Therapists in Maplewood-Ashcreek, Portland, OR

Photo of Tracy Heart - Tracy Heart, M.A., L.P.C., MA, LPC, Licensed Professional Counselor
Tracy Heart, M.A., L.P.C.
Licensed Professional Counselor, MA, LPC
Verified Verified
Maplewood-Ashcreek, Portland, OR 97219  (Online Only)
Respectful, collaborative therapy. Are you sensitive, sad or anxious? Are there questions in your relationships? Do you feel shame or regret about yourself or your body, or struggle with other distressing thought or behavior patterns? Are there memories of childhood neglect or other trauma? I help people explore & come to terms with issues like these. My education and training have given me detailed perspectives about some of the concerns that trouble people - as well as underlying wounds, challenges and complicated feelings that come up in dealing with them. This includes working with personal, generational &/or systemic trauma.
Respectful, collaborative therapy. Are you sensitive, sad or anxious? Are there questions in your relationships? Do you feel shame or regret about yourself or your body, or struggle with other distressing thought or behavior patterns? Are there memories of childhood neglect or other trauma? I help people explore & come to terms with issues like these. My education and training have given me detailed perspectives about some of the concerns that trouble people - as well as underlying wounds, challenges and complicated feelings that come up in dealing with them. This includes working with personal, generational &/or systemic trauma.
(971) 205-2793 View (971) 205-2793
Photo of Montana Schroll, MA, LPC Intern
Montana Schroll
LPC Intern, MA
Verified Verified
Maplewood-Ashcreek, Portland, OR 97219
I’m a compassionate believer in the power of individual stories. As a professional counselor intern based in Oregon, I provide a non-judgmental space where individuals can openly share their experiences and work collaboratively towards shaping their present circumstances and future aspirations.
I’m a compassionate believer in the power of individual stories. As a professional counselor intern based in Oregon, I provide a non-judgmental space where individuals can openly share their experiences and work collaboratively towards shaping their present circumstances and future aspirations.
(503) 882-0447 View (503) 882-0447
Photo of Elizabeth Wallace, MA, LPC, Licensed Professional Counselor
Elizabeth Wallace
Licensed Professional Counselor, MA, LPC
Verified Verified
Maplewood-Ashcreek, Portland, OR 97219  (Online Only)
Not accepting new clients
Hello! I specialize in couples/sex, addictions, and trauma/anxiety. I take Cigna, Aetna and Optum insurance. I have been helping adults and couples reach their goals for 19 years. I'm here for those that want to free themselves from old patterns, be they traumatic events, anxiety attacks, destructive patterns, infidelity, issues with sex, or unhelpful styles of communication. I'm known for being an active participant, open-minded and direct. I also love using my great sense of humor, when appropriate. I'm casual. Cussing in sessions welcome!
Hello! I specialize in couples/sex, addictions, and trauma/anxiety. I take Cigna, Aetna and Optum insurance. I have been helping adults and couples reach their goals for 19 years. I'm here for those that want to free themselves from old patterns, be they traumatic events, anxiety attacks, destructive patterns, infidelity, issues with sex, or unhelpful styles of communication. I'm known for being an active participant, open-minded and direct. I also love using my great sense of humor, when appropriate. I'm casual. Cussing in sessions welcome!
(503) 470-7009 View (503) 470-7009
Photo of Ally Simone, LMFT, T2066, Marriage & Family Therapist
Ally Simone
Marriage & Family Therapist, LMFT, T2066
Verified Verified
1 Endorsed
Maplewood-Ashcreek, Portland, OR 97219  (Online Only)
I work with adult individuals and relationships. Many of my clients are focused on healing from trauma, disrupting harmful patterns like people pleasing and codependency, and creating healthy relationships. I am committed to equity and inclusion, both personally and professionally and my goal is always that my clients feel seen and supported in all aspects of their identity. I am LGBTQIA+, and gender affirming, sex/kink positive and welcome all relationship configurations including CNM/Polyamory. I recognize and value all types of diversity including ethnicity, race, size, gender, sexual orientation, class, religion, and abilities.
I work with adult individuals and relationships. Many of my clients are focused on healing from trauma, disrupting harmful patterns like people pleasing and codependency, and creating healthy relationships. I am committed to equity and inclusion, both personally and professionally and my goal is always that my clients feel seen and supported in all aspects of their identity. I am LGBTQIA+, and gender affirming, sex/kink positive and welcome all relationship configurations including CNM/Polyamory. I recognize and value all types of diversity including ethnicity, race, size, gender, sexual orientation, class, religion, and abilities.
