Therapists in Alaska

View cities and counties in Alaska
Photo of Brian Albright, LCSW, Clinical Social Work/Therapist
Brian Albright
Clinical Social Work/Therapist, LCSW
Verified Verified
Wasilla, AK 99654
Brian has been strengthening family connections for over a decade through the application of attachment focused psychotherapy and the healing power of play. Through the foundation of Attachment Theory, Adlerian Play Therapy, and EMDR with children his clients learn to effectively express themselves, cope with adverse experiences/trauma creating powerful healing within the children he works with and their families.
Brian has been strengthening family connections for over a decade through the application of attachment focused psychotherapy and the healing power of play. Through the foundation of Attachment Theory, Adlerian Play Therapy, and EMDR with children his clients learn to effectively express themselves, cope with adverse experiences/trauma creating powerful healing within the children he works with and their families.
(833) 565-0730 View (833) 565-0730
Photo of Priscilla Westfield, MA MFT, LPC, Licensed Professional Counselor
Priscilla Westfield
Licensed Professional Counselor, MA MFT, LPC
Verified Verified
Fairbanks, AK 99712  (Online Only)
Life can be challenging and painful. Medication and antibiotics may be needed to address significant infected physical wounds. The same process is needed to address infections of the Heart. Medication takes time to work. The healing process takes effort. It doesn’t come easy. There are no quick fixes. The right medications attack the root, which in turn, fixes the symptoms. What are some HEART medications needed to address psychological/emotional infections? Self-awareness, forgiveness, understanding/acceptance, renewal of the mind, purpose, connection and belonging! Find freedom TODAY!
Life can be challenging and painful. Medication and antibiotics may be needed to address significant infected physical wounds. The same process is needed to address infections of the Heart. Medication takes time to work. The healing process takes effort. It doesn’t come easy. There are no quick fixes. The right medications attack the root, which in turn, fixes the symptoms. What are some HEART medications needed to address psychological/emotional infections? Self-awareness, forgiveness, understanding/acceptance, renewal of the mind, purpose, connection and belonging! Find freedom TODAY!
(901) 205-9787 View (901) 205-9787
Photo of Noelle Blanc, MEd, LPC, SEP, Licensed Professional Counselor
Noelle Blanc
Licensed Professional Counselor, MEd, LPC, SEP
Verified Verified
Juneau, AK 99801
Clients see me for a range of goals, challenges, traumas or current lifestyle issues. Some have a vague feeling that something is missing from their life's experience, some are clear what is not working but feel stuck in attempts to shift and some clients are therapy-savvy and looking for a supportive therapeutic presence.
Clients see me for a range of goals, challenges, traumas or current lifestyle issues. Some have a vague feeling that something is missing from their life's experience, some are clear what is not working but feel stuck in attempts to shift and some clients are therapy-savvy and looking for a supportive therapeutic presence.
(907) 917-3877 View (907) 917-3877
Photo of Amy Marie White, PhD, LPC, MAC, CCTP, Licensed Professional Counselor
Amy Marie White
Licensed Professional Counselor, PhD, LPC, MAC, CCTP
Verified Verified
Anchorage, AK 99503  (Online Only)
Waitlist for new clients
Welcome to Life Centered Therapy and Spiritual Counseling, LLC. With over 20 years in the field of behavioral health and addictions, my goal is to help you achieve balance and well-being at your pace. My specialty is working with transgender individuals, spiritual connections with a lifestyle of recovery. I believe that everyone has the right to express their authentic self and reach their full potential as human beings. I provide individual psychotherapy to adolescents and adults who are struggling with stress, anxiety, depression, crisis, trauma utilizing relaxation techniques, stress management, spirituality or other challenges of daily living.
Welcome to Life Centered Therapy and Spiritual Counseling, LLC. With over 20 years in the field of behavioral health and addictions, my goal is to help you achieve balance and well-being at your pace. My specialty is working with transgender individuals, spiritual connections with a lifestyle of recovery. I believe that everyone has the right to express their authentic self and reach their full potential as human beings. I provide individual psychotherapy to adolescents and adults who are struggling with stress, anxiety, depression, crisis, trauma utilizing relaxation techniques, stress management, spirituality or other challenges of daily living.
(907) 312-2567 View (907) 312-2567
Photo of Matthew Horner, PsyD, Psychologist
Matthew Horner
Psychologist, PsyD
Verified Verified
Wasilla, AK 99654
