Therapists in Spokane, WA
![Photo of Carrie Killinger, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/51344a1a-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Carrie Killinger
Marriage & Family Therapist, MA, LMFT
Verified Verified
Spokane, WA 99218
Waitlist for new clients
Thank you for considering me as a safe and trusted person to walk alongside you in your journey. I am here for you, to create a judgment free space for personal exploration and growth. Working together we can build strength to face painful truths that are hurting you and your relationship. We can work to give you freedom to see yourself and find the happiness you deserve.
Thank you for considering me as a safe and trusted person to walk alongside you in your journey. I am here for you, to create a judgment free space for personal exploration and growth. Working together we can build strength to face painful truths that are hurting you and your relationship. We can work to give you freedom to see yourself and find the happiness you deserve.
![Photo of Michelle Estelle, PhD, MDiv, Psychologist](https://photos.psychologytoday.com/40409c17-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
I’m glad to see that you are considering reaching out for support and guidance at this time in your life. Learn more about me and our practice by visiting mycornerstonespokane.com. We look forward to serving you.
I’m glad to see that you are considering reaching out for support and guidance at this time in your life. Learn more about me and our practice by visiting mycornerstonespokane.com. We look forward to serving you.
![Photo of Carrie Delehanty, Pre-Licensed Professional](https://photos.psychologytoday.com/fc08e879-caf6-41e3-b820-7d1da10ac661/2/320x400.jpeg)
I believe every individual has the capacity for growth and change. My role as a therapist is to provide supportive, safe, and non-judgmental space where you can explore your thoughts, feelings, and connections to gain new insights and develop strategies to achieve your goals. Whether you are facing specific challenges or seeking to improve your overall well-being, I am here to walk alongside you on your journey, bringing hope, understanding, and compassion.
I believe every individual has the capacity for growth and change. My role as a therapist is to provide supportive, safe, and non-judgmental space where you can explore your thoughts, feelings, and connections to gain new insights and develop strategies to achieve your goals. Whether you are facing specific challenges or seeking to improve your overall well-being, I am here to walk alongside you on your journey, bringing hope, understanding, and compassion.
![Photo of Malory Lund, MS, LMHCA, LPC, NCC, Counselor](https://photos.psychologytoday.com/1a611191-14d4-434c-9af6-bc8d7ec2d63d/3/320x400.jpeg)
Do you feel there are aspects of your sexuality or sexual self that have been unexplored, overlooked or neglected? Perhaps you're grappling with dissatisfaction and frustration in your current relationship? Maybe you're struggling to recover from infidelity or even contemplating divorce? Although we are inundated with cultural messaging about sex and relationships, most of us were not given the tools that allow us to connect to our partners or granted the space or permission to freely explore the depths of our sexual selves. Let's change that. You deserve fulfilling relationships and an authentic intimate life.
Do you feel there are aspects of your sexuality or sexual self that have been unexplored, overlooked or neglected? Perhaps you're grappling with dissatisfaction and frustration in your current relationship? Maybe you're struggling to recover from infidelity or even contemplating divorce? Although we are inundated with cultural messaging about sex and relationships, most of us were not given the tools that allow us to connect to our partners or granted the space or permission to freely explore the depths of our sexual selves. Let's change that. You deserve fulfilling relationships and an authentic intimate life.
![Photo of Katelynn Harmon, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/282ea893-95f6-4d68-a776-5fb25ed640bd/1/320x400.jpeg)
I believe everyone strives to be happy and healthy, but for some that finish line is harder to get to. Whether acknowledged or not, our society tends to marginalize individuals who identify in minority populations. In addition to the normal struggles we face as humans, life can be that much more difficult for those who are disadvantaged whether by race, ethnicity, sexual orientation, gender identity, or ability to name a few. While I cannot change the course of society, I can help you identify how it's shaped you, how to find coping skills that support you, and how to find new insight and strategies to whether the storms.
I believe everyone strives to be happy and healthy, but for some that finish line is harder to get to. Whether acknowledged or not, our society tends to marginalize individuals who identify in minority populations. In addition to the normal struggles we face as humans, life can be that much more difficult for those who are disadvantaged whether by race, ethnicity, sexual orientation, gender identity, or ability to name a few. While I cannot change the course of society, I can help you identify how it's shaped you, how to find coping skills that support you, and how to find new insight and strategies to whether the storms.
