Therapists in Esther Short, Vancouver, WA

Photo of Jocelyn Tello, PsyD, Psychologist
Jocelyn Tello
Psychologist, PsyD
Verified Verified
Esther Short, Vancouver, WA 98660  (Online Only)
I have 30 years of experience in the social service and mental health field. I have worked within schools, hospitals, prisons, and community mental health agencies in California, Oregon, and Washington. People describe me as calm, empathic, and balanced. I believe in the potential of those I see. People can manage and sometimes overcome debilitating mental health conditions. I rely on client collaboration and feedback to stretch a person beyond the distortions that render one paralyzed. Be ready to stretch and discover that you can too!
I have 30 years of experience in the social service and mental health field. I have worked within schools, hospitals, prisons, and community mental health agencies in California, Oregon, and Washington. People describe me as calm, empathic, and balanced. I believe in the potential of those I see. People can manage and sometimes overcome debilitating mental health conditions. I rely on client collaboration and feedback to stretch a person beyond the distortions that render one paralyzed. Be ready to stretch and discover that you can too!
(360) 228-3488 View (360) 228-3488
Photo of Mikhael Fuller, MA, LMFT, Marriage & Family Therapist
Mikhael Fuller
Marriage & Family Therapist, MA, LMFT
Verified Verified
Esther Short, Vancouver, WA 98660
In my practice, I support teens, adults, couples, and families residing in Washington or California. I work with a number of issues, including depression, anxiety, stress, intimacy and relationships, identity, life-transitions, conflict, divorce and separation, and anything in-between. I also have experience with adoption and blended families. When working with minor clients, I provide guidance to parents through collaborative consultation throughout our therapeutic relationship. I am a licensed marriage and family therapist in both Washington and California.
In my practice, I support teens, adults, couples, and families residing in Washington or California. I work with a number of issues, including depression, anxiety, stress, intimacy and relationships, identity, life-transitions, conflict, divorce and separation, and anything in-between. I also have experience with adoption and blended families. When working with minor clients, I provide guidance to parents through collaborative consultation throughout our therapeutic relationship. I am a licensed marriage and family therapist in both Washington and California.
(925) 248-4981 View (925) 248-4981
Photo of Sarah Johnson - Sarah J Psychotherapy, LMHC, MA, Counselor
Sarah J Psychotherapy
Counselor, LMHC, MA
Verified Verified
Esther Short, Vancouver, WA 98660
Do you often wonder why you feel alone or can’t fully connect with others despite having loved ones in your life? Do you experience self-loathing, fixate on food, eating, and your weight? Psychotherapy can assist you in developing a positive self-image, heal old relationship wounds, and cultivate fulfilling relationships with yourself and others. In my practice I offer clinical insight, tools and space to deeply understand and change generational, relational or behavioral patterns that contribute to problems in your life.
Do you often wonder why you feel alone or can’t fully connect with others despite having loved ones in your life? Do you experience self-loathing, fixate on food, eating, and your weight? Psychotherapy can assist you in developing a positive self-image, heal old relationship wounds, and cultivate fulfilling relationships with yourself and others. In my practice I offer clinical insight, tools and space to deeply understand and change generational, relational or behavioral patterns that contribute to problems in your life.
(360) 364-5661 View (360) 364-5661
Photo of Matthew Beeble - Matthew Beeble, MA, LMHC , MA, LMHC, LPC, Counselor
Matthew Beeble, MA, LMHC
Counselor, MA, LMHC, LPC
Verified Verified
6 Endorsed
Esther Short, Vancouver, WA 98660  (Online Only)
You already have what you need within yourself to experience fulfillment in your life. Unfortunately, there are many internal and external influences that can prevent this resulting in a feeling of falling short of who you should be. This can lead to a sense of being out of balance, feeling stuck and many of the symptoms that bring you to therapy. I believe that the most important task is to make meaning of your life by increasing awareness of your experience resulting in a new understanding and a feeling of peace and of being at home in your skin.
You already have what you need within yourself to experience fulfillment in your life. Unfortunately, there are many internal and external influences that can prevent this resulting in a feeling of falling short of who you should be. This can lead to a sense of being out of balance, feeling stuck and many of the symptoms that bring you to therapy. I believe that the most important task is to make meaning of your life by increasing awareness of your experience resulting in a new understanding and a feeling of peace and of being at home in your skin.
