Therapists in Lakewood, WA

Photo of Linsey Singleton, Clinical Social Work/Therapist in Lakewood, WA
Linsey Singleton
Clinical Social Work/Therapist, LICSW
Verified Verified
Lakewood, WA 98499  (Online Only)
Not accepting new clients
Updated May 2024: I am NOT accepting new clients at this time. Everyone has a life journey, and no two journeys are the same. The need for counseling arises when, for some reason, known or unknown, we step off our path, and our journey is interrupted. My role as a counselor is to help you navigate back onto your path.
Updated May 2024: I am NOT accepting new clients at this time. Everyone has a life journey, and no two journeys are the same. The need for counseling arises when, for some reason, known or unknown, we step off our path, and our journey is interrupted. My role as a counselor is to help you navigate back onto your path.
(253) 364-6187 View (253) 364-6187
Photo of Jennifer Lynn Warwick, Clinical Social Work/Therapist in Lakewood, WA
Jennifer Lynn Warwick
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
8 Endorsed
Lakewood, WA 98499  (Online Only)
Please EMAIL for new appointments. I am a clinical social worker with a passion for helping clients tap into their inner strengths and learn skills to lead a healthy, empowered life. I have experience in the areas of self-esteem, depression/anxiety, and general life stress as well as supporting survivors of sexual and intimate partner violence. I use solution-focused, cognitive behavioral approaches that help clients build capacity to address life concerns in accessible, sustainable ways. I also incorporate somatic practices (yoga, breathwork, body awareness) into sessions to help support the holistic wellbeing of clients.
Please EMAIL for new appointments. I am a clinical social worker with a passion for helping clients tap into their inner strengths and learn skills to lead a healthy, empowered life. I have experience in the areas of self-esteem, depression/anxiety, and general life stress as well as supporting survivors of sexual and intimate partner violence. I use solution-focused, cognitive behavioral approaches that help clients build capacity to address life concerns in accessible, sustainable ways. I also incorporate somatic practices (yoga, breathwork, body awareness) into sessions to help support the holistic wellbeing of clients.
(253) 649-6711 View (253) 649-6711
Photo of Christian Rubio, Counselor in Lakewood, WA
Christian Rubio
Counselor, LMHC, MHP
Verified Verified
Lakewood, WA 98499
I have years of experience in helping people improve their lives, reach their goals and find healing. I excel in rapport building and utilize person centered therapy to guide the therapeutic relationship.
I have years of experience in helping people improve their lives, reach their goals and find healing. I excel in rapport building and utilize person centered therapy to guide the therapeutic relationship.
(253) 528-7415 View (253) 528-7415
Photo of Barbara Ann Bauml, Counselor in Lakewood, WA
Barbara Ann Bauml
Counselor, MEd, MAPS, LMHC
Verified Verified
Lakewood, WA 98499
Reaching out to another is often a courageous 1st step in initiating beneficial change. Everyone has within them an essential wisdom that can be accessed to grow, heal, & fully develop. By exploring current difficulties & concerns in a supportive environment, my clients and I tailor an approach uniquely suited to addressing their needs. As we attune to essential matters, we discover new ways of seeing life situations, communicating, and responding to them. My practice includes individual & relationship counseling in the context of our keen attachment needs for connection & belonging. Authentic, responsive & engaged caring heals.
Reaching out to another is often a courageous 1st step in initiating beneficial change. Everyone has within them an essential wisdom that can be accessed to grow, heal, & fully develop. By exploring current difficulties & concerns in a supportive environment, my clients and I tailor an approach uniquely suited to addressing their needs. As we attune to essential matters, we discover new ways of seeing life situations, communicating, and responding to them. My practice includes individual & relationship counseling in the context of our keen attachment needs for connection & belonging. Authentic, responsive & engaged caring heals.
(253) 248-4507 View (253) 248-4507
Photo of Cheryl K Schock, Marriage & Family Therapist in Lakewood, WA
Cheryl K Schock
Marriage & Family Therapist, MA, LMFT
Verified Verified
Lakewood, WA 98498  (Online Only)
Waitlist for new clients
I offer telehealth appointments to clients in both OR and WA. I work in partnership with my clients to explore their concerns, build and strengthen ways of coping, and create positive changes. We all face challenges, transitions, changes, and growth and these can be exciting as well as emotionally difficult, intimidating or overwhelming. Your desire may be for a closer, stronger relationship, to restore and rebuild your marriage or family, or for help navigating a difficult crisis or transition. I offer support, experiential interactions, and opportunity to learn skills that will help you accomplish your goals.
