Therapists in Vancouver, WA

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Photo of Jennell Roden, Pre-Licensed Professional, MA, PCA
Jennell Roden
Pre-Licensed Professional, MA, PCA
Vancouver, WA 98661
Are you someone who wants to understand why they do what they do? Do you want to explore and express hidden parts of yourself? I recognize that life is hard, and that stress and trauma are held in the body in numerous ways, which can lead to adaptive behaviors that may no longer be effective and/or are harmful to ourselves or others. I believe that healing and growth can occur in the context of a safe, authentic, and connected relationship. I seek to create a therapeutic space in which the client experiences the felt sense of a compassionate, nonjudgmental, and curious connection.
Are you someone who wants to understand why they do what they do? Do you want to explore and express hidden parts of yourself? I recognize that life is hard, and that stress and trauma are held in the body in numerous ways, which can lead to adaptive behaviors that may no longer be effective and/or are harmful to ourselves or others. I believe that healing and growth can occur in the context of a safe, authentic, and connected relationship. I seek to create a therapeutic space in which the client experiences the felt sense of a compassionate, nonjudgmental, and curious connection.
(360) 492-2835 View (360) 492-2835
Photo of Shazzareigh Nakoa-Chung, Licensed Mental Health Counselor , LMHC
Shazzareigh Nakoa-Chung
Licensed Mental Health Counselor , LMHC
Online Only
Not accepting new clients
Aloha, and welcome. I’m Shazzareigh Nakoa-Chung, a biracial (BIPOC) clinician of Polynesian Pacific Islander descent, born and raised in Hawaiʻi. I offer trauma-informed, culturally attuned therapy rooted in respect, connection, and healing. I specialize in supporting clients through anxiety, complex trauma and PTSD, grief, identity exploration, codependency, relationship challenges—including intercultural and intergenerational dynamics—and emotional dysregulation. I integrate EMDR, somatic experiencing, mindfulness, and relational approaches to meet your unique needs.
Aloha, and welcome. I’m Shazzareigh Nakoa-Chung, a biracial (BIPOC) clinician of Polynesian Pacific Islander descent, born and raised in Hawaiʻi. I offer trauma-informed, culturally attuned therapy rooted in respect, connection, and healing. I specialize in supporting clients through anxiety, complex trauma and PTSD, grief, identity exploration, codependency, relationship challenges—including intercultural and intergenerational dynamics—and emotional dysregulation. I integrate EMDR, somatic experiencing, mindfulness, and relational approaches to meet your unique needs.
(360) 762-3286 View (360) 762-3286
Photo of Brenna Cash, Mental Health Counselor, MA, LPC
Brenna Cash
Mental Health Counselor, MA, LPC
Vancouver, WA 98683
Are you looking for a safe space to discuss your mental health? My approach is holistic and solution-focused. With this in mind, I seek to repair relationships and encourage individuals to work through obstacles that are keeping them from maintaining a happy and healthy lifestyle.
Are you looking for a safe space to discuss your mental health? My approach is holistic and solution-focused. With this in mind, I seek to repair relationships and encourage individuals to work through obstacles that are keeping them from maintaining a happy and healthy lifestyle.
(360) 215-8565 View (360) 215-8565
Photo of Kristine Kemp, Clinical Social Work/Therapist, LCSW
Kristine Kemp
Clinical Social Work/Therapist, LCSW
Online Only
Anxiety and stress manifest in various ways, from persistent worry and restlessness to physical symptoms like headaches and sleep disturbances. These conditions can significantly impact daily life, making tasks feel insurmountable. I specialize in helping individuals understand these symptoms, offering a supportive space to address their root causes. By acknowledging these experiences, we can work together towards managing their effects, aiming for a more balanced and fulfilling life.
Anxiety and stress manifest in various ways, from persistent worry and restlessness to physical symptoms like headaches and sleep disturbances. These conditions can significantly impact daily life, making tasks feel insurmountable. I specialize in helping individuals understand these symptoms, offering a supportive space to address their root causes. By acknowledging these experiences, we can work together towards managing their effects, aiming for a more balanced and fulfilling life.
(360) 516-2952 View (360) 516-2952
Photo of Julia Jech, Licensed Mental Health Counselor Associate , MEd, LMHCA
Julia Jech
Licensed Mental Health Counselor Associate , MEd, LMHCA
Vancouver, WA 98662
