Therapists in Washington

View cities and counties in Washington
Photo of Ellen Hresko - Ellen Hresko Counseling, PLLC, MA, LMFT, Marriage & Family Therapist
Ellen Hresko Counseling, PLLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
I counsel teens and their parents, as well as adults and couples who are experiencing a wide range of psychological and relationship difficulties due to parent child conflict, major life transitions, grief and loss and recent or historic trauma. My approach is systemic, meaning that I try to understand human problems in terms of the complex set of psychological and social systems in which they are embedded - family, social, cultural, educational and emotional experiences. I have specialized training and experience in working with Couples using Emotionally Focused Therapy (EFT) as well as Anxiety, Depression andtrauma/PTSD.
I counsel teens and their parents, as well as adults and couples who are experiencing a wide range of psychological and relationship difficulties due to parent child conflict, major life transitions, grief and loss and recent or historic trauma. My approach is systemic, meaning that I try to understand human problems in terms of the complex set of psychological and social systems in which they are embedded - family, social, cultural, educational and emotional experiences. I have specialized training and experience in working with Couples using Emotionally Focused Therapy (EFT) as well as Anxiety, Depression andtrauma/PTSD.
(206) 458-1695 View (206) 458-1695
Photo of Geneva Graham, MSSW, LSWAIC, Clinical Social Work/Therapist
Geneva Graham
Clinical Social Work/Therapist, MSSW, LSWAIC
Verified Verified
2 Endorsed
Bellingham, WA 98226  (Online Only)
Geneva believes we build strength through connection. She offers a collective strengths-based approach to understanding yourself through exploration, self-discovery, and meaning making. In a trauma informed, inclusive environment, Geneva creates a safe space where you can discover your strengths and resilience, build skills, and create strategies to facilitate growth and healing.
Geneva believes we build strength through connection. She offers a collective strengths-based approach to understanding yourself through exploration, self-discovery, and meaning making. In a trauma informed, inclusive environment, Geneva creates a safe space where you can discover your strengths and resilience, build skills, and create strategies to facilitate growth and healing.
(360) 685-7261 View (360) 685-7261
Photo of Yie-Wen Yvonne Kuan, PhD, Psychologist
Yie-Wen Yvonne Kuan
Psychologist, PhD
Verified Verified
2 Endorsed
Seattle, WA 98105
Not accepting new clients
The best outcome for a person who seeks psychological counseling is to reach his or her inner peace. I see myself as a coach or a facilitator to assist my clients reach their goals. I have more than 20 years of experience in treating people with anxiety, depression, work or relationship issues. I subscribe to cognitive-behavioral therapy; but also integrate other methods in counseling. I provide parenting consultation for children's behavioral or academic problems. I have the privilege to work with people from different cultural, sexual and religious backgrounds. My past clients are my primary referral sources.
The best outcome for a person who seeks psychological counseling is to reach his or her inner peace. I see myself as a coach or a facilitator to assist my clients reach their goals. I have more than 20 years of experience in treating people with anxiety, depression, work or relationship issues. I subscribe to cognitive-behavioral therapy; but also integrate other methods in counseling. I provide parenting consultation for children's behavioral or academic problems. I have the privilege to work with people from different cultural, sexual and religious backgrounds. My past clients are my primary referral sources.
(206) 745-0510 View (206) 745-0510
Photo of Melissa Grossman, LMHC, MBA, Counselor
Melissa Grossman
Counselor, LMHC, MBA
Verified Verified
Puyallup, WA 98374  (Online Only)
My name is Melissa Grossman and I am a licensed mental health counselor supporting individuals in Washington State since 2014. My therapeutic approach in supporting clients who are faced with anxiety, depression, eating disorders and more, is based on trust, client-centricity, and mindfulness.
My name is Melissa Grossman and I am a licensed mental health counselor supporting individuals in Washington State since 2014. My therapeutic approach in supporting clients who are faced with anxiety, depression, eating disorders and more, is based on trust, client-centricity, and mindfulness.
(360) 583-6601 View (360) 583-6601
Photo of Leah Richards, MAEd, LMHC
Leah Richards
Mental Health Counselor, MAEd, LMHC
Verified Verified
Tumwater, WA 98512  (Online Only)
I am a holistic, trauma-informed therapist and work across the lifespan to address symptoms of depression, anxiety, trauma, and relationship concerns. I hope to offer a warm and supportive environment where you and I can partner together to support your unique growth and well-being.
