Therapists in Joint Base Lewis Mcchord, WA

Photo of Shyla Oliver, Licensed Mental Health Counselor Associate , MA, LMCHA
Shyla Oliver
Licensed Mental Health Counselor Associate , MA, LMCHA
1 Endorsed
Serves Area
Shyla Oliver is a military spouse that has gained her master’s degree in Clinical Mental Health Counseling at Liberty University and obtained her bachelor’s of science of psychology from Washington State University. Shyla has experience working closely with clients as a certified nursing assistant before changing career paths to mental health counseling. She received the silver medal and graduated with distinction from Liberty University in 2025. She is excited to work with children, adults and families while helping to bridge the gap of the mental health stigma.
Shyla Oliver is a military spouse that has gained her master’s degree in Clinical Mental Health Counseling at Liberty University and obtained her bachelor’s of science of psychology from Washington State University. Shyla has experience working closely with clients as a certified nursing assistant before changing career paths to mental health counseling. She received the silver medal and graduated with distinction from Liberty University in 2025. She is excited to work with children, adults and families while helping to bridge the gap of the mental health stigma.
(253) 733-2110 View (253) 733-2110
Photo of Kate Estadilla, Counselor, MA, LMHC
Kate Estadilla
Counselor, MA, LMHC
3 Endorsed
Online Only
I know it can feel hard to meet someone new and open up about vulnerable parts of your life. As a Filipina-American therapist, I care deeply about creating a space where you feel safe, seen, and understood. I take a collaborative, compassionate approach—moving at your pace while offering guidance and support along the way. I have extensive experience working with anxiety, depression, and trauma, and I’m here to help you feel more grounded, connected, and supported.
I know it can feel hard to meet someone new and open up about vulnerable parts of your life. As a Filipina-American therapist, I care deeply about creating a space where you feel safe, seen, and understood. I take a collaborative, compassionate approach—moving at your pace while offering guidance and support along the way. I have extensive experience working with anxiety, depression, and trauma, and I’m here to help you feel more grounded, connected, and supported.
(253) 319-3761 View (253) 319-3761
Photo of Norman Edward Dobson, Marriage & Family Therapist, MA, LMFT, LMHC
Norman Edward Dobson
Marriage & Family Therapist, MA, LMFT, LMHC
2 Endorsed
Online Only
Thank you for your interest. I am a retired (2001) combat veteran with twenty years of military service. My credentials/licenses are in Marriage & Family Therapy, Mental Health Counseling, and Chemical Dependency. My therapeutic approach is based on cognitive behavior research which has found a strong correlation between thoughts and behaviors.
Thank you for your interest. I am a retired (2001) combat veteran with twenty years of military service. My credentials/licenses are in Marriage & Family Therapy, Mental Health Counseling, and Chemical Dependency. My therapeutic approach is based on cognitive behavior research which has found a strong correlation between thoughts and behaviors.
(360) 810-5599 View (360) 810-5599
Photo of Dr. Cody Bullock, Psychologist, Ph.D., ABPP
Dr. Cody Bullock
Psychologist, Ph.D., ABPP
Online Only
Not accepting new clients
I specialize in treating trauma / PTSD and certain mood and anxiety conditions. I emphasize the importance of: Sensitivity and humility regarding individual and cultural diversity, ethical practice, client wellbeing, self-determination, and tailored treatment to align with the unique person and their intersecting identities within my practice. I enjoy clarifying mental health concerns through psychological and cognitive assessment when clinically indicated. I began clinical practice in 2007 with the bulk of that being in the Department of Veterans Affairs, and since 2016, in the US military.
I specialize in treating trauma / PTSD and certain mood and anxiety conditions. I emphasize the importance of: Sensitivity and humility regarding individual and cultural diversity, ethical practice, client wellbeing, self-determination, and tailored treatment to align with the unique person and their intersecting identities within my practice. I enjoy clarifying mental health concerns through psychological and cognitive assessment when clinically indicated. I began clinical practice in 2007 with the bulk of that being in the Department of Veterans Affairs, and since 2016, in the US military.
(206) 207-8474 View (206) 207-8474
Photo of Mike Pereira, Clinical Social Work/Therapist, MSW, LICSWA, MHP
Mike Pereira
Clinical Social Work/Therapist, MSW, LICSWA, MHP
Serves Area
Accepting new clients. The journey to healing begins with wanting to feel better. Together, we’ll work to discover what “better” looks like and what can be done to achieve it. There are many ways life shows us we are stuck in our own story; addiction, depression, anxiety, anger and many other indicators can be present when we’re experiencing such pain. How did we get here? How do we get out? What are we holding onto? Who can we not let go?