I believe that every child deserves to feel understood and accepted for who they are. During my 4 years as a school counselor, I worked with hundreds of children and families to help clients work through anxiety, stress, trauma, and grief, navigate family changes, and solve peer conflicts. Now, in my work as a mental health counselor, my goal is to partner with families and provide a space for children and teens to feel understood and accepted as they work through their unique challenges. I work with children ages 5 and up, and utilize a variety of therapeutic techniques to meet each child's unique counseling goals.
I believe that every child deserves to feel understood and accepted for who they are. During my 4 years as a school counselor, I worked with hundreds of children and families to help clients work through anxiety, stress, trauma, and grief, navigate family changes, and solve peer conflicts. Now, in my work as a mental health counselor, my goal is to partner with families and provide a space for children and teens to feel understood and accepted as they work through their unique challenges. I work with children ages 5 and up, and utilize a variety of therapeutic techniques to meet each child's unique counseling goals.
(360) 585-4780 x101 View (360) 585-4780 x101
Photo of Alberta Torres - Attune Counseling, LLC, Clinical Social Work/Therapist, LCSW
Attune Counseling, LLC
Clinical Social Work/Therapist, LCSW
Vancouver, WA 98662
I am a Licensed Clinical Social Worker with 30 years’ experience in trauma recovery and life transitions. I am bilingual (Spanish/English) and multi-cultural. I use a collaborative and compassionate approach to help individuals navigate their emotional struggles. It is my honor to provide sacred and safe space to facilitate healing. My therapy style is client-centered and integrative, drawing from various approaches including EMDR, Rewind Therapy, Trauma-focused CBT, Mindfulness, the integration of psychedelic experiences, and elements of Jungian and psychospiritual therapy.
I am a Licensed Clinical Social Worker with 30 years’ experience in trauma recovery and life transitions. I am bilingual (Spanish/English) and multi-cultural. I use a collaborative and compassionate approach to help individuals navigate their emotional struggles. It is my honor to provide sacred and safe space to facilitate healing. My therapy style is client-centered and integrative, drawing from various approaches including EMDR, Rewind Therapy, Trauma-focused CBT, Mindfulness, the integration of psychedelic experiences, and elements of Jungian and psychospiritual therapy.
(360) 217-0882 View (360) 217-0882
Photo of Liz Williams, Clinical Social Work/Therapist, LICSW, MSW
Liz Williams
Clinical Social Work/Therapist, LICSW, MSW
1 Endorsed
Vancouver, WA 98660
Therapy should be highly adaptable to each individual and not one size fits all. I am focused on supporting adult clients experiencing various mental and behavioral health needs, with a particular fondness for folks hoping to improve their self image, explore coping for anxiety and stress, process developmental trauma, understand relationships and enact desired behavior change. I have a specific passion for supporting "the givers" in our society: parents, helping professionals, activists, etc. My overall hope is to empower you through whatever shifts life brings your way and encourage you on the path that is uniquely your own.
Therapy should be highly adaptable to each individual and not one size fits all. I am focused on supporting adult clients experiencing various mental and behavioral health needs, with a particular fondness for folks hoping to improve their self image, explore coping for anxiety and stress, process developmental trauma, understand relationships and enact desired behavior change. I have a specific passion for supporting "the givers" in our society: parents, helping professionals, activists, etc. My overall hope is to empower you through whatever shifts life brings your way and encourage you on the path that is uniquely your own.
(360) 248-4720 View (360) 248-4720
Photo of Richard Golosinskiy, Counselor, MA, LMHC, NCC
Richard Golosinskiy
Counselor, MA, LMHC, NCC
2 Endorsed
Vancouver, WA 98663
Waitlist for new clients
I am a licensed Washington state counselor. I specialize in working with adults and couples. Helping those seeking relief from depression, anxiety, and trauma symptoms. I work alongside you by teaching emotion regulation skills to manage anger, sadness, and triggers that feel overwhelming. I'll help you uncover what drives those strong emotions and assist in developing healthy behaviors that leave you feeling fulfilled. I also help couples identify their negative cycle of interaction and develop new cycles that reduce conflict and lead to greater relationship intimacy.
I am a licensed Washington state counselor. I specialize in working with adults and couples. Helping those seeking relief from depression, anxiety, and trauma symptoms. I work alongside you by teaching emotion regulation skills to manage anger, sadness, and triggers that feel overwhelming. I'll help you uncover what drives those strong emotions and assist in developing healthy behaviors that leave you feeling fulfilled. I also help couples identify their negative cycle of interaction and develop new cycles that reduce conflict and lead to greater relationship intimacy.
