Therapists in Portland, OR

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Photo of Laurel Johnson, MSW
Laurel Johnson
MSW
Verified Verified
Portland, OR 97214
When it is a hard time to be a human, it is exponentially more difficult to be a caregiver. The good news is that you don’t have to do it alone. Reaching out for support can bring more ease and joy to your relationship with your child (or children). You might be interested in making sense of challenging or confusing behaviors; discipline & confident limit setting; understanding & responding to your child’s crying or tantrums; supporting play, independence & learning; clarifying your values & developing a caregiving approach; setting up a supportive environment; working with your own triggers, and/or carving out time for self care.
When it is a hard time to be a human, it is exponentially more difficult to be a caregiver. The good news is that you don’t have to do it alone. Reaching out for support can bring more ease and joy to your relationship with your child (or children). You might be interested in making sense of challenging or confusing behaviors; discipline & confident limit setting; understanding & responding to your child’s crying or tantrums; supporting play, independence & learning; clarifying your values & developing a caregiving approach; setting up a supportive environment; working with your own triggers, and/or carving out time for self care.
(971) 571-5657 View (971) 571-5657
Photo of Samantha Hynes, LMFT, MEd, EdS, Marriage & Family Therapist
Samantha Hynes
Marriage & Family Therapist, LMFT, MEd, EdS
Verified Verified
Portland, OR 97206  (Online Only)
I am a telehealth therapist located in Portland, Oregon but also serving individuals in Florida, Utah and Colorado with primary treatment focuses on disordered eating and body image, obsessive-compulsive and related disorders, and anxiety disorders. In my work with individuals struggling with disordered eating and eating disorders, I take a Health at Every Size approach, and work with individuals to develop skills of intuitive eating, mindfulness, building self-acceptance, and learning who you are outside of your body image struggles.
I am a telehealth therapist located in Portland, Oregon but also serving individuals in Florida, Utah and Colorado with primary treatment focuses on disordered eating and body image, obsessive-compulsive and related disorders, and anxiety disorders. In my work with individuals struggling with disordered eating and eating disorders, I take a Health at Every Size approach, and work with individuals to develop skills of intuitive eating, mindfulness, building self-acceptance, and learning who you are outside of your body image struggles.
(503) 386-0626 View (503) 386-0626
Photo of Amy Barrett Lindholm, MS, LPC, Licensed Professional Counselor
Amy Barrett Lindholm
Licensed Professional Counselor, MS, LPC
Verified Verified
Portland, OR 97239
Waitlist for new clients
My passion is helping people heal and grow through difficult experiences, such as loss, trauma and life stressors. Through over 20 years of working with grief and trauma, I have come to believe in the healing power of sharing our stories. In addition, I believe good counseling helps us move us out of "stuck" patterns of unhelpful coping and into a state of thriving in our relationships, work and life pursuits. I specialize in treating grief and life transitions, but also work extensively with relationship challenges, illness, depression, anxiety, stress and issues related to wellness.
My passion is helping people heal and grow through difficult experiences, such as loss, trauma and life stressors. Through over 20 years of working with grief and trauma, I have come to believe in the healing power of sharing our stories. In addition, I believe good counseling helps us move us out of "stuck" patterns of unhelpful coping and into a state of thriving in our relationships, work and life pursuits. I specialize in treating grief and life transitions, but also work extensively with relationship challenges, illness, depression, anxiety, stress and issues related to wellness.
(503) 563-7499 View (503) 563-7499
Photo of undefined - Sisu Healing Partners, MSW, CADCIII, QMHP, CIP, LICSWA, Clinical Social Work/Therapist
Sisu Healing Partners
Clinical Social Work/Therapist, MSW, CADCIII, QMHP, CIP, LICSWA
Verified Verified
2 Endorsed
Portland, OR 97209
Sisu Healing Partners provides therapy, sober companions, family coaching, interventions and sober transports. We are a team of highly trained individuals who strive to help guide your loved one on their journey to recovery. We work along side clients to help them create an environment that is safe for recovery. We believe that through healing the family system we can better support the individual on their road to recovery. Our goal is to create a creative and outside the box approach to recovery from use, eating disorders and other mental health disorders.
