Therapists in Pendleton, OR

Photo of Nathan Trent Smith, Clinical Social Work/Therapist, MSW, LCSW-S
Nathan Trent Smith
Clinical Social Work/Therapist, MSW, LCSW-S
1 Endorsed
Pendleton, OR 97801
At Stonewall Behavioral Health and Mental Wellness, I provide trauma-informed, affirming therapy for marginalized communities, with a focus on LGBTQIA+/2S/NB individuals and families. Many clients seek care that honors their identity, autonomy, and lived experience—especially those who’ve felt unseen or harmed in previous therapeutic settings. My goal is to offer a safe, collaborative space where healing is rooted in dignity and cultural sensitivity. I specialize in LGBTQIA+/2S/NB affirming therapy, including gender-affirming care that aligns with Oregon Health Plan (OHP) requirements.
At Stonewall Behavioral Health and Mental Wellness, I provide trauma-informed, affirming therapy for marginalized communities, with a focus on LGBTQIA+/2S/NB individuals and families. Many clients seek care that honors their identity, autonomy, and lived experience—especially those who’ve felt unseen or harmed in previous therapeutic settings. My goal is to offer a safe, collaborative space where healing is rooted in dignity and cultural sensitivity. I specialize in LGBTQIA+/2S/NB affirming therapy, including gender-affirming care that aligns with Oregon Health Plan (OHP) requirements.
(541) 694-8189 View (541) 694-8189
Photo of Elisa Doebler-Irvine, Licensed Professional Counselor, PhD, LPC
Elisa Doebler-Irvine
Licensed Professional Counselor, PhD, LPC
Online Only
You can rely on me to show up to counseling with a team approach- we are in it together to find solutions for the challenges you are facing. Often, when people are in the middle of a difficult time, they lose sight of their own strengths and resources. You can rely on me to help you find these and develop ways to put them to use to feel better. Commonly, people set out to solve a problem only to have the solution, over time, turn out to be unhelpful or even unhealthy. You will find me ready to address the here-and-now as well as the original issues so you can find your way back to a place where you have real, usable solutions.
You can rely on me to show up to counseling with a team approach- we are in it together to find solutions for the challenges you are facing. Often, when people are in the middle of a difficult time, they lose sight of their own strengths and resources. You can rely on me to help you find these and develop ways to put them to use to feel better. Commonly, people set out to solve a problem only to have the solution, over time, turn out to be unhelpful or even unhealthy. You will find me ready to address the here-and-now as well as the original issues so you can find your way back to a place where you have real, usable solutions.
(541) 237-1655 View (541) 237-1655
Photo of Joyce Duval, Counselor, LMHC
Joyce Duval
Counselor, LMHC
Online Only
Looking for help with problems in living? Many of us are! I help clients manage stress, anxiety, and depression by developing and improving coping and problem-solving skills. As you understand yourself better, become grounded and more confident, I can help you build the life you want to live.
Looking for help with problems in living? Many of us are! I help clients manage stress, anxiety, and depression by developing and improving coping and problem-solving skills. As you understand yourself better, become grounded and more confident, I can help you build the life you want to live.
(541) 703-3113 View (541) 703-3113
Photo of Amy Madrigal, Professional Counselor Associate, LPCA, CADC II, CYMHC
Amy Madrigal
Professional Counselor Associate, LPCA, CADC II, CYMHC
Pendleton, OR 97801
I am passionate about people leading empowered, connected, and purposeful lives. I work collaboratively with clients in identifying needs, making changes, and practicing new skills in a safe and supportive setting. Sometimes getting assistance is the difference between lasting change, or staying stuck in an increasingly devastating cycle. Depression, anxiety, trauma, addiction, stress and conflict are just a few things that can be overwhelming and make life and relationships difficult to manage. . As a person with lived experience and in long term recovery I am able to connect with and encourage people to make a lasting change.
I am passionate about people leading empowered, connected, and purposeful lives. I work collaboratively with clients in identifying needs, making changes, and practicing new skills in a safe and supportive setting. Sometimes getting assistance is the difference between lasting change, or staying stuck in an increasingly devastating cycle. Depression, anxiety, trauma, addiction, stress and conflict are just a few things that can be overwhelming and make life and relationships difficult to manage. . As a person with lived experience and in long term recovery I am able to connect with and encourage people to make a lasting change.