If you need a committed and competent professional to help you with making changes in your life and how you experience it, I'd be more than happy to talk with you about what that might look like. I'm a lifer, dedicated to my profession, my clients, and to making your efforts count so that they lead to real and lasting changes. I work hard to get you results that are as quick as possible, and that will last through the lifespan. I am licensed in both Washington State and Alaska. I offer conventional psychotherapeutic services, as well as Tier 2 services for the highly motivated individual.
If you need a committed and competent professional to help you with making changes in your life and how you experience it, I'd be more than happy to talk with you about what that might look like. I'm a lifer, dedicated to my profession, my clients, and to making your efforts count so that they lead to real and lasting changes. I work hard to get you results that are as quick as possible, and that will last through the lifespan. I am licensed in both Washington State and Alaska. I offer conventional psychotherapeutic services, as well as Tier 2 services for the highly motivated individual.
(406) 732-2446 View (406) 732-2446
Photo of Karen Tessandore - Counseling for Her - Alaska, MS, LPC, Licensed Professional Counselor
Counseling for Her - Alaska
Licensed Professional Counselor, MS, LPC
Verified Verified
Anchorage, AK 99507  (Online Only)
Welcoming new clients, serving women exclusively. I’d love to provide you support in addressing people pleasing tendencies, perfectionism, and boundary setting. I’m here for you if you’re grieving, experiencing anxiety, depression, or “smiling depression.” We can work together on exploring your experience in the Affair Triangle, or deciding to divorce (is it time to leave?) I’m experienced and interested in helping women newly-identifying or newly out as queer, to navigate internalized heteronormativity. I also provide support around Maternal Mental Health. Please visit my website for more and to see if we might be the right fit.
Welcoming new clients, serving women exclusively. I’d love to provide you support in addressing people pleasing tendencies, perfectionism, and boundary setting. I’m here for you if you’re grieving, experiencing anxiety, depression, or “smiling depression.” We can work together on exploring your experience in the Affair Triangle, or deciding to divorce (is it time to leave?) I’m experienced and interested in helping women newly-identifying or newly out as queer, to navigate internalized heteronormativity. I also provide support around Maternal Mental Health. Please visit my website for more and to see if we might be the right fit.
(907) 290-8172 View (907) 290-8172
Photo of Soveyra Rosas, Pre-Licensed Professional
Soveyra Rosas
Pre-Licensed Professional
Verified Verified
2 Endorsed
Wasilla, AK 99654
Life in Alaska is tough. If you’re not yourself lately, tired, down, and not interested in your everyday activities you might benefit from talking it through with someone. I understand those feelings and can help you through it. Sometimes we feel a little stuck, and that’s ok, changes in our life often cause some discomfort and disruption. Let’s talk.
Life in Alaska is tough. If you’re not yourself lately, tired, down, and not interested in your everyday activities you might benefit from talking it through with someone. I understand those feelings and can help you through it. Sometimes we feel a little stuck, and that’s ok, changes in our life often cause some discomfort and disruption. Let’s talk.
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Photo of Casey Ackerman, MA, LCPC, EMDR
Casey Ackerman
MA, LCPC, EMDR
Verified Verified
1 Endorsed
Wasilla, AK 99654  (Online Only)
Not accepting new clients
Seeking a counselor can be a difficult and sometimes arduous task. It takes courage to look deeply at yourself and observe the patterns of thoughts and behaviors that may be creating obstacles to living a more satisfying life. You can experience freedom from self-limiting beliefs, shame, anxiety, self-doubt and fear. You can live with greater intention, self-acceptance, interpersonal effectiveness and joy. I come from a Christian perspective and integrate this into my work with clients with similar beliefs.
Seeking a counselor can be a difficult and sometimes arduous task. It takes courage to look deeply at yourself and observe the patterns of thoughts and behaviors that may be creating obstacles to living a more satisfying life. You can experience freedom from self-limiting beliefs, shame, anxiety, self-doubt and fear. You can live with greater intention, self-acceptance, interpersonal effectiveness and joy. I come from a Christian perspective and integrate this into my work with clients with similar beliefs.
(833) 948-1392 View (833) 948-1392
Photo of Rhonda Ann Pierlot - Pierlot Counseling, LPC, CDC, II, Licensed Professional Counselor
Pierlot Counseling
Licensed Professional Counselor, LPC, CDC, II
