Therapists in Seattle, WA

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Photo of Santi Allende, Psychologist in Seattle, WA
Santi Allende
Psychologist, PsyD
Verified Verified
Seattle, WA 98119  (Online Only)
Not accepting new clients
Sometimes we can sense that something isn't quite right in our lives and it can be somewhat nerve-racking to reach out to a therapist for guidance. With this in mind, I do my best to provide a warm and welcoming environment. I specialize in working with adults who are experiencing the emotional sequelae of chronic stress and workplace burnout, including feeling overwhelmed, depleted and exhausted, pessimistic, detached, anxious, and depressed. Other areas of focus include adjustment difficulties, relationship and family-of-origin issues, grief and loss, chronic physical health conditions, and interpersonal trauma.
Sometimes we can sense that something isn't quite right in our lives and it can be somewhat nerve-racking to reach out to a therapist for guidance. With this in mind, I do my best to provide a warm and welcoming environment. I specialize in working with adults who are experiencing the emotional sequelae of chronic stress and workplace burnout, including feeling overwhelmed, depleted and exhausted, pessimistic, detached, anxious, and depressed. Other areas of focus include adjustment difficulties, relationship and family-of-origin issues, grief and loss, chronic physical health conditions, and interpersonal trauma.
(206) 222-8342 View (206) 222-8342
Photo of Dan Fajans, Counselor in Seattle, WA
Dan Fajans
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98109  (Online Only)
Caught in a seemingly endless loop of arguments with your partner? Feeling like you're constantly walking on eggshells, afraid of triggering another conflict? You're not alone. Many couples experience challenging periods. But these patterns can and do change. I specialize in helping couples break free from their unhelpful conflict cycles, rekindle the spark that brought them together, and cultivate a relationship worth cherishing.
Caught in a seemingly endless loop of arguments with your partner? Feeling like you're constantly walking on eggshells, afraid of triggering another conflict? You're not alone. Many couples experience challenging periods. But these patterns can and do change. I specialize in helping couples break free from their unhelpful conflict cycles, rekindle the spark that brought them together, and cultivate a relationship worth cherishing.
(206) 452-4104 View (206) 452-4104
Photo of Sheryl E Kool, Counselor in Seattle, WA
Sheryl E Kool
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98125
Not accepting new clients
Welcome! I am a warm, compassionate and experienced counselor who works in a collaborative style that allows you to draw upon your own strengths and experience in order to grow. Trust and a sense of safety are the necessary foundations for effective treatment. You need to feel connected and understood to share your internal world. I respect the tremendous courage it takes to face up to deeply buried or avoided thoughts and feelings. My ability to listen, follow and connect deeply will enable you to feel safe enough to explore the problems which have hindered your life and relationships.
Welcome! I am a warm, compassionate and experienced counselor who works in a collaborative style that allows you to draw upon your own strengths and experience in order to grow. Trust and a sense of safety are the necessary foundations for effective treatment. You need to feel connected and understood to share your internal world. I respect the tremendous courage it takes to face up to deeply buried or avoided thoughts and feelings. My ability to listen, follow and connect deeply will enable you to feel safe enough to explore the problems which have hindered your life and relationships.
(206) 981-3189 View (206) 981-3189
Photo of Melany Grout, Counselor in Seattle, WA
Melany Grout
Counselor, MA, JD, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98102
Waitlist for new clients
Do you want to feel confident, at peace, trusting of yourself, and more connected in relationships, but feel stuck in some of this instead?: if I stop pushing myself so hard, I won’t be good enough; if I share my feelings or ask for what I need it'll be too much; I can't show the real me; I should be able to just handle this myself. Folks I work with are often seeking support with things underpinning or accompanying such feelings, including: anxiety, stress, negative thought loops, difficulty with self-esteem, trauma, challenges with boundary setting, and feeling disconnected.
Do you want to feel confident, at peace, trusting of yourself, and more connected in relationships, but feel stuck in some of this instead?: if I stop pushing myself so hard, I won’t be good enough; if I share my feelings or ask for what I need it'll be too much; I can't show the real me; I should be able to just handle this myself. Folks I work with are often seeking support with things underpinning or accompanying such feelings, including: anxiety, stress, negative thought loops, difficulty with self-esteem, trauma, challenges with boundary setting, and feeling disconnected.
