Photo of Lacey Burnett, LCSW, Clinical Social Work/Therapist
Lacey Burnett
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Portland, OR 97219  (Online Only)
I have experience in addressing a wide range of concerns and diagnoses, including anxiety, depression, bipolar disorder, relationship issues, chronic health struggles, self-esteem, stress management, and ADHD. My goal is to empower my clients with tools and insights that can facilitate positive change and enhance their overall quality of life.
I have experience in addressing a wide range of concerns and diagnoses, including anxiety, depression, bipolar disorder, relationship issues, chronic health struggles, self-esteem, stress management, and ADHD. My goal is to empower my clients with tools and insights that can facilitate positive change and enhance their overall quality of life.
(503) 739-9366 View (503) 739-9366
Photo of Lindsay Dec, MS, LPC
Lindsay Dec
Mental Health Counselor, MS, LPC
Verified Verified
2 Endorsed
Portland, OR 97219
Everyone has times in their life when they need help. Therapy can help you get back on track, build skills to navigate daily life, increase your confidence, and build connections with others. I integrate a physiological and mindfulness approach into counseling to give you applicable skills for change. Please note my primary office is currently located in Florida. I am licensed in Oregon and provide online and phone counseling to Oregon residents. My therapy dog assistant is also available to participate in video sessions.
Everyone has times in their life when they need help. Therapy can help you get back on track, build skills to navigate daily life, increase your confidence, and build connections with others. I integrate a physiological and mindfulness approach into counseling to give you applicable skills for change. Please note my primary office is currently located in Florida. I am licensed in Oregon and provide online and phone counseling to Oregon residents. My therapy dog assistant is also available to participate in video sessions.
(503) 433-8708 View (503) 433-8708
Photo of Elizabeth Fisher, MA, LMFT, PhD, Marriage & Family Therapist
Elizabeth Fisher
Marriage & Family Therapist, MA, LMFT, PhD
Verified Verified
1 Endorsed
Portland, OR 97219
Have you been through a difficult experience? I specialize in emotional and relational disorders arising from trauma, sexual abuse, attachment disruptions, and less-than-optimal early childhood experiences. These types of experiences can create life-long distress and difficulty with relationships. Finding the right therapist is an important first step in healing from trauma. My orientation integrates modern neuroscience with relational psychotherapy. In addition to traditional methods, I utilize expressive approaches such as sandtray, play therapy, psychodrama, movement, and art therapy in my practice. I will tailor your sessions to meet your unique needs and ways of expressing yourself.
Have you been through a difficult experience? I specialize in emotional and relational disorders arising from trauma, sexual abuse, attachment disruptions, and less-than-optimal early childhood experiences. These types of experiences can create life-long distress and difficulty with relationships. Finding the right therapist is an important first step in healing from trauma. My orientation integrates modern neuroscience with relational psychotherapy. In addition to traditional methods, I utilize expressive approaches such as sandtray, play therapy, psychodrama, movement, and art therapy in my practice. I will tailor your sessions to meet your unique needs and ways of expressing yourself.
(541) 526-7218 View (541) 526-7218
Photo of Caitlyn Trullinger-Dwyer, MA, Pre-Licensed Professional
Caitlyn Trullinger-Dwyer
Pre-Licensed Professional, MA
Verified Verified
Portland, OR 97219
Waitlist for new clients
There are many types of relationships: romantic, friends, family, and your relationship to yourself. Are you struggling to navigate any of these? Would you like someone to help ground you and establish lasting changes that serve you and those around you? I'm here for that. My practice centers on helping people who feel stuck, whether they have been in therapy before, or are seeking it for the first time. I have a background in neurobiology, and understand that change is always possible. I focus on working with adults across the lifespan, specializing in the LGBTQIA+ community and non-monogamous folks.
There are many types of relationships: romantic, friends, family, and your relationship to yourself. Are you struggling to navigate any of these? Would you like someone to help ground you and establish lasting changes that serve you and those around you? I'm here for that. My practice centers on helping people who feel stuck, whether they have been in therapy before, or are seeking it for the first time. I have a background in neurobiology, and understand that change is always possible. I focus on working with adults across the lifespan, specializing in the LGBTQIA+ community and non-monogamous folks.
(503) 744-7394 View (503) 744-7394
