Therapists in Jefferson Westside, Eugene, OR

Photo of Lara Lohman, MA, LCSW, EMDR, Clinical Social Work/Therapist
Lara Lohman
Clinical Social Work/Therapist, MA, LCSW, EMDR
Verified Verified
Jefferson Westside, Eugene, OR 97401  (Online Only)
CURRENTLY ACCEPTING NEW CLIENTS. Please email to reach me. If you’re struggling with life stress, major transitions, anxiety, eating/body/exercise issues, depression or other mental health concerns, you deserve the time and space to process. I’ve specialized in eating disorders, substance use and comorbid disorders for the past decade and would love to help meet you wherever you fall in your journey toward getting well. I have also served as director at several adult and adolescent eating disorder residential programs which lends to my knowledge of the field at every level of care.
CURRENTLY ACCEPTING NEW CLIENTS. Please email to reach me. If you’re struggling with life stress, major transitions, anxiety, eating/body/exercise issues, depression or other mental health concerns, you deserve the time and space to process. I’ve specialized in eating disorders, substance use and comorbid disorders for the past decade and would love to help meet you wherever you fall in your journey toward getting well. I have also served as director at several adult and adolescent eating disorder residential programs which lends to my knowledge of the field at every level of care.
(346) 707-2620 View (346) 707-2620
Photo of Jennifer Beltz, LMFT, LPC, Licensed Professional Counselor
Jennifer Beltz
Licensed Professional Counselor, LMFT, LPC
Verified Verified
Jefferson Westside, Eugene, OR 97401
Not accepting new clients
I have been honored to work with individuals and couples who have improved their communication, boundary setting, and coping skills through practice, dedication, and the power of a restorative and healing therapeutic relationship. I have often been amazed and inspired by the clients I have seen who uncover their potential, and overcome obstacles that they once thought were insurmountable. We both influence and are influenced by our environments and relationships. The same way we are molded by these experiences, we can also create self change through support, tools, and the power of intention.
I have been honored to work with individuals and couples who have improved their communication, boundary setting, and coping skills through practice, dedication, and the power of a restorative and healing therapeutic relationship. I have often been amazed and inspired by the clients I have seen who uncover their potential, and overcome obstacles that they once thought were insurmountable. We both influence and are influenced by our environments and relationships. The same way we are molded by these experiences, we can also create self change through support, tools, and the power of intention.
(458) 200-3980 View (458) 200-3980
Photo of Jessica Crowder, MSW, LCSW, RYT, Clinical Social Work/Therapist
Jessica Crowder
Clinical Social Work/Therapist, MSW, LCSW, RYT
Verified Verified
7 Endorsed
Jefferson Westside, Eugene, OR 97401
Waitlist for new clients
I value therapy for the opportunity to support you in exploring the places just beyond your comfort zone with curiosity and compassion. I am most experienced treating trauma, adult children of addiction, codependency, life transitions, grief, anxiety, and relationship issues. My approach is eclectic and strengths-based, drawing from a combination of EMDR/Flash Technique, psychodynamic theories, current neuroscience, yoga and mindfulness practices, and social work values.
I value therapy for the opportunity to support you in exploring the places just beyond your comfort zone with curiosity and compassion. I am most experienced treating trauma, adult children of addiction, codependency, life transitions, grief, anxiety, and relationship issues. My approach is eclectic and strengths-based, drawing from a combination of EMDR/Flash Technique, psychodynamic theories, current neuroscience, yoga and mindfulness practices, and social work values.
(541) 803-8221 View (541) 803-8221
Photo of Diana Budd, MA, RN, Marriage & Family Therapist Associate
Diana Budd
Marriage & Family Therapist Associate, MA, RN
Verified Verified
1 Endorsed
Jefferson Westside, Eugene, OR 97401
I specialize in life transitions using a holistic mind-body approach in order to help you achieve increased clarity so that you are able to make the best decisions for your personal journey. I understand life is full of transitions that come with multiple challenges. Challenges that bring up feelings of anxiety, self-doubt, and lowering of self-esteem. These feelings can leave you stuck in a world of worry, making it almost impossible to visualize your desired future. My holistic mind-body approach allows you to internally integrate the changes you desire to create in your life.
