Therapists in Tacoma, WA

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Photo of Kristin Sweet Fischer, Marriage & Family Therapist in Tacoma, WA
Kristin Sweet Fischer
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Tacoma, WA 98407
I provide a supportive environment for individuals and couples to practice skills designed to enhance personal, relational, and professional satisfaction. My office is a safe confidential place to process life. I help individuals manage mental health and reduce need for prescriptions by incorporating research based practices. Learning tools to reduce anxiety, depression and PTSD due to trauma. Additionally, I am familiar with the challenges of military families and first responders. The unique cultural challenges of these groups and how therapy can help normalize and reduce mental distress for families and individuals.
I provide a supportive environment for individuals and couples to practice skills designed to enhance personal, relational, and professional satisfaction. My office is a safe confidential place to process life. I help individuals manage mental health and reduce need for prescriptions by incorporating research based practices. Learning tools to reduce anxiety, depression and PTSD due to trauma. Additionally, I am familiar with the challenges of military families and first responders. The unique cultural challenges of these groups and how therapy can help normalize and reduce mental distress for families and individuals.
(253) 218-4467 View (253) 218-4467
Photo of Jenny Koning, Clinical Social Work/Therapist in Tacoma, WA
Jenny Koning
Clinical Social Work/Therapist, LCSW
Verified Verified
Tacoma, WA 98402  (Online Only)
Hi, I'm glad you are here! My practice focuses primarily on women with a speciality in working with mothers, pre and postpartum.
Hi, I'm glad you are here! My practice focuses primarily on women with a speciality in working with mothers, pre and postpartum.
(360) 583-4087 View (360) 583-4087
Photo of Andrew Martin Knight, Counselor in Tacoma, WA
Andrew Martin Knight
Counselor, MAC, LMHCA
Verified Verified
Tacoma, WA 98402  (Online Only)
I can help clients when they are at a difficult moment dealing with complex life transitions and experiencing grief, anxiety, stress, and anger. I prefer to help clients with existential methods that invoke depth orientated psychological approaches from Jung, Gestalt, and stoicism. Clients that are able to receive homework assignments for mindfulness and reflect on the challenges they are having will be the best equipped to look at introspection and navigate their mood disturbances with assistance in the therapeutic relationship.
I can help clients when they are at a difficult moment dealing with complex life transitions and experiencing grief, anxiety, stress, and anger. I prefer to help clients with existential methods that invoke depth orientated psychological approaches from Jung, Gestalt, and stoicism. Clients that are able to receive homework assignments for mindfulness and reflect on the challenges they are having will be the best equipped to look at introspection and navigate their mood disturbances with assistance in the therapeutic relationship.
(253) 528-7350 View (253) 528-7350
Photo of Vicki Pastore, Counselor in Tacoma, WA
Vicki Pastore
Counselor, MEd, LMHCA
Verified Verified
1 Endorsed
Tacoma, WA 98403
Something happens when we sit across from someone who really sees us, hears us, and accepts us unconditionally. The relationship has the power to lift us up, shift our perspective, and bring us comfort and clarity. I'd be honored to sit across from you with the warmth, humor, compassion and skill that will support the healing and growth you are seeking. You should know that I believe in you, I will challenge you, and we will process everything together until you realize, heal, and remember the strength you have to live the life you want for yourself.
Something happens when we sit across from someone who really sees us, hears us, and accepts us unconditionally. The relationship has the power to lift us up, shift our perspective, and bring us comfort and clarity. I'd be honored to sit across from you with the warmth, humor, compassion and skill that will support the healing and growth you are seeking. You should know that I believe in you, I will challenge you, and we will process everything together until you realize, heal, and remember the strength you have to live the life you want for yourself.
(253) 321-1373 View (253) 321-1373
Photo of Janai Felizardo (Carraway), Counselor in Tacoma, WA
Janai Felizardo (Carraway)
Counselor, MEd, LMHC, SUDP, NCC, WSCGCII
Verified Verified
2 Endorsed
Tacoma, WA 98498  (Online Only)
Are you finding yourself at a stuck point in life and want to find healthy attainable solutions? Are you struggling to find meaning and purpose in life? I find that an integrative approach that is rooted in trust and connection allows for growth. I believe in honoring the different cultures and life experiences of my clients as this allows us to work holistically: Mind, Body, Spirit & Culture. I believe that we all experience a variety of transitions in life and by having a willingness to explore ways of healing and change there can be an increase in life satisfaction.
