Therapists in Spokane, WA

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Photo of Cornilia E Denson, Clinical Social Work/Therapist in Spokane, WA
Cornilia E Denson
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
Hello! How would you like to start towards a path of emotional and mental healing? I would like to be entrusted to be your guide while on that path. To guide you towards autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. As someone with over 10 years of having the privilege of working with individuals who have encountered some element of a mental health crisis. I am very committed, passionate, patient, and flexible as a therapist. I possess the necessary interpersonal skills that inspire a trusting therapeutic relationship.
Hello! How would you like to start towards a path of emotional and mental healing? I would like to be entrusted to be your guide while on that path. To guide you towards autonomy, environmental mastery, personal growth, positive relations with others, purpose in life, and self-acceptance. As someone with over 10 years of having the privilege of working with individuals who have encountered some element of a mental health crisis. I am very committed, passionate, patient, and flexible as a therapist. I possess the necessary interpersonal skills that inspire a trusting therapeutic relationship.
(509) 303-4247 View (509) 303-4247
Photo of Dr. Lauren Koch, Psychologist in Spokane, WA
Dr. Lauren Koch
Psychologist, PhD
Verified Verified
Spokane, WA 99202
Waitlist for new clients
You’ve been feeling overwhelmed for a while. You’ve told yourself that if you just try a little harder or wait a little longer, your life will feel more in control. But if you’re being honest with yourself, the more time passes, the worse you feel. You’re starting to feel hopeless and you aren’t sure what to do next. You know it’s time to make a change. Going it alone hasn’t been working. You know you want to take back control of your life, but you aren’t quite sure how. You are starting to wonder if counseling could help you stop struggling and start enjoying your life.
You’ve been feeling overwhelmed for a while. You’ve told yourself that if you just try a little harder or wait a little longer, your life will feel more in control. But if you’re being honest with yourself, the more time passes, the worse you feel. You’re starting to feel hopeless and you aren’t sure what to do next. You know it’s time to make a change. Going it alone hasn’t been working. You know you want to take back control of your life, but you aren’t quite sure how. You are starting to wonder if counseling could help you stop struggling and start enjoying your life.
(509) 213-0540 View (509) 213-0540
Photo of Rachel Coleman, Clinical Social Work/Therapist in Spokane, WA
Rachel Coleman
Clinical Social Work/Therapist, LICSW
Verified Verified
Spokane, WA 99201
These days life's challenges can feel overwhelming. Recognizing that we need support can feel daunting. Therapy offers a safe and compassionate environment for you to explore your strengths, learn tools for healing, develop resilience, and gain insight and clarity for moving forward in your life and your realtionships. I practice a strengths-based approach where clients are empowered to build upon their strengths, learn new skills, and achieve their best self.
These days life's challenges can feel overwhelming. Recognizing that we need support can feel daunting. Therapy offers a safe and compassionate environment for you to explore your strengths, learn tools for healing, develop resilience, and gain insight and clarity for moving forward in your life and your realtionships. I practice a strengths-based approach where clients are empowered to build upon their strengths, learn new skills, and achieve their best self.
(509) 481-9629 View (509) 481-9629
Photo of Tegan Brindley, Pre-Licensed Professional in Spokane, WA
Tegan Brindley
Pre-Licensed Professional
Verified Verified
2 Endorsed
Spokane, WA 99201
I am passionate about working with people through a variety of diagnoses and life circumstances. Whether you are going through a difficult transition, overcoming a trauma, coping with anxiety or depression or just want to become more self aware and live into your fullest potential, I am here to help process and give tools for healing and health.
I am passionate about working with people through a variety of diagnoses and life circumstances. Whether you are going through a difficult transition, overcoming a trauma, coping with anxiety or depression or just want to become more self aware and live into your fullest potential, I am here to help process and give tools for healing and health.
(509) 401-8622 View (509) 401-8622
Photo of Nathan Bauder, Counselor in Spokane, WA
Nathan Bauder
Counselor, MA, LMHC, NCC
Verified Verified
Spokane, WA 99204
From the moment you arrive at my office you will be met with what has been designed to be a relaxing, thought provoking, and priming environment that helps create curiosity and tranquility. A high amount of consideration is taken in the process of establishing an environment that is not only welcoming, but enhances your ability to engage your inner world with comfort and inquisitiveness. From this point on, my purpose is to help you unfold your purpose for being in therapy, and collaboratively create, implement, and maintain a plan that guides you towards addressing and moving beyond your distress.
