Therapists in Spokane, WA

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Photo of Sandra Gormon-Brown, Clinical Social Work/Therapist in Spokane, WA
Sandra Gormon-Brown
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Spokane, WA 99201
Waitlist for new clients
I am a Certified Attachment Focused Therapist with 25 years of experience working with individuals who's lives have have been touched by foster care and adoption. I specialize in the treatment of attachment issues/disorders, trauma, and pre/post adoption issues for children, adults and all members of the adoption triad, using a variety of evidence based and promising practice techniques including EMDR, Attachment/Trauma Focused Therapy, Theraplay (R), IFS and other relevant therapeutic modalities. I work collaboratively with my clients to assure a safe space to be seen and heard on the path toward healing hearts and minds.
I am a Certified Attachment Focused Therapist with 25 years of experience working with individuals who's lives have have been touched by foster care and adoption. I specialize in the treatment of attachment issues/disorders, trauma, and pre/post adoption issues for children, adults and all members of the adoption triad, using a variety of evidence based and promising practice techniques including EMDR, Attachment/Trauma Focused Therapy, Theraplay (R), IFS and other relevant therapeutic modalities. I work collaboratively with my clients to assure a safe space to be seen and heard on the path toward healing hearts and minds.
(509) 740-3621 View (509) 740-3621
Photo of Bree Sutton - Athlete Anxiety Specialist, Mental Health Counselor in Spokane, WA
Bree Sutton - Athlete Anxiety Specialist
Mental Health Counselor, MA, LMHC, CPC
Verified Verified
Spokane, WA 99218
Are you a high-achieving woman or athlete struggling with negative self-talk, overthinking, and overworking? Does stress, anxiety, and overwhelm hinder your peak performance? It's time to break free and rediscover yourself. I'm here to help you regain control and find your flow. Whether you're aiming for corporate success, parenthood excellence, or athletic greatness, I can guide you. Together, we'll reclaim your identity, find centeredness, and achieve optimal performance with unwavering confidence. Let's embark on this journey together!
Are you a high-achieving woman or athlete struggling with negative self-talk, overthinking, and overworking? Does stress, anxiety, and overwhelm hinder your peak performance? It's time to break free and rediscover yourself. I'm here to help you regain control and find your flow. Whether you're aiming for corporate success, parenthood excellence, or athletic greatness, I can guide you. Together, we'll reclaim your identity, find centeredness, and achieve optimal performance with unwavering confidence. Let's embark on this journey together!
(509) 383-8823 View (509) 383-8823
Photo of Mike Wilhelm, Marriage & Family Therapist Associate in Spokane, WA
Mike Wilhelm
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Spokane, WA 99201
Conflicts and difficulties in relationships are everywhere. I specialize in helping couples, families and individuals repair and change unhealthy patterns towards healing and creating new patterns of healthy communication. I have a holistic approach, integrating mind, body and spirit. I help clients feel safe to connect with deeper parts of themselves, enabling them to connect more deeply with others. I incorporate spirituality if the client would like, and am accepting to all forms of spirituality, religion, cultures, genders and sexualities.
Conflicts and difficulties in relationships are everywhere. I specialize in helping couples, families and individuals repair and change unhealthy patterns towards healing and creating new patterns of healthy communication. I have a holistic approach, integrating mind, body and spirit. I help clients feel safe to connect with deeper parts of themselves, enabling them to connect more deeply with others. I incorporate spirituality if the client would like, and am accepting to all forms of spirituality, religion, cultures, genders and sexualities.
(509) 481-9629 View (509) 481-9629
Photo of Donnavan Leavitt, Counselor in Spokane, WA
Donnavan Leavitt
Counselor, MA, NCC, LMHC
Verified Verified
3 Endorsed
Spokane, WA 99204
For clients who are dealing with unhealthy, and sometimes even harmful sexual behaviors, their struggle is often enshrouded in shame and secrecy. These behaviors can affect anyone. Immediate access to pornography and the cloak of anonymity make it easy to become ensnared in unwanted behaviors. For clients who are dealing with concerns about their sexual functioning, it is often due to multiple causes that can be medical, relational, and/or psychological in nature. Often it is difficult to talk about these concerns with others around us given how private and personal these concerns are.