Are you finding yourself at a stuck point in life and want to find healthy attainable solutions? Are you struggling to find meaning and purpose in life? I find that an integrative approach that is rooted in trust and connection allows for growth. I believe in honoring the different cultures and life experiences of my clients as this allows us to work holistically: Mind, Body, Spirit & Culture. I believe that we all experience a variety of transitions in life and by having a willingness to explore ways of healing and change there can be an increase in life satisfaction.
(206) 823-2133 View (206) 823-2133
Photo of Christina R Fajardo-Kraljevich, Counselor in Tacoma, WA
Christina R Fajardo-Kraljevich
Counselor, LMHC
Verified Verified
Tacoma, WA 98402
I too am a Woman, Mother, Partner, Daughter, Sister and Friend. I marvel at the mysteries of women and the sacred bonds they have with their children. I admire any woman who has dared to love and had their heart broken. I rise and walk with my sisters when they fall from the pressures of everyday life. I seek to understand how I can be of service to women and children of my community. I listen, wholeheartedly to the cry of grief when it seems like no one else seems to be listening. I am here to hold the space for you and yours.
I too am a Woman, Mother, Partner, Daughter, Sister and Friend. I marvel at the mysteries of women and the sacred bonds they have with their children. I admire any woman who has dared to love and had their heart broken. I rise and walk with my sisters when they fall from the pressures of everyday life. I seek to understand how I can be of service to women and children of my community. I listen, wholeheartedly to the cry of grief when it seems like no one else seems to be listening. I am here to hold the space for you and yours.
(253) 948-9406 View (253) 948-9406
Photo of Andrew Rogers, Counselor in Tacoma, WA
Andrew Rogers
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Tacoma, WA 98403
Are you struggling with changes in your life and looking for a better way to cope? Are you trying to find direction and meaning? Perhaps you're wondering why life doesn't feel more rewarding or you can't seem to find happiness or peace. You may be feeling lonely and struggling to find relationships and friendships to help you during hard times. It can be really challenging living in the Pacific Northwest and finding friendship or relationships.
Are you struggling with changes in your life and looking for a better way to cope? Are you trying to find direction and meaning? Perhaps you're wondering why life doesn't feel more rewarding or you can't seem to find happiness or peace. You may be feeling lonely and struggling to find relationships and friendships to help you during hard times. It can be really challenging living in the Pacific Northwest and finding friendship or relationships.
(206) 350-1584 View (206) 350-1584
Photo of Oliver J. Levin-Koopman, Clinical Social Work/Therapist in Tacoma, WA
Oliver J. Levin-Koopman
Clinical Social Work/Therapist, MSW, LICSW, CCTP-II
Verified Verified
Tacoma, WA 98407
I am an interpersonal trauma and family systems therapist specializing in clients with depression, anxiety, behavioral issues, and PTSD. I have over ten years of experience working with children, adolescents, adults, and couples. I use cognitive behavioral therapy (CBT) and a trauma informed care model that focuses on the individual within their current social systems in order to resolve issues and improve your overall quality of life. Currently accepting in-person and virtual clients. I look forward to connecting with you.
I am an interpersonal trauma and family systems therapist specializing in clients with depression, anxiety, behavioral issues, and PTSD. I have over ten years of experience working with children, adolescents, adults, and couples. I use cognitive behavioral therapy (CBT) and a trauma informed care model that focuses on the individual within their current social systems in order to resolve issues and improve your overall quality of life. Currently accepting in-person and virtual clients. I look forward to connecting with you.
(253) 753-1605 View (253) 753-1605
Photo of Emily Laughlin, Individual Therapy for Women, EMDR, Counselor in Tacoma, WA
Emily Laughlin, Individual Therapy for Women, EMDR
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98406  (Online Only)
I help stressed out, motivated women work through trauma so you can have healthy relationships and feel more comfortable in your own skin. You need to get a handle on your triggers, or your relationships will suffer. You don't want to react this way, but it's out of your control. There is trauma lurking at the surface and you’re ready to address it so you can feel more confident, calm, and energized. Are you finding yourself reactive, anxious, tired, and overwhelmed? You’re not alone and I can help.