From the moment you arrive at my office you will be met with what has been designed to be a relaxing, thought provoking, and priming environment that helps create curiosity and tranquility. A high amount of consideration is taken in the process of establishing an environment that is not only welcoming, but enhances your ability to engage your inner world with comfort and inquisitiveness. From this point on, my purpose is to help you unfold your purpose for being in therapy, and collaboratively create, implement, and maintain a plan that guides you towards addressing and moving beyond your distress.
(509) 519-4579 View (509) 519-4579
Photo of Melissa Roloff (Mindful Matters Counseling), Counselor in Spokane, WA
Melissa Roloff (Mindful Matters Counseling)
Counselor, MA, LMHCA, ADHD-PT, SFT-PT
Verified Verified
1 Endorsed
Spokane, WA 99207  (Online Only)
We all have an innate longing for intimate human relationship but for many of us, we can't seem to shake this dull aching loneliness that resides in the pit of our souls. However, the inherent human need for meaningful relationships has remained elusive. Many times, it feels easier to isolate than to face the intolerable reality. We have become experts at stifling our needs and desires. But when we enter into the presence of another, when we begin to tell our stories of heartache and pain, healing begins. We need a witness to our grief, someone to join alongside us as we lament. Above all, we need a place to experience belonging.
We all have an innate longing for intimate human relationship but for many of us, we can't seem to shake this dull aching loneliness that resides in the pit of our souls. However, the inherent human need for meaningful relationships has remained elusive. Many times, it feels easier to isolate than to face the intolerable reality. We have become experts at stifling our needs and desires. But when we enter into the presence of another, when we begin to tell our stories of heartache and pain, healing begins. We need a witness to our grief, someone to join alongside us as we lament. Above all, we need a place to experience belonging.
(509) 485-8917 View (509) 485-8917
Photo of Linda Higley, Psychologist in Spokane, WA
Linda Higley
Psychologist, PhD
Verified Verified
Spokane, WA 99207
I see myself as having the privilege to walk with my clients for part of their life's journey. There are times when we may find ourselves unable to see options, and unsure of the best way to proceed. In my office I provide a safe place to explore problems and to work with my clients. I practice from a strengths-based focus - this means we will identify your strengths, your skills and your abilities to make changes in your life. I love my work and I dedicate myself to my clients' successes.
I see myself as having the privilege to walk with my clients for part of their life's journey. There are times when we may find ourselves unable to see options, and unsure of the best way to proceed. In my office I provide a safe place to explore problems and to work with my clients. I practice from a strengths-based focus - this means we will identify your strengths, your skills and your abilities to make changes in your life. I love my work and I dedicate myself to my clients' successes.
(509) 878-3150 View (509) 878-3150
Photo of The Spotted Hawk Counseling, PLLC, Counselor in Spokane, WA
The Spotted Hawk Counseling, PLLC
Counselor, MA, LMHC, BC-TMH
Verified Verified
Spokane, WA 99201  (Online Only)
In my work, I support hope and self-determination as my clients apply their abilities in pursuit of their therapeutic goals and well being. Therapy is a collaborative process in which I use a compassionate person-centered approach and various evidence-based methods to address each individual's needs. These include Motivational Interviewing, Cognitive Behavioral Therapy and Trauma-Focused CBT, Acceptance and Commitment Therapy, Exposure and Response Prevention, Mindfulness, Somatic Therapy, Gestalt Therapy and Narrative Therapy.
In my work, I support hope and self-determination as my clients apply their abilities in pursuit of their therapeutic goals and well being. Therapy is a collaborative process in which I use a compassionate person-centered approach and various evidence-based methods to address each individual's needs. These include Motivational Interviewing, Cognitive Behavioral Therapy and Trauma-Focused CBT, Acceptance and Commitment Therapy, Exposure and Response Prevention, Mindfulness, Somatic Therapy, Gestalt Therapy and Narrative Therapy.
(509) 550-0667 View (509) 550-0667
Photo of Emily Seppi, Marriage & Family Therapist in Spokane, WA
Emily Seppi
Marriage & Family Therapist, MA LMFT
Verified Verified
1 Endorsed
Spokane, WA 99202
