Therapists in Wenatchee, WA

Photo of Jim Kaing, MA, LMHC, MHP, NCC, Counselor
Jim Kaing
Counselor, MA, LMHC, MHP, NCC
Verified Verified
1 Endorsed
Wenatchee, WA 98801  (Online Only)
Not accepting new clients
My holistic approach integrates physical, mental, emotional, and spiritual forms of well-being. The overall goal is to help individuals develop a deeper understanding of themselves on all these levels. For some, the goal of counseling may be to improve personal, familial, social, and/or community functioning. While for others, the aim is building, self-esteem, reducing anxiety or strengthening coping mechanisms. I provide a safe and non-judgmental space for individuals to unpack emotional and mental distress while working on grounding techniques, challenging unhelpful automatic thoughts, and processing trauma.
My holistic approach integrates physical, mental, emotional, and spiritual forms of well-being. The overall goal is to help individuals develop a deeper understanding of themselves on all these levels. For some, the goal of counseling may be to improve personal, familial, social, and/or community functioning. While for others, the aim is building, self-esteem, reducing anxiety or strengthening coping mechanisms. I provide a safe and non-judgmental space for individuals to unpack emotional and mental distress while working on grounding techniques, challenging unhelpful automatic thoughts, and processing trauma.
(509) 502-6647 View (509) 502-6647
Photo of Jennifer D Willett - Peak Performance Counseling and Consulting, PLLC, LMHC, ACS, Counselor
Peak Performance Counseling and Consulting, PLLC
Counselor, LMHC, ACS
Verified Verified
3 Endorsed
Wenatchee, WA 98801
As a Behavioral Health Therapist for more than 15 years, I feel passionate about assisting clients in the process of coming to know themselves better. By working to establish goals, listening intently, and identifying insights, attending therapy can help you improve self knowledge and directly impact your relationships, work, and play. I specialize in individual and family therapy for ages 16+ focusing on adjustment issues, anxiety, depression, phase of life changes, trauma, and couples counseling. I also have training in sports psychology and specialize in improving sports/professional performance.
As a Behavioral Health Therapist for more than 15 years, I feel passionate about assisting clients in the process of coming to know themselves better. By working to establish goals, listening intently, and identifying insights, attending therapy can help you improve self knowledge and directly impact your relationships, work, and play. I specialize in individual and family therapy for ages 16+ focusing on adjustment issues, anxiety, depression, phase of life changes, trauma, and couples counseling. I also have training in sports psychology and specialize in improving sports/professional performance.
(509) 685-3170 View (509) 685-3170
Photo of Dee Cummings - Pathways to Parenting, BSP, CC, Counselor
Pathways to Parenting
Counselor, BSP, CC
Verified Verified
Wenatchee, WA 98801
My focus is on the struggling families, providing support and encouragement in reframing the family dynamic, bringing into play the family history and what brought the client to where they are at today; focusing on moving beyond the moment, improving the future. I work primarily with the Department of Developmental Disabilities and custody dispute cases providing Parent Education, Counseling, Anger Management, and Behavioral Support Services for youth.
My focus is on the struggling families, providing support and encouragement in reframing the family dynamic, bringing into play the family history and what brought the client to where they are at today; focusing on moving beyond the moment, improving the future. I work primarily with the Department of Developmental Disabilities and custody dispute cases providing Parent Education, Counseling, Anger Management, and Behavioral Support Services for youth.
(509) 631-9591 View (509) 631-9591
Photo of Miglany Gomila, PhD, Psychologist
Miglany Gomila
Psychologist, PhD
Verified Verified
1 Endorsed
Wenatchee, WA 98801  (Online Only)
Are you struggling to make necessary changes during difficult times of your life? Are you a caregiver that is "running on empty" all the time? Are your health challenges making you feel like you are existing rather than living? Sometimes, these issues requires some guidance, introspection and support that an authentic, warm and professional therapy space can offer. As a licensed psychologist I would be honored to offer that space, one that feels safe to discuss what may be distressing you.
Are you struggling to make necessary changes during difficult times of your life? Are you a caregiver that is "running on empty" all the time? Are your health challenges making you feel like you are existing rather than living? Sometimes, these issues requires some guidance, introspection and support that an authentic, warm and professional therapy space can offer. As a licensed psychologist I would be honored to offer that space, one that feels safe to discuss what may be distressing you.