I help stressed out, motivated women work through trauma so you can have healthy relationships and feel more comfortable in your own skin. You need to get a handle on your triggers, or your relationships will suffer. You don't want to react this way, but it's out of your control. There is trauma lurking at the surface and you’re ready to address it so you can feel more confident, calm, and energized. Are you finding yourself reactive, anxious, tired, and overwhelmed? You’re not alone and I can help.
(509) 800-5490 View (509) 800-5490
Photo of Kasandra McCown, Marriage & Family Therapist in Tacoma, WA
Kasandra McCown
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Tacoma, WA 98402  (Online Only)
Currently not taking new clietns. I have a passion for working with individuals, kids, couples and families who are currently or have experienced anxiety, depression, grief, difficult life transitions, parenting struggles and medical trauma related to cancer, autoimmune diseases and other rare blood disorders. I believe that hardships in life are unique to everyone and for some of us it is hard to get through alone. My goal is to provide you and those close to you a safe space where challenging thoughts and feelings can be openly shared and we can work collaboratively to find ways to help you cope.
Currently not taking new clietns. I have a passion for working with individuals, kids, couples and families who are currently or have experienced anxiety, depression, grief, difficult life transitions, parenting struggles and medical trauma related to cancer, autoimmune diseases and other rare blood disorders. I believe that hardships in life are unique to everyone and for some of us it is hard to get through alone. My goal is to provide you and those close to you a safe space where challenging thoughts and feelings can be openly shared and we can work collaboratively to find ways to help you cope.
(253) 733-1922 View (253) 733-1922
Photo of Traverse Therapy Services, Counselor in Tacoma, WA
Traverse Therapy Services
Counselor, LMHCA
Verified Verified
Tacoma, WA 98467
We're accepting new clients! My name is Jo and I am a licensed mental health counselor associate (LMHCA) in the state of Washington. I aim to join with clients to use evidence based interventions that allow them to overcome the perspective and issues that don't serve them. The modalities I use are each approached from my strengths-based lens, though I primarily work with clients who are interested in EMDR Therapy.
We're accepting new clients! My name is Jo and I am a licensed mental health counselor associate (LMHCA) in the state of Washington. I aim to join with clients to use evidence based interventions that allow them to overcome the perspective and issues that don't serve them. The modalities I use are each approached from my strengths-based lens, though I primarily work with clients who are interested in EMDR Therapy.
(253) 544-5226 View (253) 544-5226
Photo of Maggie Montgomery, Marriage & Family Therapist in Tacoma, WA
Maggie Montgomery
Marriage & Family Therapist, MA, LMFT, CST
Verified Verified
3 Endorsed
Tacoma, WA 98402  (Online Only)
Now accepting telehealth clients in both Washington state and Utah! I work with individuals, and partnerships to assist with meeting personal and collective goals. It is my intention to support and collaborate to find the best way to address your needs around this process. I work to foster respect for each client and their unique belief and value systems. I work with clients of all ethnicities, gender identities, relationship dynamics, sexual orientations, and religious/spiritual backgrounds. I have experience with and a passion for working with folks impacted by cult groups.
Now accepting telehealth clients in both Washington state and Utah! I work with individuals, and partnerships to assist with meeting personal and collective goals. It is my intention to support and collaborate to find the best way to address your needs around this process. I work to foster respect for each client and their unique belief and value systems. I work with clients of all ethnicities, gender identities, relationship dynamics, sexual orientations, and religious/spiritual backgrounds. I have experience with and a passion for working with folks impacted by cult groups.
(253) 999-7107 View (253) 999-7107
Photo of Douglas W. Lane, Psychologist in Tacoma, WA
Douglas W. Lane
Psychologist, PhD, ABPP
Verified Verified
Tacoma, WA 98402
Not accepting new clients
I provide care to adults and older adults using standard, well-established approaches to psychotherapy. I am board certified in the specialties of Clinical Psychology and Geriatric Psychology by the American Board of Professional Psychology. These are the highest credentials a psychologist can earn in these specialties. I also hold an appointment as a Clinical Professor in the Department of Psychiatry of the University of Washington School of Medicine. My areas of focus include general mental health needs such as depression and anxiety, as well as promoting resilience, and coping with medical illnesses such as dementia.
