Photo of Daniel Marks Salzer - Daniel M. Salzer, Ph.D., PhD, Psychologist
Daniel M. Salzer, Ph.D.
Psychologist, PhD
Verified Verified
1 Endorsed
Woodinville, WA 98072
Waitlist for new clients
I specialize in assessment and solution-oriented psychological consultations with children, adolescents, and adults. My work is active, directive, pragmatic, & collaborative, focusing on meaningful and measurable behavioral change, clinical relevance, social validity, client satisfaction, and cost-effectiveness. I have expertise in the diagnosis and treatment of Attention-Deficit/Hyperactivity Disorders & related conditions, behavioral challenges, Autism spectrum disorders & neurodiversity, bipolar spectrum disorders, depression and anxiety spectrum disorders, OCD, shyness, relational difficulties, and life transition challenges.
I specialize in assessment and solution-oriented psychological consultations with children, adolescents, and adults. My work is active, directive, pragmatic, & collaborative, focusing on meaningful and measurable behavioral change, clinical relevance, social validity, client satisfaction, and cost-effectiveness. I have expertise in the diagnosis and treatment of Attention-Deficit/Hyperactivity Disorders & related conditions, behavioral challenges, Autism spectrum disorders & neurodiversity, bipolar spectrum disorders, depression and anxiety spectrum disorders, OCD, shyness, relational difficulties, and life transition challenges.
(425) 529-5967 View (425) 529-5967
Photo of Lindsay Christianson, MA, LMHC, CMHS, Counselor
Lindsay Christianson
Counselor, MA, LMHC, CMHS
Verified Verified
1 Endorsed
Woodinville, WA 98072
You desire living life according to your values, goals, passion, and love, but for some reason you feel stuck in love/relationships/sex/career. Through a variety of coaching options, I can help you walk through the changes you want to make to rock your fierce life. Whether you're finally ready to commit to loving relationships but don't know where to start, or you need some coaching to work through ending a marriage, or moving on after loss... I've got you.
You desire living life according to your values, goals, passion, and love, but for some reason you feel stuck in love/relationships/sex/career. Through a variety of coaching options, I can help you walk through the changes you want to make to rock your fierce life. Whether you're finally ready to commit to loving relationships but don't know where to start, or you need some coaching to work through ending a marriage, or moving on after loss... I've got you.
(425) 470-5680 View (425) 470-5680
Photo of Teresa A Talley, MA, LMHC, Counselor
Teresa A Talley
Counselor, MA, LMHC
Verified Verified
Woodinville, WA 98072
We all want to be seen and understood and at the same time are afraid of what we and others will find. We don't trust ourselves or our decisions. We suffer from anxiety, depression, traumas and a myriad of other relational issues. In counseling we learn to understand ourselves and others by telling our stories well. As a greek philosopher once said, "An unexamined life isn't worth living". When we learn to examine ourselves with curiosity, compassion, and truth our life becomes clear hopeful and fullfilling.
We all want to be seen and understood and at the same time are afraid of what we and others will find. We don't trust ourselves or our decisions. We suffer from anxiety, depression, traumas and a myriad of other relational issues. In counseling we learn to understand ourselves and others by telling our stories well. As a greek philosopher once said, "An unexamined life isn't worth living". When we learn to examine ourselves with curiosity, compassion, and truth our life becomes clear hopeful and fullfilling.
(425) 954-3822 View (425) 954-3822
Photo of Jeanette Ashworth, MS, NCC, LMHCA, Counselor
Jeanette Ashworth
Counselor, MS, NCC, LMHCA
Verified Verified
Woodinville, WA 98072
Do you want to feel deeply listened to and understood, experience stress reduction, more hope and happiness, overcome fears or challenges, find greater meaning, purpose? Compassionate, respectful care for Individuals, Parents, Families: Life Transitions, ADHD, Autism, IDD, Anxiety, and more. I am opening up a few slots in March and am reaching out to my waiting list (many may have found other therapists) so get in touch if also interested.
Do you want to feel deeply listened to and understood, experience stress reduction, more hope and happiness, overcome fears or challenges, find greater meaning, purpose? Compassionate, respectful care for Individuals, Parents, Families: Life Transitions, ADHD, Autism, IDD, Anxiety, and more. I am opening up a few slots in March and am reaching out to my waiting list (many may have found other therapists) so get in touch if also interested.
(425) 264-8693 View (425) 264-8693
Photo of Dani Best, Marriage & Family Therapist Intern
Dani Best
Marriage & Family Therapist Intern
