Therapists in Riverview, Seattle, WA

Photo of Emerson Hardebeck, PsyD, Psychologist
Emerson Hardebeck
Psychologist, PsyD
Verified Verified
Riverview, Seattle, WA 98106
Is OCD/anxiety getting in the way of the life and relationships you want? As a psychologist specializing in both anxiety treatment and couples work, I help people overcome their fears to build rich, connected lives. I have expertise in modern cognitive behavioral therapies (CBTs) - but I work organically, using powerful behavioral concepts in an alive, compassionate way. We will try to radically open up your life, so worries and compulsions aren't distracting you from who and what is truly important. This work will be guided by up-to-date scientific evidence, but it will be a collaborative and human process, not a mechanical one.
Is OCD/anxiety getting in the way of the life and relationships you want? As a psychologist specializing in both anxiety treatment and couples work, I help people overcome their fears to build rich, connected lives. I have expertise in modern cognitive behavioral therapies (CBTs) - but I work organically, using powerful behavioral concepts in an alive, compassionate way. We will try to radically open up your life, so worries and compulsions aren't distracting you from who and what is truly important. This work will be guided by up-to-date scientific evidence, but it will be a collaborative and human process, not a mechanical one.
(206) 208-9596 View (206) 208-9596
Photo of Emily Baccile Gustin - Emily Gustin Counseling, MA, LMHC, Counselor
Emily Gustin Counseling
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Online Only
Are you finding your mind lives consistently in the future or stresses over the past? Are you finding yourself revisiting the same thoughts over and over? Sometimes it can feel like our brains are working against us and the more we try and fight, the more they win. Together we can explore ways to help you work through some of this difficulty while finding ways to feel joyful and fully present. My primary area of focus is working with clients on anxiety, parenting concerns, unhealthy coping skills like self-medicating and relationship issues.
Are you finding your mind lives consistently in the future or stresses over the past? Are you finding yourself revisiting the same thoughts over and over? Sometimes it can feel like our brains are working against us and the more we try and fight, the more they win. Together we can explore ways to help you work through some of this difficulty while finding ways to feel joyful and fully present. My primary area of focus is working with clients on anxiety, parenting concerns, unhealthy coping skills like self-medicating and relationship issues.
(206) 785-2873 View (206) 785-2873
Photo of Laurie Levy, LMHCA, MA, Counselor
Laurie Levy
Counselor, LMHCA, MA
Verified Verified
1 Endorsed
Online Only
Hi, I’m Laurie. I am a mental health care provider offering supportive, attuned care for the perinatal period. My clients are birthing individuals and couples on their journey to and through parenthood: pre-conception, birth planning, or adjusting to new parenthood. These are folks dealing with depression, anxiety, loss, medically complicated pregnancies and infants, trauma, and figuring out their new role as parents. As a birth professional for over 20 years, I also support others looking to process vicarious trauma, compassion fatigue and other issues that arise related to caring for birthing families.
Hi, I’m Laurie. I am a mental health care provider offering supportive, attuned care for the perinatal period. My clients are birthing individuals and couples on their journey to and through parenthood: pre-conception, birth planning, or adjusting to new parenthood. These are folks dealing with depression, anxiety, loss, medically complicated pregnancies and infants, trauma, and figuring out their new role as parents. As a birth professional for over 20 years, I also support others looking to process vicarious trauma, compassion fatigue and other issues that arise related to caring for birthing families.
(425) 979-7714 View (425) 979-7714
Photo of Cyn Clarfield, PsyD, Psychologist
Cyn Clarfield
Psychologist, PsyD
Verified Verified
2 Endorsed
Online Only
Waitlist for new clients
My practice specializes in gender identity development and sexual orientation. I primarily work with adolescents and young adults (as well as adults beginning to question their identity). Therapy focuses on anxiety management, gender dysphoria, coming out, improving self-esteem, connection to community, relationship skills, and the process of transitioning (if desired). Whether someone is exploring new feelings or has identified as LGBTQ+ for years, they may face internal or external challenges leading to confusion and stress. Working with an experienced therapist trained in gender and sexual minority issues can help.
My practice specializes in gender identity development and sexual orientation. I primarily work with adolescents and young adults (as well as adults beginning to question their identity). Therapy focuses on anxiety management, gender dysphoria, coming out, improving self-esteem, connection to community, relationship skills, and the process of transitioning (if desired). Whether someone is exploring new feelings or has identified as LGBTQ+ for years, they may face internal or external challenges leading to confusion and stress. Working with an experienced therapist trained in gender and sexual minority issues can help.
(206) 785-1711 View (206) 785-1711
Photo of Christina Forsythe, MS, LMHC, Counselor
Christina Forsythe
Counselor, MS, LMHC
Verified Verified
Online Only
Not accepting new clients
