Therapists in Vancouver, WA

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Photo of Shawn Walker, Clinical Social Work/Therapist in Vancouver, WA
Shawn Walker
Clinical Social Work/Therapist, MSW, LCSWAI
Verified Verified
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 Cheryl L Wilson, Counselor in Vancouver, WA
Cheryl L Wilson
Counselor, MA, LMHC, LPC
Verified Verified
1 Endorsed
Vancouver, WA 98682  (Online Only)
I am passionate about working with clients who have experienced grief and loss around relationships, illness and life transitions. As someone who has experienced my own grief and loss I understand that we as individuals need space, empathy and support from others. I honor your experience and will partner with you on your journey toward healing. I believe that from loss can come renewed strength and hope. You are supported in a safe and nonjudgmental space with me. Through pain can come great clarity around your priorities, goals and what is most important to you. You will discover how you have survived and can thrive moving forward.
I am passionate about working with clients who have experienced grief and loss around relationships, illness and life transitions. As someone who has experienced my own grief and loss I understand that we as individuals need space, empathy and support from others. I honor your experience and will partner with you on your journey toward healing. I believe that from loss can come renewed strength and hope. You are supported in a safe and nonjudgmental space with me. Through pain can come great clarity around your priorities, goals and what is most important to you. You will discover how you have survived and can thrive moving forward.
(360) 300-4911 View (360) 300-4911
Photo of Andrea Tomoe, Counselor in Vancouver, WA
Andrea Tomoe
Counselor, LPC
Verified Verified
Vancouver, WA 98662
I am passionate about serving individuals who seek support, a place to be vulnerable and the opportunity to grow. My work focuses on adults who are struggling with trauma, anxiety, depression, body image and eating disorders, or significant life changes, such as a career switch, grief or a relationship shift. Just as many pieces make up the whole of a person's life, there are many components that make up a successful experience with counseling. The therapeutic journey begins from a place of trust and support. My techniques come from a combination of Solutions Focused, DBT, Family Systems and somatic therapy.
I am passionate about serving individuals who seek support, a place to be vulnerable and the opportunity to grow. My work focuses on adults who are struggling with trauma, anxiety, depression, body image and eating disorders, or significant life changes, such as a career switch, grief or a relationship shift. Just as many pieces make up the whole of a person's life, there are many components that make up a successful experience with counseling. The therapeutic journey begins from a place of trust and support. My techniques come from a combination of Solutions Focused, DBT, Family Systems and somatic therapy.
(360) 226-8492 View (360) 226-8492
Photo of Stephanie Haskell, Marriage & Family Therapist Intern in Vancouver, WA
Stephanie Haskell
Marriage & Family Therapist Intern
Verified Verified
1 Endorsed
Vancouver, WA 98662
Waitlist for new clients
With curiosity, we will explore the thoughts, feelings, and behaviors that impact your well-being and your connections with others. I bring warmth, acceptance, and collaboration so we can step through the therapeutic journey to a place of greater hope and less struggle. I believe relationships with ourself and others is very important. It can bring us the most joyous experiences but also pain, heartache, stress, and anger.
With curiosity, we will explore the thoughts, feelings, and behaviors that impact your well-being and your connections with others. I bring warmth, acceptance, and collaboration so we can step through the therapeutic journey to a place of greater hope and less struggle. I believe relationships with ourself and others is very important. It can bring us the most joyous experiences but also pain, heartache, stress, and anger.
(360) 732-8105 View (360) 732-8105
Photo of Brooke Jefferson, Pre-Licensed Professional in Vancouver, WA
Brooke Jefferson
Pre-Licensed Professional, LMHCI
Verified Verified
Vancouver, WA 98660
I am especially passionate about working with teens and adults who are navigating trauma, dissociation, eating disorders, and/or any experience of marginalization. For me, it’s an honor to walk alongside you in your wellness journey, and you can expect me to meet you wherever you are in the process with a nonjudgmental stance. I bring warmth and an authentic enthusiasm to witnessing you as already whole, just as you are.