(503) 212-9970 View (503) 212-9970
Photo of Deborah Orandon, MS, NCC, LPC, Licensed Professional Counselor
Deborah Orandon
Licensed Professional Counselor, MS, NCC, LPC
Verified Verified
Maplewood-Ashcreek, Portland, OR 97219
Not accepting new clients
Life is CHALLENGING--especially for Highly Sensitive People (HSP) in over-stimulating environments! I work with HSPs, Creatives & the Gifted to uncover the root-causes of distress and reconnect with inner resources for healing and creating change. Often our most persistent struggles are caused by parts of ourselves that we are not fully aware of. I help you safely access the wisdom of even wounded, scared, immobilized or angry parts. By compassionately listening, you discover your richest experiences & hopes, greatest passions & gifts. THEN walking away from habits that don't work, and into the life you want, becomes possible.
Life is CHALLENGING--especially for Highly Sensitive People (HSP) in over-stimulating environments! I work with HSPs, Creatives & the Gifted to uncover the root-causes of distress and reconnect with inner resources for healing and creating change. Often our most persistent struggles are caused by parts of ourselves that we are not fully aware of. I help you safely access the wisdom of even wounded, scared, immobilized or angry parts. By compassionately listening, you discover your richest experiences & hopes, greatest passions & gifts. THEN walking away from habits that don't work, and into the life you want, becomes possible.
(503) 542-9603 View (503) 542-9603
Photo of Trisha Nozumi, MS, QMHP-C, Pre-Licensed Professional
Trisha Nozumi
Pre-Licensed Professional, MS, QMHP-C
Verified Verified
Maplewood-Ashcreek, Portland, OR 97219
Not accepting new clients
As a therapist, my approach is grounded in empathy, compassion, and person-centered counseling. I don’t believe that therapy is a “one size fits all,” and I utilize a variety of methods, including Cognitive Behavioral Therapy, Trauma-Focused CBT, and Attachment Theory to provide an approach that will fit your individual needs.
As a therapist, my approach is grounded in empathy, compassion, and person-centered counseling. I don’t believe that therapy is a “one size fits all,” and I utilize a variety of methods, including Cognitive Behavioral Therapy, Trauma-Focused CBT, and Attachment Theory to provide an approach that will fit your individual needs.
(503) 461-5449 View (503) 461-5449
Photo of Aliah Dolan, MS, LMFT, Marriage & Family Therapist
Aliah Dolan
Marriage & Family Therapist, MS, LMFT
Verified Verified
Maplewood-Ashcreek, Portland, OR 97219
Looking for the right therapist for you can be the start of something great, but it can also feel a little overwhelming. At the heart of my practice is your comfort. When you begin talking with someone who really listens, wants to understand your point of view, and wants to not only help you, but learn from you, real growth can begin to happen. Sometimes old patterns and the things we have been through can make us feel stuck. I'm here to help you get unstuck and get where you want to be.
Looking for the right therapist for you can be the start of something great, but it can also feel a little overwhelming. At the heart of my practice is your comfort. When you begin talking with someone who really listens, wants to understand your point of view, and wants to not only help you, but learn from you, real growth can begin to happen. Sometimes old patterns and the things we have been through can make us feel stuck. I'm here to help you get unstuck and get where you want to be.
(503) 664-9241 View (503) 664-9241
Photo of Nicole Dove, MS, Pre-Licensed Professional
Nicole Dove
Pre-Licensed Professional, MS
Verified Verified
Maplewood-Ashcreek, Portland, OR 97219  (Online Only)
I work with various issues including infertility, pregnancy and postpartum, anxiety, depression, eating disorders, stress management, grief and loss, and marriage/relationship.
I work with various issues including infertility, pregnancy and postpartum, anxiety, depression, eating disorders, stress management, grief and loss, and marriage/relationship.
(503) 966-3199 View (503) 966-3199
Photo of Greg Lucas, MA, MEd, Pre-Licensed Professional
Greg Lucas
Pre-Licensed Professional, MA, MEd
Verified Verified
4 Endorsed
Maplewood-Ashcreek, Portland, OR 97219
Not currently accepting new clients. Waitlist only. I work with individuals (adults) and couples facing a variety of challenges. I will help you tackle depression, anxiety, conflict, PTSD, grief and other challenges so that pain and fear do not block you from life satisfaction and good relationships. Where you feel stuck can be what propels you forward. What causes you pain can be what ultimately changes your life situation. My approach is sensitive, compassionate, humorous at times, and defined by a passion for helping others live their best life.
