Therapists in Vancouver, WA

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Photo of Shasta Hickman, Mental Health Counselor in Vancouver, WA
Shasta Hickman
Mental Health Counselor, LMHC, CMHS, LPC, NCC
Verified Verified
5 Endorsed
Vancouver, WA 98684
Are you struggling with communication, grief, or relationships? You want to learn to have healthy boundaries and communicate them effectively. Or you have an area of your life that you feel stuck and cannot seem to get unstuck on your own. One or more of the relationships in your life is unsatisfying and you want to change this. Do you need help for yourself, your child, your marriage, or your family?
Are you struggling with communication, grief, or relationships? You want to learn to have healthy boundaries and communicate them effectively. Or you have an area of your life that you feel stuck and cannot seem to get unstuck on your own. One or more of the relationships in your life is unsatisfying and you want to change this. Do you need help for yourself, your child, your marriage, or your family?
(360) 558-3410 View (360) 558-3410
Photo of Christine Griffiths, Counselor in Vancouver, WA
Christine Griffiths
Counselor, LMHC, CADC I
Verified Verified
1 Endorsed
Vancouver, WA 98660  (Online Only)
Waitlist for new clients
My approach is holistic in nature, applying mind, body and spirit. For over seven years, I have worked with adults in a variety of settings. I have had the privilege of coming alongside individuals who are going through intense and often life-changing situations. All of these relationships are personal to me and through these experiences I have come to learn the devastating effects painful life events has on lives. I know therapy can feel scary and vulnerable. Just the thought of it can feel overwhelming and exhausting. And yes, it can even feel risky. It takes courage to confront fears and ask for help.
My approach is holistic in nature, applying mind, body and spirit. For over seven years, I have worked with adults in a variety of settings. I have had the privilege of coming alongside individuals who are going through intense and often life-changing situations. All of these relationships are personal to me and through these experiences I have come to learn the devastating effects painful life events has on lives. I know therapy can feel scary and vulnerable. Just the thought of it can feel overwhelming and exhausting. And yes, it can even feel risky. It takes courage to confront fears and ask for help.
(360) 919-0113 View (360) 919-0113
Photo of Nancy Warren, MA LMHC, Counselor in Vancouver, WA
Nancy Warren, MA LMHC
Counselor, MA, LMHC
Verified Verified
Vancouver, WA 98660
For the past 25 years, I have worked with individuals with a wide range of concerns including anxiety, depression, grief and bereavement, post traumatic stress disorder (PTSD), sleep difficulties, troubled relationships, marital distress, chronic illness, and life transitions. My practice currently focuses on working with clients who have been diagnosed with Parkinson’s disease and other neurological disorders. I also see patients with cancer across the cancer continuum, from diagnosis, treatment, to survivorship or recurrence and end of life. I am passionate about working with both of these patient groups.
For the past 25 years, I have worked with individuals with a wide range of concerns including anxiety, depression, grief and bereavement, post traumatic stress disorder (PTSD), sleep difficulties, troubled relationships, marital distress, chronic illness, and life transitions. My practice currently focuses on working with clients who have been diagnosed with Parkinson’s disease and other neurological disorders. I also see patients with cancer across the cancer continuum, from diagnosis, treatment, to survivorship or recurrence and end of life. I am passionate about working with both of these patient groups.
(360) 680-1693 View (360) 680-1693
Photo of Valinda Harlan Relationship Issues Anxiety-Depression, Counselor in Vancouver, WA
Valinda Harlan Relationship Issues Anxiety-Depression
Counselor, LMHC, LPC, LPCC, NCC
Verified Verified
2 Endorsed
Vancouver, WA 98685
Yes, I am accepting new clients for in-person and telehealth sessions for individuals and couples. Please go to my website www.brightfuturecounseling1.com for more information. There is hope for healing and change. If your relationship suffers from sexual issues or broken trust, if there is room to improve communication or intimacy, or if you are not sure your relationship can be/is worth saving, I can offer you help. If you feel sad or depressed, have experienced loss, or have anxiety, there is hope. I provide a supportive nonjudgmental space for individuals of all genders and sexualities, traditional and nontraditional couples.