Accepting new clients. The journey to healing begins with wanting to feel better. Together, we’ll work to discover what “better” looks like and what can be done to achieve it. There are many ways life shows us we are stuck in our own story; addiction, depression, anxiety, anger and many other indicators can be present when we’re experiencing such pain. How did we get here? How do we get out? What are we holding onto? Who can we not let go?
(360) 227-6842 View (360) 227-6842
Photo of Carlos Garcia Jr, Marriage & Family Therapist Associate, LMFTA
Carlos Garcia Jr
Marriage & Family Therapist Associate, LMFTA
1 Endorsed
Online Only
I am a proven professional with 25 years of leadership, management, mentorship, operational, and contingency experience in the Active Duty Air Force and the Air National Guard—I am an experienced public speaker with broad knowledge to be successful in the most diverse audiences. I am a compassionate English or Spanish-speaking eclectic healer; I offer a safe and non-judgmental space for individuals, couples, and families to explore their unique challenges and triumphs. I am well-versed in working with diverse populations as a systems-trained family therapist.
I am a proven professional with 25 years of leadership, management, mentorship, operational, and contingency experience in the Active Duty Air Force and the Air National Guard—I am an experienced public speaker with broad knowledge to be successful in the most diverse audiences. I am a compassionate English or Spanish-speaking eclectic healer; I offer a safe and non-judgmental space for individuals, couples, and families to explore their unique challenges and triumphs. I am well-versed in working with diverse populations as a systems-trained family therapist.
(509) 281-5338 View (509) 281-5338
Photo of Kaley Rhoden, Clinical Social Work/Therapist, LICSW, LCSW
Kaley Rhoden
Clinical Social Work/Therapist, LICSW, LCSW
Online Only
I specialize in supporting military spouses and veteran spouses as they navigate the unique challenges that come with constant change, transition, and the invisible weight of the mental load. My work centers on empowering women to reconnect with their identity, strengthen their resilience, and find balance in relationships and daily life.
I specialize in supporting military spouses and veteran spouses as they navigate the unique challenges that come with constant change, transition, and the invisible weight of the mental load. My work centers on empowering women to reconnect with their identity, strengthen their resilience, and find balance in relationships and daily life.
(904) 454-4488 View (904) 454-4488
Photo of Kristen Moore - Key Counseling PLLC, Counselor, EdD, LMHC
Key Counseling PLLC
Counselor, EdD, LMHC
Serves Area
Now accepting Triwest! Hello! I'm Dr. Kristen Moore. My focus is on adult clients who have anxiety, depression, trauma, and/or PTSD. I strive to create a supportive environment and work with you to come up with a plan that addresses your concerns where you are right now. I believe everyone has strengths and that sometimes people become so overwhelmed they lose sight of themselves. I'm a guide that helps you find your way back and encourages you to keep moving forward. If you experience insomnia, nightmares, flashbacks, fatigue, sudden anger, anxiety or depression and feel it is time to get control back, call me.
Now accepting Triwest! Hello! I'm Dr. Kristen Moore. My focus is on adult clients who have anxiety, depression, trauma, and/or PTSD. I strive to create a supportive environment and work with you to come up with a plan that addresses your concerns where you are right now. I believe everyone has strengths and that sometimes people become so overwhelmed they lose sight of themselves. I'm a guide that helps you find your way back and encourages you to keep moving forward. If you experience insomnia, nightmares, flashbacks, fatigue, sudden anger, anxiety or depression and feel it is time to get control back, call me.
(360) 905-0724 View (360) 905-0724
Photo of Tanisha Medina, Counselor, MA, LMHC, MHP, CYT
Tanisha Medina
Counselor, MA, LMHC, MHP, CYT
3 Endorsed
Online Only
Not accepting new clients
Not accepting new clients. Are you carrying emotional wounds that feel heavy and hard to name? Maybe you’re experiencing deep hurt, feeling disconnected, or wondering if things will ever get better. I understand how isolating that can feel, and I also believe healing is possible. Invisible injuries and scars don’t have to define you; with the right care and support, they can transform into sources of resilience and strength. All the answers already lie within you. I’m here to help you unlock them.
Not accepting new clients. Are you carrying emotional wounds that feel heavy and hard to name? Maybe you’re experiencing deep hurt, feeling disconnected, or wondering if things will ever get better. I understand how isolating that can feel, and I also believe healing is possible. Invisible injuries and scars don’t have to define you; with the right care and support, they can transform into sources of resilience and strength. All the answers already lie within you. I’m here to help you unlock them.
(253) 285-1214 View (253) 285-1214
Photo of Jordan Zollinger, Counselor, MA, LMHC
Jordan Zollinger
Counselor, MA, LMHC
2 Endorsed
Serves Area
I am passionate about coming alongside the first responder community (police, firefighters, EMS, dispatch) and helping them develop the mental health tools they need to not only survive, but thrive. From the stress of service calls, shift-work, and organizational politics, too many first responders come out on the other end of their service worse for the wear. Being former law enforcement, I personally experienced and witnessed this impact, and I became passionate about becoming a part of the solution by offering culturally competent mental health counseling.