(509) 712-2263 View (509) 712-2263
Photo of Rebecca Waggoner, MS, LMHC, Counselor
Rebecca Waggoner
Counselor, MS, LMHC
Verified Verified
2 Endorsed
Wenatchee, WA 98801  (Online Only)
I honor the incredible innate capacity for healing within each human being. In therapy, we'll explore which parts of yourself are needing attention or internally blocked and tend to them with compassionate curiosity to bring you into a fuller more easeful expression of yourself.
I honor the incredible innate capacity for healing within each human being. In therapy, we'll explore which parts of yourself are needing attention or internally blocked and tend to them with compassionate curiosity to bring you into a fuller more easeful expression of yourself.
(509) 637-7121 View (509) 637-7121
Photo of Dana Wolf, MS, LMHC, Counselor
Dana Wolf
Counselor, MS, LMHC
Verified Verified
Wenatchee, WA 98801
Not accepting new clients
I have been providing therapy services since 2005 to individuals with a variety of mental health challenges such as depression, post-traumatic stress disorder, anxiety, and bipolar disorder. The majority of my experience comes from working in community mental health. I specialize in treating individuals with anxiety and post-traumatic stress disorder by using a highly effective treatment modality called EMDR, which can take fewer sessions to effect change than traditional therapy. I also have many years experience assisting individuals who are coming to terms with their sexual orientation and/or gender identity.
I have been providing therapy services since 2005 to individuals with a variety of mental health challenges such as depression, post-traumatic stress disorder, anxiety, and bipolar disorder. The majority of my experience comes from working in community mental health. I specialize in treating individuals with anxiety and post-traumatic stress disorder by using a highly effective treatment modality called EMDR, which can take fewer sessions to effect change than traditional therapy. I also have many years experience assisting individuals who are coming to terms with their sexual orientation and/or gender identity.
(509) 774-2388 View (509) 774-2388
Photo of Stacey Barnhill, MSW , LICSW, Clinical Social Work/Therapist
Stacey Barnhill
Clinical Social Work/Therapist, MSW , LICSW
Verified Verified
Wenatchee, WA 98801
I am a strengths perspective Clinical Social Worker, and Child Mental Health Specialist who has been working in the Wenatchee Valley since 1999, and in private practice at Listen To Kids Counseling in downtown Leavenworth since 2004. Helping children and their families to thrive through adverse experiences, and recover to their sense of well being is my number one goal in practice. It has been, and continues to be a great honor to work with families toward their greater health and healing. I would be very happy to talk with you to see if I am the right person to help you with your family.
I am a strengths perspective Clinical Social Worker, and Child Mental Health Specialist who has been working in the Wenatchee Valley since 1999, and in private practice at Listen To Kids Counseling in downtown Leavenworth since 2004. Helping children and their families to thrive through adverse experiences, and recover to their sense of well being is my number one goal in practice. It has been, and continues to be a great honor to work with families toward their greater health and healing. I would be very happy to talk with you to see if I am the right person to help you with your family.
(509) 581-4284 View (509) 581-4284
Photo of Sarah Caldwell, LICSW, Clinical Social Work/Therapist
Sarah Caldwell
Clinical Social Work/Therapist, LICSW
Verified Verified
Wenatchee, WA 98801
Waitlist for new clients
There has to be an easier way to get through life. Anxiety, depression and constant stress can't be how everyone else feels all the time. You talk to your girlfriends, and they’re a great support but that relief never lasts. You feel like you’re running in circles trying this tip and that. You wonder if you might be broken. You’re ready for things to change - actually change - this time. You’re ready to get out of survival mode and let go of anxiety and insecurity. Most of all, you’re ready for your life to feel peaceful and authentic.
There has to be an easier way to get through life. Anxiety, depression and constant stress can't be how everyone else feels all the time. You talk to your girlfriends, and they’re a great support but that relief never lasts. You feel like you’re running in circles trying this tip and that. You wonder if you might be broken. You’re ready for things to change - actually change - this time. You’re ready to get out of survival mode and let go of anxiety and insecurity. Most of all, you’re ready for your life to feel peaceful and authentic.
(509) 517-6626 View (509) 517-6626
Photo of Mike Magnotti - Mike Magnotti - New Life Counseling, MA, LMHC, Counselor
Mike Magnotti - New Life Counseling
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Wenatchee, WA 98801  (Online Only)
