Therapists in Lake Hills, Bellevue, WA

Jackie Groves
Mental Health Counselor, MA, LMHC
1 Endorsed
Lake Hills, Bellevue, WA 98008
Hi! I'm Jackie and my superpower is connecting with kids! I've been working with children from around the world for over 30 years. I believe in a whole-family approach to therapy and love working with caregivers and educators to support growth and change with real tools that really work. I received my MA in Counseling from NYU and a post-graduate certificate in Play Therapy from Antioch University where I discovered a passion for Play Therapy, Child-Parent Relationship Therapy, and Sand Tray Therapy. I'm committed to excellence, and I delight in continuous learning so I can stay up to date with the latest research.
Hi! I'm Jackie and my superpower is connecting with kids! I've been working with children from around the world for over 30 years. I believe in a whole-family approach to therapy and love working with caregivers and educators to support growth and change with real tools that really work. I received my MA in Counseling from NYU and a post-graduate certificate in Play Therapy from Antioch University where I discovered a passion for Play Therapy, Child-Parent Relationship Therapy, and Sand Tray Therapy. I'm committed to excellence, and I delight in continuous learning so I can stay up to date with the latest research.
(206) 888-6358 View (206) 888-6358
Ryan Duncan
Counselor, LMHC
Lake Hills, Bellevue, WA 98008
I believe people change when they are truly ready and searching for a counselor is the first step towards making the changes you desire. I want you to feel progress as quickly as possible and I believe my job as a clinician is to help you develop a closer relationship with yourself so that you will be more in tune with how difficulties in your life develop and impact your well being. We will work together in a safe and non-judgmental environment to develop goals, increase personal awareness, and reduce distress so that life becomes more manageable and fulfilling.
I believe people change when they are truly ready and searching for a counselor is the first step towards making the changes you desire. I want you to feel progress as quickly as possible and I believe my job as a clinician is to help you develop a closer relationship with yourself so that you will be more in tune with how difficulties in your life develop and impact your well being. We will work together in a safe and non-judgmental environment to develop goals, increase personal awareness, and reduce distress so that life becomes more manageable and fulfilling.
(425) 549-9517 View (425) 549-9517
Megan Lein
Marriage & Family Therapist, MA, LMFTA
2 Endorsed
Lake Hills, Bellevue, WA 98008
As a dedicated play therapist, I specialize in working with children and teens, fostering personal growth, resilience, and self-discovery through the power of play. I create a safe, nurturing space where young minds can freely express themselves and develop coping strategies. I also offer family-focused interventions, bridging the gap between individual and family dynamics. Let me help your family overcome challenges and build stronger connections.
As a dedicated play therapist, I specialize in working with children and teens, fostering personal growth, resilience, and self-discovery through the power of play. I create a safe, nurturing space where young minds can freely express themselves and develop coping strategies. I also offer family-focused interventions, bridging the gap between individual and family dynamics. Let me help your family overcome challenges and build stronger connections.
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Aubrey Holden
Licensed Professional Counselor, MA, LMHC, LPC
Lake Hills, Bellevue, WA 98008
You deserve support that honors your story. I specialize in helping adolescents and adults who have experienced sexual trauma, betrayal, or difficult relationships. Many of my clients want to feel more in control, rebuild trust in themselves and others, and find true connection and healing.You can expect a supportive, affirming space—especially for LGBTQIA+ and neurodivergent clients—where together we’ll work to rebuild trust, strengthen your sense of self, and foster genuine healing. My approach is trauma-informed, compassionate, and tailored to your needs.
You deserve support that honors your story. I specialize in helping adolescents and adults who have experienced sexual trauma, betrayal, or difficult relationships. Many of my clients want to feel more in control, rebuild trust in themselves and others, and find true connection and healing.You can expect a supportive, affirming space—especially for LGBTQIA+ and neurodivergent clients—where together we’ll work to rebuild trust, strengthen your sense of self, and foster genuine healing. My approach is trauma-informed, compassionate, and tailored to your needs.
(425) 472-1047 View (425) 472-1047
Abigail Carey
Counselor, MA, LMHC, LPC, CMHS, NCC
Lake Hills, Bellevue, WA 98008