Not currently accepting new clients. Waitlist only. I work with individuals (adults) and couples facing a variety of challenges. I will help you tackle depression, anxiety, conflict, PTSD, grief and other challenges so that pain and fear do not block you from life satisfaction and good relationships. Where you feel stuck can be what propels you forward. What causes you pain can be what ultimately changes your life situation. My approach is sensitive, compassionate, humorous at times, and defined by a passion for helping others live their best life.
(503) 479-4789 View (503) 479-4789
Photo of Louise Gordon, MA, LPC, Licensed Professional Counselor
Louise Gordon
Licensed Professional Counselor, MA, LPC
Verified Verified
1 Endorsed
Maplewood-Ashcreek, Portland, OR 97219
If you are experiencing difficulties in your relationships or you feel you are not living the life you were meant to live, I can help you. Perhaps you want to resolve indecision in some area of your life. Or you realize that you need help with anxiety or depression. Some people seek counseling when they have a problem controlling their behavior, such as drinking or arguing. Whatever your reason for wanting to change, please don’t wait to get yourself living the life you envision. Many people have experienced the changes you seek and I am looking forward to being a part of your success.
If you are experiencing difficulties in your relationships or you feel you are not living the life you were meant to live, I can help you. Perhaps you want to resolve indecision in some area of your life. Or you realize that you need help with anxiety or depression. Some people seek counseling when they have a problem controlling their behavior, such as drinking or arguing. Whatever your reason for wanting to change, please don’t wait to get yourself living the life you envision. Many people have experienced the changes you seek and I am looking forward to being a part of your success.
(503) 489-4285 View (503) 489-4285
Photo of Jennifer Samsom, MA, LPC, LMHC, Licensed Professional Counselor
Jennifer Samsom
Licensed Professional Counselor, MA, LPC, LMHC
Verified Verified
Maplewood-Ashcreek, Portland, OR 97219  (Online Only)
Not accepting new clients
My job and ultimate goal is to provide clients with their own skill set and help them find what works best for them, so that they don't need me to continue navigating their own lives. I hold each and every one of my clients with the highest respect and I take a personal interest in seeing them through transformation and growth. I experience great satisfaction in witnessing them flourish and expand in their lives. To be welcomed along as a teammate in someone else's personal journey and path is an exceptional honor that I do not take lightly.
My job and ultimate goal is to provide clients with their own skill set and help them find what works best for them, so that they don't need me to continue navigating their own lives. I hold each and every one of my clients with the highest respect and I take a personal interest in seeing them through transformation and growth. I experience great satisfaction in witnessing them flourish and expand in their lives. To be welcomed along as a teammate in someone else's personal journey and path is an exceptional honor that I do not take lightly.
(503) 461-7520 View (503) 461-7520
Photo of Kate L Reece, MSW, LCSW, Clinical Social Work/Therapist
Kate L Reece
Clinical Social Work/Therapist, MSW, LCSW
Verified Verified
Maplewood-Ashcreek, Portland, OR 97219
Helping others discover peace, connection, and confidence in the face of turmoil has long been a passion of mine. I believe everyone is capable of growth and healing if they are provided sufficient encouragement, support, and effective strategies. My therapeutic style is conversational and relaxed. I encourage clients to identify and communicate their unique needs and concerns in order to improve interpersonal relationships, manage bothersome emotions or behaviors, and develop healthier family connections. No matter their goal, I strongly believe in the client’s right to decide the focus of therapy.
Helping others discover peace, connection, and confidence in the face of turmoil has long been a passion of mine. I believe everyone is capable of growth and healing if they are provided sufficient encouragement, support, and effective strategies. My therapeutic style is conversational and relaxed. I encourage clients to identify and communicate their unique needs and concerns in order to improve interpersonal relationships, manage bothersome emotions or behaviors, and develop healthier family connections. No matter their goal, I strongly believe in the client’s right to decide the focus of therapy.
