Therapists in Vancouver, WA

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Photo of Lujane Helwani, Pre-Licensed Professional in Vancouver, WA
Lujane Helwani
Pre-Licensed Professional
Verified Verified
1 Endorsed
Vancouver, WA 98682  (Online Only)
I enjoy and am qualified to help individuals, couples, or families navigate life's challenges, whether personal, with a partner, family, or peers. You will find that I am respectful, personable, open, knowledgeable, and humorous in my sessions. All faiths, or lack thereof, are welcome. I am experienced with grief, loss, trauma, PTSD, depression, anxiety, suicidal thoughts, bipolar, schizophrenia, autism, ODD, and OCD. My therapeutic approach involves collaborating with clients to identify and enlist their strengths or resources to improve their quality of life.
I enjoy and am qualified to help individuals, couples, or families navigate life's challenges, whether personal, with a partner, family, or peers. You will find that I am respectful, personable, open, knowledgeable, and humorous in my sessions. All faiths, or lack thereof, are welcome. I am experienced with grief, loss, trauma, PTSD, depression, anxiety, suicidal thoughts, bipolar, schizophrenia, autism, ODD, and OCD. My therapeutic approach involves collaborating with clients to identify and enlist their strengths or resources to improve their quality of life.
(360) 515-4722 View (360) 515-4722
Photo of Brian J Adams, Psychologist in Vancouver, WA
Brian J Adams
Psychologist, PhD
Verified Verified
Vancouver, WA 98683
****Not accepting new patients at this time. Will post when availability opens up**** I believe one of the greatest attributes of the therapeutic relationship is the ability to be open and honest with your thoughts, feelings, and relationship issues. Therapy is a place where you don't have to worry about being judged or having your statements negatively impact your world. A place where you can feel heard and understood, and receive objective feedback from someone whose sole purpose is to help you to make your life better.
****Not accepting new patients at this time. Will post when availability opens up**** I believe one of the greatest attributes of the therapeutic relationship is the ability to be open and honest with your thoughts, feelings, and relationship issues. Therapy is a place where you don't have to worry about being judged or having your statements negatively impact your world. A place where you can feel heard and understood, and receive objective feedback from someone whose sole purpose is to help you to make your life better.
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Photo of Jonathan Rabon, Psychologist in Vancouver, WA
Jonathan Rabon
Psychologist, PsyD
Verified Verified
Vancouver, WA 98662
Education/Experience: Jonathan is a licensed Psychologist in the State of Washington. He earned his Bachelor of Arts (BA) in Psychology from the University of Alabama in 2002, Master of Arts (MA) in Clinical Psychology in 2006 and Doctor of Clinical Psychology (PsyD) from George Fox University in Newberg, Oregon. Jonathan has worked with male and female adults and adolescents in the following settings: community mental health centers, college counseling center, mental health court, youth corrections, outpatient private practice, and adult corrections.
Education/Experience: Jonathan is a licensed Psychologist in the State of Washington. He earned his Bachelor of Arts (BA) in Psychology from the University of Alabama in 2002, Master of Arts (MA) in Clinical Psychology in 2006 and Doctor of Clinical Psychology (PsyD) from George Fox University in Newberg, Oregon. Jonathan has worked with male and female adults and adolescents in the following settings: community mental health centers, college counseling center, mental health court, youth corrections, outpatient private practice, and adult corrections.
(360) 938-4216 View (360) 938-4216
Photo of Rachelle Tau-Stewart, Counselor in Vancouver, WA
Rachelle Tau-Stewart
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Vancouver, WA 98684
I have a passion to help individuals, children and teens that are struggling with present and past life challenges. Oftentimes we let traumatic experiences and negative thoughts and behaviors shape our lives and how we cope. I believe through empathy, understanding and a warm presence I can help adjust these things hindering life from actively moving forward. Resulting in a client feeling safe and vulnerable enough in the space and process to express oneself and be true to who they are and what they are really feeling.
