Therapists in Oregon

View cities and counties in Oregon
Photo of Paula Dulcé Bloom, MA, LPC, NCC, Licensed Professional Counselor
Paula Dulcé Bloom
Licensed Professional Counselor, MA, LPC, NCC
Verified Verified
3 Endorsed
Eugene, OR 97401
Waitlist for new clients
Are you struggling with unresolved trauma that is now affecting you in ways you can’t ignore? You may notice that your past trauma is affecting your current life. You may notice that your personal identity, family system, mood, and traumatic experiences all interact. If you're navigating the ways trauma can interact with mood, relationships, and the corresponding reckless behavior and identity deconstruction that can arise along the journey, I would love to help. I have extensive experience working with complex trauma in first responders, military members, and veterans.
Are you struggling with unresolved trauma that is now affecting you in ways you can’t ignore? You may notice that your past trauma is affecting your current life. You may notice that your personal identity, family system, mood, and traumatic experiences all interact. If you're navigating the ways trauma can interact with mood, relationships, and the corresponding reckless behavior and identity deconstruction that can arise along the journey, I would love to help. I have extensive experience working with complex trauma in first responders, military members, and veterans.
(541) 234-5940 View (541) 234-5940
Photo of Jesse Govinda Thompson, LPC, Licensed Professional Counselor
Jesse Govinda Thompson
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Salem, OR 97301
My intention in my work is to support my clients by holding a safe space, so that they may work to bring understanding, empowerment and improvement to the quality of their everyday life. This work is done through therapy sessions to help unpack, re-frame and learn new skills to handle any challenges which may arise. A safe space to process one's past, present and future concerns.
My intention in my work is to support my clients by holding a safe space, so that they may work to bring understanding, empowerment and improvement to the quality of their everyday life. This work is done through therapy sessions to help unpack, re-frame and learn new skills to handle any challenges which may arise. A safe space to process one's past, present and future concerns.
(503) 470-4925 View (503) 470-4925
Photo of Stephanie Tolentino, MSW, LSW, LCSW, Clinical Social Work/Therapist
Stephanie Tolentino
Clinical Social Work/Therapist, MSW, LSW, LCSW
Verified Verified
1 Endorsed
Portland, OR 97203  (Online Only)
Waitlist for new clients
*Exclusively Telehealth visits* I am a Licensed Clinical Social Worker. I have 12 plus years of experience in end of life care, counseling, conflict resolution, crisis intervention, and building positive communication skills with clients of diverse backgrounds. My career as a social worker has allowed me to work with clients impacted by depression, anxiety, end-of-life issues, grief, LGBTQ issues, gender dysphoria, domestic violence, substance abuse issues, homelessness, and trauma.
*Exclusively Telehealth visits* I am a Licensed Clinical Social Worker. I have 12 plus years of experience in end of life care, counseling, conflict resolution, crisis intervention, and building positive communication skills with clients of diverse backgrounds. My career as a social worker has allowed me to work with clients impacted by depression, anxiety, end-of-life issues, grief, LGBTQ issues, gender dysphoria, domestic violence, substance abuse issues, homelessness, and trauma.
(971) 247-1240 View (971) 247-1240
Photo of Mike Chapman, LPC, CADCIII, Licensed Professional Counselor
Mike Chapman
Licensed Professional Counselor, LPC, CADCIII
Verified Verified
1 Endorsed
Portland, OR 97239
I AM NOT PRESENTLY TAKING NEW CLIENTS. In therapy, I work to develop a relationship where you can both specifically explore the issues that have brought you to therapy- depression, anxiety, relationship struggles, lack of purpose, trauma, drug and alcohol issues-- and your life, in general. This atmosphere allows you to gain more self-knowledge and self-acceptance as well as to see fresh perspectives on your troubles and desires. You can then begin to find a way through some necessary changes. An important aspect of my therapy approach is encouraging clients to take steps to live life in more alignment with who they are.
I AM NOT PRESENTLY TAKING NEW CLIENTS. In therapy, I work to develop a relationship where you can both specifically explore the issues that have brought you to therapy- depression, anxiety, relationship struggles, lack of purpose, trauma, drug and alcohol issues-- and your life, in general. This atmosphere allows you to gain more self-knowledge and self-acceptance as well as to see fresh perspectives on your troubles and desires. You can then begin to find a way through some necessary changes. An important aspect of my therapy approach is encouraging clients to take steps to live life in more alignment with who they are.
