Therapists in Enumclaw, WA

Photo of Alexis Rossi, Marriage & Family Therapist, MA, LMFT
Alexis Rossi
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Enumclaw, WA 98022
Weekends only! Seeing individuals and couples, I focus my work on relationships: relationships of your thoughts to your actions, relationships between people, and relationships between lived experiences and meanings made from those experiences. I practice from a nonpathologizing point of view and integrate your context (social identity, family, work, school, spirituality, social circle, upbringing, etc.) into my conceptualization and treatment of what brings you to therapy.
Weekends only! Seeing individuals and couples, I focus my work on relationships: relationships of your thoughts to your actions, relationships between people, and relationships between lived experiences and meanings made from those experiences. I practice from a nonpathologizing point of view and integrate your context (social identity, family, work, school, spirituality, social circle, upbringing, etc.) into my conceptualization and treatment of what brings you to therapy.
(360) 469-5930 View (360) 469-5930
Photo of Gera McGuire, Counselor, MA, NCC, LMHC, BC-TMH
Gera McGuire
Counselor, MA, NCC, LMHC, BC-TMH
Verified Verified
1 Endorsed
Enumclaw, WA 98022
Counseling provides an opportunity to make positive changes and to find ways to manage, negotiate and overcome some of life's difficult challenges. Therapists partner with you on this journey. My hope is for you to experience relief and happiness. I help you build upon your unique strengths and abilities as well as expand your personal "tool box." I help families improve their functioning and relationships. For individuals, you and I will identify your concerns, discover the unhelpful thoughts and patterns of behaviors which keep you stuck and find ways to have a happier, healthier life. I also specialize in complicated grief.
Counseling provides an opportunity to make positive changes and to find ways to manage, negotiate and overcome some of life's difficult challenges. Therapists partner with you on this journey. My hope is for you to experience relief and happiness. I help you build upon your unique strengths and abilities as well as expand your personal "tool box." I help families improve their functioning and relationships. For individuals, you and I will identify your concerns, discover the unhelpful thoughts and patterns of behaviors which keep you stuck and find ways to have a happier, healthier life. I also specialize in complicated grief.
(360) 680-1796 View (360) 680-1796
Photo of Dawn Kinney Miller, Clinical Social Work/Therapist, LICSW, LCSW
Dawn Kinney Miller
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Enumclaw, WA 98022
Counseling, or therapy, is something that individuals enter for a variety of reasons and with differing goals. The similarity is that you want something different in your life because what you are currently feeling, or doing is no longer working for you. I have established A Step Forward Counseling, PLLC in order to provide easier access to counseling services for individuals who do want change. I approach each person I work with as a unique individual and allow their own understanding of themselves guide the therapeutic relationship.
Counseling, or therapy, is something that individuals enter for a variety of reasons and with differing goals. The similarity is that you want something different in your life because what you are currently feeling, or doing is no longer working for you. I have established A Step Forward Counseling, PLLC in order to provide easier access to counseling services for individuals who do want change. I approach each person I work with as a unique individual and allow their own understanding of themselves guide the therapeutic relationship.
(360) 215-5159 View (360) 215-5159
Photo of Kaitlyn Barrie, Marriage & Family Therapist, MA, LMFT
Kaitlyn Barrie
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Online Only
I love working with those ready to have tough conversations, and move through feelings in the body keeping them stuck. Ideal clients: Adults 18+ dating, married, divorced, coparenting, or individuals. I believe in the mind, body, & spiritual connection. I welcome communities of LGBTQ+, Polyamory/ENM, & healing chronic illness.
I love working with those ready to have tough conversations, and move through feelings in the body keeping them stuck. Ideal clients: Adults 18+ dating, married, divorced, coparenting, or individuals. I believe in the mind, body, & spiritual connection. I welcome communities of LGBTQ+, Polyamory/ENM, & healing chronic illness.
(360) 382-4001 View (360) 382-4001
Photo of Sheri Waller, Clinical Social Work/Therapist, LCSW
Sheri Waller
Clinical Social Work/Therapist, LCSW
Verified Verified
Online Only
Waitlist for new clients
Welcome! It is my honor to have the opportunity to join you and assist you on your journey to better mental health. Whatever challenges life has presented you, it can help to have a therapist with whom you feel safe to share your thoughts and feelings. I aim to provide that space for you and to help you identify and reach your personal goals in therapy.