I have a passion to help individuals, children and teens that are struggling with present and past life challenges. Oftentimes we let traumatic experiences and negative thoughts and behaviors shape our lives and how we cope. I believe through empathy, understanding and a warm presence I can help adjust these things hindering life from actively moving forward. Resulting in a client feeling safe and vulnerable enough in the space and process to express oneself and be true to who they are and what they are really feeling.
(360) 295-9556 View (360) 295-9556
Photo of Dana J Smith, Mental Health Counselor in Vancouver, WA
Dana J Smith
Mental Health Counselor, MA, LMHC, MHP
Verified Verified
Vancouver, WA 98660
Reasons for seeking therapy are unique to each of us; we may suffer due to difficult relationships, grief, loss, neglect or may just feel lost, stuck, or empty. Symptoms, such as anxiety and depression, hold information for us and can be invitations to growth that lead to new ways of knowing ourselves. Regular encounters of support, validation, and connection in a non-judgmental environment allow us to explore and sort out the chaos that comes at us and churns within us daily.
Reasons for seeking therapy are unique to each of us; we may suffer due to difficult relationships, grief, loss, neglect or may just feel lost, stuck, or empty. Symptoms, such as anxiety and depression, hold information for us and can be invitations to growth that lead to new ways of knowing ourselves. Regular encounters of support, validation, and connection in a non-judgmental environment allow us to explore and sort out the chaos that comes at us and churns within us daily.
(360) 338-6813 View (360) 338-6813
Photo of Tyler Jansen, Psychologist in Vancouver, WA
Tyler Jansen
Psychologist, PsyD
Verified Verified
1 Endorsed
Vancouver, WA 98660
I primarily work with people who are working to overcome porn addictions, are struggling with self-worth, or are generally overwhelmed with stress and difficult emotions. I also enjoy working with people who want to integrate their faith into their therapeutic work. I strive to provide a non-judgmental, down-to-earth environment in which to address the issues that may feel embarrassing or shameful to broach, and earnestly want to help you reach your goals, and cheer for and encourage you every step of the way, while teaching tips and tricks that might make the process smother and easier for you. I'd love to meet you!
I primarily work with people who are working to overcome porn addictions, are struggling with self-worth, or are generally overwhelmed with stress and difficult emotions. I also enjoy working with people who want to integrate their faith into their therapeutic work. I strive to provide a non-judgmental, down-to-earth environment in which to address the issues that may feel embarrassing or shameful to broach, and earnestly want to help you reach your goals, and cheer for and encourage you every step of the way, while teaching tips and tricks that might make the process smother and easier for you. I'd love to meet you!
(360) 228-2687 View (360) 228-2687
Photo of Kristi Canning-Lee, Counselor in Vancouver, WA
Kristi Canning-Lee
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98661
Waitlist for new clients
Are you or your child worried, striving, and exhausted, yet things don't seem to be as you wish? Are there parts of you ready to give up, while other parts push or criticize you even harder? Does it seem like familiar feelings, thoughts, and cycles go on and on, despite your best efforts? These are common experiences and frustrating. They don't seem to enhance our lives or family. Together we will bring an understanding of what is coming up for you and why. We will develop helpful skills and approaches that increase your odds of experiencing your hopes for relationships worth having, and a life worth living.
Are you or your child worried, striving, and exhausted, yet things don't seem to be as you wish? Are there parts of you ready to give up, while other parts push or criticize you even harder? Does it seem like familiar feelings, thoughts, and cycles go on and on, despite your best efforts? These are common experiences and frustrating. They don't seem to enhance our lives or family. Together we will bring an understanding of what is coming up for you and why. We will develop helpful skills and approaches that increase your odds of experiencing your hopes for relationships worth having, and a life worth living.
(360) 869-0334 View (360) 869-0334
Photo of Strength From Within, LLC, Counselor in Vancouver, WA
Strength From Within, LLC
Counselor, LMHC, CCTP
Verified Verified
2 Endorsed
Vancouver, WA 98685  (Online Only)
Come learn how to overcome depression, anxiety, and low self-worth/Self-esteem. My patients often tell me they can't remember the last time they were happy. Let's change that. I maintain a certificate in trauma and focus on mindfulness and learning how our thoughts can lead to negative emotions and how to change them. You deserve to be happy. Let's make the the time and space to talk about you and your issues and concerns, your desires, hopes and dreams. This is your time to put yourself first for a change. It is possible to feel good about yourself.