(503) 902-4974 View (503) 902-4974
Photo of Ginna Henry
Ginna Henry
Professional Counselor Associate
Verified Verified
Salem, OR 97301  (Online Only)
I am a dedicated and compassionate counselor specializing in the treatment of trauma. I understand the profound impact that traumatic experiences can have on mental health, and my mission is to provide a safe and supportive space for individuals on their healing journey. Utilizing evidence-based practices, I tailor my approach to meet the unique needs of each client, whether they are dealing with past trauma or navigating current challenges.
I am a dedicated and compassionate counselor specializing in the treatment of trauma. I understand the profound impact that traumatic experiences can have on mental health, and my mission is to provide a safe and supportive space for individuals on their healing journey. Utilizing evidence-based practices, I tailor my approach to meet the unique needs of each client, whether they are dealing with past trauma or navigating current challenges.
(971) 278-9266 x1 View (971) 278-9266 x1
Photo of Joanne Baum, PhD, LCSW, Clinical Social Work/Therapist
Joanne Baum
Clinical Social Work/Therapist, PhD, LCSW
Verified Verified
Portland, OR 97204  (Online Only)
I partner with you to explore options and heal whatever is getting in your way & keeping you uncomfortably stuck. Our goal is to have you live the life you want to live, how you want to live it. I'm available for TeleHealth Sessions throughout Florida. If you want to tackle issues such as: Addiction, Codependency, Trauma, Sexuality, Unmanageable Stress and Anxiety, Gambling, ADD/ADHD, Feeling Intimidated by a Life Transition, Feeling Stuck, or wanting to make Personal or Career Changes, we can work together to meet your needs. I use Brainspotting, talk therapies, & a variety of treatment methods like CBT, MI, & DBT with you.
I partner with you to explore options and heal whatever is getting in your way & keeping you uncomfortably stuck. Our goal is to have you live the life you want to live, how you want to live it. I'm available for TeleHealth Sessions throughout Florida. If you want to tackle issues such as: Addiction, Codependency, Trauma, Sexuality, Unmanageable Stress and Anxiety, Gambling, ADD/ADHD, Feeling Intimidated by a Life Transition, Feeling Stuck, or wanting to make Personal or Career Changes, we can work together to meet your needs. I use Brainspotting, talk therapies, & a variety of treatment methods like CBT, MI, & DBT with you.
(971) 286-5071 View (971) 286-5071
Photo of Michelle Block, PsyD, Psychologist
Michelle Block
Psychologist, PsyD
Verified Verified
Portland, OR 97232
Dr. Block is available to support adults in their journey to parenthood. She has specialized training in the journey to parenthood that includes pregnancy, postpartum, grief and loss (miscarriage, stillbirth, child loss, loss of own parent, loss of career or other identity piece), and parenting. Anxiety, depression, ADHD relational stress, and sleep issues are a few of many areas she can support in counseling.
Dr. Block is available to support adults in their journey to parenthood. She has specialized training in the journey to parenthood that includes pregnancy, postpartum, grief and loss (miscarriage, stillbirth, child loss, loss of own parent, loss of career or other identity piece), and parenting. Anxiety, depression, ADHD relational stress, and sleep issues are a few of many areas she can support in counseling.
(503) 486-3905 View (503) 486-3905
Photo of Karen Phillips, MA, LPC, Licensed Professional Counselor
Karen Phillips
Licensed Professional Counselor, MA, LPC
Verified Verified
Tigard, OR 97223
Have you been to many different therapists and don’t feel it has helped? Or maybe you’ve never been to a therapist and have no idea what to expect. Do you feel stuck in relationships and situations where you feel miserable and can’t take the next step?
Have you been to many different therapists and don’t feel it has helped? Or maybe you’ve never been to a therapist and have no idea what to expect. Do you feel stuck in relationships and situations where you feel miserable and can’t take the next step?
(503) 912-7400 View (503) 912-7400
Photo of Karen Haag - Wholehearted Counseling LLC, MA, LPC, Licensed Professional Counselor
Wholehearted Counseling LLC
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Salem, OR 97306  (Online Only)
Not accepting new clients
Not accepting new clients. Hello! I'm Karen Haag, and Wholehearted Counseling is my completely virtual private practice. I specialize in working with women with trauma, particularly childhood abuse, sexual abuse, incest, and emotional abuse. Together, we explore the impact of past experiences on the brain, body, and mind. We work to identify the negative self-scripts and worldviews that are the result of trauma, and to replace these with more realistic, adaptive, and compassionate internal and external responses. My style of therapy is warm and down to earth, and my primary goal is to create a genuine human-to-human relationship.
