Therapists in Fairway 164th, Vancouver, WA

Photo of Davina Karpstein, Counselor, MA, LMHCA
Davina Karpstein
Counselor, MA, LMHCA
1 Endorsed
Fairway 164th, Vancouver, WA 98683
If you are seeking guidance, it takes courage and strength. Whether you are struggling to adjust to a life transition, finding it hard to make changes last, or just ready to face your past, you do not have to find your way alone. Your thoughts, feelings and behaviors may feel overwhelming and impossible to understand or connect but I can work with you to create a space for change and help you find relief from the suffering.
If you are seeking guidance, it takes courage and strength. Whether you are struggling to adjust to a life transition, finding it hard to make changes last, or just ready to face your past, you do not have to find your way alone. Your thoughts, feelings and behaviors may feel overwhelming and impossible to understand or connect but I can work with you to create a space for change and help you find relief from the suffering.
(360) 732-8993 View (360) 732-8993
Photo of Tonia Boyer, LPC Intern, MA, PCA, LMHCA
Tonia Boyer
LPC Intern, MA, PCA, LMHCA
Fairway 164th, Vancouver, WA 98683
Accepting new clients for in-person and telehealth as of May 2025! Hello and welcome! Each person has a unique story- a mosaic of relationships and experiences that have influenced them and created the person they are today. By closely examining our journey, we can identify and process the pieces of ourselves and our lives that we’d like to change. I am here as a collaborative and supportive partner in that process- someone in your corner that is there for you and desires the best for you. As a student intern at Liberty University, I am currently working in Vancouver, WA under the supervision of Diane Moore, MA, LMHC LH6030832.
Accepting new clients for in-person and telehealth as of May 2025! Hello and welcome! Each person has a unique story- a mosaic of relationships and experiences that have influenced them and created the person they are today. By closely examining our journey, we can identify and process the pieces of ourselves and our lives that we’d like to change. I am here as a collaborative and supportive partner in that process- someone in your corner that is there for you and desires the best for you. As a student intern at Liberty University, I am currently working in Vancouver, WA under the supervision of Diane Moore, MA, LMHC LH6030832.
(360) 469-6882 View (360) 469-6882
Photo of Joshua Moore, Counselor, MA, LMHC, BCN
Joshua Moore
Counselor, MA, LMHC, BCN
2 Endorsed
Fairway 164th, Vancouver, WA 98683
I specialize in early childhood trauma, dissociation, PTSD, and TBI. I use various assesments such as Continuous Performance Testing, QEEG (Brain Mapping), and clinical interviewing for assessment. I prefer to work with patients who have already tried therapy with several other therapists and have found therapy to be ineffective.
I specialize in early childhood trauma, dissociation, PTSD, and TBI. I use various assesments such as Continuous Performance Testing, QEEG (Brain Mapping), and clinical interviewing for assessment. I prefer to work with patients who have already tried therapy with several other therapists and have found therapy to be ineffective.
(360) 614-2930 View (360) 614-2930
Photo of Roberto Damarius Brindusesc, Counselor, MHCA
Roberto Damarius Brindusesc
Counselor, MHCA
1 Endorsed
Fairway 164th, Vancouver, WA 98683
Early on in my college career, I had to face depression and anxiety head-on. At that point, I became more aware of my own limitations in understanding and addressing them. It was through this time that ignited my passion to pursue the knowledge and tools of psychology. Driven by a desire to not only further comprehend the human mind but also to assist those who, like me, found themselves experiencing mental health challenges. By imparting the knowledge, tools, and the undeniable efficacy of storytelling in the realm of mental health, I hope to empower individuals to embark on their own journeys of self-discovery and healing.
Early on in my college career, I had to face depression and anxiety head-on. At that point, I became more aware of my own limitations in understanding and addressing them. It was through this time that ignited my passion to pursue the knowledge and tools of psychology. Driven by a desire to not only further comprehend the human mind but also to assist those who, like me, found themselves experiencing mental health challenges. By imparting the knowledge, tools, and the undeniable efficacy of storytelling in the realm of mental health, I hope to empower individuals to embark on their own journeys of self-discovery and healing.
(360) 968-7482 View (360) 968-7482
Photo of Michelle Moore, Counselor, MA, LMHCA
Michelle Moore
Counselor, MA, LMHCA
6 Endorsed
Fairway 164th, Vancouver, WA 98683
