Therapists in University Place, WA

Photo of Christina H Rasmussen, Psychologist in University Place, WA
Christina H Rasmussen
Psychologist, PhD
Verified Verified
University Place, WA 98466
I have been in private practice since 1994, providing services for children, adolescents, adults, families, and couples. As a Licensed Clinical Psychologist, I have learned to treat a variety of conditions including Depression, Anxiety, PTSD, Personality Disorders, marital problems, and other issues. I also provide a variety of assessment services including disability evaluations, psychological evaluations, custody evaluations, intelligence and academic achievement assessment, and personality assessments. I provide in person and telehealth options for treatment.
I have been in private practice since 1994, providing services for children, adolescents, adults, families, and couples. As a Licensed Clinical Psychologist, I have learned to treat a variety of conditions including Depression, Anxiety, PTSD, Personality Disorders, marital problems, and other issues. I also provide a variety of assessment services including disability evaluations, psychological evaluations, custody evaluations, intelligence and academic achievement assessment, and personality assessments. I provide in person and telehealth options for treatment.
(253) 906-1906 View (253) 906-1906
Charaine E Herald
Psychologist, PhD
Verified Verified
University Place, WA 98466  (Online Only)
Not accepting new clients
I work with adults of all ages, individuals and couples, who are experiencing problems with anxiety, depression, post traumatic stress (including stress related to prior abuse and neglect), eating disorders, and relational problems (repairing and strengthening current relationships;identifying and changing relational patterns that cause problems in living). I work with persons who are experiencing panic attacks, phobic avoidance, intrusions, maladaptive anger, grief, and stress-related physical problems. I also work with persons challenged with a variety of adjustment problems and life transitions (e.g.,transition to young adulthood, family communication difficulties, divorce, career change, mid-life crisis, retirement).
I work with adults of all ages, individuals and couples, who are experiencing problems with anxiety, depression, post traumatic stress (including stress related to prior abuse and neglect), eating disorders, and relational problems (repairing and strengthening current relationships;identifying and changing relational patterns that cause problems in living). I work with persons who are experiencing panic attacks, phobic avoidance, intrusions, maladaptive anger, grief, and stress-related physical problems. I also work with persons challenged with a variety of adjustment problems and life transitions (e.g.,transition to young adulthood, family communication difficulties, divorce, career change, mid-life crisis, retirement).
(253) 343-0876 View (253) 343-0876
Photo of Suzanne Dircks, Counselor in University Place, WA
Suzanne Dircks
Counselor, MA, LMHC
Verified Verified
University Place, WA 98466
Are you at your wit's end trying to communicate with your ex. Are your kids constantly exposed to conflict between the two of you. Co-parenting after divorce can be difficult. Separating personal issues from parenting issues is a skill that parents find challenging. Co-parenting counseling is an opportunity to discuss problematic issues in a non-threatening environment with help from someone experienced in facilitating communication with divorce issues. You can learn to focus on parenting concerns without the intrusion of past relationship problems. Parents find that it is possible to resolve tough issues without court intervention.
Are you at your wit's end trying to communicate with your ex. Are your kids constantly exposed to conflict between the two of you. Co-parenting after divorce can be difficult. Separating personal issues from parenting issues is a skill that parents find challenging. Co-parenting counseling is an opportunity to discuss problematic issues in a non-threatening environment with help from someone experienced in facilitating communication with divorce issues. You can learn to focus on parenting concerns without the intrusion of past relationship problems. Parents find that it is possible to resolve tough issues without court intervention.
(253) 201-7910 View (253) 201-7910
Photo of Kirsten Nance, Clinical Social Work/Therapist in University Place, WA
Kirsten Nance
Clinical Social Work/Therapist, LICSW, MHP
Verified Verified
University Place, WA 98466  (Online Only)
Not accepting new clients
As an LICSW, I believe it is important to decolonize mental healthcare, reduce harm, and create healing. Trauma, loss, life transitions of all sorts, relationships issues, all of these and more can cause depression, anxiety, and real doubts about our next steps or where to turn in times of pain. I believe that therapy is one of the best tools for self-exploration and healing. My goal is to cultivate a strong, safe therapeutic bond such that we can safely discuss challenges in your life.
