Therapists in Portland, OR

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Photo of Lauren Summer, Licensed Professional Counselor in Portland, OR
Lauren Summer
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97205
Everyone has a different path in therapy. No matter what issues you are struggling with, it is possible to find peace and achieve a more meaningful life. Some of the things I enjoy working with include: childhood trauma, attachment issues, OCD, PTSD, men's issues, LGBTQIA+ issues, divorce, parenting, grief and loss, life transitions, depression, and anxiety.
Everyone has a different path in therapy. No matter what issues you are struggling with, it is possible to find peace and achieve a more meaningful life. Some of the things I enjoy working with include: childhood trauma, attachment issues, OCD, PTSD, men's issues, LGBTQIA+ issues, divorce, parenting, grief and loss, life transitions, depression, and anxiety.
(971) 256-8351 View (971) 256-8351
Photo of Jill Monsen, Licensed Professional Counselor in Portland, OR
Jill Monsen
Licensed Professional Counselor, MS
Verified Verified
Portland, OR 97212
We often face challenges in our lives and relationships that test our resilience, confidence, and faith. If you are considering counseling, chances are you are experiencing significant stress, or feeling a desire to make some changes. I provide an encouraging, nonjudgmental space to explore your feelings and experiences.
We often face challenges in our lives and relationships that test our resilience, confidence, and faith. If you are considering counseling, chances are you are experiencing significant stress, or feeling a desire to make some changes. I provide an encouraging, nonjudgmental space to explore your feelings and experiences.
(503) 715-0910 x106 View (503) 715-0910 x106
Photo of Amanda Zucker, Licensed Professional Counselor in Portland, OR
Amanda Zucker
Licensed Professional Counselor, LCAT, ATR-BC
Verified Verified
Portland, OR 97214
Are you feeling lost as you navigate challenging transitions in your life? Is your world shifting as you make choices around parenthood, parenting, co-parenting, career and or relationship changes? All while the outside world keeps spinning and feels loud and overwhelming? Are you struggling with loss and grief? Are you feeling stuck, fearful or unsure of how to move through this part of your life? You're not alone. I'm an art therapist and licensed professional counselor and it's my honor to support clients through these difficult moments in their life using authentic connection, creative practices and nervous system regulation.
Are you feeling lost as you navigate challenging transitions in your life? Is your world shifting as you make choices around parenthood, parenting, co-parenting, career and or relationship changes? All while the outside world keeps spinning and feels loud and overwhelming? Are you struggling with loss and grief? Are you feeling stuck, fearful or unsure of how to move through this part of your life? You're not alone. I'm an art therapist and licensed professional counselor and it's my honor to support clients through these difficult moments in their life using authentic connection, creative practices and nervous system regulation.
(503) 461-1331 View (503) 461-1331
Photo of Maureen A O'Donnell, Licensed Professional Counselor in Portland, OR
Maureen A O'Donnell
Licensed Professional Counselor, MA, Jungian, Analyst
Verified Verified
Portland, OR 97212
Not accepting new clients
I specialize in the treatment of depression, anxiety, the aftereffects of trauma, and life-transitions. If you are feeling hopelessness, despair, anger, or lack motivation, you are probably suffering from depression. Excessive worry and fears are signs of anxiety. Symptoms of trauma can include: panic attacks, anxiety, hyper-vigilance, anger, depression, and dissociation.
I specialize in the treatment of depression, anxiety, the aftereffects of trauma, and life-transitions. If you are feeling hopelessness, despair, anger, or lack motivation, you are probably suffering from depression. Excessive worry and fears are signs of anxiety. Symptoms of trauma can include: panic attacks, anxiety, hyper-vigilance, anger, depression, and dissociation.
(503) 880-0966 View (503) 880-0966
Photo of Roberto Olivero, Psychologist in Portland, OR
Roberto Olivero
Psychologist, PhD
Verified Verified
Portland, OR 97214
LGBTQ specialized. I am only available for in person sessions 6 months of the year, May through October. I conduct sessions on-line the remainder of the year. Morning appointments only, year round. Now in private practice, I was a practicing psychologist with the Men's Resource Center and Women's Counseling Center for over 25 years. I specialize in men's issues, including depression, anxiety, self-esteem, and relationships (including polyamorous). I also see women in my practice. I have a special interest in helping gay men and women, as I am gay identified myself. I conduct individual and couples' sessions.
