Therapists in Van Mall, Vancouver, WA

Photo of Harry C Dudley, PsyD, Psychologist
Harry C Dudley
Psychologist, PsyD
Verified Verified
Van Mall, Vancouver, WA 98662
Not accepting new clients
My psychology practice draws upon diverse training, including but not limited to Internal Family Systems (IFS), Psychodynamic and Depth Psychology, Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy for Insomnia (CBT-I), somatic psychotherapy, Integrative Restoration Yoga Nidra Meditation (iRest) and nondual contemplative and mindfulness based interventions and practices. Meditation training is a major component of my practice. Free iRest yoga nidra meditation recordings are on my website. I provide Ketamine Assisted Psychotherapy in collaboration with Journey Clinical
My psychology practice draws upon diverse training, including but not limited to Internal Family Systems (IFS), Psychodynamic and Depth Psychology, Eye Movement Desensitization and Reprocessing (EMDR), Cognitive Behavioral Therapy for Insomnia (CBT-I), somatic psychotherapy, Integrative Restoration Yoga Nidra Meditation (iRest) and nondual contemplative and mindfulness based interventions and practices. Meditation training is a major component of my practice. Free iRest yoga nidra meditation recordings are on my website. I provide Ketamine Assisted Psychotherapy in collaboration with Journey Clinical
(360) 253-6425 View (360) 253-6425
Photo of Amanda Joyce, MA, LMHC, CMHS, Counselor
Amanda Joyce
Counselor, MA, LMHC, CMHS
Verified Verified
2 Endorsed
Online Only
I ask that all my clients come to therapy as authentic themselves as possible, and I will do the same. I am a fatally flawed human who continues to work on my own stuff, while providing the place and space for you to grow. I encourage you to show up for yourself and as yourself. Nothing is off limits or too much to talk about! You are accepted here. I enjoy working with adult women and those in helping professions (educators, nurses, etc.) working through depression, anxiety, navigating adulthood, illness/cancer, relationship issues, adjustment stress and balancing roles. I believe therapy should be helpful and enjoyable.
I ask that all my clients come to therapy as authentic themselves as possible, and I will do the same. I am a fatally flawed human who continues to work on my own stuff, while providing the place and space for you to grow. I encourage you to show up for yourself and as yourself. Nothing is off limits or too much to talk about! You are accepted here. I enjoy working with adult women and those in helping professions (educators, nurses, etc.) working through depression, anxiety, navigating adulthood, illness/cancer, relationship issues, adjustment stress and balancing roles. I believe therapy should be helpful and enjoyable.
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Photo of Katherine Afuola, LMHC, Counselor
Katherine Afuola
Counselor, LMHC
Verified Verified
Online Only
I am an open-minded trauma-informed and compassionate licensed mental health professional License LH 61256941 and substance use counselor who is able, and ready, to assist in best practices toward the goals and needs of your current situation. I invite you to reach out and follow through with finding the assistance you need. It is not easy to make a change. I have been trained in EMDR, EFT/Tapping Therapy, Trauma-informed cared, and Dialectical Behavioral Therapy. I work with adults with trauma, addiction, and life issues.
I am an open-minded trauma-informed and compassionate licensed mental health professional License LH 61256941 and substance use counselor who is able, and ready, to assist in best practices toward the goals and needs of your current situation. I invite you to reach out and follow through with finding the assistance you need. It is not easy to make a change. I have been trained in EMDR, EFT/Tapping Therapy, Trauma-informed cared, and Dialectical Behavioral Therapy. I work with adults with trauma, addiction, and life issues.
(323) 643-8569 View (323) 643-8569
Photo of Janet Engelgau, LICSW, Clinical Social Work/Therapist
Janet Engelgau
Clinical Social Work/Therapist, LICSW
Verified Verified
Van Mall, Vancouver, WA 98662
My work experience as a therapist has given me the opportunity to work with diverse populations that include a wide range of issues. I have worked with clients struggling with depression, anxiety, bipolar disorder, schizophrenia, grief and loss, recognizing and recovering from psychological abuse as well as other relationship struggles and life transitions. I use evidence based treatment and I am constantly expanding my knowledge of ways to help clients resolve past issues and lead more satisfying lives. Mental health concerns can impact any of us in our daily lives and present unexpected hurdles.
