Therapists in Tacoma, WA
![Photo of Kathy Augsback, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/1fc93e9d-96d3-4d4a-9bb5-1941eb3408b2/2/320x400.jpeg)
You're the one that keeps things going. You are who everyone goes to for all kinds of support. You check things off the never ending lists. You carry the weight of all the stress while making sure everyone around you is at peace. If this sounds like you, it is time to make a change. It’s your turn. This is your space to kick your feet up, unload, process, and learn new skills on how to manage everything you have going on.
You're the one that keeps things going. You are who everyone goes to for all kinds of support. You check things off the never ending lists. You carry the weight of all the stress while making sure everyone around you is at peace. If this sounds like you, it is time to make a change. It’s your turn. This is your space to kick your feet up, unload, process, and learn new skills on how to manage everything you have going on.
![Photo of Janet Nelson, MA, LMHC, MHP, Counselor](https://photos.psychologytoday.com/470696ba-61e5-4d9f-93a8-1a478caaceb4/2/320x400.jpeg)
You believe if you do it right you won’t disappoint the people in your world. The trouble is, striving to do everything right often means diminishing yourself and pushing down your true thoughts, feelings, and desires. You’ve become an expert at everyone else’s needs and wants, but you’ve lost yourself along the way. Let’s work together to help you reconnect with yourself and others. Anxiety, people pleasing, and perfectionism are painful. Set down the weight you carry and discover more ease in your everyday life and the deep connected relationships you long for.
You believe if you do it right you won’t disappoint the people in your world. The trouble is, striving to do everything right often means diminishing yourself and pushing down your true thoughts, feelings, and desires. You’ve become an expert at everyone else’s needs and wants, but you’ve lost yourself along the way. Let’s work together to help you reconnect with yourself and others. Anxiety, people pleasing, and perfectionism are painful. Set down the weight you carry and discover more ease in your everyday life and the deep connected relationships you long for.
![Photo of Kristin Sweet Fischer, MA, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/3ede893d-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Kristin Sweet Fischer
Marriage & Family Therapist, MA, LMFT
Verified Verified
2 Endorsed
Tacoma, WA 98407
I provide a supportive environment for individuals and couples to practice skills designed to enhance personal, relational, and professional satisfaction. My office is a safe confidential place to process life. I help individuals manage mental health and reduce need for prescriptions by incorporating research based practices. Learning tools to reduce anxiety, depression and PTSD due to trauma. Additionally, I am familiar with the challenges of military families and first responders. The unique cultural challenges of these groups and how therapy can help normalize and reduce mental distress for families and individuals.
I provide a supportive environment for individuals and couples to practice skills designed to enhance personal, relational, and professional satisfaction. My office is a safe confidential place to process life. I help individuals manage mental health and reduce need for prescriptions by incorporating research based practices. Learning tools to reduce anxiety, depression and PTSD due to trauma. Additionally, I am familiar with the challenges of military families and first responders. The unique cultural challenges of these groups and how therapy can help normalize and reduce mental distress for families and individuals.
![Photo of Jennifer Smith, MEd, LMHC, Counselor](https://photos.psychologytoday.com/3d8eb374-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
"Compassionate towards yourself, you reconcile all beings in the world." These words of wisdom hold truth for me. I believe all of life is about relationships--to ideas and circumstances, as well as people--and I think that one of the most important relationships is the one we have with our self. Change is possible when we see things as they are. I work in collaboration with people as they work toward their goals. I see individuals, couples and families (especially teens and parents) who recognize the need for change in their lives.
"Compassionate towards yourself, you reconcile all beings in the world." These words of wisdom hold truth for me. I believe all of life is about relationships--to ideas and circumstances, as well as people--and I think that one of the most important relationships is the one we have with our self. Change is possible when we see things as they are. I work in collaboration with people as they work toward their goals. I see individuals, couples and families (especially teens and parents) who recognize the need for change in their lives.
