Therapists in Vancouver, WA

View neighborhoods in Vancouver
Photo of Julia Schetky, Counselor in Vancouver, WA
Julia Schetky
Counselor, MSW, LMHC
Verified Verified
6 Endorsed
Vancouver, WA 98685  (Online Only)
Waitlist for new clients
Maybe a huge event happened. Maybe lots of huge or little things happened that changed who you are. You had parents that weren't ideal (or were harmful.) You have cut off part of your family because they were too harmful and you're having a hard time. You discovered as an adult that you are neurodivergent and it rocked your world. You grew up in an oppressive environment (home/religion) and you couldn't be your true self (or you are still figuring out who your true self is now. You have these thoughts that don't match who you want to be. Sound like you? You're in the right place! Step into my virtual office!
Maybe a huge event happened. Maybe lots of huge or little things happened that changed who you are. You had parents that weren't ideal (or were harmful.) You have cut off part of your family because they were too harmful and you're having a hard time. You discovered as an adult that you are neurodivergent and it rocked your world. You grew up in an oppressive environment (home/religion) and you couldn't be your true self (or you are still figuring out who your true self is now. You have these thoughts that don't match who you want to be. Sound like you? You're in the right place! Step into my virtual office!
(360) 233-8499 View (360) 233-8499
Photo of Molly Callahan, Counselor in Vancouver, WA
Molly Callahan
Counselor, MS, LMHC, DDMHS
Verified Verified
Vancouver, WA 98661
Therapy is a collaborative process of self-discovery and personal growth. I focus on helping my clients through the development of greater self-understanding, self-awareness and self-acceptance. I treat a wide range of clinical issues and invite clients of diverse identities and backgrounds into my therapy practice. I specialize in working with complex and single incident trauma, sexual/relational trauma, anxiety and mood disorders, life transitions, identity exploration, and stress reduction. I have experience working with people across the lifespan, including children ages 3-12, adolescents, and adults in various stages of life.
Therapy is a collaborative process of self-discovery and personal growth. I focus on helping my clients through the development of greater self-understanding, self-awareness and self-acceptance. I treat a wide range of clinical issues and invite clients of diverse identities and backgrounds into my therapy practice. I specialize in working with complex and single incident trauma, sexual/relational trauma, anxiety and mood disorders, life transitions, identity exploration, and stress reduction. I have experience working with people across the lifespan, including children ages 3-12, adolescents, and adults in various stages of life.
(360) 226-7556 View (360) 226-7556
Photo of Denise Burningham Counseling, PLLC, Marriage & Family Therapist in Vancouver, WA
Denise Burningham Counseling, PLLC
Marriage & Family Therapist, LMFT
Verified Verified
1 Endorsed
Vancouver, WA 98661  (Online Only)
I offer Individual, Couples & Relationship, and Children & Family Therapy in my practice. My work with you will be centered on supporting you in understanding your experiences and setting meaningful goals that feel right for your life. I am honored to be invited into a healing space with individuals, couples, and families. I know that the act of living is beautiful, difficult, amazing, and complicated. We will sit together in the difficult realities, the illuminating ‘ah-ha’ moments, and through the seasons of what it is to be alive. Come as you are and know I will show up as your advocate and collaborator in therapy.
I offer Individual, Couples & Relationship, and Children & Family Therapy in my practice. My work with you will be centered on supporting you in understanding your experiences and setting meaningful goals that feel right for your life. I am honored to be invited into a healing space with individuals, couples, and families. I know that the act of living is beautiful, difficult, amazing, and complicated. We will sit together in the difficult realities, the illuminating ‘ah-ha’ moments, and through the seasons of what it is to be alive. Come as you are and know I will show up as your advocate and collaborator in therapy.
(360) 230-5906 View (360) 230-5906
Photo of Traci Bigelow, LPC Intern in Vancouver, WA
Traci Bigelow
LPC Intern, LMHCA
Verified Verified
Vancouver, WA 98662
I am a licensed mental health counseling associate in Washington State. I enjoy the outdoors, spending time with my family, and finding meaning in helping others thrive and accomplish their goals. I am an optimist at heart, I approach life with warmth and curiosity. My kids are what motivate me to do my best and grow every day. I am also an Activated Guardsman in the Oregon Air National Guard. I have been serving for nine years and intend to retire from the Air Force. I have deployed several times, worked in multiple roles, and have a deep place in my heart for serving other veterans.