For clients who are dealing with unhealthy, and sometimes even harmful sexual behaviors, their struggle is often enshrouded in shame and secrecy. These behaviors can affect anyone. Immediate access to pornography and the cloak of anonymity make it easy to become ensnared in unwanted behaviors. For clients who are dealing with concerns about their sexual functioning, it is often due to multiple causes that can be medical, relational, and/or psychological in nature. Often it is difficult to talk about these concerns with others around us given how private and personal these concerns are.
(509) 776-7958 View (509) 776-7958
Photo of Ilana Skarling, Clinical Social Work/Therapist in Spokane, WA
Ilana Skarling
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
You are not too much. Nor is what you have been through too much. If you struggle with gender or sexual identity, sexual or domestic violence, or other forms of lasting trauma, I can help. Just know that I believe you to be, at this moment, exactly who you need to be in order to survive. I also believe that things can get better.
You are not too much. Nor is what you have been through too much. If you struggle with gender or sexual identity, sexual or domestic violence, or other forms of lasting trauma, I can help. Just know that I believe you to be, at this moment, exactly who you need to be in order to survive. I also believe that things can get better.
(206) 752-5508 View (206) 752-5508
Photo of Brianna Safe, Counselor in Spokane, WA
Brianna Safe
Counselor, MA, LMHCA, NCC
Verified Verified
1 Endorsed
Spokane, WA 99202
As a therapist, I am committed to individual and collective healing, operating from the belief that people change in the presence of other people. This is what makes the therapeutic experience so transformative – the relational work of therapy provides a new context where, together with a safe other, you can seek to understand and unlearn old patterns that no longer serve you, while learning to navigate through your inner and outer world with more courage and comfort. I work to create shared experiences based in curiosity and safety, speaking to the parts of you and your story that may feel stuck or alone.
As a therapist, I am committed to individual and collective healing, operating from the belief that people change in the presence of other people. This is what makes the therapeutic experience so transformative – the relational work of therapy provides a new context where, together with a safe other, you can seek to understand and unlearn old patterns that no longer serve you, while learning to navigate through your inner and outer world with more courage and comfort. I work to create shared experiences based in curiosity and safety, speaking to the parts of you and your story that may feel stuck or alone.
(509) 361-6238 View (509) 361-6238
Photo of Dr. Jessica Fritzges, Psychologist in Spokane, WA
Dr. Jessica Fritzges
Psychologist, PhD
Verified Verified
Spokane, WA 99201  (Online Only)
After work hours! As a licensed psychologist and trauma therapist, I'm here to help you heal a painful past for a brighter tomorrow. My patients are usually seeking to heal emotional wounds caused by relationship issues, abuse, disasters, and other overwhelming life events that are difficult to work through alone. Often, when my patients first reach out, they're feeling overwhelmed by their needs and emotions; they want a psychologist who will listen, reassure them, and provide directed help for their challenges. They want connection, comfort, and guidance, and they're ready to do what is needed to enjoy their lives again.
After work hours! As a licensed psychologist and trauma therapist, I'm here to help you heal a painful past for a brighter tomorrow. My patients are usually seeking to heal emotional wounds caused by relationship issues, abuse, disasters, and other overwhelming life events that are difficult to work through alone. Often, when my patients first reach out, they're feeling overwhelmed by their needs and emotions; they want a psychologist who will listen, reassure them, and provide directed help for their challenges. They want connection, comfort, and guidance, and they're ready to do what is needed to enjoy their lives again.
(509) 673-7382 View (509) 673-7382
Photo of Emerald 'fitz' Fitzpatrick, Counselor in Spokane, WA
Emerald 'fitz' Fitzpatrick
Counselor, LMHCA
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
Whether it's starting college, coming to terms with a new disability, coming out, changing careers etc. major life transitions can be a time of incredible stress and pain as well as profound growth. It can feel impossible to make time to process the barrage of thoughts and feelings swirling around your head (and where do you even start?). You need someone to not just listen but to help you untangle the mess. Someone who can help you understand both internal and systemic barriers to wellness. Immediate availability for 1:1 Therapy! Availability: Weekly Monday, Tuesday, Thursday afternoon and evening
