Therapists in North Portland, Portland, OR

Photo of D J Griffith, Licensed Professional Clinical Counselor, PhD, LPCC
D J Griffith
Licensed Professional Clinical Counselor, PhD, LPCC
North Portland, Portland, OR 97217
Clinical supervision and professional consultation for California clinicians My ideal client is a clinician who wants to strengthen clinical judgment in complex, long term work. They may feel skilled in specific approaches yet uncertain about how to remain steady across difference, ambiguity, and ethical responsibility over time. They want support developing confidence that does not depend on certainty, sameness, or narrowly defined client categories. Their goal is to practice with integrity, flexibility, and discernment across a wide range of clinical relationships while maintaining clear boundaries and professional responsibility.
Clinical supervision and professional consultation for California clinicians My ideal client is a clinician who wants to strengthen clinical judgment in complex, long term work. They may feel skilled in specific approaches yet uncertain about how to remain steady across difference, ambiguity, and ethical responsibility over time. They want support developing confidence that does not depend on certainty, sameness, or narrowly defined client categories. Their goal is to practice with integrity, flexibility, and discernment across a wide range of clinical relationships while maintaining clear boundaries and professional responsibility.
(503) 427-1793 View (503) 427-1793
Photo of Yi-Hsin Cindy Hung - Portland Relational Life Therapy (RLT), Marriage & Family Therapist, PhD, LMFT
Portland Relational Life Therapy (RLT)
Marriage & Family Therapist, PhD, LMFT
North Portland, Portland, OR 97271
You love each other, but something feels off. Conversations turn into arguments, or maybe there’s just silence where connection used to be. You feel like you’re on opposite sides instead of working as a team. You want balance, a relationship where both of you feel heard, valued, and supported. Maybe you're struggling with unspoken resentments, miscommunication, or old wounds that keep showing up. You don’t just want surface-level fixes; you want real change. That’s where I come in. I’m Yi-Hsin (Cindy), a couples therapist serving clients in Oregon and Washington.
You love each other, but something feels off. Conversations turn into arguments, or maybe there’s just silence where connection used to be. You feel like you’re on opposite sides instead of working as a team. You want balance, a relationship where both of you feel heard, valued, and supported. Maybe you're struggling with unspoken resentments, miscommunication, or old wounds that keep showing up. You don’t just want surface-level fixes; you want real change. That’s where I come in. I’m Yi-Hsin (Cindy), a couples therapist serving clients in Oregon and Washington.
(503) 461-2918 View (503) 461-2918
Photo of Molly Sterling - Molly Sterling Counseling, Licensed Professional Counselor, LPC
Molly Sterling Counseling
Licensed Professional Counselor, LPC
1 Endorsed
North Portland, Portland, OR 97203
My name is Molly Sterling (she/her) and I am a Licensed Professional Counselor (LPC) here in beautiful Portland, OR. I see adults 18+ with a wide variety of presenting goals and issues, including PTSD/trauma, anxiety/panic, depression, grief and/or difficulties navigating a major life transition. I specialize in working with trauma, including complex/developmental trauma and how early attachment patterns continue to show up in our relationships as adults. I particularly enjoy working with helping professionals, perfectionists, and individuals who have a hard time “getting out of their heads”.
My name is Molly Sterling (she/her) and I am a Licensed Professional Counselor (LPC) here in beautiful Portland, OR. I see adults 18+ with a wide variety of presenting goals and issues, including PTSD/trauma, anxiety/panic, depression, grief and/or difficulties navigating a major life transition. I specialize in working with trauma, including complex/developmental trauma and how early attachment patterns continue to show up in our relationships as adults. I particularly enjoy working with helping professionals, perfectionists, and individuals who have a hard time “getting out of their heads”.
(971) 385-5789 View (971) 385-5789
Photo of Lauren Streeter, Licensed Professional Counselor, MS, LPC, NCC
Lauren Streeter
Licensed Professional Counselor, MS, LPC, NCC
1 Endorsed
North Portland, Portland, OR 97217
I love working with LGBTQ+ adults and adolescents, people in the service industry, couples and other relationship constellations, counseling students, and anyone navigating life transitions, family-of-origin conflict, trauma healing, depression, anxiety, or interpersonal challenges. I have extensive experience supporting people in crisis and feel comfortable staying present without rushing to fix or minimize the intensity that instability can bring. My goal is to help clients build their capacity to tolerate and understand crises, rather than to prevent or solve them outright.
