Therapists in Tahuya, WA

Photo of Jamie Dipino, Counselor, LMHC, MS, CDP
Jamie Dipino
Counselor, LMHC, MS, CDP
Tahuya, WA 98588
I am not currently accepting new clients. My name is Jamie DiPino, I am the owner/founder of Holistic Healing Therapy. I enjoy working with individuals of all ages, allowing me to implement my eclectic counseling approach to meet the needs of my clients. I have experience treating depression, anxiety, grief/loss, PTSD, domestic violence & more.
I am not currently accepting new clients. My name is Jamie DiPino, I am the owner/founder of Holistic Healing Therapy. I enjoy working with individuals of all ages, allowing me to implement my eclectic counseling approach to meet the needs of my clients. I have experience treating depression, anxiety, grief/loss, PTSD, domestic violence & more.
(360) 930-6653 View (360) 930-6653

More Therapists Nearby

Photo of Bonnie Edwards, Clinical Social Work/Therapist, LICSW, MSW
Bonnie Edwards
Clinical Social Work/Therapist, LICSW, MSW
Olympia, WA 98502
Waitlist for new clients
Thanks for reaching out. My name is Bonnie and I am a Licensed Clinical Social Worker located in Olympia, Washington.. I am here to assist every client on their path to mental and emotional wellness. I work with women who are struggling as a result of past trauma, individuals who may struggle with Anxiety, Depression, interpersonal conflicts at work or within their family. I also work with children ages eight through 18 utilizing play therapy practices for young their children and a combination for teens In person and online services available. My approach is client centered with an emphasis on the client’s needs
Thanks for reaching out. My name is Bonnie and I am a Licensed Clinical Social Worker located in Olympia, Washington.. I am here to assist every client on their path to mental and emotional wellness. I work with women who are struggling as a result of past trauma, individuals who may struggle with Anxiety, Depression, interpersonal conflicts at work or within their family. I also work with children ages eight through 18 utilizing play therapy practices for young their children and a combination for teens In person and online services available. My approach is client centered with an emphasis on the client’s needs
(360) 706-1150 View (360) 706-1150
Photo of Dr. Sarah Alison Chickering, Psychologist, PhD
Dr. Sarah Alison Chickering
Psychologist, PhD
7 Endorsed
Online Only
Hello, I am so glad you are here. If you are facing challenges such as loss, depression, anxiety, relationship issues, or life transitions, I want you to know that help is available. My passion is to personally connect with you and support you in achieving meaningful change. You do not have to navigate these challenges alone. I use an active approach in treatment, focusing on teaching you practical tools that will not only help you feel better now but will also serve you well into the future. Many of my clients experience significant relief within just a few visits, finding new ways to cope and move forward in their lives.
Hello, I am so glad you are here. If you are facing challenges such as loss, depression, anxiety, relationship issues, or life transitions, I want you to know that help is available. My passion is to personally connect with you and support you in achieving meaningful change. You do not have to navigate these challenges alone. I use an active approach in treatment, focusing on teaching you practical tools that will not only help you feel better now but will also serve you well into the future. Many of my clients experience significant relief within just a few visits, finding new ways to cope and move forward in their lives.
(253) 201-0298 View (253) 201-0298
Photo of Maria Beltran, Marriage & Family Therapist, MA, LMFT, LMHC
Maria Beltran
Marriage & Family Therapist, MA, LMFT, LMHC
22 Endorsed
Online Only
Are you feeling uncertain about your relationships? Do power struggles leave you feeling inadequate, exhausted, or alone? Are you torn between conflicting advice from people you trust? Do self-doubt, anxiety, or perfectionism hold you back from taking action? If you feel like you're merely existing instead of truly living, you're not alone—I’ve walked a similar path and understand the weight you carry. I can help you build healthier communication, strengthen your relationships, and break free from patterns that no longer serve you. Using research-based tools, we’ll work together to cultivate clarity, confidence, and connection.
Are you feeling uncertain about your relationships? Do power struggles leave you feeling inadequate, exhausted, or alone? Are you torn between conflicting advice from people you trust? Do self-doubt, anxiety, or perfectionism hold you back from taking action? If you feel like you're merely existing instead of truly living, you're not alone—I’ve walked a similar path and understand the weight you carry. I can help you build healthier communication, strengthen your relationships, and break free from patterns that no longer serve you. Using research-based tools, we’ll work together to cultivate clarity, confidence, and connection.