I am passionate about coming alongside the first responder community (police, firefighters, EMS, dispatch) and helping them develop the mental health tools they need to not only survive, but thrive. From the stress of service calls, shift-work, and organizational politics, too many first responders come out on the other end of their service worse for the wear. Being former law enforcement, I personally experienced and witnessed this impact, and I became passionate about becoming a part of the solution by offering culturally competent mental health counseling.
(253) 544-6209 View (253) 544-6209
Photo of Benjamin Trachik, Psychologist, PhD
Benjamin Trachik
Psychologist, PhD
Online Only
I’m Dr. Trachik, a licensed clinical psychologist and U.S. Army veteran. I specialize in helping adults navigate trauma, anxiety, depression, and adjustment challenges. Whether you’re a veteran, first responder, or civilian, I offer a direct, strength-based, and collaborative space to help you heal and thrive. My goal is to help you reconnect with your purpose, restore resilience, and move forward with clarity and confidence.
I’m Dr. Trachik, a licensed clinical psychologist and U.S. Army veteran. I specialize in helping adults navigate trauma, anxiety, depression, and adjustment challenges. Whether you’re a veteran, first responder, or civilian, I offer a direct, strength-based, and collaborative space to help you heal and thrive. My goal is to help you reconnect with your purpose, restore resilience, and move forward with clarity and confidence.
(360) 615-3950 View (360) 615-3950
Photo of Ereke Bruce - Ereke Bruce - Enduring Connections Therapy LLC , Clinical Social Work/Therapist, MSW, LICSW, CCTP
Ereke Bruce - Enduring Connections Therapy LLC
Clinical Social Work/Therapist, MSW, LICSW, CCTP
Online Only
Not accepting new clients
From military leaders, to executives, to athletes, and everyone in between...I work with high performing people who can also get stuck in the hard places of life. Are revolving cycles of misunderstanding and conflict leaving you feeling stuck in your relationship? Does a painful past steal your joy in the present or hope for the future? Is stress or burnout preventing you from being your best at work or at home? Are you moving through life at breakneck speed, but lacking a clear sense of direction? Disruptions like these disconnect us from what matters most and negatively impact how we think, feel, and move in the world.
From military leaders, to executives, to athletes, and everyone in between...I work with high performing people who can also get stuck in the hard places of life. Are revolving cycles of misunderstanding and conflict leaving you feeling stuck in your relationship? Does a painful past steal your joy in the present or hope for the future? Is stress or burnout preventing you from being your best at work or at home? Are you moving through life at breakneck speed, but lacking a clear sense of direction? Disruptions like these disconnect us from what matters most and negatively impact how we think, feel, and move in the world.
(509) 410-4634 View (509) 410-4634
Photo of Stephanie N. D'Cruz, Counselor, MA, LMHC, NCC
Stephanie N. D'Cruz
Counselor, MA, LMHC, NCC
4 Endorsed
Serves Area
Emotions and significant life stressors can leave a person feeling stuck or helpless. Finding a safe place to process emotions and address questions of shame, normalcy, and acceptance can be challenging. Without being able to process emotions and trauma, we can get stuck while the emotions stay in our bodies. Processing emotions not only provides mental relief, but can also transform a person’s connectedness to their bodies and relieve some physical manifestations of stressors. I hope to help people find hope which allows space for life to be messy and things to still be okay.
Emotions and significant life stressors can leave a person feeling stuck or helpless. Finding a safe place to process emotions and address questions of shame, normalcy, and acceptance can be challenging. Without being able to process emotions and trauma, we can get stuck while the emotions stay in our bodies. Processing emotions not only provides mental relief, but can also transform a person’s connectedness to their bodies and relieve some physical manifestations of stressors. I hope to help people find hope which allows space for life to be messy and things to still be okay.
(253) 446-7176 View (253) 446-7176
Photo of Shalisa Pointer, Pre-Licensed Professional, MEd, MS, LCMHC-A
Shalisa Pointer
Pre-Licensed Professional, MEd, MS, LCMHC-A
Online Only
Establishing the life you want can be overwhelming and stressful. No matter what area it is in, getting to a place where you can balance and embrace the highs and lows of every day takes work and consistency. We all have challenges that can make things difficult. I know that sometimes life can put you through storm after storm, or sometimes it is just a challenge to get through changes and adjust. Working together will get you through and prepare you for the future so you are not just surviving but genuinely thriving and at peace.
