Therapists in Tillamook, OR

Photo of Patricia A Blondo, LCSW, Clinical Social Work/Therapist
Patricia A Blondo
Clinical Social Work/Therapist, LCSW
Verified Verified
Tillamook, OR 97141
I'm here to help guide you through the most difficult times or even if it's just a small issue that makes you feel stuck & can't move forward. I provide counseling to individuals, couples & families. In my practice I use cognitive techniques, grief processing, dealing with anxiety & PTSD, EMDR & movement therapy. I'm intuitively aware to your needs and will allow the client to move at his/her pace in a safe and productive environment.
I'm here to help guide you through the most difficult times or even if it's just a small issue that makes you feel stuck & can't move forward. I provide counseling to individuals, couples & families. In my practice I use cognitive techniques, grief processing, dealing with anxiety & PTSD, EMDR & movement therapy. I'm intuitively aware to your needs and will allow the client to move at his/her pace in a safe and productive environment.
(503) 444-9497 View (503) 444-9497
Photo of Jerry Wanitschek-Gilmer, LPC, Licensed Professional Counselor
Jerry Wanitschek-Gilmer
Licensed Professional Counselor, LPC
Verified Verified
Tillamook, OR 97141  (Online Only)
I became a mental health therapist because I’m passionate about supporting and encouraging others. I think it’s essential that therapists help patients build a greater sense of self-awareness and self-acceptance. I believe mental wellness is rooted in the ability to understand, accept, and appreciate ourselves with love and respect.
I became a mental health therapist because I’m passionate about supporting and encouraging others. I think it’s essential that therapists help patients build a greater sense of self-awareness and self-acceptance. I believe mental wellness is rooted in the ability to understand, accept, and appreciate ourselves with love and respect.
(971) 228-6654 View (971) 228-6654
Photo of Justin Hersom - Hersom Psychotherapy, PLLC, LCSW, MA, Clinical Social Work/Therapist
Hersom Psychotherapy, PLLC
Clinical Social Work/Therapist, LCSW, MA
Verified Verified
Tillamook, OR 97141
Working with me delivers therapy tailored specifically to you. I accomplish this by creating a safe environment in which we can explore underlying issues, then develop achievable mental health goals. Each session is a collaboration where I approach your concerns with values of caring, curiosity, compassion, and collaboration resulting in an individualized approach specific to your needs. I find that most clients often want more than just simple coping skills, they want to understand themselves further. I have the skills to help clients explore deep-seated issues in a non-threatening manner.
Working with me delivers therapy tailored specifically to you. I accomplish this by creating a safe environment in which we can explore underlying issues, then develop achievable mental health goals. Each session is a collaboration where I approach your concerns with values of caring, curiosity, compassion, and collaboration resulting in an individualized approach specific to your needs. I find that most clients often want more than just simple coping skills, they want to understand themselves further. I have the skills to help clients explore deep-seated issues in a non-threatening manner.
(512) 359-9692 View (512) 359-9692
Photo of Natalie Hahn, MA, Pre-Licensed Professional
Natalie Hahn
Pre-Licensed Professional, MA
Verified Verified
1 Endorsed
Tillamook, OR 97141
Not accepting new clients
Here you are, browsing for therapists, making a choice not only to find a therapist that is the right fit for you but also making the choice to prioritize something that maybe you have neglected. I am here to hold that space for you to bring as much of your humanness as you are willing to bring into the room with me, no matter how dark it gets, and to be a witness without judgment or expectations so that you can heal wounds. All of my approaches in therapy are inspired by attachment theory, trauma-informed care, Internal Family Systems theory (IFS), Emotion Focused Therapy (EFT), and narrative therapies.
