Therapists in Seattle, WA

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Photo of Jane Palmer, Counselor in Seattle, WA
Jane Palmer
Counselor, MA, LMHC, BCPC
Verified Verified
Seattle, WA 98122
Not accepting new clients
Welcome to my profile. I specialize in treating trauma, anxiety, panic, acute and chronic stress. Symptoms of anxiety, depression, avoidance, intrusive thoughts, dissociation, chronic illness, substance abuse, and relationship difficulties may be due to unresolved trauma from earlier in life.I utilize newer psychological approaches, such as EMDR, Somatic Transformation, Lifespan Integration, which are designed to change the way your brain processes information. All will involve talking about your feelings, thoughts, images, body sensations and integating conceptual knowledge with emotional and body experience. We may often "target" memories from the past to heal the present and visualize a positive future.
Welcome to my profile. I specialize in treating trauma, anxiety, panic, acute and chronic stress. Symptoms of anxiety, depression, avoidance, intrusive thoughts, dissociation, chronic illness, substance abuse, and relationship difficulties may be due to unresolved trauma from earlier in life.I utilize newer psychological approaches, such as EMDR, Somatic Transformation, Lifespan Integration, which are designed to change the way your brain processes information. All will involve talking about your feelings, thoughts, images, body sensations and integating conceptual knowledge with emotional and body experience. We may often "target" memories from the past to heal the present and visualize a positive future.
(206) 316-9594 View (206) 316-9594
Photo of Jason Goldstein, Counselor in Seattle, WA
Jason Goldstein
Counselor, MSW, MA, LMHC
Verified Verified
Seattle, WA 98112
Waitlist for new clients
Therapy is an opportunity to engage in a healing relationship unlike most others. The focus is on you: your feelings, your thoughts, your strengths, and insecurities. My job is to support you as you work your way toward understanding, accepting, and growing into yourself. Psychotherapy involves exploring feelings, perceptions, and beliefs about oneself and others, understanding how and why self-defeating or painful patterns of living have developed, and discovering how to modify them. I am committed to helping you discover and speak the truth of your experience, including parts of you that may have been left unspoken and unlived.
Therapy is an opportunity to engage in a healing relationship unlike most others. The focus is on you: your feelings, your thoughts, your strengths, and insecurities. My job is to support you as you work your way toward understanding, accepting, and growing into yourself. Psychotherapy involves exploring feelings, perceptions, and beliefs about oneself and others, understanding how and why self-defeating or painful patterns of living have developed, and discovering how to modify them. I am committed to helping you discover and speak the truth of your experience, including parts of you that may have been left unspoken and unlived.
(206) 557-3992 View (206) 557-3992
Photo of Willem Jillson, Counselor in Seattle, WA
Willem Jillson
Counselor, MA, LMHC, CSAT, ASOTP, RYT
Verified Verified
Seattle, WA 98116  (Online Only)
Hello and welcome. I believe that in order to become more whole, we must experience resolution of our pain and trauma. As discomfort passes through us, we can practice new concrete behaviors that enhance our life.
Hello and welcome. I believe that in order to become more whole, we must experience resolution of our pain and trauma. As discomfort passes through us, we can practice new concrete behaviors that enhance our life.
(206) 800-0958 View (206) 800-0958
Photo of Shivraj K Pannu, Clinical Social Work/Therapist in Seattle, WA
Shivraj K Pannu
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98122  (Online Only)
My passion lies in uplifting my clients to embrace their fullest potential, nurturing a therapeutic haven where healing and personal growth flourish without judgment. With a collaborative and empowering approach, I find profound joy in guiding individuals and couples towards amplifying their strengths, fostering resilience, and gaining deeper emotional insight to gracefully navigate life's myriad challenges.
My passion lies in uplifting my clients to embrace their fullest potential, nurturing a therapeutic haven where healing and personal growth flourish without judgment. With a collaborative and empowering approach, I find profound joy in guiding individuals and couples towards amplifying their strengths, fostering resilience, and gaining deeper emotional insight to gracefully navigate life's myriad challenges.