Establishing the life you want can be overwhelming and stressful. No matter what area it is in, getting to a place where you can balance and embrace the highs and lows of every day takes work and consistency. We all have challenges that can make things difficult. I know that sometimes life can put you through storm after storm, or sometimes it is just a challenge to get through changes and adjust. Working together will get you through and prepare you for the future so you are not just surviving but genuinely thriving and at peace.
(253) 525-8718 View (253) 525-8718
Photo of Latoya Godwin, Pre-Licensed Professional, MS
Latoya Godwin
Pre-Licensed Professional, MS
Serves Area
It is natural to feel hesitant about beginning therapy, especially after managing life's challenges on your own for a long time. I am passionate about supporting veterans and LGBTQ+ individuals who may be navigating anxiety, identity exploration, trauma, life transitions, relationship challenges, or the emotional weight of feeling misunderstood or unsupported. My goal is to provide an affirming, supportive space where clients can feel seen, build resilience, deepen self-understanding, and move toward a life that feels more grounded, authentic, and fulfilling.
It is natural to feel hesitant about beginning therapy, especially after managing life's challenges on your own for a long time. I am passionate about supporting veterans and LGBTQ+ individuals who may be navigating anxiety, identity exploration, trauma, life transitions, relationship challenges, or the emotional weight of feeling misunderstood or unsupported. My goal is to provide an affirming, supportive space where clients can feel seen, build resilience, deepen self-understanding, and move toward a life that feels more grounded, authentic, and fulfilling.
(425) 620-4981 View (425) 620-4981
Photo of Steffanee Holt, Clinical Social Work/Therapist, MSW, LICSW
Steffanee Holt
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
As a WA State Certified DV Provider, I am now offering Court Ordered Evaluations. I believe there are times in a person's life when they need a trusted and confidential ally who can help a person explore the causes of his/her thoughts, feelings, or behaviors and develop new ways of thinking, acting and feeling. I am committed to helping individuals, couples and families achieve these goals in an environment that emphasizes confidentiality, respect, trust and compassion.
As a WA State Certified DV Provider, I am now offering Court Ordered Evaluations. I believe there are times in a person's life when they need a trusted and confidential ally who can help a person explore the causes of his/her thoughts, feelings, or behaviors and develop new ways of thinking, acting and feeling. I am committed to helping individuals, couples and families achieve these goals in an environment that emphasizes confidentiality, respect, trust and compassion.
(253) 231-7841 View (253) 231-7841
Photo of Jessica L Flores, Marriage & Family Therapist Associate, LMFTA
Jessica L Flores
Marriage & Family Therapist Associate, LMFTA
3 Endorsed
Serves Area
With a decade of licensed experience in specialized areas, I made a shift in licensure path and I am now a marriage and family therapy associate specializing in mental health support for individuals and families. I tailor my approach to each client, fostering an empathetic, non-judgmental, and collaborative therapeutic relationship. I employ holistic methods, recognizing that therapy is not one-size-fits-all. By using various therapeutic approaches and models, I help clients achieve personal growth and healing, believing that those who seek change will find it.
With a decade of licensed experience in specialized areas, I made a shift in licensure path and I am now a marriage and family therapy associate specializing in mental health support for individuals and families. I tailor my approach to each client, fostering an empathetic, non-judgmental, and collaborative therapeutic relationship. I employ holistic methods, recognizing that therapy is not one-size-fits-all. By using various therapeutic approaches and models, I help clients achieve personal growth and healing, believing that those who seek change will find it.
(253) 649-6029 View (253) 649-6029
Photo of John G Lamp, Pre-Licensed Professional, LSWAIC
John G Lamp
Pre-Licensed Professional, LSWAIC
1 Endorsed
Online Only
Life events often get in the way whether we plan for them or not. We can't always predict the course of how things will turn out, or how those unexpected events can at times have unintended consequences on us as individuals. Sometimes it’s stress, maybe anxiety or often far more severe like trauma or PTSD. As a 24-year military veteran, trust me I too have had my share. Are you looking for assistance with the hope of positive changes in your life but don't know where to start? I work with individuals looking for support and guidance through those things in life that mentally bog us down they’ve not yet learned to understand.
Life events often get in the way whether we plan for them or not. We can't always predict the course of how things will turn out, or how those unexpected events can at times have unintended consequences on us as individuals. Sometimes it’s stress, maybe anxiety or often far more severe like trauma or PTSD. As a 24-year military veteran, trust me I too have had my share. Are you looking for assistance with the hope of positive changes in your life but don't know where to start? I work with individuals looking for support and guidance through those things in life that mentally bog us down they’ve not yet learned to understand.
(425) 541-1293 View (425) 541-1293