LGBTQ specialized. I am only available for in person sessions 6 months of the year, May through October. I conduct sessions on-line the remainder of the year. Morning appointments only, year round. Now in private practice, I was a practicing psychologist with the Men's Resource Center and Women's Counseling Center for over 25 years. I specialize in men's issues, including depression, anxiety, self-esteem, and relationships (including polyamorous). I also see women in my practice. I have a special interest in helping gay men and women, as I am gay identified myself. I conduct individual and couples' sessions.
(971) 407-5657 View (971) 407-5657
Photo of Sarah Hoagland, Licensed Professional Counselor in Portland, OR
Sarah Hoagland
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97205
Do you struggle to make lasting changes in your life? Do you suffer from relationship difficulties, job dissatisfaction or low self-esteem? Do you repeat the same negative patterns? If so, I believe I can help. I am trained to help you make the changes you want to see in your life. I will help you get to the root of your problems, not simply treat your symptoms. This happens best in the safety of a trusted therapeutic relationship where we will work collaboratively to help you discover your authentic feelings, make a deeper connection to yourself and others, and reap greater satisfaction from your life.
Do you struggle to make lasting changes in your life? Do you suffer from relationship difficulties, job dissatisfaction or low self-esteem? Do you repeat the same negative patterns? If so, I believe I can help. I am trained to help you make the changes you want to see in your life. I will help you get to the root of your problems, not simply treat your symptoms. This happens best in the safety of a trusted therapeutic relationship where we will work collaboratively to help you discover your authentic feelings, make a deeper connection to yourself and others, and reap greater satisfaction from your life.
(503) 610-5526 View (503) 610-5526
Photo of Azin Ghoreyshi, Professional Counselor Associate in Portland, OR
Azin Ghoreyshi
Professional Counselor Associate
Verified Verified
Portland, OR 97231  (Online Only)
accepting new clients! My areas of expertise include anxiety, depression, and relationship issues. Are you self-aware, but needing some extra support around understanding your experience and making necessary changes in order to thrive? Are you navigating a challenging relationship, situation or transition? Do you need new tools for self-regulating? My primary objective as a therapist is to establish a nonjudgmental and nurturing environment where I can help you recognize and address the thought patterns and behaviors that may be impeding your progress towards realizing your highest potential.
accepting new clients! My areas of expertise include anxiety, depression, and relationship issues. Are you self-aware, but needing some extra support around understanding your experience and making necessary changes in order to thrive? Are you navigating a challenging relationship, situation or transition? Do you need new tools for self-regulating? My primary objective as a therapist is to establish a nonjudgmental and nurturing environment where I can help you recognize and address the thought patterns and behaviors that may be impeding your progress towards realizing your highest potential.
(503) 743-7330 View (503) 743-7330
Photo of Zoë Presley, Licensed Professional Counselor in Portland, OR
Zoë Presley
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Portland, OR 97209
Are you feeling alone, afraid or overwhelmed? Are you having difficulty navigating profound adjustments to your life or your relationships? Are others in your life depending on you to guide them through difficult times? I will help you achieve a sense of calm and a perspective of hopefulness.
Are you feeling alone, afraid or overwhelmed? Are you having difficulty navigating profound adjustments to your life or your relationships? Are others in your life depending on you to guide them through difficult times? I will help you achieve a sense of calm and a perspective of hopefulness.
(503) 616-2712 View (503) 616-2712
Photo of Family Heart Counseling - Leslie Yeargers, M.A,, Licensed Professional Counselor in Portland, OR
Family Heart Counseling - Leslie Yeargers, M.A,
Licensed Professional Counselor, LPC, LMFT
Verified Verified
1 Endorsed
Portland, OR 97202
I specialize in working with couples from all walks of life, as well as families in which one member is exploring their gender identity or actively transitioning. I understand that gender exploration and transition can create unique challenges within families; it can bring out family dynamics that are painful and difficult to navigate without help. I am here to support you with that. Regarding couples, it's not unusual to experience challenges in your relationship as you face the challenges of daily living. I am here to help you improve communication, increase understanding, and find your way back to each other.