As an LICSW, I believe it is important to decolonize mental healthcare, reduce harm, and create healing. Trauma, loss, life transitions of all sorts, relationships issues, all of these and more can cause depression, anxiety, and real doubts about our next steps or where to turn in times of pain. I believe that therapy is one of the best tools for self-exploration and healing. My goal is to cultivate a strong, safe therapeutic bond such that we can safely discuss challenges in your life.
(253) 487-0784 x9080 View (253) 487-0784 x9080
Photo of Healing Within Therapy, PLLC, Clinical Social Work/Therapist in University Place, WA
Healing Within Therapy, PLLC
Clinical Social Work/Therapist, LICSW
Verified Verified
University Place, WA 98467  (Online Only)
Sometimes the path we take in life can bring unexpected challenges that can make it difficult to navigate, Healing Within Therapy is here to help. I have been helping people of all ages get back on the right path, whether it has to do with life changes, anxiety, depression, parenting challenges or anything else that has made it difficult for someone to function at their full potential. I am here to help.
Sometimes the path we take in life can bring unexpected challenges that can make it difficult to navigate, Healing Within Therapy is here to help. I have been helping people of all ages get back on the right path, whether it has to do with life changes, anxiety, depression, parenting challenges or anything else that has made it difficult for someone to function at their full potential. I am here to help.
(253) 215-1020 View (253) 215-1020
Photo of Michael 'bucky' Hourigan, Counselor in University Place, WA
Michael 'bucky' Hourigan
Counselor, MM, MT-BC, LMHC
Verified Verified
1 Endorsed
University Place, WA 98466
If you are someone who "breaks the mold," or someone who always felt out of place, I am here to help explore that experience. Whether you identify as LGBTQ+, Neurodiverse, or even a "gamer," you have unique parts of yourself that require an understanding that one size does not fit all. Depression, anxiety, and trauma responses can all be a result of living in a world that might not understand you; I want to create a therapeutic space where you feel safe to be authentically you.
If you are someone who "breaks the mold," or someone who always felt out of place, I am here to help explore that experience. Whether you identify as LGBTQ+, Neurodiverse, or even a "gamer," you have unique parts of yourself that require an understanding that one size does not fit all. Depression, anxiety, and trauma responses can all be a result of living in a world that might not understand you; I want to create a therapeutic space where you feel safe to be authentically you.
(253) 509-7280 View (253) 509-7280
Photo of Wellness Counseling Services PLLC in University Place, WA
Wellness Counseling Services PLLC
MSP/MAC, SUDP, LMHCA
Verified Verified
1 Endorsed
University Place, WA 98466
My name is Katreace Moore, a licensed substance abuse professional- internationally endorsed by NADDAC as a master-level counselor and licensed mental health associate. I received my second master’s degree from Walden University School of Behavioral Science (it was embedded in my Ph.D. for Clinical Psychology with a Specialization in Forensics). I am a Clinical Psychology with a specialization in Forensics Ph.D. candidate. I am a student member of the American Psychology Association, Golden Key Honor Society, PSI Chi, and an International Honors Society Member. My passion for mental health motivates my pursuit of my Ph.D.
My name is Katreace Moore, a licensed substance abuse professional- internationally endorsed by NADDAC as a master-level counselor and licensed mental health associate. I received my second master’s degree from Walden University School of Behavioral Science (it was embedded in my Ph.D. for Clinical Psychology with a Specialization in Forensics). I am a Clinical Psychology with a specialization in Forensics Ph.D. candidate. I am a student member of the American Psychology Association, Golden Key Honor Society, PSI Chi, and an International Honors Society Member. My passion for mental health motivates my pursuit of my Ph.D.
(253) 528-8967 x3627 View (253) 528-8967 x3627
Photo of Amber Kliewer, Counselor in University Place, WA
Amber Kliewer
Counselor, MA, LMHC, CCTP
Verified Verified
University Place, WA 98466
Hello and welcome! My name is Amber, and I work under the business name "Nurturing Hope Counseling". I chose this name for my business because that is what I hope we can build working together in the counseling relationship. Life is stressful and hard at times, if not all the time, so coming together to find ways to grow and strengthen our hope is something that I find key to reaching the goals we create together in counseling. Hope is that "light at the end of the tunnel" we strive for, but sometimes lose sight of in the muck of life. But, fortunately the light penetrates the dark, so together we can foster the flame of hope again.