![Photo of Anne Mauro, LMFT, DHS, CST, CSE, CST-S, Marriage & Family Therapist](https://photos.psychologytoday.com/acfefcd4-57c7-40d1-89b9-57019bb25d52/1/320x400.jpeg)
Anne Mauro
Marriage & Family Therapist, LMFT, DHS, CST, CSE, CST-S
Verified Verified
47 Endorsed
Tacoma, WA 98406 (Online Only)
Are you frustrated with your sexual relationship(s)? Are you struggling with breakdowns in communication around sex? Are you feeling distance from your partner(s) and feel the loneliness creeping in? People normally see me when they need support in the "bedroom". If intimacy is a concern, seeking assistance through sex therapy can be a transformative journey. Sex therapy can help you move past barriers and teach you new skills that will enhance your relationship and improve sex life. Together, we can process concerns and work towards creating realistic and sustainable change. My clients include adult individuals and relationships.
Are you frustrated with your sexual relationship(s)? Are you struggling with breakdowns in communication around sex? Are you feeling distance from your partner(s) and feel the loneliness creeping in? People normally see me when they need support in the "bedroom". If intimacy is a concern, seeking assistance through sex therapy can be a transformative journey. Sex therapy can help you move past barriers and teach you new skills that will enhance your relationship and improve sex life. Together, we can process concerns and work towards creating realistic and sustainable change. My clients include adult individuals and relationships.
![Photo of Christel Wilder, MS, LMFT, Marriage & Family Therapist](https://photos.psychologytoday.com/4fba5e49-db3c-4a82-96a9-58b6a23f7981/2/320x400.jpeg)
Are you tired of the same argument, different day? Do your arguments consist of one person shutting down to avoid conflict, the other person feeling alone, and both of you feeling misunderstood and hurt. Things don't have to be this way. I assist couples in developing safety and vulnerability to strengthen the relationship bond and learn how to repair ruptures in the relationship. Many of us never learned how to have our emotional needs met, or how to respond to someone's emotional needs. It can feel as unfamiliar as being expected to speak a foreign language.
Are you tired of the same argument, different day? Do your arguments consist of one person shutting down to avoid conflict, the other person feeling alone, and both of you feeling misunderstood and hurt. Things don't have to be this way. I assist couples in developing safety and vulnerability to strengthen the relationship bond and learn how to repair ruptures in the relationship. Many of us never learned how to have our emotional needs met, or how to respond to someone's emotional needs. It can feel as unfamiliar as being expected to speak a foreign language.
![Photo of Kendra Foisie Rice, MA, LMHC, NCC, PMH-C, Licensed Professional Counselor](https://photos.psychologytoday.com/315de424-19b8-4452-9f49-ebd561b28a59/1/320x400.jpeg)
Kendra Foisie Rice
Licensed Professional Counselor, MA, LMHC, NCC, PMH-C
Verified Verified
4 Endorsed
Tacoma, WA 98406
Has becoming a parent been more challenging than you expected? Are you struggling to feel connected to your partner or to your baby? Are you feeling unsupported, exhausted, fearful, or sad when you thought you would be feeling elated? Are you questioning whether your experience is normal and wondering if things could be better? Now more than ever, moms and parents are feeling the pressure to be "perfect" without the support they really need to thrive. You can and should be doing more than just surviving parenthood.
Has becoming a parent been more challenging than you expected? Are you struggling to feel connected to your partner or to your baby? Are you feeling unsupported, exhausted, fearful, or sad when you thought you would be feeling elated? Are you questioning whether your experience is normal and wondering if things could be better? Now more than ever, moms and parents are feeling the pressure to be "perfect" without the support they really need to thrive. You can and should be doing more than just surviving parenthood.
![Photo of Carmen M Bryant - Psychological Health Consultants & Services, LLC, EdD, LMHC, CCTP, Counselor](https://photos.psychologytoday.com/b7b6a1ed-f592-42d7-af4b-a972d2a83231/2/320x400.jpeg)
Psychological Health Consultants & Services, LLC
Counselor, EdD, LMHC, CCTP
Verified Verified
Tacoma, WA 98409 (Online Only)
I am a retired Senior Leader of the US Army. I consider myself an eclectic therapist with a sense of humor and do not believe one size fits all. I draw from various theories and use different therapeutic approaches such as Cognitive Behavior Therapy, Exposure Therapy, Family Systems Theories, Solution Focused, Brief Solution Focused as well as Behavior Activation techniques. I use the client center approach and use resources and support systems available for the client. I also assist with providing resources and connecting clients to their community. My specialization is in narcissist abuse education and recovery.
