Therapists in Seattle, WA

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Photo of Carol Poole, Counselor in Seattle, WA
Carol Poole
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98112
People can get stuck in painful emotional states and relationship patterns, for all kinds of reasons. I help people with chronic emotional pain, depression, anxiety, and the aftereffects of trauma and abuse. I focus on helping people work through sources of pain, and build their capacities for a satisfying life. In couples counseling, I help partners hear and understand each other in new ways, and create the space they need to thrive as both individuals and as partners in a relationship.
People can get stuck in painful emotional states and relationship patterns, for all kinds of reasons. I help people with chronic emotional pain, depression, anxiety, and the aftereffects of trauma and abuse. I focus on helping people work through sources of pain, and build their capacities for a satisfying life. In couples counseling, I help partners hear and understand each other in new ways, and create the space they need to thrive as both individuals and as partners in a relationship.
(253) 343-0824 View (253) 343-0824
Photo of Esther Lobato, Counselor in Seattle, WA
Esther Lobato
Counselor, LICSW
Verified Verified
Seattle, WA 98177  (Online Only)
The work I do is rooted in my belief that every identity has value and that our identities shape our lives, how we experience the world, and the stories we tell ourselves. I want to collaborate with you in the retelling of your personal story in a way that is more empowering. I want to acknowledge the discrimination you may have faced and honor the strength you have gained through your experiences. It is important to me that you be the guiding voice in your therapeutic journey. You are the expert in your own life, so I will follow your lead and provide the support and guidance you need to do the difficult work.
The work I do is rooted in my belief that every identity has value and that our identities shape our lives, how we experience the world, and the stories we tell ourselves. I want to collaborate with you in the retelling of your personal story in a way that is more empowering. I want to acknowledge the discrimination you may have faced and honor the strength you have gained through your experiences. It is important to me that you be the guiding voice in your therapeutic journey. You are the expert in your own life, so I will follow your lead and provide the support and guidance you need to do the difficult work.
(206) 231-5101 View (206) 231-5101
Photo of Jennifer Jacyszyn, Counselor in Seattle, WA
Jennifer Jacyszyn
Counselor, MA, LMHC, NCC
Verified Verified
3 Endorsed
Seattle, WA 98107
Waitlist for new clients
Working with the thoughts and feelings you're holding on the inside really can help loosen their grip on you. I help people manage things like stress, anxiety, depression, ferocious inner critics and the effects of trauma-- whether recent or experienced earlier in life. We'll focus on finding you some symptom relief in addition to deeper understanding and healing in an open, accepting place for self-exploration and growth.
Working with the thoughts and feelings you're holding on the inside really can help loosen their grip on you. I help people manage things like stress, anxiety, depression, ferocious inner critics and the effects of trauma-- whether recent or experienced earlier in life. We'll focus on finding you some symptom relief in addition to deeper understanding and healing in an open, accepting place for self-exploration and growth.
(206) 900-9123 View (206) 900-9123
Photo of Sarah J Kyle, Marriage & Family Therapist in Seattle, WA
Sarah J Kyle
Marriage & Family Therapist, MA, LMFT
Verified Verified
9 Endorsed
Seattle, WA 98109
I specialize in couples therapy, where I help partners work toward relational repair after infidelity, betrayal, or ongoing conflict. I also work with individuals who want to work through attachment and relationship issues, identity development, spirituality, trauma, anxiety, and depression. Therapy is work that asks a great deal from us, but it also holds potential for meaningful change: to awaken to your own life, to make strides toward repairing broken bonds, and to imagine new possibilities and new ways of being, for yourself and for your relationships.
I specialize in couples therapy, where I help partners work toward relational repair after infidelity, betrayal, or ongoing conflict. I also work with individuals who want to work through attachment and relationship issues, identity development, spirituality, trauma, anxiety, and depression. Therapy is work that asks a great deal from us, but it also holds potential for meaningful change: to awaken to your own life, to make strides toward repairing broken bonds, and to imagine new possibilities and new ways of being, for yourself and for your relationships.
