Therapists in Tacoma, WA

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Photo of Caitlin Wehrwood, Counselor in Tacoma, WA
Caitlin Wehrwood
Counselor, LMHC
Verified Verified
Tacoma, WA 98402  (Online Only)
I believe every person is creative, worthy, and capable if given the right support and care. My clients are often queer or trans, many identify as disabled or chronically ill, and most of them have experienced trauma throughout their lives. Many of my clients also identify as neurodivergent and want to understand how to work with their brains more effectively without judgment. Most of my clients have been taught that their body-minds are inconvenient, shameful, or difficult.
I believe every person is creative, worthy, and capable if given the right support and care. My clients are often queer or trans, many identify as disabled or chronically ill, and most of them have experienced trauma throughout their lives. Many of my clients also identify as neurodivergent and want to understand how to work with their brains more effectively without judgment. Most of my clients have been taught that their body-minds are inconvenient, shameful, or difficult.
(206) 800-6791 View (206) 800-6791
Photo of Brittany Tillman, Counselor in Tacoma, WA
Brittany Tillman
Counselor, LMHCA
Verified Verified
Tacoma, WA 98446
Welcome! I am so glad you are here. My primary focus as a licensed mental health counselor associate is on anxiety-related disorders, and I have worked extensively with clients facing a range of challenges, from generalized anxiety or specific phobias, to perfectionism or insecure attachment styles. I understand that each person's experience with anxiety is unique, and I tailor my therapeutic approach to meet individual needs. Whether that involves use of common evidence-based practices like cognitive-behavioral therapy (CBT), or traditional talk therapy, we will find what works best for you.
Welcome! I am so glad you are here. My primary focus as a licensed mental health counselor associate is on anxiety-related disorders, and I have worked extensively with clients facing a range of challenges, from generalized anxiety or specific phobias, to perfectionism or insecure attachment styles. I understand that each person's experience with anxiety is unique, and I tailor my therapeutic approach to meet individual needs. Whether that involves use of common evidence-based practices like cognitive-behavioral therapy (CBT), or traditional talk therapy, we will find what works best for you.
(509) 519-1420 View (509) 519-1420
Photo of Jeanette Lantz, Psychologist in Tacoma, WA
Jeanette Lantz
Psychologist, PhD
Verified Verified
8 Endorsed
Tacoma, WA 98407  (Online Only)
Not accepting new clients
Are anxiety or stress getting the better of you? Maybe you find yourself worrying all the time. Or you can't sleep. Maybe you find unwanted thoughts filling your day and driving you to do things that get in the way of the life you want. Perhaps it was harder to bounce back after having a baby than you thought it would be. Or maybe you are struggling to get past a hard thing that has happened and don't know how to get back to the full and meaningful life you want. I'm here to help.
Are anxiety or stress getting the better of you? Maybe you find yourself worrying all the time. Or you can't sleep. Maybe you find unwanted thoughts filling your day and driving you to do things that get in the way of the life you want. Perhaps it was harder to bounce back after having a baby than you thought it would be. Or maybe you are struggling to get past a hard thing that has happened and don't know how to get back to the full and meaningful life you want. I'm here to help.
(253) 214-3729 View (253) 214-3729
Photo of Jessica Aarsvold, Counselor in Tacoma, WA
Jessica Aarsvold
Counselor, MA, LMHCA
Verified Verified
Tacoma, WA 98406  (Online Only)
Do you find yourself feeling stuck in the same cycles and patterns? Are you wishing for movement in your life but find yourself unable to let go of old stories, feelings, and thoughts? Maybe you are unsure of where to start but know that the way things are, is not how you want them to be. Often times our lives can become dictated by past wounds and, coping with the feelings that arise from these moments, can be difficult. Healing from the past and staying present in the now is possible, and you do not have to do it alone.
Do you find yourself feeling stuck in the same cycles and patterns? Are you wishing for movement in your life but find yourself unable to let go of old stories, feelings, and thoughts? Maybe you are unsure of where to start but know that the way things are, is not how you want them to be. Often times our lives can become dictated by past wounds and, coping with the feelings that arise from these moments, can be difficult. Healing from the past and staying present in the now is possible, and you do not have to do it alone.
