Therapists in Vancouver, WA

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Photo of Jessica Boldt, Clinical Social Work/Therapist in Vancouver, WA
Jessica Boldt
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Vancouver, WA 98660
I am currently taking new clients for adults and youth. I have been providing therapy for over a decade, and work comfortably as a collaborative partner in one's personal growth. Therapeutic goals and style are curated based on individuals needs and preference, that interweave mind, body, and spirit. The client/therapist relationship is always at the center of my work to assure a safe place to explore vulnerable areas in life with close stable support. Individuals that work with me often develop a broader and long-lasting sense of self, empowerment, skillfulness in mood mgmt. and capability maintaining ease in their life.
I am currently taking new clients for adults and youth. I have been providing therapy for over a decade, and work comfortably as a collaborative partner in one's personal growth. Therapeutic goals and style are curated based on individuals needs and preference, that interweave mind, body, and spirit. The client/therapist relationship is always at the center of my work to assure a safe place to explore vulnerable areas in life with close stable support. Individuals that work with me often develop a broader and long-lasting sense of self, empowerment, skillfulness in mood mgmt. and capability maintaining ease in their life.
(360) 865-4765 View (360) 865-4765
Photo of Amy Aadland, Psychologist in Vancouver, WA
Amy Aadland
Psychologist, PsyD
Verified Verified
Vancouver, WA 98665  (Online Only)
"Welcome! This is the place if you're questioning your current path and feeling a disconnect between your work and your sense of fulfillment. Many people I work with come in feeling like they're on a treadmill, constantly striving but never reaching a satisfying point. Are there societal pressures you feel to achieve a certain level of success? Do the demands of your work leave you feeling drained and unable to focus on your own needs? These are all common experiences, and therapy can be a safe space to explore your relationship with work and find ways to create a life that feels meaningful to you
"Welcome! This is the place if you're questioning your current path and feeling a disconnect between your work and your sense of fulfillment. Many people I work with come in feeling like they're on a treadmill, constantly striving but never reaching a satisfying point. Are there societal pressures you feel to achieve a certain level of success? Do the demands of your work leave you feeling drained and unable to focus on your own needs? These are all common experiences, and therapy can be a safe space to explore your relationship with work and find ways to create a life that feels meaningful to you
(360) 964-8046 View (360) 964-8046
Photo of A Skillful Life, Clinical Social Work/Therapist in Vancouver, WA
A Skillful Life
Clinical Social Work/Therapist, LSWAIC
Verified Verified
1 Endorsed
Vancouver, WA 98683  (Online Only)
I help big-feeling high achievers resolve emotional overwhelm, so they can accomplish their ambitious goals with confidence and ease. Despite being eager about their growth, empathetic, and having a dry (alright, dark) sense of humor, when my clients come to me, they're stuck. While therapy has helped, there's a missing piece. The insights they gained in therapy aren’t translating to their real-life problems. They aren’t the confident person they want to be. They're insecure in their relationships. They’re missing out on professional opportunities.
I help big-feeling high achievers resolve emotional overwhelm, so they can accomplish their ambitious goals with confidence and ease. Despite being eager about their growth, empathetic, and having a dry (alright, dark) sense of humor, when my clients come to me, they're stuck. While therapy has helped, there's a missing piece. The insights they gained in therapy aren’t translating to their real-life problems. They aren’t the confident person they want to be. They're insecure in their relationships. They’re missing out on professional opportunities.
(360) 386-7177 View (360) 386-7177
Photo of Julie A Russell, Mental Health Counselor in Vancouver, WA
Julie A Russell
Mental Health Counselor, MA, LMFT, LPC, LMHC
Verified Verified
3 Endorsed
Vancouver, WA 98662
I specialize in couples, children, teens and individuals. I believe that everyone can reach an optimum state of health, counseling helps individuals and families reach healthy functioning in their relationships with others. I employ an integrative approach with a strong reliance on cognitive-behavioral aspects, emotion focused therapy, solution focused therapy, as well as some Jungian methods, such as sand tray therapy, and child centered play therapy. Sand Tray Therapy is a form of expressive therapy. This non-verbal method of therapy is often used with children, but can be applied to adults, teens, couples, families as well.
