Therapists in Tacoma, WA

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Photo of Kim Schreck, Counselor in Tacoma, WA
Kim Schreck
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98409  (Online Only)
I offer compassion, empathy, and guidance to support you through various transitions in your life. I feel that individuals are not always defined by their circumstances and notice that when we set an intention it allows for personal growth. My hope is to assist you in gaining a greater understanding of your natural strengths and abilities in order to create change. Therapy can help you gain self-awareness, build self-compassion and set goals that will lead to decreased stress and improve overall happiness.
I offer compassion, empathy, and guidance to support you through various transitions in your life. I feel that individuals are not always defined by their circumstances and notice that when we set an intention it allows for personal growth. My hope is to assist you in gaining a greater understanding of your natural strengths and abilities in order to create change. Therapy can help you gain self-awareness, build self-compassion and set goals that will lead to decreased stress and improve overall happiness.
(253) 400-5423 View (253) 400-5423
Photo of Tygh Stephens, Pre-Licensed Professional in Tacoma, WA
Tygh Stephens
Pre-Licensed Professional, MSW, LSWAIC
Verified Verified
Tacoma, WA 98406
As a queer therapist I understand the complexities surrounding the dynamics of coming out, starting hormones/ social transitioning, dating within a small community, and trying be queer in a world that isn't supporting you. For couples navigating your interpersonal relationship and the stresses that are compounded by your outside responsibilities is hard and often make conflict more difficult. As your therapist we can work on setting goals surrounding coming out, transitioning, relationship issues, and managing the anxiety, depression, and trauma that accompanies the minority stress and burn out in your life.
As a queer therapist I understand the complexities surrounding the dynamics of coming out, starting hormones/ social transitioning, dating within a small community, and trying be queer in a world that isn't supporting you. For couples navigating your interpersonal relationship and the stresses that are compounded by your outside responsibilities is hard and often make conflict more difficult. As your therapist we can work on setting goals surrounding coming out, transitioning, relationship issues, and managing the anxiety, depression, and trauma that accompanies the minority stress and burn out in your life.
(253) 400-2201 View (253) 400-2201
Photo of Elle Miller, Counselor in Tacoma, WA
Elle Miller
Counselor, MA, LMHC, MHP
Verified Verified
2 Endorsed
Tacoma, WA 98402
Waitlist for new clients
Being open and sharing ones experiences can be tremendously daunting and requires feeling supported and safe. I aim to provide a space of non-judgment, compassion, and trust in order to meet my clients where they are. In our sessions you will be able to share your experiences openly without criticism. I will listen, provide feedback, reflections and collaborate with you. My goal is to enable each client to leave therapy with the ability to address the issues that brought them in.
Being open and sharing ones experiences can be tremendously daunting and requires feeling supported and safe. I aim to provide a space of non-judgment, compassion, and trust in order to meet my clients where they are. In our sessions you will be able to share your experiences openly without criticism. I will listen, provide feedback, reflections and collaborate with you. My goal is to enable each client to leave therapy with the ability to address the issues that brought them in.
(206) 350-8497 View (206) 350-8497
Photo of Janet Nelson, Counselor in Tacoma, WA
Janet Nelson
Counselor, MA, LMHC, MHP
Verified Verified
10 Endorsed
Tacoma, WA 98402
Being the go-to person for everyone, creates so much stress and anxiety. It can feel like you carry the weight of the world on your shoulders. You believe that if you carry that weight, with grace and perfection, no one will be disappointed. The trouble is, striving to do everything right often means diminishing yourself and pushing down your true thoughts, feelings, and desires. You’ve become an expert at everyone else’s needs and wants, but you’ve lost yourself along the way. Let’s work together to help you reconnect with yourself and others. Set down the weight you carry and discover ease and confidence.
Being the go-to person for everyone, creates so much stress and anxiety. It can feel like you carry the weight of the world on your shoulders. You believe that if you carry that weight, with grace and perfection, no one will be disappointed. The trouble is, striving to do everything right often means diminishing yourself and pushing down your true thoughts, feelings, and desires. You’ve become an expert at everyone else’s needs and wants, but you’ve lost yourself along the way. Let’s work together to help you reconnect with yourself and others. Set down the weight you carry and discover ease and confidence.
(253) 527-6921 View (253) 527-6921
Photo of Loving Kindness Family Counseling Services, Counselor in Tacoma, WA
Loving Kindness Family Counseling Services
Counselor, LMHC
Verified Verified
Tacoma, WA 98409
There are times in our lives that sometimes we just need a listening ear. There are other times when life comes at you fast with experiences and challenges that can be difficult to face alone. I am 100% committed to helping you find that extra help you need. My goal is to provide a safe, non-judgmental and compassionate place for you to feel comfortable in sharing and expressing yourself.
