Therapists in Seattle, WA

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Photo of Mel Roque, MA, LMHCA, Counselor
Mel Roque
Counselor, MA, LMHCA
Verified Verified
5 Endorsed
Seattle, WA 98115  (Online Only)
Not accepting new clients
Pain is a sign that something needs our attention. When we are not aware of helpful ways to manage it, we look to what is available to us to cope as a survival tactic. We might numb our symptoms through food, social media, strained relationships, substances, negative self talk, excessive busyness--leaving us feeling disconnected or in constant conflict with others & ourselves. I believe in truth, empathy, & belonging. I vow to create a space where you will not be judged but held in all that you are. I view therapy as collaborative. You are the expert of your story & I am responsible to help you get grounded to anchor it.
Pain is a sign that something needs our attention. When we are not aware of helpful ways to manage it, we look to what is available to us to cope as a survival tactic. We might numb our symptoms through food, social media, strained relationships, substances, negative self talk, excessive busyness--leaving us feeling disconnected or in constant conflict with others & ourselves. I believe in truth, empathy, & belonging. I vow to create a space where you will not be judged but held in all that you are. I view therapy as collaborative. You are the expert of your story & I am responsible to help you get grounded to anchor it.
(425) 979-7249 View (425) 979-7249
Photo of Scarlet Gonzalez - Mindful Sessions, MA, LMFT, Marriage & Family Therapist
Mindful Sessions
Marriage & Family Therapist, MA, LMFT
Verified Verified
Seattle, WA 98107  (Online Only)
Are you feeling stuck? Do you feel numb, unable to find joy in things that once made you happy? When we're struggling, it can spill out onto our relationships, showing up in ways that create more issues. In our efforts to make change, we may try to solve them by reading self-help books or talking to our closest friends, only to find the problem is still a problem. That’s where I can help. Together we’ll identify goals and collaborate on a treatment plan. The beginning of any journey or change begins with acceptance, the proper treatment, and a healthier relationship and connection with ourselves and the world around us.
Are you feeling stuck? Do you feel numb, unable to find joy in things that once made you happy? When we're struggling, it can spill out onto our relationships, showing up in ways that create more issues. In our efforts to make change, we may try to solve them by reading self-help books or talking to our closest friends, only to find the problem is still a problem. That’s where I can help. Together we’ll identify goals and collaborate on a treatment plan. The beginning of any journey or change begins with acceptance, the proper treatment, and a healthier relationship and connection with ourselves and the world around us.
(509) 204-5994 View (509) 204-5994
Photo of Cait King, LMFT, Marriage & Family Therapist
Cait King
Marriage & Family Therapist, LMFT
Not Verified Not Verified
1 Endorsed
Seattle, WA 98109
As a Couple and Family Therapist, I am honored to collaborate with clients in deciphering what may be holding you back from the freedom to live a more whole, robust life. A concentration of mine is in working with those who have attentional difficulties or learning differences such as ADHD, whether in a couple, family, or individual setting.
As a Couple and Family Therapist, I am honored to collaborate with clients in deciphering what may be holding you back from the freedom to live a more whole, robust life. A concentration of mine is in working with those who have attentional difficulties or learning differences such as ADHD, whether in a couple, family, or individual setting.
(267) 953-8094 View (267) 953-8094
Photo of Robert E. Deeble, LMHC, Counselor
Robert E. Deeble
Counselor, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98107
I work primarily with adults in individual weekly therapy and with couples. In individual therapy I work in a relational psychodynamic modality that explores the patterns of relationships in your life and the root issues behind your symptoms. In my work with couples I see the couple as the client. As such I do not provide a mental health diagnosis to any one person in the partnership but focus on the relationship itself. My aim in this work is to help couples grow in their partnership while simultaneously reducing the conflict and misunderstandings they may be experiencing in their relationship.
I work primarily with adults in individual weekly therapy and with couples. In individual therapy I work in a relational psychodynamic modality that explores the patterns of relationships in your life and the root issues behind your symptoms. In my work with couples I see the couple as the client. As such I do not provide a mental health diagnosis to any one person in the partnership but focus on the relationship itself. My aim in this work is to help couples grow in their partnership while simultaneously reducing the conflict and misunderstandings they may be experiencing in their relationship.
