Therapists in South End, Tacoma, WA

Photo of William Z. Zogg - Will Zogg: Post Funk Counseling and Consulting, LMHC, CMHS, MHP, Counselor
Will Zogg: Post Funk Counseling and Consulting
Counselor, LMHC, CMHS, MHP
Verified Verified
3 Endorsed
South End, Tacoma, WA 98408
Not accepting new clients
At this time, I do not have space for regular weekly or bi-weekly therapy appointments. I do brief work focused on letters and evaluations toward personal life goals pertaining to increased comfort and success whether that be a life transition or for personal growth.
At this time, I do not have space for regular weekly or bi-weekly therapy appointments. I do brief work focused on letters and evaluations toward personal life goals pertaining to increased comfort and success whether that be a life transition or for personal growth.
(253) 286-0507 View (253) 286-0507
Photo of Jameela Muhammad - The Melanated Therapist, MSW, LSWAIC, Clinical Social Work/Therapist
The Melanated Therapist
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Online Only
Jameela Muhammad owner of The Melanated Therapist is designed for those seeking to rebuild and heal from interpersonal and generational trauma. A focus on Black and Brown adolescents and adults struggling with stress, trauma, interpersonal relationships and life transitions. I hope to engage with individuals to build self-love, empathy and compassion for self, as well as teaching coping strategies to work through obstacles in a holistic and goal oriented way.
Jameela Muhammad owner of The Melanated Therapist is designed for those seeking to rebuild and heal from interpersonal and generational trauma. A focus on Black and Brown adolescents and adults struggling with stress, trauma, interpersonal relationships and life transitions. I hope to engage with individuals to build self-love, empathy and compassion for self, as well as teaching coping strategies to work through obstacles in a holistic and goal oriented way.
(253) 367-3866 View (253) 367-3866
Photo of Jacob Morrow, LPC Int, NCC, MS, LPC Intern
Jacob Morrow
LPC Intern, LPC Int, NCC, MS
Verified Verified
Online Only
Hello and welcome. By taking the time to seek counseling, you are taking a big step toward wellness. I understand that finding the right fit in counseling is of vital importance to the healing you want to experience. My approach toward counseling is focused on the person sitting (virtually) in front of me. My aim in establishing a helpful counseling relationship is to build a space where my clients feel safe, heard, seen, respected, and cared for. I believe that effective counseling is a process in which my clients have the space and feel empowered to explore their life experiences safely.
Hello and welcome. By taking the time to seek counseling, you are taking a big step toward wellness. I understand that finding the right fit in counseling is of vital importance to the healing you want to experience. My approach toward counseling is focused on the person sitting (virtually) in front of me. My aim in establishing a helpful counseling relationship is to build a space where my clients feel safe, heard, seen, respected, and cared for. I believe that effective counseling is a process in which my clients have the space and feel empowered to explore their life experiences safely.
(253) 245-3550 View (253) 245-3550
Photo of Daisy Elizabeth Deely - Shadow Play Therapy PLLC, MA, LMHCA, Counselor
Shadow Play Therapy PLLC
Counselor, MA, LMHCA
Verified Verified
Online Only
Waitlist for new clients
Informed by liberating-direct-action with workers, survivors of mental health incarceration, and skilled professionals, I value lived-experience just as much as highfalutin philosophy. I believe in the universal human drive to transform + heal through caring community connections, self-awareness, access to dreams by way of meeting basic needs, and the responsibility to recover personal and collective strengths. Healing of the self is healing of communities, and ultimately our interrelated societies. In place of paternalism, I offer avenues for developing your self-trust.
Informed by liberating-direct-action with workers, survivors of mental health incarceration, and skilled professionals, I value lived-experience just as much as highfalutin philosophy. I believe in the universal human drive to transform + heal through caring community connections, self-awareness, access to dreams by way of meeting basic needs, and the responsibility to recover personal and collective strengths. Healing of the self is healing of communities, and ultimately our interrelated societies. In place of paternalism, I offer avenues for developing your self-trust.
(206) 309-4724 View (206) 309-4724
Photo of Laurel Hightower, MSW, LICSW, Clinical Social Work/Therapist
Laurel Hightower
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
South End, Tacoma, WA 98418
Therapy is about progress, not perfection. You are the expert on what works for you, even if it doesn’t seem clear right now. Together we can figure out where support could be helpful. It takes practice to learn to be vulnerable and to find the words to describe our inner lives. All emotions have meaning, and together we can figure out what they’re trying to tell you.