I am an individual therapist at the Bellevue Trauma Recovery Center. I earned my master’s degree in Clinical Mental Health Counseling from Gonzaga University and I am currently licensed to practice in both Washington, Texas, and Arizona. Throughout my career I have prioritized fostering strong therapeutic relationships built on compassion for self and others. Practicing from a trauma informed, integrative approach, I utilize collaborative and compassionate therapeutic modalities including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT) and Narrative Therapy.
I am an individual therapist at the Bellevue Trauma Recovery Center. I earned my master’s degree in Clinical Mental Health Counseling from Gonzaga University and I am currently licensed to practice in both Washington, Texas, and Arizona. Throughout my career I have prioritized fostering strong therapeutic relationships built on compassion for self and others. Practicing from a trauma informed, integrative approach, I utilize collaborative and compassionate therapeutic modalities including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT) and Narrative Therapy.
(425) 276-6497 View (425) 276-6497
Joseph Ward
Licensed Mental Health Counselor Associate, LMHCA
Lake Hills, Bellevue, WA 98008
Maybe it started with your phone, or maybe it didn't. Whether it's compulsive porn use, hookup apps, online chatting, or sexual behavior that feels out of control elsewhere in your life, you may be stuck in a cycle you can't break. Or you may be the partner or parent who found out and is now reeling from the betrayal. Trained in trauma-informed care, I help teens, young adults, adults, and families understand compulsive sexual behavior and heal from its impact, without shame. I also work with trauma, substance use, anxiety, and depression.
Maybe it started with your phone, or maybe it didn't. Whether it's compulsive porn use, hookup apps, online chatting, or sexual behavior that feels out of control elsewhere in your life, you may be stuck in a cycle you can't break. Or you may be the partner or parent who found out and is now reeling from the betrayal. Trained in trauma-informed care, I help teens, young adults, adults, and families understand compulsive sexual behavior and heal from its impact, without shame. I also work with trauma, substance use, anxiety, and depression.
(425) 842-7275 View (425) 842-7275
Dr. Victoria Schroder
Mental Health Counselor, PsyD, LMHC, PMH-C, CFMHE
1 Endorsed
Lake Hills, Bellevue, WA 98008
You may feel disconnected from your partner, your body, or yourself, unsure how things began to feel this way. Many clients come to me after betrayal, infidelity, or trauma has shaken their sense of safety. Couples may feel caught in the same arguments or a loss of closeness, while individuals may be navigating anxiety, past trauma, or transitions like infertility, pregnancy, or postpartum. Together we explore the patterns keeping you stuck, rebuild trust and connection, and create a clear path forward. At BTRC, I also offer ADHD and personality assessments to bring clarity to what you're experiencing.
You may feel disconnected from your partner, your body, or yourself, unsure how things began to feel this way. Many clients come to me after betrayal, infidelity, or trauma has shaken their sense of safety. Couples may feel caught in the same arguments or a loss of closeness, while individuals may be navigating anxiety, past trauma, or transitions like infertility, pregnancy, or postpartum. Together we explore the patterns keeping you stuck, rebuild trust and connection, and create a clear path forward. At BTRC, I also offer ADHD and personality assessments to bring clarity to what you're experiencing.
(509) 257-8322 View (509) 257-8322
Katie Accola
Marriage & Family Therapist, MA, LMFT
Lake Hills, Bellevue, WA 98008
I work with children, teens, and adults on an individual and family therapy level. My holistic approach helps you recapture your personal power by building upon your strengths, establishing goals, and examining values. I believe in your inherent capacity for growth, healing, and change. I can help you build upon skills and discover how to adapt and thrive. I do my best to create a safe and welcoming place for this to occur.
I work with children, teens, and adults on an individual and family therapy level. My holistic approach helps you recapture your personal power by building upon your strengths, establishing goals, and examining values. I believe in your inherent capacity for growth, healing, and change. I can help you build upon skills and discover how to adapt and thrive. I do my best to create a safe and welcoming place for this to occur.
(425) 414-8659 View (425) 414-8659
Vivienne Bae
Counselor
Lake Hills, Bellevue, WA 98007
ACRS Therapy Associates is a culturally competent and linguistically accessible practice dedicated to meeting the therapeutic and wellness needs of Asian American and Native Hawaiian/Pacific Islander community members, whether immigrant, refugee, or American-born. We integrate Eastern and Western approaches, ensuring sensitivity to the unique needs of each individual, couple, and family. We prioritize a collaborative, tailored therapeutic relationship, aiming to foster increased self-understanding and empowering clients with mental, emotional, and behavioral challenges.
