Therapists in Seattle, WA

View neighborhoods in Seattle
Photo of Jeffery J Goff, Counselor in Seattle, WA
Jeffery J Goff
Counselor, MA, LMHC
Verified Verified
4 Endorsed
Seattle, WA 98104
I work with those who struggle with anger. Often times the anger is brought on by unmet expectations and merely a symptom of deeper issues under the surface. It's my job to metaphorically stand in a place you can not see, and point you in the right direction as to the cause of what is contributing to the anger. By doing so, you can receive insight that will enrich your life and change it for the better.
I work with those who struggle with anger. Often times the anger is brought on by unmet expectations and merely a symptom of deeper issues under the surface. It's my job to metaphorically stand in a place you can not see, and point you in the right direction as to the cause of what is contributing to the anger. By doing so, you can receive insight that will enrich your life and change it for the better.
(206) 673-5349 View (206) 673-5349
Photo of Carson Hohe, Clinical Social Work/Therapist in Seattle, WA
Carson Hohe
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
My main focus in therapy is to help clients move towards their goals, reduce anxiety and stress, and to get out of autopilot and start living again. This is a different experience for everyone depending on their goals which can range from creating new coping skills, finding opportunities to set boundaries, or just having a safe space to process challenges.
My main focus in therapy is to help clients move towards their goals, reduce anxiety and stress, and to get out of autopilot and start living again. This is a different experience for everyone depending on their goals which can range from creating new coping skills, finding opportunities to set boundaries, or just having a safe space to process challenges.
(425) 307-5752 View (425) 307-5752
Photo of Karlie Markendorf, Counselor in Seattle, WA
Karlie Markendorf
Counselor, LMHC, ATR-BC
Verified Verified
2 Endorsed
Seattle, WA 98101
Waitlist for new clients
During times of stress and transition, seeking therapy can be a source of support, comfort, and even inspiration. My experience has focused on creative and body-centered approaches to growth and healing, including art therapy, trauma-sensitive yoga, dreamwork, and EMDR. This includes grief work and issues that accompany trauma-related treatment, such as anxiety, depression, and existential/spiritual issues. Additional themes in clients' healing work include explorations of relationships, sexuality, and identity. I love working co-creatively with clients of all ages and backgrounds.
During times of stress and transition, seeking therapy can be a source of support, comfort, and even inspiration. My experience has focused on creative and body-centered approaches to growth and healing, including art therapy, trauma-sensitive yoga, dreamwork, and EMDR. This includes grief work and issues that accompany trauma-related treatment, such as anxiety, depression, and existential/spiritual issues. Additional themes in clients' healing work include explorations of relationships, sexuality, and identity. I love working co-creatively with clients of all ages and backgrounds.
(206) 557-6657 View (206) 557-6657
Photo of Outside the Line Counseling & Art Therapy, Counselor in Seattle, WA
Outside the Line Counseling & Art Therapy
Counselor, MA, MHP, LMHC, ATR-P, CDBT
Verified Verified
Seattle, WA 98104
Everyone experiences anxiety, depression, and loss at sometime in their life. Often events and people happen in our lives that cause distress. No one deserves to be in pain and no one should have to endure when there is the possibility to reduce the pain. My goal is to help my clients find relief through self exploration and a desire to want to feel better. My job is to walk with my clients in their path to mindfulness. My goal is to provide a safe space for emotions to be expressed and validated without judgment. Together we will identify patterns and triggers, and create skills to reduce future emotional distress.
Everyone experiences anxiety, depression, and loss at sometime in their life. Often events and people happen in our lives that cause distress. No one deserves to be in pain and no one should have to endure when there is the possibility to reduce the pain. My goal is to help my clients find relief through self exploration and a desire to want to feel better. My job is to walk with my clients in their path to mindfulness. My goal is to provide a safe space for emotions to be expressed and validated without judgment. Together we will identify patterns and triggers, and create skills to reduce future emotional distress.
