Therapists in Puyallup, WA

Photo of Ejae Goddard, Pre-Licensed Professional, PhD, MA, LMFTA
Ejae Goddard
Pre-Licensed Professional, PhD, MA, LMFTA
1 Endorsed
Puyallup, WA 98372
My approach to therapy is rooted in an anti-oppression and liberation psychology framework. As your therapist I believe that you are the expert on your own lived experiences, and my role is to walk with you in solidarity and collaboration through your healing journey. I work from a systemic lens and enjoy integrating different modalities into our work together, including Internal Family Systems, Emotionally Focused Therapy, and Narrative Therapy.
My approach to therapy is rooted in an anti-oppression and liberation psychology framework. As your therapist I believe that you are the expert on your own lived experiences, and my role is to walk with you in solidarity and collaboration through your healing journey. I work from a systemic lens and enjoy integrating different modalities into our work together, including Internal Family Systems, Emotionally Focused Therapy, and Narrative Therapy.
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Photo of Candace Lea Hunsucker - Candace Hunsucker Therapeutic Services, LLC, Marriage & Family Therapist, LMFT, SUDP
Candace Hunsucker Therapeutic Services, LLC
Marriage & Family Therapist, LMFT, SUDP
Puyallup, WA 98372
I offer therapeutic sessions for individuals, couples, youth, and families. I help facilitate a process where people can develop insight and understanding of what may be holding them back from wellness, joy, and personal growth. Sometimes this may involve family patterns, behaviors that are not in line with one's values, or relationships that are no longer serving you. My job is to create safety for people to share their authentic selves, honoring strengths and navigating challenges together. My intention is to honor your gifts and to expand new ways of thinking or approaching situations to better meet your goals.
I offer therapeutic sessions for individuals, couples, youth, and families. I help facilitate a process where people can develop insight and understanding of what may be holding them back from wellness, joy, and personal growth. Sometimes this may involve family patterns, behaviors that are not in line with one's values, or relationships that are no longer serving you. My job is to create safety for people to share their authentic selves, honoring strengths and navigating challenges together. My intention is to honor your gifts and to expand new ways of thinking or approaching situations to better meet your goals.
(206) 486-2113 View (206) 486-2113
Photo of Racheal Stuth Reichel - Racheal Stuth Reichel LICSW, Clinical Social Work/Therapist, LICSW, MHP, MSW
Racheal Stuth Reichel LICSW
Clinical Social Work/Therapist, LICSW, MHP, MSW
Online Only
Sometimes in life we find ourselves dealing with issues we never imagined would happen. We struggle in relationships or we struggle at work. Sometimes we don't know why we're feeling the way we are. Working through the narratives and constructs of our past, present and future selves is an integral part of self development. Throughout life we face a variety of struggles psychotherapy helps . My goal is to help you find hope, your direction to authenticity and healing - regardless the path in psychotherapy. I am a trained Ketamine Assisted Psychotherapist and EMDR therapist.
Sometimes in life we find ourselves dealing with issues we never imagined would happen. We struggle in relationships or we struggle at work. Sometimes we don't know why we're feeling the way we are. Working through the narratives and constructs of our past, present and future selves is an integral part of self development. Throughout life we face a variety of struggles psychotherapy helps . My goal is to help you find hope, your direction to authenticity and healing - regardless the path in psychotherapy. I am a trained Ketamine Assisted Psychotherapist and EMDR therapist.
(253) 338-8788 View (253) 338-8788
Photo of Yvonne Le, Counselor, MS, LMHC
Yvonne Le
Counselor, MS, LMHC
Online Only
Waitlist for new clients
Pull up a bean bag chair, grab your favorite fidget, and let's talk. Maybe you describe your life as "a lot," and struggle to find the spoons to get all your stuff done as well as make meaningful change. Maybe anxiety takes up so much space in your day that it leaves little room for the things you want. Maybe your story includes trauma, and that burden is getting so heavy, it hurts. You want to pursue fulfillment, satisfaction, meaning, and peace in your world. If any of these or other painful places in your heart are true, I would love to get a chance to walk alongside you and find what you're looking for together.