Verified Verified
Woodinville, WA 98072  (Online Only)
Hi there! I'm Dani. My approach is primarily experiential, meaning that a big focus in session is on the here-and-now processing that drives change. You will also find that I am a big believer in the emotional bond between humans and pets, and if this speaks to you, I welcome your pet(s) into the virtual therapy space with us. You may enjoy working with me if you: want to improve communication with your partner or other loved ones, want to prioritize yourself for the first time in a long time and get to know yourself better, are learning to be more in touch with your emotions and needs, and/or are curious about attachment.
Hi there! I'm Dani. My approach is primarily experiential, meaning that a big focus in session is on the here-and-now processing that drives change. You will also find that I am a big believer in the emotional bond between humans and pets, and if this speaks to you, I welcome your pet(s) into the virtual therapy space with us. You may enjoy working with me if you: want to improve communication with your partner or other loved ones, want to prioritize yourself for the first time in a long time and get to know yourself better, are learning to be more in touch with your emotions and needs, and/or are curious about attachment.
(425) 470-6016 View (425) 470-6016
Amber Ashford
Counselor, NCC, CMHCA, APCC
Verified Verified
1 Endorsed
Woodinville, WA 98072
I admire the courage it takes to seek help and make change, and believe everyone has the capacity for healing. I bring compassion and curiosity to my person centered work with clients. My approach is collaborative, feedback driven, strengths based, and often infused with play, art, and nature therapy techniques. While the work we do will be as unique as each client, I am most inspired by internal family systems, emotionally focused therapy, solution focused brief therapy, and AEDP.
I admire the courage it takes to seek help and make change, and believe everyone has the capacity for healing. I bring compassion and curiosity to my person centered work with clients. My approach is collaborative, feedback driven, strengths based, and often infused with play, art, and nature therapy techniques. While the work we do will be as unique as each client, I am most inspired by internal family systems, emotionally focused therapy, solution focused brief therapy, and AEDP.
(425) 441-3514 View (425) 441-3514
Photo of Zainab Akef, LMHCA, Counselor
Zainab Akef
Counselor, LMHCA
Verified Verified
Woodinville, WA 98072
If you are a person who is willing to put the work in, ready to be vulnerable in the process, and wants a therapeutic relationship that is collaborative, I am here for you. I have experience in dealing with depression, anxiety, and multicultural issues. I also have experience with teenagers and young adults dealing with different life transitions and acculturative stress. I am bilingual in English and Arabic, and want to help you express yourself in the language you feel most comfortable in.
If you are a person who is willing to put the work in, ready to be vulnerable in the process, and wants a therapeutic relationship that is collaborative, I am here for you. I have experience in dealing with depression, anxiety, and multicultural issues. I also have experience with teenagers and young adults dealing with different life transitions and acculturative stress. I am bilingual in English and Arabic, and want to help you express yourself in the language you feel most comfortable in.
(425) 372-7843 View (425) 372-7843
Photo of Emili Fletcher, LICSW, Clinical Social Work/Therapist
Emili Fletcher
Clinical Social Work/Therapist, LICSW
Verified Verified
1 Endorsed
Woodinville, WA 98072
Many people say life doesn't go according to plan. We all know that to be true. Life goes up and down with many bits and pieces that make our story. As we are going through our life we may not understand or want parts of our story that entail grief and pain. YOUR story is what makes you, what has happened in your life, and what hasn't happened in your life. Many of us tend to have expectations of who we are supposed to be and how to navigate life, that we may forget to live life. Life isn't about pushing through, dread and pain. It's about the hope that pain and loss can be grieved and change can happen in your heart.
Many people say life doesn't go according to plan. We all know that to be true. Life goes up and down with many bits and pieces that make our story. As we are going through our life we may not understand or want parts of our story that entail grief and pain. YOUR story is what makes you, what has happened in your life, and what hasn't happened in your life. Many of us tend to have expectations of who we are supposed to be and how to navigate life, that we may forget to live life. Life isn't about pushing through, dread and pain. It's about the hope that pain and loss can be grieved and change can happen in your heart.
