Therapists in Seattle, WA

View neighborhoods in Seattle
Photo of Barbara A. Woodworth, Clinical Social Work/Therapist, LICSW
Barbara A. Woodworth
Clinical Social Work/Therapist, LICSW
1 Endorsed
Online Only
Waitlist for new clients
Hi! My name is Barbara and I’m a licensed clinical social worker (LICSW) in the states of Washington, Oregon, and Massachusetts. I have over 20 years of experience in mental health and social work. I can help you navigate the emotional journey towards well-being and personal growth. You may have felt like a "black sheep"- different from others, neurodivergent, unconventional, outside the norm, quirky, on the edge, or even a bit rebellious. Or you may be someone who has followed a more direct route in the past, and now find yourself dealing with the twists and turns of life transitions. I’m here to help guide you on your unique path.
Hi! My name is Barbara and I’m a licensed clinical social worker (LICSW) in the states of Washington, Oregon, and Massachusetts. I have over 20 years of experience in mental health and social work. I can help you navigate the emotional journey towards well-being and personal growth. You may have felt like a "black sheep"- different from others, neurodivergent, unconventional, outside the norm, quirky, on the edge, or even a bit rebellious. Or you may be someone who has followed a more direct route in the past, and now find yourself dealing with the twists and turns of life transitions. I’m here to help guide you on your unique path.
(206) 309-4162 View (206) 309-4162
Photo of Dr. Alice Verstaen, Psychologist, PhD
Dr. Alice Verstaen
Psychologist, PhD
3 Endorsed
Online Only
I am a clinical psychologist with ten+ years of experience spanning two primary areas of focus: perinatal mental health and aging. I work older adults experiencing anxiety, grief, and end of life concerns, as well as working with dementia caregivers. I also work with women experiencing infertility, pregnancy, and postpartum concerns. Together, we begin by exploring symptoms and experiences contributing to distress, then build a plan together to help develop tools and resilience. My approach is rooted in empirically-based approaches while we work together to identify goals and values to help you live the life you wish to live.
I am a clinical psychologist with ten+ years of experience spanning two primary areas of focus: perinatal mental health and aging. I work older adults experiencing anxiety, grief, and end of life concerns, as well as working with dementia caregivers. I also work with women experiencing infertility, pregnancy, and postpartum concerns. Together, we begin by exploring symptoms and experiences contributing to distress, then build a plan together to help develop tools and resilience. My approach is rooted in empirically-based approaches while we work together to identify goals and values to help you live the life you wish to live.
(360) 369-0825 View (360) 369-0825
Photo of Steph Landdeck, Clinical Social Work/Therapist, MSW, LICSW
Steph Landdeck
Clinical Social Work/Therapist, MSW, LICSW
Seattle, WA 98118
I work with people of all ages offering therapy that is relational, strengths-based and practical. My style is collaborative & direct, blending evidence-based practices with real-world application. I place a strong emphasis on coping strategies, emotional regulation, self-worth, & resilience - helping clients build tools they can actually use in daily life, sport, school, relationships, & work. I have specialized training in sport social work & athlete mental health, which informs my approach to working with athletes, coaches, & high-performing individuals navigating pressure, identity, injury, transitions, & burnout.
I work with people of all ages offering therapy that is relational, strengths-based and practical. My style is collaborative & direct, blending evidence-based practices with real-world application. I place a strong emphasis on coping strategies, emotional regulation, self-worth, & resilience - helping clients build tools they can actually use in daily life, sport, school, relationships, & work. I have specialized training in sport social work & athlete mental health, which informs my approach to working with athletes, coaches, & high-performing individuals navigating pressure, identity, injury, transitions, & burnout.
(206) 222-1061 View (206) 222-1061
Photo of Eric Deeter, Counselor, MA, LMHC
Eric Deeter
Counselor, MA, LMHC
6 Endorsed
Seattle, WA 98119
Hi, I’m Eric, and I work with adults and couples who want to feel more grounded, connected, and free to be their full selves. Many of my clients are thoughtful, high-achieving people navigating relationship issues, anxiety, Complex PTSD, ADHD, men’s issues, intimacy and sexuality concerns, or questions around identity and self-discovery. They’re often stuck in patterns that no longer serve them and want to move through life with more clarity, confidence, and ease.