Pull up a bean bag chair, grab your favorite fidget, and let's talk. Maybe you describe your life as "a lot," and struggle to find the spoons to get all your stuff done as well as make meaningful change. Maybe anxiety takes up so much space in your day that it leaves little room for the things you want. Maybe your story includes trauma, and that burden is getting so heavy, it hurts. You want to pursue fulfillment, satisfaction, meaning, and peace in your world. If any of these or other painful places in your heart are true, I would love to get a chance to walk alongside you and find what you're looking for together.
(425) 243-7203 View (425) 243-7203
Photo of Vianey Rubio, Clinical Social Work/Therapist, LICSW
Vianey Rubio
Clinical Social Work/Therapist, LICSW
2 Endorsed
Puyallup, WA 98372
Feeling overwhelmed, stressed, hopeless and need someone to talk to? Over the past 10 years I have worked with adolescents and adults from many different walks of life in various clinical settings and have also provided crisis support to individuals. I am a therapist because I believe in meeting each individual where they are at and working collaboratively with them to reach their goals. I believe that everyone has the potential to grow in various areas of their life by providing a safe non judgmental environment and compassion.
Feeling overwhelmed, stressed, hopeless and need someone to talk to? Over the past 10 years I have worked with adolescents and adults from many different walks of life in various clinical settings and have also provided crisis support to individuals. I am a therapist because I believe in meeting each individual where they are at and working collaboratively with them to reach their goals. I believe that everyone has the potential to grow in various areas of their life by providing a safe non judgmental environment and compassion.
(253) 364-1188 View (253) 364-1188
Photo of Caren Osborn, Marriage & Family Therapist, MA, LMFT
Caren Osborn
Marriage & Family Therapist, MA, LMFT
Puyallup, WA 98373
You can heal by recognizing how important your thoughts and feelings are in navigating this world. We often use our minds to solve everything and sometimes we "solve" ourselves into trouble. We become fragmented when we problem solve without taking the time to tend to our whole self. Use all of you to integrate what has been fragmented by trauma, be it divorce, depression, anxiety, family issues, grief, etc. In a Christian setting I will be guide you to access your thoughts, feelings, and spirituality to help you become more authentically yourself, allowing you to use your strengths and create more peace in your life.
You can heal by recognizing how important your thoughts and feelings are in navigating this world. We often use our minds to solve everything and sometimes we "solve" ourselves into trouble. We become fragmented when we problem solve without taking the time to tend to our whole self. Use all of you to integrate what has been fragmented by trauma, be it divorce, depression, anxiety, family issues, grief, etc. In a Christian setting I will be guide you to access your thoughts, feelings, and spirituality to help you become more authentically yourself, allowing you to use your strengths and create more peace in your life.
(253) 200-6391 View (253) 200-6391
Photo of Karis Bjerke, Clinical Social Work/Therapist, MSW, LSWAIC, SUDP
Karis Bjerke
Clinical Social Work/Therapist, MSW, LSWAIC, SUDP
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 Micah Leavitt, Licensed Mental Health Counselor Associate , LMHCA, MS
Micah Leavitt
Licensed Mental Health Counselor Associate , LMHCA, MS
3 Endorsed
Puyallup, WA 98372
I work with clients who are navigating relationship issues, trauma, grief, identity, and life transitions. I’m committed to providing an affirming care, especially for those in the LGBTQIA+ community, creating space for reflection, clarity, and meaningful change.
I work with clients who are navigating relationship issues, trauma, grief, identity, and life transitions. I’m committed to providing an affirming care, especially for those in the LGBTQIA+ community, creating space for reflection, clarity, and meaningful change.
(253) 364-0115 View (253) 364-0115
Photo of Mina Guirguis, Pre-Licensed Professional
Mina Guirguis
Pre-Licensed Professional
2 Endorsed
Puyallup, WA 98373
You might be coming to therapy after you've tried everything and nothing seems to work. Or on paper your life seems fine but something feels off. Whatever brings you here, I'm glad you're looking for help. That's not an easy thing to do. I work with teens and adults who are working through identity development, anxiety, depression, family dynamics, and life changes. Many of my clients are balancing multiple roles, expectations, and societal pressures.