Verified Verified
Anchorage, AK 99503
I enjoy working with both adolescents and adults. I have worked in a wide variety of settings including Alternative High School, Outpatient and Inpatient Drug Treatment, State Hospital, Community Mental Health Center, and for the past 3 years private practice. My background and years of experience includes assessment, interventions, crisis counseling, individual and group therapy.
I enjoy working with both adolescents and adults. I have worked in a wide variety of settings including Alternative High School, Outpatient and Inpatient Drug Treatment, State Hospital, Community Mental Health Center, and for the past 3 years private practice. My background and years of experience includes assessment, interventions, crisis counseling, individual and group therapy.
(907) 312-2106 View (907) 312-2106
Photo of Kristina Kruchowski, PMHNP, BC
Kristina Kruchowski
PMHNP, BC
Verified Verified
1 Endorsed
Wasilla, AK 99654
Kristina's private practice, Confidential Care, LLC, is focused exclusively on patients with psychiatric illness and mental health concerns. She specializes in diagnostic assessments and psychopharmacological (medication) management for adults. She has extensive knowledge and experience in diagnosing and treating Mood disorders, Bipolar Disorder, Anxiety and Panic Disorder, Major Depression, Schizophrenia, and Other Psychotic Disorders, Trauma and PTSD, Obsessive Compulsive Disorder, Substance abuse and dependency, and other mental health conditions. Kristina's goal is to provide a therapeutic alliance with patients to help promote positive mental health.
Kristina's private practice, Confidential Care, LLC, is focused exclusively on patients with psychiatric illness and mental health concerns. She specializes in diagnostic assessments and psychopharmacological (medication) management for adults. She has extensive knowledge and experience in diagnosing and treating Mood disorders, Bipolar Disorder, Anxiety and Panic Disorder, Major Depression, Schizophrenia, and Other Psychotic Disorders, Trauma and PTSD, Obsessive Compulsive Disorder, Substance abuse and dependency, and other mental health conditions. Kristina's goal is to provide a therapeutic alliance with patients to help promote positive mental health.
(907) 312-2034 View (907) 312-2034
Photo of Maria Ballard, MS, LPC, Licensed Professional Counselor
Maria Ballard
Licensed Professional Counselor, MS, LPC
Verified Verified
1 Endorsed
Anchorage, AK 99503
Not accepting new clients
Are you a first responder, military/veteran or emergency medical staff? Does your life seems unrecognizable and you're wondering how the hell you got here? Do you constantly feel worried, on edge, nervous or anxious and don't know how to change it? Are you drinking more than you want just to cope with life, or make it through the end of the day? Perhaps you feel overwhelmed, confused, lost, or depressed. And the thought of the future scares you and you don't know where to go next. Are you sick and tired of being sick and tired?! If this sounds familiar then I am here for you!
Are you a first responder, military/veteran or emergency medical staff? Does your life seems unrecognizable and you're wondering how the hell you got here? Do you constantly feel worried, on edge, nervous or anxious and don't know how to change it? Are you drinking more than you want just to cope with life, or make it through the end of the day? Perhaps you feel overwhelmed, confused, lost, or depressed. And the thought of the future scares you and you don't know where to go next. Are you sick and tired of being sick and tired?! If this sounds familiar then I am here for you!
(907) 312-5357 View (907) 312-5357
Photo of Megan Johnston, LCSW, Clinical Social Work/Therapist
Megan Johnston
Clinical Social Work/Therapist, LCSW
Verified Verified
Anchorage, AK 99503  (Online Only)
By taking the step to initiate therapy, you are already beginning the process of change. At times, we feel lost or lack of confidence to navigate through critical and life-changing circumstances. Although, we have many strengths and skills, we have difficulty accessing these during periods of family or relationship crisis, depression, anxiety, grief/loss, and trauma. As a clinician, I will use a mindful approach to facilitate the process of helping you reconnect with your strengths and discover skills, strategies and resources toward a healthier life.
By taking the step to initiate therapy, you are already beginning the process of change. At times, we feel lost or lack of confidence to navigate through critical and life-changing circumstances. Although, we have many strengths and skills, we have difficulty accessing these during periods of family or relationship crisis, depression, anxiety, grief/loss, and trauma. As a clinician, I will use a mindful approach to facilitate the process of helping you reconnect with your strengths and discover skills, strategies and resources toward a healthier life.
(907) 782-4553 View (907) 782-4553
