Therapists in Kirkland, WA

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Photo of Traverse Therapy Services, LLC, Counselor in Kirkland, WA
Traverse Therapy Services, LLC
Counselor, MA, LMHC
Verified Verified
Kirkland, WA 98033
We are accepting new clients. My name is Lejla. I specialize in helping individuals and families reach and stay in recovery from anxiety and other mood disorders, substance misuse, trauma, relationship conflicts and issues surrounding grief and loss.
We are accepting new clients. My name is Lejla. I specialize in helping individuals and families reach and stay in recovery from anxiety and other mood disorders, substance misuse, trauma, relationship conflicts and issues surrounding grief and loss.
(425) 333-3408 View (425) 333-3408
Photo of Karin Tinta-Guibert, Mental Health Counselor in Kirkland, WA
Karin Tinta-Guibert
Mental Health Counselor, MA, LMHC
Verified Verified
Kirkland, WA 98034
We experience many changes and challenges, such as relocation, growing within relationships, parenthood, or changes in education, career or employment status. Loss comes in many forms, and grief looks different for each individual. Therapy is a way to navigate these challenges, to grow self-awareness and coping skills, and to find meaning in the unexpected, while exploring the external and internal factors that influence our thoughts, feelings, and behaviors.
We experience many changes and challenges, such as relocation, growing within relationships, parenthood, or changes in education, career or employment status. Loss comes in many forms, and grief looks different for each individual. Therapy is a way to navigate these challenges, to grow self-awareness and coping skills, and to find meaning in the unexpected, while exploring the external and internal factors that influence our thoughts, feelings, and behaviors.
(206) 594-2338 View (206) 594-2338
Photo of Xyla Blue Payne, Pre-Licensed Professional in Kirkland, WA
Xyla Blue Payne
Pre-Licensed Professional, LSWAIC
Verified Verified
2 Endorsed
Kirkland, WA 98034
Welcome! I'm so glad you're here. As humans, we all struggle with coping sometimes. Coping could be more challenging because of chronic illness, pain, neurodiversity, anxiety, and depression. My fellow zebras may be familiar with the saying coined by Theodore Woodward, “When you hear hoofbeats, think of horses, not zebras,” which is commonly taught to doctors. This saying often results in individuals feeling invalidated and questioning their symptoms. Invalidation and lack of support can leave individuals feeling isolated. As a therapist, I aim to assist my clients with building coping mechanisms and providing emotional support.
Welcome! I'm so glad you're here. As humans, we all struggle with coping sometimes. Coping could be more challenging because of chronic illness, pain, neurodiversity, anxiety, and depression. My fellow zebras may be familiar with the saying coined by Theodore Woodward, “When you hear hoofbeats, think of horses, not zebras,” which is commonly taught to doctors. This saying often results in individuals feeling invalidated and questioning their symptoms. Invalidation and lack of support can leave individuals feeling isolated. As a therapist, I aim to assist my clients with building coping mechanisms and providing emotional support.
(425) 689-7246 View (425) 689-7246
Photo of Kelly Herzberg, Counselor in Kirkland, WA
Kelly Herzberg
Counselor, MEd, LMHC
Verified Verified
7 Endorsed
Kirkland, WA 98033
I focus on supporting people through life transitions including divorce, fertility, and grief/loss. I work with people who are experiencing stress, anxiety, trauma, low self-esteem, and blocked creativity. I help my clients explore their identity – who they have been, who they are now, and who they want to be. My style as a therapist is warm, compassionate, and relational. I bring creativity, humor, and depth to my sessions at Self Space and I believe honesty and empathy are the foundation for healing.
I focus on supporting people through life transitions including divorce, fertility, and grief/loss. I work with people who are experiencing stress, anxiety, trauma, low self-esteem, and blocked creativity. I help my clients explore their identity – who they have been, who they are now, and who they want to be. My style as a therapist is warm, compassionate, and relational. I bring creativity, humor, and depth to my sessions at Self Space and I believe honesty and empathy are the foundation for healing.
(206) 866-2767 View (206) 866-2767
Photo of Daniela Del Moral, Counselor in Kirkland, WA
Daniela Del Moral
Counselor, MS , LMHC
Verified Verified
Kirkland, WA 98033
Waitlist for new clients
Do you feel like life is so overwhelming that it’s hard to focus? Do you feel like sometimes your only option is to hide or leave this life? Depression and or anxiety win most of the time? I get that. Your feelings matter. You matter. I work with several individuals whom struggle with these overwhelming emotions, together we can find desires of life, set goals, and figure out what matters to you individually.