(253) 242-2351 View (253) 242-2351
Photo of Dr. Savannah Bukant, ND, BCB
Dr. Savannah Bukant
ND, BCB
Verified Verified
1 Endorsed
Woodinville, WA 98072
Now accepting new clients! If you're curious about whole-person healing through nervous system regulation, stress resiliency, and investigating root causes of symptoms, we may be a good fit. I'm Dr. Savannah, Naturopathic Physician & Mindbody Coach. I teach clients how to become self-healers through inquisitive body awareness, intuitive eating, trauma-sensitive mindfulness, and other modalities. I'm curious about what is getting in the way of your healing - physiological, environmental, relational, psychoemotional, spiritual, & even energetic factors. Together we dig deep to unravel what's in the way of your innate inner healer.
Now accepting new clients! If you're curious about whole-person healing through nervous system regulation, stress resiliency, and investigating root causes of symptoms, we may be a good fit. I'm Dr. Savannah, Naturopathic Physician & Mindbody Coach. I teach clients how to become self-healers through inquisitive body awareness, intuitive eating, trauma-sensitive mindfulness, and other modalities. I'm curious about what is getting in the way of your healing - physiological, environmental, relational, psychoemotional, spiritual, & even energetic factors. Together we dig deep to unravel what's in the way of your innate inner healer.
(425) 440-3219 View (425) 440-3219
Photo of Cori Guay, MSW, LSWAIC, Clinical Social Work/Therapist
Cori Guay
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Woodinville, WA 98072  (Online Only)
I work with children, teens, and young adults struggling with eating disorders, body image, sports performance, anxiety, depression, OCD, mood disorders, self-harm, suicidal ideation, self-esteem, and interpersonal connection. I work by partnering with my clients to allow them the space to move at their own pace in this journey, while also learning to sit in uncomfortable emotions and finding empowerment in self discovery and self determination.
I work with children, teens, and young adults struggling with eating disorders, body image, sports performance, anxiety, depression, OCD, mood disorders, self-harm, suicidal ideation, self-esteem, and interpersonal connection. I work by partnering with my clients to allow them the space to move at their own pace in this journey, while also learning to sit in uncomfortable emotions and finding empowerment in self discovery and self determination.
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Photo of Joanna L Warren - lift hold heal, MPS, ATR, LMHCA, Counselor
lift hold heal
Counselor, MPS, ATR, LMHCA
Verified Verified
2 Endorsed
Woodinville, WA 98072
I am an art therapist, artist and creative person who understands emotions and the body and how they work together. I am also a life-long learner who will always be honing her skills because I want to be someone who can serve every population I am working with in the best way that I can. Additionally, I am a human who believes in Spirit, so I believe there is a reason we come across one another's paths. We will teach one another and grow together if you choose to work with me.
I am an art therapist, artist and creative person who understands emotions and the body and how they work together. I am also a life-long learner who will always be honing her skills because I want to be someone who can serve every population I am working with in the best way that I can. Additionally, I am a human who believes in Spirit, so I believe there is a reason we come across one another's paths. We will teach one another and grow together if you choose to work with me.
(425) 217-8627 View (425) 217-8627
Photo of Kres Jones, MA, MHP, LMHCA, Counselor
Kres Jones
Counselor, MA, MHP, LMHCA
Verified Verified
Woodinville, WA 98072  (Online Only)
We don’t always have control over the things that happen to us in life, but we do have control over how we choose to respond to them. When we know ourselves, and family patterns, & have the power to own our own history we are better equipped to meet these challenges & establish healthy patterns. I believe in a person-centered, integrative, strengths-based, bio-psychosocial approach. Regardless of your story, it is your own & as such you are the expert. My role is to help assist you along your journey by helping to facilitate a deeper understanding of who you are while reminding you of the importance of self-compassion & self-care.
We don’t always have control over the things that happen to us in life, but we do have control over how we choose to respond to them. When we know ourselves, and family patterns, & have the power to own our own history we are better equipped to meet these challenges & establish healthy patterns. I believe in a person-centered, integrative, strengths-based, bio-psychosocial approach. Regardless of your story, it is your own & as such you are the expert. My role is to help assist you along your journey by helping to facilitate a deeper understanding of who you are while reminding you of the importance of self-compassion & self-care.
