Therapists in Northwest, Spokane, WA

Photo of Michael Chessar - Michael Chessar Counseling Service, Counselor, MA, LMHC, LMFT, NCC
Michael Chessar Counseling Service
Counselor, MA, LMHC, LMFT, NCC
Northwest, Spokane, WA 99205
You deserve to live a full enriching life. Here you have the opportunity to be heard in a safe confidential setting. Here you can gain confidence, effectiveness and self expression in relationships and area's of life important to you, Don't let anxiety, depression or the past stop you. I enjoy and appreciate working with Individuals, Couples and Families on their journey. I invite you to try a FREE TELEPHONE CONSULTATION.
You deserve to live a full enriching life. Here you have the opportunity to be heard in a safe confidential setting. Here you can gain confidence, effectiveness and self expression in relationships and area's of life important to you, Don't let anxiety, depression or the past stop you. I enjoy and appreciate working with Individuals, Couples and Families on their journey. I invite you to try a FREE TELEPHONE CONSULTATION.
(509) 774-3994 View (509) 774-3994
Photo of Jacqui Nelson, Counselor, MA, LMHC
Jacqui Nelson
Counselor, MA, LMHC
4 Endorsed
Northwest, Spokane, WA 99205
You may be a busy professional who is feeling anxious, burnt-out, or overwhelmed. You're likely in your head all the time and it prevents you from feeling present to what you want to be experiencing in life. Part of what keeps you stuck is that mean inner-critic - the one who says you're not enough, you're not worth it, or you're not doing enough. As a relational psychodynamic therapist my job is to help you get closer to your own emotional experience and dig into the unconscious thoughts/beliefs/emotions that keep you stuck. I value getting into the nitty-gritty of your story to help you find healing.
You may be a busy professional who is feeling anxious, burnt-out, or overwhelmed. You're likely in your head all the time and it prevents you from feeling present to what you want to be experiencing in life. Part of what keeps you stuck is that mean inner-critic - the one who says you're not enough, you're not worth it, or you're not doing enough. As a relational psychodynamic therapist my job is to help you get closer to your own emotional experience and dig into the unconscious thoughts/beliefs/emotions that keep you stuck. I value getting into the nitty-gritty of your story to help you find healing.
(509) 517-7320 View (509) 517-7320
Photo of Rebecca McManus, Counselor, MA, LMHC
Rebecca McManus
Counselor, MA, LMHC
1 Endorsed
Northwest, Spokane, WA 99205
If you suffer from anxiety, depression, dissatisfying relationships, or a history of trauma, you are not alone. Whether you want to learn more about yourself, set goals, learn coping skills or just want someone to hold space for your emotions and thoughts, I'm here to help. I believe the therapeutic relationship is a major component to success. Our time together will be a safe place, grounded in empathy and non-judgment, where we can discuss your life's meaning, emotional well-being, relationships, and anything that's on your mind.
If you suffer from anxiety, depression, dissatisfying relationships, or a history of trauma, you are not alone. Whether you want to learn more about yourself, set goals, learn coping skills or just want someone to hold space for your emotions and thoughts, I'm here to help. I believe the therapeutic relationship is a major component to success. Our time together will be a safe place, grounded in empathy and non-judgment, where we can discuss your life's meaning, emotional well-being, relationships, and anything that's on your mind.
(509) 260-8608 View (509) 260-8608
Photo of Mathew Ryan Edwards, Pre-Licensed Professional
Mathew Ryan Edwards
Pre-Licensed Professional
Northwest, Spokane, WA 99205
Hello, my name is Mat Edwards, and I am a counselor-in-training currently completing my practicum/internship and onboarding new clients. I approach counseling with compassion, respect, and a belief in every person’s ability to grow and heal. My goal is to provide a safe, supportive environment where clients can explore life challenges, develop coping strategies, and work toward meaningful change. I welcome clients who are navigating issues such as stress, anxiety, depression, life transitions, family or relationship concerns, and personal growth. I look forward to partnering with you on your journey toward greater well-being.
Hello, my name is Mat Edwards, and I am a counselor-in-training currently completing my practicum/internship and onboarding new clients. I approach counseling with compassion, respect, and a belief in every person’s ability to grow and heal. My goal is to provide a safe, supportive environment where clients can explore life challenges, develop coping strategies, and work toward meaningful change. I welcome clients who are navigating issues such as stress, anxiety, depression, life transitions, family or relationship concerns, and personal growth. I look forward to partnering with you on your journey toward greater well-being.
