Therapists in Portland, OR

View neighborhoods in Portland
Photo of Aaron Ford, Licensed Professional Counselor in Portland, OR
Aaron Ford
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97266
I work primarily with adults and professionals on areas of stress, trauma, burnout, process or substance use, and other areas of relationships. I also see people that are interested in exploring personal growth through the lens of the Enneagram.
I work primarily with adults and professionals on areas of stress, trauma, burnout, process or substance use, and other areas of relationships. I also see people that are interested in exploring personal growth through the lens of the Enneagram.
(503) 832-6546 View (503) 832-6546
Photo of Michael Harley Clark, Art Therapist in Portland, OR
Michael Harley Clark
Art Therapist, MA, LAT, CADC-1
Verified Verified
Portland, OR 97236
In therapy sessions I work to develop mindfulness skills through art, talk, and interactions with nature. There are opportunities to process difficult experiences and transform feelings of hurt, fear, and anger into dynamic creativity. I have experience working with individuals who are healing from past trauma, coping with medical issues, managing anger, learning to recognize personal strengths, finding ways to connect to their communities, and developing more creative and joyful lives.”
In therapy sessions I work to develop mindfulness skills through art, talk, and interactions with nature. There are opportunities to process difficult experiences and transform feelings of hurt, fear, and anger into dynamic creativity. I have experience working with individuals who are healing from past trauma, coping with medical issues, managing anger, learning to recognize personal strengths, finding ways to connect to their communities, and developing more creative and joyful lives.”
(503) 809-5723 View (503) 809-5723
Photo of David W Singer, Clinical Social Work/Therapist in Portland, OR
David W Singer
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
4 Endorsed
Portland, OR 97206  (Online Only)
Portland, Oregon based Mental Health Clinician with nearly 20 years experience providing mental health counseling, crisis assessments/intervention, and supervision for licensure. Licensed in both Oregon and Washington. Specializing in grief, loss, depression, anxiety, LGBTQ issues, and adjusting to new medical diagnoses. Experienced in providing assessments for emotional support animals and pet loss grief support. Certified Mindfullness-Based Stress Reduction Counselor and Trained in Animal Assisted Interventions. Approved to provide Clinical Supervision towards licensure in Oregon.
Portland, Oregon based Mental Health Clinician with nearly 20 years experience providing mental health counseling, crisis assessments/intervention, and supervision for licensure. Licensed in both Oregon and Washington. Specializing in grief, loss, depression, anxiety, LGBTQ issues, and adjusting to new medical diagnoses. Experienced in providing assessments for emotional support animals and pet loss grief support. Certified Mindfullness-Based Stress Reduction Counselor and Trained in Animal Assisted Interventions. Approved to provide Clinical Supervision towards licensure in Oregon.
(971) 290-1453 View (971) 290-1453
Photo of Lillian Margaret Dunham, Marriage & Family Therapist Associate in Portland, OR
Lillian Margaret Dunham
Marriage & Family Therapist Associate, MFT-A
Verified Verified
2 Endorsed
Portland, OR 97202
Not accepting new clients
Are struggling with burnout and disconnection in your work and relationships? Maybe you have had a major life change and are having difficulty adjusting. Are you experiencing anxiety and depression and searching for help in making positive sustainable change?
Are struggling with burnout and disconnection in your work and relationships? Maybe you have had a major life change and are having difficulty adjusting. Are you experiencing anxiety and depression and searching for help in making positive sustainable change?
(503) 994-1113 View (503) 994-1113
Photo of Marissa Kendall, Pre-Licensed Professional in Portland, OR
Marissa Kendall
Pre-Licensed Professional
Verified Verified
Portland, OR 97239
I believe in the power of feeling seen and supported. Everyone has the potential for growth; often, what's needed is a nurturing environment where you feel acknowledged and understood. Creating space that allows personal growth and self-discovery is what I strive to provide as a therapist.
I believe in the power of feeling seen and supported. Everyone has the potential for growth; often, what's needed is a nurturing environment where you feel acknowledged and understood. Creating space that allows personal growth and self-discovery is what I strive to provide as a therapist.
