Therapists in Seattle, WA

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Photo of Kurt Dale, LMFT, Marriage & Family Therapist in Seattle, WA
Kurt Dale, LMFT
Marriage & Family Therapist
Verified Verified
Seattle, WA 98115
I am a marriage and family therapist who helps couples, families, and individual adults, navigate through challenging transitions in life. My work is focused on helping people get unstuck from unhelpful patterns in themselves and in their primary relationships, and in amplifying their strengths and resiliency.
I am a marriage and family therapist who helps couples, families, and individual adults, navigate through challenging transitions in life. My work is focused on helping people get unstuck from unhelpful patterns in themselves and in their primary relationships, and in amplifying their strengths and resiliency.
(206) 745-6301 View (206) 745-6301
Photo of Meagan Estrella, Counselor in Seattle, WA
Meagan Estrella
Counselor, LMHCA
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
Hi, I’m Meagan. I offer mindfulness-based counseling, primarily through the lens of Gestalt Therapy. This means that in session we focus on the here and now, a gentle journey of self-awareness and self-discovery. I’m passionate about helping you find personal freedom, inner peace, empowerment, self-trust, and a life lived in choice. I incorporate art and drawing practices into sessions, as called. My practice is grounded in Buddhist philosophy, and I may pull from a variety of mindfulness-based modalities throughout a session.
Hi, I’m Meagan. I offer mindfulness-based counseling, primarily through the lens of Gestalt Therapy. This means that in session we focus on the here and now, a gentle journey of self-awareness and self-discovery. I’m passionate about helping you find personal freedom, inner peace, empowerment, self-trust, and a life lived in choice. I incorporate art and drawing practices into sessions, as called. My practice is grounded in Buddhist philosophy, and I may pull from a variety of mindfulness-based modalities throughout a session.
(206) 558-5570 View (206) 558-5570
Photo of Gladys Rodriguez, Clinical Social Work/Therapist in Seattle, WA
Gladys Rodriguez
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98118
Hi, I'm Gladys I specialize in providing therapy to women to prevent and treat perinatal (time before and after birth, usually during pregnancy and up to one year postpartum) mood and anxiety disorders. While that is my specialty, my services are not limited to perinatal clients. I am passionate about studying trauma and raising awareness about mental health disparities, resources, and support. Please visit my website for my information.
Hi, I'm Gladys I specialize in providing therapy to women to prevent and treat perinatal (time before and after birth, usually during pregnancy and up to one year postpartum) mood and anxiety disorders. While that is my specialty, my services are not limited to perinatal clients. I am passionate about studying trauma and raising awareness about mental health disparities, resources, and support. Please visit my website for my information.
(206) 429-8635 View (206) 429-8635
Photo of Morgan McCormick, Psychologist in Seattle, WA
Morgan McCormick
Psychologist, PsyD
Verified Verified
Seattle, WA 98134
I am a licensed clinical psychologist with 10 years of experience providing psychotherapy to adults and young adults. I approach the therapeutic relationship with genuine curiosity, openness and warmth and seek to provide a comfortable environment for you to explore your concerns. I see the therapeutic process as an opportunity for you to gain personal insight so that you may achieve satisfaction in yourself and your relationships. I specialize in anxiety, depression, relationship concerns, general mood disorders, stress management, anger, grief, family-of-origin concerns, and trauma. I also welcome those who are new to therapy.
I am a licensed clinical psychologist with 10 years of experience providing psychotherapy to adults and young adults. I approach the therapeutic relationship with genuine curiosity, openness and warmth and seek to provide a comfortable environment for you to explore your concerns. I see the therapeutic process as an opportunity for you to gain personal insight so that you may achieve satisfaction in yourself and your relationships. I specialize in anxiety, depression, relationship concerns, general mood disorders, stress management, anger, grief, family-of-origin concerns, and trauma. I also welcome those who are new to therapy.
(607) 269-5077 View (607) 269-5077
Photo of Jody Friedman LCSW, Certified Psychoanalyst, Clinical Social Work/Therapist in Seattle, WA
Jody Friedman LCSW, Certified Psychoanalyst
Clinical Social Work/Therapist, LCSW
Verified Verified
Seattle, WA 98105  (Online Only)