(509) 257-3925 View (509) 257-3925
Photo of Allison Morgan - Allison Morgan. Text (509) 593-0502 to schedule, Marriage & Family Therapist, MA, LMFT, LMHC
Allison Morgan. Text (509) 593-0502 to schedule
Marriage & Family Therapist, MA, LMFT, LMHC
6 Endorsed
Northwest, Spokane, WA 99205
For an appointment, please text (509) 593-0502 As a Mental Health Counselor, and Marriage and Family Therapist, I have been helping couples, individuals and families with their counseling journeys for 12 years. I am warmly accepting of LGBTQ+ clients and polyamorous clients. I pride myself on providing a judgement-free zone where clients can feel empowered to process with a warm, down-to-earth provider, in a homey environment complete with plush carpet, big windows, cool beverages, and a sweet office dog! Aside of being a therapist, I am a professional musician, a mom, and have been married 23+ years to my retired-military husband.
For an appointment, please text (509) 593-0502 As a Mental Health Counselor, and Marriage and Family Therapist, I have been helping couples, individuals and families with their counseling journeys for 12 years. I am warmly accepting of LGBTQ+ clients and polyamorous clients. I pride myself on providing a judgement-free zone where clients can feel empowered to process with a warm, down-to-earth provider, in a homey environment complete with plush carpet, big windows, cool beverages, and a sweet office dog! Aside of being a therapist, I am a professional musician, a mom, and have been married 23+ years to my retired-military husband.
(509) 774-2838 View (509) 774-2838
Photo of Jaime Vosbein, Clinical Social Work/Therapist, MSW, LICSW
Jaime Vosbein
Clinical Social Work/Therapist, MSW, LICSW
Northwest, Spokane, WA 99205
Jaime Vosbein is a Licensed Clinical Social Worker in Washington who has been practicing since 2012. She has a Master of Social Work from Tulane University and a Bachelor of Psychology from the University of New Orleans. Jaime approaches counseling as a whole-person treatment with the goal to help each person reach their full potential. Each person has a unique journey to recovery. In therapy, unique needs for recovery paths will be addressed by leveraging support systems and resources to ensure the ability to make the most of your journey.
Jaime Vosbein is a Licensed Clinical Social Worker in Washington who has been practicing since 2012. She has a Master of Social Work from Tulane University and a Bachelor of Psychology from the University of New Orleans. Jaime approaches counseling as a whole-person treatment with the goal to help each person reach their full potential. Each person has a unique journey to recovery. In therapy, unique needs for recovery paths will be addressed by leveraging support systems and resources to ensure the ability to make the most of your journey.
(509) 285-0778 View (509) 285-0778
Photo of Catherine Kimrey, Counselor, LMHC, LPCC
Catherine Kimrey
Counselor, LMHC, LPCC
Northwest, Spokane, WA 99205
Catherine Kimrey, LMHC helps individuals, couples, and families across Washington find clarity and healing through compassionate, goal-oriented therapy. She serves adults and seniors facing a range of life challenges, including anxiety, depression, substance use, and relationship conflict. Whether navigating a difficult life transition or seeking deeper emotional insight, Catherine provides a space where clients feel heard, respected, and empowered to create meaningful change.
Catherine Kimrey, LMHC helps individuals, couples, and families across Washington find clarity and healing through compassionate, goal-oriented therapy. She serves adults and seniors facing a range of life challenges, including anxiety, depression, substance use, and relationship conflict. Whether navigating a difficult life transition or seeking deeper emotional insight, Catherine provides a space where clients feel heard, respected, and empowered to create meaningful change.
(509) 797-7547 View (509) 797-7547
Photo of Shirlee Clark, LPC, LMHCA, MA
Shirlee Clark
Verified Verified
Northwest, Spokane, WA 99205
Hi there! I'm Shirlee, and I'm a therapist whose work is deeply rooted in my Christian faith. I'm passionate about walking alongside everyone ready to embrace change, find healing, and truly grow. Ultimately, my goal is to create a truly safe, supportive, and non-judgmental space where you feel completely comfortable being yourself and exploring your growth path. As your therapist, I strive to embody the qualities I’d want in someone guiding me through my own healing journey: genuine compassion, an abundance of patience, and those gentle, encouraging nudges that help motivate you towards achieving your personal goals.