(360) 200-7192 View (360) 200-7192
Photo of Tracy LeBlanc - Playful Healing Counseling, LLC, LICSW, RPT-S, Clinical Social Work/Therapist
Playful Healing Counseling, LLC
Clinical Social Work/Therapist, LICSW, RPT-S
Verified Verified
Esther Short, Vancouver, WA 98660
I enjoy supporting children and families through play therapy, art therapy (and sometimes talk therapy too)! I believe in the resilience and strength of children and their families. I believe that children process the world through play, art and movement as much as, if not more than, they do through words. I believe in the power of play to help children make sense of their experiences and struggles and move toward positive change. I believe in the power of play to help families reconnect and build strong alliances with one another.
I enjoy supporting children and families through play therapy, art therapy (and sometimes talk therapy too)! I believe in the resilience and strength of children and their families. I believe that children process the world through play, art and movement as much as, if not more than, they do through words. I believe in the power of play to help children make sense of their experiences and struggles and move toward positive change. I believe in the power of play to help families reconnect and build strong alliances with one another.
(360) 328-7196 View (360) 328-7196
Photo of Christina Flynn, LICSW, CMHS, Counselor
Christina Flynn
Counselor, LICSW, CMHS
Verified Verified
1 Endorsed
Esther Short, Vancouver, WA 98660
I have a few openings for new clients! People seek therapy for many reasons but they usually want to feel heard and understood. Therapy can be a place where you can explore barriers getting in the way of reaching your full potential, learn how to manage strong feelings, and shift unhealthy patterns. Humans are ever-evolving as we navigate this world and its challenges. In our sessions, people feel heard and learn how to better understand each other. We don’t want to just float through life, so let’s start thriving!
I have a few openings for new clients! People seek therapy for many reasons but they usually want to feel heard and understood. Therapy can be a place where you can explore barriers getting in the way of reaching your full potential, learn how to manage strong feelings, and shift unhealthy patterns. Humans are ever-evolving as we navigate this world and its challenges. In our sessions, people feel heard and learn how to better understand each other. We don’t want to just float through life, so let’s start thriving!
(360) 583-4406 View (360) 583-4406
Photo of Pamela Crutchfield - Pearl District Counseling, MSSW, LCSW, Clinical Social Work/Therapist
Pearl District Counseling
Clinical Social Work/Therapist, MSSW, LCSW
Verified Verified
1 Endorsed
Esther Short, Vancouver, WA 98660
Not accepting new clients
** NOT ACCEPTING NEW CLIENTS**I work with parents and children, married couples and individuals. I am interested in evaluating the whole person within their systems including, primary attachment relationships, implicit and explicit messages that adults received as children, the stress/ disease connection, looking at maladaptive patterns established in childhood that need to be corrected to return to the authentic self. I use the work of Gabor Mate, MD and Dan Siegel, MD in my treatment of individuals and families.
** NOT ACCEPTING NEW CLIENTS**I work with parents and children, married couples and individuals. I am interested in evaluating the whole person within their systems including, primary attachment relationships, implicit and explicit messages that adults received as children, the stress/ disease connection, looking at maladaptive patterns established in childhood that need to be corrected to return to the authentic self. I use the work of Gabor Mate, MD and Dan Siegel, MD in my treatment of individuals and families.
(503) 866-1084 View (503) 866-1084
Photo of Natasha M Medina, MEd, LMHC, Counselor
Natasha M Medina
Counselor, MEd, LMHC
Verified Verified
Esther Short, Vancouver, WA 98660
I love working with adolescents and adults who want to learn different skills to handle issues like anxiety, depression, trauma, self-esteem, relationships and family conflict. Additionally, I love helping clients discover their unique gifts and talents throughout the counseling process.
I love working with adolescents and adults who want to learn different skills to handle issues like anxiety, depression, trauma, self-esteem, relationships and family conflict. Additionally, I love helping clients discover their unique gifts and talents throughout the counseling process.
(360) 334-3414 View (360) 334-3414
Photo of Ellie Isaacson, LMHC, LPC, CCTP, Counselor
Ellie Isaacson
Counselor, LMHC, LPC, CCTP
Verified Verified
Esther Short, Vancouver, WA 98660
Waitlist for new clients
I am a licensed mental health therapist (in Washington and Oregon) with over 17 years of solid clinical experience helping adults who have been impacted by traumatic events, chronic illness, life transitions and grief/loss.
