Therapists in Vancouver, WA

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Photo of Tyler Moore, Marriage & Family Therapist Associate in Vancouver, WA
Tyler Moore
Marriage & Family Therapist Associate, LMHCA, MFTA
Verified Verified
1 Endorsed
Vancouver, WA 98686
Waitlist for new clients
As a therapist, my ideal client is someone open to self-exploration and change, whether they're a teen facing the trials of growing up or a couple striving to strengthen their relationship. They may struggle with anxiety, self-esteem, or communication, and their goal is to achieve a sense of well-being. They seek a safe space to be heard and understood, as well as guidance to navigate life's challenges with resilience.
As a therapist, my ideal client is someone open to self-exploration and change, whether they're a teen facing the trials of growing up or a couple striving to strengthen their relationship. They may struggle with anxiety, self-esteem, or communication, and their goal is to achieve a sense of well-being. They seek a safe space to be heard and understood, as well as guidance to navigate life's challenges with resilience.
(360) 763-0992 View (360) 763-0992
Photo of Ashley Taylor, Psychologist in Vancouver, WA
Ashley Taylor
Psychologist, PsyD
Verified Verified
Vancouver, WA 98683
Dr. Taylor and her team at Wonder Tree Developmental Psychology integrate creativity, fun, and compassion into their work. We specialize in providing comprehensive, thoughtful, and trauma-informed services for children, teens, and adults including maternal/paternal mental health and support for pregnant and parenting families. We are able to provide thorough psychological, psycho-educational and trauma-informed evaluations to assess for ADHD, learning disabilities, trauma, attachment, autism, selective mutism, and more. We work collaboratively with parents, children, and teachers as needed.
Dr. Taylor and her team at Wonder Tree Developmental Psychology integrate creativity, fun, and compassion into their work. We specialize in providing comprehensive, thoughtful, and trauma-informed services for children, teens, and adults including maternal/paternal mental health and support for pregnant and parenting families. We are able to provide thorough psychological, psycho-educational and trauma-informed evaluations to assess for ADHD, learning disabilities, trauma, attachment, autism, selective mutism, and more. We work collaboratively with parents, children, and teachers as needed.
(360) 564-5082 View (360) 564-5082
Photo of Beverly Hohn, Clinical Social Work/Therapist in Vancouver, WA
Beverly Hohn
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98662
Beverly 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. Beverly 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.
Beverly 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. Beverly 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) 327-8884 View (360) 327-8884
Photo of Jamie Watson, Counselor in Vancouver, WA
Jamie Watson
Counselor, LMHC, LPC
Verified Verified
Vancouver, WA 98686
I believe in building a strong rapport with my clients by using warmth, humor, and empathy. I work collaboratively with clients to identify and ensure their needs are being met. My goal is to help others discover their strengths, learn effective coping skills, and find joy and meaning in their life. I work from a Cognitive-Behavioral Therapy (CBT), Solution-Focused, Strengths Based approach. I am in currently pursuing an Eating Disorder Certificate at Lewis & Clark College; expected completion date, May 2023.
I believe in building a strong rapport with my clients by using warmth, humor, and empathy. I work collaboratively with clients to identify and ensure their needs are being met. My goal is to help others discover their strengths, learn effective coping skills, and find joy and meaning in their life. I work from a Cognitive-Behavioral Therapy (CBT), Solution-Focused, Strengths Based approach. I am in currently pursuing an Eating Disorder Certificate at Lewis & Clark College; expected completion date, May 2023.
(360) 535-7885 View (360) 535-7885
Photo of Pamela Ann Skiver, Clinical Social Work/Therapist in Vancouver, WA
Pamela Ann Skiver
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98684
The first environment of the unborn child is the womb, where the relationship between mother and child not only are connected on a physical and biological level, but on a psychological and spiritual level as well. Research now shows the stressors experienced by the mother internally, and in the external world, reach the baby in the womb impacting the baby’s physical, psychological development, personality and quality of later relationships. Prenatal Bonding BA creates a "souls cord" attachment that can last a lifetime.
The first environment of the unborn child is the womb, where the relationship between mother and child not only are connected on a physical and biological level, but on a psychological and spiritual level as well. Research now shows the stressors experienced by the mother internally, and in the external world, reach the baby in the womb impacting the baby’s physical, psychological development, personality and quality of later relationships. Prenatal Bonding BA creates a "souls cord" attachment that can last a lifetime.
(360) 583-4935 View (360) 583-4935
Photo of La Saechao, Clinical Social Work/Therapist in Vancouver, WA
La Saechao
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
2 Endorsed
Vancouver, WA 98660  (Online Only)
I am passionate about working with adults who might be feeling stuck or stagnant, finding themselves repeating old patterns, and just wanting to do things differently. I support people in finding a deeper understanding of themselves and the world around them. I enjoy working with adults of all identities, backgrounds, and orientations, including working with communities of color, adult children of immigrants/refugees, and individuals that identify with multicultural or multiracial.