Hi there! I'm Shirlee, and I'm a therapist whose work is deeply rooted in my Christian faith. I'm passionate about walking alongside everyone ready to embrace change, find healing, and truly grow. Ultimately, my goal is to create a truly safe, supportive, and non-judgmental space where you feel completely comfortable being yourself and exploring your growth path. As your therapist, I strive to embody the qualities I’d want in someone guiding me through my own healing journey: genuine compassion, an abundance of patience, and those gentle, encouraging nudges that help motivate you towards achieving your personal goals.
(509) 486-7569 View (509) 486-7569
Photo of Brennan Champagne - LifeStance Health, Mental Health Counselor, LHMC
LifeStance Health
Mental Health Counselor, LHMC
Northwest, Spokane, WA 99205
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
Making your first appointment can be one of the most challenging steps in your mental health journey. At LifeStance, we make it simple by offering both online and in-person therapy and psychiatry services, covered by major insurance plans.
(509) 319-2257 View (509) 319-2257
Photo of Sarah Young, Marriage & Family Therapist Associate, LMFTA
Sarah Young
Marriage & Family Therapist Associate, LMFTA
2 Endorsed
Northwest, Spokane, WA 99201
You’ve already done the hardest step - acknowledging that you need support. Well done! Let's get into it. Are you struggling with body image, cycling through eating “too much” and then skipping meals? Are you trying to manage an ADHD diagnosis, either for yourself or within your relationship? Or are you navigating conflict within your partnership, and are ready to engage in a different way? You sound like my ideal client. I specialize in eating disorder recovery, and work from a HAES lens. I’m ND-affirming and believe that harmony is possible with ADHD in relationships! Let's connect and get you on your way to feeling better.
You’ve already done the hardest step - acknowledging that you need support. Well done! Let's get into it. Are you struggling with body image, cycling through eating “too much” and then skipping meals? Are you trying to manage an ADHD diagnosis, either for yourself or within your relationship? Or are you navigating conflict within your partnership, and are ready to engage in a different way? You sound like my ideal client. I specialize in eating disorder recovery, and work from a HAES lens. I’m ND-affirming and believe that harmony is possible with ADHD in relationships! Let's connect and get you on your way to feeling better.
(425) 842-0421 View (425) 842-0421
Photo of Sheree Harnett-Lobdell, Clinical Social Work/Therapist, MSW, LICSW
Sheree Harnett-Lobdell
Clinical Social Work/Therapist, MSW, LICSW
Northwest, Spokane, WA 99205
Sheree Lobdell, LICSW Sheree Lobdell is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2019. She has a Master’s in Social Work from Eastern Washington University. Sheree’s theoretical approach includes Cognitive Behavioral Therapy, Solution-Focused, Strength-Based, Gotten therapy, boundary setting, and supportive practice. She assists in helping clients finding emotional and spiritual healing through mindfulness, meditation, and breathing.
Sheree Lobdell, LICSW Sheree Lobdell is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2019. She has a Master’s in Social Work from Eastern Washington University. Sheree’s theoretical approach includes Cognitive Behavioral Therapy, Solution-Focused, Strength-Based, Gotten therapy, boundary setting, and supportive practice. She assists in helping clients finding emotional and spiritual healing through mindfulness, meditation, and breathing.
(509) 567-3020 View (509) 567-3020
Photo of Dakotah Cole, Clinical Social Work/Therapist, MSW, LICSW
Dakotah Cole
Clinical Social Work/Therapist, MSW, LICSW
Serves Area
I enjoy working with individuals, adolescents and families and have a theoretical orientation that is client-centered and systemic, meaning that client’s goals, beliefs, values are honored, and respected. My approach is integrative, holistic, and considers the whole person which includes mind, body, and spirit. I take an individualized approach with each and every client to ensure their goals, hopes, and dreams are realized.
I enjoy working with individuals, adolescents and families and have a theoretical orientation that is client-centered and systemic, meaning that client’s goals, beliefs, values are honored, and respected. My approach is integrative, holistic, and considers the whole person which includes mind, body, and spirit. I take an individualized approach with each and every client to ensure their goals, hopes, and dreams are realized.
(208) 740-0544 View (208) 740-0544
Photo of Juliann K Haffey, Counselor, MA, LMHC
Juliann K Haffey
Counselor, MA, LMHC
Serves Area
