Therapists in Portsmith, Portland, OR

Photo of David A Sangster, LCSW, Clinical Social Work/Therapist
David A Sangster
Clinical Social Work/Therapist, LCSW
Verified Verified
Portsmith, Portland, OR 97203
From struggling to THRIVING. Become more fully "yourself." Enjoy relationship satisfaction. Strengthen connection to something bigger that is meaningful. Get relief from depression and anxiety (really!). Improve effectiveness at work. Feel more at home in your body, content. Mindful and present. LAUGH. Choosing a therapist that is both really good AND a great fit is important. There is a difference here you will experience from the get go. The office is in a 1930's Cape Cod style house...inviting & comfortable. With warmth and character. David is unusually relational and "real." Sessions are 60, 75 or 90 minutes rather than 50.
From struggling to THRIVING. Become more fully "yourself." Enjoy relationship satisfaction. Strengthen connection to something bigger that is meaningful. Get relief from depression and anxiety (really!). Improve effectiveness at work. Feel more at home in your body, content. Mindful and present. LAUGH. Choosing a therapist that is both really good AND a great fit is important. There is a difference here you will experience from the get go. The office is in a 1930's Cape Cod style house...inviting & comfortable. With warmth and character. David is unusually relational and "real." Sessions are 60, 75 or 90 minutes rather than 50.
(503) 444-8649 View (503) 444-8649
Photo of Pauline Robert, Pauline, Robert, MSW, LCSW, Clinical Social Work/Therapist
Pauline Robert
Clinical Social Work/Therapist, Pauline, Robert, MSW, LCSW
Verified Verified
Online Only
As a Mental Health Therapist and licensed Clinical Social Worker in Oregon, I provide a safe, collaborative, non-judgmental environment that fosters healing and growth. I engage with compassion, respect, humor, and directness. Together we will identify roadblocks, learn skills, and find new healthy pathways.
As a Mental Health Therapist and licensed Clinical Social Worker in Oregon, I provide a safe, collaborative, non-judgmental environment that fosters healing and growth. I engage with compassion, respect, humor, and directness. Together we will identify roadblocks, learn skills, and find new healthy pathways.
(971) 265-8316 View (971) 265-8316
Photo of Theresa Ferrante, LCSW, Clinical Social Work/Therapist
Theresa Ferrante
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
If you are feeling stressed, overwhelmed, uncertain, or just plain stuck, you do not have to go it alone. I work with individuals and couples who are doing their best to navigate life's difficulties, but need some extra support to get through their current challenges. I offer a safe, nonjudgmental space to explore what is causing you to feel stuck and what would help you become "unstuck." I trust people’s inherent strength, and ability to bounce back from way more than we might imagine possible. I see myself as a supportive guide, facilitating a process of self inquiry, creating shared meaning, and making needed changes in life.
If you are feeling stressed, overwhelmed, uncertain, or just plain stuck, you do not have to go it alone. I work with individuals and couples who are doing their best to navigate life's difficulties, but need some extra support to get through their current challenges. I offer a safe, nonjudgmental space to explore what is causing you to feel stuck and what would help you become "unstuck." I trust people’s inherent strength, and ability to bounce back from way more than we might imagine possible. I see myself as a supportive guide, facilitating a process of self inquiry, creating shared meaning, and making needed changes in life.
(971) 224-7763 View (971) 224-7763
Photo of Nateesh Noakes, MS, CRC, PCA
Nateesh Noakes
Professional Counselor Associate , MS, CRC, PCA
Verified Verified
2 Endorsed
Online Only
My ideal client is someone who is committed to exploring the benefits of counseling and ready to show up and meaningfully engage. While therapy can be challenging at times, staying stuck in old patterns is often harder. Investing in yourself may bring struggles, but it’s worth it for the growth and clarity that come. Having someone to hold space for you, offer a fresh perspective, and guide you through the process can be incredibly validating and empowering.
My ideal client is someone who is committed to exploring the benefits of counseling and ready to show up and meaningfully engage. While therapy can be challenging at times, staying stuck in old patterns is often harder. Investing in yourself may bring struggles, but it’s worth it for the growth and clarity that come. Having someone to hold space for you, offer a fresh perspective, and guide you through the process can be incredibly validating and empowering.