I am especially passionate about working with teens and adults who are navigating trauma, dissociation, eating disorders, and/or any experience of marginalization. For me, it’s an honor to walk alongside you in your wellness journey, and you can expect me to meet you wherever you are in the process with a nonjudgmental stance. I bring warmth and an authentic enthusiasm to witnessing you as already whole, just as you are.
(360) 979-1376 View (360) 979-1376
Photo of Pamela Ann Skiver, Clinical Social Work/Therapist in Vancouver, WA
Pamela Ann Skiver
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98684
The first environment of the unborn child is the womb, where the relationship between mother and child not only are connected on a physical and biological level, but on a psychological and spiritual level as well. Research now shows the stressors experienced by the mother internally, and in the external world, reach the baby in the womb impacting the baby’s physical, psychological development, personality and quality of later relationships. Prenatal Bonding BA creates a "souls cord" attachment that can last a lifetime.
The first environment of the unborn child is the womb, where the relationship between mother and child not only are connected on a physical and biological level, but on a psychological and spiritual level as well. Research now shows the stressors experienced by the mother internally, and in the external world, reach the baby in the womb impacting the baby’s physical, psychological development, personality and quality of later relationships. Prenatal Bonding BA creates a "souls cord" attachment that can last a lifetime.
(360) 583-4935 View (360) 583-4935
Photo of Megan Rabon, Psychologist in Vancouver, WA
Megan Rabon
Psychologist
Verified Verified
Vancouver, WA 98683
Education Education: Psy. D. (Doctorate in Clinical Psychology, 2011, George Fox University); M. A. (Master of Arts in Clinical Psychology, 2007, George Fox University); and B.A. (Bachelor of Arts in Psychology, 2004, Washington State University Vancouver). Experience: Presently in practice at Western Psychological and Counseling Services, Vancouver, Washington including individual therapy, and group therapy. Post-doctoral residency at Western Psychological and Counseling Services, Portland and Beaverton, Oregon from October 2011 until July 2014 providing individual therapy with adults, children and adolescents.
Education Education: Psy. D. (Doctorate in Clinical Psychology, 2011, George Fox University); M. A. (Master of Arts in Clinical Psychology, 2007, George Fox University); and B.A. (Bachelor of Arts in Psychology, 2004, Washington State University Vancouver). Experience: Presently in practice at Western Psychological and Counseling Services, Vancouver, Washington including individual therapy, and group therapy. Post-doctoral residency at Western Psychological and Counseling Services, Portland and Beaverton, Oregon from October 2011 until July 2014 providing individual therapy with adults, children and adolescents.
(360) 361-8886 View (360) 361-8886
Photo of Jennifer C Barber, Clinical Social Work/Therapist in Vancouver, WA
Jennifer C Barber
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Vancouver, WA 98661
Not accepting new clients
Hi! I am happy you found me. Let's get to work. Together, with open/honest/and direct communication, we will work to identify and overcome your obstacles and improve your life, one step at a time. Do you feel overwhelmed with life? Are you struggling with a tough transition? I can help. Are you experiencing a life/family crisis? Do you need some coaching on important decisions in order to move your life forward? Call me. With over 23 years experience, I know how to help you. I work with individuals as well as married and unmarried couples.
Hi! I am happy you found me. Let's get to work. Together, with open/honest/and direct communication, we will work to identify and overcome your obstacles and improve your life, one step at a time. Do you feel overwhelmed with life? Are you struggling with a tough transition? I can help. Are you experiencing a life/family crisis? Do you need some coaching on important decisions in order to move your life forward? Call me. With over 23 years experience, I know how to help you. I work with individuals as well as married and unmarried couples.
(360) 972-3514 View (360) 972-3514
Photo of Breanna Jeffries, Counselor in Vancouver, WA
Breanna Jeffries
Counselor, LMHC, LPC
Verified Verified
9 Endorsed
Vancouver, WA 98684
Would you like to experience life differently than you do now? Have you ever thought, “I’m not enough,” or “There’s something wrong with me." Perhaps you have suffered stressful or overwhelming experiences that are impacting you today. Maybe you've dealt with significant trauma. Often, these occurrences leave their mark in how we view the world around us and how we feel about who we are. Big and painful emotions can become mainstays in our day to day life. It doesn't have to be that way. As an EMDR therapist and Approved Consultant, I can help.