(360) 346-1476 View (360) 346-1476
Photo of Kristi Canning-Lee, Counselor, MS, LMHC
Kristi Canning-Lee
Counselor, MS, LMHC
1 Endorsed
Online Only
Are you or your child worried, striving, and exhausted, yet things don't seem to be as you wish? Are there parts of you ready to give up, while other parts push or criticize you even harder? Does it seem like familiar feelings, thoughts, and cycles go on and on, despite your best efforts? These are common experiences and frustrating. They don't seem to enhance our lives or family. Together we will bring an understanding of what is coming up for you and why. We will develop helpful skills and approaches that increase your odds of experiencing your hopes for relationships worth having, and a life worth living.
Are you or your child worried, striving, and exhausted, yet things don't seem to be as you wish? Are there parts of you ready to give up, while other parts push or criticize you even harder? Does it seem like familiar feelings, thoughts, and cycles go on and on, despite your best efforts? These are common experiences and frustrating. They don't seem to enhance our lives or family. Together we will bring an understanding of what is coming up for you and why. We will develop helpful skills and approaches that increase your odds of experiencing your hopes for relationships worth having, and a life worth living.
(360) 869-0334 View (360) 869-0334
Photo of Bryanna Goodman, Marriage & Family Therapist, LMFT
Bryanna Goodman
Marriage & Family Therapist, LMFT
2 Endorsed
Vancouver, WA 98684
We are a group of dynamic therapists, in multiple Washington state locations. Our goal was to create a place for you to settle in and tell your story. Everybody has one, and we want to hear yours. Counseling is a process that encourages you to examine your choices, your thoughts, your dreams, your barriers and your pain in an effort to create the positive change you are seeking in your life. We believe that successful counseling is a collaborative experience between you and your therapist; that finding the right fit is vital to that success.
We are a group of dynamic therapists, in multiple Washington state locations. Our goal was to create a place for you to settle in and tell your story. Everybody has one, and we want to hear yours. Counseling is a process that encourages you to examine your choices, your thoughts, your dreams, your barriers and your pain in an effort to create the positive change you are seeking in your life. We believe that successful counseling is a collaborative experience between you and your therapist; that finding the right fit is vital to that success.
(360) 524-6121 View (360) 524-6121
Photo of Sophie Newton, Licensed Social Worker Associate , LSWAIC
Sophie Newton
Licensed Social Worker Associate , LSWAIC
Vancouver, WA 98662
Not accepting new clients
I have spent decades working with adults and teens in complex settings, and I am excited to offer individual therapy designed for your specific struggles and goals. Many clients come to therapy looking for ways to handle difficult emotions and situations. Our thoughts and behaviors are shaped by our families, societal expectations, and feelings we may not fully express or understand. These patterns can leave us feeling stuck, self-critical, and helpless. Together, we'll identify which problems are truly yours and which are simply a reflection of a dysfunctional situation!
I have spent decades working with adults and teens in complex settings, and I am excited to offer individual therapy designed for your specific struggles and goals. Many clients come to therapy looking for ways to handle difficult emotions and situations. Our thoughts and behaviors are shaped by our families, societal expectations, and feelings we may not fully express or understand. These patterns can leave us feeling stuck, self-critical, and helpless. Together, we'll identify which problems are truly yours and which are simply a reflection of a dysfunctional situation!
(360) 845-6049 View (360) 845-6049
Photo of Thomas Biddle, Pre-Licensed Professional
Thomas Biddle
Pre-Licensed Professional
1 Endorsed
Vancouver, WA 98662
Life can sometimes feel like stepping up to the plate in the middle of a tough inning. The pressure is mounting, your confidence is shaken, and you have no clear sense of what pitch is coming next. In those moments, I believe people deserve a space where they don’t have to perform, explain everything perfectly, or pretend they are fine. I aim to offer an environment where people can slow down, catch their breath, and feel genuinely heard without judgment.