Come learn how to overcome depression, anxiety, and low self-worth/Self-esteem. My patients often tell me they can't remember the last time they were happy. Let's change that. I maintain a certificate in trauma and focus on mindfulness and learning how our thoughts can lead to negative emotions and how to change them. You deserve to be happy. Let's make the the time and space to talk about you and your issues and concerns, your desires, hopes and dreams. This is your time to put yourself first for a change. It is possible to feel good about yourself.
(360) 795-5438 View (360) 795-5438
Photo of Donald Cantrell, Counselor in Vancouver, WA
Donald Cantrell
Counselor, LMHC
Verified Verified
Vancouver, WA 98686
Donald works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Donald believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
Donald works with individuals who are looking to gain insight into themselves and improve their quality of life. She seeks to understand each individual holistically, including their backgrounds and the strengths they already possess to provide an individualized approach. Donald believes that establishing a strong alliance with her clients is essential to getting the most out of therapy and creating lasting change. Through this alliance, she partners with her clients to explore and address thought and behavior patterns that serve as barriers to enjoying life fully.
(360) 732-8621 View (360) 732-8621
Photo of Katrina L Barnes, Marriage & Family Therapist in Vancouver, WA
Katrina L Barnes
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98661
Open for new clients in some time spots. Healthier life means a balance in our relationships. Therapy can help by re-connecting mind, body, spirit and relationships with others. A change in one area often ties to threads in another. Brokenness in our primary relationships can disconnect family, work, community and culture. Together we can re-weave these threads through our stories about ourselves, and people around us. We can change the next chapter. What we do, who we are and what our relationships mean are all important. We need space to be unique and we also need relationships that provide closeness.
Open for new clients in some time spots. Healthier life means a balance in our relationships. Therapy can help by re-connecting mind, body, spirit and relationships with others. A change in one area often ties to threads in another. Brokenness in our primary relationships can disconnect family, work, community and culture. Together we can re-weave these threads through our stories about ourselves, and people around us. We can change the next chapter. What we do, who we are and what our relationships mean are all important. We need space to be unique and we also need relationships that provide closeness.
(360) 524-9351 View (360) 524-9351
Photo of Elizabeth Soliday, Psychologist in Vancouver, WA
Elizabeth Soliday
Psychologist, PhD
Verified Verified
Vancouver, WA 98663
Waitlist for new clients
With over 25 years as a psychology educator, researcher, and clinician, I’ve supported people in growing the strength they need to move forward with renewed balance, confidence, and hope.
With over 25 years as a psychology educator, researcher, and clinician, I’ve supported people in growing the strength they need to move forward with renewed balance, confidence, and hope.
(360) 743-3716 View (360) 743-3716
Photo of Bryan Ledbury, Counselor in Vancouver, WA
Bryan Ledbury
Counselor, LMHC
Verified Verified
Vancouver, WA 98686
Bryan graduated with a Master of Arts in Counseling from Multnomah University in 2012. Bryan is a Licensed Mental Health Counselor in the state of Washington. Bryan has experience working with various diagnoses, including depression, anxiety, PTSD, and bipolar. Bryan also has experience working with dual diagnosis (substance abuse/addictions and mental health).
Bryan graduated with a Master of Arts in Counseling from Multnomah University in 2012. Bryan is a Licensed Mental Health Counselor in the state of Washington. Bryan has experience working with various diagnoses, including depression, anxiety, PTSD, and bipolar. Bryan also has experience working with dual diagnosis (substance abuse/addictions and mental health).
(360) 361-8513 View (360) 361-8513
Photo of Corrina Lowe, Marriage & Family Therapist in Vancouver, WA
Corrina Lowe
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98662
Corrina Lowe has been practicing since 2005. She graduated from California Baptist University with a Masters in Marriage and Family therapy. Corrina believes in the importance of treating the whole person through using an eclectic therapeutic approach that supports the needs of individual person. Her primary areas of focus include ADHD, Autism, and Mood disorders.