(253) 215-8565 View (253) 215-8565
Photo of David R. Moore - - Jill Nealey-Moore, Psychologist in Tacoma, WA
David R. Moore - - Jill Nealey-Moore
Psychologist, PhD
Verified Verified
Tacoma, WA 98402
Not accepting new clients
Utilizing evidence-based interventions, we specialize in helping individuals & couples achieve greater personal growth, manage stress, enhance relationships, and improve their overall health & well being. In addition to relieving distress and helping you break free from unwanted patterns in your relationships with self and others, we also work to help you learn new coping skills and gain greater insight into yourself to prevent future difficulties.
Utilizing evidence-based interventions, we specialize in helping individuals & couples achieve greater personal growth, manage stress, enhance relationships, and improve their overall health & well being. In addition to relieving distress and helping you break free from unwanted patterns in your relationships with self and others, we also work to help you learn new coping skills and gain greater insight into yourself to prevent future difficulties.
(253) 248-4521 View (253) 248-4521
Photo of Kelly Peck, Counselor in Tacoma, WA
Kelly Peck
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98402
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. I believe that children, adolescents, adults, couples and families can and deserve symptom relief, peace, harmony and greater satisfaction in their personal life, marriage, job, school, and interpersonal relationships. I provide a safe, warm and confidential therapeutic environment to achieve these goals with you.
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. I believe that children, adolescents, adults, couples and families can and deserve symptom relief, peace, harmony and greater satisfaction in their personal life, marriage, job, school, and interpersonal relationships. I provide a safe, warm and confidential therapeutic environment to achieve these goals with you.
(253) 292-5139 View (253) 292-5139
Photo of Ashely Hill, Clinical Social Work/Therapist in Tacoma, WA
Ashely Hill
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
Not accepting new clients
Are you often overwhelmed with feelings of hopelessness, low self-esteem, indecisiveness, frustration? Or maybe you feel unfulfilled in your daily routine, your work, or your relationships. The world is a challenging place to navigate right now, and you don’t have to do it alone. With mental health awareness at the forefront of the national conversation, therapy is becoming less and less taboo to seek out. I hope to join you on your journey of healing and embracing your authentic self.
Are you often overwhelmed with feelings of hopelessness, low self-esteem, indecisiveness, frustration? Or maybe you feel unfulfilled in your daily routine, your work, or your relationships. The world is a challenging place to navigate right now, and you don’t have to do it alone. With mental health awareness at the forefront of the national conversation, therapy is becoming less and less taboo to seek out. I hope to join you on your journey of healing and embracing your authentic self.
(253) 215-6535 View (253) 215-6535
Photo of Dr. Jon Moore, Psychologist in Tacoma, WA
Dr. Jon Moore
Psychologist, PhD
Verified Verified
2 Endorsed
Tacoma, WA 98406
More therapists should be transparent with their outcomes because you deserve to know exactly what quality of service you'll be receiving. I provide an in-depth look at my success rate on my site. I'm a psychologist that provides therapy, but I also specialize in testing for clinical diagnoses, adult ADHD, pre-surgery bariatric assessment, parental pre adoption evaluations, psychological hardship for immigration matters involving I-601 waivers, and asylum application evaluations for the I-589. I'm available on Saturdays and in the weekday evenings.
More therapists should be transparent with their outcomes because you deserve to know exactly what quality of service you'll be receiving. I provide an in-depth look at my success rate on my site. I'm a psychologist that provides therapy, but I also specialize in testing for clinical diagnoses, adult ADHD, pre-surgery bariatric assessment, parental pre adoption evaluations, psychological hardship for immigration matters involving I-601 waivers, and asylum application evaluations for the I-589. I'm available on Saturdays and in the weekday evenings.
(253) 237-7769 View (253) 237-7769
Photo of Graham Murtaugh, Counselor in Tacoma, WA
Graham Murtaugh
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98405
Are you feeling a little “off” lately? Down, anxious or unsure what comes next in life—especially after the last year or so? Perhaps relationships aren’t working out or problematic patterns you want to quit just keep popping up. Maybe you find yourself struggling with old wounds that need care and attention. Or it could be you just don’t feel like yourself and you’re not sure why.
