Therapists in Portland, OR

View neighborhoods in Portland
Photo of Tiffany Kettermann, Counselor
Tiffany Kettermann
Counselor
Verified Verified
Portland, OR 97214
Are you struggling to understand a relationship that may be abusive, trying to heal from trauma, or need support with gender, identity, or LGBTQ2SIA+ issues? Health Allies specializes in healing from narcissistic abuse, domestic violence, PTSD, and trauma. We also have many therapist who specialize and identify with the LGBTQ2SIA+ community. If you have struggled with any of the above, we can help you sort out your goals for healing and help you get to a better place.
Are you struggling to understand a relationship that may be abusive, trying to heal from trauma, or need support with gender, identity, or LGBTQ2SIA+ issues? Health Allies specializes in healing from narcissistic abuse, domestic violence, PTSD, and trauma. We also have many therapist who specialize and identify with the LGBTQ2SIA+ community. If you have struggled with any of the above, we can help you sort out your goals for healing and help you get to a better place.
(503) 831-9909 View (503) 831-9909
Photo of Lorri Asder - Rose City Health & Wellness, LPC, Licensed Professional Counselor
Rose City Health & Wellness
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Portland, OR 97212
Not accepting new clients
I am closed for new clients. Often times when we experience distressing events, trauma or abuse in our relationships (growing up and in adulthood) we can begin to feel isolated and misunderstood. Reactions to 'day in the life' events can feel overwhelming and even debilitating. I believe individuals have the potential to change and ultimately are striving toward emotional, mental, physical and social satisfaction. I can support and guide you safely in achieving your goals by examining the connection between your behaviors, thoughts, body sensations and feelings, moving toward a more flexible, less rigid state of mental health.
I am closed for new clients. Often times when we experience distressing events, trauma or abuse in our relationships (growing up and in adulthood) we can begin to feel isolated and misunderstood. Reactions to 'day in the life' events can feel overwhelming and even debilitating. I believe individuals have the potential to change and ultimately are striving toward emotional, mental, physical and social satisfaction. I can support and guide you safely in achieving your goals by examining the connection between your behaviors, thoughts, body sensations and feelings, moving toward a more flexible, less rigid state of mental health.
(503) 782-0448 x102 View (503) 782-0448 x102
Photo of Kyan Osher - Counseling with Kyan, MA, LPC, Licensed Professional Counselor
Counseling with Kyan
Licensed Professional Counselor, MA, LPC
Verified Verified
Portland, OR 97239  (Online Only)
It’s true, life can be painful and even very unfair. Your relationships might be struggling, your daily demands may seem overwhelming, your work may feel far more stressful than engaging, and you may be down on yourself. You may have any number of emotions including anxiety, anger, guilt, pessimism, boredom, regret, sadness, shame, and loneliness. Therapy can help you cope with difficult emotions and provide you with tools to improve your relationship with yourself and with others. My goal is to help you accept your whole being so that your best self can foster positive relationships and create a life of joy and purpose.
It’s true, life can be painful and even very unfair. Your relationships might be struggling, your daily demands may seem overwhelming, your work may feel far more stressful than engaging, and you may be down on yourself. You may have any number of emotions including anxiety, anger, guilt, pessimism, boredom, regret, sadness, shame, and loneliness. Therapy can help you cope with difficult emotions and provide you with tools to improve your relationship with yourself and with others. My goal is to help you accept your whole being so that your best self can foster positive relationships and create a life of joy and purpose.
(503) 210-9549 View (503) 210-9549
Photo of Dréa L Tyler, MA, LPC Intern
Dréa L Tyler
LPC Intern, MA
Verified Verified
2 Endorsed
Portland, OR 97220  (Online Only)
Waitlist for new clients
Do you find yourself often living anywhere but in the present moment? Missing the opportunity to savor and enjoy your life due to distractions from past traumas or future anxieties? Done with no longer serving and unhelpful coping habits and patterns? I collaborate with individuals and couples who wish to live most fully and skillfully in the here and now—leveraging evidence-based tools of reflection, reorientation, and resourcing to craft their vision of a most empowered, intentional, and joyful life.
Do you find yourself often living anywhere but in the present moment? Missing the opportunity to savor and enjoy your life due to distractions from past traumas or future anxieties? Done with no longer serving and unhelpful coping habits and patterns? I collaborate with individuals and couples who wish to live most fully and skillfully in the here and now—leveraging evidence-based tools of reflection, reorientation, and resourcing to craft their vision of a most empowered, intentional, and joyful life.