(425) 406-4856 View (425) 406-4856
Photo of Heather Goldy, MSW, LICSW, LCSW, Clinical Social Work/Therapist
Heather Goldy
Clinical Social Work/Therapist, MSW, LICSW, LCSW
Verified Verified
Woodinville, WA 98072  (Online Only)
Sometimes we find ourselves stuck, facing unexpected life experiences. Without knowing which way to go or how to make sense of things, we are left seeking answers, options, and direction. I specialize in guiding people through their family-building options, fertility challenges, reproductive assistance, surrogacy, adoption, and pregnancy/postpartum adjustment. These life transitions can bring grief, loss, stress, anxiety, and depression. Together, we will work to identify your goals and increase your awareness, insight, and understanding so that life feels more manageable and fulfilling.
Sometimes we find ourselves stuck, facing unexpected life experiences. Without knowing which way to go or how to make sense of things, we are left seeking answers, options, and direction. I specialize in guiding people through their family-building options, fertility challenges, reproductive assistance, surrogacy, adoption, and pregnancy/postpartum adjustment. These life transitions can bring grief, loss, stress, anxiety, and depression. Together, we will work to identify your goals and increase your awareness, insight, and understanding so that life feels more manageable and fulfilling.
(425) 600-7174 View (425) 600-7174
Photo of Wilder Heath, MA, LMFT, CMHS, Marriage & Family Therapist
Wilder Heath
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
4 Endorsed
Woodinville, WA 98072
Not accepting new clients
If you've ever felt uncomfortable with mental health diagnosis and thought "there's more to me than a diagnosis", you might be looking for an Enneagram Informed Therapist. I work with adults and couples who are typically diagnosed with anxiety, depression, or ADHD and use the personality framework of the Enneagram to help them understand their whole self, rather than just their diagnosis. I am a licensed Marriage & Family therapist, as well as an Enneagram coach who combines Western and Eastern treatment methods. I have additional training in Hakomi Method, Drama Therapy, and am certified by CP Enneagram.
If you've ever felt uncomfortable with mental health diagnosis and thought "there's more to me than a diagnosis", you might be looking for an Enneagram Informed Therapist. I work with adults and couples who are typically diagnosed with anxiety, depression, or ADHD and use the personality framework of the Enneagram to help them understand their whole self, rather than just their diagnosis. I am a licensed Marriage & Family therapist, as well as an Enneagram coach who combines Western and Eastern treatment methods. I have additional training in Hakomi Method, Drama Therapy, and am certified by CP Enneagram.
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Photo of Shana Huizenga, LMHC, Counselor
Shana Huizenga
Counselor, LMHC
Verified Verified
Woodinville, WA 98072
Currently accepting new clients! Hello and welcome! I am a licensed therapist who specializes in working with kids, teens and adults who have been diagnosed with Autism, ADHD, Anxiety, Depression, Self-Esteem, Stress, Burnout, Social Skills, School Performance, Developmental Delays, and Parent Training. I also assist clients in developing important Life Skills that enable them to reach their full potential. With a background in Behavioral Psychology, I utilize Acceptance and Commitment Therapy (ACT) to help my clients gain a deeper understanding of their thoughts, feelings, and behaviors by identifying their values.
Currently accepting new clients! Hello and welcome! I am a licensed therapist who specializes in working with kids, teens and adults who have been diagnosed with Autism, ADHD, Anxiety, Depression, Self-Esteem, Stress, Burnout, Social Skills, School Performance, Developmental Delays, and Parent Training. I also assist clients in developing important Life Skills that enable them to reach their full potential. With a background in Behavioral Psychology, I utilize Acceptance and Commitment Therapy (ACT) to help my clients gain a deeper understanding of their thoughts, feelings, and behaviors by identifying their values.
(425) 578-5501 View (425) 578-5501
Photo of Bahareh Yazdi, MA, LMHC, Counselor
Bahareh Yazdi
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Woodinville, WA 98072  (Online Only)
As a therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
As a therapist, my goal is to help you uncover your true potential and lead a life that is worth celebrating. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(425) 318-8802 View (425) 318-8802
