Therapists in Woodinville, WA

View neighborhoods in Woodinville
Photo of Kristina Cook, LMHC, CDPT, CHT, Counselor
Kristina Cook
Counselor, LMHC, CDPT, CHT
Verified Verified
7 Endorsed
Woodinville, WA 98072
Currently Taking New Clients. I understand you are looking for help and this is the first step to healing your life. I specialize in working with couples, as well as adult individuals struggling with addiction. I see you as a whole person and am mindful of the pain you have experienced and get there are many ways to recovery. In my work with substance abuse I understand the feelings that come along with the burden of addiction. Will I be accepted; am I enough to be loved; do I belong? These are normal questions for most people suffering and questioning addiction. I create safety to help explore these questions.
Currently Taking New Clients. I understand you are looking for help and this is the first step to healing your life. I specialize in working with couples, as well as adult individuals struggling with addiction. I see you as a whole person and am mindful of the pain you have experienced and get there are many ways to recovery. In my work with substance abuse I understand the feelings that come along with the burden of addiction. Will I be accepted; am I enough to be loved; do I belong? These are normal questions for most people suffering and questioning addiction. I create safety to help explore these questions.
(206) 965-9148 View (206) 965-9148
Photo of Jonathan N Goodman, MA, LMHC, Counselor
Jonathan N Goodman
Counselor, MA, LMHC
Verified Verified
Woodinville, WA 98072
Jonathan has been providing assessment, diagnosis, treatment planning, and psychotherapy services to individuals and families for over 25 years. He has worked as a licensed psychologist or psychotherapist in Ohio, Michigan, the United Kingdom, and Washington. He has worked with clients of all ages and with a variety of mental health issues. However, he has had specialized training and experience working with clients dealing with personality disorders, eating disorders, resistant depression, and in managing clients in crisis. Additionally, he has extensive experience in areas including anxiety disorders, family/couples therapy, clients managing severe mental illness, and in working with adolescents. Learn More
Jonathan has been providing assessment, diagnosis, treatment planning, and psychotherapy services to individuals and families for over 25 years. He has worked as a licensed psychologist or psychotherapist in Ohio, Michigan, the United Kingdom, and Washington. He has worked with clients of all ages and with a variety of mental health issues. However, he has had specialized training and experience working with clients dealing with personality disorders, eating disorders, resistant depression, and in managing clients in crisis. Additionally, he has extensive experience in areas including anxiety disorders, family/couples therapy, clients managing severe mental illness, and in working with adolescents. Learn More
(206) 429-8121 View (206) 429-8121
Photo of Ivyanne Van Der Peet, MA, LMHC, Counselor
Ivyanne Van Der Peet
Counselor, MA, LMHC
Verified Verified
Woodinville, WA 98072
As a Licensed Mental Health Therapist with several years of experience in providing direct patient care, I am enthusiastic about serving youth, young adults, and neurodiverse individuals with various complexities. I am specialized in depression, anxiety, trauma and stress reduction. I utilize a person-centered approach to help my patients reach their most vibrant potential. I believe finding one’s identity is crucial to their development and I am passionate about helping individuals explore their individuality while sorting through their struggles. My passion is helping others, supporting their goals, and improving their lives.
As a Licensed Mental Health Therapist with several years of experience in providing direct patient care, I am enthusiastic about serving youth, young adults, and neurodiverse individuals with various complexities. I am specialized in depression, anxiety, trauma and stress reduction. I utilize a person-centered approach to help my patients reach their most vibrant potential. I believe finding one’s identity is crucial to their development and I am passionate about helping individuals explore their individuality while sorting through their struggles. My passion is helping others, supporting their goals, and improving their lives.
(425) 426-3533 View (425) 426-3533
Photo of Dani Best, Marriage & Family Therapist Intern
Dani Best
Marriage & Family Therapist Intern
Verified Verified
Woodinville, WA 98072  (Online Only)
