Photo of Steffie Genevieve, MSW, LICSW, SUDP, SAP, Clinical Social Work/Therapist
Steffie Genevieve
Clinical Social Work/Therapist, MSW, LICSW, SUDP, SAP
Verified Verified
Spokane Valley, WA 99037  (Online Only)
Good therapy recognizes that we are greater than the problem believing people grow, heal, and transform. Change occurs when we experience grace through awareness of self, challenging old beliefs, learning new skills, and letting go of pain. My task and privilege is to assist you in the process. So to that end I will work with you in a collaborative way in a human to human connection to provide the foundation for change. I take a holistic approach viewing the body, mind, and spirit as interrelated.
Good therapy recognizes that we are greater than the problem believing people grow, heal, and transform. Change occurs when we experience grace through awareness of self, challenging old beliefs, learning new skills, and letting go of pain. My task and privilege is to assist you in the process. So to that end I will work with you in a collaborative way in a human to human connection to provide the foundation for change. I take a holistic approach viewing the body, mind, and spirit as interrelated.
(509) 774-2568 View (509) 774-2568
Photo of Shana L. Gaunt, MSW, LICSW, MHP, Clinical Social Work/Therapist
Shana L. Gaunt
Clinical Social Work/Therapist, MSW, LICSW, MHP
Verified Verified
2 Endorsed
Veradale, WA 99037  (Online Only)
Waitlist for new clients
Healing takes place when we finally give ourselves the permission to heal. I believe that one of the bravest things that you can do is to begin to understand your own story. Many people believe that therapy is an intimidating experience filled with fear and uncertainty. I strive to create an open, safe, supportive & compassionate space for you to begin your healing journey. I want to help you achieve your goals so that you may begin to live the life that you envision, filled with the peace, abundance and joy that you deserve!
Healing takes place when we finally give ourselves the permission to heal. I believe that one of the bravest things that you can do is to begin to understand your own story. Many people believe that therapy is an intimidating experience filled with fear and uncertainty. I strive to create an open, safe, supportive & compassionate space for you to begin your healing journey. I want to help you achieve your goals so that you may begin to live the life that you envision, filled with the peace, abundance and joy that you deserve!
(509) 260-7232 View (509) 260-7232
Photo of Jan Vetter - Jan Vetter Counseling PLLC, LPC, LMHCA, Licensed Professional Counselor
Jan Vetter Counseling PLLC
Licensed Professional Counselor, LPC, LMHCA
Verified Verified
1 Endorsed
If you feel fearful of who to share your struggles with - you are not alone in that fear. This is common, and unfortunately a barrier for many to take the first step and receive healing. I want to create a safe space for you, to share your story. I will help you identify the source of your pain, if that is not clear, and walk through the healing journey with you. There is always hope, and many directions to take to get healing and freedom. I've received much healing, through counseling and want to see others receive the same.
If you feel fearful of who to share your struggles with - you are not alone in that fear. This is common, and unfortunately a barrier for many to take the first step and receive healing. I want to create a safe space for you, to share your story. I will help you identify the source of your pain, if that is not clear, and walk through the healing journey with you. There is always hope, and many directions to take to get healing and freedom. I've received much healing, through counseling and want to see others receive the same.
(509) 260-8445 View (509) 260-8445
Photo of Rachel Leah Birch, LCSW, Clinical Social Work/Therapist
Rachel Leah Birch
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
You've had something (or a lot of things) bad happen to you in your life. You are being triggered a lot in your daily life and you're really tired of living life like this. You're seeking and ready for true healing of the heart, mind, and body. You're ready to do a therapy that actually works so you can have joy and peace in your life.
You've had something (or a lot of things) bad happen to you in your life. You are being triggered a lot in your daily life and you're really tired of living life like this. You're seeking and ready for true healing of the heart, mind, and body. You're ready to do a therapy that actually works so you can have joy and peace in your life.
(509) 636-8381 View (509) 636-8381
Photo of Brenda L Tracey, PhD, LMHCA, Counselor
Brenda L Tracey
Counselor, PhD, LMHCA
Verified Verified
In the beginning was the word. Thoughts are words in our head. Those words are what we talk about. What we talk about finds support. These words, given support, is literally how we create our lives. In childhood, our primary lesson was to learn how to care for ourselves in adulthood. Many of the adults around us didn’t know how to care for themselves. Some were absent, some were medicated, some seemed aloof and caught up in their own troubles. And for some of us, the adults were abusive.