(360) 869-0406 View (360) 869-0406
Photo of Deseriee Ibarra, Clinical Social Work/Therapist, MSW, LICSW
Deseriee Ibarra
Clinical Social Work/Therapist, MSW, LICSW
Online Only
My name is Deseriee Ibarra, I am a Licensed Independent Clinical Social Worker. I specialize in working with teens and young adults who are struggling with emotional challenges, life transitions, and the lasting effects of trauma. My goal is to provide a safe, supportive space where clients can better understand themselves, develop effective coping strategies, and build lasting resilience.
My name is Deseriee Ibarra, I am a Licensed Independent Clinical Social Worker. I specialize in working with teens and young adults who are struggling with emotional challenges, life transitions, and the lasting effects of trauma. My goal is to provide a safe, supportive space where clients can better understand themselves, develop effective coping strategies, and build lasting resilience.
(425) 517-1035 View (425) 517-1035
Photo of Marshall Short, Licensed Mental Health Counselor Associate, LMHCA
Marshall Short
Licensed Mental Health Counselor Associate, LMHCA
2 Endorsed
Online Only
Most people come to therapy carrying something they've turned over a hundred times alone. I pay closer attention than most people do, take it seriously, and help you find a version that's easier to carry. In general, my specialty is working adults; in particular, I work with men who didn't grow up being asked how they felt, and with autistic adults, including those only now wondering if that word fits. Other specialties include anxiety, depression, trauma, grief, and life transitions, and couples who want to actually hear each other.
Most people come to therapy carrying something they've turned over a hundred times alone. I pay closer attention than most people do, take it seriously, and help you find a version that's easier to carry. In general, my specialty is working adults; in particular, I work with men who didn't grow up being asked how they felt, and with autistic adults, including those only now wondering if that word fits. Other specialties include anxiety, depression, trauma, grief, and life transitions, and couples who want to actually hear each other.
(360) 300-4365 View (360) 300-4365
Photo of Alexis Fonville, Pre-Licensed Professional, MS, LMHCA
Alexis Fonville
Pre-Licensed Professional, MS, LMHCA
Online Only
Feeling stuck, overwhelmed, and unsatisfied is a feeling that a lot of people experience. Sometimes, life circumstances can bury our strength to overcome what we are facing. Buried strength makes it appear that there is no hope and potential to prevail. Choose Blooming Wellness to help you find your inner strength to bloom. My therapeutic approach combines evidence-based practices with a compassionate and non-judgmental attitude. I create a safe and trusting environment where clients can gain self-awareness, emotional healing, and personal transformation. I help you gain insight and work towards positive change.
Feeling stuck, overwhelmed, and unsatisfied is a feeling that a lot of people experience. Sometimes, life circumstances can bury our strength to overcome what we are facing. Buried strength makes it appear that there is no hope and potential to prevail. Choose Blooming Wellness to help you find your inner strength to bloom. My therapeutic approach combines evidence-based practices with a compassionate and non-judgmental attitude. I create a safe and trusting environment where clients can gain self-awareness, emotional healing, and personal transformation. I help you gain insight and work towards positive change.
(509) 410-4858 View (509) 410-4858
Photo of Stephanie Truax, Clinical Social Work/Therapist, LICSW, MSW
Stephanie Truax
Clinical Social Work/Therapist, LICSW, MSW
Seattle, WA 98107
I am a clinical social worker, independently licensed in Washington State with a masters degree from the University of Washington where I learned clinical skills with a relational and feminist approach. I am trained in CBT, and motivational interviewing and draw from ACT and DBT, I have studied trauma and family healing.
I am a clinical social worker, independently licensed in Washington State with a masters degree from the University of Washington where I learned clinical skills with a relational and feminist approach. I am trained in CBT, and motivational interviewing and draw from ACT and DBT, I have studied trauma and family healing.
(206) 746-4154 View (206) 746-4154
Photo of Dr. Jennifer Sayrs, Psychologist, PhD, ABPP
Dr. Jennifer Sayrs
Psychologist, PhD, ABPP
Seattle, WA 98101
I'm one of the founders of EBTCS. We are a network of four specialty mental health centers united by a central mission: to deliver state-of-the-art, evidence-based psychological treatment with genuine compassion and care. We specialize in chronic, difficult-to-treat problems related to anxiety, eating disorders, and emotion dysregulation.