New Life Counseling offers a unique concept in personal counseling; forthright and economical quality of service. I work with you to help you understand your thought progressions, your belief systems and your resulting behavior. I want to help you understand how your thought/behavior process influences your emotional and mental health and your relationships. I am willing to be aggressive to help you confront thinking patterns which contribute to the issues and behaviors which have led you to seek counseling.
New Life Counseling offers a unique concept in personal counseling; forthright and economical quality of service. I work with you to help you understand your thought progressions, your belief systems and your resulting behavior. I want to help you understand how your thought/behavior process influences your emotional and mental health and your relationships. I am willing to be aggressive to help you confront thinking patterns which contribute to the issues and behaviors which have led you to seek counseling.
(509) 502-6728 View (509) 502-6728
Photo of Holly Zvonec, MA, LMHC, Counselor
Holly Zvonec
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Wenatchee, WA 98801  (Online Only)
There are seasons for renewal, change and healing. Seeking therapy is a brave and vulnerable step. My specialty is counseling children, teens, and adults who are strong, but feel weighed down by trauma, perfectionism, anxiety, depression, and self worth. Perhaps you are searching because something feels broken in your life: relationships are disconnected, or an event haunts you from the past, or your emotions are overwhelming. Perhaps you are plagued by hidden grief or rejection, and you feel restless or wounded as a result. You are not alone, and you don't have to stay stuck.
There are seasons for renewal, change and healing. Seeking therapy is a brave and vulnerable step. My specialty is counseling children, teens, and adults who are strong, but feel weighed down by trauma, perfectionism, anxiety, depression, and self worth. Perhaps you are searching because something feels broken in your life: relationships are disconnected, or an event haunts you from the past, or your emotions are overwhelming. Perhaps you are plagued by hidden grief or rejection, and you feel restless or wounded as a result. You are not alone, and you don't have to stay stuck.
(509) 293-5336 View (509) 293-5336
Photo of Jesi Lingo, MEd, LMHC, SUDP, CCTP, CMHIMP, Counselor
Jesi Lingo
Counselor, MEd, LMHC, SUDP, CCTP, CMHIMP
Verified Verified
Wenatchee, WA 98801  (Online Only)
I provide a comfortable, non-judgmental, professional, and encouraging therapeutic relationship. I have 14 years of experience working with clients who struggle with mental health, trauma, and addiction issues. I provide EMDR, as well as, traditional talk therapy. I use a variety of tools and modalities to best help each individual client. If there is a specific type of therapy you are looking for please let me know and I will accommodate if it is in my wheelhouse. I enjoy collaborating with my clients to help reduce symptoms and find some peace and joy. Please call with questions.
I provide a comfortable, non-judgmental, professional, and encouraging therapeutic relationship. I have 14 years of experience working with clients who struggle with mental health, trauma, and addiction issues. I provide EMDR, as well as, traditional talk therapy. I use a variety of tools and modalities to best help each individual client. If there is a specific type of therapy you are looking for please let me know and I will accommodate if it is in my wheelhouse. I enjoy collaborating with my clients to help reduce symptoms and find some peace and joy. Please call with questions.
(425) 541-7661 View (425) 541-7661
Photo of Tim Bartlett, MS, LMHC, Counselor
Tim Bartlett
Counselor, MS, LMHC
Verified Verified
Wenatchee, WA 98801
Are you looking for redemption? For a way through the pain to a place of emotional growth and spiritual freedom? Perhaps today is the day to seek help and begin the journey back to who you were meant to be....Based on Romans 12:2, my counseling approach is to assist clients with the transformation of inaccurate thoughts, beliefs and self-perceptions. I use a strengths-based model grounded in encouragement and practical feedback. I work together with my clients to identify and activate their talents and unrealized spiritual potential to bring about positive change and emotional healing.
Are you looking for redemption? For a way through the pain to a place of emotional growth and spiritual freedom? Perhaps today is the day to seek help and begin the journey back to who you were meant to be....Based on Romans 12:2, my counseling approach is to assist clients with the transformation of inaccurate thoughts, beliefs and self-perceptions. I use a strengths-based model grounded in encouragement and practical feedback. I work together with my clients to identify and activate their talents and unrealized spiritual potential to bring about positive change and emotional healing.