There are times in our lives that sometimes we just need a listening ear. There are other times when life comes at you fast with experiences and challenges that can be difficult to face alone. I am 100% committed to helping you find that extra help you need. My goal is to provide a safe, non-judgmental and compassionate place for you to feel comfortable in sharing and expressing yourself.
(253) 655-2265 View (253) 655-2265
Photo of Allie Peyton, Marriage & Family Therapist Associate in Tacoma, WA
Allie Peyton
Marriage & Family Therapist Associate, LMFTA
Verified Verified
3 Endorsed
Tacoma, WA 98403
Struggling with how to make your relationship and sex satisfying? Our relationships and sex in them can be fulfilling and pleasurable. I see intimacy and sex as layered. I work to enhance strengths, improve communication via attachment work and redefine what works for you/the relationship. Each of us changes in different ways as we grow. With changes in our sexuality, relationship or identity, I also hold space for the grief that we each individually or together experience for what we expected sex would look like or how things used to be. I bring laughter, safety and nonjudgement to each of my clients in our work together.
Struggling with how to make your relationship and sex satisfying? Our relationships and sex in them can be fulfilling and pleasurable. I see intimacy and sex as layered. I work to enhance strengths, improve communication via attachment work and redefine what works for you/the relationship. Each of us changes in different ways as we grow. With changes in our sexuality, relationship or identity, I also hold space for the grief that we each individually or together experience for what we expected sex would look like or how things used to be. I bring laughter, safety and nonjudgement to each of my clients in our work together.
(253) 201-4340 View (253) 201-4340
Photo of Stronger You Counseling, Counselor in Tacoma, WA
Stronger You Counseling
Counselor, LMHC, MS, MDiv
Verified Verified
Tacoma, WA 98409  (Online Only)
I provide quality and ethical mental health care tailored to your individual needs, values, and circumstances. Concerns about location accessibility, chemical sensitivities, or exposure for the immunocompromised, or non-traditional scheduling are things of the past. Your video counseling session will be in an environment you control. I have experience serving POC, LGBTQ+, and people in poverty. I’ve also worked with those impacted by disabilities and incarceration. I’ve experienced both trauma and the wounding and healing qualities of relationships. I understand how hard it can be, and I know there’s still hope for positive change.
I provide quality and ethical mental health care tailored to your individual needs, values, and circumstances. Concerns about location accessibility, chemical sensitivities, or exposure for the immunocompromised, or non-traditional scheduling are things of the past. Your video counseling session will be in an environment you control. I have experience serving POC, LGBTQ+, and people in poverty. I’ve also worked with those impacted by disabilities and incarceration. I’ve experienced both trauma and the wounding and healing qualities of relationships. I understand how hard it can be, and I know there’s still hope for positive change.
(253) 352-2814 View (253) 352-2814
Photo of Jennifer Gaines, Counselor in Tacoma, WA
Jennifer Gaines
Counselor, MA, LMHC, LMFTA, NCC
Verified Verified
Tacoma, WA 98405  (Online Only)
Are you feeling unfulfilled in life? Maybe you want to find more joy, or maybe your relationship feels stale. Are you struggling to communicate with the important people in your life? Maybe you just feel like something is missing in your life. If any of this feels familiar, you are not alone! I work with clients facing a variety of concerns, working alongside my clients to find solutions to their concerns is my focus. I bring my authentic self to session so you feel comfortable being yourself too. Reach out to me for a free 15 minute consultation to see if we may be a good fit.
Are you feeling unfulfilled in life? Maybe you want to find more joy, or maybe your relationship feels stale. Are you struggling to communicate with the important people in your life? Maybe you just feel like something is missing in your life. If any of this feels familiar, you are not alone! I work with clients facing a variety of concerns, working alongside my clients to find solutions to their concerns is my focus. I bring my authentic self to session so you feel comfortable being yourself too. Reach out to me for a free 15 minute consultation to see if we may be a good fit.
(253) 201-4462 View (253) 201-4462
Photo of Hillary Flieder, Counselor in Tacoma, WA
Hillary Flieder
Counselor
Verified Verified
Tacoma, WA 98405
Hillary Flieder is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2023. She has a Master of Arts in Counseling. Hillary provides clients empathy while utilizing cognitive behavior therapy interventions, psychoeducation, grounding, and mindfulness skills. She works with individuals 18 and older. Many of her clients come in when they are struggling with self-esteem, depression, and anxiety. Hillary is particularly passionate about serving adults who struggle with PTSD and grief and loss.
Hillary Flieder is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2023. She has a Master of Arts in Counseling. Hillary provides clients empathy while utilizing cognitive behavior therapy interventions, psychoeducation, grounding, and mindfulness skills. She works with individuals 18 and older. Many of her clients come in when they are struggling with self-esteem, depression, and anxiety. Hillary is particularly passionate about serving adults who struggle with PTSD and grief and loss.