(503) 843-8287 View (503) 843-8287
Photo of Francesca L. Barnett, LMFT, CADCIII, Marriage & Family Therapist
Francesca L. Barnett
Marriage & Family Therapist, LMFT, CADCIII
Verified Verified
1 Endorsed
Online Only
Are you struggling with feelings of overwhelm, sadness, anger, loss, or relationship difficulties? Sometimes it's hard to pinpoint exactly what you're feeling, you just know it's affecting you deeply and something needs to change. You're not alone, I'm here to support you. My approach is empathetic, empowering and non-judgmental. I believe there's healing in being truly seen & understood. Together, we will navigate through difficult times creating balance and prioritize what matters to you most.
Are you struggling with feelings of overwhelm, sadness, anger, loss, or relationship difficulties? Sometimes it's hard to pinpoint exactly what you're feeling, you just know it's affecting you deeply and something needs to change. You're not alone, I'm here to support you. My approach is empathetic, empowering and non-judgmental. I believe there's healing in being truly seen & understood. Together, we will navigate through difficult times creating balance and prioritize what matters to you most.
(503) 832-5545 View (503) 832-5545
Photo of Stephanie Tolentino, MSW, LSW, LCSW, Clinical Social Work/Therapist
Stephanie Tolentino
Clinical Social Work/Therapist, MSW, LSW, LCSW
Verified Verified
1 Endorsed
Online Only
Waitlist for new clients
*Exclusively Telehealth visits* I am a Licensed Clinical Social Worker. I have 12 plus years of experience in end of life care, counseling, conflict resolution, crisis intervention, and building positive communication skills with clients of diverse backgrounds. My career as a social worker has allowed me to work with clients impacted by depression, anxiety, end-of-life issues, grief, LGBTQ issues, gender dysphoria, domestic violence, substance abuse issues, homelessness, and trauma.
*Exclusively Telehealth visits* I am a Licensed Clinical Social Worker. I have 12 plus years of experience in end of life care, counseling, conflict resolution, crisis intervention, and building positive communication skills with clients of diverse backgrounds. My career as a social worker has allowed me to work with clients impacted by depression, anxiety, end-of-life issues, grief, LGBTQ issues, gender dysphoria, domestic violence, substance abuse issues, homelessness, and trauma.
(971) 247-1240 View (971) 247-1240
Photo of Grace Manger, CSWA
Grace Manger
Clinical Social Work Associate, CSWA
Verified Verified
Online Only
My name is Grace, and I am a white queer woman who works with teens and adults to support them in learning about themselves and healing from past trauma. I specialize in working with LGBTQIA folks and anyone exploring their identity; as well as people of color, disabled/chronically ill folks, and others who face intersecting forms of oppression. My practice is rooted in social justice and anti-racism, and a belief that systemic oppression directly affects our mental health. In our work together, we’ll explore the ways in which systems of power and societal expectations interfere with our right to authenticity and wholeness.
My name is Grace, and I am a white queer woman who works with teens and adults to support them in learning about themselves and healing from past trauma. I specialize in working with LGBTQIA folks and anyone exploring their identity; as well as people of color, disabled/chronically ill folks, and others who face intersecting forms of oppression. My practice is rooted in social justice and anti-racism, and a belief that systemic oppression directly affects our mental health. In our work together, we’ll explore the ways in which systems of power and societal expectations interfere with our right to authenticity and wholeness.
(503) 966-2415 View (503) 966-2415
Photo of Molz Wirtz-Wold, MS, LMHC, LPC, Counselor
Molz Wirtz-Wold
Counselor, MS, LMHC, LPC
Verified Verified
Portsmith, Portland, OR 97203
Accepting clients 1/2025, I do not accept insurance. With 20 years experience, I am a non-judgmental, open, directive and creative clinician. I support individual adults and couples/relationships from an attachment and relational approach. I am very experienced in supporting transgender, queer, polyamorous and/or sex positive clients. People looking for a safe space to be their authentic selves are welcomed. I am queer, transgender, autistic and have lived experience as a fat bodied person. It can be a scary, uncertain time to be a marginalized person and you deserve a space to feel supported, valued and heard.