ACRS Therapy Associates is a culturally competent and linguistically accessible practice dedicated to meeting the therapeutic and wellness needs of Asian American and Native Hawaiian/Pacific Islander community members, whether immigrant, refugee, or American-born. We integrate Eastern and Western approaches, ensuring sensitivity to the unique needs of each individual, couple, and family. We prioritize a collaborative, tailored therapeutic relationship, aiming to foster increased self-understanding and empowering clients with mental, emotional, and behavioral challenges.
(425) 490-4516 View (425) 490-4516
Krysten Hardy
Clinical Social Work/Therapist, LSWAIC
Lake Hills, Bellevue, WA 98008
I specialize in supporting individuals and families navigating the challenges of betrayal, addiction, and trauma within the family system. With a strong background working with adolescents in residential treatment, addressing life-threatening behaviors such as suicidal ideation, self-injury, and substance use. In addition, I work with teens and families grappling with the complexities of today’s digital world, including problematic technology use, cyberbullying, and the social pressures of online environments.I focus on helping teens process underlying trauma, rebuild a sense of safety, and develop healthy coping skills.
I specialize in supporting individuals and families navigating the challenges of betrayal, addiction, and trauma within the family system. With a strong background working with adolescents in residential treatment, addressing life-threatening behaviors such as suicidal ideation, self-injury, and substance use. In addition, I work with teens and families grappling with the complexities of today’s digital world, including problematic technology use, cyberbullying, and the social pressures of online environments.I focus on helping teens process underlying trauma, rebuild a sense of safety, and develop healthy coping skills.
(425) 966-2058 View (425) 966-2058
Charlotta Gustafsson
Marriage & Family Therapist Associate, MA, LMFTA
1 Endorsed
Lake Hills, Bellevue, WA 98008
Hi, I’m Lotta. I help kids learn to self-regulate and self-motivate through the power of play and creative expression. As a child-centered play and art therapist, I offer a warm, nurturing space where neurodiverse children—including those with ADHD, anxiety, or big feelings—can build the emotional tools they need to thrive. I support both children and parents who are newly navigating diagnoses like ADHD, autism, or sensory processing differences, as well as newly diagnosed young and older adults. Neurodiversity is beautiful and worth celebration—and I’m here to guide and empower your family with understanding and practical tools.
Hi, I’m Lotta. I help kids learn to self-regulate and self-motivate through the power of play and creative expression. As a child-centered play and art therapist, I offer a warm, nurturing space where neurodiverse children—including those with ADHD, anxiety, or big feelings—can build the emotional tools they need to thrive. I support both children and parents who are newly navigating diagnoses like ADHD, autism, or sensory processing differences, as well as newly diagnosed young and older adults. Neurodiversity is beautiful and worth celebration—and I’m here to guide and empower your family with understanding and practical tools.
(425) 390-8088 View (425) 390-8088
Mary-Frances Moore
Counselor, MEd, LMHC, CCTP-II
Lake Hills, Bellevue, WA 98008
When we experience challenging events in our lives, it is human nature to seek to avoid uncomfortable memories, emotions, or body sensations related to these events. Much like the body possesses the innate power to heal a cut on your leg, the mind is equipped with this same intelligence. Using suspension of judgment and psychoeducation, I provide knowledge and a safe container for clients to access their inner healing intelligence and find meaning in difficult experiences. I am also deeply passionate about harm reduction and I have dedicated many years of my career to addressing my clients' relationship with substances.
When we experience challenging events in our lives, it is human nature to seek to avoid uncomfortable memories, emotions, or body sensations related to these events. Much like the body possesses the innate power to heal a cut on your leg, the mind is equipped with this same intelligence. Using suspension of judgment and psychoeducation, I provide knowledge and a safe container for clients to access their inner healing intelligence and find meaning in difficult experiences. I am also deeply passionate about harm reduction and I have dedicated many years of my career to addressing my clients' relationship with substances.
(206) 672-6106 View (206) 672-6106
Katreace Moore - N. W. Family
Psychological Associate, LMHCA, SUDP
