Therapists in Spokane Valley, WA

Photo of Lori Schuerer, Counselor in Spokane Valley, WA
Lori Schuerer
Counselor, MEd, LMHCA
Verified Verified
Spokane Valley, WA 99206
We all deal with life's challenges in different ways. The counseling relationship is a place of respect, acceptance, and compassion. I have experience working with autism, trauma, depression, anorexia, bulimia, bariatric surgery patients and chronic mental health issues. I work with children, teens, adults, couples and families.
We all deal with life's challenges in different ways. The counseling relationship is a place of respect, acceptance, and compassion. I have experience working with autism, trauma, depression, anorexia, bulimia, bariatric surgery patients and chronic mental health issues. I work with children, teens, adults, couples and families.
(509) 635-3861 View (509) 635-3861
Photo of Cortney Rasley, Counselor in Spokane Valley, WA
Cortney Rasley
Counselor, MA, NCC, LMHC, CMHS
Verified Verified
Spokane Valley, WA 99206  (Online Only)
Whether you struggle with depression or anxiety, have experienced abuse or other traumas, want help with marital issues or other relationships, have difficulties with family dynamics or parenting, or just need a sounding board and safe place to manage other life struggles; my desire is to help you improve your emotional well-being and overall quality of life. I believe that all people deserve to feel safety, security, love, hope, and a sense of belonging; no matter what they have endured. I have a passion for working with children, adolescents, adults, families and married couples.
Whether you struggle with depression or anxiety, have experienced abuse or other traumas, want help with marital issues or other relationships, have difficulties with family dynamics or parenting, or just need a sounding board and safe place to manage other life struggles; my desire is to help you improve your emotional well-being and overall quality of life. I believe that all people deserve to feel safety, security, love, hope, and a sense of belonging; no matter what they have endured. I have a passion for working with children, adolescents, adults, families and married couples.
(509) 769-3200 View (509) 769-3200
Photo of Elise Smithmier, Licensed Professional Counselor in Spokane Valley, WA
Elise Smithmier
Licensed Professional Counselor, LMHC, LCPC, LPC, MA
Verified Verified
Spokane Valley, WA 99037  (Online Only)
Hey there! I could tell you how much I love to be in nature, drink coffee, and play with my dogs, and while those things are wholeheartedly true, they don’t tell you anything about who I am as a human or as a therapist. I’m not a “rainbows and unicorns” person. I don’t believe in spending money, time, and energy for me to tell you what you want to hear. I’m not fancy or quiet or scared to tell you what I’m thinking. I’m a real human whose been through real shit.
Hey there! I could tell you how much I love to be in nature, drink coffee, and play with my dogs, and while those things are wholeheartedly true, they don’t tell you anything about who I am as a human or as a therapist. I’m not a “rainbows and unicorns” person. I don’t believe in spending money, time, and energy for me to tell you what you want to hear. I’m not fancy or quiet or scared to tell you what I’m thinking. I’m a real human whose been through real shit.
(509) 348-4339 View (509) 348-4339
Photo of Wellness Encompassed, Counselor in Spokane Valley, WA
Wellness Encompassed
Counselor
Verified Verified
Spokane Valley, WA 99212
Here at Wellness Encompassed we believe in treating the human and not the symptom. We see the client as an individual on a path that we embark on together, where we walk along side them, to support, advocate, and to provide guidance to as we meet them with compassion and understanding. We work with our clients to meet their needs and connect them to our community partners if requested, such as nutritional counseling, medication management, physical therapy, chiropractic care and even massage therapy. We believe we grow as a community the more we support one another in the spirit of compassion.
Here at Wellness Encompassed we believe in treating the human and not the symptom. We see the client as an individual on a path that we embark on together, where we walk along side them, to support, advocate, and to provide guidance to as we meet them with compassion and understanding. We work with our clients to meet their needs and connect them to our community partners if requested, such as nutritional counseling, medication management, physical therapy, chiropractic care and even massage therapy. We believe we grow as a community the more we support one another in the spirit of compassion.
(509) 519-1641 View (509) 519-1641
Photo of Cece Ann Crowe, Marriage & Family Therapist in Spokane Valley, WA
Cece Ann Crowe
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Spokane Valley, WA 99037