I'm one of the founders of EBTCS. We are a network of four specialty mental health centers united by a central mission: to deliver state-of-the-art, evidence-based psychological treatment with genuine compassion and care. We specialize in chronic, difficult-to-treat problems related to anxiety, eating disorders, and emotion dysregulation.
(206) 594-4124 View (206) 594-4124
Photo of Ben Steel, Counselor, EdD, LMHC, CMPC
Ben Steel
Counselor, EdD, LMHC, CMPC
Lacey, WA 98503
I believe that you can experience healing and growth. I believe that everyone has experienced setbacks, hardships, and traumas in life that make it harder to love well and fulfill your personal goals. I believe that healthy, honest, vulnerable relationships are foundational to growth and healing. I believe that it is ultimately up to you to decide how to move forward and choose the path towards improvement. I believe that through honest evaluation and the hard work of taking ownership of your life along with improved relationships you can become empowered to address those issues and become who you are meant to be.
I believe that you can experience healing and growth. I believe that everyone has experienced setbacks, hardships, and traumas in life that make it harder to love well and fulfill your personal goals. I believe that healthy, honest, vulnerable relationships are foundational to growth and healing. I believe that it is ultimately up to you to decide how to move forward and choose the path towards improvement. I believe that through honest evaluation and the hard work of taking ownership of your life along with improved relationships you can become empowered to address those issues and become who you are meant to be.
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Photo of Curt Williams, Counselor, MS, NCC, LMHCA
Curt Williams
Counselor, MS, NCC, LMHCA
3 Endorsed
Online Only
With over a decade of experience in mental health, I offer counseling in a relaxed, client-centered environment. Your comfort is my priority, and you set the pace. Balancing who we are, who we want to be, and who others expect us to be can be challenging. Let's work together to find your balance. I'm excited to help you discover empowerment, identity, and confidence. As a neurodivergent therapist, I’m passionate about working with Autistic and ADHD clients. Whether you have a diagnosis, are just exploring, or need ongoing support, I’m here to assist with neurodivergent discovery.
With over a decade of experience in mental health, I offer counseling in a relaxed, client-centered environment. Your comfort is my priority, and you set the pace. Balancing who we are, who we want to be, and who others expect us to be can be challenging. Let's work together to find your balance. I'm excited to help you discover empowerment, identity, and confidence. As a neurodivergent therapist, I’m passionate about working with Autistic and ADHD clients. Whether you have a diagnosis, are just exploring, or need ongoing support, I’m here to assist with neurodivergent discovery.
(509) 659-7675 View (509) 659-7675
Photo of Julie Bullock, Licensed Mental Health Counselor, MS, LMHC
Julie Bullock
Licensed Mental Health Counselor, MS, LMHC
Online Only
My approach is relational and emotionally attuned. I integrate cognitive‑behavioral tools for immediate relief with schema‑focused work that helps address the deeper roots of distress. Together, we explore the patterns that shape your relationships, your self‑talk, and your emotional experience. I support you in building insight, developing effective coping skills, and shifting long‑held beliefs that no longer serve you. Therapy with me is collaborative, compassionate, and grounded in the belief that healing happens through clarity, connection, and understanding.
My approach is relational and emotionally attuned. I integrate cognitive‑behavioral tools for immediate relief with schema‑focused work that helps address the deeper roots of distress. Together, we explore the patterns that shape your relationships, your self‑talk, and your emotional experience. I support you in building insight, developing effective coping skills, and shifting long‑held beliefs that no longer serve you. Therapy with me is collaborative, compassionate, and grounded in the belief that healing happens through clarity, connection, and understanding.
(206) 350-1794 View (206) 350-1794
Photo of Zoe Kinsey, Counselor, MA, LMHC
Zoe Kinsey
Counselor, MA, LMHC
5 Endorsed
Online Only
You may have spent so much time adapting, coping, and pushing through that somewhere along the way, you lost sight of the person underneath it all. Sometimes we become so accustomed to surviving that we stop noticing how much of ourselves we've had to set aside. Whether you're feeling burnt out, disconnected in your relationships, stuck in familiar patterns, or finding that the past still shapes your present, therapy can help you make sense of your experiences, reconnect with yourself, and move toward meaningful change. As a musician turned therapist, I believe healing has a rhythm. Part of my job is helping you find yours.