Sisu Healing Partners provides therapy, sober companions, family coaching, interventions and sober transports. We are a team of highly trained individuals who strive to help guide your loved one on their journey to recovery. We work along side clients to help them create an environment that is safe for recovery. We believe that through healing the family system we can better support the individual on their road to recovery. Our goal is to create a creative and outside the box approach to recovery from use, eating disorders and other mental health disorders.
(503) 836-8858 View (503) 836-8858
Photo of Deborah Lyda High, MA, LMFT, Marriage & Family Therapist
Deborah Lyda High
Marriage & Family Therapist, MA, LMFT
Verified Verified
Portland, OR 97217  (Online Only)
The act of doing therapy is a bit like tending to a garden; it takes diligence and care to achieve growth! It sounds challenging I know, but the outcomes and successes of working on yourself and your relationships far outweigh the negatives. We all have gardens that need occasional weeding and replanting, and when we are not taking care of ourselves, we can experience feelings of depression, anxiety, restlessness and frustration. In choosing to work with me, I will guide and encourage you by providing the necessary tools and resources that allow you to create a healthy and bountiful garden of your own.
The act of doing therapy is a bit like tending to a garden; it takes diligence and care to achieve growth! It sounds challenging I know, but the outcomes and successes of working on yourself and your relationships far outweigh the negatives. We all have gardens that need occasional weeding and replanting, and when we are not taking care of ourselves, we can experience feelings of depression, anxiety, restlessness and frustration. In choosing to work with me, I will guide and encourage you by providing the necessary tools and resources that allow you to create a healthy and bountiful garden of your own.
(503) 564-1904 View (503) 564-1904
Photo of Juliann Dorsey, PsyD, Psychologist
Juliann Dorsey
Psychologist, PsyD
Verified Verified
Portland, OR 97225  (Online Only)
Dr. Juliann Dorsey is a licensed psychologist with over 16 years of experience. Juliann’s professional career has ranged across a variety of settings including; outpatient therapy, residential treatment facilities, community mental health organizations, also school and home-based programs. Juliann’s passion for client care is evident in each session and is based on the needs each individual client. Her primary approaches include cognitive-behavioral therapy, family systems, solution focused and strength-based perspectives. She specializes in child, adolescent, couples and family therapy.
Dr. Juliann Dorsey is a licensed psychologist with over 16 years of experience. Juliann’s professional career has ranged across a variety of settings including; outpatient therapy, residential treatment facilities, community mental health organizations, also school and home-based programs. Juliann’s passion for client care is evident in each session and is based on the needs each individual client. Her primary approaches include cognitive-behavioral therapy, family systems, solution focused and strength-based perspectives. She specializes in child, adolescent, couples and family therapy.
(503) 739-9844 View (503) 739-9844
Photo of Katy Buddeke, MA, NCC, Marriage & Family Therapist Associate
Katy Buddeke
Marriage & Family Therapist Associate, MA, NCC
Verified Verified
1 Endorsed
Portland, OR 97213
The world we live in does not set us up to intuitively connect with ourselves. The demands of productivity can erode our most important relationship: the one we cultivate with ourselves. Maybe you've arrived face-to-face with a new or unfamiliar part of yourself. Perhaps you’re feeling stuck, lonely, anxious, depressed, unworthy, or not (fill in the blank) enough. You might be someone seeking support in navigating relational difficulties, past or present. Wherever you’ve found yourself, it can help having someone beside you as you begin to make sense of the push and pull of life's tides.
The world we live in does not set us up to intuitively connect with ourselves. The demands of productivity can erode our most important relationship: the one we cultivate with ourselves. Maybe you've arrived face-to-face with a new or unfamiliar part of yourself. Perhaps you’re feeling stuck, lonely, anxious, depressed, unworthy, or not (fill in the blank) enough. You might be someone seeking support in navigating relational difficulties, past or present. Wherever you’ve found yourself, it can help having someone beside you as you begin to make sense of the push and pull of life's tides.