Welcome! It is my honor to have the opportunity to join you and assist you on your journey to better mental health. Whatever challenges life has presented you, it can help to have a therapist with whom you feel safe to share your thoughts and feelings. I aim to provide that space for you and to help you identify and reach your personal goals in therapy.
(360) 367-8966 View (360) 367-8966
Photo of Janet G. Kurz, Counselor, MA, LMHC
Janet G. Kurz
Counselor, MA, LMHC
Verified Verified
Online Only
Symptoms of emotional distress, don't just come out of nowhere. As we go through life, our bodies alert us about whether to go towards something that seems safe, or away from something that seems dangerous. When there is no escape from the cause of sensations, as is the case in physical, emotional or sexual abuse, we learn learn ways avoid feeling the sensations in our body in order to protect ourselves. In order to heal, we need to be able to be in touch with our body sensations. They give us valuable information about safety. We can work together on helping you to feel safe and relaxed and to be optimistic about your future.
Symptoms of emotional distress, don't just come out of nowhere. As we go through life, our bodies alert us about whether to go towards something that seems safe, or away from something that seems dangerous. When there is no escape from the cause of sensations, as is the case in physical, emotional or sexual abuse, we learn learn ways avoid feeling the sensations in our body in order to protect ourselves. In order to heal, we need to be able to be in touch with our body sensations. They give us valuable information about safety. We can work together on helping you to feel safe and relaxed and to be optimistic about your future.
(253) 214-3629 View (253) 214-3629
Photo of Kelly Lynn Ferguson - Kelly Ferguson at Blue Barn Therapy Group, LLC., Counselor, LMHCA
Kelly Ferguson at Blue Barn Therapy Group, LLC.
Counselor, LMHCA
Verified Verified
Enumclaw, WA 98022
Are you feeling overwhelmed by anxiety, depression, stress, or grief? Struggling with parenting, managing your child’s behavior, or facing painful conflicts in your relationships? I understand how challenging these issues can be. I offer a supportive, safe space to explore your emotions, heal from past traumas, and develop effective coping strategies. My goal is to help you improve the quality of your life, enhance your mental health, strengthen your relationships, and achieve personal growth. Together, we'll focus on real solutions and practical relief that truly makes a difference in your daily life!
Are you feeling overwhelmed by anxiety, depression, stress, or grief? Struggling with parenting, managing your child’s behavior, or facing painful conflicts in your relationships? I understand how challenging these issues can be. I offer a supportive, safe space to explore your emotions, heal from past traumas, and develop effective coping strategies. My goal is to help you improve the quality of your life, enhance your mental health, strengthen your relationships, and achieve personal growth. Together, we'll focus on real solutions and practical relief that truly makes a difference in your daily life!
(360) 525-9786 View (360) 525-9786
Photo of Andrea Murphy, Counselor, MA, LMHC
Andrea Murphy
Counselor, MA, LMHC
Verified Verified
Enumclaw, WA 98022
My approach to counseling is existential phenomenological psychology. I work with individuals, teens, families and couples to achieve their therapeutic goals. I help clients make adjustments in their lives and ways of thinking to improve their ability to manage behaviors, emotions, and life circumstances. I find that counseling works best when I can meet a client wherever they are at in their journey to help them create positive changes through goal setting, goal tracking and positive therapeutic interaction and participation.
My approach to counseling is existential phenomenological psychology. I work with individuals, teens, families and couples to achieve their therapeutic goals. I help clients make adjustments in their lives and ways of thinking to improve their ability to manage behaviors, emotions, and life circumstances. I find that counseling works best when I can meet a client wherever they are at in their journey to help them create positive changes through goal setting, goal tracking and positive therapeutic interaction and participation.
(360) 233-8182 View (360) 233-8182
Photo of Kerry Walsh Flothe, Counselor, MA, LMHC
Kerry Walsh Flothe
Counselor, MA, LMHC
Verified Verified
Online Only
I’m Kerry Flothe, a licensed mental health counselor in Washington state. I am looking forward to working with you and partnering with you on your journey in therapy. As your therapist, my role is to be a support to you, a non-judgmental confidant, to ask tough questions to help you get to the root of your concerns, and to challenge self-limiting behaviors and thought patterns that could be holding you back from feeling better.