I love working with LGBTQ+ adults and adolescents, people in the service industry, couples and other relationship constellations, counseling students, and anyone navigating life transitions, family-of-origin conflict, trauma healing, depression, anxiety, or interpersonal challenges. I have extensive experience supporting people in crisis and feel comfortable staying present without rushing to fix or minimize the intensity that instability can bring. My goal is to help clients build their capacity to tolerate and understand crises, rather than to prevent or solve them outright.
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Photo of E. K. Frey, Licensed Professional Counselor, LPC
E. K. Frey
Licensed Professional Counselor, LPC
North Portland, Portland, OR 97217
I believe that the ability to grow is one that all humans naturally possess but that we need help to bravely enact the changes we desire. Our experience of life is shaped by the way we process the world. Sometimes we were heard and sometimes we felt invisible. Sometimes we knew what to do; often we did not or we felt alone. Counseling can help to restructure thinking patterns and shift responses as clients find awareness and compassion for themselves and others.
I believe that the ability to grow is one that all humans naturally possess but that we need help to bravely enact the changes we desire. Our experience of life is shaped by the way we process the world. Sometimes we were heard and sometimes we felt invisible. Sometimes we knew what to do; often we did not or we felt alone. Counseling can help to restructure thinking patterns and shift responses as clients find awareness and compassion for themselves and others.
(971) 414-4193 View (971) 414-4193
Photo of Vera Alcorn - Amenda Clinic, ND, MA
Amenda Clinic
Verified Verified
North Portland, Portland, OR 97217
We are an integrative mental health clinic that offers a broad range of therapies with both Counselors and Naturopaths. This holistic approach allows patients to experience healing at a biological and emotional level with a team of collaborative caregivers that surpasses the use of just a therapist or just medication or just any one thing. You can have your whole story heard, the big picture of your mental and physical health supported all in one, for healing unlike you've experienced yet.
We are an integrative mental health clinic that offers a broad range of therapies with both Counselors and Naturopaths. This holistic approach allows patients to experience healing at a biological and emotional level with a team of collaborative caregivers that surpasses the use of just a therapist or just medication or just any one thing. You can have your whole story heard, the big picture of your mental and physical health supported all in one, for healing unlike you've experienced yet.
(503) 470-7776 View (503) 470-7776
Photo of Melody Chow, Clinical Social Work/Therapist, LCSW, LICSW
Melody Chow
Clinical Social Work/Therapist, LCSW, LICSW
3 Endorsed
North Portland, Portland, OR 97203
Growing up today is tough! In addition to balancing homework, extracurriculars, friends, and family, kids also have to deal with increasing mental health stress. Our society feels less and less like a village, leading to more strain on caregivers as they try to parent in today’s climate. As your therapist, I staunchly advocate for children and families using a multi-systems approach by coordinating care with school counselors, doctors, etc to support clients holistically. Our sessions are a safe space for clients to vent, process, and work through life's obstacles.
Growing up today is tough! In addition to balancing homework, extracurriculars, friends, and family, kids also have to deal with increasing mental health stress. Our society feels less and less like a village, leading to more strain on caregivers as they try to parent in today’s climate. As your therapist, I staunchly advocate for children and families using a multi-systems approach by coordinating care with school counselors, doctors, etc to support clients holistically. Our sessions are a safe space for clients to vent, process, and work through life's obstacles.
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Photo of Will Holloway, Licensed Professional Counselor, MA, LPC, LCAT
Will Holloway
Licensed Professional Counselor, MA, LPC, LCAT
3 Endorsed
North Portland, Portland, OR 97217
What we are looking for in life is often right in front of us yet, we often lack the ability to see it. In contemporary society, many of us are head strong putting the mind and thoughts above the body and feelings. In this manner, we may lose ourselves in a world of mental illusion. When we are able to access our inner nature, comprised in part of our instincts, aptitudes, and intuition, we are more equipped to be self-guided in life and able to achieve balance and wholeness for ourselves.
What we are looking for in life is often right in front of us yet, we often lack the ability to see it. In contemporary society, many of us are head strong putting the mind and thoughts above the body and feelings. In this manner, we may lose ourselves in a world of mental illusion. When we are able to access our inner nature, comprised in part of our instincts, aptitudes, and intuition, we are more equipped to be self-guided in life and able to achieve balance and wholeness for ourselves.