I offer telehealth appointments to clients in both OR and WA. I work in partnership with my clients to explore their concerns, build and strengthen ways of coping, and create positive changes. We all face challenges, transitions, changes, and growth and these can be exciting as well as emotionally difficult, intimidating or overwhelming. Your desire may be for a closer, stronger relationship, to restore and rebuild your marriage or family, or for help navigating a difficult crisis or transition. I offer support, experiential interactions, and opportunity to learn skills that will help you accomplish your goals.
(503) 897-9368 View (503) 897-9368
Photo of Ivy Turner, Marriage & Family Therapist Associate in Lakewood, WA
Ivy Turner
Marriage & Family Therapist Associate, LMFTA
Verified Verified
1 Endorsed
Lakewood, WA 98498
As a therapist, I see my clients as the experts in their own lives. My role is akin to that of a guest—here to build upon the tools you already possess while introducing new ones that align with your life goals. I enjoy guiding clients through challenging life changes and helping them break patterns that no longer serve them. My experience primarily lies in working with teens and adults, including LGBTQIA+ youth and individuals with BIPOC identities.
As a therapist, I see my clients as the experts in their own lives. My role is akin to that of a guest—here to build upon the tools you already possess while introducing new ones that align with your life goals. I enjoy guiding clients through challenging life changes and helping them break patterns that no longer serve them. My experience primarily lies in working with teens and adults, including LGBTQIA+ youth and individuals with BIPOC identities.
(253) 785-9733 View (253) 785-9733
Photo of Allison Michael Greer, Counselor in Lakewood, WA
Allison Michael Greer
Counselor, MA, LMHCA
Verified Verified
Lakewood, WA 98499  (Online Only)
I have openings for cash clients on a sliding scale! These days have been pretty rough and uncertain. With all the turmoil, layered on top of your own daily stress and worry, finding someone qualified to support you with empathy and compassion can be daunting. To guide you through difficult times, counseling with the right therapist can be a real life saver! It is important to have someone you can feel safe with and who will listen with empathy and provide emotional support allowing you to move forward in life.
I have openings for cash clients on a sliding scale! These days have been pretty rough and uncertain. With all the turmoil, layered on top of your own daily stress and worry, finding someone qualified to support you with empathy and compassion can be daunting. To guide you through difficult times, counseling with the right therapist can be a real life saver! It is important to have someone you can feel safe with and who will listen with empathy and provide emotional support allowing you to move forward in life.
(253) 242-0076 View (253) 242-0076
Photo of Renovation Biblical Counseling Services, PLLC, Marriage & Family Therapist in Lakewood, WA
Renovation Biblical Counseling Services, PLLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
6 Endorsed
Lakewood, WA 98499
Remember the saying," Two heads are better than one?" I believe counseling should be collaborative. Both counselor and client bring knowledge and experience to the table. Together we can go over what strategies have not worked and implement new ones. Many life problems are complex, having biological, psychological, and/or social factors, but all are spiritually implicated in some way. My Christ-centered approach emphasizes Biblical renewing of the mind and spiritual growth, in addition to practical, proven strategies to help you overcome. I will support and care for you, strive to restore hope, and walk with you on your journey!
Remember the saying," Two heads are better than one?" I believe counseling should be collaborative. Both counselor and client bring knowledge and experience to the table. Together we can go over what strategies have not worked and implement new ones. Many life problems are complex, having biological, psychological, and/or social factors, but all are spiritually implicated in some way. My Christ-centered approach emphasizes Biblical renewing of the mind and spiritual growth, in addition to practical, proven strategies to help you overcome. I will support and care for you, strive to restore hope, and walk with you on your journey!
(253) 655-1408 View (253) 655-1408
Photo of Allie Mattiazzi, Clinical Social Work/Therapist in Lakewood, WA
Allie Mattiazzi
Clinical Social Work/Therapist, LICSW, MSW
Verified Verified
Lakewood, WA 98498  (Online Only)