(206) 312-4945 View (206) 312-4945
Photo of Darcy Elton, Clinical Social Work/Therapist in Seattle, WA
Darcy Elton
Clinical Social Work/Therapist, LICSW, LCSW, CTMH
Verified Verified
1 Endorsed
Seattle, WA 98112  (Online Only)
Accepting new clients! Telehealth available in WA, OR, UT, ID, AZ, CO, MA, DC, LA, NM. Moving through a painful transition? Want to make changes in your life? Need to figure out where to go from here and how to get there? Have you ever wondered what experiences in your life impact you the most & how to heal? I'd love to join you on your journey. From navigating big transitions, healing deep hurts to growing into your most meaningful dreams, I’m here to support you with warmth, compassion, and genuineness as well as a decade of experience & specialty training. Trauma informed approach - no problem is too big or small.
Accepting new clients! Telehealth available in WA, OR, UT, ID, AZ, CO, MA, DC, LA, NM. Moving through a painful transition? Want to make changes in your life? Need to figure out where to go from here and how to get there? Have you ever wondered what experiences in your life impact you the most & how to heal? I'd love to join you on your journey. From navigating big transitions, healing deep hurts to growing into your most meaningful dreams, I’m here to support you with warmth, compassion, and genuineness as well as a decade of experience & specialty training. Trauma informed approach - no problem is too big or small.
(206) 203-7295 View (206) 203-7295
Photo of Gemma Collins, Clinical Social Work/Therapist in Seattle, WA
Gemma Collins
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Seattle, WA 98122
I work with couples, family members, and individuals experiencing conflict, disconnection or distress in their intimate relationships. Couples who come to see me say things like: "We've had a breakdown in communication;" "We just can't seem to get along;" "I'm feeling unappreciated by my spouse/partner," "We've tried but we can't seem to work through this issue on our own;" "We want to rebuild trust after a betrayal;" "We're struggling to feel close after the transition to parenthood;" and "We love each other very much but we can't stop fighting."
I work with couples, family members, and individuals experiencing conflict, disconnection or distress in their intimate relationships. Couples who come to see me say things like: "We've had a breakdown in communication;" "We just can't seem to get along;" "I'm feeling unappreciated by my spouse/partner," "We've tried but we can't seem to work through this issue on our own;" "We want to rebuild trust after a betrayal;" "We're struggling to feel close after the transition to parenthood;" and "We love each other very much but we can't stop fighting."
(206) 737-7258 View (206) 737-7258
Photo of Leo Kiralla, Counselor in Seattle, WA
Leo Kiralla
Counselor, MA, LMHC
Not Verified Not Verified
Seattle, WA 98103
Not accepting new clients
[currently not accepting new clients] I am passionate about working with individuals who would like to build self-awareness and have more meaningful relationships. I hope to help clients live mindfully and authentically.
[currently not accepting new clients] I am passionate about working with individuals who would like to build self-awareness and have more meaningful relationships. I hope to help clients live mindfully and authentically.
View
Photo of Ryne Evans, Marriage & Family Therapist in Seattle, WA
Ryne Evans
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98105
You’re here. Which means you are probably feeling stuck in unhelpful patterns of behaviors, thoughts, or emotions. Or maybe you're struggling in your relationships. Or struggling with inattentiveness or difficulty focusing. My philosophy is simple: you are not broken, only impacted by the experiences of your life. My job is to be a guide as we explore the your experiences, so that we can begin to integrate the past into the present, and begin to heal. I believe everyone longs to live a meaningful, full life. I know reaching out can be difficult to do, and I’m so glad you’re taking this step to begin this work.
You’re here. Which means you are probably feeling stuck in unhelpful patterns of behaviors, thoughts, or emotions. Or maybe you're struggling in your relationships. Or struggling with inattentiveness or difficulty focusing. My philosophy is simple: you are not broken, only impacted by the experiences of your life. My job is to be a guide as we explore the your experiences, so that we can begin to integrate the past into the present, and begin to heal. I believe everyone longs to live a meaningful, full life. I know reaching out can be difficult to do, and I’m so glad you’re taking this step to begin this work.
