Therapists in Tacoma, WA

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Photo of Meaghan Trezza, Counselor in Tacoma, WA
Meaghan Trezza
Counselor, LMHC, MS, NCC
Verified Verified
Tacoma, WA 98405
I am a Licensed Mental Health Therapist with a passion for helping individuals connect with themselves, their strengths, and joy to live a more balanced and fulfilling life. In my practice, I utilize a combination of person-centered, Somatic Experiencing, existential, self-compassion work, and mindfulness-based interventions. My approach is multicultural and intersectional, utilizing my degree in political science to take into account the impact that oppressive systems have on mental health. My approach is relational, trauma-informed, and showing up genuine, authentic, and curious in our space together.
I am a Licensed Mental Health Therapist with a passion for helping individuals connect with themselves, their strengths, and joy to live a more balanced and fulfilling life. In my practice, I utilize a combination of person-centered, Somatic Experiencing, existential, self-compassion work, and mindfulness-based interventions. My approach is multicultural and intersectional, utilizing my degree in political science to take into account the impact that oppressive systems have on mental health. My approach is relational, trauma-informed, and showing up genuine, authentic, and curious in our space together.
(253) 352-3476 View (253) 352-3476
Photo of Hillary Flieder, Counselor in Tacoma, WA
Hillary Flieder
Counselor
Verified Verified
Tacoma, WA 98405
Hillary Flieder is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2023. She has a Master of Arts in Counseling. Hillary provides clients empathy while utilizing cognitive behavior therapy interventions, psychoeducation, grounding, and mindfulness skills. She works with individuals 18 and older. Many of her clients come in when they are struggling with self-esteem, depression, and anxiety. Hillary is particularly passionate about serving adults who struggle with PTSD and grief and loss.
Hillary Flieder is a Licensed Mental Health Counselor Associate in Washington who has been practicing since 2023. She has a Master of Arts in Counseling. Hillary provides clients empathy while utilizing cognitive behavior therapy interventions, psychoeducation, grounding, and mindfulness skills. She works with individuals 18 and older. Many of her clients come in when they are struggling with self-esteem, depression, and anxiety. Hillary is particularly passionate about serving adults who struggle with PTSD and grief and loss.
(253) 676-9334 View (253) 676-9334
Photo of Joanne M Marcoe in Tacoma, WA
Joanne M Marcoe
CH, BA, MPA
Verified Verified
Tacoma, WA 98407
The Magic in Hypnosis is not what the Hypnotist does; the Magic is YOU! The "True You" is right before your eyes...Waiting to Emerge! I can help you look inside and uproot some of what binds you. We all have a story, some is known but much is unknown. We live in very stressful times built on top of past and dumped into our future trip. Inspite of the spin around us; hope can be found!
The Magic in Hypnosis is not what the Hypnotist does; the Magic is YOU! The "True You" is right before your eyes...Waiting to Emerge! I can help you look inside and uproot some of what binds you. We all have a story, some is known but much is unknown. We live in very stressful times built on top of past and dumped into our future trip. Inspite of the spin around us; hope can be found!
(253) 364-1163 View (253) 364-1163
Photo of Elizabeth (Lizz) Jenkins, Counselor in Tacoma, WA
Elizabeth (Lizz) Jenkins
Counselor, MEd, LMHCA
Verified Verified
Tacoma, WA 98405  (Online Only)
As a counselor, I believe that the most important aspect of my work is meeting clients where they are and building a therapeutic relationship. I have found that many clients seek help with anxiety, ADHD, life transitions, trauma, and depression, and I strive to create a safe and non-judgmental space for clients to explore these issues. By using a flexible and integrative approach, I help clients to develop a deeper understanding and compassion for themselves and provide them with support as they overcome their challenges, whether healing past experiences, coping with the present, or moving towards their future potential.
As a counselor, I believe that the most important aspect of my work is meeting clients where they are and building a therapeutic relationship. I have found that many clients seek help with anxiety, ADHD, life transitions, trauma, and depression, and I strive to create a safe and non-judgmental space for clients to explore these issues. By using a flexible and integrative approach, I help clients to develop a deeper understanding and compassion for themselves and provide them with support as they overcome their challenges, whether healing past experiences, coping with the present, or moving towards their future potential.