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Photo of Stacey Johnson, Licensed Professional Counselor in Portland, OR
Stacey Johnson
Licensed Professional Counselor, LPC, LMHC
Verified Verified
1 Endorsed
Portland, OR 97215
Waitlist for new clients
*Currently Full, waitlist available* Experiencing trauma/painful events at any age may cause us to feel overwhelmed, unsure, self-critical, anxious, or hopeless. These feelings can then create difficulties in managing our behaviors, our thoughts, and our relationships. I know many of us have tried for years to figure things out on our own and that seeking counseling takes great courage. I respect and honor the strength that clients bring into my office. Together, we can work to move beyond learned responses and toward healing - where you can develop self-regulation skills, improve mood, decrease anxiety, and build self-esteem.
*Currently Full, waitlist available* Experiencing trauma/painful events at any age may cause us to feel overwhelmed, unsure, self-critical, anxious, or hopeless. These feelings can then create difficulties in managing our behaviors, our thoughts, and our relationships. I know many of us have tried for years to figure things out on our own and that seeking counseling takes great courage. I respect and honor the strength that clients bring into my office. Together, we can work to move beyond learned responses and toward healing - where you can develop self-regulation skills, improve mood, decrease anxiety, and build self-esteem.
(971) 340-4798 View (971) 340-4798
Photo of Dan Harold, Clinical Social Work/Therapist in Portland, OR
Dan Harold
Clinical Social Work/Therapist, LCSW, QMHP
Verified Verified
1 Endorsed
Portland, OR 97219
Waitlist for new clients
I provide a nonjudgemental space for clients to address anything you choose to bring to therapy. I work primarily with Narrative Therapy, which is a world view as much as it is a therapeutic approach. The Narrative approach puts your story at the center of the conversation. People in my practice are also seen through a multi-storied lens rather than a narrow singular story. I will have a friendly and laid back approach in our sessions. At the same time, I will also offer you direct feedback and honest observations. Mindfulness work, Dialectical Behavioral Therapy, and Relational work are also important to me.
I provide a nonjudgemental space for clients to address anything you choose to bring to therapy. I work primarily with Narrative Therapy, which is a world view as much as it is a therapeutic approach. The Narrative approach puts your story at the center of the conversation. People in my practice are also seen through a multi-storied lens rather than a narrow singular story. I will have a friendly and laid back approach in our sessions. At the same time, I will also offer you direct feedback and honest observations. Mindfulness work, Dialectical Behavioral Therapy, and Relational work are also important to me.
(503) 832-5501 View (503) 832-5501
Photo of Couples-Inc, Psychologist in Portland, OR
Couples-Inc
Psychologist, PsyD
Verified Verified
Portland, OR 97213  (Online Only)
Waitlist for new clients
We offer Couples Fundamentals Workshops and resources for couples. We are two experienced therapists in Portland, Oregon who are passionate about helping couples learn how to create their best relationship. We offer intimate and informative workshops with direct and active support to help couples create better communication and forge a better connection. Also we each offer couples therapy within our private practices.
We offer Couples Fundamentals Workshops and resources for couples. We are two experienced therapists in Portland, Oregon who are passionate about helping couples learn how to create their best relationship. We offer intimate and informative workshops with direct and active support to help couples create better communication and forge a better connection. Also we each offer couples therapy within our private practices.
(971) 252-7303 View (971) 252-7303
Photo of Awaken Counseling, PLLC, Licensed Professional Counselor in Portland, OR
Awaken Counseling, PLLC
Licensed Professional Counselor, LPC, MA, QMHP, NCC
Verified Verified
Portland, OR 97205  (Online Only)
You're here, looking for a therapist licensed/registered in Oregon, Washington or New Jersey to help you with challenging feelings and situations. There's so many therapists that can help alleviate anxiety, depression, self-esteem and relationship issues, and trauma. How do you choose? How do you choose when you're already feeling overwhelmed by life? We offer you what we would want: Experience, education, convenience, connection, and lasting healing.
You're here, looking for a therapist licensed/registered in Oregon, Washington or New Jersey to help you with challenging feelings and situations. There's so many therapists that can help alleviate anxiety, depression, self-esteem and relationship issues, and trauma. How do you choose? How do you choose when you're already feeling overwhelmed by life? We offer you what we would want: Experience, education, convenience, connection, and lasting healing.
