Therapists in Anchorage, AK

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Photo of Donna Henry, Counselor in Anchorage, AK
Donna Henry
Counselor, LPC-S, RPT
Verified Verified
Anchorage, AK 99503  (Online Only)
My name is Donna and I am here to provide a safe and supportive place for you to work on what is important to you. I believe change comes from inside and that support and guidance can help us reach our goals. I approach counseling from a strength-based perspective and trauma-focused lens using EMDR, cognitive-behavioral therapy, and DBT. If you are having difficulty coping with life's problems, or experiencing a sense of unhappiness, choosing counseling is a brave choice. When we feel in control of our lives and less troubled, we feel better mentally, physically, and spiritually.
My name is Donna and I am here to provide a safe and supportive place for you to work on what is important to you. I believe change comes from inside and that support and guidance can help us reach our goals. I approach counseling from a strength-based perspective and trauma-focused lens using EMDR, cognitive-behavioral therapy, and DBT. If you are having difficulty coping with life's problems, or experiencing a sense of unhappiness, choosing counseling is a brave choice. When we feel in control of our lives and less troubled, we feel better mentally, physically, and spiritually.
(907) 891-7204 View (907) 891-7204
Photo of Lynden C Grothe, Licensed Professional Counselor in Anchorage, AK
Lynden C Grothe
Licensed Professional Counselor, MS
Verified Verified
Anchorage, AK 99511
Healing is a journey and there are many professionals and interventions available to help you along the way. What have you tried so far?
Healing is a journey and there are many professionals and interventions available to help you along the way. What have you tried so far?
(907) 312-1143 View (907) 312-1143
Photo of Mary Williams, Pre-Licensed Professional in Anchorage, AK
Mary Williams
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Anchorage, AK 99507  (Online Only)
To anyone else, things might look just fine. You put in a lot of work to keep things fine! But when you slow down, that put-together veneer leaves you all the more isolated as you cope with the self-criticism, frustration, pain, and general turmoil inside. Where is all this coming from? Holding it together takes so much effort. Is it like this for everyone? Is it just another stressful week? You might have spent a long time thinking or being told that you are somehow the problem, but inside, you know that this constant struggle, this inner conflict, isn’t really you.
To anyone else, things might look just fine. You put in a lot of work to keep things fine! But when you slow down, that put-together veneer leaves you all the more isolated as you cope with the self-criticism, frustration, pain, and general turmoil inside. Where is all this coming from? Holding it together takes so much effort. Is it like this for everyone? Is it just another stressful week? You might have spent a long time thinking or being told that you are somehow the problem, but inside, you know that this constant struggle, this inner conflict, isn’t really you.
(907) 444-4526 View (907) 444-4526
Photo of Maria Poulsen, Clinical Social Work/Therapist in Anchorage, AK
Maria Poulsen
Clinical Social Work/Therapist, LCSW
Verified Verified
Anchorage, AK 99503  (Online Only)
With life comes challenges; beautiful and heavy or dark. Every person has a story and it is valuable! I believe that while trauma can have a powerful impact, we are incredibly resilient. Every human deserves to experience healing, to live life fully, and thrive. I am holistic and humanistic; mind, body, soul, spirit are connected. I believe in the power of curiosity, energy, grace, connection, and humor. Therapy offers new learning, self-discovery, skill-building, growth, and healing. With practice we learn to work through trauma to be fully present for all the moments in this life. Be curious. I look forward to connecting with you!
With life comes challenges; beautiful and heavy or dark. Every person has a story and it is valuable! I believe that while trauma can have a powerful impact, we are incredibly resilient. Every human deserves to experience healing, to live life fully, and thrive. I am holistic and humanistic; mind, body, soul, spirit are connected. I believe in the power of curiosity, energy, grace, connection, and humor. Therapy offers new learning, self-discovery, skill-building, growth, and healing. With practice we learn to work through trauma to be fully present for all the moments in this life. Be curious. I look forward to connecting with you!
(907) 341-4386 View (907) 341-4386
Photo of Dannon O Mims, Licensed Professional Counselor in Anchorage, AK
Dannon O Mims
Licensed Professional Counselor, MS, LPC
Verified Verified
Anchorage, AK 99521  (Online Only)
