Therapists in Tacoma, WA

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Photo of Shardae L Collins, Clinical Social Work/Therapist in Tacoma, WA
Shardae L Collins
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Hello my name is Shardae Collins I am a licensed clinical social worker who offers telehealth therapy to individuals residing in CA, WA, NV, NJ, and MA. I support individuals in recognizing their strength and resilience regardless of the cards that were dealt to them. My therapeutic approach explores your environment and lived experience to better understand your strengths, needs, and hopes for the future. I believe that you have the power to heal yourself. I am simply a guide.
Hello my name is Shardae Collins I am a licensed clinical social worker who offers telehealth therapy to individuals residing in CA, WA, NV, NJ, and MA. I support individuals in recognizing their strength and resilience regardless of the cards that were dealt to them. My therapeutic approach explores your environment and lived experience to better understand your strengths, needs, and hopes for the future. I believe that you have the power to heal yourself. I am simply a guide.
(253) 281-4939 View (253) 281-4939
Photo of Mallory Mackie, Clinical Social Work/Therapist in Tacoma, WA
Mallory Mackie
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98405  (Online Only)
••Immediate openings•• You may be feeling unfulfilled or overwhelmed, or maybe you are beating yourself up with thoughts that you are a failure and to blame for where you are now. You’ve been stuck like this for some time and it’s hard to imagine things changing. Many of my clients are people who are ‘new’ to therapy, although they are not new to pain. Whether you have experienced neglect or abuse, are navigating major life changes or grieving a loss, or just struggling managing your emotions, I work with people who feel unworthy of love or struggle to feel compassion for themselves.
••Immediate openings•• You may be feeling unfulfilled or overwhelmed, or maybe you are beating yourself up with thoughts that you are a failure and to blame for where you are now. You’ve been stuck like this for some time and it’s hard to imagine things changing. Many of my clients are people who are ‘new’ to therapy, although they are not new to pain. Whether you have experienced neglect or abuse, are navigating major life changes or grieving a loss, or just struggling managing your emotions, I work with people who feel unworthy of love or struggle to feel compassion for themselves.
(253) 321-1364 View (253) 321-1364
Photo of Kimberly Meade, Marriage & Family Therapist in Tacoma, WA
Kimberly Meade
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Tacoma, WA 98406
I love listening to people's stories. I have been a therapist for almost 20 years and am drawn to the thoughts, feelings and experiences that become our personal journey. I work with children, teens and adults. I am married and have 4 children. You can trust that I understand the excruciating joy of navigating life with many different personalities. I have worked as a therapist in homes and offices, taught parent trainings in groups and to individuals, consulted with teachers and families in local school districts, and worked at a local hospital.
I love listening to people's stories. I have been a therapist for almost 20 years and am drawn to the thoughts, feelings and experiences that become our personal journey. I work with children, teens and adults. I am married and have 4 children. You can trust that I understand the excruciating joy of navigating life with many different personalities. I have worked as a therapist in homes and offices, taught parent trainings in groups and to individuals, consulted with teachers and families in local school districts, and worked at a local hospital.
(253) 248-7271 View (253) 248-7271
Photo of Lindsey Moseman, Marriage & Family Therapist in Tacoma, WA
Lindsey Moseman
Marriage & Family Therapist, MA, LMFT
Verified Verified
Tacoma, WA 98407
Not accepting new clients
Have you noticed changes within your child's behavior that leave you feeling confused as to what to do or say? Perhaps your child has been struggling with overwhelming anxiety or emotional outbursts. Or perhaps you've noticed your teenager begin to isolate, drop in their grades, and become overly self-critical. Children and teenagers are often communicating their needs through their behaviors, and it is often very difficult as a parent to know what to do. I specialize in working with children, adolescents, and adults who are struggling within difficult emotional experiences, transitions like divorce, or within relationships.
Have you noticed changes within your child's behavior that leave you feeling confused as to what to do or say? Perhaps your child has been struggling with overwhelming anxiety or emotional outbursts. Or perhaps you've noticed your teenager begin to isolate, drop in their grades, and become overly self-critical. Children and teenagers are often communicating their needs through their behaviors, and it is often very difficult as a parent to know what to do. I specialize in working with children, adolescents, and adults who are struggling within difficult emotional experiences, transitions like divorce, or within relationships.