I specialize in life transitions using a holistic mind-body approach in order to help you achieve increased clarity so that you are able to make the best decisions for your personal journey. I understand life is full of transitions that come with multiple challenges. Challenges that bring up feelings of anxiety, self-doubt, and lowering of self-esteem. These feelings can leave you stuck in a world of worry, making it almost impossible to visualize your desired future. My holistic mind-body approach allows you to internally integrate the changes you desire to create in your life.
(458) 231-8377 View (458) 231-8377
Photo of Merry Herbst, LCSW, Clinical Social Work/Therapist
Merry Herbst
Clinical Social Work/Therapist, LCSW
Verified Verified
Jefferson Westside, Eugene, OR 97401
Not accepting new clients
I believe in human resilience, in the potential for growth and change. I believe that pain arises through the endurance of invalidation, violation, or incongruence of one’s self, and that these experiences are what bring us to therapy. Therapy is a powerful opportunity to explore and discover one’s resilience through a relationship that encourages growth in a nonjudgmental, supportive environment. As a therapist, I am committed to creating a space for healing in which we can explore your life stories of both pain and joy, where you feel heard and validated, and where you can make the changes you seek.
I believe in human resilience, in the potential for growth and change. I believe that pain arises through the endurance of invalidation, violation, or incongruence of one’s self, and that these experiences are what bring us to therapy. Therapy is a powerful opportunity to explore and discover one’s resilience through a relationship that encourages growth in a nonjudgmental, supportive environment. As a therapist, I am committed to creating a space for healing in which we can explore your life stories of both pain and joy, where you feel heard and validated, and where you can make the changes you seek.
(541) 735-9008 View (541) 735-9008
Photo of Bill McClain, MSW, LCSW, Clinical Social Work/Therapist
Bill McClain
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Jefferson Westside, Eugene, OR 97401
We'll work together to explore your strengths and use them to create the life you want. Deepen your relationships, stay connected to your kids, heal emotional wounds, live with less fear and more confidence. Realize your potential for happiness.
We'll work together to explore your strengths and use them to create the life you want. Deepen your relationships, stay connected to your kids, heal emotional wounds, live with less fear and more confidence. Realize your potential for happiness.
(541) 246-7137 View (541) 246-7137
Photo of Sally Snyder, LCSW, Clinical Social Work/Therapist
Sally Snyder
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Jefferson Westside, Eugene, OR 97401
Not accepting new clients
Any of us, from adults to very young children, can experience life challenges that require the caring support of other people. Sometimes we need help to navigate these challenges, and to heal, reorient, and move forward in our lives toward better health and wholeness. When the emotional support of friends and family is not enough, establishing a safe, collaborative relationship with a psychotherapist can be a valuable resource.
Any of us, from adults to very young children, can experience life challenges that require the caring support of other people. Sometimes we need help to navigate these challenges, and to heal, reorient, and move forward in our lives toward better health and wholeness. When the emotional support of friends and family is not enough, establishing a safe, collaborative relationship with a psychotherapist can be a valuable resource.
(541) 833-0521 x505 View (541) 833-0521 x505
Photo of Irie Hoffman, MEd, LMFT, Marriage & Family Therapist
Irie Hoffman
Marriage & Family Therapist, MEd, LMFT
Verified Verified
Jefferson Westside, Eugene, OR 97401
Not accepting new clients
I feel incredibly privileged to have the opportunity to work with individuals, couples and families during times of increased stress and transition. My approach is strengths-based, direct, and tailored to meet the needs of each client. By creating an atmosphere of respect and safety, I encourage my clients to explore and make sense out of the challenges they are facing. Everyone comes to therapy with different experiences, needs, and objectives. It is my goal to establish a therapeutic relationship, that both challenges and encourages my clients to meet their goals in therapy and in life.
I feel incredibly privileged to have the opportunity to work with individuals, couples and families during times of increased stress and transition. My approach is strengths-based, direct, and tailored to meet the needs of each client. By creating an atmosphere of respect and safety, I encourage my clients to explore and make sense out of the challenges they are facing. Everyone comes to therapy with different experiences, needs, and objectives. It is my goal to establish a therapeutic relationship, that both challenges and encourages my clients to meet their goals in therapy and in life.