More Therapists Nearby

Photo of Jameela Muhammad - Jameela Muhammad - The Melanated Therapist, Clinical Social Work/Therapist, MSW, LSWAIC
Jameela Muhammad - The Melanated Therapist
Clinical Social Work/Therapist, MSW, LSWAIC
2 Endorsed
Tacoma, WA 98408
I'm Jameela Muhammad, founder of The Melanated Therapist. If you’re feeling overwhelmed, stuck, disconnected, or carrying the weight of things that were never yours to hold, you’re not alone. I created this practice for people like you who are ready to heal from generational wounds, life transitions, and everyday stress that too often goes unspoken, especially in minority communities. I work with adolescents and adults navigating trauma, relationships, and identity, and I aim to make therapy feel like a real, grounded conversation because healing doesn’t have to be clinical to be powerful.
I'm Jameela Muhammad, founder of The Melanated Therapist. If you’re feeling overwhelmed, stuck, disconnected, or carrying the weight of things that were never yours to hold, you’re not alone. I created this practice for people like you who are ready to heal from generational wounds, life transitions, and everyday stress that too often goes unspoken, especially in minority communities. I work with adolescents and adults navigating trauma, relationships, and identity, and I aim to make therapy feel like a real, grounded conversation because healing doesn’t have to be clinical to be powerful.
(253) 367-3866 View (253) 367-3866
Photo of Manny Kaur Pesala, Counselor, LMHC
Manny Kaur Pesala
Counselor, LMHC
1 Endorsed
Kent, WA 98031
Our mind-body connection is extremely powerful. When we are stressed, we might experience bodily discomfort and/or mental health concerns that cause difficulty functioning in everyday life. This is completely normal! I encourage you to close your eyes and listen for two to three minutes. Do you hear that little voice in your head? It takes awareness and practice to navigate that little voice, that speaks to us 24/7, for it to be an asset in our healing, growth, and self-regulation.
Our mind-body connection is extremely powerful. When we are stressed, we might experience bodily discomfort and/or mental health concerns that cause difficulty functioning in everyday life. This is completely normal! I encourage you to close your eyes and listen for two to three minutes. Do you hear that little voice in your head? It takes awareness and practice to navigate that little voice, that speaks to us 24/7, for it to be an asset in our healing, growth, and self-regulation.
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See more therapy options for Joint Base Lewis Mcchord

How does your Therapist compare?

Number of Therapists in Joint Base Lewis Mcchord, WA

10+

Average cost per session

$150

Therapists in Joint Base Lewis Mcchord, WA who prioritize treating:

89% Anxiety
89% Trauma and PTSD
89% Social Anxiety
89% Complex PTSD
89% Health Anxiety
89% Medical Trauma
89% Driving Anxiety

Average years in practice

8 Years

Top 3 insurances accepted

69% Regence
63% Aetna
56% BlueCross and BlueShield

How Therapists in Joint Base Lewis Mcchord, WA see their clients

56% Online Only
44% In Person and Online

Gender breakdown

56% Female
44% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Joint Base Lewis Mcchord?

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.