Do you feel like life is so overwhelming that it’s hard to focus? Do you feel like sometimes your only option is to hide or leave this life? Depression and or anxiety win most of the time? I get that. Your feelings matter. You matter. I work with several individuals whom struggle with these overwhelming emotions, together we can find desires of life, set goals, and figure out what matters to you individually.
(425) 559-9541 View (425) 559-9541
Photo of Nick Weidell, Pre-Licensed Professional in Kirkland, WA
Nick Weidell
Pre-Licensed Professional, AA, BA
Verified Verified
1 Endorsed
Kirkland, WA 98034
I want to commend you for taking the brave first step toward addressing your mental health concerns. It takes courage to embark on a journey of self-discovery and healing. My counseling philosophy is rooted in the belief that self-compassion is a cornerstone for developing a healthy mindset and understanding of the world. I emphasize the importance of nurturing self-compassion as a fundamental aspect of personal growth and resilience. I guide my clients toward accepting their thoughts and feelings while committing to actions aligned with their values.
I want to commend you for taking the brave first step toward addressing your mental health concerns. It takes courage to embark on a journey of self-discovery and healing. My counseling philosophy is rooted in the belief that self-compassion is a cornerstone for developing a healthy mindset and understanding of the world. I emphasize the importance of nurturing self-compassion as a fundamental aspect of personal growth and resilience. I guide my clients toward accepting their thoughts and feelings while committing to actions aligned with their values.
(425) 600-9121 View (425) 600-9121
Photo of Chad Perman, Marriage & Family Therapist in Kirkland, WA
Chad Perman
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Kirkland, WA 98034
Waitlist for new clients
If you’ve found your way here, chances are you’re struggling in some way right now. Maybe you’re looking for support or perspective during a particularly challenging time in your life, or hoping to finally address long-standing issues and heal old wounds. Perhaps you’re wrestling with anxiety or stress, struggling in a relationship, dealing with creative blocks, or trying to redefine (or re-find) yourself after these past few difficult, world-changing years. Or maybe you just feel stuck lately, and need somebody to talk to about things.
If you’ve found your way here, chances are you’re struggling in some way right now. Maybe you’re looking for support or perspective during a particularly challenging time in your life, or hoping to finally address long-standing issues and heal old wounds. Perhaps you’re wrestling with anxiety or stress, struggling in a relationship, dealing with creative blocks, or trying to redefine (or re-find) yourself after these past few difficult, world-changing years. Or maybe you just feel stuck lately, and need somebody to talk to about things.
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Photo of Michelle Matson Ellis, Counselor in Kirkland, WA
Michelle Matson Ellis
Counselor, MA, LMHC
Verified Verified
6 Endorsed
Kirkland, WA 98033
Not accepting new clients
My passion is to help men and women heal from painful experiences, including abuse, domestic violence, divorce, relational issues, and loneliness. I provide my clients with a safe and comforting space to process their pain. Together, we will work to understand the often unexplainable symptoms of grief, trauma, and loss and to identify those places in their lives where they feel burdened or overwhelmed. It is easier to identify trauma and abuse in others than in ourselves, especially when we are so used to putting others' needs before our own. I want every client to know they are precious, even in their brokenness..
My passion is to help men and women heal from painful experiences, including abuse, domestic violence, divorce, relational issues, and loneliness. I provide my clients with a safe and comforting space to process their pain. Together, we will work to understand the often unexplainable symptoms of grief, trauma, and loss and to identify those places in their lives where they feel burdened or overwhelmed. It is easier to identify trauma and abuse in others than in ourselves, especially when we are so used to putting others' needs before our own. I want every client to know they are precious, even in their brokenness..
(425) 559-9510 View (425) 559-9510
Photo of Amy A. Rinde, Marriage & Family Therapist in Kirkland, WA
Amy A. Rinde
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
Kirkland, WA 98033
With compassion, an open heart, & inclusivity, Amy helps people expand their potential by creating a personal roadmap to their emotional health & wellbeing. Listening, acknowledgement, & building trust are key ingredients to her approach. Amy tunes into the client in each moment of every session to understand what they are experiencing to help them get their needs met. Attachment wounding can be a part of many people's childhoods and those experiences often present now. Many times, reparenting occurs through the therapy process and results in a corrective experience, bringing peacefulness & healing...to feel whole again.