Yes, I am accepting new clients for in-person and telehealth sessions for individuals and couples. Please go to my website www.brightfuturecounseling1.com for more information. There is hope for healing and change. If your relationship suffers from sexual issues or broken trust, if there is room to improve communication or intimacy, or if you are not sure your relationship can be/is worth saving, I can offer you help. If you feel sad or depressed, have experienced loss, or have anxiety, there is hope. I provide a supportive nonjudgmental space for individuals of all genders and sexualities, traditional and nontraditional couples.
(360) 558-3568 View (360) 558-3568
Photo of Robin Lee, Counselor in Vancouver, WA
Robin Lee
Counselor, MA, LMHC, MHP
Verified Verified
1 Endorsed
Vancouver, WA 98684  (Online Only)
Waitlist for new clients
Imagine a life filled with hope, where you can see the light at the end of the tunnel. Imagine not feeling alone and scared but rather supported and encouraged. A life with less sadness and anxiety, where you feel confident in your ability to set and reach your goals. A life where your past does not hold you back from following your dreams. Having healthy relationships and knowing how to trust and communicate. A life free of guilt and shame, regret or fear. Being able to work through grief and loss and come out on the other side, even when it feels impossible. To live in the present and be your authentic self.
Imagine a life filled with hope, where you can see the light at the end of the tunnel. Imagine not feeling alone and scared but rather supported and encouraged. A life with less sadness and anxiety, where you feel confident in your ability to set and reach your goals. A life where your past does not hold you back from following your dreams. Having healthy relationships and knowing how to trust and communicate. A life free of guilt and shame, regret or fear. Being able to work through grief and loss and come out on the other side, even when it feels impossible. To live in the present and be your authentic self.
(360) 228-2848 View (360) 228-2848
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 Cheryl A Hamilton-Jefferson, Counselor in Vancouver, WA
Cheryl A Hamilton-Jefferson
Counselor, MA, QMHP, LMHC
Verified Verified
1 Endorsed
Vancouver, WA 98665
Not accepting new clients
Limited space available. Welcome! Are you feeling weathered by the storms of life? Storms are a great metaphor for life’s adversities, challenges, failures, and disappointments. Storms are something we don’t want to see or experience in our lives or nature. Storms put our faith and ability to survive to the test. We must remind ourselves, within the heart of the storm also lies the transformation.
Limited space available. Welcome! Are you feeling weathered by the storms of life? Storms are a great metaphor for life’s adversities, challenges, failures, and disappointments. Storms are something we don’t want to see or experience in our lives or nature. Storms put our faith and ability to survive to the test. We must remind ourselves, within the heart of the storm also lies the transformation.
(360) 345-3587 View (360) 345-3587
Photo of Rob Fasman, Psychologist in Vancouver, WA
Rob Fasman
Psychologist, PhD
Verified Verified
Vancouver, WA 98662
I have a great deal of respect for the unique stories of individual lives, and I strive to create a collaborative and supportive environment where clients can safely learn about themselves, develop new skills, and make real and lasting change. I try to help people not only reduce distress and suffering, but to also cultivate more genuine and fulfilling relationships with themselves and others. My primary areas of expertise include: stress management, mindfulness, anxiety and mood concerns, assertive communication, bicultural issues, performance enhancement, LGBTQ concerns, and adjustment, relationship, and identity concerns.
I have a great deal of respect for the unique stories of individual lives, and I strive to create a collaborative and supportive environment where clients can safely learn about themselves, develop new skills, and make real and lasting change. I try to help people not only reduce distress and suffering, but to also cultivate more genuine and fulfilling relationships with themselves and others. My primary areas of expertise include: stress management, mindfulness, anxiety and mood concerns, assertive communication, bicultural issues, performance enhancement, LGBTQ concerns, and adjustment, relationship, and identity concerns.