I’m Kerry Flothe, a licensed mental health counselor in Washington state. I am looking forward to working with you and partnering with you on your journey in therapy. As your therapist, my role is to be a support to you, a non-judgmental confidant, to ask tough questions to help you get to the root of your concerns, and to challenge self-limiting behaviors and thought patterns that could be holding you back from feeling better.
(360) 685-1539 View (360) 685-1539
Photo of Kaitlin Gath, Counselor, LMHC
Kaitlin Gath
Counselor, LMHC
Verified Verified
3 Endorsed
Online Only
Whether you’re stuck in the darkness of addiction, anxiety, depression, or relational issues, the light can be found. I am so glad you’re here. I know that life can feel heavy, you may feel burdened or beat down by the day to day trenches, maybe like you’re in chains. In a safe environment to explore your pain coupled with your willingness to change and desire for healing, every chain can break and the freedom you’ve been longing for can be found.
Whether you’re stuck in the darkness of addiction, anxiety, depression, or relational issues, the light can be found. I am so glad you’re here. I know that life can feel heavy, you may feel burdened or beat down by the day to day trenches, maybe like you’re in chains. In a safe environment to explore your pain coupled with your willingness to change and desire for healing, every chain can break and the freedom you’ve been longing for can be found.
(360) 615-3296 View (360) 615-3296
Photo of Stephanie Williams - Enumclaw Therapy, Marriage & Family Therapist, MA, LMFT
Enumclaw Therapy
Marriage & Family Therapist, MA, LMFT
Verified Verified
Enumclaw, WA 98022
Life is about connection. Relationships thrive when each person feels heard, appreciated, and respected. However, relationships can be complex. In those times, it can be beneficial to talk with someone, to help you navigate the rough spots. I work collaboratively alongside my clients - whether it's an individual, a couple, or a family. You are the expert on your life. I will offer a new perspective. Together we'll explore some fresh ideas and potential solutions.
Life is about connection. Relationships thrive when each person feels heard, appreciated, and respected. However, relationships can be complex. In those times, it can be beneficial to talk with someone, to help you navigate the rough spots. I work collaboratively alongside my clients - whether it's an individual, a couple, or a family. You are the expert on your life. I will offer a new perspective. Together we'll explore some fresh ideas and potential solutions.
(360) 284-4257 View (360) 284-4257
Photo of Joan D Green Ferguson, Marriage & Family Therapist, MS LMFT
Joan D Green Ferguson
Marriage & Family Therapist, MS LMFT
Verified Verified
2 Endorsed
Enumclaw, WA 98022
Are you challenged by parenting, or difficulties in your intimate relationships? Are you struggling with feelings of unworthiness, grief, painful trauma history or dissatisfaction with your life circumstances? Are you experiencing feelings of anxiety or depression and you don't understand where this is coming from? I am a licensed Marriage and Family Therapist with over 30 years’ experience treating adults and youth, couples and families. With respect, trust and safety, We will focus on improving your relationship with yourself and others to help you find the meaning, increased satisfaction, and peace and happiness that you seek.
Are you challenged by parenting, or difficulties in your intimate relationships? Are you struggling with feelings of unworthiness, grief, painful trauma history or dissatisfaction with your life circumstances? Are you experiencing feelings of anxiety or depression and you don't understand where this is coming from? I am a licensed Marriage and Family Therapist with over 30 years’ experience treating adults and youth, couples and families. With respect, trust and safety, We will focus on improving your relationship with yourself and others to help you find the meaning, increased satisfaction, and peace and happiness that you seek.
(360) 519-2627 View (360) 519-2627
Photo of Felicia Ackerman - Satya Counseling and Wellness, LLC, Clinical Social Work/Therapist, MSW, LICSW, SUDP
Satya Counseling and Wellness, LLC
Clinical Social Work/Therapist, MSW, LICSW, SUDP
Verified Verified
2 Endorsed
Serves Area
Waitlist for new clients
Therapy is a a collaborative process in which we use your own strengths to help you live the life you desire. Perhaps something is in your way, blocking you from living a life where you feel content and empowered. Therapy can help. I am passionate about working with anyone who wants something in themselves or their lives to change. My experience includes (but is not limited to) working with individuals who have experienced trauma including combat and sexual assault, life transitions including postpartum, infidelity, anxiety, mood dis-regulation, low self worth, suicidal ideation, self harm behavior, codependency and psychosis.