I am passionate about working with adults who might be feeling stuck or stagnant, finding themselves repeating old patterns, and just wanting to do things differently. I support people in finding a deeper understanding of themselves and the world around them. I enjoy working with adults of all identities, backgrounds, and orientations, including working with communities of color, adult children of immigrants/refugees, and individuals that identify with multicultural or multiracial.
(360) 583-6962 View (360) 583-6962
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 Heather Gamble, Marriage & Family Therapist Intern in Vancouver, WA
Heather Gamble
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Vancouver, WA 98683
Not accepting new clients
Are you looking to embrace hope and find personalized solutions to overcome your barriers? Whether you are looking for support as an individual, couple, or family, I am here to help you clarify your needs, find inner strength, develop solutions that resonate with you, reach your goals, and build the future you envision.
Are you looking to embrace hope and find personalized solutions to overcome your barriers? Whether you are looking for support as an individual, couple, or family, I am here to help you clarify your needs, find inner strength, develop solutions that resonate with you, reach your goals, and build the future you envision.
(360) 228-3947 View (360) 228-3947
Photo of Angela Riesterer, Mental Health Counselor in Vancouver, WA
Angela Riesterer
Mental Health Counselor, MA, NCC, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98660
Waitlist for new clients
I am deeply passionate about helping people feel better and experience RELIEF from intense emotional pain and suffering. As a therapist, I am no stranger to deep suffering. In fact, it has been the single most powerful catalyst to who I have become, personally and professionally. I LOVE this work. Nobody escapes trauma in this life. To be human is to suffer. But we can learn how to manage and navigate the things we can't control. We can HEAL from our pain. We can rise from the most desperate of circumstances. We can become FREE. I carry a continual burning torch of hope and light for every sacred person I sit with. I believe in you.
I am deeply passionate about helping people feel better and experience RELIEF from intense emotional pain and suffering. As a therapist, I am no stranger to deep suffering. In fact, it has been the single most powerful catalyst to who I have become, personally and professionally. I LOVE this work. Nobody escapes trauma in this life. To be human is to suffer. But we can learn how to manage and navigate the things we can't control. We can HEAL from our pain. We can rise from the most desperate of circumstances. We can become FREE. I carry a continual burning torch of hope and light for every sacred person I sit with. I believe in you.
(360) 230-1878 View (360) 230-1878
Photo of William Thorbecke, Psychologist in Vancouver, WA
William Thorbecke
Psychologist, PhD
Verified Verified
Vancouver, WA 98684
Dr. William L. Thorbecke is a clinical psychologist working in private practice in both Vancouver, Washington and Portland Oregon. Dr. Thorbecke has many years experience treating adults, children, adolescents, couples, and families. Anxiety and depression issues are Dr. Thorbecke's primary focus, interpersonal family and couples issues, recovery from trauma, Attention Deficit Hyperactivity Disorder evaluation and treatment, adoption bonding and attachment, conflict resolution, separation, and divorce are all areas of his expertise. Treatment modalities include individual psychotherapy, family therapy, couples therapy, telemedicine, assessment, and consultation.
Dr. William L. Thorbecke is a clinical psychologist working in private practice in both Vancouver, Washington and Portland Oregon. Dr. Thorbecke has many years experience treating adults, children, adolescents, couples, and families. Anxiety and depression issues are Dr. Thorbecke's primary focus, interpersonal family and couples issues, recovery from trauma, Attention Deficit Hyperactivity Disorder evaluation and treatment, adoption bonding and attachment, conflict resolution, separation, and divorce are all areas of his expertise. Treatment modalities include individual psychotherapy, family therapy, couples therapy, telemedicine, assessment, and consultation.
(360) 900-1327 View (360) 900-1327
Photo of Davina Karpstein, Counselor in Vancouver, WA
Davina Karpstein
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Vancouver, WA 98683
If you are seeking guidance, it takes courage and strength. Whether you are struggling to adjust to a life transition, finding it hard to make changes last, or just ready to face your past, you do not have to find your way alone. Your thoughts, feelings and behaviors may feel overwhelming and impossible to understand or connect but I can work with you to create a space for change and help you find relief from the suffering.
If you are seeking guidance, it takes courage and strength. Whether you are struggling to adjust to a life transition, finding it hard to make changes last, or just ready to face your past, you do not have to find your way alone. Your thoughts, feelings and behaviors may feel overwhelming and impossible to understand or connect but I can work with you to create a space for change and help you find relief from the suffering.