Hello and welcome! My name is Amber, and I work under the business name "Nurturing Hope Counseling". I chose this name for my business because that is what I hope we can build working together in the counseling relationship. Life is stressful and hard at times, if not all the time, so coming together to find ways to grow and strengthen our hope is something that I find key to reaching the goals we create together in counseling. Hope is that "light at the end of the tunnel" we strive for, but sometimes lose sight of in the muck of life. But, fortunately the light penetrates the dark, so together we can foster the flame of hope again.
(253) 342-4875 View (253) 342-4875
Photo of Josette Darlene Parker, Clinical Social Work/Therapist in University Place, WA
Josette Darlene Parker
Clinical Social Work/Therapist, MSW, LICSW, CDVT
Verified Verified
1 Endorsed
University Place, WA 98466
I offer therapy services to any and all individuals seeking support and healing in their lives. Many clients seek out counseling when things in their lives seem out of control or they feel unheard. They want to speak to someone who is unbiased, honest, and who has empathy for their situation. I also have groups available for anger management, parenting, and domestic violence. I also provide assessments and evaluations for family law, criminal, and dependency cases as a separate service.
I offer therapy services to any and all individuals seeking support and healing in their lives. Many clients seek out counseling when things in their lives seem out of control or they feel unheard. They want to speak to someone who is unbiased, honest, and who has empathy for their situation. I also have groups available for anger management, parenting, and domestic violence. I also provide assessments and evaluations for family law, criminal, and dependency cases as a separate service.
(253) 364-7720 View (253) 364-7720
Photo of Sandra L O'Brien in University Place, WA
Sandra L O'Brien
RN, MN, CL, CPC, ACM
Verified Verified
University Place, WA 98466
I provide support and help for adults and senior individuals as they transition through the many challenges and stages of life. I use Counseling, Coaching and Consulting to help guide you in the journey to meeting goals. My many years of experience and specialty training in Mental Health, Geriatric Care, Alzheimer's Disease/ Dementia along with Teaching and Case Management have prepared me for results-oriented outcomes in short periods of time. And, most of all; sometimes it is just good to have a "safe place" for sharing thoughts, feelings and grief. Your energy is precious, don't waste it. Give me a call.
I provide support and help for adults and senior individuals as they transition through the many challenges and stages of life. I use Counseling, Coaching and Consulting to help guide you in the journey to meeting goals. My many years of experience and specialty training in Mental Health, Geriatric Care, Alzheimer's Disease/ Dementia along with Teaching and Case Management have prepared me for results-oriented outcomes in short periods of time. And, most of all; sometimes it is just good to have a "safe place" for sharing thoughts, feelings and grief. Your energy is precious, don't waste it. Give me a call.
(253) 358-8595 View (253) 358-8595
Photo of Colleen Bowersock, Counselor in University Place, WA
Colleen Bowersock
Counselor, MA , CMHC
Verified Verified
University Place, WA 98467
I meet clients where they are at in their personal process: your needs guide the counseling session. My depth of experience and explorations underpin my work as a clinician. My goal is for you to feel heard and understood, which allows you to make positive lasting changes. Conditions treated with success in working with younger to older adults include life dissatisfaction, anxiety, depression, grief, social isolation, relationship concerns, panic attacks, compulsive and addictive behaviors, and identity struggles. As well, I have additional training in treating women and their families impacted by postpartum depression.
I meet clients where they are at in their personal process: your needs guide the counseling session. My depth of experience and explorations underpin my work as a clinician. My goal is for you to feel heard and understood, which allows you to make positive lasting changes. Conditions treated with success in working with younger to older adults include life dissatisfaction, anxiety, depression, grief, social isolation, relationship concerns, panic attacks, compulsive and addictive behaviors, and identity struggles. As well, I have additional training in treating women and their families impacted by postpartum depression.
(253) 300-2710 View (253) 300-2710
Photo of Ahlia Kim, Marriage & Family Therapist Associate in University Place, WA
Ahlia Kim
Marriage & Family Therapist Associate, MS MFT, LMFTA
Verified Verified
3 Endorsed
University Place, WA 98466  (Online Only)
Waitlist for new clients
Infertility, pregnancy loss and unwanted childlessness impact every part of our lives. Relationships with others, finances, connection to our bodies, dreams for the future - nothing is untouched by this journey. I am a Licensed Marriage Family Therapist Associate, and I am passionate about walking alongside anyone within the infertility and loss community. As a member of this community myself, I am dedicated to holding space for all the complex emotions infertility and loss bring. I use a mix of Narrative therapy, DBT, (and sometimes humor) to foster resilience and hope for the future.