Therapy is a a collaborative process in which we use your own strengths to help you live the life you desire. Perhaps something is in your way, blocking you from living a life where you feel content and empowered. Therapy can help. I am passionate about working with anyone who wants something in themselves or their lives to change. My experience includes (but is not limited to) working with individuals who have experienced trauma including combat and sexual assault, life transitions including postpartum, infidelity, anxiety, mood dis-regulation, low self worth, suicidal ideation, self harm behavior, codependency and psychosis.
(360) 234-2631 View (360) 234-2631
Photo of Michelle Bolland, Counselor, MS, LMHC
Michelle Bolland
Counselor, MS, LMHC
Verified Verified
Serves Area
Not accepting new clients
Sometimes life throws us challenges that we struggle to handle. Sometimes friends and family are able to help. However, there are times when we need additional help. In therapy, we will work together to help you find your strengths to work through the challenges you are facing, that might seem too overwhelming to handle. I use a variety of therapeutic methods to help find the one that best fits you and your needs.
Sometimes life throws us challenges that we struggle to handle. Sometimes friends and family are able to help. However, there are times when we need additional help. In therapy, we will work together to help you find your strengths to work through the challenges you are facing, that might seem too overwhelming to handle. I use a variety of therapeutic methods to help find the one that best fits you and your needs.
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Photo of Tanya Nowak - Empowering Paths Counseling Services, Counselor, MA, LMHC
Empowering Paths Counseling Services
Counselor, MA, LMHC
Verified Verified
Online Only
Not accepting new clients
I believe that every person has the ability to live a happy and fulfilled life. However sometimes they need a little assistance to get back on their path. My goal is to help you find your path. As we begin your journey, we will explore ways to better your life and achieve your goals and desires. We will delve into your family history and see how this influences your life and decisions. Exploring your strengths and weaknesses, we will develop techniques to enhance your strengths and improve on your weaknesses to shape your life to be more positive and productive.
I believe that every person has the ability to live a happy and fulfilled life. However sometimes they need a little assistance to get back on their path. My goal is to help you find your path. As we begin your journey, we will explore ways to better your life and achieve your goals and desires. We will delve into your family history and see how this influences your life and decisions. Exploring your strengths and weaknesses, we will develop techniques to enhance your strengths and improve on your weaknesses to shape your life to be more positive and productive.
(253) 336-3673 View (253) 336-3673
Photo of Robert Wayne Long - Freedom Recovery, Drug & Alcohol Counselor, SUDP
Freedom Recovery
Drug & Alcohol Counselor, SUDP
Verified Verified
Serves Area
We base our evaluations on the individual. A specific diagnosis along with treatment recommendations is offered. Encountering issues with alcohol or other drugs does not necessarily warrant a diagnosis for chemical dependency. While in the process of recovery we help you determine your life goals and ambitions. It is easy to get "clean and sober" and it is difficult to stay "clean and sober". That's why you can count on us to walk with you on the journey of maintaining a life of sobriety and freedom.
We base our evaluations on the individual. A specific diagnosis along with treatment recommendations is offered. Encountering issues with alcohol or other drugs does not necessarily warrant a diagnosis for chemical dependency. While in the process of recovery we help you determine your life goals and ambitions. It is easy to get "clean and sober" and it is difficult to stay "clean and sober". That's why you can count on us to walk with you on the journey of maintaining a life of sobriety and freedom.
(253) 862-7374 View (253) 862-7374
Photo of Jennie Nicolls, Clinical Social Work/Therapist, MSW, LICSW
Jennie Nicolls
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Serves Area
In person sessions. Email for a quick response. "You may encounter many defeats, but you must not be defeated." ---Maya Angelou. We all experience difficulties. When life gets complicated, when we are overwhelmed and just need some guidance to navigate our day, when we need to feel more in control, to feel comfortable and safe, counseling is helpful. Every one of us could use someone to listen, an opportunity to speak freely and be supported. This is my focus and passion. I have extensive experience working with youth and adults who are experiencing sadness, worry, anger, grief, and trauma.