(206) 889-6461 View (206) 889-6461
Photo of Nicole Ahn, LMHCA, Counselor
Nicole Ahn
Counselor, LMHCA
Verified Verified
Seattle, WA 98121  (Online Only)
Much of my practice addresses individuals with multicultural identities who have been impacted by childhood trauma and other complex traumas.
Much of my practice addresses individuals with multicultural identities who have been impacted by childhood trauma and other complex traumas.
(206) 759-3486 View (206) 759-3486
Photo of Felicia Leeann Rock, MSW, LICSW, Clinical Social Work/Therapist
Felicia Leeann Rock
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
Seattle, WA 98126  (Online Only)
It is ok to ask for help. Your mind knows this, but you feel a sense of unease as you try to find the balance each day between what’s right for you and what’s right for your loved ones. You are fiercely independent: able to handle the to-do list, and your friends & family can always count on you. When you have built a life on putting others first, it can be petrifying to ask for help and to admit to having needs. But-you also know therapy has worked for you in the past when you have struggled to find a way forward in your relationship, career, creative, or inner life.
It is ok to ask for help. Your mind knows this, but you feel a sense of unease as you try to find the balance each day between what’s right for you and what’s right for your loved ones. You are fiercely independent: able to handle the to-do list, and your friends & family can always count on you. When you have built a life on putting others first, it can be petrifying to ask for help and to admit to having needs. But-you also know therapy has worked for you in the past when you have struggled to find a way forward in your relationship, career, creative, or inner life.
(206) 673-5226 View (206) 673-5226
Photo of Dr. Ellen Bronder, PhD, Psychologist
Dr. Ellen Bronder
Psychologist, PhD
Verified Verified
2 Endorsed
Seattle, WA 98101  (Online Only)
Offering help for depression, anxiety, relationship distress, trauma, stress & burnout. Working with adults, college & grad students and professionals, including people in sensitive & high-profile roles for whom discretion & privacy are paramount. Here you will get a therapist that has a deep and unique understanding of suffering, a therapist that is skillful, knowledgeable, real, transparent and compassionate. A therapist that gets it and has expertise in diagnosis and treatment based on advanced knowledge of human development, psychotherapeutic treatment and advanced knowledge of research in psychology.
Offering help for depression, anxiety, relationship distress, trauma, stress & burnout. Working with adults, college & grad students and professionals, including people in sensitive & high-profile roles for whom discretion & privacy are paramount. Here you will get a therapist that has a deep and unique understanding of suffering, a therapist that is skillful, knowledgeable, real, transparent and compassionate. A therapist that gets it and has expertise in diagnosis and treatment based on advanced knowledge of human development, psychotherapeutic treatment and advanced knowledge of research in psychology.
(216) 299-3810 View (216) 299-3810
Photo of Trevor Youngquist, MA, LMHC, Counselor
Trevor Youngquist
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98115
I aim to help you cultivate a sense of home, peace, and nurturance within yourself. My approach combines somatic, attachment-based, and emotion-focused work with cognitive and action-oriented perspectives. I will work with you to develop greater self-understanding, process traumas and emotional wounds, and build a life you want to live. I commonly help clients with anxiety, depression, childhood trauma and PTSD, low self-esteem, relationship challenges, and feelings of being lost or overwhelmed with life. I also enjoy helping clients explore themes of meaning, spirituality, and expanded states of consciousness.
I aim to help you cultivate a sense of home, peace, and nurturance within yourself. My approach combines somatic, attachment-based, and emotion-focused work with cognitive and action-oriented perspectives. I will work with you to develop greater self-understanding, process traumas and emotional wounds, and build a life you want to live. I commonly help clients with anxiety, depression, childhood trauma and PTSD, low self-esteem, relationship challenges, and feelings of being lost or overwhelmed with life. I also enjoy helping clients explore themes of meaning, spirituality, and expanded states of consciousness.
(206) 350-5229 View (206) 350-5229
Photo of Sergio Flores, PsyD, MS, Psychologist
Sergio Flores
Psychologist, PsyD, MS
Verified Verified
Seattle, WA 98102