Infertility, pregnancy loss and unwanted childlessness impact every part of our lives. Relationships with others, finances, connection to our bodies, dreams for the future - nothing is untouched by this journey. I am a Licensed Marriage Family Therapist Associate, and I am passionate about walking alongside anyone within the infertility and loss community. As a member of this community myself, I am dedicated to holding space for all the complex emotions infertility and loss bring. I use a mix of Narrative therapy, DBT, (and sometimes humor) to foster resilience and hope for the future.
(253) 487-0391 View (253) 487-0391
Photo of Yolanda Villegas, Counselor in University Place, WA
Yolanda Villegas
Counselor, MA, LMHC
Verified Verified
University Place, WA 98466
My desire is to help you resolve issues that are having a negative effect on your life. These can be issues related to relationships, family, work, anxiety, depression, PTSD, and parenting. As a Latina, I am aware of cultural barriers, and I would like to help you overcome those barriers.
My desire is to help you resolve issues that are having a negative effect on your life. These can be issues related to relationships, family, work, anxiety, depression, PTSD, and parenting. As a Latina, I am aware of cultural barriers, and I would like to help you overcome those barriers.
(253) 617-7759 View (253) 617-7759
Photo of Jazmin Mercado Evans, Counselor in University Place, WA
Jazmin Mercado Evans
Counselor, MA, LMHC, MHP, CMHS
Verified Verified
University Place, WA 98466
I have been a mental health counselor since 2014 when my career began in the community mental health sector. The bulk of this time was spent working within the Child and Family Department, however I was fortunate enough to have opportunities to work with adults and couples as well. For those interested in LMHC supervision, I am a licensed supervisor as well with 3 years of supervisory experience. At this time I welcome the opportunity to work with those age 14 to mid adulthood in an individual capacity, for couples work, or family therapy. Also available for LMHC supervision and consultation.
I have been a mental health counselor since 2014 when my career began in the community mental health sector. The bulk of this time was spent working within the Child and Family Department, however I was fortunate enough to have opportunities to work with adults and couples as well. For those interested in LMHC supervision, I am a licensed supervisor as well with 3 years of supervisory experience. At this time I welcome the opportunity to work with those age 14 to mid adulthood in an individual capacity, for couples work, or family therapy. Also available for LMHC supervision and consultation.
View
Photo of Erin Dwyer, Marriage & Family Therapist in University Place, WA
Erin Dwyer
Marriage & Family Therapist, MA, LMFT
Verified Verified
5 Endorsed
University Place, WA 98467  (Online Only)
This being human thing is tricky, isn’t it? At times we all feel a bit lost and alone, overwhelmed, regretful of the past, or fearful of the future. Perhaps you see yourself trying to do everything “right” in order to get to where you want to be or think you’re supposed to be, only to find yourself not making much progress or getting stuck in the same place? Or maybe at this point you’re not even sure anymore what the “right” thing is or where to go from here? I too have experienced this place of frustration. Change is possible and can bring more clarity, healing, connection, strength, calm, and joy!
This being human thing is tricky, isn’t it? At times we all feel a bit lost and alone, overwhelmed, regretful of the past, or fearful of the future. Perhaps you see yourself trying to do everything “right” in order to get to where you want to be or think you’re supposed to be, only to find yourself not making much progress or getting stuck in the same place? Or maybe at this point you’re not even sure anymore what the “right” thing is or where to go from here? I too have experienced this place of frustration. Change is possible and can bring more clarity, healing, connection, strength, calm, and joy!
(253) 262-0212 View (253) 262-0212
Photo of Kim (Caldwell) Warnick, Counselor in University Place, WA
Kim (Caldwell) Warnick
Counselor, MA, LMHC
Verified Verified
1 Endorsed
University Place, WA 98466
Not accepting new clients
Let's imagine that therapy is like tending to your life as you would a garden. Together we'll discover what of the garden you'd like to keep, let go of, and grow. My primary focus is to create an inviting space between us to allow this work to begin and flourish. As a therapist I am gentle, warm, and playful; I am good at putting folks at ease even as we explore hard things. We'll laugh, dive deep when you're ready, and where appropriate, I offer practical tools and insights. I am particularly knowledgeable in the areas of ADHD/autism, narcissistic abuse, and queer identity.
Let's imagine that therapy is like tending to your life as you would a garden. Together we'll discover what of the garden you'd like to keep, let go of, and grow. My primary focus is to create an inviting space between us to allow this work to begin and flourish. As a therapist I am gentle, warm, and playful; I am good at putting folks at ease even as we explore hard things. We'll laugh, dive deep when you're ready, and where appropriate, I offer practical tools and insights. I am particularly knowledgeable in the areas of ADHD/autism, narcissistic abuse, and queer identity.
