Therapists in Hood River, OR

Photo of Samantha Rott, Marriage & Family Therapist Associate in Hood River, OR
Samantha Rott
Marriage & Family Therapist Associate, MA, QMHP-R
Verified Verified
Hood River, OR 97031  (Online Only)
Do you experience anxiety, depression, or relational dynamic issues? I believe that our past informs our present, in how we see, feel, hear, and experience our lives. We are influenced by our families, schools, peers, and greater community. I find behavioral patterns to be an important opening to explore the underlying feelings and thoughts you are experiencing in response to others. I view therapy as a collaborative process in which you are the expert of your own life and I am an empathetic and supportive guide towards greater personal understanding.
Do you experience anxiety, depression, or relational dynamic issues? I believe that our past informs our present, in how we see, feel, hear, and experience our lives. We are influenced by our families, schools, peers, and greater community. I find behavioral patterns to be an important opening to explore the underlying feelings and thoughts you are experiencing in response to others. I view therapy as a collaborative process in which you are the expert of your own life and I am an empathetic and supportive guide towards greater personal understanding.
(503) 741-2376 View (503) 741-2376
Photo of Emily Jimenez, Clinical Social Work/Therapist in Hood River, OR
Emily Jimenez
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Hood River, OR 97031
My practice focuses on where you feel you need support. I take a holistic and individualized approach with each client. As we work together, we will utilize a combination of therapeutic approaches to best support you, your needs and goals.
My practice focuses on where you feel you need support. I take a holistic and individualized approach with each client. As we work together, we will utilize a combination of therapeutic approaches to best support you, your needs and goals.
(541) 667-9394 View (541) 667-9394
Photo of Dr. Alex Pinchot in Hood River, OR
Dr. Alex Pinchot
ND
Verified Verified
Hood River, OR 97031
Those that I work with describe me as receptive, kind, extremely engaged and at times even challenging. I am not a passive listener; my therapy work takes the form of an active, two-way dialogue. While my style is compassionate, informal, and truly nonjudgmental, I believe it is often essential for our default positions to be explored within a safe context. Good therapy provides the help of someone trained to see and artfully communicate what we sometimes cannot see ourselves. The therapeutic relationship must be compassionate, open-hearted, and enjoyable, yet honest.
Those that I work with describe me as receptive, kind, extremely engaged and at times even challenging. I am not a passive listener; my therapy work takes the form of an active, two-way dialogue. While my style is compassionate, informal, and truly nonjudgmental, I believe it is often essential for our default positions to be explored within a safe context. Good therapy provides the help of someone trained to see and artfully communicate what we sometimes cannot see ourselves. The therapeutic relationship must be compassionate, open-hearted, and enjoyable, yet honest.
(458) 235-4819 View (458) 235-4819
Photo of Christy Thompson Counseling , Pre-Licensed Professional in Hood River, OR
Christy Thompson Counseling
Pre-Licensed Professional, MSW, CSWA, QMHP
Verified Verified
Hood River, OR 97031  (Online Only)
Many of us come to therapy disconnected and depleted, confused about who we are and what we want, and unfulfilled in our relationships or work. We hope that therapy will bring us insight, a renewed sense of connection, and resolution to the things we have been struggling with. I strive to be the therapist that I have needed, a guide who could help me navigate my own inner terrain, who could help me make sense of my experiences, learn better ways to cope, to understand and accept myself.
Many of us come to therapy disconnected and depleted, confused about who we are and what we want, and unfulfilled in our relationships or work. We hope that therapy will bring us insight, a renewed sense of connection, and resolution to the things we have been struggling with. I strive to be the therapist that I have needed, a guide who could help me navigate my own inner terrain, who could help me make sense of my experiences, learn better ways to cope, to understand and accept myself.
(541) 490-5585 View (541) 490-5585
Photo of Eli Schroppel, Licensed Professional Counselor in Hood River, OR
Eli Schroppel
Licensed Professional Counselor, LPC
Verified Verified
Hood River, OR 97031
I believe that the experiences we go through in life shape us, the people around us impact us, and I believe that the process of growing is a life long journey. I practice psychodynamic therapy informed by person centered ways of relating. That’s just a fancy way to say that I think your life impacts who you are, how you behave and feel, and that an empathetic, supportive relationship is the best place to work on the change you want to see.