(503) 678-9207 View (503) 678-9207
Photo of Meg Fromuth, LMFT, Marriage & Family Therapist
Meg Fromuth
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Portland, OR 97216  (Online Only)
I strive to provide comprehensive therapeutic services by identifying goals and needs, encouraging communication and reflection, and establishing trusting relationships with each client. Whether offering support, comfort, or guidance, I aim to play various roles tailored to my clients' needs. It's my privilege to accompany individuals and relationships on th
I strive to provide comprehensive therapeutic services by identifying goals and needs, encouraging communication and reflection, and establishing trusting relationships with each client. Whether offering support, comfort, or guidance, I aim to play various roles tailored to my clients' needs. It's my privilege to accompany individuals and relationships on th
(971) 365-3748 View (971) 365-3748
Photo of John 'davy' Norris, LCSW, Clinical Social Work/Therapist
John 'davy' Norris
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portland, OR 97203  (Online Only)
Later life can be a particularly difficult time with multiple major life changes and transitions, losses, declining health and ability, and other issues. Likewise, those who provide care to aging loved ones or clients may face their own difficulty adjusting to life transitions, caregiver fatigue and burnout, or loss of identity and social connections. You may feel emotionally distant, numb, sad, stressed, anxious, depressed, etc. Regardless of you're specific situation and goals, you're taking a positive step by reaching out for help. I'm happy that you're here!
Later life can be a particularly difficult time with multiple major life changes and transitions, losses, declining health and ability, and other issues. Likewise, those who provide care to aging loved ones or clients may face their own difficulty adjusting to life transitions, caregiver fatigue and burnout, or loss of identity and social connections. You may feel emotionally distant, numb, sad, stressed, anxious, depressed, etc. Regardless of you're specific situation and goals, you're taking a positive step by reaching out for help. I'm happy that you're here!
(503) 966-0673 View (503) 966-0673
Photo of Keith Dempsey, PhD, LPC, Licensed Professional Counselor
Keith Dempsey
Licensed Professional Counselor, PhD, LPC
Verified Verified
1 Endorsed
Portland, OR 97232
*Sorry, not accepting new clients* The choice to engage in counseling can be difficult yet beneficial. If you choose to engage in this process you will be treated with the respect, care and dignity you deserve. I provide individual, couple and family counseling central to Black people and Black communities. Exploring racial trauma can be a huge part of this work. Counseling allows a safe platform to explore issues that need to be addressed in a healthy and positive manner.
*Sorry, not accepting new clients* The choice to engage in counseling can be difficult yet beneficial. If you choose to engage in this process you will be treated with the respect, care and dignity you deserve. I provide individual, couple and family counseling central to Black people and Black communities. Exploring racial trauma can be a huge part of this work. Counseling allows a safe platform to explore issues that need to be addressed in a healthy and positive manner.
(503) 897-1031 View (503) 897-1031
Photo of Lauren Loos, MA, LPC, Licensed Professional Counselor
Lauren Loos
Licensed Professional Counselor, MA, LPC
Verified Verified
2 Endorsed
Portland, OR 97205  (Online Only)
At the heart of every client lies truth and infinite potential. That is why I love my job. Spirited Quest Counseling was born out of the conviction that when an individual sets an intention to heal, they and those around them are transformed. I provide individual and couples counseling that promotes healing, well-being, self-awareness and empowerment along with the endurance, courage and skills to move from a life of survival to one of thriving. I specialize in treating clients impacted by the effects of trauma, spiritual struggle, depression and anxiety.
At the heart of every client lies truth and infinite potential. That is why I love my job. Spirited Quest Counseling was born out of the conviction that when an individual sets an intention to heal, they and those around them are transformed. I provide individual and couples counseling that promotes healing, well-being, self-awareness and empowerment along with the endurance, courage and skills to move from a life of survival to one of thriving. I specialize in treating clients impacted by the effects of trauma, spiritual struggle, depression and anxiety.
(503) 664-4271 View (503) 664-4271
Photo of Megan Mancini, MS, NCC
Megan Mancini
Professional Counselor Associate, MS, NCC
Verified Verified
5 Endorsed
Portland, OR 97211
Waitlist for new clients
My approach to therapy facilitates personal growth and healing, and begins by meeting you where you are. My intention is to help you expand your own felt-sense of well-being, safety and personal agency through welcoming, working with, and integrating all of the different aspects of who you are. My clients tell me that I feel safe, warm and direct. I will offer you a space to be witnessed and integrate tools that sharpen your awareness of yourself and how you relate to others. I am a Level 2 IFS trained clinician.