Hi there! I'm Dani. My approach is primarily experiential, meaning that a big focus in session is on the here-and-now processing that drives change. You will also find that I am a big believer in the emotional bond between humans and pets, and if this speaks to you, I welcome your pet(s) into the virtual therapy space with us. You may enjoy working with me if you: want to improve communication with your partner or other loved ones, want to prioritize yourself for the first time in a long time and get to know yourself better, are learning to be more in touch with your emotions and needs, and/or are curious about attachment.
Hi there! I'm Dani. My approach is primarily experiential, meaning that a big focus in session is on the here-and-now processing that drives change. You will also find that I am a big believer in the emotional bond between humans and pets, and if this speaks to you, I welcome your pet(s) into the virtual therapy space with us. You may enjoy working with me if you: want to improve communication with your partner or other loved ones, want to prioritize yourself for the first time in a long time and get to know yourself better, are learning to be more in touch with your emotions and needs, and/or are curious about attachment.
(425) 470-6016 View (425) 470-6016
Photo of Wilder Heath, MA, LMFT, CMHS, Marriage & Family Therapist
Wilder Heath
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
4 Endorsed
Woodinville, WA 98072
If you've ever felt uncomfortable with mental health diagnosis and thought "there's more to me than a diagnosis", you might be looking for an Enneagram Informed Therapist. I work with adults and couples who are typically diagnosed with anxiety, depression, or ADHD and use the personality framework of the Enneagram to help them understand their whole self, rather than just their diagnosis. I am a licensed Marriage & Family therapist, as well as an Enneagram coach who combines Western and Eastern treatment methods. I have additional training in Hakomi Method, Drama Therapy, and am certified by CP Enneagram.
If you've ever felt uncomfortable with mental health diagnosis and thought "there's more to me than a diagnosis", you might be looking for an Enneagram Informed Therapist. I work with adults and couples who are typically diagnosed with anxiety, depression, or ADHD and use the personality framework of the Enneagram to help them understand their whole self, rather than just their diagnosis. I am a licensed Marriage & Family therapist, as well as an Enneagram coach who combines Western and Eastern treatment methods. I have additional training in Hakomi Method, Drama Therapy, and am certified by CP Enneagram.
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Photo of Paul R Hoard, PhD, LMHC, Counselor
Paul R Hoard
Counselor, PhD, LMHC
Verified Verified
3 Endorsed
Woodinville, WA 98072
Life is difficult and navigating your way through the world can be a lonely, painful experience. It leaves scars and memories that can turn the person in the mirror into a complete stranger. Depression, anxiety, pain, confusion and regret seem to keep pulling you down into an endless cycle. Discovering how to face your world, your circumstances, and more importantly, yourself, takes more than just will power. It can't be done alone, but it can be done.
Life is difficult and navigating your way through the world can be a lonely, painful experience. It leaves scars and memories that can turn the person in the mirror into a complete stranger. Depression, anxiety, pain, confusion and regret seem to keep pulling you down into an endless cycle. Discovering how to face your world, your circumstances, and more importantly, yourself, takes more than just will power. It can't be done alone, but it can be done.
(574) 406-1594 View (574) 406-1594
Photo of Zainab Akef, LMHCA, Counselor
Zainab Akef
Counselor, LMHCA
Verified Verified
Woodinville, WA 98072
If you are a person who is willing to put the work in, ready to be vulnerable in the process, and wants a therapeutic relationship that is collaborative, I am here for you. I have experience in dealing with depression, anxiety, and multicultural issues. I also have experience with teenagers and young adults dealing with different life transitions and acculturative stress. I am bilingual in English and Arabic, and want to help you express yourself in the language you feel most comfortable in.
If you are a person who is willing to put the work in, ready to be vulnerable in the process, and wants a therapeutic relationship that is collaborative, I am here for you. I have experience in dealing with depression, anxiety, and multicultural issues. I also have experience with teenagers and young adults dealing with different life transitions and acculturative stress. I am bilingual in English and Arabic, and want to help you express yourself in the language you feel most comfortable in.
(425) 372-7843 View (425) 372-7843
Photo of Cori Guay, MSW, LSWAIC, Clinical Social Work/Therapist
Cori Guay
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Woodinville, WA 98072  (Online Only)