Are you a mom who gave birth in the past year and are struggling emotionally? Are you wanting to get pregnant and struggling to conceive? Have you had a loss or a few? Have you been a mom for a while now and just struggling to feel like yourself? Or maybe your past trauma is making it hard to be your best self. If so, I can help. I am a therapist specializing in working with women who are dealing with mental health struggles. I specialize in integrating talk therapy, Neurofeedback, and EMDR to help women, like you, feel better and become their best self.
Are you a mom who gave birth in the past year and are struggling emotionally? Are you wanting to get pregnant and struggling to conceive? Have you had a loss or a few? Have you been a mom for a while now and just struggling to feel like yourself? Or maybe your past trauma is making it hard to be your best self. If so, I can help. I am a therapist specializing in working with women who are dealing with mental health struggles. I specialize in integrating talk therapy, Neurofeedback, and EMDR to help women, like you, feel better and become their best self.
(360) 227-5134 View (360) 227-5134
Photo of Robyn Moore-Sullivan, Counselor, MA, LMHC, CPTT
Robyn Moore-Sullivan
Counselor, MA, LMHC, CPTT
10 Endorsed
Fairway 164th, Vancouver, WA 98683
Connecting to yourself again after betrayal can sometimes feel overwhelming. The reality you held, now nonexistent. What you thought you knew of your life and your partner is now running through your mind as a question - each moment of what came before. Repair work is precision work and can be daunting. Finding up and down in this space can be further compounded if there is previous trauma of any kind. This type of healing is such a double bind because your attachment system in your body and your threat system are not only activated by the same person but now they are at war inside.
Connecting to yourself again after betrayal can sometimes feel overwhelming. The reality you held, now nonexistent. What you thought you knew of your life and your partner is now running through your mind as a question - each moment of what came before. Repair work is precision work and can be daunting. Finding up and down in this space can be further compounded if there is previous trauma of any kind. This type of healing is such a double bind because your attachment system in your body and your threat system are not only activated by the same person but now they are at war inside.
(360) 467-6839 View (360) 467-6839
Photo of Katelyn Rediske, Counselor, LMHCA
Katelyn Rediske
Counselor, LMHCA
1 Endorsed
Serves Area
I work with teens and adults across the lifespan navigating the emotional impact of chronic illness and chronic pain, as well as anxiety, depression, trauma, grief, and life transitions. I especially enjoy supporting clients living with chronic illness as they process grief and attend to the many parts of themselves affected by ongoing changes. I also have a particular passion for supporting individuals who discovered their neurodivergence later in life and may have gone unrecognized or misunderstood for years. I am highly dedicated to providing affirming care for LGBTQIA2S+ clients.
I work with teens and adults across the lifespan navigating the emotional impact of chronic illness and chronic pain, as well as anxiety, depression, trauma, grief, and life transitions. I especially enjoy supporting clients living with chronic illness as they process grief and attend to the many parts of themselves affected by ongoing changes. I also have a particular passion for supporting individuals who discovered their neurodivergence later in life and may have gone unrecognized or misunderstood for years. I am highly dedicated to providing affirming care for LGBTQIA2S+ clients.
(360) 787-6708 View (360) 787-6708
Photo of Stephen P Grant, Counselor, MACP, LMHC, CSAT, CMAT
Stephen P Grant
Counselor, MACP, LMHC, CSAT, CMAT
4 Endorsed
Serves Area
Is your world imploding? Betrayal shatters our worlds. Whether the betrayer or the betrayed, it destroys us! Betrayers face a sense of powerlessness, loneliness, and hopelessness: realizing they can never be really known or completely love another. And, the betrayed dazedly look at a million shattered pieces of the life they thought they knew and wonder if they can trust themselves or another again. Betrayal, fear, and grief traumatize us and become our constant companions. Shock often sets in. We feel isolated & alone. But real, lasting help is available. You don’t have to stay stuck in this frightening & paralyzing space.