My specialties are helping you heal depression, anxiety, trauma, self-doubt & relationship issues. I realize it's difficult to find a good therapist & to expose yourself to someone new but perhaps you've now decided to take this step towards healing. I have been in private practice for 38 years. I am dedicated to provide you with compassionate, skilled, enlightened psychotherapy and guidance tailored to your sensitivities & needs. I will help you understand the reasons beneath your fears, discover your innate strengths, self-compassion & develop the empowerment that helps you lead a life filled with joy, energy & love.
My specialties are helping you heal depression, anxiety, trauma, self-doubt & relationship issues. I realize it's difficult to find a good therapist & to expose yourself to someone new but perhaps you've now decided to take this step towards healing. I have been in private practice for 38 years. I am dedicated to provide you with compassionate, skilled, enlightened psychotherapy and guidance tailored to your sensitivities & needs. I will help you understand the reasons beneath your fears, discover your innate strengths, self-compassion & develop the empowerment that helps you lead a life filled with joy, energy & love.
(646) 606-2567 View (646) 606-2567
Photo of Suzra Martha Antoine, Clinical Social Work/Therapist in Seattle, WA
Suzra Martha Antoine
Clinical Social Work/Therapist, MSW, LICSWA, CCTP
Verified Verified
2 Endorsed
Seattle, WA 98112  (Online Only)
Not accepting new clients
Are you struggling with anxiety, depression, PTSD, ADHD, trauma, and multiple mental health diagnoses? I assist clients in healing from trauma, helping youth, adolescents, and adults cope with life stressors, and low self-esteem. I also assist individuals in identifying their emotions, thoughts, and behaviors, establishing goals, empowering individuals to believe in themselves by offering compassion and support to clients in learning different coping skills to overcome life's stressors.
Are you struggling with anxiety, depression, PTSD, ADHD, trauma, and multiple mental health diagnoses? I assist clients in healing from trauma, helping youth, adolescents, and adults cope with life stressors, and low self-esteem. I also assist individuals in identifying their emotions, thoughts, and behaviors, establishing goals, empowering individuals to believe in themselves by offering compassion and support to clients in learning different coping skills to overcome life's stressors.
(206) 204-5185 View (206) 204-5185
Photo of Cecilia (Cece) Klinger, Counselor in Seattle, WA
Cecilia (Cece) Klinger
Counselor, MFA, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98112
I work with adults who are struggling with depression, a history of trauma, grief and loss. ​ My approach to therapy is strength-based and client-centered. I believe self-discovery and solutions reside within wisdom and are drawn from your own life experiences. .
I work with adults who are struggling with depression, a history of trauma, grief and loss. ​ My approach to therapy is strength-based and client-centered. I believe self-discovery and solutions reside within wisdom and are drawn from your own life experiences. .
(206) 207-3574 View (206) 207-3574
Photo of Ashley Sedlacek, Counselor in Seattle, WA
Ashley Sedlacek
Counselor, MA, LMHCA
Verified Verified
Seattle, WA 98112
Not accepting new clients
Experiencing anxiety is a normal part of life, but sometimes it can start taking over your life, and this is when therapy can help. Sometimes it is hard to know what to do, or hard to do what we want when we are overwhelmed by certain fears, feelings or ideas. This too is when therapy can help. Whether you or your child is experiencing anxiety that is causing distress and limiting life, I would love to work with you. I believe therapy is a collaborative process, which will be driven by your needs, desires, and motivations.
Experiencing anxiety is a normal part of life, but sometimes it can start taking over your life, and this is when therapy can help. Sometimes it is hard to know what to do, or hard to do what we want when we are overwhelmed by certain fears, feelings or ideas. This too is when therapy can help. Whether you or your child is experiencing anxiety that is causing distress and limiting life, I would love to work with you. I believe therapy is a collaborative process, which will be driven by your needs, desires, and motivations.
(206) 785-3607 View (206) 785-3607
Photo of Bridger Sperry, Pre-Licensed Professional in Seattle, WA
Bridger Sperry
Pre-Licensed Professional, LMHCA
Verified Verified
Seattle, WA 98119  (Online Only)
To know and to be known authentically is a human desire. But there are times that we are misunderstood, not cared for properly, and plain old hurt in the process of vulnerability. We begin to spiral with thoughts and emotions that lead to depression, anxiety, anger, hopelessness, sadness. Together we can unpack where these emotions are coming from and learn to care for these feelings.
