Therapists in Tacoma, WA

View neighborhoods in Tacoma
Photo of Teresa A Zuvela, Counselor in Tacoma, WA
Teresa A Zuvela
Counselor, MS, LMHC, CSAT, CPTT, C-EMDR
Verified Verified
4 Endorsed
Tacoma, WA 98402  (Online Only)
Your heart is hurting, you have tried so hard to make your relationships work. Your partner refuses to meet your needs after you have tried so hard to share. You wonder if it's you, am I too needy?, am I too much? Second-guessing yourself brings more heartache. You want to know how to fix whatever is wrong but don't know what it is. You want to find peace and your efforts come up short. I can join with you to provide support and encouragement as you find the lost parts of yourself. Betrayal trauma can be healed with AF-EMDR which helps to knit your story together in a safe and healing way. https:woodlandpathways.com
Your heart is hurting, you have tried so hard to make your relationships work. Your partner refuses to meet your needs after you have tried so hard to share. You wonder if it's you, am I too needy?, am I too much? Second-guessing yourself brings more heartache. You want to know how to fix whatever is wrong but don't know what it is. You want to find peace and your efforts come up short. I can join with you to provide support and encouragement as you find the lost parts of yourself. Betrayal trauma can be healed with AF-EMDR which helps to knit your story together in a safe and healing way. https:woodlandpathways.com
(253) 271-4896 View (253) 271-4896
Photo of Janet Nelson, Counselor in Tacoma, WA
Janet Nelson
Counselor, MA, LMHC, MHP
Verified Verified
10 Endorsed
Tacoma, WA 98402
Being the go-to person for everyone, creates so much stress and anxiety. It can feel like you carry the weight of the world on your shoulders. You believe that if you carry that weight, with grace and perfection, no one will be disappointed. The trouble is, striving to do everything right often means diminishing yourself and pushing down your true thoughts, feelings, and desires. You’ve become an expert at everyone else’s needs and wants, but you’ve lost yourself along the way. Let’s work together to help you reconnect with yourself and others. Set down the weight you carry and discover ease and confidence.
Being the go-to person for everyone, creates so much stress and anxiety. It can feel like you carry the weight of the world on your shoulders. You believe that if you carry that weight, with grace and perfection, no one will be disappointed. The trouble is, striving to do everything right often means diminishing yourself and pushing down your true thoughts, feelings, and desires. You’ve become an expert at everyone else’s needs and wants, but you’ve lost yourself along the way. Let’s work together to help you reconnect with yourself and others. Set down the weight you carry and discover ease and confidence.
(253) 527-6921 View (253) 527-6921
Photo of Lou Bradford, Clinical Social Work/Therapist in Tacoma, WA
Lou Bradford
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Tacoma, WA 98402
Hi! I'm Lou. I work with queer and trans young adults. Therapy can be challenging, but it can also be beautiful and healing. It is my goal to meet you with compassion, support, and a safe space to help you through whatever difficulties or pain you may be experiencing. As a part of the Queer and trans community, I understand how important representation and connection is. Of course, we all have our own unique stories. Your story is not my story, and my story is not yours. However, I find that it is incredibly helpful (and dare I say, healing even) to have that common understanding and shared experience with my clients.
Hi! I'm Lou. I work with queer and trans young adults. Therapy can be challenging, but it can also be beautiful and healing. It is my goal to meet you with compassion, support, and a safe space to help you through whatever difficulties or pain you may be experiencing. As a part of the Queer and trans community, I understand how important representation and connection is. Of course, we all have our own unique stories. Your story is not my story, and my story is not yours. However, I find that it is incredibly helpful (and dare I say, healing even) to have that common understanding and shared experience with my clients.
(253) 650-0417 View (253) 650-0417
Photo of Andrew Rogers, Counselor in Tacoma, WA
Andrew Rogers
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Tacoma, WA 98403
Are you struggling with changes in your life and looking for a better way to cope? Are you trying to find direction and meaning? Perhaps you're wondering why life doesn't feel more rewarding or you can't seem to find happiness or peace. You may be feeling lonely and struggling to find relationships and friendships to help you during hard times. It can be really challenging living in the Pacific Northwest and finding friendship or relationships.
Are you struggling with changes in your life and looking for a better way to cope? Are you trying to find direction and meaning? Perhaps you're wondering why life doesn't feel more rewarding or you can't seem to find happiness or peace. You may be feeling lonely and struggling to find relationships and friendships to help you during hard times. It can be really challenging living in the Pacific Northwest and finding friendship or relationships.