Are you feeling a little “off” lately? Down, anxious or unsure what comes next in life—especially after the last year or so? Perhaps relationships aren’t working out or problematic patterns you want to quit just keep popping up. Maybe you find yourself struggling with old wounds that need care and attention. Or it could be you just don’t feel like yourself and you’re not sure why.
(253) 262-0395 View (253) 262-0395
Photo of Courtney Putnam, Counselor in Tacoma, WA
Courtney Putnam
Counselor, MA, MFA, LMHCA, LMT, RM
Verified Verified
3 Endorsed
Tacoma, WA 98406
I support clients in managing the stressors in their lives, getting unstuck, expressing themselves, and deepening their relationships with themselves and others. I work with adults (18+) from all walks of life who may be struggling with self-esteem, identity, anxiety, depression, grief/loss, life transitions, chronic pain/illness, college stress, burnout, past trauma, and more. I am also an LGBTQ+ affirming therapist and offer gender-affirming care. I hold an inclusive and anti-oppressive lens and invite clients’ intersecting cultural identities to be acknowledged, respected, and celebrated.
I support clients in managing the stressors in their lives, getting unstuck, expressing themselves, and deepening their relationships with themselves and others. I work with adults (18+) from all walks of life who may be struggling with self-esteem, identity, anxiety, depression, grief/loss, life transitions, chronic pain/illness, college stress, burnout, past trauma, and more. I am also an LGBTQ+ affirming therapist and offer gender-affirming care. I hold an inclusive and anti-oppressive lens and invite clients’ intersecting cultural identities to be acknowledged, respected, and celebrated.
(253) 243-8345 View (253) 243-8345
Photo of Lonnie Renteria Counseling, PLLC, Counselor in Tacoma, WA
Lonnie Renteria Counseling, PLLC
Counselor, MA, LMHC, CCTP, CTMH
Verified Verified
Tacoma, WA 98402  (Online Only)
Waitlist for new clients
I provide a safe, supportive space for couples and individuals. We negotiate together how to optimize your experience of living life, your relationships, your work, and we continue to build on that. I believe that we all have the capacity to heal and build the life that we want to live.
I provide a safe, supportive space for couples and individuals. We negotiate together how to optimize your experience of living life, your relationships, your work, and we continue to build on that. I believe that we all have the capacity to heal and build the life that we want to live.
(206) 258-6420 View (206) 258-6420
Photo of Bethany Lynn Davis, Clinical Social Work/Therapist in Tacoma, WA
Bethany Lynn Davis
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98402  (Online Only)
I work with individuals that experience anxiety, depression and codependency. You may be experiencing struggles in relationships with others or yourself. You may feel like life is chaotic and you are not sure why certain feelings are coming to the surface as they are. It is my sincere desire for you to cultivate and maintain healthy relationships and experience calm within yourself and with others. I use Inner Child Work, Somatic Therapy and CBT to explore unhelpful thought patterns/behaviors and equip you with the skills to manage uncomfortable emotions.
I work with individuals that experience anxiety, depression and codependency. You may be experiencing struggles in relationships with others or yourself. You may feel like life is chaotic and you are not sure why certain feelings are coming to the surface as they are. It is my sincere desire for you to cultivate and maintain healthy relationships and experience calm within yourself and with others. I use Inner Child Work, Somatic Therapy and CBT to explore unhelpful thought patterns/behaviors and equip you with the skills to manage uncomfortable emotions.
(253) 367-3289 View (253) 367-3289
Photo of Marjory Ware, Mental Health Counselor in Tacoma, WA
Marjory Ware
Mental Health Counselor, MA, LMHC, LMFT
Verified Verified
10 Endorsed
Tacoma, WA 98406  (Online Only)
Does it feel like no matter what you do, things never change? You’re running on all cylinders, trying to be everything for everyone, including yourself. You tell everyone that you are fine. Managing. But you’re noticing how it’s impacting you. You realize that things need to change. Whether you're experiencing the impacts of systemic oppression, self-esteem, or relationship issues, know that you don't have to be alone in this journey. No two individuals are the same, and I tailor our sessions together to address challenges unique to you. We will work together to understand and address the root cause of those issues.