I am a holistic, trauma-informed therapist and work across the lifespan to address symptoms of depression, anxiety, trauma, and relationship concerns. I hope to offer a warm and supportive environment where you and I can partner together to support your unique growth and well-being.
(360) 706-1495 x100 View (360) 706-1495 x100
Photo of Mark T Felton, MS, Counselor
Mark T Felton
Counselor, MS
Verified Verified
Tumwater, WA 98501
I am newly licensed but life experienced. I have been married for over thirty years and have one adult daughter and two grandchildren. I was an officer in the US Merchant Marines until 1996, and I have owned and operated a Farmers Insurance and Financial Services Agency for the past twenty-six years. I have been involved in coaching male and female athletes of all ages in baseball, basketball, soccer, and fast pitch. My interest in becoming a therapist grew out of this sports and business background. Assisting others to identify their strengths and weakness, and to empower themselves, has evolved into my next career.
I am newly licensed but life experienced. I have been married for over thirty years and have one adult daughter and two grandchildren. I was an officer in the US Merchant Marines until 1996, and I have owned and operated a Farmers Insurance and Financial Services Agency for the past twenty-six years. I have been involved in coaching male and female athletes of all ages in baseball, basketball, soccer, and fast pitch. My interest in becoming a therapist grew out of this sports and business background. Assisting others to identify their strengths and weakness, and to empower themselves, has evolved into my next career.
(360) 505-0384 View (360) 505-0384
Photo of Laurel Watjen, MA, LMHC, Counselor
Laurel Watjen
Counselor, MA, LMHC
Verified Verified
3 Endorsed
Bellingham, WA 98225
Only accepting new clients for Ketamine Assisted Psychotherapy. Whether you’re dealing with new stressors or old wounds, therapy can help you feel better. The process of sharing your story in a supportive, non-judgmental setting allows you to untangle it, find the important threads, and weave them together into a stronger, more resilient fabric. This may sound daunting, but you don’t have to do it alone. We’ll roll up our sleeves and work together to clarify what’s most important to you, deepen your understanding of what’s getting in your way, and most importantly, take the steps needed to not just go forward, but to grow forward.
Only accepting new clients for Ketamine Assisted Psychotherapy. Whether you’re dealing with new stressors or old wounds, therapy can help you feel better. The process of sharing your story in a supportive, non-judgmental setting allows you to untangle it, find the important threads, and weave them together into a stronger, more resilient fabric. This may sound daunting, but you don’t have to do it alone. We’ll roll up our sleeves and work together to clarify what’s most important to you, deepen your understanding of what’s getting in your way, and most importantly, take the steps needed to not just go forward, but to grow forward.
(360) 526-0030 View (360) 526-0030
Photo of Catherine Hylen, MA, LMHC, Counselor
Catherine Hylen
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Bellingham, WA 98229  (Online Only)
It is possible to feel more at home in your life, more at ease in your body, and more fulfilled in your relationships. We all have the ability to heal with the right support. Even the most difficult experience can be a guide into a deeper, more meaningful experience of being alive. I work with female and gender diverse clients facing a variety of issues in life. These issues include: unresolved past trauma/abuse, difficulty managing emotions/feeling okay in the world, relationship challenges, questioning identity, and navigating life transitions.
It is possible to feel more at home in your life, more at ease in your body, and more fulfilled in your relationships. We all have the ability to heal with the right support. Even the most difficult experience can be a guide into a deeper, more meaningful experience of being alive. I work with female and gender diverse clients facing a variety of issues in life. These issues include: unresolved past trauma/abuse, difficulty managing emotions/feeling okay in the world, relationship challenges, questioning identity, and navigating life transitions.
(360) 230-7953 View (360) 230-7953
Photo of Renae Marler, MS, LMHC, CMHS, Counselor
Renae Marler
Counselor, MS, LMHC, CMHS
Verified Verified
Spokane, WA 99201
We all want to feel better & have thriving relationships, but our life experiences have a direct impact on that. Whether you're an individual with unresolved trauma, a first responder whose job is affecting their personal life, or a couple struggling to communicate or with infidelity, for example. Conflict & residual trauma can cause a loss of connection over time with those we love. And trauma left untreated can cause heightened reactions, like anger or fear, or the opposite - emotional detachment. You may notice feeling sad or irritable, have nightmares, or struggle with trust. The effects are different for each person.