![Photo of Bill Frye, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/54a4dee1-4eca-41cc-a546-0a06cbfa3cc9/5/320x400.jpeg)
Are you frustrated and feeling hopeless in your relationships? Do you argue with your partner without solving or even understanding what the problem really is? I specialize in working with couples who are struggling to connect. If you are desperate for communication and building trust, counseling can make a big difference. Whether you are looking for an individual, couples, or a family therapist I can be helpful as you discover new answers to the frustrations that have become exhausting. Let me help you focus your energy on actually solving problems, being understood, and feeling peace in your life.
Are you frustrated and feeling hopeless in your relationships? Do you argue with your partner without solving or even understanding what the problem really is? I specialize in working with couples who are struggling to connect. If you are desperate for communication and building trust, counseling can make a big difference. Whether you are looking for an individual, couples, or a family therapist I can be helpful as you discover new answers to the frustrations that have become exhausting. Let me help you focus your energy on actually solving problems, being understood, and feeling peace in your life.
![Photo of Cristen Seiders, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/307fc5d3-a4bf-4ce7-b28a-e2a40bfa153e/2/320x400.jpeg)
Cristen Seiders
Clinical Social Work/Therapist, LICSW
Verified Verified
Spokane, WA 99201 (Online Only)
Have you had difficulties connecting with a therapist before? It can feel overwhelming starting your therapy journey, and I am here to help you heal as you are ready. I have experience working as a trauma therapist and a clinical supervisor, and my focus area includes working with those affected by PTSD, human trafficking, sexual abuse, physical abuse, and emotional abuse. I have practiced through counseling centers, a human trafficking safe house, and human trafficking task force. I also provide services to children and adolescents experiencing behavioral struggles, school issues, self-harm/suicidal ideation, and other concerns.
Have you had difficulties connecting with a therapist before? It can feel overwhelming starting your therapy journey, and I am here to help you heal as you are ready. I have experience working as a trauma therapist and a clinical supervisor, and my focus area includes working with those affected by PTSD, human trafficking, sexual abuse, physical abuse, and emotional abuse. I have practiced through counseling centers, a human trafficking safe house, and human trafficking task force. I also provide services to children and adolescents experiencing behavioral struggles, school issues, self-harm/suicidal ideation, and other concerns.
![Photo of Victoria M Lente - Osiligi counseling services PLLC, MSW, LSWAIC, MHP, Clinical Social Work/Therapist](https://photos.psychologytoday.com/683882e3-1bae-45d9-a6b2-57329e182667/2/320x400.jpeg)
Osiligi counseling services PLLC
Clinical Social Work/Therapist, MSW, LSWAIC, MHP
Verified Verified
Spokane, WA 99201
I am a compassionate and mindful Clinical Social Worker and Therapist with a passion for working with diverse ages, racial, ethnic, and cultural, groups. Champion for mental health matters and a community advocate. My therapy concept is based on holistic well-being and addresses all aspects of an individual’s life.
I am a compassionate and mindful Clinical Social Worker and Therapist with a passion for working with diverse ages, racial, ethnic, and cultural, groups. Champion for mental health matters and a community advocate. My therapy concept is based on holistic well-being and addresses all aspects of an individual’s life.
![Photo of Jessica Valdez, LSWAIC, Pre-Licensed Professional](https://photos.psychologytoday.com/e809e87e-7f4a-4a6d-8bde-ace2f59374ba/1/320x400.jpeg)
When our mind, body, and soul are aligned, we experience balance, which has a positive impact on our emotional and psychological well-being. I will support you in navigating thoughts and feelings that have harmed your personal life. My goal is to guide you in reaching your fullest potential and discovering the best version of yourself. Utilizing mindful techniques, I will assist you in shifting your thoughts from the past and future, and into the present moment. Working together, you will learn how to experience life in the here and now, and you will begin taking control of what matters the most, your life.
