Therapists in Salem, OR

Photo of Tim Markwell - New Perspectives Center for Counseling & Therapy, MS, Clinical Social Work/Therapist
New Perspectives Center for Counseling & Therapy
Clinical Social Work/Therapist, MS
Not Verified Not Verified
1 Endorsed
Salem, OR 97301
NEW PERSPECTIVES CENTER for Counseling and Therapy, LLC is an outpatient behavioral health facility with a multi-disciplinary team of therapists and psychiatric nurse practioners who provide comprehensive services to CHILDREN,ADOLESCENTS,ADULTS, and SENIORS. Working in an atmosphere of safety and acceptance, individuals, couples, families and groups are encouraged to explore and confront the issues affecting their lives. We are licensed by the state of Oregon for both mental health and addiction services. We are covered by most insurance plans and have therapists/nurses on most managed care panels.
NEW PERSPECTIVES CENTER for Counseling and Therapy, LLC is an outpatient behavioral health facility with a multi-disciplinary team of therapists and psychiatric nurse practioners who provide comprehensive services to CHILDREN,ADOLESCENTS,ADULTS, and SENIORS. Working in an atmosphere of safety and acceptance, individuals, couples, families and groups are encouraged to explore and confront the issues affecting their lives. We are licensed by the state of Oregon for both mental health and addiction services. We are covered by most insurance plans and have therapists/nurses on most managed care panels.
(503) 446-5085 View (503) 446-5085
Photo of Andrew G Kenagy, PsyD, Psychologist
Andrew G Kenagy
Psychologist, PsyD
Verified Verified
Salem, OR 97302
My practice focuses on people who want to enjoy greater peace and more satisfying relationships. I’m pleased to serve children, adolescents, and adults. The emphasis of my work includes treating depression, anxiety, PTSD, interpersonal difficulties, psycho-spiritual issues, ADHD, and child/adolescent behavior problems.
My practice focuses on people who want to enjoy greater peace and more satisfying relationships. I’m pleased to serve children, adolescents, and adults. The emphasis of my work includes treating depression, anxiety, PTSD, interpersonal difficulties, psycho-spiritual issues, ADHD, and child/adolescent behavior problems.
(971) 260-3447 View (971) 260-3447
Photo of Don Erickson, MA, LPC, Licensed Professional Counselor
Don Erickson
Licensed Professional Counselor, MA, LPC
Verified Verified
Salem, OR 97301  (Online Only)
I am accepting new clients though currently only in teletherapy. My general approach is called rational eclecticism; using the most effective therapeutic approach to address each individual's unique issues. I’m increasingly focusing on trauma and toxic stress and the ways it often shows up as depression, anxiety, sadness and at times a loss of identity. Some clients beginning counseling remember feeling joy, excitement, or self-confidence that they rarely if ever feel when they first begin therapy. The people I’ve been working with have been finding this approach to somatic therapy very helpful and frequently, transformative.
I am accepting new clients though currently only in teletherapy. My general approach is called rational eclecticism; using the most effective therapeutic approach to address each individual's unique issues. I’m increasingly focusing on trauma and toxic stress and the ways it often shows up as depression, anxiety, sadness and at times a loss of identity. Some clients beginning counseling remember feeling joy, excitement, or self-confidence that they rarely if ever feel when they first begin therapy. The people I’ve been working with have been finding this approach to somatic therapy very helpful and frequently, transformative.
(541) 359-3373 View (541) 359-3373
Crystal Jeffers
Clinical Social Work/Therapist, LCSW
Verified Verified
Salem, OR 97301
Not accepting new clients
I believe in you, and I’m excited to explore your dreams, interests, skills, strengths, values, successes, and personal uniqueness. I meet you where you’re at right now, and together we can decide what healing looks like.
I believe in you, and I’m excited to explore your dreams, interests, skills, strengths, values, successes, and personal uniqueness. I meet you where you’re at right now, and together we can decide what healing looks like.
(541) 900-4285 View (541) 900-4285
Photo of Amber Sirstad, MA, QMHP, Licensed Professional Counselor
Amber Sirstad
Licensed Professional Counselor, MA, QMHP
Verified Verified
2 Endorsed
Salem, OR 97301
Life is like a roller coaster, constantly surprising us with twists and turns. Sometimes they provoke happy reactions, and other times it feels as though we have had the wind knocked out of us. Grief counseling is something that is near and dear to my heart. I have done grief counseling with clients ranging from the ages of 18-60. I work to provide a safe environment for clients to begin processing some very difficult and traumatic events in their life. I work towards the goal of creating an atmosphere of comfort for my client based on trust, empathy, and understanding.