I am a retired Senior Leader of the US Army. I consider myself an eclectic therapist with a sense of humor and do not believe one size fits all. I draw from various theories and use different therapeutic approaches such as Cognitive Behavior Therapy, Exposure Therapy, Family Systems Theories, Solution Focused, Brief Solution Focused as well as Behavior Activation techniques. I use the client center approach and use resources and support systems available for the client. I also assist with providing resources and connecting clients to their community. My specialization is in narcissist abuse education and recovery.
![Photo of Kelly Peck, MA, LMHC, Counselor](https://photos.psychologytoday.com/3c74ad87-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it.
I believe that children, adolescents, adults, couples and families can and deserve symptom relief, peace, harmony and greater satisfaction in their personal life, marriage, job, school, and interpersonal relationships. I provide a safe, warm and confidential therapeutic environment to achieve these goals with you.
Everyone goes through challenging situations in life, and while you may have successfully navigated through other difficulties you've faced, there's nothing wrong with seeking out extra support when you need it.
I believe that children, adolescents, adults, couples and families can and deserve symptom relief, peace, harmony and greater satisfaction in their personal life, marriage, job, school, and interpersonal relationships. I provide a safe, warm and confidential therapeutic environment to achieve these goals with you.
![Photo of Stacie Harcus, LMHC, Counselor](https://photos.psychologytoday.com/ce49f5ba-07b8-4b0d-af92-3ad9d657eea7/1/320x400.jpeg)
I specialize in men and women's issues, life transitions, grief, anxiety, depression and childhood trauma. I believe therapy should be a safe place. I have an empathetic but direct approach that creates an open environment where the client can explore who they are or want to be.
I specialize in men and women's issues, life transitions, grief, anxiety, depression and childhood trauma. I believe therapy should be a safe place. I have an empathetic but direct approach that creates an open environment where the client can explore who they are or want to be.
![Photo of Joel Hencken, PsyD, Psychologist](https://photos.psychologytoday.com/1ae60d35-599c-488e-b97d-19db26ee90c9/1/320x400.jpeg)
I feel very fortunate that in clinical psychology I have found a field where I have been glad to go to work since I saw my first client in 1974. My training has been "˜eclectic'. My undergrad work was in philosophy of science at University of Michigan. After a short stint in medical school, I went to San Diego State University, where my professors were Rogerians, cognitivists and behaviorists (that was before the latter two got hyphenated and finally acronym-ized into CBT), plus one crypto-Freudian who spoke little but offered the most amazing insights. I also had some years of personal psychoanalysis.
I feel very fortunate that in clinical psychology I have found a field where I have been glad to go to work since I saw my first client in 1974. My training has been "˜eclectic'. My undergrad work was in philosophy of science at University of Michigan. After a short stint in medical school, I went to San Diego State University, where my professors were Rogerians, cognitivists and behaviorists (that was before the latter two got hyphenated and finally acronym-ized into CBT), plus one crypto-Freudian who spoke little but offered the most amazing insights. I also had some years of personal psychoanalysis.
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![Photo of Janna Bushaw, MBA, MA, LMHC, NCC, Counselor](https://photos.psychologytoday.com/a26011f6-7058-4d2d-936e-bffda8f57c80/2/320x400.jpeg)
There are universal experiences that can cause us to question everything we have learned about who we are within ourselves and in connection to others. It’s in these times it can be difficult to meet life on life’s terms; when looking on the bright side, persistence and grit no longer get us through the day. This has been especially true this past couple of years. The most profound change being our ability to be connected to each other and having shared experiences to look forward to.
There are universal experiences that can cause us to question everything we have learned about who we are within ourselves and in connection to others. It’s in these times it can be difficult to meet life on life’s terms; when looking on the bright side, persistence and grit no longer get us through the day. This has been especially true this past couple of years. The most profound change being our ability to be connected to each other and having shared experiences to look forward to.
![Photo of Sorya Pao, MSW, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/123f602b-2006-4ee3-a61b-5dec70f030ad/1/320x400.jpeg)
Sorya Pao
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Tacoma, WA 98408 (Online Only)
I believe that therapy is one of the best tools for self-exploration and healing. I aim to cultivate a genuine relationship with you so that we can safely discuss challenges in your life. I believe in an approach that is strengths-based and culturally-sensitive as we work together. I honor you as the expert in your life and I am here to be alongside you on this journey to the life you envision for yourself.