Photo of Robin Morris, MA, LMHC, Counselor
Robin Morris
Counselor, MA, LMHC
Verified Verified
Woodinville, WA 98072  (Online Only)
Could you benefit from help resolving inner conflicts, achieving challenging goals, going through a difficult change, or improving communication skills to better relationships with family, partners and friends? The essence of counseling is achieving your desired results. My work as a therapist is to support you, step by step, as you embrace a lifestyle where you feel empowered and on a positive path to growth, well-being and achieving your goals.
Could you benefit from help resolving inner conflicts, achieving challenging goals, going through a difficult change, or improving communication skills to better relationships with family, partners and friends? The essence of counseling is achieving your desired results. My work as a therapist is to support you, step by step, as you embrace a lifestyle where you feel empowered and on a positive path to growth, well-being and achieving your goals.
(425) 358-3732 View (425) 358-3732
Photo of Sondra Beres, PhD, LMFT, Marriage & Family Therapist
Sondra Beres
Marriage & Family Therapist, PhD, LMFT
Verified Verified
Woodinville, WA 98072
I provide a safe and compassionate space for you to reflect, find clarity, and feel supported as you make changes to make your life more what you'd like it to be. Sometimes this is after many years of trying to make relationships work without therapy. Sometimes this is when you realize you're too lonely and isolated and need some support to break those isolating habits. Sometimes this is when you have taken on all the stress and responsibility of your family and you feel at your breaking point. Psychotherapy can help you find ways to make your life the one you want to be living.
I provide a safe and compassionate space for you to reflect, find clarity, and feel supported as you make changes to make your life more what you'd like it to be. Sometimes this is after many years of trying to make relationships work without therapy. Sometimes this is when you realize you're too lonely and isolated and need some support to break those isolating habits. Sometimes this is when you have taken on all the stress and responsibility of your family and you feel at your breaking point. Psychotherapy can help you find ways to make your life the one you want to be living.
(425) 437-2821 View (425) 437-2821
Photo of Shannon Price, LMFT, Marriage & Family Therapist
Shannon Price
Marriage & Family Therapist, LMFT
Verified Verified
6 Endorsed
Woodinville, WA 98072  (Online Only)
My approach is to help individuals create healthier, happier and more meaningful relationships and lives for themselves. I draw most heavily from Family Systems Theory, Humanistic and Cognitive/Behavioral therapy approaches however, I use a variety of modalities and tailor therapy to each client's needs and personality. My goal is to provide each client a safe and supportive environment in which to express them self.
My approach is to help individuals create healthier, happier and more meaningful relationships and lives for themselves. I draw most heavily from Family Systems Theory, Humanistic and Cognitive/Behavioral therapy approaches however, I use a variety of modalities and tailor therapy to each client's needs and personality. My goal is to provide each client a safe and supportive environment in which to express them self.
(206) 693-2969 View (206) 693-2969
Photo of William A Fuller, MA, LMHC, Counselor
William A Fuller
Counselor, MA, LMHC
Verified Verified
Woodinville, WA 98072
Therapy is a positive way to look at life's problems and help you cope effectively. The type of therapy I practice is a blend of Psychodynamic Theory and Cognitive Behavior Therapy. This combination gives us access to previous relationships and early life circumstances, while focusing on the here and now issues that are currently of concern to you.
Therapy is a positive way to look at life's problems and help you cope effectively. The type of therapy I practice is a blend of Psychodynamic Theory and Cognitive Behavior Therapy. This combination gives us access to previous relationships and early life circumstances, while focusing on the here and now issues that are currently of concern to you.
(425) 247-3128 View (425) 247-3128

How does your Therapist compare?

Number of Therapists in 98072

100+

Average cost per session

$160

Therapists in 98072 who prioritize treating:

93% Anxiety
85% Depression
79% Self Esteem
76% Relationship Issues
68% Trauma and PTSD
68% Stress
67% Grief

Average years in practice

11 Years

Top 3 insurances accepted

78% Premera
71% Regence
59% First Choice Health | FCH

How Therapists in 98072 see their clients

66% In Person and Online
34% Online Only

Gender breakdown

82% Female
17% Male
1% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in 98072?

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.