Therapists in Spokane, WA

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Photo of Briane Souki, Pre-Licensed Professional
Briane Souki
Pre-Licensed Professional
Verified Verified
1 Endorsed
Spokane, WA 99202
I find great fulfillment in working with individuals and couples who are navigating life’s challenges, including traumas, struggles, and anxiety. Helping you overcome these hurdles, whether they are personal or within relationships, is a journey I am passionate about.
I find great fulfillment in working with individuals and couples who are navigating life’s challenges, including traumas, struggles, and anxiety. Helping you overcome these hurdles, whether they are personal or within relationships, is a journey I am passionate about.
(509) 721-7897 View (509) 721-7897
Photo of Meredith Le, MSW, LSWAIC, Clinical Social Work/Therapist
Meredith Le
Clinical Social Work/Therapist, MSW, LSWAIC
Verified Verified
Spokane, WA 99202
I am dedicated to supporting couples, teens, and adults through life transitions, significant changes, or relational difficulties. I specialize in assisting clients with issues related to neurodivergence (ADHD or Autism), evolving belief systems, and embracing their identity and values. In a compassionate and nonjudgmental environment, I help you navigate difficulties, express your emotions, strengthen relationships, and make decisions rooted in your core values.
I am dedicated to supporting couples, teens, and adults through life transitions, significant changes, or relational difficulties. I specialize in assisting clients with issues related to neurodivergence (ADHD or Autism), evolving belief systems, and embracing their identity and values. In a compassionate and nonjudgmental environment, I help you navigate difficulties, express your emotions, strengthen relationships, and make decisions rooted in your core values.
(509) 572-9913 View (509) 572-9913
Photo of Ellie Wadsworth, MA, LMFT, MHP, Marriage & Family Therapist
Ellie Wadsworth
Marriage & Family Therapist, MA, LMFT, MHP
Verified Verified
1 Endorsed
Spokane, WA 99201
Throughout life, the struggles we face can leave us feeling as though we are wandering through a never-ending desert without shade, water, or comfort in sight. This can lead us to feeling exhausted, alone, and hopeless. Juniper NW Counseling is about offering that moment of shade, a space to rest, heal and be restored. Whether your desert is depression, anxiety, grief, trauma, isolation in relationships, feelings of inadequacy, or parenting challenges, I work to create a non-judgmental space where you can feel safe to share about the most vulnerable parts of your desert.
Throughout life, the struggles we face can leave us feeling as though we are wandering through a never-ending desert without shade, water, or comfort in sight. This can lead us to feeling exhausted, alone, and hopeless. Juniper NW Counseling is about offering that moment of shade, a space to rest, heal and be restored. Whether your desert is depression, anxiety, grief, trauma, isolation in relationships, feelings of inadequacy, or parenting challenges, I work to create a non-judgmental space where you can feel safe to share about the most vulnerable parts of your desert.
(509) 646-2509 View (509) 646-2509
Photo of Elizabeth A Ellis - Elizabeth Ellis Counseling, LSWAIC, MSW, Clinical Social Work/Therapist
Elizabeth Ellis Counseling
Clinical Social Work/Therapist, LSWAIC, MSW
Verified Verified
Spokane, WA 99201  (Online Only)
I became a therapist because I saw the importance of sharing our stories without fear of judgment. It’s because of this understanding that I strive to create a space for you to feel safe to be your true self no matter where you are in your mental health journey. When working together, we will focus on your individual needs and goals–these could include anxiety, depression, life transitions, family conflict, or trauma just to name a few. Ultimately, I believe that we are the experts of our own lives and my goal is to provide support where I can.
I became a therapist because I saw the importance of sharing our stories without fear of judgment. It’s because of this understanding that I strive to create a space for you to feel safe to be your true self no matter where you are in your mental health journey. When working together, we will focus on your individual needs and goals–these could include anxiety, depression, life transitions, family conflict, or trauma just to name a few. Ultimately, I believe that we are the experts of our own lives and my goal is to provide support where I can.
(509) 278-1859 View (509) 278-1859
Photo of Melania Rogers, MSW, LICSW, Clinical Social Work/Therapist
Melania Rogers
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