(971) 319-9071 View (971) 319-9071
Photo of Tatum Marcus, LMFT, Marriage & Family Therapist
Tatum Marcus
Marriage & Family Therapist, LMFT
Verified Verified
Portland, OR 97203
I love chatting with people about life- the highs and lows, and everything along the way. I can bring a grounded perspective to our conversations, as well as new ideas around things that may be on your mind. There are many angles that we could use in our work together. We could speak archetypally, transpersonally - holding the big picture in mind. We could use the language of psychology - I love sharing theoretical constructs that might be useful as we walk along our paths in life. We could just chat as one human to another, in a down-to-earth, connective way.
I love chatting with people about life- the highs and lows, and everything along the way. I can bring a grounded perspective to our conversations, as well as new ideas around things that may be on your mind. There are many angles that we could use in our work together. We could speak archetypally, transpersonally - holding the big picture in mind. We could use the language of psychology - I love sharing theoretical constructs that might be useful as we walk along our paths in life. We could just chat as one human to another, in a down-to-earth, connective way.
(971) 365-3130 View (971) 365-3130
Photo of Veronica Melo, CSWA
Veronica Melo
Clinical Social Work Associate, CSWA
Verified Verified
1 Endorsed
Portland, OR 97214
Accepting Spanish Speaking Clients. Veronica is a bilingual bicultural associate clinical social worker with multiple years of experience working with adolescents and families in residential and school settings. Veronica’s methods often include client-centered, strengths-based, and trauma informed care as well as motivational interviewing. Veronica has experience supporting clients through depression, anxiety, trauma, and immigrant related stressors.
Accepting Spanish Speaking Clients. Veronica is a bilingual bicultural associate clinical social worker with multiple years of experience working with adolescents and families in residential and school settings. Veronica’s methods often include client-centered, strengths-based, and trauma informed care as well as motivational interviewing. Veronica has experience supporting clients through depression, anxiety, trauma, and immigrant related stressors.
(503) 868-2283 View (503) 868-2283
Photo of Luann K. Wu, LPC, Licensed Professional Counselor
Luann K. Wu
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97225
Now OPEN two Saturday mornings a month! Has life led you to unforeseen circumstances? Are you feeling stuck in a relationship? Does trauma from your past keep showing up in your present life? Maybe you are considering a career change or are dealing with another major life transition that is confusing? It can make you feel isolated and alone. You might be feeling depressed or anxious over your life circumstances. You would like to feel happier, healthier, and more in control. I can provide support and help guide you into a more balanced and grounded self.
Now OPEN two Saturday mornings a month! Has life led you to unforeseen circumstances? Are you feeling stuck in a relationship? Does trauma from your past keep showing up in your present life? Maybe you are considering a career change or are dealing with another major life transition that is confusing? It can make you feel isolated and alone. You might be feeling depressed or anxious over your life circumstances. You would like to feel happier, healthier, and more in control. I can provide support and help guide you into a more balanced and grounded self.
(971) 299-3081 View (971) 299-3081
Photo of Tessa Rose, MA, Counselor
Tessa Rose
Counselor, MA
Verified Verified
Portland, OR 97209
I believe everyone is capable of making positive changes in their lives. My mission is to help clients reach their fullest potential by providing a safe and supportive space. Through my counseling services, I help my clients to learn to empower themselves, conquer their inner critic, and learn to live in love. I have a holistic approach to the therapeutic process. I work with people of all races, genders, sexualities, life and psychological experiences, bodies, and abilities. I am passionate about working with folks who may experience depression, anxiety, transitions and transformations, gender and sexuality journeys and identities.
I believe everyone is capable of making positive changes in their lives. My mission is to help clients reach their fullest potential by providing a safe and supportive space. Through my counseling services, I help my clients to learn to empower themselves, conquer their inner critic, and learn to live in love. I have a holistic approach to the therapeutic process. I work with people of all races, genders, sexualities, life and psychological experiences, bodies, and abilities. I am passionate about working with folks who may experience depression, anxiety, transitions and transformations, gender and sexuality journeys and identities.
(503) 755-8954 View (503) 755-8954