My approach to therapy facilitates personal growth and healing, and begins by meeting you where you are. My intention is to help you expand your own felt-sense of well-being, safety and personal agency through welcoming, working with, and integrating all of the different aspects of who you are. My clients tell me that I feel safe, warm and direct. I will offer you a space to be witnessed and integrate tools that sharpen your awareness of yourself and how you relate to others. I am a Level 2 IFS trained clinician.
(971) 606-3437 View (971) 606-3437
Photo of Patrick Bluett, LPC, CST, Licensed Professional Counselor
Patrick Bluett
Licensed Professional Counselor, LPC, CST
Verified Verified
Portland, OR 97202
Specializing in relationship and sexual issues, I offer person-centered behavioral therapy to individuals and couples. My mission is to treat anxiety and other factors impacting my clients' ability to connect securely and deeply with others. My approach to therapy is relational, inclusive and trauma-informed. I serve as an ally to my clients and provide them with a space to explore their deepest truths without fear of judgment. I work with my clients to cultivate deep insights, self-compassion and to accept and embrace their humanity. Our therapeutic journey will be one of courage, constructive discomfort, and ultimately, clarity.
Specializing in relationship and sexual issues, I offer person-centered behavioral therapy to individuals and couples. My mission is to treat anxiety and other factors impacting my clients' ability to connect securely and deeply with others. My approach to therapy is relational, inclusive and trauma-informed. I serve as an ally to my clients and provide them with a space to explore their deepest truths without fear of judgment. I work with my clients to cultivate deep insights, self-compassion and to accept and embrace their humanity. Our therapeutic journey will be one of courage, constructive discomfort, and ultimately, clarity.
(503) 647-6995 View (503) 647-6995
Photo of Louis Radie, MA
Louis Radie
Professional Counselor Associate, MA
Verified Verified
Portland, OR 97215
Do you have difficulty managing and coping with anxiety, which prevents you from achieving your goals and pursuing a meaningful, values-based life? Are you struggling with depression and hopelessness, and seeking more direction and purpose? Do you experience stress related to self-identity or a significant life transition? I help people to better understand themselves and what is most important to them so that they can overcome adversity and pursue meaningful change.
Do you have difficulty managing and coping with anxiety, which prevents you from achieving your goals and pursuing a meaningful, values-based life? Are you struggling with depression and hopelessness, and seeking more direction and purpose? Do you experience stress related to self-identity or a significant life transition? I help people to better understand themselves and what is most important to them so that they can overcome adversity and pursue meaningful change.
(503) 461-1699 View (503) 461-1699
Photo of Corrine Nightingale, MS, CRC, NCC
Corrine Nightingale
Professional Counselor Associate , MS, CRC, NCC
Verified Verified
1 Endorsed
Portland, OR 97217  (Online Only)
We all look for empathy, understanding, and connection in our lives and relationships. When moving through the world with a non-dominant identity, it can be difficult to find acceptance, confidence and a sense of belonging. As a biracial Chamoru woman, I have been navigating these struggles throughout my life. I hope to work with others who are looking to cultivate relationships with their core identities, while navigating the challenges related to systems of oppression. My clients often identify as people of color, LGBTQ+, disabled, and/or chronically ill, as well as part of nerd, geek or techie communities.
We all look for empathy, understanding, and connection in our lives and relationships. When moving through the world with a non-dominant identity, it can be difficult to find acceptance, confidence and a sense of belonging. As a biracial Chamoru woman, I have been navigating these struggles throughout my life. I hope to work with others who are looking to cultivate relationships with their core identities, while navigating the challenges related to systems of oppression. My clients often identify as people of color, LGBTQ+, disabled, and/or chronically ill, as well as part of nerd, geek or techie communities.