I believe that the experiences we go through in life shape us, the people around us impact us, and I believe that the process of growing is a life long journey. I practice psychodynamic therapy informed by person centered ways of relating. That’s just a fancy way to say that I think your life impacts who you are, how you behave and feel, and that an empathetic, supportive relationship is the best place to work on the change you want to see.
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Photo of Lauren Justice, Psychologist in Hood River, OR
Lauren Justice
Psychologist, PhD
Verified Verified
Hood River, OR 97031
Not accepting new clients
To help you resolve problems in your mind, body, relationships, and lifestyle, I will work with you to improve your understanding of the source of your distress and refocus on what you value most. Depending on your preference, our work together may draw from traditional treatment approaches or utilize yoga therapy and mindfulness techniques. I enjoy guiding individuals and couples interested in finding the best way to overcome difficult relationship patterns, health-related problems, anxiety, depression, and trauma.
To help you resolve problems in your mind, body, relationships, and lifestyle, I will work with you to improve your understanding of the source of your distress and refocus on what you value most. Depending on your preference, our work together may draw from traditional treatment approaches or utilize yoga therapy and mindfulness techniques. I enjoy guiding individuals and couples interested in finding the best way to overcome difficult relationship patterns, health-related problems, anxiety, depression, and trauma.
(971) 754-1659 View (971) 754-1659
Photo of Henri M. Shields-Lucero, Clinical Social Work/Therapist in Hood River, OR
Henri M. Shields-Lucero
Clinical Social Work/Therapist, LCSW, CADCIII
Verified Verified
Hood River, OR 97031
Sometimes we can be unkind to ourselves, feel disconnected in our relationships or overwhelmed by life's problems. I believe counseling is a learning process. I will work with you to develop a compassionate understanding of who you are and new insight about areas in your life where you want support to change. I am passionate about working with individuals and families to support mental health and healing from addiction. I believe our well-being is informed by a healthy connection to family and community. In the therapy process I incorporate perspectives including relationship attachment, developing insight through mindfulness and understanding the effects of trauma.
Sometimes we can be unkind to ourselves, feel disconnected in our relationships or overwhelmed by life's problems. I believe counseling is a learning process. I will work with you to develop a compassionate understanding of who you are and new insight about areas in your life where you want support to change. I am passionate about working with individuals and families to support mental health and healing from addiction. I believe our well-being is informed by a healthy connection to family and community. In the therapy process I incorporate perspectives including relationship attachment, developing insight through mindfulness and understanding the effects of trauma.
(541) 292-4777 View (541) 292-4777
Photo of Briana Hoskins, Licensed Professional Counselor in Hood River, OR
Briana Hoskins
Licensed Professional Counselor, LPC
Verified Verified
Hood River, OR 97031
Waitlist for new clients
It is a brave and empowering first step to enter a counseling journey, for yourself, your child, and/or your family. I work with children, adolescents, young adults, and families. I have experience in areas of childhood trauma, anxiety, PTSD, depression, self-esteem, life transitions, adoption, grief, family conflict, and parenting. I have completed certificate programs in Therapeutic Life Story Work and Adoptive and Foster Family Therapy.
It is a brave and empowering first step to enter a counseling journey, for yourself, your child, and/or your family. I work with children, adolescents, young adults, and families. I have experience in areas of childhood trauma, anxiety, PTSD, depression, self-esteem, life transitions, adoption, grief, family conflict, and parenting. I have completed certificate programs in Therapeutic Life Story Work and Adoptive and Foster Family Therapy.
(541) 399-8948 View (541) 399-8948
Photo of John Christopher Burton, Psychologist in Hood River, OR
John Christopher Burton
Psychologist, PsyD
Verified Verified
1 Endorsed
Hood River, OR 97031
Waitlist for new clients
My primary focus is couple therapy. I am a trained Certified EFT Therapist. EFT stands for Emotionally Focused Therapy for Couples and is far and away the best treatment for couples. I have successfully treated couples who struggled with communication issues, infidelity, childhood trauma, attachment concerns, and emotional disconnect. As an EFT therapist I have worked with many couples in which one of the partners has ADHD. I also treat trauma using EMDR therapy with individuals and in the couple setting.