Life can be challenging sometimes and focusing time on yourself can be a rare treat. That's what therapy is all about...YOU and the goals YOU set. I am solution-focused and Cognitive Behavioral and Narrative Therapies act as a foundation; Internal Family Systems, DBT, and psychodynamic theories provide some of my favorite therapy Ideas and tools. Through our work together, we will explore the changes you want to make and the best way to make those changes. I believe in you!
Life can be challenging sometimes and focusing time on yourself can be a rare treat. That's what therapy is all about...YOU and the goals YOU set. I am solution-focused and Cognitive Behavioral and Narrative Therapies act as a foundation; Internal Family Systems, DBT, and psychodynamic theories provide some of my favorite therapy Ideas and tools. Through our work together, we will explore the changes you want to make and the best way to make those changes. I believe in you!
(253) 263-1852 View (253) 263-1852
Photo of Allen Wellness Center, Clinical Social Work/Therapist in Lakewood, WA
Allen Wellness Center
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Lakewood, WA 98499
Not accepting new clients
Finding things in your life that are unmanageable? Do you struggle with just trying to get through day to day activities? Life can be very confusing, sometimes we feel empty, maybe even out of control?
Finding things in your life that are unmanageable? Do you struggle with just trying to get through day to day activities? Life can be very confusing, sometimes we feel empty, maybe even out of control?
(253) 649-2760 View (253) 649-2760
Photo of Robyn Crout, Clinical Social Work/Therapist in Lakewood, WA
Robyn Crout
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Lakewood, WA 98499
Recovery from trauma is my specialization. I care deeply about each person who steps into my office, and the alliance we can create could be life-changing for you. I am trained in EMDR, a psychotherapy that can de-code the traumatic memories and beliefs that are stuck within your brain and nervous system. EMDR can then rewire your brain with positive beliefs such as "I am good enough as I am" or "I'm valuable". Once you believe good things about yourself, you start living differently! I love EMDR and fully believe in its power to heal many different types of trauma.
Recovery from trauma is my specialization. I care deeply about each person who steps into my office, and the alliance we can create could be life-changing for you. I am trained in EMDR, a psychotherapy that can de-code the traumatic memories and beliefs that are stuck within your brain and nervous system. EMDR can then rewire your brain with positive beliefs such as "I am good enough as I am" or "I'm valuable". Once you believe good things about yourself, you start living differently! I love EMDR and fully believe in its power to heal many different types of trauma.
(253) 338-5343 View (253) 338-5343
Photo of Tom Mulhern, Counselor in Lakewood, WA
Tom Mulhern
Counselor, MA, LMHC
Verified Verified
Lakewood, WA 98499
I love to help people grow!  This has been a central theme in the different chapters of my life. I am a seasoned counselor with over 30 years of experience helping individuals, couples, families and churches. I am a Christian counselor with an MA in Biblical Counseling from Grace Theological Seminary, a BS in Mathematics from the US Air Force Academy, studied Family Systems at Texas Woman’s University. I served as a pilot in the US Air Force, I served as a field representative for the Navigators, a worldwide Christian organization. I served as a staff counselor at Dallas Theological Seminary before coming to the NW in 1990.
I love to help people grow!  This has been a central theme in the different chapters of my life. I am a seasoned counselor with over 30 years of experience helping individuals, couples, families and churches. I am a Christian counselor with an MA in Biblical Counseling from Grace Theological Seminary, a BS in Mathematics from the US Air Force Academy, studied Family Systems at Texas Woman’s University. I served as a pilot in the US Air Force, I served as a field representative for the Navigators, a worldwide Christian organization. I served as a staff counselor at Dallas Theological Seminary before coming to the NW in 1990.
(253) 693-4642 View (253) 693-4642
Photo of Shannon Rawlings, Clinical Social Work/Therapist in Lakewood, WA
Shannon Rawlings
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Lakewood, WA 98498  (Online Only)
I believe there are times in a person's life when they need a trustworthy ally who offers integrity, understanding, and nonjudgement. I believe this is also someone who can help another person explore the causes of his/her/their thoughts, feelings, or behaviors and develop new ways of thinking, acting and feeling. I am committed to helping individuals, couples, and families achieve these goals in an environment that emphasizes confidentiality, respect, trust, and compassion.
I believe there are times in a person's life when they need a trustworthy ally who offers integrity, understanding, and nonjudgement. I believe this is also someone who can help another person explore the causes of his/her/their thoughts, feelings, or behaviors and develop new ways of thinking, acting and feeling. I am committed to helping individuals, couples, and families achieve these goals in an environment that emphasizes confidentiality, respect, trust, and compassion.