"I’m tired of feeling this way. I want help. I want something to change." I hear you, I see you, and I want to sit with you in these moments. You want to feel comfortable in your life, in your relationships, and with yourself. You want to feel sure of yourself and content, with coping skills and new ways of engaging in life and with others. Let’s work together to learn new ways of behaving, and grow in your understanding of yourself and family. My strength as a therapist is to get to know you, relate to you and offer another perspective.
"I’m tired of feeling this way. I want help. I want something to change." I hear you, I see you, and I want to sit with you in these moments. You want to feel comfortable in your life, in your relationships, and with yourself. You want to feel sure of yourself and content, with coping skills and new ways of engaging in life and with others. Let’s work together to learn new ways of behaving, and grow in your understanding of yourself and family. My strength as a therapist is to get to know you, relate to you and offer another perspective.
(509) 233-4817 View (509) 233-4817
Photo of Advanced Behavioral Health, LLC, Marriage & Family Therapist in Spokane Valley, WA
Advanced Behavioral Health, LLC
Marriage & Family Therapist, MS, LMFT
Verified Verified
Spokane Valley, WA 99206
Life is too short to just wait for things to get better. When you’re experiencing anxiety or depression, it feels isolating, defeating, sometimes even shameful. It’s so exhausting and what worked for you in the past isn’t working anymore. Regardless if you've experienced a job loss or retirement, a new marriage or recent divorce, a complicated mid-life crisis, or addiction to social media or gaming. Whatever the reason, you know you need things to change, and you need them to change NOW. You can achieve a sense of well being, direction, and happiness. Don't wait any longer...the help, support, and tools you need are available here.
Life is too short to just wait for things to get better. When you’re experiencing anxiety or depression, it feels isolating, defeating, sometimes even shameful. It’s so exhausting and what worked for you in the past isn’t working anymore. Regardless if you've experienced a job loss or retirement, a new marriage or recent divorce, a complicated mid-life crisis, or addiction to social media or gaming. Whatever the reason, you know you need things to change, and you need them to change NOW. You can achieve a sense of well being, direction, and happiness. Don't wait any longer...the help, support, and tools you need are available here.
(509) 402-1182 View (509) 402-1182
Photo of Martal Prewitt, Marriage & Family Therapist in Spokane Valley, WA
Martal Prewitt
Marriage & Family Therapist, LMFT
Verified Verified
Spokane Valley, WA 99212
Waitlist for new clients
I have spent the better part of the last 20 years working with individuals and families to improve mental, physical, spiritual, and emotional health. My belief in peoples potential for greatness has stretched from elementary schools to universities, homes to hospitals, and places of worship to detention facilities.
I have spent the better part of the last 20 years working with individuals and families to improve mental, physical, spiritual, and emotional health. My belief in peoples potential for greatness has stretched from elementary schools to universities, homes to hospitals, and places of worship to detention facilities.
(509) 213-0604 View (509) 213-0604
Photo of CrossRoads Family Therapy Services PLLC, Marriage & Family Therapist Associate in Spokane Valley, WA
CrossRoads Family Therapy Services PLLC
Marriage & Family Therapist Associate, LMFTA, MHP
Verified Verified
Spokane Valley, WA 99216  (Online Only)
Not accepting new clients
As your therapist, I aim to collaborate with you by developing treatment goals, building trust, and understanding what is happening in your life. I want to acknowledge that you are the expert on yourself and your story. Clinically, I will utilize mental health modalities and theories of practice appropriate for the individual, couple, or family. I have a curious nature and a relaxed demeanor.
As your therapist, I aim to collaborate with you by developing treatment goals, building trust, and understanding what is happening in your life. I want to acknowledge that you are the expert on yourself and your story. Clinically, I will utilize mental health modalities and theories of practice appropriate for the individual, couple, or family. I have a curious nature and a relaxed demeanor.
(509) 253-5424 View (509) 253-5424
Photo of Suzie K B-Liljneberg, Counselor in Spokane Valley, WA
Suzie K B-Liljneberg
Counselor, MS, LMHCA
Verified Verified
1 Endorsed
Spokane Valley, WA 99206
Waitlist for new clients
This world is big and can be difficult to navigate alone. Working on finding your life balance between work, family, and recreation can be difficult without the right tools. Are you noticing patterns and cycles that are no longer working, but don’t know how to change them? I am here to help you face your fears. I strive to empower my clients face barriers keeping them from walking their authentic path, while tackling pain and frustration through coping skills and self-care. Through identifying patterns and creating a safe place without judgement, we can explore your internal self to help you find the courage to take back your life.