I am a licensed mental health therapist (in Washington and Oregon) with over 17 years of solid clinical experience helping adults who have been impacted by traumatic events, chronic illness, life transitions and grief/loss.
(360) 594-5460 View (360) 594-5460
Photo of Gregory Allen May, PsyD, Psychologist
Gregory Allen May
Psychologist, PsyD
Verified Verified
Esther Short, Vancouver, WA 98660
Acknowledging a desire for 'something different' serves as the foundation for change and can set into motion holistic, enduring growth. I am invested in helping people alleviate emotional, relational, and psychological pain experienced during the course of life. My belief is that therapy is one approach to healing that works for many. Therefore, I seek to provide quality psychological services to individuals, couples, families, groups, and organizations.
Acknowledging a desire for 'something different' serves as the foundation for change and can set into motion holistic, enduring growth. I am invested in helping people alleviate emotional, relational, and psychological pain experienced during the course of life. My belief is that therapy is one approach to healing that works for many. Therefore, I seek to provide quality psychological services to individuals, couples, families, groups, and organizations.
(360) 450-7527 View (360) 450-7527
Photo of Marissa Talarico, LMFT, Marriage & Family Therapist
Marissa Talarico
Marriage & Family Therapist, LMFT
Verified Verified
Esther Short, Vancouver, WA 98660
Shame, guilt, hiding from those around you or who you really are? Are you tired of living a lie? Are you tired of constantly feeling like you can’t be your most authentic self? Do you feel as though you ruin or sabotage all your close relationships? All the while you are feeling low self esteem, less than genuine, or are just plain tired from hiding. Not only are you welcome, but you will find quick relief of finally feeling understood with me.
Shame, guilt, hiding from those around you or who you really are? Are you tired of living a lie? Are you tired of constantly feeling like you can’t be your most authentic self? Do you feel as though you ruin or sabotage all your close relationships? All the while you are feeling low self esteem, less than genuine, or are just plain tired from hiding. Not only are you welcome, but you will find quick relief of finally feeling understood with me.
(844) 250-7180 View (844) 250-7180
Photo of Michela Farnsworth - Release Counseling, PLLC, LICSW, SUDP, Clinical Social Work/Therapist
Release Counseling, PLLC
Clinical Social Work/Therapist, LICSW, SUDP
Verified Verified
1 Endorsed
Esther Short, Vancouver, WA 98660
Entering mental health and/or addictions recovery is a significant life transition, whether you are taking this on for yourself or supporting a loved one. I can offer you support in conjunction with your work in a self-help group, during or following treatment, or even to help you deepen your recovery beyond abstinence and/or medication management. When someone struggles with mental health and/or substance abuse, it can affect their friends and families too (even after they get help and/or when entering recovery). I can help loved ones who are seeking therapy for themselves so they get the support they need.
Entering mental health and/or addictions recovery is a significant life transition, whether you are taking this on for yourself or supporting a loved one. I can offer you support in conjunction with your work in a self-help group, during or following treatment, or even to help you deepen your recovery beyond abstinence and/or medication management. When someone struggles with mental health and/or substance abuse, it can affect their friends and families too (even after they get help and/or when entering recovery). I can help loved ones who are seeking therapy for themselves so they get the support they need.
(360) 488-0173 View (360) 488-0173
Photo of Chuck Verro, LMHC, CSAT, NCC, Counselor
Chuck Verro
Counselor, LMHC, CSAT, NCC
Verified Verified
Esther Short, Vancouver, WA 98660
Tired of starting with eMail and ending up watching porn half the night? Tired of finding yourself in a strip club or adult bookstore when you were on your way to Home Depot, or, worse yet, to the kids' sporting event? Tired of lying? Keeping secrets? I'd like to help you find freedom from pornography and other forms of sex addiction. The reason is simple: life is full of opportunities to flourish, but addictive behaviors can hijack the ability to engage in those opportunities. Don't settle for less.
Tired of starting with eMail and ending up watching porn half the night? Tired of finding yourself in a strip club or adult bookstore when you were on your way to Home Depot, or, worse yet, to the kids' sporting event? Tired of lying? Keeping secrets? I'd like to help you find freedom from pornography and other forms of sex addiction. The reason is simple: life is full of opportunities to flourish, but addictive behaviors can hijack the ability to engage in those opportunities. Don't settle for less.