(206) 736-4033 View (206) 736-4033
Photo of Kat Chen, Clinical Social Work/Therapist in Seattle, WA
Kat Chen
Clinical Social Work/Therapist
Verified Verified
Seattle, WA 98105
I work with individuals aged 16 and up, and I am committed to creating a collaborative and empowering therapeutic relationship. I believe that working together means uncovering your strengths, confronting challenges, and developing strategies that enhance your well-being and quality of life. Whether you're struggling with the pressures of school/family/society, the weight of past traumas, or the challenges of adapting to a new environment, I offer a personalized approach to help you navigate in the face of change.
I work with individuals aged 16 and up, and I am committed to creating a collaborative and empowering therapeutic relationship. I believe that working together means uncovering your strengths, confronting challenges, and developing strategies that enhance your well-being and quality of life. Whether you're struggling with the pressures of school/family/society, the weight of past traumas, or the challenges of adapting to a new environment, I offer a personalized approach to help you navigate in the face of change.
(206) 429-6798 View (206) 429-6798
Photo of Christopher J Lowe, Psychologist in Seattle, WA
Christopher J Lowe
Psychologist, PsyD
Verified Verified
Seattle, WA 98102  (Online Only)
Not accepting new clients
I work frequently with individuals and couples who are motivated to gain more insight into themselves and who are struggling with career stress, overcoming early trauma and neglect, mild addictive behaviors, depression, anxiety, obsessive thoughts and behaviors, relationship conflict, and those who are trying to find a sense of meaning and purpose in their lives. My aim is to not only treat or view you as a set of symptoms, but to also help you acquire a deeper understanding of your self and from where those symptoms might be coming.
I work frequently with individuals and couples who are motivated to gain more insight into themselves and who are struggling with career stress, overcoming early trauma and neglect, mild addictive behaviors, depression, anxiety, obsessive thoughts and behaviors, relationship conflict, and those who are trying to find a sense of meaning and purpose in their lives. My aim is to not only treat or view you as a set of symptoms, but to also help you acquire a deeper understanding of your self and from where those symptoms might be coming.
(206) 589-5627 View (206) 589-5627
Photo of Niki (Nikole) Koumoutsos, Counselor in Seattle, WA
Niki (Nikole) Koumoutsos
Counselor, LMHC, MA
Verified Verified
Seattle, WA 98118  (Online Only)
I have spots open! Are you finding yourself engaged in patterns that used to serve you but are now getting in your way? You’re dealing with a lot–from everything going on in the world around you and your own suffering too. You may be wondering if things can be better - to become your more authentic self. When people are well supported relationally, it creates an expansiveness for living. In our therapeutic relationship, we’ll examine patterns & systems that are keeping you from your full self. Together, we’ll work to make sense of your experiences, identify difficulties & integrate resources to find meaning to live a fuller life.
I have spots open! Are you finding yourself engaged in patterns that used to serve you but are now getting in your way? You’re dealing with a lot–from everything going on in the world around you and your own suffering too. You may be wondering if things can be better - to become your more authentic self. When people are well supported relationally, it creates an expansiveness for living. In our therapeutic relationship, we’ll examine patterns & systems that are keeping you from your full self. Together, we’ll work to make sense of your experiences, identify difficulties & integrate resources to find meaning to live a fuller life.
(773) 219-6711 View (773) 219-6711
Photo of Jan Pendergrass, Counselor in Seattle, WA
Jan Pendergrass
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98109  (Online Only)
I have been working with children and families, teens and young adults for more than 30 years. With genuine warmth and hopeful optimism I connect with individuals through virtual counseling or (weather permitting) as we walk and talk on Alki. Building a supportive relationship is foundational to helping clients understand and manage emotions, gain skills for communication and work through life’s challenges. Every one of us must learn to understand, appreciate and accept ourselves as unique individuals. Helping others find their voice in this process is my goal and great joy.