This world is big and can be difficult to navigate alone. Working on finding your life balance between work, family, and recreation can be difficult without the right tools. Are you noticing patterns and cycles that are no longer working, but don’t know how to change them? I am here to help you face your fears. I strive to empower my clients face barriers keeping them from walking their authentic path, while tackling pain and frustration through coping skills and self-care. Through identifying patterns and creating a safe place without judgement, we can explore your internal self to help you find the courage to take back your life.
(509) 400-6064 View (509) 400-6064
Photo of Morning Glory Therapy PLLC, Clinical Social Work/Therapist in Spokane Valley, WA
Morning Glory Therapy PLLC
Clinical Social Work/Therapist, LSWAIC, MHP
Verified Verified
Spokane Valley, WA 99016
Mental disorders came from different origins in your life, such as Depression, Alcohol/substance abuse addiction, anxiety, grief, self-harming, suicidal and homicidal ideations, and mood dysregulation. In the long run, these caused you despair and hopelessness. And therefore, you have not been fully functioning as you would love to. No matter what or where your issues streamed from, my goal is help you reach your optimal level of function. I do believe that if everything in your life is fully functioning, then you will be able to enjoy your life to the fullest.
Mental disorders came from different origins in your life, such as Depression, Alcohol/substance abuse addiction, anxiety, grief, self-harming, suicidal and homicidal ideations, and mood dysregulation. In the long run, these caused you despair and hopelessness. And therefore, you have not been fully functioning as you would love to. No matter what or where your issues streamed from, my goal is help you reach your optimal level of function. I do believe that if everything in your life is fully functioning, then you will be able to enjoy your life to the fullest.
(509) 642-6302 x1132 View (509) 642-6302 x1132
Photo of Brian Ahlquist, Mental Health Counselor in Spokane Valley, WA
Brian Ahlquist
Mental Health Counselor, BSN, MA, LMHC
Verified Verified
Spokane Valley, WA 99206
Welcome to my practice! I provide counseling for adults, youths (13+ years), and couples experiencing challenges such as depression, anxiety, decision-making skills, adjustment, intimacy, abuse, coping with medical conditions, and post-traumatic stress. I have an extensive background as a Registered Nurse (critical care) & 22+ years of experience counseling couples and individuals. I enjoy helping people navigate challenging periods of their lives by helping them 1) recognize barriers to a healthy and encouraging life experience, and 2) identify skills, tools, and resources needed to achieve a healthy & encouraging life experience.
Welcome to my practice! I provide counseling for adults, youths (13+ years), and couples experiencing challenges such as depression, anxiety, decision-making skills, adjustment, intimacy, abuse, coping with medical conditions, and post-traumatic stress. I have an extensive background as a Registered Nurse (critical care) & 22+ years of experience counseling couples and individuals. I enjoy helping people navigate challenging periods of their lives by helping them 1) recognize barriers to a healthy and encouraging life experience, and 2) identify skills, tools, and resources needed to achieve a healthy & encouraging life experience.
(509) 653-5146 View (509) 653-5146
Photo of David Wilson, Clinical Social Work/Therapist in Spokane Valley, WA
David Wilson
Clinical Social Work/Therapist, LICSW
Verified Verified
Spokane Valley, WA 99212
Not accepting new clients
I am passionate about working with older teens as they make their way into the world and adults as they build healthy, successful lives. I partners with clients who struggle with unresolved trauma, anxiety, depression, self-esteem /or ADHD. My goals is to help them process their past, gain coping skills, and find a new perspective on the way to healing and inner peace. I provide a lot is a lot of psychoeducation and vocabulary as I have found that sometimes clients (to no fault of their own) just don’t have the words to describe what is causing the distress. I love to utilize EMDR to help process hopefully resolve the distress
I am passionate about working with older teens as they make their way into the world and adults as they build healthy, successful lives. I partners with clients who struggle with unresolved trauma, anxiety, depression, self-esteem /or ADHD. My goals is to help them process their past, gain coping skills, and find a new perspective on the way to healing and inner peace. I provide a lot is a lot of psychoeducation and vocabulary as I have found that sometimes clients (to no fault of their own) just don’t have the words to describe what is causing the distress. I love to utilize EMDR to help process hopefully resolve the distress