(253) 733-0136 View (253) 733-0136
Photo of Jessica Ryan Parry, Mental Health Counselor in Tacoma, WA
Jessica Ryan Parry
Mental Health Counselor, MS, LMHC, SUDP
Verified Verified
1 Endorsed
Tacoma, WA 98402
My ideal clients are neuroqueer- individuals who identify as both neurodivergent and queer. I am invested in the intersectionality of neurodiversity and gender identity, and passionate about helping neuroqueer individuals on their journey towards self-discovery and self-acceptance. Whether it's navigating gender dysphoria, exploring identity, coping with anxiety or depression, learning self-advocacy, addressing the effects of chronic masking, or other challenges faced by neurodivergent people, my aim is to empower individuals to lead fulfilling and authentic lives.
My ideal clients are neuroqueer- individuals who identify as both neurodivergent and queer. I am invested in the intersectionality of neurodiversity and gender identity, and passionate about helping neuroqueer individuals on their journey towards self-discovery and self-acceptance. Whether it's navigating gender dysphoria, exploring identity, coping with anxiety or depression, learning self-advocacy, addressing the effects of chronic masking, or other challenges faced by neurodivergent people, my aim is to empower individuals to lead fulfilling and authentic lives.
(253) 802-7557 View (253) 802-7557
Photo of Eugenia Kang, Clinical Social Work/Therapist in Tacoma, WA
Eugenia Kang
Clinical Social Work/Therapist, LICSWA
Verified Verified
Tacoma, WA 98402
Not accepting new clients
I am a clinical social worker based in Tacoma, Washington! I have experience working with children, teens, and adults in residential, school, and community settings.
I am a clinical social worker based in Tacoma, Washington! I have experience working with children, teens, and adults in residential, school, and community settings.
(253) 400-3565 View (253) 400-3565
Photo of Megan J Pickard Counseling, PLLC, Clinical Social Work/Therapist in Tacoma, WA
Megan J Pickard Counseling, PLLC
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Not accepting new clients
I have worked in various settings including family homeless shelters, Hospice bereavement, hospitals, schools, community mental health clinics, as well as on-and-offsite mental health support for First responders following natural disasters and traumatic events. I specialize in working with adults impacted by major life transitions due to trauma, grief and loss, chronic pain/illness and living with terminal illness, and related anxiety, depression, adjustment concerns, and changes in roles and relationships.
I have worked in various settings including family homeless shelters, Hospice bereavement, hospitals, schools, community mental health clinics, as well as on-and-offsite mental health support for First responders following natural disasters and traumatic events. I specialize in working with adults impacted by major life transitions due to trauma, grief and loss, chronic pain/illness and living with terminal illness, and related anxiety, depression, adjustment concerns, and changes in roles and relationships.
(425) 215-0245 View (425) 215-0245
Photo of Mary Allison Jensen, Clinical Social Work/Therapist in Tacoma, WA
Mary Allison Jensen
Clinical Social Work/Therapist, MSW, LICSW, CMHS, IMH-E
Verified Verified
Tacoma, WA 98407
My ideal clients are motivated to explore the origin of unhelpful patterns of thought, emotion, and behavior. I am a certified clinical trauma specialist and primarily work with adults and adolescents who have experienced adversity and/or trauma. My clients often present with a feeling of being stuck and through a collaborative process of reflection and skill-building we identify the most effective personalized strategies. I am also a certified compassion fatigue specialist and work extensively with professionals around compassion fatigue and burnout.
My ideal clients are motivated to explore the origin of unhelpful patterns of thought, emotion, and behavior. I am a certified clinical trauma specialist and primarily work with adults and adolescents who have experienced adversity and/or trauma. My clients often present with a feeling of being stuck and through a collaborative process of reflection and skill-building we identify the most effective personalized strategies. I am also a certified compassion fatigue specialist and work extensively with professionals around compassion fatigue and burnout.