I specialize in couples, children, teens and individuals. I believe that everyone can reach an optimum state of health, counseling helps individuals and families reach healthy functioning in their relationships with others. I employ an integrative approach with a strong reliance on cognitive-behavioral aspects, emotion focused therapy, solution focused therapy, as well as some Jungian methods, such as sand tray therapy, and child centered play therapy. Sand Tray Therapy is a form of expressive therapy. This non-verbal method of therapy is often used with children, but can be applied to adults, teens, couples, families as well.
(503) 451-6250 View (503) 451-6250
Photo of Marla Joy Carman, Mental Health Counselor in Vancouver, WA
Marla Joy Carman
Mental Health Counselor, MAPC, NCC, LMHC, LPC
Verified Verified
Vancouver, WA 98683
Waitlist for new clients
Please call 253-352-2480 or email me directly at inner.wellth@yahoo.com to schedule an intake or a free consultation for 15 minutes. It can be a scary thing to reach out for help and support! You might feel like there might be judgment or misunderstanding! Maybe you're puzzled as to why you haven't reached your goals, wondering what's holding you back? What are the barriers? I also offer EMDR and ART (accelerated resolution therapy) if we feel you're "stuck". Maybe you've never considered what you really want in life? Are you in a transition in life? I'd love to help you get to where you want to go!
Please call 253-352-2480 or email me directly at inner.wellth@yahoo.com to schedule an intake or a free consultation for 15 minutes. It can be a scary thing to reach out for help and support! You might feel like there might be judgment or misunderstanding! Maybe you're puzzled as to why you haven't reached your goals, wondering what's holding you back? What are the barriers? I also offer EMDR and ART (accelerated resolution therapy) if we feel you're "stuck". Maybe you've never considered what you really want in life? Are you in a transition in life? I'd love to help you get to where you want to go!
(360) 516-4796 View (360) 516-4796
Photo of Joy Wilson, Counselor in Vancouver, WA
Joy Wilson
Counselor, LMHCA
Verified Verified
2 Endorsed
Vancouver, WA 98684
Our life stories do not always have the fairy tale endings that we hoped for, but we are not mere puppets. We are active agents in pursuit of meaningful moments and positive outcomes. I will help you identify your strengths and collaborate with you to find solutions to challenges in your story. I strive to provide a counseling relationship in which you can feel safe, heard, and supported as you explore or process whatever you choose.
Our life stories do not always have the fairy tale endings that we hoped for, but we are not mere puppets. We are active agents in pursuit of meaningful moments and positive outcomes. I will help you identify your strengths and collaborate with you to find solutions to challenges in your story. I strive to provide a counseling relationship in which you can feel safe, heard, and supported as you explore or process whatever you choose.
(503) 850-8088 View (503) 850-8088
Photo of Kathy Shenk, Marriage & Family Therapist in Vancouver, WA
Kathy Shenk
Marriage & Family Therapist, MA, LMFT, LMHC, CGE
Verified Verified
2 Endorsed
Vancouver, WA 98663
Assisting individuals, couples, parents and families with the challenges of life is a privilege and a passion! Some of these challenges come from difficult and painful relationships we have with others but can even come in the relationship we have with ourselves! This can cause a loss of connection and an increase in anxiety, anger and depression. However, learning to manage and improve relationships can bring about significant satisfaction, confidence and joy. We are also often faced with the anxiety and fear of transitions and unexpected life changes. I am here to help you navigate these challenges!
Assisting individuals, couples, parents and families with the challenges of life is a privilege and a passion! Some of these challenges come from difficult and painful relationships we have with others but can even come in the relationship we have with ourselves! This can cause a loss of connection and an increase in anxiety, anger and depression. However, learning to manage and improve relationships can bring about significant satisfaction, confidence and joy. We are also often faced with the anxiety and fear of transitions and unexpected life changes. I am here to help you navigate these challenges!
(360) 226-7143 View (360) 226-7143
Photo of Nicole Churchill, Counselor in Vancouver, WA
Nicole Churchill
Counselor, LMHC
Verified Verified
Vancouver, WA 98683
Nicole Churchill is a Licensed Mental Health Counselor in Washington who has been practicing since 2020. She has a Masters in Clinical Mental Health Counseling from Antioch University. Nicole is able to walk clients through trauma processing in a safe and informed way that leads to healing. She has experience with a wide range of diagnostics and is able to offer guidance for those that are seeking answers. Nicole utilizes a person-centered approach that centers treatment around the client's goals so that they can truly be autonomous in their path to healing.
