Therapists in North Bend, WA

Photo of Alexandria Packard - Alexandria Packard I Larch Counseling, MS, LMFTA, Marriage & Family Therapist Associate
Alexandria Packard I Larch Counseling
Marriage & Family Therapist Associate, MS, LMFTA
Verified Verified
15 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 272-6784 View (425) 272-6784
Photo of Katie Zundel - Reflections Counseling, LMFTA, Marriage & Family Therapist Associate
Katie Zundel - Reflections Counseling
Marriage & Family Therapist Associate, LMFTA
Verified Verified
North Bend, WA 98045
Waitlist for new clients
I provide couple's therapy & therapy for individuals. Whether I'm working with you individually or as part of a unit, I'm always curious about how other people or systems impact you. I interweave aspects of Emotion-Focused Therapy, Solution-Focused Therapy, and Narrative Therapy. When working with couples, I primarily use the Gottman Method. I see people as a part of an intricately woven tapestry of relationships. Like a thread in the tapestry, a person cannot be excluded from relationships to function on their own.
I provide couple's therapy & therapy for individuals. Whether I'm working with you individually or as part of a unit, I'm always curious about how other people or systems impact you. I interweave aspects of Emotion-Focused Therapy, Solution-Focused Therapy, and Narrative Therapy. When working with couples, I primarily use the Gottman Method. I see people as a part of an intricately woven tapestry of relationships. Like a thread in the tapestry, a person cannot be excluded from relationships to function on their own.
(425) 209-8216 View (425) 209-8216
Photo of David Paul Eck, MA, LMHC, Counselor
David Paul Eck
Counselor, MA, LMHC
Verified Verified
North Bend, WA 98045
For 31 years I have counseled adults and couples depressed, anxious or insecure with life's challenges, while others struggled in relationship or the responsibilities of parenting. Some hurt from a difficult loss or transition. And some clients arrived wondering if there is yet more to their existence. My practice allows me to give focused attention to the needs of each client. I am a compassionate listener, yet also recognize that change requires a measured degree of challenge and ultimately concrete action. I am engaging, proactive and creative, always looking for solutions tailored to my client's personal needs.
For 31 years I have counseled adults and couples depressed, anxious or insecure with life's challenges, while others struggled in relationship or the responsibilities of parenting. Some hurt from a difficult loss or transition. And some clients arrived wondering if there is yet more to their existence. My practice allows me to give focused attention to the needs of each client. I am a compassionate listener, yet also recognize that change requires a measured degree of challenge and ultimately concrete action. I am engaging, proactive and creative, always looking for solutions tailored to my client's personal needs.
(425) 786-9923 View (425) 786-9923
Photo of Dr. Teresa Evans, ND, NP-CNM
Dr. Teresa Evans
ND, NP-CNM
Verified Verified
North Bend, WA 98045  (Online Only)
Greetings! Are you looking to work with a Naturopathic Physician and Nurse Practitioner (in Women's Health/Midwifery) who can help you navigate anxiety, depression, gender-affirmation care, LGBTQ+ concerns, PMDD, or perimenopause/menopause symptoms? I offer medication management (including hormones), supplements, and/or counseling. I often include nutrition (additive), sleep care, and joyful movement. I am kink, poly, monogamy, and HAES friendly. From a social justice lens, I am trained in Acceptance and Commitment Therapy, LGBTQ-Affirmative-CBT, and Mindfulness. I have 17+ years of experience in OB/GYN care and mental health.
Greetings! Are you looking to work with a Naturopathic Physician and Nurse Practitioner (in Women's Health/Midwifery) who can help you navigate anxiety, depression, gender-affirmation care, LGBTQ+ concerns, PMDD, or perimenopause/menopause symptoms? I offer medication management (including hormones), supplements, and/or counseling. I often include nutrition (additive), sleep care, and joyful movement. I am kink, poly, monogamy, and HAES friendly. From a social justice lens, I am trained in Acceptance and Commitment Therapy, LGBTQ-Affirmative-CBT, and Mindfulness. I have 17+ years of experience in OB/GYN care and mental health.
(206) 508-5889 View (206) 508-5889
Photo of Jessica Milian | Larch Counseling, LMFT, Marriage & Family Therapist
Jessica Milian | Larch Counseling
Marriage & Family Therapist, LMFT
Verified Verified
2 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 357-7461 x38 View (425) 357-7461 x38
Photo of Jordan Beck, MA, CFT, Marriage & Family Therapist
Jordan Beck
Marriage & Family Therapist, MA, CFT
Verified Verified