Corrina Lowe has been practicing since 2005. She graduated from California Baptist University with a Masters in Marriage and Family therapy. Corrina believes in the importance of treating the whole person through using an eclectic therapeutic approach that supports the needs of individual person. Her primary areas of focus include ADHD, Autism, and Mood disorders.
(360) 226-4853 View (360) 226-4853
Photo of Chelsae Brown, Counselor in Vancouver, WA
Chelsae Brown
Counselor, MA, LMHC, CMHS
Verified Verified
2 Endorsed
Vancouver, WA 98661
Not accepting new clients
Mental health therapy for children (ages 3-12), young adults, and families in Vancouver, WA. This is a safe, supportive, and collaborative space just for you. Helping individuals and families to overcome anxiety, depression, relationship issues, traumatic experiences, life transitions, and grief or loss. What I know to be true is the human experience can be tough at times no matter the age. Sometimes you need a person outside of your family and social circles who can help shift the way you experience and connect to yourself, the ones you love, and the world around you.
Mental health therapy for children (ages 3-12), young adults, and families in Vancouver, WA. This is a safe, supportive, and collaborative space just for you. Helping individuals and families to overcome anxiety, depression, relationship issues, traumatic experiences, life transitions, and grief or loss. What I know to be true is the human experience can be tough at times no matter the age. Sometimes you need a person outside of your family and social circles who can help shift the way you experience and connect to yourself, the ones you love, and the world around you.
(360) 641-7046 View (360) 641-7046
Photo of Maraiah Esslinger, Counselor in Vancouver, WA
Maraiah Esslinger
Counselor, LMHC, LPC
Verified Verified
Vancouver, WA 98662
Maraiah is a registered art therapist, licensed mental health counselor, and substance use professional. She graduated from Marylhurst University with a degree in clinical art therapy counseling, and holds a Master of Fine Art from Georgia State University and a certificate of Chemical Dependency Proficiency from Spokane Falls Community College. She is also an EMDRIA-trained EMDR (Eye Movement Desensitization and Reprocessing) therapist. Maraiah enjoys collaborating with her clients to develop a personalized approach to therapy, finding that this supports growth, healing, and empowerment.
Maraiah is a registered art therapist, licensed mental health counselor, and substance use professional. She graduated from Marylhurst University with a degree in clinical art therapy counseling, and holds a Master of Fine Art from Georgia State University and a certificate of Chemical Dependency Proficiency from Spokane Falls Community College. She is also an EMDRIA-trained EMDR (Eye Movement Desensitization and Reprocessing) therapist. Maraiah enjoys collaborating with her clients to develop a personalized approach to therapy, finding that this supports growth, healing, and empowerment.
(360) 361-8499 View (360) 361-8499
Photo of Fulsher Therapy Services, LLC, Some openings , Clinical Social Work/Therapist in Vancouver, WA
Fulsher Therapy Services, LLC, Some openings
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98665
Email is best for contact, calling may delay response time. I see clients in WA and OR some in person, mostly virtual. My ideal client...might have anxiety, dealing with relational issues, struggling with depression, might feel isolated or lonely or might need support in other areas of life. My clients might be somewhat scared to approach change and some may be goal oriented. Some clients that I see might struggle to really know the path they wish to take or how to begin their therapeutic journey. My client/s may wish to work on self care and self love and integrate that in each of their personal goals. My clients are resilient.
Email is best for contact, calling may delay response time. I see clients in WA and OR some in person, mostly virtual. My ideal client...might have anxiety, dealing with relational issues, struggling with depression, might feel isolated or lonely or might need support in other areas of life. My clients might be somewhat scared to approach change and some may be goal oriented. Some clients that I see might struggle to really know the path they wish to take or how to begin their therapeutic journey. My client/s may wish to work on self care and self love and integrate that in each of their personal goals. My clients are resilient.