(253) 600-3408 View (253) 600-3408
Photo of Tacoma Counseling Services, Marriage & Family Therapist Associate in Tacoma, WA
Tacoma Counseling Services
Marriage & Family Therapist Associate, MAT, MA, LMFTA
Verified Verified
9 Endorsed
Tacoma, WA 98405  (Online Only)
One of the things I’ve come to value the most in life is honest conversation. It’s freeing to share about things we’re struggling with, and to be truly heard without judgment. In every session, I aim to give this opportunity to my clients. I use a number of therapeutic approaches, all of which consider the whole person and recognize the impact of their closest relationships.
One of the things I’ve come to value the most in life is honest conversation. It’s freeing to share about things we’re struggling with, and to be truly heard without judgment. In every session, I aim to give this opportunity to my clients. I use a number of therapeutic approaches, all of which consider the whole person and recognize the impact of their closest relationships.
(253) 300-1258 View (253) 300-1258
Photo of Kelly Peck, Counselor in Tacoma, WA
Kelly Peck
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98402
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. I believe that children, adolescents, adults, couples and families can and deserve symptom relief, peace, harmony and greater satisfaction in their personal life, marriage, job, school, and interpersonal relationships. I provide a safe, warm and confidential therapeutic environment to achieve these goals with you.
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it. I believe that children, adolescents, adults, couples and families can and deserve symptom relief, peace, harmony and greater satisfaction in their personal life, marriage, job, school, and interpersonal relationships. I provide a safe, warm and confidential therapeutic environment to achieve these goals with you.
(253) 292-5139 View (253) 292-5139
Photo of Alexandra Emery, Psychologist in Tacoma, WA
Alexandra Emery
Psychologist, PhD
Verified Verified
3 Endorsed
Tacoma, WA 98402  (Online Only)
From the outside it seems like you have it all together, so why aren't you content? Maybe it's work, your relationships, or something else you can't quite put your finger on. Maybe you're struggling with feelings of sadness, unfulfillment, or pain. Maybe you find it difficult to relax, be present, and are constantly looking forward to when you'll finally be happy. Whatever it is, it doesn't feel good, and it definitely doesn't have to be this way. In therapy, I will work to build a collaborative relationship where we can explore these feelings together, and help you to tap into a life that holds more meaning, ease, and fulfilment.
From the outside it seems like you have it all together, so why aren't you content? Maybe it's work, your relationships, or something else you can't quite put your finger on. Maybe you're struggling with feelings of sadness, unfulfillment, or pain. Maybe you find it difficult to relax, be present, and are constantly looking forward to when you'll finally be happy. Whatever it is, it doesn't feel good, and it definitely doesn't have to be this way. In therapy, I will work to build a collaborative relationship where we can explore these feelings together, and help you to tap into a life that holds more meaning, ease, and fulfilment.
(253) 262-0647 View (253) 262-0647
Desiree Turner
Counselor, MEd, LMHC
Verified Verified
Tacoma, WA 98406
I focus on helping my clients understand and heal attachment issues, processing of trauma, resolving parenting difficulties, and work/life conflicts. My goal is to give my clients a place to feel safe to discuss the stresses and troubles they may be experiencing. Although I counsel people of all ages, I particularly enjoy seeing children under the age of 18. I also like to provide support for parents and help the family achieve regulation by improving understanding and communication between family members.
I focus on helping my clients understand and heal attachment issues, processing of trauma, resolving parenting difficulties, and work/life conflicts. My goal is to give my clients a place to feel safe to discuss the stresses and troubles they may be experiencing. Although I counsel people of all ages, I particularly enjoy seeing children under the age of 18. I also like to provide support for parents and help the family achieve regulation by improving understanding and communication between family members.
(253) 237-4973 View (253) 237-4973
Photo of Jacob Morrow, LPC Intern in Tacoma, WA
Jacob Morrow
LPC Intern, LPC Int
Verified Verified
Tacoma, WA 98404  (Online Only)
Hello and welcome. By taking the time to seek counseling, you are taking a big step toward wellness. I understand that finding the right fit in counseling is of vital importance to the healing you want to experience. My approach toward counseling is focused on the person sitting (virtually) in front of me. My aim in establishing a helpful counseling relationship is to build a space where my clients feel safe, heard, seen, respected, and cared for. I believe that effective counseling is a process in which my clients have the space and feel empowered to explore their life experiences safely.