(503) 836-5316 View (503) 836-5316
Photo of Michal Marie Pancheau, Licensed Professional Counselor in Portland, OR
Michal Marie Pancheau
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
Portland, OR 97239
**Currently full**. I specialize in treating college-age and young professional adults with personal, spiritual, and relational concerns, from a Christian worldview. I am passionate about helping you move from a place of difficulty into one of health, confidence, and emotional wholeness, so that you can thrive in your life and in your relationships, and succeed in the goals you've set for yourself. Particular issues I work with include depression, anxiety, PTSD, trauma, shame, guilt, abuse recovery, suicidal thoughts, conflict, forgiveness, body image issues, and family issues.
**Currently full**. I specialize in treating college-age and young professional adults with personal, spiritual, and relational concerns, from a Christian worldview. I am passionate about helping you move from a place of difficulty into one of health, confidence, and emotional wholeness, so that you can thrive in your life and in your relationships, and succeed in the goals you've set for yourself. Particular issues I work with include depression, anxiety, PTSD, trauma, shame, guilt, abuse recovery, suicidal thoughts, conflict, forgiveness, body image issues, and family issues.
(503) 894-5783 View (503) 894-5783
Photo of Willa Schneberg, Clinical Social Work/Therapist in Portland, OR
Willa Schneberg
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97209
Waitlist for new clients
I am a feminist therapist with ego psych training and view the healing of the self from a sociological perspective, as well as from an intrapsychic one. I am committed to treating ethnic, religious and sexual minorities and working class individuals. I offer individual, couple and family counseling. I am eclectic and utilize mindfulness and meditation, psychodynamic psychotherapy, cognitive-behavioral therapy and solution-focused approaches. Areas of clinical interest are issues of aging, grief and loss, addictions, separation/ divorce and the special concerns of the artist.
I am a feminist therapist with ego psych training and view the healing of the self from a sociological perspective, as well as from an intrapsychic one. I am committed to treating ethnic, religious and sexual minorities and working class individuals. I offer individual, couple and family counseling. I am eclectic and utilize mindfulness and meditation, psychodynamic psychotherapy, cognitive-behavioral therapy and solution-focused approaches. Areas of clinical interest are issues of aging, grief and loss, addictions, separation/ divorce and the special concerns of the artist.
(503) 822-6244 View (503) 822-6244
Photo of Teresa F Jansen, Licensed Professional Counselor in Portland, OR
Teresa F Jansen
Licensed Professional Counselor, LPC, EMDR-C, C6562
Verified Verified
Portland, OR 97212
Tired of looping through "coping skills," and ready to heal? If you (or a loved one) continues to struggle with anxiety, depression, dissociation, grief, parenting, relationships, trauma, or other stressful life transitions, it may be time to talk. Clients who often do well in this type of work have already worked on stability (ie safe housing, distress tolerance, "coping skills"), so a consistent focus on mental health can be a priority for the next step. Everyone is unique, but with right brained protocols and EMDR, we often see significant results in a shorter time period than talk therapy alone. Consistency is key.
Tired of looping through "coping skills," and ready to heal? If you (or a loved one) continues to struggle with anxiety, depression, dissociation, grief, parenting, relationships, trauma, or other stressful life transitions, it may be time to talk. Clients who often do well in this type of work have already worked on stability (ie safe housing, distress tolerance, "coping skills"), so a consistent focus on mental health can be a priority for the next step. Everyone is unique, but with right brained protocols and EMDR, we often see significant results in a shorter time period than talk therapy alone. Consistency is key.
(971) 251-1439 View (971) 251-1439
Photo of Nora Larson, LLC, Clinical Social Work/Therapist in Portland, OR
Nora Larson, LLC
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Portland, OR 97202
Not accepting new clients
I approach each client relationship with curiosity, collaboration, and honesty to work towards lasting and meaningful changes/goals that the client identifies. I have extensive experience working with people impacted by cancer, offering support for them and their loved ones and caregivers as they navigate this often very tender experience. People also come to my practice for support with life transitions, life altering illness, grief and loss, anxiety, depression, support with effective communication and boundary setting, support for healthcare workers. Together we identify effective tools and coping skills to support healing.