(360) 234-3288 View (360) 234-3288
Photo of Rinatta Paries, Counselor in Vancouver, WA
Rinatta Paries
Counselor, MA, CMHA, MFTA
Verified Verified
1 Endorsed
Vancouver, WA 98685  (Online Only)
Struggling with your relationship or marriage? Suffering over a painful breakup? Having trouble finding the right partner? Suffering from pain of an affair? Feeling stressed about what is happening with your teen or want to connect more with your young adult? Relationship-related situations such as these are solvable with therapy! As your therapist, I will help you navigate your way through painful situations and move towards creating lifelong, loving relationships, rich in connection and communication. Along the way, you will find yourself releasing trauma, feeling better, functioning better, and creating a life you love.
Struggling with your relationship or marriage? Suffering over a painful breakup? Having trouble finding the right partner? Suffering from pain of an affair? Feeling stressed about what is happening with your teen or want to connect more with your young adult? Relationship-related situations such as these are solvable with therapy! As your therapist, I will help you navigate your way through painful situations and move towards creating lifelong, loving relationships, rich in connection and communication. Along the way, you will find yourself releasing trauma, feeling better, functioning better, and creating a life you love.
(360) 776-7076 View (360) 776-7076
Photo of Aynsley Silva, Counselor in Vancouver, WA
Aynsley Silva
Counselor, MA, LMHC
Verified Verified
9 Endorsed
Vancouver, WA 98662
Affectionately known as The Angry Boy Whisperer. I enjoy helping: families in conflict, kids transitioning between split homes, and FATHERS who want better for themselves and their family. I see MEN who want a counselor who is more direct, and can help them develop a way out. I help parents change the course of the family back to their original family vision, and I help children learn how to be respectful, responsible, and fun to be around. Men who have a hard time with depression, anxiety, addiction (pornography/substances), and difficulties in relationships. I help men have more character and honor in their lives.
Affectionately known as The Angry Boy Whisperer. I enjoy helping: families in conflict, kids transitioning between split homes, and FATHERS who want better for themselves and their family. I see MEN who want a counselor who is more direct, and can help them develop a way out. I help parents change the course of the family back to their original family vision, and I help children learn how to be respectful, responsible, and fun to be around. Men who have a hard time with depression, anxiety, addiction (pornography/substances), and difficulties in relationships. I help men have more character and honor in their lives.
(360) 228-2860 View (360) 228-2860
Photo of Counselor, Preparation and Integration Specialist in Vancouver, WA
Counselor, Preparation and Integration Specialist
MA
Verified Verified
Vancouver, WA 98685
Pam has offered her depth of heart and clarity of soul in the therapeutic realm as a clinical therapist and in other therapeutic roles for over thirty years. Her impassioned career has been focused on frontline work with children, adolescents and families. Pam’s service to the emotional, mental and spiritual health of others has shifted towards guiding and coaching adults seeking meaningful transformations in their lives.
Pam has offered her depth of heart and clarity of soul in the therapeutic realm as a clinical therapist and in other therapeutic roles for over thirty years. Her impassioned career has been focused on frontline work with children, adolescents and families. Pam’s service to the emotional, mental and spiritual health of others has shifted towards guiding and coaching adults seeking meaningful transformations in their lives.
(360) 472-4841 View (360) 472-4841
Photo of Holli Brice, Clinical Social Work/Therapist in Vancouver, WA
Holli Brice
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
1 Endorsed
Vancouver, WA 98660  (Online Only)
Waitlist for new clients
If you are seeking a kind, compassionate presence to walk alongside you on your healing journey, you've come to the right place. I believe that each person who arrives to therapy comes in with a story that matters and deserves to be heard. I see my role as therapist as someone to help you to recognize your ability to heal and help to shine light on the path that leads to your highest good. I am EMDR trained and enjoy using this modality to help others overcome trauma related issues.
If you are seeking a kind, compassionate presence to walk alongside you on your healing journey, you've come to the right place. I believe that each person who arrives to therapy comes in with a story that matters and deserves to be heard. I see my role as therapist as someone to help you to recognize your ability to heal and help to shine light on the path that leads to your highest good. I am EMDR trained and enjoy using this modality to help others overcome trauma related issues.
(360) 215-5622 View (360) 215-5622

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
71% Relationship Issues
69% Self Esteem
67% Grief
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
54% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

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.