When our mind, body, and soul are aligned, we experience balance, which has a positive impact on our emotional and psychological well-being. I will support you in navigating thoughts and feelings that have harmed your personal life. My goal is to guide you in reaching your fullest potential and discovering the best version of yourself. Utilizing mindful techniques, I will assist you in shifting your thoughts from the past and future, and into the present moment. Working together, you will learn how to experience life in the here and now, and you will begin taking control of what matters the most, your life.
![Photo of Kerry Hill, MA, LMHC, Counselor](https://photos.psychologytoday.com/d5ad8ee4-bcf5-41e4-a4d3-81e06d96d2f6/1/320x400.jpeg)
Sometimes life does not go in the direction you may have hoped, and you may face suffering, feeling broken, and other challenging circumstances, without always knowing how to handle them. Whether you're dealing with a difficult relationship, trauma, anxiety, grief & loss or spiritually feeling there are obstacles in the way, I will come alongside you to help you get to where you want to be.
Sometimes life does not go in the direction you may have hoped, and you may face suffering, feeling broken, and other challenging circumstances, without always knowing how to handle them. Whether you're dealing with a difficult relationship, trauma, anxiety, grief & loss or spiritually feeling there are obstacles in the way, I will come alongside you to help you get to where you want to be.
![Photo of Lindsey Smith, LMHCA, Counselor](https://photos.psychologytoday.com/674a7a58-bc0f-4fb3-9443-d8523c2638d7/2/320x400.jpeg)
Feeling ensnared, exhausted from the relentless struggle to push forward, especially amid the unique challenges posed by ADHD, Autism, Trauma, or Anxiety? Does the burden of navigating a seemingly unsupportive world bear heavily on your mental well-being? Do you frequently find yourself grappling with the sense that life is unfolding beyond your control, rendering meaningful change seemingly unattainable? Are you in search of a compassionate companion to guide you through these obstacles, helping you carve a path toward a life marked by equilibrium, resilience, and genuine joy? If so, you don't have to manage alone!
Feeling ensnared, exhausted from the relentless struggle to push forward, especially amid the unique challenges posed by ADHD, Autism, Trauma, or Anxiety? Does the burden of navigating a seemingly unsupportive world bear heavily on your mental well-being? Do you frequently find yourself grappling with the sense that life is unfolding beyond your control, rendering meaningful change seemingly unattainable? Are you in search of a compassionate companion to guide you through these obstacles, helping you carve a path toward a life marked by equilibrium, resilience, and genuine joy? If so, you don't have to manage alone!
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![Photo of Victoria Carding, LICSW, MSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/9ef30fe8-c410-4b24-815a-2b6cfededb24/3/320x400.jpeg)
Hello! I am so glad that you are here. Let's start the process of change together. Side-by-side we will do detective work to find out what is keeping you stuck and find ways to help support you to living with more satisfaction. My approach is one of authenticity, curiosity, openness, and even adding a little humor. The kind of clients that I like to help are those who are ready to explore a different path. I am particularly passionate about women issues, whether that is around pregnancy, child raising, or relationships. I also like finding ways to work through anxiety, depression, grief and loss with people.
Hello! I am so glad that you are here. Let's start the process of change together. Side-by-side we will do detective work to find out what is keeping you stuck and find ways to help support you to living with more satisfaction. My approach is one of authenticity, curiosity, openness, and even adding a little humor. The kind of clients that I like to help are those who are ready to explore a different path. I am particularly passionate about women issues, whether that is around pregnancy, child raising, or relationships. I also like finding ways to work through anxiety, depression, grief and loss with people.
![Photo of Jacque Berkeihiser, LMHC, Counselor](https://photos.psychologytoday.com/b35925a5-1455-43ef-839e-26690108f07b/3/320x400.jpeg)
When first beginning treatment, I focus on building trust and relationship. It is important to me that you feel comfortable and we will move at your pace. I am relaxed in my practice and my aim is for this to be a time that is helpful for you. I incorporate many different treatment modalities depending on the individual need of the client. I specialize in treatment of anxiety disorders, including Obsessive Compulsive Disorder; behavior disorders, depression, and ADHD.