In the beginning was the word. Thoughts are words in our head. Those words are what we talk about. What we talk about finds support. These words, given support, is literally how we create our lives. In childhood, our primary lesson was to learn how to care for ourselves in adulthood. Many of the adults around us didn’t know how to care for themselves. Some were absent, some were medicated, some seemed aloof and caught up in their own troubles. And for some of us, the adults were abusive.
(509) 721-7875 x1 View (509) 721-7875 x1
Photo of Cece Ann Crowe, MS, LMFT, Marriage & Family Therapist
Cece Ann Crowe
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
"I’m tired of feeling this way. I want help. I want something to change." I hear you, I see you, and I want to sit with you in these moments. You want to feel comfortable in your life, in your relationships, and with yourself. You want to feel sure of yourself and content, with coping skills and new ways of engaging in life and with others. Let’s work together to learn new ways of behaving, and grow in your understanding of yourself and family. My strength as a therapist is to get to know you, relate to you and offer another perspective.
"I’m tired of feeling this way. I want help. I want something to change." I hear you, I see you, and I want to sit with you in these moments. You want to feel comfortable in your life, in your relationships, and with yourself. You want to feel sure of yourself and content, with coping skills and new ways of engaging in life and with others. Let’s work together to learn new ways of behaving, and grow in your understanding of yourself and family. My strength as a therapist is to get to know you, relate to you and offer another perspective.
(509) 233-4817 View (509) 233-4817
Photo of Cindy Sahagun, LMHC, MS, NCC, Counselor
Cindy Sahagun
Counselor, LMHC, MS, NCC
Verified Verified
1 Endorsed
Spokane Valley, WA 99037  (Online Only)
Hello there! I am passionate about intersectionality sensitivity and inclusivity and emphasize the importance of whole-person wellness. Humans are complex beings with emotional, physical, spiritual, and cultural needs with unique experiences. I find it important to incorporate a holistic understanding and collaborative approach to treatment to foster whole-person wellness. I am committed to holding a safe space for individuals to be their true authentic selves and foster unconditional positive regard in the therapeutic relationship.
Hello there! I am passionate about intersectionality sensitivity and inclusivity and emphasize the importance of whole-person wellness. Humans are complex beings with emotional, physical, spiritual, and cultural needs with unique experiences. I find it important to incorporate a holistic understanding and collaborative approach to treatment to foster whole-person wellness. I am committed to holding a safe space for individuals to be their true authentic selves and foster unconditional positive regard in the therapeutic relationship.
(509) 581-2550 View (509) 581-2550
Photo of Heather Leigh Gasser, LICSW, Clinical Social Work/Therapist
Heather Leigh Gasser
Clinical Social Work/Therapist, LICSW
Verified Verified
2 Endorsed
Spokane Valley, WA 99037  (Online Only)
Are you feeling like now is the time to make a change for the better? Have you been feeling stuck, unmotivated and have lost interest in things that used to bring you joy? Or maybe anxiety and stress are holding you back and overwhelming you. Has it gotten so bad you are tempted to lose hope altogether that things can be better? Maybe you've been trying to escape with various addictions and distractions that provide a temporary solution only to leave you feeling worse than ever. Do you want to get your life back?
Are you feeling like now is the time to make a change for the better? Have you been feeling stuck, unmotivated and have lost interest in things that used to bring you joy? Or maybe anxiety and stress are holding you back and overwhelming you. Has it gotten so bad you are tempted to lose hope altogether that things can be better? Maybe you've been trying to escape with various addictions and distractions that provide a temporary solution only to leave you feeling worse than ever. Do you want to get your life back?
(360) 732-8922 View (360) 732-8922
Photo of Samme Newman, MA, LMHC, Counselor
Samme Newman
Counselor, MA, LMHC
Verified Verified
Spokane Valley, WA 99037  (Online Only)
Life can be hard but what’s even harder is trying to figure it out on your own. Trauma, depression, anxiety among other difficulties can be challenging to understand and cause chaos to our lives and relationships. We want to feel better, but feel as if everything and everyone is letting us down. What we want most is to feel strong and free from the burdens of life. Every person’s struggle is unique, but so are their strengths. My goal as a counselor is to help clients find their unique strengths and freedom from pain. I place great importance on assisting clients in finding the tools to succeed and find peace in their world.