We all want to feel better & have thriving relationships, but our life experiences have a direct impact on that. Whether you're an individual with unresolved trauma, a first responder whose job is affecting their personal life, or a couple struggling to communicate or with infidelity, for example. Conflict & residual trauma can cause a loss of connection over time with those we love. And trauma left untreated can cause heightened reactions, like anger or fear, or the opposite - emotional detachment. You may notice feeling sad or irritable, have nightmares, or struggle with trust. The effects are different for each person.
(509) 792-3289 View (509) 792-3289
Photo of Megan C Merriwether - Megan C Merriwether Psychological Services, PLLC, PhD, Psychologist
Megan C Merriwether Psychological Services, PLLC
Psychologist, PhD
Verified Verified
Port Angeles, WA 98362
I enjoy working with a variety of clients with diverse backgrounds and needs. I strive to be flexible and adjust my style so the work we do is meaningful and helpful for you. You have goals? Things you would like to change about yourself? We can work on those and see what some focus and creativity can do to expand your horizons. In therapy we can explore how best to cope with our set of life circumstances. I am optimistic about change and movement forward; I enjoy helping you work through issues that seem to hold you back or cause you pain.
I enjoy working with a variety of clients with diverse backgrounds and needs. I strive to be flexible and adjust my style so the work we do is meaningful and helpful for you. You have goals? Things you would like to change about yourself? We can work on those and see what some focus and creativity can do to expand your horizons. In therapy we can explore how best to cope with our set of life circumstances. I am optimistic about change and movement forward; I enjoy helping you work through issues that seem to hold you back or cause you pain.
(360) 531-7517 View (360) 531-7517
Photo of Luanne Rivera - LuAnne Rivera, Lighthouse Counseling LLC, MA, LMHCA, Counselor
LuAnne Rivera, Lighthouse Counseling LLC
Counselor, MA, LMHCA
Verified Verified
4 Endorsed
Sumner, WA 98390
Are you tired of going around that same mountain over and over? Let me help you find the way out. While therapy can feel like a scary place, I strive to make your therapy encounter a safe, collaborative, encouraging, and even a thriving experience. I am certified in trauma focused cognitive/behavioral therapy, and trained in grief assessment, EMDR therapy, as a SYMBIS facilitator and a chemical dependency specialist, Currently I am accepting adolescents and older. I enjoy the interaction and growth that occurs through empowering you, the client, to make your own choices and become your most authentic self.
Are you tired of going around that same mountain over and over? Let me help you find the way out. While therapy can feel like a scary place, I strive to make your therapy encounter a safe, collaborative, encouraging, and even a thriving experience. I am certified in trauma focused cognitive/behavioral therapy, and trained in grief assessment, EMDR therapy, as a SYMBIS facilitator and a chemical dependency specialist, Currently I am accepting adolescents and older. I enjoy the interaction and growth that occurs through empowering you, the client, to make your own choices and become your most authentic self.
(253) 499-7632 View (253) 499-7632
Photo of Dawn Del Moral, MS, CRC, LMHCA, Counselor
Dawn Del Moral
Counselor, MS, CRC, LMHCA
Verified Verified
Vancouver, WA 98662
Life can be overwhelming and feelings of insecurity, anxiety and pain can make it feel even more overwhelming. There are times that we need someone who can sit with all that we are feeling and provide a safe place to validate and hold space for all your emotions and experiences.
Life can be overwhelming and feelings of insecurity, anxiety and pain can make it feel even more overwhelming. There are times that we need someone who can sit with all that we are feeling and provide a safe place to validate and hold space for all your emotions and experiences.
(360) 347-2385 View (360) 347-2385
Photo of Katie Bradrick, MA, LMHC, Counselor
Katie Bradrick
Counselor, MA, LMHC
Verified Verified
Gig Harbor, WA 98335
Waitlist for new clients
I specialize in the treatment of adolescents but also treat children, young adults, and their families. I am experienced with a variety of struggles that children, adolescents and young adults encounter including Depression, Mood Disorders, ADHD, Trauma, Anxiety, Behavioral issues, Anger management, Parenting, Communication/Conflict resolution, Family relationship issues, Social skills, Self Esteem and Self harming behaviors. I have found that counseling is such a unique experience for each person. It can be the one place where you find the support, encouragement, insight and empowerment to make the changes needed to begin living the kind of life you truly desire.