(458) 221-9961 View (458) 221-9961
Photo of Heather Sardella, MS, LMFT, Marriage & Family Therapist
Heather Sardella
Marriage & Family Therapist, MS, LMFT
Verified Verified
1 Endorsed
Jefferson Westside, Eugene, OR 97402  (Online Only)
Therapy is about change. Change can be difficult and rewarding, exciting and scary. Wanting a change is a big part of what brings people to therapy. Combining forces with you (you are the expert on you!) I can guide your way towards change and help you achieve your therapeutic goals. I work primarily with teens, their families and young adults. I use an eclectic positive approach, customizing my sessions to my clients’ needs. I’m a believer in humor, artistic expression and creative problem solving.
Therapy is about change. Change can be difficult and rewarding, exciting and scary. Wanting a change is a big part of what brings people to therapy. Combining forces with you (you are the expert on you!) I can guide your way towards change and help you achieve your therapeutic goals. I work primarily with teens, their families and young adults. I use an eclectic positive approach, customizing my sessions to my clients’ needs. I’m a believer in humor, artistic expression and creative problem solving.
(458) 228-2419 View (458) 228-2419
Photo of Jackie Lynn Boggs, LMFT, Marriage & Family Therapist
Jackie Lynn Boggs
Marriage & Family Therapist, LMFT
Verified Verified
Jefferson Westside, Eugene, OR 97401
Waitlist for new clients
Everyone wants to feel valued in their relationships and live a meaningful life. I challenge, encourage and create new strategies to help people stabilize their mood and build stronger relationships. We all get stuck in parts of our life and struggle to see a way out. I can be a guide and support to help you climb out of the darkness and find a new path towards the light.
Everyone wants to feel valued in their relationships and live a meaningful life. I challenge, encourage and create new strategies to help people stabilize their mood and build stronger relationships. We all get stuck in parts of our life and struggle to see a way out. I can be a guide and support to help you climb out of the darkness and find a new path towards the light.
(458) 214-8878 View (458) 214-8878
Photo of Ruthie Marx - Ruthie Marx Psychotherapy, LLC, LPC, Licensed Professional Counselor
Ruthie Marx Psychotherapy, LLC
Licensed Professional Counselor, LPC
Verified Verified
4 Endorsed
Jefferson Westside, Eugene, OR 97401
Not accepting new clients
I offer a warm, relational style of therapy. My primary goal is to learn what has happened to you and how it affects your life now. I believe you can gain personal insight and make changes to improve your life.
I offer a warm, relational style of therapy. My primary goal is to learn what has happened to you and how it affects your life now. I believe you can gain personal insight and make changes to improve your life.
(541) 203-6401 View (541) 203-6401
Photo of Kendra Vita, MS, LPC, Licensed Professional Counselor
Kendra Vita
Licensed Professional Counselor, MS, LPC
Verified Verified
Jefferson Westside, Eugene, OR 97401
Are you tired of feeling the way you do? Would you like to experience more peace, joy, and vibrancy in your life but you aren’t sure how to do that? Maybe you feel a little stuck. I will listen with great empathy and admiration, help you hear yourself more clearly, teach you to laugh at how ridiculous you can be, and remind you that you are perfectly normal. I believe you can experience the fullness of life that you long for. And, it is my great joy and privilege to help you grow in the confidence, self-kindness, and self-trust that are required for the journey.
Are you tired of feeling the way you do? Would you like to experience more peace, joy, and vibrancy in your life but you aren’t sure how to do that? Maybe you feel a little stuck. I will listen with great empathy and admiration, help you hear yourself more clearly, teach you to laugh at how ridiculous you can be, and remind you that you are perfectly normal. I believe you can experience the fullness of life that you long for. And, it is my great joy and privilege to help you grow in the confidence, self-kindness, and self-trust that are required for the journey.
(541) 204-4671 View (541) 204-4671
Photo of Kristin Funk, LCSW, Analyst, Clinical Social Work/Therapist
Kristin Funk
Clinical Social Work/Therapist, LCSW, Analyst
Verified Verified
Jefferson Westside, Eugene, OR 97401
Waitlist for new clients
Each client comes with unique struggles and with unique hopes and longings in the search for meaning, relatedness, healing, creativity, and growth. We all have a life to live. When that life is stymied - by inside forces or outside events - you might feel stuck or lonely, experience anxiety, depression, anger, grief, chronic pain, or restlessness. You might also struggle with life changes, illness, stale relationship patterns, addictions or spiritual issues. My aim is to get to know you well and help you develop a conscious, vital relationship with the powerful forces that seek life and growth and with those that get in your way.