Do you struggle with feeling disconnected from yourself, family, and friends? Do you prioritize your needs last? Now more than ever, people are feeling anxious, overwhlemed, and uncertain about how they are supposed to manage their relationships, careers, and their lives. Ignoring your needs and not making time for yourself can lead to long-term problems for your mind and body. I believe it shouldn't be so hard to live a better life.
Do you struggle with feeling disconnected from yourself, family, and friends? Do you prioritize your needs last? Now more than ever, people are feeling anxious, overwhlemed, and uncertain about how they are supposed to manage their relationships, careers, and their lives. Ignoring your needs and not making time for yourself can lead to long-term problems for your mind and body. I believe it shouldn't be so hard to live a better life.
(844) 582-1301 View (844) 582-1301
Photo of Theresa Rutchka, Licensed Professional Counselor in Anchorage, AK
Theresa Rutchka
Licensed Professional Counselor, MS, LPC
Verified Verified
Anchorage, AK 99501
Hello! Welcome to Phoenix Rising Counseling! My private practice is focused on working collaboratively to assist individuals develop a sense of empowerment, build self-esteem and confidence, and ease mental health related stressors.
Hello! Welcome to Phoenix Rising Counseling! My private practice is focused on working collaboratively to assist individuals develop a sense of empowerment, build self-esteem and confidence, and ease mental health related stressors.
(855) 718-0406 View (855) 718-0406
Photo of Marne Eggleston, Licensed Professional Counselor in Anchorage, AK
Marne Eggleston
Licensed Professional Counselor, LPC-S, NCC, MAC
Verified Verified
4 Endorsed
Anchorage, AK 99507  (Online Only)
“There’s something wrong with me.” It doesn’t matter how good things get – these thoughts are always lurking in the back of your mind. All the good you do and all the positive things you achieve in your life are never enough for you to feel accomplished. The deeper you sink into these feelings, the more alienated you become. Life feels hopeless and you’re on the verge of resigning to living with that uneasy ball in the pit of your stomach. Your baseline is a constant state of emotional duck-and-cover. It’s exhausting. It’s discouraging. It’s isolating. And worst of all, you can’t seem to make it stop.
“There’s something wrong with me.” It doesn’t matter how good things get – these thoughts are always lurking in the back of your mind. All the good you do and all the positive things you achieve in your life are never enough for you to feel accomplished. The deeper you sink into these feelings, the more alienated you become. Life feels hopeless and you’re on the verge of resigning to living with that uneasy ball in the pit of your stomach. Your baseline is a constant state of emotional duck-and-cover. It’s exhausting. It’s discouraging. It’s isolating. And worst of all, you can’t seem to make it stop.
(907) 444-4526 View (907) 444-4526
Photo of Joy Knight, Licensed Professional Counselor in Anchorage, AK
Joy Knight
Licensed Professional Counselor, MA, LPC, CDC
Verified Verified
1 Endorsed
Anchorage, AK 99518
With my background in fitness and physical therapy of patients with chronic pain and as a substance abuse counselor, I am convinced that every individual has the desire to be seen, heard and understood. I do believe that I have been uniquely wired to provide insight, acceptance, understanding and support when life gets hard, lonely or confusing. A good portion of what I offer is to help you understand & express your feelings, needs, desires, longings and hope in a safe tranquil environment. You will receive in return a therapist who is equally open with her emotions and able to model genuine relationship in our sessions.
With my background in fitness and physical therapy of patients with chronic pain and as a substance abuse counselor, I am convinced that every individual has the desire to be seen, heard and understood. I do believe that I have been uniquely wired to provide insight, acceptance, understanding and support when life gets hard, lonely or confusing. A good portion of what I offer is to help you understand & express your feelings, needs, desires, longings and hope in a safe tranquil environment. You will receive in return a therapist who is equally open with her emotions and able to model genuine relationship in our sessions.
(907) 268-0043 View (907) 268-0043
Photo of Mike Blakey, Psychologist in Anchorage, AK
Mike Blakey
Psychologist, PsyD
Verified Verified
Anchorage, AK 99503
I work at Greatland Clinical Associates located in Anchorage. As a therapist, I strive to provide a supportive, respectful and collaborative therapeutic environment where you can fully explore your concerns, challenges, and values. I support the humanistic principles that people are best helped by a therapist who is psychologically present and establishes a therapeutic environment that is accepting, empathic, and authentic. The relationship the client and therapist build is itself an important agent of change and therefore, is an integral part of the therapy focus.