(206) 558-0974 View (206) 558-0974
Photo of Jessica C Duty, Marriage & Family Therapist in Seattle, WA
Jessica C Duty
Marriage & Family Therapist, LMFT, MS, MA
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
Waitlist for new clients
I support families, couples and individuals nurture the capacity for honest self reflection, discovery, discernment and change. Beyond the initial reason for engaging in therapy, I often help people and their loved ones explore the underlying patterns in behaviors, relationships and life engagement that hinder growth, satisfaction and peace. Together we create an environment where you can safely address the situations, challenges, and often pain that brought you and your family to counseling while learning skills, tools, techniques and approaches to support you and your family outside of therapy.
I support families, couples and individuals nurture the capacity for honest self reflection, discovery, discernment and change. Beyond the initial reason for engaging in therapy, I often help people and their loved ones explore the underlying patterns in behaviors, relationships and life engagement that hinder growth, satisfaction and peace. Together we create an environment where you can safely address the situations, challenges, and often pain that brought you and your family to counseling while learning skills, tools, techniques and approaches to support you and your family outside of therapy.
(206) 203-7151 View (206) 203-7151
Photo of Katie Seitz, Clinical Social Work/Therapist in Seattle, WA
Katie Seitz
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98103
Not accepting new clients
Sometimes we start therapy not feeling clear about what brings us to the work. We just know we want to feel better. I strive to cultivate a compassionate, safe environment for my clients, enabling them to clarify goals, identify inherent strengths and build skills to better cope with challenges they face. Although I am grounded in a psychodynamic approach to therapy, I am well-trained in a variety of modalities. I tailor my approach to fit what you need at a particular point in time so that you feel more informed, grounded and agile- better able to manage how you experience life.
Sometimes we start therapy not feeling clear about what brings us to the work. We just know we want to feel better. I strive to cultivate a compassionate, safe environment for my clients, enabling them to clarify goals, identify inherent strengths and build skills to better cope with challenges they face. Although I am grounded in a psychodynamic approach to therapy, I am well-trained in a variety of modalities. I tailor my approach to fit what you need at a particular point in time so that you feel more informed, grounded and agile- better able to manage how you experience life.
(206) 681-2175 View (206) 681-2175
Photo of Heather Abbott, Counselor in Seattle, WA
Heather Abbott
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98115
Hope often sounds like a wishful word in our culture - but I want you to leave therapy with more hope - the gritty, scrappy, resilient kind. This authentic hope grows as you embrace your life story with all its darkness and light. You don't need to talk about everything at once, but just give yourself a place and time to connect with your whole self and pay attention to your life as it is now. As you connect deeply with yourself you are able to carve out space to reimagine how your life and relationships could be.
Hope often sounds like a wishful word in our culture - but I want you to leave therapy with more hope - the gritty, scrappy, resilient kind. This authentic hope grows as you embrace your life story with all its darkness and light. You don't need to talk about everything at once, but just give yourself a place and time to connect with your whole self and pay attention to your life as it is now. As you connect deeply with yourself you are able to carve out space to reimagine how your life and relationships could be.
(206) 472-1302 View (206) 472-1302
Photo of Katey Blagden, Clinical Social Work/Therapist in Seattle, WA
Katey Blagden
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
2 Endorsed
Seattle, WA 98122  (Online Only)
Certain phases of life can leave us feeling directionless or uncertain about who we are and what is next. While these time periods are difficult to navigate, they can be times of deep transformation. As your therapist, I will support you in developing curiosity and clarity around your decisions, your relationships, and your internal experience. From a place of collaboration and warmth, I will work with you to navigate life’s obstacles, meet your challenges, and take steps towards becoming your most authentic self.
Certain phases of life can leave us feeling directionless or uncertain about who we are and what is next. While these time periods are difficult to navigate, they can be times of deep transformation. As your therapist, I will support you in developing curiosity and clarity around your decisions, your relationships, and your internal experience. From a place of collaboration and warmth, I will work with you to navigate life’s obstacles, meet your challenges, and take steps towards becoming your most authentic self.