Does it feel like no matter what you do, things never change? You’re running on all cylinders, trying to be everything for everyone, including yourself. You tell everyone that you are fine. Managing. But you’re noticing how it’s impacting you. You realize that things need to change. Whether you're experiencing the impacts of systemic oppression, self-esteem, or relationship issues, know that you don't have to be alone in this journey. No two individuals are the same, and I tailor our sessions together to address challenges unique to you. We will work together to understand and address the root cause of those issues.
(253) 649-2995 View (253) 649-2995
Photo of Shelleigh-Mairi W Ferguson, Marriage & Family Therapist in Tacoma, WA
Shelleigh-Mairi W Ferguson
Marriage & Family Therapist, LMFT, MHP
Verified Verified
1 Endorsed
Tacoma, WA 98402
ACCEPTING NEW CLIENTS Do you have a sense that you have no control over your life, thoughts, or feelings, causing you NOT to be an active participant in your own life? Do these feelings cause you to feel that you are drifting through life, becoming depressed and anxious? My goal is to offer a safe, supportive space, to walk with you on your journey, explore aspects of the 'self' that you would like to build, and discover strengths that can be used in your present and future, in order to construct the life you desire. Remember, the steps you take don’t have to be big, they just have to be heading you in the right direction.
ACCEPTING NEW CLIENTS Do you have a sense that you have no control over your life, thoughts, or feelings, causing you NOT to be an active participant in your own life? Do these feelings cause you to feel that you are drifting through life, becoming depressed and anxious? My goal is to offer a safe, supportive space, to walk with you on your journey, explore aspects of the 'self' that you would like to build, and discover strengths that can be used in your present and future, in order to construct the life you desire. Remember, the steps you take don’t have to be big, they just have to be heading you in the right direction.
(253) 240-4994 x253987 View (253) 240-4994 x253987
Photo of Elizabeth (Lizz) Jenkins, Counselor in Tacoma, WA
Elizabeth (Lizz) Jenkins
Counselor, MEd, LMHCA
Verified Verified
Tacoma, WA 98405  (Online Only)
As a counselor, I believe that the most important aspect of my work is meeting clients where they are and building a therapeutic relationship. I have found that many clients seek help with anxiety, ADHD, life transitions, trauma, and depression, and I strive to create a safe and non-judgmental space for clients to explore these issues. By using a flexible and integrative approach, I help clients to develop a deeper understanding and compassion for themselves and provide them with support as they overcome their challenges, whether healing past experiences, coping with the present, or moving towards their future potential.
As a counselor, I believe that the most important aspect of my work is meeting clients where they are and building a therapeutic relationship. I have found that many clients seek help with anxiety, ADHD, life transitions, trauma, and depression, and I strive to create a safe and non-judgmental space for clients to explore these issues. By using a flexible and integrative approach, I help clients to develop a deeper understanding and compassion for themselves and provide them with support as they overcome their challenges, whether healing past experiences, coping with the present, or moving towards their future potential.
(253) 600-3408 View (253) 600-3408
Photo of Saltwater Supervision & Consulting, Clinical Social Work/Therapist in Tacoma, WA
Saltwater Supervision & Consulting
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98402
Are you looking for high quality, low cost group supervision hours? I am starting clinical social work supervision groups in May that will meet for four hours one weekend a month. We will divide the time into seminar-style learning, case presentation and discussion, guest speakers and test prep.
Are you looking for high quality, low cost group supervision hours? I am starting clinical social work supervision groups in May that will meet for four hours one weekend a month. We will divide the time into seminar-style learning, case presentation and discussion, guest speakers and test prep.
View
Photo of Seolah Park, Counselor in Tacoma, WA
Seolah Park
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98402
As an immigrant, I understand that life is a journey and as part of that we encounter countless challenges. Going through difficult times and learning to cope with them are opportunities to become wiser and more mindful. However, life challenges can be daunting and hard to overcome. I believe that therapy can help you make sense of your circumstances and cultivate insights and awareness so that you can change and grow. I work with adults 18 and older with an emphasis on mindfulness, attachment-based and Cognitive Behavioral Therapy approaches.