Would you like to experience life differently than you do now? Have you ever thought, “I’m not enough,” or “There’s something wrong with me." Perhaps you have suffered stressful or overwhelming experiences that are impacting you today. Maybe you've dealt with significant trauma. Often, these occurrences leave their mark in how we view the world around us and how we feel about who we are. Big and painful emotions can become mainstays in our day to day life. It doesn't have to be that way. As an EMDR therapist and Approved Consultant, I can help.
(503) 928-6510 View (503) 928-6510
Photo of Molly Merritt, Counselor in Vancouver, WA
Molly Merritt
Counselor, LMHC, LPC
Verified Verified
3 Endorsed
Vancouver, WA 98661  (Online Only)
Waitlist for new clients
I view therapy as a means to acquire a well-equipped toolbox of positive and healthy life skills. These skills will help the client recognize, understand, and utilize their internal power for overcoming life's many external forces that may be causing distress or dysfunction in their life. My job as a therapist is to maintain a safe, caring, and confidential environment for my clients as they embark on that journey.
I view therapy as a means to acquire a well-equipped toolbox of positive and healthy life skills. These skills will help the client recognize, understand, and utilize their internal power for overcoming life's many external forces that may be causing distress or dysfunction in their life. My job as a therapist is to maintain a safe, caring, and confidential environment for my clients as they embark on that journey.
(360) 842-0076 View (360) 842-0076
Photo of Matthew Cronin Counseling Services, PLLC in Vancouver, WA
Matthew Cronin Counseling Services, PLLC
MA, LMHCA, PCA
Verified Verified
Vancouver, WA 98663
It all starts with a desire and openness to change, to reach out for help and understanding. You define what that looks like. From there, we will work together to overcome past trauma, negative self-beliefs, or whatever your individual stuck points. Therapy can help you strengthen your mental, emotional, and physical well-being. You do not need to walk this path alone. Whatever your struggle or need, it’s something we can work through together. Make the choice and request a free 15-minute consultation to get the help you need starting today.
It all starts with a desire and openness to change, to reach out for help and understanding. You define what that looks like. From there, we will work together to overcome past trauma, negative self-beliefs, or whatever your individual stuck points. Therapy can help you strengthen your mental, emotional, and physical well-being. You do not need to walk this path alone. Whatever your struggle or need, it’s something we can work through together. Make the choice and request a free 15-minute consultation to get the help you need starting today.
(360) 234-3083 View (360) 234-3083
Photo of Liz Ramirez, Counselor in Vancouver, WA
Liz Ramirez
Counselor, LPC, LMHC, NCC, CADC II
Verified Verified
Vancouver, WA 98665  (Online Only)
Not accepting new clients
My passion has always been helping people who feel the need for change in their lives. I have extensive experience assisting clients with trauma, anxiety, depression, relationship distress, legal challenges, substance abuse & recovery issues, transition difficulties, and other life challenges. My approach is direct, yet compassionate and non-judgmental. I utilize an eclectic approach to therapy, and partner with clients to reach mutually agreed upon goals. I believe that you are an expert in your own life, and I am simply there to guide you and challenge you toward a happier, healthier version of yourself.
My passion has always been helping people who feel the need for change in their lives. I have extensive experience assisting clients with trauma, anxiety, depression, relationship distress, legal challenges, substance abuse & recovery issues, transition difficulties, and other life challenges. My approach is direct, yet compassionate and non-judgmental. I utilize an eclectic approach to therapy, and partner with clients to reach mutually agreed upon goals. I believe that you are an expert in your own life, and I am simply there to guide you and challenge you toward a happier, healthier version of yourself.
(360) 524-3530 View (360) 524-3530
Photo of Stephanie Doig, LPC Intern in Vancouver, WA
Stephanie Doig
LPC Intern, BS
Verified Verified
Vancouver, WA 98685
I strive to put clients at ease with a warm, casual, down-to-earth style. I am passionate about fat liberation, Health at Every Size (HAES), anti-racism, and queer liberation. Clients with panic attacks, worries, and social anxiety will especially feel at peace. Many people who come to see me also struggle with depression, infertility, and disordered eating. My style of therapy is supportive, collaborative, and non-judgmental. Together, we'll develop practical tools to manage anxiety and cultivate emotional resilience. My style of therapy is supportive, collaborative, and non-judgmental.