My work experience as a therapist has given me the opportunity to work with diverse populations that include a wide range of issues. I have worked with clients struggling with depression, anxiety, bipolar disorder, schizophrenia, grief and loss, recognizing and recovering from psychological abuse as well as other relationship struggles and life transitions. I use evidence based treatment and I am constantly expanding my knowledge of ways to help clients resolve past issues and lead more satisfying lives. Mental health concerns can impact any of us in our daily lives and present unexpected hurdles.
(360) 800-1701 View (360) 800-1701
Photo of Terry Turner James, LMHC, Counselor
Terry Turner James
Counselor, LMHC
Verified Verified
Online Only
Navigating through life's ever-changing landscape can be a complex journey, often marked by waves of anxiety, shades of depression, and the challenges of adjustment disorder. These experiences, though unique, share a common thread: they reflect our response to the world around us and the transitions we face. In my practice, I focus on understanding these emotional landscapes, creating a supportive space where you can explore and process these feelings. We'll work together to acknowledge the impact of life's shifts and the emotions they stir, fostering resilience and a deeper understanding of your personal journey.
Navigating through life's ever-changing landscape can be a complex journey, often marked by waves of anxiety, shades of depression, and the challenges of adjustment disorder. These experiences, though unique, share a common thread: they reflect our response to the world around us and the transitions we face. In my practice, I focus on understanding these emotional landscapes, creating a supportive space where you can explore and process these feelings. We'll work together to acknowledge the impact of life's shifts and the emotions they stir, fostering resilience and a deeper understanding of your personal journey.
(360) 262-1911 View (360) 262-1911
Photo of Dawn Del Moral, MS, LMHCA, NCC, CRC, Counselor
Dawn Del Moral
Counselor, MS, LMHCA, NCC, CRC
Verified Verified
Van Mall, Vancouver, WA 98662
Waitlist for new clients
Life can be overwhelming and feelings of insecurity, anxiety and pain can make it feel even more overwhelming. There are times that we need someone who can sit with all that we are feeling and provide a safe place to validate and hold space for all your emotions and experiences.
Life can be overwhelming and feelings of insecurity, anxiety and pain can make it feel even more overwhelming. There are times that we need someone who can sit with all that we are feeling and provide a safe place to validate and hold space for all your emotions and experiences.
(360) 347-2385 View (360) 347-2385
Photo of Dr. Maria Lise Flores - Maria Lise Flores PhD - Carefree NW, PhD, Psychologist
Maria Lise Flores PhD - Carefree NW
Psychologist, PhD
Verified Verified
Van Mall, Vancouver, WA 98662
My practice focuses on conducting psychological assessments that are impactful and life-enhancing. ADHD and autism presentations in women, BIPOC, and in previously undiagnosed mid-life adults are a special focus. Accepting new psychotherapy clients for daytime openings to address life transitions, anxiety and trauma.
My practice focuses on conducting psychological assessments that are impactful and life-enhancing. ADHD and autism presentations in women, BIPOC, and in previously undiagnosed mid-life adults are a special focus. Accepting new psychotherapy clients for daytime openings to address life transitions, anxiety and trauma.
(564) 232-8225 View (564) 232-8225
Photo of Mackenzie Gottfried, LMHC, LPC, Counselor
Mackenzie Gottfried
Counselor, LMHC, LPC
Verified Verified
Van Mall, Vancouver, WA 98662
Mackenzie Gottfried is a Licensed Professional Counselor in Washington who has been practicing since 2020. She has a Bachelor of Arts: Human Services and Psychology from Southern Oregon University and a Graduate Degree: Professional Mental Health Counseling from Lewis and Clark College. Mackenzie has a passion for mental health counseling and uses curiosity as a tool to gain insight into the inner world of her clients to better understand and support them. She is excited to show up and work with clients in their development and growth in self-discovery.
Mackenzie Gottfried is a Licensed Professional Counselor in Washington who has been practicing since 2020. She has a Bachelor of Arts: Human Services and Psychology from Southern Oregon University and a Graduate Degree: Professional Mental Health Counseling from Lewis and Clark College. Mackenzie has a passion for mental health counseling and uses curiosity as a tool to gain insight into the inner world of her clients to better understand and support them. She is excited to show up and work with clients in their development and growth in self-discovery.