(541) 320-7487 View (541) 320-7487
Photo of Megan Murphy, Clinical Social Work Associate, CSWA, CADC II
Megan Murphy
Clinical Social Work Associate, CSWA, CADC II
1 Endorsed
Pendleton, OR 97801
I understand that people can sometimes struggle or feel anxious about some area in their life. Most people want to feel meaning in their life, but when stress, sadness, or anxiety gets in the way it can feel horrible. Not knowing how or what to change can feel overwhelming.
I understand that people can sometimes struggle or feel anxious about some area in their life. Most people want to feel meaning in their life, but when stress, sadness, or anxiety gets in the way it can feel horrible. Not knowing how or what to change can feel overwhelming.
(541) 371-2854 View (541) 371-2854
Photo of Karen Martin, Clinical Social Work/Therapist, CSWA, CADC I
Karen Martin
Clinical Social Work/Therapist, CSWA, CADC I
1 Endorsed
Online Only
Are you feeling trapped by past trauma, addiction, or challenging relationships? Are you seeking healing and growth? Perhaps you’re struggling with PTSD, strained connections, or unhealthy coping mechanisms, and you need a safe, nonjudgmental space to process your emotions. You’re ready to break free from cycles of pain, rebuild your self-worth, and cultivate meaningful, authentic relationships. You’re looking for a compassionate therapist who collaborates with you, offering guidance with humor and authenticity. Your journey matters deeply, and I’m here to meet you where you are—with empathy and respect for your unique experiences.
Are you feeling trapped by past trauma, addiction, or challenging relationships? Are you seeking healing and growth? Perhaps you’re struggling with PTSD, strained connections, or unhealthy coping mechanisms, and you need a safe, nonjudgmental space to process your emotions. You’re ready to break free from cycles of pain, rebuild your self-worth, and cultivate meaningful, authentic relationships. You’re looking for a compassionate therapist who collaborates with you, offering guidance with humor and authenticity. Your journey matters deeply, and I’m here to meet you where you are—with empathy and respect for your unique experiences.
(541) 569-4702 View (541) 569-4702
Photo of Brian Kubesh, Clinical Social Work/Therapist, LCSW
Brian Kubesh
Clinical Social Work/Therapist, LCSW
Pendleton, OR 97801
I am a therapist with over 15 years of experience in diverse mental health settings, working with individuals facing complex trauma, severe mental illness, life transitions, and co-occurring challenges. These diverse experiences have shaped a grounded, nonjudgmental approach that meets clients where they are while supporting meaningful, lasting change. I believe therapy works best when it is collaborative, authentic, and tailored to each person’s unique strengths and goals. My aim is to create a safe, supportive space where clients feel heard, empowered, and capable of moving forward with greater clarity and resilience.
I am a therapist with over 15 years of experience in diverse mental health settings, working with individuals facing complex trauma, severe mental illness, life transitions, and co-occurring challenges. These diverse experiences have shaped a grounded, nonjudgmental approach that meets clients where they are while supporting meaningful, lasting change. I believe therapy works best when it is collaborative, authentic, and tailored to each person’s unique strengths and goals. My aim is to create a safe, supportive space where clients feel heard, empowered, and capable of moving forward with greater clarity and resilience.
(541) 204-4470 View (541) 204-4470
Photo of Amy Ashton-Williams, Clinical Social Work/Therapist, LCSW, CADC, II, PhD
Amy Ashton-Williams
Clinical Social Work/Therapist, LCSW, CADC, II, PhD
Pendleton, OR 97801
Clients can expect to feel supported in a safe and nonjudgmental environment where their experiences are respected and valued. Together, we work toward processing trauma, reducing emotional distress, and building practical coping skills. My goal is for clients to leave sessions with greater self-awareness, resilience, and tools they can use in daily life. Over time, clients often report stronger relationships, improved well-being, and a renewed sense of hope.
Clients can expect to feel supported in a safe and nonjudgmental environment where their experiences are respected and valued. Together, we work toward processing trauma, reducing emotional distress, and building practical coping skills. My goal is for clients to leave sessions with greater self-awareness, resilience, and tools they can use in daily life. Over time, clients often report stronger relationships, improved well-being, and a renewed sense of hope.
(541) 764-7046 View (541) 764-7046
Photo of Richard Seigler - Enrich Therapy, Marriage & Family Therapist, MS, LMFT
Enrich Therapy
Marriage & Family Therapist, MS, LMFT
Pendleton, OR 97801
Waitlist for new clients