(206) 339-4277 View (206) 339-4277
Photo of Vision Seekers of America PLLC, LPC Associate in Seattle, WA
Vision Seekers of America PLLC
LPC Associate, MS, LPC-A, LMHC-A
Verified Verified
Seattle, WA 98122  (Online Only)
Going through rough transitions in life such as dealing with a disability, loss of someone, family conflict, relationship issues, self-esteem issues, or identity issues can take a toll on your mind, body, and spirit. It is extremely challenging to have to deal with all these emotions with nobody to vent to and explore positive ways to deal with these issues. My ideal client is someone who understands and desires a better outlook on life and a better perspective of themselves. Even though you may be going through adjustment to new challenges that create stress, anxiety, or depression, there is always hope.
Going through rough transitions in life such as dealing with a disability, loss of someone, family conflict, relationship issues, self-esteem issues, or identity issues can take a toll on your mind, body, and spirit. It is extremely challenging to have to deal with all these emotions with nobody to vent to and explore positive ways to deal with these issues. My ideal client is someone who understands and desires a better outlook on life and a better perspective of themselves. Even though you may be going through adjustment to new challenges that create stress, anxiety, or depression, there is always hope.
(206) 809-7611 View (206) 809-7611
Photo of Mysti Coccia-Eddy, Counselor in Seattle, WA
Mysti Coccia-Eddy
Counselor, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98125  (Online Only)
My approach to counseling is positive, strengths-based and client-centered. Every person is capable of healing and growth, and sometimes we need some extra support to get there.
My approach to counseling is positive, strengths-based and client-centered. Every person is capable of healing and growth, and sometimes we need some extra support to get there.
(206) 673-5279 View (206) 673-5279
Photo of Cristina Adler, Clinical Social Work/Therapist in Seattle, WA
Cristina Adler
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98104  (Online Only)
My approach is holistic, client-centered, and trauma-informed. I strive to integrate the intersectionality of the individual, familial, cultural, and social factors to best understand my client's lived experience. I use a variety of modalities to best suit my client's needs, pulling from CBT, DBT, ACT, and TF-CBT. Therapy with me may look different than what you’ve seen on movies or television, or different from experience with previous therapists! I love to incorporate arts, crafts, toys, games, video games, music, and movement in sessions to help my clients understand their mental health.
My approach is holistic, client-centered, and trauma-informed. I strive to integrate the intersectionality of the individual, familial, cultural, and social factors to best understand my client's lived experience. I use a variety of modalities to best suit my client's needs, pulling from CBT, DBT, ACT, and TF-CBT. Therapy with me may look different than what you’ve seen on movies or television, or different from experience with previous therapists! I love to incorporate arts, crafts, toys, games, video games, music, and movement in sessions to help my clients understand their mental health.
(206) 312-7417 View (206) 312-7417
Photo of Sarah Sutton Counseling PLLC, Pre-Licensed Professional in Seattle, WA
Sarah Sutton Counseling PLLC
Pre-Licensed Professional, MSW, LSWAIC
Verified Verified
Seattle, WA 98119  (Online Only)
Hello! I am a Licensed Independent Clinical Social Worker Associate (LSWAIC). I had the privilege of completing both my Bachelors in Psychology and my Masters in Social Work at the University of Washington in Tacoma. Go DAWGS! For the last 7 years, I have assisted folks in navigating various barriers surrounding their mental and physical health needs. I have been called a “resource guru” due to my ability to find a resource for everything. Once I completed my masters degree, I worked in community mental health, where I was able to adapt my skills to best support the needs of my clients through navigating mental health tools.
Hello! I am a Licensed Independent Clinical Social Worker Associate (LSWAIC). I had the privilege of completing both my Bachelors in Psychology and my Masters in Social Work at the University of Washington in Tacoma. Go DAWGS! For the last 7 years, I have assisted folks in navigating various barriers surrounding their mental and physical health needs. I have been called a “resource guru” due to my ability to find a resource for everything. Once I completed my masters degree, I worked in community mental health, where I was able to adapt my skills to best support the needs of my clients through navigating mental health tools.