Photo of Luke Colbourn, LPC, Licensed Professional Counselor
Luke Colbourn
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97211  (Online Only)
Do you find yourself trying hard to overcome difficulties in your life, but end up feeling stuck, wondering “Why can’t I change this”? You might feel like your old patterns have control over you. It’s frustrating to commit to change and yet seem to make little progress. It might be time to try something different.
Do you find yourself trying hard to overcome difficulties in your life, but end up feeling stuck, wondering “Why can’t I change this”? You might feel like your old patterns have control over you. It’s frustrating to commit to change and yet seem to make little progress. It might be time to try something different.
(971) 252-7174 View (971) 252-7174
Photo of Todd Ransford, PhD, Psychologist
Todd Ransford
Psychologist, PhD
Verified Verified
Portland, OR 97213
I enjoy working with families, couples, and individuals who are experiencing relationship problems. I also have a background in treating depression and anxiety. My approach emphasizes helping people achieve practical results and is based in family systems and cognitive behavior theories. One of my guiding beliefs is that people are basically competent and are always seeking to solve problems on their own. In most cases this works well, but sometimes people get stuck and their attempted solutions either have no effect or make things worse. I see my role as helping people get "unstuck."
I enjoy working with families, couples, and individuals who are experiencing relationship problems. I also have a background in treating depression and anxiety. My approach emphasizes helping people achieve practical results and is based in family systems and cognitive behavior theories. One of my guiding beliefs is that people are basically competent and are always seeking to solve problems on their own. In most cases this works well, but sometimes people get stuck and their attempted solutions either have no effect or make things worse. I see my role as helping people get "unstuck."
(971) 407-4964 View (971) 407-4964
Photo of Rain Estrada, LPC, Licensed Professional Counselor
Rain Estrada
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97232
I specialize in treating Queer, Trans, Latinx, BIPoC, helping professionals, college students, and creative people in the following topics: gaining confidence and clarity in your identity, building resilience and practicing advocacy amidst oppressive systems, clarifying your direction (career, community, navigating capitalism), imposter syndrome, PTSD, Anxiety, Depression, and ADHD.
I specialize in treating Queer, Trans, Latinx, BIPoC, helping professionals, college students, and creative people in the following topics: gaining confidence and clarity in your identity, building resilience and practicing advocacy amidst oppressive systems, clarifying your direction (career, community, navigating capitalism), imposter syndrome, PTSD, Anxiety, Depression, and ADHD.
(971) 247-8538 View (971) 247-8538
Photo of Liberty Karp, MSW, LCSW, Clinical Social Work/Therapist
Liberty Karp
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Portland, OR 97206  (Online Only)
Whether you're searching for a thoughtful and supportive ear to talk through what's on your mind, looking to heal from something difficult, or wanting to find ways around the obstacles that are limiting your full potential, I look forward to hearing from you. My style is based in mindfulness/mind-body approaches and centers around welcoming you with a compassionate presence and a non-judgemental curiosity.
Whether you're searching for a thoughtful and supportive ear to talk through what's on your mind, looking to heal from something difficult, or wanting to find ways around the obstacles that are limiting your full potential, I look forward to hearing from you. My style is based in mindfulness/mind-body approaches and centers around welcoming you with a compassionate presence and a non-judgemental curiosity.
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Photo of Sarah Ellenwood, MA, LPC, LMFT, Licensed Professional Counselor
Sarah Ellenwood
Licensed Professional Counselor, MA, LPC, LMFT
Verified Verified
4 Endorsed
Portland, OR 97215
You don't have to go through difficult times alone. By seeking help, you have already taken the first step toward making positive life changes. The next step is finding the right person to guide, motivate and support you. I am a counselor with a healthy dose of optimism and realism. I love to work with my clients on problem solving, new skill building, and developing a greater understanding of themselves and the world around us. If you are looking for something "different" from your counselor, I may be a good fit.
You don't have to go through difficult times alone. By seeking help, you have already taken the first step toward making positive life changes. The next step is finding the right person to guide, motivate and support you. I am a counselor with a healthy dose of optimism and realism. I love to work with my clients on problem solving, new skill building, and developing a greater understanding of themselves and the world around us. If you are looking for something "different" from your counselor, I may be a good fit.