Here you are, browsing for therapists, making a choice not only to find a therapist that is the right fit for you but also making the choice to prioritize something that maybe you have neglected. I am here to hold that space for you to bring as much of your humanness as you are willing to bring into the room with me, no matter how dark it gets, and to be a witness without judgment or expectations so that you can heal wounds. All of my approaches in therapy are inspired by attachment theory, trauma-informed care, Internal Family Systems theory (IFS), Emotion Focused Therapy (EFT), and narrative therapies.
(503) 917-3671 View (503) 917-3671
Photo of Pam Barela, PhD, MA, Marriage & Family Therapist Associate
Pam Barela
Marriage & Family Therapist Associate, PhD, MA
Verified Verified
1 Endorsed
Tillamook, OR 97141
With me you will find a space to be open and vulnerable about topics that cause doubt, fear, discomfort, joy, curiosity, excitement, and more. The areas I focus my practice are: Individual Therapy, Couples and Family Therapy, Trauma/PTSD, Sexual Intimacy, Gender, Identity, and religion/deconstruction and reconstruction of faith. My passion is helping couples connect and develop a strong foundation from which they can take on any challenge, strengthen families of origin, helping blended families become deeply rooted, as well as helping individuals overcome personal struggles.
With me you will find a space to be open and vulnerable about topics that cause doubt, fear, discomfort, joy, curiosity, excitement, and more. The areas I focus my practice are: Individual Therapy, Couples and Family Therapy, Trauma/PTSD, Sexual Intimacy, Gender, Identity, and religion/deconstruction and reconstruction of faith. My passion is helping couples connect and develop a strong foundation from which they can take on any challenge, strengthen families of origin, helping blended families become deeply rooted, as well as helping individuals overcome personal struggles.
(503) 468-6964 View (503) 468-6964
Photo of Amie Christie, MS
Amie Christie
Professional Counselor Associate, MS
Verified Verified
1 Endorsed
Tillamook, OR 97141  (Online Only)
Do you find yourself getting stuck at certain points in your life, or find yourself avoiding and/ or fearing your own emotions? Do you become overwhelmed with thoughts and/ or stress and find that you are unable to relax and calm your mind and body? Understanding and building skills for these types of struggles can be challenging without the right support. My goal is to provide a safe, supportive, and non-judgmental space where you can learn, explore, build skills, and find success. I customize the counseling experience to each individual client because we are all unique and learn and grow in different ways.
Do you find yourself getting stuck at certain points in your life, or find yourself avoiding and/ or fearing your own emotions? Do you become overwhelmed with thoughts and/ or stress and find that you are unable to relax and calm your mind and body? Understanding and building skills for these types of struggles can be challenging without the right support. My goal is to provide a safe, supportive, and non-judgmental space where you can learn, explore, build skills, and find success. I customize the counseling experience to each individual client because we are all unique and learn and grow in different ways.
(971) 231-2954 View (971) 231-2954
Photo of Mariah Kate Myton - Empower Counseling and Rehabilitation, LLC, LPC, CRC, CADC-I, Licensed Professional Counselor
Empower Counseling and Rehabilitation, LLC
Licensed Professional Counselor, LPC, CRC, CADC-I
Verified Verified
Tillamook, OR 97141  (Online Only)
My goal through therapy is to empower my clients to overcome personal barriers and reach their full potential. I accomplish this through a holistic, trauma-informed approach integrating an assortment of evidence based modalities to meet the needs of my clients. Trained in all areas of wellness, I teach a variety of classes. Since 2009, I’ve worked extensively in social work, job development, non-profit, and community mental health. The areas I feel most passionate about include: post traumatic growth, wellness, community, environmental awareness, equity, inclusion, parenting and developing healthy, interdependent relationships.
My goal through therapy is to empower my clients to overcome personal barriers and reach their full potential. I accomplish this through a holistic, trauma-informed approach integrating an assortment of evidence based modalities to meet the needs of my clients. Trained in all areas of wellness, I teach a variety of classes. Since 2009, I’ve worked extensively in social work, job development, non-profit, and community mental health. The areas I feel most passionate about include: post traumatic growth, wellness, community, environmental awareness, equity, inclusion, parenting and developing healthy, interdependent relationships.