Hello and welcome. By taking the time to seek counseling, you are taking a big step toward wellness. I understand that finding the right fit in counseling is of vital importance to the healing you want to experience. My approach toward counseling is focused on the person sitting (virtually) in front of me. My aim in establishing a helpful counseling relationship is to build a space where my clients feel safe, heard, seen, respected, and cared for. I believe that effective counseling is a process in which my clients have the space and feel empowered to explore their life experiences safely.
(253) 245-3550 View (253) 245-3550
Photo of Alyshia Collins, Counselor in Tacoma, WA
Alyshia Collins
Counselor, LMHCA, MEd
Verified Verified
Tacoma, WA 98407  (Online Only)
My therapeutic philosophy is rooted in compassion and a person-centered approach, which forms the cornerstone of my practice. I meet clients where they are in their journey, fostering a safe and supportive space for exploration and growth. Utilizing HIPAA-compliant telehealth platforms, I provide convenient and confidential services exclusively through remote sessions. A lifelong learner myself, I am committed to continuous professional development, recognizing the importance of self-improvement, just as my clients endeavor to enhance their lives. My areas of focus include self-esteem, life-transitions, depression, grief, & anxiety.
My therapeutic philosophy is rooted in compassion and a person-centered approach, which forms the cornerstone of my practice. I meet clients where they are in their journey, fostering a safe and supportive space for exploration and growth. Utilizing HIPAA-compliant telehealth platforms, I provide convenient and confidential services exclusively through remote sessions. A lifelong learner myself, I am committed to continuous professional development, recognizing the importance of self-improvement, just as my clients endeavor to enhance their lives. My areas of focus include self-esteem, life-transitions, depression, grief, & anxiety.
(253) 367-4739 View (253) 367-4739
Photo of Staci D Dycus, Counselor in Tacoma, WA
Staci D Dycus
Counselor, MS, MHP, AAC
Verified Verified
1 Endorsed
Tacoma, WA 98409  (Online Only)
Waitlist for new clients
I don't know about you, but the last couple of years have been extremely challenging in all walks of life. I understand it takes courage to pursue a therapeutic relationship while navigating through life obstacles. I value my connection with my Clients and honored to be part of their personal journey. My Clinical background includes working with Anxiety, Social Anxiety, Depression, Self Love/Self Esteem, Highly Capable/ASD, OCD, and ADHD.
I don't know about you, but the last couple of years have been extremely challenging in all walks of life. I understand it takes courage to pursue a therapeutic relationship while navigating through life obstacles. I value my connection with my Clients and honored to be part of their personal journey. My Clinical background includes working with Anxiety, Social Anxiety, Depression, Self Love/Self Esteem, Highly Capable/ASD, OCD, and ADHD.
(253) 400-5731 View (253) 400-5731
Photo of Sharon Lee, Marriage & Family Therapist in Tacoma, WA
Sharon Lee
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
3 Endorsed
Tacoma, WA 98404  (Online Only)
Do you feel like you've tried everything and you're ready for a change? If you've been feeling stressed, overwhelmed and exhausted lately, you've come to the right place. I use family systems techniques to enable you to access your strengths and achieve relief. Together we will create a plan to get your life back on track. Relationships are complicated and you deserve a specialist to help you navigate life's challenges.
Do you feel like you've tried everything and you're ready for a change? If you've been feeling stressed, overwhelmed and exhausted lately, you've come to the right place. I use family systems techniques to enable you to access your strengths and achieve relief. Together we will create a plan to get your life back on track. Relationships are complicated and you deserve a specialist to help you navigate life's challenges.
(253) 264-0894 View (253) 264-0894
Photo of Dr. Brook Gillaspie, Counselor in Tacoma, WA
Dr. Brook Gillaspie
Counselor, PhD, LMHC
Verified Verified
Tacoma, WA 98406
I am currently accepting patients seeking trauma-informed therapy through EMDR or CPT. I have a diverse background helping adults improve their ability to manage challenges life has thrown their way. Maybe you are struggling with relationships or experiencing difficulty managing stressors and thoughts that impact your daily life. Together we can work to make tackling life's curveballs more manageable. You can schedule with me directly at headway.co/providers/brook-gillaspie.