You might be coming to therapy after you've tried everything and nothing seems to work. Or on paper your life seems fine but something feels off. Whatever brings you here, I'm glad you're looking for help. That's not an easy thing to do. I work with teens and adults who are working through identity development, anxiety, depression, family dynamics, and life changes. Many of my clients are balancing multiple roles, expectations, and societal pressures.
(253) 525-6896 View (253) 525-6896
Photo of Roger Hoeschen, Counselor, MA, LMHC
Roger Hoeschen
Counselor, MA, LMHC
1 Endorsed
Puyallup, WA 98372
Accepting New Patients In Person and Telehealth offering evening and weekend sessions to meet the needs of working professional. Roger is enthusiastic about implementing creative techniques to help clients achieve their goals, make meaning, improve their relationships, find empowerment, and engage in self-understanding and discovery. Roger’s theoretical approach to clients is person-centered and humanistic, paired with eclectic interventions including dialectical behavioral therapy, motivational interviewing, relational-cultural therapy, cognitive behavioral therapy, solution-focused therapy, mindfulness, and existential techniques.
Accepting New Patients In Person and Telehealth offering evening and weekend sessions to meet the needs of working professional. Roger is enthusiastic about implementing creative techniques to help clients achieve their goals, make meaning, improve their relationships, find empowerment, and engage in self-understanding and discovery. Roger’s theoretical approach to clients is person-centered and humanistic, paired with eclectic interventions including dialectical behavioral therapy, motivational interviewing, relational-cultural therapy, cognitive behavioral therapy, solution-focused therapy, mindfulness, and existential techniques.
(253) 265-4278 View (253) 265-4278
Photo of Kellee Franks, Marriage & Family Therapist, LMFT
Kellee Franks
Marriage & Family Therapist, LMFT
Online Only
Kellee is currently accepting new clients As a therapist, my focus is with women, teens, and young adults with ADHD or suspected ADHD; helping them navigate life, relationships, and stress wile balancing work/school, and personal life. I specialize in supporting emotional regulation, self-confidence, and relationship building while addressing anxiety, depression, and other mental health concerns. My goal is to provide guidance as my clients develop a stronger sense of self.
Kellee is currently accepting new clients As a therapist, my focus is with women, teens, and young adults with ADHD or suspected ADHD; helping them navigate life, relationships, and stress wile balancing work/school, and personal life. I specialize in supporting emotional regulation, self-confidence, and relationship building while addressing anxiety, depression, and other mental health concerns. My goal is to provide guidance as my clients develop a stronger sense of self.
(253) 321-1021 View (253) 321-1021
Photo of Jessica Schneck, Counselor, LMHCA
Jessica Schneck
Counselor, LMHCA
1 Endorsed
Puyallup, WA 98373
As a Native American and spouse of an Army veteran I am dedicated to providing compassionate, culturally appropriate, and professional care to my clients. When it comes to counseling I want to figure out what it is that the individual is needing or wanting and then work with them to break through those barriers and obtain that feeling of happiness and fulfillment. Working with individuals, couples, or families to help them find happiness, peace, and their direction in life is what matters most.
As a Native American and spouse of an Army veteran I am dedicated to providing compassionate, culturally appropriate, and professional care to my clients. When it comes to counseling I want to figure out what it is that the individual is needing or wanting and then work with them to break through those barriers and obtain that feeling of happiness and fulfillment. Working with individuals, couples, or families to help them find happiness, peace, and their direction in life is what matters most.
(253) 319-1282 View (253) 319-1282
Photo of Sarah E Hoaglin - Cornerstone Counseling, Marriage & Family Therapist, LMFT, MHP, MA, CMHS
Cornerstone Counseling
Marriage & Family Therapist, LMFT, MHP, MA, CMHS
4 Endorsed
Puyallup, WA 98372
We repeat what we don't repair." Christine Langley-Obaugh. At Cornerstone Counseling, we believe in the power of healing and growth. We understand that individuals often find themselves trapped in repetitive patterns that prevent them from living their best lives. Inspired by the quote above, we are dedicated to helping clients break free from these patterns by providing compassionate therapy and facilitating deep personal transformation. Our holistic approach combines evidence-based techniques with empathy, providing a safe space for clients to explore, heal, and grow. Let us support you on your journey to a more fulfilling life