When first beginning treatment, I focus on building trust and relationship. It is important to me that you feel comfortable and we will move at your pace. I am relaxed in my practice and my aim is for this to be a time that is helpful for you. I incorporate many different treatment modalities depending on the individual need of the client. I specialize in treatment of anxiety disorders, including Obsessive Compulsive Disorder; behavior disorders, depression, and ADHD.
![Photo of Jillian Jessup, LMHCA, Counselor](https://photos.psychologytoday.com/c8965683-97db-4dd8-be6d-3c0362d8bf0f/3/320x400.jpeg)
Welcome! I'm dedicated to fostering a compassionate, authentic, & supportive environment for individuals seeking healing and personal growth. Life's journey can present challenges that feel overwhelming, but I firmly believe that with support, we can navigate these obstacles & emerge stronger. With over 12 years of experience spanning across children, adolescents, and adults, my approach is tailored to meet each client's unique needs and goals. While specializing in anxiety & depressive disorders, I also have extensive experience supporting clients through various challenges, including relationship difficulties, & life transitions.
Welcome! I'm dedicated to fostering a compassionate, authentic, & supportive environment for individuals seeking healing and personal growth. Life's journey can present challenges that feel overwhelming, but I firmly believe that with support, we can navigate these obstacles & emerge stronger. With over 12 years of experience spanning across children, adolescents, and adults, my approach is tailored to meet each client's unique needs and goals. While specializing in anxiety & depressive disorders, I also have extensive experience supporting clients through various challenges, including relationship difficulties, & life transitions.
![Photo of Max Manix, LMHC, NCC, MA, Counselor](https://photos.psychologytoday.com/8f8deca1-d283-4d3f-b4ce-3cf30ec8c8fc/1/320x400.jpeg)
I am passionate about Sports Performance Therapy and have training and experience to implement sports psychology skills and techniques with athletes of all ages and levels in order to effectively identify, address, and resolve their struggles with performance and overall mental health issues. Using motivators such as meaning and purpose, my goal is for clients to feel and perform at their best – not just in their given sport, but also in their relationships and life concerns. I guide clients on relaxation techniques, positive self-talk, and their discovery of tools to cope with the pressures of competition, relationships, and life.
I am passionate about Sports Performance Therapy and have training and experience to implement sports psychology skills and techniques with athletes of all ages and levels in order to effectively identify, address, and resolve their struggles with performance and overall mental health issues. Using motivators such as meaning and purpose, my goal is for clients to feel and perform at their best – not just in their given sport, but also in their relationships and life concerns. I guide clients on relaxation techniques, positive self-talk, and their discovery of tools to cope with the pressures of competition, relationships, and life.
![Photo of Jen Adams, LMHC, CFMHE, MHP, Counselor](https://photos.psychologytoday.com/16ba784e-a5a8-4f18-b8fb-3922cee347d6/1/320x400.jpeg)
My mission is to help clients realign and improve their mental, emotional, and physical health by choosing healthy change. With a mix of practical skills and a sense of humor, I help clients explore current concerns while considering past difficulties and negative patterns. I believe the client has the power to change their thoughts and behaviors. My counseling techniques serve to support and guide those changes.
My mission is to help clients realign and improve their mental, emotional, and physical health by choosing healthy change. With a mix of practical skills and a sense of humor, I help clients explore current concerns while considering past difficulties and negative patterns. I believe the client has the power to change their thoughts and behaviors. My counseling techniques serve to support and guide those changes.
![Photo of Kelsey Johnson, LMHCA, NCC, Pre-Licensed Professional](https://photos.psychologytoday.com/e5f0749f-7304-4f44-8198-5896d1edb716/1/320x400.jpeg)
I enjoy working with individual adults and teens through a systemic and relational lens. I work with adults to build and strengthen a deeper sense of self by exploring who we are in our relationship with self and others. I am interested in working with couples to build more closeness and safety through an emotionally focused approach to help strengthen the bond and consequently felt security and intimacy in that relationship. I also offer walk & talk, as well as other movement based therapies to help incorporate our bodies in the healing process.
