Therapists in Seattle, WA

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Photo of Erica Helm Meade, Counselor in Seattle, WA
Erica Helm Meade
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98136  (Online Only)
My style is warm, compassionate and direct. I enjoy helping motivated adults to strengthen their innate gifts and overcome blocks to lead more authentic, creative, fulfilling lives. I help individuals move forward with relationships, sexuality, work and career, and aid them in reducing anxiety, depression, low self-worth and self-defeating thoughts and habits. I welcome all faiths and spiritual practices, all ethnic backgrounds, and all gender orientations. I help couples forge a win-win approach to intimacy, caring, responsibility and fun.
My style is warm, compassionate and direct. I enjoy helping motivated adults to strengthen their innate gifts and overcome blocks to lead more authentic, creative, fulfilling lives. I help individuals move forward with relationships, sexuality, work and career, and aid them in reducing anxiety, depression, low self-worth and self-defeating thoughts and habits. I welcome all faiths and spiritual practices, all ethnic backgrounds, and all gender orientations. I help couples forge a win-win approach to intimacy, caring, responsibility and fun.
(253) 200-9003 View (253) 200-9003
Photo of Diana Wiley, Marriage & Family Therapist in Seattle, WA
Diana Wiley
Marriage & Family Therapist, PhD, MA, BA
Verified Verified
Seattle, WA 98121  (Online Only)
With 40 years of experience as a sex therapist, I help couples and individuals with a variety of sexual problems and relationship issues. Clients describe me as warm and caring, and I take pride in my results-oriented and sex-positive approach to helping people deal with this most intimate area of our lives. I will give you accurate information, share practical techniques, and explore the relationship dynamics or psychological factors that may be keeping you from enjoying a healthy, pleasurable sex life. My goal is to help you resolve your sexual problems and reclaim more of the joy and fun of sex.
With 40 years of experience as a sex therapist, I help couples and individuals with a variety of sexual problems and relationship issues. Clients describe me as warm and caring, and I take pride in my results-oriented and sex-positive approach to helping people deal with this most intimate area of our lives. I will give you accurate information, share practical techniques, and explore the relationship dynamics or psychological factors that may be keeping you from enjoying a healthy, pleasurable sex life. My goal is to help you resolve your sexual problems and reclaim more of the joy and fun of sex.
(206) 855-5893 View (206) 855-5893
Photo of Diane A Jhueck, Counselor in Seattle, WA
Diane A Jhueck
Counselor, MA
Verified Verified
Seattle, WA 98101  (Online Only)
Are you sick and tired of feeling bad? Call me! For over 20 years, Internal Family Systems has been my primary modality. I had the very good fortune of being able to train with its founder: Dr Richard Schwartz. My clients and I continue to be amazed at how effective IFS is for healing old trauma and staying clear, calm, centered and curious in the face of new experiences that life brings. Or at least knowing how to get back to that state quickly. How great is that? And, like every psychotherapist I know, I also have a toolbox of things that can help you along the way.
Are you sick and tired of feeling bad? Call me! For over 20 years, Internal Family Systems has been my primary modality. I had the very good fortune of being able to train with its founder: Dr Richard Schwartz. My clients and I continue to be amazed at how effective IFS is for healing old trauma and staying clear, calm, centered and curious in the face of new experiences that life brings. Or at least knowing how to get back to that state quickly. How great is that? And, like every psychotherapist I know, I also have a toolbox of things that can help you along the way.
(360) 526-8170 View (360) 526-8170
Photo of Lynne Chun, Counselor in Seattle, WA
Lynne Chun
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103  (Online Only)
Not accepting new clients
I specialize in working with those challenged by life transitions, by a shift (large or small) in "seasons" particularly: evolving relationships, moving into lifework and adult status, 12 Step recovery work, health changes in self and others in your life, loss of parents, and creating legacy at any stage of life. Important issues we can address include depression and worry, anger, sadness, stress, decision making, managing conflict, and making choices to increase wellness and balance.
I specialize in working with those challenged by life transitions, by a shift (large or small) in "seasons" particularly: evolving relationships, moving into lifework and adult status, 12 Step recovery work, health changes in self and others in your life, loss of parents, and creating legacy at any stage of life. Important issues we can address include depression and worry, anger, sadness, stress, decision making, managing conflict, and making choices to increase wellness and balance.