I believe each of us, deep down, hold our own answers to the issues we face. Sometimes we need an objective listener to ask new questions, suggest new skills, be supportive and coach us through tough times. Humans have a tremendous ability to handle the traumatic events in life. We build strategies to get us through the day. At some point, we might realize that these strategies no longer work and may even be causing more problems than they solve. This is when the support of a caring professional can help us find more efficient strategies to handle our lives.
I believe each of us, deep down, hold our own answers to the issues we face. Sometimes we need an objective listener to ask new questions, suggest new skills, be supportive and coach us through tough times. Humans have a tremendous ability to handle the traumatic events in life. We build strategies to get us through the day. At some point, we might realize that these strategies no longer work and may even be causing more problems than they solve. This is when the support of a caring professional can help us find more efficient strategies to handle our lives.
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Photo of Larkita Demps, MA, LMHC, Counselor
Larkita Demps
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Online Only
I am a trauma therapist who understands the stigmas surrounding mental health and how it often prevents individuals from seeking assistance. My goal is to provide a safe counseling space for you to filter through your journey while equipping you with support and resources to guide you on the path to overall wellness. I work with people facing challenges such as life transitions, self-esteem, anxiety, depression, trauma, and grief. Therapy is not always easy, but healing is achievable through a non-judgmental and compassionate environment.
I am a trauma therapist who understands the stigmas surrounding mental health and how it often prevents individuals from seeking assistance. My goal is to provide a safe counseling space for you to filter through your journey while equipping you with support and resources to guide you on the path to overall wellness. I work with people facing challenges such as life transitions, self-esteem, anxiety, depression, trauma, and grief. Therapy is not always easy, but healing is achievable through a non-judgmental and compassionate environment.
(206) 350-5301 View (206) 350-5301
Photo of Yolanda Christianson, MA, LMFT, Marriage & Family Therapist
Yolanda Christianson
Marriage & Family Therapist, MA, LMFT
Verified Verified
Riverview, Seattle, WA 98106
Waitlist for new clients
My practice supports clients from college age to retirement age, covering the gamut of life's milestones from launching to retirement. I work with people that feel challenged by partner relationships, family relationships, friend relationships, work relationships, commitment, divorce, parenting stress, caregiver roles, aging, grief, loss and more. With a corporate career spanning 20+ years prior to Therapist, my approach is highly engaged, interactive and works best for those looking for collaborative approaches to finding strategies that work.
My practice supports clients from college age to retirement age, covering the gamut of life's milestones from launching to retirement. I work with people that feel challenged by partner relationships, family relationships, friend relationships, work relationships, commitment, divorce, parenting stress, caregiver roles, aging, grief, loss and more. With a corporate career spanning 20+ years prior to Therapist, my approach is highly engaged, interactive and works best for those looking for collaborative approaches to finding strategies that work.
(206) 203-1691 View (206) 203-1691
Photo of Kelsey I Anderson, MS, LMFT, Marriage & Family Therapist
Kelsey I Anderson
Marriage & Family Therapist, MS, LMFT
Verified Verified
5 Endorsed
Online Only
Not accepting new clients
My goal as a therapist is to provide a safe, nonjudgmental atmosphere in which we can work together to gain a greater understanding of your challenges and move toward healing and growth. I provide individual therapy for adults, and specialize in working with those that are impacted by anxiety, chronic illness, and eating disorders. I also commonly provide counseling services for grief and loss, life transitions, adjustment to parenthood, self-esteem, stress management, and family of origin issues.
My goal as a therapist is to provide a safe, nonjudgmental atmosphere in which we can work together to gain a greater understanding of your challenges and move toward healing and growth. I provide individual therapy for adults, and specialize in working with those that are impacted by anxiety, chronic illness, and eating disorders. I also commonly provide counseling services for grief and loss, life transitions, adjustment to parenthood, self-esteem, stress management, and family of origin issues.
(425) 441-3074 View (425) 441-3074
Photo of Tosh Provancher, MA, LCMFT, Marriage & Family Therapist
Tosh Provancher
Marriage & Family Therapist, MA, LCMFT
Verified Verified
Online Only
Hey there! I feel so fortunate to have a specialty working with diverse sexualities, gender identities, and relationship structures over the past 18 years. Whether I am supporting individuals and their families with social and/or medical transition, helping folx design relationships that actually work or creating a space where you can simply fall apart.. my hope for all of my clients is to learn how to love themselves and each other better and resolve differences more directly and fairly. I am extremely interpersonal in my work and if you'd like more clarity around that - just ask :)