I believe that therapy is one of the best tools for self-exploration and healing. I aim to cultivate a genuine relationship with you so that we can safely discuss challenges in your life. I believe in an approach that is strengths-based and culturally-sensitive as we work together. I honor you as the expert in your life and I am here to be alongside you on this journey to the life you envision for yourself.
![Photo of Shardae L Collins, LICSW, Clinical Social Work/Therapist](https://photos.psychologytoday.com/3ae05a85-36a9-4576-873d-624c03d1d567/2/320x400.jpeg)
Shardae L Collins
Clinical Social Work/Therapist, LICSW
Verified Verified
Tacoma, WA 98402 (Online Only)
Hello my name is Shardae Collins I am a licensed clinical social worker who offers telehealth therapy to individuals residing in CA, WA, NV, NJ, and MA. I support individuals in recognizing their strength and resilience regardless of the cards that were dealt to them. My therapeutic approach explores your environment and lived experience to better understand your strengths, needs, and hopes for the future. I believe that you have the power to heal yourself. I am simply a guide. I provide a non-judgmental safe space for you to freely express yourself.
Hello my name is Shardae Collins I am a licensed clinical social worker who offers telehealth therapy to individuals residing in CA, WA, NV, NJ, and MA. I support individuals in recognizing their strength and resilience regardless of the cards that were dealt to them. My therapeutic approach explores your environment and lived experience to better understand your strengths, needs, and hopes for the future. I believe that you have the power to heal yourself. I am simply a guide. I provide a non-judgmental safe space for you to freely express yourself.
![Photo of Kelly Price - Baobab Psychology LLC, PsyD, Psychologist](https://photos.psychologytoday.com/76fe4e16-2338-434a-8d62-2b0c300b51d5/1/320x400.jpeg)
Baobab Psychology LLC
Psychologist, PsyD
Verified Verified
1 Endorsed
Tacoma, WA 98409
Not accepting new clients
Hello! If you have found yourself here it is likely you have set an intention of working psychologically to reduce distress, consider your traumatic experiences and/or understand yourself better. I believe that there's often a number of factors that contribute to people struggling with mental health. The things we experience shape us all, in many ways, affecting how we feel, the things we do, and/or our relationships with others. As such, I view mental wellbeing as something we all need to take the time to invest in, although this is not always easy!
Hello! If you have found yourself here it is likely you have set an intention of working psychologically to reduce distress, consider your traumatic experiences and/or understand yourself better. I believe that there's often a number of factors that contribute to people struggling with mental health. The things we experience shape us all, in many ways, affecting how we feel, the things we do, and/or our relationships with others. As such, I view mental wellbeing as something we all need to take the time to invest in, although this is not always easy!
![Photo of Jesalyn Kimura, MA, LMHC, Counselor](https://photos.psychologytoday.com/3be0a9b2-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Sometimes in life, we can feel lost, stuck or even desperate. We do the same things over and over again without finding any solutions to our problems. Life often becomes painful when our past experiences have no words to describe them or clarity to bring them to understanding. Using a variety of approaches my clients and I explore their current pain and concerns, while considering the picture of their past experience. With support and compassion we map out a plan to discover ways to become unstuck and move in new directions.
Sometimes in life, we can feel lost, stuck or even desperate. We do the same things over and over again without finding any solutions to our problems. Life often becomes painful when our past experiences have no words to describe them or clarity to bring them to understanding. Using a variety of approaches my clients and I explore their current pain and concerns, while considering the picture of their past experience. With support and compassion we map out a plan to discover ways to become unstuck and move in new directions.
![Photo of Janet Cheng, Clinical Social Work/Therapist](https://photos.psychologytoday.com/8424ed0b-a01d-4f99-9125-be9d76abe692/1/320x400.jpeg)
Janet Cheng
Clinical Social Work/Therapist
Verified Verified
Tacoma, WA 98402
Waitlist for new clients
Life has so many transitions and challenges. Fertility issues, cancer, death of a loved one, work conflicts, relationship issues, and so many more. Are you are looking for a therapist that will listen to you and provide support? Then contact me.