Therapy is about progress, not perfection. You are the expert on what works for you, even if it doesn’t seem clear right now. Together we can figure out where support could be helpful. It takes practice to learn to be vulnerable and to find the words to describe our inner lives. All emotions have meaning, and together we can figure out what they’re trying to tell you.
(253) 243-3826 View (253) 243-3826
Photo of Sorya Pao, MSW, LICSW, Clinical Social Work/Therapist
Sorya Pao
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Online Only
I believe that therapy is one of the best tools for self-exploration and healing. I aim to cultivate a genuine relationship with you so that we can safely discuss challenges in your life. I believe in an approach that is strengths-based and culturally-sensitive as we work together. I honor you as the expert in your life and I am here to be alongside you on this journey to the life you envision for yourself.
I believe that therapy is one of the best tools for self-exploration and healing. I aim to cultivate a genuine relationship with you so that we can safely discuss challenges in your life. I believe in an approach that is strengths-based and culturally-sensitive as we work together. I honor you as the expert in your life and I am here to be alongside you on this journey to the life you envision for yourself.
(253) 893-6176 View (253) 893-6176
Photo of Sarah Kier, MA, LMFT, MHP, CMHS, GAL, Marriage & Family Therapist
Sarah Kier
Marriage & Family Therapist, MA, LMFT, MHP, CMHS, GAL
Verified Verified
South End, Tacoma, WA 98408
I AM accepting new telehealth clients. Email or text is the best way to reach me. A global pandemic has changed the way we operate overnight. Most people are finding adjusting to feelings of powerlessness, and ambivalence has taken a toll on their overall well-being, and family. Taking the first steps towards change for ourselves, and our family takes a lot of courage. I am glad you are reading this, and hope you hold how important taking care of your brain, body, and social emotional needs is. Therapy can provide a space that allows you to show up as you are and grow.
I AM accepting new telehealth clients. Email or text is the best way to reach me. A global pandemic has changed the way we operate overnight. Most people are finding adjusting to feelings of powerlessness, and ambivalence has taken a toll on their overall well-being, and family. Taking the first steps towards change for ourselves, and our family takes a lot of courage. I am glad you are reading this, and hope you hold how important taking care of your brain, body, and social emotional needs is. Therapy can provide a space that allows you to show up as you are and grow.
(253) 884-8195 View (253) 884-8195
Photo of Lizzie Munday, MEd, LMHC, Counselor
Lizzie Munday
Counselor, MEd, LMHC
Verified Verified
4 Endorsed
Online Only
Not accepting new clients
Therapy and the process of change can be daunting but, YOU ARE WORTH IT! My focus and goal in my work with you is to help navigate through your personal process of growth and change. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills to get you to where you want to be to feel solace and peace in your life. The most important step in the process is establishing a client/therapist relationship based on mutual respect and integrity.
Therapy and the process of change can be daunting but, YOU ARE WORTH IT! My focus and goal in my work with you is to help navigate through your personal process of growth and change. I use a strength based, client centered and cognitive/behavioral approach to help develop techniques and coping skills to get you to where you want to be to feel solace and peace in your life. The most important step in the process is establishing a client/therapist relationship based on mutual respect and integrity.
(253) 444-2946 View (253) 444-2946
Photo of Shenika Williams- Integrated Family Medicine, MSN, ARNP, FNP-C
Shenika Williams- Integrated Family Medicine
MSN, ARNP, FNP-C
Verified Verified
South End, Tacoma, WA 98408
I am a medication prescriber & Ketamine treatment Provider. Exceptional care is provided to clients struggling with Depression, Anxiety, ADHD, Eating Disorders, Mood Disorder, PTSD and Schizophrenia - their mental health, in need of a listening, non judgmental, empathetic, compassionate, supportive prescribing provider with whom they can build a lasting rapport with and who helps them achieve positive life experiences and outcomes. I offer Ketamine Therapy, management of chronic psychiatric and medically complex conditions with and without the utilization of medication.
I am a medication prescriber & Ketamine treatment Provider. Exceptional care is provided to clients struggling with Depression, Anxiety, ADHD, Eating Disorders, Mood Disorder, PTSD and Schizophrenia - their mental health, in need of a listening, non judgmental, empathetic, compassionate, supportive prescribing provider with whom they can build a lasting rapport with and who helps them achieve positive life experiences and outcomes. I offer Ketamine Therapy, management of chronic psychiatric and medically complex conditions with and without the utilization of medication.