I strive to put clients at ease with a warm, casual, down-to-earth style. I am passionate about fat liberation, Health at Every Size (HAES), anti-racism, and queer liberation. Clients with panic attacks, worries, and social anxiety will especially feel at peace. Many people who come to see me also struggle with depression, infertility, and disordered eating. My style of therapy is supportive, collaborative, and non-judgmental. Together, we'll develop practical tools to manage anxiety and cultivate emotional resilience. My style of therapy is supportive, collaborative, and non-judgmental.
(360) 997-2074 View (360) 997-2074
Photo of Chanel Brown, Counselor in Vancouver, WA
Chanel Brown
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98660
Obsessive Compulsive Disorder (OCD) has been called "The Doubting Disease," and is characterized by unwanted and intrusive doubts, fears, “irrational” worries, and at its worst, terror and psychological torment. People with OCD experience doubts and fears which usually focus on whatever they most care about or highly value, such as their most important relationships, their moral character, their health or the health and well-being of those they care about. Sufferers use mental or behavioral rituals that provide temporary relief from the obsession, which become compulsions that can be painful in and of themselves.
Obsessive Compulsive Disorder (OCD) has been called "The Doubting Disease," and is characterized by unwanted and intrusive doubts, fears, “irrational” worries, and at its worst, terror and psychological torment. People with OCD experience doubts and fears which usually focus on whatever they most care about or highly value, such as their most important relationships, their moral character, their health or the health and well-being of those they care about. Sufferers use mental or behavioral rituals that provide temporary relief from the obsession, which become compulsions that can be painful in and of themselves.
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Photo of Rachelle Tau-Stewart, Counselor in Vancouver, WA
Rachelle Tau-Stewart
Counselor, MA, LMHCA
Verified Verified
1 Endorsed
Vancouver, WA 98684
I have a passion to help individuals, children and teens that are struggling with present and past life challenges. Oftentimes we let traumatic experiences and negative thoughts and behaviors shape our lives and how we cope. I believe through empathy, understanding and a warm presence I can help adjust these things hindering life from actively moving forward. Resulting in a client feeling safe and vulnerable enough in the space and process to express oneself and be true to who they are and what they are really feeling.
I have a passion to help individuals, children and teens that are struggling with present and past life challenges. Oftentimes we let traumatic experiences and negative thoughts and behaviors shape our lives and how we cope. I believe through empathy, understanding and a warm presence I can help adjust these things hindering life from actively moving forward. Resulting in a client feeling safe and vulnerable enough in the space and process to express oneself and be true to who they are and what they are really feeling.
(360) 295-9556 View (360) 295-9556
Photo of Stephanie Cahill, Counselor in Vancouver, WA
Stephanie Cahill
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98684
Helping people uncover truths about themselves as we work together toward your healing and wholeness is my passion. I am experienced in collaborating with clients to challenge negative self concepts by building on existing strengths. I believe processing issues such as shame, low self worth, and identity formation does not need to be done alone, and is worth every ounce of effort. With empathy, compassion, respect, humility, and a little humor along the way, it is my strong desire to help clients overcome unhealthy emotional, thought, and behavioral patterns due to family of origin issues and/or trauma.
Helping people uncover truths about themselves as we work together toward your healing and wholeness is my passion. I am experienced in collaborating with clients to challenge negative self concepts by building on existing strengths. I believe processing issues such as shame, low self worth, and identity formation does not need to be done alone, and is worth every ounce of effort. With empathy, compassion, respect, humility, and a little humor along the way, it is my strong desire to help clients overcome unhealthy emotional, thought, and behavioral patterns due to family of origin issues and/or trauma.