(206) 339-5042 View (206) 339-5042
Photo of Parent Psychotherapy, PLLC, Licensed Professional Counselor in Seattle, WA
Parent Psychotherapy, PLLC
Licensed Professional Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98112
Serving the Needs of Parents. While it’s true that parenting is the hardest job you’ll ever love, you don’t have to go it alone. Have consequences stopped working leaving you at a loss in the face of difficult behaviors? Are your date night conversations only about your children? Do you find yourself repeating what your parents said to you and regretting it? Are you seeking a more peaceful co-parenting dynamic that puts your child first rather than past marital conflicts? Or maybe you are looking for ways to feel less haunted by your own childhood or past?
Serving the Needs of Parents. While it’s true that parenting is the hardest job you’ll ever love, you don’t have to go it alone. Have consequences stopped working leaving you at a loss in the face of difficult behaviors? Are your date night conversations only about your children? Do you find yourself repeating what your parents said to you and regretting it? Are you seeking a more peaceful co-parenting dynamic that puts your child first rather than past marital conflicts? Or maybe you are looking for ways to feel less haunted by your own childhood or past?
(206) 672-8471 View (206) 672-8471
Photo of Samina Salahuddin, Counselor in Seattle, WA
Samina Salahuddin
Counselor, PhD, LMHC, LPC
Verified Verified
Seattle, WA 98115
I am always very supportive and understanding of my clients' needs. I have strong, positive words of support when clients are lacking in confidence or not being able to see the bigger picture. I am a firm believer that we ONLY change and grown when we actually make a conscious decision to do so.
I am always very supportive and understanding of my clients' needs. I have strong, positive words of support when clients are lacking in confidence or not being able to see the bigger picture. I am a firm believer that we ONLY change and grown when we actually make a conscious decision to do so.
(206) 237-4436 View (206) 237-4436
Photo of Jordan K. Wolfe, Counselor in Seattle, WA
Jordan K. Wolfe
Counselor, LMHC, CGP
Verified Verified
Seattle, WA 98103
I specialize in helping couples, families, and men deal more effectively with their emotions and difficulties in their important relationships. I also offer executive coaching and support for leadership development and proactive personal growth. My style is warm, interactive, holistic and direct, and the strength of my approach rests on forging a genuine and trusting working relationship so that you can feel comfortable in getting real about what's happening with you. As your sense of trust and readiness deepens, we'll take stock of what changes are needed and find personal, realistic and creative ways to help you move forward.
I specialize in helping couples, families, and men deal more effectively with their emotions and difficulties in their important relationships. I also offer executive coaching and support for leadership development and proactive personal growth. My style is warm, interactive, holistic and direct, and the strength of my approach rests on forging a genuine and trusting working relationship so that you can feel comfortable in getting real about what's happening with you. As your sense of trust and readiness deepens, we'll take stock of what changes are needed and find personal, realistic and creative ways to help you move forward.
(206) 759-8093 View (206) 759-8093
Photo of Michael Clawson, Counselor in Seattle, WA
Michael Clawson
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98112
For over 20 years I have been in private practice in Seattle serving adult individuals and couples. I am an active and engaged therapist. Science is confirming that we are wired from birth to develop emotionally within the context of compassionate human relationships. Thus we will work together to create an atmosphere of emotional safety and nonjudgmental awareness. I will pay careful attention not only to your pain and challenges but to your strengths as well. Together we will generate a creative dialogue. New approaches to your dilemmas will emerge allowing emotional crises to become an opportunity for personal growth.
For over 20 years I have been in private practice in Seattle serving adult individuals and couples. I am an active and engaged therapist. Science is confirming that we are wired from birth to develop emotionally within the context of compassionate human relationships. Thus we will work together to create an atmosphere of emotional safety and nonjudgmental awareness. I will pay careful attention not only to your pain and challenges but to your strengths as well. Together we will generate a creative dialogue. New approaches to your dilemmas will emerge allowing emotional crises to become an opportunity for personal growth.