(206) 350-1584 View (206) 350-1584
Photo of Mackenzie Nitz, Counselor in Tacoma, WA
Mackenzie Nitz
Counselor, LMHC, MEd
Verified Verified
1 Endorsed
Tacoma, WA 98405  (Online Only)
Waitlist for new clients
My mission is clear: to guide individuals towards long-term solutions, instill healthy coping mechanisms, and cultivate positive relationships. For this reason I am drawn to clients who share a desire for overall well-being and are ready to confront negative tendencies. This often involves exploring challenging questions, a process that leads to a deeper understanding of oneself. In order to do this I delve into my clients' histories, recognizing that understanding the past is crucial to addressing present challenges. I am dedicated to cutting through the noise and fostering honest communication within a safe and supportive space.
My mission is clear: to guide individuals towards long-term solutions, instill healthy coping mechanisms, and cultivate positive relationships. For this reason I am drawn to clients who share a desire for overall well-being and are ready to confront negative tendencies. This often involves exploring challenging questions, a process that leads to a deeper understanding of oneself. In order to do this I delve into my clients' histories, recognizing that understanding the past is crucial to addressing present challenges. I am dedicated to cutting through the noise and fostering honest communication within a safe and supportive space.
(253) 262-0102 View (253) 262-0102
Photo of Unchained Recovery, Counselor in Tacoma, WA
Unchained Recovery
Counselor, CC, MHSC, CSAT, APSAT-B
Verified Verified
Tacoma, WA 98405  (Online Only)
If you have had enough of your unwanted sexual behaviors? If trying harder has led you to where you are, its time for something better. Let me help you identify the triggers of today and the memories of yesterday that drive your actions. Through healing and recovery you can be free to be the person you have always envisioned you were meant to be.
If you have had enough of your unwanted sexual behaviors? If trying harder has led you to where you are, its time for something better. Let me help you identify the triggers of today and the memories of yesterday that drive your actions. Through healing and recovery you can be free to be the person you have always envisioned you were meant to be.
(253) 400-3980 View (253) 400-3980
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 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 Eric Cuestas-Thompson, LICSW, Clinical Social Work/Therapist in Tacoma, WA
Eric Cuestas-Thompson, LICSW
Clinical Social Work/Therapist, LICSW, LCSW, LISAC
Verified Verified
1 Endorsed
Tacoma, WA 98402  (Online Only)
I am a Licensed Independent Clinical Social Worker in private practice partnering with Mindful Therapy Group. I specialize in EMDR (Eye Movement Desensitization and Reprocessing) in the treatment of PTSD, anxiety, depression and addictions, including sexual compulsivity. My focus is working with adolescents and their families, couples, and men going through difficult transitions. I believe that you should have the quality of life that you want and deserve and I can help you identify and remove the obstacles that are preventing you from having a fulfilling and satisfying life.
I am a Licensed Independent Clinical Social Worker in private practice partnering with Mindful Therapy Group. I specialize in EMDR (Eye Movement Desensitization and Reprocessing) in the treatment of PTSD, anxiety, depression and addictions, including sexual compulsivity. My focus is working with adolescents and their families, couples, and men going through difficult transitions. I believe that you should have the quality of life that you want and deserve and I can help you identify and remove the obstacles that are preventing you from having a fulfilling and satisfying life.
(253) 348-2242 View (253) 348-2242
Photo of Bonnie L Mudge, Counselor in Tacoma, WA
Bonnie L Mudge
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98467
I am a Licensed Mental Health Counselor and enjoy collaborating with adults, adolescents, and children to facilitate positive life changes in an atmosphere of encouragement and respect. My diverse background includes working with individuals of all ages, as well as couples, groups, and families dealing with anxiety, depression, trauma, ADD, anger, grief, mid-life, and relationship issues. I enjoy helping clients reach their goals by identifying strengths, examining belief systems, and focusing on solutions.
I am a Licensed Mental Health Counselor and enjoy collaborating with adults, adolescents, and children to facilitate positive life changes in an atmosphere of encouragement and respect. My diverse background includes working with individuals of all ages, as well as couples, groups, and families dealing with anxiety, depression, trauma, ADD, anger, grief, mid-life, and relationship issues. I enjoy helping clients reach their goals by identifying strengths, examining belief systems, and focusing on solutions.
(253) 214-3153 View (253) 214-3153
Photo of Laura Ann Johnson, Counselor in Tacoma, WA
Laura Ann Johnson
Counselor, MA, LMHC
Verified Verified
Tacoma, WA 98406
For 2 decades I have empowered and walked beside many clients as they have overcome difficult and stressful issues in their lives. While I am comfortable working with many mental health issues, I have developed special interest in walking beside woman in their journey with cancer, working with individuals on the gender spectrum, working with adolescents, and walking along side of people who are experiencing grief and depression. I believe that I easily hold out hope for others until they can hope for themselves.