To know and to be known authentically is a human desire. But there are times that we are misunderstood, not cared for properly, and plain old hurt in the process of vulnerability. We begin to spiral with thoughts and emotions that lead to depression, anxiety, anger, hopelessness, sadness. Together we can unpack where these emotions are coming from and learn to care for these feelings.
(206) 672-9567 View (206) 672-9567
Photo of Boone Butler, Marriage & Family Therapist Associate in Seattle, WA
Boone Butler
Marriage & Family Therapist Associate, LMFTA
Verified Verified
Seattle, WA 98103
I provide an intentional, and meaningful, therapy space for individuals, couples, and families. For some, sessions are used to process the week, or the month, and are a regular place to go; to game plan, to reflect, to contemplate, to gain understanding, to challenge, to grow. For others, sessions are used to explore and connect about love, boundaries, relationship dynamics, and communication: to talk problem solving, intimacy, togetherness, values, forgiveness, trust. For others, still, sessions are used to create the space to heal, to let go, or to change course (as we begin to catch the winds we wish).
I provide an intentional, and meaningful, therapy space for individuals, couples, and families. For some, sessions are used to process the week, or the month, and are a regular place to go; to game plan, to reflect, to contemplate, to gain understanding, to challenge, to grow. For others, sessions are used to explore and connect about love, boundaries, relationship dynamics, and communication: to talk problem solving, intimacy, togetherness, values, forgiveness, trust. For others, still, sessions are used to create the space to heal, to let go, or to change course (as we begin to catch the winds we wish).
(206) 429-6485 View (206) 429-6485
Photo of Jon Wallis, Counselor in Seattle, WA
Jon Wallis
Counselor, MA, LMHC
Verified Verified
2 Endorsed
Seattle, WA 98133  (Online Only)
I welcome adults (18+) of all races, religions, genders, sexual orientations, and disabilities. I work with and have helped individuals who experience: anxiety, depression, grief, loneliness, difficulties in relationships or career, meaning/purpose, feeling “stuck”, people in recovery from substance use, academic issues, and more. Many of the clients I’ve worked with want a deeper understanding of themselves and a more fulfilling life in addition to relief from the aforementioned symptoms.
I welcome adults (18+) of all races, religions, genders, sexual orientations, and disabilities. I work with and have helped individuals who experience: anxiety, depression, grief, loneliness, difficulties in relationships or career, meaning/purpose, feeling “stuck”, people in recovery from substance use, academic issues, and more. Many of the clients I’ve worked with want a deeper understanding of themselves and a more fulfilling life in addition to relief from the aforementioned symptoms.
(206) 888-4740 View (206) 888-4740
Photo of Caleb A Dodson, Counselor in Seattle, WA
Caleb A Dodson
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Seattle, WA 98109
Life can be a lonely place when we're so aware and overwhelmed by our feelings and with no one to help us be with them. All the more frustrating when we've tried so many things to no avail. Perhaps we're repeating something, yet again, that initially satisfies us but eventually trips us up. Perhaps on the surface, we have a 'good' life but inside we feel something very different. Hungering for a relationship to help us hold or tussle with us and these experiences of what's going on within us - or between us. Eventually, it helps us hold it all together and see what it means to be here.
Life can be a lonely place when we're so aware and overwhelmed by our feelings and with no one to help us be with them. All the more frustrating when we've tried so many things to no avail. Perhaps we're repeating something, yet again, that initially satisfies us but eventually trips us up. Perhaps on the surface, we have a 'good' life but inside we feel something very different. Hungering for a relationship to help us hold or tussle with us and these experiences of what's going on within us - or between us. Eventually, it helps us hold it all together and see what it means to be here.
(206) 350-3369 View (206) 350-3369
Photo of Jil Flemmig, Clinical Social Work/Therapist in Seattle, WA
Jil Flemmig
Clinical Social Work/Therapist, LICSWA
Verified Verified
Seattle, WA 98103
Perhaps you feel alienated, empty, or disconnected. Maybe you struggle to trust yourself and others. It might be difficult to hold your boundaries and advocate for yourself. Unaddressed pains can show up as anxiety, depression, trauma, harmful relationships, self-criticism, and addictions - also manifesting on physical and spiritual levels. You might feel stuck and overwhelmed on how to move forward. Therapy is a place where you can build a deeper understanding of yourself, what you’re experiencing, where that comes from, and what that means to you. It takes a lot of courage to (re)connect with yourself and share your story.