I work with children, teens, and young adults struggling with eating disorders, body image, sports performance, anxiety, depression, OCD, mood disorders, self-harm, suicidal ideation, self-esteem, and interpersonal connection. I work by partnering with my clients to allow them the space to move at their own pace in this journey, while also learning to sit in uncomfortable emotions and finding empowerment in self discovery and self determination.
I work with children, teens, and young adults struggling with eating disorders, body image, sports performance, anxiety, depression, OCD, mood disorders, self-harm, suicidal ideation, self-esteem, and interpersonal connection. I work by partnering with my clients to allow them the space to move at their own pace in this journey, while also learning to sit in uncomfortable emotions and finding empowerment in self discovery and self determination.
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Photo of Emili Fletcher, LICSW, Clinical Social Work/Therapist
Emili Fletcher
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Woodinville, WA 98072
Many people say life doesn't go according to plan. We all know that to be true. Life goes up and down with many bits and pieces that make our story. As we are going through our life we may not understand or want parts of our story that entail grief and pain. YOUR story is what makes you, what has happened in your life, and what hasn't happened in your life. Many of us tend to have expectations of who we are supposed to be and how to navigate life, that we may forget to live life. Life isn't about pushing through, dread and pain. It's about the hope that pain and loss can be grieved and change can happen in your heart.
Many people say life doesn't go according to plan. We all know that to be true. Life goes up and down with many bits and pieces that make our story. As we are going through our life we may not understand or want parts of our story that entail grief and pain. YOUR story is what makes you, what has happened in your life, and what hasn't happened in your life. Many of us tend to have expectations of who we are supposed to be and how to navigate life, that we may forget to live life. Life isn't about pushing through, dread and pain. It's about the hope that pain and loss can be grieved and change can happen in your heart.
(253) 242-2351 View (253) 242-2351
Photo of Joanna Warren - lift hold heal, MPS, ATR, LMHCA, Counselor
lift hold heal
Counselor, MPS, ATR, LMHCA
Verified Verified
2 Endorsed
Woodinville, WA 98072
I am an art therapist, artist and creative person who understands emotions and the body and how they work together. I am also a life-long learner who will always be honing her skills because I want to be someone who can serve every population I am working with in the best way that I can. Additionally, I am a human who believes in Spirit, so I believe there is a reason we come across one another's paths. We will teach one another and grow together if you choose to work with me.
I am an art therapist, artist and creative person who understands emotions and the body and how they work together. I am also a life-long learner who will always be honing her skills because I want to be someone who can serve every population I am working with in the best way that I can. Additionally, I am a human who believes in Spirit, so I believe there is a reason we come across one another's paths. We will teach one another and grow together if you choose to work with me.
(425) 217-8627 View (425) 217-8627
Photo of Beatrice Joe, LMFT, Marriage & Family Therapist
Beatrice Joe
Marriage & Family Therapist, LMFT
Verified Verified
Woodinville, WA 98072
If you are seeking a therapist, you might be feeling anxious, depressed or suffering from difficulties in your interpersonal relationship. Your issues may be situational or be related to a history or pattern in your life. In therapy, I will explore different facets of these issues. I will assist you in understanding the various dynamics underlying your situation, problem solve and teach coping strategies.
If you are seeking a therapist, you might be feeling anxious, depressed or suffering from difficulties in your interpersonal relationship. Your issues may be situational or be related to a history or pattern in your life. In therapy, I will explore different facets of these issues. I will assist you in understanding the various dynamics underlying your situation, problem solve and teach coping strategies.
(425) 312-6334 View (425) 312-6334
Amber Ashford
Counselor, NCC, CMHCA, APCC
Verified Verified
1 Endorsed
Woodinville, WA 98072
I admire the courage it takes to seek help and make change, and believe everyone has the capacity for healing. I bring compassion and curiosity to my person centered work with clients. My approach is collaborative, feedback driven, strengths based, and often infused with play, art, and nature therapy techniques. While the work we do will be as unique as each client, I am most inspired by internal family systems, emotionally focused therapy, solution focused brief therapy, and AEDP.