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between, find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between, find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 906-5078 View (425) 906-5078
Photo of Lauren Thomas, MSW, LICSW, Clinical Social Work/Therapist
Lauren Thomas
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
North Bend, WA 98045  (Online Only)
Lauren is a Licensed Independent Clinical Social Worker. She received her Bachelor’s in Social Work from University of Utah and her Master’s in Social Work from University of Michigan - Ann Arbor. Lauren has graduate and post-graduate clinical training in assessing, diagnosing, and treating OCD, ADHD, PTSD, school refusal, and other areas of need. Lauren specializes in treatment of adolescents and family systems, and is dedicated to this work and enjoys helping others.
Lauren is a Licensed Independent Clinical Social Worker. She received her Bachelor’s in Social Work from University of Utah and her Master’s in Social Work from University of Michigan - Ann Arbor. Lauren has graduate and post-graduate clinical training in assessing, diagnosing, and treating OCD, ADHD, PTSD, school refusal, and other areas of need. Lauren specializes in treatment of adolescents and family systems, and is dedicated to this work and enjoys helping others.
(425) 202-5330 View (425) 202-5330
Photo of Mario Gaspar de Alba Larch Counseling, MFTcand, Marriage & Family Therapist Associate
Mario Gaspar de Alba Larch Counseling
Marriage & Family Therapist Associate, MFTcand
Verified Verified
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 407-5044 View (425) 407-5044
Photo of Jim Morley - Reflections Counseling, MA, LMHC, SUDP, Counselor
Jim Morley - Reflections Counseling
Counselor, MA, LMHC, SUDP
Verified Verified
North Bend, WA 98045
Waitlist for new clients
I enjoy working with individuals age 15 and older as well as couples and families. My style of counseling is an integrative one, combining humor, education, and interventions encompassing a broad range of therapeutic approaches. My experience includes a strong background in mental health and addiction counseling. I have training in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing, and Mindfulness based practices. I bring with me an array of life experiences working and traveling abroad. I believe change can happen in a few focused sessions. Therapy does not necessarily have to be long term to be effective.
I enjoy working with individuals age 15 and older as well as couples and families. My style of counseling is an integrative one, combining humor, education, and interventions encompassing a broad range of therapeutic approaches. My experience includes a strong background in mental health and addiction counseling. I have training in Cognitive Behavioral Therapy (CBT), Dialectical Behavioral Therapy (DBT), Motivational Interviewing, and Mindfulness based practices. I bring with me an array of life experiences working and traveling abroad. I believe change can happen in a few focused sessions. Therapy does not necessarily have to be long term to be effective.
(425) 209-8216 View (425) 209-8216
Photo of Jenna Patterson - Reflections Counseling, MS, LMFT, SUDP, CMHS, MHP, Marriage & Family Therapist
Jenna Patterson - Reflections Counseling
Marriage & Family Therapist, MS, LMFT, SUDP, CMHS, MHP
Verified Verified
3 Endorsed
North Bend, WA 98045
Waitlist for new clients
I view each individual's problems in the context of their life and relationships. My approach to therapy is best described as relational, client centered, and outcomes-focused. I provide therapeutic services to individuals, families, and couples whose interests are personal growth and development, relationship enhancement, individual and career transitions. I feel passionate about working with families and helping to foster better communication between couples as well as children and their parents.
I view each individual's problems in the context of their life and relationships. My approach to therapy is best described as relational, client centered, and outcomes-focused. I provide therapeutic services to individuals, families, and couples whose interests are personal growth and development, relationship enhancement, individual and career transitions. I feel passionate about working with families and helping to foster better communication between couples as well as children and their parents.
(425) 209-8216 View (425) 209-8216
Photo of Serena Robertson | Larch Counseling, MS, LMFT, Marriage & Family Therapist
Serena Robertson | Larch Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 382-7525 View (425) 382-7525
Photo of Kate Oliver, LMHC
Kate Oliver
Mental Health Counselor, LMHC
Verified Verified
North Bend, WA 98045