I enjoy working with individual adults and teens through a systemic and relational lens. I work with adults to build and strengthen a deeper sense of self by exploring who we are in our relationship with self and others. I am interested in working with couples to build more closeness and safety through an emotionally focused approach to help strengthen the bond and consequently felt security and intimacy in that relationship. I also offer walk & talk, as well as other movement based therapies to help incorporate our bodies in the healing process.
![Photo of Kathrane M Ignacio - Ignacio Counseling, LLC, MS, LMHC, Counselor](https://photos.psychologytoday.com/14d75f26-b51e-4609-a5f9-4d1a36b13738/2/320x400.jpeg)
Everyone needs a safe place to express their thoughts, feelings, hopes and fears. Sometimes that means seeking out a professional. Someone who can listen, support, and assist in helping to overcome obstacles or reduce emotional pain. This is my ultimate goal for everyone with whom I work. I have been working in the field of counseling for 18 years and have experience working with a wide variety of individuals. Some need help adjusting to a life change. Others have experienced significant trauma or struggle with suicidal thoughts. Mostly, I am here to meet you where you are at and to help you reach your goals.
Everyone needs a safe place to express their thoughts, feelings, hopes and fears. Sometimes that means seeking out a professional. Someone who can listen, support, and assist in helping to overcome obstacles or reduce emotional pain. This is my ultimate goal for everyone with whom I work. I have been working in the field of counseling for 18 years and have experience working with a wide variety of individuals. Some need help adjusting to a life change. Others have experienced significant trauma or struggle with suicidal thoughts. Mostly, I am here to meet you where you are at and to help you reach your goals.
![Photo of Ray William Smith, EdD, DMin, Counselor](https://photos.psychologytoday.com/4eb01ebe-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Do You Want the Pain to Stop? From time to time, life gives us difficult issues. Having someone who will listen, and who has the ability to offer useful guidance, can be helpful. We work together to end your turmoil and pain in as brief amount of time as possible. Gaining new insights and skills can help resolve tough issues, even long-standing ones.
- Please Share Your Story With Me -
The issues in our lives that cause us emotional pain or that we struggle with fall into some general categories.
Do You Want the Pain to Stop? From time to time, life gives us difficult issues. Having someone who will listen, and who has the ability to offer useful guidance, can be helpful. We work together to end your turmoil and pain in as brief amount of time as possible. Gaining new insights and skills can help resolve tough issues, even long-standing ones.
- Please Share Your Story With Me -
The issues in our lives that cause us emotional pain or that we struggle with fall into some general categories.
![Photo of Nichole Nolan, MSW, MHP, LIACSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/4ccd390c-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
I enjoy helping individuals work through their issues by processing their trauma. When a person resolves their trauma the rest of their issues in life usually go away. I believe in a strong collaborative relationship with my client. You are in charge of your recovery. My hope is for you to be able to look at your past and present in order to help you identify how they have both helped you and gotten in the way of you being able to achieve your goals in relationships and in life. Connecting the dots from your past experiences to what is currently going on in your life is a strong motivator for change
I enjoy helping individuals work through their issues by processing their trauma. When a person resolves their trauma the rest of their issues in life usually go away. I believe in a strong collaborative relationship with my client. You are in charge of your recovery. My hope is for you to be able to look at your past and present in order to help you identify how they have both helped you and gotten in the way of you being able to achieve your goals in relationships and in life. Connecting the dots from your past experiences to what is currently going on in your life is a strong motivator for change
See more therapy options for Spokane
How does your Therapist compare?
Number of Therapists in Spokane, WA
1,000+
Average cost per session
$139
Therapists in Spokane, WA who prioritize treating:
92% | Anxiety |
86% | Depression |
75% | Self Esteem |
74% | Trauma and PTSD |
73% | Relationship Issues |
72% | Stress |
70% | Coping Skills |
Average years in practice
7 Years
Top 3 insurances accepted
75% | Aetna |
71% | Premera Blue Cross |
61% | Regence |
How Therapists in Spokane, WA see their clients
51% | In Person and Online | |
49% | Online Only |
Gender breakdown
78% | Female | |
20% | Male | |
2% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Spokane?
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
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.
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.
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.