Accepting clients 1/2025, I do not accept insurance. With 20 years experience, I am a non-judgmental, open, directive and creative clinician. I support individual adults and couples/relationships from an attachment and relational approach. I am very experienced in supporting transgender, queer, polyamorous and/or sex positive clients. People looking for a safe space to be their authentic selves are welcomed. I am queer, transgender, autistic and have lived experience as a fat bodied person. It can be a scary, uncertain time to be a marginalized person and you deserve a space to feel supported, valued and heard.
(503) 379-9742 View (503) 379-9742
Photo of Jonathan Scarboro, MS, NCC, Counselor
Jonathan Scarboro
Counselor, MS, NCC
Verified Verified
2 Endorsed
Portsmith, Portland, OR 97203
Not accepting new clients
Working with me is slow, painful and expensive :) We work to peel back the layers covering your authentic self, learn ways to more fully embody your values, and, in time, foster deeper relationships with your community, partner(s), and yourself.
Working with me is slow, painful and expensive :) We work to peel back the layers covering your authentic self, learn ways to more fully embody your values, and, in time, foster deeper relationships with your community, partner(s), and yourself.
(503) 486-3610 View (503) 486-3610
Photo of Elizabeth Jo Nelson, LPC, ATR-BC, Licensed Professional Counselor
Elizabeth Jo Nelson
Licensed Professional Counselor, LPC, ATR-BC
Verified Verified
Online Only
I work with adolescents and young adults who have an affinity for making art and struggle with anxiety and depression. Art therapy is a powerful, experiential, expressive arts therapy that helps address that which is difficult to put words to. It focuses not necessarily on the art product, but rather using art in the process of therapy as a lens to access parts of the brain, body and psyche that talk therapy may not fully reach. Humanity has turned to various types of art for millennia to heal, long before therapists in the modern sense existed, and this type of therapy engages in this phenomenon.
I work with adolescents and young adults who have an affinity for making art and struggle with anxiety and depression. Art therapy is a powerful, experiential, expressive arts therapy that helps address that which is difficult to put words to. It focuses not necessarily on the art product, but rather using art in the process of therapy as a lens to access parts of the brain, body and psyche that talk therapy may not fully reach. Humanity has turned to various types of art for millennia to heal, long before therapists in the modern sense existed, and this type of therapy engages in this phenomenon.
(971) 431-8229 View (971) 431-8229
Photo of Emelie A. Blank - Sprout Therapy PDX, MA, LPC, Licensed Professional Counselor
Sprout Therapy PDX
Licensed Professional Counselor, MA, LPC
Verified Verified
Portsmith, Portland, OR 97203
If you’re reading this, we already know you’re struggling. Maybe you’re having trouble “adulting”. You’re feeling like everyone else seems to have it all together, why can’t you? Your mental health is getting worse and worse, and you just want it to stop. Your day to day life is chaos and worry and you remember better days when things just weren't like this. You might feel like you’re out of control of your life.
If you’re reading this, we already know you’re struggling. Maybe you’re having trouble “adulting”. You’re feeling like everyone else seems to have it all together, why can’t you? Your mental health is getting worse and worse, and you just want it to stop. Your day to day life is chaos and worry and you remember better days when things just weren't like this. You might feel like you’re out of control of your life.
(971) 302-2395 View (971) 302-2395
Photo of Carol S Jones, EdD, Psychologist
Carol S Jones
Psychologist, EdD
Verified Verified
1 Endorsed
Portsmith, Portland, OR 97203
Not accepting new clients
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 Kathryn Hartnett Boruff, MA, LPC, Licensed Professional Counselor
Kathryn Hartnett Boruff
Licensed Professional Counselor, MA, LPC
Verified Verified
Online Only
Do you struggle with anxiety that can be quite debilitating and that persists despite your daily efforts to manage it? Depression that drags you down and prevents you from enjoying your life fully? The impact of unresolved trauma making it difficult for you to respond to events in your life successfully? I specialize in working with young adults (ages 18-30's) and am experienced in helping my clients address challenges unique to this stage of life. If you are interested in learning more, please reach out to schedule a consultation on my website at www.khbcounseling.com.
Do you struggle with anxiety that can be quite debilitating and that persists despite your daily efforts to manage it? Depression that drags you down and prevents you from enjoying your life fully? The impact of unresolved trauma making it difficult for you to respond to events in your life successfully? I specialize in working with young adults (ages 18-30's) and am experienced in helping my clients address challenges unique to this stage of life. If you are interested in learning more, please reach out to schedule a consultation on my website at www.khbcounseling.com.