Life can sometimes feel like stepping up to the plate in the middle of a tough inning. The pressure is mounting, your confidence is shaken, and you have no clear sense of what pitch is coming next. In those moments, I believe people deserve a space where they don’t have to perform, explain everything perfectly, or pretend they are fine. I aim to offer an environment where people can slow down, catch their breath, and feel genuinely heard without judgment.
(360) 861-2870 View (360) 861-2870
Photo of Noemi Mata, Clinical Social Work/Therapist, MSW
Noemi Mata
Clinical Social Work/Therapist, MSW
1 Endorsed
Online Only
I am a compassionate and dedicated therapist specializing in working with adolescents and adults who are navigating challenges related to anxiety, depression, and life transitions. My approach is rooted in evidence-based practices, including Cognitive Behavioral Therapy (CBT), strength-based therapy, and mindfulness techniques, to help clients develop resilience, build coping skills, and foster long-term emotional well-being. I believe in a holistic, person-centered approach, recognizing that each individual has unique experiences, strengths, and goals. Therapy with me is a collaborative process, where we work together to identify
I am a compassionate and dedicated therapist specializing in working with adolescents and adults who are navigating challenges related to anxiety, depression, and life transitions. My approach is rooted in evidence-based practices, including Cognitive Behavioral Therapy (CBT), strength-based therapy, and mindfulness techniques, to help clients develop resilience, build coping skills, and foster long-term emotional well-being. I believe in a holistic, person-centered approach, recognizing that each individual has unique experiences, strengths, and goals. Therapy with me is a collaborative process, where we work together to identify
(360) 512-7530 View (360) 512-7530
Photo of Katrina L Barnes, Marriage & Family Therapist, LMFT
Katrina L Barnes
Marriage & Family Therapist, LMFT
Vancouver, WA 98661
Waitlist for new clients
Daytime only for new clients. Healthier life means a balance in our relationships. Therapy can help by re-connecting mind, body, spirit and relationships with others. A change in one area often ties to threads in another. Brokenness in our primary relationships can disconnect family, work, community and culture. Together we can re-weave these threads through our stories about ourselves, and people around us. We can change the next chapter. What we do, who we are and what our relationships mean are all important. We need space to be unique and we also need relationships that provide closeness.
Daytime only for new clients. Healthier life means a balance in our relationships. Therapy can help by re-connecting mind, body, spirit and relationships with others. A change in one area often ties to threads in another. Brokenness in our primary relationships can disconnect family, work, community and culture. Together we can re-weave these threads through our stories about ourselves, and people around us. We can change the next chapter. What we do, who we are and what our relationships mean are all important. We need space to be unique and we also need relationships that provide closeness.
(360) 524-9351 View (360) 524-9351
Photo of Emily Hajnos, Counselor, MA, LMHCA
Emily Hajnos
Counselor, MA, LMHCA
Online Only
Facing our mental health head on can feel like the most intimidating and impossible task; it gets tough when we decide to take that hard, honest look at ourselves in the mirror. Therapy isn’t easy, and if it were, everyone would do it. Whatever barriers you feel are preventing you from achieving mental wellness, I am happy to support you as you navigate those obstacles. My philosophy as your therapist is that it’s my job to help you learn the tools necessary to achieve your healing and recovery goals.
Facing our mental health head on can feel like the most intimidating and impossible task; it gets tough when we decide to take that hard, honest look at ourselves in the mirror. Therapy isn’t easy, and if it were, everyone would do it. Whatever barriers you feel are preventing you from achieving mental wellness, I am happy to support you as you navigate those obstacles. My philosophy as your therapist is that it’s my job to help you learn the tools necessary to achieve your healing and recovery goals.
(360) 564-1479 View (360) 564-1479
Photo of Tiffany Conner, Counselor, MS, LMHC
Tiffany Conner
Counselor, MS, LMHC
Vancouver, WA 98683
Tiffany is a dedicated holistic mental health therapist at LifeStance Health with over 4 years of experience specializing in grief and loss, spirituality, depression, anxiety, and existential concerns. Tiffany integrates Jungian, Existential and Transpersonal principles with a compassionate approach, helping clients navigate the complexities of their inner worlds and uncover the deeper meanings within their hardships and life experiences.