I am passionate about people leading empowered, connected, and purposeful lives. I provide counseling services to diverse clients as they learn, change, grow, and function in increasingly inspired, creative, healthy and adaptive ways. I work collaboratively with clients in identifying needs, making changes, and practicing new skills in a safe and supportive setting. I am experienced in working with adults, couples, families, as well as adolescent clients, on issues including depression, anxiety, trauma, grief, anger, identity, and unwanted thoughts or emotions.
I am passionate about people leading empowered, connected, and purposeful lives. I provide counseling services to diverse clients as they learn, change, grow, and function in increasingly inspired, creative, healthy and adaptive ways. I work collaboratively with clients in identifying needs, making changes, and practicing new skills in a safe and supportive setting. I am experienced in working with adults, couples, families, as well as adolescent clients, on issues including depression, anxiety, trauma, grief, anger, identity, and unwanted thoughts or emotions.
(971) 308-4587 View (971) 308-4587
Photo of Gemma Escale-Presague - Barcelona Counseling, LLC, Licensed Professional Counselor, LPC, NCC
Barcelona Counseling, LLC
Licensed Professional Counselor, LPC, NCC
Pendleton, OR 97801
We have experience working with individuals, couples, and families from different backgrounds and needs. We use different and personalized techniques and strategies to help you get to the root of the problem, make conscious change to find stability, growth, problem resolution, and emotional relief. EMDR modality to address many issues.
We have experience working with individuals, couples, and families from different backgrounds and needs. We use different and personalized techniques and strategies to help you get to the root of the problem, make conscious change to find stability, growth, problem resolution, and emotional relief. EMDR modality to address many issues.
(503) 308-7483 View (503) 308-7483
Photo of Samantha Brownell, Clinical Social Work Associate, LMSW
Samantha Brownell
Clinical Social Work Associate, LMSW
1 Endorsed
Online Only
Hi, I’m Samantha! Im glad you're here! Starting therapy can feel like a big step, and it’s normal if it feels uncomfortable or uncertain at first. You don’t need to have the right words or a clear plan before you start—just showing up is enough. My goal is to create a space that feels safe, relaxed, and real, where you can be yourself without pressure or judgment. I want therapy to feel like something supportive you can lean into, not something you have to “get right.” I take a collaborative, down-to-earth approach. That means we’ll work together to understand what’s been weighing on you, notice patterns that keep showing up, a
Hi, I’m Samantha! Im glad you're here! Starting therapy can feel like a big step, and it’s normal if it feels uncomfortable or uncertain at first. You don’t need to have the right words or a clear plan before you start—just showing up is enough. My goal is to create a space that feels safe, relaxed, and real, where you can be yourself without pressure or judgment. I want therapy to feel like something supportive you can lean into, not something you have to “get right.” I take a collaborative, down-to-earth approach. That means we’ll work together to understand what’s been weighing on you, notice patterns that keep showing up, a
(541) 305-8696 View (541) 305-8696
Photo of Andrea Walker, Clinical Social Work/Therapist, MSW, LCSW, LICSW, RPT-S™
Andrea Walker
Clinical Social Work/Therapist, MSW, LCSW, LICSW, RPT-S™
Online Only
Waitlist for new clients
Everyone is different and I have found over the years that people find many ways to cope. I work to help you cultivate those skills that are working and provide additional skills to help with healthy coping while providing opportunities to work through current and past life stressors in a non-biased or judgmental way. Focusing on these strategies consistently helps people start feeling better and less stressed. My goal is for you to find how therapy can help you feel better, with the added support and sense of not needing to do your journey all on your own.
Everyone is different and I have found over the years that people find many ways to cope. I work to help you cultivate those skills that are working and provide additional skills to help with healthy coping while providing opportunities to work through current and past life stressors in a non-biased or judgmental way. Focusing on these strategies consistently helps people start feeling better and less stressed. My goal is for you to find how therapy can help you feel better, with the added support and sense of not needing to do your journey all on your own.
(406) 720-8490 View (406) 720-8490
Photo of Amie Peterson - Thin Line Therapy 206, PLLC - Amie M. Peterson, Counselor, MHA, MS, LPCC-MN, LPCC-ND, LMHC-WA