In person sessions. Email for a quick response. "You may encounter many defeats, but you must not be defeated." ---Maya Angelou. We all experience difficulties. When life gets complicated, when we are overwhelmed and just need some guidance to navigate our day, when we need to feel more in control, to feel comfortable and safe, counseling is helpful. Every one of us could use someone to listen, an opportunity to speak freely and be supported. This is my focus and passion. I have extensive experience working with youth and adults who are experiencing sadness, worry, anger, grief, and trauma.
(253) 455-7484 View (253) 455-7484
Photo of Karis Bjerke, Clinical Social Work/Therapist, MSW, LSWAIC, SUDP
Karis Bjerke
Clinical Social Work/Therapist, MSW, LSWAIC, SUDP
Verified Verified
Online Only
Not accepting new clients
I am here to meet you where you are in your desire to effect positive changes in your life. I am an experienced clinician working with individuals who are co-occurring having mental health symptoms and substance use. Together we can make a plan and help navigate you towards recovery. I specialize in helping you to develop healthy coping skills, prevention of use, exploring root causes and helping individuals be the best person they desire to become. I provide professional and skilled assessments, group and individual sessions.
I am here to meet you where you are in your desire to effect positive changes in your life. I am an experienced clinician working with individuals who are co-occurring having mental health symptoms and substance use. Together we can make a plan and help navigate you towards recovery. I specialize in helping you to develop healthy coping skills, prevention of use, exploring root causes and helping individuals be the best person they desire to become. I provide professional and skilled assessments, group and individual sessions.
(360) 227-5939 View (360) 227-5939
Photo of Pearle Hintz, Counselor, MS, LMHC
Pearle Hintz
Counselor, MS, LMHC
Verified Verified
Serves Area
I am a licensed mental health counselor (LMHC) with over 25 years experience working with adults, families and adolescents. Areas I work in include depression, anxiety, trauma/PTSD, relationship, family conflict, parenting, life transitions, grief/loss, stress, and improving communication, confidence and self esteem. Approaches I use include cognitive behavioral (CBT), family systems, and I am a certified EMDR therapist (Eye Movement Desensitization and Reprocessing). I work in Kent, Federal Way, and Enumclaw.
I am a licensed mental health counselor (LMHC) with over 25 years experience working with adults, families and adolescents. Areas I work in include depression, anxiety, trauma/PTSD, relationship, family conflict, parenting, life transitions, grief/loss, stress, and improving communication, confidence and self esteem. Approaches I use include cognitive behavioral (CBT), family systems, and I am a certified EMDR therapist (Eye Movement Desensitization and Reprocessing). I work in Kent, Federal Way, and Enumclaw.
(253) 777-1059 View (253) 777-1059
Photo of Kyle G. Erickson, Marriage & Family Therapist, MS, LMFT
Kyle G. Erickson
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Serves Area
I have over 20 years experience helping high school aged teens (14-18), adults, couples & families. My therapy style is friendly and casual. I believe humor is healing & I use it often. My treatment approach involves talking through the issues/concerns, guiding clients towards personal insights/growth, and giving focused feedback/direction. I also teach theory guided interventions/skills that are effective at creating desired change and reducing negative symptoms. My approach has been refined by my clients. They want to be heard & understood, but they also want to learn & grow. I would like to partner with you to reach your goals.
I have over 20 years experience helping high school aged teens (14-18), adults, couples & families. My therapy style is friendly and casual. I believe humor is healing & I use it often. My treatment approach involves talking through the issues/concerns, guiding clients towards personal insights/growth, and giving focused feedback/direction. I also teach theory guided interventions/skills that are effective at creating desired change and reducing negative symptoms. My approach has been refined by my clients. They want to be heard & understood, but they also want to learn & grow. I would like to partner with you to reach your goals.
(425) 405-6571 View (425) 405-6571
1

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How does your Therapist compare?

Number of Therapists in Enumclaw, WA

20+

Average cost per session

$150

Therapists in Enumclaw, WA who prioritize treating:

92% Anxiety
83% Depression
83% Coping Skills
83% Stress
79% Relationship Issues
79% Self Esteem
67% Trauma and PTSD

Average years in practice

18 Years

Top 3 insurances accepted

93% Regence
80% Premera Blue Cross
73% Cigna and Evernorth

How Therapists in Enumclaw, WA see their clients

67% In Person and Online
33% Online Only

Gender breakdown

87% Female
9% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Enumclaw?

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.