Is your world imploding? Betrayal shatters our worlds. Whether the betrayer or the betrayed, it destroys us! Betrayers face a sense of powerlessness, loneliness, and hopelessness: realizing they can never be really known or completely love another. And, the betrayed dazedly look at a million shattered pieces of the life they thought they knew and wonder if they can trust themselves or another again. Betrayal, fear, and grief traumatize us and become our constant companions. Shock often sets in. We feel isolated & alone. But real, lasting help is available. You don’t have to stay stuck in this frightening & paralyzing space.
(360) 835-6884 View (360) 835-6884
Photo of Wendy Bradshaw, Counselor, MA, LMHC
Wendy Bradshaw
Counselor, MA, LMHC
Serves Area
Have you noticed an increase in feelings of sadness, irritability, depression or anxiety since entering midlife? Do you have difficulty with mood swings, poor sleep and tension since entering perimenopause or menopause? Have you begun to question the course of your life, life choices or future purpose? Utilizing empathy and encouragement, I will support you while you learn how to develop positive coping skills and create change by increasing self acceptance during this time of physical and emotional transitions.
Have you noticed an increase in feelings of sadness, irritability, depression or anxiety since entering midlife? Do you have difficulty with mood swings, poor sleep and tension since entering perimenopause or menopause? Have you begun to question the course of your life, life choices or future purpose? Utilizing empathy and encouragement, I will support you while you learn how to develop positive coping skills and create change by increasing self acceptance during this time of physical and emotional transitions.
(360) 401-8485 View (360) 401-8485
Photo of Brooke Jefferson, Pre-Licensed Professional, LMHCA, LPCA
Brooke Jefferson
Pre-Licensed Professional, LMHCA, LPCA
3 Endorsed
Serves Area
If you’re feeling disconnected from your body, stuck in patterns with food, overwhelmed by anxiety or the impacts of trauma, you’re not alone — and you don’t have to figure it out by yourself. Many clients come to me feeling exhausted by the pressure to "fix" themselves. Together, we’ll gently explore where those messages came from and how they’ve shaped your relationship with your body, your emotions, and your sense of self. My work is grounded in the belief that your body isn’t the problem — and that healing happens when you feel safe, seen, and supported in relationship.
If you’re feeling disconnected from your body, stuck in patterns with food, overwhelmed by anxiety or the impacts of trauma, you’re not alone — and you don’t have to figure it out by yourself. Many clients come to me feeling exhausted by the pressure to "fix" themselves. Together, we’ll gently explore where those messages came from and how they’ve shaped your relationship with your body, your emotions, and your sense of self. My work is grounded in the belief that your body isn’t the problem — and that healing happens when you feel safe, seen, and supported in relationship.
(360) 979-1376 View (360) 979-1376
Photo of Esther Pfeiffer, Counselor, LMHC
Esther Pfeiffer
Counselor, LMHC
3 Endorsed
Serves Area
I specialize in grief counseling, as well as counseling for perinatal loss, in order to walk through the grieving process with you and help to imagine what the future can look like one step at a time. I also utilize EMDR for trauma, depression, anxiety, and relationship concerns to stop the past from affecting the present and to create a different future. I help to create a coherent narrative to be able to move forward and live life more freely, without the learned patterns from the past. If you are ready to get help with grief, loss, trauma, attachment concerns, relationship struggles, depression, or self-esteem, please reach out!
I specialize in grief counseling, as well as counseling for perinatal loss, in order to walk through the grieving process with you and help to imagine what the future can look like one step at a time. I also utilize EMDR for trauma, depression, anxiety, and relationship concerns to stop the past from affecting the present and to create a different future. I help to create a coherent narrative to be able to move forward and live life more freely, without the learned patterns from the past. If you are ready to get help with grief, loss, trauma, attachment concerns, relationship struggles, depression, or self-esteem, please reach out!
(360) 585-8273 View (360) 585-8273
Photo of Esther J Kim, Clinical Social Work/Therapist, LICSW, LCSW
Esther J Kim
Clinical Social Work/Therapist, LICSW, LCSW
7 Endorsed
Serves Area
Every person carries a story. Your story matters-because it's the bridge between your past, present, and future. When we give space to our story, we open the door to healing, resilience, and growth.
Every person carries a story. Your story matters-because it's the bridge between your past, present, and future. When we give space to our story, we open the door to healing, resilience, and growth.
(360) 763-0695 View (360) 763-0695
Photo of Rebecca Lomeland, Counselor, LMHC