With compassion, an open heart, & inclusivity, Amy helps people expand their potential by creating a personal roadmap to their emotional health & wellbeing. Listening, acknowledgement, & building trust are key ingredients to her approach. Amy tunes into the client in each moment of every session to understand what they are experiencing to help them get their needs met. Attachment wounding can be a part of many people's childhoods and those experiences often present now. Many times, reparenting occurs through the therapy process and results in a corrective experience, bringing peacefulness & healing...to feel whole again.
(425) 276-7303 View (425) 276-7303
Photo of Susan Muriel Fredrickson, Counselor in Kirkland, WA
Susan Muriel Fredrickson
Counselor, LMHC
Verified Verified
Kirkland, WA 98034
Life can be difficult at times and can bring challenges that affect our physical, emotional, and spiritual health. In my many years of counseling experience I have worked with client's to deal with the day to day challenges that life presents as well as treating serious mental health conditions. Loss of a loved one, conflict at home or ,work can often be triggers for anxiety and depression and clients can benefit greatly from the supportive and unbiased and supportive approach that psychotherapy offers. Such types of therapy are offered in my practice with individual therapy.
Life can be difficult at times and can bring challenges that affect our physical, emotional, and spiritual health. In my many years of counseling experience I have worked with client's to deal with the day to day challenges that life presents as well as treating serious mental health conditions. Loss of a loved one, conflict at home or ,work can often be triggers for anxiety and depression and clients can benefit greatly from the supportive and unbiased and supportive approach that psychotherapy offers. Such types of therapy are offered in my practice with individual therapy.
(425) 272-6631 View (425) 272-6631
Photo of Hannah Alderete, Counselor in Kirkland, WA
Hannah Alderete
Counselor, MA, LMHC, HHC
Verified Verified
10 Endorsed
Kirkland, WA 98083  (Online Only)
You’re seeking me out because you’ve either been impacted by narcissistic abuse (complex trauma) or you have OCD that is impinging on your quality of life. Either way, you are struggling with emotional pain that you’re not sure how to manage. Most of your life you’ve kept things inside because it never felt totally safe to reveal your real feelings, opinions, or thoughts, which only causes you more distress. Now, you’d like to experience more inner peace, self-acceptance, and liberation from what isn’t serving you anymore. You see the possibility of living a life with more ease and confidence, you just need help getting there.
You’re seeking me out because you’ve either been impacted by narcissistic abuse (complex trauma) or you have OCD that is impinging on your quality of life. Either way, you are struggling with emotional pain that you’re not sure how to manage. Most of your life you’ve kept things inside because it never felt totally safe to reveal your real feelings, opinions, or thoughts, which only causes you more distress. Now, you’d like to experience more inner peace, self-acceptance, and liberation from what isn’t serving you anymore. You see the possibility of living a life with more ease and confidence, you just need help getting there.
(206) 701-7732 View (206) 701-7732
Photo of Dana Anderson, Clinical Social Work/Therapist in Kirkland, WA
Dana Anderson
Clinical Social Work/Therapist, MSW, LSWAA
Verified Verified
Kirkland, WA 98034
I am a Social Worker Associate Advanced License LSWAA/MSW and licensed to work with individuals, couples and families. My theoretical orientation is client-centered, psychodynamic, strength-based, and rooted in cultural humility. I take an integrative approach and work to provide each client with tailored interventions to honor their voice and preferences.
I am a Social Worker Associate Advanced License LSWAA/MSW and licensed to work with individuals, couples and families. My theoretical orientation is client-centered, psychodynamic, strength-based, and rooted in cultural humility. I take an integrative approach and work to provide each client with tailored interventions to honor their voice and preferences.
(425) 276-8463 View (425) 276-8463
Photo of Rebecca L. Waterston, Counselor in Kirkland, WA
Rebecca L. Waterston
Counselor, LMHC, SUDPT, CSAT-C
Verified Verified
Kirkland, WA 98033
Rebecca has over 10 years mental health counseling successfully working with individuals impacted by trauma, anxiety or depression, relationship challenges, or difficulty with substances. Ms. Waterston has specialty training in trauma treatments, anxiety and depression, and support for families living with addiction. Rebecca understands firsthand the pathway to long-term recovery with 18 years of recovery herself. The combination of her clinical training and her personal experience makes her uniquely qualified to help people wishing to pull themselves out of these struggles.