(253) 676-9334 View (253) 676-9334
Photo of Joseph Velazquez, Marriage & Family Therapist in Tacoma, WA
Joseph Velazquez
Marriage & Family Therapist, MA , LMFT
Verified Verified
Tacoma, WA 98422  (Online Only)
What is the goal of your marriage or relationship? Relationships are vital to becoming a whole person. At times, connecting with your spouse may feel magical, but every relationship goes through tough seasons. I understand how overwhelming it can feel when distance and resentment is the only thing growing between you. At times, it may feel like the hurt you are experiencing is not worth the effort. Maybe your relationship is still strong, but can stand a bit of tweaking to recapture the zest it once had. Whatever the case, there is always hope!
What is the goal of your marriage or relationship? Relationships are vital to becoming a whole person. At times, connecting with your spouse may feel magical, but every relationship goes through tough seasons. I understand how overwhelming it can feel when distance and resentment is the only thing growing between you. At times, it may feel like the hurt you are experiencing is not worth the effort. Maybe your relationship is still strong, but can stand a bit of tweaking to recapture the zest it once had. Whatever the case, there is always hope!
(206) 350-3636 View (206) 350-3636
Photo of Shenika Williams- Integrated Family Medicine in Tacoma, WA
Shenika Williams- Integrated Family Medicine
MSN, ARNP, FNP-C
Verified Verified
Tacoma, WA 98408
I am a medication prescriber & Ketamine treatment Provider. Exceptional care is provided to clients struggling with Depression, Anxiety, ADHD, Eating Disorders, Mood Disorder, PTSD and Schizophrenia - their mental health, in need of a listening, non judgmental, empathetic, compassionate, supportive prescribing provider with whom they can build a lasting rapport with and who helps them achieve positive life experiences and outcomes. I offer Ketamine Therapy, management of chronic psychiatric and medically complex conditions with and without the utilization of medication.
I am a medication prescriber & Ketamine treatment Provider. Exceptional care is provided to clients struggling with Depression, Anxiety, ADHD, Eating Disorders, Mood Disorder, PTSD and Schizophrenia - their mental health, in need of a listening, non judgmental, empathetic, compassionate, supportive prescribing provider with whom they can build a lasting rapport with and who helps them achieve positive life experiences and outcomes. I offer Ketamine Therapy, management of chronic psychiatric and medically complex conditions with and without the utilization of medication.
(253) 559-1880 View (253) 559-1880
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 Amy VanZandt, Counselor in Tacoma, WA
Amy VanZandt
Counselor, MEd, LMHC, NCC
Verified Verified
Tacoma, WA 98406
To quote Mariah Carey, “Love takes time.” I am a relational therapist, which means our working relationship and your relationships with others are incredibly important to me. Building relationships takes time and trust. Perhaps you have some life experiences that cause you to distrust others and maybe even distrust yourself. Maybe you're feeling anxious or depressed. I want to work with you to heal old hurts, understand current experiences, and help you learn to live and love fully. Reliving the past can be painful, but there is knowledge to gain from it. And maybe, in time, more love for yourself.
To quote Mariah Carey, “Love takes time.” I am a relational therapist, which means our working relationship and your relationships with others are incredibly important to me. Building relationships takes time and trust. Perhaps you have some life experiences that cause you to distrust others and maybe even distrust yourself. Maybe you're feeling anxious or depressed. I want to work with you to heal old hurts, understand current experiences, and help you learn to live and love fully. Reliving the past can be painful, but there is knowledge to gain from it. And maybe, in time, more love for yourself.
(253) 780-7586 View (253) 780-7586
Photo of Emily Pico, Pre-Licensed Professional in Tacoma, WA
Emily Pico
Pre-Licensed Professional, MCN
Verified Verified
Tacoma, WA 98406
Have you found that talk therapy isn't successful for you? Micro Current Neurofeedback uses micro current stimulation that allows for the release of stuck patterns and disentrains the brain where needed. The result is a shifted brainwave state and a much greater ability for the brain and nervous system to regulate itself. Utilizing the brain’s own neuroplasticity, individuals experience a more symptom-free, fulling, positive life.
Have you found that talk therapy isn't successful for you? Micro Current Neurofeedback uses micro current stimulation that allows for the release of stuck patterns and disentrains the brain where needed. The result is a shifted brainwave state and a much greater ability for the brain and nervous system to regulate itself. Utilizing the brain’s own neuroplasticity, individuals experience a more symptom-free, fulling, positive life.