Tiffany is a dedicated holistic mental health therapist at LifeStance Health with over 4 years of experience specializing in grief and loss, spirituality, depression, anxiety, and existential concerns. Tiffany integrates Jungian, Existential and Transpersonal principles with a compassionate approach, helping clients navigate the complexities of their inner worlds and uncover the deeper meanings within their hardships and life experiences.
(360) 997-1537 View (360) 997-1537
Photo of David Grushkin, Counselor, MS, LMHC
David Grushkin
Counselor, MS, LMHC
Vancouver, WA 98662
MS in Counseling from San Francisco State University, 1993. BS Music New York University 1982. 30+ years experience as a therapist. 21 years with LifeStance Health (formerly Western Psychological).
MS in Counseling from San Francisco State University, 1993. BS Music New York University 1982. 30+ years experience as a therapist. 21 years with LifeStance Health (formerly Western Psychological).
(360) 803-2583 View (360) 803-2583
Photo of Brittany Stark, Mental Health Counselor, LMHC
Brittany Stark
Mental Health Counselor, LMHC
Online Only
Living with ADHD, anxiety, or depression can feel overwhelming, leaving you struggling to focus, manage emotions, or find joy in daily life. ADHD might make it hard to concentrate or follow through on tasks, while anxiety can bring relentless worry and unease. Depression, on the other hand, may drain your energy and dim your sense of purpose. You might feel misunderstood or trapped in cycles of stress, frustration, or sadness. Together, we can navigate these challenges, helping you discover resilience, regain control, and cultivate a more fulfilling life.
Living with ADHD, anxiety, or depression can feel overwhelming, leaving you struggling to focus, manage emotions, or find joy in daily life. ADHD might make it hard to concentrate or follow through on tasks, while anxiety can bring relentless worry and unease. Depression, on the other hand, may drain your energy and dim your sense of purpose. You might feel misunderstood or trapped in cycles of stress, frustration, or sadness. Together, we can navigate these challenges, helping you discover resilience, regain control, and cultivate a more fulfilling life.
(360) 564-8077 View (360) 564-8077
Photo of Nicole Corbett, Clinical Social Work/Therapist, LSWAIC, MA
Nicole Corbett
Clinical Social Work/Therapist, LSWAIC, MA
2 Endorsed
Online Only
Not accepting new clients
When talk therapy only gets you so far, it's time to go deeper! Trauma (big or small) changes the nervous system; memories, beliefs, and triggers get stuck. Processes like EMDR, Brainspotting, and somatic work release these stuck processes and support lasting relief and positive change. Whether you're navigating trauma, relationship struggles, grief, or a major life transition, something brought you here, and that takes courage. You deserve to feel like the best version of yourself. Let's talk.
When talk therapy only gets you so far, it's time to go deeper! Trauma (big or small) changes the nervous system; memories, beliefs, and triggers get stuck. Processes like EMDR, Brainspotting, and somatic work release these stuck processes and support lasting relief and positive change. Whether you're navigating trauma, relationship struggles, grief, or a major life transition, something brought you here, and that takes courage. You deserve to feel like the best version of yourself. Let's talk.
(360) 495-8965 View (360) 495-8965
Photo of Sarah Wargin, Clinical Social Work/Therapist, MSW, LICSW
Sarah Wargin
Clinical Social Work/Therapist, MSW, LICSW
Vancouver, WA 98686
Sarah Wargin is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2013. Sarah views therapy as a collaborative experience and a space where self-discovery, learning, and healing takes place. Together, you and Sarah will work to set and meet your goals that will help you become the person you wish to be, and/or experience the relief you seek. Outside of work, Sarah enjoys foraging, gardening, dancing, and whitewater kayaking.
Sarah Wargin is a Licensed Independent Clinical Social Worker in Washington who has been practicing since 2013. Sarah views therapy as a collaborative experience and a space where self-discovery, learning, and healing takes place. Together, you and Sarah will work to set and meet your goals that will help you become the person you wish to be, and/or experience the relief you seek. Outside of work, Sarah enjoys foraging, gardening, dancing, and whitewater kayaking.
(360) 854-3470 View (360) 854-3470

See more therapy options for Vancouver

How does your Therapist compare?

Number of Therapists in Vancouver, WA

1,000+

Average cost per session

$158

Therapists in Vancouver, WA who prioritize treating:

92% Anxiety
92% Social Anxiety
92% Health Anxiety
92% Driving Anxiety
86% Depression
74% Trauma and PTSD
74% Complex PTSD

Average years in practice

10 Years

Top 3 insurances accepted

81% Aetna
74% Regence
57% Premera Blue Cross

How Therapists in Vancouver, WA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

76% Female
21% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

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.