(503) 487-5114 View (503) 487-5114
Photo of Mary McGill, MA, LPC, Licensed Professional Counselor
Mary McGill
Licensed Professional Counselor, MA, LPC
Verified Verified
Maplewood-Ashcreek, Portland, OR 97219  (Online Only)
Not accepting new clients
Do you want more out of your life but you are feeling stuck in old patterns? Does fear or feeling down stop you from enjoying life? Have you had a loss or a terrible experience and are "just not yourself"? I can help you. I use techniques for understanding the problem and finding the ways that can open you to new possibilities. By getting in touch with the desires of your heart, I can help you meaningfully navigate the ups and downs of life. I work collaboratively to cultivate what you most value for yourself, your relationships, your family, and your community.
Do you want more out of your life but you are feeling stuck in old patterns? Does fear or feeling down stop you from enjoying life? Have you had a loss or a terrible experience and are "just not yourself"? I can help you. I use techniques for understanding the problem and finding the ways that can open you to new possibilities. By getting in touch with the desires of your heart, I can help you meaningfully navigate the ups and downs of life. I work collaboratively to cultivate what you most value for yourself, your relationships, your family, and your community.
(503) 766-5497 View (503) 766-5497
Photo of Allyson Kropf, LPC, Licensed Professional Counselor
Allyson Kropf
Licensed Professional Counselor, LPC
Verified Verified
3 Endorsed
Maplewood-Ashcreek, Portland, OR 97219
Not accepting new clients
I am a Licensed Professional Counselor with 12 years of experience working in mental health. Through my own experiences in the military, I experienced first-hand Post-Traumatic Stress Disorder, anxiety, and depression. After leaving the Navy, I sought therapy to help process what I experienced. While completing my education, I worked at Veterans' Affairs, helping combat Veterans who experienced PTSD and other challenges, including drug and alcohol addiction. I bring this experience to working with you in processing trauma and other issues you may be experiencing.
I am a Licensed Professional Counselor with 12 years of experience working in mental health. Through my own experiences in the military, I experienced first-hand Post-Traumatic Stress Disorder, anxiety, and depression. After leaving the Navy, I sought therapy to help process what I experienced. While completing my education, I worked at Veterans' Affairs, helping combat Veterans who experienced PTSD and other challenges, including drug and alcohol addiction. I bring this experience to working with you in processing trauma and other issues you may be experiencing.
(971) 803-4109 View (971) 803-4109
Photo of Tracy Jendritza, PsyD, DBT-LBC, Psychologist
Tracy Jendritza
Psychologist, PsyD, DBT-LBC
Verified Verified
Maplewood-Ashcreek, Portland, OR 97219
I firmly believe that growth has two paths. To truly flourish, one must balance a desire for change with a true willingness to accept oneselve for who you are. A treatment that embraces this idea is Dialectical Behavior Therapy (DBT), and it's the core philosophy I use with my patients every day. In treatment, DBT concepts focus on changing things that are getting in the way of living the life you want, while accepting yourself unconditionally. The focus is to develop a life worth living. My program offers a full finality DBT which includes individual therapy, group skills training, and phone consultation.
I firmly believe that growth has two paths. To truly flourish, one must balance a desire for change with a true willingness to accept oneselve for who you are. A treatment that embraces this idea is Dialectical Behavior Therapy (DBT), and it's the core philosophy I use with my patients every day. In treatment, DBT concepts focus on changing things that are getting in the way of living the life you want, while accepting yourself unconditionally. The focus is to develop a life worth living. My program offers a full finality DBT which includes individual therapy, group skills training, and phone consultation.
(503) 847-9312 View (503) 847-9312
Photo of Jessi Frothingham, MA, LMFT, CPC, Marriage & Family Therapist
Jessi Frothingham
Marriage & Family Therapist, MA, LMFT, CPC
Verified Verified
2 Endorsed
Maplewood-Ashcreek, Portland, OR 97219
Do you have a lot of insight about your trauma that doesn't lead to change? Are you starting to feel frustrated with having the knowledge yet still wrestling with the same triggers and symptoms time and time again? I hope you know that is so normal, especially with trauma. But it doesn't have to be this way. I can help you create more peace in your life and restore your previous functioning. Imagine if you experienced deep relief and didn't have to work so hard anymore - how would your life change? Imagine feeling secure in your relationships, calm in the face of previous triggers, and doing what you want with your life.