Life is like a roller coaster, constantly surprising us with twists and turns. Sometimes they provoke happy reactions, and other times it feels as though we have had the wind knocked out of us. Grief counseling is something that is near and dear to my heart. I have done grief counseling with clients ranging from the ages of 18-60. I work to provide a safe environment for clients to begin processing some very difficult and traumatic events in their life. I work towards the goal of creating an atmosphere of comfort for my client based on trust, empathy, and understanding.
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Photo of Bryan Hodson, MA, LPC, Licensed Professional Counselor
Bryan Hodson
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Salem, OR 97302
Now accepting Aetna, Cigna, Optum, and Unitedhealthcare. Also Canopy/Cascade Centers EAP and Optum EAP. Accepting new clients! I have 7 years experience and specialized training to assist individuals struggling with pornography and out of control sexual behavior. I am also trained to use EMDR for clients struggling with trauma memories, PTSD, and panic attacks. I can assist clients in all other general mental health areas, including anxiety, depression, relationship challenges, and conflict management.
Now accepting Aetna, Cigna, Optum, and Unitedhealthcare. Also Canopy/Cascade Centers EAP and Optum EAP. Accepting new clients! I have 7 years experience and specialized training to assist individuals struggling with pornography and out of control sexual behavior. I am also trained to use EMDR for clients struggling with trauma memories, PTSD, and panic attacks. I can assist clients in all other general mental health areas, including anxiety, depression, relationship challenges, and conflict management.
(503) 925-3009 View (503) 925-3009
Photo of Nicole Frangella, MA
Nicole Frangella
Professional Counselor Associate, MA
Verified Verified
3 Endorsed
Salem, OR 97301
Not accepting new clients
Whether you are seeking mental health support for yourself or a loved one, picking a counselor/therapist can be an overwhelming process. I work with preteens, teenagers, and young adults who are struggling with anything related to life transitions, symptoms of anxiety & depression, self-harm, low self-worth, and body image/ disordered eating issues. It is always an honor to work with clients who are ready to address these concerns, create attainable goals, and participate in the life-changing work of therapy.
Whether you are seeking mental health support for yourself or a loved one, picking a counselor/therapist can be an overwhelming process. I work with preteens, teenagers, and young adults who are struggling with anything related to life transitions, symptoms of anxiety & depression, self-harm, low self-worth, and body image/ disordered eating issues. It is always an honor to work with clients who are ready to address these concerns, create attainable goals, and participate in the life-changing work of therapy.
(503) 868-2714 View (503) 868-2714
Photo of Dennis Law Jr, CSWA, LMSW, Pre-Licensed Professional
Dennis Law Jr
Pre-Licensed Professional, CSWA, LMSW
Verified Verified
Salem, OR 97301  (Online Only)
Our ideal clients are individuals dealing with acute or chronic anxiety, depression, and schizophrenia, seeking relief and understanding. They yearn for a sense of stability, emotional well-being, and the tools to navigate life's challenges. Their goals revolve around reclaiming control over their mental health, fostering healthier coping mechanisms, and cultivating a sense of resilience. They seek validation, support, and guidance in their journey towards inner peace and fulfillment.
Our ideal clients are individuals dealing with acute or chronic anxiety, depression, and schizophrenia, seeking relief and understanding. They yearn for a sense of stability, emotional well-being, and the tools to navigate life's challenges. Their goals revolve around reclaiming control over their mental health, fostering healthier coping mechanisms, and cultivating a sense of resilience. They seek validation, support, and guidance in their journey towards inner peace and fulfillment.
(971) 265-9153 View (971) 265-9153
Frank M Taylor
Pre-Licensed Professional, PCA
Verified Verified
Salem, OR 97301
I enjoy working with clients seeking to grow emotionally, spiritually, and relationally. I believe therapy is an opportunity to journey deeper areas of self awareness and a greater understanding of who we have been created to be. I am relational in my approach to counseling. I believe that we have been broken in relationships and that we are therefore healed in the context of relationships. I have had many clients who have had success and experienced transformation throughout the counseling process. Evening and weekend appointments available.
I enjoy working with clients seeking to grow emotionally, spiritually, and relationally. I believe therapy is an opportunity to journey deeper areas of self awareness and a greater understanding of who we have been created to be. I am relational in my approach to counseling. I believe that we have been broken in relationships and that we are therefore healed in the context of relationships. I have had many clients who have had success and experienced transformation throughout the counseling process. Evening and weekend appointments available.