My specialization in treating trauma, anxiety, and depression is coupled with a profound understanding of the unique challenges faced by first responders, military personnel, their families, as well as those experiencing postpartum depression, challenges in parenting, and the many transitions in motherhood. I am a firm believer that understanding the profound link between our physical, mental, and emotional well-being is crucial to unlocking our fullest potential. This is why I have established Spokane River Therapy, PLLC - to provide a secure and confidential space for you to reach your full potential.
My specialization in treating trauma, anxiety, and depression is coupled with a profound understanding of the unique challenges faced by first responders, military personnel, their families, as well as those experiencing postpartum depression, challenges in parenting, and the many transitions in motherhood. I am a firm believer that understanding the profound link between our physical, mental, and emotional well-being is crucial to unlocking our fullest potential. This is why I have established Spokane River Therapy, PLLC - to provide a secure and confidential space for you to reach your full potential.
(509) 285-0230 View (509) 285-0230
Photo of Olivia Wilson, LSWAIC, RSWCI, Clinical Social Work/Therapist
Olivia Wilson
Clinical Social Work/Therapist, LSWAIC, RSWCI
Verified Verified
Spokane, WA 99201  (Online Only)
Do you find yourself overwhelmed, disassociated, easily distracted, or caught in unkind or unproductive thoughts? Have activities you once loved lost their appeal, leaving you burnt out even when you try to engage with them? Are you experiencing challenges in your relationships, feeling exhausted, or struggling to maintain self-esteem despite your efforts? As a social worker, I specialize in providing individual therapy sessions for preteen to young adult females, offering a holistic approach to healing during the challenging adolescent and early adult years.
Do you find yourself overwhelmed, disassociated, easily distracted, or caught in unkind or unproductive thoughts? Have activities you once loved lost their appeal, leaving you burnt out even when you try to engage with them? Are you experiencing challenges in your relationships, feeling exhausted, or struggling to maintain self-esteem despite your efforts? As a social worker, I specialize in providing individual therapy sessions for preteen to young adult females, offering a holistic approach to healing during the challenging adolescent and early adult years.
(509) 722-8989 View (509) 722-8989
Photo of Katharine Dickinson, LICSW, CMHS, Clinical Social Work/Therapist
Katharine Dickinson
Clinical Social Work/Therapist, LICSW, CMHS
Verified Verified
Spokane, WA 99217  (Online Only)
As you transition from childhood to adulthood it can feel incredibly overwhelming. Navigating school, anxiety, family relationships, friendships, trauma, and all the other stressors that life throws at you can feel impossible to take on alone. Adding in the stressors that can come with finding your true identity or navigating difficulties with attention can make it even harder. Maybe you're a teen trying to navigate the social stressors that come with this stage of life, or a young adult trying to make your way in the world.
As you transition from childhood to adulthood it can feel incredibly overwhelming. Navigating school, anxiety, family relationships, friendships, trauma, and all the other stressors that life throws at you can feel impossible to take on alone. Adding in the stressors that can come with finding your true identity or navigating difficulties with attention can make it even harder. Maybe you're a teen trying to navigate the social stressors that come with this stage of life, or a young adult trying to make your way in the world.
(509) 800-7121 View (509) 800-7121
Photo of Shanna Porter, LICSW, Clinical Social Work/Therapist
Shanna Porter
Clinical Social Work/Therapist, LICSW
Verified Verified
3 Endorsed
Spokane, WA 99202
You deserve time to focus on and explore your needs, to explore your full self, to process challenges that you've experienced, and to be heard and acknowledged for what you've seen in this life. I enjoy working on topics such as life balance, self care, relationships, boundaries, vicarious trauma, and foster/adoptive parenting. There is intrinsic healing when we enter into relationship, and that's what counseling is all about. Counseling is an opportunity to have someone by your side as you navigate the current season of your life. It's about helping you unlock more of the potential that's already inside.
You deserve time to focus on and explore your needs, to explore your full self, to process challenges that you've experienced, and to be heard and acknowledged for what you've seen in this life. I enjoy working on topics such as life balance, self care, relationships, boundaries, vicarious trauma, and foster/adoptive parenting. There is intrinsic healing when we enter into relationship, and that's what counseling is all about. Counseling is an opportunity to have someone by your side as you navigate the current season of your life. It's about helping you unlock more of the potential that's already inside.