Nicole Churchill is a Licensed Mental Health Counselor in Washington who has been practicing since 2020. She has a Masters in Clinical Mental Health Counseling from Antioch University. Nicole is able to walk clients through trauma processing in a safe and informed way that leads to healing. She has experience with a wide range of diagnostics and is able to offer guidance for those that are seeking answers. Nicole utilizes a person-centered approach that centers treatment around the client's goals so that they can truly be autonomous in their path to healing.
(360) 564-6167 View (360) 564-6167
Photo of Mindful Path Counseling, Marriage & Family Therapist in Vancouver, WA
Mindful Path Counseling
Marriage & Family Therapist, LMFT
Verified Verified
Vancouver, WA 98660  (Online Only)
Email me 24/7 for shortest response times! Welcome Mindful Path Counseling, virtual therapy anywhere in Washington! I provide a safe space for you to meet painful issues and gently dismantle their power over your life. If you want to restructure and redefine relationships that are no longer working for you, I can help. If you think self-defeating thought patterns and underlying belief systems might be opening the door to unwanted situations in your life, I can help you rewrite that story. I would be honored to walk through this journey with you. Email me today and start living your best life. I can’t wait to meet you!
Email me 24/7 for shortest response times! Welcome Mindful Path Counseling, virtual therapy anywhere in Washington! I provide a safe space for you to meet painful issues and gently dismantle their power over your life. If you want to restructure and redefine relationships that are no longer working for you, I can help. If you think self-defeating thought patterns and underlying belief systems might be opening the door to unwanted situations in your life, I can help you rewrite that story. I would be honored to walk through this journey with you. Email me today and start living your best life. I can’t wait to meet you!
(509) 739-7196 View (509) 739-7196
Photo of Kelly Fenimore, Mental Health Counselor in Vancouver, WA
Kelly Fenimore
Mental Health Counselor, MA, LMHC, LPC
Verified Verified
3 Endorsed
Vancouver, WA 98662
I believe we are all born with good intentions and infinite possibilities, but sometimes, life knocks us off our path. Our past experiences may have shaped who we are today, as well as what our relationships look like with ourselves and others, but despite whatever tragic events that occured during our life, we are driven towards resiliency. Except this is where we can get stuck: what we used to do, what we've always done, isn't working anymore; we need to find another way. When we allow ourselves to feel connected to others and focus on our strengths, rather than weaknesses, we are able to heal.
I believe we are all born with good intentions and infinite possibilities, but sometimes, life knocks us off our path. Our past experiences may have shaped who we are today, as well as what our relationships look like with ourselves and others, but despite whatever tragic events that occured during our life, we are driven towards resiliency. Except this is where we can get stuck: what we used to do, what we've always done, isn't working anymore; we need to find another way. When we allow ourselves to feel connected to others and focus on our strengths, rather than weaknesses, we are able to heal.
(360) 347-9212 View (360) 347-9212
Photo of Caroline Shell, Licensed Professional Counselor in Vancouver, WA
Caroline Shell
Licensed Professional Counselor, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98684
Hello! Are you ready to take the next step in your journey of self-discovery and healing? Have you done traditional talk therapy that didn’t take you all the way where you wanted to go? Sometimes we can talk about our problems over and over without our body getting the message that the past is in the past. Neurofeedback is a powerful tool that can help you leave your past in the past, build emotional regulation, and increase mental flexibility. I focus on clients with developmental trauma, anxiety, and depression, though I find that neurofeedback can be a game changer for a variety of symptoms.
Hello! Are you ready to take the next step in your journey of self-discovery and healing? Have you done traditional talk therapy that didn’t take you all the way where you wanted to go? Sometimes we can talk about our problems over and over without our body getting the message that the past is in the past. Neurofeedback is a powerful tool that can help you leave your past in the past, build emotional regulation, and increase mental flexibility. I focus on clients with developmental trauma, anxiety, and depression, though I find that neurofeedback can be a game changer for a variety of symptoms.