I am looking forward to meeting you! I obtained my doctoral degree in Clinical Psychology from the PGSP-Stanford PsyD Consortium program in Palo Alto, CA. I have over 14 years of experience providing therapy in a variety of settings that include the UCSF Alliance Health Project, Stanford University School of Medicine Department of Psychiatry and Behavioral Sciences, the Seattle VA Hospital, and my current private practice. I enjoy working with clients across the lifespan, from adolescents to older adults.
I am looking forward to meeting you! I obtained my doctoral degree in Clinical Psychology from the PGSP-Stanford PsyD Consortium program in Palo Alto, CA. I have over 14 years of experience providing therapy in a variety of settings that include the UCSF Alliance Health Project, Stanford University School of Medicine Department of Psychiatry and Behavioral Sciences, the Seattle VA Hospital, and my current private practice. I enjoy working with clients across the lifespan, from adolescents to older adults.
(206) 929-4632 View (206) 929-4632
Photo of Lauren R Pollard, MA, LMHC, Counselor
Lauren R Pollard
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98112  (Online Only)
You can’t go back and change the beginning, but you can start where you are and change the ending. - C.S. Lewis. I am interested in how early attachment relationships impact how we see ourselves and relate to others. I believe our adult relationships reflect in part what we did or did not experience growing up. A safe therapeutic relationship creates space to unpack what is getting in our way, help us make sense of emotions and reactions, and learn skills and strategies to bring more peace and stability into our lives.
You can’t go back and change the beginning, but you can start where you are and change the ending. - C.S. Lewis. I am interested in how early attachment relationships impact how we see ourselves and relate to others. I believe our adult relationships reflect in part what we did or did not experience growing up. A safe therapeutic relationship creates space to unpack what is getting in our way, help us make sense of emotions and reactions, and learn skills and strategies to bring more peace and stability into our lives.
(253) 248-4508 View (253) 248-4508
Photo of Argelia Chavez, LMHC,, CMHS,, EMMHS-H, Counselor
Argelia Chavez
Counselor, LMHC,, CMHS,, EMMHS-H
Verified Verified
Seattle, WA 98108
I recognize and value the courage to seek help. I provide a safe and neutral space to talk about your life challenges and share your story. My goal is to partner with you during life's challenging moments, find new ways to gain personal growth, identify old patterns, heal, and get unstuck. My approach to therapy is strength-based, goal-oriented, and holistic, providing support that looks at the whole considering your physical, emotional, social, and spiritual wellbeing. I tailor my approach to your specifics needs and guide you to be more compassionate with yourself.
I recognize and value the courage to seek help. I provide a safe and neutral space to talk about your life challenges and share your story. My goal is to partner with you during life's challenging moments, find new ways to gain personal growth, identify old patterns, heal, and get unstuck. My approach to therapy is strength-based, goal-oriented, and holistic, providing support that looks at the whole considering your physical, emotional, social, and spiritual wellbeing. I tailor my approach to your specifics needs and guide you to be more compassionate with yourself.
(425) 533-2985 View (425) 533-2985
Photo of Alisa Burpee, PhD, Psychologist
Alisa Burpee
Psychologist, PhD
Verified Verified
1 Endorsed
Seattle, WA 98101  (Online Only)
“The good life is a process, not a state of being. It is a direction not a destination" (Carl Rogers). I’m here to help you ignite progress on your next step towards wholeness. Whether you are looking for a new direction in life or are experiencing stress, perfectionism, anxiety, grief and loss, trauma, adjustment to life events, or motivated to find sobriety, I may be able to help you rediscover yourself and find peace. Therapy with me is dynamic and active but also individually paced.
“The good life is a process, not a state of being. It is a direction not a destination" (Carl Rogers). I’m here to help you ignite progress on your next step towards wholeness. Whether you are looking for a new direction in life or are experiencing stress, perfectionism, anxiety, grief and loss, trauma, adjustment to life events, or motivated to find sobriety, I may be able to help you rediscover yourself and find peace. Therapy with me is dynamic and active but also individually paced.
(206) 887-9063 View (206) 887-9063
Photo of Dr. Allison Lau-Srivastava, PhD, Psychologist
Dr. Allison Lau-Srivastava
Psychologist, PhD
Verified Verified
Seattle, WA 98136
Not accepting new clients
I provide experiential and culturally attuned psychotherapy to individuals and couples. My aim is to work collaboratively with clients to break cycles of emotional suffering and aloneness. As a result, I support clients in rediscovering their own authenticity and vitality and with those who matter most to them. My approach to individual and couples therapy is deeply relational, experiential, and healing. This means that I will wholeheartedly witness your stories of struggle, pain, loss, and shame, as well as your stories of survival, resilience, courage, wisdom, and love.