Hi, I’m Eric, and I work with adults and couples who want to feel more grounded, connected, and free to be their full selves. Many of my clients are thoughtful, high-achieving people navigating relationship issues, anxiety, Complex PTSD, ADHD, men’s issues, intimacy and sexuality concerns, or questions around identity and self-discovery. They’re often stuck in patterns that no longer serve them and want to move through life with more clarity, confidence, and ease.
View
Photo of Nicole T Shiraev, Clinical Social Work/Therapist, MSW, LICSW
Nicole T Shiraev
Clinical Social Work/Therapist, MSW, LICSW
3 Endorsed
Online Only
Not accepting new clients
In receiving psychotherapy services from me you can expect to be heard, validated, and to learn new skills and strategies to address the problems for which you are seeking treatment. It is my goal to assist you in experiencing symptom relief, achieve your treatment goals, and to return to your desired level of functioning. As your therapist, I want you to to feel good about yourself and to enjoy full participation in your life as quickly as possible.
In receiving psychotherapy services from me you can expect to be heard, validated, and to learn new skills and strategies to address the problems for which you are seeking treatment. It is my goal to assist you in experiencing symptom relief, achieve your treatment goals, and to return to your desired level of functioning. As your therapist, I want you to to feel good about yourself and to enjoy full participation in your life as quickly as possible.
(206) 866-2951 View (206) 866-2951
Photo of Michelle Heironimus, Counselor, LMHC, LCPC
Michelle Heironimus
Counselor, LMHC, LCPC
1 Endorsed
Online Only
My desire is for every client to feel truly heard, supported, and understood—because growth happens best in a safe, compassionate environment. One of the most rewarding parts of my work is exploring your experiences with you and supporting your journey toward healing, growth, stronger relationships, and lasting peace. I am an EMDR trained therapist who is passionate about using the most evidenced-based practices in order to bring the most effective tools to clients. I especially love EMDR for its holistic approach in engaging our entire system to promote healing quickly and effectively.
My desire is for every client to feel truly heard, supported, and understood—because growth happens best in a safe, compassionate environment. One of the most rewarding parts of my work is exploring your experiences with you and supporting your journey toward healing, growth, stronger relationships, and lasting peace. I am an EMDR trained therapist who is passionate about using the most evidenced-based practices in order to bring the most effective tools to clients. I especially love EMDR for its holistic approach in engaging our entire system to promote healing quickly and effectively.
(206) 593-3989 View (206) 593-3989
Photo of Eric Evan Embrey, Counselor, MA, LMCH, CMHS, MHP
Eric Evan Embrey
Counselor, MA, LMCH, CMHS, MHP
Online Only
I offer authentic, collaborative, compassionate and strengths-based telehealth counseling services for individuals and couples. Common challenges that I work with include identifying and reducing unhelpful patterns, difficultly with making positive changes happen, ongoing sadness, loss (e.g., job, partner), loneliness, excessive worry, adjusting to a new city, or simply trying to cope in an increasingly fast paced, anxiety producing and complex world. I am particularly well-known in the community for assisting young adults build and navigate independent living skills. My style is to listen and to engage with your goals in mind.
I offer authentic, collaborative, compassionate and strengths-based telehealth counseling services for individuals and couples. Common challenges that I work with include identifying and reducing unhelpful patterns, difficultly with making positive changes happen, ongoing sadness, loss (e.g., job, partner), loneliness, excessive worry, adjusting to a new city, or simply trying to cope in an increasingly fast paced, anxiety producing and complex world. I am particularly well-known in the community for assisting young adults build and navigate independent living skills. My style is to listen and to engage with your goals in mind.
(425) 264-8628 View (425) 264-8628
Photo of Danielle Wood, Mental Health Counselor, JD, MA, LMHC
Danielle Wood
Mental Health Counselor, JD, MA, LMHC
2 Endorsed
Seattle, WA 98107
Many of us find ourselves in jobs, relationships, or cities that don’t feel like home. Or we may come to a point in life where it is, naturally and appropriately, time to move on. Yet we don’t know how. It may be a career change, a cross-country move, or a question as to whether you might leave your relationship. Facing uncertainty can call-up feelings of anxiety, dread, and fear. It can cause us to question our sense of responsibility to ourselves and to others. Psychotherapy can provide a venue to explore a past shaped by circumstance and forge a future with intention.