I am a licensed mental health counseling associate in Washington State. I enjoy the outdoors, spending time with my family, and finding meaning in helping others thrive and accomplish their goals. I am an optimist at heart, I approach life with warmth and curiosity. My kids are what motivate me to do my best and grow every day. I am also an Activated Guardsman in the Oregon Air National Guard. I have been serving for nine years and intend to retire from the Air Force. I have deployed several times, worked in multiple roles, and have a deep place in my heart for serving other veterans.
(360) 234-3753 View (360) 234-3753
Photo of Marina Vile, Licensed Professional Counselor in Vancouver, WA
Marina Vile
Licensed Professional Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98661
Finding a therapist can feel a lot like swiping through dating apps trying to find the right fit. You want to work with someone who gets you and is thoughtful and easy to talk to. That's how I work. I work with individuals and couples in a warm, attachment based approach. I'm here to help you heal old patterns, vent, or whatever you need. We can figure out the traps you fall into, cry, and laugh for 50 minutes. I'm not here to judge you or tell you how to live your life, just to support you in living authentically.
Finding a therapist can feel a lot like swiping through dating apps trying to find the right fit. You want to work with someone who gets you and is thoughtful and easy to talk to. That's how I work. I work with individuals and couples in a warm, attachment based approach. I'm here to help you heal old patterns, vent, or whatever you need. We can figure out the traps you fall into, cry, and laugh for 50 minutes. I'm not here to judge you or tell you how to live your life, just to support you in living authentically.
(360) 519-5305 View (360) 519-5305
Photo of Matthew James Wilson, Counselor in Vancouver, WA
Matthew James Wilson
Counselor, LMHCA
Verified Verified
Vancouver, WA 98665  (Online Only)
My belief is that counseling is a journey we travel together. Our first step is to define where you want to go - discovering the reasons that you have chosen to meet with me at this point in your life. We will also identify your strengths, what's working well in your life, and the things that can be changed to get you to your destination. My ultimate goal is to work myself out of a job as you develop the skills and tools that you can use in the present and the future to have the life that you desire.
My belief is that counseling is a journey we travel together. Our first step is to define where you want to go - discovering the reasons that you have chosen to meet with me at this point in your life. We will also identify your strengths, what's working well in your life, and the things that can be changed to get you to your destination. My ultimate goal is to work myself out of a job as you develop the skills and tools that you can use in the present and the future to have the life that you desire.
(509) 794-1520 View (509) 794-1520
Photo of Pamela Ann Skiver, Clinical Social Work/Therapist in Vancouver, WA
Pamela Ann Skiver
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Vancouver, WA 98684
The first environment of the unborn child is the womb, where the relationship between mother and child not only are connected on a physical and biological level, but on a psychological and spiritual level as well. Research now shows the stressors experienced by the mother internally, and in the external world, reach the baby in the womb impacting the baby’s physical, psychological development, personality and quality of later relationships. Prenatal Bonding BA creates a "souls cord" attachment that can last a lifetime.
The first environment of the unborn child is the womb, where the relationship between mother and child not only are connected on a physical and biological level, but on a psychological and spiritual level as well. Research now shows the stressors experienced by the mother internally, and in the external world, reach the baby in the womb impacting the baby’s physical, psychological development, personality and quality of later relationships. Prenatal Bonding BA creates a "souls cord" attachment that can last a lifetime.
(360) 583-4935 View (360) 583-4935
Photo of Naomi Schwendemann, Clinical Social Work/Therapist in Vancouver, WA
Naomi Schwendemann
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
Vancouver, WA 98661
I have extensive practice with clients experiencing anxiety, depression, PTSD, attachment trauma, and stress related to major life changes.
I have extensive practice with clients experiencing anxiety, depression, PTSD, attachment trauma, and stress related to major life changes.
(360) 680-1302 View (360) 680-1302
Photo of Jeremiah Williams, Counselor in Vancouver, WA
Jeremiah Williams
Counselor
Verified Verified
Vancouver, WA 98662  (Online Only)
My therapeutic approach is called Cognitive Behavioral Therapy, and involves helping my clients to see their own strengths and to identify thought processes that are counterproductive to their wellbeing. My goal is to help each client to develop and practice more adaptive ways of functioning.