(503) 386-0041 View (503) 386-0041
Photo of Joseph Gianotti, LPC
Joseph Gianotti
Professional Counselor Associate , LPC
Verified Verified
Tillamook, OR 97141
Life can be full of stress, grief, and suffering, and as human beings, it can be challenging for us to navigate through all of the negative thoughts, emotions, and experiences that we encounter. Coming from a Humanistic and Acceptance and Commitment Therapy background, my approach to psychotherapy focuses on getting to know you and your unique experience so that we as a team can find better ways for you to live the life that you want to live. I believe that you are the expert of your own experience and I hope to create a space where you can authentically express yourself in a safe environment that is free of judgment.
Life can be full of stress, grief, and suffering, and as human beings, it can be challenging for us to navigate through all of the negative thoughts, emotions, and experiences that we encounter. Coming from a Humanistic and Acceptance and Commitment Therapy background, my approach to psychotherapy focuses on getting to know you and your unique experience so that we as a team can find better ways for you to live the life that you want to live. I believe that you are the expert of your own experience and I hope to create a space where you can authentically express yourself in a safe environment that is free of judgment.
(971) 270-0167 View (971) 270-0167
Photo of Danesh Oleshko, LMFT, MA, LLM, CADC I, JD, Marriage & Family Therapist
Danesh Oleshko
Marriage & Family Therapist, LMFT, MA, LLM, CADC I, JD
Verified Verified
3 Endorsed
Tillamook, OR 97141
My commitment is to offer effective therapy. As a person seeking therapy, you need a counselor who can understand and meet you where healing and growth is waiting to take place within you. Let's connect and find out if that counselor is me. I offer depth therapy that is emotionally sensitive, trauma-informed and transpersonal: integrating soul-searching and the management of daily life & relationships. My practice is integrative: weaving elements of nature therapy, body-centered expression and a receptive, feminine/masculine balanced approach.
My commitment is to offer effective therapy. As a person seeking therapy, you need a counselor who can understand and meet you where healing and growth is waiting to take place within you. Let's connect and find out if that counselor is me. I offer depth therapy that is emotionally sensitive, trauma-informed and transpersonal: integrating soul-searching and the management of daily life & relationships. My practice is integrative: weaving elements of nature therapy, body-centered expression and a receptive, feminine/masculine balanced approach.
(541) 204-8870 View (541) 204-8870
Photo of Simone Levine, MA
Simone Levine
Professional Counselor Associate, MA
Verified Verified
1 Endorsed
Tillamook, OR 97141
Imagine finally feeling like your true self, no longer overwhelmed or caught in a cycle of frustration from life's relentless challenges. Envision a space where supportive guidance gently unravels the burdens you've carried—be it relationship issues, stress, anxiety, the depths of depression, grief, or the shadows of past trauma—revealing the essence of who you are. I've been there too, caught in the same exhausting cycles that hold us back from truly living, and I understand the courage it takes to seek change. With a trauma-informed lens, I am deeply committed to guiding you through breaking free from life's overwhelming cycles.
Imagine finally feeling like your true self, no longer overwhelmed or caught in a cycle of frustration from life's relentless challenges. Envision a space where supportive guidance gently unravels the burdens you've carried—be it relationship issues, stress, anxiety, the depths of depression, grief, or the shadows of past trauma—revealing the essence of who you are. I've been there too, caught in the same exhausting cycles that hold us back from truly living, and I understand the courage it takes to seek change. With a trauma-informed lens, I am deeply committed to guiding you through breaking free from life's overwhelming cycles.
(971) 265-8403 View (971) 265-8403
Samantha Spratt
Clinical Social Work Associate, CSWA
Verified Verified
Tillamook, OR 97141
(503) 974-1951 x1 View (503) 974-1951 x1