(503) 512-6988 View (503) 512-6988
Photo of Timothy Beecher, PhD, Psychologist
Timothy Beecher
Psychologist, PhD
Verified Verified
1 Endorsed
Portland, OR 97201
I utilize a wide range of clinical skills to help clients reduce their distress and increase their overall well being. I aspire to create a unique therapeutic approach for each client, based on their needs, personal struggles and goals. Core tenets of my practice are empathy, validation, support and interpersonal feedback. Additionally, I strive to provide culturally competent care. I regularly attend professional seminars to increase my awareness regarding issues related to systems of oppression and privilege.
I utilize a wide range of clinical skills to help clients reduce their distress and increase their overall well being. I aspire to create a unique therapeutic approach for each client, based on their needs, personal struggles and goals. Core tenets of my practice are empathy, validation, support and interpersonal feedback. Additionally, I strive to provide culturally competent care. I regularly attend professional seminars to increase my awareness regarding issues related to systems of oppression and privilege.
(971) 801-7773 View (971) 801-7773
Photo of Ryan Carroll, LCSW, Clinical Social Work/Therapist
Ryan Carroll
Clinical Social Work/Therapist, LCSW
Verified Verified
5 Endorsed
Portland, OR 97203  (Online Only)
Are you ready to explore a new path and navigate life’s challenges successfully? You can transform and become truly authentic. As your guide, I will spark your curiosity and ignite motivation. I will actively listen, offer empathetic and compassionate feedback, and encourage self-discovery through introspection. On this path you will develop a growth mindset, truly believing that you can become better and improve with time and practice. As you begin to live the life you want to live you will start embracing challenges. As you start to harness the power of your mind, you’ll begin to get the results you want and move towards success.
Are you ready to explore a new path and navigate life’s challenges successfully? You can transform and become truly authentic. As your guide, I will spark your curiosity and ignite motivation. I will actively listen, offer empathetic and compassionate feedback, and encourage self-discovery through introspection. On this path you will develop a growth mindset, truly believing that you can become better and improve with time and practice. As you begin to live the life you want to live you will start embracing challenges. As you start to harness the power of your mind, you’ll begin to get the results you want and move towards success.
(971) 290-1067 View (971) 290-1067
Photo of Robert C Woods, LPC, Licensed Professional Counselor
Robert C Woods
Licensed Professional Counselor, LPC
Verified Verified
Portland, OR 97239
As an experienced therapist I work to create a warm, non-judgmental atmosphere for you to explore important issues in your life. Through a safe and compassionate environment we can address painful patterns that prevent you from living a fuller life and build positive inner resources that empower you to find more joy. The therapy relationship can provide solace and support in difficult times helping you to remember and access your own innate wisdom.
As an experienced therapist I work to create a warm, non-judgmental atmosphere for you to explore important issues in your life. Through a safe and compassionate environment we can address painful patterns that prevent you from living a fuller life and build positive inner resources that empower you to find more joy. The therapy relationship can provide solace and support in difficult times helping you to remember and access your own innate wisdom.
(503) 616-2235 View (503) 616-2235
Photo of Sarah Lundy, LCSW, Clinical Social Work/Therapist
Sarah Lundy
Clinical Social Work/Therapist, LCSW
Verified Verified
Portland, OR 97216  (Online Only)
Experiencing depression or anxiety while going through a significant life transition can be overwhelming and disorienting. From starting a new job to stepping into retirement. It is normal to feel self-doubt and uncertainty in new situations. During these times, we often recognize negative or other unhelpful ways of thinking that are getting in our way but we don't know how to change them. My goal is to guide you towards stepping into the next phase of your life with a greater understanding of who you are and increased fulfillment. From finding more self-confidence to developing better relationships with family and friends.
Experiencing depression or anxiety while going through a significant life transition can be overwhelming and disorienting. From starting a new job to stepping into retirement. It is normal to feel self-doubt and uncertainty in new situations. During these times, we often recognize negative or other unhelpful ways of thinking that are getting in our way but we don't know how to change them. My goal is to guide you towards stepping into the next phase of your life with a greater understanding of who you are and increased fulfillment. From finding more self-confidence to developing better relationships with family and friends.