My therapeutic approach is called Cognitive Behavioral Therapy, and involves helping my clients to see their own strengths and to identify thought processes that are counterproductive to their wellbeing. My goal is to help each client to develop and practice more adaptive ways of functioning.
(360) 826-8794 x1 View (360) 826-8794 x1
Photo of Leah Rhodes, Counselor in Vancouver, WA
Leah Rhodes
Counselor, MEd, LMHCA
Verified Verified
Vancouver, WA 98660  (Online Only)
Leah has an authentic style that appeals to adults who are ready to resolve problems and live more fully. She is effective with people who aren’t sure of their next step but are willing to learn the skills to get there. She is also effective with those who know their next step but want someone to guide them around the barriers to success. She respects that the client is always the expert about themselves. Leah teaches strong coping skills and powerful self-acceptance.
Leah has an authentic style that appeals to adults who are ready to resolve problems and live more fully. She is effective with people who aren’t sure of their next step but are willing to learn the skills to get there. She is also effective with those who know their next step but want someone to guide them around the barriers to success. She respects that the client is always the expert about themselves. Leah teaches strong coping skills and powerful self-acceptance.
(360) 845-6001 View (360) 845-6001
Photo of Angela Giacalone, Clinical Social Work/Therapist in Vancouver, WA
Angela Giacalone
Clinical Social Work/Therapist, LICSW
Verified Verified
Vancouver, WA 98665
Waitlist for new clients
In life, we learn to do what we have to in order to survive. Sometimes that means finding skills to escape trauma that don't end up serving us in the long run. I am passionate about helping individuals nourish their mind, body and spirit to overcome trauma, anxiety disorders, eating disorders, addictive behaviors, poor self-image and other mental health struggles. I believe in helping my clients feel empowered to trust their instincts and create coping skills, self love, and a life they don't want to escape from.
In life, we learn to do what we have to in order to survive. Sometimes that means finding skills to escape trauma that don't end up serving us in the long run. I am passionate about helping individuals nourish their mind, body and spirit to overcome trauma, anxiety disorders, eating disorders, addictive behaviors, poor self-image and other mental health struggles. I believe in helping my clients feel empowered to trust their instincts and create coping skills, self love, and a life they don't want to escape from.
(360) 826-8785 View (360) 826-8785
Photo of Laura Anne Farley, Psychologist in Vancouver, WA
Laura Anne Farley
Psychologist, PsyD
Verified Verified
Vancouver, WA 98662
My caseload is full and I will update my profile when openings are available. Contact my office if you would like to be on my waitlist. People are resilient and capable of change to improve the quality of their lives. Whether desiring to get unstuck from a pattern of behavior (e.g., ineffective communication or substance use); struggling with anxiety, fear, depression, or trauma symptoms; or facing a difficult loss or transition, people often feel alone in their suffering and desire for change. These are human experiences. You are not alone. Together we will partner to identify and treat the crux of the problem.
My caseload is full and I will update my profile when openings are available. Contact my office if you would like to be on my waitlist. People are resilient and capable of change to improve the quality of their lives. Whether desiring to get unstuck from a pattern of behavior (e.g., ineffective communication or substance use); struggling with anxiety, fear, depression, or trauma symptoms; or facing a difficult loss or transition, people often feel alone in their suffering and desire for change. These are human experiences. You are not alone. Together we will partner to identify and treat the crux of the problem.
(844) 397-6361 View (844) 397-6361
Photo of Will Wilkinson, Clinical Social Work/Therapist in Vancouver, WA
Will Wilkinson
Clinical Social Work/Therapist, LCSWA
Verified Verified
Vancouver, WA 98683
Will Wilkinson is a Licensed Independent Clinical Social Worker Associate in Washington who has been practicing since 2023. He has his Bachelor and MSW from Arizona State University and is a graduate of the Arizona Trauma Institute. Will has worked with children and families from multiple vantage points through various agencies, including child protective services, domestic violence shelters, and residential treatment center for children. He was able to participate in furthering national domestic violence research for two years through AmeriCorps.