(206) 472-1929 View (206) 472-1929
Photo of Lauren Robinson, Counselor in Seattle, WA
Lauren Robinson
Counselor, MA, LMHCA
Verified Verified
14 Endorsed
Seattle, WA 98102  (Online Only)
As a Licensed Mental Health Counselor Associate, and as someone who has also been in the client seat, I consider it an honor to walk alongside you on your journey towards wholeness and healing. Our lives are woven with intricate relationships—with others and with ourselves—bringing both joy and pain. In our sessions together, we'll tenderly explore these past hurts, emotions, and perspectives, offering a space for transformation and growth.
As a Licensed Mental Health Counselor Associate, and as someone who has also been in the client seat, I consider it an honor to walk alongside you on your journey towards wholeness and healing. Our lives are woven with intricate relationships—with others and with ourselves—bringing both joy and pain. In our sessions together, we'll tenderly explore these past hurts, emotions, and perspectives, offering a space for transformation and growth.
(425) 272-6106 View (425) 272-6106
Photo of Wendy Nystrom, Counselor in Seattle, WA
Wendy Nystrom
Counselor, MA, LMHC, CMHS, SMMHS
Verified Verified
Seattle, WA 98125
I enjoy working with children, adolescents and adults in both individual and family therapy. I work well with clients with trauma, anxiety, depression, those facing life transitions or grief and loss. I have recently published an eBook on anxiety for teens, But Breathing Doesn't Help! Unlocking Teen Anxiety by Understanding Your Body, which can be found on Amazon, or for direct purchase at https://wendynystrom.selz.com/
I enjoy working with children, adolescents and adults in both individual and family therapy. I work well with clients with trauma, anxiety, depression, those facing life transitions or grief and loss. I have recently published an eBook on anxiety for teens, But Breathing Doesn't Help! Unlocking Teen Anxiety by Understanding Your Body, which can be found on Amazon, or for direct purchase at https://wendynystrom.selz.com/
(206) 785-1985 View (206) 785-1985
Photo of Monique Ngo, Marriage & Family Therapist in Seattle, WA
Monique Ngo
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Seattle, WA 98118  (Online Only)
I am an integrative and culturally sensitive driven therapist who works with teens and adults to unlearn systemic inequalities and process intergenerational trauma, grief, and anxiety, so you can confidently befriend your feelings, navigate life transitions, step into authenticity, and feel more at home in yourself. Often times when we are going through something difficult, it can be hard to see our way out. This may lead to spiraling thoughts, a lost sense of security & safety, thinking "I'm not good enough", consistently feeling on edge, and feeling disconnected from ourselves and others.
I am an integrative and culturally sensitive driven therapist who works with teens and adults to unlearn systemic inequalities and process intergenerational trauma, grief, and anxiety, so you can confidently befriend your feelings, navigate life transitions, step into authenticity, and feel more at home in yourself. Often times when we are going through something difficult, it can be hard to see our way out. This may lead to spiraling thoughts, a lost sense of security & safety, thinking "I'm not good enough", consistently feeling on edge, and feeling disconnected from ourselves and others.
(206) 823-2701 View (206) 823-2701
Photo of Loren St Betts, Clinical Social Work/Therapist in Seattle, WA
Loren St Betts
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98103
Welcome to my practice. I am a clinical social worker and have worked in the mental health field for 18 years. Anxiety, depression, relationship challenges, feeling stuck and wanting to shift patterns are all common reasons people may contact me for therapy. I frequently work with clients to understand their inner world, how their environment has shaped them and to make steps towards healing and long lasting change.
Welcome to my practice. I am a clinical social worker and have worked in the mental health field for 18 years. Anxiety, depression, relationship challenges, feeling stuck and wanting to shift patterns are all common reasons people may contact me for therapy. I frequently work with clients to understand their inner world, how their environment has shaped them and to make steps towards healing and long lasting change.