(253) 499-7896 View (253) 499-7896
Photo of Develop Minded Therapies, Counselor in Tacoma, WA
Develop Minded Therapies
Counselor, LMHC, NCC, CFMHE, CEAP, DBTC, CCCE
Verified Verified
2 Endorsed
Tacoma, WA 98409
Everyone wants to be heard. One of the most fulfilling experiences for us as individuals is to tell our story and have it heard. My first priority when working with a new client is to find a way for them to tell their story and then to hear/receive it and validate their feelings. People have a variety of ways for communicating their feelings and experiences, for this reason I utilize several different interventions to help the client share their story in a safe and comfortable environment. My services are available in English and Spanish.
Everyone wants to be heard. One of the most fulfilling experiences for us as individuals is to tell our story and have it heard. My first priority when working with a new client is to find a way for them to tell their story and then to hear/receive it and validate their feelings. People have a variety of ways for communicating their feelings and experiences, for this reason I utilize several different interventions to help the client share their story in a safe and comfortable environment. My services are available in English and Spanish.
(253) 214-3164 View (253) 214-3164
Photo of Collette Bishop, Clinical Social Work/Therapist in Tacoma, WA
Collette Bishop
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
6 Endorsed
Tacoma, WA 98406
Common to the human experience are periods of sadness, fear, anxiety, harm, and loss. Various factors may be deriving this pain, such as our most significant relationships, the ways we have learned to relate to others, and oppressive societal and cultural systems in which we live. Although relationships are often the source of our deepest wounds, they hold the possibility for our greatest healing and transformation. Therapy is a place to explore our life's story within a safe and secure relationship. It is a courageous act to begin therapy and enter onto a path towards fulfillment, freedom and wholeness.
Common to the human experience are periods of sadness, fear, anxiety, harm, and loss. Various factors may be deriving this pain, such as our most significant relationships, the ways we have learned to relate to others, and oppressive societal and cultural systems in which we live. Although relationships are often the source of our deepest wounds, they hold the possibility for our greatest healing and transformation. Therapy is a place to explore our life's story within a safe and secure relationship. It is a courageous act to begin therapy and enter onto a path towards fulfillment, freedom and wholeness.
(253) 331-2746 View (253) 331-2746
Photo of Loni Fillmore, Psychologist in Tacoma, WA
Loni Fillmore
Psychologist, PsyD
Verified Verified
Tacoma, WA 98402
*Email is the best way to contact me for an appointment* Welcome! You are in the right place. Now is the time. The first step toward getting somewhere, changing something, is to become aware that you can’t stay where you are. Accepting the change and all that follows takes courage, compassion and curiosity. YOU’VE GOT THIS.
*Email is the best way to contact me for an appointment* Welcome! You are in the right place. Now is the time. The first step toward getting somewhere, changing something, is to become aware that you can’t stay where you are. Accepting the change and all that follows takes courage, compassion and curiosity. YOU’VE GOT THIS.
(253) 238-7551 View (253) 238-7551
Photo of Steven M Brown, Counselor in Tacoma, WA
Steven M Brown
Counselor, MA, LMHC, LPC, NCC
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
A responsible social practitioner, I provide psychological care, and services using American Sign Language (ASL). I work with individuals from diverse cultural backgrounds, including various populations that encompass sign language users. My interests center on developing tailored, specific psychotherapy applications that benefit the patients with hearing losses. Much of my work places an emphasis on the importance of "courageous will" to empower individuals to make choices that are useful and practical.
A responsible social practitioner, I provide psychological care, and services using American Sign Language (ASL). I work with individuals from diverse cultural backgrounds, including various populations that encompass sign language users. My interests center on developing tailored, specific psychotherapy applications that benefit the patients with hearing losses. Much of my work places an emphasis on the importance of "courageous will" to empower individuals to make choices that are useful and practical.
(253) 466-7490 View (253) 466-7490
Photo of Evolvement Counseling , Clinical Social Work/Therapist in Tacoma, WA
Evolvement Counseling
Clinical Social Work/Therapist, MSSW, LICSW, C-PD
Verified Verified
Tacoma, WA 98402  (Online Only)
Do you feel lost, stuck, overwhelmed, or uncertain? Life hits. I provide emotionally focused, attachment-based support for all types of people, but my specialty is working with individuals with complex trauma history. I also offer a safe space for individuals to process anxiety, depression, interpersonal conflict, life transitions among many other behavioral health concerns. Our time together will be focused on understanding yourself more fully, resolving conflicts, processing your pain, and identifying together your less than helpful coping mechanisms to help you feel more grounded, feel more connected and find peace and freedom.