Do you have a lot of insight about your trauma that doesn't lead to change? Are you starting to feel frustrated with having the knowledge yet still wrestling with the same triggers and symptoms time and time again? I hope you know that is so normal, especially with trauma. But it doesn't have to be this way. I can help you create more peace in your life and restore your previous functioning. Imagine if you experienced deep relief and didn't have to work so hard anymore - how would your life change? Imagine feeling secure in your relationships, calm in the face of previous triggers, and doing what you want with your life.
(503) 751-8176 View (503) 751-8176
Photo of Bailey Huggins, MA, LPC Intern
Bailey Huggins
LPC Intern, MA
Verified Verified
2 Endorsed
Maplewood-Ashcreek, Portland, OR 97219  (Online Only)
I believe that a counseling relationship that provides safety, trust, and healing can transform an individual’s life. Often, there is the need for a gentle and trained outside perspective in order to see things differently and unlock new possibilities. I seek to provide a safe and empathetic space for each individual I meet with, in order to support the development of strengths, acceptance, and resiliency. Together, we can process old, harmful ways of experiencing the world and create new, edifying patterns which point you in the direction of the life you hope to lead.
I believe that a counseling relationship that provides safety, trust, and healing can transform an individual’s life. Often, there is the need for a gentle and trained outside perspective in order to see things differently and unlock new possibilities. I seek to provide a safe and empathetic space for each individual I meet with, in order to support the development of strengths, acceptance, and resiliency. Together, we can process old, harmful ways of experiencing the world and create new, edifying patterns which point you in the direction of the life you hope to lead.
(971) 290-1643 View (971) 290-1643
Photo of Joseph M Garibay, MA
Joseph M Garibay
Professional Counselor Associate , MA
Verified Verified
1 Endorsed
Maplewood-Ashcreek, Portland, OR 97219  (Online Only)
My goal is to help the people I work with rewrite their story in the presence of uncertainty.
My goal is to help the people I work with rewrite their story in the presence of uncertainty.
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Photo of Dr. Esther Sexton, PsyD, Psychologist
Dr. Esther Sexton
Psychologist, PsyD
Verified Verified
Maplewood-Ashcreek, Portland, OR 97219
Waitlist for new clients
I work with individuals and couples struggling with a wide variety of concerns such as anxiety, depression, life transitions, and relationship difficulties. My therapeutic style is gentle, warm, and relaxed. Often, sessions with me include laughter, celebrating your successes, and encouraging your efforts for change. I will empower you as you explore what changes you want to make in your life, help you build the skills you need to make those changes, and support you as you build the life you want to live.
I work with individuals and couples struggling with a wide variety of concerns such as anxiety, depression, life transitions, and relationship difficulties. My therapeutic style is gentle, warm, and relaxed. Often, sessions with me include laughter, celebrating your successes, and encouraging your efforts for change. I will empower you as you explore what changes you want to make in your life, help you build the skills you need to make those changes, and support you as you build the life you want to live.
(503) 714-7365 View (503) 714-7365
Photo of Lacey Burnett, LCSW, Clinical Social Work/Therapist
Lacey Burnett
Clinical Social Work/Therapist, LCSW
Verified Verified
2 Endorsed
Maplewood-Ashcreek, Portland, OR 97219  (Online Only)
I have experience in addressing a wide range of concerns and diagnoses, including anxiety, depression, bipolar disorder, relationship issues, chronic health struggles, self-esteem, stress management, and ADHD. My goal is to empower my clients with tools and insights that can facilitate positive change and enhance their overall quality of life.
I have experience in addressing a wide range of concerns and diagnoses, including anxiety, depression, bipolar disorder, relationship issues, chronic health struggles, self-esteem, stress management, and ADHD. My goal is to empower my clients with tools and insights that can facilitate positive change and enhance their overall quality of life.
(503) 739-9366 View (503) 739-9366
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See more therapy options for Maplewood-Ashcreek, Portland