Photo of Gary M Fink - MyPDXLifeCoach, Inc., MA
MyPDXLifeCoach, Inc.
MA
Verified Verified
Portland, OR 97219
As a Professional Life Coach and Consultant, for over 20 years I have dedicated my life to the betterment of individuals, families, relationships and various companies. After graduating from SUNY Stonybrook with a Bachelors Degree in psychology I proceeded to Hofstra University to earn my Masters Degree in Psychology and systems theory. I have been featured on radio talk shows and have had the pleasure of supervising many upcoming providers in the role of Director in various organizations. I also have a strong entrepreneurial history including developing products from idea to market including the well known AtmoSphere trackballs.
As a Professional Life Coach and Consultant, for over 20 years I have dedicated my life to the betterment of individuals, families, relationships and various companies. After graduating from SUNY Stonybrook with a Bachelors Degree in psychology I proceeded to Hofstra University to earn my Masters Degree in Psychology and systems theory. I have been featured on radio talk shows and have had the pleasure of supervising many upcoming providers in the role of Director in various organizations. I also have a strong entrepreneurial history including developing products from idea to market including the well known AtmoSphere trackballs.
(503) 564-0130 View (503) 564-0130
Photo of Tracy Heart - Tracy Heart, M.A., L.P.C., MA, LPC, Licensed Professional Counselor
Tracy Heart, M.A., L.P.C.
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97219  (Online Only)
Respectful, collaborative therapy. Are you sensitive, sad or anxious? Are there questions in your relationships? Do you feel shame or regret about yourself or your body, or struggle with other distressing thought or behavior patterns? Are there memories of childhood neglect or other trauma? I help people explore & come to terms with issues like these. My education and training have given me detailed perspectives about some of the concerns that trouble people - as well as underlying wounds, challenges and complicated feelings that come up in dealing with them. This includes working with personal, generational &/or systemic trauma.
Respectful, collaborative therapy. Are you sensitive, sad or anxious? Are there questions in your relationships? Do you feel shame or regret about yourself or your body, or struggle with other distressing thought or behavior patterns? Are there memories of childhood neglect or other trauma? I help people explore & come to terms with issues like these. My education and training have given me detailed perspectives about some of the concerns that trouble people - as well as underlying wounds, challenges and complicated feelings that come up in dealing with them. This includes working with personal, generational &/or systemic trauma.
(971) 205-2793 View (971) 205-2793
Photo of Britt Anderson, PhD, Psychologist
Britt Anderson
Psychologist, PhD
Verified Verified
Portland, OR 97219  (Online Only)
As a practical, interactive, solution-focused psychologist, my treatment approach is to provide support and feedback to help clients resolve current problems and long-standing patterns. With over 10 years of clinical experience, I help clients find solutions to a wide range of life challenges and psychological issues. My approach combines Cognitive-Behavioral Therapy and Acceptance strategies to identify problem areas and develop opportunities for growth and understanding. I help clients explore the interactions among thoughts, feelings, and behavior in order to identify barriers to achieving life goals.
As a practical, interactive, solution-focused psychologist, my treatment approach is to provide support and feedback to help clients resolve current problems and long-standing patterns. With over 10 years of clinical experience, I help clients find solutions to a wide range of life challenges and psychological issues. My approach combines Cognitive-Behavioral Therapy and Acceptance strategies to identify problem areas and develop opportunities for growth and understanding. I help clients explore the interactions among thoughts, feelings, and behavior in order to identify barriers to achieving life goals.
(503) 567-6450 View (503) 567-6450
Photo of Allison Higgins - Allison Higgins, LPC, MA,  LPC, Licensed Professional Counselor
Allison Higgins, LPC
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97219
Not accepting new clients
It takes strength and courage to reach out for help. It is a privilege, as a licensed professional counselor, to provide a supportive, safe, and mutually respectful environment for you to explore problems that may arise during times of increased stress and life transitions. Whether you are struggling with feelings such as sadness, guilt, anger, disappointment, or inner-conflict, as your therapist, I will collaborate with you using an authentic, kind, and skilled approach. The therapeutic relationship can provide a safe space to increase self-awareness and recognize behaviors and relationship patterns that can make you feel stuck.