Not accepting new clients. Hello! I'm Karen Haag, and Wholehearted Counseling is my completely virtual private practice. I specialize in working with women with trauma, particularly childhood abuse, sexual abuse, incest, and emotional abuse. Together, we explore the impact of past experiences on the brain, body, and mind. We work to identify the negative self-scripts and worldviews that are the result of trauma, and to replace these with more realistic, adaptive, and compassionate internal and external responses. My style of therapy is warm and down to earth, and my primary goal is to create a genuine human-to-human relationship.
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Photo of Olivia Parrish, RN, BS
Olivia Parrish
RN, BS
Verified Verified
Ashland, OR 97520
My psychological counseling approach is an in depth, psychodynamic, very engaged therapeutic relationship that addresses the body/mind connection both verbally and somatically. It is known in medical research that we hold our feelings in our body and as stress and tension build up, we have problems and symptoms that respond to therapeutic intervention. When our emotions go unheard, unexpressed, or even unfelt, our symptoms can worsen over time, developing our personal and interpersonal problems and often actual disease and disorders - such as pain, insomnia, muscle tensions, and indigestion.
My psychological counseling approach is an in depth, psychodynamic, very engaged therapeutic relationship that addresses the body/mind connection both verbally and somatically. It is known in medical research that we hold our feelings in our body and as stress and tension build up, we have problems and symptoms that respond to therapeutic intervention. When our emotions go unheard, unexpressed, or even unfelt, our symptoms can worsen over time, developing our personal and interpersonal problems and often actual disease and disorders - such as pain, insomnia, muscle tensions, and indigestion.
(415) 985-1196 View (415) 985-1196
Photo of Jesse Harley Steen - Harley Steen Psychotherapy, MA, LPC, Licensed Professional Counselor
Harley Steen Psychotherapy
Licensed Professional Counselor, MA, LPC
Verified Verified
3 Endorsed
Portland, OR 97227
My deepest professional aspiration is to enable others to discover their own motivations for change and to find within themselves the ability to take responsibility for their thought life and thus find the power to take actions and thereby make dramatic and transformative changes in their lives. In working with individuals, couples, and groups, my aim is to foster self-esteem, coping skills and encourage building positive and supportive relationships. I work with individual clients, couples, and lead weekly therapy groups. Deep lasting change that is already beginning iswithin your grasp. Reach out, I'd be honored to work with you.
My deepest professional aspiration is to enable others to discover their own motivations for change and to find within themselves the ability to take responsibility for their thought life and thus find the power to take actions and thereby make dramatic and transformative changes in their lives. In working with individuals, couples, and groups, my aim is to foster self-esteem, coping skills and encourage building positive and supportive relationships. I work with individual clients, couples, and lead weekly therapy groups. Deep lasting change that is already beginning iswithin your grasp. Reach out, I'd be honored to work with you.
(737) 210-3713 View (737) 210-3713
Photo of Leslie Taylor, MA
Leslie Taylor
Professional Counselor Associate, MA
Verified Verified
3 Endorsed
Tigard, OR 97223
A quick note about reaching me: using email will allow me to respond more quickly. My dog Lady, an emotional support animal, occasionally sits in on our sessions. You may choose to opt out of having her in the room if you are uncomfortable with her presence. Therapy is a sacred space to express yourself fully and honestly with the assurance of receiving empathy devoid of judgment. Lady is an expert at this! Our life stories are shaped by relationships and events. Work-related stressors, grief, difficult relationships, substance use struggles, anxiety, depression…all of these take a toll on our mental well-being.
A quick note about reaching me: using email will allow me to respond more quickly. My dog Lady, an emotional support animal, occasionally sits in on our sessions. You may choose to opt out of having her in the room if you are uncomfortable with her presence. Therapy is a sacred space to express yourself fully and honestly with the assurance of receiving empathy devoid of judgment. Lady is an expert at this! Our life stories are shaped by relationships and events. Work-related stressors, grief, difficult relationships, substance use struggles, anxiety, depression…all of these take a toll on our mental well-being.
(971) 224-7485 View (971) 224-7485