(253) 559-1880 View (253) 559-1880
Photo of Jessica E Frost, MA, LMHC, Counselor
Jessica E Frost
Counselor, MA, LMHC
Verified Verified
Online Only
I have a history of working with many different types of people and concerns. I work best with people who are willing to do self-observation as that is the key to learning about your own thinking and feeling patterns, which is what we are trying to modify. I take a holistic approach and self-observation provides the basis for all of the other work. It is important to start noticing and working with the sensations in the body that accompany our thoughts and feelings, as our body holds the memories of everything we have ever experienced and is the vehicle in which we move and feel in the world.
I have a history of working with many different types of people and concerns. I work best with people who are willing to do self-observation as that is the key to learning about your own thinking and feeling patterns, which is what we are trying to modify. I take a holistic approach and self-observation provides the basis for all of the other work. It is important to start noticing and working with the sensations in the body that accompany our thoughts and feelings, as our body holds the memories of everything we have ever experienced and is the vehicle in which we move and feel in the world.
(253) 398-8472 View (253) 398-8472
Photo of Suzanne J Horton - Suzanne Horton LMHC, MA, NCC, LMHC
Suzanne Horton LMHC
Mental Health Counselor, MA, NCC, LMHC
Verified Verified
Online Only
Transform Overwhelm into Balance with a Fresh Perspective! How we perceive and process our experiences largely depends on the "filter" through which we view them. To cultivate a healthier, more balanced life, it's essential to replace this old, clogged filter with a new, fresh one. The Bible encourages us to renew our minds and transform our thinking. Romans 12:2 reminds us to “be transformed by the renewing of your mind.” This renewal involves examining and adjusting our thought patterns to foster a more a healthier and more resilient mindset.
Transform Overwhelm into Balance with a Fresh Perspective! How we perceive and process our experiences largely depends on the "filter" through which we view them. To cultivate a healthier, more balanced life, it's essential to replace this old, clogged filter with a new, fresh one. The Bible encourages us to renew our minds and transform our thinking. Romans 12:2 reminds us to “be transformed by the renewing of your mind.” This renewal involves examining and adjusting our thought patterns to foster a more a healthier and more resilient mindset.
(253) 242-9782 View (253) 242-9782
Photo of Marissa Morin, MA, LMFT, Marriage & Family Therapist
Marissa Morin
Marriage & Family Therapist, MA, LMFT
Verified Verified
4 Endorsed
Online Only
I have worked with a wide range of individuals, couples and families struggling with a diverse array of problems and stressors. I approach therapy from a non pathologizing frame where I believe each individual has the ability to change their life and their reality. I enjoy working with individuals, couples and families that are motivated and determined to make lasting changes in their lives. I am inspired by everyones different story and strongly believe that when there is a will there is a way. I am passionate in supporting people as they grow into the person they want to be and create the life they desire.
I have worked with a wide range of individuals, couples and families struggling with a diverse array of problems and stressors. I approach therapy from a non pathologizing frame where I believe each individual has the ability to change their life and their reality. I enjoy working with individuals, couples and families that are motivated and determined to make lasting changes in their lives. I am inspired by everyones different story and strongly believe that when there is a will there is a way. I am passionate in supporting people as they grow into the person they want to be and create the life they desire.
(253) 259-3514 View (253) 259-3514
Photo of Courtney Covington, LICSW, Clinical Social Work/Therapist
Courtney Covington
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
South End, Tacoma, WA 98418
As your therapist, my goal is to partner with you on your journey towards healing and personal growth. With over 5 years of experience in the field, I offer a compassionate and non-judgmental space where you can explore your experiences and find relief. In our sessions, we will collaborate to create customized goals and a plan to achieve them. By addressing today's obstacles, you'll emerge better equipped to handle future challenges. I strive to create an environment where humor and authenticity are welcome and where we can work together to find the path forward that feels best for you.