Will Wilkinson is a Licensed Independent Clinical Social Worker Associate in Washington who has been practicing since 2023. He has his Bachelor and MSW from Arizona State University and is a graduate of the Arizona Trauma Institute. Will has worked with children and families from multiple vantage points through various agencies, including child protective services, domestic violence shelters, and residential treatment center for children. He was able to participate in furthering national domestic violence research for two years through AmeriCorps.
(360) 345-3593 View (360) 345-3593
Photo of Samantha Simones, Clinical Social Work/Therapist in Vancouver, WA
Samantha Simones
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Vancouver, WA 98662
Sometimes our lives aren’t how we want them to be and need a little help to find our way back to ourselves. It is my belief that we can heal ourselves when we have the tools and support we need. My goal is to help facilitate a safe space for healing and to teach useful tools and techniques to use in your life for long term progress. I use a variety of techniques based on clients needs including CBT, DBT, and Motivational Interviewing. Not every technique will work for everyone, and I will work to build the therapeutic relationship so we can find what works for you.
Sometimes our lives aren’t how we want them to be and need a little help to find our way back to ourselves. It is my belief that we can heal ourselves when we have the tools and support we need. My goal is to help facilitate a safe space for healing and to teach useful tools and techniques to use in your life for long term progress. I use a variety of techniques based on clients needs including CBT, DBT, and Motivational Interviewing. Not every technique will work for everyone, and I will work to build the therapeutic relationship so we can find what works for you.
(360) 800-1728 View (360) 800-1728
Photo of Shawn Kirk, Pastoral Counselor in Vancouver, WA
Shawn Kirk
Pastoral Counselor, PhD
Verified Verified
Vancouver, WA 98661
Not accepting new clients
Are you feeling overwhelmed with depression, anxiety, stress, self doubt, loss of a loved one, or other issues? These issues attack everyone’s emotional state at some point. You are not alone, we can work on these issues together. With effort and faith in God, you can learn to change how you think, how you see yourself, and how you react to situations. Are you and your spouse in a constant state of strife? Does your marriage lack love, intimacy, support, passion, or respect? Many couples struggle with these same issues. Together we can change your marriage into something unique and special. Your marriage is worth the effort.
Are you feeling overwhelmed with depression, anxiety, stress, self doubt, loss of a loved one, or other issues? These issues attack everyone’s emotional state at some point. You are not alone, we can work on these issues together. With effort and faith in God, you can learn to change how you think, how you see yourself, and how you react to situations. Are you and your spouse in a constant state of strife? Does your marriage lack love, intimacy, support, passion, or respect? Many couples struggle with these same issues. Together we can change your marriage into something unique and special. Your marriage is worth the effort.
(360) 227-5932 View (360) 227-5932
Photo of Mandy Miller, Counselor in Vancouver, WA
Mandy Miller
Counselor, MA, LMHC, LPC
Verified Verified
Vancouver, WA 98683  (Online Only)
UPDATE: currently have availability for telehealth sessions! Limited open spots Mondays and Tuesdays! Seeking therapy can be an exciting, scary, and/or overwhelming decision. I am here to help make that decision a positive one of personal empowerment. With respect and compassion, I work to create a comfortable and safe environment in which we can develop a therapeutic alliance and share in the journey of personal growth. Helping each client work through specific life challenges, goals, and transitions is both a privilege and a passion for me and I welcome the opportunity to be a part of your journey!
UPDATE: currently have availability for telehealth sessions! Limited open spots Mondays and Tuesdays! Seeking therapy can be an exciting, scary, and/or overwhelming decision. I am here to help make that decision a positive one of personal empowerment. With respect and compassion, I work to create a comfortable and safe environment in which we can develop a therapeutic alliance and share in the journey of personal growth. Helping each client work through specific life challenges, goals, and transitions is both a privilege and a passion for me and I welcome the opportunity to be a part of your journey!
(360) 492-4933 View (360) 492-4933
Photo of Maraiah Esslinger, Counselor in Vancouver, WA
Maraiah Esslinger
Counselor, LMHC, LPC
Verified Verified
Vancouver, WA 98662
Maraiah is a registered art therapist, licensed mental health counselor, and substance use professional. She graduated from Marylhurst University with a degree in clinical art therapy counseling, and holds a Master of Fine Art from Georgia State University and a certificate of Chemical Dependency Proficiency from Spokane Falls Community College. She is also an EMDRIA-trained EMDR (Eye Movement Desensitization and Reprocessing) therapist. Maraiah enjoys collaborating with her clients to develop a personalized approach to therapy, finding that this supports growth, healing, and empowerment.