(360) 718-5061 View (360) 718-5061
Photo of Michael Andrew Miller - Michael A Miller LMHC , L, M, H, C, Counselor
Michael A Miller LMHC
Counselor, L, M, H, C
Verified Verified
1 Endorsed
Esther Short, Vancouver, WA 98660
Accepting new clients for in-person or telehealth appointments. You don't need to know exactly why you are seeking counseling. Common topics addressed in counseling are issues with self-esteem, finding purpose and meaning in life, relationship concerns, stressful life circumstances, psychological education and/or symptom improvement. Whether you have goals or are needing to figure that out, I can be flexible and hopefully useful! I have 20 years of experience working with all ranges of presenting issues (intense psychosis to everyday stress) and can vary the approach to one that best suits your unique experience.
Accepting new clients for in-person or telehealth appointments. You don't need to know exactly why you are seeking counseling. Common topics addressed in counseling are issues with self-esteem, finding purpose and meaning in life, relationship concerns, stressful life circumstances, psychological education and/or symptom improvement. Whether you have goals or are needing to figure that out, I can be flexible and hopefully useful! I have 20 years of experience working with all ranges of presenting issues (intense psychosis to everyday stress) and can vary the approach to one that best suits your unique experience.
(360) 523-7497 View (360) 523-7497
Photo of Leonie Fischer-Laycock, BA, Pre-Licensed Professional
Leonie Fischer-Laycock
Pre-Licensed Professional, BA
Verified Verified
Esther Short, Vancouver, WA 98685  (Online Only)
Not accepting new clients
Welcoming new clients! I specialize in empowering clients to cultivate self-esteem and self-worth. Clients often come to me looking for help with imposter syndrome, co-dependency, ADHD, and depression. I also enjoy guiding individuals through challenges such as anxiety, family dynamics, grief, and emotional dysregulation. To me, counseling is a journey of growth, where together we uncover strengths and tackle obstacles. Observing clients embrace change on their own terms fills me with both humility and gratitude. By providing personalized strategies, I aim to empower individuals to lead fulfilling lives aligned with their values.
Welcoming new clients! I specialize in empowering clients to cultivate self-esteem and self-worth. Clients often come to me looking for help with imposter syndrome, co-dependency, ADHD, and depression. I also enjoy guiding individuals through challenges such as anxiety, family dynamics, grief, and emotional dysregulation. To me, counseling is a journey of growth, where together we uncover strengths and tackle obstacles. Observing clients embrace change on their own terms fills me with both humility and gratitude. By providing personalized strategies, I aim to empower individuals to lead fulfilling lives aligned with their values.
(360) 938-4357 View (360) 938-4357
Photo of Shane Ladd, MA, LMHCA
Shane Ladd
Mental Health Counselor Associate, MA, LMHCA
Verified Verified
1 Endorsed
Esther Short, Vancouver, WA 98660
A Traumatic experience is like an injury and can have a long lasting effect and impact the way you perceive and interact in the world. Individuals experiencing trauma may have difficulty regulating emotions such as anger, anxiety, sadness and easily feel overwhelmed, numb and shut down. Trauma not only affects our relationship with ourselves but impacts our relationship with others. I am also a TFMR Mom that had a Stillbirth. I am passionate about serving other parents who have experienced TFMR, Stillbirth and Child loss at any point. The grief that accompanies this loss is tremendous and isolating. I am here to help.
A Traumatic experience is like an injury and can have a long lasting effect and impact the way you perceive and interact in the world. Individuals experiencing trauma may have difficulty regulating emotions such as anger, anxiety, sadness and easily feel overwhelmed, numb and shut down. Trauma not only affects our relationship with ourselves but impacts our relationship with others. I am also a TFMR Mom that had a Stillbirth. I am passionate about serving other parents who have experienced TFMR, Stillbirth and Child loss at any point. The grief that accompanies this loss is tremendous and isolating. I am here to help.
(360) 230-6279 View (360) 230-6279
Photo of Peter Gold Phd, PhD, LMHC, LPC, Counselor
Peter Gold Phd
Counselor, PhD, LMHC, LPC
Verified Verified
6 Endorsed
Esther Short, Vancouver, WA 98663  (Online Only)
People come to me usually for one of two reasons: (1) things are going well but they want to grow and evolve, (2) things are hard because of a past traumatic experience or a current situation, and healing and change is needed. Symptoms often include anxiety, depression, issues related to trauma, anger, grief and relationship issues. I work from a depth psychological perspective which means that I address the cause of symptoms as much as the symptoms themselves.