Do you feel lost, stuck, overwhelmed, or uncertain? Life hits. I provide emotionally focused, attachment-based support for all types of people, but my specialty is working with individuals with complex trauma history. I also offer a safe space for individuals to process anxiety, depression, interpersonal conflict, life transitions among many other behavioral health concerns. Our time together will be focused on understanding yourself more fully, resolving conflicts, processing your pain, and identifying together your less than helpful coping mechanisms to help you feel more grounded, feel more connected and find peace and freedom.
(253) 642-8985 View (253) 642-8985
Photo of Lindsay Arbanas, Counselor in Tacoma, WA
Lindsay Arbanas
Counselor, MSW, LICSW, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98402
I am passionate about being present with individuals as they experience disappointment, pain, despair, and joy in life and relationships. Sometimes, we need help navigating. I believe together we will discover the power and insight already within you. We undergo a process of examining your inner life, dreams, fantasies, and imagination to discover the inspiration that will allow you to live an authentic life. My approach is individually-focused and relationship-driven. Whatever challenges you are facing; that with a bit of goodwill and openness, much can be uncovered in a relatively short period of time.
I am passionate about being present with individuals as they experience disappointment, pain, despair, and joy in life and relationships. Sometimes, we need help navigating. I believe together we will discover the power and insight already within you. We undergo a process of examining your inner life, dreams, fantasies, and imagination to discover the inspiration that will allow you to live an authentic life. My approach is individually-focused and relationship-driven. Whatever challenges you are facing; that with a bit of goodwill and openness, much can be uncovered in a relatively short period of time.
(253) 271-4570 View (253) 271-4570
Photo of Megan Scott, Clinical Social Work/Therapist in Tacoma, WA
Megan Scott
Clinical Social Work/Therapist, LICSWA
Verified Verified
Tacoma, WA 98402
In my life, I have had many experiences that guided me to the world of social work, such as becoming a teen mom and experiencing the loss of people very close to me. These experiences led me to want to provide support to people in the midst of their own challenges. Maybe you have similar experiences or other mental health challenges, that may include anxiety and depression. You may feel that you have nowhere to turn or unvalidated in your own experiences. I am here to help, in our work together we can find the best ways to meet your individual needs.
In my life, I have had many experiences that guided me to the world of social work, such as becoming a teen mom and experiencing the loss of people very close to me. These experiences led me to want to provide support to people in the midst of their own challenges. Maybe you have similar experiences or other mental health challenges, that may include anxiety and depression. You may feel that you have nowhere to turn or unvalidated in your own experiences. I am here to help, in our work together we can find the best ways to meet your individual needs.
(253) 447-5385 View (253) 447-5385
Photo of Morgan Shields, Marriage & Family Therapist Associate in Tacoma, WA
Morgan Shields
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Tacoma, WA 98408  (Online Only)
I work with adults ages 18+ to provide support for anxiety, trauma, relationships, and LGBTQ+ identities. I work from an anti-oppression and social justice oriented framework, and my work with clients often focuses on themes of personal agency and empowerment, shame resolution, and self-acceptance. I enjoy supporting clients with issues related to burnout, chronic stress, anxiety, and trauma to live more authentically alignment with their values and to build stronger and more connective relationships with themselves and others.
I work with adults ages 18+ to provide support for anxiety, trauma, relationships, and LGBTQ+ identities. I work from an anti-oppression and social justice oriented framework, and my work with clients often focuses on themes of personal agency and empowerment, shame resolution, and self-acceptance. I enjoy supporting clients with issues related to burnout, chronic stress, anxiety, and trauma to live more authentically alignment with their values and to build stronger and more connective relationships with themselves and others.