(206) 672-4864 View (206) 672-4864
Photo of Gustavo A Parra, Marriage & Family Therapist in Seattle, WA
Gustavo A Parra
Marriage & Family Therapist, LMFT
Verified Verified
Seattle, WA 98199  (Online Only)
I am a compassionate, culturally sensitive, solution-oriented mental health professional. I am dedicated to providing exceptional care and implementing effective treatment plans for individuals, couples and families. With an inherent ability to manage different types of personalities I am able to diffuse stressful situations to proactively resolve issues and meet challenging goals and objectives. As a client-oriented therapist I possess the innate ability to establish a genuine rapport and build the necessary trust for a solid client/therapist relationship. It is my belief that engaging communication and client advocacy can provide the motivation for growth and change.
I am a compassionate, culturally sensitive, solution-oriented mental health professional. I am dedicated to providing exceptional care and implementing effective treatment plans for individuals, couples and families. With an inherent ability to manage different types of personalities I am able to diffuse stressful situations to proactively resolve issues and meet challenging goals and objectives. As a client-oriented therapist I possess the innate ability to establish a genuine rapport and build the necessary trust for a solid client/therapist relationship. It is my belief that engaging communication and client advocacy can provide the motivation for growth and change.
(855) 759-4904 View (855) 759-4904
Photo of Bruce Perham Counseling, Clinical Social Work/Therapist in Seattle, WA
Bruce Perham Counseling
Clinical Social Work/Therapist, LICSW
Verified Verified
Seattle, WA 98118
Not accepting new clients
I became a therapist because I want to join with clients as they heal from pain and trauma. People need support for many reasons, some relatively simple and some so complicated as to seem unbearable. Psychotherapy is not only for people with severe illnesses or trauma but for people who feel stuck with their relationships, their careers, their friendships or have experiences that have a major impact on their daily lives and functioning.
I became a therapist because I want to join with clients as they heal from pain and trauma. People need support for many reasons, some relatively simple and some so complicated as to seem unbearable. Psychotherapy is not only for people with severe illnesses or trauma but for people who feel stuck with their relationships, their careers, their friendships or have experiences that have a major impact on their daily lives and functioning.
(206) 973-2296 View (206) 973-2296
Photo of Virginia Knox, Counselor in Seattle, WA
Virginia Knox
Counselor, MAEd, LMHC, LCMHC
Verified Verified
Seattle, WA 98109
** Please Note: I am currently NOT accepting new clients** Are you frustrated and discouraged with the quality of your relationships with others? Do you wish that there were a manual or rule book that came with the people you love? Relationships are the most cherished and yet confounding things that we as humans long to have, and we get very little guidance about how to make and maintain them. Whether you are in a relationship with a friend, lover, spouse, or child, I can help you learn ways to find fulfillment, stability, and joy.
** Please Note: I am currently NOT accepting new clients** Are you frustrated and discouraged with the quality of your relationships with others? Do you wish that there were a manual or rule book that came with the people you love? Relationships are the most cherished and yet confounding things that we as humans long to have, and we get very little guidance about how to make and maintain them. Whether you are in a relationship with a friend, lover, spouse, or child, I can help you learn ways to find fulfillment, stability, and joy.
(206) 202-0126 View (206) 202-0126
Photo of Elza Boycheva, Counselor in Seattle, WA
Elza Boycheva
Counselor, MS, LMHC
Verified Verified
Seattle, WA 98121  (Online Only)
Do you worry, overthink, feel anxious, have panic attacks, PTSD, or avoid certain situations because of anxiety/trauma? Your thoughts may be racing, spiraling, or making you feel like you’re experiencing painful situations all over again. You may be left feeling overwhelmed, terrified, out of control, and not knowing how to cope. You may avoid people, isolate yourself, find it hard to trust or connect with others, worry about others judging you, or become stuck in unhealthy relationship patterns. At times, it can feel hard to function.
Do you worry, overthink, feel anxious, have panic attacks, PTSD, or avoid certain situations because of anxiety/trauma? Your thoughts may be racing, spiraling, or making you feel like you’re experiencing painful situations all over again. You may be left feeling overwhelmed, terrified, out of control, and not knowing how to cope. You may avoid people, isolate yourself, find it hard to trust or connect with others, worry about others judging you, or become stuck in unhealthy relationship patterns. At times, it can feel hard to function.