I work at Greatland Clinical Associates located in Anchorage. As a therapist, I strive to provide a supportive, respectful and collaborative therapeutic environment where you can fully explore your concerns, challenges, and values. I support the humanistic principles that people are best helped by a therapist who is psychologically present and establishes a therapeutic environment that is accepting, empathic, and authentic. The relationship the client and therapist build is itself an important agent of change and therefore, is an integral part of the therapy focus.
(907) 929-4009 View (907) 929-4009
Photo of Alice E Palen, Licensed Professional Counselor in Anchorage, AK
Alice E Palen
Licensed Professional Counselor, LPC, ExAT
Verified Verified
Anchorage, AK 99518
There are times when we get stuck in the pain of sadness, discouragement, and disappointment. Sometimes we can shake ourselves out of it. Other times we may feel overwhelmed. When these feelings get in the way of being the person we want to be, having the relationships we want, or getting what we want out of life, you are not alone. Reach out for help. I am an Expressive Arts Therapist, and I guide individuals through painful times to come out the other side. Together, we use different art forms to help you identify and express how you are feeling. This is not art making. It is self-expression leading to insight and healing.
There are times when we get stuck in the pain of sadness, discouragement, and disappointment. Sometimes we can shake ourselves out of it. Other times we may feel overwhelmed. When these feelings get in the way of being the person we want to be, having the relationships we want, or getting what we want out of life, you are not alone. Reach out for help. I am an Expressive Arts Therapist, and I guide individuals through painful times to come out the other side. Together, we use different art forms to help you identify and express how you are feeling. This is not art making. It is self-expression leading to insight and healing.
(972) 449-4617 x714 View (972) 449-4617 x714
Photo of Amy Kathryn Craig, Licensed Professional Counselor in Anchorage, AK
Amy Kathryn Craig
Licensed Professional Counselor, MS, LPC, NCC, CDC1
Verified Verified
Anchorage, AK 99503
Not accepting new clients
Living with anxiety, depression, feeling overwhelmed, distracted and hypervigilent in your daily activities? This doesn’t need to become a way of life. What if there was a way to reduce chronic symptoms, have a greater understanding of yourself, improve your relationships and live life more fully? What would life be like if you were fully living and using your strengths and abilities to realize the potentials within you? Sometimes, it is hard to imagine how or where to start with changing but you don’t have to do it alone.
Living with anxiety, depression, feeling overwhelmed, distracted and hypervigilent in your daily activities? This doesn’t need to become a way of life. What if there was a way to reduce chronic symptoms, have a greater understanding of yourself, improve your relationships and live life more fully? What would life be like if you were fully living and using your strengths and abilities to realize the potentials within you? Sometimes, it is hard to imagine how or where to start with changing but you don’t have to do it alone.
(833) 305-9938 View (833) 305-9938
Spatrisano Psychological Services, LLC
Psychologist, PhD, MS
Verified Verified
Anchorage, AK 99503
My name is Jaime Spatrisano. I am originally from the midwest but have been enjoying Alaska's nature since 2010 when I moved up. I worked as a therapist for over 10 years and became a clinical psychologist in 2019. I then began a postdoctoral fellowship with Fuller Diagnostics in 2022 where I was trained as a clinical neuropsychologist. I have been conducting neuropsychological evaluations since and recently opened a private practice where I conduct neuropsychological evaluations for a variety of concerns including ADHD, autism, dementia, and traumatic brain injuries.
My name is Jaime Spatrisano. I am originally from the midwest but have been enjoying Alaska's nature since 2010 when I moved up. I worked as a therapist for over 10 years and became a clinical psychologist in 2019. I then began a postdoctoral fellowship with Fuller Diagnostics in 2022 where I was trained as a clinical neuropsychologist. I have been conducting neuropsychological evaluations since and recently opened a private practice where I conduct neuropsychological evaluations for a variety of concerns including ADHD, autism, dementia, and traumatic brain injuries.
(855) 586-1026 View (855) 586-1026
Photo of Jodie Menish, Clinical Social Work/Therapist in Anchorage, AK
Jodie Menish
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
9 Endorsed
Anchorage, AK 99501
In-Person/35 Yrs of Experience/Current Availability - Have you always blazed your own trail, worked hard and enjoyed many successes in life? Have you been able to tackle challenges with ease as they come up? Maybe you've found all of this to be true, but now there is this relationship dynamic or personal problem that just won’t go away. Then give me a call, you are my specialty. My extensive Gottman and Brainspotting training can go to work for you. I help circular problems find a resting ground. I keep the temperature cooler so that obstacles disappear. I help healing begin. Let's get started on a new way to do life.