(503) 546-0076 View (503) 546-0076
Photo of Rachel Starck, Licensed Professional Counselor, LPC
Rachel Starck
Licensed Professional Counselor, LPC
9 Endorsed
North Portland, Portland, OR 97203
Are you feeling stressed, depleted, or exhausted? Frustrated or dissatisfied with your relationships? Overwhelmed by your life? I utilize strength based, mindfulness focused, and cognitive behavioral approaches to work with my clients. My focus is to assist you in developing more effective relationship and mood management skills while seeking ways to reduce stress and lead a more peaceful, fulfilling life. The process of change and healing involves supporting you in understanding, adapting, healing, resetting, and creating solutions based on your individual needs, goals, and resources.
Are you feeling stressed, depleted, or exhausted? Frustrated or dissatisfied with your relationships? Overwhelmed by your life? I utilize strength based, mindfulness focused, and cognitive behavioral approaches to work with my clients. My focus is to assist you in developing more effective relationship and mood management skills while seeking ways to reduce stress and lead a more peaceful, fulfilling life. The process of change and healing involves supporting you in understanding, adapting, healing, resetting, and creating solutions based on your individual needs, goals, and resources.
(971) 626-6535 View (971) 626-6535
Photo of Virginia Terhaar, Licensed Professional Counselor, PhD, MS
Virginia Terhaar
Licensed Professional Counselor, PhD, MS
North Portland, Portland, OR 97217
With 47 years of professional experience, I'm probably able to address many of your deepest concerns. As a psychoanalyst, I practice interpersonal, existential therapies. We can develop your understanding of both conscious and unconscious factors influencing your life. We can increase awareness, reorganize maladaptive patterns, and guide you toward a more satisfying and gratifying life of connectedness, purpose and significance. Difficult thoughts, feelings or behavior patterns can be appreciated for their adaptive intent, and mitigated or resolved.
With 47 years of professional experience, I'm probably able to address many of your deepest concerns. As a psychoanalyst, I practice interpersonal, existential therapies. We can develop your understanding of both conscious and unconscious factors influencing your life. We can increase awareness, reorganize maladaptive patterns, and guide you toward a more satisfying and gratifying life of connectedness, purpose and significance. Difficult thoughts, feelings or behavior patterns can be appreciated for their adaptive intent, and mitigated or resolved.
(503) 987-3656 View (503) 987-3656
Photo of Tom O'Leary, Licensed Professional Counselor, MA, LPC
Tom O'Leary
Licensed Professional Counselor, MA, LPC
5 Endorsed
North Portland, Portland, OR 97217
I believe we all have the capacity to live full, rewarding lives, and that counseling can help to unlock that potential. If life's many challenges are overwhelming you or making you feel "stuck," I can provide a uniquely safe space to explore your difficult feelings and experiences. That space has the power to be tremendously healing--and within it, I can help you discover new ways of relating to your thoughts, your feelings and the world around you.
I believe we all have the capacity to live full, rewarding lives, and that counseling can help to unlock that potential. If life's many challenges are overwhelming you or making you feel "stuck," I can provide a uniquely safe space to explore your difficult feelings and experiences. That space has the power to be tremendously healing--and within it, I can help you discover new ways of relating to your thoughts, your feelings and the world around you.
(971) 399-3036 View (971) 399-3036
Photo of Megan Rose Larson, Clinical Social Work/Therapist, MSW, LCSW
Megan Rose Larson
Clinical Social Work/Therapist, MSW, LCSW
North Portland, Portland, OR 97217
Ladies, are you struggling w/ an event that left you with nightmares, flashbacks, negative beliefs or expectations about yourself or others (eg "I'm bad"), startle responses, feeling anxious, depressed, or have difficulty concentrating? If your goal is to feel more confident in your own skin and to sleep soundly at night therapy can help.
Ladies, are you struggling w/ an event that left you with nightmares, flashbacks, negative beliefs or expectations about yourself or others (eg "I'm bad"), startle responses, feeling anxious, depressed, or have difficulty concentrating? If your goal is to feel more confident in your own skin and to sleep soundly at night therapy can help.
(270) 479-7576 View (270) 479-7576
Photo of Matt A Johnston, Licensed Professional Counselor, LPC, CADC II
Matt A Johnston
Licensed Professional Counselor, LPC, CADC II
North Portland, Portland, OR 97217
I work with people who have struggled with domestic violence, trauma, abuse, relationship issues, PTSD, addiction, problematic drug or alcohol use, depression, shame, men's issues, and working with systems. I help people achieve the freedom and success that they desire.