Rebecca has over 10 years mental health counseling successfully working with individuals impacted by trauma, anxiety or depression, relationship challenges, or difficulty with substances. Ms. Waterston has specialty training in trauma treatments, anxiety and depression, and support for families living with addiction. Rebecca understands firsthand the pathway to long-term recovery with 18 years of recovery herself. The combination of her clinical training and her personal experience makes her uniquely qualified to help people wishing to pull themselves out of these struggles.
(425) 510-0043 View (425) 510-0043
Photo of Misty DeClark, Marriage & Family Therapist in Kirkland, WA
Misty DeClark
Marriage & Family Therapist, MS, LMFT, CMHS
Verified Verified
Kirkland, WA 98033
Are you struggling with chaos, family conflict, anxiety, depression, or feelings that you have no way to get control of your life back? Are you looking for a way to begin moving forward again? You deserve a life without the of cycle of problems, reactions, and pain. I would love to help you find that life. I believe that therapy is a collaborative process that respects and involves the client, adapting techniques to the needs of the individual. Whether you are dealing with divorce, mental illness, or a rough patch in your life, I believe we can overcome it.
Are you struggling with chaos, family conflict, anxiety, depression, or feelings that you have no way to get control of your life back? Are you looking for a way to begin moving forward again? You deserve a life without the of cycle of problems, reactions, and pain. I would love to help you find that life. I believe that therapy is a collaborative process that respects and involves the client, adapting techniques to the needs of the individual. Whether you are dealing with divorce, mental illness, or a rough patch in your life, I believe we can overcome it.
(425) 374-0701 View (425) 374-0701
Photo of Amanda H Abou-Zaki, Counselor in Kirkland, WA
Amanda H Abou-Zaki
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Kirkland, WA 98033
Life is unpredictable with many ups and downs. No matter how much we want life to move in a linear fashion it often goes unplanned causing us to feel off balance. I believe therapy is a safe place to begin your own personal journey and learning to be present in your life. It allows you to rediscover who you are. Therapy is different for every individual and/or couple. I have an EMDR, existential & integrative approach to helping clients create healthy, fulfilling and rewarding lives. I integrate therapeutic styles depending on the best fit for client and situation.
Life is unpredictable with many ups and downs. No matter how much we want life to move in a linear fashion it often goes unplanned causing us to feel off balance. I believe therapy is a safe place to begin your own personal journey and learning to be present in your life. It allows you to rediscover who you are. Therapy is different for every individual and/or couple. I have an EMDR, existential & integrative approach to helping clients create healthy, fulfilling and rewarding lives. I integrate therapeutic styles depending on the best fit for client and situation.
(425) 273-2300 View (425) 273-2300
Photo of Dena Nichols, Counselor in Kirkland, WA
Dena Nichols
Counselor, MS, LMHC
Verified Verified
Kirkland, WA 98033
Not accepting new clients
Have you or a family member been struggling with discouragement, worry, sadness or loss? Are you feeling lonely instead of close to others? Perhaps your facing significant parenting or relationship challenges. I provide support, insight, solutions and hope through these and other challenges. My working syle is collaborative, interactive, warm and supportive. My experience includes the following areas: abuse, ADD/ADHD, addiction, adjusting to transition, adolescent issues, adoption, anxiey, chronic illness, communication struggles, depression, grief/loss, infertility, faith issues, miscarriage, parenting, premarital counseling, relational conficts, school and social difficulties and more.
Have you or a family member been struggling with discouragement, worry, sadness or loss? Are you feeling lonely instead of close to others? Perhaps your facing significant parenting or relationship challenges. I provide support, insight, solutions and hope through these and other challenges. My working syle is collaborative, interactive, warm and supportive. My experience includes the following areas: abuse, ADD/ADHD, addiction, adjusting to transition, adolescent issues, adoption, anxiey, chronic illness, communication struggles, depression, grief/loss, infertility, faith issues, miscarriage, parenting, premarital counseling, relational conficts, school and social difficulties and more.