(206) 966-4523 View (206) 966-4523
Photo of Lauren Beck, Counselor in Seattle, WA
Lauren Beck
Counselor, MA, LMHC, LCPC
Verified Verified
Seattle, WA 98101  (Online Only)
As a therapist, my counseling approach is integrative and evidenced-based. I have training and experience in a variety of different therapeutic approaches including cognitive behavioral therapy, acceptance and commitment therapy, mindfulness-based therapy, solution-focused therapy, client-centered therapy, LGBTQIA counseling, and sports and fitness therapy. This diverse background allows me to integrate the counseling approach best suited for your unique needs.
As a therapist, my counseling approach is integrative and evidenced-based. I have training and experience in a variety of different therapeutic approaches including cognitive behavioral therapy, acceptance and commitment therapy, mindfulness-based therapy, solution-focused therapy, client-centered therapy, LGBTQIA counseling, and sports and fitness therapy. This diverse background allows me to integrate the counseling approach best suited for your unique needs.
(206) 752-1391 View (206) 752-1391
Photo of Amanda Fowler, Clinical Social Work/Therapist in Seattle, WA
Amanda Fowler
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
I enjoy working with teens and young adults, spanning ages 13 to 35. With extensive expertise in assisting neurodivergent individuals and those within the LGBTQ+ community, I welcome anyone seeking care through creative or somatic methodologies. Employing a holistic therapeutic approach, my methods integrate cognitive and somatic interventions, drawing from evidence-based practices such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Synergetic Play Therapy, Cognitive Processing, Polyvagal Therapy, and Mindfulness. It is my fervent commitment to empower every individual I work with, ensuring they feel
I enjoy working with teens and young adults, spanning ages 13 to 35. With extensive expertise in assisting neurodivergent individuals and those within the LGBTQ+ community, I welcome anyone seeking care through creative or somatic methodologies. Employing a holistic therapeutic approach, my methods integrate cognitive and somatic interventions, drawing from evidence-based practices such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Synergetic Play Therapy, Cognitive Processing, Polyvagal Therapy, and Mindfulness. It is my fervent commitment to empower every individual I work with, ensuring they feel
(206) 672-1072 View (206) 672-1072
Photo of Susan Ward, Marriage & Family Therapist in Seattle, WA
Susan Ward
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98107
I am a licensed couples and family therapist and have worked in private practice and agency settings for more than 15 years. I provide therapeutic support to couples, families, individual adults, children, and adolescents out of my office in Seattle's Ballard neighborhood. Your comfort level with and relationship to your therapist is a primary factor in the success of your therapy, so after you've had a chance to review my information, I invite you to give me a call to see if we'd be a good fit.
I am a licensed couples and family therapist and have worked in private practice and agency settings for more than 15 years. I provide therapeutic support to couples, families, individual adults, children, and adolescents out of my office in Seattle's Ballard neighborhood. Your comfort level with and relationship to your therapist is a primary factor in the success of your therapy, so after you've had a chance to review my information, I invite you to give me a call to see if we'd be a good fit.
(206) 981-5961 View (206) 981-5961
Photo of Randy Marinez, Counselor in Seattle, WA
Randy Marinez
Counselor, MS, LMHC
Verified Verified
Seattle, WA 98104
I have been counseling since 1981 and opened my private practice in 1988. I have expertise in working with individuals around their history of sexual victimization, people healing from trauma and LGBTQ life issues. I also specialize in working with couples whether poly, open, heterosexual and/or gay. Included within my expertise is the breadth of issues surrounding sexuality and attachment. I also specialize in helping people become aware of and channel their emotions in a healthy way. Moreover, people who are grappling with existential issues, developmental transitions or life changes find meaning in working with me as well.
I have been counseling since 1981 and opened my private practice in 1988. I have expertise in working with individuals around their history of sexual victimization, people healing from trauma and LGBTQ life issues. I also specialize in working with couples whether poly, open, heterosexual and/or gay. Included within my expertise is the breadth of issues surrounding sexuality and attachment. I also specialize in helping people become aware of and channel their emotions in a healthy way. Moreover, people who are grappling with existential issues, developmental transitions or life changes find meaning in working with me as well.