Many of us find ourselves in jobs, relationships, or cities that don’t feel like home. Or we may come to a point in life where it is, naturally and appropriately, time to move on. Yet we don’t know how. It may be a career change, a cross-country move, or a question as to whether you might leave your relationship. Facing uncertainty can call-up feelings of anxiety, dread, and fear. It can cause us to question our sense of responsibility to ourselves and to others. Psychotherapy can provide a venue to explore a past shaped by circumstance and forge a future with intention.
(425) 584-3973 View (425) 584-3973
Photo of Racheal Perez, Pre-Licensed Professional
Racheal Perez
Pre-Licensed Professional
3 Endorsed
Online Only
My goal is to offer you a safe and supportive space where you can be yourself. Here, you can be fully seen, encouraged, and equipped with tools that truly make a difference in your daily life. Together, we’ll work toward helping you feel lighter, more grounded, and more connected, so you can create a life that feels authentic and fulfilling.
My goal is to offer you a safe and supportive space where you can be yourself. Here, you can be fully seen, encouraged, and equipped with tools that truly make a difference in your daily life. Together, we’ll work toward helping you feel lighter, more grounded, and more connected, so you can create a life that feels authentic and fulfilling.
(206) 558-4922 View (206) 558-4922
Photo of Benjamin Deu, Counselor, MA, LMHC
Benjamin Deu
Counselor, MA, LMHC
2 Endorsed
Seattle, WA 98115
Not accepting new clients
I have extensive experience counseling individuals and couples who are dealing with a wide variety of concerns, including relational issues, communication difficulties, and painful wounds related to trauma and abuse. I work with my clients on a relational level, seeking to uncover the ways in which particular circumstances and situations affect the whole person-mind, body, and soul. Together we will explore the reasons why you find yourself facing repeated undesirable challenges, and how to overcome them with new and better solutions. I will cater my approach to your needs in order to guide you toward lasting, positive change.
I have extensive experience counseling individuals and couples who are dealing with a wide variety of concerns, including relational issues, communication difficulties, and painful wounds related to trauma and abuse. I work with my clients on a relational level, seeking to uncover the ways in which particular circumstances and situations affect the whole person-mind, body, and soul. Together we will explore the reasons why you find yourself facing repeated undesirable challenges, and how to overcome them with new and better solutions. I will cater my approach to your needs in order to guide you toward lasting, positive change.
(425) 954-7840 View (425) 954-7840
Photo of Heather Sieh, Clinical Social Work/Therapist, LMSW, LSWAIC
Heather Sieh
Clinical Social Work/Therapist, LMSW, LSWAIC
Online Only
Life can shift in unexpected ways—relationships change, identities evolve, and we can lose sight of who we are. I work with adults of all gender expressions who feel stuck, disconnected, or uncertain about what’s next. Together, we’ll explore what’s holding you back and create space for clarity, confidence, and self-acceptance. I use CBT, EMDR, and insight-based approaches to support healing and rediscovery. You’re not lost—you’re becoming.
Life can shift in unexpected ways—relationships change, identities evolve, and we can lose sight of who we are. I work with adults of all gender expressions who feel stuck, disconnected, or uncertain about what’s next. Together, we’ll explore what’s holding you back and create space for clarity, confidence, and self-acceptance. I use CBT, EMDR, and insight-based approaches to support healing and rediscovery. You’re not lost—you’re becoming.
(206) 594-3314 View (206) 594-3314
Photo of Malia Hudson, Licensed Mental Health Counselor Associate , LMHCA
Malia Hudson
Licensed Mental Health Counselor Associate , LMHCA
1 Endorsed
Online Only
I work with expecting/new parents, BIPOC, LGBTQIA2S, neurodivergent, complex trauma, kinky/sex+, non-monogamous, polyamorous individuals and couples. I provide a compassionate, affirming, and decolonizing approach to client care within a mixed-race, neurodivergent, disabled body. I approach client issues with compassion for their history and acknowledgement of the impact society imposes on their everyday lives.
I work with expecting/new parents, BIPOC, LGBTQIA2S, neurodivergent, complex trauma, kinky/sex+, non-monogamous, polyamorous individuals and couples. I provide a compassionate, affirming, and decolonizing approach to client care within a mixed-race, neurodivergent, disabled body. I approach client issues with compassion for their history and acknowledgement of the impact society imposes on their everyday lives.
(360) 997-1526 View (360) 997-1526
Photo of Telishia Johnson, Marriage & Family Therapist Associate, LMFT-A
Telishia Johnson
Marriage & Family Therapist Associate, LMFT-A
1 Endorsed