You are tired. Things have been hard for a long time and there doesn’t seem to be any relief. You need someone who can listen, really listen, and then walk along side you to make the changes that would make life more bearable, more enjoyable, more beautiful. Maybe worries and anxieties that were more manageable before have now become insurmountable. Maybe you have lost your identity in a new role ( motherhood, teenage changes, career shifts etc) and your footing isn’t as steady as it once was. Maybe life doesn’t seem worth living. Let’s find the calm, the steady, and the joy together.
You are tired. Things have been hard for a long time and there doesn’t seem to be any relief. You need someone who can listen, really listen, and then walk along side you to make the changes that would make life more bearable, more enjoyable, more beautiful. Maybe worries and anxieties that were more manageable before have now become insurmountable. Maybe you have lost your identity in a new role ( motherhood, teenage changes, career shifts etc) and your footing isn’t as steady as it once was. Maybe life doesn’t seem worth living. Let’s find the calm, the steady, and the joy together.
(425) 357-2405 View (425) 357-2405
Photo of Jean Fitzharris - Reflections Counseling, LMHCA, Counselor
Jean Fitzharris - Reflections Counseling
Counselor, LMHCA
Verified Verified
North Bend, WA 98045
My approach is integrative, holistic, client-focused, and tailored to each individual. I provide therapy for individuals dealing with anxiety, depression, loss or grief, & more. The goal of therapy is the development of self-sustaining abilities, strength and flexibility, so that life can unfold in meaningful and satisfying ways. A theme running through my practice is integrating the soul or spirituality and a sense of humor into our day-to-day lives.
My approach is integrative, holistic, client-focused, and tailored to each individual. I provide therapy for individuals dealing with anxiety, depression, loss or grief, & more. The goal of therapy is the development of self-sustaining abilities, strength and flexibility, so that life can unfold in meaningful and satisfying ways. A theme running through my practice is integrating the soul or spirituality and a sense of humor into our day-to-day lives.
(425) 209-8216 View (425) 209-8216
Photo of Kimberly Paige McMartin, MA, LPC, LMHC, Licensed Professional Counselor
Kimberly Paige McMartin
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
1 Endorsed
North Bend, WA 98045
Are you feeling a sense of dissatisfaction with the way things are in your life right now? Being overwhelmed, discouraged and dissatisfied are often indicators that you have stepped out of alignment with your inner wisdom. That wise part of yourself is calling for your attention. I work with adults and older adolescents from a non-pathologizing perspective, meaning I don’t place much emphasis on diagnoses.
Are you feeling a sense of dissatisfaction with the way things are in your life right now? Being overwhelmed, discouraged and dissatisfied are often indicators that you have stepped out of alignment with your inner wisdom. That wise part of yourself is calling for your attention. I work with adults and older adolescents from a non-pathologizing perspective, meaning I don’t place much emphasis on diagnoses.
(425) 502-5990 View (425) 502-5990
Photo of Dan Claussen | Larch Counseling, MS, LMFT, Marriage & Family Therapist
Dan Claussen | Larch Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
4 Endorsed
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 200-0130 View (425) 200-0130
Photo of Aubrey Lane | Larch Counseling, MS, LMFT, Marriage & Family Therapist
Aubrey Lane | Larch Counseling
Marriage & Family Therapist, MS, LMFT
Verified Verified
North Bend, WA 98045
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
At Larch Counseling, we help hurting adolescents, overwhelmed parents, disconnected couples, and everyone in-between find hope that things can be different in their lives. That life can be lived without a constant feeling of frustration, pain, sadness or being misunderstood. A life that is full of connection and lacks conflict. Once this hope is realized, we work with you to achieve this healthier way of living.
(425) 382-8878 View (425) 382-8878
Photo of Stephen P Chick, MA, LMHC, Counselor
Stephen P Chick
Counselor, MA, LMHC
Verified Verified
North Bend, WA 98045
I've worked as a child, family, and adult therapist since 1999. I'm committed to helping people better understand and manage events in their lives which they find challenging. In addition to child, family, and adult therapy, I also specialize in the following areas: ADD/ADHD, enhancing parenting skills, anger management, attachment issues, mood disorders, grief issues, posttraumatic stress, self-esteem, drug/alcohol problems, self exploration, career issues, depression, anxiety, oppositional/defiant behavior, and others. I am also trained to use EMDR to help people work through traumas they have been through.