I work with people who have struggled with domestic violence, trauma, abuse, relationship issues, PTSD, addiction, problematic drug or alcohol use, depression, shame, men's issues, and working with systems. I help people achieve the freedom and success that they desire.
(503) 966-4040 View (503) 966-4040
Photo of Kristina Houck, Clinical Social Work/Therapist, LCSW
Kristina Houck
Clinical Social Work/Therapist, LCSW
North Portland, Portland, OR 97217
Are you dealing with transitions in your life, loss of relationship, struggling with work or school, or discerning your personal values or spiritual beliefs? Are some of your struggles more long standing - having ongoing painful thoughts and feelings that interfere with your sense of self, relationships, or ability to experience life as you desire? Do you desire to feel less alone, gain perspective, and reorient to your true self? Through non-judgmental acceptance and awareness of thoughts and emotions, therapy can help us understand the pain we are experiencing, learn new ways of responding, and gain more joy in our life.
Are you dealing with transitions in your life, loss of relationship, struggling with work or school, or discerning your personal values or spiritual beliefs? Are some of your struggles more long standing - having ongoing painful thoughts and feelings that interfere with your sense of self, relationships, or ability to experience life as you desire? Do you desire to feel less alone, gain perspective, and reorient to your true self? Through non-judgmental acceptance and awareness of thoughts and emotions, therapy can help us understand the pain we are experiencing, learn new ways of responding, and gain more joy in our life.
(503) 483-5580 View (503) 483-5580
Photo of Kelsey Williams, Professional Counselor Associate, MS, CMT
Kelsey Williams
Professional Counselor Associate, MS, CMT
1 Endorsed
North Portland, Portland, OR 97203
Insight-oriented, heart-centered healing and parts work for sensitive souls. Whether you're a human who's struggling with anxiety, exhausted by people-pleasing, highly sensitive, neurodivergent, or just a human seeking more compassion and connection, I'm glad you're here. I'm Kelsey, and I'm here because I truly believe in the power we each have as humans to heal and find wholeness. Together we'll explore the experiences and contexts that shaped you, how to be kind to yourself through any situation, tools for feeling resourced in your body and mind, and how you can be authentically connected to yourself, others, and the world.
Insight-oriented, heart-centered healing and parts work for sensitive souls. Whether you're a human who's struggling with anxiety, exhausted by people-pleasing, highly sensitive, neurodivergent, or just a human seeking more compassion and connection, I'm glad you're here. I'm Kelsey, and I'm here because I truly believe in the power we each have as humans to heal and find wholeness. Together we'll explore the experiences and contexts that shaped you, how to be kind to yourself through any situation, tools for feeling resourced in your body and mind, and how you can be authentically connected to yourself, others, and the world.
(971) 298-9501 View (971) 298-9501
Photo of Brianne H Williams, Licensed Professional Counselor, MA, LPC
Brianne H Williams
Licensed Professional Counselor, MA, LPC
North Portland, Portland, OR 97217
Sometimes, as humans, we get wounded in ways that are so deep, they are difficult to name. Perhaps you have lost loved ones along the way, or can't find meaning in your story. Have you ever inventoried your life or your partnership to discover that it is not what you want it to be? Do you feel haunted by memories? Maybe you engage in self-destructive or numbing behaviors that you wish you could change, but find that making those changes is easier said than done. My goal is to create a trustworthy space where we can work through whatever it is you bring in, on your search for healing, fulfillment, and wholeness.
Sometimes, as humans, we get wounded in ways that are so deep, they are difficult to name. Perhaps you have lost loved ones along the way, or can't find meaning in your story. Have you ever inventoried your life or your partnership to discover that it is not what you want it to be? Do you feel haunted by memories? Maybe you engage in self-destructive or numbing behaviors that you wish you could change, but find that making those changes is easier said than done. My goal is to create a trustworthy space where we can work through whatever it is you bring in, on your search for healing, fulfillment, and wholeness.
(971) 233-2704 View (971) 233-2704
Photo of Carol S Jones, Psychologist, EdD
Carol S Jones
Psychologist, EdD
North Portland, Portland, OR 97217
My practice provides psychological services for adults. My practice has developed out of a special concern for assisting individuals and their families understand their total psychological experience, including the significance of unconscious emotional processes, which greatly affect psychological well being. Psychotherapy helps individuals learn to use their internal and external resources to their fullest potential. Psychotherapy also encourages and supports healthy emotional development by helping individuals understand and utilize their emotional experience.