I approach each client relationship with curiosity, collaboration, and honesty to work towards lasting and meaningful changes/goals that the client identifies. I have extensive experience working with people impacted by cancer, offering support for them and their loved ones and caregivers as they navigate this often very tender experience. People also come to my practice for support with life transitions, life altering illness, grief and loss, anxiety, depression, support with effective communication and boundary setting, support for healthcare workers. Together we identify effective tools and coping skills to support healing.
(503) 436-6858 View (503) 436-6858
Photo of Dr. Marisol G Westberg, Marriage & Family Therapist in Portland, OR
Dr. Marisol G Westberg
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Portland, OR 97205  (Online Only)
I am a board certified sexologist and a licensed couples therapist. I maintain a private practice with a focus on sex therapy in Portland, Oregon. I have been a therapist for 10 years. I am sex-positive and specialize in sex therapy that is inclusive of alternative relationships and erotic minorities. My areas of expertise are intimate relationships, pleasure, infidelity, sexual desire discrepancies, lack of desire, difficulties with orgasm, difficulties with erections and orgasm, pain and discomfort in sex, alternative sexualities and lifestyles, sexual abuse and violence. My approach in therapy is one that is positive, validating, and nurturing.
I am a board certified sexologist and a licensed couples therapist. I maintain a private practice with a focus on sex therapy in Portland, Oregon. I have been a therapist for 10 years. I am sex-positive and specialize in sex therapy that is inclusive of alternative relationships and erotic minorities. My areas of expertise are intimate relationships, pleasure, infidelity, sexual desire discrepancies, lack of desire, difficulties with orgasm, difficulties with erections and orgasm, pain and discomfort in sex, alternative sexualities and lifestyles, sexual abuse and violence. My approach in therapy is one that is positive, validating, and nurturing.
(971) 232-3136 View (971) 232-3136
Photo of DANIEL Nishina, Licensed Professional Counselor in Portland, OR
DANIEL Nishina
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97206
A person considering counseling is already making the first step of trying to achieve, or return to, a healthier and happier equilibrium. I believe that “loosening up” and releasing the many things we hold, particularly unconsciously, allow us to activate that capacity and return to, or discover, a healthier state of being. Top-down, this would involve uncovering our various thought patterns, reactions, and story that we have about ourselves. Bottom-up, it involves noticing and feeling - the various ways our body is in relation to how we are mentally.
A person considering counseling is already making the first step of trying to achieve, or return to, a healthier and happier equilibrium. I believe that “loosening up” and releasing the many things we hold, particularly unconsciously, allow us to activate that capacity and return to, or discover, a healthier state of being. Top-down, this would involve uncovering our various thought patterns, reactions, and story that we have about ourselves. Bottom-up, it involves noticing and feeling - the various ways our body is in relation to how we are mentally.
(503) 455-7871 View (503) 455-7871
Photo of C.J. Sanders, Marriage & Family Therapist in Portland, OR
C.J. Sanders
Marriage & Family Therapist, MA, LMFT
Verified Verified
Portland, OR 97280  (Online Only)
Our relationships are our most important asset. And when something feels off it can be excruciating. Through utilizing the latest research in the fields of attachment, neuroscience, and communication we can collaborate to get things back on track. You will learn some new skills in conflict management—even if you are conflict avoidant! And we will get some psychobiological hacks on board quickly which can result in fewer arguments and a greater sense of connection. Many busy couples today are craving a more fulfilling partnership truly sharing the mental and emotional load.
Our relationships are our most important asset. And when something feels off it can be excruciating. Through utilizing the latest research in the fields of attachment, neuroscience, and communication we can collaborate to get things back on track. You will learn some new skills in conflict management—even if you are conflict avoidant! And we will get some psychobiological hacks on board quickly which can result in fewer arguments and a greater sense of connection. Many busy couples today are craving a more fulfilling partnership truly sharing the mental and emotional load.