I've worked as a child, family, and adult therapist since 1999. I'm committed to helping people better understand and manage events in their lives which they find challenging. In addition to child, family, and adult therapy, I also specialize in the following areas: ADD/ADHD, enhancing parenting skills, anger management, attachment issues, mood disorders, grief issues, posttraumatic stress, self-esteem, drug/alcohol problems, self exploration, career issues, depression, anxiety, oppositional/defiant behavior, and others. I am also trained to use EMDR to help people work through traumas they have been through.
(425) 441-3072 View (425) 441-3072
Photo of Kim MacEachern, PsyD, Psychologist
Kim MacEachern
Psychologist, PsyD
Verified Verified
4 Endorsed
North Bend, WA 98045  (Online Only)
Accepting new Testing Clients only at this time. As a clinical psychologist, I offer comprehensive psychological evaluation and assessment services, including specializing in Autism, ADHD, diagnostic clarification evaluations and presurgical evaluations. You will receive evidence-based findings of your diagnosis as well as thorough recommendations and referrals as part of the evaluation process.
Accepting new Testing Clients only at this time. As a clinical psychologist, I offer comprehensive psychological evaluation and assessment services, including specializing in Autism, ADHD, diagnostic clarification evaluations and presurgical evaluations. You will receive evidence-based findings of your diagnosis as well as thorough recommendations and referrals as part of the evaluation process.
(425) 243-1245 View (425) 243-1245
Photo of Courtney Bell, MA, LMFT, CMHS, Marriage & Family Therapist
Courtney Bell
Marriage & Family Therapist, MA, LMFT, CMHS
Verified Verified
6 Endorsed
North Bend, WA 98045
Not accepting new clients
My goal is to help individuals and couples experience healthier and happier lives and relationships by providing them with a safe and accepting space to navigate and overcome the challenges they're facing. I help clients discover their strengths while empowering them to understand the "why" of negative patterns and the "how" of making changes. I strive to create a therapeutic process that is enlightening, encouraging, and empowering through educating and supporting my clients. I primarily work with clients who have experienced or are experiencing trauma, anxiety, depression, relationship distress, infidelity, and grief/loss.
My goal is to help individuals and couples experience healthier and happier lives and relationships by providing them with a safe and accepting space to navigate and overcome the challenges they're facing. I help clients discover their strengths while empowering them to understand the "why" of negative patterns and the "how" of making changes. I strive to create a therapeutic process that is enlightening, encouraging, and empowering through educating and supporting my clients. I primarily work with clients who have experienced or are experiencing trauma, anxiety, depression, relationship distress, infidelity, and grief/loss.
(425) 946-2425 View (425) 946-2425
Photo of Kristen Thorsen, LMHC, MEd, Counselor
Kristen Thorsen
Counselor, LMHC, MEd
Verified Verified
North Bend, WA 98045
Are you struggling with anxiety, depression, or are you having difficulty in your relationship? I am a firm believer that everyone can benefit from counseling at one point or another. I aim to create a safe environment, where my clients can feel heard and respected as we work together to identify your personal values and move towards a life that reflects those values. When working with couples, my goal is to help resolve painful conflicts and help you and your partner to build a rich and meaningful relationship, with increased intimacy, connection, and understanding.
Are you struggling with anxiety, depression, or are you having difficulty in your relationship? I am a firm believer that everyone can benefit from counseling at one point or another. I aim to create a safe environment, where my clients can feel heard and respected as we work together to identify your personal values and move towards a life that reflects those values. When working with couples, my goal is to help resolve painful conflicts and help you and your partner to build a rich and meaningful relationship, with increased intimacy, connection, and understanding.
(425) 906-3128 View (425) 906-3128
1

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How does your Therapist compare?

Number of Therapists in North Bend, WA

30+

Average cost per session

$165

Therapists in North Bend, WA who prioritize treating:

91% Depression
88% Anxiety
82% Relationship Issues
74% Stress
71% Coping Skills
68% Grief
68% Family Conflict

Average years in practice

13 Years

Top 3 insurances accepted

90% Premera Blue Cross
90% Regence
71% Aetna

How Therapists in North Bend, WA see their clients

83% In Person and Online
17% Online Only

Gender breakdown

84% Female
16% Male
FAQs - About Therapy and Counseling

How can I find a therapist in North Bend?

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.