(503) 461-9918 View (503) 461-9918
Photo of Alison C Gullion - Pacific Northwest Behavioral Health, LLC, MA, LPC, Licensed Professional Counselor
Pacific Northwest Behavioral Health, LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
Portsmith, Portland, OR 97203
Pacific Northwest Behavioral Health, LLC has a team of providers with a wide variety of specialties that include medication management, marital, individual, family and group counseling. Our goal is to bring a sense of vitality and wellness to your life through compassion, wisdom and humor!
Pacific Northwest Behavioral Health, LLC has a team of providers with a wide variety of specialties that include medication management, marital, individual, family and group counseling. Our goal is to bring a sense of vitality and wellness to your life through compassion, wisdom and humor!
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Photo of Tonia Boyer, LPC Intern
Tonia Boyer
LPC Intern
Verified Verified
Portsmith, Portland, OR 97203
Hello and welcome! Each person has a unique story- a mosaic of relationships and experiences that have influenced them and created the person they are today. By closely examining who we are, we can identify the pieces of ourselves and our lives that we’d like to change. I am here as a collaborative and supportive partner in that process- someone in your corner that is there for you and desires the best for you. As a student intern in the Clinical Mental Health Counseling and Pastoral Counseling programs at Liberty University, I am currently working in Vancouver, WA under the supervision of Diane Moore, MA, LMHC LH6030832.
Hello and welcome! Each person has a unique story- a mosaic of relationships and experiences that have influenced them and created the person they are today. By closely examining who we are, we can identify the pieces of ourselves and our lives that we’d like to change. I am here as a collaborative and supportive partner in that process- someone in your corner that is there for you and desires the best for you. As a student intern in the Clinical Mental Health Counseling and Pastoral Counseling programs at Liberty University, I am currently working in Vancouver, WA under the supervision of Diane Moore, MA, LMHC LH6030832.
(360) 469-6882 View (360) 469-6882
Photo of Forrest Merrill, PsyD, Psychologist
Forrest Merrill
Psychologist, PsyD
Verified Verified
Portsmith, Portland, OR 97203
Not accepting new clients
***NOT ACCEPTING NEW CLIENTS*** I work with adults and couples from diverse backgrounds. Using a collaborative, relational approach I help you with your struggles with anxiety, grief, depression, trauma, relationship difficulties, multicultural identity concerns, and life transitions. The foundation of my approach focuses on developing a shared understanding of your current struggles and how personal, relational, familial, and cultural experiences help shape your unique life circumstances. While doing this I help you expand and enrich your ability to cope so that you may be more empowered to generate change in your life.
***NOT ACCEPTING NEW CLIENTS*** I work with adults and couples from diverse backgrounds. Using a collaborative, relational approach I help you with your struggles with anxiety, grief, depression, trauma, relationship difficulties, multicultural identity concerns, and life transitions. The foundation of my approach focuses on developing a shared understanding of your current struggles and how personal, relational, familial, and cultural experiences help shape your unique life circumstances. While doing this I help you expand and enrich your ability to cope so that you may be more empowered to generate change in your life.
(503) 444-3027 View (503) 444-3027
Photo of Bina Benight, LPC, NCC, Licensed Professional Counselor
Bina Benight
Licensed Professional Counselor, LPC, NCC
Verified Verified
1 Endorsed
Portsmith, Portland, OR 97203
Welcome! I’m here to support your growth, self-discovery, and healing journey. I truly love what I do and am passionate about creating a therapeutic space filled with warmth, humor, and non-judgment. Finding the right therapist can feel overwhelming, so please don’t hesitate to reach out with any questions—I’m here to help!
Welcome! I’m here to support your growth, self-discovery, and healing journey. I truly love what I do and am passionate about creating a therapeutic space filled with warmth, humor, and non-judgment. Finding the right therapist can feel overwhelming, so please don’t hesitate to reach out with any questions—I’m here to help!