(971) 251-2387 View (971) 251-2387
Photo of undefined - Carolyn Knutson Mind-Body Therapist, LPC, LMT, Licensed Professional Counselor
Carolyn Knutson Mind-Body Therapist
Licensed Professional Counselor, LPC, LMT
Verified Verified
Portland, OR 97215
Welcome to a holistic approach to mental health. I offer individual counseling and embodiment sessions to address developmental trauma, PTSD, stress, anxiety, depression, addictions, chronic pain/auto-immune disorders, and spiritual/energetic issues. ​
Welcome to a holistic approach to mental health. I offer individual counseling and embodiment sessions to address developmental trauma, PTSD, stress, anxiety, depression, addictions, chronic pain/auto-immune disorders, and spiritual/energetic issues. ​
(971) 803-5976 View (971) 803-5976
Photo of Kate A Donchi, MS, LMFT, Marriage & Family Therapist
Kate A Donchi
Marriage & Family Therapist, MS, LMFT
Verified Verified
Portland, OR 97205
Not accepting new clients
I offer psychotherapy for individuals. I am a licensed marriage and family therapist practicing in Northwest Portland, Oregon. I have over twenty years of experience providing psychodynamic psychotherapy to children, adults and families. Often people first come to therapy because of a life crisis or with relationship struggles or conflicts. Changes will come through our developing a relationship in which patterns and experiences can be examined and worked through. These changes can lead to a more satisfying, fulfilling and joyful life.
I offer psychotherapy for individuals. I am a licensed marriage and family therapist practicing in Northwest Portland, Oregon. I have over twenty years of experience providing psychodynamic psychotherapy to children, adults and families. Often people first come to therapy because of a life crisis or with relationship struggles or conflicts. Changes will come through our developing a relationship in which patterns and experiences can be examined and worked through. These changes can lead to a more satisfying, fulfilling and joyful life.
(503) 410-7799 View (503) 410-7799
Photo of Teeshawna Tee Amor-Mashino, MA, QMHP
Teeshawna Tee Amor-Mashino
Professional Counselor Associate, MA, QMHP
Verified Verified
1 Endorsed
Portland, OR 97221
I am currently accepting clients. I am passionate about and have experience working with individuals in marginalized populations, individuals wanting to manage their anxiety, depression, trauma, and helping individuals through DV/IPV.
I am currently accepting clients. I am passionate about and have experience working with individuals in marginalized populations, individuals wanting to manage their anxiety, depression, trauma, and helping individuals through DV/IPV.
(503) 400-3877 View (503) 400-3877
Photo of Jacey Bishop, LCSW, LSCSW, Clinical Social Work/Therapist
Jacey Bishop
Clinical Social Work/Therapist, LCSW, LSCSW
Verified Verified
Portland, OR 97216  (Online Only)
Waitlist for new clients
I have worked with survivors of trauma for ten years. As a child survivor of narcissistic and abusive parents myself, I have fallen in love with the work of assisting survivors on their own path to safety, healing, and even joy! I specialize in survivors of narcissistic abuse, especially within adult children of narcissistic parents and intimate partners of narcissists. Having a Narcissist parent/partner is something you can only truly understand if you have experienced it personally, and it is my mission in life to use my own experiences and knowledge to help YOU understand and heal from the impacts of this kind of abuse.
I have worked with survivors of trauma for ten years. As a child survivor of narcissistic and abusive parents myself, I have fallen in love with the work of assisting survivors on their own path to safety, healing, and even joy! I specialize in survivors of narcissistic abuse, especially within adult children of narcissistic parents and intimate partners of narcissists. Having a Narcissist parent/partner is something you can only truly understand if you have experienced it personally, and it is my mission in life to use my own experiences and knowledge to help YOU understand and heal from the impacts of this kind of abuse.
View
Photo of Leigh Varley
Leigh Varley
Professional Counselor Associate
Verified Verified
Portland, OR 97211  (Online Only)
Waitlist for new clients
As we move through life, we all develop our own unique collection of wounds based on our experiences on the individual, relational, systemic, cultural, and historical levels. These wounds can shake our sense of safety and fuel disconnection from ourselves, others, and the world around us. They can dampen our capacity for presence and joy, and erode our sense of meaning and hope. Even in the face of great suffering, I believe that every person possesses the inner wisdom, strength, and resilience to heal, grow, and find fulfillment in their lives and their relationships.
As we move through life, we all develop our own unique collection of wounds based on our experiences on the individual, relational, systemic, cultural, and historical levels. These wounds can shake our sense of safety and fuel disconnection from ourselves, others, and the world around us. They can dampen our capacity for presence and joy, and erode our sense of meaning and hope. Even in the face of great suffering, I believe that every person possesses the inner wisdom, strength, and resilience to heal, grow, and find fulfillment in their lives and their relationships.
(971) 257-1319 View (971) 257-1319

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
71% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

53% PacificSource
47% Aetna
37% 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.