As an immigrant, I understand that life is a journey and as part of that we encounter countless challenges. Going through difficult times and learning to cope with them are opportunities to become wiser and more mindful. However, life challenges can be daunting and hard to overcome. I believe that therapy can help you make sense of your circumstances and cultivate insights and awareness so that you can change and grow. I work with adults 18 and older with an emphasis on mindfulness, attachment-based and Cognitive Behavioral Therapy approaches.
(253) 252-1521 View (253) 252-1521
Photo of Tracey Hunt, Clinical Social Work/Therapist in Tacoma, WA
Tracey Hunt
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98422
Tracey's calling is to comfort the hurting, to heal the broken hearted, and help people find peace........ Therapy is a powerful experience of growth and change. I work with individuals, couples, families, and teenagers to successfully reduce stress, anxiety, and depression; strengthen relationships; resolve grief, past traumas, and internal conflict. Together we will work on modifying negative thinking and self destructive behaviors, build self esteem and better thoughts; enhance intimacy, foster self discovery; and help to improve one's overall quality of life experiences.
Tracey's calling is to comfort the hurting, to heal the broken hearted, and help people find peace........ Therapy is a powerful experience of growth and change. I work with individuals, couples, families, and teenagers to successfully reduce stress, anxiety, and depression; strengthen relationships; resolve grief, past traumas, and internal conflict. Together we will work on modifying negative thinking and self destructive behaviors, build self esteem and better thoughts; enhance intimacy, foster self discovery; and help to improve one's overall quality of life experiences.
(253) 292-6201 View (253) 292-6201
Photo of Lindsay Arbanas, Counselor in Tacoma, WA
Lindsay Arbanas
Counselor, MSW, LICSW, LMHC
Verified Verified
1 Endorsed
Tacoma, WA 98402
I am passionate about being present with individuals as they experience disappointment, pain, despair, and joy in life and relationships. Sometimes, we need help navigating. I believe together we will discover the power and insight already within you. We undergo a process of examining your inner life, dreams, fantasies, and imagination to discover the inspiration that will allow you to live an authentic life. My approach is individually-focused and relationship-driven. Whatever challenges you are facing; that with a bit of goodwill and openness, much can be uncovered in a relatively short period of time.
I am passionate about being present with individuals as they experience disappointment, pain, despair, and joy in life and relationships. Sometimes, we need help navigating. I believe together we will discover the power and insight already within you. We undergo a process of examining your inner life, dreams, fantasies, and imagination to discover the inspiration that will allow you to live an authentic life. My approach is individually-focused and relationship-driven. Whatever challenges you are facing; that with a bit of goodwill and openness, much can be uncovered in a relatively short period of time.
(253) 271-4570 View (253) 271-4570
Photo of IgnitePathwayscom, Marriage & Family Therapist Intern in Tacoma, WA
IgnitePathwayscom
Marriage & Family Therapist Intern
Verified Verified
Tacoma, WA 98402
Life can get messy at times. Each day presents new challenges and opportunities. Sometimes we can get stuck and need help sorting through the ups and downs of life. No one is perfect, we all make mistakes and sometimes can lose our way. It helps to know that there are others that care. Within this process of care, I am committed to helping my clients through client-centered collaboration, empathy, and respect. Through individual or family therapy, my focus is to help clients reach their goals. No matter what stage of life we are in, childhood, adolescence, adulthood, or senior, conflicts can occur.
Life can get messy at times. Each day presents new challenges and opportunities. Sometimes we can get stuck and need help sorting through the ups and downs of life. No one is perfect, we all make mistakes and sometimes can lose our way. It helps to know that there are others that care. Within this process of care, I am committed to helping my clients through client-centered collaboration, empathy, and respect. Through individual or family therapy, my focus is to help clients reach their goals. No matter what stage of life we are in, childhood, adolescence, adulthood, or senior, conflicts can occur.
(253) 400-3091 View (253) 400-3091

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.