(360) 587-2500 View (360) 587-2500
Photo of Lindsay Randall, Psychologist in Vancouver, WA
Lindsay Randall
Psychologist
Verified Verified
Vancouver, WA 98662
Lindsay Randall is a licensed psychologist in the state of Washington. She has extensive experience working with adolescents and adults in a variety of settings, including college counseling centers, private practices, community mental health centers, and youth correctional settings. She graduated from Pacific University with a doctoral degree in Clinical Psychology. Lindsay approaches therapy through a collaborative, multi-cultural, non-judgmental, and compassionate lens, and she acknowledges that the client is the expert of their own experiences.
Lindsay Randall is a licensed psychologist in the state of Washington. She has extensive experience working with adolescents and adults in a variety of settings, including college counseling centers, private practices, community mental health centers, and youth correctional settings. She graduated from Pacific University with a doctoral degree in Clinical Psychology. Lindsay approaches therapy through a collaborative, multi-cultural, non-judgmental, and compassionate lens, and she acknowledges that the client is the expert of their own experiences.
(360) 686-2873 View (360) 686-2873
Photo of Pacific NW Relational Therapy, PLLC, Psychologist in Vancouver, WA
Pacific NW Relational Therapy, PLLC
Psychologist, PsyD
Verified Verified
7 Endorsed
Vancouver, WA 98662
Currently accepting new clients. Trauma, attachment + identity impact people in different ways. Do you often feel detached or numb? Do you avoid thinking about the past or self-medicate? Are you concerned about your parenting? Do you often find yourself in difficult relationships? Are you concerned about your memory? Do you feel sad or anxious a lot? Are you "stuck" in the same pattern? Do you have trouble trusting people? Are you irritable most of the time? Do you feel like you don't know yourself or your purpose? Do you feel incomplete or want meaning in life? If you answered yes to any-I believe I could be a good fit for you.
Currently accepting new clients. Trauma, attachment + identity impact people in different ways. Do you often feel detached or numb? Do you avoid thinking about the past or self-medicate? Are you concerned about your parenting? Do you often find yourself in difficult relationships? Are you concerned about your memory? Do you feel sad or anxious a lot? Are you "stuck" in the same pattern? Do you have trouble trusting people? Are you irritable most of the time? Do you feel like you don't know yourself or your purpose? Do you feel incomplete or want meaning in life? If you answered yes to any-I believe I could be a good fit for you.
(360) 869-0118 View (360) 869-0118
Photo of Alexandra Moskovich, Counselor in Vancouver, WA
Alexandra Moskovich
Counselor, MA, LMHC
Verified Verified
7 Endorsed
Vancouver, WA 98663  (Online Only)
I employ a holistic and mindful approach, in which we'll collaboratively create the best plan of action for you based on your individual goals and strengths. I hope to provide you with a warm, accepting space in which we can get curious about your life and experiences, and to explore the tools necessary to better cope, grow, and thrive.
I employ a holistic and mindful approach, in which we'll collaboratively create the best plan of action for you based on your individual goals and strengths. I hope to provide you with a warm, accepting space in which we can get curious about your life and experiences, and to explore the tools necessary to better cope, grow, and thrive.
(360) 334-3536 View (360) 334-3536
Photo of Joanna Cullins, Psychologist in Vancouver, WA
Joanna Cullins
Psychologist, PsyD
Verified Verified
Vancouver, WA 98662
So many of us have struggles in our lives and we have all felt lost and alone at times. I see my work as a collaborative effort between myself and my clients to improve the quality of their lives and to help them to achieve their goals in a supportive, nurturing environment. I strive always to provide excellent, comprehensive services including formal assessments, individual and family therapy, group therapy, consultation, and psychoeducation. I have worked successfully with children, adolescents and adults with trauma, pain, chronic illness, grief, mood disorders, anxiety, chronic mental illness, stress, depression, and behavioral problems.