(509) 774-5390 View (509) 774-5390
Photo of Althea Alpin, PhD, Psychologist
Althea Alpin
Psychologist, PhD
Verified Verified
Wenatchee, WA 98801
I am a neurodivergent genderqueer transwoman. I focus very specifically on working with transfolk, enbies, neurospicy folk, and/or OSDD/DID systems at this time. I work with preteens, teens, and adults. I am very happy to do an assessment for WPATH letters for gender affirming surgeries. For WPATH letters I take almost any insurance including Molina and Medicare. While I work with folks on the spectrum, I am not equipped to provide assessments for autism spectrum disorders at this time. I also offer electrolysis. :)
I am a neurodivergent genderqueer transwoman. I focus very specifically on working with transfolk, enbies, neurospicy folk, and/or OSDD/DID systems at this time. I work with preteens, teens, and adults. I am very happy to do an assessment for WPATH letters for gender affirming surgeries. For WPATH letters I take almost any insurance including Molina and Medicare. While I work with folks on the spectrum, I am not equipped to provide assessments for autism spectrum disorders at this time. I also offer electrolysis. :)
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Photo of Michael Civile, LMHC, MS
Michael Civile
Mental Health Counselor, LMHC, MS
Verified Verified
Wenatchee, WA 98801
Waitlist for new clients
In all seasons of life, I have found that being listened to and understood by a trained professional has been invaluable. These days, stress is impacting us more than ever. Maybe the ways you’re coping are taking a toll on you or the ones you care about. Maybe you're finding it hard to "leave work at work" and be present at home. Or you realize the things you've been working towards leave you feeling sort of empty and you want to make some changes. Or maybe the question, "Why do I keep doing (fill in the blank)?" has been circling your mind for a while.
In all seasons of life, I have found that being listened to and understood by a trained professional has been invaluable. These days, stress is impacting us more than ever. Maybe the ways you’re coping are taking a toll on you or the ones you care about. Maybe you're finding it hard to "leave work at work" and be present at home. Or you realize the things you've been working towards leave you feeling sort of empty and you want to make some changes. Or maybe the question, "Why do I keep doing (fill in the blank)?" has been circling your mind for a while.
(509) 295-9592 View (509) 295-9592
Photo of Hannah Mielke, MA, LMHCA, Counselor
Hannah Mielke
Counselor, MA, LMHCA
Verified Verified
Wenatchee, WA 98801  (Online Only)
Counseling is sacred work. It is through the vehicle of relationship, with both God and others, that humans were intended to experience restoration. While indeed relationships can be a source of pain, they are also a powerful force for resiliency. Through the therapeutic relationship, I enjoy coming alongside clients on their journey by providing a safe and compassionate space for exploration. Together we will go beyond just symptom management and work toward understanding the root of what you are experiencing. Whatever you are facing, you were never meant to do so in isolation.
Counseling is sacred work. It is through the vehicle of relationship, with both God and others, that humans were intended to experience restoration. While indeed relationships can be a source of pain, they are also a powerful force for resiliency. Through the therapeutic relationship, I enjoy coming alongside clients on their journey by providing a safe and compassionate space for exploration. Together we will go beyond just symptom management and work toward understanding the root of what you are experiencing. Whatever you are facing, you were never meant to do so in isolation.
(509) 769-3205 View (509) 769-3205
Photo of Heidi Whitney, LMHC, Counselor
Heidi Whitney
Counselor, LMHC
Verified Verified
Wenatchee, WA 98801
Waitlist for new clients
EMDR trauma practitioner. Combining Traditional and Holistic Care - Integrating the mind, body and spirit, is drawing from our own inner resources to bring healing to all areas of our lives. We can release limited beliefs that keep us stuck, release cellular memories of past trauma's, create healthy shifts in behavioral patterns, nurture loving relationships, improve our physical health and live a conscious and empowered life. In my practice, I blend EMDR (Trauma releasing technique) with Visualization, Cognitive Behavioral interweaves, and Cellular Memory release techniques. Trained in intensive Grief Therapy.
EMDR trauma practitioner. Combining Traditional and Holistic Care - Integrating the mind, body and spirit, is drawing from our own inner resources to bring healing to all areas of our lives. We can release limited beliefs that keep us stuck, release cellular memories of past trauma's, create healthy shifts in behavioral patterns, nurture loving relationships, improve our physical health and live a conscious and empowered life. In my practice, I blend EMDR (Trauma releasing technique) with Visualization, Cognitive Behavioral interweaves, and Cellular Memory release techniques. Trained in intensive Grief Therapy.