(509) 740-0237 View (509) 740-0237
Photo of Karen Larkin Packwood, Counselor in Spokane Valley, WA
Karen Larkin Packwood
Counselor, MA, NCC, LMHC, CCTP, FNCC
Verified Verified
2 Endorsed
Spokane Valley, WA 99212  (Online Only)
I work with individuals, couples & families in both private and TeleMental (Video/Internet Counseling); helping individuals/families overcome and cope with grief/loss due to death, job loss or divorce. I help individuals process anxiety, depression, trauma, sexual abuse, eating and learning disorders by educating through Functional Nutrition Counseling, self harming behaviors, anger management, OCD, and ADD/ADHD. I specialize in helping individuals, couples and families to create healthy, functional relationships and lives though a variety of therapies. I am trained in EMDR to process trauma with children, adolescents and adults
I work with individuals, couples & families in both private and TeleMental (Video/Internet Counseling); helping individuals/families overcome and cope with grief/loss due to death, job loss or divorce. I help individuals process anxiety, depression, trauma, sexual abuse, eating and learning disorders by educating through Functional Nutrition Counseling, self harming behaviors, anger management, OCD, and ADD/ADHD. I specialize in helping individuals, couples and families to create healthy, functional relationships and lives though a variety of therapies. I am trained in EMDR to process trauma with children, adolescents and adults
(509) 245-2648 View (509) 245-2648
Photo of Sarah Clode, Counselor in Spokane Valley, WA
Sarah Clode
Counselor, LMHC
Verified Verified
6 Endorsed
Spokane Valley, WA 99216  (Online Only)
Life is tricky... It's hard and messy and has no one right answer, especially now. Therapy is all about you figuring yourself out without judgment or expectations. Therapy with me, is a bit chaotic and messy too, like life. But trust me, the work is worth it. There is no one right way to "do" therapy or to be a client, but it is about you and what you're willing to bring to the table.
Life is tricky... It's hard and messy and has no one right answer, especially now. Therapy is all about you figuring yourself out without judgment or expectations. Therapy with me, is a bit chaotic and messy too, like life. But trust me, the work is worth it. There is no one right way to "do" therapy or to be a client, but it is about you and what you're willing to bring to the table.
(321) 340-2901 View (321) 340-2901
Photo of Ally Spangler, Pre-Licensed Professional in Spokane Valley, WA
Ally Spangler
Pre-Licensed Professional, LMHCA
Verified Verified
Spokane Valley, WA 99206
Not accepting new clients
I am passionate about supporting individuals in their mental health journey and bring a wealth of experience grounded in Dialectical Behavioral Therapy (DBT). My focus lies in working with adults grappling with anxiety, depression, and borderline personality disorder. In our sessions, I create a safe and non-judgmental space where you can explore your thoughts and emotions. DBT serves as the foundation of my approach, guiding you towards healing and self-discovery. I believe in the power of collaboration and a client-centered therapeutic alliance, empowering you to build resilience, develop coping skills, and achieve change.
I am passionate about supporting individuals in their mental health journey and bring a wealth of experience grounded in Dialectical Behavioral Therapy (DBT). My focus lies in working with adults grappling with anxiety, depression, and borderline personality disorder. In our sessions, I create a safe and non-judgmental space where you can explore your thoughts and emotions. DBT serves as the foundation of my approach, guiding you towards healing and self-discovery. I believe in the power of collaboration and a client-centered therapeutic alliance, empowering you to build resilience, develop coping skills, and achieve change.
(509) 397-8749 View (509) 397-8749
Photo of Dalene Loder, Counselor in Spokane Valley, WA
Dalene Loder
Counselor, MS, LMHC
Verified Verified
Spokane Valley, WA 99206
Life can be very stressful at times. Our moods, anxiety levels, thinking and behaviors can depend on how well we are able to manage these stressors over time. Sometimes, the coping skills we have learned simply are not enough and we feel overwhelmed and out of control. There is a solution to almost every problem. My goal in therapy is to provide a safe environment so that you can learn to better manage your thinking, feeling and behavior and regain control and power in your life.