(425) 610-9862 View (425) 610-9862
Photo of Sally Ricker, Counselor in Kirkland, WA
Sally Ricker
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Kirkland, WA 98034  (Online Only)
I am committed to working with adults, offering a holistic, client-centered therapeutic approach to help clients seek relief and obtain treatment goals. Counseling presents a space for healing and growth, where you have to opportunity to make positive, long-lasting changes in your life. My clients have the right to expect unconditional positive regard in a safe and validating environment.
I am committed to working with adults, offering a holistic, client-centered therapeutic approach to help clients seek relief and obtain treatment goals. Counseling presents a space for healing and growth, where you have to opportunity to make positive, long-lasting changes in your life. My clients have the right to expect unconditional positive regard in a safe and validating environment.
(206) 550-7576 View (206) 550-7576
Photo of Traverse Therapy Services, Clinical Social Work/Therapist in Kirkland, WA
Traverse Therapy Services
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Kirkland, WA 98033
We are accepting new clients. My name is Katie Brotten and I am a generalist social worker trained in client-centered, strengths-based methods of counseling. I lean on solution-focused interventions to support client goals, highlighting client strengths, and encouraging them to work toward increased efficacy.
We are accepting new clients. My name is Katie Brotten and I am a generalist social worker trained in client-centered, strengths-based methods of counseling. I lean on solution-focused interventions to support client goals, highlighting client strengths, and encouraging them to work toward increased efficacy.
(425) 215-1097 View (425) 215-1097
Photo of Dustin Shatto, Counselor in Kirkland, WA
Dustin Shatto
Counselor, MA, LMHCA
Verified Verified
Kirkland, WA 98034
Are you at a crossroads in life? I support adults as they work through present struggles and past painful experiences like divorce, career issues, chronic pain, grief, parenting concerns, and other stressors. Another focus area of my practice is on processing religious abuse, deconstruction, and spiritual exploration. It is common to experience anxiety, depression, low self esteem, and a host of other symptoms in response to traumatic experiences, but healing is possible no matter what you are going through.
Are you at a crossroads in life? I support adults as they work through present struggles and past painful experiences like divorce, career issues, chronic pain, grief, parenting concerns, and other stressors. Another focus area of my practice is on processing religious abuse, deconstruction, and spiritual exploration. It is common to experience anxiety, depression, low self esteem, and a host of other symptoms in response to traumatic experiences, but healing is possible no matter what you are going through.
(425) 243-3031 View (425) 243-3031
Photo of Jasmine Svare, Counselor in Kirkland, WA
Jasmine Svare
Counselor, MA, LMHC, CHT
Verified Verified
4 Endorsed
Kirkland, WA 98033
Accepting New Clients! - I work with individuals who struggle with relationships. This includes intimacy issues, problems with addiction, and unhealthy attachments. These issues can present themselves in romantic partnership but also peer, friend, and family relationships. Whether you struggle to maintain relationships, consistently find yourself in "toxic" or dysfunctional relationships, avoid closeness with avoidance behaviors/addictions, have patterns of self-abandonment, and/or feeling out of control, I might be able to help. Relationships are the most important thing in our lives as humans, it's difficult when we struggle.
Accepting New Clients! - I work with individuals who struggle with relationships. This includes intimacy issues, problems with addiction, and unhealthy attachments. These issues can present themselves in romantic partnership but also peer, friend, and family relationships. Whether you struggle to maintain relationships, consistently find yourself in "toxic" or dysfunctional relationships, avoid closeness with avoidance behaviors/addictions, have patterns of self-abandonment, and/or feeling out of control, I might be able to help. Relationships are the most important thing in our lives as humans, it's difficult when we struggle.
(425) 979-2355 View (425) 979-2355

How does your Therapist compare?

Number of Therapists in Kirkland, WA

500+

Average cost per session

$150

Therapists in Kirkland, WA who prioritize treating:

95% Anxiety
87% Depression
80% Relationship Issues
77% Self Esteem
74% Trauma and PTSD
70% Stress
68% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

77% Premera
56% Aetna
55% Regence

How Therapists in Kirkland, WA see their clients

62% In Person and Online
38% Online Only

Gender breakdown

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

How can I find a therapist in Kirkland?

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.