I provide care to adults and older adults using standard, well-established approaches to psychotherapy. I am board certified in the specialties of Clinical Psychology and Geriatric Psychology by the American Board of Professional Psychology. These are the highest credentials a psychologist can earn in these specialties. I also hold an appointment as a Clinical Professor in the Department of Psychiatry of the University of Washington School of Medicine. My areas of focus include general mental health needs such as depression and anxiety, as well as promoting resilience, and coping with medical illnesses such as dementia.
(253) 478-8497 View (253) 478-8497
Photo of Tamara Pietzke, Counselor in Tacoma, WA
Tamara Pietzke
Counselor, LICSW
Verified Verified
Tacoma, WA 98443  (Online Only)
You matter. Your story matters. What's bringing you to this page right now matters. I care deeply about helping my clients feel seen and heard. I consider it an honor to come alongside someone and to be let into their world. As part of the therapeutic process, we can help uncover lies you might be believing, identify counterproductive thinking, explore relationship dynamics, process trauma, and troubleshoot life stressors.
You matter. Your story matters. What's bringing you to this page right now matters. I care deeply about helping my clients feel seen and heard. I consider it an honor to come alongside someone and to be let into their world. As part of the therapeutic process, we can help uncover lies you might be believing, identify counterproductive thinking, explore relationship dynamics, process trauma, and troubleshoot life stressors.
(253) 364-6276 View (253) 364-6276
Photo of Ryan Keith Donovan, Pre-Licensed Professional in Tacoma, WA
Ryan Keith Donovan
Pre-Licensed Professional, LMHC
Verified Verified
Tacoma, WA 98402
I often work with individuals struggling with anxiety, depression, autism spectrum disorder, relationships and childhood trauma. I believe that change that occurs in therapy comes from forming a safe therapeutic relationship, while increasing your awareness of self, challenging your old beliefs, and establishing appropriate boundaries in relationships with others. I tend to be an active participant in therapy. I ask questions, offer observations, and look for patterns that may help provide a deeper understanding. However, I believe the client is the true expert on themselves, and I trust in each individuals unique healing process.
I often work with individuals struggling with anxiety, depression, autism spectrum disorder, relationships and childhood trauma. I believe that change that occurs in therapy comes from forming a safe therapeutic relationship, while increasing your awareness of self, challenging your old beliefs, and establishing appropriate boundaries in relationships with others. I tend to be an active participant in therapy. I ask questions, offer observations, and look for patterns that may help provide a deeper understanding. However, I believe the client is the true expert on themselves, and I trust in each individuals unique healing process.
(253) 993-1467 View (253) 993-1467
Photo of Jordan Dennison, Clinical Social Work/Therapist in Tacoma, WA
Jordan Dennison
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Tacoma, WA 98403  (Online Only)
Not accepting new clients
Welcome! If you are here, life’s challenges may have you feeling out of control and overwhelmed. If you’re struggling to manage stress or moods, find yourself constantly overthinking, feeling the need to make changes, wrestling with life transitions, or struggling with relationships, you are not alone. These can be intense and scary challenges to deal with, but you don’t have to navigate these heavier parts of life alone.
Welcome! If you are here, life’s challenges may have you feeling out of control and overwhelmed. If you’re struggling to manage stress or moods, find yourself constantly overthinking, feeling the need to make changes, wrestling with life transitions, or struggling with relationships, you are not alone. These can be intense and scary challenges to deal with, but you don’t have to navigate these heavier parts of life alone.