Each client comes with unique struggles and with unique hopes and longings in the search for meaning, relatedness, healing, creativity, and growth. We all have a life to live. When that life is stymied - by inside forces or outside events - you might feel stuck or lonely, experience anxiety, depression, anger, grief, chronic pain, or restlessness. You might also struggle with life changes, illness, stale relationship patterns, addictions or spiritual issues. My aim is to get to know you well and help you develop a conscious, vital relationship with the powerful forces that seek life and growth and with those that get in your way.
(541) 516-1763 View (541) 516-1763
Photo of Carolee J Horning, LPC, Licensed Professional Counselor
Carolee J Horning
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Jefferson Westside, Eugene, OR 97401
Not accepting new clients
Trauma comes in many shapes and forms. A deeply distressing and disturbing experience in your life can have many negative effects such as feeling numb or like you’re just “going through the motions,” deep depression and sadness, or feeling “broken.” But you are not alone in feeling this way. I understand the power of trauma and how it can destroy you, overtaking your mind and your body. It’s a wound that changes a person. Especially if you don’t let it out. It finds unhealthy ways. The trauma can overpower you and take control. But you can become "unbroken."
Trauma comes in many shapes and forms. A deeply distressing and disturbing experience in your life can have many negative effects such as feeling numb or like you’re just “going through the motions,” deep depression and sadness, or feeling “broken.” But you are not alone in feeling this way. I understand the power of trauma and how it can destroy you, overtaking your mind and your body. It’s a wound that changes a person. Especially if you don’t let it out. It finds unhealthy ways. The trauma can overpower you and take control. But you can become "unbroken."
(541) 359-1994 View (541) 359-1994
Photo of Sharon M Smith, PhD, Psychologist
Sharon M Smith
Psychologist, PhD
Verified Verified
Jefferson Westside, Eugene, OR 97401
Therapy is an investment in the quality of your life. I enjoy working with clients who want to improve their relationships; the effectiveness of their parenting; the satisfaction of their career path; the ability to perform confidently in arts/athletics/academics; to recover well following a difficult change or transition; or generally, to feel more contentment and less distress on a daily basis.
Therapy is an investment in the quality of your life. I enjoy working with clients who want to improve their relationships; the effectiveness of their parenting; the satisfaction of their career path; the ability to perform confidently in arts/athletics/academics; to recover well following a difficult change or transition; or generally, to feel more contentment and less distress on a daily basis.
(458) 216-2362 View (458) 216-2362
Photo of Marna Cathleen, MSW, LCSW, Clinical Social Work/Therapist
Marna Cathleen
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Jefferson Westside, Eugene, OR 97402
Marna Cathleen works with individuals who strive to be stronger, more confident individuals so they are more effective in their work, family and social life. Marna will teach you techniques to lower anxiety, manage depression, and stop panic so that you can think clearly, and navigate the new emerging world. Marna believes that healing happens when we access the bodies innate mechanism to heal itself.
Marna Cathleen works with individuals who strive to be stronger, more confident individuals so they are more effective in their work, family and social life. Marna will teach you techniques to lower anxiety, manage depression, and stop panic so that you can think clearly, and navigate the new emerging world. Marna believes that healing happens when we access the bodies innate mechanism to heal itself.
(458) 224-1150 View (458) 224-1150
Photo of Susan Levine Friedman, LCSW, Clinical Social Work/Therapist
Susan Levine Friedman
Clinical Social Work/Therapist, LCSW
Verified Verified
Jefferson Westside, Eugene, OR 97401
Not accepting new clients
PLEASE NOTE THAT MY PRACTICE IS CURRENTLY FULL. My style is interactive and my goal is to create a collaborative, therapeutic relationship. Using a variety of theoretical approaches, I help clients identify issues they need to manage or resolve in order to achieve the quality of life they are seeking. I have a deep regard for the role one's spiritual life may have assisting with one's overall well-being. I respect the uniqueness of each individual and the drive to achieve a sense of wholeness and self-expression. With this in mind, I strive to bring compassion, focus and direction to the work we do together.