You want to appear strong, but deep down you feel overwhelmed, disconnected, and doubtful of yourself. You’re someone who works hard and is intentional in all that you do, but you still find yourself facing the same issues from your past again and again. You want better for yourself, even if you’re not exactly sure what that might look like. You are ready to make a change. You’re ready to experience relief from your past. You’re ready to build rich, meaningful relationships with yourself and others. You’re ready to face your future, connected fully to yourself, with complete access to peace, joy, and hope.
You want to appear strong, but deep down you feel overwhelmed, disconnected, and doubtful of yourself. You’re someone who works hard and is intentional in all that you do, but you still find yourself facing the same issues from your past again and again. You want better for yourself, even if you’re not exactly sure what that might look like. You are ready to make a change. You’re ready to experience relief from your past. You’re ready to build rich, meaningful relationships with yourself and others. You’re ready to face your future, connected fully to yourself, with complete access to peace, joy, and hope.
(509) 204-5182 View (509) 204-5182
Photo of Rokoyia Roper-Lee, Clinical Social Work/Therapist in Spokane, WA
Rokoyia Roper-Lee
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Spokane, WA 99201  (Online Only)
Life is full of unpredictable twist and turns and can leave us emotionally paralyzed, overwhelmed or even surface as health issues. The stressors of life and no outlet can exacerbate these feelings and present as anger, depression and hoplessness. Deep down, if you have ever wondered if there is more to life, than what you are currently experiencing, and you are ready to take the next steps towards “your healing journey”, SafeSpace MHCS is for you.
Life is full of unpredictable twist and turns and can leave us emotionally paralyzed, overwhelmed or even surface as health issues. The stressors of life and no outlet can exacerbate these feelings and present as anger, depression and hoplessness. Deep down, if you have ever wondered if there is more to life, than what you are currently experiencing, and you are ready to take the next steps towards “your healing journey”, SafeSpace MHCS is for you.
(509) 553-5433 View (509) 553-5433
Photo of Leanna M O'Brien, Mental Health Counselor in Spokane, WA
Leanna M O'Brien
Mental Health Counselor, MS, LMHC
Verified Verified
1 Endorsed
Spokane, WA 99202
Waitlist for new clients
Do you feel stuck in patterns that are no longer serving you? Do you want to be more fulfilled at work and home? Do you have a history of trauma or abuse that is impacting your daily life? Wherever you are in your journey, I am here to support you with a safe, supportive and non-judgmental space. My goal is to help you understand yourself and to develop practical skills that align with your values and empower you to live a more gratifying life.
Do you feel stuck in patterns that are no longer serving you? Do you want to be more fulfilled at work and home? Do you have a history of trauma or abuse that is impacting your daily life? Wherever you are in your journey, I am here to support you with a safe, supportive and non-judgmental space. My goal is to help you understand yourself and to develop practical skills that align with your values and empower you to live a more gratifying life.
(509) 785-7489 View (509) 785-7489
Photo of Maura Winter, Counselor in Spokane, WA
Maura Winter
Counselor, MA, LMHC
Verified Verified
Spokane, WA 99218  (Online Only)
Immediate openings available! Are you feeling stuck or anxious? Struggling understanding your own boundaries or needs, or feeling down on yourself? Trying to make sense of where you come from and who you are? You're in the right place. I work well with individuals who are struggling with anxiety, life transitions, struggling with boundaries or interpersonal relationships. I also enjoy assessing and working with clients with Obsessive-Compulsive Disorder.
Immediate openings available! Are you feeling stuck or anxious? Struggling understanding your own boundaries or needs, or feeling down on yourself? Trying to make sense of where you come from and who you are? You're in the right place. I work well with individuals who are struggling with anxiety, life transitions, struggling with boundaries or interpersonal relationships. I also enjoy assessing and working with clients with Obsessive-Compulsive Disorder.
(509) 245-2575 View (509) 245-2575
Photo of Theresa A Pollard, Pre-Licensed Professional in Spokane, WA
Theresa A Pollard
Pre-Licensed Professional, MS, LMFTA
Verified Verified
Spokane, WA 99201  (Online Only)
I am a marriage and family therapist specializing in CBT, trauma-informed care, and solution-focused therapy. I have 30 years of human resource experience helping individuals navigate career and employment issues, communication problems, and personal growth. I am now a passionate therapist, creating a safe and supportive therapeutic environment for my clients to explore their emotions and develop effective coping strategies. I love to build a strong rapport with my clients, creating a safe and non-judgmental space for you to overcome challenges, improve your overall well-being, and achieve personal growth.