(206) 429-8220 View (206) 429-8220
Photo of Bruce Wilson, Counselor in University Place, WA
Bruce Wilson
Counselor, MEd, MDiv, LMHC
Verified Verified
4 Endorsed
University Place, WA 98466
I work with clients who are interested in investing in themselves and learning about thier Sexuality, Grief, Depression, Anxiety, and Adjustment issues. I am passionate about working with clients to help them tap into their own internal resources to fix, heal, and grow into their best selves.
I work with clients who are interested in investing in themselves and learning about thier Sexuality, Grief, Depression, Anxiety, and Adjustment issues. I am passionate about working with clients to help them tap into their own internal resources to fix, heal, and grow into their best selves.
(253) 466-7545 View (253) 466-7545
Photo of Jenelle Larson, Marriage & Family Therapist in University Place, WA
Jenelle Larson
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
University Place, WA 98466
Waitlist for new clients
I have had the privilege of working within the Marriage and Family Therapy field for the past 17 years. I primarily work with couples and adults, but have extensive background in working children, teens, and families. I have experience in helping families and individuals with a variety of concerns, including relationship difficulties, depression, anxiety, ADHD, parenting skills, discipline techniques, attachment, school-related concerns, anger management and other disruptive behavioral issues.
I have had the privilege of working within the Marriage and Family Therapy field for the past 17 years. I primarily work with couples and adults, but have extensive background in working children, teens, and families. I have experience in helping families and individuals with a variety of concerns, including relationship difficulties, depression, anxiety, ADHD, parenting skills, discipline techniques, attachment, school-related concerns, anger management and other disruptive behavioral issues.
(253) 523-2566 View (253) 523-2566
Photo of Josh Specht, Counselor in University Place, WA
Josh Specht
Counselor, MEd, LMHCA
Verified Verified
University Place, WA 98466
As a Queer clinician, Josh specializes in working with Queer-identified adolescents and young adults as well as their families in the exploration of various topics including gender and sexual identity, self-esteem, and developing positive coping mechanisms. In his work, Josh always strives to utilize a non-judgmental, strengths-based approach to cultivate a space where his clients feel accepted, celebrated, and empowered with the confidence to continue along their unique and precious paths towards self-actualization.
As a Queer clinician, Josh specializes in working with Queer-identified adolescents and young adults as well as their families in the exploration of various topics including gender and sexual identity, self-esteem, and developing positive coping mechanisms. In his work, Josh always strives to utilize a non-judgmental, strengths-based approach to cultivate a space where his clients feel accepted, celebrated, and empowered with the confidence to continue along their unique and precious paths towards self-actualization.
(253) 400-2195 View (253) 400-2195
Photo of Claire Kilbourne, Marriage & Family Therapist Associate in University Place, WA
Claire Kilbourne
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
3 Endorsed
University Place, WA 98466
As a systemic therapist, I believe that people are shaped by their experiences and the people they’ve encountered along the way. I work from a place of non-judgement and celebrate body positivity, 2SLGBTQ+, and neurodiversity. I tend to use interventions from various theories, and will do my best to shape sessions so that they best fit my clients and their needs.
As a systemic therapist, I believe that people are shaped by their experiences and the people they’ve encountered along the way. I work from a place of non-judgement and celebrate body positivity, 2SLGBTQ+, and neurodiversity. I tend to use interventions from various theories, and will do my best to shape sessions so that they best fit my clients and their needs.
(253) 364-1126 View (253) 364-1126

See more therapy options for University Place

How does your Therapist compare?

Number of Therapists in University Place, WA

100+

Average cost per session

$150

Therapists in University Place, WA who prioritize treating:

89% Anxiety
88% Depression
80% Self Esteem
78% Trauma and PTSD
77% Relationship Issues
70% Stress
67% Coping Skills

Average years in practice

10 Years

Top 3 insurances accepted

87% Premera
74% First Choice Health | FCH
72% Regence

How Therapists in University Place, WA see their clients

75% In Person and Online
25% Online Only

Gender breakdown

78% Female
21% Male
1% Non-Binary

FAQs - About Therapy and Counseling

How can I find a therapist in University Place?

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.