I specialize in the treatment of adolescents but also treat children, young adults, and their families. I am experienced with a variety of struggles that children, adolescents and young adults encounter including Depression, Mood Disorders, ADHD, Trauma, Anxiety, Behavioral issues, Anger management, Parenting, Communication/Conflict resolution, Family relationship issues, Social skills, Self Esteem and Self harming behaviors. I have found that counseling is such a unique experience for each person. It can be the one place where you find the support, encouragement, insight and empowerment to make the changes needed to begin living the kind of life you truly desire.
(253) 693-2897 x306 View (253) 693-2897 x306
Photo of DeeDee Orlando, LMHCA, Counselor
DeeDee Orlando
Counselor, LMHCA
Verified Verified
1 Endorsed
Bellingham, WA 98225
It takes courage to ask for support. Coming this far is a victory in and of itself. You’re in touch with yourself enough to know that you need something to change, although you may not be certain yet of what that change should look like. Perhaps you need a shift in perspective during a difficult time. Maybe you need to learn to cope with challenging emotions. Perhaps it is your child who needs help and you need help learning how to help them. Whatever your need, you deserve an empathetic and dedicated guide to join you on your journey. You don't have to do this alone. Currently taking clients intermittently.
It takes courage to ask for support. Coming this far is a victory in and of itself. You’re in touch with yourself enough to know that you need something to change, although you may not be certain yet of what that change should look like. Perhaps you need a shift in perspective during a difficult time. Maybe you need to learn to cope with challenging emotions. Perhaps it is your child who needs help and you need help learning how to help them. Whatever your need, you deserve an empathetic and dedicated guide to join you on your journey. You don't have to do this alone. Currently taking clients intermittently.
(360) 516-1600 View (360) 516-1600
Photo of Amelia Jensen - True North Therapy LLC, LICSW, Clinical Social Work/Therapist
True North Therapy LLC
Clinical Social Work/Therapist, LICSW
Verified Verified
Pasco, WA 99301  (Online Only)
Waitlist for new clients
I am a Licensed Clinical Social Worker with over 20 years of experience working in Mental Health. I have worked with clients with a wide range of concerns including refugees, geriatric, chronic mental illness, relationship issues, and trauma.My therapy style is person centered and solution focused. I believe you already have answers within you but may need someone to shine a flashlight on parts that may be hidden or buried. I will tailor our dialogue to meet your needs.
I am a Licensed Clinical Social Worker with over 20 years of experience working in Mental Health. I have worked with clients with a wide range of concerns including refugees, geriatric, chronic mental illness, relationship issues, and trauma.My therapy style is person centered and solution focused. I believe you already have answers within you but may need someone to shine a flashlight on parts that may be hidden or buried. I will tailor our dialogue to meet your needs.
(509) 659-7885 View (509) 659-7885
Photo of Brittney Craig, MA, LMFT, Marriage & Family Therapist
Brittney Craig
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Puyallup, WA 98372
As a solution-focused therapist, my goal is to help you uncover your true potential and lead the life you want. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
As a solution-focused therapist, my goal is to help you uncover your true potential and lead the life you want. While we can't change difficult situations of the past, we can work together to better understand and resolve challenges in your life. By applying complementary therapy approaches and techniques, we will unearth long-standing behavior patterns or negative perceptions that may be holding you back from experiencing a more fulfilling and meaningful life.
(206) 743-9987 View (206) 743-9987
Photo of Pamela S. Helberg, MA, LMHC, LPC, Counselor
Pamela S. Helberg
Counselor, MA, LMHC, LPC
Verified Verified
4 Endorsed
Bellingham, WA 98225  (Online Only)
Sometimes we all just need someone to talk to. Whether we struggle with anxiety, depression, overwhelming new life circumstances, or relationship issues, there is no better medicine than being heard. If you are a college student struggling with anxiety and transitions, an overwhelmed parent juggling work and home life, or simply trying to figure out how to take the next step to reach your goals, let's talk. Together we can sort through the details and work on strategies that will make a positive difference in your life. Take a risk on your own behalf. Reach out for help.