I have been working with children and families, teens and young adults for more than 30 years. With genuine warmth and hopeful optimism I connect with individuals through virtual counseling or (weather permitting) as we walk and talk on Alki. Building a supportive relationship is foundational to helping clients understand and manage emotions, gain skills for communication and work through life’s challenges. Every one of us must learn to understand, appreciate and accept ourselves as unique individuals. Helping others find their voice in this process is my goal and great joy.
(206) 339-7351 View (206) 339-7351
Photo of Alice Allen-Redfern, Clinical Social Work/Therapist in Seattle, WA
Alice Allen-Redfern
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Seattle, WA 98106
I specialize in supporting those affected by chronic and progressive conditions that affect the brain; this can include, but is not limited to, Alzheimer's disease, related Dementias, Parkinson's, Stroke, PPA, Lewy Body, Frontotemporal Degeneration, Huntington's Disease. I work with those diagnosed, as well as their loved ones & caregivers. My support spans the whole journey; from recently diagnosed, into the later stages. Additionally, I offer guidance and navigation for those experiencing aging-related issues. I am available for sessions in-person, virtually, or through home-visits in select instances.
I specialize in supporting those affected by chronic and progressive conditions that affect the brain; this can include, but is not limited to, Alzheimer's disease, related Dementias, Parkinson's, Stroke, PPA, Lewy Body, Frontotemporal Degeneration, Huntington's Disease. I work with those diagnosed, as well as their loved ones & caregivers. My support spans the whole journey; from recently diagnosed, into the later stages. Additionally, I offer guidance and navigation for those experiencing aging-related issues. I am available for sessions in-person, virtually, or through home-visits in select instances.
(206) 627-4525 View (206) 627-4525
Photo of Aaron McClain, Marriage & Family Therapist in Seattle, WA
Aaron McClain
Marriage & Family Therapist, LMFT
Verified Verified
5 Endorsed
Seattle, WA 98109  (Online Only)
I work with men who have difficulty identifying with their feelings, struggle with depression and anxiety, or have issues with their work/life balance. My clients typically struggle with expressing themselves in their relationships. They feel lonely, hopeless, and isolated. They are overworked and under loved. In our work together, I will give you support, feedback and insight, and constructively challenge patterns and beliefs that may be getting in your way. Together we can strive to understand the roots of the struggles you are experiencing in your life.
I work with men who have difficulty identifying with their feelings, struggle with depression and anxiety, or have issues with their work/life balance. My clients typically struggle with expressing themselves in their relationships. They feel lonely, hopeless, and isolated. They are overworked and under loved. In our work together, I will give you support, feedback and insight, and constructively challenge patterns and beliefs that may be getting in your way. Together we can strive to understand the roots of the struggles you are experiencing in your life.
(765) 629-4592 View (765) 629-4592
Photo of Martha Reynolds, Clinical Social Work/Therapist in Seattle, WA
Martha Reynolds
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98119
I provide a professional, confidential setting in which an individual is safe to explore and find personal solutions to the complex problems of emotional life and interpersonal relationships. I believe it is within the context of the therapeutic attachment that positive growth and development are facilitated.
I provide a professional, confidential setting in which an individual is safe to explore and find personal solutions to the complex problems of emotional life and interpersonal relationships. I believe it is within the context of the therapeutic attachment that positive growth and development are facilitated.
(206) 743-9985 View (206) 743-9985
Photo of Alexis Chan Langbehn, Marriage & Family Therapist in Seattle, WA
Alexis Chan Langbehn
Marriage & Family Therapist, LMFT
Verified Verified
Seattle, WA 98118
I believe that humans are inherently relational. When our basic needs for love and safety are left unmet, we can experience loneliness, low self-worth, and mistrust in relationships. My focus in therapy is to highlight the cycles of pain you may find yourself and/or your relationship in, and to assist you in building greater self-awareness, sustainable coping strategies and ways of relating to others. I am passionate about helping my clients to develop greater self-compassion and deeper connections in their relationships.
I believe that humans are inherently relational. When our basic needs for love and safety are left unmet, we can experience loneliness, low self-worth, and mistrust in relationships. My focus in therapy is to highlight the cycles of pain you may find yourself and/or your relationship in, and to assist you in building greater self-awareness, sustainable coping strategies and ways of relating to others. I am passionate about helping my clients to develop greater self-compassion and deeper connections in their relationships.