I am currently accepting patients seeking trauma-informed therapy through EMDR or CPT. I have a diverse background helping adults improve their ability to manage challenges life has thrown their way. Maybe you are struggling with relationships or experiencing difficulty managing stressors and thoughts that impact your daily life. Together we can work to make tackling life's curveballs more manageable. You can schedule with me directly at headway.co/providers/brook-gillaspie.
(253) 499-8298 View (253) 499-8298
Photo of Cuyler Simmons, Clinical Social Work/Therapist in Tacoma, WA
Cuyler Simmons
Clinical Social Work/Therapist, LICSW, SUDP
Verified Verified
Tacoma, WA 98402  (Online Only)
We all carry our pasts with us, which influences our personalities and life challenges. I strive to build an honest, open, and non-judgmental relationship with my clients to explore struggles such as childhood and adult trauma, complex PTSD, anxiety, mood disorders, personality disorders, psychosis, addiction, substance abuse, domestic violence, attachment wounds and relationship complexities. I also work with clients to explore career options that best suit their personalities, skill sets and lifestyles. My integrative approach focuses on cultivating deep, meaningful changes and reducing symptoms.
We all carry our pasts with us, which influences our personalities and life challenges. I strive to build an honest, open, and non-judgmental relationship with my clients to explore struggles such as childhood and adult trauma, complex PTSD, anxiety, mood disorders, personality disorders, psychosis, addiction, substance abuse, domestic violence, attachment wounds and relationship complexities. I also work with clients to explore career options that best suit their personalities, skill sets and lifestyles. My integrative approach focuses on cultivating deep, meaningful changes and reducing symptoms.
(253) 785-3687 View (253) 785-3687
Photo of Amy Dwyer, Clinical Social Work/Therapist in Tacoma, WA
Amy Dwyer
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98467
I believe in a collaborative approach to therapy. In partnership, we will work to explore your needs and develop a treatment plan to address identified issues. I primarily employ a cognitive-behavioral approach as this treatment modality has been shown to be effective in therapy. In addition, I use a strengths-based framework. Together we will address symptom management, build on your pre-existing strengths, and further develop your coping strategies. In addition, our work will likely include making meaning of important life events.
I believe in a collaborative approach to therapy. In partnership, we will work to explore your needs and develop a treatment plan to address identified issues. I primarily employ a cognitive-behavioral approach as this treatment modality has been shown to be effective in therapy. In addition, I use a strengths-based framework. Together we will address symptom management, build on your pre-existing strengths, and further develop your coping strategies. In addition, our work will likely include making meaning of important life events.
(253) 944-9019 View (253) 944-9019
Photo of Lori Lindholm, Clinical Social Work/Therapist in Tacoma, WA
Lori Lindholm
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Tacoma, WA 98406  (Online Only)
Are you struggling with relentless stress, anxiety, and/or depression? Maybe you find yourself isolating from others, feeling constantly triggered, or worried your life feels out of control. Whether you’ve experienced an old or recent trauma, loss of a loved one or pet, relationship betrayal or career stress, or you simply feel stuck and yearn to become your best self, I am glad you reached out. My hope is to create a place where you can come completely and authentically as you are, where the unspeakable can be spoken, and for you to be met with compassion and non-judgement.
Are you struggling with relentless stress, anxiety, and/or depression? Maybe you find yourself isolating from others, feeling constantly triggered, or worried your life feels out of control. Whether you’ve experienced an old or recent trauma, loss of a loved one or pet, relationship betrayal or career stress, or you simply feel stuck and yearn to become your best self, I am glad you reached out. My hope is to create a place where you can come completely and authentically as you are, where the unspeakable can be spoken, and for you to be met with compassion and non-judgement.
(206) 752-4647 View (206) 752-4647
Photo of Kay Kessel-Hanna, Marriage & Family Therapist in Tacoma, WA
Kay Kessel-Hanna
Marriage & Family Therapist, LMFT
Verified Verified
Tacoma, WA 98467