So many of us have struggles in our lives and we have all felt lost and alone at times. I see my work as a collaborative effort between myself and my clients to improve the quality of their lives and to help them to achieve their goals in a supportive, nurturing environment. I strive always to provide excellent, comprehensive services including formal assessments, individual and family therapy, group therapy, consultation, and psychoeducation. I have worked successfully with children, adolescents and adults with trauma, pain, chronic illness, grief, mood disorders, anxiety, chronic mental illness, stress, depression, and behavioral problems.
(360) 328-7950 View (360) 328-7950
Photo of Arianna Kee, Counselor in Vancouver, WA
Arianna Kee
Counselor, LMHC, SUDP
Verified Verified
1 Endorsed
Vancouver, WA 98682  (Online Only)
Therapy can be an amazing experience that helps individuals and couples grow and I love being able to work with people seeking that understanding, change, and growth.
Therapy can be an amazing experience that helps individuals and couples grow and I love being able to work with people seeking that understanding, change, and growth.
(360) 552-7636 View (360) 552-7636
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 Kimberly Noel, Clinical Social Work/Therapist in Vancouver, WA
Kimberly Noel
Clinical Social Work/Therapist, LSWAIC
Verified Verified
Vancouver, WA 98662
Being a parent, or caregiver, is no small thing.  There are so many challenges now-a-days.  The child mental health crisis has grown, and with it, the family mental health crisis, which means treatment must include the family as a whole.  My role as a therapist is to assist your child and family as a whole in working towards your goals by offering a supportive and safe space, and providing the opportunity for growth as a family.
Being a parent, or caregiver, is no small thing.  There are so many challenges now-a-days.  The child mental health crisis has grown, and with it, the family mental health crisis, which means treatment must include the family as a whole.  My role as a therapist is to assist your child and family as a whole in working towards your goals by offering a supportive and safe space, and providing the opportunity for growth as a family.
(360) 583-6932 View (360) 583-6932
Photo of Alissa Marie Fisher, Counselor in Vancouver, WA
Alissa Marie Fisher
Counselor, MA, LMHCA
Verified Verified
2 Endorsed
Vancouver, WA 98683
Are you feeling anxious, off-kilter, or struggling with emotions? Maybe you wish you could connect to others in different ways, but you don’t know how to start. Perhaps you want to change how you relate to your child but don’t know where to begin, or are trying to cope with a loss. My philosophy is that our relationships and experiences set the tone in how we relate to others and ourselves. Uncovering unhealthy patterns in relationships and thinking can free us to change how we experience and move through life, opening us up to healing and health.
Are you feeling anxious, off-kilter, or struggling with emotions? Maybe you wish you could connect to others in different ways, but you don’t know how to start. Perhaps you want to change how you relate to your child but don’t know where to begin, or are trying to cope with a loss. My philosophy is that our relationships and experiences set the tone in how we relate to others and ourselves. Uncovering unhealthy patterns in relationships and thinking can free us to change how we experience and move through life, opening us up to healing and health.
(360) 996-1475 View (360) 996-1475
Photo of Nicole Parkes, Psychologist in Vancouver, WA
Nicole Parkes
Psychologist, PhD
Verified Verified
Vancouver, WA 98682  (Online Only)
Do you often feel tired of feeling down, anxious, stressed out, or out of sorts? Isolated or misunderstood? Don't worry. I specialize in supporting people navigating the tumult of emotions associated with anger, anxiety, depression, grief, and major life changes. You have the power to heal and create a truly beautiful life just for you.
Do you often feel tired of feeling down, anxious, stressed out, or out of sorts? Isolated or misunderstood? Don't worry. I specialize in supporting people navigating the tumult of emotions associated with anger, anxiety, depression, grief, and major life changes. You have the power to heal and create a truly beautiful life just for you.