It takes strength and courage to reach out for help. It is a privilege, as a licensed professional counselor, to provide a supportive, safe, and mutually respectful environment for you to explore problems that may arise during times of increased stress and life transitions. Whether you are struggling with feelings such as sadness, guilt, anger, disappointment, or inner-conflict, as your therapist, I will collaborate with you using an authentic, kind, and skilled approach. The therapeutic relationship can provide a safe space to increase self-awareness and recognize behaviors and relationship patterns that can make you feel stuck.
(503) 966-4172 View (503) 966-4172
Photo of Jessica Klein, MSW, LCSW, Clinical Social Work/Therapist
Jessica Klein
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97219
Current In-Person Availability. I am an interactive therapist who will work to find unique tools and solutions for you. I specialize in couples therapy and adult individual therapy. I have advanced training in Emotionally Focused Therapy, an approach that helps couples increase closeness and heal through understanding each together, increasing empathy and interrupting destructive cycles. I also specialize in trauma and use EMDR (Eye Movement Desensitization & Reprocessing), somatic psychotherapy, polyvagal theory, and mindfulness tools to help clients stabilize their systems, process trauma and heal.
Current In-Person Availability. I am an interactive therapist who will work to find unique tools and solutions for you. I specialize in couples therapy and adult individual therapy. I have advanced training in Emotionally Focused Therapy, an approach that helps couples increase closeness and heal through understanding each together, increasing empathy and interrupting destructive cycles. I also specialize in trauma and use EMDR (Eye Movement Desensitization & Reprocessing), somatic psychotherapy, polyvagal theory, and mindfulness tools to help clients stabilize their systems, process trauma and heal.
(971) 545-4944 View (971) 545-4944
Photo of Trisha Nozumi, MS, QMHP-C, Pre-Licensed Professional
Trisha Nozumi
Pre-Licensed Professional, MS, QMHP-C
Verified Verified
Portland, OR 97219
Not accepting new clients
As a therapist, my approach is grounded in empathy, compassion, and person-centered counseling. I don’t believe that therapy is a “one size fits all,” and I utilize a variety of methods, including Cognitive Behavioral Therapy, Trauma-Focused CBT, and Attachment Theory to provide an approach that will fit your individual needs.
As a therapist, my approach is grounded in empathy, compassion, and person-centered counseling. I don’t believe that therapy is a “one size fits all,” and I utilize a variety of methods, including Cognitive Behavioral Therapy, Trauma-Focused CBT, and Attachment Theory to provide an approach that will fit your individual needs.
(503) 461-5449 View (503) 461-5449
Photo of Mackenzie Phelps, MA, Marriage & Family Therapist Associate
Mackenzie Phelps
Marriage & Family Therapist Associate, MA
Verified Verified
Portland, OR 97219
I am passionate about supporting individuals across the lifespan, including adolescents, teens, young adults, pre-marital couples, families, and LGBTQIA+ clients. I do not work with couples navigating separation or divorce at this time. My areas of practice include life transitions, stress and anxiety management, communication, self-esteem, empowerment, and the intersection of faith/spirituality with mental health.
I am passionate about supporting individuals across the lifespan, including adolescents, teens, young adults, pre-marital couples, families, and LGBTQIA+ clients. I do not work with couples navigating separation or divorce at this time. My areas of practice include life transitions, stress and anxiety management, communication, self-esteem, empowerment, and the intersection of faith/spirituality with mental health.
(971) 999-2763 View (971) 999-2763
Photo of Stacey Nixon, MS, LPC, LMHC, Licensed Professional Counselor
Stacey Nixon
Licensed Professional Counselor, MS, LPC, LMHC
Verified Verified
2 Endorsed
Portland, OR 97219
Waitlist for new clients
We all can get stuck at times. Trauma, life stressors, uncomfortable emotions, and relationship concerns can throw us off balance. Maybe you feel constantly stressed, disconnected from your partner, or the impacts of trauma. The weight of these challenges can take a toll on your daily life. You might feel ready to process your trauma and find healing, or perhaps you're motivated to deepen your connection and improve your communication with your partner. This is where counseling can offer support and relief, empowering you to find ways to process and cope with your specific concerns and life stressors.
We all can get stuck at times. Trauma, life stressors, uncomfortable emotions, and relationship concerns can throw us off balance. Maybe you feel constantly stressed, disconnected from your partner, or the impacts of trauma. The weight of these challenges can take a toll on your daily life. You might feel ready to process your trauma and find healing, or perhaps you're motivated to deepen your connection and improve your communication with your partner. This is where counseling can offer support and relief, empowering you to find ways to process and cope with your specific concerns and life stressors.