(206) 672-8034 View (206) 672-8034
Photo of Salomé Valencia-Bohné, Clinical Social Work/Therapist in Seattle, WA
Salomé Valencia-Bohné
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98105  (Online Only)
I am focused on helping adults successfully navigate both new and chronic stressors in their lives. These stressors may be anxiety, grief and loss, traumatic experiences, new diagnoses, ongoing health conditions, caregiver stress, and life transitions. We will all encounter difficulties in our lives and my goal is to help you work through the things you are struggling with. I am able to hold your stories with compassion.
I am focused on helping adults successfully navigate both new and chronic stressors in their lives. These stressors may be anxiety, grief and loss, traumatic experiences, new diagnoses, ongoing health conditions, caregiver stress, and life transitions. We will all encounter difficulties in our lives and my goal is to help you work through the things you are struggling with. I am able to hold your stories with compassion.
(206) 487-3880 View (206) 487-3880
Photo of Carla L. Buck, Counselor in Seattle, WA
Carla L. Buck
Counselor, MA, LMHC
Verified Verified
9 Endorsed
Seattle, WA 98168  (Online Only)
Limited sessions available - Specializing in working alongside high achievers in fast-paced industries including tech, law and the medical field. You likely feel burned out and overwhelmed by the relentless demands you're up against at work and in your personal life. If you find yourself constantly placing high expectations on yourself and feeling the weight of heavy self and external pressures; I get you. I specialize in working with high achievers just like you who have no space to recover mentally or physically, and who feel exhausted and inefficient in many areas of life.
Limited sessions available - Specializing in working alongside high achievers in fast-paced industries including tech, law and the medical field. You likely feel burned out and overwhelmed by the relentless demands you're up against at work and in your personal life. If you find yourself constantly placing high expectations on yourself and feeling the weight of heavy self and external pressures; I get you. I specialize in working with high achievers just like you who have no space to recover mentally or physically, and who feel exhausted and inefficient in many areas of life.
(206) 203-4851 View (206) 203-4851
Photo of Ashley Fleit - South Seattle Therapy, Pre-Licensed Professional in Seattle, WA
Ashley Fleit - South Seattle Therapy
Pre-Licensed Professional, LMFTA
Verified Verified
1 Endorsed
Seattle, WA 98118
I am a relationship and sex therapist who works with couples, groups, and individuals. I offer therapy in person in Seward Park, and online. My goal is to create an warm environment that centers your unique lived experience - you are the expert of your life. I hope to support your goals for therapy such as increasing connection, intimacy, knowledge of self, acceptance, growth, and healing. I work with all gender, sexual, romantic and relationship identities. I am sex positive and HAES-aligned.
I am a relationship and sex therapist who works with couples, groups, and individuals. I offer therapy in person in Seward Park, and online. My goal is to create an warm environment that centers your unique lived experience - you are the expert of your life. I hope to support your goals for therapy such as increasing connection, intimacy, knowledge of self, acceptance, growth, and healing. I work with all gender, sexual, romantic and relationship identities. I am sex positive and HAES-aligned.
(206) 401-8276 View (206) 401-8276
Photo of Simone Bullinger, Counselor in Seattle, WA
Simone Bullinger
Counselor, MACP, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
I am a mixed-race, queer womxn of Nigerian and German heritage residing upon unceded Coast Salish and Duwamish lands. I am a person-centered and holistically focused therapist who is committed to centering the experiences of Black, Indigenous, People of Color, and Queer Folk, although I serve individuals, couples, and youth from all walks of life. I embrace a holistic view of well-being. I believe that connection to self, others, nature, and the transcendent can contribute to a healthy state of being. I utilize the application of Liberation, and social justice frameworks while adapting and incorporating new techniques as needed.
I am a mixed-race, queer womxn of Nigerian and German heritage residing upon unceded Coast Salish and Duwamish lands. I am a person-centered and holistically focused therapist who is committed to centering the experiences of Black, Indigenous, People of Color, and Queer Folk, although I serve individuals, couples, and youth from all walks of life. I embrace a holistic view of well-being. I believe that connection to self, others, nature, and the transcendent can contribute to a healthy state of being. I utilize the application of Liberation, and social justice frameworks while adapting and incorporating new techniques as needed.