(813) 451-3888 View (813) 451-3888
Photo of Daniel McRee, CSWA
Daniel McRee
Clinical Social Work Associate, CSWA
Verified Verified
Salem, OR 97301  (Online Only)
Daniel works with ages 10 to 90, and his work experience has primarily focused on youth and young adults. As a queer identifying clinician, he also enjoys working with LGTBQIA+ clients and hopes to create a therapeutic space free of shame and stigma. He has experience working with trans and non-binary/gender non-conforming clients and can support individuals on their transition journey. Other areas he focuses on are grief and loss, life transitions, anxiety, depression, identity, alternative relationships, sexuality, and men’s issues.
Daniel works with ages 10 to 90, and his work experience has primarily focused on youth and young adults. As a queer identifying clinician, he also enjoys working with LGTBQIA+ clients and hopes to create a therapeutic space free of shame and stigma. He has experience working with trans and non-binary/gender non-conforming clients and can support individuals on their transition journey. Other areas he focuses on are grief and loss, life transitions, anxiety, depression, identity, alternative relationships, sexuality, and men’s issues.
(541) 805-2137 View (541) 805-2137
Photo of Christopher David - Fidelity Family Therapy & Consulting, MS     , LMFT  , Marriage & Family Therapist
Fidelity Family Therapy & Consulting
Marriage & Family Therapist, MS , LMFT
Verified Verified
Salem, OR 97301
I believe that at the root of many of our struggles is a deep desire to be listened to. My therapeutic work is based on the idea that people by nature are relational beings with physical, spiritual, emotional, and social components, and that the exploration and integration of these aspects can be life changing and enhancing.
I believe that at the root of many of our struggles is a deep desire to be listened to. My therapeutic work is based on the idea that people by nature are relational beings with physical, spiritual, emotional, and social components, and that the exploration and integration of these aspects can be life changing and enhancing.
(503) 406-3177 View (503) 406-3177
Photo of Kiri Watson, QMHP, Pre-Licensed Professional
Kiri Watson
Pre-Licensed Professional, QMHP
Verified Verified
1 Endorsed
Salem, OR 97301
It’s my belief that within relationships healing and growth occurs. As your counselor, my goal is to provide a non-judgmental and compassionate space where you can feel safe exploring difficult experiences, sharing vulnerable emotions, and identifying any barriers to your goals. I strongly believe that you are the expert of your own life and that my role is to walk alongside you, helping to facilitate growth and any changes you may desire.
It’s my belief that within relationships healing and growth occurs. As your counselor, my goal is to provide a non-judgmental and compassionate space where you can feel safe exploring difficult experiences, sharing vulnerable emotions, and identifying any barriers to your goals. I strongly believe that you are the expert of your own life and that my role is to walk alongside you, helping to facilitate growth and any changes you may desire.
(503) 751-3870 View (503) 751-3870
Photo of Carol Beth Georgeson - Carol Beth Georgeson Counseling, LLC, MA, LMFT, Marriage & Family Therapist
Carol Beth Georgeson Counseling, LLC
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
Salem, OR 97301
Waitlist for new clients
I provide play therapy and counseling for children and adolescents as well as their parents and families. I also provide therapy for individual adult Clients. It has been my joy to walk with Clients towards their personal therapeutic goals for wellness and mental health with empathy and insight for over 21 years in the behavioral health field. My therapeutic focus is to compassionately assist you in identifying your strengths and current developmental processes as well as how various internal thought patterns, events, or choices might be interfering with your present wholeness and ability to experience life to the fullest.
I provide play therapy and counseling for children and adolescents as well as their parents and families. I also provide therapy for individual adult Clients. It has been my joy to walk with Clients towards their personal therapeutic goals for wellness and mental health with empathy and insight for over 21 years in the behavioral health field. My therapeutic focus is to compassionately assist you in identifying your strengths and current developmental processes as well as how various internal thought patterns, events, or choices might be interfering with your present wholeness and ability to experience life to the fullest.
(503) 832-4946 View (503) 832-4946
Photo of Kyrai Antares, PhD, Psychologist
Kyrai Antares
Psychologist, PhD
Verified Verified
1 Endorsed
Salem, OR 97301