I specialize in working with couples from all walks of life, as well as families in which one member is exploring their gender identity or actively transitioning. I understand that gender exploration and transition can create unique challenges within families; it can bring out family dynamics that are painful and difficult to navigate without help. I am here to support you with that. Regarding couples, it's not unusual to experience challenges in your relationship as you face the challenges of daily living. I am here to help you improve communication, increase understanding, and find your way back to each other.
(971) 351-1608 View (971) 351-1608
Photo of Lila Derickson in Portland, OR
Lila Derickson
ND, MS
Verified Verified
1 Endorsed
Portland, OR 97206  (Online Only)
Not accepting new clients
Do you think you might have ADHD, be autistic, or both? Maybe you've had a sense that some things are a lot more difficult for you than for other people. Maybe you've felt like everyone else got the manual on how to be a person, but they forgot to give you one. Or you've just felt like you were different somehow. If this sounds like you and you're wondering if undiagnosed ADHD or autism could be the reason, I can help.
Do you think you might have ADHD, be autistic, or both? Maybe you've had a sense that some things are a lot more difficult for you than for other people. Maybe you've felt like everyone else got the manual on how to be a person, but they forgot to give you one. Or you've just felt like you were different somehow. If this sounds like you and you're wondering if undiagnosed ADHD or autism could be the reason, I can help.
(971) 717-7828 View (971) 717-7828
Photo of Elissa Barbee, Licensed Professional Counselor in Portland, OR
Elissa Barbee
Licensed Professional Counselor, MA, LPC, CADCI
Verified Verified
2 Endorsed
Portland, OR 97214
"Being human is not about being any one particular way; it is about being as life creates you-with your own particular strengths and weaknesses, gifts and challenges, quirks and oddities." Here, Kristin Neff gently reminds us that the gift of life is experienced through the journey of coming in to your own being. As a healing professional, I would be honored to accompany you on your journey of exploring the unique aspects of your humanness that cause you to get stuck and limit your access to abundance.
"Being human is not about being any one particular way; it is about being as life creates you-with your own particular strengths and weaknesses, gifts and challenges, quirks and oddities." Here, Kristin Neff gently reminds us that the gift of life is experienced through the journey of coming in to your own being. As a healing professional, I would be honored to accompany you on your journey of exploring the unique aspects of your humanness that cause you to get stuck and limit your access to abundance.
(503) 610-8905 View (503) 610-8905
Photo of Renée Lynn Anderson, Pre-Licensed Professional in Portland, OR
Renée Lynn Anderson
Pre-Licensed Professional, CSWA, MSW
Verified Verified
Portland, OR 97202
You may enjoy working with me if you are seeking support for family dynamic issues, trauma related issues, relationship conflict, anxiety, depression, child welfare involvement, parent-child relationship support or would like to expand upon your parenting techniques. Or if you identify as a new parent, teen parent, teen (13 years or older) or a survivor of childhood trauma. My therapeutic style / modalities used include play therapy, motivational interviewing, family systems, mindfulness, narrative therapy, internal family systems therapy, cognitive behavioral therapy and dialectical behavioral therapy.
You may enjoy working with me if you are seeking support for family dynamic issues, trauma related issues, relationship conflict, anxiety, depression, child welfare involvement, parent-child relationship support or would like to expand upon your parenting techniques. Or if you identify as a new parent, teen parent, teen (13 years or older) or a survivor of childhood trauma. My therapeutic style / modalities used include play therapy, motivational interviewing, family systems, mindfulness, narrative therapy, internal family systems therapy, cognitive behavioral therapy and dialectical behavioral therapy.
(503) 749-6726 View (503) 749-6726
Photo of Brian McLanahan, Clinical Social Work/Therapist in Portland, OR
Brian McLanahan
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97204
Are you overwhelmed by negative self-talk? Maybe you feel that no matter how hard you try, you somehow seem to miss the mark you set for yourself. Are you struggling with a sense of overwhelming anxiety, and your usual methods of coping are just not working anymore? Perhaps you've been hesitant to seek professional advice because you had a bad experience with a therapist, or you simply dislike labels. I am here to lend a hand. I strive to practice in a way that is most comfortable for my clients. For some, a diagnosis feels like validation; for others, it's a prison. I am happy to provide the service that best suits your needs.