My practice provides psychological services for adults. My practice has developed out of a special concern for assisting individuals and their families understand their total psychological experience, including the significance of unconscious emotional processes, which greatly affect psychological well being. Psychotherapy helps individuals learn to use their internal and external resources to their fullest potential. Psychotherapy also encourages and supports healthy emotional development by helping individuals understand and utilize their emotional experience.
(503) 288-6066 View (503) 288-6066
Photo of Maddy Engelfried, Professional Counselor Associate, MA
Maddy Engelfried
Professional Counselor Associate, MA
1 Endorsed
North Portland, Portland, OR 97202
Currently taking new clients and open to all Oregon residents! Let's face it: it's a stressful time to be alive. I'd love to help you build the skills you need to cope with whatever is troubling you. I have a background in art therapy as well as counseling, and I take a warm, compassionate approach to therapy. I’m deeply interested in people, and I like to lead with my curiosity, both in getting to know clients and in helping to understand what they’re going through.
Currently taking new clients and open to all Oregon residents! Let's face it: it's a stressful time to be alive. I'd love to help you build the skills you need to cope with whatever is troubling you. I have a background in art therapy as well as counseling, and I take a warm, compassionate approach to therapy. I’m deeply interested in people, and I like to lead with my curiosity, both in getting to know clients and in helping to understand what they’re going through.
(971) 232-4363 View (971) 232-4363
Photo of Grace Manger Klein, Clinical Social Work/Therapist, MSW, LCSW
Grace Manger Klein
Clinical Social Work/Therapist, MSW, LCSW
North Portland, Portland, OR 97203
My name is Grace, and I specialize in supporting folks on their relationship to food, exercise, and their body. Perhaps your relationship to your body is feeling very loud, and you’re actively battling disordered eating and struggling to find a recovery path on your own. Or perhaps you have a long history of dieting, with a nagging voice in the background quietly dictating many of your decisions throughout the day. Some people struggle to imagine how it’s possible to feel at home in your body and feel at peace with food choices. Not only is it possible, but I am truly honored to walk this path with folks as they find their way.
My name is Grace, and I specialize in supporting folks on their relationship to food, exercise, and their body. Perhaps your relationship to your body is feeling very loud, and you’re actively battling disordered eating and struggling to find a recovery path on your own. Or perhaps you have a long history of dieting, with a nagging voice in the background quietly dictating many of your decisions throughout the day. Some people struggle to imagine how it’s possible to feel at home in your body and feel at peace with food choices. Not only is it possible, but I am truly honored to walk this path with folks as they find their way.
(503) 966-2415 View (503) 966-2415
Photo of Kate Doherty, Clinical Social Work/Therapist, LCSW
Kate Doherty
Clinical Social Work/Therapist, LCSW
North Portland, Portland, OR 97217
You might be feeling anxious, weighed down by grief, stuck in old patterns, or wondering how to shift your relationship with alcohol or other substances. I’m here to help. I bring 17 years of experience supporting people through life’s challenges — big and small — with compassion and practical tools. Together, we’ll use Internal Family Systems and other evidence-based approaches to create a path that feels right for you.
You might be feeling anxious, weighed down by grief, stuck in old patterns, or wondering how to shift your relationship with alcohol or other substances. I’m here to help. I bring 17 years of experience supporting people through life’s challenges — big and small — with compassion and practical tools. Together, we’ll use Internal Family Systems and other evidence-based approaches to create a path that feels right for you.
(832) 345-3756 View (832) 345-3756

See more therapy options for North Portland, Portland

How does your Therapist compare?

Number of Therapists in North Portland, Portland, OR

400+

Average cost per session

$172

Therapists in North Portland, Portland, OR who prioritize treating:

93% Anxiety
93% Social Anxiety
93% Health Anxiety
93% Driving Anxiety
85% Depression
75% Trauma and PTSD
75% Complex PTSD

Average years in practice

11 Years

Top 3 insurances accepted

69% Aetna
55% BlueCross and BlueShield
55% Regence

How Therapists in North Portland, Portland, OR see their clients

55% In Person and Online
45% Online Only

Gender breakdown

71% Female
24% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in North 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.