(206) 222-5881 View (206) 222-5881
Photo of Rachel McEvoy, Clinical Social Work/Therapist in Seattle, WA
Rachel McEvoy
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98105
I'm passionate about supporting late teens and young adults (ages 16-35) who are processing where they come from, what they inadvertently picked up along the way, and what they want to intentionally set down or take with them. Some people call this deconstruction and reconstruction. It may involve processing relationship patterns, building self-compassion, grieving a loss, learning to set different boundaries, or re-examining a faith you once took for granted. I also have experience working with teens and young adults diagnosed with Type 1 Diabetes to cope with a new diagnosis or move through feelings of burnout.
I'm passionate about supporting late teens and young adults (ages 16-35) who are processing where they come from, what they inadvertently picked up along the way, and what they want to intentionally set down or take with them. Some people call this deconstruction and reconstruction. It may involve processing relationship patterns, building self-compassion, grieving a loss, learning to set different boundaries, or re-examining a faith you once took for granted. I also have experience working with teens and young adults diagnosed with Type 1 Diabetes to cope with a new diagnosis or move through feelings of burnout.
(206) 558-0225 View (206) 558-0225
Photo of Ruston Therapy Group PLLC, Counselor in Seattle, WA
Ruston Therapy Group PLLC
Counselor, MS, LMHC, LMFT, LMFTA, EdD
Verified Verified
Seattle, WA 98108
Ruston Therapy Group is devoted to helping individuals rediscover their true purpose through transformative approaches. We offer unwavering support and guidance as clients tap into their innate strengths and wisdom. Our emphasis is on enhancing emotional well-being and overall wellness, empowering individuals to take charge of their healing journey. We advocate for radical self-acceptance and self-care, fostering deep connections with humanity and the world. Whatever has led you to seek help now, choosing your path with the support of our therapists, makes the journey of self discovery much more clear and fulfilling.
Ruston Therapy Group is devoted to helping individuals rediscover their true purpose through transformative approaches. We offer unwavering support and guidance as clients tap into their innate strengths and wisdom. Our emphasis is on enhancing emotional well-being and overall wellness, empowering individuals to take charge of their healing journey. We advocate for radical self-acceptance and self-care, fostering deep connections with humanity and the world. Whatever has led you to seek help now, choosing your path with the support of our therapists, makes the journey of self discovery much more clear and fulfilling.
(206) 944-6885 View (206) 944-6885
Photo of Sarah L Palmer, Counselor in Seattle, WA
Sarah L Palmer
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98107
Not accepting new clients
We all experiences challenges. We might feel stuck or overwhelmed and sometimes we need additional support. Therapy creates opportunities for you to explore your thoughts and feelings so you can better understand and change what's getting in the way of you living as your fullest self. I work with adults and expectant and new parents to address a wide range of challenging feelings and experiences. Our work strengthens your sense of self, your relationships, and your capacity to best respond to life's inevitable changes and challenges.
We all experiences challenges. We might feel stuck or overwhelmed and sometimes we need additional support. Therapy creates opportunities for you to explore your thoughts and feelings so you can better understand and change what's getting in the way of you living as your fullest self. I work with adults and expectant and new parents to address a wide range of challenging feelings and experiences. Our work strengthens your sense of self, your relationships, and your capacity to best respond to life's inevitable changes and challenges.
(206) 488-1882 View (206) 488-1882
Photo of Kir Rian, Counselor in Seattle, WA
Kir Rian
Counselor, LMHC, LPC, MA, MFA
Verified Verified
1 Endorsed
Seattle, WA 98103  (Online Only)
These beautiful, unpredictable, messy moments of life shape us, & I've learned that defining who we are through these moments helps us build the life we want. As a trauma-certified EMDR trained therapist, I work with a wide range of issues, & I specialize in grief, trauma, & illness/medical trauma. Whether recent circumstances are stressful, or aspects of the past need to be reconciled & faced, my clients are working to process, cope, & move toward holistic healing. They want to own their lives & feel better. They want clarity, meaning, understanding, & support working through daily challenges, anxieties, and stress management.