Life can be hard but what’s even harder is trying to figure it out on your own. Trauma, depression, anxiety among other difficulties can be challenging to understand and cause chaos to our lives and relationships. We want to feel better, but feel as if everything and everyone is letting us down. What we want most is to feel strong and free from the burdens of life. Every person’s struggle is unique, but so are their strengths. My goal as a counselor is to help clients find their unique strengths and freedom from pain. I place great importance on assisting clients in finding the tools to succeed and find peace in their world.
(509) 402-1271 View (509) 402-1271
Photo of Rhonda DelCarlo, MA, LMHC, SUDP, Counselor
Rhonda DelCarlo
Counselor, MA, LMHC, SUDP
Verified Verified
Spokane Valley, WA 99037  (Online Only)
Have you ever felt misunderstood? Have you tried to create relationships that are supportive and don't know why it's not working? Do you have dreams you want to tap into, but are afraid to step outside your comfort zone? As a therapist, I strive to empower individuals to find and develop their authentic path. I want to work with you to find the obstacles in your way so we can work together to help you achieve your goals. I strive to help you create a balance between work and play, to assist with coping skills and self-soothing techniques and help you create self-care for your busy life.
Have you ever felt misunderstood? Have you tried to create relationships that are supportive and don't know why it's not working? Do you have dreams you want to tap into, but are afraid to step outside your comfort zone? As a therapist, I strive to empower individuals to find and develop their authentic path. I want to work with you to find the obstacles in your way so we can work together to help you achieve your goals. I strive to help you create a balance between work and play, to assist with coping skills and self-soothing techniques and help you create self-care for your busy life.
(509) 587-1130 View (509) 587-1130
Photo of Mary J Caruso, MA, LMHC, Counselor
Mary J Caruso
Counselor, MA, LMHC
Verified Verified
I am a Licensed Mental Health therapist and have had my own private practice for 14 years. I have worked with children, adolescents and families for 20 years. I received my Masters in Mental Health Counseling from Gonzaga University and I utilize cognitive behavioral therapy, family systems, and art/ sand tray therapy for children. I see therapy as creating a safe atmosphere to explore awareness and affirm the unique gifts of individuals toward healing and wholeness. Visit my website at www.marycaruso.com
I am a Licensed Mental Health therapist and have had my own private practice for 14 years. I have worked with children, adolescents and families for 20 years. I received my Masters in Mental Health Counseling from Gonzaga University and I utilize cognitive behavioral therapy, family systems, and art/ sand tray therapy for children. I see therapy as creating a safe atmosphere to explore awareness and affirm the unique gifts of individuals toward healing and wholeness. Visit my website at www.marycaruso.com
(509) 761-3526 View (509) 761-3526
Photo of Gracie Klontz, MA, LMHCA, NBCC, Counselor
Gracie Klontz
Counselor, MA, LMHCA, NBCC
Verified Verified
It is a great privilege to be entrusted with the sacred work of helping individuals navigate life's issues. The therapeutic relationship is unlike any relationship. In this space, you are unconditionally valued and empathically listened to with your best interests in mind- free from hidden agendas, discrimination, or personal gain. In this safe environment, we collaboratively work toward your personalized goals and develop compassionate curiosity toward the pieces of your story, which help us gain insight into past and current functioning. I would be honored to help you on this journey.
It is a great privilege to be entrusted with the sacred work of helping individuals navigate life's issues. The therapeutic relationship is unlike any relationship. In this space, you are unconditionally valued and empathically listened to with your best interests in mind- free from hidden agendas, discrimination, or personal gain. In this safe environment, we collaboratively work toward your personalized goals and develop compassionate curiosity toward the pieces of your story, which help us gain insight into past and current functioning. I would be honored to help you on this journey.
(509) 486-7962 View (509) 486-7962
Photo of Tiffany Lee Cannon-Keiser, MA, LMHC, Counselor
Tiffany Lee Cannon-Keiser
Counselor, MA, LMHC
Verified Verified
I have a deep respect for human life and interest in empowering you to face and transcend your pains and sorrows. My primary objective is to provide a safe environment for you to engage authentically so that you may face your life in all reality. It is my firm belief that the therapeutic relationship is the most important change agent and I offer to partner in your personal quest. As such, I employ cognitive-behavioral interventions, utilize motivational interviewing techniques and provide psychoeducation in order to enable you to gain the insight and awareness necessary to transcend in to greater maturity, wisdom and freedom.
