may be a good fit for you if you are seeking support regarding anxiety, depression, major life transitions, exploring your identity, relationship issues, and/or couples counseling.
(253) 364-4639 View (253) 364-4639
Photo of Britt Kelly Counseling, PLLC, Clinical Social Work/Therapist in Tacoma, WA
Britt Kelly Counseling, PLLC
Clinical Social Work/Therapist, MSW, LCSW, ASW
Verified Verified
Tacoma, WA 98405  (Online Only)
I work with parents, adolescents, and adults who need support from a variety of issues including issues related to parenting, general concerns about their children, coping skills for teens and adolescents, managing school stressors, recent diagnosis of ADHD, depression or anxiety, and more. Clients are looking for coping skills and communication strategies to create more harmony and strengthen relationships. I also work with families affected by infertility and those who are looking to build their family through third party reproduction and need support navigating the fertility industry.
I work with parents, adolescents, and adults who need support from a variety of issues including issues related to parenting, general concerns about their children, coping skills for teens and adolescents, managing school stressors, recent diagnosis of ADHD, depression or anxiety, and more. Clients are looking for coping skills and communication strategies to create more harmony and strengthen relationships. I also work with families affected by infertility and those who are looking to build their family through third party reproduction and need support navigating the fertility industry.
(253) 235-3375 View (253) 235-3375
Photo of Nathan Gordon Blackmer, Clinical Social Work/Therapist in Tacoma, WA
Nathan Gordon Blackmer
Clinical Social Work/Therapist, LSWAA
Verified Verified
1 Endorsed
Tacoma, WA 98404  (Online Only)
Not accepting new clients
My ideal client is someone who has experienced trauma, grief, or is going through a major life transition. I believe that therapy should be trauma informed and person centered. You're a good fit for me if you want help processing past events, navigating difficult relationships, or if your trauma is getting in the way of you living your life. If you need respect, empowerment, and connection from a therapist you're in the right place - I work for you, and I follow your lead - you're the expert in your life, after all. My clients typically want clarity, to heal, and to feel like they are living a life that they find meaning in.
My ideal client is someone who has experienced trauma, grief, or is going through a major life transition. I believe that therapy should be trauma informed and person centered. You're a good fit for me if you want help processing past events, navigating difficult relationships, or if your trauma is getting in the way of you living your life. If you need respect, empowerment, and connection from a therapist you're in the right place - I work for you, and I follow your lead - you're the expert in your life, after all. My clients typically want clarity, to heal, and to feel like they are living a life that they find meaning in.
(253) 258-0038 View (253) 258-0038
Photo of Corrine Kuehner, Counselor in Tacoma, WA
Corrine Kuehner
Counselor, LMHCA
Verified Verified
Tacoma, WA 98402  (Online Only)
I offer individual sessions tailored to your unique needs, with a focus on creative solutions that promote healing and growth. Over the last decade and more, I have worked in mental health and behavioral health fields, with the majority of my time working with adults and children with developmental disabilities. I have also experienced my own interesting journey navigating relational trauma, chronic health issues, and learning that I have ADHD at 30 years old. I know first hand many of the struggles disabled and neurodivergent people face and I use this experience to help my clients better their own lives.
I offer individual sessions tailored to your unique needs, with a focus on creative solutions that promote healing and growth. Over the last decade and more, I have worked in mental health and behavioral health fields, with the majority of my time working with adults and children with developmental disabilities. I have also experienced my own interesting journey navigating relational trauma, chronic health issues, and learning that I have ADHD at 30 years old. I know first hand many of the struggles disabled and neurodivergent people face and I use this experience to help my clients better their own lives.
(253) 352-3789 View (253) 352-3789
Photo of Caitlin Wehrwood, Counselor in Tacoma, WA
Caitlin Wehrwood
Counselor, LMHC
Verified Verified
Tacoma, WA 98402  (Online Only)
I believe every person is creative, worthy, and capable if given the right support and care. My clients are often queer or trans, many identify as disabled or chronically ill, and most of them have experienced trauma throughout their lives. Many of my clients also identify as neurodivergent and want to understand how to work with their brains more effectively without judgment. Most of my clients have been taught that their body-minds are inconvenient, shameful, or difficult.
I believe every person is creative, worthy, and capable if given the right support and care. My clients are often queer or trans, many identify as disabled or chronically ill, and most of them have experienced trauma throughout their lives. Many of my clients also identify as neurodivergent and want to understand how to work with their brains more effectively without judgment. Most of my clients have been taught that their body-minds are inconvenient, shameful, or difficult.
(206) 800-6791 View (206) 800-6791
Photo of Jenn Parretta - Relationship And Sex Therapist, Marriage & Family Therapist Associate in Tacoma, WA
Jenn Parretta - Relationship And Sex Therapist
Marriage & Family Therapist Associate, MA, LMFTA, ABS, ATR-P
Verified Verified
9 Endorsed
Tacoma, WA 98402
Now Accepting New Clients! - Ready to start on a journey of self-discovery, understanding, and fulfillment? Specializing in the intricate intersections of mental health, sexuality, and creativity, I guide individuals through the process of connecting with their desires. I’ll guide you through the challenges of understanding your needs, fostering healthy relationships, and unlocking your true passions. In our safe and supportive space, we'll work together to enhance communication, embrace authenticity, and build newfound confidence that will allow you to prioritize pleasure and your wellbeing.
Now Accepting New Clients! - Ready to start on a journey of self-discovery, understanding, and fulfillment? Specializing in the intricate intersections of mental health, sexuality, and creativity, I guide individuals through the process of connecting with their desires. I’ll guide you through the challenges of understanding your needs, fostering healthy relationships, and unlocking your true passions. In our safe and supportive space, we'll work together to enhance communication, embrace authenticity, and build newfound confidence that will allow you to prioritize pleasure and your wellbeing.
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Photo of Joanne M Marcoe in Tacoma, WA
Joanne M Marcoe
CH, BA, MPA
Verified Verified
Tacoma, WA 98407
The Magic in Hypnosis is not what the Hypnotist does; the Magic is YOU! The "True You" is right before your eyes...Waiting to Emerge! I can help you look inside and uproot some of what binds you. We all have a story, some is known but much is unknown. We live in very stressful times built on top of past and dumped into our future trip. Inspite of the spin around us; hope can be found!
The Magic in Hypnosis is not what the Hypnotist does; the Magic is YOU! The "True You" is right before your eyes...Waiting to Emerge! I can help you look inside and uproot some of what binds you. We all have a story, some is known but much is unknown. We live in very stressful times built on top of past and dumped into our future trip. Inspite of the spin around us; hope can be found!
(253) 364-1163 View (253) 364-1163
Photo of Andrew Rogers, Counselor in Tacoma, WA
Andrew Rogers
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Tacoma, WA 98403
Are you struggling with changes in your life and looking for a better way to cope? Are you trying to find direction and meaning? Perhaps you're wondering why life doesn't feel more rewarding or you can't seem to find happiness or peace. You may be feeling lonely and struggling to find relationships and friendships to help you during hard times. It can be really challenging living in the Pacific Northwest and finding friendship or relationships.
Are you struggling with changes in your life and looking for a better way to cope? Are you trying to find direction and meaning? Perhaps you're wondering why life doesn't feel more rewarding or you can't seem to find happiness or peace. You may be feeling lonely and struggling to find relationships and friendships to help you during hard times. It can be really challenging living in the Pacific Northwest and finding friendship or relationships.
(206) 350-1584 View (206) 350-1584

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.