(360) 703-9072 View (360) 703-9072
Photo of Rebecca Pike, Psychologist in Vancouver, WA
Rebecca Pike
Psychologist
Verified Verified
Vancouver, WA 98662
Rebecca Pike is a psychologist who has been practicing since 2002. She graduated from George Fox University in Newberg, Oregon with a Psy. D. in Clinical Psychology. Rebecca believes in a collaborative, person-centered approach to therapy with psychologist and client working together as a team to achieve his/her/their desired outcomes. Her main areas of focus include treating anxiety/stressor-related disorders such as PTSD, GAD and Panic Disorder as well as mood disorders such as Depression and Bipolar Disorder.
Rebecca Pike is a psychologist who has been practicing since 2002. She graduated from George Fox University in Newberg, Oregon with a Psy. D. in Clinical Psychology. Rebecca believes in a collaborative, person-centered approach to therapy with psychologist and client working together as a team to achieve his/her/their desired outcomes. Her main areas of focus include treating anxiety/stressor-related disorders such as PTSD, GAD and Panic Disorder as well as mood disorders such as Depression and Bipolar Disorder.
(360) 585-4061 View (360) 585-4061
Photo of Anne T. Cowan, Clinical Social Work/Therapist in Vancouver, WA
Anne T. Cowan
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Vancouver, WA 98665
Waitlist for new clients
We are living in complex times with many changes and turmoil. If you're feeling stressed, anxious, sad; you are not alone! I believe that we all have within us a capacity to heal. One avenue for growth and change is through the relationship between client and therapist. I use therapeutic strategies that help clients become aware of their thoughts, feelings and behaviors and how they contribute to disconnection or distress. My focus is to facilitate the desired changes identified by each client and to work at his/her pace towards their goals. It is always a privilege to walk with clients through this sacred journey.
We are living in complex times with many changes and turmoil. If you're feeling stressed, anxious, sad; you are not alone! I believe that we all have within us a capacity to heal. One avenue for growth and change is through the relationship between client and therapist. I use therapeutic strategies that help clients become aware of their thoughts, feelings and behaviors and how they contribute to disconnection or distress. My focus is to facilitate the desired changes identified by each client and to work at his/her pace towards their goals. It is always a privilege to walk with clients through this sacred journey.
(855) 247-9279 View (855) 247-9279
Photo of Wayne Allen Smith, Clinical Social Work/Therapist in Vancouver, WA
Wayne Allen Smith
Clinical Social Work/Therapist, LCSW, LICSW
Verified Verified
1 Endorsed
Vancouver, WA 98683  (Online Only)
Often times we face struggles and hardship without any support or guidance. Sometimes we suffer through anger, grief and loss, or going through a big life change alone. I specialize in working with issues around trauma, identity, self esteem, depression, anxiety, relationships concerns, and boundary setting.
Often times we face struggles and hardship without any support or guidance. Sometimes we suffer through anger, grief and loss, or going through a big life change alone. I specialize in working with issues around trauma, identity, self esteem, depression, anxiety, relationships concerns, and boundary setting.
(360) 506-6313 View (360) 506-6313
Photo of Jeff Shenk, Counselor in Vancouver, WA
Jeff Shenk
Counselor, MA, LMHCA
Verified Verified
Vancouver, WA 98663
In the intricate world of relationships, couples often struggle to define their roles as committed partners. Are you facing challenges like lack of intimacy, frequent conflicts, and isolation? Has parenthood caused division? Do you struggle with discipline, resorting to harsh methods you later regret, all while feeling isolated? Gottman Method Couples Therapy provides constructive ways to address these struggles. This research-based approach helps couples develop essential skills in communication, conflict management, and strengthening emotional connection.
In the intricate world of relationships, couples often struggle to define their roles as committed partners. Are you facing challenges like lack of intimacy, frequent conflicts, and isolation? Has parenthood caused division? Do you struggle with discipline, resorting to harsh methods you later regret, all while feeling isolated? Gottman Method Couples Therapy provides constructive ways to address these struggles. This research-based approach helps couples develop essential skills in communication, conflict management, and strengthening emotional connection.
(360) 836-1872 View (360) 836-1872

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
71% Relationship Issues
68% Self Esteem
67% Stress
66% Grief

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
54% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA see their clients

66% In Person and Online
34% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 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.