Perhaps you feel alienated, empty, or disconnected. Maybe you struggle to trust yourself and others. It might be difficult to hold your boundaries and advocate for yourself. Unaddressed pains can show up as anxiety, depression, trauma, harmful relationships, self-criticism, and addictions - also manifesting on physical and spiritual levels. You might feel stuck and overwhelmed on how to move forward. Therapy is a place where you can build a deeper understanding of yourself, what you’re experiencing, where that comes from, and what that means to you. It takes a lot of courage to (re)connect with yourself and share your story.
(206) 249-9480 View (206) 249-9480
Photo of Christeine Terry, Psychologist in Seattle, WA
Christeine Terry
Psychologist, PhD
Verified Verified
4 Endorsed
Seattle, WA 98101
Not accepting new clients
I work from a collaborative and strengths-based approach to help individuals reduce their suffering and reconnect with their values. I treat a variety of problems including addictions, anxiety/trauma, & depression. I also work with family members of loved ones with addiction and teach family members practical and empowering skills to help their addicted loved ones and themselves. I use evidence-based treatments and draw heavily from cognitive-behavioral treatments, particularly newer cognitive-behavioral therapies such as Functional Analytic Psychotherapy, Acceptance and Commitment Therapy, and mindfulness-based approaches.
I work from a collaborative and strengths-based approach to help individuals reduce their suffering and reconnect with their values. I treat a variety of problems including addictions, anxiety/trauma, & depression. I also work with family members of loved ones with addiction and teach family members practical and empowering skills to help their addicted loved ones and themselves. I use evidence-based treatments and draw heavily from cognitive-behavioral treatments, particularly newer cognitive-behavioral therapies such as Functional Analytic Psychotherapy, Acceptance and Commitment Therapy, and mindfulness-based approaches.
(206) 557-6494 View (206) 557-6494
Photo of Susan Smith, Clinical Social Work/Therapist in Seattle, WA
Susan Smith
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Seattle, WA 98107  (Online Only)
My telehealth practice includes collaborative therapy based on a client’s strengths through talk therapy, creative expression, and mindfulness. I welcome clients over 18 addressing anxiety, depression, life transitions, ADHD, LGBTQ+ concerns, stress, and grief, among others, to meet you where you are in life and to find the next step in your journey.
My telehealth practice includes collaborative therapy based on a client’s strengths through talk therapy, creative expression, and mindfulness. I welcome clients over 18 addressing anxiety, depression, life transitions, ADHD, LGBTQ+ concerns, stress, and grief, among others, to meet you where you are in life and to find the next step in your journey.
(509) 254-5468 View (509) 254-5468
Photo of Janaki Tremaglio, Clinical Social Work/Therapist in Seattle, WA
Janaki Tremaglio
Clinical Social Work/Therapist, MA, MSW, LICSW
Verified Verified
Seattle, WA 98103
Waitlist for new clients
Are you looking for attuned support to explore your struggles? Do you wish to become mindful of how your life history impacts your present experience? Are you interested in intuitive and spiritual practices, and holistic supports (including food, herbs)? If these questions resonate with you, reach out to me! I offer relationship-focused therapy, drawing from wisdom traditions and holistic approaches.
Are you looking for attuned support to explore your struggles? Do you wish to become mindful of how your life history impacts your present experience? Are you interested in intuitive and spiritual practices, and holistic supports (including food, herbs)? If these questions resonate with you, reach out to me! I offer relationship-focused therapy, drawing from wisdom traditions and holistic approaches.
(206) 589-2437 View (206) 589-2437
Photo of Lencsi Angel, Marriage & Family Therapist in Seattle, WA
Lencsi Angel
Marriage & Family Therapist, MS, LMFT
Verified Verified
Seattle, WA 98103
I work with individuals and couples to improve relationships, mental health and overall life satisfaction. I am also an AASECT certified sex therapist and work with those looking to heal or improve their sexual and intimate well-being. With compassionate care and guidance, I am here to support you in overcoming the challenges that have you feeling stuck in life. We will explore what thoughts, feelings, behaviors and patterns may be holding you back and I will assist you in gaining valuable insight and finding solutions.