(360) 472-4921 View (360) 472-4921
Photo of Russel Whitehall, LMHC, Counselor
Russel Whitehall
Counselor, LMHC
Verified Verified
Online Only
If you're feeling trapped by depression, weighed down by trauma, or overwhelmed by anxiety, you may often feel isolated or as though life is a constant struggle. These challenges can impact your relationships, daily routine, and sense of purpose, leaving you feeling disconnected from the life you want to live. My goal is to create a safe, supportive space for you to work through these experiences and rediscover your resilience. Together, we can find effective ways to manage difficult feelings, cultivate self-compassion, and build a stronger sense of self.
If you're feeling trapped by depression, weighed down by trauma, or overwhelmed by anxiety, you may often feel isolated or as though life is a constant struggle. These challenges can impact your relationships, daily routine, and sense of purpose, leaving you feeling disconnected from the life you want to live. My goal is to create a safe, supportive space for you to work through these experiences and rediscover your resilience. Together, we can find effective ways to manage difficult feelings, cultivate self-compassion, and build a stronger sense of self.
(360) 615-2852 View (360) 615-2852
Photo of Allison Chambers-Dixon, PsyD, Psychologist
Allison Chambers-Dixon
Psychologist, PsyD
Verified Verified
Van Mall, Vancouver, WA 98662
Allison is a licensed psychologist in Oregon and Washington. She has worked in private practice and university counseling settings and has extensive experience assisting adults with trauma reconciliation, disability and chronic illness, grief and loss, multicultural counseling, anxiety, depression, identity exploration, and building healthy and satisfying relationships. In addition, she has experience conducting psychological assessment.
Allison is a licensed psychologist in Oregon and Washington. She has worked in private practice and university counseling settings and has extensive experience assisting adults with trauma reconciliation, disability and chronic illness, grief and loss, multicultural counseling, anxiety, depression, identity exploration, and building healthy and satisfying relationships. In addition, she has experience conducting psychological assessment.
(360) 361-8410 View (360) 361-8410
Photo of Kelly Fenimore, MA, LMHC, LPC
Kelly Fenimore
Mental Health Counselor, MA, LMHC, LPC
Verified Verified
4 Endorsed
Van Mall, Vancouver, WA 98662
Accepting NEW Clients: Tuesdays at 3pm. We are all born with good intentions and infinite possibilities, but sometimes life knocks us off our path. Our past experiences may have shaped who we are today, including what our relationships look like with ourselves and others, but despite whatever tragic events that have occurred during our life, we are driven towards resiliency. Except this is where we can get stuck: what we used to do, what we've always done, isn't working anymore; we need to find another way. When we allow ourselves to feel connected to others and focus on our strengths, rather than weaknesses, we are able to heal.
Accepting NEW Clients: Tuesdays at 3pm. We are all born with good intentions and infinite possibilities, but sometimes life knocks us off our path. Our past experiences may have shaped who we are today, including what our relationships look like with ourselves and others, but despite whatever tragic events that have occurred during our life, we are driven towards resiliency. Except this is where we can get stuck: what we used to do, what we've always done, isn't working anymore; we need to find another way. When we allow ourselves to feel connected to others and focus on our strengths, rather than weaknesses, we are able to heal.
(360) 347-9212 View (360) 347-9212
Photo of Katelyn Yung, SUDP, Drug & Alcohol Counselor
Katelyn Yung
Drug & Alcohol Counselor, SUDP
Verified Verified
Van Mall, Vancouver, WA 98662
Katie Yung is a Licensed Professional Substance Use Disorder Counselor with 2 years of experience specializing in helping clients reach their goals. Katie treats patients between the ages of 3-90 utilizing a Person Centered, Cognitive Behavioral Therapy, and Motivational Interviewing in her approach with clients. In her free time, Katie, enjoys spending time on her paddleboard in the lake, gardening, or baking with her family. Katie has a Bachelors in Social Science from Washington State University focused on psychology and addiction.
Katie Yung is a Licensed Professional Substance Use Disorder Counselor with 2 years of experience specializing in helping clients reach their goals. Katie treats patients between the ages of 3-90 utilizing a Person Centered, Cognitive Behavioral Therapy, and Motivational Interviewing in her approach with clients. In her free time, Katie, enjoys spending time on her paddleboard in the lake, gardening, or baking with her family. Katie has a Bachelors in Social Science from Washington State University focused on psychology and addiction.