How does your Therapist compare?

Number of Therapists in Maplewood-Ashcreek, Portland, OR

200+

Average cost per session

$165

Therapists in Maplewood-Ashcreek, Portland, OR who prioritize treating:

95% Anxiety
84% Relationship Issues
84% Depression
82% Self Esteem
72% Trauma and PTSD
70% Stress
66% Life Transitions

Average years in practice

12 Years

Top 3 insurances accepted

56% PacificSource
46% Aetna
42% BlueCross and BlueShield

How Therapists in Maplewood-Ashcreek, Portland, OR see their clients

64% In Person and Online
36% Online Only

Gender breakdown

71% Female
26% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Maplewood-Ashcreek, Portland?

Search for nearby therapists or counselors by inputting your city, town, or suburb; or zip code; or a provider’s name into the search bar. From there, you can filter providers by the issues they treat, cost, insurance, gender, and other factors to find providers who are well-suited to your needs. To navigate between locations within the same country, enter a new city or zip code into the search bar.

Learn more about how to find a therapist

Is everyone in the Psychology Today Therapy Directory a licensed therapist?

The Psychology Today directory lists providers who offer legitimate mental health services to the public, including psychologists, psychiatrists, social workers, and counselors.

Many have been licensed by the country or state where they practice; providers whose license or primary credential has been verified by Psychology Today are signified by a “Verified” symbol. Some clinicians or organizations provide services for which their state or country does not offer licenses, such as pastoral counseling. They may be selectively included without the “Verified” seal.

What’s the difference between a psychologist, a therapist, and a counselor?

Therapists, psychologists, and counselors are all licensed mental health professionals. In the US, psychologists have earned a doctoral degree. The terms “therapist” and “counselor” are used somewhat interchangeably, but generally therapists offer longer-term, mental health care, while counselors offer shorter-term care that may focus on one domain, such as marriage, career, or academic challenges.

Clients should consider factors such as insurance coverage and their primary reason(s) for seeking therapy to determine the type of professional best suited to their needs. Someone struggling with mental health challenges such as depression or anxiety, for example, may wish to seek out a clinical psychologist or therapist, while someone navigating career obstacles or marital upheaval may benefit from seeing a counselor who can offer short-term, targeted support.

What type of therapy is right for me?

The type of therapy best suited to a particular individual depends on several factors, including their primary reason for seeking therapy, their preferred timeline (some therapy types last for a set number of sessions, while others are open-ended), and their personality and preferences—some may prefer a more structured approach. For many individuals, multiple types of therapy could provide a good fit.

How much does therapy cost?

The cost of therapy depends on a number of variables, including location and the therapist’s experience and training. On average, a therapy session in the United States could cost between $100 and $200 or more. If you have insurance, the expense of mental health care is typically lower, but it varies based on your insurance plan details and whether you choose an in-network or out-of-network mental healthcare provider.

What are more affordable or low cost therapy solutions?

Many therapists offer sliding scale payments, usually on a limited number of slots, which consists in an agreement between the therapist and a client to pay a reduced rate. Therapists who provide such arrangements often consider the client's income or ability to pay, but the extent of the discount is ultimately at the therapist's discretion. Furthermore, while group therapy may have different goals and benefits compared to individual therapy, it can be a more affordable solution to address certain types of issues.

Is online therapy cheaper than in-person therapy?

Many therapists charge the same amount for online therapy as they do for in-person therapy—though clients may still find this cost-effective if it cuts down on their transportation costs. Health insurance plans often offer equivalent coverage for online and in-person therapy; indeed, in many places, they are legally required to do so. Text-based or on-demand therapy apps may be cheaper than traditional one-on-one psychotherapy; however, the practice may be less effective and is not likely to be covered by insurance.

Is online therapy a good option?

Therapy conducted online can be just as effective as in-person therapy, as long as there is a strong alliance between the client and the therapist. To find a therapist who provides telehealth services to clients in your area, click “Online Therapy” on the directory homepage and search by your city or town or your zip code.

Are therapy sessions confidential?

Confidentiality is a crucial part of the therapeutic relationship. Therapists in the United States are bound by the regulations set out by the Health Insurance Portability and Accountability Act of 1996 (HIPAA), which aims to protect sensitive health information. With very few exceptions, a therapist will only discuss their client with others when the client has given their written permission. The instances in which a therapist would be required to disclose personal information are: if a client poses a danger to themselves or others, if the therapist suspects the abuse of a child or an elderly or otherwise dependent adult, or if they are legally forced to by court order. These exceptions to the confidentiality agreement are usually discussed with a client before their first session.