Rebecca Lomeland
Counselor, LMHC
3 Endorsed
Serves Area
Do you find yourself struggling to break unhealthy cycles of toxic relationships, mood swings, or generational patterns, no matter what you do? You may be fed up with your own inability to cope and connect well with others, feeling full of shame and regret. You might not even remember a time when things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to find some clarity. You’re ready to start feeling confident and secure in your own skin. Most of all, you’re ready to find the empowerment you need to turn over a new leaf.
Do you find yourself struggling to break unhealthy cycles of toxic relationships, mood swings, or generational patterns, no matter what you do? You may be fed up with your own inability to cope and connect well with others, feeling full of shame and regret. You might not even remember a time when things didn’t feel this way. But one thing is for sure: you’re ready for some relief. You’re ready to find some clarity. You’re ready to start feeling confident and secure in your own skin. Most of all, you’re ready to find the empowerment you need to turn over a new leaf.
(360) 383-5614 View (360) 383-5614
Photo of Tracy LeBlanc - Playful Healing Counseling, LLC, Clinical Social Work/Therapist, LICSW, RPT-S
Playful Healing Counseling, LLC
Clinical Social Work/Therapist, LICSW, RPT-S
Serves Area
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 Collin Anders Hansen, Counselor, MS, LMHC, SRT, PBTT
Collin Anders Hansen
Counselor, MS, LMHC, SRT, PBTT
2 Endorsed
Serves Area
Pornography & sex addiction are real and destroy lives! If you've been affected by porn & sex addiction you've most likely been risking your job, your family, maybe even going to jail. You've likely tried to stop but can't. It's too much! The shame and guilt are overwhelming. And, if you're reading this, it's likely you've been caught by by a significant other and are facing the end of your relationship unless you get help!
Pornography & sex addiction are real and destroy lives! If you've been affected by porn & sex addiction you've most likely been risking your job, your family, maybe even going to jail. You've likely tried to stop but can't. It's too much! The shame and guilt are overwhelming. And, if you're reading this, it's likely you've been caught by by a significant other and are facing the end of your relationship unless you get help!
(360) 842-0925 View (360) 842-0925
Photo of April Waggoner, Counselor, PhD, LMFT, LMHC, LPC
April Waggoner
Counselor, PhD, LMFT, LMHC, LPC
3 Endorsed
Serves Area
COUPLES! Are you feeling more like roommates than lovers? Having a difficult time relating to one another? Take comfort in knowing that you are not alone. All couples go through phases in their relationship. Sometimes couples have a difficult time moving from one phase to another and need assistance in gaining momentum. Negotiating life as a couple can be difficult. Most people want to feel connected, cared for, and understood by their mate. Sometimes it feels as though there are two strangers living together. If this is you do not lose hope...
COUPLES! Are you feeling more like roommates than lovers? Having a difficult time relating to one another? Take comfort in knowing that you are not alone. All couples go through phases in their relationship. Sometimes couples have a difficult time moving from one phase to another and need assistance in gaining momentum. Negotiating life as a couple can be difficult. Most people want to feel connected, cared for, and understood by their mate. Sometimes it feels as though there are two strangers living together. If this is you do not lose hope...
(360) 329-2945 View (360) 329-2945
Photo of Robert G McQuillen, Counselor, LMHC, MS, NCC
Robert G McQuillen
Counselor, LMHC, MS, NCC
Serves Area
Counseling works best when there is an understanding of your concern and a plan of action for making positive change. I see counseling as a collaborative process; I will work with you to find ways of dealing with challenges that result in improvement for you, your partner, and for your family. My ideal client is curious about how they could live a more fulfilling life. I also enjoy working with reluctant or skeptical clients who may have had a bad experience in counseling before.
Counseling works best when there is an understanding of your concern and a plan of action for making positive change. I see counseling as a collaborative process; I will work with you to find ways of dealing with challenges that result in improvement for you, your partner, and for your family. My ideal client is curious about how they could live a more fulfilling life. I also enjoy working with reluctant or skeptical clients who may have had a bad experience in counseling before.
(360) 797-5924 View (360) 797-5924
Photo of Margaret Browning - Healthy Thoughts Counseling & Consultation, LLC, Counselor, MSP, LMHC, MHP