Online Therapists

Photo of Don Schweitzer, PhD, LMSW, CWP
Don Schweitzer
Licensed Master Social worker, PhD, LMSW, CWP
Verified Verified
Forest Grove, OR 97116  (Online Only)
My practice focuses on overall health and wellness, prioritizing a holistic approach and emphasizing the connection between the mind and body. My approach is client-centered with tailored wellness plans to meet your individual needs and goals with a focus on promoting overall well-being and self-care. Through a combination of mindfulness practices, counseling, and other techniques, I will help you cultivate a deeper understanding of yourself and your emotional needs, as well as help you develop skills to manage stress, anxiety, and improve your overall quality of life.
My practice focuses on overall health and wellness, prioritizing a holistic approach and emphasizing the connection between the mind and body. My approach is client-centered with tailored wellness plans to meet your individual needs and goals with a focus on promoting overall well-being and self-care. Through a combination of mindfulness practices, counseling, and other techniques, I will help you cultivate a deeper understanding of yourself and your emotional needs, as well as help you develop skills to manage stress, anxiety, and improve your overall quality of life.
(971) 414-3349 View (971) 414-3349
Photo of Julie Collura, MM, MSW, LCSW, REAT, Clinical Social Work/Therapist
Julie Collura
Clinical Social Work/Therapist, MM, MSW, LCSW, REAT
Verified Verified
Portland, OR 97203
I provide therapy to adults experiencing a wide range of strengths and challenges. I integrate expressive arts with Internal Family Systems (IFS) to help you process feelings and experiences, reduce inner conflict, and improve relationships. I use a multi-arts, or intermodal, approach, which means I use movement, visual art, music and sound, writing, and mindfulness as therapeutic tools to initiate healing and change. Since this work is based on the creative process and not the resulting product, no background or training in the arts is required to benefit.
I provide therapy to adults experiencing a wide range of strengths and challenges. I integrate expressive arts with Internal Family Systems (IFS) to help you process feelings and experiences, reduce inner conflict, and improve relationships. I use a multi-arts, or intermodal, approach, which means I use movement, visual art, music and sound, writing, and mindfulness as therapeutic tools to initiate healing and change. Since this work is based on the creative process and not the resulting product, no background or training in the arts is required to benefit.
(971) 293-2837 View (971) 293-2837
Photo of Jonathan West-Gray, MS, LPC, Licensed Professional Counselor
Jonathan West-Gray
Licensed Professional Counselor, MS, LPC
Verified Verified
2 Endorsed
Salem, OR 97303  (Online Only)
Sometimes life can present us with enormous challenges. Other times it might be life’s cumulative little difficulties that slowly weigh us down over time. Perhaps you have been experiencing sadness or anxiety and are unsure of how to address such discomfort. Maybe you believe that you could benefit from embracing a new perspective. In therapy we can work on issues of depression, anxiety, grief, minority stress, and identity issues. I also specialize in religious abuse/trauma in gender and sexual minority populations, and am passionate about helping clients heal from their pasts and learn to live lives consistent with their values.
Sometimes life can present us with enormous challenges. Other times it might be life’s cumulative little difficulties that slowly weigh us down over time. Perhaps you have been experiencing sadness or anxiety and are unsure of how to address such discomfort. Maybe you believe that you could benefit from embracing a new perspective. In therapy we can work on issues of depression, anxiety, grief, minority stress, and identity issues. I also specialize in religious abuse/trauma in gender and sexual minority populations, and am passionate about helping clients heal from their pasts and learn to live lives consistent with their values.
(971) 255-5439 View (971) 255-5439
Photo of Megan Smith, LPC, Licensed Professional Counselor
Megan Smith
Licensed Professional Counselor, LPC
Verified Verified
Milwaukie, OR 97222  (Online Only)
Welcome. I am a clinician with 24 plus years of clinical practice and extensive experience with a number of somatic therapies. I specialize in working with complex trauma but, generally speaking, my clients seek support with relationships or overwhelming emotional states that impact some aspect of their lives.
Welcome. I am a clinician with 24 plus years of clinical practice and extensive experience with a number of somatic therapies. I specialize in working with complex trauma but, generally speaking, my clients seek support with relationships or overwhelming emotional states that impact some aspect of their lives.
(503) 713-6166 View (503) 713-6166
Photo of Jamie Hoover, Pre-Licensed Professional
Jamie Hoover
Pre-Licensed Professional
Verified Verified
1 Endorsed
Sherwood, OR 97140
Accepting new clients NOW! Do you struggle with life's daily stressors? Perhaps finding enough time in the day to get everything done is the issue, or even just finding the motivation? Knowing what you WANT to do, but anxiety, depression, exhaustion or stress is holding you back? If you're looking for someone to understand and help guide you through a chaotic life, I can do my best to help you meet your own individual goals towards a better future!
Accepting new clients NOW! Do you struggle with life's daily stressors? Perhaps finding enough time in the day to get everything done is the issue, or even just finding the motivation? Knowing what you WANT to do, but anxiety, depression, exhaustion or stress is holding you back? If you're looking for someone to understand and help guide you through a chaotic life, I can do my best to help you meet your own individual goals towards a better future!
(971) 770-0744 View (971) 770-0744