Lake Hills, Bellevue, WA 98008
Katreace Moore, LMHCA, SUDP, is a Doctoral Candidate at Walden University pursuing her Ph.D. in Clinical Psychology with a Specialization in Forensics. She ha successfully defended her dissertation on psychological restoration and forensic services for gay trafficked men, contributing meaningful scholarship to trauma‑informed and justice‑involved care. Her clinical background includes work as a Psychological Associate at Western State Hospital and a Program Therapist Lead in Lacey, where she provided psychological restoration services, facilitated CBT‑based groups, and implemented evidence‑based competency restoration curricula.
Katreace Moore, LMHCA, SUDP, is a Doctoral Candidate at Walden University pursuing her Ph.D. in Clinical Psychology with a Specialization in Forensics. She ha successfully defended her dissertation on psychological restoration and forensic services for gay trafficked men, contributing meaningful scholarship to trauma‑informed and justice‑involved care. Her clinical background includes work as a Psychological Associate at Western State Hospital and a Program Therapist Lead in Lacey, where she provided psychological restoration services, facilitated CBT‑based groups, and implemented evidence‑based competency restoration curricula.
(206) 237-5518 View (206) 237-5518
Dr. Jennifer Stewart
Psychologist, PhD
7 Endorsed
Lake Hills, Bellevue, WA 98008
Asking for help is a sign of strength- you don't need to undertake the healing journey alone. You deserve to live a fulfilling life and I'm here to help you build it. I approach psychotherapy with the belief that increased insight, effective coping skills, and a strong therapeutic relationship are cornerstones to facilitating positive change. I have experience working with teens and adults with a wide range of concerns including trauma, borderline personality disorder (BPD), recovering from emotionally immature parents, anxiety, depression, bipolar disorder, and OCD.
Asking for help is a sign of strength- you don't need to undertake the healing journey alone. You deserve to live a fulfilling life and I'm here to help you build it. I approach psychotherapy with the belief that increased insight, effective coping skills, and a strong therapeutic relationship are cornerstones to facilitating positive change. I have experience working with teens and adults with a wide range of concerns including trauma, borderline personality disorder (BPD), recovering from emotionally immature parents, anxiety, depression, bipolar disorder, and OCD.
(347) 470-5079 View (347) 470-5079
Chaise Marie Gies
Drug & Alcohol Counselor, MS, LMHCA, MHP, SUD-PT
Lake Hills, Bellevue, WA 98008
Chaise Marie Gies, M.S., SUDP-T, LMHCA(c), has worked in the psychology and forensic field for several years. She has a master’s degree in forensic psychology, along with a specialized license in substance use disorders and an associate candidate as a mental health counselor. Chaise draws on several theoretical orientations (e.g., Rogerian, Cognitive Behavioral, Family Systems, etc.) in her counseling practice at NW Family.
Chaise Marie Gies, M.S., SUDP-T, LMHCA(c), has worked in the psychology and forensic field for several years. She has a master’s degree in forensic psychology, along with a specialized license in substance use disorders and an associate candidate as a mental health counselor. Chaise draws on several theoretical orientations (e.g., Rogerian, Cognitive Behavioral, Family Systems, etc.) in her counseling practice at NW Family.
(206) 759-2306 View (206) 759-2306
Sandra Killebrew
Marriage & Family Therapist, MA, LMFT
6 Endorsed
Lake Hills, Bellevue, WA 98008
If you’re tired of recycling the same argument, walking on eggshells with each other or don’t know how to repair your relationship, I can help you get to the root of your disconnection. I help distressed, disconnected couples remember what it's like to be sexy best friends instead of roommates. Together, we will identify your entrenched ways of arguing so that both of you can break these patterns by learning how to clearly state how you’re feeling to your partner and in turn, listen deeply. I'll help you pay close attention to each other, so that you both feel a little more held each time we meet.
If you’re tired of recycling the same argument, walking on eggshells with each other or don’t know how to repair your relationship, I can help you get to the root of your disconnection. I help distressed, disconnected couples remember what it's like to be sexy best friends instead of roommates. Together, we will identify your entrenched ways of arguing so that both of you can break these patterns by learning how to clearly state how you’re feeling to your partner and in turn, listen deeply. I'll help you pay close attention to each other, so that you both feel a little more held each time we meet.
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David Neal
Psychologist, PsyD
1 Endorsed
Lake Hills, Bellevue, WA 98007