For 2 decades I have empowered and walked beside many clients as they have overcome difficult and stressful issues in their lives. While I am comfortable working with many mental health issues, I have developed special interest in walking beside woman in their journey with cancer, working with individuals on the gender spectrum, working with adolescents, and walking along side of people who are experiencing grief and depression. I believe that I easily hold out hope for others until they can hope for themselves.
(253) 259-2931 View (253) 259-2931
Photo of Stephanie Munizza, Marriage & Family Therapist in Tacoma, WA
Stephanie Munizza
Marriage & Family Therapist, MA, LMFT
Verified Verified
Tacoma, WA 98403
Not accepting new clients
Perhaps you’re coming from the school of hard knocks. Because of your own trauma history, you may be re-creating painful experiences that are familiar and habitual. You want something more and/or different, but you don't know how to change. If you’re reading this, you might be interested in an offering of slowing down and practicing mindfulness as a way to befriend the various parts of your Self and understand your mind / body connection. You may wish to release burdens that no longer serve you. When a feeling of safety, connection, and choice is experienced within you, thriving is not only possible; it can become a way of life.
Perhaps you’re coming from the school of hard knocks. Because of your own trauma history, you may be re-creating painful experiences that are familiar and habitual. You want something more and/or different, but you don't know how to change. If you’re reading this, you might be interested in an offering of slowing down and practicing mindfulness as a way to befriend the various parts of your Self and understand your mind / body connection. You may wish to release burdens that no longer serve you. When a feeling of safety, connection, and choice is experienced within you, thriving is not only possible; it can become a way of life.
(253) 733-2088 View (253) 733-2088
Photo of Change Within You Counseling Services, Counselor in Tacoma, WA
Change Within You Counseling Services
Counselor, MA, LMHC, LMFTA
Verified Verified
Tacoma, WA 98409  (Online Only)
Life events sometimes throw us curve balls when we least expect it. Do you now or often experience anxiety, depression, post-traumatic stress, divorce, or even post-pandemic returning to work concerns? These are stressors that give us feelings of uncertainty and hopelessness, impacting the ability to function in relationships, occupation, social life, and obtaining educational goals. Does it seem as though you’ve been knocked down once too many times and getting up is a struggle? When in the middle of a struggle words such as “tomorrow” and “feeling better” seem so far away.
Life events sometimes throw us curve balls when we least expect it. Do you now or often experience anxiety, depression, post-traumatic stress, divorce, or even post-pandemic returning to work concerns? These are stressors that give us feelings of uncertainty and hopelessness, impacting the ability to function in relationships, occupation, social life, and obtaining educational goals. Does it seem as though you’ve been knocked down once too many times and getting up is a struggle? When in the middle of a struggle words such as “tomorrow” and “feeling better” seem so far away.
(253) 226-1862 View (253) 226-1862
Photo of Ivey West, Counselor in Tacoma, WA
Ivey West
Counselor, MEd, LMHC
Verified Verified
Tacoma, WA 98405
Not accepting new clients
Renowned therapist Virginia Satir said: "Life is not what it is supposed to be. It's what it is. The way you cope with it is what makes the difference." It sums up my philosophy of therapy. Life is hard. Coping is hard. Effective coping strategies can bring peace and satisfaction no matter your history, your current challenges, or your future unknowns. How to cope.
Renowned therapist Virginia Satir said: "Life is not what it is supposed to be. It's what it is. The way you cope with it is what makes the difference." It sums up my philosophy of therapy. Life is hard. Coping is hard. Effective coping strategies can bring peace and satisfaction no matter your history, your current challenges, or your future unknowns. How to cope.
(253) 655-0947 View (253) 655-0947
Photo of Therapy Associates of Tacoma, Counselor in Tacoma, WA
Therapy Associates of Tacoma
Counselor, LMHC, LMFT
Verified Verified
Tacoma, WA 98402
Therapy Associates of Tacoma strives to make quality counseling an affordable resource. Therapy Associates of Tacoma counselors work collaboratively with individuals, teens, couples, and families to identify and create movement toward your desired goals.
Therapy Associates of Tacoma strives to make quality counseling an affordable resource. Therapy Associates of Tacoma counselors work collaboratively with individuals, teens, couples, and families to identify and create movement toward your desired goals.
(253) 343-9478 View (253) 343-9478
Photo of Kendra Foisie Rice, Licensed Professional Counselor in Tacoma, WA
Kendra Foisie Rice
Licensed Professional Counselor, MA, LMHC, NCC, PMH-C, CDHWP
Verified Verified
4 Endorsed
Tacoma, WA 98406
Accepting New Clients! Creating a friendly, down-to-earth, and no-nonsense space for healing, I believe that authenticity is an essential component to the therapeutic relationship. Every small action has the potential to create big change.