(360) 614-2255 View (360) 614-2255
Photo of Shay Reynolds, MA, LMHCA, NCC, Counselor
Shay Reynolds
Counselor, MA, LMHCA, NCC
Verified Verified
1 Endorsed
Van Mall, Vancouver, WA 98662
Waitlist for new clients
When experiences are too much, too fast, too soon, or should never have happened, it often leaves behind pain that requires attention and nurturing. Sometimes we need someone to provide that for us before we feel ready to give it to ourselves. Therapy at Portal is co-created, meaning we consider and honor your individuality, your story, the wellbeing of your mind/body, and your goals for the future. Facilitating a safe enough space is prioritized, so that you can continue to experiment with new ways of being, loving, processing, and feeling. The goal is to integrate what works for you into the story you are telling with your life.
When experiences are too much, too fast, too soon, or should never have happened, it often leaves behind pain that requires attention and nurturing. Sometimes we need someone to provide that for us before we feel ready to give it to ourselves. Therapy at Portal is co-created, meaning we consider and honor your individuality, your story, the wellbeing of your mind/body, and your goals for the future. Facilitating a safe enough space is prioritized, so that you can continue to experiment with new ways of being, loving, processing, and feeling. The goal is to integrate what works for you into the story you are telling with your life.
(360) 252-9276 View (360) 252-9276
Photo of Adam Wade-Garrett, LMHC, Counselor
Adam Wade-Garrett
Counselor, LMHC
Verified Verified
2 Endorsed
Van Mall, Vancouver, WA 98662
Counseling has a well-earned reputation for being a messy, frightening process. But you already knew that, and you came here anyway. I've treated a wide variety of struggles and time and time again the one trait I've seen lead to success is the willingness to, as Ms. Frizzle used to say, "take chances, make mistakes and get messy." So, if that's what you're here to do, then let's get to work.
Counseling has a well-earned reputation for being a messy, frightening process. But you already knew that, and you came here anyway. I've treated a wide variety of struggles and time and time again the one trait I've seen lead to success is the willingness to, as Ms. Frizzle used to say, "take chances, make mistakes and get messy." So, if that's what you're here to do, then let's get to work.
(360) 382-4509 View (360) 382-4509
Photo of David Grushkin, Counselor
David Grushkin
Counselor
Verified Verified
Van Mall, 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 Jonathan Rabon, PsyD, Psychologist
Jonathan Rabon
Psychologist, PsyD
Verified Verified
Van Mall, Vancouver, WA 98662
Education/Experience: Jonathan is a licensed Psychologist in the State of Washington. He earned his Bachelor of Arts (BA) in Psychology from the University of Alabama in 2002, Master of Arts (MA) in Clinical Psychology in 2006 and Doctor of Clinical Psychology (PsyD) from George Fox University in Newberg, Oregon. Jonathan has worked with male and female adults and adolescents in the following settings: community mental health centers, college counseling center, mental health court, youth corrections, outpatient private practice, and adult corrections.
Education/Experience: Jonathan is a licensed Psychologist in the State of Washington. He earned his Bachelor of Arts (BA) in Psychology from the University of Alabama in 2002, Master of Arts (MA) in Clinical Psychology in 2006 and Doctor of Clinical Psychology (PsyD) from George Fox University in Newberg, Oregon. Jonathan has worked with male and female adults and adolescents in the following settings: community mental health centers, college counseling center, mental health court, youth corrections, outpatient private practice, and adult corrections.
(360) 938-4216 View (360) 938-4216
Photo of Percival Fisher - Neupathway (Percival Fisher), LCSW, LICSW, Clinical Social Work/Therapist
Neupathway (Percival Fisher)
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
Van Mall, Vancouver, WA 98662
Percival Fisher Jr. is a skilled Mental Health Therapist and Graduate Nurse with 14 years of experience integrating holistic care in mental health and nursing. He utilizes evidence-based therapies, including CBT, DBT, trauma-informed care, crisis intervention, and strength-based therapy, to empower individuals in achieving mental wellness. Percival is adept at clinical frameworks for assessment, diagnosis, and intervention across various settings like hospitals, agencies, and online platforms. He excels in creating safe, welcoming environments for diverse clients, focusing on case management, care coordination, and psychotherapy.