(206) 558-0226 View (206) 558-0226
Photo of Liliana Sacarin, Psychologist in Seattle, WA
Liliana Sacarin
Psychologist, Psy D
Verified Verified
Seattle, WA 98103
Dr. Liliana Sacarin is a licensed clinical psychologist, expert clinician & researcher in auditory processing & Listening Training/Systems: Tomatis-Effect, iLS, TLP, LifT, SSP. Trained in the Tomatis Method with Dr. Tomatis her experience in the field amounts to 24 y. Her in-depth assessment: sensory integration, language, attention, cognitive/emotional abilities, informs which auditory technique is most appropriate for each individual. She uniquely integrates Tomatis-Effect Listening with child, parent & adult counseling facilitating learning, expanding potential in children & adults. Other treatments: qEEG swLORETA Neurofeedback.
Dr. Liliana Sacarin is a licensed clinical psychologist, expert clinician & researcher in auditory processing & Listening Training/Systems: Tomatis-Effect, iLS, TLP, LifT, SSP. Trained in the Tomatis Method with Dr. Tomatis her experience in the field amounts to 24 y. Her in-depth assessment: sensory integration, language, attention, cognitive/emotional abilities, informs which auditory technique is most appropriate for each individual. She uniquely integrates Tomatis-Effect Listening with child, parent & adult counseling facilitating learning, expanding potential in children & adults. Other treatments: qEEG swLORETA Neurofeedback.
(206) 866-6314 View (206) 866-6314
Photo of Jennifer Boyce-McNeill, Marriage & Family Therapist in Seattle, WA
Jennifer Boyce-McNeill
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98102
Psychotherapy provides a safe place to create positive changes and a more meaningful and joyful life. Together we will explore patterns and past hurts that may be keeping you stuck in order to move forward to achieve balance and improve relationships in your life. I offer tools and strategies to help you better understand, communicate, and connect with those you love. I believe in the inner wisdom and strength within each of us, and the potential we all have for creating the life we want.
Psychotherapy provides a safe place to create positive changes and a more meaningful and joyful life. Together we will explore patterns and past hurts that may be keeping you stuck in order to move forward to achieve balance and improve relationships in your life. I offer tools and strategies to help you better understand, communicate, and connect with those you love. I believe in the inner wisdom and strength within each of us, and the potential we all have for creating the life we want.
(206) 966-4958 View (206) 966-4958
Photo of Julianna Astaire (Buckmiller), Clinical Social Work/Therapist in Seattle, WA
Julianna Astaire (Buckmiller)
Clinical Social Work/Therapist, LICSW, CMHS, CCTP
Verified Verified
2 Endorsed
Seattle, WA 98107  (Online Only)
Not accepting new clients
I work with clients from a strengths-based perspective, focusing on resilience development and a collaborative process. I take into consideration where the child or adolescent is truly at and what is going to best engage them—be it artistic expression, play therapy, narrative therapy, creative writing/journaling, or more structured interventions. I focus on the fulfilled development of the whole individual, taking into account a systems approach, intersectionality, and developmental psychology. My approach is deeply rooted in attachment theory; focusing on developing a healthy bond to better facilitate trust and overall growth.
I work with clients from a strengths-based perspective, focusing on resilience development and a collaborative process. I take into consideration where the child or adolescent is truly at and what is going to best engage them—be it artistic expression, play therapy, narrative therapy, creative writing/journaling, or more structured interventions. I focus on the fulfilled development of the whole individual, taking into account a systems approach, intersectionality, and developmental psychology. My approach is deeply rooted in attachment theory; focusing on developing a healthy bond to better facilitate trust and overall growth.
View
Photo of Carmina Chang, Clinical Social Work/Therapist in Seattle, WA
Carmina Chang
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98104  (Online Only)
My patients are usually hard working adults who have run into some tough times or are experiencing difficult emotional issues such as anxiety, depression, grief, trauma, and addictions. I focus on using a strengths-based and harm reduction approach, which views each person as an individual with unique strengths and challenges. Using this approach values the person and facilitates a customized treatment plan for the individual. My role is not to judge you or your behaviors, but to act as an independent consultant for improving your mental well-being and quality of life.