Kay Kessel-Hanna is a Licensed Marriage and Family Therapist in Washington with 27 years of experience. She has a Master of Arts degree in Applied Behavioral Science, specializing in Systems Counseling from Bastyr University, a post-graduate certification in Marriage and Family Therapy from the Presbyterian Counseling Service Marriage and Family Training, and a Master of Arts degree in Transforming Spirituality from Seattle University. Kay believes that an individual's struggles are often a sign of stressors within the larger context of relationships.
Kay Kessel-Hanna is a Licensed Marriage and Family Therapist in Washington with 27 years of experience. She has a Master of Arts degree in Applied Behavioral Science, specializing in Systems Counseling from Bastyr University, a post-graduate certification in Marriage and Family Therapy from the Presbyterian Counseling Service Marriage and Family Training, and a Master of Arts degree in Transforming Spirituality from Seattle University. Kay believes that an individual's struggles are often a sign of stressors within the larger context of relationships.
(253) 785-2458 View (253) 785-2458
Photo of Katie Ladenburg, Clinical Social Work/Therapist in Tacoma, WA
Katie Ladenburg
Clinical Social Work/Therapist, MSW, MHP, LCSW
Verified Verified
Tacoma, WA 98406  (Online Only)
Are you seeking a compassionate, empathetic, creative, and collaborative therapist to walk along side of you on your journey to self- discovery? Are you feeling stuck in old patterns? Have you tried therapy in the past but didn't really feel like you gained anything new for yourself? Have you been feeling unseen or unheard or trapped from past trauma, depression or anxiety? Then you are in the right place for a different approach.
Are you seeking a compassionate, empathetic, creative, and collaborative therapist to walk along side of you on your journey to self- discovery? Are you feeling stuck in old patterns? Have you tried therapy in the past but didn't really feel like you gained anything new for yourself? Have you been feeling unseen or unheard or trapped from past trauma, depression or anxiety? Then you are in the right place for a different approach.
(253) 867-8397 View (253) 867-8397
Photo of Laurel Hightower, Clinical Social Work/Therapist in Tacoma, WA
Laurel Hightower
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98418
Therapy is about progress, not perfection. You are the expert on what works for you, even if it doesn’t seem clear right now. Together we can figure out where support could be helpful. It takes practice to learn to be vulnerable and to find the words to describe our inner lives. All emotions have meaning, and together we can figure out what they’re trying to tell you.
Therapy is about progress, not perfection. You are the expert on what works for you, even if it doesn’t seem clear right now. Together we can figure out where support could be helpful. It takes practice to learn to be vulnerable and to find the words to describe our inner lives. All emotions have meaning, and together we can figure out what they’re trying to tell you.
(253) 243-3826 View (253) 243-3826
Photo of Katelyn Torres, Marriage & Family Therapist Associate in Tacoma, WA
Katelyn Torres
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Tacoma, WA 98448
Waitlist for new clients
Are you struggling with daily tasks? Do you want more out of your relationships? Does it feel as though your heart is heavy? Struggles like this can require a helping hand and therapy can be the step you need. Therapy has the potential to empower and guide growth to overcome the challenges that life brings. It has the ability to bridge tough conversations, acknowledge the impact that the greater society has on us and unpack the emotions that feel unexplainable. Soon that checklist can feel smaller, relationships feel more fulfilling and that weight a bit lighter.
Are you struggling with daily tasks? Do you want more out of your relationships? Does it feel as though your heart is heavy? Struggles like this can require a helping hand and therapy can be the step you need. Therapy has the potential to empower and guide growth to overcome the challenges that life brings. It has the ability to bridge tough conversations, acknowledge the impact that the greater society has on us and unpack the emotions that feel unexplainable. Soon that checklist can feel smaller, relationships feel more fulfilling and that weight a bit lighter.
(253) 319-3256 View (253) 319-3256

How does your Therapist compare?

Number of Therapists in Tacoma, WA

1,000+

Average cost per session

$150

Therapists in Tacoma, WA who prioritize treating:

93% Anxiety
88% Depression
76% Trauma and PTSD
75% Relationship Issues
75% Self Esteem
70% Stress
67% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

78% Premera
66% Regence
61% Aetna

How Therapists in Tacoma, WA see their clients

50% In Person and Online
50% Online Only

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Tacoma?

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.