As your therapist, my goal is to partner with you on your journey towards healing and personal growth. With over 5 years of experience in the field, I offer a compassionate and non-judgmental space where you can explore your experiences and find relief. In our sessions, we will collaborate to create customized goals and a plan to achieve them. By addressing today's obstacles, you'll emerge better equipped to handle future challenges. I strive to create an environment where humor and authenticity are welcome and where we can work together to find the path forward that feels best for you.
(253) 262-0151 View (253) 262-0151
Photo of Charles Pitre Hoy-Ellis, PhD, LICSW, Clinical Social Work/Therapist
Charles Pitre Hoy-Ellis
Clinical Social Work/Therapist, PhD, LICSW
Verified Verified
Online Only
Being queer is often not easy or simple - and some days will be tougher than others, With over 20 years of experience providing clinical social work services, I specialize in working with LGBTQIA+ individuals, couples, and families. As a certified Sexual Minority Specialist, I offer a compassionate, affirming space where you can explore and navigate life's challenges authentically. Whether you're grappling with discrimination, structural stigma, fears of rejection, or internalized heterosexism, I am here to help you develop strategies to thrive.
Being queer is often not easy or simple - and some days will be tougher than others, With over 20 years of experience providing clinical social work services, I specialize in working with LGBTQIA+ individuals, couples, and families. As a certified Sexual Minority Specialist, I offer a compassionate, affirming space where you can explore and navigate life's challenges authentically. Whether you're grappling with discrimination, structural stigma, fears of rejection, or internalized heterosexism, I am here to help you develop strategies to thrive.
(253) 785-4338 View (253) 785-4338
Photo of Heather Taft, LMHCA, SUDP, Counselor
Heather Taft
Counselor, LMHCA, SUDP
Verified Verified
South End, Tacoma, WA 98408
Waitlist for new clients
During the course of life, we will inevitably experience many challenges. While some of these events have the capacity to increase our resilience, others have the power to overwhelm our ability to cope. The urge to pull away from pain is instinctual, and today’s modern society is filled with countless opportunities to numb, distract, and avoid. Unfortunately, avoidance strategies rarely solve the problem. Sometimes it can be difficult to identify the source of our discontentment, as well as the factors that might be maintaining the problem. I honor the courage it takes to confront these stuck places.
During the course of life, we will inevitably experience many challenges. While some of these events have the capacity to increase our resilience, others have the power to overwhelm our ability to cope. The urge to pull away from pain is instinctual, and today’s modern society is filled with countless opportunities to numb, distract, and avoid. Unfortunately, avoidance strategies rarely solve the problem. Sometimes it can be difficult to identify the source of our discontentment, as well as the factors that might be maintaining the problem. I honor the courage it takes to confront these stuck places.
(253) 498-8036 View (253) 498-8036
Photo of Lindsay McCue, MS, LMFTA, Marriage & Family Therapist Associate
Lindsay McCue
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
16 Endorsed
Online Only
January 2025: Immediate availability Monday and Tuesday before 1:00 pm. I believe the most successful outcomes require a good fit between the client and the therapist, and I strive to work collaboratively with clients to help them live a more satisfying and fulfilling life. I understand that every problem is unique, and I enjoy working with complex feelings and situations, making sense of them, and working through them alongside my clients. I approach my work using a client-centered, strengths-based model, and make it a point to check in regarding the progress of treatment.
January 2025: Immediate availability Monday and Tuesday before 1:00 pm. I believe the most successful outcomes require a good fit between the client and the therapist, and I strive to work collaboratively with clients to help them live a more satisfying and fulfilling life. I understand that every problem is unique, and I enjoy working with complex feelings and situations, making sense of them, and working through them alongside my clients. I approach my work using a client-centered, strengths-based model, and make it a point to check in regarding the progress of treatment.
(425) 217-1680 View (425) 217-1680
Photo of Catalina Lopez - Anger Trauma Identity, LSWAIC, MSW, Clinical Social Work/Therapist
Catalina Lopez - Anger Trauma Identity
Clinical Social Work/Therapist, LSWAIC, MSW
Verified Verified
4 Endorsed
Online Only
Are you tired of feeling like your anger and resentment control your life? Do you struggle to navigate the weight of your past while trying to re-define who you are today? Maybe you feel lost in the push and pull of cultural, familial, or societal expectations—and it’s exhausting. I specialize in helping individuals like you. I will bring into session my honesty and respect for you. I believe you deserve a place free of judgment or expectations. In that safety, my clients will often interact with the root of the conflict in their lives, their patterns, and their emotional experiences.