(206) 866-2985 View (206) 866-2985
Photo of Melissa Deeken, Counselor in Seattle, WA
Melissa Deeken
Counselor, LMHCA
Verified Verified
2 Endorsed
Seattle, WA 98103
“Be easy. Take your time. You are coming home to yourself" (Nayirrah Waheed). Taking steps towards our own liberation and healing is our bravest act of self-love. If pain and trauma enter through relationship, then healing comes through cultivating more honest connections with ourselves, others and the earth. If pain and trauma come by way of the stories we've been told, then liberation comes by creating new stories to tell. We find a way forward when we are given a space to breathe, work through feelings, move through stuck places, and find language for what happened to us.
“Be easy. Take your time. You are coming home to yourself" (Nayirrah Waheed). Taking steps towards our own liberation and healing is our bravest act of self-love. If pain and trauma enter through relationship, then healing comes through cultivating more honest connections with ourselves, others and the earth. If pain and trauma come by way of the stories we've been told, then liberation comes by creating new stories to tell. We find a way forward when we are given a space to breathe, work through feelings, move through stuck places, and find language for what happened to us.
(206) 502-0745 View (206) 502-0745
Photo of Shelly L Rienhardt, Clinical Social Work/Therapist in Seattle, WA
Shelly L Rienhardt
Clinical Social Work/Therapist, LCSW
Verified Verified
Seattle, WA 98103  (Online Only)
I provide individual therapy to older adolescents and adults of all ages. I am drawn to working with individuals who want to resolve issues stemming from childhood and or adult trauma adversities. The areas I most work with are trauma and somatic related disorders, depression, mood and schizoaffective disorders, ADHD and learning difficulties, interpersonal relationship skills, narcissistic abuse, phase of life issues, and spiritual concerns/issues. Furthermore, I am passionate to assist individuals who are suffering with health issues, traumatic brain injury, and strokes to overcome mental and physical barriers.
I provide individual therapy to older adolescents and adults of all ages. I am drawn to working with individuals who want to resolve issues stemming from childhood and or adult trauma adversities. The areas I most work with are trauma and somatic related disorders, depression, mood and schizoaffective disorders, ADHD and learning difficulties, interpersonal relationship skills, narcissistic abuse, phase of life issues, and spiritual concerns/issues. Furthermore, I am passionate to assist individuals who are suffering with health issues, traumatic brain injury, and strokes to overcome mental and physical barriers.
(205) 953-4956 View (205) 953-4956
Photo of Jess Scola in Seattle, WA
Jess Scola
MEd, LMHCA
Verified Verified
Seattle, WA 98115
It takes courage to seek therapy, and I commend you for taking this step. Are you looking for a safe space to process challenging feelings, thoughts, events and/or relationships? Do you want to learn tools to help you be more actively engaged and present in your life? Is fear or sadness preventing you from living in alignment with your values or accomplishing your goals? I believe that we all have an innate ability and desire to live our lives with intent, and sometimes we need support and guidance to connect to those values as we navigate our ever changing circumstances.
It takes courage to seek therapy, and I commend you for taking this step. Are you looking for a safe space to process challenging feelings, thoughts, events and/or relationships? Do you want to learn tools to help you be more actively engaged and present in your life? Is fear or sadness preventing you from living in alignment with your values or accomplishing your goals? I believe that we all have an innate ability and desire to live our lives with intent, and sometimes we need support and guidance to connect to those values as we navigate our ever changing circumstances.
(206) 737-0603 View (206) 737-0603
Photo of Ali Clark, Counselor in Seattle, WA
Ali Clark
Counselor, MA, LMHC, CHT
Verified Verified
1 Endorsed
Seattle, WA 98136
You're here because you can't do it alone anymore. You need help to shake the stuck feeling and wonder if depression, anxiety, co-dependency [or insert struggle of choice] are winning this battle. You try to quit old habits and form healthier habits, but to no avail. You want to be in relationships that build you up but, more often than not, you feel doubt. Your self-esteem is in question. You don't feel like yourself anymore... whoever that may be. It's time to find help that will really move you out of this stuck place.
You're here because you can't do it alone anymore. You need help to shake the stuck feeling and wonder if depression, anxiety, co-dependency [or insert struggle of choice] are winning this battle. You try to quit old habits and form healthier habits, but to no avail. You want to be in relationships that build you up but, more often than not, you feel doubt. Your self-esteem is in question. You don't feel like yourself anymore... whoever that may be. It's time to find help that will really move you out of this stuck place.