(360) 732-8993 View (360) 732-8993
Photo of Brian Mcintire, Marriage & Family Therapist in Vancouver, WA
Brian Mcintire
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98683  (Online Only)
Life not going as expected? Feeling confused, frustrated, stressed, overwhelmed, disconnected, or disillusioned? Let's talk. You deserve to feel empowered in your body, relationships, and life pursuits. I can help you gain clarity and find empowering strategies to be your best self to live the life most meaningful to you.
Life not going as expected? Feeling confused, frustrated, stressed, overwhelmed, disconnected, or disillusioned? Let's talk. You deserve to feel empowered in your body, relationships, and life pursuits. I can help you gain clarity and find empowering strategies to be your best self to live the life most meaningful to you.
(360) 745-1024 View (360) 745-1024
Photo of Laura Anne Farley, Psychologist in Vancouver, WA
Laura Anne Farley
Psychologist, PsyD
Verified Verified
Vancouver, WA 98662
My caseload is full and I will update my profile when openings are available. Contact my office if you would like to be on my waitlist. People are resilient and capable of change to improve the quality of their lives. Whether desiring to get unstuck from a pattern of behavior (e.g., ineffective communication or substance use); struggling with anxiety, fear, depression, or trauma symptoms; or facing a difficult loss or transition, people often feel alone in their suffering and desire for change. These are human experiences. You are not alone. Together we will partner to identify and treat the crux of the problem.
My caseload is full and I will update my profile when openings are available. Contact my office if you would like to be on my waitlist. People are resilient and capable of change to improve the quality of their lives. Whether desiring to get unstuck from a pattern of behavior (e.g., ineffective communication or substance use); struggling with anxiety, fear, depression, or trauma symptoms; or facing a difficult loss or transition, people often feel alone in their suffering and desire for change. These are human experiences. You are not alone. Together we will partner to identify and treat the crux of the problem.
(844) 397-6361 View (844) 397-6361
Photo of Roxane Renee Johnson, Clinical Social Work/Therapist in Vancouver, WA
Roxane Renee Johnson
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Vancouver, WA 98660
Discover Your Path to Growth and Healing! Are you ready to embark on a transformative journey towards personal growth and healing? I'm a licensed clinical social worker specializing in helping children, teens, and adults overcome challenges. Using evidence-based techniques like ACT, DBT, and CBT, I'll guide you through present and past issues. If you have any of the insurance listed below, please head over to HelloAlma.com and request a consult.
Discover Your Path to Growth and Healing! Are you ready to embark on a transformative journey towards personal growth and healing? I'm a licensed clinical social worker specializing in helping children, teens, and adults overcome challenges. Using evidence-based techniques like ACT, DBT, and CBT, I'll guide you through present and past issues. If you have any of the insurance listed below, please head over to HelloAlma.com and request a consult.
(360) 800-3591 View (360) 800-3591
Photo of Susanna Stuckart, Counselor in Vancouver, WA
Susanna Stuckart
Counselor, LMHC
Verified Verified
Vancouver, WA 98683
Do you want to build more intimacy into your relationships? - - What are the things that keep you up at night? Do you worry? Do you wonder? Do you hope? Do you dream? Let’s talk about it. Let’s create a path forward that works for you. It could be you are struggling with a transition in your life and want some support to navigate the change. I support change through collaboration. We will work together to create a plan on what you really want from therapy. I will walk along side you as we question, notice, and consider actions. I am a licensed therapist in Washington state.
Do you want to build more intimacy into your relationships? - - What are the things that keep you up at night? Do you worry? Do you wonder? Do you hope? Do you dream? Let’s talk about it. Let’s create a path forward that works for you. It could be you are struggling with a transition in your life and want some support to navigate the change. I support change through collaboration. We will work together to create a plan on what you really want from therapy. I will walk along side you as we question, notice, and consider actions. I am a licensed therapist in Washington state.
(360) 900-1307 View (360) 900-1307
Photo of Shay Reynolds, Counselor in Vancouver, WA
Shay Reynolds
Counselor, MA, LMHCA, NCC
Verified Verified
Vancouver, WA 98685
Waitlist for new clients
When experiences are too much, too fast, too soon, or should never have happened, it often leaves behind pain that requires attention and nurturing. Sometimes we need someone to provide that for us before we feel ready to give it to ourselves. Therapy at Portal is co-created, meaning we consider and honor your individuality, your story, the wellbeing of your mind/body, and your goals for the future. Facilitating a safe enough space is prioritized, so that you can continue to experiment with new ways of being, loving, processing, and feeling. The goal is to integrate what works for you into the story you are telling with your life.