Online Only
Struggling with communication, integrity, and cheating in your relationship? Having a hard time sleeping, eating, and focusing after finding out about your partner's affair? If you're finding it hard to heal from the trauma of an affair, it may be high time to get support. I’m TJ Johnson, and as a licensed marriage and family therapist (LMFT-A), I work with couples and families throughout Washington in repairing relationships. Whether you’re having trouble communicating, enforcing boundaries, or regulating your emotions, therapy is an opportunity to gain new skills and insights.
Struggling with communication, integrity, and cheating in your relationship? Having a hard time sleeping, eating, and focusing after finding out about your partner's affair? If you're finding it hard to heal from the trauma of an affair, it may be high time to get support. I’m TJ Johnson, and as a licensed marriage and family therapist (LMFT-A), I work with couples and families throughout Washington in repairing relationships. Whether you’re having trouble communicating, enforcing boundaries, or regulating your emotions, therapy is an opportunity to gain new skills and insights.
(206) 289-9347 View (206) 289-9347
Photo of Laurie Tsutakawa, Counselor, MA, LMHC
Laurie Tsutakawa
Counselor, MA, LMHC
Online Only
Not accepting new clients
Are you overwhelmed? Struggling with anxiety, depression or grief? That life is too hard? Consistently frustrated that things you want don't happen? I'm here to help you untangle those stressors, so you can move forward into the life you deserve. Together we'll take an in-depth look at causes and triggers to find solutions that are logical and practical.
Are you overwhelmed? Struggling with anxiety, depression or grief? That life is too hard? Consistently frustrated that things you want don't happen? I'm here to help you untangle those stressors, so you can move forward into the life you deserve. Together we'll take an in-depth look at causes and triggers to find solutions that are logical and practical.
(206) 800-7411 View (206) 800-7411
Photo of Justine Joslyn, MA
Justine Joslyn
Verified Verified
Online Only
Currently Accepting New Clients. Hello! Since 2006, I have helped couples & families resolve stuck dynamics with communication & connection skills. I also help individuals with depression, anxiety, trauma, addiction, ADHD/ADD, life transitions & existential or spiritual shifts. I offer a balance of practical tools, psycho-eduation and empathy, empowering you to re-connect to replace negative mental chatter with empowering narratives that motivate you to make positive changes in all areas of your life.
Currently Accepting New Clients. Hello! Since 2006, I have helped couples & families resolve stuck dynamics with communication & connection skills. I also help individuals with depression, anxiety, trauma, addiction, ADHD/ADD, life transitions & existential or spiritual shifts. I offer a balance of practical tools, psycho-eduation and empathy, empowering you to re-connect to replace negative mental chatter with empowering narratives that motivate you to make positive changes in all areas of your life.
(360) 946-0941 View (360) 946-0941
Photo of Mary-lynn Ballew - Mary-lynn Ballew - Balance & Being Counseling, Marriage & Family Therapist, MA, LMFT
Mary-lynn Ballew - Balance & Being Counseling
Marriage & Family Therapist, MA, LMFT
Online Only
I specialize in working with adult individuals and couples who are seeking solutions for connection, intimacy, and overall satisfaction in their lives. My work focuses on areas of relationship dynamics, sexuality, life transitions, personal development, and emotional awareness. I love helping people grow, expand self-compassion, reduce shame, and live with more authenticity, lightness, and joy. Engaging in therapy can be challenging, requiring vulnerability and awkward moments. I guide clients though the process by creating a safe space to explore, sharing laughter, humor and the art of being human.
I specialize in working with adult individuals and couples who are seeking solutions for connection, intimacy, and overall satisfaction in their lives. My work focuses on areas of relationship dynamics, sexuality, life transitions, personal development, and emotional awareness. I love helping people grow, expand self-compassion, reduce shame, and live with more authenticity, lightness, and joy. Engaging in therapy can be challenging, requiring vulnerability and awkward moments. I guide clients though the process by creating a safe space to explore, sharing laughter, humor and the art of being human.
(206) 279-6894 View (206) 279-6894
Photo of Dina Maugeri, Counselor, MA, LMHC
Dina Maugeri
Counselor, MA, LMHC
Seattle, WA 98102