(253) 461-6275 View (253) 461-6275
Photo of Sandra Golling, LovedAlive Christian Counseling, Marriage & Family Therapist Associate in Lakewood, WA
Sandra Golling, LovedAlive Christian Counseling
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
Lakewood, WA 98499
Hello, my name is Sandra Golling, owner of LovedAlive Counseling. We all face challenges as we seek to grow and thrive in our life and relationships. When people are experiencing conflict, wounds, losses, or find themselves stuck in a particular life transition, therapy helps navigate these challenges. Wounds and losses in life often lead to relational difficulties and low self-esteem. Therapy can assist in the grieving process leading to resolution and peace. New ways of relating can be identified and practiced leading to healthier and more satisfying relationships.
Hello, my name is Sandra Golling, owner of LovedAlive Counseling. We all face challenges as we seek to grow and thrive in our life and relationships. When people are experiencing conflict, wounds, losses, or find themselves stuck in a particular life transition, therapy helps navigate these challenges. Wounds and losses in life often lead to relational difficulties and low self-esteem. Therapy can assist in the grieving process leading to resolution and peace. New ways of relating can be identified and practiced leading to healthier and more satisfying relationships.
(253) 900-2513 View (253) 900-2513
Photo of Denise M Coyle, Marriage & Family Therapist in Lakewood, WA
Denise M Coyle
Marriage & Family Therapist, LMFT, CTS
Verified Verified
Lakewood, WA 98499
Limited availability at this time. I Love what I do! Sounds Crazy- but the truth is I love working with people who have been thru unspeakable events in life and are looking to find their way back. Trauma is an abnormal event so approach it from a new perspective, talk about the things you are told not to and get into the depths of it. You have to be willing to walk into that bad neighborhood, that has become your mind, and clear it out- but you don't have to walk in there alone. Let me come with you. I'll be your lifeline.
Limited availability at this time. I Love what I do! Sounds Crazy- but the truth is I love working with people who have been thru unspeakable events in life and are looking to find their way back. Trauma is an abnormal event so approach it from a new perspective, talk about the things you are told not to and get into the depths of it. You have to be willing to walk into that bad neighborhood, that has become your mind, and clear it out- but you don't have to walk in there alone. Let me come with you. I'll be your lifeline.
(253) 336-6680 View (253) 336-6680
Photo of Gerard Counseling and Consulting, LLC, Clinical Social Work/Therapist in Lakewood, WA
Gerard Counseling and Consulting, LLC
Clinical Social Work/Therapist, ACSW, LICSW
Verified Verified
Lakewood, WA 98498  (Online Only)
I am a licensed clinical social worker with over 20 years of experience. I enjoy being present for others and helping people work through their unique interpersonal challenges and barriers. I have experience working people with situational anxiety, depression, extreme stress, burnout, post-traumatic stress disorder, substance abuse issues, as well as challenges such as unemployment and homelessness. After taking the time to learn about you and your situation, we will work together to identify what your goals are and develop strategies to help you achieve stability and meet your goals.
I am a licensed clinical social worker with over 20 years of experience. I enjoy being present for others and helping people work through their unique interpersonal challenges and barriers. I have experience working people with situational anxiety, depression, extreme stress, burnout, post-traumatic stress disorder, substance abuse issues, as well as challenges such as unemployment and homelessness. After taking the time to learn about you and your situation, we will work together to identify what your goals are and develop strategies to help you achieve stability and meet your goals.
(253) 900-2207 View (253) 900-2207
Photo of Dr. Michael Gramlich, Psychologist in Lakewood, WA
Dr. Michael Gramlich
Psychologist, PhD
Verified Verified
Lakewood, WA 98498  (Online Only)
I have openings for new clients via telehealth. Struggling with painful memories of trauma (PTSD)? Exhausted from chronic insomnia or nightmares? Feeling defeated by panic attacks, excessive worrying, or avoidance of feared situations (anxiety)? Difficulties with feeling down, little enjoyment, or low motivation (depression)? Bothered by intense feelings, challenging life transitions, or stress? Looking to connect with others, healthy behaviors, or purpose? I am passionate to offer you evidence-based counseling to help you achieve your goals using the convenient access provided by online therapy.