Percival Fisher Jr. is a skilled Mental Health Therapist and Graduate Nurse with 14 years of experience integrating holistic care in mental health and nursing. He utilizes evidence-based therapies, including CBT, DBT, trauma-informed care, crisis intervention, and strength-based therapy, to empower individuals in achieving mental wellness. Percival is adept at clinical frameworks for assessment, diagnosis, and intervention across various settings like hospitals, agencies, and online platforms. He excels in creating safe, welcoming environments for diverse clients, focusing on case management, care coordination, and psychotherapy.
(360) 996-6088 View (360) 996-6088
Photo of Shawn Roger Walker - Shawn Walker, MSW, LCSWAI, Clinical Social Work/Therapist
Shawn Walker
Clinical Social Work/Therapist, MSW, LCSWAI
Verified Verified
Van Mall, Vancouver, WA 98662
Not accepting new clients
I have a passion for helping people find their strengths and authentic selves. My intuitive approach is one of honesty and compassion, in which I meet clients where they are, help them identify negative patterns, and find alternative ways forward.
I have a passion for helping people find their strengths and authentic selves. My intuitive approach is one of honesty and compassion, in which I meet clients where they are, help them identify negative patterns, and find alternative ways forward.
(360) 776-6735 x1 View (360) 776-6735 x1
Photo of Rachel Richards, LMHC, Counselor
Rachel Richards
Counselor, LMHC
Verified Verified
1 Endorsed
Online Only
At Four Winds Therapy we believe that humans have the ability to awaken their highest potential and that authentic individualized therapy and collaborative support can help one to recognize their true inner goodness. Therapy with Four Winds is client centered and we believe that therapy's focus can be whatever you'd like it to be. We are here to address your mental health needs with compassion and respect. We are trauma informed and culturally aware as well as respectful to people of all backgrounds and beliefs and we operate within counseling's strict ethical guidelines.
At Four Winds Therapy we believe that humans have the ability to awaken their highest potential and that authentic individualized therapy and collaborative support can help one to recognize their true inner goodness. Therapy with Four Winds is client centered and we believe that therapy's focus can be whatever you'd like it to be. We are here to address your mental health needs with compassion and respect. We are trauma informed and culturally aware as well as respectful to people of all backgrounds and beliefs and we operate within counseling's strict ethical guidelines.
(503) 836-8894 View (503) 836-8894
Photo of Elizabeth Knight, LCSW, Clinical Social Work/Therapist
Elizabeth Knight
Clinical Social Work/Therapist, LCSW
Verified Verified
Van Mall, Vancouver, WA 98662
Elizabeth is a Licensed Clinical Social Worker, who has been practicing Acceptance and Commitment Therapy (ACT) since 2019. She received her Masters in Social Work from Walla Walla University and worked as a medical social worker before coming to LifeStance. Elizabeth uses Acceptance and Commitment Therapy collaboratively with clients. She believes that using warmth, authenticity, and humor creates an atmosphere of connection, safety and the vulnerability which develops a therapeutic relationship that supports growth.
Elizabeth is a Licensed Clinical Social Worker, who has been practicing Acceptance and Commitment Therapy (ACT) since 2019. She received her Masters in Social Work from Walla Walla University and worked as a medical social worker before coming to LifeStance. Elizabeth uses Acceptance and Commitment Therapy collaboratively with clients. She believes that using warmth, authenticity, and humor creates an atmosphere of connection, safety and the vulnerability which develops a therapeutic relationship that supports growth.
(360) 517-1147 View (360) 517-1147

See more therapy options for Van Mall, Vancouver

How does your Therapist compare?

Number of Therapists in Van Mall, Vancouver, WA

100+

Average cost per session

$140

Therapists in Van Mall, Vancouver, WA who prioritize treating:

92% Anxiety
86% Depression
71% Trauma and PTSD
63% Life Transitions
59% Grief
57% Stress
51% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

89% Aetna
83% Cigna and Evernorth
67% UnitedHealthcare UHC | UBH

How Therapists in Van Mall, Vancouver, WA see their clients

69% In Person and Online
31% Online Only

Gender breakdown

76% Female
23% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Van Mall, 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.