I provide experiential and culturally attuned psychotherapy to individuals and couples. My aim is to work collaboratively with clients to break cycles of emotional suffering and aloneness. As a result, I support clients in rediscovering their own authenticity and vitality and with those who matter most to them. My approach to individual and couples therapy is deeply relational, experiential, and healing. This means that I will wholeheartedly witness your stories of struggle, pain, loss, and shame, as well as your stories of survival, resilience, courage, wisdom, and love.
(206) 488-0958 View (206) 488-0958
Photo of Kendra Nicole Locke, Pre-Licensed Professional
Kendra Nicole Locke
Pre-Licensed Professional
Verified Verified
12 Endorsed
Seattle, WA 98109  (Online Only)
I enjoy helping individuals, couples, and families seeking growth and understanding, who may be grappling with issues like life transitions, relationship issues, stress, anxiety, depression, trauma, and/or identity exploration. My ideal client is seeking a non-judgmental space to explore thoughts and emotions, aiming for self-awareness, healing, and effective coping with life challenges. Motivated by a desire to help my clients live authentically and thrive, I value therapy as a path to personal transformation, seeking to help clients find clarity, resilience, and a fulfilling life aligned with their values and aspirations.
I enjoy helping individuals, couples, and families seeking growth and understanding, who may be grappling with issues like life transitions, relationship issues, stress, anxiety, depression, trauma, and/or identity exploration. My ideal client is seeking a non-judgmental space to explore thoughts and emotions, aiming for self-awareness, healing, and effective coping with life challenges. Motivated by a desire to help my clients live authentically and thrive, I value therapy as a path to personal transformation, seeking to help clients find clarity, resilience, and a fulfilling life aligned with their values and aspirations.
(425) 585-4960 View (425) 585-4960
Photo of Kaitlyn Marie Schmidt, MA, LMHC, NCC, Counselor
Kaitlyn Marie Schmidt
Counselor, MA, LMHC, NCC
Verified Verified
Seattle, WA 98101
Not accepting new clients
I have experience working with adults of all ages carrying a wide range of diagnoses. I work with individuals as well as couples. My specialties are working with clients experiencing depression, anxiety, and life transitions of all kinds. I am dedicated to tailoring a treatment plan specific to the needs of the individual or couple. I am also flexible and understanding of changes that may come up during our work, and always willing to change up our plan to reflect this. We work collaboratively on these goals while utilizing open and clear communication about our progress.
I have experience working with adults of all ages carrying a wide range of diagnoses. I work with individuals as well as couples. My specialties are working with clients experiencing depression, anxiety, and life transitions of all kinds. I am dedicated to tailoring a treatment plan specific to the needs of the individual or couple. I am also flexible and understanding of changes that may come up during our work, and always willing to change up our plan to reflect this. We work collaboratively on these goals while utilizing open and clear communication about our progress.
(206) 208-2378 View (206) 208-2378
Photo of Kehli LeSourd, MA, LMHC, LMFT, BC-TMHP, NCC, Counselor
Kehli LeSourd
Counselor, MA, LMHC, LMFT, BC-TMHP, NCC
Verified Verified
1 Endorsed
Seattle, WA 98108  (Online Only)
Not accepting new clients
I provide virtual sessions in Nevada and Washington. Consultation times available to book directly from my website. Imagine a day when you felt like you, and you truly knew who that was. Where you didn't feel overworked and stressed. Where you could say no without overthinking about what someone else would think. Where you had control over your time and energy. Where worry wasn't your motivation. Where you felt rested and calm. Doesn't it sound like a dream?
I provide virtual sessions in Nevada and Washington. Consultation times available to book directly from my website. Imagine a day when you felt like you, and you truly knew who that was. Where you didn't feel overworked and stressed. Where you could say no without overthinking about what someone else would think. Where you had control over your time and energy. Where worry wasn't your motivation. Where you felt rested and calm. Doesn't it sound like a dream?
(206) 875-2895 View (206) 875-2895
Photo of Annie Yacopetti Couples Therapist, MA, LMHC, Counselor
Annie Yacopetti Couples Therapist
Counselor, MA, LMHC
Verified Verified
1 Endorsed
Seattle, WA 98102