(971) 252-7556 View (971) 252-7556
Photo of Katie Roeda, Clinical Social Work/Therapist in Portland, OR
Katie Roeda
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97215
Video/phone sessions only. Get step-by-step support, creative solutions, and tools to heal and grow. I help you find ways to feel more confident, connected, and consistent in meeting your needs. I work well with those needing support to manage anxiety, depression, and ADHD. Experience the power of professional collaboration to move forward on your goals!
Video/phone sessions only. Get step-by-step support, creative solutions, and tools to heal and grow. I help you find ways to feel more confident, connected, and consistent in meeting your needs. I work well with those needing support to manage anxiety, depression, and ADHD. Experience the power of professional collaboration to move forward on your goals!
(503) 822-7641 View (503) 822-7641
Photo of Dr. Kathleen R Gillis, Psychologist in Portland, OR
Dr. Kathleen R Gillis
Psychologist, PsyD
Verified Verified
Portland, OR 97219
Psychotherapy is a time devoted to you. With over 20 years of experience, I can provide support, perspective, and guidance; and help you recognize life’s joys and navigate through life’s struggles in a balanced, effective, and healthy way. I am straight-forward, humorous and empathic in my approach, and strive to facilitate open, honest and respectful communication while helping individuals and couples reach their goals. I believe I can best serve my clients by helping them 1) utilize their own experience and knowledge; 2) build on current strengths; and 3) tailor solutions to fit their unique circumstances.
Psychotherapy is a time devoted to you. With over 20 years of experience, I can provide support, perspective, and guidance; and help you recognize life’s joys and navigate through life’s struggles in a balanced, effective, and healthy way. I am straight-forward, humorous and empathic in my approach, and strive to facilitate open, honest and respectful communication while helping individuals and couples reach their goals. I believe I can best serve my clients by helping them 1) utilize their own experience and knowledge; 2) build on current strengths; and 3) tailor solutions to fit their unique circumstances.
(503) 447-7816 View (503) 447-7816
Photo of Amy McDonald, Pre-Licensed Professional in Portland, OR
Amy McDonald
Pre-Licensed Professional, MSW, CSWA
Verified Verified
1 Endorsed
Portland, OR 97217  (Online Only)
First things first: I have limited availability, during the day on Tuesday and Friday, for individual therapy and/or couples therapy. If you have or no someone who would find support in a Chronic Lyme therapy group for men (trans and non-binary folx VERY welcome) please reach out to me. This closed group will start Winter 2024, meet bi-weekly and focus on community/solidarity, navigating care systems, myths about Lyme, system failure and chronic illness, the haunting of "the good sick person", anger and illness, and much more.
First things first: I have limited availability, during the day on Tuesday and Friday, for individual therapy and/or couples therapy. If you have or no someone who would find support in a Chronic Lyme therapy group for men (trans and non-binary folx VERY welcome) please reach out to me. This closed group will start Winter 2024, meet bi-weekly and focus on community/solidarity, navigating care systems, myths about Lyme, system failure and chronic illness, the haunting of "the good sick person", anger and illness, and much more.
(503) 974-3495 View (503) 974-3495
Photo of Stephen Scherr Ph.D., Psychologist in Portland, OR
Stephen Scherr Ph.D.
Psychologist, PhD
Verified Verified
Portland, OR 97210
People typically come to see me because they are experiencing psychological distress and/or interpersonal difficulties. The in-depth look at these issues not only leads to symptom relief but to longterm change of dysfunctional and painful (sometimes unconscious) ways we may perceive and judge ourselves and to recognize and build on strengths. I enjoy being a psychotherapist in part because it is satisfying and exciting to see people become more insightful, effective and confident in each of the important areas of their lives. II have been doing this work for 35+ years and plan to continue for many years.
People typically come to see me because they are experiencing psychological distress and/or interpersonal difficulties. The in-depth look at these issues not only leads to symptom relief but to longterm change of dysfunctional and painful (sometimes unconscious) ways we may perceive and judge ourselves and to recognize and build on strengths. I enjoy being a psychotherapist in part because it is satisfying and exciting to see people become more insightful, effective and confident in each of the important areas of their lives. II have been doing this work for 35+ years and plan to continue for many years.
(503) 400-7204 View (503) 400-7204

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
73% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

54% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in Portland?

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.