(206) 745-5831 View (206) 745-5831
Photo of Elizabeth Mateer, Counselor in Seattle, WA
Elizabeth Mateer
Counselor, MA, MS, LMHC
Verified Verified
Seattle, WA 98122  (Online Only)
When coming into a session with me, you can expect to be met with warmth and nonjudgment and acceptance. I take an integrative approach to counseling with an emphasis on looking at the individual from a holistic point of view. Rather than concentrating on dysfunction, I strive to help people fulfill their potential and maximize their well-being. The therapeutic relationship I create with my clients is the most important part of this process, I collaborate with my clients throughout to find the most effective evidence-based treatments and create a personalized experience towards what wellness means for you.
When coming into a session with me, you can expect to be met with warmth and nonjudgment and acceptance. I take an integrative approach to counseling with an emphasis on looking at the individual from a holistic point of view. Rather than concentrating on dysfunction, I strive to help people fulfill their potential and maximize their well-being. The therapeutic relationship I create with my clients is the most important part of this process, I collaborate with my clients throughout to find the most effective evidence-based treatments and create a personalized experience towards what wellness means for you.
(360) 762-3976 View (360) 762-3976
Photo of Sam Michaels, Clinical Social Work/Therapist in Seattle, WA
Sam Michaels
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98108  (Online Only)
Are you seeking change for the better and support with anxiety, depression, grief, trauma, identity struggles, career dissatisfaction, or relationship challenges? With my guidance, I help clients discover what is holding them back from the life they want to live and then we work together to create effective, long-lasting solutions.
Are you seeking change for the better and support with anxiety, depression, grief, trauma, identity struggles, career dissatisfaction, or relationship challenges? With my guidance, I help clients discover what is holding them back from the life they want to live and then we work together to create effective, long-lasting solutions.
(206) 512-3493 View (206) 512-3493
Photo of Dr. Dave McNew, Psychologist in Seattle, WA
Dr. Dave McNew
Psychologist, PsyD
Verified Verified
Seattle, WA 98109  (Online Only)
Hi! I’m Dave McNew, a licensed clinical psychologist. I work to help those with marginalized identities (sexually & gender queer, BIPOC) to heal chronic struggles with trauma, anxiety, and depression. I use my passion for relational healing, mindfulness, and self-compassion to build space in which you can know yourself more fully and live more authentically. I help to cultivate more safety and joy in your relationships with others, and with yourself. I make space for you to face the parts of yourself that are hardest to feel. Where there was pain and confusion, I help you find greater calm, peace, and connection.
Hi! I’m Dave McNew, a licensed clinical psychologist. I work to help those with marginalized identities (sexually & gender queer, BIPOC) to heal chronic struggles with trauma, anxiety, and depression. I use my passion for relational healing, mindfulness, and self-compassion to build space in which you can know yourself more fully and live more authentically. I help to cultivate more safety and joy in your relationships with others, and with yourself. I make space for you to face the parts of yourself that are hardest to feel. Where there was pain and confusion, I help you find greater calm, peace, and connection.
(206) 590-4633 View (206) 590-4633
Photo of Krystina Ptasinski, Counselor in Seattle, WA
Krystina Ptasinski
Counselor, LMHC , SUDP, MAT
Verified Verified
Seattle, WA 98103  (Online Only)
Not accepting new clients
The lasting impacts of past or current traumas, grief, or addiction, can leave us questioning who we are and how to imagine or build a present or a future we are hopeful for. By bringing these personal narratives into the space of therapy, the process of integration, compassion, self-discovery, lament, empowerment, healing, and ultimately freedom, can begin. As a therapist, I am deeply passionate about helping others build, create, uncover, and discover the people they were meant to be and to live in the fullness of the light they were created from and for.
The lasting impacts of past or current traumas, grief, or addiction, can leave us questioning who we are and how to imagine or build a present or a future we are hopeful for. By bringing these personal narratives into the space of therapy, the process of integration, compassion, self-discovery, lament, empowerment, healing, and ultimately freedom, can begin. As a therapist, I am deeply passionate about helping others build, create, uncover, and discover the people they were meant to be and to live in the fullness of the light they were created from and for.
(206) 495-6043 View (206) 495-6043

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
53% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

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

How can I find a therapist in Seattle?

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.