Whether it's starting college, coming to terms with a new disability, coming out, changing careers etc. major life transitions can be a time of incredible stress and pain as well as profound growth. It can feel impossible to make time to process the barrage of thoughts and feelings swirling around your head (and where do you even start?). You need someone to not just listen but to help you untangle the mess. Someone who can help you understand both internal and systemic barriers to wellness. Immediate availability for 1:1 Therapy! Availability: Weekly Monday, Tuesday, Thursday afternoon and evening
(509) 300-4864 View (509) 300-4864
Photo of Kristin Rawlins, Counselor in Spokane, WA
Kristin Rawlins
Counselor, MA, LMHC, NCC
Verified Verified
Spokane, WA 99202
As human beings, we want healthy and happy relationships. These are vital to our emotional and mental well-being. We want to be our honest, authentic selves and trust that others will be there for us. However, despite our best efforts, things can get in the way. Our emotions, our past, anxiety and depression all affect how we interact with people we care about. Counseling allows for you to sit with someone who has no judgement toward you and your circumstances. I am simply here to help.
As human beings, we want healthy and happy relationships. These are vital to our emotional and mental well-being. We want to be our honest, authentic selves and trust that others will be there for us. However, despite our best efforts, things can get in the way. Our emotions, our past, anxiety and depression all affect how we interact with people we care about. Counseling allows for you to sit with someone who has no judgement toward you and your circumstances. I am simply here to help.
(509) 818-0312 View (509) 818-0312
Photo of Hayden Calaway, Clinical Social Work/Therapist in Spokane, WA
Hayden Calaway
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Spokane, WA 99202
If you or your teen recognize the need to make some changes in your life, but what you have been doing or perhaps what you have avoided doing isn't working anymore, I hope you will give me an opportunity to get you headed on the right path. Whether the challenges are related to high emotions, poor coping, depression, anxiety, intrusive thoughts or trauma, I can help you learn new things about yourself and integrate tools and strategies to make living your best life easier.
If you or your teen recognize the need to make some changes in your life, but what you have been doing or perhaps what you have avoided doing isn't working anymore, I hope you will give me an opportunity to get you headed on the right path. Whether the challenges are related to high emotions, poor coping, depression, anxiety, intrusive thoughts or trauma, I can help you learn new things about yourself and integrate tools and strategies to make living your best life easier.
(509) 646-2216 View (509) 646-2216
Photo of ACT Services, Counselor in Spokane, WA
ACT Services
Counselor, LMHC, LICSW, MHP, CMHS
Verified Verified
2 Endorsed
Spokane, WA 99205  (Online Only)
Now accepting NEW clients! We all experience difficulties in life: breakups, divorce, grief and loss as well as trouble with school or work performance. We believe quality mental health services should be available when inevitable events knock us off course and we can't "fix" it ourselves. Most people try several remedies before therapy, but sometimes extra help is needed. We also recognize that everyone wants privacy, ranging from children to lawyers to other medical professionals. We were founded with you in mind. Your privacy is important to us, and shouldn't be a barrier to quality care.
Now accepting NEW clients! We all experience difficulties in life: breakups, divorce, grief and loss as well as trouble with school or work performance. We believe quality mental health services should be available when inevitable events knock us off course and we can't "fix" it ourselves. Most people try several remedies before therapy, but sometimes extra help is needed. We also recognize that everyone wants privacy, ranging from children to lawyers to other medical professionals. We were founded with you in mind. Your privacy is important to us, and shouldn't be a barrier to quality care.
(509) 631-8240 View (509) 631-8240
Photo of Semarn Singh, Counselor in Spokane, WA
Semarn Singh
Counselor, MA, LMHCA, NCC
Verified Verified
Spokane, WA 99202
Therapy is a wonderful opportunity for personal growth. It is also helpful in overcoming human experiences such as anxiety and depression, for improving relationships and for changing behaviors that may be hindering our quality of life. It is common to experience hesitation or ambivalence when starting therapy, much like many other new beginnings.
Therapy is a wonderful opportunity for personal growth. It is also helpful in overcoming human experiences such as anxiety and depression, for improving relationships and for changing behaviors that may be hindering our quality of life. It is common to experience hesitation or ambivalence when starting therapy, much like many other new beginnings.
(509) 678-1722 View (509) 678-1722
Photo of Emma Schilling, Marriage & Family Therapist Associate in Spokane, WA