(503) 217-6644 View (503) 217-6644
Photo of Joseph M Garibay, MA
Joseph M Garibay
Professional Counselor Associate , MA
Verified Verified
1 Endorsed
Portland, OR 97219  (Online Only)
My goal is to help the people I work with rewrite their story in the presence of uncertainty.
My goal is to help the people I work with rewrite their story in the presence of uncertainty.
View
Photo of Kelsey Kuhlke, MA, LPC, Licensed Professional Counselor
Kelsey Kuhlke
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97219  (Online Only)
Waitlist for new clients
I am a firm believer that counseling can benefit the personal growth of any individual. In a therapeutic relationship, this growth comes through the ongoing journey where you are able to safely discuss mental illness, process difficult events, and learn tools for holistic healing. I believe it is my job as a counselor to assist you in uncovering solutions, building confidence, and finding direction in life. I place a high value on therapeutic, non-judgmental relationships centered around deep listening. I am a Christian and if you would like to discuss your Christian faith, I would be happy to offer faith-based counseling.
I am a firm believer that counseling can benefit the personal growth of any individual. In a therapeutic relationship, this growth comes through the ongoing journey where you are able to safely discuss mental illness, process difficult events, and learn tools for holistic healing. I believe it is my job as a counselor to assist you in uncovering solutions, building confidence, and finding direction in life. I place a high value on therapeutic, non-judgmental relationships centered around deep listening. I am a Christian and if you would like to discuss your Christian faith, I would be happy to offer faith-based counseling.
(503) 809-5489 View (503) 809-5489
Photo of Meagan Sheehy - True You Therapy & Wellness LLC, MA, LPC, LMFT, Licensed Professional Counselor
True You Therapy & Wellness LLC
Licensed Professional Counselor, MA, LPC, LMFT
Verified Verified
Portland, OR 97219
True You Therapy & Wellness is a group practice with multiple practitioners. Please reach out and we will help match you with the best fit for your needs. Our aim is to help people create their most authentic lives; to overcome "stuckness" and to re-write old stories that are no longer helpful or life-affirming. You deserve to find your true purpose and harmony in this life, and we're here to help you get started and support you along the way.
True You Therapy & Wellness is a group practice with multiple practitioners. Please reach out and we will help match you with the best fit for your needs. Our aim is to help people create their most authentic lives; to overcome "stuckness" and to re-write old stories that are no longer helpful or life-affirming. You deserve to find your true purpose and harmony in this life, and we're here to help you get started and support you along the way.
(458) 203-6532 View (458) 203-6532
Photo of Ally Simone, LMFT, T2066, Marriage & Family Therapist
Ally Simone
Marriage & Family Therapist, LMFT, T2066
Verified Verified
1 Endorsed
Portland, OR 97219  (Online Only)
I work with adult individuals and relationships. Many of my clients are focused on healing from trauma, disrupting harmful patterns like people pleasing and codependency, and creating healthy relationships. I am committed to equity and inclusion, both personally and professionally and my goal is always that my clients feel seen and supported in all aspects of their identity. I am LGBTQIA+, and gender affirming, sex/kink positive and welcome all relationship configurations including CNM/Polyamory. I recognize and value all types of diversity including ethnicity, race, size, gender, sexual orientation, class, religion, and abilities.
I work with adult individuals and relationships. Many of my clients are focused on healing from trauma, disrupting harmful patterns like people pleasing and codependency, and creating healthy relationships. I am committed to equity and inclusion, both personally and professionally and my goal is always that my clients feel seen and supported in all aspects of their identity. I am LGBTQIA+, and gender affirming, sex/kink positive and welcome all relationship configurations including CNM/Polyamory. I recognize and value all types of diversity including ethnicity, race, size, gender, sexual orientation, class, religion, and abilities.
(503) 212-9970 View (503) 212-9970
Photo of Noelle Ferguson, MS, LMFT, PMH-C, Marriage & Family Therapist
Noelle Ferguson
Marriage & Family Therapist, MS, LMFT, PMH-C
Verified Verified
Portland, OR 97219