(509) 652-2591 View (509) 652-2591
Photo of Adam Finley - Adam Finley, FCS Interventions, LLC, LICSWA, MSW, CIP, AIS, Pre-Licensed Professional
Adam Finley, FCS Interventions, LLC
Pre-Licensed Professional, LICSWA, MSW, CIP, AIS
Verified Verified
Spokane, WA 99207
We specialize in guiding families struggling with addiction recover. Families turn to us when they have run out of ideas to help a family member struggling with addiction and/or alcoholism. My own personal and professional experience has led me to what I am most passionate about. I work with families from the pre-intervention and treatment planning to ongoing family case management. Families become empowered to create healthy changes in themselves. This behavior supports the identified loved one with an opportunity to get help.
We specialize in guiding families struggling with addiction recover. Families turn to us when they have run out of ideas to help a family member struggling with addiction and/or alcoholism. My own personal and professional experience has led me to what I am most passionate about. I work with families from the pre-intervention and treatment planning to ongoing family case management. Families become empowered to create healthy changes in themselves. This behavior supports the identified loved one with an opportunity to get help.
(509) 316-2584 View (509) 316-2584
Photo of Javen Taaffe, LMHC, Counselor
Javen Taaffe
Counselor, LMHC
Verified Verified
Spokane, WA 99201  (Online Only)
My ideal client would be a teen or adult who may be struggling in life and ready to make a change. Whether that be with substance abuse or other addictions, stress and trauma, divorce, or gaining the self-confidence it takes to finally tackle the obstacles in front of them. I am very passionate about serving those in the LGBTQ+ community, as well as those who are involved in systems (i.e. foster care, corrections, disability). As a Marine Corps veteran, I take pride in providing services to those who served our country in the military or other civil service jobs.
My ideal client would be a teen or adult who may be struggling in life and ready to make a change. Whether that be with substance abuse or other addictions, stress and trauma, divorce, or gaining the self-confidence it takes to finally tackle the obstacles in front of them. I am very passionate about serving those in the LGBTQ+ community, as well as those who are involved in systems (i.e. foster care, corrections, disability). As a Marine Corps veteran, I take pride in providing services to those who served our country in the military or other civil service jobs.
(253) 904-3790 View (253) 904-3790
Photo of Emerald 'fitz' Fitzpatrick, LMHCA , Counselor
Emerald 'fitz' Fitzpatrick
Counselor, LMHCA
Verified Verified
Spokane, WA 99201  (Online Only)
Whether it's starting college, coming to terms with a new disability, coming out, changing careers etc. major life transitions can be a time of incredible stress and pain as well as profound growth. It can feel impossible to make time to process the barrage of thoughts and feelings swirling around your head (and where do you even start?). You need someone to not just listen but to help you untangle the mess. Someone who can help you understand both internal and systemic barriers to wellness. Immediate availability for 1:1 Therapy! Availability: Weekly Monday, Tuesday, Thursday afternoon and evening
Whether it's starting college, coming to terms with a new disability, coming out, changing careers etc. major life transitions can be a time of incredible stress and pain as well as profound growth. It can feel impossible to make time to process the barrage of thoughts and feelings swirling around your head (and where do you even start?). You need someone to not just listen but to help you untangle the mess. Someone who can help you understand both internal and systemic barriers to wellness. Immediate availability for 1:1 Therapy! Availability: Weekly Monday, Tuesday, Thursday afternoon and evening
(509) 300-4864 View (509) 300-4864
Photo of Kelley Knowles - Charlow, PhD, ATR-BC, Marriage & Family Therapist
Kelley Knowles - Charlow
Marriage & Family Therapist, PhD, ATR-BC
Verified Verified
Spokane, WA 99201  (Online Only)
Hi, I am a licensed provider working with Mindful Therapy Group in Washington and Florida . I also supervise art therapy interns now Therapy can be repetitive, and one-sided but with me you CAN achieve solutions - Dr. Kay. Although traditional therapy is effective - it also often yields temporary results. I realize that your time and money is valuable, so our sessions are structured very different than traditional therapies. I believe that everyone deserves to live a harmonious, balanced life full of joy. To reach any goal I KNOW you have to be consistent, intense and purposeful.