Emma Schilling
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
6 Endorsed
Spokane, WA 99218
Hi! I’m Emma. I'm so glad you’re here. I am deeply passionate about people and their stories. Sometimes we crave a safe space where we can share our hardship, pain, joy, change, and challenge. I love getting to provide that for people. I believe in welcoming my clients with compassion, affirmation, no judgment, and no criticism. As a therapist I am warm, encouraging, and curious. It's my job and hope to get to know you, and your story. For our entire time together I work alongside you with your best interests in mind. I want to help you build lifestyles, relationships, and goals that feel achievable and authentic.
Hi! I’m Emma. I'm so glad you’re here. I am deeply passionate about people and their stories. Sometimes we crave a safe space where we can share our hardship, pain, joy, change, and challenge. I love getting to provide that for people. I believe in welcoming my clients with compassion, affirmation, no judgment, and no criticism. As a therapist I am warm, encouraging, and curious. It's my job and hope to get to know you, and your story. For our entire time together I work alongside you with your best interests in mind. I want to help you build lifestyles, relationships, and goals that feel achievable and authentic.
(509) 257-4836 View (509) 257-4836
Photo of Tiffanie O'Rourke, Counselor in Spokane, WA
Tiffanie O'Rourke
Counselor, MA, LMHC, CMHS
Verified Verified
Spokane, WA 99207
Not accepting new clients
NOT ACCEPTING NEW CLIENTS (updated 02-25-24) I enjoy working with teens, adult females, couples and parents. I utilize EFT (Emotion Focused Therapy) for couples as well as attachment theory to help guide me in my work with clients. I deeply respect the counseling relationship and value each of my clients. I approach counseling using compassion, grace, and curiosity with professionalism. Additionally, I enjoy incorporating Christian spirituality into therapy at the invitation and request of my client.
NOT ACCEPTING NEW CLIENTS (updated 02-25-24) I enjoy working with teens, adult females, couples and parents. I utilize EFT (Emotion Focused Therapy) for couples as well as attachment theory to help guide me in my work with clients. I deeply respect the counseling relationship and value each of my clients. I approach counseling using compassion, grace, and curiosity with professionalism. Additionally, I enjoy incorporating Christian spirituality into therapy at the invitation and request of my client.
(509) 724-2142 View (509) 724-2142
Photo of Dianna Gulick, Counselor in Spokane, WA
Dianna Gulick
Counselor, MA, LMHC, CMHS
Verified Verified
4 Endorsed
Spokane, WA 99201
Not accepting new clients
Are you having a difficult time managing emotions or thoughts that you once thought were manageable? Many people experience trauma or other adverse life events at some point in their lives. I believe each person has the potential to be free from the burden of symptoms that trauma, anxiety, and depression can create. People often come to counseling unsure of what they want to be different but knowing that they would like something to change. I enjoy working with people trying to identify goals and those who already have goals in mind.
Are you having a difficult time managing emotions or thoughts that you once thought were manageable? Many people experience trauma or other adverse life events at some point in their lives. I believe each person has the potential to be free from the burden of symptoms that trauma, anxiety, and depression can create. People often come to counseling unsure of what they want to be different but knowing that they would like something to change. I enjoy working with people trying to identify goals and those who already have goals in mind.
(509) 769-3510 View (509) 769-3510
Photo of Brandon Loiler, Marriage & Family Therapist in Spokane, WA
Brandon Loiler
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Spokane, WA 99205
Life is hard. We are all on a search for meaning and purpose. I work to create an open and comfortable place where clients can work through their struggles to better their lives and heal relationships. Therapy is challenging and I believe that growth is found in this challenge. The only goal is helping you move forward with fulfillment and joy. My personal worldview comes from following Jesus, but my goal is to be with you as you work through life whatever your background, faith, or life story is. My desire is to walk with people through hard times. We all go through them and sometimes we just need a hand.
Life is hard. We are all on a search for meaning and purpose. I work to create an open and comfortable place where clients can work through their struggles to better their lives and heal relationships. Therapy is challenging and I believe that growth is found in this challenge. The only goal is helping you move forward with fulfillment and joy. My personal worldview comes from following Jesus, but my goal is to be with you as you work through life whatever your background, faith, or life story is. My desire is to walk with people through hard times. We all go through them and sometimes we just need a hand.