Thin Line Therapy 206, PLLC - Amie M. Peterson
Counselor, MHA, MS, LPCC-MN, LPCC-ND, LMHC-WA
4 Endorsed
Serves Area
You were trained to push through. To stay calm, stay focused, and handle whatever came next. But maybe now you can't shut your brain off. You're burned out, exhausted, always on edge, or the calls still follow you home. Sleep isn't what it used to be, relationships feel harder, and you don't feel like yourself anymore. I work with first responders and other high-stress professionals using EMDR therapy and EMDR Intensives to help people move beyond survival mode, process critical incidents and cumulative trauma, and get their life back.
You were trained to push through. To stay calm, stay focused, and handle whatever came next. But maybe now you can't shut your brain off. You're burned out, exhausted, always on edge, or the calls still follow you home. Sleep isn't what it used to be, relationships feel harder, and you don't feel like yourself anymore. I work with first responders and other high-stress professionals using EMDR therapy and EMDR Intensives to help people move beyond survival mode, process critical incidents and cumulative trauma, and get their life back.
(509) 404-0580 View (509) 404-0580
Photo of Jacqueline Jensen, Counselor, LPC
Jacqueline Jensen
Counselor, LPC
2 Endorsed
Online Only
The most important relationship you will ever have is the one with yourself. Once you are strong and stable in that relationship, then you can be strong and stable in other relationships.
The most important relationship you will ever have is the one with yourself. Once you are strong and stable in that relationship, then you can be strong and stable in other relationships.
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Photo of Corrina Falkenstein - Neuvoa Counseling & Associates, PhD, LMFT, LPC, LCSW
Neuvoa Counseling & Associates
Verified Verified
1 Endorsed
Serves Area
5/2026: Current Openings for: Kids, Teens. Adults & Couples! Waitlist for Adult ADHD Evals. We are an inclusive, trauma-informed team of therapists who are dedicated to providing you with exceptional clinical care in a warm and welcoming space. We believe growth is possible at all ages and stages of life and feel honored to be part of your healing journey. Specialties Include: EMDR. Complex Trauma & PTSD. Couples Counseling. Depression and Anxiety. Men's Health. Grief, Loss and Life Transitions. Chronic Pain/Medical Conditions. Child/Play Therapy. Gender Affirming Care. Teen and Pre-Teen Mental Health. Adult ADHD Evaluations.
5/2026: Current Openings for: Kids, Teens. Adults & Couples! Waitlist for Adult ADHD Evals. We are an inclusive, trauma-informed team of therapists who are dedicated to providing you with exceptional clinical care in a warm and welcoming space. We believe growth is possible at all ages and stages of life and feel honored to be part of your healing journey. Specialties Include: EMDR. Complex Trauma & PTSD. Couples Counseling. Depression and Anxiety. Men's Health. Grief, Loss and Life Transitions. Chronic Pain/Medical Conditions. Child/Play Therapy. Gender Affirming Care. Teen and Pre-Teen Mental Health. Adult ADHD Evaluations.
(541) 655-3285 View (541) 655-3285
Photo of Kasandra Kennedy, Clinical Social Work/Therapist, LCSW
Kasandra Kennedy
Clinical Social Work/Therapist, LCSW
1 Endorsed
Serves Area
Waitlist for new clients
I believe in a holistic approach that includes the mental, physical, and emotional wellbeing of a person. In providing a client centered approach, this allows the individual the safety and confidence to build a trusting and collaborative therapeutic relationship with me. I believe this helps the individual to engage freely in treatment while setting their own goals and allowing additional growth to take place.
I believe in a holistic approach that includes the mental, physical, and emotional wellbeing of a person. In providing a client centered approach, this allows the individual the safety and confidence to build a trusting and collaborative therapeutic relationship with me. I believe this helps the individual to engage freely in treatment while setting their own goals and allowing additional growth to take place.
(541) 802-4161 View (541) 802-4161
Photo of Analizeth Pesqueira - Analizeth "Anali" Pesqueira (EN / ES), Pre-Licensed Professional, MSW, LSWAIC
Analizeth "Anali" Pesqueira (EN / ES)
Pre-Licensed Professional, MSW, LSWAIC
Serves Area
When your child is struggling, it can feel like your whole family is hurting. Anali works with children, teens, young adults, and parents facing anxiety, trauma, behavioral challenges, emotional outbursts, school stress, family conflict, grief, and life's difficult transitions. She provides EMDR therapy, trauma-informed counseling, and parenting support to help families build resilience and reconnect. Bilingual counseling is available in English and Español (terapia en Español), creating a welcoming space for Spanish-speaking individuals and families seeking culturally responsive care.