These beautiful, unpredictable, messy moments of life shape us, & I've learned that defining who we are through these moments helps us build the life we want. As a trauma-certified EMDR trained therapist, I work with a wide range of issues, & I specialize in grief, trauma, & illness/medical trauma. Whether recent circumstances are stressful, or aspects of the past need to be reconciled & faced, my clients are working to process, cope, & move toward holistic healing. They want to own their lives & feel better. They want clarity, meaning, understanding, & support working through daily challenges, anxieties, and stress management.
(503) 400-3421 View (503) 400-3421
Photo of Sean Orpen, Marriage & Family Therapist in Seattle, WA
Sean Orpen
Marriage & Family Therapist, MS, LMFT-S, CST-S
Verified Verified
2 Endorsed
Seattle, WA 98109
As a therapist that works with couples and individuals, with a focus on intimacy and sexuality, I often work with people seeking deeper and more nourishing connections in their relationships and lives. Connection requires the courage to move into vulnerability and honesty to live one's truth about what they really need from their relationships. This is where I can help! I serve as a guide for individuals and couples in stepping into their own lives, to ask for what they need and to be present in and for their relationships.
As a therapist that works with couples and individuals, with a focus on intimacy and sexuality, I often work with people seeking deeper and more nourishing connections in their relationships and lives. Connection requires the courage to move into vulnerability and honesty to live one's truth about what they really need from their relationships. This is where I can help! I serve as a guide for individuals and couples in stepping into their own lives, to ask for what they need and to be present in and for their relationships.
(360) 529-4728 View (360) 529-4728
Photo of Sarah Kelley, Counselor in Seattle, WA
Sarah Kelley
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98107
I am genuinely passionate about helping young women navigate early adulthood with all its challenges and complexities. Coping with anxiety, low self-esteem, and depression can often impact the pursuit of what you truly want in life—both individually and in relationships—bringing waves of despair and moments of discouragement that often feel overwhelming. These fears can be all too real and can leave you feeling lost and alone. I am dedicated to walking alongside you as you explore your emotions and feelings, discover your inner resilience, and take steps toward self-compassion and a greater sense of trust in who you are.
I am genuinely passionate about helping young women navigate early adulthood with all its challenges and complexities. Coping with anxiety, low self-esteem, and depression can often impact the pursuit of what you truly want in life—both individually and in relationships—bringing waves of despair and moments of discouragement that often feel overwhelming. These fears can be all too real and can leave you feeling lost and alone. I am dedicated to walking alongside you as you explore your emotions and feelings, discover your inner resilience, and take steps toward self-compassion and a greater sense of trust in who you are.
(206) 339-6229 View (206) 339-6229
Photo of Karin Yeung Matthews, Marriage & Family Therapist in Seattle, WA
Karin Yeung Matthews
Marriage & Family Therapist, JD, MA, LMFT
Verified Verified
19 Endorsed
Seattle, WA 98109  (Online Only)
You are a high performer who is stuck & looking for outside help. You want to have a secure & loving relationship. You want to heal from past hurts, connect with your inner compass & shift towards healthier ways of living. In couples counseling, my husband & I work as a team to help couples grow together. As former high tech & legal professionals, we understand how work demands can impact your quality of life. As parents, we get how children are both a joy & a stressor in relationships. As an intercultural couple, we recognize the challenges in bridging different world views.
You are a high performer who is stuck & looking for outside help. You want to have a secure & loving relationship. You want to heal from past hurts, connect with your inner compass & shift towards healthier ways of living. In couples counseling, my husband & I work as a team to help couples grow together. As former high tech & legal professionals, we understand how work demands can impact your quality of life. As parents, we get how children are both a joy & a stressor in relationships. As an intercultural couple, we recognize the challenges in bridging different world views.
(206) 866-2274 View (206) 866-2274
Photo of Dr. Ellen Bronder, Psychologist in Seattle, WA
Dr. Ellen Bronder
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
Offering help for depression, anxiety, relationship distress, trauma, stress & burnout. Working with adults, college & grad students and professionals, including people in sensitive & high-profile roles for whom discretion & privacy are paramount. Here you will get a therapist that has a deep and unique understanding of suffering, a therapist that is skillful, knowledgeable, real, transparent and compassionate. A therapist that gets it and has expertise in diagnosis and treatment based on advanced knowledge of human development, psychotherapeutic treatment and advanced knowledge of research in psychology.