When experiences are too much, too fast, too soon, or should never have happened, it often leaves behind pain that requires attention and nurturing. Sometimes we need someone to provide that for us before we feel ready to give it to ourselves. Therapy at Portal is co-created, meaning we consider and honor your individuality, your story, the wellbeing of your mind/body, and your goals for the future. Facilitating a safe enough space is prioritized, so that you can continue to experiment with new ways of being, loving, processing, and feeling. The goal is to integrate what works for you into the story you are telling with your life.
(360) 252-9276 View (360) 252-9276
Photo of Jackson Goforth, LPC Intern in Vancouver, WA
Jackson Goforth
LPC Intern, BA
Verified Verified
Vancouver, WA 98662
"I don't want to go to school." "I don't want to go home from school." "Will this nightmare EVER end?" These fears, and others like them, are common experiences among young people. Being young can be really, really stressful. School, family, sports, grades, friends, significant others, the pressure to be "cool" and "acceptable;" the list goes on and on and on! Maybe you were wounded by a person or people and have been too scared to share, but now you have finally found the courage to tell someone. Or maybe you want to share but just don't know how - or are afraid to. You just feel really, really stuck.
"I don't want to go to school." "I don't want to go home from school." "Will this nightmare EVER end?" These fears, and others like them, are common experiences among young people. Being young can be really, really stressful. School, family, sports, grades, friends, significant others, the pressure to be "cool" and "acceptable;" the list goes on and on and on! Maybe you were wounded by a person or people and have been too scared to share, but now you have finally found the courage to tell someone. Or maybe you want to share but just don't know how - or are afraid to. You just feel really, really stuck.
(360) 743-3962 View (360) 743-3962
Photo of Tiffany Halpin, Counselor in Vancouver, WA
Tiffany Halpin
Counselor, MS, LMHCA
Verified Verified
Vancouver, WA 98685
No one understand you! You are having difficult time making healthy choices or maybe your making impulsive choices! Do your relationships with your parents, siblings or friends feel strained or maybe even broken? You want to fit in and get along with others but nothing you seem to do helps. School is a struggle and you feel frustrated, angry and all alone. You are craving more independence but your past choices have destroyed the trust with your parents. The stress and anxiety keep getting worse and it is hard to focus and life just seems like too much.
No one understand you! You are having difficult time making healthy choices or maybe your making impulsive choices! Do your relationships with your parents, siblings or friends feel strained or maybe even broken? You want to fit in and get along with others but nothing you seem to do helps. School is a struggle and you feel frustrated, angry and all alone. You are craving more independence but your past choices have destroyed the trust with your parents. The stress and anxiety keep getting worse and it is hard to focus and life just seems like too much.
(360) 614-4390 View (360) 614-4390
Photo of Cheryl L Wilson, Counselor in Vancouver, WA
Cheryl L Wilson
Counselor, MA, LMHC, LPC
Verified Verified
1 Endorsed
Vancouver, WA 98682  (Online Only)
I am passionate about working with clients who have experienced grief and loss around relationships, illness and life transitions. As someone who has experienced my own grief and loss I understand that we as individuals need space, empathy and support from others. I honor your experience and will partner with you on your journey toward healing. I believe that from loss can come renewed strength and hope. You are supported in a safe and nonjudgmental space with me. Through pain can come great clarity around your priorities, goals and what is most important to you. You will discover how you have survived and can thrive moving forward.
I am passionate about working with clients who have experienced grief and loss around relationships, illness and life transitions. As someone who has experienced my own grief and loss I understand that we as individuals need space, empathy and support from others. I honor your experience and will partner with you on your journey toward healing. I believe that from loss can come renewed strength and hope. You are supported in a safe and nonjudgmental space with me. Through pain can come great clarity around your priorities, goals and what is most important to you. You will discover how you have survived and can thrive moving forward.
(360) 300-4911 View (360) 300-4911
Photo of Cheryl Garman, Clinical Social Work/Therapist in Vancouver, WA
Cheryl Garman
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Vancouver, WA 98663  (Online Only)
I am a Licensed Clinical Social Worker in the state of a Washington. I believe that counseling is experiential, that it can and should be transformative. I use an ecclectic approach in my work with clients. I have experience treating depression, anxiety, bipolar, grief/loss, trauma and PTSD, chronic pain and life transitions. I have been working in the mental health field since 2008.
I am a Licensed Clinical Social Worker in the state of a Washington. I believe that counseling is experiential, that it can and should be transformative. I use an ecclectic approach in my work with clients. I have experience treating depression, anxiety, bipolar, grief/loss, trauma and PTSD, chronic pain and life transitions. I have been working in the mental health field since 2008.
(360) 953-5782 View (360) 953-5782

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
68% Self Esteem
67% Stress
66% Grief

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.