(503) 461-6918 View (503) 461-6918
Photo of Kathryn (Katie) Bender, LPC, 6811, CDMDTP, Licensed Professional Counselor
Kathryn (Katie) Bender
Licensed Professional Counselor, LPC, 6811, CDMDTP
Verified Verified
1 Endorsed
Online Only
New Telehealth Clients in ID or OR - At the heart of my therapy practice is the belief that each individual has their own unique way of communicating and expressing themselves. Whether you communicate through your words, creativity, or a combination of both, my approach is centered around fostering a trusting, compassionate, and unconditionally accepting environment. By meeting you where you thrive, I aim to create a space where you can feel seen and heard. My therapy methodology is built on the foundation of authentic human connection, judgment-free creative expression, and learning to love and accept all parts of yourself.
New Telehealth Clients in ID or OR - At the heart of my therapy practice is the belief that each individual has their own unique way of communicating and expressing themselves. Whether you communicate through your words, creativity, or a combination of both, my approach is centered around fostering a trusting, compassionate, and unconditionally accepting environment. By meeting you where you thrive, I aim to create a space where you can feel seen and heard. My therapy methodology is built on the foundation of authentic human connection, judgment-free creative expression, and learning to love and accept all parts of yourself.
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Photo of Sarah Greenstein, LCSW, Clinical Social Work/Therapist
Sarah Greenstein
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Portsmith, Portland, OR 97203
Daily challenges, painful experiences or emotions, and uncertainty are all common, shared experiences of being human. These moments along with simply feeling lost, alone, stuck, sad or anxious offer opportunities for healing and growth! Starting therapy is a positive step towards accessing inner resilience and bringing voice to your authentic self. Through individual, group, and family counseling, I work with kids, "tweens," teens and adults navigating a range of life's stressors including transitions, relationship issues, anxiety/overwhelm, grief/loss, school/work struggles, parenthood, caregiving, and finding purpose.
Daily challenges, painful experiences or emotions, and uncertainty are all common, shared experiences of being human. These moments along with simply feeling lost, alone, stuck, sad or anxious offer opportunities for healing and growth! Starting therapy is a positive step towards accessing inner resilience and bringing voice to your authentic self. Through individual, group, and family counseling, I work with kids, "tweens," teens and adults navigating a range of life's stressors including transitions, relationship issues, anxiety/overwhelm, grief/loss, school/work struggles, parenthood, caregiving, and finding purpose.
(760) 377-8703 View (760) 377-8703
Photo of Rachel Louise Osborne, LMHC, MA, MHP, Counselor
Rachel Louise Osborne
Counselor, LMHC, MA, MHP
Verified Verified
Portsmith, Portland, OR 97203
Not accepting new clients
I work hard to help my clients identify strengths of their own and help them improve their wellbeing and relationships. I am honest but kind in feedback and work to help you identify what you want and need out of therapy and life. I am intentional about keeping up on research and improving methods of therapy practice. I know it can be hard to be kind to yourself and the world can be difficult, but I strive to work with clients to be able to live the kind of life they want.
I work hard to help my clients identify strengths of their own and help them improve their wellbeing and relationships. I am honest but kind in feedback and work to help you identify what you want and need out of therapy and life. I am intentional about keeping up on research and improving methods of therapy practice. I know it can be hard to be kind to yourself and the world can be difficult, but I strive to work with clients to be able to live the kind of life they want.
(360) 517-1849 View (360) 517-1849
1

See more therapy options for Portsmith, Portland

How does your Therapist compare?

Number of Therapists in Portsmith, Portland, OR

90+

Average cost per session

$165

Therapists in Portsmith, Portland, OR who prioritize treating:

91% Anxiety
84% Depression
80% Trauma and PTSD
78% Relationship Issues
71% Self Esteem
70% Stress
67% Life Transitions

Average years in practice

11 Years

Top 3 insurances accepted

56% PacificSource
54% Aetna
40% BlueCross and BlueShield

How Therapists in Portsmith, Portland, OR see their clients

58% In Person and Online
42% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portsmith, 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.