Photo of Nathaniel Oliver, MA, LPC, Licensed Professional Counselor
Nathaniel Oliver
Licensed Professional Counselor, MA, LPC
Verified Verified
Wasilla, AK 99654
Hailing from Wooster, Ohio, Nathaniel has called Alaska home since 2004. He has a Master of Arts in Counseling and a heart for helping people connect to their partners, families, and other vital people in their lives. He has 19 years of experience helping clients explore and improve their relational dynamics and personal struggles. Nathaniel is dedicated to tailoring his services to meet the specific needs of his clients.
Hailing from Wooster, Ohio, Nathaniel has called Alaska home since 2004. He has a Master of Arts in Counseling and a heart for helping people connect to their partners, families, and other vital people in their lives. He has 19 years of experience helping clients explore and improve their relational dynamics and personal struggles. Nathaniel is dedicated to tailoring his services to meet the specific needs of his clients.
(907) 201-0177 View (907) 201-0177
Photo of Crystal Liddycoat, MA, LPC, Licensed Professional Counselor
Crystal Liddycoat
Licensed Professional Counselor, MA, LPC
Verified Verified
Anchorage, AK 99501  (Online Only)
Hello! My name is Crystal Liddycoat and I am a Licensed Professional Counselor in both Alaska and North Dakota. My husband is retired military and I spent the majority of my professional life supporting and helping those in the military and law enforcement branches of government. I also have extensive knowledge and experience in helping those with ADHD, anxiety, and depression.
Hello! My name is Crystal Liddycoat and I am a Licensed Professional Counselor in both Alaska and North Dakota. My husband is retired military and I spent the majority of my professional life supporting and helping those in the military and law enforcement branches of government. I also have extensive knowledge and experience in helping those with ADHD, anxiety, and depression.
(844) 504-0697 View (844) 504-0697
Photo of Glen Williams, PhD, Psychologist
Glen Williams
Psychologist, PhD
Verified Verified
2 Endorsed
Anchorage, AK 99501
Waitlist for new clients
I try to meet clients where there are at developmentally. We build on your strengths towards a better quality of life. I work well with children, adolescents, and their families; especially teenagers. Many of the young people I have seen have had behavioral difficulties. I also see adults with both short and long term difficulties such as depression, anxiety, PTSD, and addictive behaviors.
I try to meet clients where there are at developmentally. We build on your strengths towards a better quality of life. I work well with children, adolescents, and their families; especially teenagers. Many of the young people I have seen have had behavioral difficulties. I also see adults with both short and long term difficulties such as depression, anxiety, PTSD, and addictive behaviors.
(855) 653-2332 View (855) 653-2332
Photo of Betsy Atkins, LCSW, RPT-S, CFT-I, Clinical Social Work/Therapist
Betsy Atkins
Clinical Social Work/Therapist, LCSW, RPT-S, CFT-I
Verified Verified
Anchorage, AK 99501
Waitlist for new clients
I am a Registered Play Therapist-Supervisor utilizing play therapy skills for children elementary age and younger. I offer Filial play therapy, which creates a safe atmosphere for children to express themselves, understand structure and limits, feel heard and validated, and develop family attachments by providing support and interventions to the whole family rather than just the child. I also offer group therapy for elementary aged children that utilizes cognitive behavioral play therapy to provide education and interventions focusing on social skills, communication, executive functioning, and emotional regulation.
I am a Registered Play Therapist-Supervisor utilizing play therapy skills for children elementary age and younger. I offer Filial play therapy, which creates a safe atmosphere for children to express themselves, understand structure and limits, feel heard and validated, and develop family attachments by providing support and interventions to the whole family rather than just the child. I also offer group therapy for elementary aged children that utilizes cognitive behavioral play therapy to provide education and interventions focusing on social skills, communication, executive functioning, and emotional regulation.
(833) 598-1793 View (833) 598-1793
Photo of Patty Bullick, LCSW, Clinical Social Work/Therapist
Patty Bullick
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Kenai, AK 99611  (Online Only)
Are you ready to ease suffering and pain caused by chronic illness, depression, anxiety, stress, or PTSD? Do you seek a solution-focused, goal-oriented approach to your mental health care? Are you looking for judgment-free, compassionate, and committed guidance for your healing journey? If you answered yes to any of these questions, then I'm glad to meet you.