We repeat what we don't repair." Christine Langley-Obaugh. At Cornerstone Counseling, we believe in the power of healing and growth. We understand that individuals often find themselves trapped in repetitive patterns that prevent them from living their best lives. Inspired by the quote above, we are dedicated to helping clients break free from these patterns by providing compassionate therapy and facilitating deep personal transformation. Our holistic approach combines evidence-based techniques with empathy, providing a safe space for clients to explore, heal, and grow. Let us support you on your journey to a more fulfilling life
(253) 799-0582 View (253) 799-0582
Photo of Cheri Rohlman, Marriage & Family Therapist, MA, LMFT, CHT
Cheri Rohlman
Marriage & Family Therapist, MA, LMFT, CHT
Online Only
My approach to therapy is to partner with you for development of goals, healthy boundaries, and empowerment for change. Directly communicating your strengths and modeling new behavior offers you the opportunity to achieve milestones leading to increased self-esteem and more satisfying relationships. I believe understanding one's challenges and roadblocks opens doors for new attitudes as well as interest in changing behaviors. I empower you to be the expert in your life and will offer you collaboration with empathic listening, providing different perspectives, homework suggestions and new tools, and sharing the growth I see.
My approach to therapy is to partner with you for development of goals, healthy boundaries, and empowerment for change. Directly communicating your strengths and modeling new behavior offers you the opportunity to achieve milestones leading to increased self-esteem and more satisfying relationships. I believe understanding one's challenges and roadblocks opens doors for new attitudes as well as interest in changing behaviors. I empower you to be the expert in your life and will offer you collaboration with empathic listening, providing different perspectives, homework suggestions and new tools, and sharing the growth I see.
(206) 203-6551 View (206) 203-6551
Photo of Andrea Bean, Counselor, MAP, MS CMHC
Andrea Bean
Counselor, MAP, MS CMHC
1 Endorsed
Online Only
Waitlist for new clients
Are you exhausted from constantly navigating a world that wasn't built for you? If you are neurodivergent, a member of the LGBTQIA+ community, or both, you likely carry a heavy weight of stress, anxiety, or past trauma that others just don't fully understand. That daily fight can leave even the most resilient person feeling overwhelmed, stuck, and unseen. You're looking for a therapist who truly gets it and can help you move past survival mode. I am here to tell you that the daily struggle to feel regulated, safe, and truly yourself does not have to be a constant fight.
Are you exhausted from constantly navigating a world that wasn't built for you? If you are neurodivergent, a member of the LGBTQIA+ community, or both, you likely carry a heavy weight of stress, anxiety, or past trauma that others just don't fully understand. That daily fight can leave even the most resilient person feeling overwhelmed, stuck, and unseen. You're looking for a therapist who truly gets it and can help you move past survival mode. I am here to tell you that the daily struggle to feel regulated, safe, and truly yourself does not have to be a constant fight.
(206) 202-3615 View (206) 202-3615
Photo of Connor Miller, Pre-Licensed Professional
Connor Miller
Pre-Licensed Professional
1 Endorsed
Puyallup, WA 98374
My ideal clients are children and adolescents facing obstacles that hold them back from reaching their goals, or those struggling within family relationships. I support individuals dealing with anxiety, depression, ADHD, trauma, attachment difficulties, behavioral challenges, and more. If someone isn’t ready for change, my role is to meet them where they are and help them move forward. I believe every person deserves support in pursuing their goals and improving both their mental health and their relationships.
My ideal clients are children and adolescents facing obstacles that hold them back from reaching their goals, or those struggling within family relationships. I support individuals dealing with anxiety, depression, ADHD, trauma, attachment difficulties, behavioral challenges, and more. If someone isn’t ready for change, my role is to meet them where they are and help them move forward. I believe every person deserves support in pursuing their goals and improving both their mental health and their relationships.
(253) 785-6879 View (253) 785-6879
Photo of Nick Nordberg, Counselor, MA, LMHC, MHP
Nick Nordberg