My patients are usually hard working adults who have run into some tough times or are experiencing difficult emotional issues such as anxiety, depression, grief, trauma, and addictions. I focus on using a strengths-based and harm reduction approach, which views each person as an individual with unique strengths and challenges. Using this approach values the person and facilitates a customized treatment plan for the individual. My role is not to judge you or your behaviors, but to act as an independent consultant for improving your mental well-being and quality of life.
(206) 565-1585 View (206) 565-1585
Photo of Stephen Plotz, Marriage & Family Therapist Associate in Seattle, WA
Stephen Plotz
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Seattle, WA 98103
I am a Licensed Marriage & Family Associate (LMFTA) in WA. I received my Master’s Degree in Couples and Family Therapy & a Play Therapy Certificate from Antioch University Seattle. I currently have limited availability, reach out to me using this form: hipaa.jotform.com/230046103107034
I am a Licensed Marriage & Family Associate (LMFTA) in WA. I received my Master’s Degree in Couples and Family Therapy & a Play Therapy Certificate from Antioch University Seattle. I currently have limited availability, reach out to me using this form: hipaa.jotform.com/230046103107034
Photo of Veronica Hueso Minai, Clinical Social Work/Therapist in Seattle, WA
Veronica Hueso Minai
Clinical Social Work/Therapist, MSW, LICSW, EMMHS
Verified Verified
3 Endorsed
Seattle, WA 98103  (Online Only)
You are not alone in your journey, other people feel this way, it is normal.There are reasons why you feel they way that you do. There is hope for all of us to feel better and live the life that was intended for us. I can help you explore those reasons that are keeping you guarded. You do not have to worry so much all the time. You can learn to trust yourself and the world again. Life is beautiful.
You are not alone in your journey, other people feel this way, it is normal.There are reasons why you feel they way that you do. There is hope for all of us to feel better and live the life that was intended for us. I can help you explore those reasons that are keeping you guarded. You do not have to worry so much all the time. You can learn to trust yourself and the world again. Life is beautiful.
(206) 207-6511 View (206) 207-6511
Photo of Hannah C Paine, Counselor in Seattle, WA
Hannah C Paine
Counselor, LMHC, MA, NCC
Verified Verified
7 Endorsed
Seattle, WA 98109  (Online Only)
Accepting new clients for early May 2024! I believe that everyone can develop the skills necessary to live the life they’ve always wanted, and it begins with their mental health. My goal as a therapist is to help clients explore their past, their patterns of thinking, and their behaviors in order to adapt and overcome their trauma. Using an individualized and integrative approach, clients will develop the skills needed to reach their goals and become drivers of change.
Accepting new clients for early May 2024! I believe that everyone can develop the skills necessary to live the life they’ve always wanted, and it begins with their mental health. My goal as a therapist is to help clients explore their past, their patterns of thinking, and their behaviors in order to adapt and overcome their trauma. Using an individualized and integrative approach, clients will develop the skills needed to reach their goals and become drivers of change.
(206) 567-7177 View (206) 567-7177
Photo of Brianna Foley, Clinical Social Work/Therapist in Seattle, WA
Brianna Foley
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98105  (Online Only)
It's important to have support and understanding during life's most challenging moments. I have experience working with young adults and parents/caregivers. I am currently working as a social worker in a pediatric hospital and understand that there are many joys and challenges that come with parenthood but the challenges can be overwhelming when your child has medical or developmental needs. Together, we will explore your unique experiences, challenges, and strengths, while also addressing the social and systemic factors that may impact your mental health.
It's important to have support and understanding during life's most challenging moments. I have experience working with young adults and parents/caregivers. I am currently working as a social worker in a pediatric hospital and understand that there are many joys and challenges that come with parenthood but the challenges can be overwhelming when your child has medical or developmental needs. Together, we will explore your unique experiences, challenges, and strengths, while also addressing the social and systemic factors that may impact your mental health.
(206) 984-3832 View (206) 984-3832
Photo of Grace Imali Jahava, Clinical Social Work/Therapist in Seattle, WA
Grace Imali Jahava
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98125
Are you someone seeking growth and healing, recognizing the value of therapy in your journey? Are you struggling with issues such as anxiety, depression, or relationship challenges, yearning for greater self-understanding and fulfillment? I provide you a safe, non-judgmental space to explore these emotions and experiences. Together we aspire to gain clarity, develop coping skills, and cultivate resilience. Ultimately, the goal is to live a more authentic and fulfilling life, driven by a desire for personal growth and positive change.