I’m a Couples Therapist and Individual Therapist as well as the Co-founder at Wellness Collective Therapy Group in Seattle, Washington: www.wellnesscollectivenw.com. I specialize in treating relationship issues around communication, sex and intimacy and conflict resolution. My clients are often looking for help with emotional disconnection, job stress, self worth issues, depression and anxiety. I help clients change their emotional responses and develop tools for managing stressors and increasing joy, contentment and peace in their lives.
I’m a Couples Therapist and Individual Therapist as well as the Co-founder at Wellness Collective Therapy Group in Seattle, Washington: www.wellnesscollectivenw.com. I specialize in treating relationship issues around communication, sex and intimacy and conflict resolution. My clients are often looking for help with emotional disconnection, job stress, self worth issues, depression and anxiety. I help clients change their emotional responses and develop tools for managing stressors and increasing joy, contentment and peace in their lives.
(206) 337-0809 View (206) 337-0809
Photo of Marte White, MSW, LICSW, Clinical Social Work/Therapist
Marte White
Clinical Social Work/Therapist, MSW, LICSW
Verified Verified
1 Endorsed
Seattle, WA 98115  (Online Only)
Are you navigating life and repeating the same patterns or struggling personally and/or in your relationships? Oftentimes there is big or little trauma impacting your feelings of "stuckness" today. I work with individuals and couples from a trauma-informed approach looking at what is coming up for you today in your struggles and what is influencing how these issues are presenting. Therapy can help work through and gain more understanding and insight to grow and change in the ways you would like to.
Are you navigating life and repeating the same patterns or struggling personally and/or in your relationships? Oftentimes there is big or little trauma impacting your feelings of "stuckness" today. I work with individuals and couples from a trauma-informed approach looking at what is coming up for you today in your struggles and what is influencing how these issues are presenting. Therapy can help work through and gain more understanding and insight to grow and change in the ways you would like to.
(206) 582-6802 View (206) 582-6802
Photo of S John McDonald - Group Therapy Seattle, MA, LMHC, Counselor
Group Therapy Seattle
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98125
If you are experiencing major life changes or transitions, if you want help understanding why you choose the partners you choose, if you want effective means of changing self-defeating behaviors, if you would like help with "emotional & social intelligence" both critical to personal & career success, if you want to learn effective means of communicating & resolving conflict in your relationships, if anxiety or depression interfere with your enjoyment of life, if you had losses or broken attachments while growing up, if you just want a very supportive community for dealing with the stresses of your life, then consider these groups.
If you are experiencing major life changes or transitions, if you want help understanding why you choose the partners you choose, if you want effective means of changing self-defeating behaviors, if you would like help with "emotional & social intelligence" both critical to personal & career success, if you want to learn effective means of communicating & resolving conflict in your relationships, if anxiety or depression interfere with your enjoyment of life, if you had losses or broken attachments while growing up, if you just want a very supportive community for dealing with the stresses of your life, then consider these groups.
(206) 203-2981 View (206) 203-2981
Photo of Adam R Seward, MA, LMHC, Counselor
Adam R Seward
Counselor, MA, LMHC
Verified Verified
Seattle, WA 98103
My first experience with psychology came at the age of 8 when my parents took me to see their counselor, Greg. He was so helpful to me and my family that I felt inspired to follow in his footsteps and become a counselor too. Today I feel fortunate to be able say that I love what I do.
My first experience with psychology came at the age of 8 when my parents took me to see their counselor, Greg. He was so helpful to me and my family that I felt inspired to follow in his footsteps and become a counselor too. Today I feel fortunate to be able say that I love what I do.
(425) 954-6812 View (425) 954-6812
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How does your Therapist compare?

Number of Therapists in Seattle, WA

3,000+

Average cost per session

$150

Therapists in Seattle, WA who prioritize treating:

93% Anxiety
86% Depression
78% Relationship Issues
75% Self Esteem
72% Trauma and PTSD
71% Stress
68% Life Transitions

Average years in practice

9 Years

Top 3 insurances accepted

69% Premera Blue Cross
57% Aetna
49% Regence

How Therapists in Seattle, WA see their clients

52% Online Only
48% In Person and Online

Gender breakdown

75% Female
21% Male
4% Non-Binary
FAQs - About Therapy and Counseling

How can I find a therapist in Seattle?

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.