I admire the courage it takes to seek help and make change, and believe everyone has the capacity for healing. I bring compassion and curiosity to my person centered work with clients. My approach is collaborative, feedback driven, strengths based, and often infused with play, art, and nature therapy techniques. While the work we do will be as unique as each client, I am most inspired by internal family systems, emotionally focused therapy, solution focused brief therapy, and AEDP.
(425) 441-3514 View (425) 441-3514
Photo of Bina Bakhtiar, LICSWA, MHP, Clinical Social Work/Therapist
Bina Bakhtiar
Clinical Social Work/Therapist, LICSWA, MHP
Not Verified Not Verified
Woodinville, WA 98072
Sometimes we encounter hardships that seem too overwhelming or painful to manage. These struggles may occur in marriage, family relationships, parenting, at work, or coping with every-day life. They can be destabilizing, leaving us feeling hopeless and helpless. I believe these uncomfortable emotions can often be a window of opportunity to look deeper into what has happened, our role in it, and our reaction to it. Within these moments, we can unravel our own inner wisdom to help us heal and grow.
Sometimes we encounter hardships that seem too overwhelming or painful to manage. These struggles may occur in marriage, family relationships, parenting, at work, or coping with every-day life. They can be destabilizing, leaving us feeling hopeless and helpless. I believe these uncomfortable emotions can often be a window of opportunity to look deeper into what has happened, our role in it, and our reaction to it. Within these moments, we can unravel our own inner wisdom to help us heal and grow.
(206) 745-0960 View (206) 745-0960
Photo of Jenny L. Donovan, MA, LMHCA, Counselor
Jenny L. Donovan
Counselor, MA, LMHCA
Verified Verified
Woodinville, WA 98077  (Online Only)
Seeking therapy can be good news! One of the deepest needs for people is wholeness, to be fully accepted as they are and to experience relationships as a healing force toward growth and self-understanding. In my practice, clients are met with the deepest respect, the knowledge of underlying needs and patterns to be explored, and a passionate curiosity about your irreplaceable and meaningful existence in life.
Seeking therapy can be good news! One of the deepest needs for people is wholeness, to be fully accepted as they are and to experience relationships as a healing force toward growth and self-understanding. In my practice, clients are met with the deepest respect, the knowledge of underlying needs and patterns to be explored, and a passionate curiosity about your irreplaceable and meaningful existence in life.
(206) 222-7343 View (206) 222-7343
Photo of Ryan Q Patterson, MA, LMHC, Counselor
Ryan Q Patterson
Counselor, MA, LMHC
Verified Verified
Woodinville, WA 98072
Not accepting new clients
I approach most client issues as the result of your relationship with the world around you, we will take a close look at you-in-context. I frequently utilize mindfulness techniques within evidenced-based modalities (such as ACT, MBCT CBT, behavioral activation and motivational interviewing). I treat individuals, couples and families; adolescents (ages 16 and up) to older adults. Professional interest include treatment of anxiety, men's issues, and LGBTQ. While I accept only a few insurances, I will bill your insurance company if I am out-of-network. Many insurance plans have partial reimbursement for out-of-network providers.
I approach most client issues as the result of your relationship with the world around you, we will take a close look at you-in-context. I frequently utilize mindfulness techniques within evidenced-based modalities (such as ACT, MBCT CBT, behavioral activation and motivational interviewing). I treat individuals, couples and families; adolescents (ages 16 and up) to older adults. Professional interest include treatment of anxiety, men's issues, and LGBTQ. While I accept only a few insurances, I will bill your insurance company if I am out-of-network. Many insurance plans have partial reimbursement for out-of-network providers.
(425) 409-6015 View (425) 409-6015
Photo of Margaret Smith, SUDP, AAC, Drug & Alcohol Counselor
Margaret Smith
Drug & Alcohol Counselor, SUDP, AAC
Verified Verified
Woodinville, WA 98077
I am here to help those struggling with obsessive behaviors. Things like gaming, internet, sex, chemicals, gambling etc. If you or someone you love is going "overboard", I can help them or you. We can go slow or whatever pace you want. We can explore deep issues or just allow your own path to take us to safe places.
I am here to help those struggling with obsessive behaviors. Things like gaming, internet, sex, chemicals, gambling etc. If you or someone you love is going "overboard", I can help them or you. We can go slow or whatever pace you want. We can explore deep issues or just allow your own path to take us to safe places.