Hi, I am a licensed provider working with Mindful Therapy Group in Washington and Florida . I also supervise art therapy interns now Therapy can be repetitive, and one-sided but with me you CAN achieve solutions - Dr. Kay. Although traditional therapy is effective - it also often yields temporary results. I realize that your time and money is valuable, so our sessions are structured very different than traditional therapies. I believe that everyone deserves to live a harmonious, balanced life full of joy. To reach any goal I KNOW you have to be consistent, intense and purposeful.
(754) 227-3702 View (754) 227-3702
Photo of Katie Kimmel Wilson, MA, LCPC, LMHC, Counselor
Katie Kimmel Wilson
Counselor, MA, LCPC, LMHC
Verified Verified
Spokane, WA 99201
Evening appointments available. You need a knowledgable and experienced therapist with a fun personality and a caring approach. I specialize in grief, loss, and trauma. I tailor my sessions based on clients individual needs. I am certified in DBT and CBT and I have been practicing EMDR for a number of years. I also take clients who are experiencing depression ond/or anxiety or who are experiencing major life challenges and/or changes. I believe in strength based treatment with an emphasis on personal growth. I deliver kind, compassionate, and direct treatment. The client/clinician relationship is extremely important to me.
Evening appointments available. You need a knowledgable and experienced therapist with a fun personality and a caring approach. I specialize in grief, loss, and trauma. I tailor my sessions based on clients individual needs. I am certified in DBT and CBT and I have been practicing EMDR for a number of years. I also take clients who are experiencing depression ond/or anxiety or who are experiencing major life challenges and/or changes. I believe in strength based treatment with an emphasis on personal growth. I deliver kind, compassionate, and direct treatment. The client/clinician relationship is extremely important to me.
(509) 356-0437 View (509) 356-0437
Photo of Lisa D Olson, MS, LMHC, Counselor
Lisa D Olson
Counselor, MS, LMHC
Verified Verified
1 Endorsed
Spokane, WA 99202
Waitlist for new clients
As a seasoned therapist and owner of Compassionate Care Counseling, PLLC, I am deeply committed to providing each and every client with a specialized experience that honors their whole person. This includes their lived experiences, the intertwined systems which impact their lives, their core values, their belief systems and their intersecting identities.
As a seasoned therapist and owner of Compassionate Care Counseling, PLLC, I am deeply committed to providing each and every client with a specialized experience that honors their whole person. This includes their lived experiences, the intertwined systems which impact their lives, their core values, their belief systems and their intersecting identities.
(509) 517-6797 View (509) 517-6797
Photo of Nathan Ainley, LMHC, CMHS, Counselor
Nathan Ainley
Counselor, LMHC, CMHS
Verified Verified
1 Endorsed
Spokane, WA 99208
Reaching out for help when you're struggling is one of the bravest things you can do, and the first step in finding true healing. Life is full of surprises which can sometimes seem impossible to overcome. However, with proper guidance and some hard work, the road ahead can look much brighter. I offer a nonjudgmental space where you can feel safe and comfortable sharing your story. I would be honored to partner with you to help you reach your goals through an individualized treatment plan and growth process. My goals are always to help you believe in yourself and move toward becoming the best version of yourself.
Reaching out for help when you're struggling is one of the bravest things you can do, and the first step in finding true healing. Life is full of surprises which can sometimes seem impossible to overcome. However, with proper guidance and some hard work, the road ahead can look much brighter. I offer a nonjudgmental space where you can feel safe and comfortable sharing your story. I would be honored to partner with you to help you reach your goals through an individualized treatment plan and growth process. My goals are always to help you believe in yourself and move toward becoming the best version of yourself.
(509) 316-2638 View (509) 316-2638
Photo of Gina Romero - Wandering Pine Wellness, LICSW, LCSW, Clinical Social Work/Therapist
Wandering Pine Wellness
Clinical Social Work/Therapist, LICSW, LCSW
Verified Verified
4 Endorsed
Spokane, WA 99201
You’re in a new chapter of life, one that’s both beautiful and overwhelming. The emotional ups and downs, the exhaustion, and the constant pressure to be the perfect parent are taking a toll on you. You’re struggling to find joy in moments that should be filled with happiness. You feel isolated, despite being surrounded by others. These feelings are affecting your relationships and your ability to bond with your baby. You don’t feel like yourself, and you’ve decided it’s time to make a change.