I am a marriage and family therapist specializing in CBT, trauma-informed care, and solution-focused therapy. I have 30 years of human resource experience helping individuals navigate career and employment issues, communication problems, and personal growth. I am now a passionate therapist, creating a safe and supportive therapeutic environment for my clients to explore their emotions and develop effective coping strategies. I love to build a strong rapport with my clients, creating a safe and non-judgmental space for you to overcome challenges, improve your overall well-being, and achieve personal growth.
(509) 383-8939 x9674 View (509) 383-8939 x9674
Photo of Caitlin Hill, Marriage & Family Therapist Associate in Spokane, WA
Caitlin Hill
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Spokane, WA 99201
Are you emotionally exhausted? Do you find yourself caught in repeating patterns of conflict, anger, and resentment? Are you completely unsure if you and your partner are even capable of understanding each other? Do you feel defeated by feelings of disconnection and emotional tension without the tools to move toward real change? As a relational therapist, I help individuals, couples, and families like you better understand your patterns of conflict, learn ways to hear and be heard, and find effective tools and strategies to manage your relationships. I would love to help you rediscover the joy in your relationships.
Are you emotionally exhausted? Do you find yourself caught in repeating patterns of conflict, anger, and resentment? Are you completely unsure if you and your partner are even capable of understanding each other? Do you feel defeated by feelings of disconnection and emotional tension without the tools to move toward real change? As a relational therapist, I help individuals, couples, and families like you better understand your patterns of conflict, learn ways to hear and be heard, and find effective tools and strategies to manage your relationships. I would love to help you rediscover the joy in your relationships.
(509) 563-7615 View (509) 563-7615
Photo of Ben Salzman, Counselor in Spokane, WA
Ben Salzman
Counselor, MS, LMHC
Verified Verified
Spokane, WA 99202  (Online Only)
My clients often struggle with anger, anxiety or stress and find themselves in these places because they lack the strategies and tools to either feel better or make the needed changes in their lives. I hope you give me the opportunity to work with you as I will help you identify the problems getting in the way of your success and be sure to explain the "why" behind the skills, strategies and tools that will help you on your way.
My clients often struggle with anger, anxiety or stress and find themselves in these places because they lack the strategies and tools to either feel better or make the needed changes in their lives. I hope you give me the opportunity to work with you as I will help you identify the problems getting in the way of your success and be sure to explain the "why" behind the skills, strategies and tools that will help you on your way.
(509) 260-2618 View (509) 260-2618
Photo of Rana H Pullom, Clinical Social Work/Therapist in Spokane, WA
Rana H Pullom
Clinical Social Work/Therapist, LICSW, CMHS, MHP
Verified Verified
1 Endorsed
Spokane, WA 99202
**Accepting New Clients** Life can sometimes leave you feeling alone, stressed, or overwhelmed. Reaching out for help can be challenging and confusing. When you find the right counselor to share your story with, your journey can be rewarding and empowering. My passion is to support you to find healing and balance in your life. I have a holistic (mind, body, spirit) perspective utilizing a strengths-based approach to support you with meeting your mental health needs.
**Accepting New Clients** Life can sometimes leave you feeling alone, stressed, or overwhelmed. Reaching out for help can be challenging and confusing. When you find the right counselor to share your story with, your journey can be rewarding and empowering. My passion is to support you to find healing and balance in your life. I have a holistic (mind, body, spirit) perspective utilizing a strengths-based approach to support you with meeting your mental health needs.
(509) 316-2077 View (509) 316-2077
Photo of Kelsey Johnson, Pre-Licensed Professional in Spokane, WA
Kelsey Johnson
Pre-Licensed Professional, LMHCA, NCC
Verified Verified
5 Endorsed
Spokane, WA 99204
I enjoy working with individual women and teens, as well as couples, through a systemic and relational lens. I believe we are shaped by the environments around us and that it can be helpful to incorporate those environments into the healing process. I enjoy working with adults to build and strengthen a deeper sense of self by exploring who we are in our relationship with self and others. I am interested in working with couples to build more closeness and safety through an emotionally focused approach to help strengthen the bond and consequently felt security and intimacy in that relationship.