Are you someone seeking growth and healing, recognizing the value of therapy in your journey? Are you struggling with issues such as anxiety, depression, or relationship challenges, yearning for greater self-understanding and fulfillment? I provide you a safe, non-judgmental space to explore these emotions and experiences. Together we aspire to gain clarity, develop coping skills, and cultivate resilience. Ultimately, the goal is to live a more authentic and fulfilling life, driven by a desire for personal growth and positive change.
(425) 842-1084 View (425) 842-1084
Photo of Mike Krepick, Clinical Social Work/Therapist in Seattle, WA
Mike Krepick
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98121
I counsel people who strive to excel and do good in the world. They often start therapy during transitions, needing to recalibrate old ways of thinking and acting to feel and function better. Some work in stressful careers and struggle with mood, motivation, attention, and work-life balance. Some experience social anxiety, avoidance, isolation, conflict, or depression. Some suffer with intrusive thoughts, avoidance, “stuck” thoughts, and distress associated with trauma. Some express systemic, existential, and spiritual concerns for the world. Some are young-adult or middle-aged men striving to adapt and grow through life’s stages.
I counsel people who strive to excel and do good in the world. They often start therapy during transitions, needing to recalibrate old ways of thinking and acting to feel and function better. Some work in stressful careers and struggle with mood, motivation, attention, and work-life balance. Some experience social anxiety, avoidance, isolation, conflict, or depression. Some suffer with intrusive thoughts, avoidance, “stuck” thoughts, and distress associated with trauma. Some express systemic, existential, and spiritual concerns for the world. Some are young-adult or middle-aged men striving to adapt and grow through life’s stages.
(206) 339-7830 View (206) 339-7830
Photo of Verdure Counseling- Nature Based Therapy, Clinical Social Work/Therapist in Seattle, WA
Verdure Counseling- Nature Based Therapy
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Seattle, WA 98122
I am inspired by our ability to withstand and get through tremendous pain. Yet, in a cultural system that perpetuates trauma and oppression, it can be difficult to embody the sense of whole-ness that we desire. I want to walk alongside you in reclamation of your resiliency and vibrancy, finding your most alive self. Whether you are dealing with mental health issues related to trauma, oppression, isolation, relationships, impulsivity, grief, or other life pains; I want to center what matters to you, hold what you have to say with compassion, and help you rediscover a fullness in being alive and in your body.
I am inspired by our ability to withstand and get through tremendous pain. Yet, in a cultural system that perpetuates trauma and oppression, it can be difficult to embody the sense of whole-ness that we desire. I want to walk alongside you in reclamation of your resiliency and vibrancy, finding your most alive self. Whether you are dealing with mental health issues related to trauma, oppression, isolation, relationships, impulsivity, grief, or other life pains; I want to center what matters to you, hold what you have to say with compassion, and help you rediscover a fullness in being alive and in your body.
(425) 250-9672 View (425) 250-9672
Photo of Katee Martinez, Counselor in Seattle, WA
Katee Martinez
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98102  (Online Only)
Accepting new clients! Do you feel stuck or out of control? Is it difficult to relax no matter how hard you try? Maybe you feel misunderstood or alone even when you’re surrounded by friends and loved ones. This pain can feel endless. As a team, we will work to heal and unlearn patterns and beliefs that contribute to anxiety, uncertainty, and loneliness. Together, we will explore ways to help you navigate anxieties and self-doubt to feel more in control of your life and more empowered to fully be yourself.
Accepting new clients! Do you feel stuck or out of control? Is it difficult to relax no matter how hard you try? Maybe you feel misunderstood or alone even when you’re surrounded by friends and loved ones. This pain can feel endless. As a team, we will work to heal and unlearn patterns and beliefs that contribute to anxiety, uncertainty, and loneliness. Together, we will explore ways to help you navigate anxieties and self-doubt to feel more in control of your life and more empowered to fully be yourself.
(206) 589-8919 View (206) 589-8919

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
53% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.