Counselor, MA, LMHC, MHP
1 Endorsed
Online Only
My two main focuses in therapy are men experiencing life transitions and adolescents needing support with self-esteem and emotional regulation. The men I work with are deep thinkers seeking to clarify their purpose in life while managing the uncertainty that comes with change. With a specific understanding of the tech workplace, I address existential concerns about finding fulfillment in one's career and rediscovering one's sense of self when self-confidence has been shaken. With adolescents, I focus on supporting big feelings and challenges with adjusting to live events such as divorce or loss in the family and school difficulties.
My two main focuses in therapy are men experiencing life transitions and adolescents needing support with self-esteem and emotional regulation. The men I work with are deep thinkers seeking to clarify their purpose in life while managing the uncertainty that comes with change. With a specific understanding of the tech workplace, I address existential concerns about finding fulfillment in one's career and rediscovering one's sense of self when self-confidence has been shaken. With adolescents, I focus on supporting big feelings and challenges with adjusting to live events such as divorce or loss in the family and school difficulties.
(206) 538-2943 View (206) 538-2943
Photo of Beth McIntire, Pre-Licensed Professional, CMHC
Beth McIntire
Pre-Licensed Professional, CMHC
2 Endorsed
Online Only
Life is filled with transitions, uncertainties, and unexpected challenges, and I believe that everyone deserves compassionate support as they navigate these pivotal moments. Whether you are experiencing anxiety, depression, navigating career changes, relationship concerns, life transitions, faith expansions, or working through the complexities of religious trauma, I am here to walk alongside you.
Life is filled with transitions, uncertainties, and unexpected challenges, and I believe that everyone deserves compassionate support as they navigate these pivotal moments. Whether you are experiencing anxiety, depression, navigating career changes, relationship concerns, life transitions, faith expansions, or working through the complexities of religious trauma, I am here to walk alongside you.
(253) 893-8643 View (253) 893-8643
Photo of Brittney Craig, Marriage & Family Therapist, MA, LMFT
Brittney Craig
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Puyallup, WA 98372
As a solution-focused therapist, my goal is to help you uncover your true potential and lead the life you want. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
As a solution-focused therapist, my goal is to help you uncover your true potential and lead the life you want. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(206) 743-9987 View (206) 743-9987
Photo of Stormie Kerby, Counselor, LMHC, LMFTA
Stormie Kerby
Counselor, LMHC, LMFTA
2 Endorsed
Online Only
Welcome, my name is Stormie Kerby and my Private Practice is Authentically You Therapy. I am passionate about helping guide you to learning more about who you are and honoring who that person is. Whatever that may mean for you. If you are feeling like no one understands you or you don't have a place. Maybe even that you feel like you are just on the outskirts of being connected to those around you, I would love to be apart of the journey of you loving who you are, what makes you you, and where your people are that cherish you as a whole as well. I would be honored to join your journey to self-love.
Welcome, my name is Stormie Kerby and my Private Practice is Authentically You Therapy. I am passionate about helping guide you to learning more about who you are and honoring who that person is. Whatever that may mean for you. If you are feeling like no one understands you or you don't have a place. Maybe even that you feel like you are just on the outskirts of being connected to those around you, I would love to be apart of the journey of you loving who you are, what makes you you, and where your people are that cherish you as a whole as well. I would be honored to join your journey to self-love.
(509) 779-8067 x100 View (509) 779-8067 x100

See more therapy options for Puyallup

How does your Therapist compare?

Number of Therapists in Puyallup, WA

400+

Average cost per session

$150

Therapists in Puyallup, WA who prioritize treating:

92% Anxiety
87% Depression
74% Self Esteem
73% Stress
72% Relationship Issues
72% Trauma and PTSD
60% Grief

Average years in practice

10 Years

Top 3 insurances accepted

84% Regence
82% Premera Blue Cross
73% Aetna

How Therapists in Puyallup, WA see their clients

61% In Person and Online
39% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Puyallup?

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.