Dr. Neal is a licensed clinical psychologist and psychoanalyst providing in-person individual, family, couples, & group psychotherapy for adolescents and adults in Pasadena and remote services throughout California, Washington, New York, Oregon, and Massachusetts. Having worked in private practice, schools, medical centers, and hospital and residential-based settings, Dr. Neal treats people with problems including but not limited to anxiety, depression, dissociation, PTSD, interpersonal difficulties, personality dysfunction, and psychosis. Dr. Neal also conducts psychological assessments.
Dr. Neal is a licensed clinical psychologist and psychoanalyst providing in-person individual, family, couples, & group psychotherapy for adolescents and adults in Pasadena and remote services throughout California, Washington, New York, Oregon, and Massachusetts. Having worked in private practice, schools, medical centers, and hospital and residential-based settings, Dr. Neal treats people with problems including but not limited to anxiety, depression, dissociation, PTSD, interpersonal difficulties, personality dysfunction, and psychosis. Dr. Neal also conducts psychological assessments.
(213) 734-3680 View (213) 734-3680
Steve Tutty
Psychologist, MA, PhD
Lake Hills, Bellevue, WA 98008
Dr. Tutty has been providing both counseling and testing to children and adults over the past three decades, across multiple US States. Many of the evaluations have focused on executive functioning (e.g., ADHD), autism, complex mood, and twice exceptional concerns. Over the next several years, Dr. Tutty and his affiliates are now excited in offering services that align with our core values for identifying and unlocking the unique cognitive, academic, and psychological strengths of your child.
Dr. Tutty has been providing both counseling and testing to children and adults over the past three decades, across multiple US States. Many of the evaluations have focused on executive functioning (e.g., ADHD), autism, complex mood, and twice exceptional concerns. Over the next several years, Dr. Tutty and his affiliates are now excited in offering services that align with our core values for identifying and unlocking the unique cognitive, academic, and psychological strengths of your child.
(206) 565-1684 View (206) 565-1684
Alex Kerney
Counselor, LMHCA
Lake Hills, Bellevue, WA 98008
Alexandra Kerney, LMHCA, graduated from Central Washington University with a B.A. in Psychology and graduated from Seattle Pacific University with an M.Ed. in School Counseling. Alex uses evidence-based practices and strength-based approaches when working with child, adolescent, and young adult clients, and enjoys helping people overcome depression, anxiety, peer conflicts, low self-esteem, and bullying.
Alexandra Kerney, LMHCA, graduated from Central Washington University with a B.A. in Psychology and graduated from Seattle Pacific University with an M.Ed. in School Counseling. Alex uses evidence-based practices and strength-based approaches when working with child, adolescent, and young adult clients, and enjoys helping people overcome depression, anxiety, peer conflicts, low self-esteem, and bullying.
(206) 966-4877 View (206) 966-4877
Ju-Yi (Joyce) Fu
Counselor, LMHC, ATR
Lake Hills, Bellevue, WA 98007
My psychotherapy approach is to first help you clarify your presenting problems from an integrated mind-body-spirit-environment perspective. I utilize mindfulness to help you to develop clarity in the present moment, and with depth psychology, psychodynamic, EMDR, art therapy, Jungian psychology, and focusing-oriented psychotherapy to help you explore and embrace your, SELF, inner wisdom, and unconscious awareness for healing. Through processing unhealed wounds in the past, we can unveil the authentic SELF, and finding life meanings to journey on.
My psychotherapy approach is to first help you clarify your presenting problems from an integrated mind-body-spirit-environment perspective. I utilize mindfulness to help you to develop clarity in the present moment, and with depth psychology, psychodynamic, EMDR, art therapy, Jungian psychology, and focusing-oriented psychotherapy to help you explore and embrace your, SELF, inner wisdom, and unconscious awareness for healing. Through processing unhealed wounds in the past, we can unveil the authentic SELF, and finding life meanings to journey on.
(360) 525-9224 View (360) 525-9224

How does your Therapist compare?

Number of Therapists in Lake Hills, Bellevue, WA

100+

Average cost per session

$175

Therapists in Lake Hills, Bellevue, WA who prioritize treating:

88% Anxiety
88% Social Anxiety
88% Health Anxiety
88% Driving Anxiety
82% Relationship Issues
80% Self Esteem
76% Depression

Average years in practice

10 Years

Top 3 insurances accepted

76% Premera Blue Cross
74% Aetna
74% Regence

How Therapists in Lake Hills, Bellevue, WA see their clients

53% In Person and Online
47% Online Only

Gender breakdown

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

How can I find a therapist in Lake Hills?

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.