Accepting New Clients! Creating a friendly, down-to-earth, and no-nonsense space for healing, I believe that authenticity is an essential component to the therapeutic relationship. Every small action has the potential to create big change.
(206) 944-6234 View (206) 944-6234
Photo of Makayla Wright, Clinical Social Work/Therapist in Tacoma, WA
Makayla Wright
Clinical Social Work/Therapist, MSW
Verified Verified
Tacoma, WA 98444
Waitlist for new clients
I am interested in supporting you through transitions, trauma, and life changes that can be difficult to navigate. I utilize a trauma-informed approach that is grounded in social justice, lived experience, and uplifting community. I have primarily worked with youth and also have experience working with LGBTQIA adults and survivors of assault through therapeutic groups and advocacy work. I am committed to supporting those who have been marginalized and believe that healing and justice is necessary for our communities.
I am interested in supporting you through transitions, trauma, and life changes that can be difficult to navigate. I utilize a trauma-informed approach that is grounded in social justice, lived experience, and uplifting community. I have primarily worked with youth and also have experience working with LGBTQIA adults and survivors of assault through therapeutic groups and advocacy work. I am committed to supporting those who have been marginalized and believe that healing and justice is necessary for our communities.
(425) 215-0285 View (425) 215-0285
Photo of Maggie Stang, Marriage & Family Therapist in Tacoma, WA
Maggie Stang
Marriage & Family Therapist, MA, LMFT
Verified Verified
3 Endorsed
Tacoma, WA 98406  (Online Only)
Hi there, I’m Maggie. If you are looking for a nurturing therapist who is genuine, wants the best for your unique life, and will challenge you towards deeper healing, we could be a good fit. I would love to support you as you begin to embrace your intersecting and unfolding identities. My specialties as a therapist include body liberation (Health At Every Size), life transitions, and exploration of self through a relational lens. My approach is centered within an anti-oppressive, anti-racist, and liberatory lens. I am a queer and neurodivergent therapist, and I enjoy supporting folks with these shared identities.
Hi there, I’m Maggie. If you are looking for a nurturing therapist who is genuine, wants the best for your unique life, and will challenge you towards deeper healing, we could be a good fit. I would love to support you as you begin to embrace your intersecting and unfolding identities. My specialties as a therapist include body liberation (Health At Every Size), life transitions, and exploration of self through a relational lens. My approach is centered within an anti-oppressive, anti-racist, and liberatory lens. I am a queer and neurodivergent therapist, and I enjoy supporting folks with these shared identities.
(253) 364-7913 View (253) 364-7913
Photo of Sandra Killebrew, Marriage & Family Therapist in Tacoma, WA
Sandra Killebrew
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Tacoma, WA 98402
If you’re tired of recycling the same argument, walking on eggshells with each other or don’t know how to repair your relationship, I can help you get to the root of your disconnection. I help distressed, disconnected couples remember what it's like to be sexy best friends instead of roommates. Together, we will identify your entrenched ways of arguing so that both of you can break these patterns by learning how to clearly state how you’re feeling to your partner and in turn, listen deeply. I'll help you pay close attention to each other, so that you both feel a little more held each time we meet.
If you’re tired of recycling the same argument, walking on eggshells with each other or don’t know how to repair your relationship, I can help you get to the root of your disconnection. I help distressed, disconnected couples remember what it's like to be sexy best friends instead of roommates. Together, we will identify your entrenched ways of arguing so that both of you can break these patterns by learning how to clearly state how you’re feeling to your partner and in turn, listen deeply. I'll help you pay close attention to each other, so that you both feel a little more held each time we meet.
(253) 652-5842 View (253) 652-5842
Photo of Brittany Ellmer, Counselor in Tacoma, WA
Brittany Ellmer
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Tacoma, WA 98402  (Online Only)
Not accepting new clients
Have you had experiences that have changed you? Are you wondering how you can heal? Let’s work together to find meaning in your suffering and heal the broken spaces within you. My aim is not to put a bandaid over your wound, let's get down to the roots. This enables us to really heal the wound, though you will be left with a scar. We'll explore the origin of your pain, see how this impacts you currently, and help you better understand your body’s response to adversity. We can also work to resolve common symptoms of depression, anxiety, and stress that are so prevalent among us.
Have you had experiences that have changed you? Are you wondering how you can heal? Let’s work together to find meaning in your suffering and heal the broken spaces within you. My aim is not to put a bandaid over your wound, let's get down to the roots. This enables us to really heal the wound, though you will be left with a scar. We'll explore the origin of your pain, see how this impacts you currently, and help you better understand your body’s response to adversity. We can also work to resolve common symptoms of depression, anxiety, and stress that are so prevalent among us.
(253) 262-0612 View (253) 262-0612

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.