Life has so many transitions and challenges. Fertility issues, cancer, death of a loved one, work conflicts, relationship issues, and so many more. Are you are looking for a therapist that will listen to you and provide support? Then contact me.
![Photo of Michael Jay Badger, PhD, Psychologist](https://photos.psychologytoday.com/3fdcbd61-46cd-11ea-a6ad-06142c356176/2/320x400.jpeg)
Michael Jay Badger
Psychologist, PhD
Verified Verified
Tacoma, WA 98422 (Online Only)
Not accepting new clients
Life comes at us fast sometimes; and we struggle to adjust and adapt. As an integrative therapist practicing ONLINE THERAPY only, I take satisfaction in helping otherwise well-functioning adults successfully deal with complex lives and complex individual circumstances. Our development (personal, professional, relational) depends upon the continual management of and response to a changing environment. To a very large degree we are a product of all that we have inherited and all that we have experienced.
Life comes at us fast sometimes; and we struggle to adjust and adapt. As an integrative therapist practicing ONLINE THERAPY only, I take satisfaction in helping otherwise well-functioning adults successfully deal with complex lives and complex individual circumstances. Our development (personal, professional, relational) depends upon the continual management of and response to a changing environment. To a very large degree we are a product of all that we have inherited and all that we have experienced.
![Photo of Melissa Shivers, LMHC, Counselor](https://photos.psychologytoday.com/cbe776e5-f26e-4625-a3d5-2b9452930e81/1/320x400.jpeg)
I will be accepting new clients beginning the first week of August 2024. I offer either in-person appointments or telehealth appointments for those who prefer to stay home. I am thankful to be able to help people through their challenging seasons. I enjoy working with individuals and have a special interest in working with those struggling with anxiety and depression. I am also passionate about providing Christian counseling for those who are struggling with faith-based issues.
I will be accepting new clients beginning the first week of August 2024. I offer either in-person appointments or telehealth appointments for those who prefer to stay home. I am thankful to be able to help people through their challenging seasons. I enjoy working with individuals and have a special interest in working with those struggling with anxiety and depression. I am also passionate about providing Christian counseling for those who are struggling with faith-based issues.
![Photo of William Meleney, MA, LMFT, LMHC, Marriage & Family Therapist](https://photos.psychologytoday.com/3b66553a-46cd-11ea-a6ad-06142c356176/3/320x400.jpeg)
Trouble with your teenager? Can't understand your partner? Not feeling as good as you once were? Need to get out of a rut and move ahead toward some vision? Need a vision? Bill Meleney is a counselor and a coach who often can help with these big issues in life. I am only accepting new coaching clients as of September 2021
Trouble with your teenager? Can't understand your partner? Not feeling as good as you once were? Need to get out of a rut and move ahead toward some vision? Need a vision? Bill Meleney is a counselor and a coach who often can help with these big issues in life. I am only accepting new coaching clients as of September 2021
See more therapy options for Tacoma
How does your Therapist compare?
Number of Therapists in Tacoma, WA
1,000+
Average cost per session
$150
Therapists in Tacoma, WA who prioritize treating:
93% | Anxiety |
87% | Depression |
76% | Trauma and PTSD |
73% | Relationship Issues |
73% | Self Esteem |
69% | Stress |
66% | Life Transitions |
Average years in practice
9 Years
Top 3 insurances accepted
76% | Premera Blue Cross |
67% | Regence |
63% | Aetna |
How Therapists in Tacoma, WA see their clients
52% | Online Only | |
48% | In Person and Online |
Gender breakdown
76% | Female | |
20% | Male | |
4% | Non-Binary |
FAQs - About Therapy and Counseling
How can I find a therapist in Tacoma?
Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.
Learn more about how to find a therapist
Learn more about how to find a therapist
Is everyone in the Psychology Today Therapy Directory a licensed therapist?
The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.
What’s the difference between a psychologist, a therapist, and a counselor?
Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.
What type of therapy is right for me?
The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.
How much does therapy cost?
The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.
What are more affordable or low cost therapy solutions?
Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.
Is online therapy cheaper than in-person therapy?
Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.
Is online therapy a good option?
Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.
Are therapy sessions confidential?
Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.