You may have spent so much time adapting, coping, and pushing through that somewhere along the way, you lost sight of the person underneath it all. Sometimes we become so accustomed to surviving that we stop noticing how much of ourselves we've had to set aside. Whether you're feeling burnt out, disconnected in your relationships, stuck in familiar patterns, or finding that the past still shapes your present, therapy can help you make sense of your experiences, reconnect with yourself, and move toward meaningful change. As a musician turned therapist, I believe healing has a rhythm. Part of my job is helping you find yours.
(206) 752-3116 View (206) 752-3116
Photo of Alana Jaeck, Counselor, LMHC
Alana Jaeck
Counselor, LMHC
Seattle, WA 98116
You’ve done all the "right" things but life still doesn't feel the way you want it to. From the outside, things look pretty good and others think you have it together, but the truth is you’re anxious and overwhelmed most of the time. You’re tired of just coping and ready to actually feel better. Whether you’re going through (or contemplating) a big life change, struggling in relationships, grieving the loss of a pet, feeling stuck, or sensing something from your past is holding you back, you just want things to feel different...and the surface level fixes aren’t cutting it.
You’ve done all the "right" things but life still doesn't feel the way you want it to. From the outside, things look pretty good and others think you have it together, but the truth is you’re anxious and overwhelmed most of the time. You’re tired of just coping and ready to actually feel better. Whether you’re going through (or contemplating) a big life change, struggling in relationships, grieving the loss of a pet, feeling stuck, or sensing something from your past is holding you back, you just want things to feel different...and the surface level fixes aren’t cutting it.
(206) 203-2582 View (206) 203-2582
Photo of Fredianne Gray, Clinical Social Work/Therapist, MSW, LICSW
Fredianne Gray
Clinical Social Work/Therapist, MSW, LICSW
Online Only
Hello and Welcome! Finding a therapist who fits your wants and needs is a great step toward making positive and lasting life changes. I’m so glad you’re here, doing this work. I am genuinely interested in you – your unique experiences and perspectives, strengths and struggles, and hopes and dreams. My specialties are anxiety, depression, trauma and PTSD, stress and burnout, sleep and insomnia, life and career transitions, troubled relationships, ADHD, and medical conditions (such as injury, autoimmune disease, diabetes, and stroke). I’m trained in CBT, DBT, ACT, Parts Work, Narrative Therapy, and mindfulness.
Hello and Welcome! Finding a therapist who fits your wants and needs is a great step toward making positive and lasting life changes. I’m so glad you’re here, doing this work. I am genuinely interested in you – your unique experiences and perspectives, strengths and struggles, and hopes and dreams. My specialties are anxiety, depression, trauma and PTSD, stress and burnout, sleep and insomnia, life and career transitions, troubled relationships, ADHD, and medical conditions (such as injury, autoimmune disease, diabetes, and stroke). I’m trained in CBT, DBT, ACT, Parts Work, Narrative Therapy, and mindfulness.
(425) 999-4446 View (425) 999-4446
Photo of Kelly Allred, Psychologist, PhD
Kelly Allred
Psychologist, PhD
2 Endorsed
Seattle, WA 98136
Immediate openings available. As a therapist, my goal is to help you lead a meaningful, fulfilling life. I firmly believe that you are the expert on your experience and that your values, beliefs, and background have a powerful impact on your life and worldview. I view therapy as a collaboration where we will work together to identify what matters most to you and to develop a treatment plan that meets your needs. To do this, we will define specific treatment goals and targets as we begin to work together. We will also check in throughout the process to ensure that therapy continues to be helpful and enriching for you.
Immediate openings available. As a therapist, my goal is to help you lead a meaningful, fulfilling life. I firmly believe that you are the expert on your experience and that your values, beliefs, and background have a powerful impact on your life and worldview. I view therapy as a collaboration where we will work together to identify what matters most to you and to develop a treatment plan that meets your needs. To do this, we will define specific treatment goals and targets as we begin to work together. We will also check in throughout the process to ensure that therapy continues to be helpful and enriching for you.
(206) 260-2304 View (206) 260-2304
Photo of Alexis Kimball, Counselor, MA, LMHC
Alexis Kimball
Counselor, MA, LMHC
1 Endorsed
Online Only
My approach counseling is to promote hope, healing, contentment, and lasting growth, for the clients I have the privilege of serving. My mission is to provide a safe, nonjudgemental, and empathetic space, to dive deeper into the inevitable ebb and flow of our collective human experience. While at the same time, I'll introduce tools to help you enhance your strengths and uncover your greatest potential to evolve and heal from within.