My primary focus is couple therapy. I am a trained Certified EFT Therapist. EFT stands for Emotionally Focused Therapy for Couples and is far and away the best treatment for couples. I have successfully treated couples who struggled with communication issues, infidelity, childhood trauma, attachment concerns, and emotional disconnect. As an EFT therapist I have worked with many couples in which one of the partners has ADHD. I also treat trauma using EMDR therapy with individuals and in the couple setting.
(541) 203-6821 View (541) 203-6821
Photo of John Sell, Licensed Professional Counselor in Hood River, OR
John Sell
Licensed Professional Counselor, LPC, LMHC
Verified Verified
3 Endorsed
Hood River, OR 97031
I work with people across the lifespan. I specialize in working with trauma, parents and children, and couples. My approach to therapy is centered on you, the client. I rely on you to teach me about your life and tell me what it is you hope to change. We can then work together on understanding how symptoms have developed with particular attention on emotions, relationships, and your experiences. Understanding can then lead to clarity which in turn can lead to change and growth. In addition to therapy, I provide consultation to therapists with particular emphasis on Family Systems and Psychodynamic Theories.
I work with people across the lifespan. I specialize in working with trauma, parents and children, and couples. My approach to therapy is centered on you, the client. I rely on you to teach me about your life and tell me what it is you hope to change. We can then work together on understanding how symptoms have developed with particular attention on emotions, relationships, and your experiences. Understanding can then lead to clarity which in turn can lead to change and growth. In addition to therapy, I provide consultation to therapists with particular emphasis on Family Systems and Psychodynamic Theories.
(541) 329-3868 View (541) 329-3868
Photo of Co-Regulation Counseling Angela L. Aurit, Clinical Social Work/Therapist in Hood River, OR
Co-Regulation Counseling Angela L. Aurit
Clinical Social Work/Therapist, LCSW, CADCIII, CGAC II
Verified Verified
Hood River, OR 97031
Not accepting new clients
When I was in the 9th grade, I was one of two students from every class that were selected by their classmates to become Natural Helpers. We received training in the skills of active listening, mediation and problem-solving. Little did I know that this experience would lead me to where I am today, as a counselor and therapist for the last twenty-two years. In my work in residential treatment, outpatient clinics and pain management practice, I have thoroughly loved getting to watch people of the ages 13 to 95 have epiphanies, adopt new perspectives, change unhelpful thought patterns, and begin to love and know themselves again.
When I was in the 9th grade, I was one of two students from every class that were selected by their classmates to become Natural Helpers. We received training in the skills of active listening, mediation and problem-solving. Little did I know that this experience would lead me to where I am today, as a counselor and therapist for the last twenty-two years. In my work in residential treatment, outpatient clinics and pain management practice, I have thoroughly loved getting to watch people of the ages 13 to 95 have epiphanies, adopt new perspectives, change unhelpful thought patterns, and begin to love and know themselves again.
(458) 236-5827 View (458) 236-5827
Photo of Keeya Prairie, Psychologist in Hood River, OR
Keeya Prairie
Psychologist, PsyD
Verified Verified
1 Endorsed
Hood River, OR 97031  (Online Only)
Waitlist for new clients
I work with individuals with Obsessive Compulsive Disorder (OCD), individuals with early childhood trauma (PTSD, anxiety, depression), and LGBTIA+ individuals. You're here because you imagine a future version of you that feels liberated. Future You worries less, spends more time doing the things you used to enjoy, and feels connected with yourself and others. You want to stop ruminating, escape the the cycle of people-pleasing, anxiety, depression, and have more fulfilling relationships. You're here because you're ready for change, and I'm here to help!
I work with individuals with Obsessive Compulsive Disorder (OCD), individuals with early childhood trauma (PTSD, anxiety, depression), and LGBTIA+ individuals. You're here because you imagine a future version of you that feels liberated. Future You worries less, spends more time doing the things you used to enjoy, and feels connected with yourself and others. You want to stop ruminating, escape the the cycle of people-pleasing, anxiety, depression, and have more fulfilling relationships. You're here because you're ready for change, and I'm here to help!
(929) 470-7554 View (929) 470-7554
Photo of Lisa Makinson, Licensed Professional Counselor in Hood River, OR
Lisa Makinson
Licensed Professional Counselor, LPC
Verified Verified
Hood River, OR 97031
Not accepting new clients
Sometimes we have a nagging thought that something isn't going right in our lives or we notice a pattern that keeps happening over and over, but we wait so long to call and get help. Making that call can be so hard, but it is so worth it. Whether you have trauma, anxiety, depression, or difficulty in relationships - whatever is bothering you, a collaborative therapeutic relationship can help you learn the skills to cope with what life brings you and get you feeling better about yourself and your path. We all want to feel connected, heard, and understood and deserve a safe space to figure things out with a therapist who listens.