You’re in a new chapter of life, one that’s both beautiful and overwhelming. The emotional ups and downs, the exhaustion, and the constant pressure to be the perfect parent are taking a toll on you. You’re struggling to find joy in moments that should be filled with happiness. You feel isolated, despite being surrounded by others. These feelings are affecting your relationships and your ability to bond with your baby. You don’t feel like yourself, and you’ve decided it’s time to make a change.
(509) 561-0581 View (509) 561-0581
Photo of Alexandra Miller, LSWAIC, LMSW, LSW, Clinical Social Work/Therapist
Alexandra Miller
Clinical Social Work/Therapist, LSWAIC, LMSW, LSW
Verified Verified
Spokane, WA 99201  (Online Only)
I seek to help individuals to manage relationship issues, anxiety, depression, and neurodivergent issues. I enjoy teaching social skills, conflict resolution, and coping strategies.
I seek to help individuals to manage relationship issues, anxiety, depression, and neurodivergent issues. I enjoy teaching social skills, conflict resolution, and coping strategies.
(509) 287-4304 View (509) 287-4304
Photo of Michael Ray Bray, MC, 61185, 977, Counselor
Michael Ray Bray
Counselor, MC, 61185, 977
Verified Verified
Spokane, WA 99201
My therapeutic approach centers on honoring each client's autonomy and providing unwavering respect. I offer steadfast support as clients pursue personal growth. Employing evidence-based practices within a person-centered framework, I foster a collaborative alliance. Together, we explore emotions, develop coping strategies, and set achievable goals. I uphold confidentiality, empathy, and cultural sensitivity, aiming to empower clients toward fulfilling lives.
My therapeutic approach centers on honoring each client's autonomy and providing unwavering respect. I offer steadfast support as clients pursue personal growth. Employing evidence-based practices within a person-centered framework, I foster a collaborative alliance. Together, we explore emotions, develop coping strategies, and set achievable goals. I uphold confidentiality, empathy, and cultural sensitivity, aiming to empower clients toward fulfilling lives.
(509) 635-3008 View (509) 635-3008
Photo of Joseph D Endres, LCSWA, MSP, MSW, Clinical Social Work/Therapist
Joseph D Endres
Clinical Social Work/Therapist, LCSWA, MSP, MSW
Verified Verified
1 Endorsed
Spokane, WA 99201  (Online Only)
My ideal client is someone who desires to figure out how to be more comfortable in their own skin. By this, I mean, a person who feels that something is "off" in their mental and or emotional life and would like help exploring this in a non-judgmental, safe space. I believe we are called to peace and joy and yet so many of us struggle with fear, sorrow, regret, anger, anxiety, depression, trauma.
My ideal client is someone who desires to figure out how to be more comfortable in their own skin. By this, I mean, a person who feels that something is "off" in their mental and or emotional life and would like help exploring this in a non-judgmental, safe space. I believe we are called to peace and joy and yet so many of us struggle with fear, sorrow, regret, anger, anxiety, depression, trauma.
(360) 505-4574 View (360) 505-4574
Photo of Alita Crosby, MA, LMFT, Marriage & Family Therapist
Alita Crosby
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Spokane, WA 99208
If you have a desire to make changes, but aren't sure where to start or don’t feel like you can do it alone, therapy can help! Stressors like communication issues or strife with your partner or family, anxiety or conflict at work or church, and past abuse or other traumatic experiences can all weaken the body's ability to be as effective through life. Having an intentional time each week to focus on yourself and your connections and stressors is what therapy can offer. It's a time to pause, reflect, and dive deeper into what's weighing you down and shore up what matters most to you.
If you have a desire to make changes, but aren't sure where to start or don’t feel like you can do it alone, therapy can help! Stressors like communication issues or strife with your partner or family, anxiety or conflict at work or church, and past abuse or other traumatic experiences can all weaken the body's ability to be as effective through life. Having an intentional time each week to focus on yourself and your connections and stressors is what therapy can offer. It's a time to pause, reflect, and dive deeper into what's weighing you down and shore up what matters most to you.
(509) 402-1945 View (509) 402-1945
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How does your Therapist compare?

Number of Therapists in Spokane, WA

1,000+

Average cost per session

$140

Therapists in Spokane, WA who prioritize treating:

92% Anxiety
87% Depression
75% Self Esteem
73% Trauma and PTSD
72% Relationship Issues
71% Stress
69% Coping Skills

Average years in practice

7 Years

Top 3 insurances accepted

76% Aetna
71% Premera Blue Cross
64% 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

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.