Hey there! I feel so fortunate to have a specialty working with diverse sexualities, gender identities, and relationship structures over the past 18 years. Whether I am supporting individuals and their families with social and/or medical transition, helping folx design relationships that actually work or creating a space where you can simply fall apart.. my hope for all of my clients is to learn how to love themselves and each other better and resolve differences more directly and fairly. I am extremely interpersonal in my work and if you'd like more clarity around that - just ask :)
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Photo of Melinda Stonecliffe, LCSW, MSW, Clinical Social Work/Therapist
Melinda Stonecliffe
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Riverview, Seattle, WA 98106
Calling the truth-seekers, the plant medicine-sitters, "the lovers, the dreamers, and me", this is an invitation to work with someone who *gets it* and is committed to being part of the modern paradigm shift. I don't want to diagnose you, but instead help you find the gift in all the ways you are uniquely YOU. Working for 15+ years in addiction & recovery makes me somewhat of an expert in those realms, but I am much more interested in revealing how YOU are the expert of your experience. Together we will find the path back to your own loving heart thru Inner Child Work and Psychedelic Harm Reduction & Integration. REMEMBER with me
Calling the truth-seekers, the plant medicine-sitters, "the lovers, the dreamers, and me", this is an invitation to work with someone who *gets it* and is committed to being part of the modern paradigm shift. I don't want to diagnose you, but instead help you find the gift in all the ways you are uniquely YOU. Working for 15+ years in addiction & recovery makes me somewhat of an expert in those realms, but I am much more interested in revealing how YOU are the expert of your experience. Together we will find the path back to your own loving heart thru Inner Child Work and Psychedelic Harm Reduction & Integration. REMEMBER with me
(801) 513-1913 View (801) 513-1913
Photo of James Murray, MA, MFT, LMHC, Marriage & Family Therapist
James Murray
Marriage & Family Therapist, MA, MFT, LMHC
Verified Verified
Riverview, Seattle, WA 98106
I specialize in treating couples and individuals dealing with depression, anxiety, relationship instability, life changes and conflict resolution. I've worked extensively with marriages in crises, forming alliances with highly conflicted couples and providing support during high impact times/affair recovery. I've also helped teens and adolescents navigate everything from social pressures to healthy relationships with screens. My experience working in the school system gives me expertise in the 504/IEP assessment process. I've also worked with athletes/coaches/high stress careers on performance improvement and stress management.
I specialize in treating couples and individuals dealing with depression, anxiety, relationship instability, life changes and conflict resolution. I've worked extensively with marriages in crises, forming alliances with highly conflicted couples and providing support during high impact times/affair recovery. I've also helped teens and adolescents navigate everything from social pressures to healthy relationships with screens. My experience working in the school system gives me expertise in the 504/IEP assessment process. I've also worked with athletes/coaches/high stress careers on performance improvement and stress management.
(805) 585-5953 View (805) 585-5953
Photo of Maite Andrea Imaz, MFT, Marriage & Family Therapist
Maite Andrea Imaz
Marriage & Family Therapist, MFT
Verified Verified
Online Only
With genuine positive regard and a creative approach, my practice is committed to fostering awareness, healing and empowerment. The therapeutic relationship ultimately deepens the relationship with oneself and how we navigate challenges in the art of living. I facilitate with getting to the heart of the matter, gleaning meaningful insight, and building upon internal and external strengths. I have worked professionally for over 20 years, supporting a diverse population of hundreds of adults, youth, children, couples and families through and beyond, trauma, grief, depression, anxiety, life transitions and relationship difficulties.
With genuine positive regard and a creative approach, my practice is committed to fostering awareness, healing and empowerment. The therapeutic relationship ultimately deepens the relationship with oneself and how we navigate challenges in the art of living. I facilitate with getting to the heart of the matter, gleaning meaningful insight, and building upon internal and external strengths. I have worked professionally for over 20 years, supporting a diverse population of hundreds of adults, youth, children, couples and families through and beyond, trauma, grief, depression, anxiety, life transitions and relationship difficulties.
(206) 207-8798 View (206) 207-8798
Photo of Sergio Flores, PsyD, MS, Psychologist
Sergio Flores
Psychologist, PsyD, MS
Verified Verified
Riverview, Seattle, WA 98106
I am a licensed clinical psychologist with 15 years of experience providing therapy in a variety of settings that include Stanford Department of Psychiatry and Behavioral Sciences, UCSF Alliance Health Project, and the Seattle VA Hospital. I meet my clients “where they are at” and my therapeutic approach is characterized by unconditional acceptance and non-judgmental support. My approach to therapy is strength-based, focusing on helping you identify your unique strengths and values. Together, we can explore ways to cultivate a meaningful life even during challenging times, enhancing your resilience and overall well-being.