My approach counseling is to promote hope, healing, contentment, and lasting growth, for the clients I have the privilege of serving. My mission is to provide a safe, nonjudgemental, and empathetic space, to dive deeper into the inevitable ebb and flow of our collective human experience. While at the same time, I'll introduce tools to help you enhance your strengths and uncover your greatest potential to evolve and heal from within.
(425) 243-1418 View (425) 243-1418
Photo of Tammara Bode, Psychologist, PsyD
Tammara Bode
Psychologist, PsyD
Online Only
I support families through two specialized branches of my practice: Neurodevelopmental Evaluations: I specialize in compassionate, evidence-based autism, ADHD, learning, and developmental assessments for children ages 3–18. This includes remote evaluation options for teens (13–18). You will receive clear, actionable recommendations to support your child at home, school, and in the community. Telehealth & Support: I provide remote counseling for individuals ages 13 and older. I also offer parenting classes utilizing the evidence-based Incredible Years curriculum to help you confidently manage behaviors and strengthen family bonds.
I support families through two specialized branches of my practice: Neurodevelopmental Evaluations: I specialize in compassionate, evidence-based autism, ADHD, learning, and developmental assessments for children ages 3–18. This includes remote evaluation options for teens (13–18). You will receive clear, actionable recommendations to support your child at home, school, and in the community. Telehealth & Support: I provide remote counseling for individuals ages 13 and older. I also offer parenting classes utilizing the evidence-based Incredible Years curriculum to help you confidently manage behaviors and strengthen family bonds.
(253) 308-2916 View (253) 308-2916
Photo of Sarah K Hughes, Counselor, LMHC
Sarah K Hughes
Counselor, LMHC
Online Only
Waitlist for new clients
Hi, I’m Sarah Hughes. I know what it’s like to struggle with mental health because I’ve been there myself. It can feel like a tight knot that gets tighter the more you try to unravel it. It’s having a critical voice inside you that always seems to have the answers, even when it’s not helpful. Stepping outside your comfort zone can overwhelm both your mind and body. You might feel like you’re never quite meeting expectations—simultaneously too much and not enough. It’s navigating a world that often misunderstands or doesn’t accommodate your unique strengths and challenges.
Hi, I’m Sarah Hughes. I know what it’s like to struggle with mental health because I’ve been there myself. It can feel like a tight knot that gets tighter the more you try to unravel it. It’s having a critical voice inside you that always seems to have the answers, even when it’s not helpful. Stepping outside your comfort zone can overwhelm both your mind and body. You might feel like you’re never quite meeting expectations—simultaneously too much and not enough. It’s navigating a world that often misunderstands or doesn’t accommodate your unique strengths and challenges.
(509) 637-7481 View (509) 637-7481
Photo of Samuel Logan Borroff - Game Plan Counseling, PLLC, Counselor, LMHC
Game Plan Counseling, PLLC
Counselor, LMHC
2 Endorsed
Online Only
You’re smart, sensitive, and people think you have your life mostly together — but inside you’re anxious, overthinking everything, or feeling stuck in old trauma wounds that won’t let go. You care deeply about people, but relationships feel confusing. You want connection, but vulnerability feels risky. And honestly? You want to actually like yourself, not just “function.” If you’re queer, neurodivergent, a gamer, or all of the above — you’re in the right place. I work with people who feel different, intense, lonely, or misunderstood. People who grew up too fast. People who carry shame or feel like they’re somehow “too much.”
You’re smart, sensitive, and people think you have your life mostly together — but inside you’re anxious, overthinking everything, or feeling stuck in old trauma wounds that won’t let go. You care deeply about people, but relationships feel confusing. You want connection, but vulnerability feels risky. And honestly? You want to actually like yourself, not just “function.” If you’re queer, neurodivergent, a gamer, or all of the above — you’re in the right place. I work with people who feel different, intense, lonely, or misunderstood. People who grew up too fast. People who carry shame or feel like they’re somehow “too much.”
(458) 230-6132 View (458) 230-6132

How does your Therapist compare?

Number of Therapists in Tahuya, WA

< 10

Therapists in Tahuya, WA who prioritize treating:

100% Child
100% Relationship Issues
100% Depression
100% Addiction
100% Anxiety
100% Grief
100% Life Coaching

Gender breakdown

100% Female

How Therapists in Tahuya, WA see their clients

100% In Person and Online
FAQs - About Therapy and Counseling

How can I find a therapist in Tahuya?

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.