Maraiah is a registered art therapist, licensed mental health counselor, and substance use professional. She graduated from Marylhurst University with a degree in clinical art therapy counseling, and holds a Master of Fine Art from Georgia State University and a certificate of Chemical Dependency Proficiency from Spokane Falls Community College. She is also an EMDRIA-trained EMDR (Eye Movement Desensitization and Reprocessing) therapist. Maraiah enjoys collaborating with her clients to develop a personalized approach to therapy, finding that this supports growth, healing, and empowerment.
(360) 361-8499 View (360) 361-8499
Photo of Esther Pfeiffer, Counselor in Vancouver, WA
Esther Pfeiffer
Counselor, LMHC
Verified Verified
2 Endorsed
Vancouver, WA 98684
I specialize in grief counseling, as well as counseling for perinatal loss, in order to walk through the grieving process with you and help to imagine what the future can look like one step at a time. I also utilize EMDR for trauma, depression, anxiety, and relationship concerns to stop the past from affecting the present and to create a different future. I help to create a coherent narrative to be able to move forward and live life more freely, without the learned patterns from the past. If you are ready to get help with grief, loss, trauma, attachment concerns, relationship struggles, depression, or self-esteem, please reach out!
I specialize in grief counseling, as well as counseling for perinatal loss, in order to walk through the grieving process with you and help to imagine what the future can look like one step at a time. I also utilize EMDR for trauma, depression, anxiety, and relationship concerns to stop the past from affecting the present and to create a different future. I help to create a coherent narrative to be able to move forward and live life more freely, without the learned patterns from the past. If you are ready to get help with grief, loss, trauma, attachment concerns, relationship struggles, depression, or self-esteem, please reach out!
(360) 585-8273 View (360) 585-8273
Photo of Claire Bemis, Clinical Social Work/Therapist in Vancouver, WA
Claire Bemis
Clinical Social Work/Therapist, MSW, LCSW, LICSW
Verified Verified
1 Endorsed
Vancouver, WA 98668  (Online Only)
You may feel alone and isolated, or experience the common core belief many of us carry of feeling "not good enough" in the many roles you take on in your daily life. Do you feel as though you are missing out on your life because of the symptoms you are experiencing? You don't have to navigate this time in your life on your own. Beginning therapy is a courageous step in searching for a better balance in life and a greater belief in yourself and I would love to be by your side on this journey.
You may feel alone and isolated, or experience the common core belief many of us carry of feeling "not good enough" in the many roles you take on in your daily life. Do you feel as though you are missing out on your life because of the symptoms you are experiencing? You don't have to navigate this time in your life on your own. Beginning therapy is a courageous step in searching for a better balance in life and a greater belief in yourself and I would love to be by your side on this journey.
(860) 431-2532 View (860) 431-2532
Photo of Melissa Sivaram, Counselor in Vancouver, WA
Melissa Sivaram
Counselor, LMHC
Verified Verified
Vancouver, WA 98662
Melissa Sivaram is a licensed therapist in the state of Washington who has been practicing since 2018. She graduated from the University of North Florida with a master's degree in Clinican Mental Health Counseling. Melissa approachs therapy from a collaborative, multicultural, and trauma informed position. She uses many different evidence based therapeutic modalities such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, and Motivational Interviewing.
Melissa Sivaram is a licensed therapist in the state of Washington who has been practicing since 2018. She graduated from the University of North Florida with a master's degree in Clinican Mental Health Counseling. Melissa approachs therapy from a collaborative, multicultural, and trauma informed position. She uses many different evidence based therapeutic modalities such as Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, Dialectical Behavioral Therapy, and Motivational Interviewing.
(360) 361-8614 View (360) 361-8614

How does your Therapist compare?

Number of Therapists in Vancouver, WA

800+

Average cost per session

$150

Therapists in Vancouver, WA who prioritize treating:

93% Anxiety
87% Depression
76% Trauma and PTSD
71% Relationship Issues
69% Self Esteem
67% Grief
67% Stress

Average years in practice

10 Years

Top 3 insurances accepted

71% Aetna
54% Cigna and Evernorth
51% UnitedHealthcare UHC | UBH

How Therapists in Vancouver, WA see their clients

65% In Person and Online
35% Online Only

Gender breakdown

78% Female
20% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Vancouver?

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.