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Photo of Megan Mitchell, MS, LMHC, NCC, Counselor
Megan Mitchell
Counselor, MS, LMHC, NCC
Verified Verified
Wenatchee, WA 98801  (Online Only)
Are you having difficulty finding balance or meaning in your life? Are you feeling overwhelmed with life's day to day challenges? Are you struggling with your relationships or parenting? Are you suffering the effects of trauma, anxiety or depression? Does healing feel impossible? Sometimes, we might know something has to change, but not know where to start. While the counseling process can feel scary, you are not alone. My goal is to empower change by providing a safe, healing environment that supports self discovery and understanding.
Are you having difficulty finding balance or meaning in your life? Are you feeling overwhelmed with life's day to day challenges? Are you struggling with your relationships or parenting? Are you suffering the effects of trauma, anxiety or depression? Does healing feel impossible? Sometimes, we might know something has to change, but not know where to start. While the counseling process can feel scary, you are not alone. My goal is to empower change by providing a safe, healing environment that supports self discovery and understanding.
(509) 749-7998 View (509) 749-7998
Photo of Julie A Rickard, PhD, Psychologist
Julie A Rickard
Psychologist, PhD
Verified Verified
Wenatchee, WA 98801  (Online Only)
I specialize in working with people that have complicated medical issues that impact mental health. My background is in health psychology, neurocognitive issues, suicide prevention, OCD and similar other related disorders, as well as end of life. Though I also enjoy working with families, and any other mental health issues. PTSD related to abuse is not my specialty.
I specialize in working with people that have complicated medical issues that impact mental health. My background is in health psychology, neurocognitive issues, suicide prevention, OCD and similar other related disorders, as well as end of life. Though I also enjoy working with families, and any other mental health issues. PTSD related to abuse is not my specialty.
(509) 204-8976 View (509) 204-8976
Photo of Kristin Marie Bates, LMHCA, Counselor
Kristin Marie Bates
Counselor, LMHCA
Verified Verified
Wenatchee, WA 98801
I enjoy giving my clients a safe place to talk about their feelings and concerns. I really enjoy working with individuals on accomplishing their goals. I enjoy working with Post partum depression and post partum anxiety, Anxiety, Depression.
I enjoy giving my clients a safe place to talk about their feelings and concerns. I really enjoy working with individuals on accomplishing their goals. I enjoy working with Post partum depression and post partum anxiety, Anxiety, Depression.
(509) 732-9849 View (509) 732-9849
Photo of Samantha Nau, LICSWA, Pre-Licensed Professional
Samantha Nau
Pre-Licensed Professional, LICSWA
Verified Verified
Wenatchee, WA 98801
Not accepting new clients
You have hopeful life expectations that unfortunately sometimes are not met causing deep grief and sorrow. Whether you are grieving the loss of a loved one, a divorce, a traumatic childhood, or life goals it can leave you feeling alone and hopeless. Unmet expectations can cause you to guess your worth making it difficult to make future decisions and build connections with others. You want to feel hopeful and confident in yourself and your future. You want to feel as if you have a purpose through connections with others. My goal is to provide an empathetic, safe, and judgement free space for you to find healing, connection, and hope.
You have hopeful life expectations that unfortunately sometimes are not met causing deep grief and sorrow. Whether you are grieving the loss of a loved one, a divorce, a traumatic childhood, or life goals it can leave you feeling alone and hopeless. Unmet expectations can cause you to guess your worth making it difficult to make future decisions and build connections with others. You want to feel hopeful and confident in yourself and your future. You want to feel as if you have a purpose through connections with others. My goal is to provide an empathetic, safe, and judgement free space for you to find healing, connection, and hope.
(509) 652-2866 View (509) 652-2866
1

How does your Therapist compare?

Number of Therapists in Wenatchee, WA

70+

Average cost per session

$150

Therapists in Wenatchee, WA who prioritize treating:

91% Anxiety
84% Depression
76% Trauma and PTSD
74% Relationship Issues
71% Self Esteem
68% Stress
67% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

77% Premera Blue Cross
65% Regence
56% BlueCross and BlueShield

How Therapists in Wenatchee, WA see their clients

61% In Person and Online
39% Online Only

Gender breakdown

76% Female
22% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Wenatchee?

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.