Healthy Thoughts Counseling & Consultation, LLC
Counselor, MSP, LMHC, MHP
Serves Area
Are you LIVING or just EXISTING? Depression, anxiety, fatigue, a sudden inability to manage stress, can erode your quality of life. At Healthy Thoughts Counseling we help guide you toward engaging in LIFE again. In some cases a brain injury can be a precipitating factor to the feelings of emotional disconnection. Brain injuries occur from a blunt trauma to the brain or stroke,residual damage can also occur with the occurrence of frequent severe migraines. Our services are not limited to Brain Injury, we provide marital/relationship counseling. We help you rebuild communication skills necessary to keep the relationship alive.
Are you LIVING or just EXISTING? Depression, anxiety, fatigue, a sudden inability to manage stress, can erode your quality of life. At Healthy Thoughts Counseling we help guide you toward engaging in LIFE again. In some cases a brain injury can be a precipitating factor to the feelings of emotional disconnection. Brain injuries occur from a blunt trauma to the brain or stroke,residual damage can also occur with the occurrence of frequent severe migraines. Our services are not limited to Brain Injury, we provide marital/relationship counseling. We help you rebuild communication skills necessary to keep the relationship alive.
(360) 339-8830 View (360) 339-8830
Photo of Arabeth Mashek, Licensed Professional Counselor, MA, LPC, LMHC
Arabeth Mashek
Licensed Professional Counselor, MA, LPC, LMHC
6 Endorsed
Serves Area
Trauma leaves us feeling damaged, broken, and disconnected from ourselves and others. You might be tired of feeling triggered by small things in your life, lonely and isolated as others in your life don’t understand you, or you might feel guilty or ashamed of what has happened to you. It has been so long since you have felt like yourself. You’re ready to make a change. You’re ready to be free from the past haunting you. You’re ready to have deep meaningful relationships with others. Most of all, you’re ready to feel confident and trust yourself. I can help you get there.
Trauma leaves us feeling damaged, broken, and disconnected from ourselves and others. You might be tired of feeling triggered by small things in your life, lonely and isolated as others in your life don’t understand you, or you might feel guilty or ashamed of what has happened to you. It has been so long since you have felt like yourself. You’re ready to make a change. You’re ready to be free from the past haunting you. You’re ready to have deep meaningful relationships with others. Most of all, you’re ready to feel confident and trust yourself. I can help you get there.
(360) 531-7509 View (360) 531-7509
Photo of Dr. Deborah Connors, Counselor, DMFT, LMHC, CFLE
Dr. Deborah Connors
Counselor, DMFT, LMHC, CFLE
1 Endorsed
Serves Area
I believe that every person can find a way toward hope, healing, and meaningful change—I also know it can be hard to navigate the process alone. I work with adults, couples, and families navigating trauma, life stage transitions, relational stress, and complex dynamics. Life can leave us feeling stuck in old patterns, worn down by relational pressures, or overwhelmed by struggles that make it hard to recognize ourselves or relate to others. I understand because I’ve been on the other side. That experience shapes the compassionate space I offer to explore what hurts, name what’s been lost, and reconnect with what matters.
I believe that every person can find a way toward hope, healing, and meaningful change—I also know it can be hard to navigate the process alone. I work with adults, couples, and families navigating trauma, life stage transitions, relational stress, and complex dynamics. Life can leave us feeling stuck in old patterns, worn down by relational pressures, or overwhelmed by struggles that make it hard to recognize ourselves or relate to others. I understand because I’ve been on the other side. That experience shapes the compassionate space I offer to explore what hurts, name what’s been lost, and reconnect with what matters.
(360) 869-0367 View (360) 869-0367

How does your Therapist compare?

Number of Therapists in Fairway 164th, Vancouver, WA

40+

Average cost per session

$175

Therapists in Fairway 164th, Vancouver, WA who prioritize treating:

88% Anxiety
83% Depression
83% Trauma and PTSD
80% Relationship Issues
78% Coping Skills
78% Self Esteem
75% Stress

Average years in practice

10 Years

Top 3 insurances accepted

79% Aetna
64% PacificSource
61% BlueCross and BlueShield

How Therapists in Fairway 164th, Vancouver, WA see their clients

72% In Person and Online
28% Online Only

Gender breakdown

81% Female
19% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Fairway 164th, 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.