(503) 739-9332 View (503) 739-9332
Photo of Cara Haaga, MA, Pre-Licensed Professional
Cara Haaga
Pre-Licensed Professional, MA
Verified Verified
Portland, OR 97218
Not accepting new clients
Now offering walk and talk sessions! I am passionate about working with adult individuals who feel stuck or disconnected with life. I enjoy working with people to feel more balance, self-acceptance, and build agency in their own lives. My clients might have had traumatic experiences in their lives, be struggling with anxiety or depression, or live with bipolar disorder. My hope is to provide you an opportunity for growth through connecting with yourself and your emotions, building skills to identify and manage symptoms, learning how to strengthen your relationships, and to feel that you are living an authentic and intentional life.
Now offering walk and talk sessions! I am passionate about working with adult individuals who feel stuck or disconnected with life. I enjoy working with people to feel more balance, self-acceptance, and build agency in their own lives. My clients might have had traumatic experiences in their lives, be struggling with anxiety or depression, or live with bipolar disorder. My hope is to provide you an opportunity for growth through connecting with yourself and your emotions, building skills to identify and manage symptoms, learning how to strengthen your relationships, and to feel that you are living an authentic and intentional life.
(503) 783-8356 View (503) 783-8356
Photo of Marty Michelson (.he.him), MAMFT, LPC, OHP, EMDR, Licensed Professional Counselor
Marty Michelson (.he.him)
Licensed Professional Counselor, MAMFT, LPC, OHP, EMDR
Verified Verified
5 Endorsed
Portland, OR 97205
Personally Updated August 25 ◉ I help people find clarity & experience greater calm. Life is hard & you want help. I get it. I’ve experienced life’s complexity, too. I want to help you discover calm & find hope. Anxiety is real. Grief hurts. Trauma disables. Depression fogs clarity. Communication breaks down. Let's discern your better future. I'm here to help. ◉ Trauma, ADHD, Anxiety, Depression & EMDR certified. www. peaceandflourishing. com Oregon Washington & Colorado. Pacificsource. CareOregon. IHN InterHealth Community Health Plan. Oregon CCOs, United, Optum, Cigna, Aetna, CareOregon, HealthShare, OHP Open Card, Trillium
Personally Updated August 25 ◉ I help people find clarity & experience greater calm. Life is hard & you want help. I get it. I’ve experienced life’s complexity, too. I want to help you discover calm & find hope. Anxiety is real. Grief hurts. Trauma disables. Depression fogs clarity. Communication breaks down. Let's discern your better future. I'm here to help. ◉ Trauma, ADHD, Anxiety, Depression & EMDR certified. www. peaceandflourishing. com Oregon Washington & Colorado. Pacificsource. CareOregon. IHN InterHealth Community Health Plan. Oregon CCOs, United, Optum, Cigna, Aetna, CareOregon, HealthShare, OHP Open Card, Trillium
(971) 278-9809 View (971) 278-9809
James D Boyer
Marriage & Family Therapist, LMFT
Verified Verified
Portland, OR 97229
I have a passion for human growth processes. Throughout my thirty years of practice I have appreciated the opportunity to be a resource for those seeking a shift in their lives towards greater health, resolution of trauma and better functioning in the adventure of close relationships. I work with individuals, couples and families collaboratively to find their path towards fuller experiences of self hood and relatedness. I approach human challenges from an integrated framework of family/attachment theory, interpersonal neurobiology and optimal brain functioning. Through research based approaches to greater self regulation clients expand their capacity for health
I have a passion for human growth processes. Throughout my thirty years of practice I have appreciated the opportunity to be a resource for those seeking a shift in their lives towards greater health, resolution of trauma and better functioning in the adventure of close relationships. I work with individuals, couples and families collaboratively to find their path towards fuller experiences of self hood and relatedness. I approach human challenges from an integrated framework of family/attachment theory, interpersonal neurobiology and optimal brain functioning. Through research based approaches to greater self regulation clients expand their capacity for health
(503) 966-5793 View (503) 966-5793
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How does your Therapist compare?

Number of Therapists in Portland, OR

3,000+

Average cost per session

$160

Therapists in Portland, OR who prioritize treating:

91% Anxiety
84% Depression
77% Relationship Issues
75% Self Esteem
74% Trauma and PTSD
70% Stress
67% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

52% PacificSource
49% Aetna
38% BlueCross and BlueShield

How Therapists in Portland, OR see their clients

55% In Person and Online
45% Online Only

Gender breakdown

74% Female
22% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Portland?

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.