(425) 472-4710 View (425) 472-4710
Photo of Shannon Price, LMFT, Marriage & Family Therapist
Shannon Price
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
Woodinville, WA 98072  (Online Only)
My approach is to help individuals create healthier, happier and more meaningful relationships and lives for themselves. I draw most heavily from Family Systems Theory, Humanistic and Cognitive/Behavioral therapy approaches however, I use a variety of modalities and tailor therapy to each client's needs and personality. My goal is to provide each client a safe and supportive environment in which to express them self.
My approach is to help individuals create healthier, happier and more meaningful relationships and lives for themselves. I draw most heavily from Family Systems Theory, Humanistic and Cognitive/Behavioral therapy approaches however, I use a variety of modalities and tailor therapy to each client's needs and personality. My goal is to provide each client a safe and supportive environment in which to express them self.
(206) 693-2969 View (206) 693-2969
Photo of Jeanette Ashworth, MS, NCC, LMHCA, Counselor
Jeanette Ashworth
Counselor, MS, NCC, LMHCA
Verified Verified
Woodinville, WA 98072
Do you want to feel deeply listened to and understood, experience stress reduction, more hope and happiness, overcome fears or challenges, find greater meaning, purpose? Compassionate, respectful care for Individuals, Parents, Families: Life Transitions, ADHD, Autism, IDD, Anxiety, and more. I am opening up a few slots in March and am reaching out to my waiting list (many may have found other therapists) so get in touch if also interested.
Do you want to feel deeply listened to and understood, experience stress reduction, more hope and happiness, overcome fears or challenges, find greater meaning, purpose? Compassionate, respectful care for Individuals, Parents, Families: Life Transitions, ADHD, Autism, IDD, Anxiety, and more. I am opening up a few slots in March and am reaching out to my waiting list (many may have found other therapists) so get in touch if also interested.
(425) 264-8693 View (425) 264-8693
Photo of Jean Weng, MD, MA, LMHC, MS, Counselor
Jean Weng
Counselor, MD, MA, LMHC, MS
Verified Verified
Woodinville, WA 98077  (Online Only)
Waitlist for new clients
I have been practicing psychotherapy in the Seattle area in the past 20 years, provided service to clients who have anxiety, depression, bipolar, schizoaffective disorder and other conditions such as social difficulties, parenting skills, and stress management. I am a WS state approved supervisor, training MA level counselor toward their LMHC license. 我善长焦虑,忧郁,创伤治疗,也帮助顾客解决人际关系,工作压力,夫妻关系,亲子关系相关的问题。 综合我的学历,专业知识结构,临床经验,人生阅历,我相信如果有华语顾客需要心理咨询,我将是你们的最佳人选。 我会用我的专业知识和素养,为您提供优质服务。
I have been practicing psychotherapy in the Seattle area in the past 20 years, provided service to clients who have anxiety, depression, bipolar, schizoaffective disorder and other conditions such as social difficulties, parenting skills, and stress management. I am a WS state approved supervisor, training MA level counselor toward their LMHC license. 我善长焦虑,忧郁,创伤治疗,也帮助顾客解决人际关系,工作压力,夫妻关系,亲子关系相关的问题。 综合我的学历,专业知识结构,临床经验,人生阅历,我相信如果有华语顾客需要心理咨询,我将是你们的最佳人选。 我会用我的专业知识和素养,为您提供优质服务。
(425) 654-4852 View (425) 654-4852
Photo of Deborah Nessim - Deborah Nessim PLLC, LMHC , MA, BSN, RN, CCTSI, Counselor
Deborah Nessim PLLC
Counselor, LMHC , MA, BSN, RN, CCTSI
Verified Verified
1 Endorsed
Woodinville, WA 98072
Waitlist for new clients
I work with a wide range of women's emotional and behavioral issues providing services that span from therapy for depression and grief counseling to life crisis and beyond. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to each of my clients individual needs to help attain the personal growth they're striving for. I respect all belief systems.
I work with a wide range of women's emotional and behavioral issues providing services that span from therapy for depression and grief counseling to life crisis and beyond. In a comfortable and supportive atmosphere, I offer a highly personalized approach tailored to each of my clients individual needs to help attain the personal growth they're striving for. I respect all belief systems.
(425) 385-0123 View (425) 385-0123

How does your Therapist compare?

Number of Therapists in Woodinville, WA

100+

Average cost per session

$160

Therapists in Woodinville, WA who prioritize treating:

93% Anxiety
85% Depression
80% Self Esteem
75% Relationship Issues
70% Trauma and PTSD
67% Coping Skills
67% Stress

Average years in practice

11 Years

Top 3 insurances accepted

78% Premera
69% Regence
57% First Choice Health | FCH

How Therapists in Woodinville, WA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

84% Female
15% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Woodinville?

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.