I treat adolescents and adults. My most common method of treatment is cognitive behavioral therapy. I provide assistance to those struggling with anxiety, depression, anger, sadness or grief, adjustment issues, relationship issues, problem-solving skills, and life skills. I also specialize in parent/child attachment and sports psychology. Please contact me by voicemail or text at 509.385.0292. You can also reach me by email at juliann.haffey@gmail.com
I treat adolescents and adults. My most common method of treatment is cognitive behavioral therapy. I provide assistance to those struggling with anxiety, depression, anger, sadness or grief, adjustment issues, relationship issues, problem-solving skills, and life skills. I also specialize in parent/child attachment and sports psychology. Please contact me by voicemail or text at 509.385.0292. You can also reach me by email at juliann.haffey@gmail.com
(509) 822-2913 View (509) 822-2913
Photo of Johnna R Wacholtz, Clinical Social Work/Therapist, MSW, LSWAIC, MHP
Johnna R Wacholtz
Clinical Social Work/Therapist, MSW, LSWAIC, MHP
2 Endorsed
Serves Area
Hello! I'm Johnna. I will walk alongside you through your experience with understanding and compassion. My passion for the medical field throughout the years has led me to feel a strong desire to work with individuals seeking a place to identify patterns and behaviors, uncovering underlying needs or suppressed feelings. I offer individual therapy for children, teens, and adults. Therapy provides a place of trust and safety. When feeling overwhelmed, you may seek a place that offers safety, stability, peace, and hope while building a sense of empowerment to facilitate healing.
Hello! I'm Johnna. I will walk alongside you through your experience with understanding and compassion. My passion for the medical field throughout the years has led me to feel a strong desire to work with individuals seeking a place to identify patterns and behaviors, uncovering underlying needs or suppressed feelings. I offer individual therapy for children, teens, and adults. Therapy provides a place of trust and safety. When feeling overwhelmed, you may seek a place that offers safety, stability, peace, and hope while building a sense of empowerment to facilitate healing.
(509) 652-2786 View (509) 652-2786
Photo of Candace Smart - Smart Therapy, Counselor, MS, NCC, LMHC, CNC
Smart Therapy
Counselor, MS, NCC, LMHC, CNC
6 Endorsed
Serves Area
Smart Therapy specializes in using natural, holistic treatment options to treat mental health issues. We will NOT send you straight back to your doctor to get medication. We use a combination of diet, lifestyle, nutritional supplements, skill building and more for a treatment approach that is much more effective and longer lasting.
Smart Therapy specializes in using natural, holistic treatment options to treat mental health issues. We will NOT send you straight back to your doctor to get medication. We use a combination of diet, lifestyle, nutritional supplements, skill building and more for a treatment approach that is much more effective and longer lasting.
(509) 331-5279 View (509) 331-5279
Photo of Gretchen Elizabeth Scott, Marriage & Family Therapist, MA, LMFT
Gretchen Elizabeth Scott
Marriage & Family Therapist, MA, LMFT
1 Endorsed
Serves Area
Therapy is a place where you can come as you are, process life's challenges, relationship struggles, seasons of doubt, feeling stuck or sad, anger, or maybe even ambivalence. In this space we can walk together through past trauma, areas of hurt or betrayal, and life transitions to pursue healing, restoration, and authenticity. Together we can notice attachment wounds and past events that may be continuing to shape your narrative and work toward interpersonal, inner growth and acceptance. Healing takes work and having support as you wade through those deep waters allows us to face fear and pain with bravery and create resilience.
Therapy is a place where you can come as you are, process life's challenges, relationship struggles, seasons of doubt, feeling stuck or sad, anger, or maybe even ambivalence. In this space we can walk together through past trauma, areas of hurt or betrayal, and life transitions to pursue healing, restoration, and authenticity. Together we can notice attachment wounds and past events that may be continuing to shape your narrative and work toward interpersonal, inner growth and acceptance. Healing takes work and having support as you wade through those deep waters allows us to face fear and pain with bravery and create resilience.
(509) 204-8910 View (509) 204-8910
Photo of Terren Rex Beeman, Clinical Social Work/Therapist, MSW, LICSWA, SUDP
Terren Rex Beeman
Clinical Social Work/Therapist, MSW, LICSWA, SUDP
Serves Area
Now providing EMDR therapy! Seven years of helping individuals in counseling and social work fields. Specializing in providing an individual strength based approach, my hope is to help you set goals to accomplish what you think is most important! Every client's needs are different, so let's work as a team to get you where you want to be. Lets make a map to address your needs and concerns while making progress towards yours goals, and finding success along the way. Useful coping skills and improving your overall quality of life will be the icing on the cake.