Photo of Charles Allen - Serenity Mental Health, LCSW, Clinical Social Work/Therapist
Serenity Mental Health
Clinical Social Work/Therapist, LCSW
Verified Verified
1 Endorsed
Eugene, OR 97401  (Online Only)
Accepting New Clients‭‭ Serenity Mental Health is an independent practice of caring Mental Health Professionals who understand that life’s challenges can be daunting and that people deserve quality mental health care that addresses their individual needs. Together, with a member of our licensed professional staff we will develop a plan to address hardships in a supportive and compassionate manner.
Accepting New Clients‭‭ Serenity Mental Health is an independent practice of caring Mental Health Professionals who understand that life’s challenges can be daunting and that people deserve quality mental health care that addresses their individual needs. Together, with a member of our licensed professional staff we will develop a plan to address hardships in a supportive and compassionate manner.
(541) 399-8911 View (541) 399-8911
Photo of David Sant, LCSW, MSW , Clinical Social Work/Therapist
David Sant
Clinical Social Work/Therapist, LCSW, MSW
Verified Verified
Tualatin, OR 97062
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
My ideal client seeks self-exploration & understanding, facing issues like anxiety, depression, or relationship difficulties. They need a supportive space for personal growth, aiming to gain insight, develop coping strategies, improve communication, & foster healthy relationships. They aspire to enhance mental well-being, achieve a better life quality, & unlock their full potential.
(503) 773-6596 View (503) 773-6596
Photo of Elizabeth A Anderson, CSWA, CGCI, Pre-Licensed Professional
Elizabeth A Anderson
Pre-Licensed Professional, CSWA, CGCI
Verified Verified
Portland, OR 97219
Sometimes we just need someone to hear us. We have the answers, we may just need the guidance to uncover our path. Other times we need support as we consider our choices and reflect on our challenges. I believe that the relationship we build together is the most important part of trusting the therapeutic process.
Sometimes we just need someone to hear us. We have the answers, we may just need the guidance to uncover our path. Other times we need support as we consider our choices and reflect on our challenges. I believe that the relationship we build together is the most important part of trusting the therapeutic process.
(971) 251-2230 View (971) 251-2230
Photo of Delaine Due, MA, ATR-BC, LAT, LPC, Licensed Professional Counselor
Delaine Due
Licensed Professional Counselor, MA, ATR-BC, LAT, LPC
Verified Verified
Ashland, OR 97520
Not accepting new clients
As a Board Certified Art Therapist I give my clients a safe space where expression without judgment is supported. I work with adolescents and adults in both brief and long-term art psychotherapy. I work with people to transform trauma and anxiety, as well as those questioning sexuality and gender identity. The modality and practice of art psychotherapy combined with my background in depth psychology create a therapeutic experience that supports your own internal wisdom in the process. I am also practical and provide immediate skills to my clients for managing stress, changing detrimental thought patterns and behaviors, and gaining insight.
As a Board Certified Art Therapist I give my clients a safe space where expression without judgment is supported. I work with adolescents and adults in both brief and long-term art psychotherapy. I work with people to transform trauma and anxiety, as well as those questioning sexuality and gender identity. The modality and practice of art psychotherapy combined with my background in depth psychology create a therapeutic experience that supports your own internal wisdom in the process. I am also practical and provide immediate skills to my clients for managing stress, changing detrimental thought patterns and behaviors, and gaining insight.
(541) 526-7358 View (541) 526-7358
Photo of Melanie Loree, LCSW, Clinical Social Work/Therapist
Melanie Loree
Clinical Social Work/Therapist, LCSW
Verified Verified
Albany, OR 97322  (Online Only)
Not accepting new clients
My ideal client is someone who is willing to work, at whatever level that may be for them. It is important to celebrate and build on small successes. Change can be scary. The idea of therapy can be terrifying for some, and a relief for others. If you are reading through this, it means you are likely searching for something. I believe that in therapy a space is created to help you to work on your goals in an environment that is supportive and safe. While therapy is not an end all, it helps you to discover more about yourself and the interactions you have in your daily life. Therapy is what you make it.