(253) 559-0532 View (253) 559-0532
Photo of Ruth Currah, Counselor in Tacoma, WA
Ruth Currah
Counselor, PhD
Verified Verified
Tacoma, WA 98409
Not accepting new clients
I use an interdisciplinary approach, which means I use different styles of counseling to meet the different needs and personalities of clients. I always allow their feedback so they remain comfortable. I try and meet their perceptual needs, emotional needs, cognitive needs, situational needs, and respect their individual personalities. I have worked with all ages, sexual orientations, ethnic backgrounds (including the Middle and Far East), and social economic backgrounds.
I use an interdisciplinary approach, which means I use different styles of counseling to meet the different needs and personalities of clients. I always allow their feedback so they remain comfortable. I try and meet their perceptual needs, emotional needs, cognitive needs, situational needs, and respect their individual personalities. I have worked with all ages, sexual orientations, ethnic backgrounds (including the Middle and Far East), and social economic backgrounds.
(253) 201-2475 View (253) 201-2475
Photo of Melanie Winskill, Counselor in Tacoma, WA
Melanie Winskill
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98407  (Online Only)
I treat adults (18+) that need support, guidance and insight into their mental health challenges while actively engaging in the work. I work collaboratively with my clients and take a person-centered approach as I believe the therapeutic relationship is a critical component to success in the therapeutic work. Dual engagement in the the therapeutic process leads to clients learning to apply techniques independently and better manage mental health symptoms.
I treat adults (18+) that need support, guidance and insight into their mental health challenges while actively engaging in the work. I work collaboratively with my clients and take a person-centered approach as I believe the therapeutic relationship is a critical component to success in the therapeutic work. Dual engagement in the the therapeutic process leads to clients learning to apply techniques independently and better manage mental health symptoms.
(253) 364-1542 x1 View (253) 364-1542 x1
Photo of Lizzie Munday, Counselor in Tacoma, WA
Lizzie Munday
Counselor, MEd, LMHC
Verified Verified
3 Endorsed
Tacoma, WA 98408
Therapy and the process of change can be daunting but, YOU ARE WORTH IT! My focus and goal in my work with you is to help navigate through your personal process of growth and change. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills to get you to where you want to be to feel solace and peace in your life. The most important step in the process is establishing a client/therapist relationship based on mutual respect and integrity.
Therapy and the process of change can be daunting but, YOU ARE WORTH IT! My focus and goal in my work with you is to help navigate through your personal process of growth and change. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills to get you to where you want to be to feel solace and peace in your life. The most important step in the process is establishing a client/therapist relationship based on mutual respect and integrity.
(253) 444-2946 View (253) 444-2946
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 Marjory Ware, Mental Health Counselor in Tacoma, WA
Marjory Ware
Mental Health Counselor, MA, LMHC, LMFT
Verified Verified
10 Endorsed
Tacoma, WA 98406  (Online Only)
Does it feel like no matter what you do, things never change? You’re running on all cylinders, trying to be everything for everyone, including yourself. You tell everyone that you are fine. Managing. But you’re noticing how it’s impacting you. You realize that things need to change. Whether you're experiencing the impacts of systemic oppression, self-esteem, or relationship issues, know that you don't have to be alone in this journey. No two individuals are the same, and I tailor our sessions together to address challenges unique to you. We will work together to understand and address the root cause of those issues.
Does it feel like no matter what you do, things never change? You’re running on all cylinders, trying to be everything for everyone, including yourself. You tell everyone that you are fine. Managing. But you’re noticing how it’s impacting you. You realize that things need to change. Whether you're experiencing the impacts of systemic oppression, self-esteem, or relationship issues, know that you don't have to be alone in this journey. No two individuals are the same, and I tailor our sessions together to address challenges unique to you. We will work together to understand and address the root cause of those issues.
(253) 649-2995 View (253) 649-2995
Photo of Trenecsia Wilson, Counselor in Tacoma, WA
Trenecsia Wilson
Counselor, LMHC, MHP, NCC, EMMHS-A, BC-TMH
Verified Verified
Tacoma, WA 98409
I work with individuals, couples, and families. My primary objective is to facilitate and support the next level of growth and development for individuals and families that I work with. This means something different for everyone, so I focus on building a therapeutic relationship that lends to the understanding and accomplishing of identified goals. There are a number of things that contribute to diminished mental wellness and I am here to help you find out what that is for you and to support you on taking action.
I work with individuals, couples, and families. My primary objective is to facilitate and support the next level of growth and development for individuals and families that I work with. This means something different for everyone, so I focus on building a therapeutic relationship that lends to the understanding and accomplishing of identified goals. There are a number of things that contribute to diminished mental wellness and I am here to help you find out what that is for you and to support you on taking action.
(206) 260-0448 View (206) 260-0448

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
87% 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.