Are you overwhelmed by negative self-talk? Maybe you feel that no matter how hard you try, you somehow seem to miss the mark you set for yourself. Are you struggling with a sense of overwhelming anxiety, and your usual methods of coping are just not working anymore? Perhaps you've been hesitant to seek professional advice because you had a bad experience with a therapist, or you simply dislike labels. I am here to lend a hand. I strive to practice in a way that is most comfortable for my clients. For some, a diagnosis feels like validation; for others, it's a prison. I am happy to provide the service that best suits your needs.
(971) 265-6136 View (971) 265-6136
Photo of Allison Medford, Marriage & Family Therapist in Portland, OR
Allison Medford
Marriage & Family Therapist, LMFT, ATR
Verified Verified
Portland, OR 97202  (Online Only)
I understand that life's challenges can sometimes feel overwhelming, and seeking support is a brave and important step toward finding balance and well-being. My practice is dedicated to providing a safe, confidential, and compassionate space with an anti-oppressive, culturally humble perspective where you can embark on a journey of self-discovery, healing, and personal growth. By integrating evidence-based practices with empathy and compassion, I will tailor our sessions to your unique needs, helping you gain insights, develop coping strategies, and create positive change in your life.
I understand that life's challenges can sometimes feel overwhelming, and seeking support is a brave and important step toward finding balance and well-being. My practice is dedicated to providing a safe, confidential, and compassionate space with an anti-oppressive, culturally humble perspective where you can embark on a journey of self-discovery, healing, and personal growth. By integrating evidence-based practices with empathy and compassion, I will tailor our sessions to your unique needs, helping you gain insights, develop coping strategies, and create positive change in your life.
(503) 451-6184 View (503) 451-6184
Photo of Debra J. Schnack, MFT, Marriage & Family Therapist in Portland, OR
Debra J. Schnack, MFT
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Portland, OR 97214
I believe that participating in therapy can result in many benefits, including a better understanding of your personal goals and values, improved relationships, and resolution of the concerns that led you to seek therapy. My hope is that with sensitivity and compassion, I can help you identify strengths, as well as find solutions to a wide range of psychological issues. Taking a holistic approach to therapy, I am concerned with the long-term well-being of the individual. I work on anxiety, depression, life transitions, and other issues in a safe, supportive, non-judgmental environment.
I believe that participating in therapy can result in many benefits, including a better understanding of your personal goals and values, improved relationships, and resolution of the concerns that led you to seek therapy. My hope is that with sensitivity and compassion, I can help you identify strengths, as well as find solutions to a wide range of psychological issues. Taking a holistic approach to therapy, I am concerned with the long-term well-being of the individual. I work on anxiety, depression, life transitions, and other issues in a safe, supportive, non-judgmental environment.
(503) 855-6585 View (503) 855-6585
Photo of Caretia A Silva, Clinical Social Work/Therapist in Portland, OR
Caretia A Silva
Clinical Social Work/Therapist, LCSW, SEP
Verified Verified
Portland, OR 97212
I have been a therapist for over 20 years, have trained in multiple approaches and am consistently deepening and refining my practice. I have specialized in childhood development, anxiety, neurodiversity, trauma focused and trauma informed care with all ages. Let's connect if you are you curious about what makes you tick, have found yourself in a phase of life that is difficult, confusing, challenging or scary, live with anxiety, or hoping to heal from trauma or generational trauma.
I have been a therapist for over 20 years, have trained in multiple approaches and am consistently deepening and refining my practice. I have specialized in childhood development, anxiety, neurodiversity, trauma focused and trauma informed care with all ages. Let's connect if you are you curious about what makes you tick, have found yourself in a phase of life that is difficult, confusing, challenging or scary, live with anxiety, or hoping to heal from trauma or generational trauma.
View
Photo of Nichole Aimonetti, LPC, Licensed Professional Counselor in Portland, OR
Nichole Aimonetti, LPC
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97205  (Online Only)
Do you feel stuck? Do you become fearful or avoidant in certain places? If anxiety, fear or depression has taken hold in your life - there is effective help. I am an expert in cognitive behavioral therapy (CBT) and evidence based practice (EBP.) I provide treatments and teach you the skills you need to manage your feelings and find new ways to solve problems. By helping you identify and replace negative thinking and behavior patterns you gain control and are able to live the life you want.