Sometimes we have a nagging thought that something isn't going right in our lives or we notice a pattern that keeps happening over and over, but we wait so long to call and get help. Making that call can be so hard, but it is so worth it. Whether you have trauma, anxiety, depression, or difficulty in relationships - whatever is bothering you, a collaborative therapeutic relationship can help you learn the skills to cope with what life brings you and get you feeling better about yourself and your path. We all want to feel connected, heard, and understood and deserve a safe space to figure things out with a therapist who listens.
(541) 399-8266 View (541) 399-8266
Photo of Lori E Mazenko, Licensed Professional Counselor in Hood River, OR
Lori E Mazenko
Licensed Professional Counselor, MA, LPC, LMHC, NCC
Verified Verified
1 Endorsed
Hood River, OR 97031
You've taken the first step to wellness by looking for a therapist. It can be difficult to find just the right match. You're ready to make a change - I can assist you. My desire is to help you understand core issues that are creating challenges in your life, find ways to cope more satisfactorily, make your desired changes, discover new options and make informed choices. I believe that the fit between client and therapist is important in making changes. I enjoy coming alongside people who have decided it's time to live life to the fullest and overcome issues holding them back.
You've taken the first step to wellness by looking for a therapist. It can be difficult to find just the right match. You're ready to make a change - I can assist you. My desire is to help you understand core issues that are creating challenges in your life, find ways to cope more satisfactorily, make your desired changes, discover new options and make informed choices. I believe that the fit between client and therapist is important in making changes. I enjoy coming alongside people who have decided it's time to live life to the fullest and overcome issues holding them back.
(541) 359-3934 View (541) 359-3934
Photo of Siri Smithback, Licensed Professional Counselor in Hood River, OR
Siri Smithback
Licensed Professional Counselor, MA, LPC
Verified Verified
Hood River, OR 97031  (Online Only)
In our sessions, you will learn to be present with and understand patterns, beliefs and emotions and develop an increased ability to cope with stress and challenges. I will introduce you to practices that help you develop the ability to tune in to your inner world so that you can build skills to better regulate and respond to—rather than react to—experiences and avoid going into a flight, fright or freeze response. As you progress in this empowering process of exploration and gain insight into your needs and hopes, you will discover new choices and decisions.
In our sessions, you will learn to be present with and understand patterns, beliefs and emotions and develop an increased ability to cope with stress and challenges. I will introduce you to practices that help you develop the ability to tune in to your inner world so that you can build skills to better regulate and respond to—rather than react to—experiences and avoid going into a flight, fright or freeze response. As you progress in this empowering process of exploration and gain insight into your needs and hopes, you will discover new choices and decisions.
(971) 231-2939 View (971) 231-2939
Photo of Ashley Lembcke, Clinical Social Work/Therapist in Hood River, OR
Ashley Lembcke
Clinical Social Work/Therapist, LCSW
Verified Verified
Hood River, OR 97031
Not accepting new clients
Are you feeling stuck? Overwhelmed? You want to make a change but not sure where to begin? I’m so glad you’re here! We all struggle from time to time and could benefit from an objective supporter—someone who is trained to help you develop new, healthy strategies to deal with life’s struggles. I truly believe you are doing the very best you can with the tools you currently possess—but things can be better!
Are you feeling stuck? Overwhelmed? You want to make a change but not sure where to begin? I’m so glad you’re here! We all struggle from time to time and could benefit from an objective supporter—someone who is trained to help you develop new, healthy strategies to deal with life’s struggles. I truly believe you are doing the very best you can with the tools you currently possess—but things can be better!
(971) 351-0688 View (971) 351-0688
Photo of Tony Grace, Licensed Professional Counselor in Hood River, OR
Tony Grace
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Hood River, OR 97031  (Online Only)
Waitlist for new clients
Need some tools for your personal/relational toolbox? Every man, like every home, can benefit from a little attention and care. Sometimes we start to build a life that no longer fits our needs. Sometimes life crashes into the world we created. Other times, it is time that takes its toll. We might need a little tweaking and some elbow grease to do the trick. We might need to build a different life entirely. Whatever condition you find your life is in, you don't have to settle, give in, or give up. You can do this!!! I can help.