I enjoy working with individual women and teens, as well as couples, through a systemic and relational lens. I believe we are shaped by the environments around us and that it can be helpful to incorporate those environments into the healing process. I enjoy working with adults to build and strengthen a deeper sense of self by exploring who we are in our relationship with self and others. I am interested in working with couples to build more closeness and safety through an emotionally focused approach to help strengthen the bond and consequently felt security and intimacy in that relationship.
(509) 800-2236 View (509) 800-2236
Photo of Renae Marler, Counselor in Spokane, WA
Renae Marler
Counselor, MS, LMHC, CMHS
Verified Verified
Spokane, WA 99201
We all want to feel better & have thriving relationships, but our life experiences have a direct impact on that. Whether you're an individual with unresolved trauma, a first responder whose job is affecting their personal life, or a couple struggling to communicate or with infidelity, for example. Conflict & residual trauma can cause a loss of connection over time with those we love. And trauma left untreated can cause heightened reactions, like anger or fear, or the opposite - emotional detachment. You may notice feeling sad or irritable, have nightmares, or struggle with trust. The effects are different for each person.
We all want to feel better & have thriving relationships, but our life experiences have a direct impact on that. Whether you're an individual with unresolved trauma, a first responder whose job is affecting their personal life, or a couple struggling to communicate or with infidelity, for example. Conflict & residual trauma can cause a loss of connection over time with those we love. And trauma left untreated can cause heightened reactions, like anger or fear, or the opposite - emotional detachment. You may notice feeling sad or irritable, have nightmares, or struggle with trust. The effects are different for each person.
(509) 792-3289 View (509) 792-3289
Photo of Christine Greiner, Pre-Licensed Professional in Spokane, WA
Christine Greiner
Pre-Licensed Professional, LMHCA
Verified Verified
Spokane, WA 99201  (Online Only)
Life can be challenging. My intention as a counselor is to help any individual I get the privilege of serving to lead a life of wholeness. With the right tools and support, each of us can heal and grow. As a mom and wife, I understand the unique challenges of parenting and relationships. Additionally, being a military spouse I have experienced multiple moves which have caused me to learn how to be resilient in the midst of change. As a counselor, I show up to each session open, honest, and prepared to assist you in unique ways. I look forward to connecting with you!
Life can be challenging. My intention as a counselor is to help any individual I get the privilege of serving to lead a life of wholeness. With the right tools and support, each of us can heal and grow. As a mom and wife, I understand the unique challenges of parenting and relationships. Additionally, being a military spouse I have experienced multiple moves which have caused me to learn how to be resilient in the midst of change. As a counselor, I show up to each session open, honest, and prepared to assist you in unique ways. I look forward to connecting with you!
(509) 646-7555 View (509) 646-7555
Photo of Paden Vance, Counselor in Spokane, WA
Paden Vance
Counselor, MA, LMHC
Verified Verified
Spokane, WA 99202  (Online Only)
Not accepting new clients
Seeking a counselor can be a scary thing. Not only does it mean asking for help, it also involves intentionally confronting our personal demons, whether in our environment, our family, or even within ourselves. I want you to know that you are not alone in that fight. I work from a client-centered and strengths-based lens, offering clients a space of acceptance and freedom in which they can express their emotions openly, discover their best qualities, and experience personal growth.
Seeking a counselor can be a scary thing. Not only does it mean asking for help, it also involves intentionally confronting our personal demons, whether in our environment, our family, or even within ourselves. I want you to know that you are not alone in that fight. I work from a client-centered and strengths-based lens, offering clients a space of acceptance and freedom in which they can express their emotions openly, discover their best qualities, and experience personal growth.
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How does your Therapist compare?

Number of Therapists in Spokane, WA

1,000+

Average cost per session

$135

Therapists in Spokane, WA who prioritize treating:

92% Anxiety
87% Depression
77% Self Esteem
74% Trauma and PTSD
73% Relationship Issues
73% Stress
71% Coping Skills

Average years in practice

8 Years

Top 3 insurances accepted

74% Premera
72% Aetna
58% Regence

How Therapists in Spokane, WA see their clients

52% In Person and Online
48% Online Only

Gender breakdown

80% Female
18% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Spokane?

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.