In-Person/35 Yrs of Experience/Current Availability - Have you always blazed your own trail, worked hard and enjoyed many successes in life? Have you been able to tackle challenges with ease as they come up? Maybe you've found all of this to be true, but now there is this relationship dynamic or personal problem that just won’t go away. Then give me a call, you are my specialty. My extensive Gottman and Brainspotting training can go to work for you. I help circular problems find a resting ground. I keep the temperature cooler so that obstacles disappear. I help healing begin. Let's get started on a new way to do life.
(907) 791-0036 View (907) 791-0036
Photo of Melissa Skarbek, Pre-Licensed Professional in Anchorage, AK
Melissa Skarbek
Pre-Licensed Professional, MSW
Verified Verified
Anchorage, AK 99523
I am deeply committed to the transformative power of therapy as the cornerstone of my treatment approach. While I maintain a multifaceted interest in human welfare, including the impacts of abuse and neglect, family engagement, parent training, and trauma throughout the lifespan, therapy remains central to my practice. Catering to children, young adults, individuals, and families, I utilize an integrated, person-centered methodology, infused with trauma-informed and multi-cultural perspectives.
I am deeply committed to the transformative power of therapy as the cornerstone of my treatment approach. While I maintain a multifaceted interest in human welfare, including the impacts of abuse and neglect, family engagement, parent training, and trauma throughout the lifespan, therapy remains central to my practice. Catering to children, young adults, individuals, and families, I utilize an integrated, person-centered methodology, infused with trauma-informed and multi-cultural perspectives.
(907) 792-9226 View (907) 792-9226
Photo of Macrina Dunaway, Pre-Licensed Professional in Anchorage, AK
Macrina Dunaway
Pre-Licensed Professional, MS
Verified Verified
1 Endorsed
Anchorage, AK 99507  (Online Only)
You've always believed that worrying was a choice. If you were just motivated enough you could stop yourself from spiraling. Sadness is a mindset. You could push through the shadows and darkness if you would just try a little harder. But now it's like these emotions have taken you hostage and are creeping into every part of your life. The strategies that you relied on to keep yourself in check aren't working like they used to. You feel lost without a clear way forward. The shame of allowing yourself to go unchecked is physically and emotionally exhausting. It's a daily game of trying to act ok and hold it together. It's crushing.
You've always believed that worrying was a choice. If you were just motivated enough you could stop yourself from spiraling. Sadness is a mindset. You could push through the shadows and darkness if you would just try a little harder. But now it's like these emotions have taken you hostage and are creeping into every part of your life. The strategies that you relied on to keep yourself in check aren't working like they used to. You feel lost without a clear way forward. The shame of allowing yourself to go unchecked is physically and emotionally exhausting. It's a daily game of trying to act ok and hold it together. It's crushing.
(907) 444-4526 View (907) 444-4526
Photo of Keria S Brown, Pre-Licensed Professional in Anchorage, AK
Keria S Brown
Pre-Licensed Professional, CDCI, MS
Verified Verified
2 Endorsed
Anchorage, AK 99508  (Online Only)
Life has a way of coming to ALL of us, whether it’s through stress, anxiety, depression, financial hardships, family conflict, or transitions in life. If left unmanaged, it can take a toll on your mental health and impact many areas of your life. Hi. My name is Keria. I am passionate about assisting others with finding their purpose and overcoming their obstacles.
Life has a way of coming to ALL of us, whether it’s through stress, anxiety, depression, financial hardships, family conflict, or transitions in life. If left unmanaged, it can take a toll on your mental health and impact many areas of your life. Hi. My name is Keria. I am passionate about assisting others with finding their purpose and overcoming their obstacles.
(907) 519-0851 View (907) 519-0851
Photo of Katya Kalachevskiy, LPC w/Coastal Wellness, Licensed Professional Counselor in Anchorage, AK
Katya Kalachevskiy, LPC w/Coastal Wellness
Licensed Professional Counselor, LPC
Verified Verified
Anchorage, AK 99501
Hello. I have a strong pull towards attachment-based and strength-based approach to therapy. I build upon this foundation with Internal Family Systems (IFS), Brainspotting (BSP) and Eye Movement Desensitization and Reprocessing therapy (EMDR) as primary approaches, seeking to support insight and growth in clients who experience depression, dissociation, distress arising from trauma, attachment issues, and/or anxiety.