Need some tools for your personal/relational toolbox? Every man, like every home, can benefit from a little attention and care. Sometimes we start to build a life that no longer fits our needs. Sometimes life crashes into the world we created. Other times, it is time that takes its toll. We might need a little tweaking and some elbow grease to do the trick. We might need to build a different life entirely. Whatever condition you find your life is in, you don't have to settle, give in, or give up. You can do this!!! I can help.
(503) 738-1289 View (503) 738-1289
Photo of Della Woods, Licensed Professional Counselor in Hood River, OR
Della Woods
Licensed Professional Counselor, LPC, MS, NCC
Verified Verified
2 Endorsed
Hood River, OR 97031
While none of us are free from life's many stressors and occasional deep wounding, we can change the way we relate and cope with them, and lessen their negative effect on us. I help teens and adults learn how to observe their unhelpful patterns, and get to the root cause of what blocks them from fulfillment. With compassion, mutual trust, and a little humor, let's transform your life, and finally break out of the unhelpful patterns that have held you back.
While none of us are free from life's many stressors and occasional deep wounding, we can change the way we relate and cope with them, and lessen their negative effect on us. I help teens and adults learn how to observe their unhelpful patterns, and get to the root cause of what blocks them from fulfillment. With compassion, mutual trust, and a little humor, let's transform your life, and finally break out of the unhelpful patterns that have held you back.
(541) 714-1245 View (541) 714-1245
Photo of Monique Adams, Clinical Social Work/Therapist in Hood River, OR
Monique Adams
Clinical Social Work/Therapist, LCSW, LICSW, CADCIII, MAC, SUDP
Verified Verified
Hood River, OR 97031  (Online Only)
I love to see people who are exploring helping themselves achieve a better space in their life. Many people are suffering, yet they aren't quite sure the next steps. I have experience working with many issues that can make you feel as if you have lost your path or wanting something more out of life. I try to adapt my style to your particular needs and take a collaborative approach, yet guided to therapy sessions. Sometimes we need a safe place to process our thoughts.
I love to see people who are exploring helping themselves achieve a better space in their life. Many people are suffering, yet they aren't quite sure the next steps. I have experience working with many issues that can make you feel as if you have lost your path or wanting something more out of life. I try to adapt my style to your particular needs and take a collaborative approach, yet guided to therapy sessions. Sometimes we need a safe place to process our thoughts.
(458) 217-8066 View (458) 217-8066
Photo of Mackenzie Wild, Marriage & Family Therapist Associate in Hood River, OR
Mackenzie Wild
Marriage & Family Therapist Associate, MA, MFT-A, NCC
Verified Verified
2 Endorsed
Hood River, OR 97031
Mackenzie Wild is a Couples Therapist practicing Emotionally Focused Therapy. She specializes in competing attachments, for instance couples with young children, couples with combined/blended families, or couples with involved grandparents or in-laws. Often couples disengage and become distant under the pressures of daily living. Through couples counseling, our work together can add breathing room and warmth so that the couple can turn toward and support each other during stress. EFT is evidence based and integrates trauma to establish new relational patterns, which improve connectedness and intimacy by changing the root.
Mackenzie Wild is a Couples Therapist practicing Emotionally Focused Therapy. She specializes in competing attachments, for instance couples with young children, couples with combined/blended families, or couples with involved grandparents or in-laws. Often couples disengage and become distant under the pressures of daily living. Through couples counseling, our work together can add breathing room and warmth so that the couple can turn toward and support each other during stress. EFT is evidence based and integrates trauma to establish new relational patterns, which improve connectedness and intimacy by changing the root.
(541) 697-3886 View (541) 697-3886

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How does your Therapist compare?

Number of Therapists in Hood River, OR

40+

Average cost per session

$155

Therapists in Hood River, OR who prioritize treating:

91% Depression
91% Anxiety
78% Trauma and PTSD
78% Self Esteem
76% Grief
71% Relationship Issues
67% Stress

Average years in practice

12 Years

Top 3 insurances accepted

74% PacificSource
52% Oregon Health Plan (OHP)
45% BlueCross and BlueShield

How Therapists in Hood River, OR see their clients

67% In Person and Online
33% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Hood River?

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.