Are you ready to ease suffering and pain caused by chronic illness, depression, anxiety, stress, or PTSD? Do you seek a solution-focused, goal-oriented approach to your mental health care? Are you looking for judgment-free, compassionate, and committed guidance for your healing journey? If you answered yes to any of these questions, then I'm glad to meet you.
(866) 517-8630 View (866) 517-8630
Photo of Dr. Ebony V McClain, PhD, LPC-S, Counselor
Dr. Ebony V McClain
Counselor, PhD, LPC-S
Verified Verified
1 Endorsed
Anchorage, AK 99503
Waitlist for new clients
It's not work when you love it and I am fortunate to have worked in and loved the mental health and behavioral health fields for over 25 years. I have provided therapy to women in abusive relationships, homeless populations, LGBTQIA individuals, individuals struggling with substance use disorders, and individuals suffering from chronic medical illness. I have also worked in residential treatment with children and adolescents and in outpatient with children, adolescents, couples, and families. I currently prefer those ages 12 to adult in my practice. I see clients via teletherapy who live in Alaska, Arizona, Texas, and Oregon.
It's not work when you love it and I am fortunate to have worked in and loved the mental health and behavioral health fields for over 25 years. I have provided therapy to women in abusive relationships, homeless populations, LGBTQIA individuals, individuals struggling with substance use disorders, and individuals suffering from chronic medical illness. I have also worked in residential treatment with children and adolescents and in outpatient with children, adolescents, couples, and families. I currently prefer those ages 12 to adult in my practice. I see clients via teletherapy who live in Alaska, Arizona, Texas, and Oregon.
(855) 583-1698 View (855) 583-1698
Photo of Kristi L Hughes - Alaska State Supervision - Dr Hughes , PhD, LPC - S, Licensed Professional Counselor
Alaska State Supervision - Dr Hughes
Licensed Professional Counselor, PhD, LPC - S
Verified Verified
1 Endorsed
Wasilla, AK 99654
Refocus Counseling providing Clinical Supervision for PsyD, M.A. and LPC post-graduate students. Supervision for your Practicum and/or Internship is available while you build your own clientele evolving into an invitation to continue to work with our staff at Refocus Counseling. We provide an assurance of ethical practice, continued professional growth with evaluation in a successful, counseling practice with the infrastructure in place for you to develop your own clinical practice. Dr. Kristi Hughes would love to visit with you about our program.
Refocus Counseling providing Clinical Supervision for PsyD, M.A. and LPC post-graduate students. Supervision for your Practicum and/or Internship is available while you build your own clientele evolving into an invitation to continue to work with our staff at Refocus Counseling. We provide an assurance of ethical practice, continued professional growth with evaluation in a successful, counseling practice with the infrastructure in place for you to develop your own clinical practice. Dr. Kristi Hughes would love to visit with you about our program.
(907) 521-8504 View (907) 521-8504
Photo of James Brian Gallanos - Arcturus Counseling, LCSW, Clinical Social Work/Therapist
Arcturus Counseling
Clinical Social Work/Therapist, LCSW
Verified Verified
Juneau, AK 99801  (Online Only)
How many of us have been there? Feeling stuck despite our best efforts causing emotional pain and fear that things will not change. How is it that our values that supposedly drive deeper meanings become lost or are sacrificed by pressures and demands outside of our control? I believe the first step in therapy is to create room for ALL of our thoughts and feelings and work to develop a new network of behaviors that allow us to be more present, more aware and to live more fully.
How many of us have been there? Feeling stuck despite our best efforts causing emotional pain and fear that things will not change. How is it that our values that supposedly drive deeper meanings become lost or are sacrificed by pressures and demands outside of our control? I believe the first step in therapy is to create room for ALL of our thoughts and feelings and work to develop a new network of behaviors that allow us to be more present, more aware and to live more fully.
(971) 265-4486 View (971) 265-4486
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How does your Therapist compare?

Average cost per session

$200

Therapists in Alaska who prioritize treating:

88% Anxiety
83% Depression
80% Trauma and PTSD
69% Relationship Issues
64% Self Esteem
63% Stress
62% Coping Skills

Average years in practice

11 Years

Top 3 insurances accepted

76% BlueCross and BlueShield
70% Aetna
61% Premera Blue Cross

How Therapists in Alaska see their clients

66% In Person and Online
34% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Alaska?

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.