When your child is struggling, it can feel like your whole family is hurting. Anali works with children, teens, young adults, and parents facing anxiety, trauma, behavioral challenges, emotional outbursts, school stress, family conflict, grief, and life's difficult transitions. She provides EMDR therapy, trauma-informed counseling, and parenting support to help families build resilience and reconnect. Bilingual counseling is available in English and Español (terapia en Español), creating a welcoming space for Spanish-speaking individuals and families seeking culturally responsive care.
(509) 352-7455 View (509) 352-7455
Photo of Mita Alqahtani - Best 2 Your Life Hypnosis and Coaching, CHT, MNLP, CPT, Coach
Best 2 Your Life Hypnosis and Coaching
Verified Verified
Online Only
Welcome! Life Enhancement is my specialty. I am a Certified Hypnotherapist and Master Practitioner of Neuro-Linguistic programming with more than 20 years of training in the Holistic Health and Wellness field. Neuro-linguistic programming (NLP) is an approach to communication, personal development, and psychotherapy. We will work together to support you to achieve your goals with a customized program designed specifically to improve the quality of your life. Your success is my priority.
Welcome! Life Enhancement is my specialty. I am a Certified Hypnotherapist and Master Practitioner of Neuro-Linguistic programming with more than 20 years of training in the Holistic Health and Wellness field. Neuro-linguistic programming (NLP) is an approach to communication, personal development, and psychotherapy. We will work together to support you to achieve your goals with a customized program designed specifically to improve the quality of your life. Your success is my priority.
(808) 320-1276 View (808) 320-1276
Photo of Brooke Miller - Neupathway (Brooke Miller), Clinical Social Work/Therapist, LCSW, CPC
Neupathway (Brooke Miller)
Clinical Social Work/Therapist, LCSW, CPC
Serves Area
Are you feeling overwhelmed or stuck? As a stress and anxiety expert, I teach my clients coping and communication skills to increase mental and physical well being, improve relationship satisfaction and create better work/life balance. My mission is my passion: to support clients in their journey to wholeness and authenticity so that they can experience more confidence and joy across every area of life. My style is empathic, empowering and direct, with a good dose of humor :). I am also a Certified Professional Coach, which means I will give you a nudge and hold you accountable when you need it!
Are you feeling overwhelmed or stuck? As a stress and anxiety expert, I teach my clients coping and communication skills to increase mental and physical well being, improve relationship satisfaction and create better work/life balance. My mission is my passion: to support clients in their journey to wholeness and authenticity so that they can experience more confidence and joy across every area of life. My style is empathic, empowering and direct, with a good dose of humor :). I am also a Certified Professional Coach, which means I will give you a nudge and hold you accountable when you need it!
(541) 795-8864 View (541) 795-8864
Photo of Wilson Vediner, Professional Counselor Associate
Wilson Vediner
Professional Counselor Associate
3 Endorsed
Online Only
Waitlist for new clients
welcome! i want to hear your story, the way you tell it. how have you navigated distress, depression, transition, and hardship in your life? how are you handling it now? i want to work with you in your currently experienced grief, despair, insecurity, hopelessness, distress, loneliness, anger, apathy, void, confusion, anxiety, etc. i am ready to listen, set to receive, and am available to go with you during the hard parts of your reflective journey.
welcome! i want to hear your story, the way you tell it. how have you navigated distress, depression, transition, and hardship in your life? how are you handling it now? i want to work with you in your currently experienced grief, despair, insecurity, hopelessness, distress, loneliness, anger, apathy, void, confusion, anxiety, etc. i am ready to listen, set to receive, and am available to go with you during the hard parts of your reflective journey.
(971) 399-7195 View (971) 399-7195

See more therapy options for Pendleton

How does your Therapist compare?

Number of Therapists in Pendleton, OR

30+

Average cost per session

$150

Therapists in Pendleton, OR who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
90% Depression
77% Relationship Issues
73% Trauma and PTSD

Average years in practice

12 Years

Top 3 insurances accepted

81% BlueCross and BlueShield
77% Aetna
77% Moda Health

How Therapists in Pendleton, OR see their clients

57% In Person and Online
43% Online Only

Gender breakdown

72% Female
28% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Pendleton?

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.