(206) 279-9949 View (206) 279-9949
Photo of Elizabeth Ecklund, Clinical Social Work/Therapist in Tacoma, WA
Elizabeth Ecklund
Clinical Social Work/Therapist, MSW, BSN, LSWAIC, RN
Verified Verified
Tacoma, WA 98402
Elizabeth specializes in working with adults who experience stress, anxiety and/or depression, are high achievers (or would like to be), legal system workers, healthcare workers, first responders, law enforcement, athletes, entrepreneurs and military members. Her clients generally report feeling “burned out”, “stuck”, “lost”, “misdirected” and/or have anxiety about the future. Young adult clients may be experiencing family pressures and conflict internally between what they would like to do with their future and what their family wants/expects. Elizabeth helps them to gain focus, find joy, purpose and sense of control.
Elizabeth specializes in working with adults who experience stress, anxiety and/or depression, are high achievers (or would like to be), legal system workers, healthcare workers, first responders, law enforcement, athletes, entrepreneurs and military members. Her clients generally report feeling “burned out”, “stuck”, “lost”, “misdirected” and/or have anxiety about the future. Young adult clients may be experiencing family pressures and conflict internally between what they would like to do with their future and what their family wants/expects. Elizabeth helps them to gain focus, find joy, purpose and sense of control.
(253) 319-1299 View (253) 319-1299
Photo of Confidential Associates, LLC, Counselor in Tacoma, WA
Confidential Associates, LLC
Counselor, MA, LMHC, NCC
Verified Verified
Tacoma, WA 98405
The Confidential Associates staff is highly experienced (over 60 years combined experience) and extensively trained. We stay current with the latest research/evidence-based treatments for such patient concerns as: Depression, Anxiety, Relationship Issues, Couples Therapy, Family Therapy, Pre-Marriage Counseling, Communication Problems, Chemical Dependency, Anger, Stress, Self-Esteem, LGBT, Work Stress, Bereavement, Trauma, and Child/Adolescent Behavior Problems. To promote positive changes, we utilize a combination of interview, direction, and education to create a sense of trust and respect. This approach has been found to increase efficiency of the counseling process, which saves treatment time and costs.
The Confidential Associates staff is highly experienced (over 60 years combined experience) and extensively trained. We stay current with the latest research/evidence-based treatments for such patient concerns as: Depression, Anxiety, Relationship Issues, Couples Therapy, Family Therapy, Pre-Marriage Counseling, Communication Problems, Chemical Dependency, Anger, Stress, Self-Esteem, LGBT, Work Stress, Bereavement, Trauma, and Child/Adolescent Behavior Problems. To promote positive changes, we utilize a combination of interview, direction, and education to create a sense of trust and respect. This approach has been found to increase efficiency of the counseling process, which saves treatment time and costs.
(253) 242-6789 View (253) 242-6789
Photo of Lucas Brown, Clinical Social Work/Therapist in Tacoma, WA
Lucas Brown
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98445  (Online Only)
If you're looking to improve your relationship with food and body image, navigate anxiety and stress, find yourself after trauma, develop the comfort to start making and maintaining boundaries, or are seeking a safe space as you work through other difficulties, I'd be happy to partner with you in your journey. I like to provide an inclusive, affirming, non-judgmental, space to support the insight and self-compassion that are valuable for growth and healing, and I like to be actively engaged by doing my part to better equip and empower you. If you're motivated to do therapy for you, I'm here!
If you're looking to improve your relationship with food and body image, navigate anxiety and stress, find yourself after trauma, develop the comfort to start making and maintaining boundaries, or are seeking a safe space as you work through other difficulties, I'd be happy to partner with you in your journey. I like to provide an inclusive, affirming, non-judgmental, space to support the insight and self-compassion that are valuable for growth and healing, and I like to be actively engaged by doing my part to better equip and empower you. If you're motivated to do therapy for you, I'm here!
(253) 201-1623 View (253) 201-1623
Photo of Gretchen Escobar, Counselor in Tacoma, WA
Gretchen Escobar
Counselor, LMHC
Verified Verified
Tacoma, WA 98422  (Online Only)
An ideal client is the one who has identified the need to seek help. Has the willingness to work on those areas that need to be adjusted or changed. Understand that goals are placed to help and improve their life, work on them and is ready to practice and practice the skills being taught.
An ideal client is the one who has identified the need to seek help. Has the willingness to work on those areas that need to be adjusted or changed. Understand that goals are placed to help and improve their life, work on them and is ready to practice and practice the skills being taught.
(253) 780-7792 View (253) 780-7792

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.