My work is ideal for people who have a desire to understand themselves more fully, and who are interested in exploring stuck unconscious patterns that cause suffering to themselves and the people in their lives. I work with those experiencing anxiety and depression, grief and loss, relationship difficulties, life transitions, and issues around identity, including sexuality and gender issues. I also work with people who are grappling with existential issues of meaning and mortality. I focus on the cultivation of honest awareness and acceptance in the environment of an ongoing therapeutic relationship.
My work is ideal for people who have a desire to understand themselves more fully, and who are interested in exploring stuck unconscious patterns that cause suffering to themselves and the people in their lives. I work with those experiencing anxiety and depression, grief and loss, relationship difficulties, life transitions, and issues around identity, including sexuality and gender issues. I also work with people who are grappling with existential issues of meaning and mortality. I focus on the cultivation of honest awareness and acceptance in the environment of an ongoing therapeutic relationship.
(206) 567-7396 View (206) 567-7396
Photo of David Fleit, Marriage & Family Therapist Associate, LMFT, MPA
David Fleit
Marriage & Family Therapist Associate, LMFT, MPA
2 Endorsed
Seattle, WA 98118
I support individuals, couples, and families in topic areas such as: communication support, conflict resolution/repair, dating and relationship concerns, sex & intimacy, desire discrepancy, erectile variance, infidelity, gender and sexual identity, and concerns related to pornography use. I work with clients to better manage stress, anxiety, depression, and anger, as well as build emotional expression skills and emotional regulation strategies. My goal is to support clients in improving their relationships with the people that surround them and to develop a healthier relationship with themselves.
I support individuals, couples, and families in topic areas such as: communication support, conflict resolution/repair, dating and relationship concerns, sex & intimacy, desire discrepancy, erectile variance, infidelity, gender and sexual identity, and concerns related to pornography use. I work with clients to better manage stress, anxiety, depression, and anger, as well as build emotional expression skills and emotional regulation strategies. My goal is to support clients in improving their relationships with the people that surround them and to develop a healthier relationship with themselves.
(206) 593-3789 View (206) 593-3789
Photo of Nathan Mayes - Opening Heart Therapy, Counselor, LMHCA
Opening Heart Therapy
Counselor, LMHCA
2 Endorsed
Seattle, WA 98102
I'm Nathan Mayes, and it's an honor to welcome you to Opening Heart Therapy. Whether you are experiencing the deep pain of loss, the loneliness of heartbreak, or relational struggles, your journey is unique, and so is the healing process. Here, you’ll find a safe haven where your heart can begin to heal and you can grow.
I'm Nathan Mayes, and it's an honor to welcome you to Opening Heart Therapy. Whether you are experiencing the deep pain of loss, the loneliness of heartbreak, or relational struggles, your journey is unique, and so is the healing process. Here, you’ll find a safe haven where your heart can begin to heal and you can grow.
(425) 970-8483 View (425) 970-8483
Photo of Mary Lou Macarius, Marriage & Family Therapist, LMFT
Mary Lou Macarius
Marriage & Family Therapist, LMFT
Online Only
I am a Licensed Marriage and Family Therapist (LMFT) specializing in treating anxiety, depression, ADHD, behavioral issues, grief, parenting issues, school-related concerns, stress, women's issues, and child therapy. With more than 20 years of experience, I have worked at institutions such as the Pacific Lutheran University Marriage and Family Therapy Clinic, the Good Samaritan Behavioral Health Care Center, and in public schools serving students from kindergarten through 12th grade. I also have experience serving individuals from ages six to 65 from my time in another group private practice.
I am a Licensed Marriage and Family Therapist (LMFT) specializing in treating anxiety, depression, ADHD, behavioral issues, grief, parenting issues, school-related concerns, stress, women's issues, and child therapy. With more than 20 years of experience, I have worked at institutions such as the Pacific Lutheran University Marriage and Family Therapy Clinic, the Good Samaritan Behavioral Health Care Center, and in public schools serving students from kindergarten through 12th grade. I also have experience serving individuals from ages six to 65 from my time in another group private practice.
(339) 244-7023 View (339) 244-7023

See more therapy options for Seattle

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$160

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
78% Relationship Issues
75% Self Esteem
73% Trauma and PTSD
71% Stress
63% Grief

Average years in practice

10 Years

Top 3 insurances accepted

69% Premera Blue Cross
67% Aetna
62% Regence

How Therapists in Seattle, WA see their clients

53% Online Only
47% In Person and Online

Gender breakdown

75% Female
20% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.