I have a deep respect for human life and interest in empowering you to face and transcend your pains and sorrows. My primary objective is to provide a safe environment for you to engage authentically so that you may face your life in all reality. It is my firm belief that the therapeutic relationship is the most important change agent and I offer to partner in your personal quest. As such, I employ cognitive-behavioral interventions, utilize motivational interviewing techniques and provide psychoeducation in order to enable you to gain the insight and awareness necessary to transcend in to greater maturity, wisdom and freedom.
(509) 398-9239 View (509) 398-9239
Photo of Bryanna Goodman - Refresh Therapy, Inc - Spokane Valley, LMFT, LMHC, LICSW, LMFTA, LMHCA, Marriage & Family Therapist
Refresh Therapy, Inc - Spokane Valley
Marriage & Family Therapist, LMFT, LMHC, LICSW, LMFTA, LMHCA
Verified Verified
1 Endorsed
We are a group of dynamic therapists, in multiple Washington state locations. Our goal was to create a place for you to settle in and tell your story. Everybody has one, and we want to hear yours. Counseling is a process that encourages you to examine your choices, your thoughts, your dreams, your barriers and your pain in an effort to create the positive change you are seeking in your life. We believe that successful counseling is a collaborative experience between you and your therapist; that finding the right fit is vital to that success.
We are a group of dynamic therapists, in multiple Washington state locations. Our goal was to create a place for you to settle in and tell your story. Everybody has one, and we want to hear yours. Counseling is a process that encourages you to examine your choices, your thoughts, your dreams, your barriers and your pain in an effort to create the positive change you are seeking in your life. We believe that successful counseling is a collaborative experience between you and your therapist; that finding the right fit is vital to that success.
(509) 260-2776 View (509) 260-2776
Photo of Claire Horn, LICSWA, Clinical Social Work/Therapist
Claire Horn
Clinical Social Work/Therapist, LICSWA
Verified Verified
Spokane Valley, WA 99037  (Online Only)
Are you struggling to navigate life transitions or to feel more connected to your values? Do you notice that your negative thoughts or anxious feelings have a mind of their own? Are you of mixed-race, trying to find a therapist you can connect with? Maybe you feel drained navigating complicated interpersonal relationships, or perhaps you are coping with big feelings of grief. If so, therapy can help. I believe that therapy is a creative and collaborative process, and I am passionate about guiding people working through big, uncomfortable things towards a place of increased insight, healing, and the realization of our true selves.
Are you struggling to navigate life transitions or to feel more connected to your values? Do you notice that your negative thoughts or anxious feelings have a mind of their own? Are you of mixed-race, trying to find a therapist you can connect with? Maybe you feel drained navigating complicated interpersonal relationships, or perhaps you are coping with big feelings of grief. If so, therapy can help. I believe that therapy is a creative and collaborative process, and I am passionate about guiding people working through big, uncomfortable things towards a place of increased insight, healing, and the realization of our true selves.
(509) 481-9629 View (509) 481-9629
Photo of Veronica Risken Oakes, LICSWA, Clinical Social Work/Therapist
Veronica Risken Oakes
Clinical Social Work/Therapist, LICSWA
Verified Verified
It takes courage to reach out for help. I consider it my privilege to come alongside my clients as they work towards their goals. I help folks of all ages in navigating life's twists and struggles with relationships and big life transitions. I have experience working with people impacted by anxiety, depression, and trauma, as well as people with ADHD, those on the Autism Spectrum, and members of our LGBTQIA+ community. Whatever is going on in your world – there is a way forward.
It takes courage to reach out for help. I consider it my privilege to come alongside my clients as they work towards their goals. I help folks of all ages in navigating life's twists and struggles with relationships and big life transitions. I have experience working with people impacted by anxiety, depression, and trauma, as well as people with ADHD, those on the Autism Spectrum, and members of our LGBTQIA+ community. Whatever is going on in your world – there is a way forward.
(509) 402-2858 View (509) 402-2858
Photo of Caitlyn Miller, LMHCA, Counselor
Caitlyn Miller
Counselor, LMHCA
Verified Verified
Veradale, WA 99037
I believe that counseling can be a space for individuals to explore their thoughts, emotions, and behaviors for self-reflection and self-growth. A place where individuals can safely process their life experiences while also gaining a better understanding of why they may have certain thought processes and behaviors. I have experience working with clients with anxiety, depression, trauma, grief/loss, self-harm, suicidal ideations, substance use, and different life changes.