Life can be very stressful at times. Our moods, anxiety levels, thinking and behaviors can depend on how well we are able to manage these stressors over time. Sometimes, the coping skills we have learned simply are not enough and we feel overwhelmed and out of control. There is a solution to almost every problem. My goal in therapy is to provide a safe environment so that you can learn to better manage your thinking, feeling and behavior and regain control and power in your life.
(509) 774-5058 View (509) 774-5058
Photo of Darrin Kern, Pre-Licensed Professional in Spokane Valley, WA
Darrin Kern
Pre-Licensed Professional, LICSWA
Verified Verified
Spokane Valley, WA 99206
I offer therapy for children, adolescents, adult individuals, couples, and families. Whether you’re seeking support for anxiety, depression, trauma, anger issues, co-dependency, infidelity, relationship problems, or other concerns, I am here to walk alongside you on your journey towards positive, lasting changes.
I offer therapy for children, adolescents, adult individuals, couples, and families. Whether you’re seeking support for anxiety, depression, trauma, anger issues, co-dependency, infidelity, relationship problems, or other concerns, I am here to walk alongside you on your journey towards positive, lasting changes.
(509) 265-3272 View (509) 265-3272
Photo of Skybridge Counseling and Psychiatry, Counselor in Spokane Valley, WA
Skybridge Counseling and Psychiatry
Counselor, PhD, MS, LMHC, CMHS
Verified Verified
Spokane Valley, WA 99206
Experiencing mental health challenges is a normal part of being human: in adulthood, adolescence, and childhood. Sometimes those challenges feel too big to untangle on your own. Whether you are experiencing anxiety, depression, or other mental health challenges, there is hope. It can be scary to take the first steps, but we at Skybridge Counseling are here to help.
Experiencing mental health challenges is a normal part of being human: in adulthood, adolescence, and childhood. Sometimes those challenges feel too big to untangle on your own. Whether you are experiencing anxiety, depression, or other mental health challenges, there is hope. It can be scary to take the first steps, but we at Skybridge Counseling are here to help.
(509) 581-5343 View (509) 581-5343
Photo of Sarah Walsh, Clinical Social Work/Therapist in Spokane Valley, WA
Sarah Walsh
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Spokane Valley, WA 99206
Hello, I’m Sarah Walsh (she/her). I’m an associate licensed clinician social worker. My bachelor’s and master’s degrees are both in social work from Walden University and led to a clinical focus in my practice of social work. Before I was a therapist, I worked in roles such as caregiving, inpatient psychiatric care, crisis line work, and case management. I was intensively trained in dialectical behavioral therapy (DBT) through Behavioral Tech. Other modalities I have training in are internal family systems and the Gottman Method.
Hello, I’m Sarah Walsh (she/her). I’m an associate licensed clinician social worker. My bachelor’s and master’s degrees are both in social work from Walden University and led to a clinical focus in my practice of social work. Before I was a therapist, I worked in roles such as caregiving, inpatient psychiatric care, crisis line work, and case management. I was intensively trained in dialectical behavioral therapy (DBT) through Behavioral Tech. Other modalities I have training in are internal family systems and the Gottman Method.
(509) 245-1282 View (509) 245-1282
Photo of Tracy Nielsen, Mental Health Counselor Associate in Spokane Valley, WA
Tracy Nielsen
Mental Health Counselor Associate, MHCA
Verified Verified
Spokane Valley, WA 99206
We all have a story that deserves to be delighted in and held with compassion and gentleness. Your story might include hopelessness, grief, trauma, abuse, or shame. It might be a story of anxiety, confusion, guilt, or disappointment. My goal is to supply a path toward growth and healing. I believe people deserve to be met right where they are, amid the pain and chaos, and choose to view each individual uniquely.
We all have a story that deserves to be delighted in and held with compassion and gentleness. Your story might include hopelessness, grief, trauma, abuse, or shame. It might be a story of anxiety, confusion, guilt, or disappointment. My goal is to supply a path toward growth and healing. I believe people deserve to be met right where they are, amid the pain and chaos, and choose to view each individual uniquely.
(509) 204-8909 View (509) 204-8909

See more therapy options for Spokane Valley

How does your Therapist compare?

Number of Therapists in Spokane Valley, WA

100+

Average cost per session

$127

Therapists in Spokane Valley, WA who prioritize treating:

91% Anxiety
88% Depression
80% Relationship Issues
76% Trauma and PTSD
72% Self Esteem
71% Coping Skills
69% Stress

Average years in practice

10 Years

Top 3 insurances accepted

86% Premera
80% BlueCross and BlueShield
77% Aetna

How Therapists in Spokane Valley, WA see their clients

73% In Person and Online
27% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Spokane Valley?

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.