Now providing EMDR therapy! Seven years of helping individuals in counseling and social work fields. Specializing in providing an individual strength based approach, my hope is to help you set goals to accomplish what you think is most important! Every client's needs are different, so let's work as a team to get you where you want to be. Lets make a map to address your needs and concerns while making progress towards yours goals, and finding success along the way. Useful coping skills and improving your overall quality of life will be the icing on the cake.
(509) 210-0552 View (509) 210-0552
Photo of Cortney Rasley, Counselor, MA, NCC, LMHC, CMHS
Cortney Rasley
Counselor, MA, NCC, LMHC, CMHS
1 Endorsed
Serves Area
Whether you struggle with depression or anxiety, have experienced abuse or other traumas, want help navigating your relationship, have difficulties with family dynamics or parenting, or just need a sounding board and safe place to manage other life difficulties or transitions... I am here to provide you support. My desire is to help you improve your mental and emotional well-being and overall quality of life. I believe that all people deserve to feel safety, security, love, hope, and a sense of belonging; no matter what they have endured. I have a passion for working with children, adolescents, adults, families and couples.
Whether you struggle with depression or anxiety, have experienced abuse or other traumas, want help navigating your relationship, have difficulties with family dynamics or parenting, or just need a sounding board and safe place to manage other life difficulties or transitions... I am here to provide you support. My desire is to help you improve your mental and emotional well-being and overall quality of life. I believe that all people deserve to feel safety, security, love, hope, and a sense of belonging; no matter what they have endured. I have a passion for working with children, adolescents, adults, families and couples.
(509) 769-3200 View (509) 769-3200
Photo of Nikki Coll, Pre-Licensed Professional
Nikki Coll
Pre-Licensed Professional
1 Endorsed
Serves Area
I work with couples and families, including parents and teens. Does it feel like every conversation turns into an argument? You still care about each other, but you’re tired of feeling stuck, unseen, or alone in the relationship. I help couples and families find their way back to safety and closeness. Together, we slow things down so each of you can understand what’s really happening underneath the anger, distance, or shutdown.
I work with couples and families, including parents and teens. Does it feel like every conversation turns into an argument? You still care about each other, but you’re tired of feeling stuck, unseen, or alone in the relationship. I help couples and families find their way back to safety and closeness. Together, we slow things down so each of you can understand what’s really happening underneath the anger, distance, or shutdown.
(425) 371-4112 View (425) 371-4112
Photo of Kassie Thierauf, Marriage & Family Therapist Associate, LMFTA
Kassie Thierauf
Marriage & Family Therapist Associate, LMFTA
5 Endorsed
Serves Area
Life can feel heavy. Maybe anxiety, self-doubt, or relationship struggles have left you feeling stuck. If you’re here, you’ve already taken a meaningful step toward relief and clarity. Together we’ll create a safe space where you can untangle your thoughts, discover self-compassion, and learn tools that help you feel more grounded and connected with the people who matter most.
Life can feel heavy. Maybe anxiety, self-doubt, or relationship struggles have left you feeling stuck. If you’re here, you’ve already taken a meaningful step toward relief and clarity. Together we’ll create a safe space where you can untangle your thoughts, discover self-compassion, and learn tools that help you feel more grounded and connected with the people who matter most.
(509) 461-8529 View (509) 461-8529

See more therapy options for Northwest, Spokane

How does your Therapist compare?

Number of Therapists in Northwest, Spokane, WA

80+

Average cost per session

$150

Therapists in Northwest, Spokane, WA who prioritize treating:

88% Anxiety
82% Self Esteem
81% Depression
75% Trauma and PTSD
71% Relationship Issues
71% Stress
69% Grief

Average years in practice

9 Years

Top 3 insurances accepted

82% Regence
79% Aetna
78% Premera Blue Cross

How Therapists in Northwest, Spokane, WA see their clients

58% In Person and Online
42% Online Only

Gender breakdown

78% Female
22% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Northwest, 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.