Hello. I have a strong pull towards attachment-based and strength-based approach to therapy. I build upon this foundation with Internal Family Systems (IFS), Brainspotting (BSP) and Eye Movement Desensitization and Reprocessing therapy (EMDR) as primary approaches, seeking to support insight and growth in clients who experience depression, dissociation, distress arising from trauma, attachment issues, and/or anxiety.
(907) 917-0191 View (907) 917-0191
Photo of Nicole Gregson, Licensed Professional Counselor in Anchorage, AK
Nicole Gregson
Licensed Professional Counselor, LPC, RPT
Verified Verified
Anchorage, AK 99503
As a committed Licensed Professional Counselor and Registered Play Therapist, I specialize in working with preschool and elementary age children and their families. Children do not always have the language they need to work through their struggles. If we listen and allow the toys to be their words and play to be their language, they tell us so much. Every child has a unique wonder and light inside of them, sometimes they just need help developing their tools to be their best self. Play is how children express themselves, practice and learn new tasks, and regulate emotions. Many children can benefit from play therapy.
As a committed Licensed Professional Counselor and Registered Play Therapist, I specialize in working with preschool and elementary age children and their families. Children do not always have the language they need to work through their struggles. If we listen and allow the toys to be their words and play to be their language, they tell us so much. Every child has a unique wonder and light inside of them, sometimes they just need help developing their tools to be their best self. Play is how children express themselves, practice and learn new tasks, and regulate emotions. Many children can benefit from play therapy.
(907) 717-7779 View (907) 717-7779
Photo of Pierlot Counseling, Licensed Professional Counselor in Anchorage, AK
Pierlot Counseling
Licensed Professional Counselor, LPC, CDC, II
Verified Verified
Anchorage, AK 99503
I enjoy working with both adolescents and adults. I have worked in a wide variety of settings including Alternative High School, Outpatient and Inpatient Drug Treatment, State Hospital, Community Mental Health Center, and for the past 3 years private practice. My background and years of experience includes assessment, interventions, crisis counseling, individual and group therapy.
I enjoy working with both adolescents and adults. I have worked in a wide variety of settings including Alternative High School, Outpatient and Inpatient Drug Treatment, State Hospital, Community Mental Health Center, and for the past 3 years private practice. My background and years of experience includes assessment, interventions, crisis counseling, individual and group therapy.
(907) 312-2106 View (907) 312-2106
Photo of Amanda Kookesh - White Wave Counseling, Licensed Professional Counselor in Anchorage, AK
Amanda Kookesh - White Wave Counseling
Licensed Professional Counselor, LPC , CDC
Verified Verified
2 Endorsed
Anchorage, AK 99501
Managing life and all the emotions that come with it can be hard. Many people want to make sense of their life. Why do I react the way I do? Starting therapy is a great way to start unpacking answers to those life questions. I will provide you the safe and non-judgmental environment to begin to explore your thoughts, memories, and long-term goals. I can meet you where you are at in your life and together, we will begin your journey towards healing. I will be your biggest advocate in reaching your future goals. Together we will process your past and current life stressors to enable you to live your life in the present.
Managing life and all the emotions that come with it can be hard. Many people want to make sense of their life. Why do I react the way I do? Starting therapy is a great way to start unpacking answers to those life questions. I will provide you the safe and non-judgmental environment to begin to explore your thoughts, memories, and long-term goals. I can meet you where you are at in your life and together, we will begin your journey towards healing. I will be your biggest advocate in reaching your future goals. Together we will process your past and current life stressors to enable you to live your life in the present.
(907) 519-0353 View (907) 519-0353

How does your Therapist compare?

Number of Therapists in Anchorage, AK

300+

Average cost per session

$200

Therapists in Anchorage, AK who prioritize treating:

90% Anxiety
86% Depression
79% Trauma and PTSD
74% Relationship Issues
67% Self Esteem
66% Stress
62% Coping Skills

Average years in practice

13 Years

Top 3 insurances accepted

75% BlueCross and BlueShield
66% Aetna
55% Premera

How Therapists in Anchorage, AK see their clients

60% In Person and Online
40% Online Only

Gender breakdown

81% Female
18% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Anchorage?

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.