PLEASE NOTE THAT MY PRACTICE IS CURRENTLY FULL. My style is interactive and my goal is to create a collaborative, therapeutic relationship. Using a variety of theoretical approaches, I help clients identify issues they need to manage or resolve in order to achieve the quality of life they are seeking. I have a deep regard for the role one's spiritual life may have assisting with one's overall well-being. I respect the uniqueness of each individual and the drive to achieve a sense of wholeness and self-expression. With this in mind, I strive to bring compassion, focus and direction to the work we do together.
(541) 210-9381 View (541) 210-9381
Photo of Ashley Carr, MA, Pre-Licensed Professional
Ashley Carr
Pre-Licensed Professional, MA
Verified Verified
2 Endorsed
Jefferson Westside, Eugene, OR 97402  (Online Only)
Not accepting new clients
Hello there! I'm Ashley Carr (she/her), therapist and owner of Midnight Counseling Services. My main focus is on helping Black, Brown, and Indigenous peoples in their healing journey. I am equally passionate about supporting and guiding individuals from all backgrounds who seek empowerment and strength through therapy.
Hello there! I'm Ashley Carr (she/her), therapist and owner of Midnight Counseling Services. My main focus is on helping Black, Brown, and Indigenous peoples in their healing journey. I am equally passionate about supporting and guiding individuals from all backgrounds who seek empowerment and strength through therapy.
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Photo of Wendy Eaglewolfe, LCSW, Clinical Social Work/Therapist
Wendy Eaglewolfe
Clinical Social Work/Therapist, LCSW
Verified Verified
Jefferson Westside, Eugene, OR 97401
My father worked as a caseworker in New York and my mother is a registered nurse. Is it any wonder that I often attract caring clients seeking to balance stress (sometimes PTSD) as they strive to assist others. Many of my clients are caregivers- looking after family members, counselors, pastoral care workers, shamanic practitioners or healers. The rest tend to be people seeking tools to make sense out of their lives and their experiences. I provide a calm port in the storm of life. Care For The Caregiver is a place to receive support while learning to reach your goals.
My father worked as a caseworker in New York and my mother is a registered nurse. Is it any wonder that I often attract caring clients seeking to balance stress (sometimes PTSD) as they strive to assist others. Many of my clients are caregivers- looking after family members, counselors, pastoral care workers, shamanic practitioners or healers. The rest tend to be people seeking tools to make sense out of their lives and their experiences. I provide a calm port in the storm of life. Care For The Caregiver is a place to receive support while learning to reach your goals.
(541) 362-8213 View (541) 362-8213
Photo of Robert J Noble - Noble Therapy, Marriage & Family Therapist
Noble Therapy
Marriage & Family Therapist
Verified Verified
1 Endorsed
Jefferson Westside, Eugene, OR 97401
At some point in our lives, everyone gets stuck in unhealthy patterns of behavior or interactions. At some point we all need help. There comes a time when we all need to look in the mirror and face it, change needs to happen. Thats where I come in. I'm here to help. I have a direct approach to therapy which tends to be supportive and caring yet proactive and goal oriented. This strengths based approach seems to really help people get "unstuck" and allows them to find new ways of approaching their concerns. I enjoy working with and getting to know all types of people. I work with individual adults, couples and families.
At some point in our lives, everyone gets stuck in unhealthy patterns of behavior or interactions. At some point we all need help. There comes a time when we all need to look in the mirror and face it, change needs to happen. Thats where I come in. I'm here to help. I have a direct approach to therapy which tends to be supportive and caring yet proactive and goal oriented. This strengths based approach seems to really help people get "unstuck" and allows them to find new ways of approaching their concerns. I enjoy working with and getting to know all types of people. I work with individual adults, couples and families.
(541) 393-8766 View (541) 393-8766
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See more therapy options for Jefferson Westside, Eugene

How does your Therapist compare?

Number of Therapists in Jefferson Westside, Eugene, OR

20+

Average cost per session

$150

Therapists in Jefferson Westside, Eugene, OR who prioritize treating:

96% Anxiety
92% Depression
88% Relationship Issues
88% Grief
85% Trauma and PTSD
81% Stress
77% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

100% PacificSource
61% BlueCross and BlueShield
52% Moda Health

How Therapists in Jefferson Westside, Eugene, OR see their clients

81% In Person and Online
19% Online Only

Gender breakdown

88% Female
12% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Jefferson Westside, Eugene?

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.