I am a licensed clinical psychologist with 15 years of experience providing therapy in a variety of settings that include Stanford Department of Psychiatry and Behavioral Sciences, UCSF Alliance Health Project, and the Seattle VA Hospital. I meet my clients “where they are at” and my therapeutic approach is characterized by unconditional acceptance and non-judgmental support. My approach to therapy is strength-based, focusing on helping you identify your unique strengths and values. Together, we can explore ways to cultivate a meaningful life even during challenging times, enhancing your resilience and overall well-being.
(206) 929-4632 View (206) 929-4632
Photo of Shannon Shively, MAEd, LMHC, NCC, Counselor
Shannon Shively
Counselor, MAEd, LMHC, NCC
Verified Verified
11 Endorsed
Riverview, Seattle, WA 98106
I enjoy helping people recover from the effects of trauma in their lives in order to feel safe in the world, and attached to themselves and their loved ones. My specialty is in Lifespan Integration, an effective tool used for trauma reprocessing and attachment repair. I work with survivors of childhood trauma, PTSD, and people navigating infertility, pregnancy, and postpartum transitions.
I enjoy helping people recover from the effects of trauma in their lives in order to feel safe in the world, and attached to themselves and their loved ones. My specialty is in Lifespan Integration, an effective tool used for trauma reprocessing and attachment repair. I work with survivors of childhood trauma, PTSD, and people navigating infertility, pregnancy, and postpartum transitions.
(405) 880-8158 View (405) 880-8158
Photo of Heidi Gray, LMFT, Marriage & Family Therapist
Heidi Gray
Marriage & Family Therapist, LMFT
Verified Verified
Riverview, Seattle, WA 98106
I work with all types of couples to resolve conflict and increase emotional and physical intimacy in relationships. Clients who contact my practice are usually seeking counseling because they are struggling with a disconnected relationship, working toward healing after betrayal, having sexual difficulties, or contemplating separation. Through the use of research-supported approaches to couple therapy, relational wounds can be healed and a deeper connection in our most important relationships is possible.
I work with all types of couples to resolve conflict and increase emotional and physical intimacy in relationships. Clients who contact my practice are usually seeking counseling because they are struggling with a disconnected relationship, working toward healing after betrayal, having sexual difficulties, or contemplating separation. Through the use of research-supported approaches to couple therapy, relational wounds can be healed and a deeper connection in our most important relationships is possible.
(206) 858-8169 View (206) 858-8169
Photo of Tom Buffington, LMHC, Counselor
Tom Buffington
Counselor, LMHC
Verified Verified
3 Endorsed
Online Only
Stop feeling like you're always in trouble at home. We help you build confidence and get more satisfaction in relationships. We explore what happens at the beginning of an argument so that you can avoid them in the first place. It may seem impossible right now, but after a while you'll be less stressed while you're in conflict. You'll feel better equipped when you’re feeling trapped, outmaneuvered or backed against the wall. Visit my website to see how my men’s group can work for you.
Stop feeling like you're always in trouble at home. We help you build confidence and get more satisfaction in relationships. We explore what happens at the beginning of an argument so that you can avoid them in the first place. It may seem impossible right now, but after a while you'll be less stressed while you're in conflict. You'll feel better equipped when you’re feeling trapped, outmaneuvered or backed against the wall. Visit my website to see how my men’s group can work for you.
(206) 745-5761 View (206) 745-5761
Photo of Sha'ari Garfinkel - Certified Emdr Practitioner, MSW, LICSW, LCSW, FAMI, Clinical Social Work/Therapist
Sha'ari Garfinkel - Certified Emdr Practitioner
Clinical Social Work/Therapist, MSW, LICSW, LCSW, FAMI
Verified Verified
Riverview, Seattle, WA 98106
Underneath the disappointments and pain, you have more strength and wholeness than you may realize. It takes real courage to break out of our old ways of doing things into new thinking and behaving. I admire and respect anyone who has the willingness to start on this journey and am there to support you through that process, even if you don't know what needs to change. Together we will navigate these uncharted waters, bringing you closer to the fullest and most satisfying life possible for you. NOTE: Remote therapy ONLY (including EMDR) in Idaho, North Carolina & Kansas. Remote & in-person therapy available in Washington State.
Underneath the disappointments and pain, you have more strength and wholeness than you may realize. It takes real courage to break out of our old ways of doing things into new thinking and behaving. I admire and respect anyone who has the willingness to start on this journey and am there to support you through that process, even if you don't know what needs to change. Together we will navigate these uncharted waters, bringing you closer to the fullest and most satisfying life possible for you. NOTE: Remote therapy ONLY (including EMDR) in Idaho, North Carolina & Kansas. Remote & in-person therapy available in Washington State.
(206) 900-8567 View (206) 900-8567
Jennifer Lynn Batts
Marriage & Family Therapist, MS, LMFT
Verified Verified
Riverview, Seattle, WA 98106
(206) 593-3874 View (206) 593-3874