(262) 458-9572 View (262) 458-9572
Photo of David Grushkin, Counselor in Vancouver, WA
David Grushkin
Counselor, MS, LMHC, LPC
Verified Verified
Vancouver, WA 98662  (Online Only)
Therapy isn't mysterious. It's a conversation that helps you create clarity about your feelings, what you really need or want, and how to get there. My photo shows me years ago enjoying a hike in Yellowstone. I also enjoy my clients. It is refreshing to provide a comfortable place for you to express your true feelings, to problem-solve and clarify your thinking. It is OK to seek help. Emotional overload happens to everyone. Your problem doesn't define your value. Imagine newborn babies. They are all equal and valuable. Self-limiting beliefs are "learned" later. It is an essential understanding that your true self is perfect.
Therapy isn't mysterious. It's a conversation that helps you create clarity about your feelings, what you really need or want, and how to get there. My photo shows me years ago enjoying a hike in Yellowstone. I also enjoy my clients. It is refreshing to provide a comfortable place for you to express your true feelings, to problem-solve and clarify your thinking. It is OK to seek help. Emotional overload happens to everyone. Your problem doesn't define your value. Imagine newborn babies. They are all equal and valuable. Self-limiting beliefs are "learned" later. It is an essential understanding that your true self is perfect.
(360) 389-3962 View (360) 389-3962
Photo of Leonie Fischer-Laycock, Pre-Licensed Professional in Vancouver, WA
Leonie Fischer-Laycock
Pre-Licensed Professional, BA
Verified Verified
Vancouver, WA 98685  (Online Only)
Welcoming new clients! With a gentle approach infused with empathy, compassion, and a touch of humor, I specialize in guiding individuals through challenges such as anxiety, family dynamics, grief, and emotional balance. My passion lies in empowering clients to cultivate self-esteem and self-worth. To me, counseling is a journey of growth, where together we uncover strengths and tackle obstacles. Observing clients embrace change on their own terms fills me with both humility and gratitude. By providing personalized strategies, I aim to empower individuals to lead fulfilling lives aligned with their values.
Welcoming new clients! With a gentle approach infused with empathy, compassion, and a touch of humor, I specialize in guiding individuals through challenges such as anxiety, family dynamics, grief, and emotional balance. My passion lies in empowering clients to cultivate self-esteem and self-worth. To me, counseling is a journey of growth, where together we uncover strengths and tackle obstacles. Observing clients embrace change on their own terms fills me with both humility and gratitude. By providing personalized strategies, I aim to empower individuals to lead fulfilling lives aligned with their values.
(360) 938-4357 View (360) 938-4357
Photo of Helping Professionals Wellness Center, Clinical Social Work/Therapist in Vancouver, WA
Helping Professionals Wellness Center
Clinical Social Work/Therapist, LICSW, LCSW, CADCII, SUDP, DVPT
Verified Verified
3 Endorsed
Vancouver, WA 98661
Helping Professionals Wellness Center serve individuals and families who are experiencing difficulties due to substance use, mental health, and domestic violence . We offer individual, family, and group counseling, in addition to weekly Outpatient and Intensive Outpatient substance use group sessions. We are a certified as a Deferred Prosecution Treatment agency for DUI and offer Alcohol & Drug Education School (ADES) on Saturdays, in addition to drug screening. We are a certified Domestic Violence Intervention Treatment provider. We accept most insurance. We place a high value on individualized treatment and care.
Helping Professionals Wellness Center serve individuals and families who are experiencing difficulties due to substance use, mental health, and domestic violence . We offer individual, family, and group counseling, in addition to weekly Outpatient and Intensive Outpatient substance use group sessions. We are a certified as a Deferred Prosecution Treatment agency for DUI and offer Alcohol & Drug Education School (ADES) on Saturdays, in addition to drug screening. We are a certified Domestic Violence Intervention Treatment provider. We accept most insurance. We place a high value on individualized treatment and care.
(360) 529-3502 View (360) 529-3502

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% Stress
66% Grief

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.