People come to me usually for one of two reasons: (1) things are going well but they want to grow and evolve, (2) things are hard because of a past traumatic experience or a current situation, and healing and change is needed. Symptoms often include anxiety, depression, issues related to trauma, anger, grief and relationship issues. I work from a depth psychological perspective which means that I address the cause of symptoms as much as the symptoms themselves.
(360) 564-0694 View (360) 564-0694
Photo of Amy M. Nuttbrock, MSW, LICSW, LCSW, Clinical Social Work/Therapist
Amy M. Nuttbrock
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
1 Endorsed
Esther Short, Vancouver, WA 98660
Not accepting new clients
Amy Nuttbrock is a committed, compassionate and experienced Licensed Clinical Social Worker. For adults and adolescents struggling with anxiety and depression, she provides attentive and effective evaluation and individual therapy services. Amy believes that the key to a restorative therapeutic experience involves a partnership built on trust, empathy, and attunement; the art of really being seen and heard.
Amy Nuttbrock is a committed, compassionate and experienced Licensed Clinical Social Worker. For adults and adolescents struggling with anxiety and depression, she provides attentive and effective evaluation and individual therapy services. Amy believes that the key to a restorative therapeutic experience involves a partnership built on trust, empathy, and attunement; the art of really being seen and heard.
(360) 228-3635 View (360) 228-3635
Photo of Rebecca Bradley, Clinical Social Work/Therapist
Rebecca Bradley
Clinical Social Work/Therapist
Verified Verified
Esther Short, Vancouver, WA 98660
Waitlist for new clients
Welcome to a therapeutic space where healing is holistic, and the mind-body connection is at the core of transformation. My practice is a sanctuary for those navigating the complexities of life, offering support for a range of challenges including trauma, depression, anxiety, grief, psychosis and existential crisis. In our collaborative journey, I see myself as a partner and guide, empowering you to explore the depths of your own potential for healing. My practice is rooted in the belief that each individual possesses innate ability to heal themselves. Together, we navigate the path towards unlocking the transformative power within
Welcome to a therapeutic space where healing is holistic, and the mind-body connection is at the core of transformation. My practice is a sanctuary for those navigating the complexities of life, offering support for a range of challenges including trauma, depression, anxiety, grief, psychosis and existential crisis. In our collaborative journey, I see myself as a partner and guide, empowering you to explore the depths of your own potential for healing. My practice is rooted in the belief that each individual possesses innate ability to heal themselves. Together, we navigate the path towards unlocking the transformative power within
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Photo of Lawrance McClung, LICSW, LCSW, Clinical Social Work/Therapist
Lawrance McClung
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Esther Short, Vancouver, WA 98660
I provide an inclusive space for gender identity exploration and affirmation. All people deserve to embrace their inherent worth and dignity, I encourage and support people as they grow into living fully as their authentic self. EMDR trained, I assist people reprocess their trauma in an accepting and validating space to reduce symptoms of PTSD and regain confidence in their sense of safety. I I offer support and skills for individuals with mental health conditions including Bipolar I and psychosis for symptom reduction, stabilization and maintenance.
I provide an inclusive space for gender identity exploration and affirmation. All people deserve to embrace their inherent worth and dignity, I encourage and support people as they grow into living fully as their authentic self. EMDR trained, I assist people reprocess their trauma in an accepting and validating space to reduce symptoms of PTSD and regain confidence in their sense of safety. I I offer support and skills for individuals with mental health conditions including Bipolar I and psychosis for symptom reduction, stabilization and maintenance.
(360) 745-1123 View (360) 745-1123
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How does your Therapist compare?

Number of Therapists in Esther Short, Vancouver, WA

100+

Average cost per session

$150

Therapists in Esther Short, Vancouver, WA who prioritize treating:

94% Anxiety
87% Depression
79% Relationship Issues
79% Trauma and PTSD
73% Self Esteem
67% Grief
66% Stress

Average years in practice

10 Years

Top 3 insurances accepted

65% Aetna
57% Regence
54% BlueCross and BlueShield

How Therapists in Esther Short, Vancouver, WA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

74% Female
22% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Esther Short, 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.