Waitlist for new clients
I bring the ability to deeply hear the narratives clients are living and create a therapeutic environment where healing and transformation become possible. I focus on treating clients who have lived through complex childhood trauma and its effects, and those living with the effects of marginalization, adoptive and/or foster narratives, and perfectionism. I also enjoy helping with relationships, body image, OCD, self-discovery, identity development, grief/loss, and parenting. My integrative approach meets clients where they are and invites a process that includes the mind, heart, and body in growing self-awareness and wellness.
I bring the ability to deeply hear the narratives clients are living and create a therapeutic environment where healing and transformation become possible. I focus on treating clients who have lived through complex childhood trauma and its effects, and those living with the effects of marginalization, adoptive and/or foster narratives, and perfectionism. I also enjoy helping with relationships, body image, OCD, self-discovery, identity development, grief/loss, and parenting. My integrative approach meets clients where they are and invites a process that includes the mind, heart, and body in growing self-awareness and wellness.
(458) 217-1768 View (458) 217-1768
Photo of Steve Chancellor, BS, Pre-Licensed Professional
Steve Chancellor
Pre-Licensed Professional, BS
Verified Verified
Salem, OR 97302
Drawing on extensive personal and professional experience with First Responders and their families, I have developed a deep understanding of the unique culture and pressures that come with these demanding careers. My primary mission is to "help the helpers.” I am committed to providing dedicated therapy services to First Responders and loved ones. Whether addressing work-related stress or trauma, navigating life transitions such as divorce, separation, blending families, welcoming new children, or managing illness, I approach each situation with the understanding that every individual's journey is distinct and requires unique care..
Drawing on extensive personal and professional experience with First Responders and their families, I have developed a deep understanding of the unique culture and pressures that come with these demanding careers. My primary mission is to "help the helpers.” I am committed to providing dedicated therapy services to First Responders and loved ones. Whether addressing work-related stress or trauma, navigating life transitions such as divorce, separation, blending families, welcoming new children, or managing illness, I approach each situation with the understanding that every individual's journey is distinct and requires unique care..
(503) 455-7996 View (503) 455-7996
Photo of Gary Daily, MA, EdS, LPC, Licensed Professional Counselor
Gary Daily
Licensed Professional Counselor, MA, EdS, LPC
Verified Verified
1 Endorsed
Salem, OR 97301
Waitlist for new clients
There are times when it is difficult to see a way forward, and discovering who we are, where we came from and what has transpired in our lives is vitally important. If you are here, my guess is that you may be grieving a loss, struggling to accept difficult life changes like divorce or separation, or perhaps dealing with anxiety. Whatever the circumstances, it is my desire to see you rediscover happiness and purpose-- I wholeheartedly believe that therapy can help you get there.
There are times when it is difficult to see a way forward, and discovering who we are, where we came from and what has transpired in our lives is vitally important. If you are here, my guess is that you may be grieving a loss, struggling to accept difficult life changes like divorce or separation, or perhaps dealing with anxiety. Whatever the circumstances, it is my desire to see you rediscover happiness and purpose-- I wholeheartedly believe that therapy can help you get there.
(503) 461-7936 View (503) 461-7936
Photo of David Hewlett, CSWA, MSW, QMHP, Clinical Social Work/Therapist
David Hewlett
Clinical Social Work/Therapist, CSWA, MSW, QMHP
Verified Verified
1 Endorsed
Salem, OR 97301
Waitlist for new clients
We, as humans, are presented with major life choices and trials. I met mine early in life as a combat veteran in the U.S. Army. I've found that if we draw on our unique strengths and abilities to rise up and meet these challenges, a path for positive change can begin. My therapeutic approach is deeply rooted in humanistic principles, which means I will work collaboratively with you to explore your unique experiences, emotions, and goals. I respect your autonomy and right to self determination. I will provide a safe, trauma informed, non-judgmental space for you to express yourself as we journey forward towards healing.
We, as humans, are presented with major life choices and trials. I met mine early in life as a combat veteran in the U.S. Army. I've found that if we draw on our unique strengths and abilities to rise up and meet these challenges, a path for positive change can begin. My therapeutic approach is deeply rooted in humanistic principles, which means I will work collaboratively with you to explore your unique experiences, emotions, and goals. I respect your autonomy and right to self determination. I will provide a safe, trauma informed, non-judgmental space for you to express yourself as we journey forward towards healing.