I work with individuals and couples to improve relationships, mental health and overall life satisfaction. I am also an AASECT certified sex therapist and work with those looking to heal or improve their sexual and intimate well-being. With compassionate care and guidance, I am here to support you in overcoming the challenges that have you feeling stuck in life. We will explore what thoughts, feelings, behaviors and patterns may be holding you back and I will assist you in gaining valuable insight and finding solutions.
(844) 805-9731 View (844) 805-9731
Photo of Kacie Yost, Psychologist in Seattle, WA
Kacie Yost
Psychologist, PsyD
Verified Verified
2 Endorsed
Seattle, WA 98116  (Online Only)
As a psychologist specializing in empowering high-achieving women and emerging young adults, I have witnessed firsthand the immense pressure and expectations that can weigh heavily on their shoulders. Often, the need to excel in various aspects of their lives combined with challenges such as anxiety, trauma, depression, and role shifts (e.g. starting a new job, graduating college, becoming a mother) can come at the expense of their mental and emotional well-being. Through my practice, I aim to help my clients cultivate self-compassion and self-esteem, which in turn can lead to improved relationships and greater confidence.
As a psychologist specializing in empowering high-achieving women and emerging young adults, I have witnessed firsthand the immense pressure and expectations that can weigh heavily on their shoulders. Often, the need to excel in various aspects of their lives combined with challenges such as anxiety, trauma, depression, and role shifts (e.g. starting a new job, graduating college, becoming a mother) can come at the expense of their mental and emotional well-being. Through my practice, I aim to help my clients cultivate self-compassion and self-esteem, which in turn can lead to improved relationships and greater confidence.
(425) 470-6603 View (425) 470-6603
Photo of Tera Middlebrook, Counselor in Seattle, WA
Tera Middlebrook
Counselor, LMHC
Verified Verified
Seattle, WA 98121  (Online Only)
Not accepting new clients
I will serve as a witness to your self healing journey, providing tools and insights as you create this new path, moving from where you are to where you want to be. Together we will create a safe environment for self exploration. Using a holistic approach to counseling, I utilize talk therapy, cognitive behavioral therapy (CBT), psychoeducation, and motivational therapy. I have worked with clients from all walks of life and will always provide a safe, respectful space, regardless of your ethnicity, race, sexual orientation, gender or spiritual beliefs. Please visit my website: www.awakeningspirittherapy.com for more information!
I will serve as a witness to your self healing journey, providing tools and insights as you create this new path, moving from where you are to where you want to be. Together we will create a safe environment for self exploration. Using a holistic approach to counseling, I utilize talk therapy, cognitive behavioral therapy (CBT), psychoeducation, and motivational therapy. I have worked with clients from all walks of life and will always provide a safe, respectful space, regardless of your ethnicity, race, sexual orientation, gender or spiritual beliefs. Please visit my website: www.awakeningspirittherapy.com for more information!
(206) 203-6674 View (206) 203-6674
Photo of Whitney Jones, Counselor in Seattle, WA
Whitney Jones
Counselor, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98107  (Online Only)
I find it rewarding help individuals who feel lost and are trying to find the meaning in their life or want to break self-defeating patterns. To help these individuals I provide a safe environment where he/she can explore difficult questions and assist them with acquiring self awareness to overcome those challenges. Using a variety of therapeutic approaches I help the client reach their potential in order to live a gratifying life and chance to re-write their life story.
I find it rewarding help individuals who feel lost and are trying to find the meaning in their life or want to break self-defeating patterns. To help these individuals I provide a safe environment where he/she can explore difficult questions and assist them with acquiring self awareness to overcome those challenges. Using a variety of therapeutic approaches I help the client reach their potential in order to live a gratifying life and chance to re-write their life story.
(206) 823-2574 View (206) 823-2574

How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
79% Relationship Issues
76% Self Esteem
72% Trauma and PTSD
71% Stress
69% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

70% Premera
54% Aetna
47% Regence

How Therapists in Seattle, WA see their clients

51% Online Only
49% In Person and Online

Gender breakdown

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

How can I find a therapist in Seattle?

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.