(425) 329-8783 View (425) 329-8783
Photo of Laura May Bruco, Clinical Social Work/Therapist in Seattle, WA
Laura May Bruco
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98115  (Online Only)
You are an adult at a crossroads in your life and are looking for more intensive therapy than someone to talk to. You have experienced mis-attunements and/or trauma in your early life and have struggled to untangle the coping mechanisms that no longer work for you. Perhaps you don't know yourself or even know how to know yourself. Perhaps you just keep ending up in relationships that repeat past patterns no matter how hard you try not to. The idea of spending years in weekly therapy to get anywhere feels like too little. You need dynamic, change-oriented therapy that makes a difference quickly and offers more than just talking.
You are an adult at a crossroads in your life and are looking for more intensive therapy than someone to talk to. You have experienced mis-attunements and/or trauma in your early life and have struggled to untangle the coping mechanisms that no longer work for you. Perhaps you don't know yourself or even know how to know yourself. Perhaps you just keep ending up in relationships that repeat past patterns no matter how hard you try not to. The idea of spending years in weekly therapy to get anywhere feels like too little. You need dynamic, change-oriented therapy that makes a difference quickly and offers more than just talking.
(206) 651-4369 View (206) 651-4369
Photo of Kristine Roop Champagne, Clinical Social Work/Therapist in Seattle, WA
Kristine Roop Champagne
Clinical Social Work/Therapist, LICSW, BCD, DCSW
Verified Verified
1 Endorsed
Seattle, WA 98107
Before therapy, most people have identified emotions and behaviors that they have tried to change. When these efforts are not successful, there are often blind spots or important ties to unresolved, and sometime unrecognized, issues from the past. I work collaboratively to define the problem, identify patterns and their sources, and then to uncover new options. Since my former practice was in Harvard Square in Cambridge, MA, I have worked extensively with students and young adults. Often I use family theory in working with an individuals to increase awareness of options within relationships and with his/her family. .
Before therapy, most people have identified emotions and behaviors that they have tried to change. When these efforts are not successful, there are often blind spots or important ties to unresolved, and sometime unrecognized, issues from the past. I work collaboratively to define the problem, identify patterns and their sources, and then to uncover new options. Since my former practice was in Harvard Square in Cambridge, MA, I have worked extensively with students and young adults. Often I use family theory in working with an individuals to increase awareness of options within relationships and with his/her family. .
(206) 922-8502 View (206) 922-8502
Photo of Jed Hill Jacobson, Counselor in Seattle, WA
Jed Hill Jacobson
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98104  (Online Only)
I enjoy working with a broad range of humans with varying strengths and challenges. Areas of focus include trauma, depression, anxiety, relationship challenges, spiritual/identity exploration, and psychedelic integration. I particularly connect with open-minded humans with a creative, artistic, or athletic side, who are on a journey of self-discovery and growth. If you want to co-create a version of therapy that makes sense for you, I'm ready to go down that path together.
I enjoy working with a broad range of humans with varying strengths and challenges. Areas of focus include trauma, depression, anxiety, relationship challenges, spiritual/identity exploration, and psychedelic integration. I particularly connect with open-minded humans with a creative, artistic, or athletic side, who are on a journey of self-discovery and growth. If you want to co-create a version of therapy that makes sense for you, I'm ready to go down that path together.
(206) 237-4779 View (206) 237-4779
Photo of Focus Wellness, PLLC, Pre-Licensed Professional in Seattle, WA
Focus Wellness, PLLC
Pre-Licensed Professional, LSWAIC, MSW
Verified Verified
Seattle, WA 98119  (Online Only)
Not accepting new clients
Life can be challenging. Let’s work together to create a safe space where we acknowledge and explore patterns that aren't working in your life. Our time together is focused on you – listening to what you’re going through in a non-judgmental environment.
Life can be challenging. Let’s work together to create a safe space where we acknowledge and explore patterns that aren't working in your life. Our time together is focused on you – listening to what you’re going through in a non-judgmental environment.
(206) 385-3133 View (206) 385-3133

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

71% Premera
54% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

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

How can I find a therapist in Seattle?

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.