I have openings for new clients via telehealth. Struggling with painful memories of trauma (PTSD)? Exhausted from chronic insomnia or nightmares? Feeling defeated by panic attacks, excessive worrying, or avoidance of feared situations (anxiety)? Difficulties with feeling down, little enjoyment, or low motivation (depression)? Bothered by intense feelings, challenging life transitions, or stress? Looking to connect with others, healthy behaviors, or purpose? I am passionate to offer you evidence-based counseling to help you achieve your goals using the convenient access provided by online therapy.
(253) 223-6954 View (253) 223-6954
Photo of Percy L. Sturgis III, Counselor in Lakewood, WA
Percy L. Sturgis III
Counselor, MEd, LMHCA, CANS-F
Verified Verified
3 Endorsed
Lakewood, WA 98499  (Online Only)
Are you or a loved one struggling with anxiety, depression, family conflict, school challenges, confidence, loneliness, or even life stressors; therapy may be a beneficial avenue to explore. Nowadays, counseling is more normalized and many individuals are moving in the direction of seeking support as they are noticing the potential benefits of therapy. If you're interested in identifying a safe and confidential space to express your emotions, reveal new strengths, navigate life obstacles, strengthen relationships, and explore positive coping strategies; I am here to assist.
Are you or a loved one struggling with anxiety, depression, family conflict, school challenges, confidence, loneliness, or even life stressors; therapy may be a beneficial avenue to explore. Nowadays, counseling is more normalized and many individuals are moving in the direction of seeking support as they are noticing the potential benefits of therapy. If you're interested in identifying a safe and confidential space to express your emotions, reveal new strengths, navigate life obstacles, strengthen relationships, and explore positive coping strategies; I am here to assist.
(253) 400-1913 View (253) 400-1913
Photo of Lieu T Crews in Lakewood, WA
Lieu T Crews
MA,, LMHCA,, MHP
Verified Verified
Lakewood, WA 98498
I believe that therapy is about finding your authentic self and learning to embrace suffering that is part of life. I am passionate about developing a genuine relationship with my clients where we can safely have difficult conversations, resolve conflicts, and experience your authentic self, including your pain. I will work with you to tune into your goals.
I believe that therapy is about finding your authentic self and learning to embrace suffering that is part of life. I am passionate about developing a genuine relationship with my clients where we can safely have difficult conversations, resolve conflicts, and experience your authentic self, including your pain. I will work with you to tune into your goals.
(253) 367-3904 View (253) 367-3904
Photo of Cardinal Counseling and Wellness , Pre-Licensed Professional in Lakewood, WA
Cardinal Counseling and Wellness
Pre-Licensed Professional, LMHCA
Verified Verified
Lakewood, WA 98499
Not accepting new clients
Hello, my name is Sabrina Danley, owner and operator of Cardinal Counseling and Wellness. I believe that therapy is about finding your authentic self and learning to embrace suffering that is part of life. It is my passion to develop a genuine relationship with my clients where we can safely have difficult conversations, have and resolve conflicts, and experience your authentic self, including your pain. I will work with you to tune into your true self, recognize your unfavorable coping mechanisms, and discover self-compassionate ways of living. My therapeutic modality is a blend of Mindfulness and Cognitive Behavioral Therapy.
Hello, my name is Sabrina Danley, owner and operator of Cardinal Counseling and Wellness. I believe that therapy is about finding your authentic self and learning to embrace suffering that is part of life. It is my passion to develop a genuine relationship with my clients where we can safely have difficult conversations, have and resolve conflicts, and experience your authentic self, including your pain. I will work with you to tune into your true self, recognize your unfavorable coping mechanisms, and discover self-compassionate ways of living. My therapeutic modality is a blend of Mindfulness and Cognitive Behavioral Therapy.
(253) 321-1160 View (253) 321-1160

How does your Therapist compare?

Number of Therapists in Lakewood, WA

90+

Average cost per session

$150

Therapists in Lakewood, WA who prioritize treating:

96% Anxiety
93% Depression
76% Trauma and PTSD
73% Relationship Issues
73% Self Esteem
70% Coping Skills
66% Grief

Average years in practice

11 Years

Top 3 insurances accepted

77% Premera
73% Regence
64% First Choice Health | FCH

How Therapists in Lakewood, WA see their clients

64% In Person and Online
36% Online Only

Gender breakdown

74% Female
23% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Lakewood?

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.