(855) 475-8283 View (855) 475-8283
Photo of Sarah Griffin, Counselor in Vancouver, WA
Sarah Griffin
Counselor, MA, LMHCA, QMHP
Verified Verified
Vancouver, WA 98684  (Online Only)
What would it take to reach your full potential, emotionally, mentally, interpersonally, and vocationally? Maybe it is a small step, a change in perspective. Maybe there is more to unpack and process so that you can move forward in your life. Wherever your needs may fall, I can help facilitate your journey of change.
What would it take to reach your full potential, emotionally, mentally, interpersonally, and vocationally? Maybe it is a small step, a change in perspective. Maybe there is more to unpack and process so that you can move forward in your life. Wherever your needs may fall, I can help facilitate your journey of change.
(360) 548-7524 View (360) 548-7524
Photo of Michelle Tribe, Counselor in Vancouver, WA
Michelle Tribe
Counselor, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98660
Currently accepting new clients. I have credentials in three specialty areas. The first area, is I am a Certified Anxiety-Informed Professional. Are you experiencing anxiety or worry? This area includes anxiety, panic, social anxiety, OCD, fears, phobias, stress, social anxiety, and obsessions. The second focus area is emotional eating. Are you an emotional or binge eater? Do you believe you may be bulimic? Do you continually diet? Are you pre or post bariatric surgery? The third focus area is in grief and loss. This includes grief or loss in various ways. Death, terminal illness, a new medical diagnosis, miscarriage, divorce,
Currently accepting new clients. I have credentials in three specialty areas. The first area, is I am a Certified Anxiety-Informed Professional. Are you experiencing anxiety or worry? This area includes anxiety, panic, social anxiety, OCD, fears, phobias, stress, social anxiety, and obsessions. The second focus area is emotional eating. Are you an emotional or binge eater? Do you believe you may be bulimic? Do you continually diet? Are you pre or post bariatric surgery? The third focus area is in grief and loss. This includes grief or loss in various ways. Death, terminal illness, a new medical diagnosis, miscarriage, divorce,
(360) 230-7834 View (360) 230-7834
Photo of Caroline Gearing, Marriage & Family Therapist in Vancouver, WA
Caroline Gearing
Marriage & Family Therapist, MA, LMFT
Verified Verified
Vancouver, WA 98660
As a licensed marriage and family therapist I specialize in sexual addiction work for men and women transitioning from sexual addiction to healthy sexuality, and partners and couples dealing with sexual addiction. Groups provided: sex addiction, partner of sexual addict, couples dealing with sexual addiction, and love addiction. Strong focus on couples counseling, premarital counseling using Prepare/Enrich assessment tools. Expertise with sexual therapy for couples and individuals. Specialty dealing with narcissistic people and assisting clients with great transitional challenges. I am a highly dedicated counselor and therapist partnering with my clients to successfully move forward in their lives.
As a licensed marriage and family therapist I specialize in sexual addiction work for men and women transitioning from sexual addiction to healthy sexuality, and partners and couples dealing with sexual addiction. Groups provided: sex addiction, partner of sexual addict, couples dealing with sexual addiction, and love addiction. Strong focus on couples counseling, premarital counseling using Prepare/Enrich assessment tools. Expertise with sexual therapy for couples and individuals. Specialty dealing with narcissistic people and assisting clients with great transitional challenges. I am a highly dedicated counselor and therapist partnering with my clients to successfully move forward in their lives.
(360) 450-4373 View (360) 450-4373
Photo of Laura Anne Farley, Psychologist in Vancouver, WA
Laura Anne Farley
Psychologist, PsyD
Verified Verified
Vancouver, WA 98662
My caseload is full and I will update my profile when openings are available. Contact my office if you would like to be on my waitlist. People are resilient and capable of change to improve the quality of their lives. Whether desiring to get unstuck from a pattern of behavior (e.g., ineffective communication or substance use); struggling with anxiety, fear, depression, or trauma symptoms; or facing a difficult loss or transition, people often feel alone in their suffering and desire for change. These are human experiences. You are not alone. Together we will partner to identify and treat the crux of the problem.