Photo of Korel Ponti-Foss, LMFT, MA, Marriage & Family Therapist
Korel Ponti-Foss
Marriage & Family Therapist, LMFT, MA
Verified Verified
Portland, OR 97203
My goal is to help you regain purpose, be more authentic, and enjoy life and your relationships again. I am trained in Brainspotting therapy which provides a brain-body processing option for difficult-to-change ongoing challenges that talk therapy has not been able to change. Brainspotting is useful for such things as difficult to treat trauma, anxiety, depression, or impulse control, as well as improving things such as performance anxiety, physical pain, and addiction. I also offer a LGBTQ and polyamorous safe counseling experience and provide informed relationship and family counseling for these communities.
My goal is to help you regain purpose, be more authentic, and enjoy life and your relationships again. I am trained in Brainspotting therapy which provides a brain-body processing option for difficult-to-change ongoing challenges that talk therapy has not been able to change. Brainspotting is useful for such things as difficult to treat trauma, anxiety, depression, or impulse control, as well as improving things such as performance anxiety, physical pain, and addiction. I also offer a LGBTQ and polyamorous safe counseling experience and provide informed relationship and family counseling for these communities.
(971) 252-5948 View (971) 252-5948
Photo of Elizabeth A. Hadley, LMFT, MA, Marriage & Family Therapist
Elizabeth A. Hadley
Marriage & Family Therapist, LMFT, MA
Verified Verified
4 Endorsed
Newberg, OR 97132  (Online Only)
Hi there and welcome! Sometimes it can be difficult to begin therapy. My desire is to be a resource and safe place for you to explore your needs. I am humbled on a daily basis by the bravery and strength of my clients. Your health and mental well-being are my highest priority as you begin this journey towards help and healing. To help this process, I offer free, 30 minute consultations. This is an opportunity for you to get to know me and decide how you would like to continue. . It is an honor to be a part of this process with you.
Hi there and welcome! Sometimes it can be difficult to begin therapy. My desire is to be a resource and safe place for you to explore your needs. I am humbled on a daily basis by the bravery and strength of my clients. Your health and mental well-being are my highest priority as you begin this journey towards help and healing. To help this process, I offer free, 30 minute consultations. This is an opportunity for you to get to know me and decide how you would like to continue. . It is an honor to be a part of this process with you.
(971) 701-2035 View (971) 701-2035
Photo of Nicole Wiegand, MA, LMFT, Marriage & Family Therapist
Nicole Wiegand
Marriage & Family Therapist, MA, LMFT
Verified Verified
1 Endorsed
McMinnville, OR 97128  (Online Only)
Waitlist for new clients
Hi! Thanks for stopping by. As a Licensed Marriage and Family Therapist I am passionate about helping individuals, couples, and families work toward their personal goals. Whether your goal is to build a healthier relationship with yourself and/or others; move through “stuckness”; find healing from past traumas; adjust to life changes; manage anxiety, stress, or depression; decrease behavioral concerns for your little(s); or even just to feel seen and heard through your unique life experiences; I aim to create a warm and judgement free space.
Hi! Thanks for stopping by. As a Licensed Marriage and Family Therapist I am passionate about helping individuals, couples, and families work toward their personal goals. Whether your goal is to build a healthier relationship with yourself and/or others; move through “stuckness”; find healing from past traumas; adjust to life changes; manage anxiety, stress, or depression; decrease behavioral concerns for your little(s); or even just to feel seen and heard through your unique life experiences; I aim to create a warm and judgement free space.
(971) 606-5254 View (971) 606-5254
Photo of Alex Franjola, MA, LPC, Licensed Professional Counselor
Alex Franjola
Licensed Professional Counselor, MA, LPC
Verified Verified
Oregon City, OR 97045  (Online Only)
Are you feeling overwhelmed? Stressed? Numb? Lacking real connection to self or others? Does life currently feel like you are just existing, reacting, coping or surviving? Is your mental, emotional, physical and interpersonal wellness feeling compromised? Do you strive to feel more balanced, integrated and resilient? I can be an ally to you in integrating these feelings and experiences in a productive environment that supports you in feeling safe, assured and respected. I would like to help you feel resilient and capable of attaining your therapeutic goals.
Are you feeling overwhelmed? Stressed? Numb? Lacking real connection to self or others? Does life currently feel like you are just existing, reacting, coping or surviving? Is your mental, emotional, physical and interpersonal wellness feeling compromised? Do you strive to feel more balanced, integrated and resilient? I can be an ally to you in integrating these feelings and experiences in a productive environment that supports you in feeling safe, assured and respected. I would like to help you feel resilient and capable of attaining your therapeutic goals.
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How does your Therapist compare?

Number of Therapists in Tillamook, OR

10+

Average cost per session

$160

Therapists in Tillamook, OR who prioritize treating:

82% Relationship Issues
82% Depression
82% Anxiety
73% Trauma and PTSD
73% Stress
64% Self Esteem
55% Family Conflict

Average years in practice

4 Years

Top 3 insurances accepted

60% Other
60% Oregon Health Plan (OHP)
40% Aetna

How Therapists in Tillamook, OR see their clients

73% In Person and Online
27% Online Only

Gender breakdown

60% Female
40% Male
FAQs - About Therapy and Counseling

How can I find a therapist in Tillamook?

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.