Despite what Instagram, TikTok, or an opinionated in-law may have us believe, none of us are born knowing how to parent, and many of us are actively working on changing intergenerational patterns in our own families in order to better support the growth and development of our children, in essence, reparenting ourselves. This process is a difficult one, and not meant to be done in isolation. Together we can look at how you were parented, how you want to parent, and how to bridge any gaps in between.
Despite what Instagram, TikTok, or an opinionated in-law may have us believe, none of us are born knowing how to parent, and many of us are actively working on changing intergenerational patterns in our own families in order to better support the growth and development of our children, in essence, reparenting ourselves. This process is a difficult one, and not meant to be done in isolation. Together we can look at how you were parented, how you want to parent, and how to bridge any gaps in between.
(503) 461-1025 View (503) 461-1025
Photo of Dr. John K Anderson, PhD, LCSW, LICSW, CADCIII, CGACI, Clinical Social Work/Therapist
Dr. John K Anderson
Clinical Social Work/Therapist, PhD, LCSW, LICSW, CADCIII, CGACI
Verified Verified
2 Endorsed
Portland, OR 97219
Let's talk. Let's keep it real and explore the barriers to your optimal health and happiness. We will start where you are and build from there. I have worked in mental health and addictions for many years and I believe that the therapeutic relationship that we build on mutual respect, trust and transparency will be the foundation of your treatment. We will work together to identify your challenges and strengths, and create a plan to support your thriving future.
Let's talk. Let's keep it real and explore the barriers to your optimal health and happiness. We will start where you are and build from there. I have worked in mental health and addictions for many years and I believe that the therapeutic relationship that we build on mutual respect, trust and transparency will be the foundation of your treatment. We will work together to identify your challenges and strengths, and create a plan to support your thriving future.
(971) 601-3007 View (971) 601-3007
Photo of Lynne Coon, LPC, Licensed Professional Counselor
Lynne Coon
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Portland, OR 97219
Is anxiety holding you back? If you worry more than you'd like; feel stuck because of fear; lose sleep because you can't shut your mind off; get thoughts and ideas stuck in your head that you can't let go of; feel tense and nervous too often; or avoid social situations, I can help. You'll learn to move forward in spite of fears, challenge worries and beliefs keeping you stuck or causing you to avoid people or certain situations and live life with a feeling of calm and ease. Call or email and let's get started!
Is anxiety holding you back? If you worry more than you'd like; feel stuck because of fear; lose sleep because you can't shut your mind off; get thoughts and ideas stuck in your head that you can't let go of; feel tense and nervous too often; or avoid social situations, I can help. You'll learn to move forward in spite of fears, challenge worries and beliefs keeping you stuck or causing you to avoid people or certain situations and live life with a feeling of calm and ease. Call or email and let's get started!
(503) 917-3286 View (503) 917-3286
Photo of Hadas Moalem, Pre-Licensed Professional
Hadas Moalem
Pre-Licensed Professional
Verified Verified
6 Endorsed
Portland, OR 97219
I am honored to walk alongside you on this part of your journey. Seeking help takes courage and I commend each and every client for taking this first step. Those struggling with a harsh inner critic, attachment issues, and existential anxiety would work well with me. I am also interested in how the past is affecting the present. Through various body-centered offerings, I will often bring the experience of therapy into the here and now. I believe therapy is a collaborative process and invite ongoing feedback into the therapy room.
I am honored to walk alongside you on this part of your journey. Seeking help takes courage and I commend each and every client for taking this first step. Those struggling with a harsh inner critic, attachment issues, and existential anxiety would work well with me. I am also interested in how the past is affecting the present. Through various body-centered offerings, I will often bring the experience of therapy into the here and now. I believe therapy is a collaborative process and invite ongoing feedback into the therapy room.
(503) 506-4186 View (503) 506-4186
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How does your Therapist compare?

Number of Therapists in 97219

200+

Average cost per session

$160

Therapists in 97219 who prioritize treating:

94% Anxiety
84% Depression
83% Relationship Issues
79% Self Esteem
71% Trauma and PTSD
70% Stress
64% Grief

Average years in practice

11 Years

Top 3 insurances accepted

58% PacificSource
49% Aetna
45% BlueCross and BlueShield

How Therapists in 97219 see their clients

65% In Person and Online
35% Online Only

Gender breakdown

72% Female
26% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 97219?

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.