(206) 456-6145 View (206) 456-6145
Photo of Chelsey Buckham, Counselor in Seattle, WA
Chelsey Buckham
Counselor, MA, LMHCA, NCC
Verified Verified
1 Endorsed
Seattle, WA 98112
Not accepting new clients
My ideal client might be someone who is struggling with grief or need support for their emotional needs. They might come to me wanting to feel lighter in this world or learn how to manage the dark days. These are generally people suffering from depression-like symptoms. Sometimes, you need an empathetic person on your side to navigate you through your journey.
My ideal client might be someone who is struggling with grief or need support for their emotional needs. They might come to me wanting to feel lighter in this world or learn how to manage the dark days. These are generally people suffering from depression-like symptoms. Sometimes, you need an empathetic person on your side to navigate you through your journey.
(206) 984-2238 View (206) 984-2238
Photo of Nicholas Coniaris, Counselor in Seattle, WA
Nicholas Coniaris
Counselor, LMHC, CRC
Verified Verified
Seattle, WA 98144
We are all in this together. Counseling is a collaborative process of exploration and experimentation leading to new ways of engaging with ourselves, the people around us, and the world as a whole. By learning how our past shaped our survival skills and beliefs, we create the possibility of acceptance, growth and change. Our society is troubled in many ways, and this is a place to take stock, try a different approach, and plant the seeds of change for ourselves and others. I have over 20 years of experience in mental health, with a focus on EMDR, Internal Family Systems, Motivational Interviewing, CBT and Mindfulness.
We are all in this together. Counseling is a collaborative process of exploration and experimentation leading to new ways of engaging with ourselves, the people around us, and the world as a whole. By learning how our past shaped our survival skills and beliefs, we create the possibility of acceptance, growth and change. Our society is troubled in many ways, and this is a place to take stock, try a different approach, and plant the seeds of change for ourselves and others. I have over 20 years of experience in mental health, with a focus on EMDR, Internal Family Systems, Motivational Interviewing, CBT and Mindfulness.
(206) 279-3499 View (206) 279-3499
Photo of Casey McCarthy, Marriage & Family Therapist Associate in Seattle, WA
Casey McCarthy
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Seattle, WA 98101  (Online Only)
Are you struggling to find balance and communication in your family or relationship? Are you not sure what your next phase of life looks like? Maybe you know exactly what you want but are afraid to commit to it. Has parenting become overwhelming? These are all common issues we face as emotional beings.
Are you struggling to find balance and communication in your family or relationship? Are you not sure what your next phase of life looks like? Maybe you know exactly what you want but are afraid to commit to it. Has parenting become overwhelming? These are all common issues we face as emotional beings.
(206) 589-5223 View (206) 589-5223
Photo of Jules M. Young, Clinical Social Work/Therapist in Seattle, WA
Jules M. Young
Clinical Social Work/Therapist, LSWAIC, MSW/MPH
Verified Verified
1 Endorsed
Seattle, WA 98115  (Online Only)
Understanding how our brains function and why we behave a certain way can empower us to make informed choices about our lives, health, and relationships. I am an open and out queer therapist. I support clients in navigating anxiety, depression, trauma, family of origin challenges, identity, disability and chronic illness, grief, substance use and dependence, and life transitions. I work with youth (age 13+) and adults. I am also a young adult breast cancer survivor and provide services to those who are or have been affected by cancer, particularly families impacted by cancer-causing genetic mutations.
Understanding how our brains function and why we behave a certain way can empower us to make informed choices about our lives, health, and relationships. I am an open and out queer therapist. I support clients in navigating anxiety, depression, trauma, family of origin challenges, identity, disability and chronic illness, grief, substance use and dependence, and life transitions. I work with youth (age 13+) and adults. I am also a young adult breast cancer survivor and provide services to those who are or have been affected by cancer, particularly families impacted by cancer-causing genetic mutations.
(509) 253-3973 View (509) 253-3973

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.