(503) 755-5382 View (503) 755-5382
Photo of Marcie Walker - Hope Whisperer Christian Counseling, LLC, MA, Pre-Licensed Professional
Hope Whisperer Christian Counseling, LLC
Pre-Licensed Professional, MA
Verified Verified
Salem, OR 97301
I am Marcie Walker, the Hope Whisperer, who is accepting new clients! In a safe, warm, and supportive environment, I will honor the words you share with me, and travel your journey with you. I have personal experience in therapeutic work with adults and families, as well as working with students at these grade levels: Middle, high, and college ages. I have 23 years experience working with the special needs population. Preventing bullying is my passion, so it is no wonder that, for the past twenty years as staff and student, I have advocated for many who were bullied and treated unfairly.
I am Marcie Walker, the Hope Whisperer, who is accepting new clients! In a safe, warm, and supportive environment, I will honor the words you share with me, and travel your journey with you. I have personal experience in therapeutic work with adults and families, as well as working with students at these grade levels: Middle, high, and college ages. I have 23 years experience working with the special needs population. Preventing bullying is my passion, so it is no wonder that, for the past twenty years as staff and student, I have advocated for many who were bullied and treated unfairly.
(503) 438-4354 View (503) 438-4354
Photo of Kari Hempel, PhD, LPC, Licensed Professional Counselor
Kari Hempel
Licensed Professional Counselor, PhD, LPC
Verified Verified
Salem, OR 97301
I have expertise in helping adults address trauma, relationship difficulties, neurodiversity, problematic sexual interests, and spiritual exploration. I am a therapist who focuses on doing deep work with clients. I am interested in helping people make lasting changes that bring true empowerment and life transformation. Whether you are ready to hit the ground running in your own change process, or are not yet convinced therapy can actually help you, I am ready to meet you where you are at and explore what might be possible.
I have expertise in helping adults address trauma, relationship difficulties, neurodiversity, problematic sexual interests, and spiritual exploration. I am a therapist who focuses on doing deep work with clients. I am interested in helping people make lasting changes that bring true empowerment and life transformation. Whether you are ready to hit the ground running in your own change process, or are not yet convinced therapy can actually help you, I am ready to meet you where you are at and explore what might be possible.
(971) 273-1845 View (971) 273-1845
Photo of Justin James Johannson, MS, CRC, LPC-Int, LPC Intern
Justin James Johannson
LPC Intern, MS, CRC, LPC-Int
Verified Verified
Salem, OR 97302
"Our action may be impeded... but there can be no impeding our intentions or dispositions. Because we can accommodate and adapt." -Marcus Aurelius My name is Justin Johannson, a person-first cognitive therapist, welcome to my profile! It is my belief that with enough self-awareness, wisdom, and calculated direction, no challenge, obstacle or struggle is insurmountable. Whether you are someone that struggles with the daily rigors of mental health illness, such as anxiety or depression, or are seeking aid and guidance with the overwhelming demands of life - I am here to help. I am here to walk beside you in your unique experience.
"Our action may be impeded... but there can be no impeding our intentions or dispositions. Because we can accommodate and adapt." -Marcus Aurelius My name is Justin Johannson, a person-first cognitive therapist, welcome to my profile! It is my belief that with enough self-awareness, wisdom, and calculated direction, no challenge, obstacle or struggle is insurmountable. Whether you are someone that struggles with the daily rigors of mental health illness, such as anxiety or depression, or are seeking aid and guidance with the overwhelming demands of life - I am here to help. I am here to walk beside you in your unique experience.
(503) 676-6390 View (503) 676-6390
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How does your Therapist compare?

Number of Therapists in Salem, OR

500+

Average cost per session

$150

Therapists in Salem, OR who prioritize treating:

90% Anxiety
85% Depression
75% Trauma and PTSD
72% Relationship Issues
69% Self Esteem
69% Stress
64% Coping Skills

Average years in practice

9 Years

Top 3 insurances accepted

61% PacificSource
49% BlueCross and BlueShield
48% Aetna

How Therapists in Salem, OR see their clients

54% In Person and Online
46% Online Only

Gender breakdown

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

How can I find a therapist in Salem?

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.