Sometimes we all just need someone to talk to. Whether we struggle with anxiety, depression, overwhelming new life circumstances, or relationship issues, there is no better medicine than being heard. If you are a college student struggling with anxiety and transitions, an overwhelmed parent juggling work and home life, or simply trying to figure out how to take the next step to reach your goals, let's talk. Together we can sort through the details and work on strategies that will make a positive difference in your life. Take a risk on your own behalf. Reach out for help.
(360) 842-0517 View (360) 842-0517
Photo of Naomi Huffman, LMHCA, MS, MHP, CPC, Counselor
Naomi Huffman
Counselor, LMHCA, MS, MHP, CPC
Verified Verified
4 Endorsed
Seattle, WA 98107  (Online Only)
I have several years of counseling experience across mental health clinics, rehab centers, and K-12 schools, I've had the privilege of supporting folks of all ages, from little kindergartners to wise elders. My belief? It's all about walking alongside you on your healing path, whether you're a kiddo adjusting to a new school or someone navigating life's challenges later on. So, let's take that first step together. I'm here to support you every step of the way.
I have several years of counseling experience across mental health clinics, rehab centers, and K-12 schools, I've had the privilege of supporting folks of all ages, from little kindergartners to wise elders. My belief? It's all about walking alongside you on your healing path, whether you're a kiddo adjusting to a new school or someone navigating life's challenges later on. So, let's take that first step together. I'm here to support you every step of the way.
(206) 687-1496 View (206) 687-1496
Photo of Josh Vander Wiele, MEd, LMHC, Counselor
Josh Vander Wiele
Counselor, MEd, LMHC
Verified Verified
Bellingham, WA 98225
Waitlist for new clients
Are you having difficulty in relationships with significant others, friends, or family? Or finding that you are lacking motivation or confidence? Do you feel like your mind is always on the go? Thinking that something needs to change, to get back on track, and feeling like the person you’d like to be? Depression, anxiety, and trauma can play a role in these thoughts and feelings. They can leave us feeling anxious, overwhelmed, confused, run down, and at times even hopeless. If you're experiencing any of these thoughts or feelings, therapy can help you to become the person you want to be!
Are you having difficulty in relationships with significant others, friends, or family? Or finding that you are lacking motivation or confidence? Do you feel like your mind is always on the go? Thinking that something needs to change, to get back on track, and feeling like the person you’d like to be? Depression, anxiety, and trauma can play a role in these thoughts and feelings. They can leave us feeling anxious, overwhelmed, confused, run down, and at times even hopeless. If you're experiencing any of these thoughts or feelings, therapy can help you to become the person you want to be!
(360) 858-6557 View (360) 858-6557
Photo of Lisa C Geraud - Lisa Geraud LMFT RD, MA, LMFT, MS, RD, Marriage & Family Therapist
Lisa Geraud LMFT RD
Marriage & Family Therapist, MA, LMFT, MS, RD
Verified Verified
1 Endorsed
Bellevue, WA 98005  (Online Only)
Waitlist for new clients
I am an experienced licensed marriage and family therapist specializing in the assessment and treatment of eating disorders, anxiety, depression and relationship issues. I also teach emotion skills classes. I am also a registered dietitian (RD), which enables me to provide nutrition assessment and counseling for persons with eating and weight concerns or eating disorders. I support and guide families through relational conflict, psychiatric illness and loss. I enjoy working with males and female children over age 12, adolescents and adults.
I am an experienced licensed marriage and family therapist specializing in the assessment and treatment of eating disorders, anxiety, depression and relationship issues. I also teach emotion skills classes. I am also a registered dietitian (RD), which enables me to provide nutrition assessment and counseling for persons with eating and weight concerns or eating disorders. I support and guide families through relational conflict, psychiatric illness and loss. I enjoy working with males and female children over age 12, adolescents and adults.
(425) 320-1679 View (425) 320-1679
1
...

How does your Therapist compare?

Average cost per session

$150

Therapists in Washington who prioritize treating:

92% Anxiety
86% Depression
76% Relationship Issues
74% Self Esteem
73% Trauma and PTSD
69% Stress
65% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

71% Premera
60% Aetna
59% Regence

How Therapists in Washington see their clients

60% In Person and Online
40% Online Only

Gender breakdown

77% Female
21% Male
2% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Washington?

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.