My caseload is full and I will update my profile when openings are available. Contact my office if you would like to be on my waitlist. People are resilient and capable of change to improve the quality of their lives. Whether desiring to get unstuck from a pattern of behavior (e.g., ineffective communication or substance use); struggling with anxiety, fear, depression, or trauma symptoms; or facing a difficult loss or transition, people often feel alone in their suffering and desire for change. These are human experiences. You are not alone. Together we will partner to identify and treat the crux of the problem.
(844) 397-6361 View (844) 397-6361
Photo of Naomi Schwendemann, Clinical Social Work/Therapist in Vancouver, WA
Naomi Schwendemann
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Vancouver, WA 98661
I have extensive practice with clients experiencing anxiety, depression, PTSD, attachment trauma, and stress related to major life changes.
I have extensive practice with clients experiencing anxiety, depression, PTSD, attachment trauma, and stress related to major life changes.
(360) 680-1302 View (360) 680-1302
Photo of Brenda Burris, Clinical Social Work/Therapist in Vancouver, WA
Brenda Burris
Clinical Social Work/Therapist, LCSW
Verified Verified
Vancouver, WA 98662  (Online Only)
Brenda has over twenty-five years of experience providing individual, couple, family, and group counseling services. Brenda has experience providing culturally competent care to a myriad of individuals. Brenda utilizes integrative and holistic approaches to mental health therapy as well as various therapeutic modalities.
Brenda has over twenty-five years of experience providing individual, couple, family, and group counseling services. Brenda has experience providing culturally competent care to a myriad of individuals. Brenda utilizes integrative and holistic approaches to mental health therapy as well as various therapeutic modalities.
(360) 873-5713 View (360) 873-5713
Photo of Brooke C Massey, Psychologist in Vancouver, WA
Brooke C Massey
Psychologist, PsyD
Verified Verified
Vancouver, WA 98685
Waitlist for new clients
Clients I work best with often include those experiencing a life transition. Whether it is entering a new relationship, the loss of a relationship, retirement, change in career, changes in health, etc. I am also trained in treating a majority of issues that may not be related to a transition including depression, anxiety, adjustment problems, interpersonal struggles, behavioral problems, trauma, and grief.
Clients I work best with often include those experiencing a life transition. Whether it is entering a new relationship, the loss of a relationship, retirement, change in career, changes in health, etc. I am also trained in treating a majority of issues that may not be related to a transition including depression, anxiety, adjustment problems, interpersonal struggles, behavioral problems, trauma, and grief.
(360) 732-8792 View (360) 732-8792
Photo of Khristina Williams, Counselor in Vancouver, WA
Khristina Williams
Counselor, LMHC, LPC
Verified Verified
1 Endorsed
Vancouver, WA 98661
As a counselor, my role is to create a safe environment where you can feel secure and supported. My style is respectful, warm and interactive. I value a strong therapeutic alliance as a basis for personal and behavioral change and emotional growth. When working with teens, I find collaborating with caregivers to be most effective in fostering growth and positive change. I also find it essential working with adolescents to build a strong rapport as a foundation to further enhance the therapeutic process.
As a counselor, my role is to create a safe environment where you can feel secure and supported. My style is respectful, warm and interactive. I value a strong therapeutic alliance as a basis for personal and behavioral change and emotional growth. When working with teens, I find collaborating with caregivers to be most effective in fostering growth and positive change. I also find it essential working with adolescents to build a strong rapport as a foundation to further enhance the therapeutic process.
(360) 799-5440 View (360) 799-5440
Photo of Adam Wade-Garrett, Counselor in Vancouver, WA
Adam Wade-Garrett
Counselor, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98662
Counseling has a well-earned reputation for being a messy, frightening process. But you already knew that, and you came here anyway. I've treated a wide variety of struggles and time and time again the one trait I've seen lead to success is the willingness to, as Ms. Frizzle used to say, "take chances, make mistakes and get messy." So, if that's what you're here to do, then let's get to work.
Counseling has a well-earned reputation for being a messy, frightening process. But you already knew that, and you came here anyway. I've treated a wide variety of struggles and time and time again the one trait I've seen lead to success is the willingness to, as Ms. Frizzle used to say, "take chances, make mistakes and get messy." So, if that's what you're here to do, then let's get to work.
(360) 382-4509 View (360) 382-4509

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
67% Stress
66% Grief

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
54% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

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.