Are you tired of feeling like your anger and resentment control your life? Do you struggle to navigate the weight of your past while trying to re-define who you are today? Maybe you feel lost in the push and pull of cultural, familial, or societal expectations—and it’s exhausting. I specialize in helping individuals like you. I will bring into session my honesty and respect for you. I believe you deserve a place free of judgment or expectations. In that safety, my clients will often interact with the root of the conflict in their lives, their patterns, and their emotional experiences.
(253) 683-7688 View (253) 683-7688
Photo of Joe Njoroge Mwangi, LSWAIC, MSW, MHP, Clinical Social Work/Therapist
Joe Njoroge Mwangi
Clinical Social Work/Therapist, LSWAIC, MSW, MHP
Verified Verified
1 Endorsed
South End, Tacoma, WA 98401
My practice is centered on providing compassionate, evidence-based therapy that empowers you to achieve your goals and live a fulfilling life. I am proud to assist you with individual therapy, family therapy, art therapy, depression, anxiety and stress management.
My practice is centered on providing compassionate, evidence-based therapy that empowers you to achieve your goals and live a fulfilling life. I am proud to assist you with individual therapy, family therapy, art therapy, depression, anxiety and stress management.
(253) 352-4842 View (253) 352-4842
Photo of Amanda Ayling, LMHC, Counselor
Amanda Ayling
Counselor, LMHC
Verified Verified
1 Endorsed
Online Only
Whether it’s to self or others, I believe that a sense of connection is where individuals thrive best. I work from a strengths-based and perspective allowing individuals to learn and implement mindfulness and coping skills to support their healing and expansion. We explore and integrate practices that have a meaningful resonance with the client and further cultivate a deeper sense of identity, purpose and connection. We also work beyond symptom removal and further explore the depths of the psyche and soul with the intent of discovering meaning in our life experiences and existential struggles.
Whether it’s to self or others, I believe that a sense of connection is where individuals thrive best. I work from a strengths-based and perspective allowing individuals to learn and implement mindfulness and coping skills to support their healing and expansion. We explore and integrate practices that have a meaningful resonance with the client and further cultivate a deeper sense of identity, purpose and connection. We also work beyond symptom removal and further explore the depths of the psyche and soul with the intent of discovering meaning in our life experiences and existential struggles.
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Photo of Charles Hester Cheek, MA, LMFT, Marriage & Family Therapist
Charles Hester Cheek
Marriage & Family Therapist, MA, LMFT
Verified Verified
Online Only
My goal is to assist you in recognizing your inherent strengths that have been developed as a result of your unique experiences. Everyone comes to this moment with their own set of beliefs, values, morals, and expectations. You are stronger than you think. You are more capable than you think. Oftentimes individuals, couples, and families may not recognize their own resilience and their ability to break toxic cycles that may exist within relationships. Sometimes experiences can overwhelm us, and make us feel that we don’t know the way forward. The process of therapy is turning those overwhelming feelings into a road map.
My goal is to assist you in recognizing your inherent strengths that have been developed as a result of your unique experiences. Everyone comes to this moment with their own set of beliefs, values, morals, and expectations. You are stronger than you think. You are more capable than you think. Oftentimes individuals, couples, and families may not recognize their own resilience and their ability to break toxic cycles that may exist within relationships. Sometimes experiences can overwhelm us, and make us feel that we don’t know the way forward. The process of therapy is turning those overwhelming feelings into a road map.
(253) 352-4029 View (253) 352-4029
1

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How does your Therapist compare?

Number of Therapists in South End, Tacoma, WA

40+

Average cost per session

$160

Therapists in South End, Tacoma, WA who prioritize treating:

88% Anxiety
85% Depression
80% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
68% Coping Skills
65% Grief

Average years in practice

8 Years

Top 3 insurances accepted

77% Premera Blue Cross
73% Regence
63% Cigna and Evernorth

How Therapists in South End, Tacoma, WA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

67% Female
28% Male
5% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in South End, Tacoma?

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.