Online Therapists

Photo of Hannah Rekoon, MA, LICSWA, Clinical Social Work/Therapist
Hannah Rekoon
Clinical Social Work/Therapist, MA, LICSWA
Verified Verified
1 Endorsed
Seattle, WA 98104
Life can sometimes leave us feeling overwhelmed or hopeless. Everyday stressors and relationship losses can leave you feeling disconnected from others, anxious or depressed. Taking the step to reach out for support takes immense strength. Whatever you are experiencing, I am here to help empower you with support and empathy. I use a nonjudgmental collaborative approach and also encourage clients to move toward change and healing - we are in this together.
Life can sometimes leave us feeling overwhelmed or hopeless. Everyday stressors and relationship losses can leave you feeling disconnected from others, anxious or depressed. Taking the step to reach out for support takes immense strength. Whatever you are experiencing, I am here to help empower you with support and empathy. I use a nonjudgmental collaborative approach and also encourage clients to move toward change and healing - we are in this together.
(425) 946-2581 View (425) 946-2581
Photo of Hayden Jones, LMHCA, Counselor
Hayden Jones
Counselor, LMHCA
Verified Verified
Online Only
I enjoy helping others to build deep, meaningful connections with not only those in their lives but their own central sense of self and system of values. In particular, I enjoy finding ways to bring geek and gamer cultural interests into therapy and utilize the things that bring people joy while providing a safe, supportive environment to explore their own life experiences while building on the supports that have helped them navigate their lives. I take a very humanistic approach to counseling that encourages honesty and openness since we're ultimately all just people trying to figure it out day by day.
I enjoy helping others to build deep, meaningful connections with not only those in their lives but their own central sense of self and system of values. In particular, I enjoy finding ways to bring geek and gamer cultural interests into therapy and utilize the things that bring people joy while providing a safe, supportive environment to explore their own life experiences while building on the supports that have helped them navigate their lives. I take a very humanistic approach to counseling that encourages honesty and openness since we're ultimately all just people trying to figure it out day by day.
(206) 759-7007 View (206) 759-7007

See more therapy options for Riverview, Seattle

How does your Therapist compare?

Number of Therapists in Riverview, Seattle, WA

10+

Average cost per session

$160

Therapists in Riverview, Seattle, WA who prioritize treating:

89% Relationship Issues
78% Anxiety
72% Grief
72% Life Transitions
67% Depression
67% Stress
61% Self Esteem

Average years in practice

15 Years

Top 3 insurances accepted

60% Premera Blue Cross
40% Kaiser (Out-of-Network)
40% LifeWise

How Therapists in Riverview, Seattle, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

63% Female
25% Male
12% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Riverview, 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.