My ideal client is someone who is willing to work, at whatever level that may be for them. It is important to celebrate and build on small successes. Change can be scary. The idea of therapy can be terrifying for some, and a relief for others. If you are reading through this, it means you are likely searching for something. I believe that in therapy a space is created to help you to work on your goals in an environment that is supportive and safe. While therapy is not an end all, it helps you to discover more about yourself and the interactions you have in your daily life. Therapy is what you make it.
(541) 702-0831 View (541) 702-0831
Photo of Alvin Gilmore, MFT, Marriage & Family Therapist
Alvin Gilmore
Marriage & Family Therapist, MFT
Verified Verified
Portland, OR 97209  (Online Only)
Are you feeling overwhelmed by life's stressors, or find yourself repeating patterns that cause you pain? Let me guide you on your journey towards self-awareness and fulfilment. I will help you understand the underlying hopes, desires, and needs that influence your decisions. Together, we will explore the meanings behind your choices, seeking to unearth any unconscious motivations. My therapeutic approach encourages self-reflection, aiming to facilitate happier, healthier life choices.
Are you feeling overwhelmed by life's stressors, or find yourself repeating patterns that cause you pain? Let me guide you on your journey towards self-awareness and fulfilment. I will help you understand the underlying hopes, desires, and needs that influence your decisions. Together, we will explore the meanings behind your choices, seeking to unearth any unconscious motivations. My therapeutic approach encourages self-reflection, aiming to facilitate happier, healthier life choices.
(971) 431-8139 View (971) 431-8139
Photo of Scott Waters, MA, LPC, Licensed Professional Counselor
Scott Waters
Licensed Professional Counselor, MA, LPC
Verified Verified
9 Endorsed
Springfield, OR 97477
ACCEPTING NEW CLIENTS**Struggling to connect in your relationship? Finding yourself misunderstood and lonely? These are the common situations that couples find themselves in. Imagine feeling understood and having a shared vision for your relationship. You can be on the same page as your partner. You can experience being known and loved... not inspite of your shortcomings but because of them. There are two types of people, those who continue to complain (being a victim to their patterns of dysfunction) and those who decide they are going to be responsible for creating health in the relationship they are in. Which are you going to be?
ACCEPTING NEW CLIENTS**Struggling to connect in your relationship? Finding yourself misunderstood and lonely? These are the common situations that couples find themselves in. Imagine feeling understood and having a shared vision for your relationship. You can be on the same page as your partner. You can experience being known and loved... not inspite of your shortcomings but because of them. There are two types of people, those who continue to complain (being a victim to their patterns of dysfunction) and those who decide they are going to be responsible for creating health in the relationship they are in. Which are you going to be?
(503) 379-1271 View (503) 379-1271
Photo of Glenda Evans, LPC, Licensed Professional Counselor
Glenda Evans
Licensed Professional Counselor, LPC
Verified Verified
1 Endorsed
Salem, OR 97306
Are you interested in working toward a deeper awareness of yourself? Are you willing to be gently guided in the healing work of addressing grief, traumas or other troubling situations that are impacting you? You may be experiencing discontent that shows up as depression, anxiety, or difficulty in relationships. Whether you have been suffering for a month or decades, you deserve help to identify and compassionately address your concerns. You have suffered enough! I believe the more you know yourself, the more power and freedom you wield to reach potentials.
Are you interested in working toward a deeper awareness of yourself? Are you willing to be gently guided in the healing work of addressing grief, traumas or other troubling situations that are impacting you? You may be experiencing discontent that shows up as depression, anxiety, or difficulty in relationships. Whether you have been suffering for a month or decades, you deserve help to identify and compassionately address your concerns. You have suffered enough! I believe the more you know yourself, the more power and freedom you wield to reach potentials.
(503) 295-9746 View (503) 295-9746
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How does your Therapist compare?

Average cost per session

$160

Therapists in Oregon who prioritize treating:

91% Anxiety
85% Depression
75% Relationship Issues
74% Trauma and PTSD
74% Self Esteem
69% Stress
65% Life Transitions

Average years in practice

10 Years

Top 3 insurances accepted

59% PacificSource
44% Aetna
44% Oregon Health Plan (OHP)

How Therapists in Oregon see their clients

63% In Person and Online
37% Online Only

Gender breakdown

76% Female
21% Male
3% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Oregon?

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.