(253) 243-8652 View (253) 243-8652
Photo of Michael Jay Badger, Psychologist in Tacoma, WA
Michael Jay Badger
Psychologist, PhD
Verified Verified
Tacoma, WA 98422  (Online Only)
Not accepting new clients
Life comes at us fast sometimes; and we struggle to adjust and adapt. As an integrative therapist practicing ONLINE THERAPY only, I take satisfaction in helping otherwise well-functioning adults successfully deal with complex lives and complex individual circumstances. Our development (personal, professional, relational) depends upon the continual management of and response to a changing environment. To a very large degree we are a product of all that we have inherited and all that we have experienced.
Life comes at us fast sometimes; and we struggle to adjust and adapt. As an integrative therapist practicing ONLINE THERAPY only, I take satisfaction in helping otherwise well-functioning adults successfully deal with complex lives and complex individual circumstances. Our development (personal, professional, relational) depends upon the continual management of and response to a changing environment. To a very large degree we are a product of all that we have inherited and all that we have experienced.
(206) 966-4543 View (206) 966-4543
Photo of Lily E Ramirez, Counselor in Tacoma, WA
Lily E Ramirez
Counselor, MEd, LMHCA
Verified Verified
Tacoma, WA 98402  (Online Only)
Hello! I am a licensed mental health counselor associate (LMHCA) working in Western Washington. I work with children and adults experiencing depression, anxiety, and behavioral issues. Struggling in any one of these areas can leave you feeling stuck, hopeless, helpless, and frustrated. I am an empathetic therapist who focuses on the client's needs. I will help guide you through these difficult emotions while helping to identify the root cause. I do not want to only help you alleviate the symptoms you experience but help you to deal with the underlying issue(s) at hand.
Hello! I am a licensed mental health counselor associate (LMHCA) working in Western Washington. I work with children and adults experiencing depression, anxiety, and behavioral issues. Struggling in any one of these areas can leave you feeling stuck, hopeless, helpless, and frustrated. I am an empathetic therapist who focuses on the client's needs. I will help guide you through these difficult emotions while helping to identify the root cause. I do not want to only help you alleviate the symptoms you experience but help you to deal with the underlying issue(s) at hand.
(253) 243-2389 x2365 View (253) 243-2389 x2365
Photo of Mark Zimmerman, Counselor in Tacoma, WA
Mark Zimmerman
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Tacoma, WA 98407
When our old methods of coping with life's difficulties no longer work, we can find ourselves stuck - in depression, with anxiety, feeling worthless, maybe afraid to even reach out for help. Talking with someone who can assist you in discovering what went wrong and how to heal from it could be invaluable. Each person is unique and has a story to tell. I'll want to hear your story. I strive to provide everyone with a non-judgmental, empathic atmosphere in which you can feel safe to express any experience however painful or shameful it may feel.
When our old methods of coping with life's difficulties no longer work, we can find ourselves stuck - in depression, with anxiety, feeling worthless, maybe afraid to even reach out for help. Talking with someone who can assist you in discovering what went wrong and how to heal from it could be invaluable. Each person is unique and has a story to tell. I'll want to hear your story. I strive to provide everyone with a non-judgmental, empathic atmosphere in which you can feel safe to express any experience however painful or shameful it may feel.
(206) 312-7358 View (206) 312-7358
Photo of Shauri Coleman-Brown, Counselor in Tacoma, WA
Shauri Coleman-Brown
Counselor, LMHC, MHP, MS
Verified Verified
Tacoma, WA 98402
Waitlist for new clients
People prioritize therapy when it is necessary or important to them. I want to make therapy flexible enough for your busy life, with evening appointments, telehealth, and in-person options. Therapy works best if you have a trusting relationship with your therapist, and I aim to provide that setting, getting to know who you are and what you need, as you are the expert on your life. I hope to help you with the skills that will be useful throughout your life.
People prioritize therapy when it is necessary or important to them. I want to make therapy flexible enough for your busy life, with evening appointments, telehealth, and in-person options. Therapy works best if you have a trusting relationship with your therapist, and I aim to provide that setting, getting to know who you are and what you need, as you are the expert on your life. I hope to help you with the skills that will be useful throughout your life.
(253) 264-0960 View (253) 264-0960

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
88% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in Tacoma?

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.