(509) 257-3559 View (509) 257-3559
Photo of Dustin L Price, Counselor in Spokane, WA
Dustin L Price
Counselor, LMHA, MA, MBA
Verified Verified
Spokane, WA 99201
Ready to identify your next destination? Let's journey together, embracing change and growth. Reach out today for a transformative future. As a seasoned professional with diverse experiences, I understand the complexities of balancing personal and professional demands. My core passion is helping you achieve goals and facilitate healing. True wealth is about finding peace and fulfillment.
Ready to identify your next destination? Let's journey together, embracing change and growth. Reach out today for a transformative future. As a seasoned professional with diverse experiences, I understand the complexities of balancing personal and professional demands. My core passion is helping you achieve goals and facilitate healing. True wealth is about finding peace and fulfillment.
(509) 517-7241 View (509) 517-7241
Photo of Revive Counseling Spokane, PLLC, Clinical Social Work/Therapist in Spokane, WA
Revive Counseling Spokane, PLLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Spokane, WA 99201
"What's wrong with me?" is often the burning question our clients ask when entering our counseling office. Often times we're not the first office in which they have tried to answer this question. Revive Counseling Spokane's counselors will instead ask, "What has happened to you?" It can be difficult to piece together the impact of shame, betrayal, neglect and abuse from our past, but our counselors know how to guide you through the healing process to restore your sense of peace, control and vitality. Trained by the EMDR Institute, we will help you get past your past.
"What's wrong with me?" is often the burning question our clients ask when entering our counseling office. Often times we're not the first office in which they have tried to answer this question. Revive Counseling Spokane's counselors will instead ask, "What has happened to you?" It can be difficult to piece together the impact of shame, betrayal, neglect and abuse from our past, but our counselors know how to guide you through the healing process to restore your sense of peace, control and vitality. Trained by the EMDR Institute, we will help you get past your past.
(509) 260-8409 View (509) 260-8409
Photo of Kerry Hill, Counselor in Spokane, WA
Kerry Hill
Counselor, MA, LMHC
Verified Verified
Spokane, WA 99201
Sometimes life does not go in the direction you may have hoped, and you may face suffering, feeling broken, and other challenging circumstances, without always knowing how to handle them. Whether you're dealing with a difficult relationship, trauma, anxiety, grief & loss or spiritually feeling there are obstacles in the way, I will come alongside you to help you get to where you want to be.
Sometimes life does not go in the direction you may have hoped, and you may face suffering, feeling broken, and other challenging circumstances, without always knowing how to handle them. Whether you're dealing with a difficult relationship, trauma, anxiety, grief & loss or spiritually feeling there are obstacles in the way, I will come alongside you to help you get to where you want to be.
(509) 652-2093 View (509) 652-2093
Photo of Jens Uhder, Psychologist in Spokane, WA
Jens Uhder
Psychologist, PsyD
Verified Verified
Spokane, WA 99204  (Online Only)
Whatever pressing need you may have, reaching out for help is your first step. I am here to support you as you start envisioning how this path forward may look like – personal changes to make, relationship patterns to undo, new skills to learn. Your painful lessons can turn into stepping-stones. As a the great poet Rumi once put it: “Your wound is the place where the light enters you,” helping you to see yourself in a new light.
Whatever pressing need you may have, reaching out for help is your first step. I am here to support you as you start envisioning how this path forward may look like – personal changes to make, relationship patterns to undo, new skills to learn. Your painful lessons can turn into stepping-stones. As a the great poet Rumi once put it: “Your wound is the place where the light enters you,” helping you to see yourself in a new light.
(509) 260-7178 View (509) 260-7178

How does your Therapist compare?

Number of Therapists in Spokane, WA

1,000+

Average cost per session

$135

Therapists in Spokane, WA who prioritize treating:

92% Anxiety
87% Depression
76% Self Esteem
74% Trauma and PTSD
73% Relationship Issues
73% Stress
71% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

74% Premera
72% Aetna
57% UnitedHealthcare UHC | UBH

How Therapists in Spokane, WA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

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

How can I find a therapist in Spokane?

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.