Offering help for depression, anxiety, relationship distress, trauma, stress & burnout. Working with adults, college & grad students and professionals, including people in sensitive & high-profile roles for whom discretion & privacy are paramount. Here you will get a therapist that has a deep and unique understanding of suffering, a therapist that is skillful, knowledgeable, real, transparent and compassionate. A therapist that gets it and has expertise in diagnosis and treatment based on advanced knowledge of human development, psychotherapeutic treatment and advanced knowledge of research in psychology.
(216) 299-3810 View (216) 299-3810
Photo of Jessica Chen, Psychologist in Seattle, WA
Jessica Chen
Psychologist, PhD
Verified Verified
Seattle, WA 98118  (Online Only)
Waitlist for new clients
Do you sometimes feel like your emotions get the best of you? Or do you have difficulty feeling or expressing emotions? The focus of my practice is on helping people develop wise mind - the integration of emotions and intuition with reasoning and logic. I am a licensed clinical psychologist. My approach to therapy is client-centered, justice-oriented, strengths-based, and affirming. I work with you to understand your history (how you came to be who you are), clarify your present-day concerns, and teach you tools that support your growth and wellbeing.
Do you sometimes feel like your emotions get the best of you? Or do you have difficulty feeling or expressing emotions? The focus of my practice is on helping people develop wise mind - the integration of emotions and intuition with reasoning and logic. I am a licensed clinical psychologist. My approach to therapy is client-centered, justice-oriented, strengths-based, and affirming. I work with you to understand your history (how you came to be who you are), clarify your present-day concerns, and teach you tools that support your growth and wellbeing.
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Photo of Jill Seo, Counselor in Seattle, WA
Jill Seo
Counselor, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98105
I believe therapy is a collaborative process where narratives can be explored and embodied, and placed within a cultural context to support healing, growth, and liberation. I have experience working with adults experiencing depression, anxiety, complex racial and ethnic identity work, grief, separation & loss, and life transitions. My therapeutic approach is client-centered and informed by an integrative orientation based upon my training background in intersectional feminist therapy, existential therapy, and relational cultural theory.
I believe therapy is a collaborative process where narratives can be explored and embodied, and placed within a cultural context to support healing, growth, and liberation. I have experience working with adults experiencing depression, anxiety, complex racial and ethnic identity work, grief, separation & loss, and life transitions. My therapeutic approach is client-centered and informed by an integrative orientation based upon my training background in intersectional feminist therapy, existential therapy, and relational cultural theory.
(206) 203-1911 View (206) 203-1911
Photo of Ashley Glass, Clinical Social Work/Therapist in Seattle, WA
Ashley Glass
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98118  (Online Only)
I have worked in a variety of settings with virtually all walks of life. My areas of specialization include chronic pain, life transitions, loss, sleep issues, caregivers, issues associated with aging, and disabilities.
I have worked in a variety of settings with virtually all walks of life. My areas of specialization include chronic pain, life transitions, loss, sleep issues, caregivers, issues associated with aging, and disabilities.
(206) 678-0324 View (206) 678-0324
Photo of Martha McNeely, Counselor in Seattle, WA
Martha McNeely
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98108
As far as anyone can tell, you’ve got it all together. But on the inside you never feel good enough and your inner critic is quick to remind you of all the ways you’re failing. You are the friend that everyone depends on and confides in, but deep down you feel like no one really knows you. You secretly feel lonely and isolated. No one knows about the anxiety you’ve been experiencing, or about how you have trouble sleeping because you can’t keep your mind from racing. You feel weak when something happens that you can’t handle.
As far as anyone can tell, you’ve got it all together. But on the inside you never feel good enough and your inner critic is quick to remind you of all the ways you’re failing. You are the friend that everyone depends on and confides in, but deep down you feel like no one really knows you. You secretly feel lonely and isolated. No one knows about the anxiety you’ve been experiencing, or about how you have trouble sleeping because you can’t keep your mind from racing. You feel weak when something happens that you can’t handle.
(206) 309-6552 View (206) 309-6552

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

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

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
53% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

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

How can I find a therapist in Seattle?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.