I believe that counseling can be a space for individuals to explore their thoughts, emotions, and behaviors for self-reflection and self-growth. A place where individuals can safely process their life experiences while also gaining a better understanding of why they may have certain thought processes and behaviors. I have experience working with clients with anxiety, depression, trauma, grief/loss, self-harm, suicidal ideations, substance use, and different life changes.
(509) 394-4367 View (509) 394-4367
Photo of Hannah R Johnson, LMHCA, NCC, Counselor
Hannah R Johnson
Counselor, LMHCA, NCC
Verified Verified
1 Endorsed
Not accepting new clients
In alignment with person-centered counseling, I believe in establishing a brave space of acceptance, authenticity, and empathy in a therapeutic relationship. I am passionate about mental health awareness and empowering individuals to awaken their dreams and use their voices. I seek to walk with each client to hold their struggles, hear their stories, celebrate their wins, and cheer them on. As a result, clients have the freedom to gain personal insight and authentically examine well-being and create change as needed. I take on this role with honor and humility.
In alignment with person-centered counseling, I believe in establishing a brave space of acceptance, authenticity, and empathy in a therapeutic relationship. I am passionate about mental health awareness and empowering individuals to awaken their dreams and use their voices. I seek to walk with each client to hold their struggles, hear their stories, celebrate their wins, and cheer them on. As a result, clients have the freedom to gain personal insight and authentically examine well-being and create change as needed. I take on this role with honor and humility.
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Photo of Elisa A Pope, MS, LMHC, MHP, Counselor
Elisa A Pope
Counselor, MS, LMHC, MHP
Verified Verified
2 Endorsed
Veradale, WA 99037
You are unique and you deserve to be treated with respect. I am passionate about seeing you learn how to embrace and love who you are today and in the future. Over the years I have worked with children and adults in a variety of roles; as an educator, a cognitive development specialist, and now as a counselor. My understanding of how the brain develops, what is needed at the various developmental stages, the importance of attachment, and the impact of trauma on brain development and the body, has prepared me to effectively work with kids, teenagers, adults, and families. Book with me now by clicking on my website.
You are unique and you deserve to be treated with respect. I am passionate about seeing you learn how to embrace and love who you are today and in the future. Over the years I have worked with children and adults in a variety of roles; as an educator, a cognitive development specialist, and now as a counselor. My understanding of how the brain develops, what is needed at the various developmental stages, the importance of attachment, and the impact of trauma on brain development and the body, has prepared me to effectively work with kids, teenagers, adults, and families. Book with me now by clicking on my website.
(509) 281-5146 View (509) 281-5146
Photo of Jacob McEwen, MA, LMFTA, Marriage & Family Therapist Associate
Jacob McEwen
Marriage & Family Therapist Associate, MA, LMFTA
Verified Verified
1 Endorsed
Ready to rediscover yourself and access the wisdom within you? Come experience a holistic, client-led approach to therapy that focuses on healing mind, body and spirit. Together, we will explore patterns in your life that leave you feeling stuck, and discover the root causes of distressing cycles. Our sessions will often integrate mindfulness practices and somatic techniques to help us remain grounded in the present as we explore the past and navigate change. With a renewed sense of meaning and purpose, it is possible to heal old wounds and become your most authentic self today.
Ready to rediscover yourself and access the wisdom within you? Come experience a holistic, client-led approach to therapy that focuses on healing mind, body and spirit. Together, we will explore patterns in your life that leave you feeling stuck, and discover the root causes of distressing cycles. Our sessions will often integrate mindfulness practices and somatic techniques to help us remain grounded in the present as we explore the past and navigate change. With a renewed sense of meaning and purpose, it is possible to heal old wounds and become your most authentic self today.
(509) 400-5191 View (509) 400-5191
1

How does your Therapist compare?

Number of Therapists in 99037

20+

Average cost per session

$122

Therapists in 99037 who prioritize treating:

95% Depression
95% Trauma and PTSD
91% Anxiety
82% Grief
77% Coping Skills
77% Life Transitions
68% Self Esteem

Average years in practice

10 Years

Top 3 insurances accepted

88% Premera
81% Aetna
75% Regence

How Therapists in 99037 see their clients

60% In Person and Online
40% Online Only

Gender breakdown

95% Female
5% Male
FAQs - About Therapy and Counseling

How can I find a therapist in 99037?

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.