Do you feel stuck? Do you become fearful or avoidant in certain places? If anxiety, fear or depression has taken hold in your life - there is effective help. I am an expert in cognitive behavioral therapy (CBT) and evidence based practice (EBP.) I provide treatments and teach you the skills you need to manage your feelings and find new ways to solve problems. By helping you identify and replace negative thinking and behavior patterns you gain control and are able to live the life you want.
(503) 536-1041 View (503) 536-1041
Photo of Jared Gorfinkel, Psychologist in Portland, OR
Jared Gorfinkel
Psychologist, PsyD
Verified Verified
1 Endorsed
Portland, OR 97206  (Online Only)
Perhaps you were raised in an environment that prioritizes mental health and is supportive of psychotherapy. Conversely, and as often the case, you were taught from caregivers that it was "weak" or "shameful" to obtain professional support, or to even seek help outside of yourself. These sentiments still permeate our culture, and though they are shifting, I find that they still lurk and impact one's drive to pursue mental health care. So in either case (and for all others in between), getting here was a process. In this spirit, I want to commend you for taking this huge and vulnerable step toward healing and deeper self-awareness!
Perhaps you were raised in an environment that prioritizes mental health and is supportive of psychotherapy. Conversely, and as often the case, you were taught from caregivers that it was "weak" or "shameful" to obtain professional support, or to even seek help outside of yourself. These sentiments still permeate our culture, and though they are shifting, I find that they still lurk and impact one's drive to pursue mental health care. So in either case (and for all others in between), getting here was a process. In this spirit, I want to commend you for taking this huge and vulnerable step toward healing and deeper self-awareness!
(503) 213-9160 View (503) 213-9160
Photo of Catherine Gobel, Clinical Social Work/Therapist in Portland, OR
Catherine Gobel
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Portland, OR 97286
As a therapist I am passionate about helping people as they transition through and process difficult experiences. Times of transition or loss can call up unresolved feelings from the past. Together we can move through and process your emotions so that you don't feel so alone with what you're experiencing. If you identify as a Highly Sensitive Person, I am here to help you learn new tools to navigate the overstimulating world we live in. I am offering walk and talk/ hiking sessions near Portland if that is of interest to you.
As a therapist I am passionate about helping people as they transition through and process difficult experiences. Times of transition or loss can call up unresolved feelings from the past. Together we can move through and process your emotions so that you don't feel so alone with what you're experiencing. If you identify as a Highly Sensitive Person, I am here to help you learn new tools to navigate the overstimulating world we live in. I am offering walk and talk/ hiking sessions near Portland if that is of interest to you.
(971) 260-4952 View (971) 260-4952
Photo of Alicia D'Annunzio, Pre-Licensed Professional in Portland, OR
Alicia D'Annunzio
Pre-Licensed Professional, MA, NCC
Verified Verified
Portland, OR 97232
Waitlist for new clients
I work with people from all walks of life, but have special experience working with anxiety and trauma. I like to help people open themselves up to those things they've always wanted that seemed too difficult before. I like to help people heal from anxiety, trauma, and other conditions by breaking those limitations set by self and others. I also work directly with LGBTQ+ and non-monogamous folk. It is an honor for me to walk alongside those who are on their journey to discovering and developing themselves in this way. Currently booking biweekly sessions due to limited availability.
I work with people from all walks of life, but have special experience working with anxiety and trauma. I like to help people open themselves up to those things they've always wanted that seemed too difficult before. I like to help people heal from anxiety, trauma, and other conditions by breaking those limitations set by self and others. I also work directly with LGBTQ+ and non-monogamous folk. It is an honor for me to walk alongside those who are on their journey to discovering and developing themselves in this way. Currently booking biweekly sessions due to limited availability.
(971) 364-3810 View (971) 364-3810

How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
85% Depression
78% Relationship Issues
76% Self Esteem
74% Trauma and PTSD
71% Stress
68% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

55% PacificSource
47% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

56% In Person and Online
44% Online Only

Gender breakdown

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

How can I find a therapist in Portland?

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.